• Title/Summary/Keyword: The injured

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Activation of IL-1β, IGF-1 and IGF-2 in Injured Rat Skeletal Muscle by Low Power He-Ne IR Laser and Electrical Stimulation (저출력레이저와 전기자극에 의한 골격근 손상 흰쥐의 IL-1β, IGF-1, IGF-2 활성)

  • Kim, Jong-Soon;Rho, Min-Hee
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.251-262
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    • 2008
  • In this study we investigated the effects of physical therapeutic intervention through electromyography, ultrasonographic imaging and changes of the IL-$1{\beta}$, IGF-1 and IGF-2 in skeletal muscle of rats injured experimentally. The twenty Sprague-Dawley male rats were randomly divided into the 4 groups: a normal, a control, a low power laser and a neuromuscular electrical stimulation group. Abnormal spontaneous activities had not been shown, both in normal and skeletal muscle injured rats. The maximum diameter of the calf muscle was significantly increased in the low power laser and neuromuscular electrical stimulation groups compared with control group. The level of the serum IL-$1{\beta}$ was more decreased in the low power laser and neuromuscular electrical stimulation groups than that of control group. The activation level of the IGF-1 and the IGF-2 were significantly higher in the control, low power laser and neuromuscular electrical stimulation groups than that of normal group. However, there was no statistically significant difference among the control, low power laser and neuromuscular electrical stimulation groups.

The Application of the Health Manager to Return-to-work of Workers Injured by Industrial Accidents (산재근로자 직장복귀를 위한 사업장내 보건관리자 활용방안)

  • Yoon, Sun Nyoung;Lee, Hyun Joo;Yoon, Ju Young
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.1
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    • pp.16-23
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    • 2005
  • Purpose: The Purpose of the study was to suggest how the health manager use to be easy return-to-work of injured workers. Method: The data were collected by the health managers working at the 103 companies over medium size in Incheon, Gyoung-gi and Seoul through interview and report by themselves and analyzed by SAS V8 through t-test. Result: 1. The health managers are consisted of 2 kinds, one is health manager such as physician(10%) or nurse(81%) and the other is safety manager. The former works at the manufacturing company(62.9%), the latter at the service one(42.4%). 2. Management and counseling of occupational and non-occupational diseases, and high risk workers, health education, emergency care, worksite rounding, guidance of personal protector use, and health promotion services were highly performed by health managers. Comparing to these, safety managers performed guidance of job safety, safety management. The difference of two kinds of manager was significant statistically not only the aspect of general job but also related job to the workers of return-to-work after accident. Conclusion: This result shows that health manager can function as a care manager to the workers after return-to-work for adaptation to their job and rehabilitation bio-psycho-socially. But health managers don't have any regulations of encouraging injured workers to get their job again officially.

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Sciatic neurotmesis and periostitis ossificans progressiva due to a traumatic/unexpected glass injury: a case report

  • Berkay Yalcinkaya;Hasan Ocak;Ahmet Furkan Colak;Levent Ozcakar
    • Journal of Yeungnam Medical Science
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    • v.41 no.1
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    • pp.45-47
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    • 2024
  • Peripheral nerves may be affected or injured for several reasons. Peripheral nerve damage can result from trauma, surgery, anatomical abnormalities, entrapment, systemic diseases, or iatrogenic injuries. Trauma and iatrogenic injuries are the most common causes. The ulnar, median, and radial nerves are the most injured nerves in the upper extremities, while the sciatic and peroneal nerves are the most injured nerves in the lower extremities. The clinical symptoms of peripheral nerve damage include pain, weakness, numbness/ tingling, and paresthesia. Therefore, early diagnosis and appropriate treatment of peripheral nerve injuries are crucial. If a peripheral nerve injury is left untreated, it can lead to severe complications and significant morbidity. The sciatic nerve is one of the most affected nerves. This nerve is generally injured by trauma and iatrogenic causes. Children are more susceptible to trauma than adults. Therefore, sciatic nerve injuries are observed in pediatric patients. When the sciatic nerve is damaged, pain, weakness, sensory loss, and gait disturbances can occur. Therefore, the diagnosis and treatment of sciatic nerve injuries are important to avoid unexpected consequences. Ultrasound can play an important role in the diagnosis of peripheral nerve injury and the follow-up of patients. The aim of this case report is twofold. First, we aimed to emphasize the critical role of ultrasonographic evaluation in the diagnosis of peripheral nerve injuries and pathologies. Second, we aimed to present this case, which has distinguishing features, such as the existence of periostitis ossificans progressiva with sciatic neurotmesis due to a traumatic glass injury.

Effect on Varying the Impact Velocity in the Controlled Cortical Impact Injury Model : Injury Severity and Impact Velocity

  • Ji, Yong-Cheol;Min, Byung-Kook;Park, Seung-Won;Hwang, Sung-Nam;Hong, Hyun-Jong;Suk, Jong-Sik
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.41-46
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    • 2005
  • Objective : A study of the histopathologic and neurobehavioral correlates of cortical impact injury produced by increasing impact velocity using the controlled cortical impact[CCI] injury model is studied. Methods : Twenty-four Sprague-Dawley rats [$200{\sim}250g$] were given CCI injury using a pneumatically driven piston. Effect of impact velocity on a 3mm deformation was assessed at 2.5m/sec [n=6], 3.0m/sec [n=6], 3.5m/sec [n=6], and no injury [n=6]. After postoperative 24hours the rats were evaluated using several neurobehavioral tests including the rotarod test, beam-balance performance, and postural reflex test. Contusion volume and histopathologic findings were evaluated for each of the impact velocities. Results : On the rota rod test, all the injured rats exhibited a significant difference compared to the sham-operated rats and increased velocity correlated with increased deficit [p<0.001]. Contusion volume increased with increasing impact velocity. For the 2.5, 3.0, and 3.5m/sec groups, injured volumes were $18.8{\pm}2.3mm^3$, $26.8{\pm}3.1mm^3$, and $32.5{\pm}3.5mm^3$, respectively. In addition, neuronal loss in the hippocampal sub-region increased with increasing impact velocity. In the TUNEL staining, all the injured groups exhibited definitely positive cells at pericontusional area. However, there were no significant differences in the number of positive cells among the injured groups. Conclusion : Cortical impact velocity is a critical parameter in producing cortical contusion. Severity of cortical injury is proportional to increasing impact velocity of cortical injury.

Study of the Factors Related to the Labor Market Transition of Job Injured Workers (산업재해 근로자의 노동시장이행 관련 요인 연구)

  • Bae, Hwa-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.12
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    • pp.7093-7100
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    • 2014
  • This study analyzed the factors related to labor market transition of job injured workers. The Workers' Compensation Insurance Panel data ver.1, which that was surveyed by the Korean Workers' Compensation & Welfare Service in 2013, was used. Four key findings were made: first, the economically inactive populations are 7.2% and unemployed is 22.3% of occupational accident workers who finished the treatment period; second, 31.5% of laborers who returned to a new workplace went into another type of occupation; third, the results showed that socio-demographic factors, such as gender, age and education years, injury-related factors, such as the treatment period and work limitation, and workplace factors, such as company size and employment status, were associated with the return to work; and fourth, a relatively higher proportion of people who has received occupational training could not return to work and the disability grade was not associated with the return to work. These results suggest that policy makers need to understand the characteristics of labor market transition of job injured workers and develop efficient intervention programs based on the transitional labor market.

Field Triage of Severely Injured Patients and Transportation by the EMS Rescue Group of Busan and Kyungnam, Korea: Is It Appropriate? (부산·경남 지역에서 전원 의뢰된 중증외상 분석을 통한 119 구급대의 환자 분류와 이송병원 선정에 대한 고찰)

  • Lim, Jong Eon;Yeom, Seok Ran;Cho, Suck Ju;Han, Sang Kyun;Park, Sung Wook;Lee, Sung Hwa
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.145-151
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    • 2012
  • Purpose: The objective of this study was to determine the appropriateness of Emergency Medical Service's (EMS's) triage and transport of severely injured patients in Busan and Kyungnam, Korea. Methods: The medical records of the Emergency Medical Information Center were retrospectively reviewed from January 1, 2010 to December 31, 2010. We identified the number of patients that should have been transferred from a secondary to a tertiary hospital according to the EMS field triage protocol. Results: In a total of 472 cases requests to be transferred to a third hospital were made through the Emergency Medical Information Center. Of these, 207 patients(43.9%) should have been transferred to a tertiary hospital according to the EMS field triage protocol. Among them, thirty-three(15.9%) patients satisfied step 1, 15(7.0%) satisfied step 2, and 117(56.5%) satisfied step 3. Twenty-three(11.1%) patients satisfied both steps 1 and 3. Conclusion: We found the triage by the EMS in the transfer of severely injured patients to a tertiary hospital to be inappropriate and re-education of EMS personnel regarding the EMS field triage protocol is needed. Because many patients are transferred from a secondary to a third hospital, we suggest changing the EMS field triage protocol to expand the severe injury criteria. A need exists to authorize secondary hospitals to transfer severely injured patients directly because there are no trauma centers in Korea.

Cross Finger Flap with Reduction Pulp Plasty and Full Thickness Skin Graft (수질부 축소술과 전층 피부이식술을 이용한 교차수지 피판술)

  • Cho, Yong Hyun;Roh, Si Gyun;Lee, Nae Ho;Yang, Kyung Moo
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.674-677
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    • 2009
  • Purpose: Typical cross finger flap is still a good method for reconstruction of fingertip injuries. However, it is necessarily followed by great loss and aesthetically unpreferable result of donor finger. Hereby, we introduce a modification of cross finger flap with reduction pulp plasty and full thickness skin graft, with which we could reduce the defect size of injured fingertip and donor site morbidity at the same time, without any need for harvesting additional skin from other part of hand. Method: This method was performed in the patients with fingertip injuries of complete amputation or in case of loss of fingertip due to necrosis after replantation. Firstly, reduction pulp plasty was performed on the injured finger to reduce the size of defect of fingertip. Additional skin flap was obtained from the pulp plasty. Secondly, cross finger flap was elevated from the adjacent finger to cover the defect on the injured finger. At the same time, defect on the donor finger produced by the flap elevation was covered by full thickness skin graft with the skin obtained from the pulp plasty of injured finger. Results: Flap and graft survived without any necrosis after surgical delay and flap detachment. All of them were healed well and did not present any severe adversary symptoms. Conclusion: Cross finger flap with reduction pulp plasty and full thickness skin graft is an effective method that we can easily apply in reconstruction of fingertip injury. We think that it is more helpful than the usual manner, especially in cases of children with less soft tissue on their fingers for preservation and reduction of the morbidity of donor finger.

Anatomical Observation of Leaf of Gerbera hybrida Hort. Injured by Liriomyza trifolii (아메리카잎굴파리에 의한 거베라 피해잎의 조직학적 관찰)

  • Chung, Yong Mo;Kim, Jin Ki;An, Dong Chun;Been, Chul Gu;Lee, Dong Woo;Sohn, Hung Dae;Kwon, Oh Chang
    • Horticultural Science & Technology
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    • v.17 no.4
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    • pp.485-488
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    • 1999
  • This study was conducted to obtain a basic information on the structural and histological characteristics of Gerbera hybrida Hort. leaf injured by american serpentine leafminer (ASL), Liriomyza trifolii, by using light and scanning electron microscope (SEM). Based on the anatomical observation of leaf blade injured by L. trifolii, the injury process could be divided into three stages. In the initial stage, the punctured tiny holes where ASL layed eggs after suction in the upperside of leaf were observed in the palisade parenchyma. In the middle stage, the hatched larvae made mines in the palisade parenchyma only. In the final stage, the mature larvae grew up making the mines bigger, and just before going out from the epidermis, it injured the inside of leaf containing one layer palisade parenchyma and two layers of spongy parenchyma.

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The Expression of MRTF-A and AQP1 Play Important Roles in the Pathological Vascular Remodeling

  • Jiang, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1375-1383
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    • 2015
  • Background: Objective Myocardin-related transcription factor (MRTF)-A is a Rho signaling-responsive co-activator of serum response factor (SRF). The purpose of this study is to investigate the role of MRTF-A and AQP1 (aquaporin 1) in pathological vascular remodeling. Materials and Methods: MRTF-A, AQP1 and neointima expression was detected both in the wire injured femoral arteries of wild-type mice and the atherosclerotic aortic tissues of $ApoE^{-/-}$ mice. Expression of ICAM-1, matrix metallopeptidase 9 (MMP-9) and integrin ${\beta}1$ were also assayed. The intercourse relationship between the molecules were investigated by interfering RNA and inhibitor assay. Results: MRTF-A and AQP1 expression were significantly higher in the wire injured femoral arteries of wild-type mice and in the atherosclerotic aortic tissues of $ApoE^{-/-}$ mice than in healthy control tissues. Both in wire-injured femoral arteries in MRTF-A knockout ($Mkl1^{-/-}$) mice and atherosclerotic lesions in $Mkl1^{-/-}$; $ApoE^{-/-}$ mice, neointima formation were significantly attenuated and the expression of AQP1 were significantly decreased. Expression of ICAM-1, matrix metallopeptidase 9 (MMP-9) and integrin ${\beta}1$, three SRF targets and key regulators of cell migration, and AQP1 in injured arteries was significantly weaker in $Mkl1^{-/-}$ mice than in wild-type mice. In cultured vascular smooth muscle cells (VSMCs), knocking down MRTF-A reduced expression of these genes and significantly impaired cell migration. Underlying the increased MRTF-A expression in dedifferentiated VSMCs were the down-regulation of microRNA-300. Moreover, the MRTF-A inhibitor CCG1423 significantly reduced neointima formation following wire injury in mice. Conclusions: MRTF-A could be a novel therapeutic target for the treatment of vascular diseases.

Clinical Factors and Effects of Individual Art Therapy on Industrial Injured Workers (산재근로자에 대한 임상요인과 개인 미술치료의 효과)

  • Yang, Jung-Hye;An, Jung-Ah
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.293-302
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    • 2021
  • This study is designed to find out clinical factors and the effects of individual art therapy for workers involved in industrial accident. From January 2017 to July 2019, 10 industrially injured workers were individually subjected to 11 art therapy sessions, and a multidimensional psychological test S type was used to examine changes in clinical factors before and after individual art therapy. The results showed that the average of the five clinical factors ranges from 2.80 to 4.20, indicating that the psychological pain of workers injured was significant. As a result of bivariate correlation analysis, it was confirmed that meaningful correlation existed within the statistical scope of all factors. As for the difference in the results of multidimensional psychological tests before and after art therapy, out of the five clinical factors, the Z values of depressed, anger and anxiety were -2.405(p=.016), -2.148 (p=.032) and -2.102 (p=.036), to confirm that the depressed, anger and anxiety of the participants have eased somewhat after performing individual art therapy.