• 제목/요약/키워드: Accident case studies

검색결과 179건 처리시간 0.025초

교통 사고로 발생한 흉골 골절 환자에 대한 한방복합입원치료 효과: 증례 보고 5례 (Clinical Effects of Combination of Korean Medicine Admission Treatment in Patients with Sternum Fracture after Traffic Accidents : 5 Case Series Report)

  • 박주언;김효준;김국범;권용수;이희원;유재은;최규철
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.101-111
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    • 2019
  • Objectives : The purpose of this study was to report five patients with a sternum fracture after a traffic accident who improved with a combination of Korean medicine treatments. Methods : We collected data of traffic accident patients with a sternum fracture who were admitted to Dae-Jeon Jaseng Korean Medicine Hospital from March 2019 to September 2019. We observed five cases of patients treated with acupuncture, pharmacoacupuncture, herbal medicine, and Korean physical therapy. We measured the validity of the treatments using the Numeric Rating Scale (NRS) and European Quality of Life-5 Dimension (EQ-5D) at admission, at two weeks, and on the discharge date of hospitalization. Results : Following treatment using a combination of the above mentioned methods, the general overall condition of the patients had significantly improved. Furthermore, the NRS and EQ-5D scores were numerically better. Conclusions : After the combination of Korean medicine treatments, results from five patients with a sternum fracture after a traffic accident suggested that the treatments were effective. However, the number of subjects was insufficient and individual efficacy was not measured in this study. Therefore, further studies are needed on this topic.

뇌혈관질환을 동반한 진행성 핵상마비 환자의 의식수준저하에 대한 한방복합치료 증례보고 1례 (A Case Report of Complex Korean Medicine Treatments of Decreased Mental Status in a Progressive Supranuclear Palsy Patient with a Cerebrovascular Accident)

  • 강지현;김서현;김준석;장우석
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.881-890
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    • 2022
  • Objectives: This study investigated the effect of complex Korean medicine treatment on decreased mental status in a progressive supranuclear palsy patient with a cerebrovascular accident. Case presentation: The patient was treated with Korean medicine composed of herbal medicine (modified Guibi-tang), acupuncture, moxibustion, and cupping combined with Western medicine (a dopamine precursor and an anticholinergic) and physical therapy. The Glasgow Coma Scale, Mini-Mental State Examination, and Hoehn and Yahr Scale were used to evaluate the effects of the treatments. After treatment, Glasgow Coma Scores increased from 9-10 to 12-13, and Mini-Mental State Examination for dementia screen scores increased from 1 to 2. The Hoehn and Yahr score remained at 5. There were no side effects of the treatment. Conclusion: This study suggests that complex Korean medicine treatments may be effective for the decreased mental status of a progressive supranuclear palsy patient with a cerebrovascular accident, but further studies are needed.

원자력발전소 중대사고 대응 조직에 대한 레질리언스 정량적 모델 개발: AHP 방법 적용 (Development of a Quantitative Resilience Model for Severe Accident Response Organizations of Nuclear Power Plants: Application of AHP Method)

  • 박주영;김지태;이승헌;김종현
    • 한국안전학회지
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    • 제35권1호
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    • pp.116-129
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    • 2020
  • Resilience is defined as the intrinsic ability of a system to adjust its functioning prior to, during, or following changes and disturbances, so that it can sustain required operations or functions with the related systems under both expected and unexpected conditions. Resilience engineering is a relatively new paradigm for safety management that focuses on how to cope with complexity under pressure or disturbance to achieve successful functioning. This study aims to develop a quantitative resilience model for severe accident response organizations of nuclear power plants using the Analytic Hierarchy Process (AHP) method. First, we investigated severe accident response organizations based on a radiation emergency plan in the Korean case and developed a qualitative resilience model for the organizations with resilience-influencing factors, which have been identified in the author's previous studies. Then, a quantitative model for entire severe accident response organizations was developed by using the Analytic Hierarchy Process (AHP) method with a tool for System Dynamics. For applying the AHP method, several experts who are working on implementing, regulating or researching the severe accident response participated in collecting their expertise on the relative importance between all the possible relations in the model. Finally, a sensitivity analysis was carried out to discuss which factors have the most influenceable on resilience.

설문조사를 통한 중대재해 처벌 법의 개선방향 제시 (Suggesting the Improvement Direction of the Severe Disaster Punishment Act through a Survey)

  • 김준영;손기영;이지엽
    • 한국건설안전학회 논문집
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    • 제5권1호
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    • pp.25-30
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    • 2023
  • 2022년 1월 27일부터 시행된 중대재해처벌법은 안전조치를 소홀히 한 사업주나 관리자를 중대재해 발생 시 1년 이상의 징역형에 처하도록 하고 있다. 이 중대재해의 처벌에 관한 법률이 올해부터 시행되면서 사회의 많은 관심을 받고 있다. 전문가들에 따르면 안전사고율을 낮추는 법안의 당초 취지와 달리 기업에 대한 처벌을 높이는 데 초점을 맞춰 법안을 만들었다는 의견이 대부분이다. 본 연구는 사례연구를 통해 이러한 내용이 사실인지를 확인하였으며, 이를 지속할 경우 기업과 근로자 간의 갈등이 심화되어 안전사고율이 감소하지 않을 것이다. 따라서 본 연구는 기업의 처벌을 무조건 늘리는 것이 아니라 설문조사를 통해 많은 상황을 비교하고 기업과 근로자가 안전사고율을 낮추기 위해 중대재해처벌법에 협력할 수 있는 방안을 제시하였다. 본 연구는 안전한 사회 건설을 위한 발전된 중대재해 처벌 법의 제정을 위한 기초자료로 활용될 것으로 사료된다.

전자금융거래 이상징후 분석을 통한 사고예방 효과성에 관한 연구 (A Study of Accident Prevention Effect through Anomaly Analysis in E-Banking)

  • 박은영;윤지원
    • 한국전자거래학회지
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    • 제19권4호
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    • pp.119-134
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    • 2014
  • 금융회사는 인터넷뱅킹, 스마트폰뱅킹 등 비대면 서비스를 위해 다양한 사용자 단말 환경을 통해 전자금융거래 서비스를 제공하고 있다. 그러나, 이러한 서비스는 기본적으로 사용자의 보안인식 및 기술적 대응의 한계로 인한 금전사고가 빈번하게 발생하고 있어 금융 감독 당국으로부터 보다 근본적인 보호대책이 요구되고 있다. 이에 따라, 금융권에서는 전자금융거래에서 발생하는 금전사고를 예방하기 위해 사용자의 전자정보, 접속정보, 거래내용 등을 종합적으로 분석하고 탐지하여 이상 금융거래를 차단하는 금융보안연구원에서 제시한 "이상 금융거래 탐지시스템 구축 가이드"에 따른 시스템을 구축하거나 계획하고 있다. 본 논문에서는 금융회사에 구축되어 운영 중인 이상 금융거래 탐지 및 차단시스템의 구축사례와 운영현황을 살펴보고, 좀 더 개선된 방식의 시스템을 구성하여 분석을 통한 사고예방의 효과성과 이후 보안대책에 대한 개선방안을 제안하고자 한다.

의사결정나무와 시공간 시각화를 통한 서울시 교통사고 심각도 요인 분석 (Analysis of Traffic Accidents Injury Severity in Seoul using Decision Trees and Spatiotemporal Data Visualization)

  • 강영옥;손세린;조나혜
    • 지적과 국토정보
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    • 제47권2호
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    • pp.233-254
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    • 2017
  • 본 연구는 교통사고 가운데 인적피해를 동반한 교통사고에 대해 교통사고의 시공간적 특성과 교통사고 심각도에 영향을 미치는 주요인을 분석하고자 하였다. 이를 위해 2012년부터 2015년 까지 4년간 서울시에서 발생한 교통사고 데이터 가운데 인적사고가 있는 데이터를 교통사고 심각도에 따라 경상, 중상, 사망 교통사고로 분류하고, 교통사고의 시공간특성분석은 커널분석, 핫스팟분석, 스페이스타임큐브분석, EHSA(Emerging HotSpot Analysis)를 수행하였으며, 교통사고 심각도에 영향을 미치는 요인 분석은 데이터마이닝 기법중의 하나인 의사결정나무 모형을 활용하였다. 분석결과 서울시 교통사고는 도심부 보다는 외곽지역에서 많이 발생하며 특히 한강 이남의 상업 활동이 많은 곳에서 교통사고가 많음을 확인할 수 있었다. 특히 서초와 강남의 일부 상업 및 유흥지역을 중심으로 교통사고 집중지역이 나타나며 교통사고 다발지역은 시간이 흐름에 따라 그 현상이 더욱 심화되는 경향을 보이고 있었다. 사망교통사고의 경우 지역적으로는 영등포구, 구로구, 종로구, 중구, 성북구 일부지역에 통계적으로 유의미한 핫스팟지역이 나타나지만 시간대별로 구분해보면 오후 퇴근시간 부터 새벽까지 일부 구간에서 핫스팟이 나타나며 시간 고려 없이 분석된 결과와는 상이한 패턴이 나타남을 알 수 있었다. 서울시 교통사고 심각도에 영향을 미치는 주요 요인으로는 사고유형이 가장 중요한 역할을 하며 도로의 종류, 차량의 종류, 교통사고 발생 시간, 법규위반 종류 등의 순으로 중요도가 나타났다. 교통사고 가운데 심각한 교통사고로 이어지는 경우는 차대 사람이나 차량단독으로 사고가 나는 경우 고속도로나 특별광역시도와 같이 폭원이 넓고 차량속도가 높은 곳에서 승합차나 화물차에서 중상의 교통사고가 일어날 가능성이 높으며, 동일한 상황에서 승합차나 화물차가 아닌 승용차, 자전거, 이륜차 등의 경우에는 새벽시간에 심각한 교통사고로 이어질 가능성이 높은 것으로 나타났다.

손상 선박의 안전성 향상 설계 기술 개발 (Development of Design Technology for Safety Enhancement of Damaged Ship)

  • 이순섭;이동곤;김기섭
    • 대한조선학회논문집
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    • 제46권1호
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    • pp.69-77
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    • 2009
  • Loss of human lives and properties including environmental damage due to large scale accidents requires change of our perception to marine safety. IMO is trying to re-establish overall marine safety system through long term plan such as GBS. Along this line, current regulation based safety evaluation is in process of changing into performance based methods, and for this transition, simulation based safety evaluation during design stage considering damage is highly necessary. In this paper, first, damage scenario is developed from IMO regulations and accident case studies. Then an integrated and simulation based safety evaluation prototype system considering both damage stability and structural safety is developed for the use during ship design process.

직병렬아크사고 예방을 위한 마이컴 알고리즘 설계에 관한 연구 (A Study on Micom Algorithm Design for Prevention of Serial Parallel Arc Accident)

  • 최정규;곽동걸;최신형;정도영;김대환
    • 전력전자학회:학술대회논문집
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    • 전력전자학회 2018년도 추계학술대회
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    • pp.9-11
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    • 2018
  • This paper studies on the development of an electric fire prevention system with the detection and alarm in case of parallel arc fault occurrence in low voltage distribution lines. The proposed detector has the characteristics of high speed operation responsibility and superior system reliability from composition using a large number of semiconductor devices. The line voltage is always feedback, and when an arc or a spark occurs, these are detected by the microcomputer. In addition, we design and develop algorithms using high speed and high precision microcomputer. A new conceptual control technique is adopted that RCD cuts-off by forming a forced short circuit between the phase voltage and ground in the event of an electrical accident. Some experimental tests of the proposed system also confirm practicality and the validity of the analytical results.

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교통사고로 발생한 흉골 골절 환자에 대한 한약 치료의 효과: 증례 보고 (Effect of Korean Herbal Medicine in a Patient with Sternal Fracture Caused by a Traffic Accident: A Case Report)

  • 강신우;박현선;박상현;박서현;금동호
    • 한방재활의학과학회지
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    • 제32권4호
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    • pp.83-88
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    • 2022
  • This case report introduced the use of herbal medicine to treat a sternum fracture. A 46-year-old female patient with a sternum fracture from a traffic accident suffered from anterior chest wall pain. She was treated with herbal medicine. The patient's progress was evaluated using a numerical rating scale (NRS), and the frequency of tingling in the chest wall was also tracked. After treatment, both the NRS of chest pain and frequency of tingling decreased. The results of this study suggest that herbal medicine can effectively decrease pain and discomfort in patients suffering from a sternum fracture. However, further studies are needed to obtain stronger evidence for its efficacy.

피로누적에 따른 최적 비행시간 산출에 관한 연구 (A Study on the Optimal Flight Time According to the Amount of Fatigue)

  • 이승훈;윤봉수
    • 한국국방경영분석학회지
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    • 제24권1호
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    • pp.41-57
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    • 1998
  • Since the aircraft has a property of moving in the three-dimensional space, it may cause personally and financially critical damage in the case of an accident. Among the causes of aircraft accident, human factor has occupied about 70% of all accidents. Specially, fatigue among human's problems has been studied earlier than any other factor. Fatigue has been the cause of 75% of accidents that are related to human factor. So many studies have been conducted. But the direction of these studies mainly attach importance to the sleep loss and circadian rhythm. Limitation for flight time of ICAO is 8 hours per day, civil airlines in domestic line also adopt the limitation. But this rule is not based on human's performance but compromise between labor and management. The long-haul flight brings about a mental block to pilot. This mental block decreases performance of pilot and loses a lot of important information. So this may cause many accidents. This paper is to offer optimal flight time according to the amount of fatigue due to increasing flight time. The optimal flight time is searched through the field experiment. The experiment has adopted two methods. One is to examine pilot's objective fatigue accumulation rate through the critical fusion frequency, and another is to investigate pilot's subjective fatigue feeling through the fatigue subjective symptoms investigation table.

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