This study is concerned with the functional utility of movement in sleeve from an ergonomic viewpoint. Experiments were carried out which include 43 upper extremity segments, 21 motions and 35 female subjects. The major conclusions of the study are. 1. The expansion rate of upper extremity was higher in length than in circumference mesurements. The amounts of expansion were, especially high (more than 60mm) for inner arm length, axillary arm circumference, and outer arm length. Therefore, a lot of ease is necessary for these parts. On the other hand, armhole circumference, forearm circumference, and wrist circumference had low rates of expansion. The sleeve cap length was also contracted in all motions. 2. The expansion rate and the range of expansion and contraction were higher in the upper arm than in the forearm. The main points of expansion were the axillary and elbow parts. The segment of maximum expansi (rate of 44.8%) was Iii of axillary parts. As the body surface expands mainly in some segments, it is desirable to allow ease to the main segments of expansion. 3. In a basic sleeve, necessary ease was lacking in the measurements for outer arm length and axillary arm circumference, while it was too large in armhole circumference, forearm circumference, wrist circumference, and sleeve cap length. Therefore, a basic sleeve is inadequate as a functional sleeve for hard work in point of functional utility of movement. Wider application of these findings would lead to an improvement in the comfort of workers.
Background: Data comparing the clinical characteristics and outcomes in chronic obstructive pulmonary disease (COPD) patients hospitalized with community-acquired pneumonia (CAP-COPD) and acute exacerbation (AECOPD) are very limited. Methods: Eighty episodes of hospitalization in 65 CAP-COPD patients, and 111 episodes of hospitalization in 82 AE-COPD patients were included in this study. The baseline characteristics, clinical presentations, potential bacterial pathogens and clinical outcomes in these patients were retrospectively reviewed and compared. Results: No significant differences were found between the two groups in parameters related to COPD and co-morbidities, except a higher rate of male among CAP-COPD patients. Clinical presentations by symptoms and laboratory findings on admission were significantly more severe in CAP-COPD patients, who showed higher rates of fever and crepitation, but less wheezing than AE-COPD patients. S. pneumoniae and P. aeruginosae were the most common bacterial pathogens in both groups. With no difference in the overall hospital mortality between both groups, the mean length of hospital stay was significantly longer in the CAP-COPD patients than in AE-COPD patients (15.3 vs. 9.8 days, respectively, p<0.01). Additional analysis on CAP-COPD patients showed that systemic steroid use did not influence the length of hospital stay. Conclusion: Although there was no significant difference in bacterial pathogens and overall hospital mortality between the two groups, CAP-COPD patients had more severe clinical symptoms and laboratory findings at presentation, and longer hospital stay than AE-COPD patients.
The purpose of this study was to investigate on the sleeve form variation according to arm movements for elderly women. This study was experimented using the Plaster gypsum. The subjects who were elderly women were divided into three groups according to Rorher Index. Arm movements were five type ($0^{\circ},\;45^{\circ},\;90^{\circ},\;135^{\circ},\;180^{\circ}$) to each the vertical motion in front and in side. The statistical analyses used in this study were Mean, Standard Deviation, Spearman's correlation coefficients, paired T-test, Kruskal-wallis one-way ANOVA and Duncan's multiple range test. The results were as follows: 1) Increasing the movements, the width of the sleeve increased and the height of the sleeve cap decreased but girth of the sleeve cap was not consistant. 2) When varied the rates of the three aspects of the sleeve, the height of the sleeve cap showed the largest variation rate. 3) There was a negative correlation between the height and the width of the sleeve. On the other hand, there was a positive correlation between the sleeve width and the sleeve girth. 4) There were the vertical motion differences between in front and in side on the three aspects of sleeve. 5) The sleeve width and the sleeve girth were different according to somatotypes but the height of the sleeve cap was not different. 6) According to the variation rates of the body surfaces in length of standard lines, the form of sleeve was changed more in the front than in the back. Maximum variation rate showed in the areas of $D_1-D_3,\;E_1-E_3$ in the horizontal lines and $A-E_2$ in vertical lines. 7) According to the comparative drawing of the heights of sleeve cap and sleeve girth, the sleeve basic pattern $S_1(A.H/4)$ was more suitable for the direction $0^{\circ}\;and\;45^{\circ}$. And the basic pattern S_6(A.H/5)$ was more suitable for the direction $90^{\circ}$, the pattern $S_7(A.H/6)$ suitable for the direction $135^{\circ}$, and the pattern $S_8(A.H/8)$ was more suitable for the direction $180^{\circ}$.
Community acquired pneumonia (CAP) remains a prevalent and potentially life threatening illness. American Thoracic Society and Infectious Disease Society America recommend combination therapies with ${\beta}-lactam$ plus a macrolide or a fluoroquinolone monotherapy for the empirical treatment of CAP. The aim of this study was to compare moxifloxacin monotherapy with cephalosporin plus azithromycin combination therapies. From January 2004 to March 2005, 18 patients in the moxifloxacin group(MG) and 21 patients in the cefuroxime or ceftriaxone plus azithromycin group(CAG) with CAP were retrospectively reviewed with regard to clinical, laboratory and microbiological data. Each patient was stratified into mild (risk class I-II), moderate (risk class III) and severe (risk class VI, V) group according to and PSI (Pneumonia Severity Index) score. Each group was compared for microbiological eradication, clinical assessment, the length of hospital stay. As results, Total 39 patients with CAP were reviewed. The appropriateness of admission was 83.3% in MC vs. 76.2% in CAC. The mean length of the hospital day was for 8.31 days vs. 7.39 days, days switching parenteral to oral antibiotics in 5.19 days vs. 5.28 days, clinical improvement in 2.43 days vs. 2.61 days in MG vs. CAC. Radiological improvement required 3.75 days vs 3.63 days in MG vs. CAG and bacteriological eradication rate at discharge was the same in the both groups. Mortality rate was 11.1% (2 of 18) vs 14.3% (3 of 21) in MG vs. CAG (p=0.77). Drug cost of the mean 5 hospital days requiring parenteral antibiotics was the most inexpensive in moxifloxacin group for the 147,045 won, and ceftriaxone 1g-azithromycin group for the 170,285 won, cefuroxime bid-azithromycin group for the 207,800 won, ceftriaxone 2g-azithromycin group far the 220,570 won, cefuroxime tid-azithromycin group for the 251,700 won. There was no significant statistical difference in clinical, bacterial, radiological cure and hospital days, and switch to oral days. In conclusion, that i.v. moxifloxacin monotherapy was as effective as azithromycin plus cefuroxime or ceftriaxone combination therapies fur the treatment of CAP. In drug cost analysis, moxifloxacin is less expensive than CAG.
In this study, seven models with distinctly different body types were researched and explanatory variables were reviewed. Review was done by using body measurements and the measurements of the appropriate bodice patterns in 1D, 2D, and 3D measurement methods in order to review the pattern making system and the equations for calculating the dimensions of the sleeve caps, which are readily available. Data on human bodies, which can be the criteria for each body part required for the new system for making sleeve cap part, were selected considering conditions such as items with a significantly high contribution rate from the results of regression analysis and the easiness of measurement. As a result of research, an explanatory variable required for the system for making sleeve caps with high general use was extracted. All items with the exception of the waist circumference and upper arm circumference were about the measurement of the form of human bodies, which were newly set in this study. As a result of this study, the equations for calculating the dimensions of each part of the sleeve caps showed distinct differences in comparison to the conventional system of construction.
Cancer pathology reports play an important role in choice of patient care. They provide crucial information concerning diagnosis, therapy options, and prognosis. Professional pathology institutions, such as the College of American Pathologists (CAP), have developed checklists to ensure the presence of all the required elements in reports. In this study, 438 surgical pathology reports of patients with breast (148), colon (147), and stomach cancer (143) were evaluated with respect to the presence of mandated elements according to CAP checklists. The most common missing element in all the three types of cancer was 'staging' (73.6, 53.1, and 56.6% in breast, colon, and stomach cancer reports missed 'staging', respectively). The second most missing element was 'tumor site' in breast (64.2%) and stomach cancer (30.1%), and 'procedure' in colon cancer (29.3%). 'Perineural invasion' was the third most missing element in the three types of cancer (25.7, 17.0, and 22.4% in breast, colon, and stomach cancer, respectively). Only 11.4% of reports included all key elements required by CAP. The use of checklists was associated with higher rate of completeness. This study demonstrates that the key elements requiring the information on the requisition forms from the clinicians are commonly missed, leading to ambiguity.
In this paper, a series of repeated load tests were carried out on a 150 mm diameter plate simulative of vehicle passes, to demonstrate the benefits of soil-rubber shred mixture in decreasing the soil surface settlement of road embankment. The results show that the efficiency of rubber reinforcement is significantly a function of the rubber content, thickness of rubber-soil mixture and soil cap thickness over the mixture. Minimum surface settlement is provided by 2.5% of rubber in rubber-soil mixture, the thickness of mixture layer and soil cap of 0.5 times the loading surface diameter, giving values of 0.32-0.68 times those obtained in the unreinforced system for low and high values of amplitude of repeated load. In this installation, in contrast with unreinforced bed that shows unstable response, the rate of enhancement in settlement decreases significantly as the number of loading cycles increase and system behaves resiliently without undergoing plastic deformation. The findings encourage the use of rubber shreds obtained from non-reusable tires as a viable material in road works.
To investigate the relationship between the pubertal spurt in body height and bone maturity of the hand-and-wrist in normal occlusion, the author X-rayed the hand-and-wrists of 1,141 students (male 614, female 527) and assessed their bone maturity. In this study, eleven skeletal stages were selected. The bones used to determine skeletal maturity were the ulnar sesamoid of the metacarpophalangeal joint of the first finger, the epiphyses of the proximal, middle, distal phalanges of the third finger, and middle phalanx of the fifth finger, and distal epiphysis of the radius. From the longitudinal data for height, an assessment was made of the change in growth velocity. The pubertal growth stage was divided into onset and peak height velocity phases. The results were as follows; 1. The onset of the pubertal growth was between the $PP_3=\;and\;MP_3=$ stage for boys, and between the $MP_3=\;and\;MP_5=$ stage for girls; the mean age of onset was 10.6 years for boys and 9.0 years for girls. 2. The peak height velocity was between the S and $MP_{3_{cap}}$ stage for boys, and between the $MP_{3_{cap}}$ and $MP_{5_{cap}}$ stage for girls; the mom age of peak height velocity was 12.5 years for boys and 10.9 years for girls. 3. As the stages of bone maturity progressed from $DP_{3u},\;to\;PP_{3u},\;MP_{3u}$, Ru, the peak height velocity had been reached, and the growth rate retarded, therefore the approach to full physical maturity was attained. 4. The evidence for the period of onset, peak height velocity and bone maturation suggested that girls were in advance of boys. During the latter part of pubertal growth, the rate of boys' bone maturation was faster than that of girls'.
Jang, Yoon Soo;So, Byung Hak;Jeong, Won Jung;Cha, Kyung Man;Kim, Hyung Min
Journal of Trauma and Injury
/
제31권3호
/
pp.151-158
/
2018
Purpose: The regional emergency medical centers manage the patients with major blunt trauma according to the process appropriate to each hospital rather than standardized protocol of the major trauma centers. The primary purpose of this study is to evaluate the effectiveness and influence on prognosis of additional cervical-thoracic-lumbar-spine computed tomography (CTL-spine CT) scan in diagnosis of spinal injury from the victim of major blunt trauma with impaired consciousness. Methods: The study included patients visited the urban emergency medical center with major blunt trauma who were over 18 years of age from January 2013 to December 2016. Data were collected from retrospective review of medical records. Sensitivity, specificity, positive predictive value, and negative predictive value were measured for evaluation of the performance of diagnostic methods. Results: One hundred patients with Glasgow coma scale ${\leq}13$ underwent additional CTL-spine CT scan. Mechanism of injury was in the following order: driver, pedestrian traffic accident, fall and passenger accident. Thirty-one patients were diagnosed of spinal injury, six of them underwent surgical management. The sensitivity of chest, abdomen and pelvis CT (CAP CT) was 72%, specificity 97%, false positive rate 3%, false negative rate 28% and diagnostic accuracy 87%. Eleven patients were not diagnosed of spinal injury with CAP CT and C-spine lateral view, but all of them were diagnosed of stable fractures. Conclusions: C-spine CT scan be actively considered in the initial examination process. When CAP CT scan is performed in major blunt trauma patients with impaired consciousness, CTL-spine CT scan or simple spinal radiography has no significant effect on the prognosis of the patient and can be performed if necessary.
The purpose of this study is to improve clothing construction by analyzing form variation of upper trunk & upper arms with the use of plaster cast. Experimental research was performed by plaster gypsum method. The subjects were males between age 21 and 25, classified Standard somatotype by their bust size and Rorher Index. Arm movements were consisted of 5 types(0$^{\circ}$, 45$^{\circ}$, 90$^{\circ}$, 135$^{\circ}$, 180$^{\circ}$) to each vertical motion in front. The statistical analyses used in this study were mean, standard deviation, repeated mesure design. The result obtained from this study were as follows; 1. As a result of investigating into the rate of the expantion and contraction of basic body-surfact-lines, the side seam length showed the maxium rate of expantion in 180$^{\circ}$ degrees, the shoulder length showed the maxium contraction in the same degrees. 2. The variation of the upper part of the body form by increasing the upper limb motions, shoulder point was moved to be the inside or upside. And the anterior armfit point, posterior armfit point and armfit point were moved to upside. The form of the armhole-line in Drafts of a body surface was differently changed by increasing the movements. 3. Increasing the upper limb motions, the height of sleeve cap decresed and width of the sleeve decreased but girths of the sleeve cap was not show consistant change.
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