• Journal of Trauma and Injury
• /
• 제28권1호
• /
• pp.15-20
• /
• 2015

Purpose: Vascular injuries caused by traffic, industrial accidents and by outside activities have increased in Korea. Especially, vascular injuries to the extremities can lead to limb loss and even mortality if they are not appropriately treated. The aim of the study was to evaluate the surgical outcomes of femoropopliteal vascular management after trauma. Methods: The medical records of 12 patients with femoropopliteal vascular injuries who were treated at Dankook University Hospital from 2011 to 2013 were reviewed. Iatrogenic vascular injuries were excluded. The clinical data including the causes of injury, associated injuries and surgical outcomes were analyzed retrospectively. Results: All patients were male, with a mean age of $46.8{\pm}16.3years$ (range: 26~69 years). The causes of vascular injuries were four traffic accidents, three industrial accidents, two iron plates, one outside activity, one glass injury and one knife injury. The average transit time between the place of the accident place and the emergency department was $3.0{\pm}2.1$ (0.5~12.5) hours, and the average preparation time for surgery was $8.0{\pm}6.7$ (1.7~23.3) hours. The anatomic injuries included the popliteal vessel in seven cases and the femoral vessel in five cases. The average Injury Severity Score (ISS) was $12.0{\pm}5.0$ (5~17), and the average Mangled Extremity Severity Score (MESS) was $5.7{\pm}2.1$ (2~9). The operation methods were four interposition grafts, three end-to-end anastomoses, two direct repairs and three patch angioplasties. One case required amputation of the injured extremity. Conclusion: Early recognition and revascularization of the injured vessel are mandatory to reduce limb loss and to obtain satisfactory outcomes. Therefore, careful/rapid evaluation of the vascular injuries and timely/successful surgical treatment are the keys to salvaging an injured limb.

• 한국ITS학회 논문지
• /
• 제22권4호
• /
• pp.114-131
• /
• 2023

개인형 이동수단의 이용이 활성화됨에 따라, 관련한 PM 사고도 급격하게 증가하였다. 이러한 사고 증가에 대응하기 위해, 2021년 5월 13일 정부에서는 관련 규정을 강화하였지만, PM 가해사고의 증가 추이는 피해사고의 증가 추이보다 크게 감소하지 않았다. 이러한 PM 가해사고의 대부분은 보행자와의 충돌 사고로, 보행자들의 안전이 위협받고 있는 것을 알 수 있었다. 이에 본 연구에서는 PM 대 보행자 충돌사고를 중점적으로 규제 및 기상환경, 도시건조환경 특성 등을 반영하여, PM 대 보행자 교통사고 심각도에 영향을 미치는 요인들을 분석하였다. 2020년부터 2021년 간 서울시에서 발생한 PM 대 보행자 교통사고를 수집하였으며, 이항 로지스틱 회귀분석을 활용하여 분석을 수행하였다. 주요 분석결과를 통해 정책적 시사점을 도출하였다.

• International Journal of Quality Innovation
• /
• 제6권1호
• /
• pp.58-73
• /
• 2005

The objective of this study is to evaluate the equipment risk before and after SEMI S2-93A implementation, thus providing a guideline for safety improvement. Semiconductor Plant A located in Taiwan's Hsinchu Science Based Industrial Park with 147 manufacturing machines was used for risk assessment. This study was carried out in three steps. First, a preliminary hazard analysis was conducted. A detailed process safety evaluation was conducted (Hazard and Operability Study, HAZOP); and finally, the equipment risk comparison before and after Semiconductor Equipment Manufacturing Instruction (SEMI S2-93A) implementation. The preliminary hazard analysis results showed high risk in 21.77% of the manufacturing machines under risk assessment at Plant A. The largest percentage existed in the Diffusion Department. The machine types specified by the hazardous work site review and inspection according to Article 26 of Labor Inspection Regulation (the machines that use such chemicals as, $SiH_4$, HF, HCL, etc. and that are determined to be highly hazardous through preliminary hazard analysis) were added to the detailed process analysis and evaluation. In the third part of this evaluation, the machines at Plant A used for detailed process safety assessment were divided into two groups based on the manufacturing data before and after 1993. The severity, possibility, and actual accident analysis before and after SEMI S2-93A implementation were compared. The Semiconductor Equipment Manufacturing Instruction (SEMI S2-93A) implementation can reduce the severity and possibility of hazard occurrence.

• 한국콘텐츠학회논문지
• /
• 제17권1호
• /
• pp.50-57
• /
• 2017

본 논문은 대전도시철도 개통 이후 내부자료 통계분석을 통해 열차지연 원인과 문제점을 살펴보고 고위험군의 위험도를 평가하여 위험도 지수 심각도와 위험도를 측정하였다. 측정방법으로는 위험도 관리방법인 risk matrix($5{\times}5$)를 적용하여 위험도 등급을 산정하였으며, 결과에 따른 안전수준과 허용수준 범위를 분석하였다. 그 결과 차량분야가 가장 위험도가 심각하고, 다음으로 기계설비분야가 위험도를 내재하고 있는 것으로 나타났다. 특히 차량의 출입문장치결함으로 인한 출입문고장과 열차신호 및 제어장치는 심각도도 높지만, 빈도수가 매우 잦아 추가적인 사고 잠재성을 보이고 있다. 기계설비 분야의 PSD결함도 PSD의 안전문 개폐불량이 가장 위험한 것으로 나타났으며, PSD의 오취급 및 PSD의 유리파손 등도 위험도를 내포하고 있는 것으로 나타났다. 본 연구는 이러한 위험도를 내재하고 있는 사고의 빈도수를 경감하고, 심각도를 낮춰서 위험도를 예방할 수 있는 방안을 예측하여 미리 선제적으로 대비할 수 있는 분석결과를 제시함으로써 안전한 도시철도운영으로 이용자의 교통편익에 기여할 것으로 기대된다.

• 대한교통학회지
• /
• 제23권4호
• /
• pp.47-55
• /
• 2005

최근 폭등하는 자동차의 이용과 교통사고의 증가는 물적 손실이란 측면에서 뿐만 아니라, 국민의 기본 생활권을 위협한다는 측면에서 교통사고를 줄이기 위한 많은 노력이 요구된다. 특히, 일반 도로구간에 비해 사고의 잠재성이 상대적으로 높은 교차로의 경우 이에 대한 적절한 대책이 필요하다. 이를 위해 본 연구에서는 교차로 교통사고에 있어서 사고 심각도에 영향을 미치는 요인들을 분석하고 이를 통하여 교차로 안전성 향상에 기여하고자 한다. 사고 심각도 분석에 있어서 사고 자료의 특성을 고려하여 순서형 확률모형 중 적절한 모형을 적용하였다. 데이터의 ${\epsilon}_i$(오차항)의 분포를 정규분포로 가정하여 순서형 프로빗 모형을 적용하였고 모형의 설명력과 적합성을 나타내는 $p^2$(우도비)와 $x^2$(Chi-square)의 값을 이용하여 최적의 사고 심각도 모형을 개발하였다. 개발된 심각도 모형을 분석한 결과, 교차로 교통사고 심각도에 영향을 미치는 변수는 부도로 교통량, 주도로 중차량 비율, 주도로 우회전 비율, 주도로 조명시설, 주도로 제약시설, 부도로 좌회전 유도선 등으로 분석되었다.

• Journal of Trauma and Injury
• /
• 제23권2호
• /
• pp.68-74
• /
• 2010

Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

• Journal of Trauma and Injury
• /
• 제19권1호
• /
• pp.74-80
• /
• 2006

Purpose: For prevention and suitable administration, the effect of age on the severity of injuries in traffic accidents should be considered when evaluating a patient, but there have not been enough epidemiological studies that evaluate the age factor in traffic accidents. For that reason, we investigated old-aged patients who were involved in traffic accidents (65 years old or more) and who were admitted to the emergency department of a college hospital in an urban city of Korea. Methods: We collected data from traffic-accident patients who came to the emergency room of a university hospital in Seoul from Jan.1, 2004 to Dec.31, 2005. We compared their abilities to ambulate and the RTSs (Revised trauma scores) by using a LSD (least significant difference), linear regression. Results: A total of 1460 patients were included. The mean RTS of all traffic-accident patients was $7.77{\pm}0.280$. The scores for drivers and passengers, motor-cycle drivers and passengers, bicycle drivers and passengers, and pedestrians were $7.79{\pm}0.21$, $7.78{\pm}0.22$, $7.54{\pm}0.25$, $7.77{\pm}0.20$, and $7.80{\pm}0.21$ respectively (p=0.000). There was no statistically significant difference between the RTS of patients over 65 years and that of other patients. In a regression analysis, the number of patients over 45 ages who were able to ambulate was lower than that of younger people, independently of other influencing factors (B=-0.330, R-square = 0.243, p=0.000). Conclusion: We expected that RTS of old age group more than 65 years old will significantly lower than that of others, but there was no statistically significant difference.

• Safety and Health at Work
• /
• 제13권3호
• /
• pp.279-285
• /
• 2022

Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

• 한국ITS학회 논문지
• /
• 제15권3호
• /
• pp.85-93
• /
• 2016

본 논문은 보행자와 자동차 운전자에게 안전관련 메시지를 시각 및 청각적으로 전달하고 횡단보도 자체의 시인성을 조명을 통해 개선할 수 있는 요소들로 구성된 '횡단안전 지원시스템'의 설치 전 후에 대한 효과 평가를 수행하였다. 효과 평가는 시스템 설치 전 후별 주행속도, 보행자의 좌 우 살핌 빈도 분석을 통해 시스템 설치 전 후의 안전성 향상도를 평가하였다. 횡단안전 지원시스템의 설치 전 후의 차량 주행속도는 주 야간 모두 감소하였으며 보행자 행태를 조사한 결과 주간에는 횡단 전 또는 횡단 중 좌 우를 보는 빈도의 비율이 설치 전 27.9%에서 설치 후 62.9%로 개선되었고, 야간에는 설치 전 36.0%에서 설치 후 58.7%로 개선되어, 횡단안전 지원시스템의 설치 후 보행자의 안전의식이 향상된 것을 확인하였고 보행자 행태에 긍정적인 영향을 주어 보행자의 안전을 증가시킬 수 있음을 확인하였다.

• 전자공학회논문지 IE
• /
• 제49권2호
• /
• pp.30-39
• /
• 2012

졸음운전은 사고발생 확률이 높고, 사고 발생 시 심각도가 높기 때문에 효율적인 졸음운전 판단 시스템이 필요하다. 그러나 생체 신호나 비전을 이용한 졸음운전 판단시스템은 비용 측면에서 활용되기가 어렵다. 이에 본 논문에서는 추가적인 비용 없이 대부분의 차량에 기본 장착되어 있는 조향각 센서(steering angle sensor)와 차량정보(brake switch, throttle position signal, vehicle speed)를 이용하여 졸음운전자의 조향패턴 중 하나인 저킹 판단을 이용한 졸음운전 판단 알고리즘을 제안한다. 본 연구에서는 각 변수의 임계값을 제시하고, HILS(Hardware in the Loop Simulation)에서 CAN을 통해 취득한 차량의 데이터와 Matlab 프로그램을 이용하여 알고리즘을 평가한다.