• Advances in pediatric surgery
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• 제11권2호
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• pp.115-122
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• 2005

Falls from a height are the leading cause of injury and death among urban children. This study describes the incidence, clinical characteristics, and treatment results of children under 15 year of age who fell from a height of more than one meter and were admitted for abdominal injury. The medical records of 585 consecutive patients treated between January 1997 and December 2003 at Ewha Womans University Mokdong Hospital were analyzed retrospectively. The falling heights were 1 to 31.2 meters, and 28 patients(4.8 %) suffered from blunt abdominal trauma. The male to female ratio was 2.1: 1. The median age of the victims was 5.5 years, and the median height fallen was 3 meters. Fifteen patients (53.6 %) were injured during the summer and seventy-nine percent of the falls occurred between noon and 9 pm. Eighteen (64.3 %) of falls occurred in residential place and 19(67.8 %) of patients arrived at the emergency department within 30 minutes of the accident. Only 16 patients (57.1 %) complained of abdominal pain. Liver injuries were found in 12(42.9 %), spleen injuries in 5(17.9 %), kidney injuries 3(10.7 %), pancreatic injuries in 1(3.6 %) and nonspecific abdominal injuries in 9(32.1 %) cases. Increased SGOT and SGPT were found in 23(82.2 %) and 18(64.3 %) cases. Eleven patients (39.3 %) had associated head injuries. Limb injuries were present in 17.9% and thoracic injuries in 7.1%. Twenty-five patients (89.3 %) recovered without operation. The median length of hospital stay was 6 days (2 -20 days). Despite the absence of abdominal symptoms or shock, falls from a height in children may carry significant intra-abdominal organ injuries. The height falling could not predict the degree of the abdominal injury. For the evaluation of potential abdominal injuries, CT scan should be utilized.

• Journal of Ecology and Environment
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• 제43권4호
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• pp.364-375
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• 2019

Background: Ecologists continue to investigate the factors that potentially affect the pattern and magnitude of tree damage during catastrophic windstorms in forests. However, there still is a paucity of research on which trees are more vulnerable to direct damage by winds rather than being knocked down by the fall of another tree. We evaluated this question in a mixed hardwood-softwood forest within the Big Thicket National Preserve (BTNP) of southeast Texas, USA, which was substantially impacted by Hurricane Rita in September 2005. Results: We showed that multiple factors, including tree height, shade-tolerance, height-to-diameter ratio, and neighborhood density (i.e., pre-Rita stem distribution) significantly explained the susceptibility of trees to direct storm damage. We also found that no single factor had pervasive importance over the others and, instead, that all factors were tightly intertwined in a complex way, such that they often complemented each other, and that they contributed simultaneously to the overall susceptibility to and patterns of windstorm damage in the BTNP. Conclusions: Directly damaged trees greatly influence the forest by causing secondary damage to other trees. We propose that directly and indirectly damaged (or susceptible) trees should be considered separately when assessing or predicting the impact of windstorms on a forest ecosystem; to better predict the pathways of community structure reorganization and guide forest management and conservation practices. Forest managers are recommended to adopt a holistic view that considers and combines various components of the forest ecosystem when establishing strategies for mitigating the impact of catastrophic winds.

• 치과방사선
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• 제25권2호
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• pp.545-553
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• 1995

The subjects of this study consisted of 58 patients with Le Fort fractures, who were admitted to Chonbuk National University Hospital from Jan. 1988 to Oct. 1995. The author classified the maxillofacial fractures by Le Fort classification and examined the. incidence of Le Fort fractures by age, sex and etiology. The purpose of this study was to compare the imagings of conventional radiograms with those of computed tomograms and to aid in the diagnosis of patients with Le Fort fractures. The obtained results were as follows: 1. The Le Fort fractures occured mainly in 3rd and 4th decades, but there was no significant difference between decades. A ratio of men to women was 5.5 : 1. The major etiologic factors were traffic accident(69％), assault(14％) and fall-down(12％). 2. The most common type of Le Fort fracture was type I(49.3％). The numbers of Le Fort II, ill fractures were 41.3％, 9.4％ respectively. And 8.6％ were midsagittal splitting fractures. 3. The discontinuity and haziness of the maxillary sinus were easily detected by Waters' view. In skull PI A view, it was difficult to observe fractures due to overlapping of the other structures, but the haziness of the maxillary sinus was sometimes observed. 4. In Le Fort fracture, the fracture pattern of orbit, the wall of maxillary sinus, nasal bone and pterygoid plate were more easily detected in computed tomograms than in conventional radiograms.

• 대한정형도수물리치료학회지
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• 제17권2호
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• pp.19-24
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• 2011

Background: The elderly are likely to fall due to physical and mental atrophies, and experiencing falls may result in fear of falls and lack of self-confidence, which also leads to hesitation to physical activities and changes in walk and balance, the major variables in independent daily life. Methods: In three senior citizen centers located in D city, 22 elderly women aged 65 or older were chosen, and they filled in the questionnaire which included their agreement to voluntarily participate in the survey and medical histories. As to whether they had falls experience, the medical history items in the questionnaire asked them if they had falling down or falls once a year, twice for the three years. The objects were divided to NFE (non-falls experience) and FE (falls experience). Results: 1. As to walking abilities, significant difference was found between NFE and FE regarding walk width, stepping with two feet, and stride length while there was no significant different in terms of cadence. 2. As to balancing abilities, was significant difference between NFE and FE in terms of the physical body center area. As to the sit-to-stand, tandom gait test, no significant difference was found, and neither in the timed up and go test. Conclusions: The elderly with falls experience has inferior walking and balancing abilities to those without falls experience, and thus they are more exposed to the risks of falls.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제13권3호
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• pp.291-299
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• 1991

We retrospectively reviewed 334 inpatients who sustained a total of 518 mandibular fractures and who ewer treated in our department between l980-1990. This results were obtained as follows : 1. In respect of incidence, there were the highest frequency in July, and the lowest frequency in May. The number of patients has not been increased year after year due to competition with other department in our hospital. 2. The age frequency was the highest in the 2nd decade(38.9%) and the ratio of man to women was 4.9 : 1. 3. The most frequent cause of mandibular fracture was traffic accident(43.4%), and the next was fall down(24.3%), fist blow(71%), industrial accident(21%) and others in order. In the traffic accident, autobicycle accident was 14.1%. 4. The most common location of mandibular fracture was symphysis(38.8%), condyle(20.7% ), angle(19.9%) and body(15.1%) were next in order of frequency. The classification by location of fracture, the frequency of single fracture was 54.8%. 5. In 334 patients of mandibular fracture, the frequency of associated injuries was facial laceration(58.4%), teeth injuries(37.7%), extremity injuries(13.2%) were next in order of frequency. 6. The patients arrived in hospital immediately within 24 hours after accident wee 61.4% of all. In respect of treatment, open reduction was 68.7% of all. 7. Complications including infection were present 11.1% of patient. Other complications inclued delayed healing malocclusion, malocclusion and neurologic problem.

• 한국컴퓨터정보학회논문지
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• 제16권7호
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• pp.157-163
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• 2011

본 논문에서는 ARS(Attitude Refrence System)를 이용하여 모바일 역진자 로봇의 수평유지와 주행을 위한 자세 제어를 연구하였다. 현재 미국 및 여러 나라에서는 모바일 역진자 로봇에 대한 많은 연구가 진행되고 있으며 이를 이용한 세그 웨이 등을 개발하고 있다. 이러한 2자유도를 이용한 모바일 역진자 로봇은 다양한 모드로 움직일 수 있다. 모바일 역진자 로봇이 2바퀴로 수직 자세를 취하면 시스템이 안정을 취하기 위하여 항상 앞, 또는 뒤로 넘어지려는 성질을 가진다. 현재 자이로센서와 가속도센서를 혼합하는 알고리즘은 칼만필터가 일반적으로 이용되고있으며 많은 연구가 진행되고 있다. 본 연구에서 ARS는 2축의 자이로 각(roll, pitch)과 3축의 가속도계 값(x, y, z)값으로 자세를 계산하도록 하였다. 본 논문은 자율주행시스템인 2발 로봇 시스템으로 간단하지만 원하는 성능을 발휘할 수 있는 ARS와 PID 알고리즘을 이용한 자세 제어를 실현하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권3호
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• pp.264-276
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• 1995

This is a clinical and retrospective study on the patients with oral and maxillofacial trauma. This study was based on a series of 917 patients were treated as in-patients, at Chon-buk National University Hospital, during the period of Jan., 1989 through Dec., 1993. The results obtained were as follows : 1. The ratio of men to women were 3.59 : 1 in oral and maxillofacial injuries, 3.92 : 1 in facial bone fractures, and 3.18 : 1 in soft tissue injuries. 2. The oral and maxillofacial injuries occurred most frequently in the third decade(32.2%), and fourth, second, fifth decade in orders. 3. The major etiologic factors were traffic accident(57.4%) and fall-down(17.1%), interpersonal accident(16.6%), and industrial accident were next in order of frequency. 4. The incidence of facial bone fracture was 72.1%, soft tissue injury 58.8%, and dental injury 40.5%. 5. The most common site of fracture were mandible(62.9%) and maxilla(19.9%), zygoma and zygomatic arch(18.7%), and nasal bone(4.7%) were next in order of frequency. 6. The most common type of soft tissue injury was laceration(51.0%). The lesion of soft tissue injuries were mostly 1 or 2 lesions and deep.

• 한방재활의학과학회지
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• 제21권1호
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• pp.137-148
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• 2011

Objectives : This study was to investigate the visual bio-feedback training for 5 weeks on balance and postural control for patients with stroke. Methods : The 26 subjects were randomly selected from the patients of the E hospital in the S city who met the study conditions. They were divided into a visual bio-feedback training group of 13 patients and a self-resistance exercise group of 13 patients. The visual bio-feedback training group received visual bio-feedback and general physiotherapy for five weeks and the self-resistance exercise group received cycling and general physiotherapy for the same period. The subjects were measured and compared for stability index, weight distribution index, fall down index, functional reach test and timed up and go test before and after the program. Results : The visual bio-feedback training group showed significant changes after the experiment in stability index, weight distribution index, functional reach test and timed up and go test(p<0.05), and the self-resistance exercise group also showed significant differences(p<0.05). The changes between prior to and after the experiment show that the visual bio-feedback training group had more significant effects than the self-resistance exercise group(p<0.05). Conclusions : The visual bio-feedback training for five weeks had effects in the improvement of the balance and posture control of stroke patients. Based on these results, more effective training programs should be developed and propagated.

• Child Health Nursing Research
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• 제8권2호
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• pp.174-182
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• 2002

The purpose of this study was to investigate the experiences of accident and visiting emergency center, and the experiences of education about emergency care for parents. The subjects of this study were 117 mothers whose children are attending 9 different nursery schools or kindergartens. The instrument used in this study was developed by researchers and validated by nursing professor, first aid doctor and the president of nursery school, and consisted of 'most important thing in child rearing' ,'experiences of accident and visiting emergency center', 'type of trauma' and 'need for parent education program' the result of this study were as followed ; 1.There were 70.09％ of the experience of visiting emergency center among the subjects. The cause of visiting emergency center were high fever and convulsion(42.86％), and trauma by accident(28.04％) 2. The most common type of the indoor accident were fall down and slipping(76.92％), the common type of trauma were contusion (76.92％), abrasion(47.01％), laceration(29.06％), dislocation or fracture(12.82％), burn(10.26％), piercing(8.55％). 3.47.01％ of subjects had the experience of education about emergency care for parents. They were educated by child rearing journals (32.72％), small books which were published by hospitals or community health center (25.45％), mass media(21.8％), parent seminar (12.72％), nursery school or kindergarten (5.45％). In conclusion, the need of emergency care for children was strongly found. Therefore, on the basis of above results, the parent education program which fits their cognitive level and their health care needs So, it must be directed on the further study of parents' knowledge about emergency care for children. To enhance the effectiveness of program and accomplish the children's health promotion, advanced instructional media and demonstration must be included.

• 한국게임학회 논문지
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• 제13권1호
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• pp.49-60
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• 2013

여성가족부는 2011년 10월부터 온라인게임에 대한 셧다운제를 실시하였다. 셧다운제는 게임 과몰입을 방지하고 청소년의 수면권을 보호하는 것을 정책 목표로 내세웠지만, 셧다운제가 과연 청소년들의 게임 과몰입을 해결할 수 있는지, 정책의 실효성 있는 집행이 가능한지에 대해 많은 반론이 존재하였다. 본 연구는 게이머와 비게이머간에 셧다운제 정책 효과에 대한 인식 차이가 존재하는지, 그리고 셧다운제의 실시가 게이머와 비게이머의 정부 신뢰에 대한 인식에 어떠한 영향을 미치었는지를 살펴보도록 하였다. 설문 조사 결과, 게이머는 셧다운제에 대해 부정적으로 보고 정부신뢰가 감소되었으며, 비게이머들은 셧다운제를 긍정적으로 보고 정부신뢰가 증가되는 효과가 존재하였다. 즉 셧다운제는 비게이머들이 정책효과를 믿으면서 실시한 정책으로, 막상 정책대상자들인 게이머들은 정책 효과를 인정하지 않는 성격을 지니는 정책으로서의 특성을 지닌다.