• Journal of Trauma and Injury
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• v.22 no.2
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• pp.154-160
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• 2009

Purpose: This study aimed to determine new criteria for detecting independent factors with high sensitivity in cases of cervical spine injury. We compared the sensitivity, the specificity, and the false negative predictive value (NPV) of plain radiographs with those of computed tomography for cervical spine injury in patients with minor head injury. Methods: We retrospectively reviewed the cases of 357 patients who underwent both cervical plain radiographs and computer tomography from January 2006, to September 2008. Patients were divided into two groups: the cervical spine injury group and the no cervical spine injury group. New criteria were organized based on variables that had significant differences in the logistic regression test. Results: Among the 357 patients, 78 patients had cervical spine injuries. The average age was $43.9{\pm}15.2$ yrs old, and the male-to-female ratio was 1.90. The most common mechanism of injury was motor vehicle accidents. There was a significant difference in loss of consciousness, Glasgow Coma Scale (GCS)=14, neurologic deficit, posterior neck tenderness, and abnormality of the cervical plain radiographs between the two groups on the logistic regression test. New criteria included the above five variables. If a patient has at least variable, the area under the ROC curve of the new criteria was 0.850, and the sensitivity and the false NPV were 87.2% and 5.2%, respectively. Conclusion: New criteria included loss of consciousness, GCS=14, neurologic deficit, posterior neck tenderness, and abnormality of the cervical plain radiographs. If the patient had at least 1 variable, he or she could have a of cervical spine injury with a sensitivity of 87.2% and a false NPV of 5.2%.

• Transactions of the Korean Society of Automotive Engineers
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• v.7 no.9
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• pp.203-211
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• 1999

The research committee for automobile repairs (RCAR), an international body of insurance research centers, has adopted the typical low speed crash test based on an average damage level in crash accidents to estimate the damageability , repairability and safety. The characteristics of body acceleration and the probability of injury are investigated based on damaged components, accelerations of body and injured dummy to analyze damageability and the driver's safety under low speed crash environment. It is found from the experimental results that the probability of head and thorax injuries are very low comparing to the injury criteria of FMVSS No.208. Furthermore, it is suggested that the deployment of airbag may not be necessary at RCAR low speed frontal crash test.

• Structural Engineering and Mechanics
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• v.48 no.5
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• pp.661-679
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• 2013

In this work, the safety performance of a commercial motorcycle helmet already placed on the market is assessed. The assessed motorcycle helmet is currently homologated by several relevant motorcycle standards. Impacts including translational and rotational motions are accurately simulated through a finite element numerical framework. The developed model was validated against experimental results: firstly, a validation concerning the constitutive model for the expanded polystyrene, the material responsible for energy absorption during impact; secondly, a validation regarding the acceleration measured at the headform's centre of gravity during the linear impacts defined in the ECE R22.05 standard. Both were successfully validated. After model validation, an oblique impact was simulated and the results were compared against head injury thresholds in order to predict the resultant head injuries. From this comparison, it was concluded that brain injuries such as concussion and diffuse axonal injury may occur even with a helmet certified by the majority of the motorcycle helmet standards. Unfortunately, these standards currently do not contemplate rotational components of acceleration. Conclusion points out to a strong recommendation on the necessity of including rotational motion in forthcoming motorcycle helmet standards and improving the current test procedures and head injury criteria used by the standards, to improve the safety between the motorcyclists.

• Proceedings of the Korean Society for Technology of Plasticity Conference
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• 2007.05a
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• pp.409-412
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• 2007

A motorcycle helmet is the best means to protect the head of bike's driver and it is directly connected to a driver's life. Prior to producing of the helmet, it has to be passed the process of impact test to evaluate of its safety. This test evaluates peak acceleration and H.I.C (Head Injury Criteria). This paper analyzes impact test with finite element method to find the behavior of helmet during the test. Also, the effect of impact sites on the helmet was evaluated to improve the thickness distribution of the helmet.

• Transactions of Materials Processing
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• v.16 no.5 s.95
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• pp.370-374
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• 2007

A motorcycle helmet is very essential to protect the head of driver and it is directly connected to driver's life. Prior to producing the helmet, it has to be passed the process of impact test to evaluate its safety. This test evaluates peak acceleration and head injury criteria (H.I.C.). This paper simulates the impact test with finite element method to find the behavior of helmet during the test. Also, the effect of impact sites on the helmet was evaluated to improve the thickness distribution of the helmet.

• Journal of the Korean Society for Precision Engineering
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• v.24 no.5
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• pp.110-117
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• 2007

According to the pedestrian protection regulations of Europe and Japan, the head injury must not exceed a limitation in the defined test condition for the protection of pedestrians from a vehicle crash. However, it is difficult to evaluate the performance of protection because each regulation has different test conditions such as dummy, impact speed and so on. This circumstance needs the development of a model that describes the anthropometry of the crash victim with a sufficient accuracy. We constructed scaled pedestrian dummies using MADYSCALE. Simulations were performed for various crash speeds and pedestrian postures. The scaled Korean dummies and HybridIII dummies were used to compare the pedestrian dynamic behaviors and head injury criteria during the collision. The HIC values of scaled korean dummies were found to be higher than those of Hybrid III dummies. The impact for gait posture was less than that for standing.

• Journal of Korean Neurosurgical Society
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• v.46 no.5
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• pp.451-458
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• 2009

Objective : The purpose of this study was to analyze risk factors that are associated with intracranial lesion, and to propose criteria for classification of mild head injury (MHI), and appropriate treatment guidelines. Methods : The study was based on 898 patients who were admitted to our hospital with Glasgow Coma Scale (GCS) score of 13 to 15 between 2003 and 2007. The patients' initial computerized tomography (CT) findings were reviewed and clinical findings that were associated with intracranial lesions were analyzed. Results : GCS score, loss of consciousness (LOC), age and skull fracture were identified as independent risk factors for intracranial lesions. Based on the data ana lysed in this study, MHI patients were divided into four subgroups : very low risk MHI patients are those with a GCS score of 15 and without a history of LOC or headache; low risk MHI patients have a GCS score of 15 and with LOC and/or headache; medium risk MHI patients are those with a GCS score of 15 and with a skull fracture, neurological deficits or with one or more of the risk factors; high risk MHI patients are those with a GCS score of 15 with abnormal CT findings and GCS score of 14 and 13. Conclusion : A more detailed classification of MHI based on brain CT scan findings and clinical risk factors can potentially improve patient diagnosis. In light of our findings, high risk MHI patients should be admitted and treated in same manner as those with moderate head injury.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.29 no.11 s.242
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• pp.1518-1526
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• 2005

With increasing need of transportation services for people with disabilities and the aged, wheelchairs are used as their assistive devices to participate in daily and recreational activities and as seats of motor vehicle. However, as wheelchairs are primarily designed fer mobility assistive devices, not for vehicle seats, wheelchair users may experience serious injury when they meet car crashes. To date, neither engineering guidance for a wheelchair mounting system on the vehicle floor nor safety assessment analysis by a car crash has been studied for the domestic users. In this paper, in accordance with the ANSVRESNA WC-19, a fixed vehicle mounted wheelchair occupant restraint system (FWORS), wheelchair integrated restraint system (WIRS), and wheelchair integrated x-bend restraint system (WIXRS) subjected to frontal impact (20 g, 48 U) were analyzed using compute. simulations for domestic users. We present surrogate wheelchair occupant safety by head injury criteria (HIC), motion criteria (MC), and combined injury criteria (CIC).

• Journal of Audiology & Otology
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• v.23 no.2
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• pp.96-102
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• 2019

Background and Objectives: Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. Subjects and Methods: We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed. Results: Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery. Conclusions: Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.

• Korean Journal of Audiology
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• v.23 no.2
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• pp.96-102
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• 2019

Background and Objectives: Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. Subjects and Methods: We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed. Results: Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery. Conclusions: Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.