• Title/Summary/Keyword: Neck, Injuries

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An Ergonomics Approach for Developing Korean Style Chiropractic Table (한국형 척추교정기의 개발을 위한 인간공학적 접근)

  • 정화식
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.22 no.52
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    • pp.323-335
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    • 1999
  • Spinal injuries are common these days and are increasing due to the increasing sports activities, auto-related accidents, and occupational incidences. Most of spinal injuries of strain and sprain are associated with trauma and resulted in loss of optimal musculoskeletal system in spinal column area. Some of these injuries requires surgical treatments. Fortunately, some people with spinal disorder are achieving outstanding results with the chiropractic care which utilizes muscle stimulation and strengthening, traction therapy, and spinal adjustments. These treatments using chiropractic table can ease pain by restoring alignment, improving mobility, and relieving pain and stiffness in neck and spinal areas. The purpose of this study was thus to gather the comprehensive information about spinal injuries, to define the specific dimensions, and to recommend functions of chiropractic table specially suited for Korean. This study was an integrated approach in applying the concepts of biomechanical correction of the musculoskeletal system. Also, this study was to utilize a knowledge of physics, ergonomics, and rehabilitation to the development of spine cure medicine.

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Age group analysis of patients with dog bite injuries who visited a single regional emergency medical center and factors affecting wound infections

  • Kang, Dong Ho;Choi, Jea Yeon;Choi, Woo Sung;Jang, Jae Ho;Cho, Jin-Seong;Hyun, Sung Youl
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.84-91
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    • 2022
  • Purpose: The aim of this study was to analyze by age group the characteristics of patients with dog bite injuries, as well as determine which factors were associated with wound infections in those patients. Methods: We reviewed patients with dog bite injuries who presented to Gachon University Gil Medical Center in Incheon, Korea from January 1, 2014 to December 31, 2018. They were classified by age group: children (0-18 years), adults (19-59 years), or elderly (≥60 years). Event profiles, wound characteristics, and infections were compared across these age groups. Multivariable logistic regression was used to identify factors associated with wound infections. Results: Of the total 972 dog bite injuries, 272 (28.0%) were in children, 606 (62.3%) were in adults, and 94 (9.7%) were in the elderly. The median age was 30 years (interquartile range, 16-48 years) and the majority of patients (60.5%) were female. The most common place of injury was at home (73.8%) and indoors (77.0%). In children, the head and neck were the most frequent sites of injury (43%), while the most frequent site in adults and the elderly (50.8% and 59.6%, respectively) was the upper extremity. The odds ratio (OR) for wound infection was 3.997 (95% confidence interval [CI], 1.279-12.491; P=0.017) for head and neck injuries and 3.881 (95% CI, 1.488-10.122; P=0.006) for lower extremity injuries. The OR for wound infection was 4.769 (95% CI, 2.167-10.494; P<0.001) for significant injuries. Elderly patients had a higher risk for wound infection than other age groups (OR, 2.586; 95% CI, 1.221-5.475; P=0.013). Conclusions: When analyzing patients with dog bite injuries, differences across age groups were found, with the elderly at the highest risk for significant injury and wound infection. It is recommended that age-specific approaches and strategies be used to prevent dog bite wound infections.

A Study on Occupant Neck Injury in Rear End Collisions (후방추돌시 탑승자 목 상해 감소를 위한 연구)

  • 이재완;윤경한;박경진
    • Transactions of the Korean Society of Automotive Engineers
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    • v.8 no.3
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    • pp.130-138
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    • 2000
  • The position of the automobile seat back is very important for the neck injury in the rear-end collisions. The effects of the position have been evaluated experimentally. A sled simulator is utilized with a velocity of 33 km/h. The position is varied by the angle of seat back from 25 to 65 degrees. All the configurations of the seat are fixed except the angle. The neck injuries are calculated by the equations accepted in the industries. Also, the sled tests with other velocities are carried out for the comparison study. Using the results of the test, the effects of seat back strength are discussed to minimize the occupant neck injury in rear end collisions.

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The Clinical Characteristics of Amusement-park-related Injuries (경기도 지역의 일개 대형 놀이공원에서 발생한 환자를 통한 대형 놀이공원에서의 외상성 손상의 양상)

  • Lee, Jae Hyuk;Sim, Min Seob;Song, Hyoung Gon
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.103-107
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    • 2009
  • Purpose: There are no reports on amusement-park-related injuries in Korea. Thus, the objective of this study was to describe traumatic injury patterns that occurring in an amusement park. Methods: The medical records of an infirmary were retrospectively reviewed. From January 1, 2008, to December 31 2008, patients who were transferred to the nearest emergency departments of hospitals for the purpose of further test and treatment were enrolled. Demographics, injury types and involved parts of the body were analyzed. Results: A total of 3,608 patients visited an infirmary for traumatic injury and about two-thirds had soft issue injuries. Of those, 191 patients (5.3%) were transferred to the emergency department of a hospital. Of the patients who were transferred to a hospital, laceration and contusion were the responsible injuries for about half. Laceration was the most common injury in pediatric patients, and a sprain or a strain was the most common in adult patients. The most commonly injured parts of the body were the extremities in adult patients. However, in pediatric patients, injuries of the head, face and neck were similar to injuries of the extremities. Conclusion: Soft tissue injury was the most common amusement-park-related injury. Laceration was the most common reason to transfer a patient to a hospital. There were differences in injury type and injured part of the body between adult and pediatric patients.

Clinical Evaluation of the Fracture of Talar Neck (거골 경부 골절에 대한 치료)

  • Rhee, Jin-Hong;Lee, Jeong-Woung;Cho, Jae-Young;Bae, Sang-Won;Lee, Eui-Hyung;Lee, Ju-Youn
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.2
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    • pp.119-125
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    • 1997
  • The fracture and fracture-dislocation of the neck of the talus (Hawkins' type I-IV) are uncommon injuries and represent only 0.12 to 0.32% of all fracures. Authors clinically evaluated in 12 cases Whom treated fracures of the neck of the talus, at department of orthopaedic surgery, Sun General Hospital, from 1990 to 1996, and the following results are obtained. 1. Of 12 cases, there were 11 males and 1 female, average age was 30 years. 2. Causes of fracture was fall down injury in 7 cases(58%), traffic accident in 4 cases(33%), direct trauma in 1 case(8%). 3. According to the classification by Hawkins' type I in 2 cases(17%), type II in 7cases (58%), type III in 3cases(25%). 4. Associated injuries were calcaneal fracture in 3 cases, fracture-dislocation of talus in 3 cases, subtalar dislocation in 3 cases, medial malleolar fracture in 5 cases, soft tissue injury in 3 cases, femur and tibia fracture in 1 case, and lumbar Spine compression fracture in 1 case. 5. Average time to operation after injury was 2.5 days. 6. In 2 cases were treated conservatively and 10 cases were treated open reduction and internal fixation with screw or K-wire. 7. Complications were avascular necrosis in 4 cases, post traumatic arthritis in 2 cases, skin necrosis in 4 cases, and then ankle fusion was done in 2 cases. 8. High rate of complication was seen in the talar neck fracture associated with calcaneal fracture. In the analysis of above results, evaluated by Hawkins' scoring system were excellent to fair in 75%.

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A Predictive Study on Backset Variation on the Neck Injury of Human Model during Rear-end Collision (후방추돌시 백세트 변화에 따른 인체모형의 목상해에 관한 예측 연구)

  • Park, Jin-Su;Baek, Se-Ryong;Lim, Jong-Han;Yoon, Jun-Kyu
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.6
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    • pp.251-258
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    • 2018
  • Recently, due to the increase in the traffic volume of vehicle, the collision of the vehicle collision has been increased so that the neck injuries of the passengers has been increased. In order to prevent this, vehicle collision analysis research using computer simulation has been actively carried out in consideration of the design point of car seat. In this study, I used the MADYMO program for analyzing the passenger behavior using a BioRID II dummy, and predicted the neck injuries of passengers according to the change of the backset at the rearward collision of the driving speed of 16km/h. As a result, it was found that the shorter the backset, the shorter the contact start time but the contact completion time was almost the same and the T1 acceleration showed that the acceleration increased with the backset. In addition, the tensile strength increases as the backset increases, and NIC (Neck Injury Criterion) increases as the head speed reaches the headrest.

The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center

  • Shirah, Bader Hamza;Shirah, Hamza Asaad;Zabeery, Ibrahim Abdulaziz;Sogair, Osama Abdulqader;Alahmari, Ahmed Medawi;Alhaidari, Wael Awad;Alamri, Maher Hamdan;Aljabri, Waal Nafa
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.99-107
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    • 2022
  • Purpose: The term "intentional injuries" refers to a spectrum of injuries resulting from self-inflicted injuries, interpersonal violence, and group acts of violence. Intentional injuries are underreported in Saudi Arabia. This study aimed to analyze and evaluate the characteristics of intentional injuries in patients who presented to the emergency department of a primary trauma center in Medina, Saudi Arabia in 2013. Methods: A prospective cohort database analysis of the clinical patterns and treatment outcomes of 252 patients who had intentional injuries between January and December 2013 was done. Results: The proportion of trauma patients with intentional injuries was 1.3%. The mean age was 34.2±9.4 years, 141 patients (56.0%) were male, and 111 (44.1%) were female (male to female ratio, 1.27:1). The majority (n=159, 63.1%) of injuries occurred at night. Most occurred outside the home (n=180, 71.0%). Financial problems (n=62, 24.6%) and social disputes (n=61, 24.2%) were the most common reasons. Sharp objects (n=93, 36.9%) were the most common weapons used. The head and neck were the most commonly injured areas (n=63, 54.4%). Superficial cuts (n=87, 34.5%), were the most common type of injury. Suturing of wounds (n=54, 21.4%) and surgical debridement (n=47, 18.7%) were the most commonly performed modalities of management. Conclusions: We conclude that intentional injuries in Saudi Arabia are a health care hazard that is, unfortunately, underreported. The clinical pattern is similar in most aspects to international reports but differs in certain features due to the specific religious and conservative characteristics of the community. Nationwide clinical studies are strongly recommended.

A case report of complete cricotracheal separation: an experience from the east coast of Malaysia

  • Atikah, Rozhan;Adam, Mohamad;Khairul Azhar M., Rajet;Mohd Zaki, Ahmad;Suhaimi Bin, Yusof;Wan Emelda Wan, Mohamed;Bathma Devi, Susibalan;Nik Mohd Syukra Nik Abd, Ghani;Zamzil Amin Bin, Asha'ari
    • Journal of Trauma and Injury
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    • v.35 no.4
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    • pp.282-286
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    • 2022
  • Complete cricotracheal separation, which is the most severe type of laryngeal trauma, is an uncommonly seen injury that clinicians have limited experience in managing. However, it is potentially fatal. Due to limited exposure to this condition, mismanagement can occur, which may further aggravate the patient's condition. The most crucial part of managing this injury is to establish a secure airway. Tracheostomy under local anesthesia is the preferred method of airway stabilization, in order to avoid further injuries to the airway caused by endotracheal intubation. Here, we discuss the management of complete cricotracheal separation based on a case experienced in the east coast region of Malaysia, where this type of injury is rarely encountered.

Consideration for the Vehicle Head Restraint Geometry Test Method (머리지지대 안전성평가에 관한 고찰)

  • Shim, So-Jung;Hwang, Duk-Soo
    • Transactions of the Korean Society of Automotive Engineers
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    • v.14 no.6
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    • pp.179-183
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    • 2006
  • Whiplash injuries of the neck are one of the most common injuries reported from automotive rear impacts. Whiplash injuries can be reduced by changing geometry of head restraint. Therefore, geometries of head restraint were evaluated according to the test procedures of the Korea New Car Assessment Program(KNCAP) to improve safety of head restraint. In this study, nine vehicle's head restraints were tested. As the test results, one head restraints is rated at "Marginal", three head restraints are rated at "Acceptable" level, and the last five head restraints are rated at "Good" level.

Human Cutaneous Injuries Following Jellyfish Stings in Dolphin Performance Pool (돌고래 공연 풀에서 해파리 자상에 의한 피부상해)

  • Eo, Kyung-Yeon;Kwon, Oh-Deog
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.497-499
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    • 2010
  • Cutaneous injuries stung by jellyfish are not uncommon in human exposed to marine environments. Most of the cases occur to scuba divers, fishermen, and travelers swimming at the beach. The symptoms vary from mild dermatosis to fatal systemic reaction. Some group of jellyfish like Atlantic Portuguese man-of-war (Physalia physalis) provokes acute severe skin injuries with systemic symptoms of nausea, bradycardia, and rarely anaphylaxis. But it is unusual case that allergic dermatitis caused by Scyphistoma which is polyp stage of jellyfish (Aurelia aurita) happened to zoo keepers working at indoor dolphin pool. This case report is about dermatosis with symptoms such as painful, irritant, itching, and erupted skin lesions on the neck and face of zoo keepers working at dolphinarium in Seoul zoo, Korea.