• Title/Summary/Keyword: Traumatic

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Traumatic subcutaneous emphysema after liposuction

  • Kim, Keun Tae;Sun, Hook;Chung, Eui Han
    • Archives of Craniofacial Surgery
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    • v.20 no.3
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    • pp.199-202
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    • 2019
  • Traumatic subcutaneous emphysema, which is the infiltration of air into subcutaneous tissues due to trauma, is caused by various factors such as chest and/or abdominal trauma, facial fractures, and barotrauma caused by mechanical ventilation. In this case report, a 32-year-old woman developed traumatic subcutaneous emphysema after undergoing abdominal liposuction at a local clinic. She was subsequently admitted to Busan Paik Hospital, and with early diagnosis and conservative treatment, she was discharged on the seventh day of hospitalization with no complications. However, because traumatic subcutaneous emphysema may accompany other injuries for various reasons, radiological examination and various tests should be performed to prevent serious complications and sequelae.

A Study on the Effect of Post-traumatic Stress Disorder Education on Job Satisfaction and Organizational Commitment of Firefighters (소방공무원의 외상후스트레스장애교육이 직무만족과 조직몰입에 미치는 영향에 관한 연구)

  • Lee, Jeong-Il
    • Journal of the Korea Safety Management & Science
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    • v.24 no.2
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    • pp.143-154
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    • 2022
  • Korea has the highest suicide rate in the world, and firefighters have the highest suicide rate among the professional population. As a result of the study, post-traumatic stress disorder education is essential in all occupations. Post-traumatic stress disorder is the most common disease and the biggest obstacle for firefighters in Korea. Firefighters who have suffered physical and mental damage in many types of disaster sites due to their extreme occupations are rapidly increasing the suicide rate in recent years. In order to maximize the effect of job training, education on post-traumatic stress disorder from new employees to leadership training is urgently needed.

Factors Influencing Post-traumatic Growth in Mothers with Premature Infants Admitted to the Neonatal Intensive Care Unit (신생아집중치료실에 입원 경험이 있는 미숙아 어머니의 외상 후 성장에 영향을 미치는 요인)

  • Lee, Hyeun Soo;Kang, Sook Jung
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.267-276
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    • 2020
  • Purpose: Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit. Methods: A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression. Results: The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049). Conclusion: For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

Traumatic Pericallosal Artery Aneurysm - A Case Report - (뇌량 주위 동맥 근위부에 발생한 외상성 뇌동맥류 - 증례보고 1예 -)

  • Woo, Won Cheol;Song, Shi Hun;Koh, Hyeon Song;Yeom, Jin Young;Kim, Seng Ho;Kim, Youn
    • Journal of Korean Neurosurgical Society
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    • v.29 no.2
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    • pp.265-269
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    • 2000
  • Traumatic aneurysm is a rare complication of head trauma. Unfortunately, it is rarely recognized until their presence is heralded by delayed deterioration or intracranial hematoma, etc,. Early diagnosis and surgical treatment are most important for good outcome. We recently encountered a patient who developed a pericallosal aneurysm after major trauma. With a high index of suspicion about traumatic aneurysm, brain MRI and MRA were performed. Definitive diagnosis was made by transfemoral carotid angiography, revealing a aneurysm of the right proximal pericallosal artery. The aneurysm was explored through right interhemispheric approch. A $15{\times}15mm$ sized traumatic aneurysmal sac, located in proximal portion of right pericallosal artery was noted. It was dissected from the falx of cerebri and its neck was clipped. The postoperative course was uneventful. Traumatic intracranial aneurysm should be suspected in any patient who deteriorates after the trauma. Early recognition and prompt treatment are warranted in this setting. Definitive surgical treatment of all traumatic intracranial aneurysm is recommended.

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Enhanced Efficacy of the Commissural Transmission between Lateral Giants in the Sensitization of Crayfish Escape Behavior

  • C.Lee, Sun-Hee
    • The Korean Journal of Physiology
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    • v.29 no.2
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    • pp.291-299
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    • 1995
  • Lateral giant (LG)-mediated escape response of crayfish is sensitized by natural traumatic events. Such sensitization has previously been shown to be associated with increased transmission between primary afferents and sensory interneurons at the cholinergic synapse of LG escape reflex circuit. In the present study, it was firstly investigated as to whether transmission is also altered at other synapses of the LG-escape reflex circuit by traumatic shock-induced sensitization. Evidence that traumatic shock also directly affects the excitability of lateral giants is now provided by the finding that traumatic shock produces a significant reduction of the time needed for LG to recruit its contralateral homologue, which is defined as commissural delay. Octopamine, a naturally occurring neuromodulator in the crayfish nerve cord, has also been shown to enhance transmission at the cholinergic synapse between primary afferents and sensory interneurons, and has been conjectured to mediate sensitization. Like traumatic shock, $octopamine\;(10^{-5}-5{\times}10^{-4}\;M)$ also enhanced the efficacy of commissural transmission between lateral giants, as indicated by a significant reduction of commissural delay. This effect was blocked by an octopamine antagonist phentolamine, suggesting a specific action of octopamine on the octopamine receptor present on LGs. These observations suggest that both traumatic shocks and octopamine may cause a rather broad alteration in the excitability of the crayfish nervous system that contributes to the sensitization of the LG escape response.

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Traumatic ventricular septal defect in a 4-year-old boy after blunt chest injury

  • Kim, Yun-Mi;Yoo, Byung-Won;Choi, Jae-Young;Sul, Jun-Hee;Park, Young-Hwan
    • Clinical and Experimental Pediatrics
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    • v.54 no.2
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    • pp.86-89
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    • 2011
  • Traumatic ventricular septal defect (VSD) resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.

A Case of Traumatic Brain Injury in a Chihuahua Dog: Serial Clinical and Computed Tomographic Findings (치와와에서 발생한 외상적 뇌손상 증례; 연속적인 임상적 및 전산화 단층영상 소견)

  • Lee, Hee-Chun;Won, Jin-Hee;Moon, Jong-Hyun;Jung, Hae-Won;Jung, Dong-In
    • Journal of Veterinary Clinics
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    • v.31 no.4
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    • pp.329-332
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    • 2014
  • A dog (Chihuahua, 2-year-old, intact female) was referred to us because of cluster seizure. She had history of falling from height few days before presentation. Brain computed tomography (CT) results demonstrated fracture line on right temporal bone and hypodense, edematous changes of the adjacent brain parenchyma on right cerebral parenchyma. Based on history, clinical signs, and diagnostic imaging findings, this patient was diagnosed to traumatic brain injury. After diagnosis, the patient was well controlled with anti-inflammatory drug and anti-epileptic drugs. When 30, 480, and 1260 days after initial brain CT examination, we performed serial brain CT rechecks. This case report describes serial clinical and brain CT findings after traumatic brain injury.

Unusual Presentation of Traumatic Neuroma of the Medial Plantar Nerve after Deep Laceration Mimicking a Foreign Body Granuloma: A Case Report (이물 육아종으로 오인된 심부 열상 이후 발생한 비정상적인 내측 족저 신경의 외상성 신경종: 증례 보고)

  • Woo, Seung Hun;Kim, Tae Woo;Bae, Jung Yun
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.4
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    • pp.174-178
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    • 2017
  • Traumatic neuromas are rare benign tumors that are common after trauma or surgery and are usually accompanied by obvious symptoms of pain. Most reports show neuromas in the face, neck, and limbs, and the traumatic neuroma of the medial plantar nerve has rarely been reported. We encountered a traumatic neuroma of the medial plantar nerve after a deep laceration mimicking a foreign body granuloma. A small mass lesion was found around plantar aponeurosis with heterogeneous high signal intensity in the T2 fat suppression view and slightly enhanced intensity in the magnetic resonance imaging that suggested a foreign body granuloma. The lesion was diagnosed pathologically as a traumatic neuroma. A satisfactory clinical result was obtained after excision of the traumatic neuroma and burial of the proximal and distal stumps to the adjacent muscle at the secondary operation.

Traumatic Events, Professional Quality of Life and Physical Symptoms among Emergency Nurses (응급실 간호사의 외상 사건 경험과 전문직 삶의 질 및 신체적 증상)

  • Jeon, So-Young;Ha, Ju-Young
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.64-73
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    • 2012
  • Purpose: The purpose of this study was to investigate emergency nurses' reported traumatic events, professional quality of life and physical symptoms. Methods: The design of the study was descriptive. The respondents were 157 Emergency nurses with the majority were women (94.3% female and 5.7% were men). Data were collected from September 28 to December 1, 2011. The professional quality of life (ProQOL) instrument is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), in addition information about traumatic events, physical symptoms and demographic variables were collected. Burnout and secondary traumatic stress (STS) are two parts of compassion fatigue. Data were analyzed using the SPSS/WIN 18.0 program and included descriptive statistics, t-test, ANOVA, Pearson's correlations. Results: Thirteen percent of the participants reported a high ProQOL. Compassion satisfaction was negatively correlated with burnout and physical symptoms, whereas, traumatic events had positive correlations with STS. Also, burnout and STS were positively correlated with physical symptoms respectively. Conclusion: Since the level of professional quality of life among emergency nurses was relatively low it is recommended that an intervention program for emergency nurses be instituted to improve compassion satisfaction and to decrease compassion fatigue and physical symptoms.

A Case Report of Prescribing Gamisopunghwalhyeal-tang (jiameishufenghuoxue-tang) for the Three Patients with Traumatic Knee Joint Injury (가미소풍활혈탕(加味疎風活血湯)을 투여한 외상성 슬부 손상 환자 치험 3례)

  • Kim, Chao-Young;Kim, Jeong-Won;Uhm, Bong-Kun;Han, Sang-Wook;Kim, Oh-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.63-74
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical application of Gamisopunghwalhyeal-tang to three patients traumatic knee joint injury. Methods: Patients are hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as traumatic knee joint injury and treated mainly with herbal medicine ; Gamisopunghwalhyeal-tang. This study was measured by VAS(Visual Analogue Scale) score and walking time and Western Ontario and McMaster Universities(WOMAC) index score. Results: After taking Gamisopunghwalhyeal-tang, the patient's pain was controlled and increased time of walking on floor after treatment. VAS & WOMAC score were decreased. Conclusions: As seen in this three cases of traumatic knee joint injury, Gamisopunghwalhyeal-tang has a positive effect to control pain with traumatic knee joint injury.

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