• Title/Summary/Keyword: Fractures

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Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review (한국 노인의 넘어짐과 연계된 인체손상에 대한 이해와 예방: 체계적 문헌 고찰)

  • Lim, Ki-taek;Lee, Ji-eun;Park, Ha-eun;Park, Su-young;Choi, Woochol Joseph
    • Physical Therapy Korea
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    • v.26 no.2
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    • pp.34-48
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    • 2019
  • Background: Fall-related injuries in older adults are a major health problem, and the risks and mechanisms of these injuries should be affected by race, culture, living environment, and/or economic status. Objects: Research articles have been systematically reviewed to understand fall-related injuries in older adults in South Korea. Methods: 128 published research papers have been found through the Korea Citation Index and the Korean Studies Information Service System, and reviewed in various perspectives, including incidents, fall death rates, medical costs, causes, injury sites and types, locations where falls occurred, prevention strategies, scholarly fields interested in fall injuries, and the role of physical therapy. Results: Fall-related injuries were found to be more common in women than in men, and the number of incidents increased with age, with the highest rate found in individuals over 85 years old. Risk of fall injury was associated with education level, comorbidities, and fear of falling. Common places where falls occurred included the bathroom, living room, stairs, and hallway. Common types of injury included bruises, fractures, and sprains in the lower extremities. Intervention strategies included exercise programs, education, and protective clothing. Scholarly fields interested in fall-related injuries in older adults included medicine, nursing, physical therapy, occupational therapy, physical education, pharmacology, oriental medicine, biomedical engineering, design, clothing, and textiles. Physical therapy intervention using proprioceptive neuromuscular facilitation has been used to improve one's balance. Conclusion: Any movement during the activities of daily living can lead to a fall. Physical therapists are highly educated to analyze human movements and should be involved in more research and practices to solve fall-related injuries in older adults.

Effect of Emergency Treatment Education Program for Self-leadership, Career Decision Making Self Efficacy and Nursing Performance Ability of Nursing Students (응급처치 교육프로그램이 간호대학생의 셀프리더십, 진로결정자기효능감 및 수행능력에 미치는 영향)

  • Do, Eun-Su;Kim, Soon-Gu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.636-644
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    • 2018
  • This study was conducted to examine the effects of an emergency treatment education program on nursing students' self-leadership, career decision-making self-efficacy, and nursing performance ability. The study was designed using a nonequivalent control group pretest-posttest design, and data were collected from June 1 to August 31, 2017. The participants consisted of 52 nursing students in D College of D City who were assigned to an experimental group (n=27) or control group (n=25). The pretest poll was performed on June 1, 2017 and posttest poll was performed 2 weeks later without any treatment in the control group. In the experimental group, the pretest poll was performed on July 25 before the emergency treatment education program and the posttest poll was performed on August 31 after the education program. The emergency treatment education program for the experimental group consisted of 2 hours of emergency treatment instruction, autonomously watching videos, and 4 hours of teaching elementary students about CPR for adults and first aid for airway obstruction, burns, bleeding, and fractures as a lecturer. The data were analyzed using descriptive analysis, independent t-test, $x^2$ test, and paired t-test with SPSS/WIN 20.0. After receiving the emergency treatment education program, a difference was observed in self-leadership (t=2.08, p<.05), career decision-making self-efficacy (t=4.22, p<.05) and nursing performance ability (t=5.02, p<.05) in the experimental group. The results of this study indicate that the emergency treatment education program was effective at increasing self-leadership, career decision-making self-efficacy, and nursing performance ability in nursing students.

Effect of Lonicerae Japonicae Flos on Bone Density in Ovariectomized Rat Model of Osteoporosis (난소 적출 흰쥐 골다공증 모델에서 금은화(金銀花)가 골밀도 증가에 미치는 효과)

  • Lee, SungYub;Kim, Minsun;Hong, SooYeon;Kim, Jae-Hyun;Kim, Hongsik;Lee, Chungho;Jung, Hyuk-Sang;Sohn, Youngjoo
    • The Korea Journal of Herbology
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    • v.36 no.5
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    • pp.81-91
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    • 2021
  • Objectives : Osteoporosis is a systemic skeletal disease that decreases bone density and increases the risk of fractures. Bisphosphonates and SERMs are mainly used to treat osteoporosis, but, long-term use increases the risk of side effects such as jaw bone necrosis and breast cancer. Therefore, it is necessary to develop a therapeutic agent for a natural product with few side effects. Water extract of Lonicerae Japonicae Flos (wLF) was mainly found to have anti-cancer and anti-inflammatory effects. However, the effect of wLF on osteoporosis has not been elucidated. Therefore, this experiment investigated the effect of wLF on osteoclasts, osteoblasts and osteoporosis models. Methods : In order to study the effect of wLF on osteoporosis, the OVX-induced rat model was used for in vivo study. After 8 weeks, we measured body weight, uterine weight, liver weight, femur weight, bone density, trabecular area and tibia ash weight. To determine the effect of wLF on osteoclast differentiation, we measured the number of TRAP-positive cells and TRAP activity. To examine the effect of wLF on the expression of osteoblast-related genes, we measured the mRNA expression of alkaline phosphatase (ALP, Alpl) and osteocalcin (OCN, Bglap2). Results : In vivo experiment, wLF inhibited the reduction of femur weight, trabecular area, bone density and tibia ash weight. In vitro experiment, wLF had no significant effect on osteoclast differentiation. However, wLF increased the mRNA expression of Alpl and Bglap2 in MC3T3-E1 cell. Conclusions : This result suggested that wLF may be used for the treatment and prevention of postmenopausal osteoporosis.

Two-weeks Oral Dose Toxicity Study of Dipsacus asperoides Extracts in C57BL/6 Mice (속단(續斷) 추출물의 C57BL/6 마우스를 이용한 2주 경구투여 독성시험)

  • Heo, Hye Yun;Shin, Dong-Ho;Lee, Ji Hye;Seo, Yun-Soo;Kim, Yong-Bum;Shin, Insik;Kang, Sohi;Son, Mee-Kyung;Kim, Joong-Sun
    • The Korea Journal of Herbology
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    • v.36 no.5
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    • pp.101-108
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    • 2021
  • Objectives : A root of Dipsacus asperoides C. Y. Cheng et T. M. Ai (D. asperoides) has been traditionally used as a medicinal resource in several Asian countries, including Korean and traditional Chinese medicine that has been traditionally used for treating several medical conditions including pain, arthritis, and bone fractures in Korea. In the present study, we investigated potential subacute toxicities of D. asperoides extract. Methods : C57BL/6 mice (male, 7weeks) were randomly divided into 4 groups of 5 mice. Except for the control group, the mice were orally administrated D. asperoides extract at doses of 50, 150, or 450 mg/kg/day for 2 weeks. At the end of the treatment period, all mice were euthanized, and the following parameters were examined: mortality, body weight, clinical signs, gross findings, hematology, serum biochemistry, organ weight, and histopathology. Results : There were no abnormalities in mortality, clinical signs, body weight, gross findings, or organ weight after repeated administration of D. asperoides extract for 2 weeks, compared with the control group. In addition, there were no significant changes in hematological, serum biochemical, and histopathological parameters between the control group and D. asperoides extract administrated groups with doses of up to 450 mg/kg/day. Conclusion : In this study, D. asperoides extract showed no significant toxicities at a dose of up to 450 mg/kg/day in mice. Although we could not confirm the toxic dose of D. asperoides extract, it can be considered safe for further pharmacological use.

Evaluation of Volcanic Processes and Possible Eruption Types in Ulleung Island (울릉도에서의 화산과정과 발생 가능한 분출유형의 평가)

  • Hwang, Sang Koo;Jeong, Seong Wook;Ryu, Han Young;Son, Young Woo;Kwon, Tae Ho
    • Economic and Environmental Geology
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    • v.53 no.6
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    • pp.715-727
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    • 2020
  • Volcanostratigraphy in Ulleung Island is divided into 4 stratigraphic groups: Dodong Basaltic Rocks, Ulleung Group, Seonginbong Group and NariGroup. The main pyroclastics in them includes lapilli tuff intercalated within the Dodong Basaltic Rocks, lapilli tuff at the top of Sadong Breccia, Sataegam Tuff, Gombawi Welded Tuff, Bongrae Scoria Deposits, Maljandeung Tuff, Nari Scoria Deposits and Jugam Scoria Deposits. Analysing eruption types, The lapilli tuff in the Dodong Basaltic Rocks is derived from Surtseyan eruption, and the Bongrae, Nari and Jugam Scoria Deposits are caused by Strombolian eruptions or/and sub-Plinion eruptions, but the Sataegam Tuff and Maljandeung Tuff are derived from Plinian and phreatoplinian eruptions. Among them the large-scaled eruptions. In particular, the eruptions of Maljandeung were large enough to result in caldera collapse, and had falled out tephras to the eastern Korean peninsula but even Japan Islands. The magma with high potential to be still alive is judged to be trachyandesitic and phonolitic in composition. If the trachyandesitic magma explodes, it will probably result in a strombolian eruption and have a fairly low explosivity, but if the phonolitic magma explodes, it will probably result in a plinian eruption and have a much higher explosivity. If the eruption had a high explosivity, there is a possibility that it could easily be converted into a phreatoplinian eruption due to the influx of groundwater by the easy generation of fractures. These large-scaled eruptions could fall out tephras to the eastern Korean peninsula but even Japan Islands.

Experimental Study on Fracture Pressure, Permeability Enhancement and Fracture Propagation using Different Fracture Fluids (다양한 파쇄 유체별 파쇄압력, 투과도 증진 및 균열전파에 관한 실험적 연구)

  • Choi, JunHyung;Lee, Hyun Suk;Kim, Do Young;Nam, Jung Hun;Lee, Dae Sung
    • Tunnel and Underground Space
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    • v.31 no.1
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    • pp.41-51
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    • 2021
  • The hydraulic fracturing developed to improve permeability of tight reservoir is one of key stimulation technologies for developing unconventional resources such as shale gas and deep geothermal energy. The experimental study was conducted to improve disadvantage of hydraulic fracturing which has simple fracture pattern and poor fracturing efficiency. The fracturing experiments was conducted for tight rock using various fracturing fluids, water, N2, and CO2 and the created fracture pattern and fracturing efficiency was analyzed depending on fracturing fluids. The borehole pressure increased rapidly and then made fractures for hydraulic fracturing with constant injection rate, however, gas fracturing shows slowly increased pressure and less fracture pressure. The 3D tomography technic was used to generate images of induced fracture using hydraulic and gas fracturing. The stimulated reservoir volume (SRV) was estimated increment of 5.71% (water), 12.72% (N2), and 43.82% (CO2) respectively compared to initial pore volume. In addition, permeability measurement was carried out before and after fracturing experiments and the enhanced permeability by gas fracturing showed higher than hydraulic fracturing. The fracture conductivity was measured by increasing confining stress to consider newly creating fracture and closing induced fracture right after fracturing. When the confining stress was increased from 2MPa to 10MPa, the initial permeability was decreased by 89% (N2) and 50% (CO2) respectively. This study shows that the gas fracturing makes more permeability enhancement and less reduction of induced fracture conductivity than hydraulic fracturing.

Analysis of Hydraulic Fracture Geometry by Considering Stress Shadow Effect during Multi-stage Hydraulic Fracturing in Shale Formation (셰일저류층의 다단계 수압파쇄에서 응력그림자 효과를 고려한 균열형태 분석)

  • Yoo, Jeong-min;Park, Hyemin;Wang, Jihoon;Sung, Wonmo
    • Journal of the Korean Institute of Gas
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    • v.25 no.1
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    • pp.20-29
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    • 2021
  • During multi-stage fracturing in a low permeable shale formation, stress interference occurs between the stages which is called the "stress shadow effect(SSE)". The effect may alter the fracture propagation direction and induce ununiform geometry. In this study, the stress shadow effect on the hydraulic fracture geometry and the well productivity were investigated by the commercial full-3D fracture model, GOHFER. In a homogeneous reservoir model, a multi-stage fracturing process was performed with or without the SSE. In addition, the fracturing was performed on two shale reservoirs with different geomechanical properties(Young's modulus and Poisson's ratio) to analyze the stress shadow effect. In the simulation results, the stress change caused by the fracture created in the previous stage switched the maximum/minimum horizontal stress and the lower productivity L-direction fracture was more dominating over the T-direction fracture. Since the Marcellus shale is more brittle than more dominating over the T-direction fracture. Since the Marcellus shale is more brittle than the relatively ductile Eagle Ford shale, the fracture width in the former was developed thicker, resulting in the larger fracture volume. And the Marcellus shale's Young's modulus is low, the stress effect is less significant than the Eagle Ford shale in the stage 2. The stress shadow effect strongly depends on not only the spacing between fractures but also the geomechanical properties. Therefore, the stress shadow effect needs to be taken into account for more accurate analysis of the fracture geometry and for more reliable prediction of the well productivity.

A multidisciplinary approach to restore crown-root fractured maxillary central incisors: orthodontic extrusion and surgical extrusion (치관-치근 파절이 발생한 상악 중절치를 수복하기 위한 다각적 접근법: 교정적 정출술과 외과적 정출술)

  • Kwon, Eun-Young;Kim, So-Yeun;Jung, Kyoung-Hwa;Choi, Youn-Kyung;Kim, Hyun-Joo;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.262-271
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    • 2020
  • To restore a tooth with a fracture line extending below the marginal bone level, a surgical crown lengthening procedure accompanied by ostectomy could be considered to expose the fracture line and reestablish the biologic width. However, this procedure could lead to esthetic failure, especially in the anterior teeth. Therefore, orthodontic extrusion, which elevates the fracture line from within the alveolar socket without sacrificing the supporting bone and gingiva, is recommended. This technique allows for the proper placement of the crown on a sound tooth structure, with the reestablishment of the biologic width. Alternatively, surgical extrusion is an one-step procedure that is simpler and less time-consuming than orthodontic extrusion; placing and adjusting the orthodontic appliance does not require multiple visits. This study presents successful restoration in 2 cases with a crown-tooth root fracture of the maxillary central incisor treated using a multidisciplinary approach through orthodontic extrusion or surgical extrusion followed by successful restoration.

Genetic Environments of Dongwon Au-Ag-bearing Hydrothermal Vein Deposit (동원 함 금-은 열수 맥상광상의 생성환경)

  • Lee, Sunjin;Choi, Sang-Hoon
    • Economic and Environmental Geology
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    • v.54 no.6
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    • pp.753-765
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    • 2021
  • The Dongwon Au-Ag deposit is located within the Paleozoic Taebaeksan province, Okcheon belt. Mineral paragenesis can be divided into two stages (stage I, ore-bearing quartz veins; stage II, barren carbonate veins) by major tectonic fracturing. Stage I, at which the precipitation of major ore minerals occurred, is further divided into three substages(early, middle and late) with paragenetic time based on minor fractures and discernible mineral assemblages: early, marked by deposition of pyrite with minor magnetite, pyrrhotite and arsenopyrite; middle, characterized by introduction of electrum and base-metal sulfides with minor sulfosalts; late, marked by argentite, Cu-As (and/or Sb) and Ag-Sb sulfosalts with base-metal sulfides. Fluid inclusion data show that stage I ore mineralization was deposited between initial high temperatures (≥430℃) and later lower temperatures (≤230℃) from fluids with salinities between 6.0 to 0.4 wt. percent equiv. NaCl. The relationship of salinity and homogenization temperature suggest that ore mineralization at Dongwon was deposited mainly due to fluid boiling, cooling and dilution via influx of cooler, more dilute meteoric waters. Changes in stage I vein mineralogy reflect decreasing temperature and fugacity of sulfur by evolution of the Dongwon hydrothermal system with increasing paragenetic time. The Dongwon deposit may represents a Korean-type and/or Au-Ag type mesothermal/epithermal gold-silver deposit.

Three-Dimensional Printing Technology in Orthopedic Surgery (정형외과 영역에서의 삼차원 프린팅의 응용)

  • Choi, Seung-Won;Park, Kyung-Soon;Yoon, Taek-Rim
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.103-116
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    • 2021
  • The use of 3-dimensional (3D) printing is becoming more common, and its use is increasing in the orthopedic surgery. Currently, there are four major methods of using 3D printing technology in orthopedic surgery. First, surgical planning simulation using 3D printing model; second, patient-specific surgical instruments; third, production of customized prosthesis using 3D printing technique; fourth, patient-specific prosthesis produced by 3D printing. The areas of orthopedic surgery where 3D printing technology can be used are shoulder joint, spine, hip and pelvis, knee joints, ankle joint, and tumors. Since the diseases and characteristics handled by each area are different, the method of using 3D printing technology is also slightly different in each area. However, using 3D printing technology in all areas can increase the efficiency of surgery, shorten the surgery time, and reduce radiation exposure intraoperatively. 3D printing technology can be of great help in treating patients with particularly complex and difficult orthopedic diseases or fractures. Therefore, the orthopedic surgeon should make the most of the benefits of the 3D printing technology so that patient can be treated effectively.