• Title/Summary/Keyword: Fall-down

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Measure of Agreement between Prehospital EMS Personnel and Hospital Staffs using Guidelines for Field Triage of Injured Patients (외상환자의 병원 전 및 병원단계 중증도 평가의 일치도)

  • Kim, Dae Kon;Hong, Ki Jeong;Noh, Hyun;Hong, Won Pyo;Kim, Yu Jin;Shin, Sang Do;Park, Ju Ok
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.126-132
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    • 2014
  • Purpose: The field trauma triage for injured patients is essential for trauma care system. In this study, agreement of patient evaluation between by prehospital EMS personnel and by hospital staffs and the appropriateness of prehospital triage were evaluated. Methods: This observational study was conducted from September to October 2012 for 5 weeks. During this period, EMT evaluated patient's severity according to guideline for field triage and recorded. Same guideline was applied in 26 hospitals for patients with EMS use. Kappa statistics were used to measure agreement for each item of guideline. Finally, over-triage and under-triage rate of EMT were calculated. Results: During study period, total 3,106 patients were transferred to 26 hospital emergency departments with EMS use. Kappa statistics for "vital signs" items were 0.45 for mentality lower than V and 0.44 for systolic blood pressure lower than 90 mmHg as a moderate agreement. In "anatomy of injury" items Kappa statistics were very low. In "mechanism of injury" items Kappa statistics were 0.28 for high-rise fall down and 0.27 for high energy traffic accident but in other items Kappa statistics were very low. 362 patients (12.0%) were over-triaged and 281 patients (9.3%) were under-triaged. Conclusion: Field triage can be applied but need to evaluate and modify in order to become accurate and sensitive for decision of transportation.

Relationship among Photosynthesis, Grain Filling and Temperature of Rice Cultivars by Shifted of Heading Date (벼 품종들의 출수기 이동에 따른 광합성 및 온도와 등숙과의 관계)

  • 이석영
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.3
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    • pp.398-405
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    • 1995
  • In termperate zone planting rice at different date subjects the crop to different climatic condition. This study aimed at comparison of the change in source-sink relationship of the Japonica(J) and that of Indica Japonica(I$\times$J) type rice cultivars caused by shift of heading date. Two J-and two I$\times$J-type cultivars were made to head on Aug. 16, Aug. 26 and Sep. 5. Percent grain fertility was not changed in response to shift of heading date. Ripening patterns of 4 rice cultivars were similar to sigmoid curve type but when the heading date was delayed to Sep. 5, the form is changed to log type of curve. In J-type, physiological maturity was delayed about 5 day when headed at Sep. 5, in compare to headed at Aug. 16 and Aug. 26. However ripening was continued about 10 days when the diurnal, nocturnal and minimum temperature was above 17, 12$^{\circ}C$ and about 3~8$^{\circ}C$. In I$\times$J hybrid, real ripening was continued when the diurnal, nocturnal and minimum temperature was over 20, 17$^{\circ}C$, but if the minimum temperature was downed bellow 1$0^{\circ}C$, it was impossible. Simulated photosynthetic amount based on photosynthetic ability, temperature, leaf area and day length was varied according to changes in heading date and it was decreased seriously if the minimum temperature was fall down bellow 4$^{\circ}C$ in field, that's why decrease in photosynthetic ability and aging. The temperature range of optimum ripening was 21~26$^{\circ}C$, if there is nothing hindering factor.

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NON SURGICAL TREATMENT OF SOFT PALATE LACERATION (연구개 열창의 비외과적 처치술)

  • Chae, Kyu-Ho;Choi, Byung-Jai;Choi, Hyung-Jun;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.450-454
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    • 2002
  • Laceration of soft palate and oropharynx is relatively common in children. Soft palate laceration has been reported patients of all ages, ranging from new born to geriatric patients. However, young children often place objects their mouth, they may fall on the object or receive a direct force on the object which then perforates the soft palate tissue. Most frequently affected site is the left supra-tonsillar area. Lesions are predominately in the soft palate with-out perforation. Linear and superficial wounds are frequent. A typical injury is the flat- U-, or V-shaped with apex directed anteriorly. In those cases without any through-and-through lacerations or any tissue loss, suture is not necessary. Furthermore, suture of the affected site may hinder wound healing. Healing of the wound should be complete by three weeks with minimal scarring. There have been reports of carotid artery injury due to soft palate laceration causing neurologic complications. For such reasons, traumatized child must be in close observation for 2-3days, and if symptoms of complication are noticed consultation with oromaxillofacial surgeons, E.N.T., or neurologist is required. These are two reports of boys 2 and 3 years of age who had soft palate laceration caused by a falling-down-in jury with an object in their mouth. They were treated non-surgically and neurologic evaluation was carried out for 1 week with complete healing.

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A CLINICAL AND STATISTICAL STUDY OF MAXILLOFACIAL FRACTURE IN THE UIJUNGBU AREA (의정부지역의 악안면 골절에 대한 임상 통계적 연구)

  • Kim, Hyoun-Tae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.63-68
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    • 1991
  • The author has arrived at the following result after having carried out multilateral study based on a total of 282 maxillofacial fracture patients who have receive treatment at the Euijeongbu general hospital and Shinchun general hospital in the northern district of Kyunggido from march 1988 to august 1990. 1. Sex distribution of Mx. facial fx. patient was higher in male by 4.6:1 and was predominant in the 3rd decade with 40.4% followed in decreasing order by the 2nd decade and the 4th. 2. A majority were in the Mn. with 40.2% followed in decreasing order by zygoma. nasal bone and maxilla. 3. For the sex distribution according to anatomy, make to female ratio was 6.2:1 in the mandible, followed in decreasing order by zygoma, and nasal bone with predominance in male. 4. Car accident with 42.8% was the most common cause of fx. followed in decreasing order by violence, workmen's accident, and fall down. 5. The involvement of other trauma areas are head. 79.0%, abdomen-thorax, and the extremities in decreasing order. 6. In the mandibular fx. a majority were in the symphysis with 73.9% followed in decreasing order by angle, Condyle, and body. 7. Maxillary fx. of the type LeFort II was estimated to be 41.2% 8. Fracture in the zygoma including zygomatic arch was estimated to be 72.5%

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FORMATION OF PROTO-GLOBULAR CLUSTER CLOUDS BY THERMAL INSTABILITY

  • KANG HYESUNG;LAKE GEORGE;RYU DONGSU
    • Journal of The Korean Astronomical Society
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    • v.33 no.2
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    • pp.111-121
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    • 2000
  • Many models of globular cluster formation assume the presence of cold dense clouds in early universe. Here we re-examine the Fall & Rees (1985) model for formation of proto-globular cluster clouds (PGCCs) via thermal instabilities in a protogalactic halo. We first argue, based on the previous study of two-dimensional numerical simulations of thermally unstable clouds in a stratified halo of galaxy clusters by Real et al. (1991), that under the protogalactic environments only nonlinear (${\delta}{\ge}1$) density inhomogeneities can condense into PGCCs without being disrupted by the buoyancy-driven dynamical instabilities. We then carry out numerical simulations of the collapse of overdense douds in one-dimensional spherical geometry, including self-gravity and radiative cooling down to T = $10^4$ K. Since imprinting of Jeans mass at $10^4$ K is essential to this model, here we focus on the cases where external UV background radiation prevents the formation of $H_2$ molecules and so prevent the cloud from cooling below $10^4$ K. The quantitative results from these simulations can be summarized as follows: 1) Perturbations smaller than $M_{min}\~(10^{5.6}\;M{\bigodot})(nh/0.05cm^{-3})^{-2}$ cool isobarically, where nh is the unperturbed halo density, while perturbations larger than $M_{min}\~(10^8\;M{\bigodot})(nh/0.05cm^{-3})^{-2}$ cool isochorically and thermal instabilities do not operate. On the other hand, intermediate size perturbations ($M_{min} < M_{pgcc} < M_{max}$) are compressed supersonically, accompanied by strong accretion shocks. 2) For supersonically collapsing clouds, the density compression factor after they cool to $T_c = 10^4$ K range $10^{2.5} - 10^6$, while the isobaric compression factor is only $10^{2.5}$. 3) Isobarically collapsed clouds ($M < M_{min}$) are too small to be gravitationally bound. For supersonically collapsing clouds, however, the Jeans mass can be reduced to as small as $10^{5.5}\;M_{\bigodot}(nh/0.05cm^{-3})^{-1/2}$ at the maximum compression owing to the increased density compression. 4) The density profile of simulated PGCCs can be approximated by a constant core with a halo of $p{\infty} r^{-2}$ rather than a singular isothermal sphere.

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The Descriptive Analysis on the General Characteristics of the Inpatients with Occupational Injuries in an Oriental Medicine Hospital (한방병원에 입원한 산업재해 환자의 일반적 특성에 대한 기술적 분석)

  • Park, Tae-Yong;Lee, Jung-Han;Moon, Soo-Jeong;Ko, Ha-Neul;Ko, Yeon-Suk;Song, Young-Sun;Kwon, Kang-Beom
    • Journal of Society of Preventive Korean Medicine
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    • v.14 no.3
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    • pp.117-127
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    • 2010
  • Objectives : The purpose of this study was to find out the characteristics of patients who admitted due to industrial accident and to promote the superiority of oriental medical treatment on the sequelae of industrial accident. Methods : We analyzed the medical charts of 51 inpatients in a local oriental medicine hospital. The patients had been hospitalized from May 1, 2003 to October 31, 2010. Results : 1. By gender, males accounted for 78.4%, while females 21.6%. By age, most incidences occurred in the forties(29.4%), fifties(23.5%) and thirties(19.6%) in order. 2. Most causes of accident was carelessness(27.5%) and fall down(21.6%) was the next. 3. With regard to the interval from occurrence of accidents to hospitalization, 20 cases(39.2%) were found to be hospitalized 31~90 days after the accidents, followed by 11 cases(21.6%) in 91~180 days and 7 cases(13.7%) in 181~360 days. 4. Most cases turned out to be injuries with 40 patients from Sequelae of intracerebral hemorrhage (23.5%) and Lumbar and other intervertebral disc disorders with radiculopathy(13.7%). The mean duration of hospitalization was $209.03{\pm}346.04$ days. Inpatients of Organic brain syndrome NOS numbered the longest stay($676{\pm}86.26$days), Sequelae of intracerebral hemorrhage recorded $541.91{\pm}541.83$ days hospitalized. 5. Most of inpatients were treated with acupuncture(100%), herbal medication(98.0%), oriental physiological therapy(82.3%), and moxibustion(76.4%). Conclusions : This article will help the researchers related to Oriental medicine establish basic source of Oriental medicine approach for inpatients due to industrial accident.

A Time Series Analysis and Forecasting of Chestnut Prices (밤 가격(價格)의 시계열분석(時系列分析)과 예측(豫測)에 관(關)한 연구(硏究))

  • Cho, Eung Hyouk
    • Journal of Korean Society of Forest Science
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    • v.73 no.1
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    • pp.70-75
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    • 1986
  • The secular trend and seasonal variation of chestnut prices have been analyzed, and the production and price for the next two decades (1985-2004) have been forecasted by the derived equation model. The results of the study can be summarized as follows; 1) The chestnut prices went up at the rate of 10.95% per annum during 1965-1972, but, due to excessive supply of chestnuts, went down at the rate of 7.25% during 1973-1984. 2) In a year, the prices were lowest at the harvesting season, especially on October, and highest on July. Such a seasonal fluctuations of chestnut prices tend to be even with the passage of time, but the range of fluctuation is still wide. 3) It was forecasted under certain premises that the annual chestnut production will be increased by 99,000 tons in 1992, but the amount will fall rapidly to about 23,000 tons in 2004. The prices will be similar to the present level or have slightly upward Tendency until 1992, but this will be rapidly raised thereafter.

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Preferences of Stroke Patients for Kitchen Environment in Residential Space (주거공간의 부엌 환경 특성에 대한 뇌졸중 환자의 선호)

  • Baek, Da-Rae;Jung, Yeon-Jin;Kang, Suk-Gu;Kim, Hee-Jung;Lee, Chun-Yeop
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.1-10
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    • 2014
  • Objective : The purpose of this study was to investigate the preferences of kitchen environment for stroke patients. Methods : The subjects of this study were 97 who have experience in rehabilitation therapy at hospitals in Busan. A questionnaire was distributed and collected from February 24th to March 13th, 2014. Descriptive statistics of frequency Study were used to analyze data. Results : First, the subjects demand for improvement that use a chair for work and install non-slip tiles. Second, they preferred the non-slip mat, boilers in heating equipment, drawer storage, L-shaped safety handle, adjustable sink of the height, automatic cutout of gas leak, faucet of touch-sensitive type, ㄷ-shaped kitchen and the ceiling-type hood in ventilation system. Third, they need kitchen items such as the sink self coming down, scissors for slices and knife to avoid hand injury. Conclusion : This study would contribute to kitchen environment for fall prevention and ease in use.

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The temptation of the slippery slope argument: A research of its nature (미끄러운 경사길 논증의 유혹: 그 실체의 탐구)

  • Lee, Hye-jung
    • Journal of Korean Philosophical Society
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    • v.129
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    • pp.267-290
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    • 2014
  • The slippery slope argument means that if we accept a type of action A, we are committed to accepting B, C and eventually N. Then, N is situation which we must not accept morally. It works causal mechnism that B because A is raised, C because B is raised. But in the logic textbooks and treatises, the slippery slope argument is classified as fallacy. The reason is that the argument is not a causal argument. Actually, it is a probable. Also it is argued that the argument is wrong because it fears about the future extremely. But We can not say all slippery slope argument is fallacy even though a slippery slope argument is sometimes fallacy. I think it is persuasive argument in a significant place. Therefore I argue that the argument is not simple logic as a form of thinking, but practical reasoning applied the context of dialogue. So in order to find it to be practical reasoning we demand the new understanding to fallacy theory. In traditionally, fallacy is defined to wrong reasoning logically, but according to Walton, fallacy means a verbal tactic or deceptive trick that can be used to cause someone to fall down in argument. That is to say, whether or not the argument is successful depends on how it uses as argument tactic in a given context of dialogue. Therefore I argue that whether or not the argument is successful, because of it is practical problem used in a context of dialogue, is to be approached to pragma and dialectical method, not semantic.

The Stocks Profit Rate Analysis which Uses Individual.Engine.foreigner.Knowledge Base HTS at The Bear Period.The Bear Wave Period.The Bull Period.The Bull Wave Period (하락기.하락조정기.상승기.상승조정기에 개인.기관.외국인.Knowledge Base HTS를 이용한 주식 수익률 분석)

  • Yi, Jeong-Hoon;Park, Dea-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.1
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    • pp.207-217
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    • 2010
  • It is taken a violent fall of the international stocks market that was an American Subprime Mortgage Situation. The loss rate of individual investor judged than foreigner and institution by bigger thing. Therefore, further scientific and mechanical investment is needed at the stock investment using Internet HTS. This dissertation is stocks profit rate analysis which uses individual engine foreigner Knowledge Base HTS at the Bear Period the Bear Wave Period the Bull Period the Bull Wave Period. Knowledge Based e-friend HTS was Installed. HTS does composite stock exchange index in actuality stock trading and engine's fund earning rate, yield that is abroad comparative analysis using trend line that is HTS tool, MACD, Bollinger Bands, Stochastic slow's function. Usually, each subjects suppose that deal 5 stocks, and comparative study of the profit(loss)rate of the down to earth falling rate and rising rate, by comparing the earning rate of 5 Small capital stocks with 5 medium capital stocks and 5 Large capital stocks during the bear period, the bear wave period, the bull period, the bull wave period has meaning at the making research of the financial IT field.