• Title/Summary/Keyword: Accident injuries

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하악과두 골절에 대한 임상적 연구 (A CLINICAL STUDY ON THE CONDYLRAR FRACTURES OF MANDIBLE)

  • 여환호;윤창륙;황호길;이효빈;손보형
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권4호
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    • pp.295-304
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    • 1992
  • The author investigated the 162 patients with the condylar fractres of the mandible who were admitted in Dept. of Oral and Maxillofacial Surgery, Hospital of Chosun Dental School from January 1985 to September 1992 clinically, including fracture incidennce, age and sex of the patients, causes of injures, associated injures, treatments and complications and obtained the following results. 1. Of the 449 patients with mandibular fractures, 162patients suffered condylar fractures(36.1%). 2. Of the 162 patients, males with condylar fractures were 128 patients, by a ratio of 3.8 : 1. 3. The most frequently affected age group was the third decade(32.7%). 4. Falls were ranked as the predominant cause(50.6%), followed by traffic accident(27.8%) and violence (16.0%). 5. The incidence of single condylar fractures was 28% and symphysis fractures were the most commomest of the concomittant injuries(60%). 6. The subcondylar fractures occurred most frequently(41.6%) and anteromedial displacement of the condylar fragments occurred most frequently(45.4%) 7. Of the all condylar fracture patients, children under 15 of age comprized 31 patients(19.1%) and condylar head fractures occurred most frequently at those children. 8. Of the managetments in condylar fractures, open reduction was 52.5% and remainder were closed reduction(47.5%). 9. Complications ensured such as TMJ ankylosis, limitation of mouth opening and mandibular movements, TMJ dysfunction, and anterior open bite.

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성인에서 동측에 발생한 상완골과 전완골 골절의 치료 (Management of Ipsilateral Fractures of Humerus and Forearm in Adults)

  • 손성근;김병환;양성욱
    • Clinics in Shoulder and Elbow
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    • 제1권2호
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    • pp.212-220
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    • 1998
  • Concomitant ipsilateral fractures of the humerus, radius and ulna are uncommon combined injury and are also called "floating elbow". It was found that this injury was usually a result of rather severe trauma and frequently associated injuries to other organ systems. It is controversial in the treatment of the "floating elbow", but the current treatment recommendations are open reduction and internal fixation of both the humerus and the forearm fracture with early initiation of range of motion exercises. The authors reviewed thirteen cases of ipsilateral fractures of the humerus, radius and ulna treated in our clinic from January 1992 to March 1997, and average follow-up period was over 18 months(range, 12 to 36 months). The results obtained were as follows; 1. The most common cause of injury was traffic accident and most common location of fractures was mid-third in both humerus and forearm. 2. The shape of fractures was transverse or comminuted in most cases. 3. The good clinical results were obtained by open reduction and internal fixation of both the humerus and the forearm fracture with early initiation of range of motion exercises. 4. The recovery was affected by the severity of the initial trauma and method of the treatment. 5. According to the Lange and Foster method, the functional result was good in 8 cases, fair in 4 cases and poor in 1 cases.

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중력보상장치 기반의 근력보조 외골격 장치 (Exoskeleton Based on Counterbalance Mechanism for Arm Strength Assistance)

  • 이원범;송재복
    • 대한기계학회논문집A
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    • 제41권6호
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    • pp.469-475
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    • 2017
  • 최근 산업현장에서 작업자들의 장시간 작업으로 인한 사고 및 부상의 위험을 방지하기 위하여 작업자들의 근력을 보조할 수 있는 외골격 근력보조 장치에 대한 연구가 활발히 진행되고 있다. 그러나 기존의 외골격 장치들은 작업자의 근력을 보조하기 위하여 모터의 동력을 사용하므로, 고가일 뿐만 아니라 오작동의 위험이 있어서 산업현장에서 매우 제한적으로 사용되었다. 이러한 문제를 해결하기 위해서, 본 연구에서는 센서 및 모터 없이 순수 기계요소들만으로 구성된 근력보조 외골격 장치를 설계 및 제작하였다. 본 외골격 장치는 사람의 손목 관절을 제외한 어깨, 팔꿈치 관절의 동작이 추종 가능하며, 팔의 자중에 의한 중력토크를 상쇄 가능한 중력보상장치를 탑재하여 작업자의 팔에 대한 근력보조를 수행한다. 개발된 외골격 장치의 성능을 검증하기 위하여 EMG 센서를 이용한 근전도 비교 실험을 수행하였고, 실험 결과를 바탕으로 외골격 장치의 근력보조 성능을 확인하였다.

고속 측면 충돌 감지 알고리즘의 개발 (Development of Fast Side-impact Sensing Algorithm)

  • 박서욱;김현태
    • 한국자동차공학회논문집
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    • 제8권3호
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    • pp.163-170
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    • 2000
  • Accident statistics shows that the portion of fatal occupant injuries due to side impacts is considerably high. The side impact usually leads to a severe intrusion of side structure into the passenger compartment. Furthermore, the safety zone for the side impact is relatively small compared to the front impact. Those kinds of physics for side impact frequently result in a fatal injury for the occupant. Therefore, NHTSA and EEVC are trying to intensify the regulation for the occupant protection against side impact. Both the regulation and recent market trends are asking for an installation of side airbag. There are several types of system configuration for side impact sensing. In this paper, we adopt the acceleration-based remote sensing method for the side airbag control system. We mainly focus on the development of hardware and crash discrimination algorithm of remote sensing unit. The crash discrimination algorithm needs fast decision of airbag firing especially for high-speed side impact such as FMVSS 214 and EEVC tests. It is also required to distinguish between low-speed fire and no-fire events. The algorithm should have a sufficient safety margin against any misuse situation such as hammer blow, door slam, etc. This paper introduces several firing criteria such as acceleration. velocity and energy criteria that use physical value proportional to crash severity. We have made a simulation program by using Matlab/Simulink to implement the proposed algorithm. We have conducted an algorithm calibration by using real crash data for 2,500cc vehicle. The crash performance obtained by the simulation was verified through a pulse injection method. It turned out that the results satisfied the system requirements well.

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소아에서 발생한 복부 둔상의 임상적 고찰 (Clinical Analysis of Blunt Abdominal Trauma in Childhood)

  • 김영욱;정연준;정성후;김재천
    • Advances in pediatric surgery
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    • 제16권2호
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    • pp.177-189
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    • 2010
  • Traumatic injury is one of the leading causes of morbidity and mortality in children. This is a clinical review of pediatric blunt abdominal trauma. A retrospective analysis of the 112 children with blunt abdominal trauma aged 15 years or less treated at the Department of Pediatric Surgery, Chonbuk National University Hospital was performed. The analysis included age, sex, injury mechanism, number and site of the injured organ, management and outcomes. The average age of occurrence was 7.6 years, and the peak age was between 6 and 8 years. There was a male preponderance with a male to female ratio of 2.3:1. The most common cause of blunt abdominal trauma was traffic accidents (61.6 %), principally involving pedestrians (79.7 %). The accident prone times were between 8:00 AM and 8:00 PM, the weekends (40.2 %), and the winter respectively. Thirthy-five patients (31.2 %) had multiple intra-abdominal organ injuries and the most common injured organ was the liver. Seventy-four cases (66.1 %) were managed non-operatively and eleven cases (9.8 %) expired. Of the patients who were treated surgically or were to be operated on one patient died before surgery, the remainder died during or after surgery. Risk factors such as number of injured organ, systolic and diastolic blood pressure, and trauma scores by Glasgow coma scale (GCS), Pediatric trauma score (PTS), revised trauma score (RTS), injury severe score (ISS), TRISS were significantly correlated with mortality rate.

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소아 복부 외상에 관한 임상적 고찰 (Blunt Abdominal Trauma in Children)

  • 김동현;서상혁;이난주;전용순
    • Advances in pediatric surgery
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    • 제13권2호
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    • pp.119-126
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    • 2007
  • Trauma is one of the leading causes of death in children. Abdominal trauma is about 10 % of all pediatric trauma. This study describes the sex and age distribution, injury mechanism, site of intraabdominal injury, management and mortality of children aged 16 years or less who suffered abdominal trauma. The hospital records of 63 patients treated for abdominal injury between March 1997 and February 2007 at the department of surgery, Inje University Pusan Paik Hospital, were analyzed retrospectively. The peak age of incidence was between 2 and 10 years (78%) and this report showed male predominance(2.7:1). The most common mechanism of blunt abdominal trauma was pedestrian traffic accident (49%). The most common injured organ was liver. More than Grade IV injury of liver and spleen comprised of 4(12%) and 5(24%), respectively. Fourteen cases (22%) had multiple organ injuries. Forty nine cases (78%) were managed nonoperatively. Three patients (4.8%) died, who had Grade IV liver injury, Grade IV spleen injury, and liver and spleen injury with combined inferior vena cava injury, respectively. All of the three mortality cases had operative management. In conclusion, the liver or spleen injury which was more than Grade 4 might lead to mortality in spite of operation, although many cases could be improved by nonoperative management.

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퀵서비스 운송업자 모터사이클 재킷 착용실태 조사 (A Study on the Wearing Conditions of Motorcycle Jackets for Quick Service Transporter)

  • 손재민;최혜선;김은경
    • 한국의류산업학회지
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    • 제17권2호
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    • pp.247-257
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    • 2015
  • This study conducted a questionnaire survey on the real condition of clothing with focus on related to general motorcycle wear and motorcycle jacket targeting a quick service carrier affiliated with a quick service business in Seoul. In addition, this study is aimed at providing basic data on developing the motorcycle jacket, whose motional flexibility, safety and functionality are excellent, exclusively for a quick service carrier by grasping inconveniences and problems and deducting improvements on the basis of the questionnaire survey. This study, on the basis of the questionnaire survey results, grasped the general part related to quick service and motorcycle wear, such as their general matters, whether they were having on the motorcycle wear in the middle of doing business, whether it's necessary to wear the motorcycle wear, where they had a driving accident, and kinds of external injuries, etc. From the gathered results of analysis of the collected questionnaires, the item which got the lowest satisfaction was the inconvenience from the chafed front neck when driving. Besides, the results showed carriers' complaints like the elbow part felt tight, discomfort in the horizontal movement of the shoulders or back, and wind admission in between zippers. In addition, the respondents showed complaints in the item about hygroscopic property and air permeability at the armpits and back part, and 5 items about material flexibility, wind shielding property, living water repellency, weighty sensation, and night visibility were found to be low in respondents' satisfaction.

고소작업차 부품 손상 평가에 관한 법공학적 연구 (Forensic Engineering Study on Assessment of Damage to Aerial Lifter Parts)

  • 김의수
    • 대한기계학회논문집A
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    • 제34권11호
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    • pp.1727-1732
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    • 2010
  • 고소작업차는 최근 건물이 초고층화됨에 따라 그 필요성이 더욱 커지고 있으나 그 이용에 따른 사고가 빈번하게 발생하고 있다. 고소작업차 붐대 및 유압기기를 구성하는 부품 손상은 탑승인원이 많은 경우 다수의 피해자가 추락으로 인해 사망에 이를 수 있다는 점에서 큰 문제를 안고 있으며 또한 유사 사고가 다시 발생할 수 있는 점이 내재되어 있어 그 심각성은 매우 크다고 할 수 있다. 이에 법공학적인 측면에서 좀 더 전문화되고 체계적인 사고조사와 원인 규명을 통해서 사전에 예방대책을 마련함으로써 유사 및 동종재해의 발생을 최소화해야 한다. 본 연구에서는 파단면 검사를 통한 부품 파손형태 검사 및 재료 물성평가 등을 통해 기계부품 파손에 의한 추락 사고에 관한 정확한 사고 원인을 규명함으로써 동일 형태의 안전사고 예방에 기여하고자 한다.

결핵성 공동으로 오인된 외상 후 발생한 가성 폐낭종 1예 (A Case of Post-Traumatic Pulmonary Pseudocyst Mimicking Pulmonary Cavitary Tuberculosis)

  • 이현정;강지영;임선미;지은혜;김지현;김세원;이상학;문화식;이배영
    • Tuberculosis and Respiratory Diseases
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    • 제67권5호
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    • pp.467-470
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    • 2009
  • A traumatic pulmonary pseudocyst is a rare complication of blunt thoracic trauma. The clinical symptoms and signs are similar to other respiratory diseases, such as pulmonary tuberculosis. Therefore, a trauma history with the resulting radiologic and clinical findings is important for making a diagnosis. A 26-year-old male was admitted to our hospital due to cough for 3 days. The chest x-ray revealed diffuse infiltrations and a cavitary lesion at the left lung. His left chest had hit a tree as a result of motorcycle accident one day before admission. Initially, it was assumed that his symptoms and chest X-ray might be due to a tuberculosis infection. However, bronchoscopy revealed old blood clots at both lungs, particularly in the left lower lobe bronchus. A transbronchial lung biopsy showed alveolar hemorrhage. A traumatic pulmonary pseudocyst was diagnosed from his trauma history and these findings. Computed tomography of the chest performed 4 months later showed regression of the cavitary lesion.

A60급 구획 적용 격벽 관통용 관의 열전달 특성 I: 관의 설계에 따른 과도 열해석 (Heat Transfer Characteristics of Bulkhead Penetration Piece for A60 Class Compartment I: Transient Thermal)

  • 박우창;송창용;나옥균
    • 한국해양공학회지
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    • 제32권5호
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    • pp.310-323
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    • 2018
  • In order to protect lives and prevent large-scale injuries in the event of a fire on a ship or an offshore plant, most classification societies are strengthening their fire resistance designs of relevant cargo holds and accommodation compartments to keep flames from being transferred from a fire point to other compartments. Particularly in critical compartments, where flames should not propagate for a certain period of time, such as the A60 class division, both the airtightness and fire-resistant design of a piece passing through a bulkhead are subject to the Safety of Life at Sea Convention (SOLAS) issued by the International Maritime Organization (IMO). In order to verify the suitability of a fire-resistant design for such a penetrating piece, the fire test procedure prescribed by the Maritime Safety Committee (MSC) must be carried out. However, a numerical simulation should first be conducted to minimize the time and cost of the fire resistance test. In this study, transient thermal analyses based on the finite element method were applied to investigate the heat transfer characteristics of a bulkhead penetration piece for the A60 class compartment. In order to determine a rational bulkhead penetration piece design, the transient heat transfer characteristics according to the variation of design parameters such as the diameter, length, and material were reviewed. The verification of the design specification based on a numerical analysis of the transient heat transfer performed in this study will be discussed in the following research paper for the actual fire protection test of the A60 class bulkhead penetration piece.