• Title/Summary/Keyword: 복합외상

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A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome (복합부위통증증후군의 작업치료적 접근에 관한 고찰)

  • Choi, Yoo-Im;Park, Soo-Hyun
    • The Journal of the Korea Contents Association
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    • v.10 no.1
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    • pp.286-294
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    • 2010
  • Complex Regional Pain Syndrome(CRPS) is a chronic neruopathic pain syndrome, most frequently encountered after trauma, nerve injury, fracture, cerebral vascular accident(CVA), spinal injury, and surgery to a limb, and affected by diverse factors such as disease process, intervention method, and other biopsychosocial components. Occupational therapy as a multidisciplinary treatment approach may be potentially useful when simultaneously targeting such biological, psychological, and social components. Biological treatment can focus on increasing functional use of extremity for promoting independence. Psychological intervention can include relaxation/biofeedback training and cognitive-behavioral treatments, and social approach can focus on recreational therapy and vocational rehabilitation. Occupational therapy will encourage functional restoration, pain management, and regaining of psychological components with collaboration between different disciplines.

Surgical Treatment of Traumatic Rupture of Thoracic Aorta (외상성 흉부대동맥 파열 수술)

  • Hahm, Shee-Young;Choo, Suk-Jung;Song, Hyun;Lee, Jae-Won;Song, Meong-Gun
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.774-780
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    • 2004
  • Although traumatic thoracic aortic rupture is potentially a fatal condition requiring surgical attention, the presence of concomitant injury involving other parts of the body may greatly increase the risk of cardio-pulmonary bypass. We report our experience of treating associated injuries prior to the thoracic aortic rupture in these patients. Material and Method: From 1997 to 2003, the medical records of 24 traumatic aortic rupture patients were retrospectively reviewed and checked for the presence of associated injury, surgical method, postoperative course, and complications. Surgical technique comprised thoracotomy with proximal anastomosis under deep hypothermic circulatory arrest followed by side arm perfusion to reestablish cerebral circulation. CSF drainage was performed to prevent lower extremity paraplegia. Result: Major concomitant injuries (n=83) were noted in all of the reviewed patients, Of these, there were 49 thoracic injuries, 18 musculoskeletal injuries, and 13 abdominal injuries, Operations for associated injuries (n=16) were performed in 12 patients on mean 7.6$\pm$12.6 days following the injury. The diagnosis of aortic rupture at the time of injury was detected in only 18 patients. Delayed surgery of the thoracic aorta was performed on average 695$\pm$1350 days after injury and there were no deaths or progression of rupture in any of these patients during the observation period. There were no operative deaths and no major postoperative complications. Conclusion: Treating concomitant major injuries prior to the aortic injury in traumatic aortic rupture may reduce surgical mortality and morbidity.

Influence of Coping, Self-Disclosure, Ruminant, and Organizational Culture on Traumatic Growth of Firefighters (소방공무원의 대처, 자기노출, 반추, 조직문화가 외상 후 성장에 미치는 영향)

  • Ko, Young-Shim;Ha, Yeong-Mi;Kim, Ji-Ah;Cho, Han-A
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.357-369
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    • 2020
  • This study aimed to examine the coping, self-disclosure, rumination, organizational culture and degree of Posttraumatic Growth(PTG) of firefighters who experienced trauma, and to identify the factors that influence PTG. Data collection was conducted for 103 firefighters working at three fire departments located in Gyeongsang-do. As a result of the study, 46(44.7%) PTGs of medium to high level averaged 58.07 points, and the total PTG average was 44.56 points. The influenced factors affecting PTG in firefighters were emotional-focused coping(EFC), self-disclosure(SD), deliberate rumination(DR) and innovative-oriented culture(IOC).The explanatory power of these factors PTG was 45.9%. In order to promote the firefighters 'PTG, it is necessary to approach of EFC, SE, and DR but also an organizational aspect as well as IOC construction, and these results can be used as an arbitration plan to improve the firefighters' PTG.

Convergence relationship of BMI, Sleep time and Experience of oral disease in Adolescents (청소년의 BMI, 수면시간과 구강질환경험과의 관련성 융합연구)

  • Park, Sin-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.387-392
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    • 2020
  • This study was to investigate the relationship of BMI, sleep time and experience of oral diseases in adolescents. We want to help develop basic data for improving oral health of adolescents. According to the sample design of the Youth Health Behavior online survey, a total of 57,303 adolescents were analyzed for frequency of composite samples, x2-test of composite samples, and logistic regression of composite samples, and the IBM SPSS Statistics 20.0 program was used and the significance level was 0.05. Results, BMI was associated with bad breath, and sleep time was associated with tooth break, pain, bleeding, and bad breath. Therefore, BMI and sleep time should be considered for the management and prevention of oral diseases in adolescents.

Complex Regional Pain Syndrome after Wedge Resection of Apex of Lung (폐 첨 쐐기 절제술 후 생긴 복합 국소 동통 증후군)

  • 박일환;김부연;오중환;박정미
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.98-101
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    • 2004
  • Complex regional pain syndrome is pain disorder which is characterized by aching pain, marked painful sensation, hypothermesthesia, vasomotor dysfunction, hyperhidrosis, impairment of motor function, trophic changes of distal part of not-operated extremity after trauma and operation. Pain produce increased sensitivity to catecholamine and diagnosed by infra red thermography and Treatment consists of pain relief and rehabilitational therapy for functional restoration of affected limb. We experienced a case of complex regional pain syndrome in a 16-year-old man after wedge resection of pulmonary apex for bullae and report this case with a review of the literature.

Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion (복합 치관-치근 파절의 교정적 정출술을 이용한 심미적 수복)

  • Kim, Minji;Kim, Jinyoung;Kim, Suhyun;Lim, Sumin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.60-69
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    • 2016
  • Complicated crown-root fracture of permanent incisors cause esthetic, functional, and psychological problems to patients. Therefore, treatment is important and multidisciplinary treatment is required. This case report describes the clinical procedures involved in the treatment of trauma-induced complicated crown-root fractures in the maxillary incisor of two young patients. Conventional root canal treatment and apexification were performed in each patient. To expose the fracture margins to the supragingival level and to reestablish the biologic width, orthodontic extrusions with fixed appliances were performed followed by a retention period. During the retention period, fiber-optic posts and cores were built up and provisional crowns were placed. Finally, ceramic crowns manufactured using a computer-aided design/computer-aided manufacturing (CAD/CAM) system were placed. In both patients, the teeth presented satisfactory functional and esthetic outcomes without relapse. The periodontal tissues were healthy.

CORRECTION OF POSTTRAUMATIC DIPLOPIA AND ENOPHTHALMOS USING AUTOGENOUS COMPOSITE CONCHAL CARTILAGE AND TEMPORAL FASCIAL;A CASE REPORT (이개연골과 측두근막의 자가복합이식술에 의한 외상성 복시현상과 안구함몰의 치험례)

  • Kim, Il-Kyu;Lee, Seong-Jun;Ha, Soo-Yong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.1
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    • pp.114-120
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    • 1990
  • This is a case report of correction of posttraumatic diplopia and enophthalmos using autogenous composite conchal cartilage and temporal fascia. The results are as follows. 1. Diplopia and enophthalmos may be persistent complications in zygomatic complex fracture. 2. The concha is a reservior of autogenous cartilage which leaves no cosmetic and functional deformity in reconstruction of orbital floor. 3. Warpping the cartilage in temporal fascia may serve to increase implant stability and get graft with smooth edge. 4. Donor incision lines are well hidden within the scalp and in auriculocephalic fold.

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Controversy in Rotator Cuff Tear Pathophysiology: Degenerative Tear

  • Kim, Yeong-Gyu
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.141-146
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    • 2008
  • 퇴행성 변화에 의한 회전근 개 파열은 보통 관절면측에서 파열이 먼저 시작되어 전층 파열로 진행되는 것이 보편적인 반면 점액낭면 파열은 견봉하 충돌 증후군에 의해 주로 발생하지만 충돌 증후군에 의해 관절면 또는 건내 파열도 발생할 수 있다. 따라서 연령에 따른 퇴행성 변화와 더불어 생역학적 기전 등의 내적 요인과 충돌 증후군 또는 외상 등의 외적인 요인이 복합적으로 작용하는 회전근 개 파열은 관절면과 점액낭면에 파열이 공존할 수 있다. 결론적으로 회전근 개 파열은 보통 퇴행성 변화가 가장 기본적인 원인으로 생각되나 하나의 원인을 독립적으로 생각하기 보다는 다양한 원인이 동시에 혹은 단계적으로 작용하여 임상적으로 의미있는 병적인 상태로 진행한다고 보는 것이 타당하리라 생각된다.

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PATHOLOGICAL STUDY OF CADMIUM POISONING IN OLFACTORY BULB OF RATS (카드뮴 중독이 흰쥐의 후구에 미치는 영향)

  • 여상원;김병우
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.17-17
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    • 1991
  • 산업의 발전과 함께 최근 카드뮴 중독이 사회적 문제가 되고 있다. 카드뮴 중독은 특히 건전지 제조공장, 카드뮴 광산 등에서 잘 발생하며 카드뮴 분진의 흡입, 음식물내 카드뮴 복합물의 섭취 등에 의해 유발된다. 중독증상으로는 폐부종 및 섬유화, 신부전증, 폐부전증, 고혈압, 생식선 위축, 골연화증, 무취증, itai-itati 질환등을 일으키는 것으로 알려져 있으나 무취증에 대한 정확한 발생기전은 밝혀져 있지 않다. 이에 저자들은 카드뮴 중독을 유발시키기 위하여 흰쥐에 $CaCl_2$ 11.2 mg/kg을 3주일간 매일 피하주사한 후 3주 후에 두개골을 제거하고 후구를 절취한 후 투과전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 1. 사구체 주위 부위에 있는 사구체 주위 세포의 세포돌기와 신경축삭에 퇴행성 변화가 발생하였다. 2. 외상망 부위와 승모세포, 과랍세포 등에서는 뚜렷한 변화를 발견할 수 없었다.

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Development of Real-time HRV measurement Application based on vital signs for IoT smart stress care (IoT 스마트 스트레스 케어를 위한 생체신호 기반의 실시간 HRV 측정)

  • Song, Ho Jun;Park, Do Young
    • Journal of Platform Technology
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    • v.9 no.1
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    • pp.40-45
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    • 2021
  • Our daily lives have changed a lot because of the COVID-19 pandemic. This is essential to reduce the spread of COVID-19 due to public health measures such as social distancing. At the same time, however, they are exposed to depression, anxiety disorders, depressive disorders, trauma and stress-related disorders. For this, we developed an application that can check HRV data and stress index by measuring ECG and PPG based on a Smart Watch device that can measure bio-signals in real time. In the case of the developed application, the heart rate is measured and displayed in real time to deliver basic exercise information by measuring exercise, steps and calories, and total distance, and smoothly based on blood pressure, heart rate, and HRV data as a measurement program. Through this, I believe that the IoT Smart Stress Care Application, which can manage mental health by itself, will be helpful to patients with stress and depressive trauma disorders.