• 제목/요약/키워드: Injury Coefficient

검색결과 97건 처리시간 0.026초

Effects of Y-Balance Test Difference of the Ankle Dorsi-flexion Range of Motion in K3 Soccer Players

  • Gyu-Ho Choi;Jin-Wook Lee
    • 한국컴퓨터정보학회논문지
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    • 제28권11호
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    • pp.161-168
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    • 2023
  • 본 연구의 목적은 비 체중지지 자세 상태에서 발목관절 발등굽힘 관절가동범위에 따라 동적 균형 능력을 평가하는 Y-Balance Test와의 관계를 규명하고자 하였다. 본 연구에는 10년 이상의 축구경력을 가진 K3리그에 정기적으로 참여하는 남자축구선수 27명이 참여하였다. 발목관절의 발등굽힘과 동적균형 능력과의 관계를 검증하기 위해 The Pearson Rank Correlation Coefficient를 사용하였다. 본 연구의 결과 HADR군에서 PLRD(P<.05)와 CS(P<.01)에서 유의한 차이가 나타났으며, 발목관절 발등굽힘의 관절가동범위와 PMRD, PLRD 및 CS에서만 중증도의 유의한 상관관계가 나타났다. 따라서 발목관절 발등굽힘의 감소는 균형 능력 감소와 관련이 있으며, 축구선수의 손상을 예방하기 위해서는 정기적인 발목관절 관절가동범위의 평가뿐만 아니라 무릎과 엉덩관절의 근력 및 고유수용감각을 향상시키기 위한 트레이닝이 필요할 것으로 생각된다.

수도 풍해경감을 위한 방풍강 강목의 효과 (Effect of Different Wind-break Net on Reducing Damage of Cold Sea Wind)

  • 이승필;김상경;이광석;최대웅;김칠용
    • 한국작물학회지
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    • 제35권4호
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    • pp.352-361
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    • 1990
  • 동해안 랭조풍지대의 풍해 대표지역인 경북 영덕지방에서 1986년부터 1989년가지 4개년간 방풍강의 강목에 다른 풍해 경감효과와 농가포장 설치효과를 종합하면 다음과 같다. 1. 동해안 랭조풍지대의 1979년부터 1989년까지 11년간 태풍에 의한 백수 피해의 발생빈도는 8월 10일부터 9월 10일 사이에 높아 이 지역의 수도 안전출수한계기는 8월 10일 이전이 안전하다고 생각된다. 2. 이 지대는 태풍 통과시 증발계수가 250이상으로 높아 백수피해 위험도가 높으며 풍해를 유발시키는 바람의 종류는 태백산맥을 넘어오면서 휀(Fohn) 현상에 의한 고온건조한 편서풍과 해양에서 내륙으로부터 한랭과습한 랭조풍이었으며 도작기간중 발생빈도는 각각 25, 20%였다. 3. 방풍강 설치에 의한 풍속 감속효과는 방풍강의 강목이 좁을수록 컸으며, 방풍강이 설치된 지점으로부터 1m 거리에서는 23%, 10m 거리에서는 34%, 20m 거리에서는 28%였으며 그 효과는 설치된 방풍강 높이의 10배까지 있었다. 4. 방풍강 설치에 의한 기상개선효과는 무방풍구에 비해 방풍강의 강목이 좁을수록 컸으며 기온은 최고 0.8$^{\circ}C$, 최저 0.7$^{\circ}C$, 평균 0.6$^{\circ}C$ 상승되었고 수온은 최고 0.5$^{\circ}C$, 최저 0.6$^{\circ}C$, 평균 0.5$^{\circ}C$ 상승되었으며 지온도 0.4$^{\circ}C$ 상승되었다. 5. 방풍강에 의한 생육개선효과는 무방풍구에 비하여 방풍강의 강목이 좁을수록 컸으며 출수촉진, 개체군 생장속도 및 광이용율 증진, 간장신장, 주당수수, 수당영화수, 임실율, 천립중 등이 증가하여 방풍강의 강목(0.5$\times$0.5cm)에 따른 증수효과는 10%, 농가포장 설치효과는 15% 증수되었다. 6. 답면수온이 낮은 동해안 랭조풍지대에서는 주당묘수를 늘리는 것이 수수 확보에 유리하여 13% 증수효과가 있었으며 그 효과는 무방풍구에서 더욱 현저하였다. 7. 방풍강 설치에 의한 풍속 경감으로 동화기관의 고엽방지효과로 완전미의 비율이 높아 미질개선의 효과가 있었으며 벼알의 변색정도가 감소되었고 변색정도가 심할수록 증숙율과 천립중이 떨어졌으며 그 정도와 부의 상관관계가 있었다. 이상의 결과를 종합하면 태풍 발생빈도가 높은 동해안 랭조풍지대에서는 품종과 이앙기를 조절하여 풍해를 회피하거나 방풍림이나 방풍강을 설치하여 풍해를 경감시키는 것이 수량 생산의 안전성을 향상시킬 수 있을 것으로 생각된다.

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오토바이 사고환자의 안전모 착용여부에 따른 뇌 손상비교와 자아존중감, 건강통제위 성격, 건강증진행위의 비교연구 (A Comparative Study on Injury Severity, Self esteem, Health Locus of control and Health Promotion Lifestyles between Helmeted and Nonhelmeted Motorcycle Accident Victims)

  • 최스미
    • 대한간호학회지
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    • 제23권4호
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    • pp.585-601
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    • 1993
  • Data on 63 patients who had had motorcycle accidents and who were admitted to four general hospitals in the Chung Chung Nam Do area from July / 1993 to August 1993 were analyzed. The tool used for this study was a structured questionnaire which consisted of ten items on self- esteem, 18 items on health locus of control and 37 items profiling health prometion lifestyle. Injury severity scores were calculated bated based on data from the patients’ medical records. The collected data were analyzed using the SPSS, yielding descriptive statistics, t-test, ANOVA, Pearson’s Product Moment Correlation. The findings of this study are as follows. 1) Of the 63 injured motorcyclists, 35(55.6%) were helmeted and 28(44.4%) were nonhelmeted, and the nonhelmeted motorcyclists were predominantly young and male. The demographic variables for the helmeted and nonhelmeted groups were heterogeneous for age and occupation. 2) The results of the comparison between the two groups showed a statistically significant difference in the injury severity score(t=-4.70, p=0.000). The helmeted group had lower scores on injury severity score (9.00±3.93) than the nonhelmeted group(14.32土5.05). More than 60% of the nonhelmeted motorcyclists had brain injuries compared to only a third of the helmeted cyclists. 3) There .was a statistically significant difference between the two groups on self esteem(t=4.5, 000). The helmeted group had a higher mean score (31.27±2.72) than the nonhelmeted group(27.46±3.80). 4) The means for Internal health locus of control (IHLC), Powerful others health locus of control (PHLC), and Chance health locus of control (CHLC) in the two groups were similar to instrument norms reported in other literature. The mean scores on the IHLC in the two groups were higher than scores on the PHLC or the CHLC. However, there was a significant difference between the mean scores for the two groups on the PHLC (t=2.85, P=0.006). 5) The mean score for the helmeted group on the health promotion lifestyle profile was higher than the mean score for the nonhelmeted group(107.30±11.10, 96.57土 15.54 respectively), and there was a significant difference between the mean scores (t=3.64, p=0.001) . The highest score for helmeted group on the health promotion lifestyle profile was in the health care domain. However, for the nonhelmeted group the highest score was in the exercise domain and the lowest score was in the health care domain. 6) With regard to the relationship between health promotion lifestyle, health locus of control and self esteem in the two groups, the correlation coefficient between health promotion lifestyle and internal health locus of control for the helmeted group was 50(p〈0.01). For the nonhelmeted group, there was no correlation between health promotion lifestyle and internal health locus of control. However, there were significant correlation between health pro-motion lifestyle and external locus of control(r=0. 46, p〈0.01), and self esteem(r=0.495, p〈0.01). 7) Among the demographic variables, age and education had an impact on individual’s self-esteem The modifying factors of age made a contribution to explaining health - promoting lifestyle. In the present study, more than 40% rf the motorcyclists were riding without a helmet. The incidence of brain injury for patients riding without a helmet was nearly twice as high in the nonhelmeted rider as compared to the helmeted rider. The nonhelmeted motorcyclists in this study had lower self-esteem, obtained a higher score on the IHLC, and were not strongly engaged in performing health promotion activities as compared to the helmeted riders. However, some of the nonhelmeted riders who had a strong belief in PHLC were positively associated with engaging in health promotion activities. Based on the results obtained from this study, strategies to promote helmet usage for motorcyclists have to be developed.

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중형 트럭의 정면 충돌 특성해석을 위한 유한요소 모델의 개발 (Development of a Finite Element Model for Frontal Crash Analysis of a Mid-Size Truck)

  • 홍창섭;오재윤;이대창
    • 한국정밀공학회지
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    • 제17권4호
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    • pp.226-232
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    • 2000
  • This paper develops a finite element model for studying the crashworthiness analysis of a mid-size truck. A simulation for a truck frontal crash to a rigid barrier using the model is performed with PAM-CRASH installed in super computer SP2. Full vehicle model is composed of 86467 shell elements, 165 beam elements and 98 bar elements, and 86769 nodes. The model uses four material model such as elastic, elastic-plastic(steel), rigid and elastic-plastic(rubber) material model which are in PAM-CRASH. Frame and suspension system are modeled with 28774 shell elements and 31412 nodes. Cab is modeled with 34680 shell elements and 57 beam elements, and 36254 nodes. Bumper is modeled with 2262 shell elements, and 2508 nodes. Axle, steering shaft, etc are modeled using beam or bar elements. Mounting parts are modeled using rigid bodies. Bodies are interconnected using nodal constrains or joint options. To verify the developed model, frontal crash test with 30mph velocity to a rigid barrier is carried out. In the crash test, vehicle pulse at lower part of b-pillar is measured, and deformed shapes of frame and driver seat area are photographed. Those measured vehicle pulse and photographed pictures are compared those from the simulation to verify the developed finite element model.

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휠체어 사용자를 위한 한국어판 WUSPI의 신뢰도와 타당도 (The Reliability and Validity of Korean Version of the Wheelchair User's Shoulder Pain Index in Wheelchair Users)

  • 박지연;조상현
    • 대한물리의학회지
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    • 제8권4호
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    • pp.573-582
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    • 2013
  • PURPOSE: The purpose of this study was to establish the reliability and validity of the Wheelchair User's Shoulder Pain Index (WUSPI), which was translated into Korean for long-term wheelchair users. This index measured 15 functional activities, including transfer, self-care, wheelchair mobility and general activities. METHODS: To assess test-retest reliability, 23 long-term wheelchair users completed this self-administered index twice within the same day. Reliability was determined by the intraclass correlation coefficient (ICC), and Cronbach's alpha was used to measure internal consistency. To examine concurrent validity, 21 long-term wheelchair users completed the questionnaire, and we examined the correlation between the index score and the shoulder range of motion measurements. RESULT: The results showed that the intraclass correlation for test-retest reliability of the total index score ranging from .88 to .99 was good to excellent. Additionally, Cronbach's alpha was .96. The internal consistency indicated excellent. Concurrent validity showed negative correlations of total index score to range of motion measurements of shoulder flexion (rho=-.58), extension (rho=-.09), abduction (rho=-.59), external rotation (rho=-.07) and internal rotation (rho=-.3), suggesting a relationship of total index score to loss of shoulder range of motion. CONCLUSION: The Korean WUSPI shows not only high reliability and internal consistency, but also concurrent validity with loss of shoulder flexion and abduction.

대형트럭의 정면 충돌 특성해석을 위한 유한요소모델의 개발 (Development of a Finite Element Model for Frontal Crash Analysis of a Large-Sized Truck)

  • 김학덕;송주현;오재윤
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 추계학술대회논문집A
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    • pp.489-494
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    • 2001
  • This paper develops a finite element model for frontal crash analysis of a large-sized truck. It is composed of 220 parts, 70,041 nodes and 69,073 elements. This paper explains only major parts' models in detail such as frame, cab, floor, and bumper which affect on crash analysis a lot. In order to prevent penetration not only at a part itself but also between parts, all contact areas are defined using type-36, self-impact type. The developed model's reliability is validated by comparing simulation and crash test results. The results used for model validation are vehicle pulses at B-pillar, and frame and deformation of frame and cab. The frontal crash simulation is performed with the same conditions as crash test. And, it is performed using PAM-CRASH installed in super-computer SP2. The developed model whose reliability is verified may be used as a base to develop a finite element model for occupant behavior and injury coefficient analysis.

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당뇨병 환자의 성별 우울, 불안, 스트레스 반응과 자가관리의 관계연구 (A Study of Depression, Anxiety, Stress Response and Self-care by Gender in Diabetic Patients)

  • 송민선;조영임
    • 재활간호학회지
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    • 제9권2호
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    • pp.145-152
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    • 2006
  • Purpose: The purpose of this study was to investigate the depression, anxiety, stress response and self-care, to analyze the correlation among depression, anxiety, stress response and self-care by gender, and to determine factors associated with self-care in diabetic patients. Method: The subjects of this study were 103 participants with diabetes mellitus. Data were analyzed by chi-square test, t-test, Pearson correlation coefficient and multiple regression analysis by using SAS program. Result: Items for self-care evaluation by gender were significant differences in hospital visit, hypoglycemia preparation, proper hygiene, taking a rest, foot injury check, drinking, and smoking. The female patients are more likely to have higher self-care score than the male patients. However, there were no differences in depression, anxiety and stress response by gender. In male patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In female patients, there were positive correlations between the degree of depression and stress response, the degree of anxiety and stress response. In multiple regression analysis, gender and experienced admission is associated with self-care. Conclusion: We should consider integrated approaches for psychological problems in the management of diabetic patients.

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Ambulatory 방광기능 모니터링을 위한 일상 생활 중 복강 내압의 변화 분석 (Analysis of Intra-abdominal Pressure Changes on Daily Activities for Ambulatory Bladder function monitoring)

  • 송철규;김거식;양영광;서정환
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2003년도 학술회의 논문집 정보 및 제어부문 B
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    • pp.943-945
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    • 2003
  • This study is to evaluate the change of intra-abdominal pressure related with intravesical and intrarectal pressure in patients with spinal cord injury according to daily activities and postural changes which make the abdominal pressure elevated. The intravesical and the intrarectal pressures were obtained during patient's speech, sneeze, cough, valsalva and various postural changes with supine to decubitus, derubitus to supine, supine to sit, and sit to supine according to empty and full bladders, respectively. The order of higher intravesical and intrarectal pressure rise during various maneuvers were valsalva, sneeze, supine to sit and cough, respectively. Higher correlation coefficient between the intrvesical and intrarectal pressures were noted during cough, sneeze, valsalva and supine to sit in empty bladder than full one. These results demonstrated that the intravesical and intrarectal pressures were influenced by daily activities and postural changes of increasing the intra-abdominal pressure. The intrarectal pressures according to daily activities such as cough, sneeze, valsalva and postural change were significantly related with intravesical pressures.

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Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study

  • Kim, Myoung Jun;Park, Jung Yun;Kim, Mi Kyoung;Lee, Jae Gil
    • Journal of Trauma and Injury
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    • 제32권1호
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    • pp.17-25
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    • 2019
  • Purpose: We investigated how prehospital, emergency room (ER), and delta shock indices (SI) correlate with outcomes including mortality in patients with polytrauma. Methods: We retrospectively reviewed the medical records of 1,275 patients who visited the emergency department from January 2015 to April 2018. A total of 628 patients were enrolled in the study. Patients were divided into survivor and non-survivor groups, and logistic regression analysis was used to investigate independent risk factors for death. Pearson coefficient analysis and chi-square test were used to examine the significant relationship between SI and clinical progression markers. Results: Of 628 enrolled patients, 608 survived and 27 died. Multivariate logistic regression analysis reveals "age" (p<0.001; OR, 1.068), "pre-hospital SI >0.9" (p<0.001; OR, 11.629), and "delta SI ${\geq}0.3$" (p<0.001; OR, 12.869) as independent risk factors for mortality. Prehospital and ER SIs showed a significant correlation with hospital and intensive care unit length of stay and transfusion amount. Higher prehospital and ER SIs (>0.9) were associated with poor clinical progression. Conclusions: SI and delta SI are significant predictors of mortality in patients with polytrauma. Moreover, both prehospital and ER SIs can be used as predictive markers of clinical progression in these patients.

Usefulness of intraoperative transcranial sonography in patients with traumatic brain injuries: a comparison with postoperative computed tomography

  • Mahn Jeong Ha;Seung Han Yu;Jung Hwan Lee;Hyuk Jin Choi;Byung Chul Kim
    • Journal of Trauma and Injury
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    • 제36권1호
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    • pp.8-14
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    • 2023
  • Purpose: The aim of this study was to assess the agreement between intraoperative transcranial sonography (TCS) and postoperative computed tomography (CT) in patients with traumatic brain injuries. Methods: We performed a retrospective cross-sectional study of 35 patients who underwent TCS during surgery, among those who presented to a regional trauma center and underwent decompressive craniectomy between January 1, 2017 and April 30, 2020. Results: The mean difference between TCS and CT in measuring the midline shift was -1.33 mm (95% confidence interval, -2.00 to -0.65; intraclass correlation coefficient [ICC], 0.96; P<0.001). An excellent correlation was found between TCS and CT in assessing contralateral subdural hematomas (ICC, 0.96; P<0.001) and focal hematoma lesions (ICC, 0.99; P<0.001). A very good correlation between TCS and CT was found for measurements of ventricle width (ICC, 0.92; P<0.001). Conclusions: TCS during surgery is considered an effective diagnostic tool for the detection of intraoperative parenchymal changes in patients with traumatic brain injuries.