• Title/Summary/Keyword: The cause of the accident

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Repair of Ruptured Papillary Muscle of the Tricuspid Valve as a Cause of Tricuspid Insufficiency Following Blunt Chest Trauma (흉부 둔상후 삼첨판막 폐쇄부전을 유발한 삼첨판막 유두근 파열의 치료)

  • Bang, Jung-Hee;Woo, Jong-Soo;Choi, Pill-Jo;Park, Kwon-Jae;Jeong, Sang-Seok;Lee, Jung-Hoon
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.413-416
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    • 2010
  • A 47-year-old man presented with complaints of chest pain and dyspnea caused by deceleration injury due to an automobile accident. Systolic cardiac murmur was audible at the right sternal border. An electrocardiogram showed sinus tachycardia. Transthoracic echocardiography revealed a flailing anterior leaflet of the tricuspid valve, papillary muscle rupture, and severe valve insufficiency. Rupture of papillary muscle of the anterior leaflet and chordae tendineae of the posterior leaflet were confirmed by right atrial incision under routine cardiopulmonary bypass. Artificial chordae tendineaes were implanted between the anterior and posterior leaflet and papillary muscles in the right ventricles. De-Vega annuloplasty was also added. This is a very rare case in which a surgery was done for tricuspid valve regurgitation caused by post-traumatic papillary muscle rupture.

Development of an Algorithm for Dynamic Traffic Operations of Freeway Climbing Lane Toward Traffic Safety (교통안전성을 고려한 고속도로 오르막차로 동적운영 알고리즘 개발)

  • PARK, Hyunjin;YOUN, Seokmin;OH, Cheol
    • Journal of Korean Society of Transportation
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    • v.34 no.1
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    • pp.68-80
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    • 2016
  • Interest in freeway truck traffic has increased largely due to greater safety concerns regarding truck-related crashes. The negative interactions between slow-moving trucks and other vehicles are a primary cause of hazardous conditions, which lead to crashes with larger speed variations. To improve operational efficiency and safety, providing a climbing lane that separates slow-moving trucks from higher performance vehicles is frequently considered when upgrading geometrics. This study developed an operations strategy for freeway climbing lanes based on traffic conditions in real time. To consider traffic safety when designing a dynamic strategy to determine whether a climbing lane is closed or open, various factors, including the level of service (LOS) and the percentage of trucks, are investigated through microscopic simulations. A microscopic traffic simulator, VISSIM, was used to simulate freeway traffic streams and collect vehicle-maneuvering data. Additionally, an external application program interface, VISSIM's COM-interface, was used to implement the proposed climbing lane operations strategies. Surrogate safety measures (SSM), including the frequency of rear-end conflicts and, were used to quantitatively evaluate the traffic safety using an analysis of individual vehicle trajectories obtained from VISSIM simulations with various operations scenarios. It is expected that the proposed algorithm can be the backbone for operating the climbing lane in real time for safer traffic management.

Characteristics of Puffer Fish Poisoning Outbreaks in Korea (1991-2002) (대한민국에서 복어독에 의한 식중독 발생 특성)

  • Kim, Ji-Hoe;Gong, Qing-Li;Mok, Jong-Soo;Min, Jin-Gi;Lee, Tae-Seek;Park, Jeong-Heum
    • Journal of Food Hygiene and Safety
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    • v.18 no.3
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    • pp.133-138
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    • 2003
  • The data on outbreaks of puffer fish poisoning during 1991 to 2002 in Korea were gathered from press reports, and characterized information collected. During the period, a total of 32 outbreaks of puffer fish poisoning was reported. These outbreaks caused 111 persons to become poisoning, among the cases 30 persons were fatal. The mean case fatality rate was 27.0%, and most of deaths (93.3%) were the male of above 29 years old. Patient number of below 4 persons per a poisoning accident occupied 75.0% of total outbreaks; 65.8% of total cases; and 66.7% of total deaths) was occurred in the months, November through January. Most of puffer fish poisoning (75.0% of total outbreaks; 68.5% of total cases; and 73.3% of total deaths) were found along the south coastal area of Korea, including Busan, Gyeongsangnam-do, Jeollanam-do and Jeju-do. Over than 80% of puffer fish poisoning outbreaks occurred at fishing boat and home where privately made food was cause, and outbreaks in restaurants accounted for 15.6%. Most commonly implicated foods were Guk, boiled soup with puffer fish meat and spices.

A Comparison Study of Model Reduction Method with Direct Impact Analysis of Truck-column Collision (모델축소법을 이용한 교각-차량 충돌변위 예측 및 직접충돌해석법과의 비교연구)

  • Lee, Jaeha;Kim, Kyeongjin;Jeong, Yoseok;Kim, Wooseok
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.28 no.6
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    • pp.675-682
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    • 2015
  • Current design codes such as AASHTO LRFD or Korean Highway Bridge Design Code recommend of using static force for designing bridge column against vehicle collisions. However, there was an accident that the bridge was collapsed shortly after vehicle impact on bridge pier in Nebraska(near Big Spring, 2003). It was found that the second largest cause of bridge collapse is collision after hydraulic causes. It can be thought that the possibility of truck-bridge collision are getting increasing as the size of truck increases and traffic condition are becoming improved. However, dynamic behavior under the impact loading seldom considered in bridge design procedure due to computational cost and time. In this study, in order to reduce the computational cost for dynamic impact analysis, model reduction method was developed. Obtained results of residual displacement were compared with the results of direct impact simulations.

The big data method for flash flood warning (돌발홍수 예보를 위한 빅데이터 분석방법)

  • Park, Dain;Yoon, Sanghoo
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.245-250
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    • 2017
  • Flash floods is defined as the flooding of intense rainfall over a relatively small area that flows through river and valley rapidly in short time with no advance warning. So that it can cause damage property and casuality. This study is to establish the flash-flood warning system using 38 accident data, reported from the National Disaster Information Center and Land Surface Model(TOPLATS) between 2009 and 2012. Three variables were used in the Land Surface Model: precipitation, soil moisture, and surface runoff. The three variables of 6 hours preceding flash flood were reduced to 3 factors through factor analysis. Decision tree, random forest, Naive Bayes, Support Vector Machine, and logistic regression model are considered as big data methods. The prediction performance was evaluated by comparison of Accuracy, Kappa, TP Rate, FP Rate and F-Measure. The best method was suggested based on reproducibility evaluation at the each points of flash flood occurrence and predicted count versus actual count using 4 years data.

Laboratory and Full-scale Testing to Investigate the Performance of Rock Fall Protection System with Hexagonal Wire Net (육각 낙석방지망의 성능평가를 위한 실내 및 실대형실험)

  • Youn, Ilro;Oh, Sewook;Kwon, Youngcheul
    • Journal of the Korean GEO-environmental Society
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    • v.15 no.9
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    • pp.69-75
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    • 2014
  • Rock fall protection system installed against rock slope is one of the most conventional way to protect nearby infra structures. Despite of wide application of typical rectangular nets, virtually installed to protect rock slope face, several problems have also been pointed out up to date. Rectangular draped nets are vulnerable to a sudden external shock such as rock fall, because it doesn't have any systematical buffers or shock absorbers. Furthermore, it has been widely recognized from the some cases of rock fall accident in Korea that rock fall protection nets cause wide range of failure in the rock slope faces due to insufficient pullout bearing capacity of fixing parts. Therefore, in this study, we tried to make a consideration about the problems of existing standard rock fall protection nets in Korea, and develop a new type of hexagonal net with a shock absorber based on design rock fall energy. In this paper, laboratory and full scale test procedure is described to analysis the performance of newly developed hexagonal rock fall net, and the key results are presented and discussed.

Study of Emergency Medical Transport by Helicopter in Ulleung Island during 4 Years (최근 4년간 울릉군 지역의 헬리콥터를 이용한 응급 환자 이송의 고찰)

  • Bae, Jung-Min;Jung, Man-Jin;Jung, Ki-Hoon;Bae, Sung-Han
    • Journal of agricultural medicine and community health
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    • v.30 no.3
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    • pp.255-262
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    • 2005
  • Purpose: In Ulleung island, emergency medical transport by helicopter is very important. So, we analysized our experience with emergency medical transport by helicopter for 4 years and we were compared our data with other data for 1997-2001. Therefore we need to research public health development direction. Method: We analysized patient's medical record for 4 years. Result: During 4 years, 104 transports were done and 130 patients were trasported to tertiary hospital center, there was more increased than that from 1997 to 2001. Helicopters from Pohang coast guard, Donghae coast guard, Navy, and 119 rescue etc. were used, but 119 rescue transport was decreased more and more. The 60's patients was most, 22.3% and teenager's and 80's patients was lowest. The male was 65% but the female was increased more and more annually. In addition, the older patients was the more portion of female patient. The transport was concentrated in daytime. The traumatic patient was much in winter period. The cerebrovascular accident was 1st cause of patient and fracture was many also. Conclusioon: Except Fire service's helicopter, the other helicopter was not apt to emergency medical tansport. But Fire service's helicopter was not used commonly because Fire service's helicopter was in Daegu, so distant and time consumed. As a result, emergency medical transport helicopter is needed in east coast like Fire service's helicopter. In addition, trauma prevention education and public health education for hypertension and diabetes will be essential and public health system in Ulleung island will be prepared for aging society.

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A Study on the Sea-sickness Susceptibility of Seafarer at the Wheel House and Engine Room (조타실과 기관실 근무자의 뱃멀미 민감성에 대한 연구)

  • Kim, Deug-Bong;Kim, Bu-Gi;Rim, Geung-Su;Kim, Hong-Ryoel;Kim, Chang-Su
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.20 no.1
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    • pp.42-48
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    • 2014
  • Seasickness not only makes persons on board vessels to vomit but also causes vertigo, headache, sleepiness, fatigue, lethargy and other discomforts. This ailment leads to disturbance of biorhythm and decline of perception which would eventually cause reduction of situational awareness among ship's operators that leads to marine accident. This study is about the sensitivity of people onboard ships to seasickness and focused on deck or navigation officer cadets(apprentice officers) and engine officer cadets(apprentice engineers) who have no previous experiences on board. It is conducted by using motion sensor that can measure ship's X, Y, Z-axis motions and through the questionnaire survey, and evaluated each students' degree of seasickness symptoms. Through this study, in same circumstance, we have known that there are different degrees of motion sickness for wheel house worker and engine room worker, It also confirmed that seasickness have high relationship with degree of hull motion and also, with cycle of hull motion. In addition, we have confirmed that Z-axis hull movement has higher relationship with seasickness than X-axis and Y-axis hull movements. This study aims to initiate additional researches about X-axis and Y-axis of the ship's motion which it expects to greatly enhance safety of wheelhouse and engine room personnel, ship's livability and comfortable sailing.

Changes in Soil Properties Related to Soil Function due to Chemical Spills with Strong Acid and Base (강산 및 강염기 토양 유출에 따른 토양의 생태기능 관련 토양특성 변화)

  • Jeon, Inhyeong;Jung, Jae-Woong;Nam, Kyoungphile
    • Ecology and Resilient Infrastructure
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    • v.4 no.4
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    • pp.193-199
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    • 2017
  • In this study, changes of soil properties including soil texture, specific surface area, organic matter content, pH, cation exchange capacity and exchangeable cations content were investigated in response to strong acid or base accident. The properties changed significantly when the soil reacted with 10 M HCl or 1 M NaOH (i.e., when one gram of soil received 50 and 5 mmol of HCl or NaOH), respectively. When the soil reacted with 10 M HCl or 1 M NaOH solution, soil texture changed from sandy loam to loamy sand and specific surface areas decreased from $5.84m^2/g$ to 4.85 and $1.92m^2/g$, respectively. The soil organic matter content was reduced from 3.23% to 0.96 and 0.44%, and the soil pH changed from 5.05 to 2.35 and 10.65, respectively. The cation exchange capacity decreased from 10.27 cmol/kg to 4.52 and 5.60 cmol/kg, respectively. Especially, high concentrations of $Al^{3+}$ or $Na^+$ were observed in acidic or basic spills, respectively, which is likely to cause toxicity to terrestrial organisms. The results suggest that restoration of soil properties, as well as soil remediation, needs to be carried out to maintain the soil function in chemical spill sites.

Acutrak Screw Fixation for Radial Head Fracture -7 Cases Report- (Acutrak 나사를 이용한 요골두 골절의 치료 -7례 보고-)

  • Kim, Kwang-Yul;Lim, Moon-Sup;Shin, Heung-Sub;Choi, Shin-Kwon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.75-80
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    • 2006
  • Purpose: To evaluate the efficiency of Acutrak screw fixation for radial head fracture (Mason type 2) without considering the safe Bone of radial head. Materials and Methods: Consecutive seven radial head fracture of Mason type II underwent internal fixation with Acutrak screws from May 2001 to February 2003. The mean follow-up period was 1.2years (ranged, $6 months{\sim}2.5 years$). The mean age of patients was 47 years old (ranged, $36{\sim}60years$ old). The cause of injury were fall down -4 cases and traffic accident -3 cases. The results were evaluated by Mayo Clinic results scoring system. Results: Functional Rating Index of Mayo Clinic was excellent- 2 cases and good- 5 cases. There were no nonunion, loosening, heterotopic ossification, infection or degenerative changes. The postoperative range of motion in elbow joint is nearly full for flexion, extension, pronation and supination in this study Conclusion: Consideration of safe zone is not necessary when Acutrak screws are used for radial head fracture. It seems to be a useful method that Acutrak screw fixation for radial head fracture (Mason type II) could achieve good radiologic and clinical results without influencing proximal radio-ulnar joint and has powerful fixation.

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