• 한국환경보건학회지
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• 제49권3호
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• pp.149-158
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• 2023

Background: Injury is one of the major health problems in South Korea. Few studies have evaluated both intentional and unintentional injury when investigating the association between exposure to air pollutants and injury. Objectives: We aimed to explore the association between short-term exposure to ambient air pollution and years of life lost (YLLs) due to injury. Methods: Data on daily YLLs for 2002~2019 were obtained from the the Death Statistics Database of the Korean National Statistical Office. This study estimated short-term exposure to particulate matter with an aerodynamic diameter of <10 ㎛ (PM₁₀), particulate matter with an aerodynamic diameter of <2.5 ㎛ (PM_2.5), sulfur dioxide (SO₂), nitrogen dioxide (NO₂), carbon monoxide (CO), and ozone (O₃). This time series study was conducted using a generalized additive model (GAM) assuming a Gaussian distribution. We also evaluated a delayed effect of ambient air pollution by constructing a lag structure up to seven days. The best-fitting lag was selected based on smallest generalized cross validation (GCV) value. To explore effect modification by intentionality of injury (i.e., intentional injury [self-harm, assault] and unintentional injury), we conducted stratified subgroup analyses. Additionally, we stratified unintentional injury by mechanism (traffic accident, fall, etc.). Results: During the study period, the average daily YLLs due to injury was 307.5 years. In the intentional injury, YLLs due to self-harm and assault showed positive association with air pollutants. In the unintentional injury, YLLs due to fall, electric current, fire and poisoning showed positive association with air pollutants, whereas YLLs due to traffic accident, mechanical force and drowning/submersion showed negative associations with air pollutants. Conclusions: Injury is recognized as preventable, and effective strategies to create a safe society are important. Therefore, we need to establish strategies to prevent injury and consider air pollutants in this regard.

• Journal of Trauma and Injury
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• 제30권3호
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• pp.75-79
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• 2017

Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.

• 대한수사과학회지
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• 제3권1호
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• pp.5-24
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• 2008

The necessity for the investigation of death occurred in military services has no differences to the death of civilians. But the death of military service members under the Universal Conscription System in Korea has special considerations because of hard accessibility by the bereaved family and closed environment of the army. The analysis of the death occurred during military service was carried out and the advanced death investigation system to prevent the death was proposed to prevent the declination of fighting spirit and efficiency and also to restore the solid support by the people. The deaths in the period 1995~2006 were 330 persons in 1995, 359 persons in 1996 and were decreased to 135 persons in 2006. The death caused by safety accidents including vehicle accident, drowning, fall were 56% and by military crimes including suicide, arms, homicide were 44%. The numbers of suicides were 108 persons in 1995 and were decreased to 79 persons in 2006. The numbers of suicides were decreased constantly, but the ratio of suicide to death were increased, so the suicide prevention is more important. The autopsy ratio was increased to 51.5% in 2005 and was much higher compared to the ratio for civilians. The main reasons of complaints by the bereaved family were for regaining reputation, death in harness and reinvestigation of death. The proposals for the advanced death investigation system were as follows. The unnatural deaths including the obvious accidental deaths and homicides have to be defined by the rules. The human resources to perform the autopsy can be supported by the forensic pathologists from medical school. The special training and quality assurance programs are needed for the crime scene investigator. To regain the impaired reputation from the suicide and to support the bereaved family has to be discussed by the government.

• 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.

• 한국해안·해양공학회논문집
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• 제34권5호
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• pp.135-143
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• 2022

일반적으로 개방된 해안에 위치하고 있는 갯바위, TTP(방파제) 등의 장소는 조수 또는 파랑에 직접 노출되어 있는 위험한 환경임에도 이곳을 찾는 사람들의 잦은 출입으로 안전사고가 빈번하게 발생되는 지역이다. 본 논문은 연안안전사고 예방을 위한 대표적 방안인 위험정보 제공을 위한 위험도평가에 관한 연구로서, 충청남도 태안군 안면읍에 위치한 할미할아비바위(갯바위) 지역을 대상으로 지형형태학적 정보에 기반한 지형적 취약도를 평가하였다. 위험도 매트릭스(Risk Matrix) 기법을 이용하여 16개 방향에 대한 위험도를 평가한 결과, NE, ENE, S, SSW, W 등 경사도가 ±20°를 초과하는 구간이 많이 분포하는 방향에서 지형적 위험도가 높게 평가되었으며, NW 방향은 위험도가 가장 낮은 것으로 평가되었다. 갯바위의 지형형태학적 분석은 일반적인 해안선과 달리 복잡한 지형의 위험요소를 이해하는데 핵심적인 부분으로, 현장 고유의 형태학적 평가인자를 산정할 수 있다. 특히, 현장의 상대적 위험도를 평가하여 위험정보를 제공함으로써 연안활동장소의 부상과 익사 사고의 수를 줄이기 위해 노력하는 해안 관리자들에게 도움이 될 것이다.

• 한국방재안전학회논문집
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• 제15권3호
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• pp.57-66
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• 2022

고용노동부 공문(최근 건설업 사망사고 발생 현황 안내 및 안전관리 철저 당부, 2022.4.4.)에 따르면, 중대재해처벌법 시행(2022.1.27.) 이후 2022.3.31.까지 공사금액 50억원 이상 건설공사에서 17건의 사망사고가 발생하여 18명이 사망했다. 공사규모로 보면 50억~120억원 7건, 120억~800억원 5건, 800억원이상 5건이 발생했다. 사망사고 발생원인은 떨어짐 9건(50%), 맞음 5건(28%), 무너짐 2건(11%), 끼임 1건(5%), 익사 1건(5%)으로 조사됐다. 사망사고의 대부분을 차지하는 떨어짐과 맞음으로 인한 사망사고를 줄이기 위해서는 안전시설물을 강화할 필요가 있으며, 추락방지망·개구부·안전난간이 완벽하게 설치되면 대부분의 떨어짐과 맞음 사고는 예방 할 수 있다. 따라서 본 고에서는 소규모 공동주택인 도시형생활주택신축현장의 떨어짐과 맞음 사고를 예방하기 위해서 안전시설물 개선을 통한 특허기술 개발과 활용 사례를 제시하고자 한다.