• Title/Summary/Keyword: Burn-In

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Dorsalis Pedis Free Flap for Hand Reconstruction: A Technique to Minimize Donor Deformity (족배동맥 유리피판술을 이용한 수부 재건: 공여부 이환율 최소화 방법)

  • Son, Dae Gu;Kim, Hyun Ji;Kim, Jun Hyung;Han, Ki Hwan
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.43-50
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    • 2004
  • One of the major advantages of microsurgical reconstruction for defects of the hand is that these techniques allow for selection of the most ideal tissue to reconstruct a particular defect, thus optimizing the functional and aesthetic outcome. The dorsalis pedis free flap is an excellent reconstructive tool for various hand reconstructions. It has a reliable vasculature with vessels that are relative large on a long pedicle. It provides thin pliable tissue and be innervated by deep peroneal nerve. Coupled with its thinness and pliability, it is ideal for innervated cover of critically sensitive area, especially such as the hand. Thus it can be used as a cutaneotendinous flap, or an osteocutaneous flap. Otherwise, the major criticism with this flap is related to its uncertain vascularity and the donor defect. It is the purpose of this paper to outline our technique of flap elevation and donor site closure and to indicate our current use of this flap in hand reconstruction. We have treated 10 cases (6 burn scar contracture cases, 4 acute hand trauma cases) of hand reconstruction from Dec. 3, 1997 to Mar. 4, 2004 using dorsalis pedis free flap. The key points for sucess in terms of a viable flap and acceptable donor site are the preservation of the critical dorsalis pedis-first dorsal metatarsal vascular axis and the creation of a viable bed for grafting. In addition, we substituted preserved superficial fat skin graft for split thickness skin graft and wet environment was offered for good graft take. Preserved superficial fat skin is defined as composite graft containing epidermis, dermis and superficial fat layer. With sufficient care in flap elevation and donor site closure, a good graft take of preserved superficial fat skin under wet environment can be achieved with no functional disability and minimal cosmetic deformity in donor site. This flap has proved itself to be a best choice for hand reconstruction.

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A Literatural Study on the Traditional Korean Medical Physiotherapy (한방물리요법에 대한 문헌적 고찰)

  • Choi, Bo-Mi;Hong, Seo-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.2
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    • pp.211-226
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    • 2011
  • Objectives : The purpose of this study is to establish literatural evidence about traditional Korean medical physiotherapy through literatural review. Methods : Applicable paragraphs which were related to the traditional Korean medical physiotherapy were phrased from in "Hwang-je-nae-gyung(黃帝內經)", "Yumun-sa-chin(儒門事親)", "Geum-guei-yo-ryack(金匱要略)", "Eui-hack-ip-mun(醫學入門)", "Gyung-ack-jeon-seo(景岳全書)", "Eui-hack-gang-mock(醫學綱目)", "Dong-eui-bo-gam(東醫寶鑑)" where were archiving of Oriental or Korean medicine literatures. Searched paragraphs were analysed for establishing historical and theoretical bases of Korean medical physiotherapy. Results : 1. Theromtherapy is originated from yu(熨), hot hand, warm, water bath, warm earth, fumigation, lamp, torchlight and brazier. Matching indications are various musculoskeletal pain and diseases, skin diseases such as chronic inflammation, frostbite, gynecological and urogenital diseases such as uterine myoma, lower abdominal pain, metrorrhagia, breast diseases, digestive tract diseases such as vomiting, diarrhea, stomachache and also it treats cardiovascular disease. Other matching indications are sunstroke, rhinorrhea, psycosis and anal pain. And it used helping acupuncture therapy. 2. Cryotherapy is originated from lengfu(冷敷), lengtie(冷貼), cold stone and cold water. Matching indications are various fever disease, skin diseases such as acute inflammation, wound, fever skin disease, otorhinolaryngological diseases such as acute sore throat, otitis, stomatitis, nasal bleeding and contusions, abrasions, burn and dysuria. In addition, it treats extremity coldness, chillness, stomachache caused to accumulate fever. 3. Physiotherapy by circulating meridian system is originated from manipulation such as pushing, massage and beating to therapy point. Matching indications are musculoskeletal diseases such as various muscular pain, heavy sensation, convulsion, urogenital diseases such as dysuria, lower abdomen pain, digestive tract diseases such as stomachache, and paralysis due to blocked meridian system. And other matching indications are psycosis, leprosy, hypoesthesia, acute stroke. In addition it helps other therapy methods. In addition, the power of manipulation classify to strengthen and reduce. 4. Physiotherapy by balancing meridian system is originated from sunshine, magnet, horn, bamboo and tube. Sunshine helps improving self's care and cure inflammatory skin disease. Magnet's matching indications are paralysis, various injuries, abscess, fever and eye disease. Cupping therapy treats to skin diseases and internal diseases such as tuberculosis. Conclusions : Traditional Korean medical physiotherapy was widely used in traditional Korean medicine since ancient time based on the traditional Korean medical principle and anatomical knowledge. With modern physiotherapy and traditional Korean medicine together, effects of treatment are enhanced. And traditional Korean medical physiotherapy is appropriated to world physiotherapy's expectation.

Mediating effect of burnout between work-family conflict and organizational citizenship behavior and the moderating effect of Proactive Personality (일-가정 갈등과 조직시민행동간 직무소진의 매개효과와 주도적 성격의 조절효과)

  • Han, Jin-Hwan
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.113-124
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    • 2020
  • The aim of this study is to examine the effect of the work-family conflict on the organizational citizenship behavior, to examine the mediating effect of burnout in that relation and to verify the moderating effect of proactive personality between burnout by work-family conflict and organizational citizenship behavior. For study samples, total 331 copies were collected from the members of hospitals and call centers in Daejeon, Sejong and Chungcheongnam-do and Chungcheongbuk-do. The results are as follows: firstly, it was found that, Work Interference with Family(WIF) had negative (-) effect on the organizational citizenship behavior. And, Family Interference with Work(FIW) had negative (-) effect on the organizational citizenship behavior. Secondly, there was a mediating effect of burnout between Work Interference with Family(WIF) and organizational citizenship behavior. And, there was no mediating effect of burnout between Family Interference with Work(FIW) and organizational citizenship behavior. Thirdly, proactive personality had a moderating effect between burnout due to work-family conflict and the organizational citizenship behavior. It proved that the relation between burnout due to work-family conflict and the organizational citizenship behavior through proactive personality of members concerning the negative effect of burnout caused by the work-family conflict at the workplace can be reduced by the proactive personality. It is significant in that this study proved the necessity of proactive personality of members in the work-family conflict. Therefore, more diverse personal characteristics should be considered as control variables in the future.

A Study on Rehabilitation Treatment Using Radiofrequency Treatment (고주파 통증치료기를 이용한 재활 치료에 대한 연구)

  • Jo, Jae-Hyun;Lee, Sang-Yong;Lee, Geun-Yong;Yoon, Se-Jin;Cheong, Ha-Young;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.3
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    • pp.212-218
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    • 2020
  • When Radiofrequency energy is applied to the human body, the vibration width is very short. Therefore, the electrolyte burn generated when using the direct current does not occur. Ion molecules, polarized molecules, etc., vibrate more than 40,000 times per second, converting them into frictional heat to generate deep heat. The blood flow of capillaries increases 4-5 times more than at rest, increasing the supply of oxygen, nutrients, antibodies, and white blood cells. In addition, the electrochemical reaction does not occur because the vibration width and the pulsation period are very short. It is a physical factor treatment method that does not stimulate the sensory nerves and motor nerves. In this study, an isotonic exercise is performed in a young normal adult using a Radiofrequency pain treatment device. The purpose of this study is to integrate rehabilitation therapy by measuring electromyography data during isotonic exercise and confirming the effect on changes in motor neuron response. The EMG data generated when isotonic exercise of the forearm biceps muscle and the EMG data measured after the use of a Radiofrequency pain treatment device after exercise were RMS, respectively, and verified through t-test. It was confirmed that there was a significant difference in both men and women because the t-value was smaller than the significance level p (<.05).

Quantitative Analysis of Damage Impacts in case of Bunkering NH3 from Tank Lorry to Fishing Vessel (어선-탱크로리 간의 NH3 이적 시 누출에 따른 정량적 피해영향분석)

  • Lim, Sang-Jin;Choi, Bu-Hong;Lee, Yoon-Ho
    • Journal of the Korean Institute of Gas
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    • v.26 no.3
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    • pp.10-20
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    • 2022
  • About 21% of domestic chemical accidents are caused by transport vehicles for the past 10 years in Korea. Also, ammonia is a chemical substance with the largest number of accidents, 82 out of 672. In this study, supposed seasonal alternative scenario and worst scenario in case of releasing ammonia during bunkering it from tank lorry to fishing vessel and interpreted seasonal impact and range through Python, ALOHA, Probit analysis. Radiation impact range of possibility for 2nd burn and for maximum radiation in winter scenario, which is one of the alternative scenarios, was the highest(range: 41m, radiation: 5.01kW/m2) while overpressure impact was less than minimum standard of impact. And toxicity impact range(EPRG-2) of the summer scenario was the widest(5.0km) and took a very high death rate near accident area(port area, tourist area) according to Probit analysis. the wort scenario had a similar impact and range of summer scenario.

Neuroprotective effects of antioxidant constituents isolated from Opuntia ficus-indica var. saboten Makino

  • K.J. Jung;Lee, E.H.;Kim, H.J.;Lee, J.Y.;Y.S. Song;Lee, Y.H.;J. Cho;Park, M.;Park, H.
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2003.11a
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    • pp.63-63
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    • 2003
  • Opuntia ficus-indicavar. saboten Makino (Cactaceae) is a tropical or subtropical plant that has been widely used as folk medicine for the treatment of diabetes, asthma, burn, edema and gastritis. The purposes of the present study were to identify antioxidant constituents from fruits and stems of the plant cultivated in Cheju island, Korea, and examine their in vitro neuroprotective activities. Using a chromatographic fractionation method, ten chemical constituents were isolated from ethyl acetate extracts. By means of chemical and spectroscopic methods, those were identified as eight flavonoids such as kaempherol (a), quercetin (b), kaempferol 3-methyl ether (c), quercetin 3-methyl ether (d), narcissin (e), dihydrokaernpferol (f), dihydroquercetin (g) and erioclictyol (h), and two terpenoids such as 3-oxo-${\alpha}$-ionol-${\beta}$-d-glucopyranoside (i) and roseoside (j). Among the isolated compounds, comrounds c~e and h~j were those reported for the first titre from the plant. Compounds b, d and g showed DPPH free radical scavenging activities with IC$\sub$50/ values of 28, 19 and 31, ${\mu}$M respectively. Compounds d and g also inhibited iron-dependent lipid peroxidation with IC$\sub$50/ values of 2.4 and 3.5 ${\mu}$M. In a primary rat cortical neuronal cell culture system, compounds b, d and g inhibited xanthine/xanthine oxidase-induced (IC$\sub$50/ values of 18.2, 2.1 and 54.6 ${\mu}$M) and H$_2$O$_2$-induced (IC$\sub$50/ values of 13.6, 1.9 and 25.7 ${\mu}$M) cytotoxicities. In addition, compounds d and g inhibited NMDA-induced excitotoxicity by 21 and 33%, and only compound d inhibited growth factor withdrawal-induced apoptosis by 31% at a tested concentration of 3 ${\mu}$M. The results suggest that the antioxidant constituents with in vitroneuroprotective activities may serve as lead chemicals for the development of neuroprotective agent.

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Establishment of a Conservation Plan for Colony of Selaginella involvens (Sw.) Spring (부처손 군락지 보존계획의 수립)

  • Hong, Kwang-pyo;Kim, Inhye;LEE, Hyukjae
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.449-455
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    • 2022
  • The Colony of Selaginella involvens (Sw.) Spring in Sanyang-myeon, Mungyeong-si, can be divided into five types, and in the past, it was said that Selaginella involvens (Sw.) Spring formed colonies throughout the colony and grew naturally, but now it remains only in some sections. It was found that the Selaginella involvens (Sw.) Spring colony was damaged by artificial and natural factors, and as an artificial factor, the Selaginella involvens (Sw.) Spring was proven to be effective for medicinal and cremation, and many people were damaging the Selaginella involvens (Sw.) Spring colony without permission. Naturally, vines thrive and Selaginella involvens (Sw.) Spring die, and the reality is that the entire colony of Selaginella involvens (Sw.) Spring is in danger of being damaged if maintenance is not performed. On the other hand, there are sections that reproduce with symbiosis with some herbaceous plants, so it is necessary to plan and implement conservation strategies. In order to preserve the Selaginella involvens (Sw.) Spring colony, CCTV is needed to prevent artificial damage, and on the contrary, install facilities such as fences can easily burn up and create worse scenery, so it can preserve the good environment, restore recoverable areas, and install supplementary buffer zones.

The Effect of Job Stress and Burnout by Job Environment of Care-givers on Job Satisfaction (요양보호사의 직무환경에 따른 직무스트레스와 소진이 직무만족에 미치는 영향)

  • Jeong, Yun-Mo;Kang, Young-Sig
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3688-3699
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    • 2010
  • The purpose of this study is to understand attributes, stress and burnout related to job environment of healthcare facilities workers for the aged, care-givers, analyze the effect of these factors on job satisfaction, and improve their organizational task to help advance the quality of life and the healthcare facilities for the aged. A survey was made on 129 care-givers working in the healthcare facilities for the aged(care facilities, in-home facilities for the aged) located in Jeonbuk Gunsan area. This study showed that sub-factors of care-givers' job environment such as human environment, compensation system and job expertise have a significant effect on the job burnout, stress and satisfaction. This means that a well-organized compensation system, which is proportionate to the job expertise and ability for human environment, and achievement of innovative thinking, will make a positive relationship, reduce the job burnout and stress, and improve the job satisfaction at the same time. Compared to the rapid increase of old aged patients for long-term care and care-givers' real role and job in the facilities, the job specialization has to be guaranteed to improve job environment of care-givers as various beneficial workers for welfare - professional workers - and the compensation system needs to be properly systematized according to their job capacity. Consequently, the production and participation of professionals with high self-esteem may raise organizational commitment through the maximization of job satisfaction by the participation and devotion to the organization of more professionals by removing factors, which can reduce the frequent job burn-out and stress of care-givers.

Effect of Physiochemical Properties of Seokganju on Functionality and Light Fastness (석간주의 이화학적 특성이 기능성 및 내광성에 미치는 영향 연구)

  • Park, Ju Hyun;Jeong, Hye Yeong;Mun, Seong Woo;Woo, In Suk
    • Journal of Conservation Science
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    • v.33 no.6
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    • pp.485-495
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    • 2017
  • The purpose of this study is to evaluate the functionality and lightfastness of the natural pigments according to the type of Seokganju used as Dancheong. The commercially available red iron-oxide-based natural pigments that are called Seokganju and Daija manufactured by traditional methods in Korea and Japan were selected. The analysis of the constituent minerals and constituents of 8 kinds of collected Seokganju showed that most of them contained hematite. There are two types of Seokganju according to the $Fe_2O_3$ contents. The type of Seokganju can be characterized not only using the main component but also from the burn-out processing. The chromaticity results for Seokganju with a high $Fe_2O_3$ concentration indicate dark red or grayish brown, while those for Seokganju with a low $Fe_2O_3$ concentration indicate yellowish red or yellowish brown. Samples were prepared by mixing with a glue solution and functional properties were evaluated based on the opacity and spreadability. Coated samples were used in the lightfastness test. The spreadability and opacity of the pigments were measured differently depending on the main component. Most Seokganju samples a showed slight color change until $9,000kJ/m^2$ but rapid color changes were detected after $18,000kJ/m^2$. In particular, burnt Seokganju showed superior lightfastness.

Estimation of Genetic Parameters via Gibbs Sampler using Animal Model for Economic Traits in Pigs (Gibbs Sampler를 이용한 돼지 주요 경제형질의 유전모수 추정)

  • Cho, K.H.;Kim, M.J.;Kim, I.C.;Jeon, G.J.
    • Journal of Animal Science and Technology
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    • v.50 no.1
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    • pp.19-26
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    • 2008
  • Heritability and genetic correlation for growth traits in Duroc pig breed were estimated using Bayesian method via Gibbs sampling. The data set consisted of 3,526 performance records at National Institute of Animal Science. For estimating those parameters using Gibbs sampling, 5,000 cycles of ‘burn-in’ period were discarded among a total of 55,000 samples. Out of the remaining 50,000 samples, 5,000 estimates by each parameter were retained and used for analyses to avoid any correlation among adjacent samples. The growth traits considered in this study were average daily gain at 30kg(ADG1), average daily gain at 90kg(ADG2), backfat thickness(BF), days to 90kg(D90) and feed conversion ratio(FC). The estimated heritabilities and their standard deviation using Gibbs sampler were 0.43±0.04, 0.49±0.038, 0.31±0.040, 0.48±0.039 and 0.62±0.086, respectively. Genetic correlations were -0.02, -0.13, -0.55 and -0.15 between ADG1 with ADG2, BF, D90 and FC, respectively, 0.16, -0.73, -0.32 between ADG2 with BF, D90 and FC respectively, 0.01, -0.08 between BF with D90, FC, respectively, and 0.23 between D90 with FC.