• 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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권3호
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• pp.281-289
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• 1994

This is a clinical study on 235 inpatients who sustained a total of 350 mandibular fractures and who were treated in our department during the period of Oug., 1989 through Dec., 1993. The results obtained are as follows : 1. The mumber of patients has not been increased year after year. In respect of incidence, there were the highest frequency as 67 patients(28.5%) in 1991 and the least frequency as 16 patients(6.8%) in 1989 and the highest frequency as 28 patients(11.9%) in October and the least frequncy as 12 patients(5.2%) in February. 2. The age frequency was the highest in the second decade(30.6%). The youngest patient was 8 months and the eldest patient was 80 years and mean age was 27.8 years. The ratio of men to Wemen was 4 : 1. 3. The most frequent cause was fall down as 86 patients(36.6%) and the next was fist blow 4 as 75 patients(31.9%), traffic accident as 56 patients(23.9%) in order. 4. The most common location was symphysis as 141 numbers(40.3%) and the next was condyle as 96 numbers(27.4%), angle as 94 numbers(26.8%), body as 14 numbers(4.0%) in order. The sum of fracture sites were 350 and there were 1.49 fracture sites per one patient and multiple fractures occured in 100 patients(40.5%) of the 235 patients. The ratio of Left to Right except for symphysis was 1.71 : 1. 5. Among the 333 associated injuries, facial laceration was 136(57.9%) and tooth injury was 58(24.7%) and extremity was 31(13.2%). 6. Among the 350 mandibular fractures, complications after treatment occured in 51(14.6%) and infection as 20(5.7%) was the most frequent complication. 7. In respect of treatment of mandibular fracture, close reduction was 64 patients(27.2%) and open reduction was 164 patients(69.8%) and other were 7 patients(3.0%) of all and so open reduction was the most common in type of treatment.

• 한국안전학회지
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• 제27권5호
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• pp.22-29
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• 2012

Robot related injuries in industrial accidents statistics during 2008~2010 have accounted for a total of 109 cases equivalent to 30~40 cases for each of those years. The number of injured compared to the dissemination of industrial robots(51,302 units/2004) can be regarded as quite low. However, the fatal injuries sustained by 7 (6.4%) out of 109 cases paints the stark reality of robot-related accident fatalities. It is a sad probability that as the automation process expands its use of industrial robots which have increased significantly in demand, the incidence of workplace accidents will also increase. Therefore, the incidence of accidents throughout the period of 2008~2010 has been analysed to prevent the injuries due to the increased use of industrial robots. In the analysis, the injuries occurred during the industrial robot operation accounted for 45.9% of the entire accidents. Thus, we examined the present status of the industrial robot operation to analyze the root cause of accidents occurred in our studied time period. We looked at a total of 469 workplaces. 456 workplaces responded in the year 2009 and survey studies were implemented at 13 of the 29 workplaces where work injuries were sustained in the year 2010. Even where protective measures and interlock devices were in place, our studies indicated that workers could access the robot area to perform the tasks in 188 sites(40.1%). Also, the 143 sites(30.5%) had control measures and equipment located in the safety fence. In addition, the robots found at 164 sites(35.0%) could be restarted without additional restarting operation. These three causes accounted for most of the workplace injuries during the industrial robot operations. Futhermore, we confirmed the fact that the protective measures of the current safety regulations were not strictly enforced. Based upon our studies and the investigation of the present status of the industrial robot operation, higher standards in training and supervision of workers in the robot operation must quickly be met in order to prevent these industrial injuries.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권4호
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• pp.303-308
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• 2010

Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal and gastric aspiration and hypovolemic shock. Therefore, the rapid and correct bleeding control is very important for saving lives in the emergency room. Despite the conventional bleeding control methods of wiring (jaw fracture, wound suture and direct pressure), continuous bleeding can occur due to the presence of various bleeding disorders. There are five main causes for excessive bleeding disorders in the clinical phase; (1) vascular wall alteration (infection, scurvy etc.), (2) disorders of platelet function (3) thrombocytopenic purpura (4) inherited disorders of coagulation, and (5) acquired disorders of coagulation (liver disease, anticoagulant drug etc.). In particular, infections can alter the structure and function of the vascular wall to a point at which the patient may have a clinical bleeding problem due to vessel engorgement and erosion. Wound infection is a frequent cause of postoperative active bleeding. To prevent postoperative bleeding, early infection control using a wound suture with proper drainage establishment is very important, particularly in the active bleeding sites in a contaminated emergency room. This is a case report of a rational bleeding control method by rapid wiring, wound suture with drainage of a rubber strip & iodoform gauze and wet gauze packing, in a 26-year-old male cerebral palsy patient with active oral and maxillofacial bleeding injuries caused by a traffic accident.

• 한국ITS학회 논문지
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• 제22권1호
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• pp.192-207
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• 2023

Lv.4 자율주행의 상용화를 위하여 안전한 도로환경과 자율주행차량이 안전하게 운행할 수 있는 구체적인 정의가 필요되고, 미래 교통안전 문제에 대비하기 위해 자율주행차량의 안전한 운행 여부를 판단할 수 있는 위험도 평가모델이 요구된다. 자율주행차량의 운행 위험요소를 선정 및 등급화를 수행하였으나, 자율주행차량의 사고 발생 원인과 운행 자료 구득에 어려움이 있어 자율주행 분야 전문가 설문조사를 활용하여 정성적 자료로 의사결정방법을 적용하였다. 의사결정자의 애매모호한 언어적 표현, 불확실함을 정량적 수치로 변환하는 퍼지-계층화 분석법을 통해 다기준 의사결정에 있어 기존의 계층화 분석법(AHP)의 단점을 보완할 수 있었다. 상위·하위속성들의 가중치 도출 과정을 거쳐, 물리적 인프라인 도로선형이 자율주행차량의 운행 위험도에 가장 중요한 위험요소로 분석되었다. 또한, 자율주행차량의 운행 위험도 범례를 통하여 평가 대상지 5곳에 대한 자율주행차량 운행 위험 여부를 도출하였다.

• 대한간호학회지
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• 제19권3호
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• pp.240-248
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• 1989

The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

• Archives of Reconstructive Microsurgery
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• 제5권1호
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• pp.35-45
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• 1996

After transplantation of groin free flap was sucessed by the Daniel and Taylor in 1973, the reconstruction of plastic surgery was extensive and universal due to rapidly developement of anatomic study of the donor site and technique of microvascular surgery. The free tissue transfers is possible to be early activity and rehabilitation by one stage operation. It currently available allow transfer of specific tissue quality as bone, muscle, nerve to achieve a functional and cosmetic result as well as the most favorable secondary defect. But free flaps require critical, skillful technique and lengthy operating time. Also it has disadvantage of donor site morbity at the large tissue transfer. Authors were transferred with 107 cases in 103 patients from May 1987 to June 1996, and then we analysed free tissue transfer to acquire more increased sucess rate, satisfactory functional and cosmetic results. The sexual distribution was male prominent in 79 cases(76.7%), female in 24(23.3%) and age was variable distribution from 3 to 76 years old. The cause of defects was most prevalent in trauma of traffic and industrial accident in 51 cases(49%). The common recipient site were lower extremities in 47 cases(43.9%), upper extremities in 28 cases(26.5%), head and neck in 25 cases(23.4%), and trunk in 7 cases(6.5%). The type of transfer were free skin flaps in 46 cases(43%), free muscle or musculocutaneous flaps in 31 cases(29%), free vasculized or osteocutaneous flaps in 10 cases(9.3%), and specilized free flaps in 20 cases(18.7%). The anastomosis of artery was end to end anastomosis in 94 cases(87.9%), end to side anastomosis in 13 cases(12.1%) and all vein was end to end anastomosis. The number of anastomosed vessels were one artery one vein in 62 cases(57.9%), one artery two vein in 45 cases(42.1%) and vein graft was performed only one case. The postoperative mornitoring were used with temperature, color of flap, capillary refilling time, ultrasonogram, bone scan, doppler, and endoscopy. The reexploration was performed in 9 cases(8.4%), and then flap was loss in 3 cases(2.8%). Accordingly overall success rate was 97.2%. The postoperative complication was early vascular occlusion, hematoma, partial necrosis and late bulkiness, scarring, color dismatch etc. Therefore, free tissue transfer is the preferred method of treatment, even through conventional local and distant flaps are available.

• 대한안전경영과학회지
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• 제15권2호
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• pp.85-93
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• 2013

This study is based on parents that have preschool children of age 4~5, and analyzes the perception and parent education demand through parent experience of fire. As a result of the study about perception through parent experience about safety life, safety accidents, safety education of fire, the effect of parents' safety consciousness to fire safety life turned out to be moderate for fathers and large for mothers. The safety education method was mostly done in speaking than experience for fathers, while mothers did education through experience in daily life. Also the difficulties in safety education was lack of educating time for fathers while it was lack of knowledge and methods for mothers. Perception through parent experience of fire safety accidents showed that fathers did not have experience of fire safety accidents while mothers did. The locations perceived by parents where fires mostly occurred showed to be within home for both parents, and both administered first aid in managing fires. Perception through parent experience of fire safety education showed the importance of fire safety education to be important in both parents, and both parents had no experience in fire safety education. Also the fire safety education knowledge acquisition method was TV or the Internet for fathers, while it was participating in seminars or lectures for mothers. Fathers were moderately satisfied of the fire safety education instruction of childhood education centers, while mothers were slightly dissatisfied. For the demand of parent education about fire safety education, fathers were moderate while mothers thought it necessary of parent education necessity. The reason why parent education was needed was to be able to know immediate and prompt measures and first aid treatment in emergency situations for fathers, while it was to figure out the cause of fire safety accidents and prevent it beforehand for mothers. For the education institution of fire safety education, fathers demanded it for safety related institutions while mothers demanded it for children education institutions, and the number of times for parent education was once or twice a year for fathers while it was once a month for mothers. For the parent education instructor of fire safety education, fathers demanded safety education experts while mothers demanded infant teachers that completed the safety education course. For the fire safety education method of parent education, fathers demanded Internet searching while mothers demanded seminars or lectures.

• 해양환경안전학회지
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• 제28권1호
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• pp.64-71
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• 2022

선원의 상무라는 용어는 해양사고관련자인 선원에게 사고에 대한 책임을 물을 때 사용되는 용어이다. 그러나 선원의 상무에 따른 책임을 부과함에 따라 오히려 책임이 불분명해지기도 하며, 국제해상충돌예방규칙에 명백히 규정되어 있는 항법을 위반한 경우에도 선원의 상무에 따른 책임을 부과함으로써 개선이 필요한 부분이 희석되기도 한다. 해양안전 심판제도가 유사 사고의 재발을 방지하기 위하여 이미 발생한 사고의 원인을 철저하게 분석하는 과정을 거친다는 사실을 상기할 때 유사 사고의 재발방지에 기여하지 못하는 원인분석으로써 실행 가능한 한 선원의 상무는 배제하는 것이 적절할 것이다. 이에, 해양사고 조사심판 기관의 존재 이유와 선원의 상무에 대한 학설을 전체적으로 살펴보고 법원 판결 및 재결서에서 주의의무 사용례를 함께 분석함으로써 관습적·불문적 항법으로 인식되고 있는 선원의 상무에 대한 적용을 어떻게 개선할 수 있는지를 검토하였다. 그리고 해양사고 재발 방지라는 관점에서 '선원의 상무'를 '선원의 통상적인 업무'라고 바꾸어 쓸 것을 제안하였으며, 합목적적인 적용을 위한 현대적 해석을 제시하였다.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.39-48
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• 2020

2017년 8월에 발생한 고창 전력시험센터를 시작으로, 현재까지 총 29건의 전기저장장치 화재가 발생하여 많은 재산피해가 보고되고 있다. 이에 대한 원인은 아직 정확하게 규명되지 않았으나, ESS(energy storage system)와 전력변환장치뿐만 아니라, 계통측 불평형 문제도 하나의 원인으로 고려되어야 할 것으로 보인다. 특히, 연계용변압기측의 순환전류가 자화전류에 영향을 미쳐, 의도치 않게 변압기의 철심이 포화되고 서지전압이 발생하여 ESS에 영향을 줄 수 있다. 따라서, 본 논문에서는 부하불평형에 의한 불평형전류 발생시, ESS 연계용변압기로 순환전류의 유입과 변압기 포화로 인한 서지전압 발생 현상을 해석하기 위하여, PSCAD/EMTDC를 이용한 배전용변전소, 연계용변압기 및 수용가부하로 구성된 배전계통의 모델링을 수행한다. 또한, 이러한 문제를 해결하기 위하여, 중성점 접지 저항기(neutral grounding resistor, NGR)를 통해 순환전류의 크기를 일정 값 이내로 저감시키는 방안을 제시하였다. 이를 바탕으로 시뮬레이션을 수행한 결과, 연계용변압기의 결선방식 및 철심구조에 따라 일정 값(10[A]) 이상의 순환전류가 발생하여, ESS에 전기적인 위해 요인이 될 수 있음을 알 수 있었고, 변압기 포화로 인해 2차측에 최대 3[pu]의 서지전압이 발생될 수 있음을 확인하였다.