• Journal of Trauma and Injury
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• 제22권2호
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• pp.167-171
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• 2009

Purpose: It is important to begin a transfusion safely and appropriately as soon as possible in a hemorrhagic shock patient. A group $O^+$ unmatched pack red blood cell (universal $O^+$) transfusion may satisfy that requirement. We report our experiences with universal $O^+$ to compare its usefulness for hemorrhagic shock patients with that of a matched pack red blood cell transfusion in the emergency department (ED). Methods: This is a retrospective study. Patients who had systolic blood pressure of less than 90 mmHg or a pulse rate of more than 120 beats per minute in the ED were included, and their medical records were reviewed. The collected data were demographic data, vital signs, blood test results, time to transfusion, the amount of transfusion, complications, and diagnoses. We calculated the emergency transfusion score (ETS) based on the patients' medical records. Results: Two hundred thirty-five patients were included. Forty-eight patients (36 trauma and 12 non-trauma patients) were transfused with a universal $O^+$. These patients had less time to transfusion compared with the cross-matched transfusion groups (35${\pm}$42 versus $170{\pm}187$ minutes, p<0.001). There were no differences in complications between groups (p=0.076). Of the patients who were transfused with universal $O^+$, 94.4% got more than 3 ETS. Conclusion: The universal $O^+$ transfusion, compared with matched pack red blood cell transfusion, should be a useful treatment for ED hemorrhagic shock patient due to its having a shorter time to transfusion without an increase in complications.

• Fire Science and Engineering
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• 제26권3호
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• pp.91-99
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• 2012

Fatal injuries and deaths have occurred resulting from the operation or disassembling of a powder extinguishers in Korea. If a rusted powder extinguisher is exploded during operation or disassembling, it rises to the air like a rocket and hits a head, chest, or neck part of an operator, resulting in his (her) death or injury. In this study examines the explosion accident cases of a powder fire extinguisher and analyzes their causes, reactions to explosion, and precautionary measures. And in this paper suggests 1) no using of old fire extinguishers in fire drill or education, 2) education and public information on danger of old fire extinguishers, 3) indication of explosion danger to cartridge-type dry chemical powder fire extinguishers had already placed to buildings etc., 4) obligatory indication of durable years on fire extinguishers, 5) examination for introduction of system that do hydraulic pressure test about fire extinguishers that given period past, 6) construction of system that reclaim old fire extinguishers, 7) construction of system that recycle or reuse old fire extinguishers, and 8) operation of help desk related to old fire extinguishers as precautionary measure of fire extinguisher explosion accidents.

• The Journal of Korean Physical Therapy
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• 제20권1호
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• pp.1-9
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• 2008

Purpose: This study examined the effects of pre-eccentric exercise to the quadriceps for the prevention of delayed onset muscle soreness (DOMS) and recovery of muscular function, depending on the training intensities. Methods: Subjects were divided into one of three groups that control group, a low intensity eccentric exercise group (LIEE group) and a high intensity eccentric exercise group (HIEE group). Subjects who underwent pre-eccentric exercise undertook exercise at an intensity of 25% and 75% of maximal voluntary contractions, respectively. After undertaking pre-eccentric exercise for eight weeks, eccentric exercise was applied again to induce DOMS. Measurements were conducted to examine pain and muscular function changes before, immediately after, after the induction of DOMS, and at the first, third, fifth and seventh days after the induction of DOMS. Results: Subjects who underwent pre-eccentric exercise showed a significant difference from the control group for the changes in the visual analogue scale (VAS) pain threshold, pressure pain threshold and muscle thickness by isometric contraction from measuring DOMS, and in particular, pain threshold by isometric contraction had remarkable effect in the LIEE group of subjects. For the change of the root mean square values using mechanomyography (MMG) as the measurement of muscular function recovery, subjects who had undertaken pre-eccentric exercise group showed a significant difference as compared to the control group. Conclusion: Pre-eccentric exercise was very effective in preventing and recovering delayed onset muscle soreness and was helpful to prevent and recover from decreased muscular function. The difference based on the intensity of exercise was not great, but it was more effective in the low intensity eccentric exercise group of subjects. Therefore, it can be considered that pre-eccentric exercise has a high application value as a physical therapy intervention for prevention and rehabilitation of sports injuries.

• Archives of Reconstructive Microsurgery
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• 제25권2호
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• pp.49-55
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• 2016

Purpose: Soft tissue defects in the lumbosacral area can be challenging to treat, and various methods to accomplish this have been proposed, including the use of perforator flaps. Herein, we present our experience with superior gluteal artery perforator (SGAP) and inferior gluteal artery perforator (IGAP) flaps for the reconstruction of lumbosacral defects. Materials and Methods: From March 2013 to July 2016, 28 cases (27 patients) of lumbosacral defects were treated by reconstruction with SGAP or IGAP flaps. The defects were caused by pressure sores (21 cases), burns (3 cases), tumor resection (2 cases), scars (1 case), or foreign body infection (1 case). Reliable perforators around the defect were found using Doppler ultrasound. The perforator flaps were elevated with a pulsatile perforator and rotated to cover the defects. Results: Twenty-three SGAP and 5 IGAP flap reconstructions were performed. The mean flap size was $9.2{\times}6.1cm^2$ (range, $5{\times}3cm^2$ to $16{\times}10cm^2$). Donor sites were closed by primary closure. Partial flap necrosis occurred in two cases, and minor complications of wound dehiscence occurred in 3 cases, which were healed by primary closure. The mean follow-up period was 4.4 months (range, 1~24 months). Conclusion: Gluteal-based perforator flaps can be safely harvested due to pliability and reliable vascularity in the gluteal area, reducing donor site morbidity without sacrificing the underlying muscles. Thus, these flaps are useful options for the reconstruction of lumbosacral defects.

• Korean Journal of Applied Biomechanics
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• 제16권2호
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• pp.75-83
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• 2006

The Purpose of this study was to compare the biomechanical difference of two soccer footwear. which will provide scientific data to coaches and players, to further prevent injuries and to improve each players skills. The result of this study can be summarized after testing the two types of soccer footwear with comparative transforming heel angles and also with a pressure distribution in running. When a player's foot first touched the ground, the average difference of in/eversion was between 1.2 and 3.1 degrees for the two soccer shoes. In regards to maximum inversion and eversion of foot, maximum tibial rotation, and maximum and total movement of foot, the condition of barefoot and the two soccer shoes showed a small difference from 1.5 to 3.5 degrees and the difference among the subjects of study wasn't constant. In regards to maximum velocity of inversion and eversion running in one's bare feet showed much lower inversion velocity in comparison to putting on two types of soccer shoes and comparison of the average. Among some of the subjects, after putting on the two types of soccer shoes exceeded $97^{\circ}/s$ in maximum velocity of eversion. In the maximum braking impulse(t=2774, p<.05) and propulsive impulse for antero-posterior direction, there was a statistically significant difference between the two soccer footwear at running. In the maximum braking force(t=3.270, p<.05) and propulsive force(t=4.956, p<.05) for antero-posterior direction, there was a statistically significant difference between the two soccer footwear at running.

• Physical Therapy Korea
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• 제27권1호
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• pp.78-86
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• 2020

Background: Flat-footed persons with collapsed medial longitudinal arch lose flexibility after skeletal maturity, resulting in several deformities and soft tissue injuries. Although arch support taping is usually applied in the clinic to support the collapsed arch, research on the use of different types of tape for more efficient arch support in flat-footed persons is lacking. Objects: The purpose of this study was to examine three conditions (barefoot, kinesio tape, and dynamic tape) and compare their effects on static and dynamic balance in persons with asymptomatic flexible flatfoot. Methods: Twenty-two subjects (9 females and 13 males) with asymptomatic flexible flatfoot participated in this study. The subjects performed the Y-balance test to measure the composite reach score. The subjects also performed a 30-second standing test to measure the center of pressure (COP) path length and a walking test to measure anteroposterior and lateral variability using the Zebris FDM system. One-way repeated-measures analysis of variance compared the three conditions applied to the subjects' feet for each balance variable. Results: The composite reach score significantly increased following the application of dynamic tape compared with barefoot and that of kinesio tape compared with barefoot. There was no significant difference in the COP path length during standing among the three conditions. Anteroposterior and lateral variability during walking significantly with dynamic tape application compared with barefoot. Conclusion: The results of this study suggest that, in persons with asymptomatic flexible flatfoot, application of kinesio tape and dynamic tape may be effective in increasing the composite reach score in Y-balance test, whereas application of dynamic tape may be effective in reducing anteroposterior and lateral variability during walking.

• Advances in pediatric surgery
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• 제16권2호
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• pp.177-189
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• 2010

Traumatic injury is one of the leading causes of morbidity and mortality in children. This is a clinical review of pediatric blunt abdominal trauma. A retrospective analysis of the 112 children with blunt abdominal trauma aged 15 years or less treated at the Department of Pediatric Surgery, Chonbuk National University Hospital was performed. The analysis included age, sex, injury mechanism, number and site of the injured organ, management and outcomes. The average age of occurrence was 7.6 years, and the peak age was between 6 and 8 years. There was a male preponderance with a male to female ratio of 2.3:1. The most common cause of blunt abdominal trauma was traffic accidents (61.6 %), principally involving pedestrians (79.7 %). The accident prone times were between 8:00 AM and 8:00 PM, the weekends (40.2 %), and the winter respectively. Thirthy-five patients (31.2 %) had multiple intra-abdominal organ injuries and the most common injured organ was the liver. Seventy-four cases (66.1 %) were managed non-operatively and eleven cases (9.8 %) expired. Of the patients who were treated surgically or were to be operated on one patient died before surgery, the remainder died during or after surgery. Risk factors such as number of injured organ, systolic and diastolic blood pressure, and trauma scores by Glasgow coma scale (GCS), Pediatric trauma score (PTS), revised trauma score (RTS), injury severe score (ISS), TRISS were significantly correlated with mortality rate.

• Journal of the Korean Institute of Gas
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• 제16권2호
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• pp.60-66
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• 2012

With diversification of research and development activity according to fusion of state-of-the-art technology, potential hazard and risk factors in new forms have been increased in the laboratories. Also, as there are many cases where the experimental condition is extremely high/low temperature and pressure, many many accidents producing loss of life and/or injuries occur due to the extreme condition. In this study, The common fact questionnaire as the survey tool for the establishment of the accident prevention countermeasure in laboratory have been developed to safety security of the laboratory workers. The current status of chemical materials and the realization of important on laboratory safety management using the questionnaire investigated by an electronic mail and visiting survey in the laboratories and universities. The collected data was analyzed with Excel program and it can be utilized as basic data for accident prevention in laboratories.

• Transactions of the Korean Society of Mechanical Engineers A
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• 제34권11호
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• pp.1727-1732
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• 2010

Forensic engineering is the area of expertise of people qualified to serve as engineering experts in courts of law or during arbitration proceedings. An aerial-lifter can lift and carry load, including people, using power. Recently, failure of aerial-lifter internal parts while working and sweeping causing injuries and damage to property almost always generates conflict between the automaker and customer. Hence, the investigation of such events generally involves an engineering analysis. One of the possible reasons for accidents, such as a vehicle catching fire is the failure of oil pressure machine and the supporting pin. The results of formal inspections and engineering tests can reveal the cause for the failure of the mechanical parts. Therefore, the failure mechanism is analyzed by adopting fractography methods and by applying an instrumented indentation technique to compare the material properties of the reference part with those of the malfunctioning part.

• Archives of Plastic Surgery
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• 제45권3호
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• pp.266-270
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• 2018

Background Skin grafting is a commonly performed operation in plastic and reconstructive surgery. The tie-over dressing is an effective technique to secure the grafted skin by delivering persistent downward pressure. However, if an additional dressing is required due to incomplete graft healing, the process of re-implementing the tie-over dressing may be frustrating for both patients and surgeons. Therefore, we introduce the double tie-over dressing, which readily allows for an additional tie-over dressing after the first dressing, and we present a comparison of its effectiveness with that of the simpler bolster dressing. Methods Of 128 patients with a skin defect, 69 received a double tie-over dressing and 59 patients received a simple bolster dressing. Using the independent t-test, the mean healing time, which was defined as the mean time it took for the wound to heal completely so that no additional dressing was required and it was washable with tap water, was compared between the 2 groups in both the head and neck region and in other areas. Results The mean healing time for the head and neck region in the double tie-over dressing group was $9.19{\pm}1.78days$, while it was $11.05{\pm}3.85days$ in the bolster dressing group. The comparison of the 2 groups by the independent t-test revealed a P-value of 0.003 for the mean healing time. Conclusions In the head and neck area, the double tie-over dressing required less time to heal than the simple bolster dressing.