• Title/Summary/Keyword: Case Investigation

Search Result 2,997, Processing Time 0.033 seconds

A contact investigation after exposure to a child with disseminated tuberculosis mimicking inflammatory bowel disease

  • Kim, Dongsub;Lee, Sodam;Kang, Sang-Hee;Park, Mi-Sun;Yoo, So-Young;Jeon, Tae Yeon;Choi, JoonSik;Kim, Bora;Choi, Jong Rim;Cho, Sun Young;Chung, Doo Ryeon;Choe, Yon Ho;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
    • /
    • v.61 no.11
    • /
    • pp.366-370
    • /
    • 2018
  • Purpose: Tuberculosis (TB) is one of the most important diseases that cause significant mortality and morbidity in young children. Data on TB transmission from an infected child are limited. Herein, we report a case of disseminated TB in a child and conducted a contact investigation among exposed individuals. Methods: A 4-year-old child without Bacille Calmette-$Gu{\acute{e}}rin$ vaccination was diagnosed as having culture-proven disseminated TB. The child initially presented with symptoms of inflammatory bowel disease, and nosocomial and kindergarten exposures were reported. The exposed individuals to the index case were divided into 3 groups, namely household, nosocomial, or kindergarten contacts. Evaluation was performed following the Korean guidelines for TB. Kindergarten contacts were further divided into close or casual contacts. Chest radiography and tuberculin skin test or interferon-gamma-releasing assay were performed for the contacts. Results: We examined 327 individuals (3 household, 10 nosocomial, and 314 kindergarten contacts), of whom 18 (5.5%), the brother of the index patient, and 17 kindergarten children were diagnosed as having latent TB infection (LTBI). LTBI diagnosis was more frequent in the children who had close kindergarten contact with the index case (17.1% vs. 4.4%, P=0.007). None of the cases had active TB. Conclusion: This is the first reported case of TB transmission among young children from a pediatric patient with disseminated TB in Korea. TB should be emphasized as a possible cause of chronic diarrhea and failure to thrive in children. A national TB control policy has been actively applied to identify Korean children with LTBI.

Characteristics and Combined Sewer Overflows (합류식 하수관거의 유출 특성 분석 조사)

  • An, Ki-Sun;Jang, Sung-Ryong;Kwon, Young-Ho
    • Journal of Environmental Science International
    • /
    • v.19 no.6
    • /
    • pp.747-753
    • /
    • 2010
  • It follows in quality and sewage exclusion method of the investigation objective sector and the Combined Sewer Overflows which is suitable in regional characteristics and the confluence area against the rainfall initially a flow and the medulla and measurement - it analyzes the initial rainfall outflow possibility control plan which is suitable in the domestic actual condition and it proposes the monitor ring plan for the long-term flow and pollution load data accumulation. From the research which it sees the Infiltration water/Influent water and CSOs investigation it passes by the phase of hazard chain and Namwon right time 4 it does not hold reverse under selecting, Measurement it used the hazard automatic flow joint seal Sigma 910 machine and in case 15 minute interval of the I/I, it measured a flow at case 5, 15 minute standing of the CSOs. The water quality investigation for the water leakage investigation of the I/I and the sewage from the point which is identical with flow measurement during on-the-spot inspection duration against 6 items which include the BOD sampling and an analysis, when the rainfall analysis for CSOs fundamental investigation analyzed against 18 items which include the BOD sampling. Consequently, for the optimum interpretation invasion water / inflow water of the this investigation area day average the lowest flow - water quality assessment veterinarian optimum interpretation hazard average per day - lowest flow - it averages a medulla evaluation law department one lowest flow evaluation technique and it selects, it presentation collectively from here it gets, position result with base flow analysis of invasion water / inflow water.

Study on searching method of human errors accidents for case study of disaster database (재해 데이터베이스의 사례연구를 위한 휴먼에러 재해 검색방법에 관한 연구)

  • 한우섭
    • Journal of the Society of Disaster Information
    • /
    • v.1 no.1
    • /
    • pp.121-136
    • /
    • 2005
  • Most human-error case of accident database is written by various description and expression because accident database is produced by two or more person. And extracted information by searching of database varies in researcher's judgment criteria and the capability. Furthermore, much time and effort are required to examine manually information related to the human error from each accident case. Accordingly, it is difficult to explore objectively the accidents relevant to the human-error from the accident data base which is accumulated enormously. In this study, to solve these problems, it was developed an searchig method which is not influenced by researcher's judgment criteria and capability. For this, human-error keywords were extracted from a Japanese-English dictionary to examine objectively the accident case related to human-error in data base. This searching method by the human-error keywords can be applicable in most accident databases, although a database will be accumulated in future. Also, using the searching technique of this research, knowledge obtained by searching result can be compared with other research's results by the same method. Although the number of accident case increasese, searching results from database have the objectivity because it is not necessary to modify the based searching method or change the human-error keywords. However, as subject of future investigation, it would be necessary that the extension and investigation on human-error keywords improve and the technique to enhance searching accuracy would be modified.

  • PDF

Analysis of a Car Fire Case Caused by the Overheating of a Diesel Particulate Filter (매연포집필터 과열로 발생한 디젤승용차화재 원인의 분석)

  • Lee, Eui-Pyeong
    • Fire Science and Engineering
    • /
    • v.31 no.1
    • /
    • pp.89-97
    • /
    • 2017
  • This study analyzed the case of diesel car fires that occurred while driving in a tunnel 5 days after maintenance at a car service center. The results of the investigation and analysis found that a large amount of white foreign matter adhered to the inside of the exhaust port and the insulating plate above the DPF (diesel particulate filter) installed in the middle of the exhaust pipe was melted and lost. In particular, the metal floor of the car above the DPF was molten and pierced, and the rubber mat placed on the metal floor was burnt. Moreover, while the exhaust pipe in front of the DPF showed no overheating mark, such a mark was observed in the exhaust pipe from the DPF to the exhaust port. Because these findings may appear only when the DPF is overheated and ignited, this car fire is believed to have been caused by internal overheating of the DPF. The car fire investigation of this study suggests that if white foreign matter is found in the inside of the exhaust port during a fire cause investigation of a diesel car, the cause of the fire should be determined by removing the DPF and examining the internal damage of the DPF.

Rock Mechanical Aspects in Site Characterization for HLW Geological Disposal: Current Status and Case Studies (고준위방사성폐기물 심층처분 부지조사를 위한 암반공학적 요소: 국내외 현황 및 사례 조사)

  • Choi, Seungbeom;Kihm, You Hong;Kim, Eungyeong;Cheon, Dae-Sung
    • Tunnel and Underground Space
    • /
    • v.30 no.2
    • /
    • pp.136-148
    • /
    • 2020
  • Nuclear power plants have been operated in Korea since 1978, thus the high-level radioactive waste (HLW) produced from the plants has been accumulated accordingly. Hence, it is urgent to secure a final repository for HLW disposal, however, siting process should be preceded, which usually takes long time, as it requires broad and precise investigation. The investigation is generally carried out in stages, which consists of multidisciplinary approaches. In this study, the case studies mainly pertaining to rock mechanics were conducted. Rock mechanical aspects required in each stage and their applications were investigated and corresponding R&D researches were presented as well. At the same time, current research status in Korea was presented, followed by a brief future research plan with regard to the site investigation. The future research aims to produce fundamental information for siting process, and the compiled cases in this study will be utilized as references in the research.

Scientific fire investigation by NFPA 921 CODE based on frozen warehouse fire case (냉동창고 화재 사례를 기반으로 하는 NFPA 921 CODE에 의한 과학적 화재조사 연구)

  • Park, Kyong-Jin;Lee, Yong-KI;Cha, Sung-Sig;Jung, Dong-Young;Kim, Jang-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.8
    • /
    • pp.78-85
    • /
    • 2018
  • In this study, we investigated the cases where there were many opinions in the judgment of the cause of ignition in the case of 20 cases of frozen warehouse fire that occurred in 2017.The research methodology is the scientific fire survey method prescribed by the NFPA 921 CODE. Scientific fire investigation method is fire investigation method by logical reasoning through hypothesis setting, minimizing errors in judgment of ignition source. On the other hand, unscientific fire investigation methods cause many errors by the intervention of irrational factors such as subjective estimation, reasoning judgment, etc. This eventually leads to the problem of human and material responsibility and academic deterioration. In particular, fire not seen as compared to sighted fire makes more errors in ignition sources in the cause investigation. In this study, we set the hypothesis A and hypothesis B based on the review of the fire investigation report and the field survey on the fire case of the cold storage warehouse front line that occurred at ** city ** Mart in 2017.The set hypothesis was tested by the NFPA 921 code. This analytical method will be constructed by NEW Paradigm as a source of fire that is not seen in the future and a source of ignorant fire.In addition, the experimental data of this study will be used to inform the manufacturer and operator of the refrigeration warehouse and serve as basic data for fire prevention.

The Criminal Liability of Physicians in the Case of Medical Accidents (의료사고에서의 형사책임 -원내감염사고의 해결을 향하여-)

  • Utsumi, Tomoko
    • The Korean Society of Law and Medicine
    • /
    • v.19 no.2
    • /
    • pp.3-40
    • /
    • 2018
  • Conventionally, there were few cases in which a medical accident became a criminal case in Japan. However, after the serious malpractice such as the Yokohama City University Hospital case, prosecutors came to be less hesitant to prosecute a malpractice. In a medical accident, the attribution of the responsibilities among medical personnel becomes one important element of the proof of negligence. The Supreme Court concluded that, when the attribution of the responsibilities is not established among medical personnel to confirm the identity of the patient like the Yokohama City University Hospital case, all the personnel who were involved bear the responsibilities to identify the patient. For serious cases which requireut most carefulness fortreatment such as the Saitama Medical University Hospital case, not only the chief physician in charge of the case concerned but also the director of the branch at the university hospital bear the responsibilities to confirm the treatment policy of the case. After the acquittal of the Ohno Hospital case, the voice demanding more prudent prosecution of malpractices has become stronger than before. Meanwhile, Ministry of Health, Labour and Welfare introduced Medical Accidents Investigation System for the prevention of medical accident and, has reinforced the third party inspection of medical accidents.

Integration of Laser Scanning and Three-dimensional Models in the Legal Process Following an Industrial Accident

  • Eyre, Matthew;Foster, Patrick;Speake, Georgina;Coggan, John
    • Safety and Health at Work
    • /
    • v.8 no.3
    • /
    • pp.306-314
    • /
    • 2017
  • Background: In order to obtain a deeper understanding of an incident, it needs to be investigated to "peel back the layers" and examine both immediate and underlying failures that contributed to the event itself. One of the key elements of an effective accident investigation is recording the scene for future reference. In recent years, however, there have been major advances in survey technology, which have provided the ability to capture scenes in three dimension to an unprecedented level of detail, using laser scanners. Methods: A case study involving a fatal incident was surveyed using three-dimensional laser scanning, and subsequently recreated through virtual and physical models. The created models were then utilized in both accident investigation and legal process, to explore the technologies used in this setting. Results: Benefits include explanation of the event and environment, incident reconstruction, preservation of evidence, reducing the need for site visits, and testing of theories. Drawbacks include limited technology within courtrooms, confusion caused by models, cost, and personal interpretation and acceptance in the data. Conclusion: Laser scanning surveys can be of considerable use in jury trials, for example, in case the location supports the use of a high-definition survey, or an object has to be altered after the accident and it has a specific influence on the case and needs to be recorded. However, consideration has to be made in its application and to ensure a fair trial, with emphasis being placed on the facts of the case and personal interpretation controlled.

A Study on Determinations of Survey Station in Marine Ecosystems Based by Impact Prediction of Environment Impact Assessment in Coastal Development Projects (연안개발사업 환경영향평가 영향예측 결과에 근거한 해양생태계 조사정점 선정방안에 관한 연구)

  • Cho, Beom-Jun;Maeng, Jun-Ho
    • Journal of Environmental Impact Assessment
    • /
    • v.21 no.5
    • /
    • pp.767-779
    • /
    • 2012
  • In case of executing surveys in marine ecosystems, the most important things are scientific selection measures of survey stations that can represent various ecosystems characteristics in subjected areas. The situations show a lot of differences that understand characteristics of marine ecosystems in targeted areas according to selection methods and positions in survey stations. Investigation ranges and station numbers in marine ecosystems are classified according to project characteristics and scales. But, currently a clear divisions or objective standards are not. Therefore, this study tried to provide selection measures of survey station in scientific and objective marine ecosystems through precise analysis among environmental impact statements of coastal development projects until now. In this study, impact scopes of marine ecosystems correspond to physical impact predictions by undertaking projects. Impact ranges were divided into three(physical impact ranges) coastal waters. In case of proposing numbers of survey stations according to this survey ranges, numbers of investigation stations due to minimum survey scopes in targeted projects applied 20~30% of all numbers in survey stations. Number of survey stations due to average investigation scopes within physical impact ranges applied 60~70% of all numbers in investigation stations. Numbers of survey stations due to maximum survey ranges within physical impact scopes applied 10~20% of all numbers in survey stations. So, improvement measures were deducted. Finally, according to prediction ranges in impact of various coastal development projects, several kinds of conclusions are suggested. And, it is thought to be able to use as fundamental database to select investigation stations in marine organisms through this study.

Construction and Refinement of Conceptual Site Model Based on Scrutiny of Oil Contaminated Site (유류오염부지 정밀조사에 기반한 부지개념모델 구축 및 개선)

  • Min Seo Bae;Mingyeong Kim;Juhee Kim;Soonjae Lee;Man Jae Kwon;Ho Young Jo
    • Journal of Soil and Groundwater Environment
    • /
    • v.28 no.2
    • /
    • pp.12-29
    • /
    • 2023
  • Conceptual site model (CSM) development and enhancement for contaminated sites assists in identifying data gaps during the site investigation process. In this study, CSM was developed and enhanced for a contaminated site in Korea as a case study. Site Y was scrutinized four times previously. The site profiles for each scrutiny were reorganized based on the scrutiny reports, and the relevant data was utilized to develop and enhance CSMs. CSM for the first investigation was developed in various forms including table, flowchart, diagram, and narrative formats. CSM was enhanced in a stepwise manner by incorporating the updated profile information obtained in next investigation to existing CSM. The hypothetical data gap analysis between each investigation step was established to meet the purpose of the follow-up investigation. This case study showed that CSM is a useful tool to identify the history and current status of contaminated sites and thereby help in planning supplementary investigations for better site characterization.