• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.42
• /
• pp.22.1-22.6
• /
• 2020

Introduction: Facial fractures (FFs) occur after high- and low-energy trauma; differences in associated injuries and outcomes have not been well articulated. Objective: To compare the epidemiology, management, and outcomes of patients suffering FFs from high-energy and low-energy mechanisms. Methods: We conducted a 6-year retrospective local trauma registry analysis of adults aged 18-55 years old that suffered a FF treated at the Santa Barbara Cottage Hospital. Fracture patterns, concomitant injuries, procedures, and outcomes were compared between patients that suffered a high-energy mechanism (HEM: motor vehicle crash, bicycle crash, auto versus pedestrian, falls from height > 20 feet) and those that suffered a low-energy mechanism (LEM: assault, ground-level falls) of injury. Results: FFs occurred in 123 patients, 25 from an HEM and 98 from an LEM. Rates of Le Fort (HEM 12% vs. LEM 3%, P = 0.10), mandible (HEM 20% vs. LEM 38%, P = 0.11), midface (HEM 84% vs. LEM 67%, P = 0.14), and upper face (HEM 24% vs. LEM 13%, P = 0.217) fractures did not significantly differ between the HEM and LEM groups, nor did facial operative rates (HEM 28% vs. LEM 40%, P = 0.36). FFs after an HEM event were associated with increased Injury Severity Scores (HEM 16.8 vs. LEM 7.5, P <0.001), ICU admittance (HEM 60% vs. LEM 13.3%, P <0.001), intracranial hemorrhage (ICH) (HEM 52% vs. LEM 15%, P <0.001), cervical spine fractures (HEM 12% vs. LEM 0%, P = 0.008), truncal/lower extremity injuries (HEM 60% vs. LEM 6%, P <0.001), neurosurgical procedures for the management of ICH (HEM 54% vs. LEM 36%, P = 0.003), and decreased Glasgow Coma Score on arrival (HEM 11.7 vs. LEM 14.2, P <0.001). Conclusion: FFs after HEM events were associated with severe and multifocal injuries. FFs after LEM events were associated with ICH, concussions, and cervical spine fractures. Mechanism-based screening strategies will allow for the appropriate detection and management of injuries that occur concomitant to FFs. Type of study: Retrospective cohort study. Level of evidence: Level III.

• Journal of the Korea Institute of Building Construction
• /
• v.20 no.4
• /
• pp.383-389
• /
• 2020

Accidents on construction sites involving fires do not occur as often as accidents involving falls from height or collapses. However, once a fire accident occurs, there is a high risk of a large number of casualties. Fire on construction sites is affected by working conditions and the types of activities the construction workers are engaged in at the sites. This study aims to identify activities and working conditions at construction sites that are vulnerable to fire, and analyse how they correlate with each other and how they affect the causes and consequences of fire accidents at construction sties. I analysed 40 fire accident reports and listed the situations vulnerable to fire at construction sites considering direct causes, activities, and working conditions. The most dangerous combination of fire hazards can be the heating devices used during rest/sleep in the office/cabin/storage during cold weather. The next most hazardous combination can be sparks arising from painting, waterproofing, insulation, plumbing, or welding/melting work in an underground or confined space.

• International Journal of Internet, Broadcasting and Communication
• /
• v.12 no.4
• /
• pp.83-92
• /
• 2020

A recent study to determine the fall is focused on analyzing fall motions using a recurrent neural network (RNN), and uses a deep learning approach to get good results for detecting human poses in 2D from a mono color image. In this paper, we investigated the improved detection method to estimate the position of the head and shoulder key points and the acceleration of position change using the skeletal key points information extracted using PoseNet from the image obtained from the 2D RGB low-cost camera, and to increase the accuracy of the fall judgment. In particular, we propose a fall detection method based on the characteristics of post-fall posture in the fall motion analysis method and on the velocity of human body skeleton key points change as well as the ratio change of body bounding box's width and height. The public data set was used to extract human skeletal features and to train deep learning, GRU, and as a result of an experiment to find a feature extraction method that can achieve high classification accuracy, the proposed method showed a 99.8% success rate in detecting falls more effectively than the conventional primitive skeletal data use method.

• Journal of The Korean Society of Emergency Medicine
• /
• v.29 no.5
• /
• pp.423-429
• /
• 2018

Objective: Falling is a common cause of head injury in preschool aged children. We investigated the characteristics of mild head injuries caused by falling and the association between body weight and occurrence of traumatic brain injuries (TBI). Methods: This retrospective observational study was conducted on head-injured preschool-aged children that visited the emergency department from January 2012 to December 2015. Characteristics such as age, sex, weight, free fall height, floor type, and presence of TBI, as defined as cerebral hemorrhage or skull fracture, were investigated. We calculated body weight percentiles by calibrating age and weight and categorized them into four quartile ranges. We grouped all included cases into two groups according to the presence of TBI. The characteristics of the two groups were compared by using chi-square test, and the association with TBI was investigated by using binomial logistic regression. Results: A total of 701 children were included, and TBI was observed in 95 children. Children with TBI were younger. The proportion of children with TBI was higher in the third and fourth quartiles of the body weight group as well as according to soft floor and fall from high height (${\geq}1m$). The odds of soft floor being associated with TBI was higher than the odds for hard floor (odds ratio, 2.734; 95% confidence interval [CI], 1.597-4.680). The odds of high height (${\geq}1m$) being associated with TBI was higher than that for low height (odds ratio, 2.306; 95% CI, 1.155-4.601), and the odds ratio for the weight percentile group was 1.228 (95% CI, 1.005-1.499). Conclusion: Prevalence of TBI after falling in preschool-aged children might be associated with high fall-height and body weight quartiles.

• Journal of Trauma and Injury
• /
• v.36 no.3
• /
• pp.242-248
• /
• 2023

Purpose: Blunt pancreatic trauma in pediatric patients is relatively rare, yet it is associated with high risks of morbidity and mortality This study aimed to review pediatric patients with blunt pancreatic trauma treated at a single center and provide treatment guidelines. Methods: This study included patients under the age of 18 years who visited our center's pediatric emergency department and were diagnosed with pancreatic injury due to abdominal trauma via radiological examination between January 2007 and December 2022. Patients' medical records were retrospectively reviewed and analyzed. Results: Among 107 patients with abdominal trauma, 14 had pancreatic injury, with a median age of 8.2 years (interquartile range, 3.1-12.3 years). Eight patients were male and six were female. The most common mechanism of injury was falls from a height and bicycle handlebars (four cases each). Six patients had associated injuries. Two patients had American Association for the Surgery of Trauma grade I or II, eight had grade III, and four had grade IV or V injuries. Eight patients underwent surgical resection, and four were discharged with only an intervention for duct injuries. Conclusions: Patients with blunt pancreatic trauma at our center have been successfully treated with surgical modalities, and more recently through nonsurgical approaches involving active endoscopic and radiologic interventions.

• Journal of the Korea Institute of Construction Safety
• /
• v.4 no.1
• /
• pp.22-29
• /
• 2021

To prevent fall from height, interest in the development and introduction of smart harness is increasing as policies and laws such as mandatory use of smart safety equipment at construction sites. However, despite the potential of smart harness, construction safety cannot be contributed unless adopted or used by users. The objective of this research is to examine the perception between safety managers and workers on smart harness, user perception according to user's experience and differences through semi-structured in-depth interviews. As a result of the interview and comparative analysis, both safety managers and workers perceived smart harness as uncomfortable, and workers with experience in using smart harness perceived that simple functions that inform risks are useful for securing safety. This research results show different user's perception of smart harness can be confirmed how much factors affect the use of smart harness, which can provide implication into establishing measures to strengthen the use of smart harness in the future.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.24 no.1
• /
• pp.1-14
• /
• 1996

The purpose of this study was an analysis of the elementary school child's attitude and dangerous factors of play apparatuses n elementary schools. The results were summarized as follows; 1. 53.0% of the reply child thought that play apparatuses were dangerous, and 41.0% of the total reply had experienced accidents by apparatuses, the child under 10 had experienced the accidents manytimes. 2. The types of injuries most frequently occurred are falls from play apparatuses, and part of the body most frequently injured parts of the body are arms and legs. 3. The danger of fall in play apparatuses that is over 3M amounted 19.6%, it asked safety of bottom materials. 4. Destructed play apparatuses reached up to 20.0%, and rusted or decomposed apparatuses reached to 28.4%. 5. The distance of each apparatus were very close ; it was within 0.3~1.5M, which was 24.9%, it was very dangerous factor. 6. The most frequent hazards of educational play apparatuses are ; - inappropriate size of apparatuses(height, gap, thick etc.)- inappropriate shape and finished state(bad welding and cutting, projection part etc.)- unsuitable use of bottom material in playground and safety color.- insufficient use zone.-inappropriate maintenance and inspection(endurance passage, erosin of iron-ware and wooden ware, projection of foundation concrete)

• Journal of Korean Physical Therapy Science
• /
• v.30 no.4
• /
• pp.1-8
• /
• 2023

Background: This study evaluates the usability of the Motion-Tracking Gait Assistive Walker (MTGAW) designed for elderly individuals and those with disabilities, identifying areas for improvement through interviews with physical and occupational therapists. Design: A survey study involves the usability test for MTGAW. Methods: Usability evaluations were conducted with 37 physical therapists and occupational therapists. The process included explanation, product usage, satisfaction surveys, and interviews. A satisfaction survey covering 19 items across safety, maneuverability, usability, and management areas was administered. Individual interviews identified areas for improvement. Results: Overall, high satisfaction was reported across the four areas, but interviews highlighted the need for improvements, such as addressing discomfort due to slow speed and enhancing safety measures to prevent rear-end falls. Adjusting the walker's height and width to suit the user's physique was also suggested. Conclusion: MTGAW enhances walking support and hand movement freedom but needs refinement in speed control, fall prevention, and customization based on the user physique. Future efforts should focus on developing an improved MTGAW, considering recommendations from physical therapy experts, and conducting studies to analyze its clinical effectiveness for commercialization.

• Geomechanics and Engineering
• /
• v.12 no.4
• /
• pp.657-673
• /
• 2017

Preventing water seepage and inrush into mines where close multiple-seam longwall mining is practiced is a challenging issue in the coal-rich Ordos region, China. To better protect surface (or ground) water and safely extract coal from seams beneath an aquifer, it is necessary to determine the height of the mining-induced fractured zone in the overburden strata. In situ investigations were carried out in panels 20107 (seam No. $2-2^{upper}$) and 20307 (seam No. $2-2^{middle}$) in the Gaojialiang colliery, Shendong Coalfield, China. Longwall mining-induced strata movement and overburden failure were monitored in boreholes using digital panoramic imaging and a deep hole multi-position extensometer. Our results indicate that after mining of the 20107 working face, the overburden of the failure zone can be divided into seven rock groups. The first group lies above the immediate roof (12.9 m above the top of the coal seam), and falls into the gob after the mining. The strata of the second group to the fifth group form the fractured zone (12.9-102.04 m above the coal seam) and the continuous deformation zone extends from the fifth group to the ground surface. After mining Panel 20307, a gap forms between the fifth rock group and the continuous deformation zone, widening rapidly. Then, the lower portion of the continuous deformation zone cracks and collapses into the fractured zone, extending the height of the failure zone to 87.1 m. Based on field data, a statistical formula for predicting the maximum height of overburden failure induced by close multiple seam mining is presented.

• Journal of the Korean Society of Food Science and Nutrition
• /
• v.5 no.1
• /
• pp.39-51
• /
• 1976

We arrive at the conclusion as follows as for the connection between dietary life, hours of exercise and growth of body, based on the survey of their height, this circumference of the breast and their body weight, and the questionnaires to the pupils of 36,547 in totals (contained the primary and middle school boys and girls) in four districts(named A, B, C and D district) of Jeonlla Bug Do from April, 1970 to March, 1973. (1) The growth in height. The boys from 6 to 7 years old are nearly same in all districts, but as age increases, those of A district grow more rapidly than those of B, C and D districts, while those of B, C and D districts grow almost samely. The girls already from 6 years old on are different between A district and B, C, D district. The average of height in Jeonlla Bug Do is not different from that of Gyungi Do and whole nation in the pupils from 6 to 11 years old, and that of Japan from 6 to 7 of age, while it falls behind them as age increases. (2) The growth in the circumference of the breast. The boys from 6 to 9 years old show nearly the same tendency in all districts, after that age the boys in A district tend to grow rapidly, those in B district most fall behind, and those in C, D districts show the same tendency. Contrasted with height the growth in the circumference of the breast does not show the difference in each district so far as 14 of age, but after 15 years old it shows a little difference by falling behind of pupils in A district, while those B, C, D districts show almost the same tendency. The average of the circumference of the breast in Jeonlla Bug Do of the pupils from 10 to 11 of age is almost same to that of Gyungi Do, whole nation and Japan, but shows difference after that age. (3) The growth of body weight. The body weight of boys over-all the investigated whole age shows the superiority in A district and a little lowness in D district which is almost same to that of B, C districts. In that of girls, A district is superior in from 6 to 9 of age, and all districts are nearly same after that age. The average in Jeonlla Bug Do is one and the same to those of Gyungi Do, whole nation and Japan as in the height, but shows the great difference as years grow. (4) The dietary life of the pupils in Jeonlla Bug Do depends chiefly upon a carbohydrate and is very low in the intake of fat and protein. Connected with a view point of districts, the intake of protein is a little more in A district than in the other districts, and is nearly same in the other districts. They tend more to eat mixed food, but about 40% of them do not yet eat it. The contents and taking of lunch is bad in the highest degree, to which their parents are entirely indifferent. As far as the hours of exercise are concerned with, about 40% of all pupils must go to the school from very far, which gives them the heavy physical suffering, and especially it is remarked that the middle school boys and girls should attend school from farther than the primary school boys and girls.