• Title/Summary/Keyword: Injury criteria

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Comparison of the Effectiveness of University of Wisconsin and Histidine-Tryptophan Ketoglutarate Solution on Renal Cold Preservation in the Miniature Pig (미니돼지에서 University of Wisconsin 용액과 Histidine-Tryptophan Ketoglutarate 용액의 신장 저온보존효과 비교)

  • Nam, Hyun-Suk;Yoon, Byung-Il;Woo, Heung-Myong
    • Journal of Veterinary Clinics
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    • v.26 no.5
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    • pp.445-449
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    • 2009
  • For human organ transplantations, histidine-tryptophan-ketoglutarate solution (HTKS) and University of Wisconsin solution (UWS) have been shown to engender similar outcomes as gold standard cold preservation solutions ($4^{\circ}C$). To select the effective preservation solution for cold storage of kidney xenografts in miniature pig, which could be a potential source animal of bio-organs, this study compared early histopathological outcomes of cold preservation injury using HTKS and UWS. Twelve miniature pigs weighing 25.6 to 34.7 kg were divided into two groups (n = 6 per group), UWS group and HTKS group. The kidneys in each group were harvested, cold flushed, and preserved for 0, 24, 48, and 72 hrs at $4^{\circ}C$ with UWS or HTKS, respectively. Histolopathological examinations were assessed on kidney biopsy specimens, taken after each cold storage. The degree of renal injury was scored using 5 different criteria (pyknotic nuclei, disruption of cytoplasm, detachment of epithelium, loss of microvilli, tubular necrosis and loss of glomerular tufts) of the cellular components of the tissue. The degree of kidney damage was increased with prolonged cold ischemia time. UWS and HTKS have at least similar efficacy in kidney preservation within 24 hrs cold preservation time. However, in HTKS group cold-induced injury started to be observed more than in UWS group after 48 hrs of cold storage. In conclusion, UWS and HTKS were equally effective for cold preservation of miniature pig kidney in early preservation times; however, UWS may be more effective at longer preservation times as compared to HTKS.

Review of the Research in China on Music Interventions for Adult Patients With Brain Injuries (중국 내 성인 뇌손상 환자 대상 음악중재 연구 고찰)

  • Yu, Huiyan
    • Journal of Music and Human Behavior
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    • v.18 no.2
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    • pp.67-85
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    • 2021
  • This study reviewed the research in China on music interventions for adult brain injury patients. Eighty-three studies that met the inclusion criteria were included for analysis. Our review revealed that the number of intervention studies using music with adult brain injury patients has been on the rise since 2012, and random control research design methods have been dominant. Studies focused on the physical domain and emotional domain together were most common. Researchers in fields outside of music therapy conducted 43 of the studies, and music therapists carried out 14 of the studies as intervention providers. Most of the studies carried out by experts in fields other than music therapy used listening activities involving preexisting recorded music. However, most of the studies conducted by music therapists adopted reconstructed music and played it live during their intervention. The specificity of the described content of the interventions and level and relevance of stated rationale to the target goal of the intervention suggests that high quality of intervention was conducted with a therapist/investigator who has completed adequate professional education/training, which would emphasize the importance of music therapy professionalism. This study provides the baseline data for how music intervention research has been implemented in China and presents implications for future clinical practice and research.

Correlation Analysis between Injury Index of Multi-cell Headrest through k-means Clustering DB (k-means clustering DB를 통한 Multi-cell headrest의 상해지수 간 상관관계 분석)

  • Sungwook Cho;Seong S. Cheon
    • Composites Research
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    • v.37 no.1
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    • pp.46-52
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    • 2024
  • The development of transportation methods has improved human transportation convenience and made it possible to expand the travel radius of people with disabilities who have difficulty moving. However, in the case of WAV (wheelchair Accessible Vehicle), the safety that may occur in a vehicle accident is still lower than that of regular passenger seats. In particular, in the case of a rear-end collision that may occur in a defenseless situation, it can cause fatal neck injuries to disabled passengers. Therefore, a more detailed design plan must be reflected in the headrest to be applied to WAV. In this study, a multi-cell headrest was proposed to implement local compression characteristic distribution of the headrest during rear-end collision of WAV. Afterwards, a correlation analysis was performed between the passenger's NIC (Neck Injury Criterion) and impact energy absorption using the data set construction through analysis and the clustering results using k-means clustering. As a result of clustering, it was confirmed that data clusters with similar characteristics were formed, and a correlation analysis between NIC and impact energy absorption through the characteristics of each cluster was performed. As a result of the analysis, it was confirmed that the softer the cell compression characteristics in Mid3 and Mid6, the more impact energy absorption increases, and the harder the cell compression characteristics in Front2, Mid3, and Mid6, the more effective it is in reducing NIC.

Electronic Cigarette or Vaping Product Use-Associated Lung Injury: A Case Report (전자담배 관련 급성 폐 손상: 증례 보고)

  • Jiyun Lim;Bo Da Nam;Jung Hwa Hwang;Yang-Ki Kim;Eunsun Oh;Eun Ji Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1581-1588
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    • 2021
  • Electronic cigarette (e-cigarette) or vaping product use-associated lung injury (EVALI) has emerged as a social issue as e-cigarette use is rapidly increasing worldwide and is related to many deaths in the United States. To our knowledge, this is the first case report of EVALI in South Korea of a 24-year-old man with acute respiratory symptoms and a history of e-cigarette use. Chest CT revealed diffuse bilateral ground-glass opacities with subpleural sparing, airspace consolidation, and centrilobular micronodules as typical patterns of EVALI with organizing pneumonia and diffuse alveolar damage. Infection was excluded with meticulous laboratory examinations, and the patients' illnesses were not attributed to other causes. EVALI was diagnosed by meeting the diagnostic criteria with consistent clinico-radiologic findings through a multidisciplinary approach. Radiologists should have good knowledge of EVALI radiologic findings and play a cardinal role in the proper diagnosis and management of EVALI.

Comparison of panoramic radiography with cone beam CT in predicting the relationship of the mandibular third molar roots to the alveolar canal

  • Shahidi, Shoaleh;Zamiri, Barbod;Bronoosh, Pegah
    • Imaging Science in Dentistry
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    • v.43 no.2
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    • pp.105-109
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    • 2013
  • Purpose: Preoperative radiographic assessment of the mandibular third molars is essential to prevent inferior alveolar nerve damage during extraction. The purpose of this study was to assess the reliability of panoramic signs of association between the roots of teeth and the canal, and to compare the panoramic signs with cone beam computed tomography (CBCT) findings. Materials and Methods: CBCT images of 132 impacted mandibular third molars were evaluated to determine the association of the root to the canal. The CBCT findings were compared with the corresponding panoramic images. Logistic regression analysis was used to define the diagnostic criteria of the panoramic images. Results: Among the panoramic signs, loss of the cortical line was the most frequent radiographic sign predicting association (sensitivity: 79.31). Contact of the tooth with the canal was observed in all cases in which the loss of cortical line of the canal or darkening of the roots was found on the panoramic radiographs. Conclusion: Darkening of the roots and loss of the cortical line on panoramic radiographs might be highly suggestive of the risk of nerve injury.

Test and Evaluation based on Standard Regulation of USA Federal Automotive Safety of Assistant Driver's Seat Airbag at Low Risk Deployment Passenger Airbag using Passenger Protection Wrap (승객보호용 랩을 적용한 저위험성 조수석 에어백의 미국 연방 자동차안전 기준법규에 의거한 시험과 평가)

  • Kim, Dong-Eun;Kim, Jin-Hyeong;Kang, Myung-Chang
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.15 no.1
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    • pp.61-67
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    • 2016
  • The airbag is a widely accepted device for occupant protection in the automotive industry. As the injuries induced by airbag deployment have become a critical issue, revisions to Federal Motor Vehicle Safety Standard (FMVSS) 208 were required to create advanced airbags that can protect occupants of varying statures. In this paper, we developed a new low-risk deployment passenger airbag by adding the Passenger Protection Wrap (PPW). The PPW reduces the cushion impact force to the occupant in order to ensure pressure dispersion. A series of tests were conducted by using FMVSS 208 test procedures to demonstrate the proposed system. It was found that the system not only satisfied the injury criteria of FMVSS 208 but was also effective for protecting passengers of all sizes (male, small female, 3-year-old, 6-year-old).

Minimum life-cycle cost design of ice-resistant offshore platforms

  • Li, Gang;Zhang, Da-Yong;Yue, Qian-Jin
    • Structural Engineering and Mechanics
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    • v.31 no.1
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    • pp.11-24
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    • 2009
  • In China, the oil and natural gas resources of Bohai Bay are mainly marginal oil fields. It is necessary to build both ice-resistant and economical offshore platforms. However, risk is involved in the design, construction, utilization, maintenance of offshore platforms as uncertain events may occur within the life-cycle of a platform under the extreme ice load. In this study, the optimum design model of the expected life-cycle cost for ice-resistant platforms based on cost-effectiveness criterion is proposed. Multiple performance demands of the structure, facilities and crew members, associated with the failure assessment criteria and evaluation functions of costs of construction, consequences of structural failure modes including damage, revenue loss, death and injury as well as discounting cost over time are considered. An efficient approximate method of the global reliability analysis for the offshore platforms is provided, which converts the implicit nonlinear performance function in the conventional reliability analysis to linear explicit one. The proposed life-cycle optimum design formula are applied to a typical ice-resistant platform in Bohai Bay, and the results demonstrate that the life-cycle cost-effective optimum design model is more rational compared to the conventional design.

Fat Embolism Syndrome - Three Case Reports and Review of the Literature

  • Grigorakos, Leonidas;Nikolopoulos, Ioannis;Stratouli, Stamatina;Alexopoulou, Anastasia;Nikolaidis, Eleftherios;Fotiou, Eleftherios;Lazarescu, Daria;Alamanos, Ioannis
    • Journal of Trauma and Injury
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    • v.30 no.3
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    • pp.107-111
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    • 2017
  • The fat embolism syndrome (FES) represents a condition, usually with traumatic etiology, which may pose challenges to diagnosis while its treatment usually requires supportive measures in the intensive care units (ICUs). The clinical criteria, including respiratory and cerebral dysfunction and a petechial rash, along with imaging studies help in diagnosis. Here we present three case reports of young male who developed FES and were admitted to our ICUs after long bones fractures emerging after vehicle crashes and we briefly review FES literature. All patients' treatment was directed towards: 1) the restoration of circulating volume with fresh blood and/or plasma; 2) the correction of acidosis; and 3) immobilization of the affected part. All patients recovered and were released to the orthopedic wards. The incidence of cases of patients with FES admitted in our ICUs records a significant decrease. This may be explained in terms effective infrastructure reforms in Greece which brought about significant improvement in early prevention and management.

Evolution of Chronic Subdural Hematoma based on Brain CT findings and Appropriate Treatment Methods (만성 경막하 혈종의 성장에 대한 뇌 CT 소견 및 치료 방침)

  • Lee, Young Bae
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.209-216
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    • 2012
  • Purpose: The objectives of this study are to classify chronic subdural hematomas based on brain computerized tomographic scan (CT scan) findings and to determine the mechanism of evolution and treatment methods. Methods: One hundred thirty-nine patients who were diagnosed with a chronic subdural hematoma and who available for follow up assessment 6 months post-surgery were analyzed retrospectively. The presence of trauma and past medical history were reviewed and evaluation criteria based on brain CT scan findings were examined. Results: Initial brain CT scans revealed a chronic subdural hematoma in 106 patients, a subdural hygroma in 24 patients, and an acute subdural hematoma in 9 patients. In all cases where the initial acute subdural hematoma had progressed to a chronic subdural hematoma, final was a hypo-density chronic subdural hematoma. In case where the initial subdural hygroma had progressed to a chronic subdural hematoma, the most cases of hematoma were hyper-density and mixed-density chronic subdural hematoma. In total, 173 surgeries were performed, and they consisted of 97 one burr-hole drainages, 70 two burr-hole drainages and 6 craniotomies. Conclusion: This study demonstrates that rebleeding and osmotic effects are mechanisms for enlarging of a chronic subdural hematoma. In most cases, one burr-hole drainage is a sufficient for treatment. However, in cases of mixed or acute-on-chronic subdural hematomas, other appropriate treatment strategies are required.

A Study on Wheelchair Occupant Injury in Wheelchair Accessible Vehicle by the Sled Test (충돌모의(Sled) 시험에 의한 특별교통수단 휠체어 탑승자 상해에 관한 연구)

  • Kim, Taeyong;Shim, Sojung;Kim, Siwoo;Kang, Byungdo
    • Transactions of the Korean Society of Automotive Engineers
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    • v.25 no.2
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    • pp.140-148
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    • 2017
  • Accidents involving wheelchair accessible vehicles have been frequently occurring since the introduction of these vehicles in the Korean market. However, detailed regulations, which are required to ensure the safety of the wheel-chair occupants, are unavailable. In this study, both domestic and international vehicle safety regulations are analyzed in order to select the regulations that are similar to the transportation environment of Korea. Sled tests with an actual wheel-chair accessible vehicle were carried out based on the analyzed regulation requirements, as well as the values of the HIC, belt loads, dummy movements, and wheelchair movements. The test results showed that the movements of the dummy and the wheelchair did not meet the criteria of the regulation due to the improper positioning of the restraint systems.