• Title/Summary/Keyword: Injury Analysis

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Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study

  • Park, Hyung Su;Hyun, Sung Youl;Choi, Woo Sung;Cho, Jin-Seong;Jang, Jae Ho;Choi, Jea Yeon
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.159-167
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    • 2022
  • Purpose: The aim of this study was to investigate the epidemiology of trauma inpatients with venous thromboembolism (VTE) symptoms diagnosed using computed tomographic angiography (CTA) in Korea. Methods: In total, 7,634 patients admitted to the emergency department of Gachon University Gil Medical Center, a tertiary hospital, and hospitalized between July 1, 2018 and December 31, 2020 were registered for this study. Of these patients, 278 patients who underwent CTA were enrolled in our study. Results: VTE was found in 120 of the 7,634 patients (1.57%), and the positive diagnosis rate of the 278 patients who underwent CTA was 43.2% (120 of 278). The incidence of VTE was statistically significantly higher among those with severe head and neck injuries (Abbreviated Injury Scale, 3-5) than among those with nonsevere head and neck injuries (Abbreviated Injury Scale, 0-2; P=0.038). In a subgroup analysis, the severe and nonsevere head and neck injury groups showed statistically significant differences in known independent risk factors for VTE. In logistic regression analysis, the adjusted odds ratio of severe head and neck injury (Abbreviated Injury Scale, 3-5) for VTE was 1.891 (95% confidence interval, 1.043-3.430). Conclusions: Trauma patients with severe head and neck injuries are more susceptible to VTE than those with nonsevere head and neck injuries. Thus, physicians must consider CTA as a priority for the diagnosis of VTE in trauma patients with severe head and neck injuries who show VTE-associated symptoms.

Analysis of Aspiration Risk Factors in Severe Trauma Patients: Based on Findings of Aspiration Lung Disease in Chest Computed Tomography

  • Heo, Gyu Jin;Lee, Jungnam;Choi, Woo Sung;Hyun, Sung Youl;Cho, Jin-Seong
    • Journal of Trauma and Injury
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    • v.33 no.2
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    • pp.88-95
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    • 2020
  • Purpose: The present study will identify risk factors for aspiration in severe trauma patients by comparing patients who showed a sign of aspiration lung disease on chest computed tomography (CT) and those who did not. Methods: We conducted a retrospective review of the Korean Trauma Data Bank between January 2014 and December 2019 in a single regional trauma center. The inclusion criteria were patients aged ≥18 years with chest CT, and who had an Injury Severity Score ≥16. Patients with Abbreviated Injury Scale (AIS)-chest score ≥1 and lack of medical records were excluded. General characteristics and patient status were analyzed. Results: 425 patients were included in the final analysis. There were 48 patients showing aspiration on CT (11.2%) and 377 patients showing no aspiration (88.7%). Aspiration group showed more endotracheal intubation in the ER (p=0.000) and a significantly higher proportion of severe Glasgow Coma Scale (GCS) (p=0.000) patients than the non-aspiration group. In AIS as well, the median AIS head score was higher in the aspiration group (p=0.046). Median oxygen saturation was significantly lower in the aspiration group (p=0.002). In a logistic regression analysis, relative to the GCS mild group, the moderate group showed an odds ratio (OR) for aspiration of 2.976 (CI, 1.024-8.647), and the severe group showed an OR of 5.073 (CI, 2.442-10.539). Conclusions: Poor mental state and head injury increase the risk of aspiration. To confirm for aspiration, it would be useful to perform chest CT for severe trauma patients with a head injury.

Kinematic analysis of rowing exercise using a motor-assisted rowing machine for rowers with spinal cord injury: a case report

  • Jeong, Ju Ri;Lee, Bum Suk;Park, Dae-Sung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.1
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    • pp.69-75
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    • 2014
  • Objective: We developed a Motor-Assisted Rowing Machine (MARM) for Spinal Cord Injury (SCI), by modification of the Concept II rowing machine, so that the seats could be operated automatically in a backward and forward direction by a motor. Design: Case report. Methods: Motor rowing consisted of a chair with inclination control, a motor system, control button, monitor, program, leg supporter, safety belt, and seat. The patients were 2 men rowing athletes with SCI, classified as American Spinal Injury Association class B, participated in the study. Level of thoracic injury ranged from T8 to T10. The subjects rowed at a self-selected stroke rate with 50 watts. Two different rowing methods (static rowing without movement of the seat, dynamic rowing using MARM) were assigned to each participant during 10 minutes; 34 reflective markers were attached to their full bodies. Kinematic data were collected using the Vicon motion analysis system. Based on the full body model provided as a default by the equipment. In the rowing exercise, the rowing motions were divided into Drive Phase and Recovery Phase. Results: The two rowing methods differ in handle range, seat range, handle and seat ratio, handle velocity, and seat velocity during static and dynamic rowing. The rowing exercise using a rowing machine developed MARM increased tendency to the range of motion in the dynamic method compared to the static method. Conclusions: The newly developed MARM could be a useful whole body exercise for people with SCI.

Adolescents' Experiences of Non-Suicidal Self-Injury: An Interpretative Phenomenological Analysis Study (청소년의 비자살적 자해 경험: 해석 현상학적 분석)

  • Ko, Jung A;Kim, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.53 no.5
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    • pp.538-555
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    • 2023
  • Purpose: This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents. Methods: Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis. Results: The results yielded 5 main themes and 18 subthemes. The main themes were 'a silent cry to an indifferent world', 'a heartache that one endures with scars', 'an inescapable cycle', 'filling the space in one's heart', and 'healing the wounds'. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so. Conclusion: This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

Study for Real-World Accident Database and Occupant Behavior Analysis in Far-Side Collisions (Far-Side 실사고 분석과 승객거동해석 연구)

  • Jaeho, Shin;Chang Min, Baek
    • Journal of Auto-vehicle Safety Association
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    • v.14 no.4
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    • pp.77-83
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    • 2022
  • Occupant behaviors and body contact with vehicle interior parts are main injury mechanism in far-side collisions. In vehicle side impact accident where the crash accident occurs on the opposite side of the vehicle from the a particular occupant, it is exposed in terms of relatively larger lateral motion to interact with the opposite side of the vehicle structure. The challenge of minimizing motions of upper body and injury risk according to a direct contact is a primary occupant protection research. This study has performed a data analysis of real-world accident database extracted from the 2016~2020 CISS database and a parametric investigation of impact angles and occupant kinematics in far-side lateral and oblique impact simulations. A detailed data analysis was conducted to reveal the relationship among the accident and injury data. Database analysis and computational far-side impact results proposed the fundamental vehicle design for safety improvement in far-side collisions.

Effect of Mori Cortex in the Cardiac Injury Induced by Skin Burn

  • Moon, Hye-Jung;Cho, Hyun-Gug;Park, Won-Hark
    • Biomedical Science Letters
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    • v.10 no.2
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    • pp.107-113
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    • 2004
  • This study was conducted to investigate an effect of Mori Cortex in the cardiac injury following dermal scald burn in rats. Sprague-Dawley rats were induced scald bum (15% of total body surface area). Heart was removed at 5 h postburn and examined with biochemical assay, ultrastructural observations and stereological analysis. The activity of serum aspartate aminotransferase and creatinine was increased at 5 h postburn compared with them of control. Administration of heat extracts of Mori Cortex after scald burn inhibited the production of KC (neutrophil chemoattractant cytokine) and increased the activity of protein kinase C (PKC) in heart tissue. The activity of myeloperoxidase (MPO) in heart tissue was decreased both at 5 h postburn and in case of Mori Cortex administration after scald burn. Ultrastructurally, many contraction bands and separation of intercalated disk induced by scald burn were decreased by administration of heat extracts of Mori Cortex. In stereological analysis, administration of Mori Cortex after scald burn resulted the volume densities of myofibril and mitochondria were increased compared with them of burn control. These data suggest that Mori Cortex may be a useful stuff to the range of available treatments for cardiac injury induced by skin burn.

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A Study on Shape Design of the Passenger Airbag for Efficiency Improvement (조수석 에어백 성능 개선을 위한 형상 설계연구)

  • Yang, Sunghoon;Yim, Jonghyun;Kim, Seungki;Chae, Soo-Won
    • Transactions of the Korean Society of Automotive Engineers
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    • v.25 no.2
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    • pp.242-249
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    • 2017
  • In this study, the relationship between the shape of a passenger airbag and the possibility of injury is analyzed using the Taguchi method. The optimal shape combination is proposed for a design guideline that can reduce the possibility of injury to the dummy. The airbag FE model for analysis is obtained using a CAD system that can change the shape through several independent variables. The widths of the left / right, top / bottom, and back / forth direction of the airbag shape are set as the design factors, and the effect of the combination injury probability according to the shape is analyzed. The minimum geometric combinations are obtained using the orthogonal array method. The signal to noise ratio is calculated and the optimal shape combination is obtained through sensitivity analysis. The obtained optimal shape combination is compared with the possibility of injury of the initial airbag shape to confirm improved airbag performance.

Effects of Korean Medicine Treatments on Pain Reduction of Postoperative Meniscal Injury Patients : A Retrospective Observational Study (슬관절 반월상 연골 파열 후 수술 환자의 통증 감소에 대한 한의학적 치료 효과: 후향적 관찰연구)

  • Kim, Sang Woo;Oh, Min Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.33 no.4
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    • pp.219-225
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    • 2019
  • The objective of this study is to observe the effectiveness of complex Korean Medicine treatments on pain reduction of patients after meniscal surgery. We analyzed 16 patients who have been diagnosed as Meniscal injury on Magnetic Resonance Imaging(MRI) scan and had admitted to Dunsan Korean Medical hospital from January 30, 2014 to April 30, 2019. The analysis was conducted as retrospective study which analyzes patient's medical records. Statistical analysis was performed using the IBM SPSS statistics 25 program. We used Numeric Rating Scale to evaluate pain reduction, Five-point likert scale to asses treatment satisfaction. The result showed that there were statistically significant pain reduction on the postoperative meniscal injury patients treated with complex Korean Medicine treatments. In conclusion, we found that the complex Korean Medicine treatments showed a positive effect on pain reduction of postoperative meniscal injury patients. Further research is required to confirm the effectiveness of Korean Medicine treatment.