• Title/Summary/Keyword: height of fall

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The Height of Fall as a Predictor of Fatality of Fall (추락 후 사망 예측인자로서의 추락 높이)

  • Suh, Joo Hyun;Eo, Eun Kyung;Jung, Koo Young
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.101-106
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    • 2005
  • Purpose: The number of the deceased from free-fall is increasing nowadays. Free-fall comes to a great social problem in that even the survivor will be suffering for cord injury or brain injury, and so on. We analyzed the cases of free-fall patients to find out whether the injury severity is mainly correlated with the height of fall. Methods: We retrospectively investigated the characteristics of patients, who fall from the height above 2m from January 2000 to August 2004. We excluded the patients who transferred to other hospital, transferred from other hospital, and not known the height of fall. 145 patients were evaluated. Variables included in data analysis were age, height of fall, injury severity score (ISS), the being of barrier, and the survival or not. To find out the correlation between height of fall and death, we used receive operating characteristics (ROC) curve analysis. Results: The mean age of patients was $36.5{\pm}19.4$ years old. 110 were male and 35 were female. Mean height of fall was $11.1{\pm}8.5m$. 51 patients (35.2%) were died and 30 patients of them (58.9%) got emergency room on dead body. The mean height of fall is $8.9{\pm}5.8m$ for 94 survivors and $15.2{\pm}11.0m$ for the 51 deceased (p<0.001). The area under the ROC curve was 0.646, which means the height of fall was not adequate factor for predicting for death. At 13.5m, as cut?off value, sensitivity is 52.9%, specificity is 86.2%, positive predictive value is 67.5% and negative predictive value is 77.1%. There were statistical differences in mortality rate and ISS between 'below 13.5m group' and 'above 13.5m group', but there was not statistical difference in head and neck AIS. Conclusion: The height of fall is not adequate factor for prediction of death. So other factors like intoxication or not, the being of barrier or protection device need to be evaluated for predicting of free-fall patient's death.

Fall-Down Injuries in children in Treated at the Emergency Department; Preventable Aspects (학령 전 아동에서의 추락 손상의 특징 : 예방적 측면)

  • Kim, Sun-Deok;Jung, Si-Young;Jung, Koo-Young
    • Journal of Trauma and Injury
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    • v.23 no.2
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    • pp.96-101
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    • 2010
  • Purpose: This study was conducted in order to evaluate the epidemiological characteristics of?children with fall-down injuries according to age groups and to analyze the major trauma groups that were treated at the emergency room (ER). Methods: Among 1,222 children under age 6 who were treated at the ER from January 2008 to December 2009, a retrospective study was conducted through examination of medical records. The children were classified by age into 3 groups: infant, toddler, and pre-schooler. In each group, the differences between the causative factors that led to the fall-down injuries were analyzed. Also, ISS (Injury Severity Score) score above 4 was classified as major trauma, and an ISS score 0-1 was classified as a minor trauma. The relationship between major trauma and age group was also analyzed. Results: Through an analysis of child fall-down injuries, men (56.6%), toddler (47.3%), head-related symptoms (72.9%), furniture-related traumas (80.2%), and falls from less than a 1-m height (69.9%) were found to be common factors. Furthermore, in radiological studies, fractures and brain hemorrhages accounted for 16.9% of major traumas, and simple skull fractures were the most common (21.4%). Distributed according to age group, the factors relevant to fall injuries were fall height and head-related symptoms for infants, accident site, fall height and head-related symptoms for toddlers, and accident site for pre-schoolers (p<0.05). Also, headrelated symptoms and fall height were independent factors of major trauma in all age groups. However, major traumas (17.3%) were related to dumped trauma, fall height and accident site (p<0.05). Conclusion: This study was mainly about head-related injuries, and toddler were most common victims. The relevant factors for the major trauma were falling height for infants, accident site and falling height for toddlers, and accident site, falling height for pre-schoolers.

Changes in the Health Life of the Elderly Through the Handle Height of Walking Assistant Vehicle Article : Emphasizing on State Anxiety, Heart Rate and Fall Efficacy (보행보조차 손잡이 높이에 따른 노인들의 건강생활의 변화 : 상태불안과 심박수, 낙상효능감을 중심으로)

  • Son, Sung-Min;Kwag, Sung-Won
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.519-528
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    • 2020
  • Purpose of this study is to analyze the changes in state anxiety, heart rate, and fall efficacy of the elderly through the handle height of walking assistant vehicle (WAV). The subjects were 32 elderlies. WAV was in the form of strollers, and it's handle height was set as 48% of a subject's total height. Also, it's height was divided into 48, 43, 38%. To measure the state anxiety, Korean State-Trait Anxiety Inventory was used and to measure the heart rate, Fitbit Charge 2 wrist heart rate monitor was used. To measure the fall efficacy, Fall Efficacy Scale-Korea was used. As the results of state anxiety and heart rate, the statistically significant increase showed continuously through the decrease of the handle height of WAV. As the results of fall efficacy, the statistically significant decrease showed continuously through the decrease of the handle height of WAV. In all of the post hoc test, the results of the state anxiety and fall efficacy showed significant difference among the each handle height of WAV and the results of the heart rate showed significant difference between the 48, 43% and 38% handle height of WAV. Thus, to decrease the state anxiety and heart rate and increase the fall efficacy of the elderly, the handle height of WAV should be properly positioned and considered to adjust to 48% of the user's total height.

Assessment of Ascending Capacity of Migratory Fish in Fishways by Eco-hydraulic Experiments (II) (어도 생태수리실험에 의한 회유성 어류의 소상능력 평가(II) - 계단식 어도 -)

  • Park, Sang-Deok
    • Journal of Korea Water Resources Association
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    • v.34 no.4
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    • pp.381-390
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    • 2001
  • This is to evaluate the ascending capacity of migratory fish in the pool and weir type fishways. Ascending environment of the migratory fish in rivers is analyzed through eco-hydraulic experiments using sweetfish, Plecoglossus altivelis, trout, Oncorhnchus mykiss, and surveying the fall height of existing pool and weir type fishways. When the fall height is less than 16.0cm, the ascending capacity of sweetfish in the pool and weir type fishways is greater than trout. On the other hand when the fall height is over 20.0 cm, the ascending capacity of trout is greater than sweetfish. A sweetfish may prefer to jump for upward moving than trout. And its endurance after upward jumping over wear is greater than that of sweetfish. Because of high fall height of existing pool and weir type fishways the migratory environment in rivers is so poor. When the pool and weir type fishways are designed and constructed in river the fall height of weir must be considered for the variety of migratory fish living in river and the fall height of weir less than 20.0cm is suggested.

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A Clinical Study of Free-Fall Patients in Emergency Department (추락에 의한 손상으로 응급실로 내원한 환자의 임상적 고찰)

  • Lee, Jae Kwang;Choi, Jong Pil;Park, Seong Soo;Park, Joon Seok
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.155-160
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    • 2005
  • Background: Falls are a major cause of emergency room visits. Injury secondary to falls is a largely preventable public health problem. This study helps to better understand the epidemiology of falls from height, then develops prevention strategies. Methods: We reviewed the medical records of 192 patients admitted to the emergency department of Konyang university hospital with a history of falls from January 2004 to December 2004. Collected data included the patient's age, gender, height of fall and method, outcome of management, Injury Severity Score(ISS). Results: According to the characteristics of height of fall, the ISS was higher when the patient fell from height of 2 meters or more($13.79{\pm}12.17$) than not($8.13{\pm}9.25$)(p<0.05). There were positive correlation between mean age and ISS(p<0.001, r=0.7). To gender, ISS was higher in the male group($12.73{\pm}11.78$) than the female group($8.48{\pm}10.00$)(p<0.05). Conclusion: Falls often results from multiple concurrent problems including environmental and behavioral factors. This study suggests that we need to improve the occupational environment, especially above 2meters, for decreasing injuries of fall from heights. Also we consider the prevention of children from injuries of fall from heights.

Variation Characteristics of Stiffness and Impact Resistance under Conastruction Height of Gypsum Board Wall (석고보드 벽체의 시공높이에 따른 수평하중저항성 및 내충격성 변동 특성)

  • Song, Jung Hyeon;Kim, Ki Jun;An, Hong Jin;Shin, Yun Ho;Ji, Suk Won;Choi, Soo Kyung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2014.11a
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    • pp.184-185
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    • 2014
  • The purpose of this study is to experimentally evaluate the variation characteristics of stiffness and impact resistance under the construction height of gypsum board wall at the actual construction site. The method suggested in previous study was applied on the test method of horizontal load resistance and impact resistance. As a result of horizontal load resistance test, when the wall height is 2,400 mm, the maximum displacement is 13.6 mm and residual deformation is 0.5 mm, and when the wall height is 3,000 mm, the maximum displacement is 31.3 mm and the residual displacement is 6.8 mm. As a result of impact resistance test, the residual deformation of each specimen at 20 cm of fall height were 1.02 mm and 0.08 mm, respectively, the residual deformation at 40 cm of fall height were 1.58 mm and 0.35 mm, respectively, and the residual deformation at 60 cm of fall height were 2.23 mm and 2.48 mm, respectively.

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New Launching Concept for Free-Fall Lifeboats and Validation by Model Experiments and Numerical Simulations

  • Arai, Makoto
    • Journal of Ship and Ocean Technology
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    • v.6 no.1
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    • pp.1-15
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    • 2002
  • A new concept for launching free-fall lifeboats, proposed by Yokohama National University is described in this paper. It has been pointed out that, using the conventional single-skid free-fall system, the potential for dangerous lifeboat motions (in which the lifeboat moves backward or jerks on the surface after entering the water) increases with the fall height of the lifeboat. One of the principal causes of this undesirable motion is vertical rotation of the lifeboat during its restricted fall at the edge of the launching skid. Thus a new "double-skid"launching concept is proposed to effectively eliminate the rotation of the lifeboat at the skid end and to enable the lifeboat to move smoothly after entering the water. In order to evaluate the performance of the proposed method, a series of model experiments and numerical simulations is carried out in which two lifeboat models with overall lengths of 1 meter and 6 meters are used. The effects of design parameters such as skid angle and skid height are investigated, and an example of the implementation of this new system at the stern of a large merchant ship is illustrated.

A Study on Protective Purposes and Intents of Use of Safety Helmets as for Reduction of Falls (추락사고 감소를 위한 안전모의 보호목적과 사용의도에 대한 고찰)

  • Kim, Jin Hyun
    • Journal of the Korean Society of Safety
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    • v.28 no.5
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    • pp.83-89
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    • 2013
  • Occupational Safety and Health Act provides that industrial safety helmets are personal protective equipment(PPE) to protect heads against falls from a height. Relevant domestic regulations are distinguished and different from other countries' cases. This study investigated industrial safety helmet's protective purposes and characteristics related to falls and the notion of fall prevention. A comparative analysis of regulations on safety helmets and fall prevention as well as standards on safety helmet's impact test requirements is followed by a literature review. It is also suggested that the term "fall" related to safety helmets should be changed to "impact on the upper part of head" in domestic regulations and standards.

Influencing factors of the severity of occupational fall injury (직업손상과 관련된 추락환자의 중증도에 영향을 미치는 요인)

  • Ju, Jeong-Mi;Tak, Yang-Ju
    • The Korean Journal of Emergency Medical Services
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    • v.20 no.2
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    • pp.113-125
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    • 2016
  • Purpose: The purpose of this study was to investigate factors influencing severity of occupational fall injury. Methods: A self-reported questionnaire was completed by 105 patients sustaining occupational fall injury between July 2010 and January 2013. The study instruments were developed by the National Traumatic Occupational Fatalities and National Electronic Injury Surveillance System. The questionnaire consisted of general characteristics of the subjects (30 items), workplace characteristics (12 items) and disaster characteristic (13 items). Results: Demographic factors, except age, did not affect the severity of injury. Injured patients aged 50-59 years tended to have more severe injuries than those aged 39 years. Type of transport vehicles, conditions, and the circumstances of the fall influenced injury severity. Patients transported by 119 ambulance suffered more severe fall injuries than those who were not. Electrical workers did not receive safety education wihin a year. Critical height in severe injuries was > 6 meters. Conclusion: Occupational fall injuries were influenced by patient age, types of transport vehicles, fall height, size of workplace, and safety education experience.

The Effects of Mowing Height, Rolling, N-fertilizing, and Season on Green Speed in Korean Golf Courses (한국의 골프 코스에서 그린 스피드에 대한 예지고, 롤링, 질소 시비량과 계절의 효과)

  • 이상재;심경구;허근영
    • Journal of the Korean Institute of Landscape Architecture
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    • v.29 no.4
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    • pp.91-99
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    • 2001
  • This study was carried out to investigate the effects of mowing height, rolling, N-fertilizing, and season on green speed(i.e., ball-roll distance) for developing and implementing a program of increasing green speed in Korean golf courses. Data were subjected to multi-regression analysis using SPSSWIN(Statistical Package for the Social Science), which collected from Yong-Pyong golf course greens selected to investigate. The results was as follows. 1) The multi-regression analysis of mowing height, rolling times, and N-fertilizer application rates on spring green speed was as follows; $Y_1$(spring green speed)=4.287+0.155X$_1$(rolling times)-0.131X$_2$(the amount of N-fertilizing)-0.251X$_3$(mowing height). 2) The multi-regression analysis of mowing height, rolling times, and N-fertilizer application rates on summer green speed was as follows; $Y_2$(summer green speed)=4.833-0.423X$_3$(mowing height)+0.146X$_1$(rolling times)-0.107X$_2$(the amount of N-fertilizing). 3) The multi-regression analysis of mowing height, rolling times, and N-fertilizer application rates on fall green speed was as follows; $Y_3$(fall green speed)=4.651-0.383X$_3$(mowing height)+0.142X$_1$(rolling times)-0.103X$_2$(the amount of N-fertilizing). 4) As mowing height was lowered by 1mm, green speed increased by 0.251~0.423m. As rolling times increased by 1(one), green speed increased by0.142~0.15m. As the amount of N-fertilizing increased by 1g/$m^2$, green speed decreased by 0.103~0.131m. The season also affected green speed. In comparison with spring green speed, summer green speed decreased by 0.145m and fall green speed decreased by 0.144m.

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