• Journal of Korean Biological Nursing Science
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• v.23 no.4
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• pp.257-266
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• 2021

Purpose: The purpose of this study was to analyze the content of nursing interventions applied to patients with thoracic injury who visited a trauma emergency room (TER) or an emergency room (ER). Methods: Of 3,938 trauma patients admitted to this hospital between January 1, 2019 and December 31, 2020, 320 adult patients with thoracic injury (94 to TER, 226 to ER) who met the inclusion criteria were enrolled. Patients' data were acquired from their electronic medical records. General and clinical characteristics of these subjects along with nursing interventions were analyzed. Results: There were statistically significant differences in the length of stay, treatment outcome, and level of consciousness between thoracic injury patients who visited TER and ER. Average thoracic Abbreviated Injury Scale score and average Injury Severity Score of thoracic injury patients who visited TER were 3.13 and 13.54, respectively, which were significantly higher than those of patients who visited ER. The numbers of nursing actions applied was 4,819 for TER and 3,944 for ER, which were classified into five domains, 18 classes, and 56 interventions. The most domain of interventions carried out in both TER and ER was physiological: complex. Classes including Crisis management and Thermoregulation were not carried out in ER. On average, 16 more types of interventions were carried out in TER than in ER. Conclusion: This study demonstrated characteristics of thoracic injury patients and nursing interventions by emergency room type. Based on results of this study, standardized nursing interventions need be applied to thoracic injury patients visiting TER and ER.

• Childhood Kidney Diseases
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• v.15 no.2
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• pp.107-115
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• 2011

Acute kidney injury (AKI) is associated with mortality and may lead to increased medical expense. A modified criteria (pediatric RIFLE [pRIFLE]: Risk, Injury, Failure, Loss, and End-stage renal disease) has been proposed to standardize the definition of AKI. The common causes of AKI are renal ischemia, nephrotoxic medications, and sepsis. A majority of critically ill children develop AKI by the pRIFLE criteria and need to receive intensive care early in the course of AKI. Factors influencing patient survival (pediatric intensive care unit discharge) are known to be low blood pressure at the onset of renal replacement therapy (RRT), the use of vasoactive pressors during RRT, and the degrees of fluid overload at the initiation of RRT. Early intervention of continuous RRT (CRRT) has been introduced to reduce mortality and fluid overload that affects poor prognosis in patients with AKI. Here, we briefly review the practical prescription of pediatric CRRT and literatures on the outcomes of patients with AKI receiving CRRT and associations among AKI, fluid overload, and CRRT. In conclusion, we suggest that an increased emphasis should be placed on the early initiation of CRRT and fluid overload in the management of pediatric AKI.

• Journal of Korean Biological Nursing Science
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• v.23 no.2
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• pp.138-150
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• 2021

Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

• 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.

• Advances in Automotive Engineering
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• v.1 no.1
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• pp.61-77
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• 2018

In this study, the effects of sitting position of the driver on the whiplash neck injury have been analyzed experimentally by using hybrid III series 50 percentile male crash test dummy. A testing platform consisting of vehicle ground, driver foot rest, driver seat and a 3-point seatbelt has been prepared. This testing platform and the instrumented crash test dummy are prepared for tests according to the Euro NCAP whiplash testing protocol. The prepared test set-up has been exposed to 3 different acceleration-time loading curves defined in the Euro NCAP whiplash testing protocol by performing sled tests. 9 different sled tests have been performed with the combinations of 3 different seating positions of the crash test dummy and 3 different acceleration-time loading curves. The sensor data obtained from the crash test dummy and high-speed videos taken are analyzed according to the injury assessments criteria defined in the Euro NCAP whiplash testing protocol and the criticality of the whiplash injury is defined. It is seen that the backset distance of the driver head with the headrest and the height difference of the top of the head of the driver with the headrest have a great importance on whiplash injuries.

• International Journal of Automotive Technology
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• v.7 no.1
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• pp.51-59
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• 2006

The high potential for injury involved in rollover accidents warrants the development of a system to protect passengers against such events. To effectively implement such a protection system, it is first necessary to determine rollover criteria (i.e., real time states which indicate the occurrence of rollover events). In this paper, several rollover criteria have been developed based on simplified physical models. Such accidents are first classified into two types, untripped and tripped, according to the main cause that initiates the rollover. Characteristics of these rollover situations are identified by applying appropriate principles of dynamics to corresponding simplified physical models. Two main rollover criteria, Rotational Kinetic Energy (RKE) and Initial Kinetic Energy (IKE), are then introduced based on these characteristics. ADAMS/View simulations have been performed to verify the feasibility of the introduced rollover criteria. ADAMS/Car simulations have also been conducted to get more realistic rollover data with a complete vehicle model. Results of these experiments reveal that our established criteria prove useful for predicting whether actual rollover occurs or not.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.15 no.4
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• pp.239-247
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• 2015

Recently, various research studies on frontal collision and rear-ender which occur more frequently compared to others are underway as the public interest on them is growing. This study analyzes scientifically the relationship between effective impact speed and injury incidence for vehicle crash accident reconstruction and presents a relevant model formula. Because real vehicle experiments have certain limitations such as possible injuries, this study efforts to collect and analyze as many materials as possible to substitute real vehicle experiments, including data from various collision tests and human experiments. As a result, this study present a threshold in which head-on collisions and rear impacts do not cause injuries under 7 km/h of effective impact speed, and suggests a model formula showing that injury extent is linearly proportional to effective impact speed through collision speed and amount of plastic deformation. In conclusion, a model formula for estimating effective impact speed and injury incidence newly proposed in this study is expected to be used as a minimum standard of judgment in disputes on the injury extent of passenger in head-on collisions and rear impacts. Furthermore its availability in terms of technological analysis in legal arguments is expected to be very high if this study will be enhanced by referring to scientific analyses of various real accidents so as to apply it in various types of collision accidents.

• 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.

• The Journal of Internal Korean Medicine
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• v.40 no.6
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• pp.1035-1042
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• 2019

Background: Herbal medication is widely used in the Korean Medicine Hospital, and drug-induced liver injury (DILI) in Korea has increased proportionally. Herb-induced liver injury now accounts for approximately 40% of cases of hepatotoxicity in Korea, according to research data. Currently, however, the component responsible for the toxicity is usually unknown or can only be suspected. Objective: To study the hepatotoxicity of Cheongsimyeonja-tang in DILI. Methods: A retrospective review was conducted of 82 inpatients between April 2010 and March 2017 with suspected drug-induced liver injury (n=5). The standard criteria (RUCAM scale) for drug-induced liver injury (DILI) were applied. The electronic medical records (EMRs) were retrospectively reviewed to identify the relevant database. Aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), and total bilirubin (T. Bili) were analyzed in blood samples before and after the administration of Cheongsimyeonja-tang. Results: Five cases out of 82 patients had a criterion-referenced probable (RUCAM) score ranging from 6 to 8 points DILI. However, statistical analysis of the liver function parameters results of the 82 patients did not show a statistically meaningful elevation after taking Cheongsimyeonja-tang. Conclusions: These data suggest a relationship between Cheongsimyeonja-tang and DILI. More studies are needed to validate these observations and to explore their implications.

• Journal of Auto-vehicle Safety Association
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• v.8 no.4
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• pp.12-17
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• 2016

NHTSA (National Highway Traffic Safety Administration) has offered consumers the vehicle safety information on their car since 1978. NHTSA believes that they contribute auto makers to develop safer vehicle for customers, which will result in even lower numbers of deaths and injuries resulting from motor vehicle crashes. NHTSA has been studied why people are still dying in frontal test despite of the use of many restraints system and they understand that current test does not reflect real world crash data such as oblique and corner impact test. As a result, NHTSA announced that a new test method will be introduced to use of enhanced biofidelic dummy and new crash avoidance technology evaluation from 2019. New and refined injury criteria will be applied to Head / Neck / Chest / Lower Leg. BrIC(Brain Injury Criterion)value in NHTSA test results using THOR dummy from 2014 to 2015 was average 0.91 and 1.24 in driver and passenger dummies. IIHS 64kph SOF test is the most likely to new frontal oblique test in an aspect of offset impact which is being studied by NHTSA. In this paper, we focused on head injury, especially brain injury - BrIC and conducted IIHS 64kph SOF (Small Offset Front) test with Hybrid III dummy to evaluate the injury for BrIC. Based on the test results, these data can be predicted BrIC level and US NCAP rating with current vehicle.