• 제목/요약/키워드: Burn area

검색결과 240건 처리시간 0.024초

화상 후 발생한 관절외 연조직의 이영양성 석회침착: 문헌조사 및 증례보고 (Dystrophic Extra-Articular Soft Tissue Calcification after Burn Injury: A Case Study and Literature Review)

  • 윤인식;이상수;전여름;정섬;송준호
    • 대한화상학회지
    • /
    • 제24권2호
    • /
    • pp.38-42
    • /
    • 2021
  • Soft tissue calcifications after burn injuries are commonly found in the periarticular region. They can easily be found because they cause severe pain and distress to the patient. However, a long period is required to identify extra-articular soft tissue calcification after burn injuries because they have no specific symptoms. Herein, we present the case of a patient with dystrophic extra-articular soft tissue calcification after a burn injury. A 70-year-old woman developed a non-healing ulcer in the right lower leg area two months before presentation to the hospital. She had third-degree flame burns on the anteromedial tibial area of the right leg approximately 40 years prior, and there had been no particular problem. Examination revealed chronic ulcers, and a review of radiograph findings revealed irregular calcification. The wound was treated with wide excision with a skin graft, and it healed without complications. During follow-up one month later, no recurrence of the calcification or ulceration of the lesion was found.

Thermal Burn Injury from a Forced-Air Warming Device in an Anesthetized Dog with Peripheral Hypoperfusion

  • Lee, Sungin;Lee, Aeri;Lee, Maro;Kim, Wan Hee
    • 한국임상수의학회지
    • /
    • 제37권6호
    • /
    • pp.331-335
    • /
    • 2020
  • A 13-year-old female Poodle presented with gallbladder rupture caused by a mucocele and hypoperfusion. The animal had a thermal burn injury caused by a forced-air warming device used for hypothermia during surgery. This could be attributed to two causes. First, the forced-air warming device was used with direct hosing, without attachment to an air blanket, and the heat was concentrated in a single area. Second, perioperative peripheral hypoperfusion hampered heat dissipation and increased the susceptibility to a burn injury. These findings suggest that an air blanket should be used with a forced-air warming device according to the manufacturer's instructions. Furthermore, patients with peripheral hypoperfusion are at a higher risk of burn injuries and require close monitoring.

능형 피하경 피판을 사용한 사지부 화상후 구축성 함몰 Scar Band 재건 (Rhombus Subcutaneous Pedicle Skin Flap for Reconstruction of Linear Depressed Postburn Scar Band)

  • 김동철;김지훈;유성훈;신치호;이종건
    • 대한화상학회지
    • /
    • 제23권1호
    • /
    • pp.25-29
    • /
    • 2020
  • This paper presents our clinical experiences for reconstruction of the linear depressed postburn scar band by rhombus subcutaneous pedicle skin flap (RSPF). We report new RSPF, it's versatility, and effectiveness for correction of the mild to moderate linear depressed postburn scar band. To correct the postburn scar band, we have newly designed the Rhombus Subcutaneous Pedicle Skin Flap (RSPF), which is made as rhombus-shaped skin flap on the inside of scar band. After excision of burn scar band, the each vertex of RSPF flap is advanced into the skin defects at apex of extended skin incision, which is starting from the upper and lower portion of the removed burn scar band at a near right angle. This flap can add more extra skin to adjacent superior and inferior area of excised scar band. We have experienced 2 cases of RSPF for reconstruction of linear depressed postburn scar band deformities in lower extremity. After 3 weeks to 3 months postoperative follow ups, relatively satisfactory results were obtained in all cases. We had successfully reconstructed the linear depressed postburn scar postburn band of lower extremity using the rhombus subcutaneous pedicle skin flap. For the correction of mild to moderate sized linear depressed postburn scar band deformities in extremity, the RSPF is simple, and very effective without donor morbidity.

Modeling and Characterization of Steam-Activated Carbons Developed from Cotton Stalks

  • Youssef, A.M.;Hassan, A.F.;Safan, M.
    • Carbon letters
    • /
    • 제14권1호
    • /
    • pp.14-21
    • /
    • 2013
  • Physically and chemically activated carbons (ACs) exhibited high adsorption capacities for organic and inorganic pollutants compared with other adsorbents due to their expanded surface areas and wide pore volume distribution. In this work, seven steam-ACs with different burn-off have been prepared from cotton stalks. The textural properties of these sorbents were determined using nitrogen adsorption at $-196^{\circ}C$. The chemistry of the surface of the present sorbents was characterized by determining the surface functional C-O groups using Fourier transform infrared spectroscopy, surface pH, $pH_{pzc}$, and Boehm's acid-base neutralization method. The textural properties and the morphology of the sorbent surface depend on the percentage of burn-off. The surface acidity and surface basicity are related to the burn-off percentage. A theoretical model was developed to find a mathematical expression that relates the % burn-off to ash content, surface area, and mean pore radius. Also, the chemistry of the carbon surface is related to the % burn-off. A mathematical expression was proposed where % burn-off was taken as an independent factor and the other variable as a dependent factor. This expression allows the choice of the value of % burn-off with required steam-AC properties.

화상부위에 이차감염이 발생한 개에서 Hydrophilic Polyurethane Foam의 임상적 적용 (Clinical Application of Hydrophilic Polyurethane Foam in a Dog with Secondary Infection in the Burned Area)

  • 김세은;심경미;배춘식;최석화;강성수
    • 한국임상수의학회지
    • /
    • 제27권1호
    • /
    • pp.121-124
    • /
    • 2010
  • Thermal burn occurred in the anesthetized dog as a result of using hot pack to treat hypothermia. After hospital discharge, thermal burn leaded to secondary infection due to dog bites of the other dog in the house. After secondary infection, the treatment was performed with medication and bandaging. Because of the pain and infection from the wound, carprofen (2 mg/kg bid) and amoxicillin (20 mg/kg bid) were administrated orally for 40 days. And for 35 days, wet-to-dry gauze dressing was used to absorb purulent exudate. During this period, the burn eschar was removed completely from the burn site. After 35 days, the hydrophilic polyurethane foam ($Medifoam^{(R)}$, Ildong Pharm, Co., Korea) was admitted to the burn site for 30 days. $Medifoam^{(R)}$ made healing rate of the wound faster because the inner layer did not adhered to the wound, and newly formed tissue was protected. The second layer, hydrophilic absorptive layer absorbed excessive fluid and kept the wound surface moist. After 65 days after thermal burn, the wound was healed completely.

Finocyl 그레인의 Burn-back 경향성 분석 (Analysis of Burn-back Tendency on the Finocyl Grain)

  • 박찬우;노태성;이형진;정은희
    • 한국추진공학회지
    • /
    • 제25권2호
    • /
    • pp.55-65
    • /
    • 2021
  • 고체 로켓 모터 설계 시 중립형 추력선도 발생이 용이한 Finocyl 그레인에 대한 형상 설계 기준을 제시하였다. 이를 위해 Burn-back 해석을 위한 제도 기법을 이용한 자동화 프로그램을 개발하고 정확성을 검증하였다. 개발된 프로그램을 이용하여 Finocyl 형상의 다양한 형상 변수에 따른 Burn-back 해석을 수행하고 연소 특성의 경향성과 민감도 분석을 수행하였다. 분석결과를 바탕으로 Finocyl 그레인을 이용한 중립형 연소면적선도를 나타내는 설계기준을 제시하였다.

후천성면역결핍증후군 환자에서의 저온 접촉 화상에 의한 삼도 화상의 치료 (Treatment of Third Degree Burn due to Low-Temperature Contact Burn on Acquired Immune Deficiency Syndrome (AIDS) Patient: Low-Temperature Burn on AIDS Patient)

  • 홍석원;최환준;김준혁;이다운
    • 대한화상학회지
    • /
    • 제22권2호
    • /
    • pp.21-24
    • /
    • 2019
  • Incidence of low-temperature contact burn by use of an electric pad is increased recently, especially in depressed sensory. Acquired immune deficiency syndrome patient using antiretroviral agent suffered with sensory depression as side effect. There are many limitations in wounds treatment of these patients. These patients are vulnerable to infection due to their weak immunity, so it is necessary to keep them in a state of isolation when a wound occurs. We report a case of a third degree burn by electric pad with a surface area of approximately 5% of the body surface of a patient who underwent a sensory depression, which is a side effect of antiretroviral drugs used for treatment in patients with AIDS. In this regard, we report the case with literature review, which is safely recovered using negative-pressure wound therapy and split-thickness skin graft.

소아 화상 환자 2,795례에 대한 연령별 임상 통계학적 분석 (Clinical and Statistical Analysis with Age in Cases of Pediatric Burn Patients)

  • 조기현;장영철;이종욱;고장휴;서동국;최재구
    • Archives of Plastic Surgery
    • /
    • 제38권4호
    • /
    • pp.445-450
    • /
    • 2011
  • Purpose: The objective of this study is to analyze the epidemiological characteristics of pediatric burn patients and to determine the targets for a pediatric burn prevention program. Methods: A retrospective review of all medical records of acute pediatric burn patients (age < 15 years old) admitted to our hospital between January 2005 and December 2009 was performed. Results: 1472 males and 1323 females were investigated, with a male to female ratio of 1.11 : 1. The greatest number of burn patients were those with an age of 1~2 years (1,463, 52.3%). Scalding burn was the most common cause of injury, which accounted for 2183 (78.1%) patients, followed by contact burns (10.5%), flame burn (4.9%), steam burn (3.6%). Especially steam burn was the second cause of injury in the age under 1 year, while flame burn was the second cause of injury in the age over 7 years. During recent 5 years, incidence of flame burn, steam burn, electrical burn gradually decreased. Variation of seasonal incidence is minimal and most of the patients (2,716 cases, 97.2%) had burns less than 20% TBSA (Total body surface area). The median hospital stay was 18.79 days, and the rate of operation was 28.6% with a high rate in electrical burn (76.2%), flame burn (50.0%), steam burn (46.1%). 6 patients died in this series, which yielded a mortality rate of 0.2%. Conclusion: Prevention efforts should reflect recent study results. Focused prevention program and campaign to make people aware of risk factors and their avoidance is required to reduce the number of burn accidents in children.

물리적 활성화에 의한 PAN계 활성탄소섬유의 제조 (Preparation of PAN-based Activated Carbon Fibers by Physical Activation)

  • 임연수;김기원;정승훈;김기덕;정윤중
    • 한국세라믹학회지
    • /
    • 제36권10호
    • /
    • pp.1016-1021
    • /
    • 1999
  • 활상탄소섬유는 입상 활성탄에 비해 빠른 흡 · 탈착 속도와 높은 흡착량을 갖기 때문에 흡착재, 촉매, 분자체와 같은 환경 신소재로서 큰 주목을 받고 있다. 본 연구에서는 안정화 PAN계 탄소섬유를 수증기와 CO2를 이용한 물리적 활성화에 의해 여러 등급의 활성탄소섬유를 제조하였고, 비표면적, 요오드 흡착량, 세공구조 등을 측정하였다. 수증기 활성화에서 77%의 burn-off에서 비표면적이 1019 m2/g을 나타내었고, 반면에 CO2 활성화에서는 52%의 burn-off에서 7168m2/g의 비표면적을 갖는 활성탄소섬유가 제조되었다 그러나, 비슷한 burn-off에서는 CO2로 활성화한 경우에서 세공용적이 0.37 cc/g이고, 요오드 흡착량이 1589 mg/g으로서 수증기 활성화보다 더 큰 세공용적과 요오드 흡착량을 나타내었다. 또한 제조된 활성탄소섬유의 질소 흡착등온선들은 Brunaner-Deming-Deming-Teller의 분류에 따르면 모두 type I으로 주로 미세공들로 이루어져 있음을 알 수가 있었다.

  • PDF

정서노동이 유아교사의 심리적 소진에 미치는 영향: 원장 리더십의 조절효과 분석 (Analysis of Mediating and Moderating Effect of Directors' Leadership between Early Childhood Teachers' Emotional Labor and their Burn Out)

  • 정재은;김성현
    • 한국보육학회지
    • /
    • 제18권1호
    • /
    • pp.193-216
    • /
    • 2018
  • 본 연구의 목적은 유아교사의 정서노동이 심리적 소진에 미치는 영향에서 원장의 변혁적 및 거래적 리더십의 조절효과를 분석하는데 있다. 본 연구대상은 경기도에 소재한 유치원 및 어린이집에 재원 중인 교사 211명을 대상으로 하였다. '유아교사 정서노동 검사도구', '원장의 변혁적 및 거래적 리더십 검사도구', 그리고 '유아교사의 심리적 소진 검사도구'를 사용하여 연구자료를 수집하였으며 수집된 자료는 Pearson 적률 상관계수와 위계적 중다회귀분석을 통해 검증하였다. 연구결과, 첫째, 유아교사의 정서노동은 심리적소진과 정적상관관계가 나타났으며 원장의 변혁적 및 거래적 리더십은 심리적 소진과 부적 상관관계가 나타났다. 둘째, 유아교사의 정서노동은 심리적 소진에 정적예측변인으로 나타났다. 셋째, 원장의 변혁적 및 거래적 리더십은 심리적 소진에 부적예측변인으로 나타났다. 넷째, 원장의 변혁적 리더십은 심리적 소진의 하위영역 중 직문환경 불만족에 조절효과가 나타났으며, 원장의 거래적 리더십은 심리적 소진의 하위영역 중 신체정서적 고갈에 조절효과가 나타났다.