• Title/Summary/Keyword: accident factors

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Clinical Studies on Thalamic Hemorrhage (시상출혈(視床出血)의 임상적(臨床的) 관찰(觀察))

  • Park, Chang-Gook
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.28-39
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    • 1994
  • Clinical studies were made on 79 cases with thalamic hemorrhage diagnosed by computed tomographic scan and only localized on the thalamic area, were admitted to the Kyung San University Taegu Oriental Medical Hospital from August 1990 to March 1994. The age and sex distribution, sites of hematoma, recurrence rate, incidence of hypertension, inducing factor, prodromal syndroms, symptoms and neurologic signs on admission, relationship between the hospital course and many factors affecting the prognosis such as age, side of hematoma, level of consciousness, volume of the hematoma. ventricular hemorrhage were analysed. The results were summarized as follows; 1. The most prevalent age group was above 60 years of age with 50-59 years, 70-79 years, 40-49 years and 80-89 years of age in the order of frequency. Male to female ratio was 1:1.55. 2. The ratio of left hematoma to the right was 1.32:1. The recurrence rate of cerebrovascular accident was 17.7% 3. The incidence of hypertension was 69.6% and inducing factors of thalamic hemorrhage in the order of frequency were physical work(29.1%), drinking or eating(13.9%), walking(12.7%) and rest(12.7%), The prodromal syndroms were numbness of extremities(5.1%), headache(2.5%), fatigue(2.5%), dizziness(1.3%), insomnia(1.3%), but prodromal syndrom was not found in 89.9% of thalamic hemorrhage. 4. The symptoms and neurologic signs on admission in the order of frequency were motor disturbance(98.7%), dysarthria(82.3%), positive Babinski sign(78.5%), headache(69.6%), dizziness(62.0%). hemisensory deficit(48.1%). nausea or vomiting(39.2%), absent or sluggish light reflex(35.4%), changes of consciousness (35.4%), dysphagia (20.3%), voiding difficulty.(13.9%), facial palsy(6.3%), aphasia(3.8%), seizure(38%), 6th N. palsy(3.8%) and small pupil(1.3%). 5. The rate of improvement was found almost equally in the 4th, 5th and 6th decades, but it was shown with dramatic decrease in the over 7th decades. The hospital course had no relationship with the side of hematoma but the level of consciousness had influence upon the prognosis. 6, The small hematoma had better outcome than large in the volume of hematoma under 15cc, but volume of the hematoma had no influence upon the prognosis because the rate of improvement was 75.0% in the volume of hematoma over 15cc. The hospital course had no relationship with ventricular hemorrhage.

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Related Factors of the Quality of Life in Stroke Patients (뇌졸중 환자의 삶의 질의 관련요인)

  • Hong, Yeo-Shin;Suh, Moon-Ja;Kim, Keum-Soon;Kim, In-Ja;Cho, Nam-Ok;Choi, Hee-Jung;Jung, Sung-Hee;Kim, Eun-Man
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.111-123
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    • 1998
  • The related factors of the quality of life (QOL) in stroke patients was identified empirically. The subjects were 254 stroke patients who were discharged and taken follow-up care at the outpatient department. In this model, the physical, psychological, and social status were assumed to affect the QOL. And the social support was assumed to moderate these effects. NIH stroke state, ADL, and IADL were used to measure the physical status. Using CES-D, the psychological status was measured. The social status was defined as the job change after stroke attack. The satisfaction with the care by primary caregivers, significant others, and health professionals was measured as the social support. To identify the effect of the physical, psychological, and social status on the QOL, multiple regression analysis was carried out. The psychological and social status were found to be the significant predictors of the QOL(R2=0.27, p=0.00). Next, to identify the moderating effect of the social support, the subjects were divided into two groups, that is, the low social support group and the high social support group. It is found that the predicting variance is different between these two groups. In the low social support group, the psychological, social, and physical status predicted as much as 42% of the QOL. On the contrary, the psychological status predicted only 8% of the QOL in the high social support group. So it is concluded that the social support moderates the effects of the physical, psychological, and social status on QOL. Finally, to identify the social support which moderates those effects, the social support was divided into three classes. Each social support class was divided into the low and high social support group again. In the every class of social support, the difference between two groups was also identified. So the model of the QOL is recommended for the framework of the care for the stroke patients. Also these results support the claim that the long-term facilities for stroke patients are necessary.

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Improving Reliabilities of Dam Displacement based on Monitoring Given Points by Total Station (기준점 측량을 활용한 광파기 기반 댐 제체 변위 계측 신뢰도 향상)

  • Kang, Gi-Chun;Kim, Bong-Jae;Hong, Seok-Woo;Yim, Yeon-Chool;Kim, Ji-Seong
    • Journal of the Korean Geosynthetics Society
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    • v.16 no.1
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    • pp.1-8
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    • 2017
  • Displacement of dams by various instrumentations has been monitored for its safety management and analyzing the behavior after a dam collapse accident. However, unknown displacement of dam has frequently been occurred and it's difficult to analyze behavior of dams more accurately. In this study, improvement of reliabilities for displacement of dams measured by a total station was suggested by calibrating the monitoring system. The position of total station was initially measured through 2-3 given points and the coordinate of the total station was considered as an absolute value. Also, base horizontal and vertical angles had not been considered even if they are important factors when displacement was estimated. In this study, location of the total station and variations of base horizontal and vertical angles were investigated during measuring displacements of targeting points. From the results of this study, they are important factors which are affecting measurements of dam displacements. Before the calibrating, the displacement at 50 m from total station was ${\pm}20mm$. After the calibrating, the displacement was decreased by ${\pm}5mm$.

The Relationship between Work Environment factors, Perception of Insurance Crime and Job Satisfaction among Special Investigation Unit(SIU) (보험범죄특별조사팀(SIU)의 근무환경과 보험범죄에 대한 일반적 인식이 직무만족도에 미치는 영향)

  • Yun, Myeong-Seong;Lee, Wan-Hee;Lee, Seung-Ae
    • Korean Security Journal
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    • no.32
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    • pp.151-176
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    • 2012
  • Government organizations (including police, prosecutor, and Financial Supervisory Service) and programs to uncover or prevent from insurance crime are not well developed. However, insurance crime are increasing among not only private insurances such as life insurance, indemnity insurance, and auto insurance but also public insurances including national health insurance and industrial accident compensation insurance. The damages of crimes are serious in both economical and ethical perspectives. Insurance crime deteriorates a current account of insurance companies and the leakages due to insurance fraud worsen loss ratio. Consequently, insurance crime increases customers' costs of insurance. For this reason, insurance companies stated to establish Special Investigation Unit(SIU) to detect insurance crime and fraud by themselves. However, organizational and operational efficiencies are limited. The purpose of this study is to examine the relationship between work environment factors, perception of insurance crime and job satisfaction among Special Investigation Units. Therefore, this study investigated the perception of work environments of Special Investigation Units. In addition, this study examined how their work environments and general perception of insurance crime influence their job satisfaction. In order test the purpose of this study, reliability test, exploratory factor analysis(EFA), multiple regression were employed. The results of this study suggested that clarity of insurance company, distress/difficulty of resolve, compensation, perception of work pressure are statistically significant on jab satisfaction among Special Investigation Unit in South Korea. This exploratory study expected to contribute to understanding of Special Investigation Unit, and their insurance crime prevention system. The results from this analysis will be examined in light of previous findings and policy implications discussed.

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Quantitative Fire Risk Assessment and Counter Plans Based on FDS and GIS for National Road Bridges (FDS와 GIS를 이용한 교량 화재 위험도의 정량적 평가 및 적용방안)

  • Ann, Ho June;Park, Cheol Woo;Kim, Yong Jae;Jang, Young Ik;Kong, Jung Sik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.21 no.6
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    • pp.185-195
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    • 2017
  • In recent years, unexpected bridge fire accidents have increased because of augmenting the number of traffic volumes and hazardous materials by the increment in traffics and distribution business. Furthermore, in accordance with the effort of using the under space of bridges, the ratio of occupied by combustible materials like oil tanker or lorry has been increased. As a result, the occurrence of bridge fire has been growing drastically. In order to mitigate the accident of bridge fire, risk assessment of bridge fire has been studied, however, practical risk models considering safety from users' viewpoints were scarce. This study represented quantitative risk assessment model applicable to national road bridges in Korea. The primary factors with significant impacts on bridge fire accidents was chosen such as clearance height, materials of bridges, arrival time of fire truck and fire intensity. The selected factors were used for Fire Dynamics Simulation (FDS) and the peak temperature calculated by FDS in accordance with the fire duration and fire intensity. The risk assessment model in bridge fire reflected the FDS analysis results, the fire damage criteria, and the grade of fire truck arrival time was established. Response plans for bridge fire accidents according to the risk assessment output has been discussed. Lastly, distances between bridges and fire stations were calculated by GIS network analysis. Based on the suggested assessment model and methodology, sample bridges were selected and graded for the risk assessment.

Factors Affecting on the Clinical Nurse's Safety Nursing Activity (임상간호사의 안전간호활동 영향요인)

  • Song, Eun-Jeong;Park, Yeon-Suk;Ji, Hyun-Soon;Lee, Hye-Kyung
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.469-479
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    • 2016
  • This research is a descriptive investigation research in order to understand the influences on the perception of the patient safety culture and safey nursing activity with the clinical nurses of the university hospitals as the subjects. The data collected were analyzed using the SPSS 23.0 program. As a result, the perception of patient safety culture of the subjects was 3.30 of the full score of 5points, and safety nursing activity 3.89. It appeared that, also, in the safety nursing activity, the total career experience, the position, immediately superior/manager, the communication procedures, and the frequency of accident reports receive the influences. As a result, in order to enhance the safety nursing activity, the developments of the practice guidelines that can appropriately manage the experienced people, that can communicate smoothly between the organizations, and that can make the case reports and the developments of the educational programs are needed.

A Study on the Protective Countermeasures through the Assassination Accident Analysis of Israeli Premier Yitzhak Rabin (라빈수상 위해사건 분석을 통한 경호적 대응방안)

  • Lee, Doo-Suck
    • Korean Security Journal
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    • no.15
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    • pp.221-242
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    • 2008
  • Protection is to maximize the protectee's physical security by minimizing the threats and minimizing the damages caused by the threats. From this point of view, the assassination case of Israel's former Premier Yitzhak Rabin who devoted himself to proceed peace process in Middle East, on November 4, 1995, gives us a lot of lessons on protection. At that time, Israeli society was chaotic with anti-Rabin and anti-government demonstrations which is against Rabin's peace process, and they openly threatened to assassinate Premier Rabin. However, Shin Bet, Israeli Protective Agency, didn't reacted against the assassination threats effectively. Also they have to try to secure friendly public to widen the width of selection in case of crisis and to secure the credibility of the organization. They have to prevent harmful activities in advance by securing wide intelligence networks to collect and analyze various protective intelligences and preparing proper protective countermeasures. Intelligence is a basic element in protection and any protective measures not supported by intelligence activities are not useful and effective. Potential attackers study their target thoroughly and make an elaborate plan before their attack. Advance team is required to conduct security measures on a basis of analysis of vulnerability and threat factors, and close protection team should be prepared for the changing situations with crisis-consciousness. Is security, 100% perfection is not possible. However, Shin Bet failed to analyze and approach to the existing threats. They forgot the fact that security environment reflects social situations. Protection agents should be conscious of the fact that today is different from yesterday. So we have to expect what is not expected when not expected.

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A Study on the Actuality of School Safety and the Development of Safety Manual (학교안전교육의 실태분석과 안전교육매뉴얼 개발에 관한 연구)

  • Kim, Tae-Hwan
    • Journal of the Korean Society of Hazard Mitigation
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    • v.5 no.3 s.18
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    • pp.83-88
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    • 2005
  • It is necessary to hold the school safety manual because recently, the safety-related accidents occur frequently in schools. Accidents can occur inside of schools as well as out of schools, and they can be classified with human accidents, traffic accidents, fire accidents, and explosion accidents. Safety-related accidents occurring in the school are dangerous because nobody can predict them. Illegally infringing violence, targeting unspecified and a lot of people, informs the parents and persons concerned to education of danger. School safety manual, never precedented before, describes epoch-making educational methods for students' safety. It describes safety security such as refuging ways at an emergency, the way to recognize danger for elevated safety based on prevention education, the use and practice of checklist for related facilities, and the implements and facilities for school personnels and students. So, the school safety manual is an important guidance for safety education at the level of prevention from various accidents which occur inside the school as well as out of the school. It presents a variety of prompt response after an accident. At the same time, it checks facilities and dangerous factors in schools and facilities for safety, and analyzes special factors based on them. So it will present the status of safety management of existing facilities and implements, the installment of new facilities and implements, and the way to secure safety for use.

A Study on the Factors of Experience and Habit on Information Security Behavior of New Services - based on PMT and UTAUT2 (경험 및 습관이 신규서비스의 정보보호 행동에 미치는 요인에 대한 연구 - 보호 동기이론과 UTAUT2을 중심으로)

  • Lee, Hong-Je;Kho, Hyeong-Seog;Roh, Eun-Hee;Han, Kyeong-Seok
    • Journal of Digital Contents Society
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    • v.19 no.1
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    • pp.93-102
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    • 2018
  • This study aims to present policy implications by analyzing information security behavior factors of internet users. The research model, based on PMT and UTAUT2, consists of perceived threat, severity, social influence, self-efficacy, experience and habits, PC and privacy behaviors, security behaviors on new services and set demographic characteristics, use places of internet, use of paid products, and experiences of accident as moderate variables to analyze the effect on security behavior. The results showed that perceived severity, self-efficacy significantly influenced on experience and habits, and experience and habits and self-efficacy had a high influence on PC and privacy behavior. Also, PC and privacy behaviors have a high impact on security behavior of new services. Age, income, use of paid products, and experience of accidents have a moderating effects on security behaviors. The results of this study are expected to help policy decision making to improve the level of information security of internet users.

Convergence Effects of Nurse's Perception of Patient Safety Culture and Safety Control on Safety Performance in General Hospital (종합병원 간호사의 환자안전문화 인식과 안전통제감이 안전이행에 미치는 융복합적 영향)

  • Kim, Yoon-Lee;Lee, Myung-In;Chin, Eun-Young
    • Journal of Digital Convergence
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    • v.14 no.7
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    • pp.201-211
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    • 2016
  • This descriptive study was aimed to identify factors which influence safety performance through evaluation of nurse's perception of patient safety culture and safety control in general hospital. Self-administered web surveys were conducted by 342 nurses who employed in general hospital from May 09 to May 13, 2014. Data were analyzed using the SPSS/WIN 21.0 statistical program. The results of analysis revealed that the score of safety culture perception was 3.34, safety control was 3.50, safety performance was 3.53 and all scores were higher level than usual. There were significant positive correlation between safety performance and perception of patient safety culture, safety control (r=.463~.645, p<.001). The positively influencing factors of safety performance are marital status, frequency of accident reports, general perception of patient safety and safety control. Explanation ratio of the variables for the safety performance was 52.0% in this study(F=4.252, p=.004). This study findings suggest that it would be useful as a preliminary report of nurse's intervention strategy through confirmation of the nurse's positive effect to improve safety performance in general hospital.