• 제목/요약/키워드: Body Fall

검색결과 347건 처리시간 0.023초

학령전기 소아에서 추락으로 인한 경증 두부손상의 특징에 대한 후향적 관찰 연구 (The characteristics of mild head injuries in preschool-age children fall: a retrospective observational study)

  • 성민석;이지숙;전우찬;박준석;김경환;신동운;김훈;박준민;김현종
    • 대한응급의학회지
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    • 제29권5호
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    • pp.423-429
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    • 2018
  • Objective: Falling is a common cause of head injury in preschool aged children. We investigated the characteristics of mild head injuries caused by falling and the association between body weight and occurrence of traumatic brain injuries (TBI). Methods: This retrospective observational study was conducted on head-injured preschool-aged children that visited the emergency department from January 2012 to December 2015. Characteristics such as age, sex, weight, free fall height, floor type, and presence of TBI, as defined as cerebral hemorrhage or skull fracture, were investigated. We calculated body weight percentiles by calibrating age and weight and categorized them into four quartile ranges. We grouped all included cases into two groups according to the presence of TBI. The characteristics of the two groups were compared by using chi-square test, and the association with TBI was investigated by using binomial logistic regression. Results: A total of 701 children were included, and TBI was observed in 95 children. Children with TBI were younger. The proportion of children with TBI was higher in the third and fourth quartiles of the body weight group as well as according to soft floor and fall from high height (${\geq}1m$). The odds of soft floor being associated with TBI was higher than the odds for hard floor (odds ratio, 2.734; 95% confidence interval [CI], 1.597-4.680). The odds of high height (${\geq}1m$) being associated with TBI was higher than that for low height (odds ratio, 2.306; 95% CI, 1.155-4.601), and the odds ratio for the weight percentile group was 1.228 (95% CI, 1.005-1.499). Conclusion: Prevalence of TBI after falling in preschool-aged children might be associated with high fall-height and body weight quartiles.

추락 후 사망 예측인자로서의 추락 높이 (The Height of Fall as a Predictor of Fatality of Fall)

  • 서주현;어은경;정구영
    • Journal of Trauma and Injury
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    • 제18권2호
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    • pp.101-106
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    • 2005
  • Purpose: The number of the deceased from free-fall is increasing nowadays. Free-fall comes to a great social problem in that even the survivor will be suffering for cord injury or brain injury, and so on. We analyzed the cases of free-fall patients to find out whether the injury severity is mainly correlated with the height of fall. Methods: We retrospectively investigated the characteristics of patients, who fall from the height above 2m from January 2000 to August 2004. We excluded the patients who transferred to other hospital, transferred from other hospital, and not known the height of fall. 145 patients were evaluated. Variables included in data analysis were age, height of fall, injury severity score (ISS), the being of barrier, and the survival or not. To find out the correlation between height of fall and death, we used receive operating characteristics (ROC) curve analysis. Results: The mean age of patients was $36.5{\pm}19.4$ years old. 110 were male and 35 were female. Mean height of fall was $11.1{\pm}8.5m$. 51 patients (35.2%) were died and 30 patients of them (58.9%) got emergency room on dead body. The mean height of fall is $8.9{\pm}5.8m$ for 94 survivors and $15.2{\pm}11.0m$ for the 51 deceased (p<0.001). The area under the ROC curve was 0.646, which means the height of fall was not adequate factor for predicting for death. At 13.5m, as cut?off value, sensitivity is 52.9%, specificity is 86.2%, positive predictive value is 67.5% and negative predictive value is 77.1%. There were statistical differences in mortality rate and ISS between 'below 13.5m group' and 'above 13.5m group', but there was not statistical difference in head and neck AIS. Conclusion: The height of fall is not adequate factor for prediction of death. So other factors like intoxication or not, the being of barrier or protection device need to be evaluated for predicting of free-fall patient's death.

사무실 근무자의 온열환경에 대한 적응수준 진단 (Diagnosis of Office Occupant's Adaptation Level for Thermal Environment)

  • 김양원
    • 한국생활과학회지
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    • 제12권5호
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    • pp.747-754
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    • 2003
  • The actual clothing conditions were surveyed to diagnose clothing condition of Korean female in the view point of the adaptation to the thermal environment according to seasonal changes. Then, clothing microclimate, physiological responses, and subjective sensation were investigated through wearing trials on human body in climatic chamber based on the results from the survey. Factors to evaluate validity of clothing condition were clothing weight, clothing microclimate, physiological response of human body, and subjective sensation. The results were as follows: 1. Clothing weight per body surface area of the season was $856g/m^{2}$, $439g/m^{2}$ in summer, $630g/m^{2}$ in fall, and $1184g/m^{2}$ in winter. Cold - resistance of Korean female in office was superior to Japanese, inferior to residents of rural areas of Korea, and similar to male in office. However, in heat - resistance, female in office was inferior to residents of rural areas of Korea. 2. In spring, fall, winter, clothing microclimate temperature was a little higher than that in summer. Therefore, it was not a desirable wearing condition even though the clothing microclimate was comfortable zone. 3. Mean skin temperature of female in office was including within the range of Winslow's comfortable zone, but the range of comfortable zone in mean skin temperature of female was more narrow than Winslow's. Thus, it has problem for female to adaptation to thermal environment.

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넘어짐 예방 운동이 여성노인의 체력, 자세, 낙상효능감에 미치는 영향 (The Effect of Exercise Program for Prevention of Falling on Physical Fitness, Posture and Fall Prevention Self-Efficacy for Elderly Women)

  • 손남정;이경옥;안주연
    • 한국노년학
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    • 제37권1호
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    • pp.237-250
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    • 2017
  • 본 연구의 목적은 넘어짐 예방 운동이 여성노인의 체력, 자세, 낙상효능감에 미치는 영향을 규명하는 것이다. 연구 대상은 65세 이상의 여성노인 30명을 대상으로 하였으며, 그 중 14명은 운동집단, 16명은 비교 집단으로 하였다. 넘어짐 예방운동 프로그램은 탄성밴드를 이용한 다방향 근력 근지구력, 파워 운동, 자세 정렬 운동과 한국무용 동작을 접목한 다방향 동적균형, 협응력 운동으로 구분하였고 총 12주간, 주 2회, 각 60분으로 진행하였다. 운동 프로그램 전후의 체력, 자세, 낙상 효능감을 측정하여 비교하였다. 연구 결과 운동 집단은 악력을 제외한 근지구력, 심폐지구력, 유연성, 평형성, 협응력에서 유의하게 증가하였고, 자세는 상체 기울기를 제외한 어깨 기울기, 견갑골 기울기, 골반 기울기, 종골각 기울기, 다리길이 차이가 유의하게 감소하였다. 낙상 효능감 점수는 운동 집단에서는 증가하고 비교 집단에서 감소하였으나, 모두 통계적으로 유의하지는 않았다. 그러므로 넘어짐 예방운동은 체력 향상과 자세교정에 효과적이라는 결론을 내릴 수 있다. 그러나 악력(근력)을 증가하는 것과 상체기울기를 교정하는 운동프로그램의 보완이 필요하다.

정지영상과 동영상에서 미도의 추출 (Detection of Aesthetic Measure from Stabilized Image and Video)

  • 이양원;최병석
    • 한국컴퓨터정보학회논문지
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    • 제17권11호
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    • pp.33-38
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    • 2012
  • 미도는 문 스펜서가 제시한 이론으로 아름다움의 정도를 수치로 표현하려 한 것이다. 그리고 미국의 학자 버크호프가 문 스펜서의 미는 복잡성 속의 질서성을 가진 것이라는 명제를 분석하였다. 그는 미도의 공식을 발표하여 미도의 정도를 수량적으로 취급하였다. 따라서 기존의 색채 조화론의 부족한 점을 제거하여 보다 과학적이고 정량적인 조화이론을 전개했다. 본 논문에서는 배색의 좋고 나쁨은 질서의 요소와 복잡함의 요소로 나누었다. 미도는 질서의 요소를 복잡함의 요소로 나눈 것이다. 이를 영상의 미도 계산에 활용하여, 감성으로 취급되는 색채조화 및 부조화의 문제를 수치적으로 계산하였다. 그리하여 영상에서 색을 판별하여 미도가 좋은 배색인지 아닌지를 나타내었다.

경호무도 측방낙법의 운동학적 분석 (A Kinematic Analysis on Lateral Break-Fall of Security Nartial Arts)

  • 김용학;이세환
    • 시큐리티연구
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    • 제24호
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    • pp.53-66
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    • 2010
  • 본 연구는 경호무도에서 가장 많이 사용하는 낙법기술 중 인체의 상해를 예방하고, 충격을 최소화 시킬 뿐 아니라 몸을 안전하게 보호할 수 있는 측방낙법에 대한 운동학적 변인을 정량적으로 분석하는데 있다. 이를 위하여 본 연구는 5년 이상 경력을 가진 H 대학 합기도, 유도 우수 선수 3명을 선정하고, 매트에 닿는 시간과 순서 통하여 3차원 영상 분석을 통하여 실험하였다. 본 연구에서는 측방낙법을 5회 반복하였으며 가장 좋은 동작을 선정하여 결과를 처리하였고, 고속 카메라로 촬영된 영상은 DLT 방법에 의한 3차원 좌표 계산과 자료의 스무딩 과정을 거쳐 KWON3D ver. 3.1 프로그램을 이용하여 분석하였다. 분석 결과는 다음과 같다. 1. A, B, C 선수들의 측방낙법 수행 중 나타난 시간 변인은 미세한 차이로 시간적 변인과 신체가 매트에 닿는 순서의 차이를 보였지만 평균값으로는 손이($0.94{\pm}0.20$), 팔꿈치($0.97{\pm}0.17$), 엉덩부위($0.97{\pm}0.18$), 등($0.98{\pm}0.18$), 어깨부위($1.04{\pm}0.16$)의 결과를 보였으며 측방낙법 수행 중 신체가 매트에 닿는 시간 변인은 손, 팔꿈치, 엉덩이 부위 등 어깨부위 순으로 결과가 나타났다. 2. A, B, C 선수의 측방낙법에 대한 이동거리 변인은 손($34.33{\pm}34.59$), 팔꿈치($52.00{\pm}26.06$), 엉덩부위($70.00{\pm}15.72$), 등($153.67{\pm}17.93$), 어깨부위($130.67{\pm}29.02$)의 결과가 나타났다. 본 연구는 측방낙법동작의 원리와 현상을 이해하고 운동시 정확한 동작을 유도하여, 상해 및 기술향상을 기대할 수 있을 것으로 사료된다. 또한 초보자, 선수, 지도자에게 동작의 정확성 및 안전성을 효율적으로 습득, 지도 할 수 있도록 과학적이고 체계적인 기초자료를 제공할 것으로 기대한다. 3. 경호무도 통하여 충동적이고 우발적으로 일어나는 위해상황에서 의 대처능력의 향상과 상해예방에 기여한다.

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The correlations between fall experience, balance, mobility and confidence in persons with stroke

  • Choi, Seokhwa;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • 제9권3호
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    • pp.178-183
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    • 2020
  • Objective: This study conducted in order to investigate the correlations between fall experience, balance, mobility, and confidence. We examined the difference between fall experience, and Berg Balance Scale (BBS), Timed-Up-and-Go test (TUG), Tinetti balance assessment (Tinetti balance [TiB], Tinetti gait [TiG]), and Activities-specific Balance Confidence (ABC) scale scores to see how fall experience, balance, mobility, and confidence of the persons with stroke affects their balance. Design: Cross-sectional study. Methods: Forty-one subjects participated in this study. The BBS includes 14 items, consisting of a 5-point scale from 0 to 4, totaling up to 56 points. The Timed Up and Go-Alone (TUGA) was used to measure the average time to take a 3 m round-trip by getting up and down from a 46-cm high chair with an armrest on a flat floor. The Timed-Up-and-Go-Cognitive (TUGC) was performed by counting backwards and the Timed Up and Go-Manual (TUGM) is performed by holding a cup full of water. The total score for the TiB is 16 points, and the TiG is 12 points, making a total of 28 points. There are 16 items total for the ABC scale. Results: According to the fall experience, BBS, the TUGA and TUGC values were significantly higher in the inexperienced group compared to the experienced group (p<0.05). The number of falls was significantly correlated with BBS, TUGA, TUGC, TUGM, TiB, TiG, TiB+TiG (p<0.05). Conclusions: This study supports that falls experience is strongly related to balance, mobility, and confidence. Optimal balance training programs for fall prevention is still insufficient and must be developed.

바른체형 운동프로그램이 여자고등학생의 자세 및 발의 균형감에 미치는 영향 (Effects of the Upright Body Type Exercise Program on Postures and Foot Balance in Female High School Students)

  • 손남영;이중숙;김주혁
    • 한국운동역학회지
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    • 제24권1호
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    • pp.75-83
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    • 2014
  • The purpose of this study was to investigate the degree of improvement of posture and foot balance between the exercise group and the control group after upright body type exercise program of 12 weeks with 14 female students in B female high school. According to the procedure of this study, following conclusion came out. First, The change of head's posture became near a centerline and a significant decrease from $7.57{\pm}13.95mm$ to $2.71{\pm}5.23mm$ in experimental group and there was a statistically significant difference (p<.002). The change of left foot balance was near the perfect balance (50%) from $48.93{\pm}3.87%$ to $49.74{\pm}2.95%$ and right foot balance was from $51.07{\pm}3.87%$ to $50.26{\pm}2.95%$ in experimental group and there were near the perfect balance (50%). The change of left foot balance of control group fall away the perfect balance (50%) from $49.97{\pm}2.67%$ to $49.08{\pm}1.41%$, right foot balance also fall away the perfect balance (50%) from $50.03{\pm}2.67%$ to $50.92{\pm}1.41%$. As a conclusion, upright body type exercise program considered to effect posture and foot balance in female high school girls. Consequently It was suggested that upright body type exercise program with improvement and prevention for posture's unbalance of female high school girls. This program could be utilized for improvement of youth posture and foot balance.

Effects of Bacillus thuringiensis ${\delta}$-Endotoxin on Insect Fat Body Structure

  • 천향미;김홍자;강석원;서숙재
    • Animal cells and systems
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    • 제1권3호
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    • pp.507-513
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    • 1997
  • Sequential observations of binding patterns and structural effects of Bacillus thuringiensis var. kurstaki were made on fat body tissue of the fall webworm, Hyphantria cunea Drury. Fat body was cultured in vitro in the presence of purified 62 kDa endotoxin and then examined for protein synthesis and the localization of membrane-bound toxin detected by an antibody against the 62 kDa endotoxin. Protein synthesis was mostly inhibited at concentrations of 15 ${\mu}$g/ml and higher. Immunocytochemical observations suggest that the toxin binds to all exposed basal lamina surrounding the fat body without apparent specificity. The cytopathic effect delectable by scanning electron microscope is disintegration rather than cell swelling. The basal lamina bound toxin was eventually detached from the fat body and followed by an extrusion of cell contents like lipid granules.

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Study on redundancy resolution algorithm of humanoid

  • Yoo, Dong-Su;So, Byung-Rok;Choi, Jae-Yeon;Yi, Byung-Ju;Kim, Whee-Kuk
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2003년도 ICCAS
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    • pp.2759-2764
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    • 2003
  • Humans usually employ more joints than they actually need, and thus they can be categorized as a kinematically redundant system. Therefore, the behavior of the human body can be analyzed by several redundancy resolution algorithms. Different from typical industrial robots that are fixed to the ground, the COG/ZMP condition should be taken into account in the human body motion in order not to fall down. Thus a COG/ZMP stability index is employed as a measure of stability. Kinematic redundancy inherent in the human body can be exploited to satisfy the COG/ZMP condition. Simulation result shows that the COG/ZMP condition can be satisfied by exploiting the null space motion of the kinematically redundant human body model.

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