• 자동차안전학회지
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• 제8권3호
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• pp.33-38
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• 2016

Recently, development in vehicle safety could increase interest in children's safety in vehicle collisions. But the research of children safety in vehicle collisions is not being conducted as many as that of adult's. Especially the study for the vehicle crash was not much. This study focused on the comparison of child safety between test protocols to evaluate children's safety in crash test. Injuries of Q6 and Q10 dummy were evaluated using FFRB (Full frontal rigid barrier) test and 40% ODB (Offset deformable barrier) test with one model vehicle. Even though the limit number of test, the tendency of injury criteria of Q6 and Q10 dummy between the test protocols was not conformed but injury criteria of Q6 and Q10 were not same between FFRB and 40% ODB.

• Annals of Clinical Neurophysiology
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• 제24권2호
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• pp.35-45
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• 2022

Complex regional pain syndrome (CRPS) is a chronic regional pain disorder that most frequently affects the limbs. It is characterized by hyperalgesia, allodynia, edema, motor disturbance, and vasomotor instability, and typically occurs following surgery or trauma. In type-I CRPS there is no confirmed nerve injury, while peripheral nerve injury is present in type-II CRPS. The multifactorial pathophysiological etiology of CRPS includes inflammation, autoimmune responses, abnormal cytokine production, autonomic dysfunction, altered blood flow, psychological factors, and central cortical reorganization. There are no specific laboratory diagnostic tools for CRPS, and so it is diagnosed clinically. The Budapest criteria are currently the most-accepted diagnostic criteria.

• Neonatal Medicine
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• 제17권2호
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• pp.161-167
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• 2010

Acute kidney injury (AKI), formerly referred to as acute renal failure (ARF) is defined as the sudden impairment of kidney function (estimated from the glomerular filtration rate [GFR]) that results in the lack of excretion of waste products. More than 30 definitions of AKI exist in the literature, most of which are based on serum creatinine. Lack of a uniform and multidimensional AKI definition has led to failure to recognize significant renal injury, delays in treatment, and inability to generalize single-study results. The RIFLE criteria were developed to standardize the diagnosis of ARF and in the process the term AKI has been proposed to encompass the entire spectrum of the syndrome from minor changes in renal function to requirement for renal replacement therapy. Large prospective studies are needed to test definitions and to better understand risk factors, incidence, independent outcomes, and mechanisms that lead to poor short- and long-term outcomes. Early biomarkers of AKI need to be explored in critically ill neonates.

• 산업경영시스템학회지
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• 제15권26호
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• pp.125-136
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• 1992

Primary prevention of low back injury in industry has focused on assessing the person's ability to perform physical labor. If the job to be performed is known to require lifting and moving of materials which could stress the low back, then special consideration is given to the health and functional capability of the person, s back. The major pursuit in lifting task of research is to provide objective criteria based upon all of the relevant mechanical parameters which describe both man art task so as to minimize the probabilities of injury within the economic constraints of each organization. The purpose of this study is to predict the back compression of persons asked to lift objects while assuming different position by computer simulation. The primary result of this study is that the incidence of low back injury is correlated with higher lifting strenth requirements as determined by assessment of both the location and magnitude of the load lifted. It is, therefore, recommended that load lifting be considered potentially hazardous, and the action limit and the maximum permissiable limit be used to guide corrective action.

• 한국학교보건학회지
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• 제22권1호
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• pp.145-153
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• 2009

International Safe School(ISS) model has focused as a public health approach to develop safety intervention to address injury problems in school setting. It needs school members involvement in partnership with community resources to address the needs for school based injury prevention and safety promotion. The characteristics and principles of ISS model discussed in this paper emphasizes participation, capacity and partnership building, evidence based process, and so on. A 7 criteria is introduced as ISS implementation strategy. Multilevel and multi-facet approaches are valuable on ISS as well as process evaluation. For the application of ISS model in Korea, finding evidence, building public health partnership between school and other public or private resources in community are necessary conditions for succesful ISS for health promotion in school setting.

• Journal of Korean Neurosurgical Society
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• 제64권5호
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• pp.791-798
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• 2021

Objective : The period of mechanical ventilator (MV)-dependent respiratory failure after cervical spinal cord injury (CSCI) varies from patient to patient. This study aimed to identify predictors of MV at hospital discharge (MVDC) due to prolonged respiratory failure among patients with MV after CSCI. Methods : Two hundred forty-three patients with CSCI were admitted to our institution between May 2006 and April 2018. Their medical records and radiographic data were retrospectively reviewed. Level and completeness of injury were defined according to the American Spinal Injury Association (ASIA) standards. Respiratory failure was defined as the requirement for definitive airway and assistance of MV. We also evaluated magnetic resonance imaging characteristics of the cervical spine. These characteristics included : maximum canal compromise (MCC); intramedullary hematoma or cord transection; and integrity of the disco-ligamentous complex for assessment of the Subaxial Cervical Spine Injury Classification (SLIC) scoring. The inclusion criteria were patients with CSCI who underwent decompression surgery within 48 hours after trauma with respiratory failure during hospital stay. Patients with Glasgow coma scale 12 or lower, major fatal trauma of vital organs, or stroke caused by vertebral artery injury were excluded from the study. Results : Out of 243 patients with CSCI, 30 required MV during their hospital stay, and 27 met the inclusion criteria. Among them, 48.1% (13/27) of patients had MVDC with greater than 30 days MV or death caused by aspiration pneumonia. In total, 51.9% (14/27) of patients could be weaned from MV during 30 days or less of hospital stay (MV days : MVDC 38.23±20.79 vs. MV weaning, 13.57±8.40; p<0.001). Vital signs at hospital arrival, smoking, the American Society of Anesthesiologists classification, Associated injury with Injury Severity Score, SLIC score, and length of cord edema did not differ between the MVDC and MV weaning groups. The ASIA impairment scale, level of injury within C3 to C6, and MCC significantly affected MVDC. The MCC significantly correlated with MVDC, and the optimal cutoff value was 51.40%, with 76.9% sensitivity and 78.6% specificity. In multivariate logistic regression analysis, MCC >51.4% was a significant risk factor for MVDC (odds ratio, 7.574; p=0.039). Conclusion : As a method of predicting which patients would be able to undergo weaning from MV early, the MCC is a valid factor. If the MCC exceeds 51.4%, prognosis of respiratory function becomes poor and the probability of MVDC is increased.

• 한국자동차공학회논문집
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• 제21권3호
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• pp.66-73
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• 2013

This study assesses neck injury of occupants in a real traffic accident case that a preceding vehicle moved backward and impacted a parked vehicle at a low velocity. This case is different from a case of whiplash injury caused by rear impact on vehicle. The impact velocity was estimated from damages of the two vehicle bumpers and the displacement of the parked vehicle was also estimated from CCTV images. MADYMO simulation was performed based on the vehicle specifications and investigation report. The comparison of neck flexion moments with the corresponding injury criteria revealed that occupants of the parked vehicle might have hardly neck injury.

• 기본간호학회지
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• 제8권2호
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• pp.119-131
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• 2001

The purpose of this study was done to explore and to describe, from a phenomenological perspective. the sexual experience of unmarried males with a spinal cord injury. The methodology used in this study was the phenomenological method. Researcher conducted individual in-depth interviews with persons who had a Spinal Cord Injury. Six males were invited to participate in the study. The data were gathered from November 1999 to August 2000. The finding which emerged from this phenomenological study are as follow: 'Confusion state in shocking situation', 'Reflection on past sexual experience', 'Irresistible impulsive sexual desire', 'Psychological conflict caused by suppression of sexual appetite', 'Groping for a solution to sexual desire', 'Recognition of changed sexual function' and 'Confirmation of changed self'. The conclusion of this study are as follow: The sexuality mankind owns is the criteria of original and common difference in the society of mankind through the categorization of male and female into dichotomy. In fact, the mankind as an social animal is the existence by the sexuality, for the sexuality and of the sexuality. The sexuality has the meaning only within the relationship with the others. The sexuality has the meaning only in the inter-relationship and the sexuality itself in it is already the sexual relationship. Therefore, for the better life of the participants with the spinal cord injury, further understanding of the sexuality of the unmarried male with spinal cord injury is required.

• 한국환경과학회지
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• 제31권4호
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• pp.369-372
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• 2022

This study was conducted to determine the injury type and frequency of bearded dragons during single and group breeding according to stocking density, for 16 weeks. A total of 14 bearded dragons compromising three groups were selected for this study. Six and four bearded dragons bred in a cage of 45 cm × 45 cm × 45 cm were designed as group A and B, respectively. Group C was made of four partitions (20 cm × 20 cm × 20 cm) of equal size in the kennel, and the dragons, four in number, were reared alone. Injury type criteria were given 1 score each in 6 stages. Most of the injury types in group A were primary tail cutting, which was 1 point, depending on the score, except for 4 scores. The injury type of group A varied, that is 1, 2, 3, and 5 scores, and the pattern lasted for 2 to 9 weeks. After 10 weeks, the dragons showed no response to injury type, except 4 scores at 11 weeks and 2 scores at 14 weeks with a frequency of one, respectively. The representative injury types of the group B were primary tail cutting, which was 1 point, and the scores of the injury type from 2 to 11 weeks were the highest; the frequency of occurrence at 1 and 2 scores was 5 times and 3 times, respectively, and the frequency of occurrence at 3 scores was twice. In addition, 5 scores were found to have the lowest frequency of occurrence. Solitary breeding showed no response to the type of injury for 16 weeks. Consequently, single breeding with an appropriate stocking density did not affect stress, and it could be expected a positive aspect for pet welfare.

• Journal of Trauma and Injury
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• 제33권1호
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• pp.13-17
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• 2020

Purpose: Accurate and appropriate prehospital field triage is essential for a trauma system. The Korean trauma system (established in 2014) uses the trauma field triage algorithm of the United States Centers for Disease Control and Prevention (CDC). This study evaluated the suitability of the CDC field triage criteria for major trauma cases (injury severity score >15) in Korea. Methods: This retrospective cohort study evaluated trauma patients who presented at the authors' regional trauma center from January 1 to May 7, 2017. The undertriage and overtriage rates of each CDC field triage step were calculated. Receiver operating characteristic curves were constructed, and the area under the curve (AUC) was evaluated for each step. Results: Among the 1,009 enrolled patients, 168 (16.7%) had major trauma. The undertriage/overtriage rates of each step (steps I, II, III, and IV) of CDC field triage were 9.2%/47.4%, 6.3%/50.8%, 4.5%/59.4%, and 5.3%/78.9%, respectively. The AUC values of each CDC triage step were 0.722, 0.783, 0.791, and 0.615, respectively. The AUC values of the separate components of each step (physiologic criteria, anatomic criteria, mechanism-of-injury criteria, and special considerations) were 0.722, 0.648, 0.647, and 0.456, respectively. Conclusions: The CDC field triage system is acceptable, but not ideal, for Korean trauma care. If we follow the protocol, it would be preferable to omit step IV. The Korean Triage and Acuity Scale may be a good indicator for in-hospital triage. However, a new triage protocol that is simple to estimate on-scene while having good performance should be developed.