• 제목/요약/키워드: bed fall

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A Study on Fall Prevention System in Patient Bed

  • Cho, Youngseok
    • 한국컴퓨터정보학회논문지
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    • 제24권1호
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    • pp.101-106
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    • 2019
  • In this paper, we investigate the patient fall prevention system to prevent the patient from falling out of the bed unintentionally on the bed of the bed. Patients stay in bed for many hours of hospitalization. During the hospitalization period, patients have low controllability of the body, as compared with normal persons, and fall due to intentional movements, resulting in a fall of the patient, can be a fatal threat to the patient. Therefore, an efficient fall prevention system is required. In this paper, the distance map to the patient is generated by the distance measuring sensor on the bed of the patient, and the risk is determined by estimating the position of the patient based on the distance map. As a result, when the distance map of the dangerous area is 150 mm or more, it is determined to be dangerous, and good results are obtained.

침대 자세 기반 입원 환자의 낙상 위험 예측 모델 설계 (Predictive Modeling Design for Fall Risk of an Inpatient based on Bed Posture)

  • 김승희;이승호
    • 한국인터넷방송통신학회논문지
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    • 제22권2호
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    • pp.51-62
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    • 2022
  • 본 논문에서는 환자의 자세를 기반으로 행동을 예측하여, 의료진에 의해 입력된 개인의 병력 중심의 프로파일과 신체정보, 침상의 기본 정보를 모두 조합하여 침대에서의 낙상 위험을 예측하는 모델을 설계하고, 위험의 수준을 판단할 수 있는 알고리즘을 제시한다. 낙상 위험 예측은 크게 환자의 프로파일을 활용한 정성적 낙상 위험 노출도 평가와 실시간 낙상 위험 측정 단계로 구분된다. 정성적 낙상 위험 노출도는 의료진이 낙상 위험과 관련된 환자의 건강 상태를 점검하여 위험 노출도를 평가함으로써 위험 등급이 결정된다. 실시간 낙상 위험 측정 단계에서는 환자의 침대에서의 자세를 인식하고 환자의 정성적 위험등급 정보가 고려된 낙상 위험 측정을 위한 규칙 기반 정보를 추출한다. 인식된 환자 자세 정보와 정성적 위험평가 정보를 모두 조합하여 시그모이드 함수를 활용하여 최종 낙상 위험 수준을 예측한다. 본 연구에서 제시된 절차와 예측 모델은 입원 환자를 위한 낙상 사고 예방과 환자 안전을 위한 개인화 서비스에 크게 기여할 것으로 기대된다.

Assessment of portable traveling pluviator to prepare reconstituted sand specimens

  • Dave, Trudeep N.;Dasaka, S.M.
    • Geomechanics and Engineering
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    • 제4권2호
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    • pp.79-90
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    • 2012
  • Air pluviation method is widely adopted for preparation of large, uniform and repeatable sand beds of desired densities for laboratory studies to simulate in-situ conditions and obtain test results which are highly reliable. This paper presents details of a portable traveling pluviator recently developed for model sand bed preparation. The pluviator essentially consisted of a hopper, orifice plates for varying deposition intensity, combination of flexible and rigid tubes for smooth travel of material, and a set of diffuser sieves to obtain uniformity of pluviated sand bed. It was observed that sand beds of lower relative density can be achieved by controlling height of fall, whereas, denser sand beds could be obtained by controlling deposition intensity. Uniformity of pluviated sand beds was evaluated using cone penetration test and at lower relative densities minor variation in density was observed with depth. With increase in relative density of sand bed higher repeatability of uniform pluviation was achieved.

일개 종합병원 입원환자의 낙상 실태 및 관련 요인 (Falls in the General Hospital Inpatients: Incidence, Associated Factors)

  • 양화미;천병철
    • 한국의료질향상학회지
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    • 제15권2호
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    • pp.107-120
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    • 2009
  • Background : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Method : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Result : The incidence rate of fall, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, $$\geq_-$$65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient's room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended.

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침상의 인체감지를 위한 원격 스마트 제어 시스템에 관한 연구 (Study on Remote Smart Control System for Human Detection on Bed)

  • 박승환;심우정;정진택;김영서
    • 한국융합학회논문지
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    • 제8권12호
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    • pp.63-69
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    • 2017
  • 본 연구는 침상의 인체 위치와 생체신호를 검출할 수 있는 스마트 침상제어시스템의 개발에 관한 것이다. 침상제어 시스템의 메인 제어보드는 인체 감지부, 모터 구동부, MCU로 구성된다. 여기서, 침상의 인체존재 확인의 신뢰성을 높이기 위해 맴브레인 센서에 의한 인체위치 검출부와 EMFI 센서의 생체신호 검출부를 인체감지부로 결합하였다. 또한 검출된 두 신호를 원격으로 앱 모드의 응용 프로그램에 연결하여, 침상위 인체정보를 모니터링할 수 있는 앱모드의 활용이 가능하도록 하였다. 본 연구에서 블루투스 통신에 의해 침상 인체 정보를 모니터링하는 원격 기능은 병원 및 요양기관의 낙상 및 침상부재사고 예방기법으로 활용될 수 있을 것이다.

추작 마령서의 파종기, 파종법 및 최아법이 발아 생육에 미치는 영향 (Effects of the periods and the methods of seeding and the seed bed locations on the sprouting of seed pieces of fall grown potatoes)

  • 강신원
    • 한국작물학회지
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    • 제8권1호
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    • pp.121-127
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    • 1970
  • 1. 추작 마영서 단종 적순는 7月21견경으로 보였다. 2. 배수가 양호한 곳에서는 직파해도 발아에 지장이 없었다. 3. 양지(야외)최아가 음령소 최아보다 싹이 훨신 건실했다.

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입원환자 낙상 발생 실태와 원인에 관한 분석 연구 (An Analysis of Fall Incidence Rate and Its Related Factors of Fall in Inpatients)

  • 김철규;서문자
    • 한국의료질향상학회지
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    • 제9권2호
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    • pp.210-228
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    • 2002
  • Background: The purpose of this research was to examine the fall incidence rate and its related factors of fall in inpatients. Methods: The data were collected from the 138 fall incident reports in one tertiary hospital in Seoul from April 1st 1999 to September 30th 2001. The Fall Incident Report Form was originally developed based on that of Massachusetts General Hospital revised in 1995. And this was modified for this survey by the collaborating work of QI team including researcher and department of nursing service of this particular hospital. The contents of Fall Incident Form were general characteristics of patient. factors related to fall. types and places of fall. circumstances, nursing interventions. and outcome. Results: 1) The incidence rate of fall was 0.08% of total discharged patients and 0.081 per 1000 patient-day. This incidence rate is much lower than that of several hospitals in USA. This finding might result from the different incidence report system of each hospital. 2) The characteristics of fall-prone patient were found as follows. They were mostly over 60 years old, in alert mental status, ambulatory with some assistance, and dependent on ambulatory device. The types of diseases related high incidence rate were cerebrovascular disease(3.2), hypertension(1.6), cardiovascular disease(1.4), diabetes(1.3) and liver disease(0.6). 3) The majority of fall events usually occurred m bed. bedside(walking or standing) and bathroom in patient room. Usually they were up on their own when they fell. And there were more falls of elderly occurred during night time than day or evening. 4) 63.8% of fall events resulted in physical injuries such as fracture and usually the patients had diagnostic procedures and some treatment(ex. suture) which caused additional cost to the patients and their families. 5) The found risk factors of fall were drugs(antihypertensive drug, diuretics) and environmental factors like too high bed height, long distance of bedside table and lamp switch, and slippery tile of bathroom floor. Conclusion: Considering these results, every medical and nursing staff should be aware of the risk factors of patients in hospital, and should intervene more actively the preventive managements, specially for the elderly patients during night. Therefore, it is recommended that the development of Fall Prevention Programs based on these results.

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일 종합병원 입원 환자의 낙상 실태 및 위험 요인 분석 (Identifying Characteristics of Fall Episodes and Fall-related Risks of Hospitalized Patients)

  • 강영옥;송라윤
    • 근관절건강학회지
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    • 제22권3호
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    • pp.149-159
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    • 2015
  • Purpose: This study aimed to identify falls and related risks of hospitalized patients in order to provide an baseline data to develop effective nursing intervention programs for fall prevention. Methods: The data on 120 patients who experienced falls from 2010 to 2013 during their hospitalization were collected from the patient' electronic medical records of an university hospital. Data were analyzed with descriptive statistics using SPSS/WIN 20.0. Results: Over 60% of the patients who experienced falls during their hospitalization was 65 years or older, and most of them had hypertension. Majority of the subjects needed help to perform daily activities (64%) and complained of general weakness (49.2%). Prior to the falls, the patients were taking average 2.52 medications to treat hypertension. The Fall accident was mostly frequently occurred in their hospital room (59.2%), or in bed (44.2%). The patients aged 70 years and older were significantly less alert than younger group, and taking more cardiovascular medications. Most fall risk factors were not significantly different for age, gender, and department category. Conclusion: The study findings suggest the need to emphasize the nurses to be more actively aware of fall risk factors and to provide aggressive interventions for preventing falls in hospitalized patients.

Occupancy 센서와 도플러 Radar를 이용한 침상 모니터링 시스템 (Bed Side Monitoring System using Occupancy Sensor and Doppler Radar)

  • 강병욱;유선국
    • 한국멀티미디어학회논문지
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    • 제21권3호
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    • pp.382-390
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    • 2018
  • A major accident occurring on the bed is falls that occur during at times when the care of nurses or protectors is inadequate, which is fatal to patients or the elderly. In particular, Enuresis or sleepiness caused by sleep apnea increases the risk of falls. Therefore, it is very important to detect falls and sleep apnea of patients without infringing privacy in the bed to patient's safety and accident prevention. In this paper, we reviewed the technologies developed for bed monitoring and implemented a non-intrusive monitoring system. The Occupancy Sensor allows the temperature of the bed and surrounding area to be extracted to enable track of the patient's motion. The Doppler Radar detects the patient's movements at normal times and the respiration state when patients have no movement during sleeping. It is specially designed for real-time monitoring of falling and respiration during sleeping through contactless multi-sensing while solving patient's privacy problems.

Secondary Production of Monocorophium acherusicum (Amphipoda, Corophiidae) in a Seagrass Bed (Zostera marina)

  • Jeong Seung-Jin;Yu Ok-Hwan;Suh Hae-Lip
    • 한국수산과학회지
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    • 제39권spc1호
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    • pp.236-241
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    • 2006
  • We measured the secondary production of the amphipod Monocorophium acherusicum Costa in a seagrass bed (Zostera marina L.) in Gwangyang Bay, southern Korea. M. acherusicum biomass was positively correlated (P<0.05) with seagrass standing crop, suggesting that there were biological interactions between the two species. M. acherusicum displays two main breeding periods per year: spring (March to April) and fall (October to November). M. acherusicum biomass in the spring breeding periods was higher than in the fall. Annual secondary production of M. acherusicum was 3.54 g DW/$m^2$/yr with an annual P/B ratio of 3.48. Secondary production and the P/B ratio of M. acherusicum were lower than those observed for other amphipods inhabiting seagrass beds. These results suggest that biological interactions between M. acherusicum and seagrass, as well as dietary competition with other amphipods can potentially cause declines in secondary production and the P/B ratio.