• Title/Summary/Keyword: head-on impact

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Frailty in Geriatric Patients with Head and Neck Cancer and its Implication in Survivorship (노인 두경부암 환자의 생존에 있어 노쇠의 의의)

  • Minsu Kwon
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.2
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    • pp.1-6
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    • 2023
  • The aging population, particularly those aged 65 and above, is on the rise, with projections indicating a substantial increase in the elderly demographic. This demographic shift brings challenges in managing age-related diseases, including head and neck cancers (HNCs). Frailty, often characterized by physiological decline and vulnerability to stressors, is a crucial factor affecting treatment outcomes of elderly cancer patients. Accordingly, the significance of assessing frailty in elderly HNC patients before their treatment should be emphasized, but current frailty assessment tools may not fully capture the unique challenges faced by HNC patients. Specific indicators, including respiratory and swallowing functions, are proposed for a more tailored assessment. This comprehensive review explores the impact of frailty on various treatment modalities, including surgery, radiation, and chemotherapy, highlighting the need for personalized interventions. Furthermore, it suggests avenues for future research to enhance frailty assessment tools and investigate interventions aimed at improving treatment outcomes in elderly HNC patients.

Analysis of Car-Pedestrian Collisions Using Scaled Korean Dummy Models (한국인 체형을 가진 보행자와 차량의 충돌 해석)

  • Shin, Dong-Han;Kim, Kwang-Hoon;Son, Kwon
    • 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.

Crash Worthiness of a Post with Clip-type Slip Base Subject to Side Impact (클립형 단부분리장치를 갖는 지주의 측면충돌 시 충격완화효과)

  • Ko, Man-Gi;Kim, Kee-Dong;Kim, Kyoung-Ju;Sung, Jung-Gon;Yun, Duk-Geun
    • International Journal of Highway Engineering
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    • v.12 no.4
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    • pp.175-186
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    • 2010
  • When a rigid post is exposed to traffic, it is hazardous not only to head-on impacts but also to side impacts. Clip-type slip base is an effective measure to reduce the severity of head-on impacts and side impacts as well because of its multi-directional release mechanism. Side impact tests were conducted and the results were analysed to demonstrate the hazardousness of a rigid post to a side impact and the crash worthiness of a post having clip-type slip base. For that, side impact test standard was made adapting the NCHRP Report 350, and 820kg-50km/h side impact tests were made for posts of D101.6mm(t=4.2mm) with and without slip base. Additionally, 35km/h side impact to the same post with slip base was conducted to check whether the clip-type slip base release mechanism works properly to the low impact speed. The tests revealed that the rigidly connected post was very hazardous to side impact while the post with the clip-type slip base reduced the impact severity tremendously.

Clinical Impact of Patient's Head Position in Supraclavicular Irradiation of the Whole Breast Radiotherapy

  • Surega Anbumani;Lohith G. Reddy;Priyadarshini V;Sasikala P;Ramesh S. Bilimagga
    • Progress in Medical Physics
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    • v.34 no.1
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    • pp.10-13
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    • 2023
  • Patients with breast cancer can be positioned with their head turned to the contra lateral side or with their head straight during the radiation therapy treatment set-up. In our hospital, patients with locally advanced breast cancer who were receiving radiation therapy have experienced swallowing difficulty after 2 weeks of irradiation. In this pilot study, the impact of head position on reducing dysphagia occurrence was dosimetrically evaluated. Patients were divided into two groups viz., HT (head turned to the contra lateral side of the breast) and HS (head straight) with 10 members in each. Treatment planning was performed, and the dosimetric parameters such as Dmin, Dmax, Dmean, V5, V10, V20, V30, V40, and V50 of both groups were extracted from the dose volume histogram (DVH) of esophagus. The target coverage in the supraclavicular fossa (SCF) region was analyzed using D95 and D98; moreover, the dose heterogeneity was assessed with D2 from the DVHs. The average values of the dose volume parameters were 27.6%, 58.6%, 35.4%, 19%, 13.8%, 14.1%, 11.8%, 8.4%, and 8.1% higher in the HT group compared with those in the HS group. Furthermore, for the SCF, the mean values of D98, D95, and D2 were 42.4, 47.5, and 54 Gy, respectively, in the HS group and 38.9, 45.35, and 55.5 Gy, respectively, in the HT group. This pilot study attempts to give a solution for the poor quality of life of patients after breast radiotherapy due to dysphagia. The findings confirm that the head position could play a significant role in alleviating esophageal toxicity without compromising tumor control.

3-D Kinematic Analysis According to Open Stance Patterns During Forehand Stroke in Tennis (테니스 포핸드 스트로크 동안 오픈스탠스 조건에 따른 3차원 운동학적 분석)

  • Choi, Ji-Young;Kim, Ro-Bin
    • Korean Journal of Applied Biomechanics
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    • v.15 no.3
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    • pp.161-173
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    • 2005
  • Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and closed stance. The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle according to open stance patterns during forehand stroke in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVlEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head angle were defined 1. In three dimensional maximum linear velocity of racket head the X axis showed $11.41{\pm}5.27m/s$ at impact, not the Y axis(horizontal direction) and the z axis(vertical direction) maximum linear velocity of racket head did not show at impact but after impact this will resulted influence upon hitting ball It could be suggest that Y axis velocity of racket head influence on ball direction and z axis velocity influence on ball spin after impact. the stance distance between right foot and left foot was mean $74.2{\pm}11.2m$. 2. The three dimensional anatomical angular displacement of shoulder joint showed most important role in forehand stroke. and is followed by wrist joints, in addition the movement of elbow joints showed least to the stroke. The three dimensional anatomical angular displacement of racket increased flexion/abduction angle until the impact. after impact, The angular displacement of racket changed motion direction as extension/adduction. 3. The three dimensional anatomical angular displacement of trunk in flexion-extension showed extension all around the forehand stroke. The angular displacement of trunk in adduction-abduction showed abduction at the backswing top and adduction around impact. while there is no significant internal-external rotation 4. The three dimensional anatomical angular displacement of hip joint and knee joint increased extension angle after minimum of knee joint angle in the forehand stroke, The three dimensional anatomical angular displacement of ankle joint showed plantar flexion, internal rotation and eversion in forehand stroke. it could be suggest that the plantar pressure of open stance during forehand stroke would be distributed more largely to the fore foot. and lateral side.

A Feasibility Test for Flaw Detection in Overlay Weld of Reactor Upper Head Penetration Using Time of Flight Diffraction Technique (TOFD 기법을 활용한 원자로 상부헤드관통부 오버레이 용접부 결함 검출 가능성 평가)

  • Lee, Jeong Seok;Kim, Jin Hoi
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.10 no.1
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    • pp.15-19
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    • 2014
  • A Failure or degradation of reactor upper head penetration is a recurring problem due to long term operation at nuclear power plants. And a flaw in the reactor upper head penetration has caused unplanned plant shutdown for repair as well as high economic impact on the plants. Consequently, a detection of flaws is of the utmost importance. Prior to the replacement of reactor upper head penetration, some utilities have repaired the flaws of reactor upper head penetration generated by overlay weld. Until now, only the base metal in reactor upper head penetration has been inspected according to 10 CFR 50.55a and ASME code case N-729-1. Accordingly, it is difficult to detect manufacturing defects and repair defects in overlay weld. This paper presents a case study on the application of Time of Flight Diffraction technique for reactor head penetration mockup with artificial flaws in overlay weld. This study offers a way to understand the flaws detected in reactor upper head penetration overlay weld.

An experimental study on valve lash diagnosis using cylinder head vibration signal (실린더 헤드에서의 진동신호를 이용한 밸브간극 진단에 관한 실험적 연구)

  • 석정호;김원진;박윤식
    • Journal of the korean Society of Automotive Engineers
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    • v.14 no.5
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    • pp.117-127
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    • 1992
  • In this work, the possibility to diagnose valve lashes of an automotive diesel engine via cylinder head vibration/noise analysis is studied. First of all the measurement signals and conditions are selected after considering which signals and conditions are most suitable to diagonse valve lashes. Both accelerometer and microphone are used to measure cylinder head accelerations and acoustic pressure due to valve impact on cylinder head. The signals are measured in both cranking and engine firing conditions. Finally, it was found that acceleration signal obtained in engine operating condition is the most reliable signal to diagnose the valve lash condition. The valve closing angle and the peak acceleration due to valve close are chosen to analyze the valve lash condition. The measured cylinder head acceleration signals are statistically tested to derive information which are useful to judge the valve lash. In conclusion, it was found that the developed technique can be one of feasible methods to diagnose the valve conditions while the engine is in operation.

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A Study on the Evaluation of Motorcycle Jacket with Built-in Airbag (에어백 장착 모터사이클 쟈켓의 성능 실험방법 연구)

  • Do Wol-Hee;Choi Hei-Sun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.6
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    • pp.837-846
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    • 2005
  • The purpose of this study is to suggest a standard of guidance for testing the performance and safety of motorcycle jacket with built-in airbag. The method of testing were as follows: The effects of the motorcycle jacket with built-in airbag are experimentaly investigated according to neck injury of FMVSS 208. The experiment consists of the crash simulation test by shield and the impact test. The head and neck injuries are evaluated based on industrial standards. Also, the displacements of the head and neck and chest are observed by film analysis. Using the results of the crash simulation test, neck injury$(N_ij)$ is discussed and the peak chest deflection of the results of the impact test, chest injury is pursued. Neck injury$(N_ij)$ of the result of the crash test show that the chance of a serious wound is $18\%$ if rider wear the R&D motorcycle jacket with built-in airbag(Type A). Chest injury is expected by peak chest deflection of the result of the impact test. The result of the peak chest deflection show that the reduction effect in chest injury of Type A motorcycle jacket is $10.3\%$.

Is Male Professional Golfers' 10.94 m Putting Motion a Pendulum Motion? From a Point of View of the Location of the Center of Putter Head Rotation (퍼터헤드 회전중심점 위치 관점에서 본 남자프로골퍼의 10.94 m 퍼팅동작의 진자운동 여부)

  • Park, Young-Hoon;Youm, Chang-Hong;Seo, Kuk-Woong
    • Korean Journal of Applied Biomechanics
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    • v.17 no.2
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    • pp.217-226
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    • 2007
  • Putting score counts about 43 % of the golf score. The dominant idea of the putting motion to amateur golfers as well as to many professional golfers is a pendulum-like motion. If a golfer's putting stroke motion is a pendulum-like motion, the putting motion should be straight-back-and-through, the same backswing, downswing, and follow through length and period, and a swing with a fixed hinge joint. If the putting motions of the human are different from the pendulum motion, there could be confusion in understanding and teaching golf putting. The purpose of this study was to examine the center of rotation(COR) of the putter head to reveal whether professional golfers really putt like a pendulum. Thirteen male professional golfers were recruited for the study. Each golfers executed 10.94 m putts six times on an artificial grass mat. Putter head position data were collected through a 60 Hz three-dimensional motion analysis system and low pass filtered with cut-off frequency of 6 Hz. COR of the putter head was mathematically acquired. Each golfer's last five putting motions were considered. The results show that the COR of the putter head was neither fixed nor located inside of the golfer. The medio-lateral directional component of the COR of the putter head fluctuated in the range of 10 cm during downswing and follow through. The anterior-posterior directional component of the COR of the putter head was fixed from the beginning of the downswing through impact. Just after impact, however, it moved to the target up to 60 cm. The superior-inferior directional component of COR of the putter head moved in a superior direction with the beginning of the downswing and showed peak height just prior to impact. During the follow through, it moved back in an inferior direction. The height-normalized peak value of the COR of the putter head was $1.4{\pm}0.3$ height. Technically speaking, male professional golfers' 10.94 m putting motion is not a pendulum-like motion. The dominating idea of a pendulum-like motion in putting might come from the image of the flawless, smooth motion of a pendulum.