• Title/Summary/Keyword: Neck support

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Neurogenic Tumors of the Thyroid Gland (갑상선의 신경기원성 종양)

  • Cho Ehn-Hyung;Chung Woung-Youn;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.2
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    • pp.230-234
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    • 1996
  • Benign nonepithelial tumors of the thyroid gland are very rare and include lesions such as vascular tumors, smooth muscle tumors and neurogenic tumors. Schwannoma and neurofibroma are benign neoplasms of mesenchymal origin which frequently occur in the head and neck, but their origin within the thyroid gland has rarely been reported. Recently, we encountered two cases of neurogenic tumor of thyroid gland(l schwannoma, 1 neurofibroma) and report them to support the view that Schwannoma and neurofibroma may occur in thyroid gland, which is an unusual site, and are recognizable entities.

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Strategies of Cancer Registry against Protecting Personal Health Data (개인 정보 보호에 대한 암 등록 사업의 해결 방안)

  • Park, Bum-Jung;Joo, Hyung-Rho;Park, Il-Seok;Kim, Jin-Whan;Rho, Young-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.147-152
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    • 2007
  • Objectives and Background : Aims of this studies are to collect and analyze the lawful restriction against cancer registration and to suggest the model promoting the cancer registry. Materials and Methods : Total 16 countries, the members of OECD, including the U.S. are evaluated. the status of cancer registration of the evaluated countries are analyzed. The legislated laws, protect the individual's information, of the evaluated countries are analyzed. The cases any registries were impaired with the law to protect privacy are searched and analyzed. Results : All of the evaluated countries have some kinds of privacy protecting laws. For cancer registration, 11 of 16 countries implement some lawful authorities. Some of countries have experienced restriction of registration by the law of protecting individual's health data. All countries have performed cancer registry and 6 of 16 countries have nearly 100% population-based cancer registration. Conclusions : The cancer registry has to be the national effort. The informed consent of the data subjects and the permission of any special institutes are the difference to perform the registration. So, it is necessary to legislate any law supporting the cancer registration and establish any independent institutes to protect the individual's health data and support the cancer registry.

Points to consider before the insertion of maxillary implants: the otolaryngologist's perspective

  • Kim, Sung Won;Lee, Il Hwan;Kim, Soo Whan;Kim, Do Hyun
    • Journal of Periodontal and Implant Science
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    • v.49 no.6
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    • pp.346-354
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    • 2019
  • Maxillary implants are inserted in the upward direction, meaning that they oppose gravity, and achieving stable support is difficult if the alveolar bone facing the maxillary sinus is thin. Correspondingly, several sinus-lifting procedures conducted with or without bone graft materials have been used to place implants in the posterior area of the maxilla. Even with these procedures available, it has been reported that in about 5% of cases, complications occurred after implantation, including acute and chronic sinusitis, penetration of the sinus by the implant, implant dislocation, oroantral fistula formation, infection, bone graft dislocation, foreign-body reaction, Schneiderian membrane perforation, and ostium plugging by a dislodged bone graft. This review summarizes common maxillary sinus pathologies related to implants and suggests an appropriate management plan for patients requiring dental implantation.

A Case of Tracheo-Innominate Artery Fistula after Tracheostomy (기관절개술 후 발생한 기관무명동맥루 1예)

  • Lee, Jae Hun;Hong, Seok Min;Kim, Yong Bok;Park, Il-Seok
    • Korean Journal of Bronchoesophagology
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    • v.18 no.2
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    • pp.56-59
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    • 2012
  • Tracheo-innominate artery fistula (TIF) is a rare but catastrophic and almost always fatal complication of tracheostomy. TIF can occur anytime but is commonly present 3 to 24 days after tracheostomy. It can first manifest as massive bleeding around and through the tracheostomy tube, but it can also manifest as a small amount of blood with temporary spontaneous resolution. If TIF is suspicious, airway management and prompt surgical intervention are needed. In an 83-year-old man with CVA history 20 years earlier and who had recurrent aspiration pneumonia, tracheostomy was performed for respiratory management and ventilator support. On day 7 post-tracheostomy, the patient had bleeding from the tracheostoma. Immediate surgical exploration was performed to control the bleeding. A defect was seen at the post wall of the innominate artery. The erosive portion of the artery was sutured, but the patient died three weeks after the surgery due to rebleeding and respiratory failure. We present a patient who developed TIF after tracheostomy, with literature review.

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A Lower Level of Physically Demanding Work Is Associated with Excellent Work Ability in Men and Women with Neck Pain in Different Age Groups

  • Oliv, Stefan;Noor, Adnan;Gustafsson, Ewa;Hagberg, Mats
    • Safety and Health at Work
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    • v.8 no.4
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    • pp.356-363
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    • 2017
  • Background: The aim of this study was to investigate which physical and psychosocial work demands were associated with excellent work ability in individuals with neck pain, and to investigate age and sex differences in these associations. Methods: The study sample was obtained from the Statistics Sweden cross-sectional Work Environment survey and consisted of workers who reported neck pain after work (N = 3,212). Results: The findings showed an association between excellent work ability and self-reported low exposure to lifting, twisted work posture, working with hands in shoulder level or higher, and leaning forward without support and combination of exposures containing these work demands. Low exposure to seated work and high demands showed a reversed association. The associations were present mainly among older workers and were generally stronger for men than for women. Conclusion: This study indicates that a lower level of physically demanding work is an important element to maintain excellent work ability, especially for the older worker with neck pain.

A Convergence Study on Factors Influencing Health-related Quality of Life in Patients with Chronic Neck Pain (만성경부통증 환자의 건강관련 삶의 질 영향요인에 대한 융합연구)

  • Park, Hyun-Hyang;Song, In-Ja
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.299-310
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    • 2018
  • A Convergence study was conducted to investigate the factors influencing the health-related quality of life in patients with chronic neck pain and to present a strategy for effective program development. The participants of this study were 92 patients with chronic neck pain in a region and collected data by self-reported questionnaire. Data were analyzed using PASW 18.0 program, that descriptive statistics, t-test, ANOVA, correlation analysis and stepwise multiple regression analysis were performed. According to the results of stepwise multiple regression, the identified influencing factors were disability(${\beta}=-.403$, p<.001), depression(${\beta}=-.313$, p<.001), age(${\beta}=-.194$, p=.008), muscle disorder(${\beta}=-.176$, p=.009), education(${\beta}=-.151$, p=.043) with health-related quality of life in patients with chronic neck pain. The explanatory power($R^2$) by 5 variables was 67.1%(F=38.118, p<.001). It was found that it is important to consider the individual characteristics, physical function improvement and psychological support for improving the health-related quality of life in patients with chronic neck pain. Therefore, it is necessary to develop a health promotion program based on the factors influencing on the health-related quality of life and analyze its application effect.

Laryngotracheal stenosis in burn patients with inhalation injury (흡인화상환자에서 발생하는 후두 및 기관 협착)

  • Park Il-Seok;Chang Jai-Hyuk;Kim Beom Gyu;Kim Yong Bok;Rho Young Soo;Ahn Hwoe Young;Kim Jong Hyun
    • Korean Journal of Bronchoesophagology
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    • v.11 no.1
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    • pp.10-14
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    • 2005
  • Background and Objectives : Laryngotracheal stenosis in bum patients with inhalation have features distinct from other stenosis after intubation or tracheostomy. However few studies have been reported and the incidence was reported variable. The purpose of this study is to evaluate the clinical manifestation and the incidence of laryngotracheal stenosis in bum patients with inhalation. Methods We retrospectively analyzed 138 bum Patients diagnosed inhalation injury who admitted to Hangang Sacred Heart Hospital from July 2002 to June 2004. Result : 5 patients were developed laryngotracheal stenosis. The incidence of Laryngotracheal stenosis in bum patients with inhalation was $3\%$. Symptom developed early in 2 patients, late in 3 patients.4 patients required trachostomy as initial airway support. The location of stenosis is subglottic region except 1 patient. Montgomery T-tube was inserted in 3 patients, and Single-stage laryngotracheal reconstruction was performed in 1 patient. Conclusion Incidence of laryngotracheal stenosis in our study is lower than other reports due to late presentation of symptom and early discharge after acute bum stage. Inhalation injury may lead to severe complication and sequelae, therefore physicians should be have a awareness for early diagnosis and all burn patients who have a history of inhalation injury should be followed closely.

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A Study on the Structural Safety Analysis of Neck Mount Block of Type 4 Hydrogen Storage Vessel by Finite Element Method (유한요소법을 이용한 type 4 수소저장용기용 고정 장치의 구조적 안전성 분석에 관한 연구)

  • GUNWOO KIM;HYEWON KIM;HANMIN PARK;JEONGHO LEE;SUJIN YOON;HANSU LEE;JOUNGLYUL KIM;SEOKJIN LEE;GYEHYOUNG YOO;YOUNGGIL YOUN;HANSANG KIM
    • Transactions of the Korean hydrogen and new energy society
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    • v.35 no.2
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    • pp.195-204
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    • 2024
  • The study involves a finite element analysis to evaluate the structural integrity of the neck mount block for a type 4 hydrogen storage vessel, with the aim of enhancing its strength and rigidity. The existing neck mount block consists of a fixed part and a sliding part, each comprising a body block for load support, a screw part for neck boss fixation, and bolts. To analyze the vulnerabilities of the neck mount block under bolt fastening and load conditions relative to vehicle travel directions, a structural analysis process was developed. Comparative analysis between the enhanced design and the existing model was performed, resulting in improved strength and rigidity. The objective is to provide guidance for the current product development and to offer fundamental data for the design and structural analysis of future development projects.

A Comparative Study on the Effects of Three Types of Pillows on Head-neck Pressure Distribution and Cervical Spine Alignment

  • Kyeong-Ah Moon;Ji-Hyun Kim;Ye Jin Kim;Joo-Hee Park;Hye-Seon Jeon
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.8-17
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    • 2024
  • Background: Sleep accounts for approximately one-third of a person's lifetime. It is a relaxing activity that relieves mental and physical fatigue. Pillows of different sizes, shapes, and materials have been designed to improve sleep quality by achieving an optimal sleep posture. Objects: This study aimed to determine which pillow provides the most comfortable and supports the head and neck during sleep, which may enhance sleep quality. Methods: Twenty-eight healthy adults (19 males and 9 females) with an average age of 29 years participated in this cross-sectional study. This experiment was conducted while the participants laid down for 5 minutes in four different pillow conditions: (1) no pillow (NP), (2) neck support foam pillow (NSFP), (3) standard microfiber filled pillow (SFP), and (4) hybrid foam pillow (HFP). The head-neck peak pressure, cranio-vertebral angle in supine (CVAs), cranio-horizontal angle in supine (CHAs), chin-sternum distance (CSD), and muscle tone of sternocleidomastoid were analyzed using one-way repeated measures analysis of variance (ANOVA). The significance level was set at p < 0.05. Results: The head-neck peak pressure was the highest in the NSFP condition, followed by the NP, SFP, and HFP conditions. The CVAs, CHAs, and CSD of the SFP were lower than those of the other pillows. Muscle tone was the highest in the NP condition, followed by the of NSFP, HFP, and SFP conditions. The participants subjective comfort level in both the supine and side-lying postures was highest in the HFP condition, followed by the SFP and NSFP conditions. Conclusion: This study can be used to establish the importance of pillow selection for high-quality sleep. The results of this study, suggest that a hybrid pillow with a good supportive core and appropriate fluffiness can maintain comfort and correct cervical spine alignment during sleep.

An effective emergency care of a person from water submersion (익수사고자에 대한 효과적인 응급처치 방법)

  • Oh, Yong-Gyo;Park, Hyoung-Sun
    • The Korean Journal of Emergency Medical Services
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    • v.2 no.1
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    • pp.26-35
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    • 1998
  • This study was to exhibit the effective emergency care method for the drowning and non-drowning who are reached two-thousand peoples every year in our country. For investigate the effective emergency care, this study was discussed as follows ; Pathophysiology of the water submersion, Fresh-water & sea-water drowning, Factors affecting survival, and Prehospital management. The conclusions from this study were summarized as follows; 1. Remove the patient from the water. If you suspect neck or spinal injuries, Always support the head and neck level with the back and, begin rescue breathing. 2. Maintain the airway and support ventilation in the water use the jaw-thrust technique to avoid farther injury to the neck or spine. We might encounter more resistance to ventilations than you expect because of water in the airway. Once you have determined that there are no foreign objects in the airway, apply ventilations with more force; adjust ventilations until you see the patient's chest rise and fall but not until you see gastric distention. Do not attempt to remove water from the patient's lungs or stomach. 3. If there is no pulse, begin CPR. 4. Administer high-flow supplemental oxygen; suction as needed. 5. Once the patient is breathing and has a pulse, assess for hemorrhage; control any serious bleeding that you find. 6. Cover the patient to conserve body heat, Handle the patient very gently, and, Transport the patient as quickly as possible to Emergency Department, Continuing resuscitative measures during transport. If the patient have the hypothermia, follow hypothermia management.

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