• 제목/요약/키워드: Fall-down

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Clinical evaluation of traumatic diaphragmatic ruptures (외상성 횡격막 파열에 대한 임상적 고찰)

  • 유웅철
    • Journal of Chest Surgery
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    • v.26 no.10
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    • pp.791-797
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    • 1993
  • We evaluated forty cases of traumatic diaphragmatic ruptures that we have experienced from Mar. 1976 to Mar. 1992. Thirty patients were male and 10 were female[M:F=3:1]. The age distribution was ranged from 2 to 76 years with the mean age of 35 years. The traumatic diaphragmatic ruptures were due to blunt trauma in 26 cases[traffic accident 20, fall down 4, others 2] and penetrating trauma in 14 cases[stab wound 13, gun shot 1]. In the blunt trauma, 21 of 26 cases were diagnosed within 24 hours after injury and all cases except one in penetrating trauma were diagnosed within 24 hours. In the blunt trauma, the rupture site was located in the left in 20 cases and in the right in 6 cases. In the penetrating trauma, the rupture site was located in the left in 10 cases and in the right in 4 cases. The repair of 40 cases were performed with thoracic approach in 19 cases, thoracoabdominal approach in 17 cases and abdominal approach in 4 cases. The postoperative mortality was 7.5 %[3/40]. The causes of death were septic shock[1], acute renal failure[1] and hypovolemic shock[1].

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A Study on Pose Control for 2 wheel Robot using ARS (ARS를 이용한 2바퀴 로봇의 자세 제어에 관한 연구)

  • Kang, Jin Gu
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.9 no.1
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    • pp.73-78
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    • 2013
  • In this paper, configuration control for the Horizontal Maintenance of the 2 wheel robot has been studied using ARS(Attitude Refrence System). The 2 wheel robot technique is getting attention and there have been many researches on the seg-way since the US. Using its 2 freedom, a 2 wheel robot can move in various modes and Our robot performs goal reaching ARS.2 wheel robot fall down to the forward or reverse direction to converge to the stable point. Kalman Filter is normally used for the algorithm and numerous research is progressing at the moment. To calculate the attitude in ARS using 2 axis gyro(roll, pitch) and 3 axis accelerometers (x, y, z). In this paper we present a two wheel robot system for an autonomous mobile robot. This paper realized the robot control method which is much simpler but able to get desired performance by using the ARS control.

Potential Distribution near Street Linght according to the Grounding Electrode (접지극 형상에 따른 가로등 주변의 전위분포)

  • Lee, Bok-Hee;Beak, Young-Hwan;Jeong, Dong-Cheol;Ahn, Chang-Hwan;Shim, Pan-Sub
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.1453-1454
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    • 2007
  • A street light is an electrical equipment to improve the traffic safety and the security for people in night. However, many accidents due to electric shock have happened in recent, people were interested in the safety of electrical facilities. And people want to know the danger by touch and step voltages. When the electric power lines fall down on the ground, the fault current flows to ground rod and the potential near the ground rod is increased to induce the high touch and step voltages. In this paper, we installed different ground rods with a street light and investigated the electrical potential according to ground methods and the types of ground rod. Finally, we examined the electrical facilities with the experimental result and present the improved technical data for the safety from electric shock

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Foreign body aspiration during dental treatment under general anesthesia: A case report

  • Doh, Re-Mee
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.2
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    • pp.119-123
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    • 2019
  • Foreign body aspiration in dental clinics is the most common cause of respiratory emergencies. There are no reports on foreign body aspiration during dental treatment under stable general anesthesia because the patient neither has voluntary movements nor reflex actions. This is a case report on the fall of a prosthesis in the larynx, which occurs rarely under general anesthesia. During the try-in procedure, the prosthesis slid from the surgeon's hand and entered the retromylohyoid space, and while searching for it, it passed down the larynx to the endotracheal tube balloon, leading to a dangerous situation. The prosthesis was promptly removed using video-assisted laryngoscope and forceps, and the patient was discharged without any complications.

Effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home (낙상예방 프로그램이 양로원 여성노인의 보행, 균형 및 근력에 미치는 영향)

  • Jeon, Mi-Yang;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.4 no.1
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    • pp.5-23
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    • 2002
  • Purpose: To determine the effect of the Fall Prevention Program(EPP) on gait, balance and muscle strength in elderly women at a nursing home. Method: The subjects of this consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes closed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muscle tester. Data was analyzed using SPSS form Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP. Result: 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<0.005). 2) There was no significant change in standing time on one leg with their eyes closed after FPP. The standing time on leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<0.005). 3) Muscle strength-grip strength, hip extensor and flexor strength-significantly increased in the experimental group compared with the control group after FPP(p<0.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP. Conclusion: These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

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The effect of balance improvement on balance training with visual feedback and somatosensory (시각 되먹임을 이용한 균형 훈련과 체성감각을 이용한 균형훈련이 균형 향상에 미치는 영향)

  • Lee, Jun-cheol
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.677-684
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    • 2020
  • Our country is already in the aging corner and fall down is the elderly personal, social and economic problems are causing. therefore, executed this study for inquiring into an athletic effect for the balance ability increase that was a main variable of an fall down. The purpose of this study, to find the effect of balance training using visual feedback and somatosensory. Experimental group divided the three groups, objects measured balance ability of each experimental groups before experiment, the balance exercise group used visual feedback by Nintendo Wii(company - model), the balance exercise group used visual and TOGU, the balance exercise group used blind and TOGU. 4 experimental of each groups measured MFT and EMG value after training. having rest time, 4 experimental of each groups measured MFT and EMG value after training used balance pad. MFT - visual feedback with somatosensory training is most efficient but, indifferent both balance training with visual feedback and balance training with somatosensory. EMG - training with somatosensory is more efficient than training with visual feedback. Conclusion : in the process of improving equilibrium ability of patient who is lack of balance ability, somatosensory training is effective to correct different of left, right and frequency of left, right. visual feedback is the most effective way to improve dynamic balance sensory, so parallel of these two practice is thought to be the most effective.

Correlations between Foot Sensory Impairment, Timed Up and Go Test and Berg Balance Scale, and Mental Activities for Prevention of Falling in Elderly People

  • Lee, Young-Ho;Jang, Seon-Jung;Kang, Gi-Beom;Choi, Ye-Seul;Hwang, Young-In
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.9-17
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    • 2019
  • PURPOSE: This research was designed to study the correlations between physical activities such as foot sensory impairment, balance and ambulatory abilities, as well as fall risk factors and mental activities such as cognitive performance and depression in order to provide fundamental data for the prevention of falling in the elderly. METHODS: A total of 36 elderly people over the age of 65 years who voluntarily joined the research were selected as subjects. Sensory perception in both feet was measured by using a monofilament in 10 parts with each part given one point. The points for each foot were integrated to analyze the correlations between physical and mental activities indices, and the results were analyzed by using Pearson's correlation coefficient. RESULTS: The results of this research show that the extent to which senses in feet were impaired was correlated to TUG, a functional activity index involved in tranfers, gait, and turning movements, which was correlated to BBS (balance index) as well as MMSE-K and K-GDS (mental activities index). BBS was interrelated to FES-K (physical activities index) and MMSE-K. The muscular strength of the right ankle dorsiflexor had mutual relations with FES-K. CONCLUSION: The results of this research indicate that TUG is widely correlated to foot sensory impairment as well as general physical and mental activities in elderly people. BBS was also shown to be correlated with TUG, FES-K, and MMSE-K. Thus, it might be necessary that TUG and BBS be included as two items in physical and mental check-ups for the elderly, and further studies on correlations using evaluation items for physical and mental activities should lead to the simplification of the evaluation criteria.

Wollastonite from and Its Dissolution Behaviors (수산 지역의 규회석과 그 용해 거동)

  • 김수진;현성필;이성근
    • Journal of the Mineralogical Society of Korea
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    • v.9 no.1
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    • pp.1-6
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    • 1996
  • Woolastonite from Susan occurs as intercalations in limestone beds of Lower Paleozoic Joseon Supergroup. It is a thermal metamorphic product of impure limestone. Electron microprobe analysis shows that it is considerably pure wollastonite. It has triclinic cell with a=7.932$\AA$, b=7.328$\AA$, c=7.069$\AA$, $\alpha$=89.995$^{\circ}$, $\beta$=$95.255^{\circ}$, and $ \Upsilon=103.367^{\circ}$.Dissolution behaviors of wollastonite have been studied conducting three different dissolution experiments; two different reactions with HC1 (one batch and one re-initialization experiment) and one traction with distilled water. In the batch type powder wollastonite-HCl reaction, pH of solution rapidly increases in the early stage and then its rate of increase slows down to reach plateau resulting in parabolic relationship with time. It is represented by the early rapid rise and fall in pH giving a sharp pH-edge and succeeding slow rise in the re-initialization experiment. The early rapid rise in pH is due to the rapid sorption of H- in solution to oxygens on the reactive surface of wollastonite and the fall in pH means that all reactive surface sites are occupied by H- ions and no more H- adsorption occurs. The slow rise in pH following the pH- edge is due to the dissolution of wollastonite as evidenced by the correlation of pH variation and cation concentration. Dissolution of powder wollastonite in HCl shows linear trend with time. Si is dissolved predominantly over Ca at a constant rate. Ca is dissolved predominantly in the very early stage. Dissolution rate of coarse-grained wollastonite fragments in distilled water is parabolic with times howing a rapid reaction in the early stage and a slow reaction in the advanced stage. The Ca/Si ratio in solution is high in the case of coarse-grained wollastonite fragment as compared with powder wollastonite. The coarse-grained wollastonite fragment-water (acid) reaction resulted in the solution with an elevated constant pH value (alkaline) giving an important significance on the environmental view point.

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Anterior Screw Fixation of Type II Odontoid Fracture (제 II 형 치상돌기 골절에서 전방경유 나사못 고정술)

  • Kim, Myung-Jin;Hwang, Jeong-Hyun;Sung, Joo-Kyung;Hwang, Sung-Kyu;Hamm, In-Suk;Park, Yeun-Mook;Kim, Seung-Lae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1461-1468
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    • 2000
  • Objective : The aim of this study is to evaluate clinical outcome of anterior screw fixation for type II odontoid fractures for the prliematim of atlanatoaxial mobility. Methods : Between 1995 and 1999, we treated 15 cases of type II odontoid fractures by anterior screw fixation among 44 cases of odontoid fractures. Thece included 14 males and 1 female aged from 23 to 63 years, with a mean age of 39.7 years. The causes of trauma were traffic accident in 13 cases, slip down in 1 and fall down in 1. The fracture type was type II-P in 7 cases, type II-A in 3, type II-N in 2 and type II-A and P in 3. The fracture line was oblique downward and backward in 6 cases, oblique downward and forward in 3 and horizontally in 6. The range of follow up was 4 to 47 months(mean 26.5 months). Results : Adequate reduction and fixation were obtained in 12 cases. Three cases in which fracture type and line were type II-A and oblique downward forward were failed, so posterior transarticular screw fixation was performed. All except 3 failed cases had adequate cervical movement and stability. There were no operative mortality nor morbidity. Conclusion : Anterior screw fixation provides the best anatomical and functional results for type II odontoid fracture with intact transverse ligament when fracture line is horizontal or oblique downward and backward. But it is limited when fracture line is oblique downward and forward.

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A clinical study on pediatric patients with fracture that visited oriental medicine center (한방병원에 내원한 소아 골절환자에 대한 임상적 고찰)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Baek, Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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    • pp.1-9
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    • 2004
  • Objectives: The purpose of this study was clinical review of pediatric patients with fracture that visited oriental medicine center. Methods: In retrospective study, the pediatric patients, who were visited to oriental medicine center due to fracture, were classified by sex, age, fracture site, date of accident, injury mechanism, time of treatment, kind of treatment. Results and Conclusion: Total 32 patients were visited due to fracture from April 2001 to March 2004. Male Patients were 27, female were 5. In distribution of age, 10 year-old and 11 year-old were 40.7% of totality. In distribution of month, May was 10(31.3%), June was 6(18.8%), and March was 4(12.5%). There are more patients with fracture in spring than other season. In distribution of fracture site, foot was 15(46.9%), hand was 7(21.9%), ankle was 4(12.5%), upper extremity was 3(9.4%), clavicle was 2(6.3%), tibia was 1(3.1%). In distribution of injury mechanism, slip down was 23(71.9%), impaction 5(15.6%), fall down 3(19.4%), crushing injury 1(13.1%). In distribution of injury motive, soccer was 8(25.0%), basketball 4(12.5%), skating 3(9.4%), cycling 2(6.3%), sliding 1(3.1%), Tae-kwon-do 1(3.1%), other sports 5(15.6%), collision 1(3.1%), walking 2(6.3%), hit 3(9.4%), etc. 2(6.3%). In distribution of treatment account, one time was 23(71.9%), twice 3(9.4%), three times 2(6.3%), four times 2(6.3%), five times 2(6.3%). In distribution of treatment time, 1 week was 26(81.3%), 2 weeks 4(12.5%), 3 weeks 2(6.3%). In distribution of treatment kind, acupuncture treatment was 18(56.3%), negative cupping 7(21.9%), splint 13(40.6%), and other treatment(coban taping, medical patch, and so on) 5(15.6%), transfer 14(43.8%).

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