• Title/Summary/Keyword: fracture history

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폐경 후 여성 골다공증과 낙상의 실태 및 골절 위험 예측요인 (Incidence of Osteoporosis and Falls and Predictors of Fracture Risk in Postmenopausal Women)

  • 안숙희;김윤미;전나미;이숙희
    • 여성건강간호학회지
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    • 제18권4호
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    • pp.237-247
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    • 2012
  • Purpose: The purpose of this study was to investigate the incidence of osteoporosis and falls and their consequences, and to identify predictors of fracture risk in the postmenopausal women. Methods: A total of 687 postmenopausal women were recruited through a stratified convenience sampling. A structured questionnaire was used to obtain osteoporosis and fall history and details of their most recent fall. To predict fracture risk factors, we collected demographic and physical health variables related osteoporosis and fall. Fracture risk was measured by FRAX$^{(R)}$ to calculate 10-year probability of major osteoporotic and hip fracture. Results: The prevalence of osteoporosis was 22.1%, and 66.4% of them had treatments for osteoporosis. The incidence of falls during the past year was 19.2% and 38.6% of those who fell suffered consequent fractures. Women with history of osteoporosis and falls were significant predictors of 10-year probability of major osteoporotic and hip fracture. Other significant predictors were history of fracture, chronic disease, surgical menopause, lower BMI, poorer perceived health and no job. Conclusion: It appears that history of osteoporosis and falls are main predictors of fracture risk. Nursing assessment should be performed by detail history taking for osteoporosis, fall, chronic disease, and fracture to screen fracture risk group among postmenopausal women.

노인들의 고관절골절 위험요인에 관한 환자-대조군 연구 (Risk Factors for Hip Fracture among the Elderly)

  • 김용권;조영하
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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디젤기관차를 이용한 경부선의 하중이력 측정 (Measurement of load history of Kyoung-Bu line by using the diesel locomotive)

  • 함영삼;서정원;오택열
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2000년도 춘계학술대회 논문집
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    • pp.652-659
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    • 2000
  • The machine structure or parts has been arrive at a fracture, depend on crack by repeated load. Machine designer is estimate of fatigue strength in early stages the design for prevent fatigue fracture, then necessary its load history. This research study is using diesel locomotive in measurement of load history for fatigue design of rolling stock. The relation between velocity and amplitude of load history was found. We confirmed that the increase of velocity make to increase the magnitude of amplitude.

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제5 중족골 근위부 골절 환자의 자기공명영상 검사를 통한 족관절 외측 불안정성 평가의 기여도 (Contribution of Lateral Ankle Instability Evaluation with MRI to Proximal Fifth Metatarsal Fracture)

  • 유종민;주인탁;이규조
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.119-122
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    • 2010
  • Purpose: One of the main contributors to proximal fifth metatarsal fracture is ankle inversion and the incidence of recurrence may increase in patients with ankle instability. So, the authors confirmed the patients of proximal fifth metatarsal fracture with ankle instability by checking the history and magnetic resonance imaging (MRI) and assessed the value of MRI as therapeutic prognosis and clinical indicators for prevention of recurrence. Materials and Methods: Patients with proximal fifth metatarsal fractures visited our hospital during recent five years were reviewed. 35 patients with suspected damage by ankle inversion had been identified a history of ankle instability and checked the hindfoot malalignment through hindfoot alignment view and MRI was performed prospectively. The patients was devided to three groups on the location of fracture site and the groups were compared each other. Results: The mean time from injury to checking MRI was 10.7 days. There was no structural abnormality and was no significant difference according to the location of fracture. The patients with history of ankle inversion were 31(88.6%) and the patients with history of chronic or recurrent injury were 22 patients (62.9%). The lesion of MRI related to lateral ankle instability were identified in all patients. Conclusion: This study noted a high incidence of lateral ankle instability that was identified by MRI in the patients of proximal fifth metatarsal fracture. Aggressive treatment for lateral ankle instability should be needed for complications as proximal fifth metatarsal fracture to reduce the recurrence and occurrence.

CFRP 적층판의 동적 층간파괴인성의 평가법 (A Study on the Estimation of Dynamic Interlaminar Fracture Toughness on CFRP Laminates Plates)

  • 김지훈;김영남;판부직규;양인영
    • 한국자동차공학회논문집
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    • 제6권2호
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    • pp.80-91
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    • 1998
  • In this paper, the estimation of dynamic interlaminar fracture toughness on fracture mode II in CFRP(carbon fiber reinforced plastics) laminates in made. Dynamic ENF(End Notched Flexure) apparatus used in this paper is manufactured by suing Split Hopkinson Pressure Bar. The static and impact load history in the CFRP specimen is measured by using manufactured dynamic ENF tester and 3-point bending test is carried out to find the load history. Also dynamic interlaminar fracture toughness can be found by using the J integral obrained from dynamic analysis in consideration of intertia-force effect.

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간이식 후 골다공증 관리 (Management of Osteoporosis in Liver Transplant Recipients)

  • 최호정;김보람;김윤희;이정화;이은숙;김은경;조재영;최영록
    • 한국임상약학회지
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    • 제30권1호
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    • pp.51-58
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    • 2020
  • Background: Prevention of osteoporosis and bone fracture is one of the important issues for liver transplant recipients because a long history of liver disease and lifelong use of immunosuppressants, including corticosteroids, may cause these diseases. In this study, we aimed to analyze liver recipient bone status, 10-year fracture risk, and medication history. Methods: The electronic medical records of adult patients aged >40 years who received liver transplantation at Seoul National University Bundang Hospital between January 2009 and June 2017 were reviewed retrospectively. On the basis of their bone mineral density and fracture history, their fracture risks were analyzed using the Korean fracture risk assessment tool. Results: A total of 57 liver transplant recipients were treated with corticosteroids during a mean of 8.8 months after transplantation. 30 patients (52.6%) showed bone metabolism dysfunction such as osteopenia or osteoporosis. The 10-year femoral fracture risk was 2.1%, and dual-energy X-ray absorptiometry monitoring was performed, including right before liver transplantation every 27.5±19.2 months. The mean femoral bone mineral density decreased by -7.2%±7.3%. Four patients (7.0%) had a fracture after liver transplantation. Osteoporotic fracture occurred in 3 patients with osteoporosis (25.0%). Among the osteopenia patients with moderate fracture risk who were not treated with bisphosphonate, 1 patient (12.5%) had a history of bone fracture after liver transplantation. Conclusions: Considering the deterioration of bone density and moderate fracture risk, medication for osteoporosis should be prescribed to liver transplant recipients with regular monitoring of bone density after transplantation.

알루미나의 고온 굽힘 크리프 및 크리프 파괴 (Bending Creep and Creep Facture of Alumina under High-Temperature)

  • 김지환;권영삼;김기태
    • 한국소성가공학회:학술대회논문집
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    • 한국소성가공학회 1994년도 춘계학술대회 논문집
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    • pp.167-174
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    • 1994
  • The creep behavior and creep fracture of alumina at high temperature were investigated under four point flexural test. The steady-state creep behavior was observed at low bending stress and the primary creep until fracture was observed at high bending stress. The loading history of bending stress did not affect on the steady-stated creep rate. Intergranular fracture was dominant for fracture of alumina at room and high temperature. However, transgranular fracture was dominant on creep fracture of alumina under high temperature by nuclueation and growth of microcracks due to residual flaws or cavities in the material.

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알루미나의 고온 굽힘크리프 및 크리프 파괴 (Bending Creep and Creep Fracture of Sintered Alumina under High-Temperature)

  • 김지환;권영삼;김기태
    • 한국세라믹학회지
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    • 제31권5호
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    • pp.543-551
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    • 1994
  • The creep behavior and creep fracture of sintered alumina at high temperature were investigated under four point flexural test. Steady-state creep behavior was observed at low bending stress and primary creep until fracture was observed at hish bending stress. The loading history of bending stress did not affect on steady-state creep rate. Intergranular fracture was dominant for fracture of alumina at room and high temperature. However, transgranular fracture was dominant on creep of alumina under high temperature by nucleation and growth of microcracks due to residual flaws or cavities in the material.

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지진에 의한 암석 절리면에서의 전단변위 예측 모델링 (Numerical modeling of shear displacement on rock fractures due to seismic movement)

  • 이창수;김진섭;최영철;최희주
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2014년도 추계학술대회 논문집
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    • pp.411-414
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    • 2014
  • Numerical modeling was conducted to estimate the amount of dislocation that may occur across a frictionless fracture during an earthquake using commercial code FLAC3D (Fast Lagrangian Analysis of Continua in 3 Dimensions). The applied motion was calculated to represent a Richter 6.0 magnitude earthquake at distances of 2 km from the fracture. The velocity-time history was generated from Svensk $K{\ddot{a}}arnbr{\ddot{a}}anslehantering$ AB report. In the report, The velocity field resulting from an earthquake on a fault located in the near-field (2 km distance) was modelled using a finite difference program, WAVE. The stress-time history was substituted for velocity-time history to perform dynamic analysis using FLAC3D. During the earthquake, the maximum dislocation and change of shear stress were about 1 cm and 2MPa, respectively. Because the fracture is frictionless in this study, all dislocations relax to zero after the earthquake motions have ceased.

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NRC 증기압 암석 파쇄제에 의한 PMMA 블록의 동적 파괴 과정에 관한 실험 및 수치해석적 연구 (Experimental and Numerical Study on the Dynamic Fracture Processes of PMMA Block by NRC Vapor Pressure Fracture Agent)

  • 민경조
    • 한국방재안전학회논문집
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    • 제16권1호
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    • pp.91-103
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    • 2023
  • 본 연구의 목적은 테르밋 반응으로 결정화된 액체혼합물을 순간적으로 기화시켜, 이에 따라 발생되는 증기압을 이용하여 암석 및 콘크리트를 파쇄시키는 Nonex Rock Cracker(NRC) 암석 파쇄제의 동적 파괴 특성을 분석하고 파괴패턴을 예측할 수 있는 해석기법을 개발하기 위함이다. NRC 암석 파쇄제의 순간적의 증기압 발생 특성을 분석하기 위하여 인공취성재료로 알려진 Polymethyl methacrylate(PMMA) 블록을 대상으로 NRC를 장전하여 파쇄시험을 수행하였다. NRC의 증기압 발생순간을 촬영하기 위하여 초고속 카메라를 활용하였으며, 장약실과 연결된 관측공에 동적압력게이지를 부착하여 장약공 압력-시간이력을 계측하였다. 증기압 암석 파쇄제에 의한 PMMA 블록의 파괴패턴을 모사하기 위하여 2차원 동적 파괴 과정 해석 기법인 2D Dynamic Fracture Process Analysis(2DDFPA)가 활용되었으며, 계측된 장약공 압력-시간이력을 고려한 입사압력함수를 결정하였다. 제안된 해석조건을 활용하여 화강암재료와 고성능 폭약에 의하여 발생될 수 있는 파괴패턴에 대하여 고찰하였다.