• Title/Summary/Keyword: 40 Stairs

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Effect of Step Height and Visual Feedback on the Lower Limb Kinematics Before and After Landing

  • Jangwhon Yoon
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.29-39
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    • 2024
  • Background: Landing from a step or stairs is a basic motor skill but high incidence of lateral ankle sprain has been reported during landing with inverted foot. Objects: This study aimed to investigate the effect of landing height and visual feedback on the kinematics of landing and supporting lower limbs before and after the touch down and the ground reaction force(GRF)s. Methods: Eighteen healthy females were voluntarily participated in landing from the lower (20 cm) and the higher (40 cm) steps with and without visual feedback. To minimize the time to plan the movement, the landing side was randomly announced as a starting signal. Effects of the step height, the visual feedback, or the interaction on the landing duration, the kinematic variables and the GRFs at each landing event point were analyzed. Results: With eyes blindfolded, the knee flexion and ankle dorsiflexion on landing side significantly decreased before and after the touch down. However, there was no significant effect of landing height on the anticipatory kinematics on the landing side. After the touch down, the landings from the higher step increased the knee flexion and ankle dorsiflexion on both landing and supporting sides. From the higher steps, the vertical GRF, anterior GRF, and lateral GRF increased. No interaction between step height and visual feedback was significant. Conclusion: Step height and visual feedback affected the landing limb kinematics independently. Visual feedback affected on the landing side while step height altered the supporting side prior to the touch down. After the touch down, the step height had greater influence on the lower limb kinematics and the GRFs than the visual feedback. Findings of this study can contribute to understanding of the injury mechanisms and preventing the lateral ankle sprain.

Study on the Shortening Effect of the Egress Travel Time Based on an Escape Scenarios by Using Shuttle Elevators for Lotte Tall Building's Evacuation Plan (초고층건물 피난계획시 피난용 엘리베이터 이용에 의한 피난소요시간의 단축효과 연구)

  • Park, Hyung-Joo;Lee, Young-Jae
    • Fire Science and Engineering
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    • v.32 no.6
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    • pp.46-54
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    • 2018
  • A total of 19 elevators for evacuation were installed in the Lotte World Tower and it is planned to operate the shuttle using the manual key from five refuge floors to the 1st floor in an emergency. In the event of a fire or other disaster, it is necessary to conduct intensive analysis to determine how much RSET reduction could be achieved using the evacuation elevator compared to the existing evacuation plans. When the optimal transportation sharing ratio by the evacuation elevators was 40% at the Lotte World Tower, the RSET of the evacuation scenario in parallel with the elevators in the entire building was calculated to be 1 hour and 2 minutes. The RSET of a conventional evacuation scenario (Walking along the stairs without using the elevators) was calculated to be 1 hour 29 minutes, therefore, the former evacuation scenario were found to have a shortening effect of approximately 27 minutes compared to the latter. On the other hand, to maintain this effect, each part of the evacuation route using the elevator must have the capability to protect the evacuee from any hazards caused by fires, such as smoke, flame, and radiant heat during the evacuation. Moreover, the evacuation route should be continuous from the residence position of the elevator user to the final evacuation site, and be recognized easily.

A Study on Creation of Terraced Flower Beds and Aspect of Change in the Seunghwaru Area, Changdeokgung Palace (창덕궁 승화루(承華樓) 일곽의 화계(花階) 조성과 변화 양상)

  • Oh, Jun-Young
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.40 no.1
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    • pp.15-25
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    • 2022
  • This study was conducted to provide useful basic data for restoration and maintenance of the Changdeokgung Palace(昌德宮)'s inner palace area in the future by exploring the background of terraced flower beds installed in the front space of Seunghwaru(承華樓) and grasping the reality before and after terraced flower beds were installed. The main results of this study can be summarized as follows. First, in the early 1900s, the front space of Seunghwaru formed a relatively higher terrain than the Nakseonjae(樂善齋) area. In addition, along the topography of high north and low south, a yard surrounded by Haenggak(行閣) and a rectangular open space connected to the West Haenggak of Nakseonjae were created. In particular, the rectangular open space was a staircase-type slope in which rectangular stone columns were arranged at regular intervals. Second, the terraced flower beds of Seunghwaru originated from the renovation of the new building of Nakseonjae West Hanggak, which was implemented in the late 1920s. This is because in order to secure enough available land for construction and auxiliary space during the renovation of the new building, the terraced flower beds for topographic treatment was created along the cutting area after cutting off the original topography of the front space of Seunghwaru. Third, after the construction of the terraced flower beds, many deformation occurred in the topographic features of the front space of Seunghwaru. The front yard of Seunghwaru was relatively higher than the Nakseonjae area, but most of them were cut off and disappeared as the terraced flower beds were created. The staircase-type also disappeared after the construction of the new building and terraced flower beds. The stylobate and front fence of Seunghwaru were newly built along the alignment of terraced flower beds and the unique style of narrow gate and auxiliary stairs were also relocated to the new fence.

A Study on the Characteristics of Garden Architecture in Italian Renaissance Villa d'Este (빌라 데스테의 정원건축적 특성에 관한 연구)

  • Kim, Eun-Young;Kim, Kyu-Yeon;Choi, Jong-Hee
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.40 no.4
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    • pp.49-57
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    • 2022
  • This study was conducted with the aim of investigating the garden architectural characteristics of Villa d'Este, which occupies a major role in the exploration of the contrasting background, location, and spatial composition characteristics of Italian Renaissance gardens. The survey for the study was divided into a literature survey and a field survey, and the details are as follows. First, in the mid-to-late 16th century, the villa was built under the direction of Cardinal Ippolito d'Este, and afterwards, the ownership of the villa was restored to the Italian government in 1850 due to financial difficulties. The Villa d'Este, which suffered another damage, is now operated with many visitors after going through the restoration process. Second, in the case of location, it has the characteristics of Urbana located in the city center and has valley-type topographical conditions located at the foot of the mountain.Third, in the case of spatial composition, it is orthogonal to the axis, and each part of the garden is developed, influenced by the contrast principles such as the installation of the Cortile del Belvedere and Villa Madama in the early 16th century. The main building is located in the hills so that you can see the garden and the surrounding scenery at a glance. Fourth, among the components, there were stairs, logia, courtyard, and grotto, fountains, cascades, ponds, and vegetation such as laurels, thorn trees.

A Study on the Main Diagnostic Code according to the Analysis of the Frequency of Fall Patients by Case-Centered Damage External Code (사례 중심의 손상외인코드 별 낙상환자 빈도수 분석에 따른 주진단코드 연구)

  • Eun-Mee Choi;Ye-Ji Park;So-Hyeon Bang;Jin-Hyoung Jeong
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.6
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    • pp.533-539
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    • 2023
  • This study aimed to analyze patients hospitalized for injuries who fell using the data from 2020 to 2021 at institution A located in Gangneung-si, Gangwon-do, using codes for causes of injury. After classifying 20 codes from W00 to W19, which are external cause codes for fall patients, the most frequently occurring W18, W01, W10, and W13 were analyzed. The external cause of injury code W18 was other falls on the same plane, with the highest frequency of S72 and Z47, S72 being a fracture of the femur, and Z47 being orthopedic follow-up treatment. The external injury code W01 was determined to be a fall on the same plane due to slipping, tripping, and tripping, and like W18, S72, a fracture of the femur, and Z47, orthopedic follow-up treatment, were frequently reported. In W10, intracranial injuries such as concussion and epidural hemorrhage due to a fall on the stairs, S06, were common. Lastly, in W13, 91% of cases occurred in people in their 40s to 70s due to falls from buildings or structures, confirming that they occur frequently in middle-aged people, Z47 had the most frequent orthopedic follow-up treatment, and S72 had a fracture of the femur. It was found to be the second most common. In this way, the frequency of falling patients was analyzed, and the age and main diagnosis code at which most falls occurred were analyzed.

A Study on the Stress of Family-Caregivers and Level of Daily Living Performance with Patients of Cerebra Vascular Accident(CVA) (뇌졸중환자의 일상생활 수행수준과 가족원의 스트레스)

  • Cho, Young-Hee
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.372-386
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    • 1999
  • The purpose of this study was to explore the degree of stress in caregivers caring for CVA patients and the level of daily living performance of CVA patients. The subjects for the study were caregivers of 112 CVA patients who enter a hospital or out-patient-department (OPD) at two Oriental medical hospital in Jeonbuk province. The survey instruments used in this study were Kang's ADL check list for daily living performance of patients and Choi's 4 sore scale for stress of caregivers. The survey was conducted from July 4th to August 30th in 1999. The survey results were analyzed with the Statistical Package for Social Science(SPSS) program and can be summarized as follows: 1. The level of daily living performance for the CVA patients was: 1) complete dependence (M=14.9, 13.1%), 2) complete independence (M=23.6, 20.9%), 3) incomplete independence (M=23.9, 21.0%), 4) incomplete dependence (M=26.6, 25%), 5) dependence and independence (M=23.0, 20.0%). The items for with there was a high level daily living performance were: 1) drinking (M=3.62), 2) eating(M=3.25). 3) position returning (M=3.18) : and the items for which there was a low level of daily living performance were: 1) ascending and descending stairs (M=2.08), 2) walking (M=2.47), 3) dressing and undressing trousers (M=2.55). 2. Degree of caregiver stress was: Mean=2.39 at 40 score. The items for which was a high level caregiver stress were: 1) medical fee (M=3.25), 2) being handicapped or recurrence (M=3.02) : and the items for which there was a low level of caregiver stress were: 1) discontinuity of patient's treatment (M = 1.98). 2) change of home atmosphere caused by patient's disease (M = 1.98), 3) desire of patient's knowing about disease (M= 1.99). 3. There was statistically significant difference in the degree of caregiver stress according to the following caregiver's demographic characteristics: education level (F=3.52, P=0.03). change of caregiver (F=5.41. P=0.02). 4. There was a statistically signifiant difference in the level of daily living performance according to the CVA patients demographic characteristics: patient's paralytic status (F=4.48, P=0.01), duration of disease (t=2.76, P=0.03). 5. There was significant difference in degree of caregiver stress according to the CVA patient's demographic characteristics: CVA status (F=4.75, P=0.01). 6. There was statistically significant difference in the degree of caregiver stress according to the level of daily living performance in CVA patients(r=-0.482, P<0.00).

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A study on injuries in deciduous teeth and permanent teeth (유치와 영구치의 외상에 관한 연구)

  • Lee, Mi-Ra;Ji, Min-Gyeong;Min, Hee-Hong
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.1
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    • pp.127-136
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    • 2011
  • Objectives : The writer aimed to examine the dynamic aspect on damage and to be conducive to the swift cure according to right treatment to educate prevention of injury through surveying on the number of the damaged teeth given injury, tooth kind, type in damage, place and cause for being damaged, frequency by month and by time level, and location of the damaged tooth. Methods : Targeting 343 teeth of receiving injury in 201 patients who visited the department of pediatric dentistry, the department of preservation, and the oral and maxillofacial surgery in a dental hospital in Cheonan city from April 2007 to April 2009, by having the dental injury as the main reason, the following conclusions were obtained. Results : 1. Deciduous teeth were indicated to be the highest in imperfect luxation with 60.7%, and were indicated to be in order of crown fracture with 25.5%, root fracture with 12.4%, and perfect luxation with 1.4%. The permanent teeth were indicated to be the highest in crown with 58.1%, and were indicated to be in order of imperfect luxation with 27.3%, root fracture with 13.1%, and perfect luxation with 1.5%(p<0.001). 2. In case of deciduous teeth for a place with damage, the home was indicated to be the highest with 31.7%. The permanent teeth were indicated to be the highest(p<0.001) in the road and stairs with 40.4%. As to a cause for damage, both deciduous and permanent teeth were indicated to be the highest(p<0.001) in a cause for falling with 53.1% and 30.8%, respectively. 3. As for a treatment method, in case of deciduous teeth, the close observation was indicated to be the highest with 46.9%. In permanent teeth, the resin restoration was indicated to be the highest(p<0.001) with 22.2%. Dental injuries in deciduous teeth and permanent teeth are showing diverse aspects. Conclusions : It is important to arrange guidelines on cure of the damaged teeth by injury through continuing a dynamic research on these aspects. Also, the damage in deciduous teeth may have direct and indirect influence upon growth in successional permanent teeth. Thus, through careful treatment, the injury needs to be minimized. It is considered to be likely necessary for a right coping method when injury occurs, and above all, for enough prior education so that injury cannot occur.

The Study of Maternal Characteristics of Low Birth-Weight Infant (저체중아 출생과 관련된 산모의 특성 연구)

  • Hong, Pil-Soon;Park, Kyoung-Sook
    • Women's Health Nursing
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    • v.5 no.1
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    • pp.80-95
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    • 1999
  • The purpose of this study was to investigate the characteristics of low birth-weight infants and their's mothers, and to identify the factors which influenced to delivery of L.B.W infants. The data derived from K. General Hospital and J. obs & gyn clinic in pusan from January, 1998 to August, 1998, which were from mothers of having B. W infants. The factors used for this study were characteristics of general, obstetrical, environmental aspects and physical and psychological life experiences during pregnancy. Analysis of data obtained were computerized statistically by using SPSS 7.5 WIN program. the data were analysed as number, frequency, percentage, t-test and ANOVA. The major results obtained of this study were as follows : 1) Gender that L.B.W infants were male in 47.2% and female in 52.8%, body weight of 2001~2500gm was above 8 in 68.5%, and below 5 in 1.8%. The L.B.W infants with complications were 7, which were 6.5%. The kinds of malformations were the Cleft palate & lip, Hyper-kalemia, Hypoglycemia, Meningocele, CHD, Down syndrome and each of them marked 0.9%. 2) In the general characteristics of pregnant women, the age group of 25~29 years was the most common as 46.3%. Over 35 years of age, elderly gravidas were in 7.5%. the height of 156~160cm was the most common as 52.8%. pregnant women of below 150cm height was in 3.7%. body weight of 51~55kg was the most common as 38%. pregnant women of below 45kg were in 19.4%. The women with smoking and drinking episodes during pregnancy were 1.9% and 25%. In the status of marriage, married women were in 95.4%, unmarried ones were in 1.9%, and unmarried couples were in 2.8%. Iin he obstetrical characteristics of pregnant women, pregnant women with gestational age under 37wks were in 45.4%, and the ones over 38wks were 54.6%. At the methods of delivery, normal spontaneous vaginal deliveries were in 51.9%, which were the most common, cesarian section deliveries were in 47.2%, and breech deliveries were in 0.9%. In the environmental characteristics of pregnant women, 40.8% of pregnant women lived in house or apartments with stairs, 23.1% of them lived in the high altitude. the pregnant women who ran a household without a helper were in 65.7%. In the pregnant women who had underwent life experiences of physical and psychological stress during pregnancy. life experiences of physical stresses were described as persistent fatigue due to lifestyle, traumatic experience, illness, move away with an effort, physical impact caused by discord. life experiments of psychological stresses were describeded as trouble with their husbands, discord with one's husband family, family problems, and conflicts due to environmental factors, etc. The number of the pregnant women who had complications during pregnancy was 32, which was 29.6% totally. Among them, pre-eclampsia was in 12.1% and the premature rupture of membrane in 7.4%. 3) In the analysis of the general, obstetrical, and circumstantial characteristics and L.B.W infants. There were statistical difference significantly between the gestational age of pregnant women(F=12.035, P=.000), and the status of marriage(F=3.207, P=.044), and maternal complication(t=2.344, P=.021) etc.

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The Effect of the Resistance Exercise Program on Daily Performance in Patients with Rheumatoid Arthritis (저항운동 프로그램이 류마티스 관절염 환자의 일상 활동 수행 능력에 미치는 효과)

  • Kil, Suk-Yong
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.221-237
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    • 1997
  • In an attempt to measure effects of the Programmed Resistance Exercise on the daily performance of patients with rheumatoid arthritis, a quasi-experiment ; non-synchronised control group pre-post-test, was carried out for 8 weeks : from June 3 to November 29, 1996. 25 for the experimental group and 26 for the control group were conveniently sampled among registered out-patients on rheumatoid arthritis clinic of Anam Hospital, Korea University Medical Center. The programmed experimental resistance exercises were carried out by the experimental group five times a week for eight weeks. Before and after experiments, level of functional task performance, functional disability, joint mobility, ESR, CRP, self-efficacy and family support were measured and statistically analysed. The results of the analysis of the effects on the Programmed Resistance Exercise are as follows : 1. A statistically significant post-test effects on functional task performance were revealed : 1) the experimental group climbed up and down the 10 steps of the stairs significantly faster than the control group(P=0.0001). 2) the experimental group walked 100 m significantly faster than the control group (P=0.0000). 3) After the experiment, the experimental group could sit down and get up from chairs with no armrest as low as 30cm, 40cm, 50cm on their on, with no assistance as opposed to the control group who could not sit down and get up from such low chairs (P=0.0084). 4) the experimental group lifted 0-15 kg object up to their own heights with no specific strain than the control group (P=0.0000). 2. A significant reduction in the functional disabilities was revealed in the experimental group(P=0.0017). 3. A notable incresement of the joint mobility was revealed in the experimental group. 4. A decrease in the ESR in both the experimental and the control groups was noticed, however, the difference was not statistically significant (P=0.9546). 5. The CRP of both the experimental and control groups decreased with no significant difference (P=0.6022). 6. The self-efficacy increased significantly in the experimental group(P=0.0042), however, no significant effect of self-efficacy on the actual practice of the program was noticed. 7. The family support revealed to be significantly higher in the experimental group (P=0.0013), however, the effect of the family support on actual practice of the program revealed not significant. Judging from the results of these experiments, the resistance exercise program not only improves the functional capacity of rheumatoid arthritis, but also diminishes their functional disabilities and has a great influence on increasing their joint mobility, self-efficacy, and family support. Concluding, in promoting the daily performance of rheumatoid arthritis, the resistance exercise program would be an appropriate nursing intervention.

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The Research on the effect of School Safety Management System on Accident in School -Based on study of high schools in Seoul- (학교사고에 영향을 미치는 학교안전 관리구조 실태 조사 -서울시 일부 고등학생을 대상으로-)

  • 박지은;이명선
    • Korean Journal of Health Education and Promotion
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    • v.19 no.2
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    • pp.57-72
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    • 2002
  • Students spend most of their time in school. Schools have the possibility of unanticipated accidents, however, and the rate of accidents in schools is increasing. The purpose of this study were to understand the accidents that arise in schools as well as the school safety management system and by analyzing affects that school safety management system has on accidents in schools, to come lip with a preventive plan. 906 high school sophomore students attending in Seoul were surveyed 1Tom November 12th to 23rd 2001. The results were following: 1. Students surveyed comprised of the following: Male 48.9%, Female 51.1% Public Schools 32.6%, Private Schools 67.4% Boys Schools 48.9%, Girls Schools 51.1% 2. In the past year, male students had more accidents(p〈.05) in school. 3. In examining students safety management control, 94.0% said that, there is an infirmary, there is a clear distinction between the playing fields and pathways(74.8%), and the chemicals in the labs are kept in a safe manner(77.2%). The above items were generally well maintained. However, the following recorded low scores. There are warning signs in hazardous places and facilities(30.5%), There is guiding principle to examine the safeness on a regular basis(24.9%), and There are slogans and posters preventing accidents(40.3%). 4. In examining the facilities of the schools that were surveyed, the majority answered, yes to the following. There are hazardous facilities or materials at school(62.9%), There are sharp edges in educational supplies and equipment(59.8%), There are nails or other components that are sticking out of desks and chairs(75.9%), There are slippery spots in the corridors and classrooms(69.3%), There are stones, scrap metal, broken glass, and trash on the playing fields(66.6%). Furthermore, the students surveyed said, yes to the following although in low percentages. The amount of sand on the playing fields is sufficient(49.1%), The soccer and basket goal posts are fastened (53.7%), There are safety bars on the windows of classrooms and corridors (27.4%), There are safety mats on the entrance to restrooms preventing slips (14.2%), The stairs have slip protection measures(49.1%). 5. In analyzing the affect that the school safety management system has on accidents in school, schools that had slogans and posters preventing accidents had a 50% less chance of accidents(p〈.05), schools with chemicals and equipment in the labs that were safely maintained had an 80% less probability of accidents(p〈.0l), and the schools that had sharp edges in the educational supplies and equipment had an 80% greater chance of accidents(p〈.01).