• Title/Summary/Keyword: injury and accident

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Clinical analysis of heart trauma: a review of 13 cases (심장손상에 대한 임상분석: 13례 분석보)

  • 기노석
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.715-722
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    • 1984
  • From 1978 to April 30 84 thirteen cases of cardiac injured patients were operated under general anesthesia at Department of Thoracic and Cardiovascular Surgery in Chonnam National University. These patients were divided Into two groups according to their cause of trauma: Group 1, penetrating cardiac injury and Group II, blunt cardiac injury. 1.In 7 cases of Group 1, 6 cases were stab wound and one case was gunshot wound, and among 6 cases of Group II, 3 cases traffic accident, 2 cases pedestrian, 1 case agrimotor accident. 2.The sites of cardiac injury in penetrating trauma were right ventricle mainly and the next left ventricle and in blunt trauma right ventricle, myocardial contusion, right atrium, and inferior vena cava in order. 3.In most of cases central venous pressure was elevated above 15 cmH2O and in 5 of 13 cases revealed cardiomegaly in simple chest X-ray. 4.The relationship between the condition on arrival and the time to operation is not significant. 5.Associated injuries in penetrating cardiac trauma were hemothorax, pneumothorax, laceration of lung and in blunt trauma hemothorax, sternal fracture, rib fracture and pneumothorax in order. 6.One case of gunshot injury died after operation.

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Characteristics and Causes of Industrial Accidents in Korean Industry (우리 나라 산업재해의 발생 원인 및 특성에 관한 연구)

  • Jeong, Byung-Yong
    • IE interfaces
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    • v.10 no.2
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    • pp.99-107
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    • 1997
  • The purpose of accident analysis is to obtain accurate and objective information about the causes of accidents in order to prevent accidents from reoccurring. This study investigated the characteristics and causes of occupational accidents in Korean industry by comparison with those of Japan and U.S.A The results show that there are some characteristics in the accidents of Korean industry; (1)larger companies tend to have lower accident rates than the smaller ones; (2) inexperience is related to high accident rates; (3) 'awkward or sudden movement' and 'caught in and between object' represents the leading accident type; (4) the body sites most vulnerable to injury are the hands and fingers; and (5) 'fractures' is the leading injury type. These findings identified in this study can be used to prevent the industrial accidents.

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Research on the Investigation of ΔV (Delta-V) for the Quality Improvement of Korean In-Depth Accident Study (KIDAS) Database (한국형 실사고 심층조사 데이터베이스 질향상을 위한 차량속도(ΔV) 측정방법에 관한 연구)

  • Choo, Yeon Il;Lee, Kang Hyun;Kong, Joon Seok;Lee, Hee Young;Jeon, Joon Ho;Park, Jong Jin;Kim, Sang Chul
    • Journal of Auto-vehicle Safety Association
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    • v.12 no.2
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    • pp.40-46
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    • 2020
  • Modern traffic accidents are a complex occurrence. Various indicators are needed to analyze traffic accidents. Countries that have been investigating traffic accidents for a long time accumulate various data to analyze traffic accidents. The Korean In-Depth Accident Study (KIDAS) database collected damaged vehicles and severity of injury caused by Collision Deformation Classification code (CDC code), Abbreviated Injury Scale (AIS), and Injury Severity Score (ISS). As a result of the investigation, data relating to the injuries of the occupants can be easily obtained, but it was difficult to analyze human severity based on the information of the damaged vehicle. This study suggests a method to measure the speed change at the time of an accident, which is one of the most important indicators in the vehicle crash database, to help advance KIDAS research.

Characteristics of Pediatric and Adolescent Trauma-Database Review of Single Level Trauma Center in Gangwon Province

  • Lee, Tae Han;Jung, Pil Young;Kwon, Hye Youn;Shim, Hongjin;Jang, Ji Young;Bae, Keum Seok;Kim, Seongyup
    • Journal of Trauma and Injury
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    • v.30 no.3
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    • pp.75-79
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    • 2017
  • Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.

Inter-regional Transport Accident Mode Comparison Using National Hospital Discharge Patients Injury Survey (퇴원손상환자조사를 이용한 지역간 운수사고 양상 비교)

  • Lim, Nam-Gu;Lee, Jin-Yong;Na, Baeg-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.747-754
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    • 2012
  • The purpose of this study was to compare inter-regional accident modes using the National Hospital Discharge Patient Injury Survey. In order to determine economic status of each region, 234 cities and counties were categorized as 5 groups according to their financial self-reliance ratio. The main results are as follows. First, transport accidents had increased by the age group of 25 to 44 but decreased thereafter. Second, the frequency of car accidents was the highest among several types of transport accidents. Most common site of transport accidents was roads and highways. Third, there was significant difference in the modes of transport accident among regions. Fourth, emergency admission rate was quite different according to regional groups but it was no significant difference by economic status. Lastly, there was significant difference in injury patterns by region groups. In regions which were high economic status, there were relatively less serious injury patterns such as sprain, strain, dislocation while regions which were in low economic status had experienced serious injury including fracture, stab wound, and open fracture. We could find the difference in accident modes by regional economic status. Therefore, health authority should consider different accident prevention strategies by regional groups.

Construction Equipment Accidents by Time

  • Jung, Hyunho;Kang, Youngcheol;Kang, Sanghyeok
    • International conference on construction engineering and project management
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    • 2020.12a
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    • pp.179-187
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    • 2020
  • This paper investigates the construction equipment accidents by time. Construction sites are unique with many different hazardous conditions which cause accidents. According to the Occupational Safety and Health Administration (OSHA), accidents related to construction equipment are one of the most leading causes of fatal injuries in the construction industry. While there have been many studies investigating the equipment-related accidents, few research studies provided in-depth analyses about the time that accidents frequently occurred. By using the OSHA accidents data collected between 1997 and 2012, this paper analyzed the accidents data by time, equipment type including excavator, backhoe, dozer, and crane, accident cause, and injury class. The analyses revealed that the time window with most accidents was between 13:00 and 13:59. In terms of the injury class, the time windows with the highest numbers of equipment accidents were between 13:00 and 13:59 and between 11:00 and 11:59 for fatality and hospitalization, respectively. For the accident causes, equipment operator's error was the highest number of accident causes. It is expected that findings from the analyses can be used to more strategically develop management plans and guidelines to prevent accidents related to construction equipment to practitioners.

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Successful surgical intervention in traumatic carotid artery thrombosis after a motor vehicle accident: a case report

  • Gorkem Yigit
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.49-52
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    • 2023
  • Blunt carotid artery injury can lead to impaired brain perfusion due to ischemic stroke and thromboembolic events. To reduce the risk of potential neurological complications, it is critical to determine the diagnosis and management protocol as quickly as possible after a detailed clinical examination. This report presents successful surgical treatment of a young male patient who developed a traumatic left common carotid artery thrombosis after a motor vehicle accident.

Assessment on Development of Dental Injuries in Child and Adolescent (소아청소년의 치과손상 발생에 대한 평가)

  • Bae, Sung-Suk
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.2
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    • pp.107-118
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    • 2012
  • Backgrounds: In order to prevent dental injuries that often occur in child and adolescent, it is intended to investigate and assess actual state of the injury development, present epidemiological background, and consider and discuss for preparing preventive means against the injury development. Purpose: It was attempted to understand major features of dental injuries developing in child and adolescent and indentify high risk factors of dental injuries in child and adolescent. Methods: In this study, 523 cases of computerized data collected as disease entities of dental injuries among 1-18 years old patient visiting S university hospital located in Seoul in 2009 were analyzed and following results were obtained. Results: It was found that the ratio of dental injuries by genders in child and adolescent was 66.14% of male and 33.86% of female. It was shown also that causes of dental injuries by ages were more in order of falling, bumping, chewing, traffic accident, sports, violence, and crash. In addition places where dental injuries occur by ages were home in less than 5 year old group, park, playground, and play yard in 6-11 year old group, park, playground, and play yard also in 12-14 year old group, and stairs, road, and outdoor places such as mountain climbing, beach, and camping in 15-18 year old group. It was found that time rages when dental injuries in child and adolescent often develop were 15-19 o'clock for falling, 15-19 o'clock for crash, 15-19 o'clock for bumping, 19-03 o'clock for violence, 15-19 o'clock for traffic accident, 15-19 o'clock for sports activity, and 15-19 o'clock for chewing. Conclusion: Background of dental injury inducing factors are very complicated and diversified, so deep study and analysis are required for its prediction. Therefore, it seems necessary to identify risk factors by phases such as before, at, and after accident, establish strategies to reduce injury development, and develop and utilize necessary programs.

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The Effect that Air Bag Deployment in Car Head-on Collision on Injury to Driver (승용차 정면충돌에서 에어백 전개가 운전자 손상에 미치는 영향)

  • Jeon, Hyeok-Jin;Kim, Sang-Chul;Lee, Kang-Hyun
    • Journal of Auto-vehicle Safety Association
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    • v.10 no.2
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    • pp.13-19
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    • 2018
  • The purpose of this study was to evaluate the effect of air bag deployment in passenger car head-on collisions on injuries to the driver. The drivers in head-on collisions who were brought to the emergency rooms of two hospitals from January 2011 and October 2014 were evaluated, as were the vehicles involved. The driver injury level were assessed by utilizing Collision Deformation Classification (CDC) codes, and the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS), respectively. In this study, it was shown that the chest ISS and AIS were significantly high when an air bag only is deployed. A statistically significant difference was found in the crush extent when the driver who fastened the seatbelt was found to be affected more than the ISS 9. Even when an air bag is deployed in a head-on car collision, injury severity can vary according to accident circumstances and crash severity. Accordingly, first aid can be rapidly given, and the injured person can be quickly referred to a hospital, only if the assessment of persons involved in a vehicle accident is accurately carried out.

The Cervical Spine Curvature of Posterior Neck Pain Patients Who Visited Emergency Room After Whiplash Injury by Traffic Accident (교통사고 후 응급실에 내원한 경항통 환자의 경추 만곡 연구)

  • Jo, Jun-Young;Lee, Sun-Haeng
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.121-132
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    • 2011
  • Objectives : The purpose of this study is to investigate the cervical spine curvature after whiplash injury by traffic accident. Methods : The cervical lateral radiographs of 102 outpatients who visited emergency room in Kyung-Hee university hospital at Gangdong after whiplash injury by road traffic accident were reviewed to measure the cervical spine angle using C1-7, C2-7 Cobb method, Sagittal tangent method, Jochumsen method and the Ishihara index by two oriental medical doctors. For statistics, we used SPSS version 17.0 for windows. Results : Means of cervical angle are $37.63{\pm}11.34^{\circ}$, $12.92{\pm}9.13^{\circ}$, $16.19{\pm}10.62^{\circ}$, $1.78{\pm}3.37$ and $8.51{\pm}9.78$ by C1-C7 Cobb Method, C2-C7 Cobb Method, Sagittal tangent method, Jochumsen method and Ishihara index, respectively. Hypolordosis is most numeral in patients by C1-C7 Cobb Method(n=40; 39.22%), Sagittal tangent method(n=68; 66.67%). And Straight is the most by Jochumsen method(n=54; 52.94%), but Normal is the most by Ishihara index(n=53; 51.96%). And Female has smaller curvature in cervical spine than male significantly by C2-C7 Cobb method and Sagittal tangent method(P<0.05). Conclusions : Whiplash injury tends to make hypolordosis or straight. And female has more vulnerable curvature than male in whiplash injury.

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