• Title/Summary/Keyword: Fatal injuries

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A Study on Algorithm for Materials Take-off Using Pothole Detection System (포트홀 감지 시스템을 이용한 보수재료량 산출 알고리즘 개발)

  • Kim, Kyungnam;Kim, Sung-Ho;Kim, Nakseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.3
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    • pp.603-610
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    • 2017
  • Various type of pavement deterioration such as crack, bumpy, pothole is rapidly increasing according to the accelerated environmental changes like heavy rainfall, frequent snowing, difference temperature, etc. Accident related to pothole that cause fatal traffic accidents has been increased more than five times over the next five years starting from 2008. As direct or indirect damage by pothole which caused injuries and car damages increases every year, quicker and more efficient management measures are necessary. This study presents the algorithm for materials quantity take-off. The algorithm was suggested by correlation in pothole size and area. Suggested algorithm were confirmed the validity through the 15 field survey in capital area. According to the results of survey, usually the residual materials at which 5~7 kg was generated decreased to 1~2 kg. It showed that automatic pothole detection system is expected not only to reduce materials and resources, but also to contribute to quality improvements of pavement through more accurate material take-off from the situation of constructing rely on their own judgement.

Development of Automatic Power Measurement System for Electrosurgical Unit (전기 수술기 파워 자동 측정 시스템 개발)

  • Kim, SooHong;Yun, SungUk;Joh, MyoungHun;Jeon, GyeRok
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.183-189
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    • 2017
  • Electrosurgical Unit(ESU) is medical equipment that cut or coag tissues using electrical energy. It is used in hospitals' outpatient clinic room and operating room. Improper use of an ESU may cause fatal injuries to the patient, such as burns. So, before using an ESU, make sure that it is supplying enough energy for cut and coag by measuring the output power and checking the output power cable. In this study, we developed a simple ESU power measurement system PW100 that allows anyone to check the basic output power. And PW100 can check the state of the cable associated with the output power before using ESU. Then, we compared the measured output power of the PW100 with an ESU Analyzer which was commercialized, and compared the performance. In the experiment, the output power measured by the PW100 was lower value than an ESU Analyzer's that. However, the PW100's output power measured in the 5% error range and showed stable reproducibility by a low %RSD value.

Surprising Incentive: An Instrument for Promoting Safety Performance of Construction Employees

  • Ghasemi, Fakhradin;Mohammadfam, Iraj;Soltanian, Ali Reza;Mahmoudi, Shahram;Zarei, Esmaeil
    • Safety and Health at Work
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    • v.6 no.3
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    • pp.227-232
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    • 2015
  • Background: In comparison with other industries, the construction industry still has a higher rate of fatal injuries, and thus, there is a need to apply new and innovative approaches for preventing accidents and promoting safe conditions at construction sites. Methods: In this study, the effectiveness of a new incentive system-the surprising incentive system-was assessed. One year after the implementation of this new incentive system, behavioral changes of employees with respect to seven types of activities were observed. Results: The results of this study showed that there is a significant relationship between the new incentive system and the safety performance of frontline employees. The new incentive system had a greater positive impact in the first 6 months since its implementation. In the long term, however, safety performance experienced a gradual reduction. Based on previous studies, all activities selected in this study are important indicators of the safety conditions at workplaces. However, there is a need for a comprehensive and simple-to-apply tool for assessing frontline employees' safety performance. Shortening the intervals between incentives is more effective in promoting safety performance. Conclusion: The results of this study proved that the surprising incentive would improve the employees' safety performance just in the short term because the surprising value of the incentives dwindle over time. For this reason and to maintain the surprising value of the incentive system, the amount and types of incentives need to be evaluated and modified annually or biannually.

Postmortem mRNA Expression Patterns in Left Ventricular Myocardial Tissues and Their Implications for Forensic Diagnosis of Sudden Cardiac Death

  • Son, Gi Hoon;Park, Seong Hwan;Kim, Yunmi;Kim, Ji Yeon;Kim, Jin Wook;Chung, Sooyoung;Kim, Yu-Hoon;Kim, Hyun;Hwang, Juck-Joon;Seo, Joong-Seok
    • Molecules and Cells
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    • v.37 no.3
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    • pp.241-247
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    • 2014
  • Sudden cardiac death (SCD), which is primarily caused by lethal heart disorders resulting in structural and arrhythmogenic abnormalities, is one of the prevalent modes of death in most developed countries. Myocardial ischemia, mainly due to coronary artery disease, is the most common type of heart disease leading to SCD. However, postmortem diagnosis of SCD is frequently complicated by obscure histological evidence. Here, we show that certain mRNA species, namely those encoding hemoglobin A1/2 and B (Hba1/2 and Hbb, respectively) as well as pyruvate dehydrogenase kinase 4 (Pdk4), exhibit distinct postmortem expression patterns in the left ventricular free wall of SCD subjects when compared with their expression patterns in the corresponding tissues from control subjects with non-cardiac causes of death. Hba1/2 and Hbb mRNA expression levels were higher in ischemic SCD cases with acute myocardial infarction or ischemic heart disease without recent infarction, and even in cardiac death subjects without apparent pathological signs of heart injuries, than control subjects. By contrast, Pdk4 mRNA was expressed at lower levels in SCD subjects. In conclusion, we found that altered myocardial Hba1/2, Hbb, and Pdk4 mRNA expression patterns can be employed as molecular signatures of fatal cardiac dysfunction to forensically implicate SCD as the primary cause of death.

Autosomal Recessive Malignant Infantile Osteopetrosis Associated with a TCIRG1 Mutation: A Case Report of a Neonate Presenting with Hypocalcemia in South Korea

  • Oh, Yun Kyo;Choi, Koung Eun;Shin, Youn-Jeong;Kim, Eun Ryoung;Kim, Ji Yeon;Kim, Min Sun;Cho, Sung Yoon;Jin, Dong Kyu
    • Neonatal Medicine
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    • v.28 no.3
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    • pp.133-138
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    • 2021
  • Osteopetrosis refers to a group of genetic skeletal disorders characterized by osteosclerosis and fragile bones. Osteopetrosis can be classified into autosomal dominant, autosomal recessive, or X-linked forms, which might differ in clinical characteristics and disease severity. Autosomal recessive osteopetrosis, also known as malignant osteopetrosis, has an earlier onset, more serious clinical symptoms, and is usually fatal. We encountered a 1-day-old girl who was born full-term via vaginal delivery, which was complicated by meconium-stained amniotic fluid, cephalo-pelvic disproportion, and nuchal cord. Routine neonatal care was provided, in addition to blood tests and chest radiography to screen for sepsis, as well as skull radiography to rule out head injuries. Initial blood tests revealed hypocalcemia, which persisted on follow-up tests the next day. Radiographic examinations revealed diffusely increased bone density and a "space alien" appearance of the skull. Based on radiographic and laboratory findings, the infantile form of osteopetrosis was suspected and genetic testing for identification of the responsible gene. Eventually, a heterozygous mutation of the T cell immune regulator 1, ATPase H+ transporting V0 subunit a3 (TCIRG1) gene (c.292C>T) was identified, making this the first reported case of neonatal-onset malignant osteopetrosis with TCIRG1 mutation in South Korea. Early-onset hypocalcemia is common and usually results from prematurity, fetal growth restriction, maternal diabetes, perinatal asphyxia, and physiologic hypoparathyroidism. However, if hypocalcemia persists, we recommend considering 'infantile of osteopetrosis' as a rare cause of neonatal hypocalcemia and performing radiographic examinations to establish the diagnosis.

Exploring the Contributory Factors of Confined Space Accidents Using Accident Investigation Reports and Semistructured Interviews

  • Naghavi K., Zahra;Mortazavi, Seyed B.;Asilian M., Hassan;Hajizadeh, Ebrahim
    • Safety and Health at Work
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    • v.10 no.3
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    • pp.305-313
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    • 2019
  • Background: The oil and gas industry is one of the riskiest industries for confined space injuries. This study aimed to understand an overall picture of the causal factors of confined space accidents through analyzing accident reports and the use of a qualitative approach. Methods: Twenty-one fatal occupational accidents were analyzed according to the Human Factors Analysis and Classification System approach. Furthermore, thirty-three semistructured interviews were conducted with employees in different roles to capture their experiences regarding the contributory factors. The content analyses of the interview transcripts were conducted using MAXQDA software. Results: Based on accident reports, the largest proportions of causal factors (77%) were attributed to the organizational and supervisory levels, with the predominant influence of the organizational process. We identified 25 contributory factors in confined space accidents that were causal factors outside of the original Human Factors Analysis and Classification System framework. Therefore, modifications were made to deal with factors outside the organization and newly explored causal factors at the organizational level. External Influences as the fifth level considered contributory factors beyond the organization including Laws, Regulations and Standards, Government Policies, Political Influences, and Economic Status categories. Moreover, Contracting/Contract Management and Emergency Management were two extra categories identified at the organizational level. Conclusions: Preventing confined space accidents requires addressing issues from the organizational to operator level and external influences beyond the organization. The recommended modifications provide a basis for accident investigation and risk analysis, which may be applicable across a broad range of industries and accident types.

Diagnostic and Therapeutic Laparoscopy for Abdominal Trauma: A Single Surgeon's Experience at a Level I Trauma Center

  • Jo, Hancheol;Kim, Dong Hun
    • Journal of Trauma and Injury
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    • v.34 no.4
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    • pp.248-256
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    • 2021
  • Purpose: Laparoscopy has various advantages over laparotomy in terms of postoperative recovery. The number of surgeons using laparoscopy as a diagnostic and therapeutic tool in abdominal trauma patients is increasing, whereas open conversion is becoming less common. This report summarizes a single surgeon's experience of laparoscopy at a level I trauma center and evaluates the feasibility of laparoscopy as a diagnostic and therapeutic tool for abdominal trauma patients. Methods: In total, 30 abdominal trauma patients underwent laparoscopy by a single surgeon from October 2014 to May 2020. The purpose of laparoscopy was categorized as diagnostic or therapeutic. Patients were classified into three groups by type of surgery: total laparoscopic surgery (TLS), laparoscopy-assisted surgery (LAS), or open conversion (OC). Univariate analysis was performed to determine the advantages and disadvantages. Results: The mechanism of injury was blunt in 19 (63.3%) and penetrating in 11 patients (36.7%). Eleven (36.7%) and 19 patients (63.3%) underwent diagnostic and therapeutic laparoscopy, respectively. The hospital stay was shorter for patients who underwent diagnostic laparoscopy than for those who underwent therapeutic laparoscopy (5.0 days vs. 13.0 days), but no other surgical outcomes differed between the groups. TLS, LAS, and OC were performed in 12 (52.2%), eight (34.8%), and three patients (13.0%), respectively. There was no significant difference in morbidity and mortality among the three groups. Conclusions: Laparoscopic surgery for selected cases of abdominal trauma may be feasible and safe as a diagnostic and therapeutic tool in hemodynamically stable patients due to the low OC rate and the absence of fatal morbidity and mortality.

A Study on the Installation of Pedestrian-oriented Roundabout (보행자 중심의 회전교차로 설치방안에 관한 연구)

  • Lee, Seoksoon;Nam, Doohee
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.21 no.4
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    • pp.30-38
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    • 2022
  • As of 2020, 1,564 roundabouts have been installed and operated to prevent major traffic accidents and promote safe and smooth passage over the past 10 years. According to the Korea Transportation Research Institute, the number of accidents decreased by an average of 43.8% per year, fatal accidents by 50%, and serious injuries by 48.1%, confirming the safety effect. However, most intersections with high pedestrian traffic, such as children's protection areas near elementary schools, operate signal intersections. Therefore, in this study, a simulation was performed through the VISSM program to conduct a study on the pedestrian-centered roundabout installation method. This study was conducted to ensure that pedestrians can have the right of way safely by installing and operating traffic lights at crosswalks on roundabouts located in urban areas or child protection zones.

Classifying the severity of pedestrian accidents using ensemble machine learning algorithms: A case study of Daejeon City (앙상블 학습기법을 활용한 보행자 교통사고 심각도 분류: 대전시 사례를 중심으로)

  • Kang, Heungsik;Noh, Myounggyu
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.39-46
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    • 2022
  • As the link between traffic accidents and social and economic losses has been confirmed, there is a growing interest in developing safety policies based on crash data and a need for countermeasures to reduce severe crash outcomes such as severe injuries and fatalities. In this study, we select Daejeon city where the relative proportion of fatal crashes is high, as a case study region and focus on the severity of pedestrian crashes. After a series of data manipulation process, we run machine learning algorithms for the optimal model selection and variable identification. Of nine algorithms applied, AdaBoost and Random Forest (ensemble based ones) outperform others in terms of performance metrics. Based on the results, we identify major influential factors (i.e., the age of pedestrian as 70s or 20s, pedestrian crossing) on pedestrian crashes in Daejeon, and suggest them as measures for reducing severe outcomes.

Threshold-based Pre-impact Fall Detection and its Validation Using the Real-world Elderly Dataset (임계값 기반 충격 전 낙상검출 및 실제 노인 데이터셋을 사용한 검증)

  • Dongkwon Kim;Seunghee Lee;Bummo Koo;Sumin Yang;Youngho Kim
    • Journal of Biomedical Engineering Research
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    • v.44 no.6
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    • pp.384-391
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    • 2023
  • Among the elderly, fatal injuries and deaths are significantly attributed to falls. Therefore, a pre-impact fall detection system is necessary for injury prevention. In this study, a robust threshold-based algorithm was proposed for pre-impact fall detection, reducing false positives in highly dynamic daily-living movements. The algorithm was validated using public datasets (KFall and FARSEEING) that include the real-world elderly fall. A 6-axis IMU sensor (Movella Dot, Movella, Netherlands) was attached to S2 of 20 healthy adults (aged 22.0±1.9years, height 164.9±5.9cm, weight 61.4±17.1kg) to measure 14 activities of daily living and 11 fall movements at a sampling frequency of 60Hz. A 5Hz low-pass filter was applied to the IMU data to remove high-frequency noise. Sum vector magnitude of acceleration and angular velocity, roll, pitch, and vertical velocity were extracted as feature vector. The proposed algorithm showed an accuracy 98.3%, a sensitivity 100%, a specificity 97.0%, and an average lead-time 311±99ms with our experimental data. When evaluated using the KFall public dataset, an accuracy in adult data improved to 99.5% compared to recent studies, and for the elderly data, a specificity of 100% was achieved. When evaluated using FARSEEING real-world elderly fall data without separate segmentation, it showed a sensitivity of 71.4% (5/7).