• Title/Summary/Keyword: Fatal

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Lidocaine Intoxication: Two Fatal Cases

  • Lee, Sang-Ki;Lee, Soo-Yeun;In, Sang-Whan;Choi, Hwa-Kyung;Lim, Mi-Ae;Chung, Kyu-Hyuck;Chung, Hee-Sun
    • Archives of Pharmacal Research
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    • v.26 no.4
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    • pp.317-320
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    • 2003
  • We present two fatal cases, a 41-year-old male (case 1) and his 8-year-old daughter (case 2), resulting from acute lidocaine poisoning. Lidocaine was quantified by gas chromatography (GC) analysis using nitrogen-phosphorus detection. The lidocaine concentrations of cases 1 and 2 were: liver, 27.7 $\mu$ g/g and 24.9 $\mu$g/g; spleen, 70.1 $\mu$g/g and 29.9 $\mu$g/g; and gastric contents, 23.6 $\mu$g/g and 42.8 $\mu$g/g, respectively.

Development and Evaluation of Human Reliability Analysis Model for the Reduction of Human Errors (인적오류 저감을 위한 인간 신뢰도 분석 체계 및 평가에 관한 연구)

  • Jung, Kyung-Hee;Byun, Seong-Nam;Cho, Jai-Rip
    • Proceedings of the KSR Conference
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    • 2010.06a
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    • pp.2048-2051
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    • 2010
  • Almost all companies have paid much attention to the safety management ranging from maintenance to operation even at the stage of designing in order to prevent accidents, but fatal accidents continue to increase throughout the world. In particular, it is essential to systematically prevent such fatal accidents as fire, explosion or leakage of toxic gas at factories in order to not only protect the workers and neighbors but also prevent economic losses and environmental pollution. In addition, HRA may be used to detect the human errors which may cause accidents or trace back to any mistake on the part of workers. Usually, HRA technique is used in association with other risk assessment techniques. Moreover, it can serve to enumerate the human errors which may occur during operation or down-time or correct the existing system to reduce the mistakes. This work focuses on the coincidence of human error and mechanical failure for management of human error, and on some important performance shaping factors to propose a method for improving safety effectively of the process industries.

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Tortuous Internal Carotid Artery Presenting as an Oropharyngeal Mass : A Case Report (구인두 종괴로 오인된 내경동맥 사행 1예)

  • Kim, Il-Kang;Yum, Dong-Jin;Kang, Jae-Ho;Park, Sung-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.178-180
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    • 2007
  • Tortuosity of the internal carotid artery is not a rare condition. A 68-year-old woman presented with a 3 years' history of a pulsatile tinnitus and throat abnormal sensation. On physical examination, a soft pulsatile mass on the left posterior oropharyngeal wall was noted. By neck CT and neck MRI the tortuous internal carotd artery was visualized. Otolaryngologists should recognize this anomaly and the patient should be made aware of their condition, because it may cause a fatal or near-fatal hemorrhage during surgical procedures in the pharynx, especially tonsillectomy and adenoidectomy and drainage of peritonsillar abscess. We report a case of a left internal carotid artery tortuosity as an oropharyngeal mass.

A Case of Fibromyxosarcoma in the Left Atrium (좌심방에 발생한 섬유점액육종의 치험1례)

  • 김상익
    • Journal of Chest Surgery
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    • v.25 no.11
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    • pp.1269-1272
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    • 1992
  • Benign cardiac tumors are almost uniformly curable, but malignant cardiac tumors are almost always fatal despite of modern techniques of diagnosis and surgical treatment Resection of malignant tumors of heart is occasionally feasible and can result in prolonged survival, although cure is unlikely. Survival may be enhanced by postoperative irradiation in selected patients, but chemotherapy does not appear to be beneficial. Fibromyxosarocoma of the left atrium is a primary malignant tumor of the heart which is extremely rare and has a poor prognosis and rapid recurrence. It is important to differentiate the uniformly fatal fibromyxosarcoma from the more common benign atrial myxoma. A 19-year-old woman with a fibromyxosarcoma of the left atrium which was extirpated surgically, and postoperative irradiation was given[totally 4,500 rads]. She is still alive 9 months postoperatively without recurrence.

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Safety Evaluation according to Controller Configuration using Safety Integrity Level (안전 무결성 등급을 이용한 제어기의 구성에 따른 안전성 평가)

  • Kim, Jong-Hoon;Lee, Dae-Jong;Lee, Ho-Hyun;Chun, Myung-Geun
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.66 no.1
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    • pp.43-47
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    • 2017
  • A SIL(Safety Integrity Level) assignment method is used for preventing failure action. The goal of safety system for processing automation is to reduce the human fatal risk. Even if we have developed the processing automation according to developing technology, we are also realized on increasing the human fatal risk cause of unexpected accidents. This study is directed the solution of decision for safety level for safety system and the best architecture for safety system in process automation.

The Clinical Analysis of Flail Chest (동요흉 환자의 임상적 고찰)

  • 장재한
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1160-1166
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    • 1995
  • From 1980 through 1993, sixty one patients having traumatic flail chest were analysised retrospectively at the Department of Thoracic and Cardivascular Surgery, Chonbuk National University Hospital. There were 47 men and 14 women, mean age, 49.3 years, age range 4 to 82 years. The most common mode of trauma was automobile accident, common combined other organ injuries were skeletal injury [ 36 patients and neurologic injury [ 20 patients . In the mode of treatment, ventilator therapy was done in 34 cases and operative stabilization was done in 18 cases [ Kirschner or steel wire: 9 cases, Judet`s strut: 9 cases . Sixteen patients died [26 % . The main factors associated with fatal outcome were shock [ p < 0.002 , head injury [ p < 0.005 , and more than 50 years of age [ p < 0.05 . In fatal cases, 14 patients died during in ventilator therapy [ 14/34, 41 % and 2 patients died following operative stabilization of chest wall [ 2/18, 11 % .The overall cause of death was septicemia, ARDS, ARF, hypovolemic shock and hypoxic brain damage.

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Fatal Pulmonary Thromboembolism after a Pelvic Ring Injury: A Case Report (골반환 손상 후 발생한 치명적인 폐색전증: 증례보고)

  • Kim, Joon-Woo;Oh, Chang-Wug;Kim, Hyung-Sub;Kim, Hee-June
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.224-228
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    • 2014
  • Pelvic ring and acetabular fractures are major high-energy trauma injuries and are often associated with other injuries or fractures. In particular, a venous thromboembolism is an important common complication in trauma patients with pelvic or acetabular fractures. We report a case of a fatal pulmonary thromboembolism after a pelvic fracture in a 60-year-old female patient.

A case of fatal hyperinfective strongyloidiasis with discovery of autoinfective filariform larvae in sputum

  • KIM Jin;JOO Hyun-Soo;KO Hyang-Mi;NA Min-Sik;HWANG Sun-Ho;IM Jong-Cheol
    • Parasites, Hosts and Diseases
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    • v.43 no.2 s.134
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    • pp.51-55
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    • 2005
  • The autoinfective filariform larva of Strongyloides stercoralis causes hyperinfection in immunosuppressed hosts. Here we report on the case of a male patient who was admitted to the emergency room at Gwangju Veterans Hospital with a complaint of dyspnea, and who was receiving corticosteroid therapy for asthma. Many slender larvae of S. stercoralis with a notched tail were detected in Papanicolaou stained sputum. They measured $269\pm21.2{\mu}m$ in length and $11\pm0.6{\mu}m$ in width. The esophagus extended nearly half of the body length. The larvae were identified putatively as autoinfective third-stage filariform larvae, and their presence was fatal. The autoinfective filariform larva of S. stercoralis has not been previously reported in Korea.

An Analysis of Fatal Accident in Construction Field for Climate Factor and Its Management Plan (기후요소에 따른 건설현장의 사망재해 실태분석 및 관리방향)

  • Shin, Won-Sang;Lim, Gun-Ju;Son, Chang-Baek
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2016.05a
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    • pp.70-71
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    • 2016
  • Recently, the climate change due to global warming, heat wave, heavy snow etc., is rapidly progressing all over the world. This kind of climate change is judged to be affecting a lot in construction industry which has characteristic of outdoor industry. Therefore this study, to prevent death disaster occurring by climate elements at construction site, quantitatively analyzed real condition of death disaster on construction site and suggests basic management direction which to be conducted on the site.

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Determination of Methamphetamine and its Metabolite Amphetamine in Biological Fluids from 11 Fatal Gases

  • Yoo, Young-Chan;Chung, Hee-Sun;Choi, Hwa-Kyung
    • Archives of Pharmacal Research
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    • v.16 no.3
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    • pp.175-179
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    • 1993
  • Gas chromoatography with flame ionization detector (FID) along with mass spectrometry (GC/MS) were used for the screening and quantification of methamphetamine (MA) and its major metabolite, amphetamine (AM0, in blood and urine in eleven fatal cases in which MA abuse was suspected. Postmortem blood MA varied from $0.5-30.2\;\mu{g/ml}$, while Am levels ranged from none detected (6 of 11 cases) to 4.8 .mu.g/ml. Additionally, distribution studies were performed in three of these cases in which tissue smaples were available for evaluation. Liver contained the highest ocncentration of MA among the tissu samples. In eight of the eleven cases, when no other direct cause of death was evident (i.e. 3 cases of traumatic dath0, either no blood AM was found or the ratio of MA/AM was 3.4 or greater. These data are consistent with acute MA use followed by death due to acute drug intoxication or by the occurrence of hypersensitivity and reverse seen in cases of chronic drug abuse.

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