• Journal of Chest Surgery
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• 제21권3호
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• pp.471-478
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• 1988

We evaluated forty cases of traumatic diaphragmatic injuries that we have experienced from Jan. 1972 to Dec. 1987. 28 patients were male and 12 were female[M:F=2.3:1]. The age distribution was ranged from 4 to 71 years with mean age of 26. The diaphragmatic injuries were due to blunt trauma in 27 cases[traffic accident 22, fall down 3, others 2] and penetrating trauma in 13 cases[stab wound 11, gun shot 1, other 1]. In the blunt injury,14 cases of 17 were diagnosed and treated within 24 hours in the left diaphragmatic injury but only 3 cases of 7 cases in the right diaphragmatic injury were diagnosed and treated within 24 hours. All cases except one in penetrating injury were diagnosed and treated within 12 hours. In the blunt injury, the rupture site was located in the left in \ulcorner7 cases and in the right in 7 cases. In the penetrating injury, the rupture site was located in the left in 11 cases and in the right in 2 cases. The repair of 37 cases were performed with thoracic approach in 20 cases, thoracoabdominal approach in 12 cases and abdominal approach in 5 cases. Over all mortality was 17.5%[7/40] and postoperative mortality was 11%[4/37]. The causes of death were hypovolemic shock[3], combined head injury[2], acute renal failure[1] and septic shock with ARDS[1].

• 한국ITS학회 논문지
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• 제11권3호
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• pp.102-111
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• 2012

고속도로 교통사고는 타 도로에 비해 고속주행으로 인한 사고피해가 클 수 밖에 없으며, 특히 인적피해는 사회적인 큰 문제가 되고 있다. 본 논문에서는 고속도로 사고 중, 인적피해가 발생한 사고와 그렇지 않은 사고에 대한 사고 특성의 차이점을 규명하고자 하였다. 이를 위해 로지스틱 회귀모형을 활용하여, 두 사고 유형에 영향을 주는 사고 요인들을 찾아내었다. 분석 결과, 도로선형이 직선이고 방호울타리가 존재하며, 남성, 비고령자일 경우 운전자 과실 및 과속으로 인해 인적 사고로 이어질 가능성이 높았으며, 이에 대한 대비가 필요할 것으로 판단된다. 본 연구결과를 토대로, 인적피해가 발생한 사고와 이와 연관된 주요 설명 인자들을 찾아냄으로써 고속도로 안전정책 수립에 중요한 시사점을 찾아낼 수 있을 것이다.

• 아동학회지
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• 제31권2호
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• pp.169-182
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• 2010

This study sought to compare beliefs regarding injury, accidents, and prevention behaviors between mothers and teachers in childcare centers. The subjects were 252 mothers whose children were aged between 1 and 4 years old and 264 teachers in childcare centers. The data were analyzed using t-tests, ANOVA, and partial correlation. Our results were as follows; 1) Mothers believed that by experiencing minor injuries young children would learn to recognize risk and develop their abilities to endure pain. Mothers engaged in prevention behaviors in accidents less when compared to teachers in childcare centers. 2) Mothers and teachers in childcare centers whose ages were below 30-years-old and whose education levels were below high school tended to believe young children would learn to recognize risk through accidents, and they engaged in prevention behaviors in accidents less. 3) There was a negative correlation between injury beliefs and prevention behaviors in accidents.

• Journal of Chest Surgery
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• 제24권5호
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• pp.505-509
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• 1991

Rupture or laceration of the aorta is a more common result of nonpenetrating traumatic injury than is generally appreciated. If the lesion is promptly diagnosed, a appropriate surgical treatment may be life-saving. Diagnosis may be difficult and at times the rupture may remain clinically silent for variable period.< A 34 - year old male patient had sustained steering wheel injury to his chest during automobile accident 8 weeks prior to admission. The diagnosis of traumatic aneurysm of the aorta was delayed as he was asymptomatic. Surgical repair of false aneurysm of the descending aorta was successfully performed by partial cardiopulmonary bypass through the femoral artery and vein.

• Journal of Chest Surgery
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• 제22권2호
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• pp.342-347
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• 1989

A 4-year-old male developed the esophageal perforation after air-gun shut injury in the thorax. The esophageal perforation was found on esophagogram at the next day after the accident. Because of delayed diagnosis, mediastinitis and pyopneumothorax were developed. The general conditions of the patient were very critical with sepsis on admission. Therefore, two staged operation was planned. At the first stage, exclusion and diversion of the esophagus was carried out to treat chemical pneumonitis due to gastric contents through the esophago-bronchial fistula by gastroesophageal reflux. Clinical conditions of the patient were improved after the first stage operation. At the second stage, the esophageal reconstruction with right colon was performed.

• 한국안전학회지
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• 제14권4호
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• pp.176-181
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• 1999

The objective of this study is to compare and analyze the industrial injury-values of all the industries through yearly accident rate and frequency rate based on the governmental documentation of industrial injuries. The samples for this study are chosen from the companies with less than 200 employees under charge of the Kangnung Ministry of Labor during the period of 1995-97. Safe-T-Score is used for statistic control on the qualitative comparison of the present and the past industrial injury-rates. In the comparison of the past and the present industrial injury-rate by means of Safe-T-Score, this study shows that there does not exist any remarkable improvement, whereas the document of the Ministry of labor reports that the rate is decreasing greatly. Therefore, this study proposes some solutions to reduce industrial disasters and points out the necessity of more practical and effective methods to analyze the industrial disaster.

• Journal of Trauma and Injury
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• 제32권2호
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• pp.111-114
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• 2019

Minimal change disease (MCD) in children has a favorable long-term prognosis, and development of end-stage renal disease is very uncommon; less than 5%. In the first case of its kind, we report a 21-year-old female with a history of MCD at the age of 6, who had late relapse subsequent to a motorcycle accident resulting in a de-gloving skin injury and intensive care unit admission. MCD was confirmed by normal light microscopy, podocyte effacement on electron microscopy and absence of any deposits on immunofluorescence 3 weeks after the incident due to critical illness. It is postulated that the skin injury is what caused the relapse of MCD.

• Journal of Korean Neurosurgical Society
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• 제37권6호
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• pp.449-452
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• 2005

Blunt carotid artery injury is uncommon, yet not rare. However, it is often underdiagnosed because of inconsistent early symptoms or masking by the presence of coexisting brain and spinal injuries. The delay between the accident and the onset of cerebral ischemic symptoms is variable and has been reported to range from minutes to ten years. However, to our knowledge, there has been no report on a case presented with delayed intracerebral hemorrhage 25months after blunt carotid artery injury. We report on a case with discussion of supporting evidence and possible mechanisms.

• Journal of Yeungnam Medical Science
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• 제30권2호
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• pp.112-115
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• 2013

The incidence and importance of tricuspid valve regurgitation after a blunt chest injury has risen with the increase in the number of automobile accidents and steering wheel traumas. This kind of injury has been reported more frequently in the last decade because of the better diagnostic procedures and understanding of the pathology. However, tricuspid valve regurgitation following a blunt chest injury can still be easily missed because most patients do not show symptoms at the time of the trauma. A 55-year-old male patient presented himself at our facility after suffering a chest injury from an automobile accident. His transthoracic echocardiography (TTE) revealed severe tricuspid valve regurgitation due to the prolapse of his anterior valve leaflet. We report a case of asymptomatic tricuspid regurgitation that developed after a blunt chest injury.

• Journal of Acupuncture Research
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• 제24권4호
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• pp.35-41
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• 2007

Objective : This study was performed to evaluate the effect of herbal acupuncture treatment in whiplash injury caused by traffic accident. Methods : The clinical study was carried out 44 cases of whiplash injury patients who had been admitted in Semyung university oriental hospital from March 2004 to December 2006. 24 cases of patients were treated with herbal acupuncture, 20 cases of patients were don't. We compared visual analigue scale(VAS) and range of motion(ROM) of both groups. Results: 1. VAS of herbal acupuncture treated group were significantly decreased compared with non - herbal acupuncture treated group. 2. ROM of herbal acupuncture treated group were significantly improved compared with non - herbal acupuncture treated group. Conclusion : In this study, herbal acupuncture is effective in whiplash injury patients caused by traffic accident.