• Tuberculosis and Respiratory Diseases
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• 제58권6호
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• pp.600-606
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• 2005

Background : The development of bronchoscopic equipment along with the precision of radiographic techniques had reduced the mortality rate of patients with tracheobronchial foreign bodies but has been no change in the incidence of tracheobronchial foreign bodies since their introduction. The aim of this study was to assess the clinical characteristics of a tracheobronchial foreign body aspiration and to evaluate the efficacy of the treatment modality in children and adults. Methods : This is a retrospective review of 64 patients who underwent bronchoscopic procedures for the treatment of aspirated foreign bodies from December 1994 through March 2004 at the Chonnam national university hospital. Results : There were 47 males and 17 females, aged from 1 month to 78 years. Most of the patients had no underlying illness except for one patient with a cerebrovascular accident that contributed to the foreign body aspiration. The most common symptom was cough, which was noted in 54 patients (84.3%). The other presenting symptoms were dyspnea (48.8%), fever (20.3%), sputum (14%), vomiting (7.8%), and chest pain (4.6%). Those whose tracheobronchial foreign bodies were diagnosed more than 2 days after the aspiration (21 patients) were more likely to have pneumonia than those whose foreign bodies were diagnosed within 2 days (p = 0.009). Foreign bodies were visualized in the plain chest radiographs in 12 cases (18.8%), while others showed air trapping (21, 32.8%), pneumonia (15, 23.4%), atelectasis (7, 10.9%), and normal findings (9, 14.1%). The foreign bodies were more frequently found in the right bronchial tree (36) compared with the left bronchial tree (22, p = 0.04). In order to remove the foreign bodies, twenty (31.2%) cases were removed using flexible bronchoscopy, while 42 (65.6%) and 2 (3.2%) cases required rigid bronchoscopy and surgery, respectively. Conclusions : Tracheobronchial Foreign body aspiration had a bimodal age distribution in the infancy and old age around 60 years. They were found more frequently in the right bronchial tree. In addition, patients whose foreign bodies were diagnosed more than 2 days after the aspiration were more likely have a infection. Rigid bronchoscopy is the procedure of choice for uncooperative children and for those with foreign bodies lodged deeply in the small bronchial tree.

• Nuclear Engineering and Technology
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• 제48권1호
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• pp.274-284
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• 2016

Purpose: The purpose of this work is to describe the spectrometric analysis of gaseous cloud formation over reactor mixed uranium-and-plutonium (UP) fuel $(U_{0.8}Pu_{0.2})O_2$ samples heated to a temperature $>2,000^{\circ}C$, and thus forecast and evaluate radiation hazards threatening humans who cope with the consequences of any accident at a fission reactor loaded by UP mixed oxide $(U_{0.8}Pu_{0.2})O_2$, such as a mixture of 80% U and 20% Pu in weight. Materials and methods: The UP nuclear fuel samples were heated up to a temperature of over $2,000^{\circ}C$ in a suitable assembly (apparatus) at out-of-pile experiments' implementation, the experimental in-depth study of metabolism of active materials in living organisms by means of artificial irradiation of pigs by plutonium. Spectrometric measurements were carried out on the different exposed organs and tissues of pigs for the further estimation of human internal exposure by nuclear materials released from the core of a fission reactor fueled with UP mixed oxide. Results: The main results of the research described are the following: (1) following the research on the influence of mixed fuel fission products (radioactive isotopes being formed during reactor operation as a result of nuclear decay of elements included into the fuel composition) on living organisms, the authors determined the quantities of plutonium dioxide ($PuO_2$) that penetrated into blood and lay in the pulmonary region, liver, skeleton and other tissues; and (2) experiments confirmed that the output speed of plutonium out of the basic precipitation locations is very small. On the strength of the experimental evidence, the authors suggest that the biological output of plutonium can be disregarded in the process of evaluation of the internal irradiation doses.

• 보건교육건강증진학회지
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• 제19권2호
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• pp.57-72
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• 2002

Students spend most of their time in school. Schools have the possibility of unanticipated accidents, however, and the rate of accidents in schools is increasing. The purpose of this study were to understand the accidents that arise in schools as well as the school safety management system and by analyzing affects that school safety management system has on accidents in schools, to come lip with a preventive plan. 906 high school sophomore students attending in Seoul were surveyed 1Tom November 12th to 23rd 2001. The results were following: 1. Students surveyed comprised of the following: Male 48.9%, Female 51.1% Public Schools 32.6%, Private Schools 67.4% Boys Schools 48.9%, Girls Schools 51.1% 2. In the past year, male students had more accidents(p〈.05) in school. 3. In examining students safety management control, 94.0% said that, there is an infirmary, there is a clear distinction between the playing fields and pathways(74.8%), and the chemicals in the labs are kept in a safe manner(77.2%). The above items were generally well maintained. However, the following recorded low scores. There are warning signs in hazardous places and facilities(30.5%), There is guiding principle to examine the safeness on a regular basis(24.9%), and There are slogans and posters preventing accidents(40.3%). 4. In examining the facilities of the schools that were surveyed, the majority answered, yes to the following. There are hazardous facilities or materials at school(62.9%), There are sharp edges in educational supplies and equipment(59.8%), There are nails or other components that are sticking out of desks and chairs(75.9%), There are slippery spots in the corridors and classrooms(69.3%), There are stones, scrap metal, broken glass, and trash on the playing fields(66.6%). Furthermore, the students surveyed said, yes to the following although in low percentages. The amount of sand on the playing fields is sufficient(49.1%), The soccer and basket goal posts are fastened (53.7%), There are safety bars on the windows of classrooms and corridors (27.4%), There are safety mats on the entrance to restrooms preventing slips (14.2%), The stairs have slip protection measures(49.1%). 5. In analyzing the affect that the school safety management system has on accidents in school, schools that had slogans and posters preventing accidents had a 50% less chance of accidents(p〈.05), schools with chemicals and equipment in the labs that were safely maintained had an 80% less probability of accidents(p〈.0l), and the schools that had sharp edges in the educational supplies and equipment had an 80% greater chance of accidents(p〈.01).

• 지역사회간호학회지
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• 제11권2호
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• pp.411-422
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• 2000

The purpose of this study is to identify the difference of emergency care conditions where the nurse is posted in the 119 relief squard or not. The data composed a total of 777 cases of emergency activity of one police stand in Seoul during March, June. September and December in 1998. The results of this study were as follows: 1. The age of the subjects was 20-60 age 54.3%, over 60 age 35.4% with an average age of 50.2. Among them men were 55.0%, the unemployed were 60.8%. The place of the occurrence of an accident was the house, 49.7% and the cause as illness was 59.6%. 2. The main symtom was pain the 36.2% the main consciousness state was alert 76.9%: The state of the patients as chronic was 59.6%. 3. The consulting hospital of the 119 relief squad as a third medical center was 79.9%. The distance to the medical center as less than 5 km was 77.2%, and an average transfer distance was 5.38 km. The cases of doctor guided emergency care was 0.9%, the cases that had posted nurses in 119 relief squads was 48.6%. 4. The case of the best emergency care operation was difficulty in breathing, 62.1% and the second was unconsciousness, 46.1 %. The more serious the consciousness state, the higher the rate of emergency care operation. There wasn't any difference in emergency care operation concerning transfer distance. 5. The cases that had the posted nurses was 19.1%, the cases of no nurse was 11.7% among the cases of emergency care operation during transfering; the cases that had posted nurses had the higher emergency care operation. (p<0.05). Airway maintenance was 14.8% in cases that had the posted nurses, while in the cases of no nurse, 10.9%; and oxygen inspiration was 16.0% in cases that had the posted nurses while in the cases of no nurse 7.6% (p<0.01); spinal fixation was 6.6% in cases that had the posted nurses while in the cases of no nurse 4.6%(p<0.05). With these results, we can conclude that the cases that had the posted nurse showed higher emergency care operation.

• 대한기계학회논문집 C: 기술과 교육
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• 제5권2호
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• pp.135-143
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• 2017

국내 유일의 연구용원자로인 하나로(Hi-flux Advanced Neutron Application ReactOr)는 다목적으로 중성자를 이용하기 위해 개방형 수조 내 노심이 존재하는 구조이며, 노심에서 발생되는 핵분열 열을 제거하기 위한 일차 냉각계통, 그리고 연결된 유체계통이 구비되어 있다. 원자로 수조 상부 근방에서 진행되는 방사성 작업 시 작업자의 방사능 피폭을 최소화하기 위해 수조고온층계통에 의해 상부에 고온층이 형성되어 있으며, 다소 저온 영역에 있는 방사능 가스 및 이물질이 상부로 올라오는 것을 방지하기 위해 수조수 온도를 $50^{\circ}C$이하로 제한하고 있으며 이를 위해 수조수관리계통이 연결되어 있다. 수조수관리계통의 구비된 판형열교환기의 열용량을 정상운전 조건에서 260 kW가 되도록 설계하여 각 수조에서 발생되는 열원을 제거하는지에 대해 평가하였고, 원자로 운전 모드와 관계없이 정상적으로 유체계통이 운전된다면 각 수조의 수조수 온도는 제한치 이하를 유지하고 있음을 확인하였다.

• 한국항해항만학회지
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• 제39권4호
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• pp.285-291
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• 2015

해상 사고에 의한 익수자는 저체온증에 의한 사망 위험에 노출되어 있다. 구명 동의 등을 착용함으로써 부력은 유지할 수 있으나 해수의 낮은 온도에 의한 신체의 열손실은 짧은 시간 내에 체온을 하강시키고 그에 따른 저체온증 사망이 우려된다. 전통적인 구명 동의는 고체형 부력체를 사용하여 부력을 향상 시키고 있으나, 구명 동의에 공기를 채움으로써 부력 및 체온 보존 효과를 얻을 수 있을 것으로 판단된다. 본 연구는 고체형 충진재를 이용한 기존의 비 팽창형 구명 동의와 공기를 채운 팽창형 구명 동의의 단열 성능을 비교하고, 각각의 방법이 체온 변화에 미치는 영향을 정성적으로 평가하고자 한다. 먼저 열저항 모델을 이용한 대략적인 단열 성능의 비교를 실시하고, 유한요소법을 이용하여 Pennes의 신체 열전달 해석을 수행하여 시간에 따른 체온 변화를 수치적으로 검토하였다.

• 에너지공학
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• 제25권2호
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• pp.1-20
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• 2016

원전의 설계기준사고 및 중대사고 해석에서 응축열전달 모델은 매우 중요하며, 특히 피동냉각계통의 개발이 활발히 진행됨에 따라 그 중요성이 더욱 부각되었다. 그런데, 원자로건물 내부에서와 같이 비응축성기체가 존재하는 경우 응축열전달은 현저히 감소하므로 원전 안전해석에서 이를 고려한 응축열전달 모델이 주목받고 있다. 본 연구에서는 냉각재상실사고 등이 발생하는 경우 원자로건물 내부의 상황과 유사한 열수력 조건에서 수행된 응축열전달 실험자료를 이용하여 중대사고 해석코드 MELCOR 1.8.6의 응축열전달 모델을 평가하였다. 실험조건을 응축면의 형상에 따라 네 가지(수직평판, 수직관 외벽, 수직관 내벽, 수평관 내벽)로 분류하였고, 각 분류별 실험들을 MELCOR 코드로 해석하였다. 해석결과, 수직관 내벽을 제외한 나머지 조건에서 MELCOR 코드가 응축열전달을 전체적으로 저 예측하여 개선이 필요한 것으로 나타났다.

• Journal of Trauma and Injury
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• 제20권1호
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• pp.12-18
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• 2007

Purpose: Recently, trauma is more frequent due to the increases in the population, the number of traffic accident, and the incidence of violence. Especially, abdominal trauma is a leading cause of morbidity and mortality. We analyzed the clinical features and the factors associated with morbidity and mortality. Methods: We analyzed 136 patients of abdominal trauma who were admitted at the Department of Surgery, Chonnam National University Hospital, from January 2003 to June 2005. We analyzed the cause of trauma, the injured organ, combined injuries, mental status, blood pressure, laboratory findings, morbidity, and mortality. The relationships between by variable were assesed by using the independent samples test and the Kruskal?Wallis test. Results: The causes of trauma were traffic accidents (98 cases, 72%), falling accidents (9 cases, 6.6%), violence (6 cases, 4.4%), and stab injuries (6 cases, 4.4%). The injured organs were the small intestines (47 cases, 34.6%), the liver (35 cases, 25.7%), the spleen (26 cases, 19.1%), the mesentery (17 cases, 12.5%), the large intestines (15 cases, 11.0%), the pancreas (14 cases, 10.3%), etc. The most common combined injury was chest injury (53 cases, 39%). Comatose or semicomatose mental status and shock on admission (<60 mmHg in systolic) were related to high mortality (85.7%). In laboratory findings, decreased hemoglobin (<8 g/dL), and platelet count (<$50,000/mm^3$), and increased creatinine level (>1.6 mg/dL) were significant prognostic factors. The incidence of postoperative complications was 40.4%, and frequent complications were wound infection (8.1%) and re-bleeding (8.1%). The overall mortality rate was 18.4%, and most common cause was hypovolemic shock (18 cases, 13.2%), however, there was no statistical difference according to injurd organ. Conclusion: In the multivariate analysis, mental status, hemoglobin, and serum creatinine level were the most significant prognostic factors. When an abdominal trauma patient arrives at the emergency room, a rapid and accurate evaluation of the patient's status and risk factors, and resuscitation, if necessary, have to be performed to lower the morbidity and mortality.

• 한국ITS학회 논문지
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• 제13권4호
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• pp.63-72
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• 2014

우리나라는 급속한 경제발전과 고속성장으로 생활수준이 향상되면서 자동차 수요가 급격히 증가함에 따라 교통혼잡, 교통사고, 주차문제 등의 문제가 발생되고 있다. 자동차 증가로 인한 주차문제 중 불법주차는 교통혼잡을 야기하고 주차공간으로 인한 이웃간 분쟁의 원인이 되어 사회적 문제로 대두되고 있다. 이에 본 연구에서는 지방 광역시중 승용차 수단분담률이 높음에도 불구하고 불법주차 단속건수가 상대적을 적은 대전광역시를 대상으로 주차조사를 실시하였으며 불법주차에 대한 원론적인 문제를 파악하기 위해 의사결정나무모형 Exhaustive CHAID분석을 통하여 운전자들의 주차행위에 있어 불법주차를 선택하는 과정과 그에 따른 영향요인을 탐색하여 불법주차의 원인을 파악하고 해결하는 방안을 제시하고자 한다. 분석결과 불법주차를 선택하는 영향요인으로는 거리, 단속경험, 직업, 이용시간대 순으로 영향을 미치는 것으로 나타났으며 예측 모형은 최종적으로 4가지 노드가 도출되었다. 분석결과에 따른 불법주차의 해결방안으로는 공영주차장의 추가설치와 생계유지 및 조업차량의 주차공간 확보가 우선되어야 하고 불법주차 단속강화와 시민의식 고취를 위한 캠페인의 활성화가 필요하다.

• 한국건설관리학회논문집
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• 제20권6호
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• pp.66-73
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• 2019

정부와 안전보건공단의 재해 절감을 위한 다양한 노력덕분에 산업과 건설업 전반에 걸쳐 재해 사고는 감소추세를 보이고 있다. 하지만 건설업에서의 추락재해는 감소하지 않고 오히려 증가하고 있다. 특히, 달비계에 의한 추락재해는 매년 발생빈도는 낮지만 발생 시 작업자의 사망과 직결한다는 측면에서 재해강도가 매우 크다고 할 수 있다. 국내 건설업에서의 달비계 작업환경은 매우 열악하다. 특히 소규모 건설현장에서의 달비계 작업자들은 안전에 대한 감독과 관리를 받을 수 있는 주체가 없다. 달비계 작업자들은 자신들이 직접 제작한 성능이 확인되지 않은 달비계를 가지고 불안전한 작업환경에 내몰리고 있다. 따라서 본 연구는 15년간 달비계에서 기인한 242건의 사고사례들을 분석하여 추락재해 발생 주요 원인 및 개선방안을 제시하였으며, 주요내용은 불안전한 행동에 의한 재해발생률이 높아서 작업대 안착 시, 안전난간을 넘어가는 과정, 몸의 불균형 등에서 사고가 많으며 설비개선 및 작업방법개선으로 해결이 요구된다. 또한, KOSHA Guide에서 제시하는 작업순서 상의 문제점으로 발생되는 재해는 없었으며, 다만 작업 순서를 따르지 않아 안전대를 안전대 걸이용 로프에 미설치 및 미부착에 의한 사망으로 이르는 재해가 다수 발생된 것으로 파악되어 작업방법의 개선에서 가장 중요한 사항은 수직구명줄 및 안전대의 설치 및 착용이 가장 중요한 사항으로 도출되었다.