• Title/Summary/Keyword: Serious injuries

Search Result 198, Processing Time 0.023 seconds

Analyzing Construction Workers' Recognition of Hazards by Estimating Visual Focus of Attention

  • Fang, Yihai;Cho, Yong K.
    • International conference on construction engineering and project management
    • /
    • 2015.10a
    • /
    • pp.248-251
    • /
    • 2015
  • High injury and fatality rates remain a serious problem in the construction industry. Many construction injuries and fatalities can be prevented if workers can recognize potential hazards and take actions in time. Many efforts have been devoted in improving workers' ability of hazard recognition through various safety training and education methods. However, a reliable approach for evaluating this ability is missing. Previous studies in the field of human behavior and phycology indicate that the visual focus of attention (VFOA) is a good indicator of worker's actual focus. Towards this direction, this study introduces an automated approach for estimating the VFOA of equipment operators using a head orientation-based VFOA estimation method. The proposed method is validated in a virtual reality scenario using an immersive head mounted display. Results show that the proposed method can effectively estimate the VFOA of test subjects in different test scenarios. The findings in this study broaden the knowledge of detecting the visual focus and distraction of construction workers, and envision the future work in improving work's ability of hazard recognition.

  • PDF

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey

  • Soo-Yeon Han;Cho Hee Kim
    • Child Health Nursing Research
    • /
    • v.29 no.4
    • /
    • pp.252-259
    • /
    • 2023
  • Purpose: Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. Methods: This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. Results: The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). Conclusion: To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.

Analysis of the Risk Factors Influencing the Severity of Injury in Pediatric Multiple Trauma Patients (소아 다발성 외상 환자의 중증도에 영향을 미치는 위험인자에 관한 분석)

  • Lee, Gang-Wook;Kim, Sun-Pyo;Kim, Seong-Jung;Cho, Soo-Hyung;Cho, Nam-Soo
    • Journal of Trauma and Injury
    • /
    • v.23 no.2
    • /
    • pp.68-74
    • /
    • 2010
  • Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

Social Adaption of Persons With Spinal Cord Injury by Modified Barthel Index

  • Son, Kyung-Hyun;Bang, Yoo-Soon
    • Physical Therapy Korea
    • /
    • v.12 no.4
    • /
    • pp.48-57
    • /
    • 2005
  • The purpose of this study was to evaluate the general characteristics, complications and level of social adaptation of spinal cord injured patients. The subjects were one hundred forty five members who were inpatients or outpatients from October 1, 2004 to April 30, 2005 in general hospitals and municipal welfare centers for the handicapped located in the metropolitan city of Gwangju. The following results were obtained using Modified Barthel Index (MBI). 1) Gender distribution was 77.9% male and 22.1% female. The mean age at the time of injury was 35.4 and the mean age during the study was 44.2. 2) The degree of paralysis among the subjects was as follows: 49.0% had complete paralysis and 51.0% suffered incomplete paralysis. The most frequently injured lesion among the subjects was cervical (49.0%), followed by thoracic (35.9%), and lumbar (15.2%). 3) The mean MBI score was 63.5. There was statistically significant difference in the MBI score in the relation between complete and incomplete paralysis, the relation between cervical, thoracic, and lumbar injury, and the relation between a recovery period of less than three years and more than three years according to the characteristics of injury (p<.05). 4) There was statistically significant difference in the MBI score of subjects who had complications concerning spasticity, deformity, urinary tract infection, and sexual dysfunction (p<.05). 5) The most serious emotional pain after spinal cord injury resulted from economic issues, which affected 35.2% of the subjects. The group having a shorter recovery period after spinal cord injury complained of psychological matters, the group having a longer recovery period complained about the surrounding environment (lack of convenient facilities), suggesting statistically significant difference (p<.05). 6) The most common activities of the group with injuries more than ten years old included meeting schoolmates and working, while most common activities of the group with injuries less than three years old included attending religious functions and miscellaneous others (watching TV, spending time with family), suggesting statistically significant difference (p<.05).

  • PDF

Reconstruction of High-Pressure Paint Gun Injection Injured Finger Using Free Flaps with T-Shaped Pedicles and Multiple Venous Anastomoses

  • Lee, Jun Beom;Choi, Hwan Jun;Kim, Jun Hyuk;Cheon, Nam Ju;Lee, Young Man
    • Archives of Reconstructive Microsurgery
    • /
    • v.24 no.2
    • /
    • pp.75-78
    • /
    • 2015
  • High-pressure (HP) injection injury to the upper extremity often causes a very serious clinical problem, leading to poor outcomes, including amputation, so that a true surgical emergency is required. The outcomes can be improved with emergent wide surgical debridement. However the diagnosis of these injuries is often delayed due to underestimated evaluation at first appearance and lack of common knowledge of the seriousness of this injury. The type and pressure of the infecting material is an important factor in prognosis and organic solvents infected pressure injury can cause poor outcome and increased amputation rate. In this case, we report on reconstruction of HP oil-based paint injection injuries of the finger using T-shaped pedicles and multiple venous anastomoses. In this concept, arterial flow can be maintained by the reverse flow of distal anastomosis when there is difficulty with the proximal anastomosis. And venous flow can be preserved by deep and superficial vein anastomosis. This concept has various advantages including preserving patency of the pedicle in chronic vasculopathy or trauma cases and maintaining the arterial flow by the reverse flow of distal anastomosis and can improve the free flap survival by a two vascular anastomosis system.

A Study on the Emphasis of Human Tolerance in the Crash Event (추락과정에서의 인체 허용한도 중요성 연구)

  • Hwang, Jungsun;Lee, Sangmok
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.41 no.9
    • /
    • pp.740-746
    • /
    • 2013
  • Design with crashworthiness concept has been emphasized for almost aircraft and motor vehicles. However, crashes accompanied serious injury and death have been continuously occurred, and will be occurred subsequently. What was worse, it is a well-known fact that there were a good many crashes classified as survivable accidents in which fatal injuries were reported. But we cannot say that fatal injuries were inevitable consequences of those crashes. If crashworthy design for seat, restraint systems, and cabin strength were adequate or right, survivability in a crash event could be maximized greatly. To substantiate the right crashworthiness, we must thoroughly understand the characteristics of human tolerance under abrupt acceleration change, and the cabin design should be combined with proper use of energy absorbing technologies that reduce accelerations experienced by the occupants. In this paper, the emphasis on the human tolerance under abrupt accelerations as well as the necessity of change in design requirements for crash environment will be stressed to widen the belt of consensus for the right crashworthy design.

A Factor Analysis for Bicycle Accidents Using the PLS Structural Equation (PLS 구조방정식을 이용한 자전거사고 요인분석)

  • Oh, Ju Taek
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.17 no.4
    • /
    • pp.26-40
    • /
    • 2018
  • The aim of this research is to analyze factors affecting bicycle accidents using the PLS structural equation. Accident types in this study were categorized into total accidents, serious injuries including death, and light injuries which occurred at nationwide Si Gun Gu. It was found that urbanization was the main factor for bicycle accidents through the accident models developed in this study. Population, ratio of economically active population, density of intersections, ratio of urbanized area, commercial and industrial land-uses, number of drive license holders, number of education institutions, number of parks were the main factors causing bicycle accidents. Besides, length of bicycle roads, number of bicycles, and ratio of bicycle as mode choice also increased bicycle accidents.

The Influence of Health Outcomes on Work Compensations for Elderly Workers (장년근로자의 건강수준이 근로보상에 미치는 효과분석)

  • Lee, Sunkuk;Jeo, Yongil
    • Journal of Labour Economics
    • /
    • v.40 no.3
    • /
    • pp.29-55
    • /
    • 2017
  • We examine the effects of the self-reported subjective and the objective health indexes on work compensations. The compensations consist of monetary factors, such as wages, and non-monetary factors reflecting job risks such as the workplace accidence. The wages and workplace injuries are clearly affected by gender and age differences as the subjective and objective health factors of elderly workers are combined with physical and systematic work environments. Mental health problems such as work depression are more serious especially for high income elderly groups. The elderly workers experienced with physical problems and chronic illnesses are led to the decrease in wages and the increase in safety accident risks at work sharply. Therefore, we need to provide supporting services, retirement planning designed by companies, supported by the government enhanced risk working conditions and the weakness on protecting jobs.

  • PDF

Analysis of Commercial Older Drivers Riskiness using Transport Workers Management System (운수종사자시스템을 활용한 사업용 고령운전자의 위험성 분석)

  • Hur, Jung-Chul;Lee, Choul-Ki;Chon, Chun-Taek
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.16 no.6
    • /
    • pp.16-28
    • /
    • 2017
  • In this study, we analyzed the result of new inspection, accidents, penalties, and operation records of the elderly driver's driving aptitude test in the city bus using the Transport Workers Management System and the Digital Tachograph Analysis System(eTAS). As a result of the analysis, the results of the driver aptitude test were similar when compared with the traffic company which has many bus drivers and the well - And it was confirmed that the average number of serious injuries and slight injuries in case of accidents was small. Comparing the number of dangerous driving behaviors per 100 km of driving, the elderly driver of the excellent company showed that the number of dangerous driving behaviors is considerably smaller than other elderly and non - elderly drivers, and that the result of correcting the wrong driving habits.

High-Pressure Finger Injection Injury Caused by Paint Thinner: Case Report (페인트 신나에 의한 수지 고압 손상의 경험)

  • Song, Jin Woo;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
    • /
    • v.34 no.2
    • /
    • pp.269-273
    • /
    • 2007
  • Purpose: High-pressure injection(HPI) injury is an injury caused by accidental injection of substances by industrial equipment. HPI injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment and its functional outcome of these hands. Unfortunately, the clinical outcomes were unsatisfactory following an initial treatment approach of digital expression of the injection material, elevation, soaks, dressing changes, and antibiotics. Methods: A 43-year-old right handed man sustained a high pressure injection injury to the tip of the left index finger. The injected material was industrial paint thinner. Tissue necrosis was noted at the pulp of the finger. Several debridements and irrigation were required. A pedicled chest flap transfer was performed on the eighteenth day after injury as the dorsal nail complex remained viable. This is a retrospective review of our experience with high-pressure finger injection injury caused by paint. A literature review, retrospective chart and radiologic review were presented. Results: Follow-up length was about 1 year. The injuried hand was left nondominant hand, the index. Patient complaints were cold intolerance, paresthesia, contact pain, and impairment of activities of daily living. Conclusion: The outcome of high-pressure injection injuries of the hand is affected by many factors. The time between injury and operative treatment has been regarded as a key determinant by a number of authors. The nature of the injected material is probably more important. It has been noted by many authors that injuries with paints have a worse outcome than those with oil or grease. This study confirms the fact that high-pressure injection injury caused by paint thinner to the hand is a significant problem. Virtually a patient suffers sequelae of this injury. The injury has significant repercussions for future function and reintegration into the work force.