• Journal of Chest Surgery
• /
• v.30 no.9
• /
• pp.876-884
• /
• 1997

Fourteen patients underwent orthotopic heart transplantation between March 1994 and May 1996 in Seoul National University Hospital. There were 9 male and 5 female patients, and the mean age was 40.8 $\pm$ 12.4 years ranged from 12 to 56 years. All patient were in NYHA Fc III or IV preoperatively. The underlying heart diseases were dilated cardiomyopathy in 11 and restrictive cardiomyopathy in 3. The mean age of donors was 24.9$\pm$ 10.2 years and the causes of the brain death were head trauma by traffic accidents in 8, subarachnoid hemorrhage in 2, 1 asphyxia, 1 fall down injury, 1 brain tumo , and 1 drowning, respectively The blood type was identical in 11, compatible in 2, and incompatible in 1 patient. The direct bicaval anastomosis technique was used in 11 cases, and standard right atrial anastomosis was done in the remaining 3 cases. The graft ischemic time was 158$\pm$44 minutes ranged 94 to 220 minutes. There were two hospital deaths(14.3%). The causes of deaths were 1 right ventricular failure followed by suspected cyclosporine induced hemolytic uremic syndrome and rejection, and 1 delayed massive bleeding, probably from rupture of the anastomotic pseudoaneurysm, respectively. The follow-up duration was 16$\pm$9 months(3 to 28 months). There was one late death(8.3%). All the other patients were in NYHA Fc I except one patient who was in hospital because of the acute rejection. The actuarial survival rates including hospital deaths were 93.7% at 1 month, 86.9% at 6 months, and 77$\pm$12% at 2 years. Conclusively, heart transplantation is the good strategy for the management of end stage heart disease with acceptable operative mortality and early follow-up results.

• Journal of agricultural medicine and community health
• /
• v.8 no.1
• /
• pp.12-18
• /
• 1983

This study was carried out in identify the accidents of the residents in the rural community for a year from January to December in 1980 in the area of Bugae Myun, Gunwee Gun, Kyungpook province in Korea. The annual incidence was 3.9% and there was significant difference between sexes(p < 0.01) ; 5.5% in male, 2.3% in female. The age group of 50-59 showed the highest incidence as 5.7%. In summer the incidence was the highest as 37.5% and in winter, the lowest as 18.7%. Farming tool was the most frequent cause of accident as 44.3% and followed by insecticide and bite of snake and dog, etc. Hands and fingers were the most frequent injured parts as 33.0% and upper extremities(40.3%) were twice as high as the lower ones(20.5%). By kinds of injuries, laceration was highest as 33.0% and followed by contusion(24.4%) and abrasion(15.9%). Average duration of treatment was 6.1 days and most of the cases(85.2%) were within 10 days. Average duration of labor loss was 8 days and 84.6% of the total were less than 10 days. Twenty-six cases had some parts of their bodies lost due to accidents and five cases died from drownina and poisoning.

• Journal of Korean Society of Disaster and Security
• /
• v.15 no.3
• /
• pp.57-66
• /
• 2022

According to the official letter of the Ministry of Employment and Labor (recent guidance on the status of deaths in the construction industry and thorough safety management, April 4, 2022), 17 deaths occurred in construction works worth more than 5 billion won until March 31, 2022. In terms of the size of the construction, 7 cases of 5 billion won to 12 billion won, 5 cases of 12 billion won to 80 billion won, and 5 cases of more than 80 billion won occurred. The causes of death accidents were found to be nine cases (50%), five cases (28%), two cases of collapse (11%), one case of entrapment (5%), and one case of drowning (5%). Safety facilities need to be strengthened to reduce deaths caused by falling, which accounts for most of the deaths, and if fall prevention nets, openings, and safety rails are completely installed, most falling accidents can be prevented. Therefore, this paper intends to present cases of development and use of patent technology through improvement of safety facilities in order to prevent accidents corresponding to the fall of new urban living housing sites, which are small apartment houses.

• Journal of Korean Society of Coastal and Ocean Engineers
• /
• v.34 no.5
• /
• pp.135-143
• /
• 2022

Rock platforms and TTP (breakwater) are dangerous environments commonly subject to tidal and high wave energy on the open coast. This paper is a study on risk assessment to provide risk information, which is a representative method for preventing coastal safety accidents. Risk assessment based on geo-morphological information was conducted for the Halmi-Halabi rock platform in Anmyeon-eup, Taean-gun, Chungcheongnam-do. As a result of the risk assessment in 16 directions, the risk was evaluated high in the NE, ENE, S, SSW, and W directions, where there are many sections with slopes exceeding ±20°, and the NW direction was the lowest. Geo-morphology on rock platform is central to understanding what makes one stretch of complex coastline more hazardous than another, and it can be used to create site-specific morphological risk item. In particular, it will be assisting coastal managers in an effort to reduce the number of injuries and drowning incidents by providing hazard information to assess the relative risk.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2021.06a
• /
• pp.80-80
• /
• 2021

2020년은 장마와 태풍으로 인해 중부 및 남부지방에 폭우가 발생하여 강남역을 비롯한 지하철 역사와 지하 주차장 등 많은 지하시설이 침수되었고, 부산에서는 침수된 지하차도에 진입한 차량의 운전자가 사망하는 등의 사고가 발생하였다. 지하에 설치된 시설들은 침수가 발생할 경우 대부분 출입구를 통해 유입되는 물을 거슬러 대피해야 하므로 낙상과 그로 인한 익사 등 자칫 큰 인명피해를 초래할 수 있어 특별히 주의할 필요가 있다. 대피 여부를 결정하고 그에 필요한 시간을 계산하기 위해서는 안전하게 대피 가능한 최대수심(한계수심)을 결정하는 것이 필요하다. 현재 한계수심을 제시한 여러 연구가 있지만 대부분 소수의 성인만을 대상으로 한 실험 결과이기 때문에 성별, 연령, 체중 등 다양한 유형의 사람을 고려한 대피방법 제시가 필요하다. 이에 본 연구에서는 실험 참가자의 유형(성별, 연령, 체중, 신장)에 따른 대피시간의 차이를 고려한 한계수심을 제시할 수 있도록 하였다. 총 308명이 실험에 참여하였으며, 이중 남성은 164명, 여성은 144명이었다. 참가자의 연령은 14세부터 75세까지이며, 신장은 최소 145cm에서 최대 187cm, 체중은 35kgf에서 110kgf 범위이다. 대피시간은 물이 흘러 내려오는 5.1m 길이의 계단을, 난간을 잡은 채 거슬러 올라가는 시간으로 설정하였으며, 계단 상층부의 수심이 30cm일 때와 40cm일 때(한계수심 조건), 2회 측정하였다. 또한, 측정이 종료된 후, '안전하게 대피 가능할 것으로 예상되는 수심'을 선택하도록 하여 참가자가 체감한 실험 난이도를 간접적으로 확인하고 향후 연구에 활용할 수 있도록 하였다. 수집된 자료를 분석한 결과 여성의 경우 수심 30cm와 40cm의 평균 대피시간이 4초 정도의 차이가 나타났으나, 남성의 경우 유의미한 차이가 나타나지 않았다. 또한 '안전하게 대피 가능할 것으로 예상되는 수심'에 대한 답변으로 다수가 실험의 최대 수심 조건인 40cm 이상을 선택하였다. 이와 같은 결과를 보아, 실험의 난도가 높지 않았다고 예상할 수 있으며, 그 원인은 참가자의 안전을 고려해 실험 조건을 난간을 잡은 채 보행하도록 설정한 것이 한계수심을 증가시키는 결과를 가져왔다고 볼 수 있다. 유형에 따른 대피시간의 차이를 분석하기 위해서는 실험의 한계수심 조건을 높이거나, 난간을 잡지 않고 보행할 수 있도록 안전장치를 추가하는 등, 실험조건의 변화가 필요할 것으로 판단되며, 추가적으로 난간을 잡은 채 보행하는 것이 한계수심을 얼마나 높일 수 있는지에 대한 검토를 통하여 정량적인 대피가능 시간을 제시할 수 있을 것으로 사료된다.

• Journal of the Korean Institute of Gas
• /
• v.17 no.4
• /
• pp.18-25
• /
• 2013

It may occur health hazards or death by suffocation or acute poisoning in case of oxygen deficiency in ambient or exposure to harmful gas. As a part of accident prevention, we studied the change of activity and lethal dose by changing the concentration of several hazardous gas with inhalation exposure chamber and laboratory animals. We investigated the lethality and motility change during either the 4 hrs whole body exposure to oxygen, nitrogen, toluene, $H_2S$, CO and 48 recovery. As results, it is estimated that 5% oxygen concentration as lethal concentration and 5.5% as $LC_{50}$ (rat, 4 hrs) with statistics for dose-response. The results of lethality in oxygen deficient condition (approximately 6%), the lethalities were 40%, 20% with 20 ppm $H_2S$, 600 ppm CO respectively, and was not increased the lethality with 8% CO. Thus, it was confirmed that the $H_2S$, CO had influence to lethal dose, while toluene had low fluence.