• 제목/요약/키워드: 손상원인

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A Comprehensive Anatomical Approach to Low Back Pain (요통의 해부학적 고찰)

  • Kim Yoing-Su
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.149-159
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    • 1998
  • Normal lumbar vertebrae function only when soft tissues are in position, constituting vertebral body, discs and facet feints. Considering the mechanism of supporting bodily weight, the widest movement of vertebral column reaches a lumbar sacral joint to cause structural changes. The feet is proved that lumbago is the damage of lumbar vertebrae accompanied with the change of soft tissues surrounding lumbar vertebrae, rather than simple pain in a certain lesion. It is based on the mechanism of vertebral body and intervertebral discs in the anatomical structure of the lumbar region. In my opinion, it is necessary to prove more accurately the cause of lumbago, escaping from the conventional cause of the abnormality of disc.

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Reconstruction of the Lower Extremities with the Gracilis Muscle Flap (박근 유리조직을 이용한 하지 재건술)

  • Lee, Jun-Mo;Lee, Ju-Hong
    • Archives of Reconstructive Microsurgery
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    • v.7 no.1
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    • pp.62-67
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    • 1998
  • The gracilis muscle is well suited to small and medium-sized soft tissue defects that cannot be adequately handled by simple rotational flaps and it will conform well to irregular contours, can be split longitudinally at both ends to allow cavities and awkwardly shaped spaces and can be transferred in part or in whole. The gracilis muscle used as a free muscle or musculocutaneous flap is small with a long, narrow contour and its vascular pedicle is a terminal branch of the medial femoral circumflex artery and vein. The aims of soft tissue reconstruction are to cover soft tissue defects, to clear up infection and to prepare for further surgical procedures. Authors have performed 12 gracilis muscle flaps in the lower extremities at Chonbuk National University Hospital from June 1994 through March 1998. The results were as follows. 1. 11 cases of 12(91.7%) were sustained from the crushing injury and secondary complications from the traffic accident. 2. The microsurgical anastomosis of one artery and two veins have performed in 6 cases(50%) of 12 and 11(91.7%) cases of 12 were successful at the third postoperative week and in the final result. 3. Gracilis muscle flap is the infetion-resistant and aesthetically acceptable performed in the lower leg 1/3 and the foot.

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Ship Stability Calculation for Cause Analysis of No. 501 Oryong Sinking Accident (제501 오룡호 침몰사고 원인분석을 위한 선박 복원성 계산)

  • Lee, Jae-Seok;Chung, Young-Gu;Kim, Jee-Hun;Park, Ji-Hoon;Lee, Sang-Gab
    • Journal of Navigation and Port Research
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    • v.42 no.6
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    • pp.459-468
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    • 2018
  • Deep-sea fishing vessel No. 501 Oryong was fully flooded through its openings and sank to the bottom of the Bering Sea. The tragic accident was attributed to rough sea weather after a fishing operation in the Bering Sea, and led to the death or loss of many crewmen. In this study, the ship stability calculation was carried out using KST-SHIP (ship calculation system of KST), considering the free surface effect and fish catch arrangement according to the progress of its sinking accident, and stability after flooding was analyzed. The calculation results obtained using KST-SHIP were verified by comparing them to intact stability calculation sheet of the accident ship under the full load departure condition, and intact stability according to displacement from the departure of accident ship up to the moment of the accident was calculated and analyzed. The stability after flooding was also calculated and analyzed according to the progress during its sinking accident.

Seismic Fragility Evaluation of Bridges Considering Rebar Corrosion (철근 부식을 고려한 교량의 지진취약도 평가)

  • Shin, Soobong;Kong, Sina;Moon, Jiho;Song, Jong-Keol
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.34 no.4
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    • pp.231-241
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    • 2021
  • Although the deterioration of bridges may occur due to various causes, one of the representative causes is that the chloride used for deicing in the winter penetrates bridge members and results in corrosion. This study aims to quantify the ageing degree resulting from the corrosion of a bridge, apply it to the inelastic dynamic analysis model of the bridge, perform a seismic fragility analysis, and evaluate the relationship between the ageing degree and the seismic fragility curve. It is important to appropriately define the threshold values for each damage state in seismic fragility analyses considering the ageing degree. The damage state was defined using the results of existing experimental studies on the characteristics of the deterioration in the displacement ductility capacity of the pier, according to the ageing degree. Based on the seismic fragility analyses of six types of bridges divided by three types of bearing devices and two pier heights, it was found that the seismic vulnerability tends to increase with the ageing degree. The difference in seismic vulnerability with respect to the ageing degree exhibits a tendency to increase as the damage state progresses from slight to moderate, severe, and collapse.

A Review of the Deterioration and Damage of the Top Flange of the Highway PSC Box Girder Bridge based on the Condition Assessment Results (상태평가 결과 기반 고속도로 PSC Box 거더교 상부플랜지 열화·손상 실태 고찰)

  • Ku, Young-Ho;Han, Sang-Mook
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.6
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    • pp.23-32
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    • 2022
  • Although PSCB girder bridges account for 4% of the bridges in use on highways, they do not account for much, but 98% of PSCB girder bridges are 1st type and 2nd type of bridge. Also, the total length of the PSCB girder bridge is 16% (192km) of the total length of the highway bridge. Thus, the PSCB girder bridge can be one of the bridge types where maintenance is important. In order to analyze the damage types of PSCB girder bridges, a detailed analysis was conducted by selecting 62 places (477 spans) precision safety diagnosis reports considering ratio of the construction method and snow removal environment exposure class. Analysis of report and a field investigation was conducted, and as a result, most of the causes of deterioration damage were caused by rainwater (salt water) flowing into the bridge pavement soaking in between the top flange and the interface. After concrete slab deteriorate occurred then bridge pavement cracking and breaking increased and exfoliation of concrete occurred by corrosion and expansion of the reinforcing bars occurred. In addition, the cause of cracks in the longitudinal direction on the bottom of the top flange is considered to be cracks caused by restrained drying shrinkage. In conclusion, for reasonable maintenance considering the characteristics of PSCB girder bridges, it should be suggested in the design aspect that restrained drying shrinkage crack on top flange. Also, it is believed that differentiated maintenance method should be proposed according to snow removal environment exposure class.

Investigation of Factors Contributing to Childhood Soft-Tissue Injuries in the Face (소아의 안면 연부조직 손상에 관한 연구)

  • Sim, Mi-Jung;Sohn, In-A
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.219-225
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    • 2013
  • The purpose of this study was to retrospectively investigate the contributing factors in facial soft tissue injuries among children. A record-based analysis was carried out on 126 patients with facial lacerations who visited I hospital in the dept of plastic surgery from April 2010 to May 2011. Through all age group showed a significant difference in incidence rate for male and female.(p<.05). Overall, 49% of injuries occurred outdoors and the most frequent cause of injury was slip-down (42%), followed by being struck (40%). In general, the frequency of injuries peaked summer(30.2%) and increased between 12pm and 4pm. 105 patients (83.3%) arrived at the emergency room within an hour. The forehead(26%) was the most commonly injured area. The depth of soft tissue injuries was mostly subcutaneous(54%), and 1~2cm was the length of injury with the highest incidence(46%). Most children (40%) needed local anesthesia and only 4 children (1.53%) suffered associated fractures. Facial injuries require special attention because of their potential threat in inducing permanent scar or disfigurement. For the safety of children, the preventive measures to reduce facial soft tissue injuries must be improved.

Factors Associated with Patient Revenues of Hand Injured Patients (수부손상환자 진료비에 미치는 영향요인 -서울시 소재 S병원의 환례를 대상으로-)

  • Yang, Jae-Young;Suh, Won-S.
    • The Journal of the Korea Contents Association
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    • v.12 no.4
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    • pp.380-389
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    • 2012
  • This study aims to argue fundamental issues on factors associated with revenues of hand injury patients to effectively manage hospitals specialized in hand injuries. The study employes 2,461 patients who entered S hospital from 2008 to 2010 with hand injuries. The followings are the results of the study. First, there is significant difference among occurrence of hand injuries with regard to demographics of patients. That is, it is likely to have longer average length of stay(ALOS) of male over female, of the elderly over infants and toddlers, and vice versa on average daily patient revenues. Also, compared to patients with traffic and labor insurance, patients with health insurance is likely to stay longer at lower daily cost. Fifth, demographics and incidence of hand injuries were significantly associated with average length of stay(ALOS) and average daily patient revenues. That is, male over female, age over 60 over any other age categories, patients with traffic and labor insurances over one with health insurance, cases with laceration, avulsion and bone transplantation over any other types of hand injury patients were factors significantly related to ALOS and average daily patient revenues. In sum, it is needed to focus on education and campaign to raise attentions on preventing various hand injuries. Also, managers at hospitals specialized in hand injuries should pay attention on issues such as reducing ALOS to run the organization effectively.

Fistula Formation Between the Disc and Dura after Percutaneous Endoscopic Lumbar Discectomy - A Case Report - (경피적 내시경 요추 추간판 절제술 후 발생한 추간판과 경막 사이의 누공 형성 - 증례 보고 -)

  • Kim, Hak Sun;Kim, Hyoung Bok;Chung, Hoon-Jae;Yang, Jea Ho
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.180-184
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    • 2018
  • Study Design: Case report Objectives: To document fistula formation between the disc and dura by an unrecognized dural tear after percutaneous endoscopic lumbar discectomy (PELD). Summary of Literature Review: The risk of durotomy is relatively low with PELD, but cases of unrecognized durotomies have been reported. An effective diagnostic tool for such situations has not yet been identified. Materials and Methods: A patient twice underwent transforaminal PELD under the diagnosis of a herniated lumbar disc at L4-5. She still complained of intractable pain and motor weakness around the left lower extremity at 6 months postoperatively. Magnetic resonance imaging showed no specific findings suggestive of violation of the nerve root. However, L5 and S1 nerve root injury was noted on electromyography. An exploratory operation was planned to characterize damage to the neural structures. Results: In the exploration, a dural tear was found at the previous operative site, along with a fistula between the disc and dura was also found at the dural tear site. The durotomy site was located on the ventrolateral side of the dura and measured approximately 5 mm. The durotomy site was repaired with Nylon 5-0 and adhesive sealants. The patient's preoperative symptoms diminished considerably. Conclusions: Fistula formation between the disc and dura can be caused by an unrecognized dural tear after PELD. Discography is a reliable diagnostic tool for fistulas formed by an unrecognized durotomy.

Characteristics and Trends of Ski Injuries (스키손상의 특징과 경향)

  • Ha, Kee-Young;Kim, Yang-Su;Ryoo, Seung-Joon;Koh, In-Jun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.153-157
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    • 2003
  • Purpose: To identify injuries and profile the characteristics of injured skiers and to use this information in designing injury-prevention programs and protective equipment. Materials and Methods: Injured skiers treated at a clinic of a ski resort located in Kangwon province in Korea were reviewed from 1998 to 2001. An injury was defined as any accident occurred during alpine skiing that required medical treatment. All injured skiers were asked to fill in a questionnaire which documented the mechanism of injury, their experiences , and the slope where they were injured Results: 1197 patients experienced ski injuries over a three-year-period. The overall incidence of ski injuries was 6.4 injuries per 1000 skiers. There was a slightly higher proportion of men than women and the mean age was in the third decade. The injury rate was higher for beginners and for less difficult slopes . The sprain and ligament injuries were most common and knee injuries accounted for 30$\%$ of all ski injuries . Conclusion: In our study , ski injuries occurred more often compared with foreign reports. it was concluded that an insufficient injury prevention system, an increasing number of skiers and a growing proportion of beginners was responsible for such a result.

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The study of damage regions on the aging conditions of the silk dyeing traditional pigment (전통 염색견의 열화조건에 따른 손상원인 연구)

  • Lee, Hye-Yun;Han, Min-Su;Chung, Yong-Jea;Song, Jeoung-Ju
    • 보존과학연구
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    • s.26
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    • pp.77-101
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    • 2005
  • In ancient times, many kinds of difference inorganic and organic pigment were used as colorants for making objects. This study has proved the damage regions on the aging conditions of the silk dyeing traditional pigment. so whiteness, tensile strength and digital-microscope were measured to examine the state of silk dyeing traditional pigments pretreated under each aging condition. From the result examining the state, all the silk dyeing traditional pigments were best condition at low temperature(-20/RT)and normal condition and damaged at high temperature($60^{\circ}C$) and 2ppm $SO_2$condition and UV condition. As a result of X-ray diffraction analysis of crystalline structure for the silk dyeing traditional pigments, most of specimens have nearly changed crystalline structure despite specimens had each other different conditions and times. Especially, specimens which was passing of 4-8 months have not changed in its crystalline structure. But some specimens like a Unghwang and Seokcheong have a little changed in its intensity in the XRD peak. Consequently, If we want to find out alteration of crystalline structure for the silk dyeing traditional pigments using scientific method according to change of environmental conditions, we must guarantee of equal state and strengthen of environmental conditions in specimen. Additionally, the term of experiment need to belong, and specimens which was experimented and analyzed must be same.

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