• Title/Summary/Keyword: Burn Risk

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Comparative Efficacy and Safety of Radiofrequency Ablation and Microwave Ablation in the Treatment of Benign Thyroid Nodules: A Systematic Review and Meta-Analysis

  • Hendra Zufry;Timotius Ivan Hariyanto
    • Korean Journal of Radiology
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    • v.25 no.3
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    • pp.301-313
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    • 2024
  • Objective: The current body of evidence lacks clarity regarding the comparative efficacy and safety of radiofrequency ablation (RFA) and microwave ablation (MWA) as minimally invasive treatments for benign thyroid nodules. The primary objective of this study is to clarify these concerns. Materials and Methods: A comprehensive search was conducted using the Cochrane Library, Scopus, Europe PMC, and Medline databases until October 10th, 2023, using a combination of relevant keywords. This study incorporated literature that compared RFA and MWA for benign thyroid nodules. The primary outcome was the volume reduction ratio (VRR) from baseline to follow-up. Secondary outcomes were symptom score, cosmetic score, ablation time, major complications rate, hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. We used Risk of Bias in Non-randomized Studies - of Interventions (ROBINS-I) tool to assess the risk of bias in the included studies. We employed random effects models to analyze the standardized mean difference (SMD) and odds ratio for the presentation of outcomes. Results: Nine studies with 2707 nodules were included. The results of our meta-analysis indicated similar efficacy between RFA and MWA in terms of VRR during the 1 (SMD 0.06; 95% confidence interval [CI]: -0.13 to 0.26; P = 0.52) and 3 (SMD 0.11; 95% CI: -0.03 to 0.25; P = 0.12) months of follow-up. VRR was significantly higher in RFA than in MWA at the 6 (SMD 0.25; 95% CI: 0.06-0.43; P = 0.008) and 12 month of follow-up (SMD 0.38; 95% CI: 0.17 to 0.59; P < 0.001). There were no significant differences between RFA and MWA in symptom scores, cosmetic scores, or the incidence of complications, including hemorrhage, hoarseness, skin burn, cough, and sympathetic nerve injury. Conclusion: RFA showed a higher VRR than MWA at 6 and 12-month follow-ups, with a comparable safety profile.

Efficacy of Herbal Medicines for the Treatment of Burns : A Systematic Review and Meta-analysis (화상의 한약 치료 효과에 대한 체계적 문헌고찰과 메타분석)

  • Jo, Su-Ji;Seo, Hyung-Sik;Jee, Seon-Young;Hwangbo, Min;Kim, Chul-Yun;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.4
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    • pp.90-116
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    • 2021
  • Objectives : This study covers the effects of burn treatments using oriental herbal medicine. Methods : The relevant literature was extensively investigated through domestic and international databases and finally 14 papers was selected. The literatures were systematically reviewed and 10 papers capable of quantitative analysis were meta-analyzed. Results : Oriental herbal medicines had a effect on reducing wound healing time, pain and the risk of infection and skin transplantation. Conclusions : We found that oriental herbal medicine was effective and safe for burn treatment.

Adverse Events of Electronic Moxibustion Treatment for Knee Osteoarthritis: Case Reports and a Literature Review

  • Oh, Yoona;Lee, Jisun;Kim, Yeonhak;Kim, Eun Seok;Kim, Kun Hyung;Lee, Byung Ryul;Yang, Gi Young
    • Journal of Acupuncture Research
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    • v.39 no.1
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    • pp.29-35
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    • 2022
  • Background: Electronic moxibustion has the advantage of temperature control and maintenance, and overcomes the limitations of the existing moxibustion process without the use of the combustion process. However, as the application of electronic moxibustion in clinical practice has increased, safety issues are emerging. Methods: Clinical cases of electronic moxibustion treatment for knee osteoarthritis where burns occurred were collected. In addition, adverse events reported in clinical studies using electronic moxibustion for patients with knee osteoarthritis were collected from studies retrieved from Korean and international databases. Results: There were 3 cases of superficial 2nd degree burns retrospectively collected through chart reviews. Among the selected 5 studies for literature review, 2 studies reported adverse events which were burns milder than those reported in these 3 cases in this retrospective case review. Conclusion: Since the risk of superficial 2nd degree burn was discovered in the cases reviewed, further research on safe electronic moxibustion treatment is required without compromising the effectiveness of moxibustion.

A study on the Rationalization of Safety Management through the Analysis of Accident Cause and Occurrence Principles for Safety Accidents in the Construction Industry -Focused on Burial, Conflagration, Explosion, Burn- (건설업 안전사고의 원인과 사고발생원리의 분석을 통한 안전관리 합리화 방안의 고찰 -매몰(埋沒), 화사(火事), 폭렬(爆裂), 화상(火傷)을 대상으로-)

  • Kim, Jin-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.10 no.3
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    • pp.99-111
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    • 2010
  • In recent years, the number of high-rise building construction projects has grown, and the number of construction safety accidents has also been increasing. Therefore, the objective of this study is to propose plans to prevent accidents by systematically organizing accident principles and developing a tree diagram for the process of safety accidents that occur in the construction industry. This study aims to show the diverse characteristics of construction accidents based on KOSHA's annual reports on safety accidents(burial, conflagration, explosion, burn) from 1993 to 2009. To achieve these objectives, in this study we first examined the risk factors for burial, conflagration, explosion, and burn. We then systematically organized the classification viewpoint of accident causes, and suggested a methodology for the rationalization of safety management through an analysis of the primary causes of accidents by work type. The results of this study based on this methodology can be divided into three areas: 1)the types of facilities were divided into 43 categories by analyzing the information of KOSHA's annual reports; 2)the causes of burial, conflagration, explosion, and burn were divided into 63types; 3)the types of work were divided into 29 categories.

The Degree of Injury Risk Perception in Preschool Children (학령전기 아동의 사고위험 지각 정도)

  • Kim, Shin-Jeong;Kang, Kyung-Ah;Kim, Sung-Hee;Lee, Jung-Eun
    • Child Health Nursing Research
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    • v.18 no.2
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    • pp.68-75
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    • 2012
  • Purpose: The purpose of this study was to measure (the degree of) injury risk perception in preschool children. Methods: The data were collected from child day care centers and kindergartens located in Seoul, and Gyeonggi and Kwangwon Province. A questionnaire consisted of 28 pictures was administered to 186 preschool children. Results: The mean score for the injury risk perception was 21.83 (${\pm}3.89$), and 77.98 converted into a 100-point scale. According to sub-categories, 'burn prevention' ($.96{\pm}.13$) was the highest, 'interpersonal safety' ($.44{\pm}.31$) was the lowest. There were significant differences in injury risk perception according to gender (t=-2.358, $p$=.019), age (t=-2.101, p=.037), experience of safety education (t=-3.719, $p$ <.001), area of residence (t=-3.445, $p$=.001), injury experience (t=3.212, $p$=.002), and mother's occupation (t=-4.858, $p$ <.001). The highest item in the percentage of correct answer item was 'making jump on the desk', the lowest item in the percentage of correct answer item was 'not wearing safety equipment when rollerblading'. Conclusion: Based on this study, studies should be continued to standardize the instrument. In addition, it is recommended that an injury prevention education program should be developed based on the results of this study to stimulate demand and interest.

Thermal Environments of Children's Parks during Heat Wave Period (폭염 시 어린이공원의 온열환경)

  • Ryu, Nam-Hyong;Lee, Chun-Seok
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.6
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    • pp.84-97
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    • 2016
  • This study was to investigate the user's thermal environments of the children's parks according to pavements and sunscreen types during periods of heat waves. The measurements were conducted at the sand pits, rubber chip pavement, shelters, and green shade ground of the two children's parks located in Jinju, Korea(Chilam: $N\;35^{\circ}11^{\prime}1.4{^{\prime}^{\prim}}$, $E\;128^{\circ}5^{\prime}31.7{^{\prime}^{\prime}}$, elevation 38m, Gaho: $N\;35^{\circ}09^{\prime}56.8{^{\prime}^{\prime}}$, $E\;128^{\circ}6^{\prime}41.1{^{\prime}^{\prime}}$, elevation 24m) over three days during 11-13, August, 2016. The highest ambient air temperatures at the Jinju Meteorological Office during the three measurement days were $35.9{\sim}36.8^{\circ}C$, which corresponded with the extremely hot weather. A series of experiments measured air temperature, relative humidity, wind velocity, black globe temperature, and long-wave and short-wave radiation of the six directions 0.6 m above ground level. The wet bulb globe temperature(WBGT) and the universal thermal climatic index(UTCI) were used to evaluate thermal stress. Surface temperature images of the play equipment were also taken using infrared thermography. Surface temperatures of the play equipment and grounds were used to evaluate burn risk through contact with playground materials. The results showed the following. The maximum air temperatures averaged over 1-hour period for three days were $36.6{\sim}39.4^{\circ}C$. The sun shades reduced those temperatures by up to $2.8^{\circ}C$(green shade) and $1.0^{\circ}C/2.3^{\circ}C$(shelters). The minimum relative humidity values averaged over 1-hour period for three days were 44~50%. The sun shades increased those humidity values by up to 6%(green shade) and 4%/6%(shelters). The risk of heat related illness at the measurement sites of the children's parks were extreme and high in the daytime hours. The maximum WBGT values averaged over a 30-minute period for three days were $31.2{\sim}33.6^{\circ}C$. The sun shades reduced those WBGT values by up to $2.4^{\circ}C$(green shade) and $0.5^{\circ}C/2.1^{\circ}C$(shelters) compared to sandpits, but would not block the risk of heat related illness in the daytime hours. The category of heat stress at the measurement sites of the children's parks were extreme and very strong in the daytime hours. The maximum UTCI values averaged over a 30-minute period for three days were $39.9{\sim}48.1^{\circ}C$. The sun shades reduced those UTCI values by up to $7.8^{\circ}C$(green shade) and $4.1^{\circ}C/8.2^{\circ}C$(shelters) compared to sandpits, but could not lower heat stress category from extreme and very strong to strong and moderate in the daytime hours. According to the burn threshold criteria when skin was in contact with playground materials, the maximum surface temperature of the stainless steels($70.8^{\circ}C$) surpassed three seconds $60^{\circ}C$ threshold for uncoated steel, that of the rubber chip($76.5^{\circ}C$) surpassed five seconds $74^{\circ}C$ threshold for the plastic, that of the plastic slide($68.5^{\circ}C$) and seats($71.0^{\circ}C$) surpassed the one min $60^{\circ}C$ threshold for plastic, respectively. The surface temperatures of shaded play equipment were lower approximately $20^{\circ}C$ than those of play equipment exposed to the sun. Therefore, sun shades can block the risk of burns in daytime hours. Because of the extreme and high risk of heat related illness and extreme and high heat stress at the children's parks during periods of heat waves, parents and administrators must protect children from the use of playgrounds. The risk of burn when contact with play equipments and grounds at the children's parks during periods of heat waves, was very high. The sun shades are essential to block the risk of burn from play equipments and grounds at the children's parks during heat waves.

Survival Analysis of Forest Fire-Damaged Korean Red Pine (Pinus densiflora) using the Cox's Proportional Hazard Model (콕스 비례위험모형을 이용한 산불피해 소나무의 생존분석)

  • Jeong Hyeon Bae;Yu Gyeong Jung;Su Jung Ahn;Won Seok Kang;Young Geun Lee
    • Journal of Korean Society of Forest Science
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    • v.113 no.2
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    • pp.187-197
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    • 2024
  • In this study, we aimed to identify the factors influencing post-fire mortality in Korean red pine (Pinus densiflora) using Cox's proportional hazards model and analyze the impact of these factors. We monitored the mortality rate of fire-damaged pine trees for seven years after a forest fire. Our survival analysis revealed that the risk of mortality increased with higher values of the delta normalized difference vegetation index (dNDVI), delat normalized burn ratio (dNBR), bark scorch index (BSI), bark scorch height (BSH) and slope. Conversely, the risk of mortality decreased with higher elevation, greater diameter at breast height (DBH), and higher value of delta moisture stress index (dMSI) (p < 0.01). Verification of the proportional hazards assumption for each variable showed that all factors, except slope aspect, were suitable for the model and significantly influenced fire occurrence. Among the variables, BSI caused the greatest change in the survival curves (p < 0.0001). The environmental change factors determined through remote sensing also significantly influenced the survival rates (p < 0.0001). These results will be useful in establishing restoration plans considering the potential mortality risk of Korean red pine after a forest fire.

A Study on the Characteristics & Fire Hazard of Electric Range (전기레인지의 특성과 화재 위험성에 관한 연구)

  • Lee, Jung-Il;Ha, Kag-Cheon;Kim, Ji-Myong
    • Journal of the Society of Disaster Information
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    • v.15 no.3
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    • pp.380-390
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    • 2019
  • Purpose: Recently, in addition to increase in the use of electric ranges, fires have also been increasing. Method: To find out the fire risk of induction and highlights range, looked at the structure and operation methods. Combustion tests, heat transfer tests, and ignition tests were performed on both types. Results: The highlight electric range burned the towel two minutes later, takes about 25 minutes for the residual heat to cool down after cooking, and the energy of the red color disappeared in three to four minutes and no sparks were seen. Conclusion: Experiments have shown that burn and fire hazards exist, especially if there is cracks in the top, there is a risk of fire and explosion.

Job Satisfaction and Its Related Factors among 119 Rescue Workers (119 구급대원의 직무만족도와 그의 관련요인)

  • Park, Ho-Jin;Yoon, Seok-Han;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.46-57
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    • 2017
  • This study examined the level of job satisfaction of rescue workers in accordance with the sociodemographic and health related characteristics, as well as job-related factors. Moreover, this study aimed to know the relationship between job satisfaction and violence experience, job stress, and burn-out. A total of 1,240 rescue workers, who works in 14 fire stations across the country, were surveyed. The survey was conducted by self-administered questionnaires during the period between March 1st and April 30, 2016. As a result, the score of job satisfaction according to the sociodemographic and health related characteristics were significantly lower in the younger-aged group, unmarried group, no-regular exercise group, and poor group of subjective sleep evaluation, unhealthy group of subjective health status than their respective counterparts. From the perspective of job-related characteristics, the job satisfaction scores were significantly lower in the groups of lower rank, lower job career, lower monthly income, hard group of physical burden of work, dissatisfaction group of sense of satisfaction in work, unfit group of the job, without group of consider quitting the job than their respective counterparts. The score of job satisfaction, in accordance with violence experience, job stress, and burn-out were significantly lower in groups with higher scores of violence experience, job stress, and burn-out. In a logistic regression analysis, the adjusted odds ratio of the low-risk job satisfaction were significantly increased in the very high group than in the low group of violence experience, in middle, high and very high group than in low group of job stress, in very high group than in low group of burn-out. The results suggest that the job satisfaction of rescue workers is significantly influenced by various factors, including socio-demographic characteristics, health-related behaviors, job-related characteristics, violence experience, job stress, and burn-out.

Outcomes of Primary Unilateral Cheiloplasty in Same-Day Surgical Settings

  • Khan, Mansoor;Ullah, Hidayat;Aziz, Asif;Tahir, Muhammad
    • Archives of Plastic Surgery
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    • v.43 no.3
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    • pp.248-253
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    • 2016
  • Background Financial, clinical, and psychological considerations have made same-day surgery an attractive option for a variety of procedures. This article aimed to analyse the postoperative results of same-day primary unilateral cleft nasolabial repair. Methods This study was performed from 2011 to 2014. Unilateral cleft lip patients fulfilling the inclusion criteria were preoperatively classified as mild, moderate, and severe. All patients underwent same-day surgery and were discharged after satisfying the appropriate clinical criteria, receiving thorough counselling, and the establishment of a means of communication by phone. Postoperative outcomes were assessed and stratified according to preoperative severity and the type of repair. Results A total of 423 primary unilateral cleft lip patients were included. Fisher's anatomical subunit approximation technique was the most common procedure, followed by Noordhoff's technique. The postoperative outcome was good in 89.8% of cases, fair in 9.9% of cases, and poor in 0.2% of cases. The complication rate was 1.18% (n=5), and no instances of mortality were observed. The average hospital stay was 7.5 hours, leading to a cost reduction of 19% in comparison with patients who stayed overnight for observation. Conclusions Mild unilateral cleft lip was the most common deformity for which Fisher's anatomical subunit approximation technique was performed in most of the cases, with satisfactory postoperative outcomes. Refinements in the cleft rhinoplasty techniques over the course of the study improved the results regarding cleft nasal symmetry. Single-day primary unilateral cleft cheiloplasty was found to be a cost-effective procedure that did not pose an additional risk of complications.