• Title/Summary/Keyword: fall reduction

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A retrospective analysis of mandibular fractures in Mewat, India

  • Malhotra, Vijay Laxmy;Sharma, Amita;Tanwar, Rajiv;Dhiman, Meenu;Shyam, Radhey;Kaur, Depinder
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.5
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    • pp.365-372
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    • 2021
  • Objectives: Mandibular fractures vary significantly with respect to epidemiological and demographic parameters among populations. To date, no study has evaluated these aspects of mandibular fractures in Nuh, Mewat, Haryana, India. To retrospectively analyze the incidence, age and sex distributions, etiology, anatomic distribution, occlusal status, treatment modality provided, and their correlation in patients who suffered isolated mandibular fractures. Materials and Methods: The records of maxillofacial injury patients who reported to the Department of Dentistry, SHKM Government Medical College from January 2013 to December 2019, were retrieved from our database, and necessary information was collected. The data collected were analyzed statistically using IBM SPSS ver. 21. Results: Totals of 146 patients and 211 fractures were analyzed. There were 127 males and 19 females with an age range of 3-70 years (mean age, 26 years). Road traffic accident (RTA) was the most common cause of fracture (64.4%), followed by fall (19.9%), assault (15.1%), and sports injury (0.7%). Of all patients, 42.5% had bilateral fractures, 31.5% had left side fracture, 21.2% had right side fracture, 3.4% sustained midline symphyseal fracture, and 1.4% had symphyseal fracture along one side of the mandible. Site distribution was as follows: parasymphysis (34.6%), angle (23.7%), condyle (20.4%), body (12.8%), symphysis (4.3%), ramus 2.4%, and dentoalveolar 1.9%. The most common facture combination was angle with parasymphysis (17.8%). Occlusion was disrupted in 69.2% patients. Closed reduction was the predominant treatment modality. Conclusion: The data obtained from retrospective analyses of maxillofacial trauma increase the understanding of variables and their outcomes among populations. The results of the present study are comparable to those of the literature in some aspects and different in others.

Compacted expansive elastic silt and tyre powder waste

  • Ghadr, Soheil;Mirsalehi, Sajjad;Assadi-Langroudi, Arya
    • Geomechanics and Engineering
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    • v.18 no.5
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    • pp.535-543
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    • 2019
  • Building on/with expansive soils with no treatment brings complications. Compacted expansive soils specifically fall short in satisfying the minimum requirements for transport embankment infrastructures, requiring the adoption of hauled virgin mineral aggregates or a sustainable alternative. Use of hauled aggregates comes at a high carbon and economical cost. On average, every 9m high embankment built with quarried/hauled soils cost $12600MJ.m^{-2}$ Embodied Energy (EE). A prospect of using mixed cutting-arising expansive soils with industrial/domestic wastes can reduce the carbon cost and ease the pressure on landfills. The widespread use of recycled materials has been extensively limited due to concerns over their long-term performance, generally low shear strength and stiffness. In this contribution, hydromechanical properties of a waste tyre sand-sized rubber (a mixture of polybutadiene, polyisoprene, elastomers, and styrene-butadiene) and expansive silt is studied, allowing the short- and long-term behaviour of optimum compacted composites to be better established. The inclusion of tyre shred substantially decreased the swelling potential/pressure and modestly lowered the compression index. Silt-Tyre powder replacement lowered the bulk density, allowing construction of lighter reinforced earth structures. The shear strength and stiffness decreased on addition of tyre powder, yet the contribution of matric suction to the shear strength remained constant for tyre shred contents up to 20%. Reinforced soils adopted a ductile post-peak plastic behaviour with enhanced failure strain, offering the opportunity to build more flexible subgrades as recommended for expansive soils. Residual water content and tyre shred content are directly correlated; tyre-reinforced silt showed a greater capacity of water storage (than natural silts) and hence a sustainable solution to waterlogging and surficial flooding particularly in urban settings. Crushed fine tyre shred mixed with expansive silts/sands at 15 to 20 wt% appear to offer the maximum reduction in swelling-shrinking properties at minimum cracking, strength loss and enhanced compressibility expenses.

MULTIPLE LINEAR REGRESSION APPROACH FOR PRODUCTIVITY ESTIMATION OF BULLDOZERS

  • Abbas Rashidi;Hoda Rashidi Nejad;Amir H. Behzadan
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.1140-1147
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    • 2009
  • Productivity measurement of construction machinery is a significant issue faced by many contractors especially those involved in earthwork projects. Traditionally, equipment production rate has been estimated using data available in manufacturers' catalogues, results of previous construction projects, or personal experience and assessments of the site personnel. Actual production rates obtained after the completion of a project demonstrate the fact that most of these methods fail to provide accurate results and as a direct consequence, may lead to unrealistic project cost estimations prepared by the contractors. What makes this more critical is that in most cases, inadequate cost estimations lead the entire project to exceed the initial budget or fall behind the schedule. In this paper, a linear regression method to estimate bulldozer productivity is introduced. This method has been developed using SPSS-16 software package. The presented method is used to estimate the productivity of Komatsu D-155A1 series which is commonly used in many earthmoving operations in Iran. The data required for the numerical analysis has been collected from actual site observation and productivity measurement of 60 pieces of D-155A1 series currently being used in several earthmoving projects in Iran. Comparative analysis of the output data of the presented regression method and the existing productivity tables provided by the manufacturer shows that when compared to the actual productivity data collected on the jobsite, a significant increase in accuracy and a remarkable reduction of data variance can be achieved by using the presented regression method.

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Performance of Comprehensive Nursing Care Service in an Acute Care Hospital: Focusing on Accidental Falls and Pressure Injuries (급성기병원에서의 간호 · 간병통합서비스 운영 전후 낙상 및 욕창 발생 변화)

  • Nam, Seung Nam;Ryu, Hye Ran;Kim, Se Hyun;Seo, Su Ryang;Oh, Yoon Hee;Choi, Sun Mi;Chung, Eun Jin
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.56-66
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    • 2023
  • Purpose: This study aimed to investigate whether the comprehensive nursing care service positively affected accidental falls and pressure injuries. Methods: This study was a retrospective study that analyzed the accidental falls and pressure injuries cases in an acute care hospital located in Seoul and compared the rates of accidental falls and pressure injuries before and after the comprehensive nursing care service was operated. Results: Comparing the accidental fall incidence rates per 100 person-months between a comprehensive nursing care ward and a general ward, it showed fewer accidental falls by 0.44 in comprehensive nursing care wards, but the result was not statistically significant. In the case of pressure ulcers, the incident rate per 100 person-month was 6.17 in general wards and 4.77 in comprehensive nursing care wards, which showed that the number of pressure ulcer patients was lower in comprehensive nursing care wards, however it was also not statistically significant. Conclusion: It is not confirmed that the operation of the comprehensive nursing care service contributes to the reduction of accidental hospital falls or pressure injuries. Follow-up studies are recommended to determine the effectiveness of comprehensive nursing services in quality indicators.

Frost-Heaving Characteristics of Soil Mixed with Discarded Tire Powder (폐타이어 파우더 혼합토의 동상 특성)

  • Kim, Hak-Sam;Seo, Sang-Youl;Nakamura, Dai;Fukuda, Masami;Yamashita, Satoshi;Suzuki, Teruyuki
    • Journal of the Korean Geotechnical Society
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    • v.26 no.4
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    • pp.15-26
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    • 2010
  • To determine the frost heave suppressing mechanism of soil mixed with tire powder, we conducted three kinds of laboratory experiments: measurement of unfrozen water, evaluation of thermal conductivity, and a frost heave. In this research, we focused on changes in the coefficient of permeability of the mixed soil, and first found that of the unsaturated soil. Next, in the case of the presence of ice, we took the ice-impeding factor into consideration to derive the coefficient of permeability of the frozen fringe from the area ratio of the soil and tire powder in mixed soil. The results show a positive correlation between the water intake rate and the coefficient of permeability. Moreover, we found that the frost heave decreased thanks to a reduction in the permeability and a fall in the unfrozen water content of the soil mixed with tire powder. We also calculated the weight of the water content of the soil and tire powder void quantitatively using the result of the volumetric ratio of mixed soil.

Development of Laser Processing Technology and Life Evaluation Method for Lifespan Improvement of Titanium Superhydrophobic Surface (티타늄 초소수성 표면의 수명 향상을 위한 레이저 처리 기법 개발 및 내수명성 평가법 개발)

  • Kyungeun Jeong;Kyeongryeol Park;Yong Seok Choi;Seongmin Kang;Unseong Kim;Song Yi Jung;Kyungjun Lee
    • Tribology and Lubricants
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    • v.40 no.3
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    • pp.91-96
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    • 2024
  • Recently, extensive studies have been carried out to enhance various performance aspects such as the durability, lifespan, and hardness by combining diverse materials or developing novel materials. The utilization of superhydrophobic surfaces, particularly in the automotive, textile, and medical device industries, has gained momentum to achieve improved performance and efficiency. Superhydrophobicity refers to a surface state where the contact angle when water droplets fall is above 150°, while the contact angle during sliding motion is smaller than 10°. Superhydrophobic surfaces offer the advantage of water droplets not easily sliding off, maintaining a cleaner state as the droplets leave the surface. Surface modification involves two fundamental steps to achieve superhydrophobicity: surface roughness increase and surface energy reduction. However, existing methods, such as time-consuming processes and toxic organic precursors, still face challenges. In this study, we propose a method for superhydrophobic surface modification using lasers, aiming to create roughness in micro/nanostructures, ensuring durability while improving the production time and ease of fabrication. The mechanical durability of superhydrophobic samples treated with lasers is comparatively evaluated against chemical etching samples. The experimental results demonstrate superior mechanical durability through the laser treatment. Therefore, this research provides an effective and practical approach to superhydrophobic surface modification, highlighting the utility of laser treatment.

Synergizing Climate Change and Ocean Regimes: A Comprehensive International Legal Approach for Ocean Acidification Governance

  • Sung Won Kim
    • Ocean and Polar Research
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    • v.45 no.4
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    • pp.185-199
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    • 2023
  • Ocean acidification poses a myriad of challenges, particularly to marine environments and ecosystems. Its negative repercussions are equally obvious from a human-centric perspective. Despite efforts to address ocean acidification through various international legal frameworks, current international legal frameworks, such as the United Nations Convention on the Law of the Sea and the United Nations Convention on Climate Change, which represent the climate change regime and the ocean regime, respectively, fall short of adequately addressing ocean acidification challenges. Because of the climate change regime's atmospheric-centered perspective and the ocean regime's pollution-oriented perspective, ocean acidification falls between the cracks and is not a priority for either regime. To adequately address the issues posed by ocean acidification, a concerted effort between the the legal regime addressing climate change and the legal regime regulating maritime affairs is crucial. This effort might be realized by developing a robust governance system that encompasses both of these regimes, which are specifically tailored to tackle ocean acidification. Given the complexity of ocean acidification governance, the distribution of roles for both regimes should be thoroughly examined. Due to its broad reach, the ocean regime might take the lead in directing the trajectory of ocean acidification, while the climate change regime might provide assistance within the context of ocean acidification governance. Active mutual reference and due diligence obligations could be employed in this scenario to bridge the gaps created by both the climate change regime and the ocean regime regarding ocean acidification. The active interaction between these regimes might pave the way for proper ocean acidification governance in order to meet the challenges posed by ocean acidification.

Clinical Observation and Treatment of Fracture-Dislocation of Talus (거골 골절 및 탈구의 임상적 고찰)

  • Lee, Dong-Chul;Kim, Se-Dong;Jung, Hae-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.302-311
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    • 1992
  • Talus is a important structure of the ankle joint and its function is critical for ambulation and weight bearing. The talus fracture is rare, but the complications of fracture and dislocation are serious and resulting in avascular necrosis, osteoarthritis. So its treatment is carefully considered at initial status. Authors reviewed 11 cases of fracture and dislocation of the talus treated at Yeungnam university hospital from 1984 to 1991. The longest follow up was 8 years and shortest, 1 year. The results were as follows. 1. There were all males, the average age was 30 years old. 2. The most common cause was fall down(8 cases), and next traffic accident(2cases), sports injury(1 case). 3. According to Marti-Weber classification, 1 cases was type I, 1 in type II, 4 in type III and 5 in type IV. 4. The method of treatment were open reduction and internal fixation in 6 cases, the others were closed reduction in 5 cases. 5. Final results(by Hawkins grading system) were as follows, 3 cases were excellent, 4 cases were good, 1 case was fair and 3 cases were poor. 6. Complications were AVN in 2 cases, degenerative arthritis in 8 cases, malunion in 1 case. 7. The range of motion of the ankle joint was relatively preserved(74%), but in the subtalar joint it was decreased(43%).

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Evaluation of Ammonia Emission from Arable Soil applied Liquid Manure and Compost (가축분 퇴.액비 시용에 따른 암모니아 휘산량 평가)

  • Lee, Yong-Bok;Yun, Hong-Bae;Lee, Youn;Kaown, Dug-In
    • 한국환경농학회:학술대회논문집
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    • 2009.07a
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    • pp.329-338
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    • 2009
  • Emission of ammonia to the atmosphere are considered a threat to the environment. The application of livestock manure and compost contributes significantly to the emission of ammonia from agriculture. The reduction in NH3 losses from field-applied manure and compost would be a good strategy to reduce national $NH_3$ emission. In this study, various application techniques of liquid manure and compost were compared to evaluate their potential for reducing $NH_3$ emission. In compost application, the reductions in $NH_3$ emission were 70 and 15% for immediately rotary after application (IRA) and rotary at 3-day after application (RA-3d) in comparison with surface application (SA). Total ammonia emissions for 13 days, expressed as % ammonia-N applied in compost, were 42, 35.7, and 12.7% for SA, RA-3d, and IRA treatments, respectively. Mean reductions in NH3 emission from application of liquid pig manure were 26 and 50% for rotary harrow after surface broadcast application in spring and fall, respectively, in comparison with surface broadcast application. Ammonia emission rate was decreased with increasing water content in soil due to dilution effect, but this reduction only was temporary up to 12 hours after application and cumulative $NH_3$ emission was increased with increasing water content in soil. However, the delay would be beneficial because it allows time for rotary hallow of the applied liquid pig manure. Therefor, ammonia emission can be reduced by immediately incorporation of liquid manure and compost after surface application.

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Transaction Costs in an Emission Trading Scheme: Application of a Simple Autonomous Trading Agent Model

  • Lee, Kangil;Han, Taek-Whan;Cho, Yongsung
    • Environmental and Resource Economics Review
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    • v.21 no.1
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    • pp.27-67
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    • 2012
  • This paper analyzed the effect of transaction costs on the prices and trading volumes at the initial stage of emission markets and also examined how the size of the effect differs depending on the characteristics of the transactions. We built trading protocols modeling a recursive process to search the trading partner and make transactions with several behavioral assumptions considering the situations of early markets. The simulations results show that adding transaction costs resulted in reduction of trading volumes. Furthermore, the speed of reduction in trading volume to the increase of transaction costs is higher when there is scale economy. With a certain level of scale economy, the trading volumes abruptly fall down to almost zero as the transaction cost gets over a certain level. This suggests the possibility of a failed market. Since the scale economy is thought to be significant in the early stage of emission trading market, it is desirable to design a trading system that maximizes trading volumes and minimizes unit transaction costs at the outset. One of the alternatives to meet these conditions is to establish a centralized exchange and take measures to increase trading volumes.

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