• Title/Summary/Keyword: Buttock

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Assessment of Neonatal Hyperbilirubinemia Using a Transcutas Bilirubinometry (신생아에 있어 TcB[transcutaneous bilirubinometry]를 이용한 고빌리루빈혈증의 사정)

  • 안영미;김미란;이상미;전용훈
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.51-59
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    • 2003
  • Purpose: The purpose of the study is to investigate the relationship between total serum bilirubin(TSB) and transcutaneous bilirubinometry(TcB) in neonates with jaundice. Method: TcB from various sites(forehead, sternum, abdomen, buttock, hand, dorsalis-pedia) was measured using a JM-102 in a total of 102 neonate, 42 female and 60 male, with the mean 37.5 gestational week and the mean 2,903 gram of birth weight, as well as TSB from capillary punctures. Result: The mean bilirubin was 11.73 in serum, 20.55 on the forehead, 17.23 on the sternum, 16.19 on the abdomen, 18.22 on the buttock, 15.83 on the hand and 15.49 on the dorsalis-pedia. The relationship between TSB and TcBs were formulated by simple regression with 0.406 < r < 0.668(p < .000). A higher relationship was revealed between TSB and TCB at the forehead in infants of full-term, ABO incompatibility, and Hb greater than 16 mg/dl(r =0.725, 0.790, and 0.717, retrospectively). Phototherapy altered the measurement of TcB per site. Conclusion: TcB on the forehead is a reliable, noninvasive and convenient measurement of TSB in normal infants(Institutions need to establish quantitative equations representing the specific relationship between TSB and TCB according to the hemodynamic problems of infants such as ABO incompatibility, or low Hb).

The Study of Human Response for Floor Surface Temperature and Resident's Posture Change (바닥 복사 난방시 바닥온도와 거주자 자세 변화에 따른 인체 반응에 관한 연구)

  • Kim, Dong-Gyu;Kim, Se-Hwan
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.24 no.12
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    • pp.846-851
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    • 2012
  • The radiant floor heating system is traditional heating system in korea. Radiant floor heating is small in vertical temperature difference, air stream and radiant heat distribution is uniform. And radiant floor heating system provide thermal comfort conditions to the a resident. This study was undertaken to evaluate the physiological-subjective responses of the resident's posture change such as sitting and standing. The experimental investigations were carried out in climate chamber, and subjects were 4 college-age students in good health. The physiological response was skin temperature and subjective response was undertaken survey of TSV and CSV. The results were summarized as follows; The comfortable temperature range of plantar surface was $35.1{\sim}38.9^{\circ}C$ and buttock surface was $37.8{\sim}39.3^{\circ}C$.

Accidental Overdose of Intramuscular Midazolam -A Case Report- (의료진의 실수로 인한 미다졸람의 근육 내 과다 투여 -증례보고-)

  • O, Se-Ri;Kim, Yun-Hee
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.11 no.1
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    • pp.27-31
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    • 2011
  • We report two cases of accidental overdoses of intramuscular midazolam used for a conscious sedation. A 4-year-old boy with dental caries was scheduled for treatment under conscious sedation. The pedodontist prescribed midazolam ($dormicum^{(R)}$ 5 mg / 5 ml) 2 ml (2 mg) by verbal order to hygienist. The hygienist instead of the pedodontist wrote a prescription for midazolam ($dormicum^{(R)}$ 15 mg / 3 ml) 2 ml (10 mg). The inexperienced nurse gave an injection to his buttock as prescription. The child fell into a deep sedation. A 4-year-old boy with dental caries was scheduled for treatment under conscious sedation. The inexperienced pedodontist gave an injection to his buttock midazolam ($dormicum^{(R)}$ 15 mg / 3 ml) 3 ml (15 mg) instead of midazolam ($dormicum^{(R)}$ 5 mg / 5 ml) 3 ml (3 mg). The child fell into a deep sedation. Both cases had no complications, but the accidents happened as a result of the inexperienced dental staffs. The five times midazoalm instead of the intended doses was inadvertently given intramuscularly, fortunately caused no harm in our cases. However, the situations suggest that we should carefully check the dosage and review the correct procedures, even when using a drug that is considered to be familiar with most practitioners.

A case of acute skin failure misdiagnosed as a pressure ulcer, leading to a legal dispute

  • Kim, Jung Hwan;Shin, Hea Kyeong;Jung, Gyu Yong;Lee, Dong Lark
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.75-78
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    • 2019
  • It is difficult to differentiate acute skin failure (ASF) from pressure ulcer (PU). ASF is defined as unavoidable injury resulting from hypoperfusion caused by severe dysfunction of another organ system. We describe a case of ASF mistaken as PU that resulted in a legal dispute. A 74-year-old male patient was admitted to our intensive care unit with sepsis due to bacterial pneumonia. Despite the use of air cushions and regular position changes, skin ulcerations occurred over his occiput, back, buttock, elbow, and ankle. After improvement in his general condition, he was transferred to the department of plastic and reconstructive surgery. Debridement was performed immediately, followed by conservative treatment (including a vacuum-assisted closure device) for 6 weeks. The buttock and occiput wounds were treated surgically. Despite complete healing, his caregivers sued the hospital for failing to prevent PU formation. ASF is a pressure-related injury resulting from hemodynamic instability due to organ system failure. Unlike PU, ASF may occur despite the implementation of all appropriate preventive measures. Furthermore, misdiagnosis of ASF as PU can lead to litigation. Therefore, it is critical for the proper diagnosis to be made quickly, and for physicians to explain that ASF occurs despite proper preventative treatment.

Sciatic Neuropathy after Intramuscular Injection at a Site Remote from the Nerve (신경과 먼 부위 근육 내 주사 후 발생한 좌골신경병증)

  • Yun, Soo In;Park, Jisoo;Ko, Yun Dam;Song, Dae-Heon;Park, Jihye
    • Clinical Pain
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    • v.20 no.1
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    • pp.43-48
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    • 2021
  • Sciatic nerve can be injured by various mechanism such as compression, traction during surgery, and direct trauma. This case reports a sciatic neuropathy caused by compression due to hematoma occurring after intramuscular injection in the gluteus medius muscle far from the nerve. In order to avoid occurrence of sciatic neuropathy after buttock injection, the injection was made in the upper outer quadrant of the buttock, but sciatic neuropathy occurred. Sciatic neuropathy can be confused with lumbar radiculopathy, so differential diagnosis is important.

Autologous Microvascular Breast Reconstruction

  • Healy, Claragh;Ramakrishnan, Venkat
    • Archives of Plastic Surgery
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    • v.40 no.1
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    • pp.3-10
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    • 2013
  • Autologous microvascular breast reconstruction is widely accepted as a key component of breast cancer treatment. There are two basic donor sites; the anterior abdominal wall and the thigh/buttock region. Each of these regions provides for a number of flaps that are successfully utilised in breast reconstruction. Refinement of surgical technique and the drive towards minimising donor site morbidity whilst maximising flap vascularity in breast reconstruction has seen an evolution towards perforator based flap reconstructions, however myocutaneous flaps are still commonly practiced. We review herein the current methods of autologous microvascular breast reconstruction.

Tuberculous Epididymo-Orchitis with Multifocal Extrapulmonary Tuberculosis: a Case Report

  • An, Jihae;Kim, Keum Won
    • Investigative Magnetic Resonance Imaging
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    • v.26 no.1
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    • pp.71-75
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    • 2022
  • Tuberculous epididymo-orchitis, a rare form of extrapulmonary tuberculosis, results from hematogenous dissemination or retrograde extension from the lower urinary tract. Herein, we studied the case of a 22-year-old male patient who presented with refractory left scrotal pain and inflammation. The patient also complained of multifocal pain involving the right buttock, posterior thigh, and right wrist, without trauma history. The patient was diagnosed with multifocal tuberculosis by sputum AFB study and right sacroiliac joint biopsy.

Evaluation of the Functional and Non-functional Seat Sponge Effect in Sitting Chairs

  • Min, Seung Nam;Park, Se Jin;Subramaniyam, Murali;Lee, Heeran
    • Journal of the Ergonomics Society of Korea
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    • v.33 no.4
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    • pp.255-265
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    • 2014
  • Objective: The purpose of this study was to evaluate comfort levels of functional and non-functional chairs using subjective comfort rating, interface pressure measurement, muscle activity measurement, and skin temperature measurement. Background: Chairs are used for a prolonged period of time for sitting in many places such as the office, at university, at school, in industry, and so on. Almost all people use chairs in their everyday life. The functional properties of the chair are associated with comfort. Method: The subjective evaluation contains questions regarding chair comfort which can be rated with five point scale. The body-seat interface pressure was measured using a pressure mat system. The symmetry of sitting was measured using electromyography. The change in body part (thigh and buttock) temperature before and after sitting on a chair was measured with an infrared camera. Results: Participants rated significantly (p < 0.05) higher comfort scores for the functional chair in relation to the buttock and thigh region. Also, the participants felt a better cushion effect in the functional chair. When using the functional chair, lower interface pressure, better thermal comfort, and better symmetry of erector spinae muscle activity were observed. Conclusion: Overall, interface pressure measurement, muscle activity measurement, thermal imaging and subjective comfort score results showed that the functional chair was more comfortable than the non-functional chair. Application: The adopted methodologies could be used to measure the seating comfort of train seats.

Lower Body Type Classification by Buttocks Shapes of Korean Women in Their 20's (국내 20대 여성의 엉덩이 형태에 따른 하반신 체형 분류)

  • Choi, Se-Lin;Do, Wol-Hee
    • Fashion & Textile Research Journal
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    • v.18 no.3
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    • pp.327-337
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    • 2016
  • The purpose of this study is for size suitability and fitness improvement for Korean 20's women. This study has classified hip types of 20's women by the 6th Korean Anthropometric Survey(Size Korean), then compared their lower body-type by hip types each other. The results are as follows. Factor analysis in sorting hip types can be explained 77.72% by nine factors. And cluster analysis can be divided into three types. Type 1 is referred to as a general type which has the largest size in the 'Hip circumference', but the buttocks's horizontal sizes are in the middle size besides the hip line. Type 2 is referred to as a protruding type in upper buttocks which is large in protruding volume of upper buttocks, but the buttock's horizontal sizes are small including 'Hip circumference', and buttock's horizontal section form close to circle. Type 3 is referred to as a type which is contrary to Type 2. Type 3 is small in protruding volume of upper buttocks, but large in lower buttocks, and the protrusions in whole buttocks are small, so the side view of Type 3 made gentle fit shape. By these results, the study could classify lower body of 20's women, and it can be basic data for new sizing systems and pattern development of bottoms.

Effects of Intraarticular Prolotherapy on Sacroiliac Joint Pain (천장관절 증후군 환자에서 관절강 내 증식치료의 효과)

  • Lee, Jae Dam;Lee, Dae Wook;Jeong, Cheol Won;Lee, Hyung Gon;Yoon, Myung Ha;Kim, Woong Mo
    • The Korean Journal of Pain
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    • v.22 no.3
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    • pp.229-233
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    • 2009
  • Background: Sacroiliac (SI) joint pain is a challenging condition that causes lower back or buttock pain; however, there is no universally accepted long-term treatment. There have been several reports of ligament prolotherapy for SI joint pain, but these have had inconsistent results, probably due to the lack of a specific diagnosis for patient selection and variability in the volume, number and sites of injection. Therefore, this study was conducted to assess the efficacy of intraarticular prolotherapy for relieving SI joint pain diagnosed by local anesthetic intraarticular injection. Methods: Twenty-two patients with SI joint pain confirmed by 50% or more improvement in response to local anesthetic block underwent intraarticular prolotherapy with 25% dextrose water every other week three times. The numeric rating scale (NRS) for pain and Oswestry disability index (ODI) were assessed at the initial visit and after completion of a series of prolotherapy and the NRS was checked during monthly follow-up sessions to evaluate the long-term effectiveness of this technique. Results: Twenty patients completed prolotherapy and followed up as scheduled. The NRS and ODI were significantly improved from 6 (4-8) and $34.1{\pm}15.5$ to 1 (0-3) and $12.6{\pm}9.8$ (P < 0.01), respectively, at 1 month after prolotherapy. The mean duration of pain relief of 50% or more was 12.2 months (95% CI, 10.0-14.3) as determined by Kaplan-Meier survival analysis. Conclusions: Intraarticular prolotherapy provided long-term relief of sacroiliac joint pain and may have more benefits than ligament prolotherapy or neurolysis.