• Title/Summary/Keyword: Critical fall height

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Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study

  • Dae Hyun Kim;Jae-Hyug Woo;Yang Bin Jeon;Jin-Seong Cho;Jae Ho Jang;Jea Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.187-195
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    • 2023
  • Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

Influencing factors of the severity of occupational fall injury (직업손상과 관련된 추락환자의 중증도에 영향을 미치는 요인)

  • Ju, Jeong-Mi;Tak, Yang-Ju
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.113-125
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    • 2016
  • Purpose: The purpose of this study was to investigate factors influencing severity of occupational fall injury. Methods: A self-reported questionnaire was completed by 105 patients sustaining occupational fall injury between July 2010 and January 2013. The study instruments were developed by the National Traumatic Occupational Fatalities and National Electronic Injury Surveillance System. The questionnaire consisted of general characteristics of the subjects (30 items), workplace characteristics (12 items) and disaster characteristic (13 items). Results: Demographic factors, except age, did not affect the severity of injury. Injured patients aged 50-59 years tended to have more severe injuries than those aged 39 years. Type of transport vehicles, conditions, and the circumstances of the fall influenced injury severity. Patients transported by 119 ambulance suffered more severe fall injuries than those who were not. Electrical workers did not receive safety education wihin a year. Critical height in severe injuries was > 6 meters. Conclusion: Occupational fall injuries were influenced by patient age, types of transport vehicles, fall height, size of workplace, and safety education experience.

Hazardous Factors and Accident Severity of Cabling Work in Telecommunications Industry

  • Kim, Yang Rae;Park, Myoung Hwan;Jeong, Byung Yong
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.3
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    • pp.155-163
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    • 2016
  • Objective: This study aims to draw the characteristics of occupational accidents occurred in cabling work, and assess accident severity based on occupational injury data. Background: Accident factors and accident risk are different by the place of work in cabling work. Field managers require information on accident prevention that can be easily understood by workers. However, there has been a lack of studies that focus on cabling work in Korea. Method: This study classifies 450 injured persons caused in cabling work by process, and analyzes the characteristics of occupational injuries from the aspects of age, work experience and accident type. This study also analyzes accident frequency and severity of injury. Results: Results show that preparing/finishing (33.3%) was the most common type of cabling process in injuries, followed by maintenance (28.4%), routing/income (23.1%) and wiring/installation (15.1%) process. The critical incidents in the level of risk management were falls from height in the routing/incoming process, and falls from height in the maintenance process. And, incidents ranked as 'High' level of risk management were slips and trips, fall from height and vehicle incident in the preparing/finishing process, and fall from height in the wiring/installation process. Conclusion and Application: The relative frequency of accident and its severity by working process serve as important information for accident prevention, and are critical for determining priorities in preventive measures.

A Study on the Design of Free-Fall Simulator using concept of Vertical Wind Tunnel (수직형 풍동을 응용한 고공강하 시뮬레이터의 설계에 대한 연구)

  • Choi, Sang-Gil;Cho, Jin-Soo
    • Proceedings of the KSME Conference
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    • 2000.11b
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    • pp.447-452
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    • 2000
  • In this study, the design of Free-Fall Simulator was carried out using concept of vertical wind tunnel. Free-Fall Simulator is not an experimental equipment but a training equipment. Therefore Free-Fall Simulator needs a large training section compared with test section of wind tunnel and has critical limit of height. These limits bring about the difficulty of design for a return passage. Due to small area ratio, the downstream flow of training section with high speed is not decelerated adequately to the fan section. High-speed flow leads to great losses in the small area ratio diffuser and corner. So design of diffusers and corners located between training section and fan section has a great effect on the Free-Fall Simulator performance. This study used an estimation method of subsonic wind tunnel performance. It considered each section of Free-Fall Simulator as an independent section. Therefore loss of one section didn't affect loss of other sections. Because losses of corner with vane and $1^{st}$ diffuser are most parts of overall Free-Fall Simulator, this study focused on the design of these sections.

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Study on the Safety of Playground Flooring Made of Polyolefin Foam Waste and Rubber Paving (폐폴리올레핀 폼과 탄성 포장재로 구성된 어린이 놀이터 바닥의 안전성에 관한 실험적 연구)

  • Choi, Soo-Kyung;Jun, Myoung-Hoon;Lee, Do-Heun
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.1 no.3
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    • pp.246-254
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    • 2013
  • This study is purposed to verify the safety of the floor of the children's playground using polyolefin foam waste and rubber paving. The critical fall height, walking suitability, long term physical fatigue expectation and slipperiness were tested. Polyolefin foam wastes in thickness of 30mm, 50mm and 70mm were prepared with paving the rubber paving materials in 12mm and 15mm thickness respectively. The test on the critical fall height was carried out according to KS G 5758:2009. The floor hardness test equipment (O-Y HMA) was used for the test on hardness of the floor from a viewpoint of walking suitability and fatigue. A portable slipperiness tester (ONO PPSM) was used for slipperiness test. It was revealed from the test that the floor made of the polyolefin foam waste and rubber paving were considerably safe from a viewpoint of impact absorption. With regards to the hardness of the floor, it was shown the excellent performance in the aspects of walking and fatigue for male. But it was not suitable with walking on the shoes(middle heels) for female. And they will be very fatigue if they were in a long time walking or standing. As far as the slipperiness is concerned, it was shown that it was comparatively safe for the ordinary motions even though the surface was wet.

Effective Disaster Risk Management Measures Fall (추락재해의 효과적인 위험관리 방안)

  • Kim, Eun-Jeung;Ahn, Hong-Seob
    • Journal of the Korean Society of Safety
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    • v.27 no.2
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    • pp.42-48
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    • 2012
  • The present study was motivated by the needs to make diversified scientific approaches toward influential factors like human, technical, organization, policy and environmental on the basis of the specialized information concerning the cause for industrial accidents in a measure to prevent the falling accident which has the biggest priority among the three major frequent industrial accidents. In this connection, diverse policies have been practiced in the meantime, with little effects in fact to reduce occurrence of industrial accidents, seemingly because such policies have been practiced on the direct dimension, instead of tries to nip in the bud of fundamental causes. This study was thus conducted with a view to determine the causes that have influence on falling accidents from the overall context and unearth the factors requiring management with priority. For this aim, "Fall from Height"(2003), a study by HSE, UK was applied to various conditions of korea as an experiment to search for fundamental causes for falling accidents. The major findings of this study might be summed up as exploring a main critical path that has influence upon falling accidents and suggesting effective ways to cut down through the critical path.

Relationship of Test Methods of Impact Absorbing Effect of Floors from a viewpoint of Safety in Accidental Collisions (인체충돌시 바닥의 안전성에 관한 시험방법간 연관성 분석)

  • Kim, Sang-Heon;Ji, Suk-Won;Yoon, Jung-Sik;Choi, Soo-Kyug;Seo, Chee-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.11 no.1
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    • pp.29-34
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    • 2011
  • Since the study of building performance design was first undertaken by Building Research Station in 1930s, the results of such study has been reported from many parts of the world, building construction codes and standards have been revised based on performance in advanced nations as well in Korea, and various performance certification systems are in operation. The purpose of this study is to build a database of performance certification systems to investigate the co-relationship of various test methods related to the same test items. As test methods for case study, we selected test methods involving collision of the human body. Through analysis of Critical fall height test of EN 1177 and Head Model test of JIS A 6519 about 8 species of floor test-bodies, it was found that there are limits of application in terms of the depth and strength of cushion. Furthermore, although the measured physical parameters are the same, when the co-relationship between test methods is uncertain, the various physical parameters may not be compatible with the results.

Experimental Study on the Structural Safety of the Tractor Front-End Loader Against Impact Load

  • Park, Young-Jun;Shim, Sung-Bo;Nam, Ju-Seok
    • Journal of Biosystems Engineering
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    • v.41 no.3
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    • pp.153-160
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    • 2016
  • Purpose: This study was conducted to experimentally investigate the structural safety of and identify critical locations in a front-end loader under impact loads. Methods: Impact and static tests were conducted on a commonly used front-end loader mounted on a tractor. In the impact test, the bucket of the front-end loader with maximum live load was raised to its maximum lift height and was allowed to free fall to a height of 500 mm above the ground where it was stopped abruptly. For the static test, the bucket with maximum live load was raised and held at the maximum lift height, median height, and a height of 500 mm from the ground. Strain gages were attached at twenty-three main locations on the front-end loader, and the maximum stresses and strains were measured during respective impact and static tests. Results: Stresses and strains at the same location on the loader were higher in the impact test than in the static test, for most of measurement locations. This indicated that the front-end loader was put under a severe environment during impact loading. The safety factors for stresses were higher than 1.0 at all locations during impact and static tests. Conclusions: Since the lowest safety factor was higher than 1.0, the front-end loader was considered as structurally safe under impact loads. However, caution must be exercised at the locations having relatively low safety factors because failure may occur at these locations under high impact loads. These important design locations were identified to be the bucket link elements and the connection elements between the tractor frame and front-end loader. A robust design is required for these elements because of their high failure probability caused by excessive impact stress.

Dynamic analyses and field observations on piles in Kolkata city

  • Chatterjee, Kaustav;Choudhury, Deepankar;Rao, Vansittee Dilli;Mukherjee, S.P.
    • Geomechanics and Engineering
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    • v.8 no.3
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    • pp.415-440
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    • 2015
  • In the present case study, High Strain Dynamic Testing of piles is conducted at 3 different locations of Kolkata city of India. The raw field data acquired is analyzed using Pile Driving Analyzer (PDA) and CAPWAP (Case Pile Wave Analysis Programme) computer software and load settlement curves along with variation of force and velocity with time is obtained. A finite difference based numerical software FLAC3D has been used for simulating the field conditions by simulating similar soil-pile models for each case. The net pile displacement and ultimate pile capacity determined from the field tests and estimated by using numerical analyses are compared. It is seen that the ultimate capacity of the pile computed using FLAC3D differs from the field test results by around 9%, thereby indicating the efficiency of FLAC3D as reliable numerical software for analyzing pile foundations subjected to impact loading. Moreover, various parameters like top layers of cohesive soil varying from soft to stiff consistency, pile length, pile diameter, pile impedance and critical height of fall of the hammer have been found to influence both pile displacement and net pile capacity substantially. It may, therefore, be suggested to include the test in relevant IS code of practice.

A Survey of Nutritional Status on Pre-School Children in Korea (학영기전아동(學齡期前兒童)의 영양실태조사(營養實態調査))

  • Ju, Jin-Soon;Oh, Seoung-Ho
    • Journal of Nutrition and Health
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    • v.9 no.2
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    • pp.68-86
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    • 1976
  • The primary purpose of this study is to evaluate the correct nutritional status on pre-school children in Korea. Furthermore, it made an attempt to find and define nutrional problems, and assist in establishment on their nutritional improvement plan. For this, food intake and health condition (physical, clinical, biochemical and parasitological) survey on 109 Pre-school children in both sexes, randomly selected from Yang-Gu area in Gang-Won province and Rea-ju area in Kyong-gy Province, were conducted by means of three-day records, during the two periods of Spring and Fall season in 1975. The results obtained are summerized as follows: 1. The food intake; Average food intake of the subjects per day were $508{\sim}647g$ ($83{\sim}91%$ in vegetable foods and $5.5{\sim}11.7%$ in animal foods) in Yang-gu area, and $587{\sim}698g$ ($88{\sim}89%$ in vegetable foods and $6.3{\sim}7.6%$ in animal foods) in Rea-ju area. 2. The intake of energy and nutrients; a) Calory intake. Average energy intake of subjects per day in Yang-gu area$(1120{\sim}1415kcal)$ were all lower than the Korean Recommended Dietary Allowances (RDA) in either Spring and Fall survey, whereas the subjects in Rea-ju area were lower intake $(1213{\sim}1418kcal)$ than the RDA in the Spring but higher intake$(1516{\sim}1755kcal)$ than the RDA in the Fall, and the average intake were similar level with that of RDA. b) Protein intake. Average protein intake of the subjects per day in Yang-gu area $(33{\sim}43g)$ girl subjects in Rea-ju area $(35{\sim}39g)$ were lower than the RDA in either Spring and Fall survey, whereas the boy subjects in Rea-ju area$(36{\sim}38g)$ were lower in Spring and higher $(49{\sim}57g)$ in the Fall than that of the RDA, but the average $(43{\sim}47g)$ were similar level with the RDA. The protein intake from animal sources in all subjects were much lower $(5.5{\sim}11.7\;of\;total\;protein)$ than the RDA. c) Fat intake. Average fat intake were very lower in all subjects of both area $(14{\sim}24g\;in\;Yang-gu,\;10{\sim}12g\;in\;Rea-ju)$ than that of RDA which is recommended $12{\sim}14%$ of total energy to be supplied from fat. d) Calcium intake. Average calcium intake were very low in all subjects of both area $(264{\sim}355mg\;in\;Yang-gu\;and\;283{\sim}429mg\;in\;Rea-ju)$, especially, these in Spring were about a half level of the RDA, and it was much increased in the Fall due to increased intake of milk, but it was still not enough than the RDA. e) Vitamin A intake. Average intake of V.A ($703{\sim}1465\;IU$ in Ynag-gu and $750{\sim}1521\;IU$ in Rea-ju) were also lower than the RDA, moreover their V-A sources were mainly vegetable, so that the V-A supply might be critical one for the subjected. f) Riboflavin intake. Average riboflavin intake on all subjects in both area except boys in Rea-ju area in Fall, were very lower than the RDA. 3. The physical status; a) Average weight and height of boys aged 4 and 5 in Yang-gu area and girls of aged 5 in Rea-ju area were lower than those of Korean Standard of 1967 report, but those by age of girls in Yang-gu area and boys in Rea-ju area were a little heigher than the Korean Standard. It is, hower, present Korean standard of physical status might be somehow heigher than the 1967, since the socio-economical situation has been much improved during past a decade. So that, if one considered on this sense, the physical status of the subjects on this survey might be somehow lower than those of present Korean standard. b) Average upper arm circumference in both area were no difference each other, and their mean values of age 4, 5 and 6 in boy and girl were 15.6, 16.5, 16.4 and 15.5, 16.5, 16.4cm respectively. c) Average chest girth of boys were similar to those of Korean standard whereas the girls were smaller than the Korea standard. The average head circumference also showed similar tendency with the chest girth. 4. The clinical findings; The most popular clinical signs were angular stomatitis and dental caries, and boys had more heigher incidence then the girls. 5. The biochemical findings; a) Hemoglobin and anemia Average Hb value of boys and girls were 11.4 and 10.9g per 100 ml of blood respectively. The incidence of anemia (Hb value below 11 g/100 ml, by WHO) was increased by age, and girls had more heigher incidence than the boy (34% : 48%). The incidence of anemia in age of 4,5, and 6 in boys and girls were 28%, 41% 34%, and 33%, 50%, 49% respectively. The degree of the anemia was not severe, and the anemia of there subjects may be caused mainly low intake of better quality protein and low iron intake as well. b) Hematocrit. Average Ht value of whole subject were $39.9{\sim}41.6%$. c) Blood plasma protein. Average blood plasma protein contents of whole subjects were $6.6{\sim}7.4gm$ per 100 ml. The incidence of deficient range (<6.0g%, by ICNND) was only one girl of age 4 in yang Gu area. 6. Parasitological findgs; The most popular parasitism were asicris lumbicoides and trichocephalus trichiura, and about 2/3 of the whole subjects were suffering one or more of these parasitism.

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