• 제목/요약/키워드: Crush injury

검색결과 75건 처리시간 0.025초

후미추돌사고의 유효충돌속도가 차량손상 및 승차자 상해에 미치는 영향에 관한 연구 (A Study on the Effect of Delta-V Based on Vehicle Damages and Injuries Subjected by Rear-End Collisions)

  • 강성모;안병준
    • 한국안전학회지
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    • 제23권2호
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    • pp.72-80
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    • 2008
  • In a case of an automobile collision, vehicle damage and injury of the driver and the passenger occur. The scale of the collision which is effected by the extent of vehicle damage and the injury of the passenger, depends on the delta-V. Based on the photograph interpretation o the actual case of accidents in the Seoul and the Incheon area, this study measured the depth of crush and calculated the delta-V. Through verifying the correlation of the depth of crush and the change of velocity, relative equation was evaluated and compared with the prior study results to prove that they are almost identical. Thus, the depth of crush can be used as an index of the degree of impact, which can be utilized as the change of velocity to evaluate the level of injury done to the passengers. However, the period of hospitalization and diagnostics claimed by the injured proves to have no correlation with the delta-V and the extent of vehicle damage, this is due to the non-objective way of diagnosis and the anamnesis of the injured. This study established the absolute limit harmlessness and the choosing limit harmlessness, allowing the appraisal for Yes or No of the injury or the harmlessness based on the prior studies. Moreover, utilizing the relative equation formed between the depth of crush and the delta-V, each case of collision was compared and evaluated in comparison to the limit harmlessness to prove that the 90.4% of the so-called 'claiming-to-be-injured' were exaggerating or fabricating.

전침자극과 경피신경전기자극이 흰쥐 좌골신경 압좌손상 후 척수내 GAP-43 발현에 미치는 영향 (The Effect of EA and TENS on GAP-43 Expression in Spinal Cord after Rat Sciatic Nerve Crush Injury)

  • 이현민;박은세;김민희;김석범;김동현;김진상
    • The Journal of Korean Physical Therapy
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    • 제18권1호
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    • pp.65-73
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    • 2006
  • Purpose: The purpose of this study was to identify the effect of electroacupuncture(EA) and transcutaneous electric nerve stimulation(TENS) after sciatic nerve crush injury in rats. Methods: The EA for experimental group I (Exp I, n=15) and TENS for experimental group II (Exp II, n=15) was applied from post-injury day(PD) 1 to PD 14 after sciatic nerve injury using low frequency stimulator that gave electrical stimulation(15min/60Hz). In order observe the effect of EA and TENS, this study examined GAP-43 expression in rat lumbar spinal cord at the PD 1, PD 7 and PD 14. In addition, the stride length(SL) and toe out angle(TOA) were measured at the PD 7 and PD 4. Results; Exp I and Exp II had higher GAP-43 immunoreactivity than control group(PD 1, 7, 14). The SL of Exp I and Exp II were significantly higher than control group(PD 7, 14). The TOA of Exp I and Exp II were significantly lower than control group(PD 7, 14). Conclusion: EA and TENS application increased motor nerve recovery and expression of GAP-43 immunoreactivity after sciatic nerve crush injury. Therefore effect of TENS and EA had similar effect on nerve regeneration and functional recovery.

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경피신경전기자극과 전침자극이 흰쥐 좌골신경 압좌손상 후 척수내 c-fos 발현과 기능회복에 미치는 영향 (Influence of Transcutaneous Electrical Nerve Stimulation and Electroacupuncture on C-fos Expression in Spinal Cord and Functional Recovery After Rat Sciatic Nerve Crush Injury)

  • 이현민
    • 한국콘텐츠학회논문지
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    • 제9권6호
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    • pp.187-195
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    • 2009
  • 본 연구는 흰쥐를 대상으로 좌골신경 압좌 손상 유발 후 경피신경전기자극과 전침자극을 적용하고 진통효과와 기능회복에 미치는 영향을 알아보았다. 실험동물은 경피신경전기자극군을 적용한 TENS군, 전침자극군을 적용한 EA군과 대조군으로 구분하였고, 각각의 군은 전기자극 적용기간에 따라 1일군, 7일군 및 14일군으로 나누었다. 경피신경자극과 전침자극을 적용한 결과, 실험군에서 대조군에 비하여 통각신경활성의 지표로 이용되는 c-fos 발현의 감소, 발도피지연시의 증가, 좌골신경기능지수의 증가를 통해 전기자극이 말초신경 손상에서 통증억제와 기능회복을 증가시키는 것으로 나타났다. 하지만 경피신경전기자극군과 전침자극군간의 유의한 차이는 관찰되지 않았다.

자동차 정면충돌에서 자동차 영구 변형량에 따른 승객 상해 추정 (Estimation of Injury Severity of Occupant based on the Vehicle Deformation at Frontal Crash Accident)

  • 김승기;최형연
    • 한국자동차공학회논문집
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    • 제21권2호
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    • pp.63-71
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    • 2013
  • The estimation of occupant injury risk at crash accident is one of the most important assessments for the vehicle crashworthiness performance. The design of safety devices such as occupant restraining system also depend on the kinematics of occupant and its injury risk. The real world in-depth accident investigation provides detailed and realistic information of vehicle damage and occupant injury as well as the accident conditions. This paper introduces a statistical analysis of NASS/CDS database and domestic accident data to correlate speed change, vehicle damage extend, and occupant injury at frontal crash. The maximum crush extend shows a linear relationship with the effective impact speed. The injury risks of the occupant with and without restraining were also respectively quantified with the crush extend. This result can be effectively used for the emergent rescue of crash victims with automatic crash notification system.

군중집회 시의 안전: 군중압박의 기초 조사 (Safety in Mass Gathering: Basic Survey for Crowd Crush)

  • 왕순주
    • 한국방재안전학회논문집
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    • 제16권1호
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    • pp.49-60
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    • 2023
  • 2022년 10월 29일 발생한 이태원 참사 이후 군중압박 사고로 인한 인명피해에 대한 관심이 높아졌으나 국내에서 군중압박과 관련된 학술적, 실제적 기반이 미약함이 지적되었다. 이에 본 연구에서는 군중압박과 관련된 용어와 개념을 조사하고 가능한 한글 용어 후보들을 제안하였으며, 국내외에서 발생한 대표적인 군중압박 사고 사례를 조사하여 정리하였다. 일부 대표적 사례를 기반으로 한 선진국의 접근법들을 조사하였고, 그 중 대표적으로 영상분석, 시뮬레이션 및 설문과 인터뷰 방법을 요약 도출하였다. 이를 통하여 군중압박 사고의 한글 용어 표준화와 개념 정립, 평가 및 접근 방법의 체계화가 이루어지기를 기대하고 있다.

좌골신경섬유 재생시 Cdc2 kinase 매개성 슈반세포 활성화의 역할 규명 (Cdc2 promotes activation of Schwann cell in regenerating axon after sciatic nerve injury in the rat.)

  • 한인선;서태범;김종오;남궁욱
    • 혜화의학회지
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    • 제14권1호
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    • pp.201-211
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    • 2005
  • Cdc2 kinase is a prototypical cyclin-dependent kinase critical for G2 to M phase cell cycle transition. Yet, its function in the nervous system is largely unknown. Here, we investigated possible role of Cdc2 in axonal regeneration using sciatic nerve system in rat. Cdc2 protein levels and activity were increased in the injured sciatic nerves 3 and 7 days after crush injury and then decreased to basal level 14 days later. Administration of Cdc2 kinase inhibitor roscovitine in vivo at the time of crush injury significantly inhibited axonal regeneration when regrowing axons were analyzed using retrograde tracers. Cdc2 protein levels in cultured Schwann cells which were prepared from sciatic nerves 7 days after crush injury were much higher compared with those from uninjured sciatic nerves, suggesting that Cdc2 protein expression was primarily induced in the Schwann cells. To further investigate Cdc2 function in Schwann cell, we examined changes in cultured Schwann cell proliferation and migration in culture system. Both the number of proliferating Schwann cells and the extent of neurite outgrowth from co-cultured DRG neurons were significantly decreased by Cdc2 inhibitor roscovitine treatment in DRG culture which was prepared from animals with sciatic nerve injury for 7 days. Also, Schwann cell migration in the injured sciatic nerve explant was significantly inhibited by roscovitine treatment. Taken together, the present data suggest that Cdc2 may be involved in peripheral nerve regeneration via Schwann cell proliferation and migration.

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Animal Model for the Evaluation of Repair of Injured Inferior Alveolar Nerve with Nerve Growth Factor

  • Lee, Jae-Yoon;Park, Suhyun;Heo, Hyun-A;Pyo, Sung-Woon
    • Journal of Korean Dental Science
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    • 제6권2호
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    • pp.58-66
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    • 2013
  • Purpose: The inferior alveolar nerve (IAN) can be damaged as a result of minor oral surgical procedure such as third molar extraction or implant placement. Repair of the injured IAN involves difficulty of access, and research studies are limited to elucidating the process of regeneration by surgical methods. This study sought to establish the rabbit animal model to apply polymeric membrane functionalized with nerve growth factor after a crush lesion for the evaluation of nerve regeneration using the electrophysiologic method. Materials and Methods: The IAN of 2 adult male New Zealand white rabbits (4 nerves) were exposed bilaterally, and crush injury rendered by jeweler's forceps was applied. Nerve conduction velocity was examined electrophysiologically using electromyography before, after, and 4 weeks after the crush injury. To evaluate the regeneration, the pattern of action potential of IAN was recorded, and the characteristics of neurons were histologically observed. Result: After the crush injury, afferent activity decreased in the injured group. Electromyography could not be recorded after four weeks because tissues surrounding the injured nerve collapsed. Decrease in the mean number of axons was observed in the injured part with membrane. Conclusion: Despite the limited result, the present animal model study may provide a possible way to research on the methods of enhancing the recovery of nerve injuries in clinical situations. For clinically widespread acceptance, however, it should gain more consecutive and scientific evidences.

오약순기산(烏藥順氣散) 및 중성어혈(中性瘀血) 약침(藥鍼)이 흰쥐 좌골신경 압좌 손상 후 통증 감소와 신경 재생에 미치는 영향 (Effects of Ohyaksungi-san(Wuyaoshungi-san)and Jungsongouhyul Pharmacopuncture on Pain Reduction and Nerve Regeneration after Crush Injury in Rat Sciatic Nerve)

  • 정문재;이정한;염승룡;이수경;송용선;김기병;권영달
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.51-72
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    • 2009
  • Objectives : This study was designed to evaluate the effects of Ohyaksungi-san(Wuyaoshungi-san) and Jungsongouhyul pharmacopuncture on pain reduction and nerve regeneration after crush injury in rat sciatic nerve. Methods : Animal model was produced through crush injury of right sciatic nerve and they were divided into four groups; Group I: no treatment control group; Group II: experimental group treated with Ohyaksungi-san(Wuyaoshungi-san); Group III: experimental group treated with Jungsongouhyul pharmacopuncture; Group IV: experimental group treated with Ohyaksungi-san(Wuyaoshungi-san) and Jungsongouhyul pharmacopuncture. For the assessment of pain, this study was observed the paw withdrawal latency(PWL) and immunoreactivity on the substance-P. For the assessment of nerve regeneration, the sciatic functional index(SFI) and immunoreactivity on the BDNF were measured. Results : 1. In the assessment of pain, the PWL of experimental groups was significantly higher than control group and group IV was significantly higher than other groups at the all days. 2. In immunohistochemical response of substance-P, as time passes, the immunoreactivity of all groups were decreased gradully. Especially, group IV had the lowest immunoreactivity. 3. In the assessment of SFI, the SFI of experimental groups were significantly higher than control group. 4. In immunohistochemical response of BDNF, the BDNF immunoreactivity of all groups was significantly higher than control group and especially, group IV had the highest immunoreactivity at the 14 days after injury. 5. H & E stain was used on the liver and kidney to investigate toxic effect of Jungsongouhyul pharmacopuncture and Ohyaksungi-san(Wuyaoshungi-san) on on 21 days after injury. However there were no any toxic effects both control group and experimental groups. Conclusions : On the basis of these results, we propose that Ohyaksungi-san(Wuyaoshungi-san) and Jungsongouhyul pharmacopuncture were related to pain reduction and motor nerve recovery, also decreased substance-P expression and increased BDNF expression after crush injury of sciatic nerve, especially these two treatments could be more effective when they were combined simultaneously.

저강도레이저 조사가 근육압좌손상 후 척수분절의 EGF 발현에 미치는 영향 (Effects of Low Power Laser for the Expression of EGF after Muscle Crush Injury)

  • 김석범;김동현;남기원;이선민;김진상
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.16-25
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    • 2002
  • Low energy laser irradiation(LELI) therapy in physical therapy is widespread but the mechanisms are not fully understood. The purpose of the present study was to examine the epidermal growth factor(EGF)'s expression within lumbar spinal cord which corresponding with crushed extensor digitorum longus(EDL) of rats after low-power laser irradiation applied. After a crushed injury on the right EDL, low-power laser irradiation was applied by using 2000mW, 2000Hz, 830nm GaAlAs(Gallium-aluminum-arsenide) semiconductor diode laser. The laser treatment was performed with 10 minutes daily for 3days. After EDL crush injury, EGF immunoreactive positive neurons in experimental group were progressively decreased from the first to third days. Especially 1 day subgroup is highly expressed in dorsal horn(Lamina I, II, III) and around of central cannal of spinal cord(Lamina VII). Control group was only expressed slightly at 3 days. This study suggests that LELI stimulate that release and migration of EGF in spinal cord, which distict to wound site, therfore promote wound healing of EDL crush injury.

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흰쥐 좌골신경 압좌 손상 후 독활탕(獨活湯)및 중성어혈약침(中性瘀血藥鍼)이 통증 억제와 신경 재생에 미치는 효과 (Effects of Dokwal-tang(Duhuo-tang) and Jungsongouhyul Pharmacopuncture on Pain Control and Nerve Regeneration after Crush Injury in Rat Sciatic Nerve)

  • 송정섭;나철;신병철;이수경;권영달;송용선
    • 한방재활의학과학회지
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    • 제18권2호
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    • pp.61-79
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    • 2008
  • Objectives : The purpose of this study was to identify the effect of Dokwal-tang(Duhuo-tang) and Jungsongouhyul Pharmacopuncture on pain control and nerve regeneration after crush injury in rat sciatic nerve. Methods : Animal model was produced through right sciatic nerve crush injury and they were randomly divided into four groups; Group I: no treatment control group; Group II: experimental group treated with Dokwal-tang(Duhuo-tang); Group III: experimental group treated with Jungsongouhyul Pharmacopuncture; Group IV: experimental group treated with Dokwal-tang(Duhuo-tang) and Jungsongouhyul Pharmacopuncture. For the pain assessment, this study was observed the paw withdrawal latency(PWL) and immunoreactivity on the substance-P. For the nerve regeneration assessment, the sciatic functional index(SFI) and immunoreactivity on the GAP-43 were measured. Results : 1. In the pain assessment, the PWL of experimental groups were significantly higher than control group and group IV was significantly higher than other groups. 2. In immunohistochemical response of substance-P, as time passes, all groups had decreased immunoreactivity gradually. Specially, group IV was observed the lowest immunoreactivity. 3. In the assessment of SFI, the SFI of experimental groups were significantly higher than control group. 4. In immunohistochemical response of GAP-43, all groups had higher GAP-43 immunoreactivity at the 14 days from post-injury and at the all days, control group was observed most lower immunoreactivity and group IV was observed most higher immunoreactivity. Conclusions : These results of this study suggest that Dokwal-tang(Duhuo-tang) and Jungsongouhyul Pharmacopuncture was related with pain inhibition and motor nerve recovery, and decreased substance-P expression and increased GAP-43 expression after sciatic nerve crush injury.