• Journal of Trauma and Injury
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• 제28권2호
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• pp.60-66
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• 2015

Purpose: Cultivator accidents are frequent and often lead to abdomino-perineal organ injury and, if severe, to death. This study presents the clinical characteristics, outcomes, and factors associated with mortality in patients who sustained an abdomino-perineal organ injury in cultivator accidents. Methods: We retrospectively analyzed the records of 53 patients who visited the emergency department of a tertiary hospital with abdomino-perineal organ injuries caused in cultivator accidents from April 2005 to March 2010. Results: All 53 patients had visited other medical institutions before visiting our hospital. Their mean age was $64.0{\pm}11.1$ (range, 20-80) years and 32 (60.4%) patients were 65 or older. The male-to-female ratio was 46:7. The chief complaint was abdominal pain (38 cases, 71.7%). The 53 patients included 41 cultivator operators (77.4%), 11 passengers (20.8%), and 1 passerby (1.9%). The causes of the injuries included a direct impact of the handlebar in 20 cases (37.7%), a rollover in 21 cases (39.6%), a fall in 10 cases (18.9%), and a wheel in two cases (3.8%). Several of the 53 patients had injuries to multiple abdomino-perineal organs, and the injured organs included the liver (23 cases, 26.4%), spleen (16 cases, 18.4%), pancreas (7 cases, 8.0%), small bowel (7 cases, 8.0%), mesentery (6 cases, 6.9%), adrenal gland (5 cases, 5.8%), and other organs. According to the abbreviated injury scale (AIS) dictionary, a thoracic injury was the most frequent co-injury (33 of 53 cases, 62.3%). Abdomino-perineal surgery was performed in 31 cases (58.8%) and angio-embolization was performed for six liver and two kidney injuries. Thirteen patients died (24.5%); all were males. The Injury Severity Scale (ISS) was lower in the survivors ($17.8{\pm}8.5$ vs. $27.0{\pm}16.0$; p=0.010). Conclusion: With the aging of agricultural workers, safety education programs should be implemented. Furthermore, the patient transfer system in agricultural areas must be improved.

• 해양환경안전학회지
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• 제29권7호
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• pp.836-842
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• 2023

「장애인복지법」에 따라 국가 자격시험은 장애인과 비장애인이 동일한 시험에 응시할 수 있도록 하고 있으며, 청각장애는 동력수상레저기구 면허취득 결격사유에 해당하지 않아 청각장애인도 면허취득을 할 수 있다. 선박이나 동력수상레저기구에서는 해상에서 충돌위험이 있을 때 조종신호, 경고신호 등의 위험신호를 음향신호를 통해 상대에게 알려 주위의 위험 상황을 발견하지 못하여 발생할 수 있는 사고를 예방하도록 하고 있다. 하지만, 청각장애인의 레저활동 중 주위 선박이나 동력수상레저기구의 소리를 통한 위험신호를 청각장애로 인해 위험신호를 확인하지 못해 발생할 수 있는 해양사고를 방지할 수 있는 방안이 필요하다. 음향수신장치(Sound Reception System)는 선교가 완전히 폐위된 선박에 설치하여 외부 소리의 증폭과 소리의 수신 방향을 화면상에 표시하는 장치로서, 청각장애인의 동력수상레저기구에 선박 음향수신장치를 활용하여 청각장애로 인해 청취할 수 없는 위험신호와 같은 음향신호의 유무 및 방향을 동력수상레저기구의 화면상에 시각적 표시를 통해, 청각장애인의 레저활동 중 음향신호를 확인하지 못하여 발생할 수 있는 해양사고를 예방하기 위한 개선방안을 제시하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권2호
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• pp.163-170
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• 1995

The purpose of this study was to investigate the epidemiology of midface fractures. We observed clinically 71 patients with midface fracture who visited the Department of oral and maxillofacial-surgery, Chosun University, Dental Hospital, from 1991 to 1994. The results obtained were as follows. 1. There was the highest age incidence in the third decade(29.6%). 2. There was the highest incidence in the summer(36.6%). 3. The most etiologic factor of midface fracture was traffic accidents(43.6%) and next factor was fall down(38.0%). 4. The highest incidence fracture was zygomatic arch(38.7%) and next fracture was ZMC fracture(31.5%). 5. Most midface fracture was treated within 2 weeks(86.7%). 6. Midface fractures was most frequently combined with mandibular fracture(15.5%), head injuries(14.1%), orthhopedic injuries(8.5), thorax & abdomen(5.6%). 7. The highest complication was the nerve injury(8명), and next complications were infection(3명), epiphora(3명) etc.

• 한국안전학회지
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• 제32권6호
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• pp.40-45
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• 2017

Chemical accidents generated during maintenance, repair, and normal operation, such as dispersion, fire, and explosions, can cause massive losses like a 2012 hydro fluorine leak in Gumi, South Korea. Since this accident, many researches have studied physical mitigation systems. However, due to many difficulties including potential costs and lack time, it is really hard for many companies to install mitigation systems without prior knowledge. Thus, the efficacy of mitigation system should be evaluated. This study assesses a dike design considering the fluid velocity at an open hole when a leakage accident occurs. It is assumed that leakage materials follow a free fall motion. Throughout case studies, a current KOSHA guide for a dike design was evaluated and new guidelines handling various conditions were proposed.

• 한국안전학회지
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• 제33권5호
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• pp.35-41
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• 2018

Chemical accidents generated during maintenance, repair, and normal operation, such as dispersion, fire, and explosions, can cause massive losses like a 2012 hydro fluorine leak in Gumi, South Korea. Since this accident, many researches have studied physical mitigation systems. However, due to the lack of potential costs and time, it is really hard for many companies to install mitigation systems without prior knowledge. Thus, the efficacy of mitigation system should be evaluated. This study assesses a dike design considering the fluid velocity at an open hole when a leakage accident occurs. It is assumed that leakage materials follow a free fall motion. Throughout case studies, a current KOSHA guide for a dike design was evaluated and new guidelines handling various conditions were proposed.

• 한국경영과학회:학술대회논문집
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• 대한산업공학회/한국경영과학회 1996년도 춘계공동학술대회논문집; 공군사관학교, 청주; 26-27 Apr. 1996
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• pp.662-666
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• 1996

The variations of the surface topographical parameters for the analysis of the pedestrian slip and fall accidents during the sliding friction between the specially prepared floor specimens and three working shoes were investigated. The profile ordinate data for each flooring specimen were obtained at 1.1 .mu.m intervals using a laser scanning confocal microscope system along to the direction of sliding. A number of surface roughness parameters, that is, the centre line average (c.l.a.) and root mean square (r.m.s.) roughness, maximum height (Rtm), maximum mean peak height (Rpm), maximum mean depth (Rvm), and average asperity slope were calculated using a computer program and compared with the dynamic friction results. The analysis showed that the surface parameters undergo marked variations during the sliding process, but the variations were statistically significant. It was found that amongst various surface parameters, the maximum depth (Rvm) and the average asperity slope of the asperities were the biggest variation during the sliding proceeding. This result confirms the previous study and may suggests a new approach to monitoring the flooring environments with their service as the effort to reduce the pedestrain slip accident.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 춘계학술대회 논문집
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• pp.58-68
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• 2007

철도차량 옥상 정비시 산업재해를 방지하기 위해서는 안전성을 확보한 철저한 준비 및 검토가 선행 되어야한다. 차량의 정비시 공정별 위험요소 및 제반 문제점을 도출하여 해결함으로써, 산업 재해를 방지 할수 있다. 차량의 중 정비시 추락 재해는 옥상 작업인 차량의 옥상에서 발생한다. 정비의 특성상 차량을 분리하고, 차량의 대차를 분리 한후, 받침대 위에 차량을 올려놓은 상태에서, 옥상 작업은 안전 시설의 효과적인 설치 및 활용이 어렵다. 4M 에 의한 분석을 통하여, 옥상 작업시 차량의 지붕에 안전 난간을 설치하여, 추락 재해를 방지하고, 심리적 불안감을 해소하여, 안전하게 작업할 수 있는 방안을 연구 하였다.

• 한국멀티미디어학회논문지
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• 제23권2호
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• pp.282-292
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• 2020

In order to minimize casualties from marine vessel accidents that occur frequently at home and abroad, it is important to ensure the safety of the passengers aboard the vessel in the event of an accident. There is an EPIRB system as a system for disaster preparedness in the marine situation currently on the market, but there is a problem that the price is very expensive. In order to overcome the cost problem, which is a disadvantage of previous system, LoRaWAN-based communication is used. LoRaWAN communication-based vessel positioning and risk detection system based on LoRaWAN communication transmits measurement data of each module using two Beacon and GPS modules to stably perform position measurement for both indoor and outdoor situations. The rider danger situation detection system can detect the safety status of the rider using the 3-axis acceleration sensor, collect data from the rider positioning system and the rider safety status detection system, and send to server using LoRa communication. When conducting communication experiments in the long-distance maritime situation and actual communication experiments using the implemented system, it was found that the two experiments showed over 90% communication success rate on average.

• Journal of Trauma and Injury
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• 제27권4호
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• pp.208-210
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• 2014

Rupture of the spleen is relatively common, both immediately and in a delayed fashion following significant blunt abdominal trauma. However, atraumatic splenic rupture rarely occurs. Multiple underlying pathologies have been associated with splenic rupture without trauma, including hematological, neoplastic, inflammatory and infectious conditions. In our case, a 21-year-old male without prior medical history visited the hospital with left upper quadrant abdominal pain that had started one day earlier. He had no history of trauma. An abdominal computed tomography (CT) scan found a collection of perisplenic fluid, accompanying a splenic rupture. Due to the patient's stable vital signs and lack of clinical progression of hemorrhage, he underwent conservative treatment. The patient was discharged at day 14 without complication. Rupture of a normal spleen without a history of trauma is not often reported, and it has long been a subject of debate. Ruptures of normal spleen almost always follow some kind of trauma, such as a car accidents or a fall from significant heights. Here, we report a case of spontaneous rupture of a normal spleen in the absence of other medical pathologies or triggering factors.

• 환경영향평가
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• 제20권2호
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• pp.249-256
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• 2011

Causing by green house gas emission, global warming is being accelerated significantly. This global warming cause world climate to change quiet different than before and we call this phenomenon is Climate Change. Environmental Impact Assessment being implemented in Korea is to prevent predicted environmental impacts from deteriorating within the domestic information and situation. As the climate change is getting severe, new meteorological records can be occurred which is exceeded existing statistical data. According to KMA(Korea Meteorological Administration) data, maximum value of precipitation and temperature in many regions changed with new data within last decade. And these events accompanied with landslides and flooding, and these also affected on water quality in rivers and lakes. According to impacts by climate change, disasters and accidents from heavy rain are the most apprehensive parts. And water pollution caused by overflowed non-point sources during heavy rain fall, fugitive dust caused by long-term drought, and sea level rise and Tsunami may affect on seaside industrial complex should be worth consideration. In this review, necessity of mutual consideration with influences of climate change was considered adding on existing guideline.