• Title/Summary/Keyword: Injury Criteria

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Comparison Head-Neck Movement and Neck Injury Criteria of BiRIDII in Rear-impact Sled Test (후방추돌시 BioRIDII 머리-목의 거동과 목상해지수와의 비교)

  • Kim, Si-Woo;Shim, So-Jung;Suh, Myung-Won
    • Transactions of the Korean Society of Automotive Engineers
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    • v.18 no.1
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    • pp.51-57
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    • 2010
  • In recent years, a large number of study for rear impact has been conducted and as a result of study, researchers proposed the neck injury criteria and test procedures. But many questions, related to injury criteria and dummy biomechanical levels, remain unresolved. In recently reports, rear impact motions of BioRIDIIg is not humanlike but better than other dummy(HybridIII, RID3d). So, in this paper, 4 times sled test would be done to find the substitutable neck injury criteria in BioRIDIIg. To review corelation trend with neck injury critera and head-neck movement, we compared with recently announced neck injury criteria(NIC, Nkm, T1 ect.) and head-neck X-direction movement in BioRIDIIg. Finally, we find the head-neck X-direction movement on head C.G to T1 point may be considerable as the additional neck injury criteria.

Definition and Diagnostic Criteria of Acute Kidney Injury (급성 신손상의 정의와 진단 기준)

  • NamGoong, Mee-Kyung
    • Childhood Kidney Diseases
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    • v.15 no.2
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    • pp.101-106
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    • 2011
  • Acute renal failure means that the word does not contain a mild kidney injury. In addition, the criteria for acute renal failure per researcher are different, and it is difficult in interpreting the results of research on acute renal failure. Therefore, rather than acute renal failure, a new term "acute kidney injury" meaning to include all the levels of injury is introduced. In 2002, to diagnose by means of serum creatinine, glomerular filtration rate and urine output, a detailed classification of acute kidney injury, the RIFLE criteria has been proposed. In 2007, the RIFLE criteria by transforming, AKIN criteria has been proposed. The pediatric RIFLE criteria for children has also been proposed. The author reviews here these criteria by comparing them.

Predictive Factors for Cervical Spine Injury in Patients with Minor Head Injury (경증 두부 외상을 가진 환자의 경추 손상을 예측할 수 있는 관련 인자)

  • Park, Chul Woo;Sung, Ae Jin;Lee, Jun Ho;Hwang, Seong Youn
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.154-160
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    • 2009
  • Purpose: This study aimed to determine new criteria for detecting independent factors with high sensitivity in cases of cervical spine injury. We compared the sensitivity, the specificity, and the false negative predictive value (NPV) of plain radiographs with those of computed tomography for cervical spine injury in patients with minor head injury. Methods: We retrospectively reviewed the cases of 357 patients who underwent both cervical plain radiographs and computer tomography from January 2006, to September 2008. Patients were divided into two groups: the cervical spine injury group and the no cervical spine injury group. New criteria were organized based on variables that had significant differences in the logistic regression test. Results: Among the 357 patients, 78 patients had cervical spine injuries. The average age was $43.9{\pm}15.2$ yrs old, and the male-to-female ratio was 1.90. The most common mechanism of injury was motor vehicle accidents. There was a significant difference in loss of consciousness, Glasgow Coma Scale (GCS)=14, neurologic deficit, posterior neck tenderness, and abnormality of the cervical plain radiographs between the two groups on the logistic regression test. New criteria included the above five variables. If a patient has at least variable, the area under the ROC curve of the new criteria was 0.850, and the sensitivity and the false NPV were 87.2% and 5.2%, respectively. Conclusion: New criteria included loss of consciousness, GCS=14, neurologic deficit, posterior neck tenderness, and abnormality of the cervical plain radiographs. If the patient had at least 1 variable, he or she could have a of cervical spine injury with a sensitivity of 87.2% and a false NPV of 5.2%.

A Safety Assessment on Light Weight Wheelchair Occupant in Frontal Crash (경량 휠체어 탑승자의 차량 전방충돌시 안전성 평가)

  • 김성민;김성재;강태건
    • Journal of Biomedical Engineering Research
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    • v.24 no.1
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    • pp.15-21
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    • 2003
  • In this study, for a safetv assessment of light weight wheelchair occupant in frontal crash, we tested a dynamic sled impact test. we carried out total 6 times test and impact speed was 20g/48 km/h. By using Hybrid III 50%ile male dummy, head injury criteria(HIC), neck flexion moment, neck axial tension force, neck shear force. chest acceleration, head, wheelchair and knee excursion were measured, we evaluated light weight wheelchair occupant safety by motion criteria(MC) which proposed in SAE J2249 and combined injury criteria(CIC) which is a voluntary standard(GM-IARV) of General Motors Co.. when we assumed that the maximum injury value in frontal crash was 100%, the result of motion criteria(MC) of wheelchair occupant was 52%, occupant upper body injury index(CIC) was 60.1%.

Experimental Study on Neck Injury in Low Speed Frontal and Rear-End Collisions

  • Kim, Gyu-Hyun;Lee, Ouk-Sub;Hwang, Si-Won
    • Journal of Mechanical Science and Technology
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    • v.14 no.11
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    • pp.1232-1243
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    • 2000
  • Motor vehicle accidents in rear impacts cause more than fifty percents of drivers to suffer from neck injuries. It is known that most neck injuries are associated with rear-end collisions at a speed lower than 32 km/h and between the Abbreviated Injury Scale (AIS) 1 and AIS 2. Two different types of low speed crash tests such as the frontal barrier and rear moving barrier crashes have been conducted by following the procedure of the Research Committee for Automobile Repairs (RCAR). The injury for the neck and the Head Injury Criteria (HIC) were measured by using the sensors mounted on dummies. We reviewed neck injures and the relationship between the neck and head injuries, and examined the deceleration of the body. Using the experimental test data at the neck, we investigated an improved neck injury criterion Nij. Also, the effects of the position of a head restraint on reducing the frequency and severity of the neck injury in rear-end collisions were investigated.

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Applicability of Thoracolumbar Injury Classification and Severity Score to Criteria of Korean Health Insurance Review and Assessment Service in Treatment Decision of Thoracolumbar Injury

  • Choi, Hyuk Jin;Kim, Hwan Soo;Nam, Kyoung Hyup;Cho, Won Ho;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
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    • v.57 no.3
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    • pp.174-177
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    • 2015
  • Objective : For improving the drawbacks of previous thoracolumbar spine trauma classification, the Spine Trauma Study Group was developed new classification, Thoracolumbar Injury Classification and Severity Score (TLICS). The simplicity of this scoring system makes it useful clinical application. However, considering criteria of Korean Health Insurance Review and Assessment Service (HIRA), the usefulness of TLICS system is still controversial in the treatment decision of thoracolumbar spine injury. Methods : Total 100 patients, who admitted to our hospital due to acute traumatic thoracolumbar injury, were enrolled. In 45, surgical treatment was performed and surgical treatment was decided following the criteria of HIRA in all patients. With assessing of TLICS score and Denis's classification, the treatment guidelines of TLICS and Denis's classification were applied to the criteria of Korean HIRA. Results : According to the Denis's three-column spine system, numbers of patients with 2 or 3 column injuries were 94. Only 45 of 94 patients (47.9%) with middle column injury fulfilled the criteria of HIRA. According to TLICS system, operation required fractures (score>4) were 31 and all patients except one fulfilled the criteria of HIRA. Conservative treatment required fractures (score<4) were 52 and borderline fracture (score=4) were 17. Conclusion : The TLICS system is very useful system for decision of surgical indication in acute traumatic thoracolumbar injury. However, the decision of treatment in TLICS score 4 should be carefully considered. Furthermore, definite criteria of posterior ligamentous complex (PLC) injury may be necessary because the differentiation of PLC injury between TLICS score 2 and 3 is very difficult.

A Study on the Neck Injury Criteria Using BioRID-II during Very Low Speed Rear-end Collision (초저속 후방 추돌시 BioRID-II를 이용한 목 상해 지수 측정에 관한 연구)

  • Hong, Seungjun;Ryu, Hankyu;Kim, Youngeun
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.4
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    • pp.54-61
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    • 2013
  • Although typically classified as AIS 1, whiplash injuries continue to represent a substantial social problem with associated costs estimated at over $1 billion annually. The primary objective of this study was to determine the effects of seat positions(seatback angle, headrest height) on risk for whiplash injury in very low speed(${\Delta}V$=4~10km/h) rear-end impact. To accomplish this, rear impact seat carriage tests and simulations were conducted using the BioRID-II dummy seated in a mass production seat, which allowed for the adjustment of seatback angle and headrest height. Neck injury criteria(NIC, Nkm) were then compared for different ${\Delta}V$ and seat positions.

A safety assessment by Risk Analysis Method on wheelchair occupant in side impact (측방충돌시 휠체어 탑승자의 위험도 분석에 의한 안전성평가)

  • 김성민;김성재;강태건;전병호;김경훈;문무성;홍정화
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.10a
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    • pp.16-16
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    • 2003
  • In this study, for a safety assessment of wheelchair occupant in side impact, we used a dynamic sled impact test results. The test was carried out total 6 times and impact speed was 13g$\pm$0.43/28km/h$\pm$0.95, By using EURO SID-1 dummy, head performance criteria(HPC), abdominal peak force, etc. were measured. We evaluated wheelchair occupant safety by motion criteria(MC) which was measured by head, trunk and side deformation change of wheelchair and Head & Neck injury criteria(HNI) measured by using head and neck deformation angle and time relation. When we assumed that the maximum injury value in side impact was 100%, the results of motion criteria(MC) of wheelchair occupant were max 80.3, mim 32.3 and average 60.3%, Head & Neck injury criteria(HNI) value were max 118.4, min 14.5 and average 59.7%.

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The Study of Influence Factor of Head Restraints on the Whiplash by using DFSS (DFSS 기법을 이용한 후방 추돌 시 경부 상해 감소를 위한 머리지지대 인자의 영향성 연구)

  • Oh, Hyungjoon;Seo, Sangjin;Yoo, Hyukjin
    • Journal of Auto-vehicle Safety Association
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    • v.4 no.2
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    • pp.5-10
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    • 2012
  • Whiplash is the most frequent injury among occupants in low speed rear-end car collision. The aim of this paper is to analyze thecorrelation between influence parameters of head restraints and whiplash injury criteria.In this paper, DFSS (Design for Six Sigma) method is used for optimum design of head restrains. Four control factors of head restraints have selected by function matrix method. The effects of the control factors have been experimentally evaluated by using a sled pulse from 16km/h relative velocity which is suggested by KNCAP (Korean New Car Assessment Program). In order to reduce the noise factors of dynamic tests, whiplash tests were repeated twice. By using DFSS, the correlation between control factors and injury criteria has been comprehended.

Analysis of Criteria Regarding Frontal and Side Impacts of Wheelchair Occupant in Vehicle by Computer Simulation Method (컴퓨터 시뮬레이션 방법을 이용한 휠체어 탑재 차량의 전방/측방충돌 시 휠체어 탑승자의 위험도 분석)

  • Kim, S.M.;Lee, M.P.;Park, S.Y.
    • Journal of Biomedical Engineering Research
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    • v.27 no.6
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    • pp.365-369
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    • 2006
  • According to the IIHS (Insurance Institute fur Highway Safety), side impacts are made up 30% of all accidents (reported 1998). In the case of auto accidents, head and neck injuries were most common as 58%, injuries to the body's trunk equaled 32%, and injuries to the abdomen were 21%. Therefore in this study, injury of wheelchair occupant in frontal and side impact of wheelchair loaded vehicle was analyzed using computer simulation method. The occupant was restrained at the rear of wheelchair by the lap belt. The detailed fixation and restrain conditions of the wheelchair occupant are referred to SAR J2249's recommendation. We estimated HIC(Head Injury Criteria) and HNIC (Head and Neck Injury Criteria) based on measured data.