• Title/Summary/Keyword: Infection exposure

Search Result 395, Processing Time 0.022 seconds

Vacuum-assisted Closure for the Treatment of Lymphorrhea Following Surgery of the Femoral Artery (대퇴동맥 수술 후 발생한 임파루의 음압 요법 치료)

  • Chang, Won-Ho;Youm, Wook;Oh, Hong-Chul;Han, Jung-Wook;Kim, Hyun-Jo
    • Journal of Chest Surgery
    • /
    • v.43 no.5
    • /
    • pp.562-564
    • /
    • 2010
  • Lymphorrhea is a common complication after inguinal dissection for exposure of the femoral artery. Injury of the lymphatics occurs frequently because they are anatomically close to blood vessels. Uncontrolled lymph drainage increases postoperative morbidity, and wound infection may follow. Despite current treatment options, lymphorrhea after inguinal dissection is still difficult to manage and results in a prolonged hospital stay. A vacuum-assisted closure device was used in a 72-year-old woman who had lymphorrhea after vascular surgery by groin incision. Vacuum-assisted control for lymphorrhea resulted in earlier closure of the wound and reduced the length of hospital stay.

A Study on Information Security Consulting Method according to Type of Company (기업 업종에 따른 정보보안컨설팅 방법 연구)

  • Lee, Su-youn
    • Convergence Security Journal
    • /
    • v.15 no.4
    • /
    • pp.121-126
    • /
    • 2015
  • Exposure of personal information that is held by hacking accident near the company has led to severe water level. And, it has changed security threat elements generated according to businessenterprise. Therefore, in this paper, I looked at security threat elements and proposed the way of appropriate information security consulting according type of company. First, In the financial and insurance industries, and should not have been compromised by a worm virus infection due to lack of awareness inside of members, by collectively apply in the same way the internal security standards of the organization to members, the risk of customer information. It shall be provided in advance that the security accident occurs due to a higher job group. Therefore, information security consulting method based on people and information is applied. Secondly, in industry of company, to perform consulting information security based on the attributes of the case industry groups.

A Study on NAS-Linked Network Separation System Using AHP (AHP를 이용한 NAS 연동형 망분리 시스템에 관한 연구)

  • Kim, Min Su;Shin, Sang Il;Lee, Dong Hwi;Kim, Kui Nam J.
    • Convergence Security Journal
    • /
    • v.13 no.3
    • /
    • pp.85-90
    • /
    • 2013
  • To provide high-quality services, national public institutions and companies have provided information and materials over the internet network. However, a risk of malware infection between transmission and reception of data leads to exposure to various security threats. For this reason, national institutions have proceeded with projects for network separation since 2008, and data linkage has been made using network connection storage through network separation technologies, along with physical network separation. However, the network connection storage has caused waste of resources and problems with data management due to the presence of the same data in internal network storage and external network storage. In this regard, this study proposes a method to connect internal and external network data using NAS storage as a way to overcome the limitations of physical network separation, and attempts to verify the priority of items for the optimization of network separation by means of AHP techniques.

A Study on Performance Level for Universal Precautions on Blood-Borne Infections among Nurses in Hospitals (임상 간호사의 혈액매개감염 주의지침에 대한 수행정도)

  • An, Ji-Yeon;Lee, Young-Mi;Song, Jung-Hee
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.16 no.1
    • /
    • pp.92-100
    • /
    • 2010
  • Purpose: This study was conducted to investigate the cognition level and the performance level of universal precautions on blood-borne infections and to analyze related-factors on the performance level for universal precautions among the nurses. Method: A total of 166 nurses participated in the survey. We performed multiple linear regression to assess the related-factors on the performance level for universal precautions. Result: The mean scores of cognition and performance level for universal precautions were 65.61(${\pm}8.74$) and 53.98(${\pm}8.42$) respectively. The mean score of the cognition level was significantly lower than the performance level in all items. The cognition level was associated with the working field. The performance level was highest for nurses working over 36 years, nurses in university hospitals, and nurses in the operating room. The cognitive level for universal precautions, education level, exposure to blood-borne infection, family's income, and marital status significantly predicted the performance level for universal precautions in the multiple linear regression model (Adjusted $R^2=0.42$). Conclusion: The cognition level for universal precautions is the strongest predictor on the performance level for universal precautions. An integrated approach should incorporate training experiences to improve cognition and perception of risk on universal precautions for preventing blood-borne infections.

Implementation of Health Behavior Education Concerning Liver Flukes among Village Health Volunteers in an Epidemic Area of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Wakkuwattapong, Parichart;Matrakool, Likit;Tongtawee, Taweesak;Norkaew, Jun;Kujapun, Jirawoot;Kampangsri, Wilas;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.4
    • /
    • pp.1713-1716
    • /
    • 2016
  • Background: Liver fluke infection is associated with cholangiocarcinoma; the bile duct cancer found frequently in the northeast and north of Thailand. Prevention and control particularly requires health education and behavior change. Objective: This study aimed to improve health behavior among village health volunteers (VHV) regarding liver fluke exposure in an epidemic area. Materials and Methods: A quasi-experimental study was performed during July 2015 to January 2016 in Sang Kha district of Surin province, Thailand. A total of 67 VHVs underwent a health education program (HEP) and data were collected on knowledge, attitude, and practice (KAP) before and after participation for HEP 3 months with a pre-designed questionnaire. The Students paired T-test was used for comparisons of mean KAP levels before/after the intervention. Results: The results revealed that knowledge (P-value=0.004), attitude (P-value=0.004), and practice level (P-value=0.000) were significantly improved after participation in the HBP. Attitude was significantly associated with knowledge (r=0.266, p<0.05), and practice (r=0.348, p<0.01). Conclusions: The implementation of health education among VHVs is feasible and increases their KAP. This improvement should have potential in liver fluke prevention and control in local communities in rural Thailand.

REDUCTION MALARPLASTY THROUGH INTRAORAL APPROACH (구개 접근법에 의한 협골 축소 성형술)

  • Woo, Soon-Seop;Kim, Myung-Jin;Min, Byong-Il
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.15 no.3
    • /
    • pp.171-177
    • /
    • 1993
  • The prominent malar region has been recognized a sign of youth and beauty in caucasian who generally have a dolichocephalic and long face. But in the orients, especially Koreans who generally have a mesocephalic or brachycephalic face, it is considered an agressive, unesthetic facial appearance. So many patients require the shaving of prominent malar eminence and arch, and many methods of its reduction have been devised. For the exposure of malar complex, infraorbital skin incision, intraoral approach, preauricular approach, supraauricular scalp incision, and coronal approach have been used. And for the reduction of bony structure, direct shaving, contouring and repositioning of the malar complex after extirpation, and medially fracture of zygomatic arch have been used with its own merits. We performed the reduction malarplasty through intraoral approach. After two parallel oeteotomy at medial part of the zygomatic bone, the midsegment is removed. The posterior arch of zygoma was bended or green stick fractured. When more correction was required, the posterior arch was fractured medially through the step incision at skin. This method has a some advantages. Compared with the method for extirpation of malar complex, the infection rate is diminished, the resorption is small because of no free bone graft. And cheek drooping is prevented. Compared with the method of coronal approach, the surgical trauma is minimal. Now we report some cases of reduction malarplasty performed through intraoral approach and disscus the surgical technique and results.

  • PDF

Evaluation of Anti-Toxoplasma IgG, IgM, and IgA in Mothers with Spontaneous Abortion in Zanjan, Northwest Iran

  • Amin, Abbas;Mazloomzadeh, S.;Haniloo, A.;Mohammadian, F.;Fazaeli, Asghar
    • Parasites, Hosts and Diseases
    • /
    • v.50 no.4
    • /
    • pp.371-374
    • /
    • 2012
  • Toxoplasma gondii is one of the major agents of infectious abortions and due to its worldwide distribution can threat healthy pregnant women who had no previous exposure to this parasite. The present study was designed to investigate the contribution of T. gondii to spontaneous abortions in Zanjan, Northwest of Iran, using ELISA method. Blood Samples were collected from 264 mothers referred to the provincial hospitals of Zanjan due to spontaneous abortion. The sera were isolated and subjected to evaluate the anti-Toxoplasma IgG, IgM and IgA antibodies. The results showed IgG positive ($IgG^+$) in 99 cases (37.5%). A total of 68 women (25.8%) showed seroconversion with IgM or IgA or both IgM and IgA. They included: $IgM^+$ in 21 (8.0%), $IgA^+$ in 23 (8.7%) and both $IgM^+$ and $IgA^+$ in 24 (9.1%) subjects. In 23 cases, positive titers of IgM and IgG were accompanied. In general, the analysis of anti-Toxoplasma antibody patterns, showed that about 17% of the spontaneous abortions were associated with serological patterns of acute infection. According to these findings, a considerable proportion of spontaneous abortions can be attributed to T. gondii in the study area.

Management of Descending Necrotizing Mediastinitis with Thoracoscopy (흉강경을 이용한 하행 괴사성 종격동염의 치료)

  • Lee, Sung-Ho;Sun, Kyung;Kim, Kwang-Taik
    • Journal of Chest Surgery
    • /
    • v.35 no.2
    • /
    • pp.161-165
    • /
    • 2002
  • Descending necrotizing mediastinitis is a life-threatening infection originating in the head or the neck and descends into the mediastinum. Even in the era of antibiotics, mortality rate has been reported to be 25 ∼ 40%. Prompt diagnosis and treatment is mandatory for delayed diagnosis and inappropriate drainage of the mediastinum are the main causes of high mortality Surgical management ranges from cervical drainage to routin thoracotomy:however, the optimal management still needs to be defined particularly in respect to effective mediastinal drainage. Although posterolateral thoracotomy incision has been considered as a standard approach, potential disadvantages including postoperative pain, risk of wound complication and delayed recovery remain to be concerned. Thoracoscopic approach is an attractive treatment modality as it can provide an excellent exposure with minimal incision and can complete drainage from the mediastinum and the neck in one-staged manner We describe here two cases of descending necrotizing mediastinitis successfully managed by thoracoscopic drainage.

Anti-inflammatory Effect of Mangosteen (Garcinia mangostana L.) Peel Extract and its Compounds in LPS-induced RAW264.7 Cells

  • Widowati, Wahyu;Darsono, Lusiana;Suherman, Jo;Fauziah, Nurul;Maesaroh, Maesaroh;Erawijantari, Pande Putu
    • Natural Product Sciences
    • /
    • v.22 no.3
    • /
    • pp.147-153
    • /
    • 2016
  • Inflammation plays an important role in host defense against external stimuli such as infection by pathogen, endotoxin or chemical exposure by the production of the inflammatory mediators that produced by macrophage. Anti-inflammatory factor is important to treat the dangers of chronic inflammation associated with chronic disease. This research aims to analyze the anti-inflammatory effects of Garcinia mangostana L. peel extract (GMPE), ${\alpha}$-mangostin, and ${\gamma}$-mangostin in LPS-induced murine macrophage cell line (RAW 264.7) by inhibiting the production of inflammatory mediators. The cytotoxic assay of G. mangostana L. extract, ${\alpha}$-mangostin, and ${\gamma}$-mangostin were performed by MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) to determine the safe and non-toxic concentration in RAW 264.7 for the further assay. The concentration of inflammatory mediators (COX-2, IL-6, and IL-$1{\beta}$) were measured by the ELISA-based assay and NO by the nitrate/nitrite colorimetric assay in treated LPS-induced RAW 264.7 cells. The inhibitory activity was determined by the reducing concentration of inflammatory mediators in treated LPS-induced RAW 264.7 over the untreated cells. This research revealed that GMPE, ${\alpha}$-mangostin, and ${\gamma}$-mangostin possess the anti-inflammatory effect by reducing COX-2, IL-6, IL-$1{\beta}$, and NO production in LPS-induces RAW 264.7 cells.

Analysis of Postoperative Complications in Blepharoptosis (안검하수 교정술 후 생긴 합병증 분석)

  • Oh, Chang Hyun;Park, Dae Hwan;Kim, Peter Chan Woo;Shim, Jeong Su;Lee, Yong Jig
    • Archives of Plastic Surgery
    • /
    • v.36 no.6
    • /
    • pp.743-749
    • /
    • 2009
  • Purpose: Many researches about various surgical method for blepharoptosis have already been introduced. But researches for complications after blepharoptosis correction is relatively insufficient. So, this study was performed to recognize common complications that arised depending on the severity of blepharoptosis, levator function and surgical method. Methods: 250 patients who have underwent surgical treatment for blepharoptosis from 1987 to 2006 were employed in this study. Patients were categorized by severity of blepharoptosis, levator function and surgical method that has been used. Complications after blepharoptosis correction were analyzed. Result: Total of 64 patients had occurred complications, the specifics are as following; undercorrection 22, asymmetry 13, overcorrection 12, lagophthalmos 4, abnormal eyelid contour 4, exposure keratitis 3, ectropion 2, inclusion cyst 2, infection 1 and conjunctival prolapse 1. Among above patients, 3 patients had two kinds of complications. 21 patients was underwent secondary surgery due to complication. Conclusion: Evaluating the outcomes of the secondary surgery, the early correction was better than the late correction. The most of the complications were recovered through conservative and surgical treatments. The most of the complications (47 patients) were undercorrection, asymmetry, overcorrection and took 73.4% of the total complications. The more severe the blepharoptosis and the more poor the levator function, the rate of complications were higher. According to the operation methods, most complications were occurred in levator operation, frontalis transfer and OOM flap.