• 제목/요약/키워드: Zone of injury

검색결과 90건 처리시간 0.024초

맥류의 한해와 내동성에 관하여 (Nature of Cold Injury and Resistance in Wheat and Barley)

  • 남윤일;연규복;구본철
    • 한국작물학회지
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    • 제34권s02호
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    • pp.96-114
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    • 1989
  • There are several meterorolgical stresses in the winter cereal crops. Among these stresses, cold injury is one of the most important stresses for wheat and barley production in Korea. The reduction in grain yield of the wheat and barley due to cold injury has occurred almost every year in Korea. The objective of the study was to get the basic information in relation to the cold injury and to detect the method minimizing the damage of cold injury. When the air temperature was the ranges of -13$^{\circ}C$ to -15$^{\circ}C$, the soil temperature at the crown part of the plant was very stable, whereas in the ranges of -2$^{\circ}C$ to -3$^{\circ}C$ the soil surface temperature was more unstable and cold than air and subterranean temperatures. The different parts of the plant in wheat and barley possess the different levels of cold hardiness. In comparison to the cold hardiness of plant parts, the leaf and crown are the less sensitive to cold injury than root and vascular transitional zone. The type and extent of stress is determined by the redistribution pattern of water during freezing. These types from freezing processes were three types: a) Equilibrium freezing pattern b) Non -equilibrium freezing pattern, c) Non-equilibrium freezing pattern typical of tender tissues. Cold hardiness in wheat plants were more harder than barley plants at vegitative stage, but inverted at the reproductive stage. Injuries by low temperature during the seasons of barley cultivation in Korea were occured mainly in four stage; in the first and third stage, frost injury occurs, the second stage, freezing injury, and the fourth stage, chilling injury.

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수지절단손상에 대한 재접합술의 평가와 분석 (Clinical Evaluation of Microreplantation in the Digital Amputation)

  • 이대훈;우상현;최시호;설정현
    • Journal of Yeungnam Medical Science
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    • 제5권1호
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    • pp.23-32
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    • 1988
  • 저자는 1986년 3월부터 1988년 2월까지 2년동안 영남대학교 의과대학 부속병원 성형외과에 내원한 수지절단환자 75명, 102수지에 재해 수지재접합술을 시행하여 다음과 같은 결과를 얻었다. 1. 연령별분포에서는 20대에서 가장 많이 발생하였고, 남녀의 비율은 약 5:1로써 남자에서 현저히 많이 발생하였다. 2. 좌 우수의 발생빈도는 비슷한 분포를 보였으나 지배수와 비지배수의 비율에서는 지배수가 2배 이상 많이 발생하였다. 3. 수지별분포에서는 시지에서 가장 많이 발생하였고 그 다음으로는 중지에서 많이 발생하였다. 4. 손상의 원인으로는 압력기종류가 가장 흔하였고, 손상형태로는 좌멸창이 가장 많았다. 5. 마취방법에서는 국소마취와 전신마취가 비슷한 분포로 시행되었다. 6. zone II절단인 경우에는 77.8%의 성공률을, zone III의 절단인 경우에는 80%의 성공율을 나타내었다. 7. zone III절단인 경우보다 zone II절단인 경우에서 술후 수지기능이 더 좋았다. 8. 수지재접합술은 손상상태의 정도나 원인, 허혈시간에 관계없이 시행하였으며, 환자의 재접합술에 대한 요구도 무시할 수 없는 사항이었다.

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Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients

  • Yu, Byungchul;Lee, Gil Jae;Choi, Kang Kook;Lee, Min A;Gwak, Jihun;Park, Youngeun;Lee, Jung Nam
    • Journal of Trauma and Injury
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    • 제33권3호
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    • pp.162-169
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    • 2020
  • Purpose: There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone III REBOA and to discuss its algorithm, techniques, and related complications. Methods: We reviewed consecutive cases who survived from hypovolemic shock after Zone III REBOA placement for 4 years. We reviewed patients' baseline characteristics, physiological status, procedural data, and outcomes. Results: REBOA was performed in 44 patients during the study period, including 10 patients (22.7%) who underwent Zone III REBOA, of whom seven (70%) survived. Only one patient was injured by a penetrating mechanism and survived after cardiopulmonary resuscitation. All patients underwent interventions to stop bleeding immediately after REBOA placement. Conclusions: This case series suggests that Zone III REBOA is a safe and feasible procedure that could be applied to traumatic shock patients with normal FAST findings who receive a chest X-ray examination at the initial resuscitation.

보행자 보호를 위한 크럼플 존 설계 및 상부 다리모형 충격해석 (Crumple Zone Design and Upper Legform Impactor Analysis for Pedestrian Protection)

  • 전영은;문형일;김용수;김헌영
    • 한국자동차공학회논문집
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    • 제20권3호
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    • pp.126-132
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    • 2012
  • Recently, pedestrian protection related research topics have been actively studied by automotive designers and engineers due to the enhanced pedestrian protecting regulations. It is required to design an energy absorbing structure, such as crumple zone that can sufficiently absorb the impact energy to reduce the leg injury when accident happens. The structure is designed by reducing the height of front end module, considering the mounting location, and investigating impact characteristics. In this paper, the concept of the crumple zone was introduced and the role of the crumple zone was investigated by analyzing the performance of upper legform impact to a bonnet leading edge test, and the design process was suggested.

어린이 보호구역 내에서 발생한 6-14세 어린이들의 보행 중 교통사고에 대한 역학적 조사 (An Epidemiological Study for Child Pedestrian Traffic Injuries that Occurred in School-zone)

  • 신민호;권순석
    • Journal of Preventive Medicine and Public Health
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    • 제38권2호
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    • pp.163-169
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    • 2005
  • Objectives: Pedestrian traffic injuries have been an important cause of childhood mortality and morbidity for decades. The aim of this study was to describe the epidemiological characteristics of child pedestrian traffic injuries that occurred during 2000 in one metropolitan city and its school-zones, and to determine the factors associated with those accidents. Methods: A cross-sectional study was performed in 2001. Police records were used to identify the cases of pedestrian injury. Children aged between 6 and 15 years, injured during road walking, were included in this study. A direct survey of the environmental factors within the school-zones in study area (n=116) was also performed. Self-administered questionnaires, via mail and telephone surveys, were used to assess the safety education programmes. The schools were divided into two groups according to the occurrence of pedestrian traffic injuries in their school-zone. Results: Pedestrian injuries (n=597) were found to account for 3.2% of all traffic injuries in the subject area. The epidemiological characteristics were not significantly different between genders. There were some significant risk factors within the environmental factors, such as local road (OR: 2.3, 95% CI=1.05-5.35), heavy traffic volume (OR: 2.2, 95% CI=1.00-5.04), poor visibility of speed-limit signs (OR: 2.8, 95% CI=1.25-6.42), no separation of pedestrian routes from cars (OR: 2.6, 95% CI=1.02-6.75) and barriers on the pedestrian routes (OR: 2.2, 95% CI=1.01-5.08). Only one factor, that of education in a safety-park (OR: 0.3, 95% CI=0.09-0.96), was significantly associated in the traffic and pedestrian safety education factors. Conclusion: Significant associations with pedestrian injury risk were identified in some of the modifiable environmental factors than in the educational factors.

요추분절의 불안정성에 대한 임상적 소개와 안정성 운동관리 (Clinical presentation and specific stabilizing exercise management in Lumbar segmental instability)

  • 정연우;배성수
    • The Journal of Korean Physical Therapy
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    • 제15권1호
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    • pp.155-170
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    • 2003
  • Lumbar segmental instability is considered to represent a significant sub-group within the chronic low back pain population. This condition has a unique clinical presentation that displays its symptoms and movement dysfunction within the neutral zone of the motion segment. The loosening of the motion segment secondary to injury and associated dysfunction of the local muscle system renders it biomechanically vulnerable in the neutral zone. There in evidence of muscle dysfunction related to the control of the movement system. There is a clear link between reduced proprioceptive input, altered slow motor unit recruitment and the development of chronic pain states. Dysfunction in the global and local muscle systems in presented to support the development of a system of classification of muscle function and development of dysfunction related to musculoskeletal pain. The global muscles control range of movement and alignment, and evidence of dysfunction is presented in terms of imbalance in recruitment and length between the global stability muscles and the global mobility muscles. The local stability muscles demonstrate evidence of failure of aeequate segmental control in terms of allowing excessive uncontrolled translation or specific loss of cross-sectional area at the site of pathology Motor recruitment deficits present as altered timing and patterns of recruitment. The evidence of local and global dysfunction allows the development of an integrated model of movement dysfunction. The clinical diagnosis of this chronic low back pain condition is based on the report of pain and the observation of movement dysfunction within the neutral zone and the associated finding of excessive intervertebral motion at the symptomatic level. Four different clinical patterns are described based on the directional nature of the injury and the manifestation of the patient's symptoms and motor dysfunction. A specific stabilizing exercise intervention based on a motor learning model in proposed and evidence for the efficacy of the approach provided.

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남해안 해상 콘크리트 교량의 표면염화물이온농도 및 내구성 평가 (The Estimation of Surface Chloride Content and Durability of the Marine Concrete Bridges in South Coast)

  • 정대진;최익창
    • 해양환경안전학회지
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    • 제20권6호
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    • pp.730-737
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    • 2014
  • 본 연구에서는 남해안에 건설된 사용기간이 5~34년의 해상 콘크리트 교량의 염화물이온농도에 대한 실측데이터로부터 표면염화물이온농도를 추정하고, 기존에 제시된 시방서와 타 연구결과에서 제시한 값들의 타당성을 평가하였다. 그리고 해상 콘크리트 교량의 염해방지도장의 유무, 염화물이온농도, 탄산화 깊이 및 콘크리트 압축강도의 상관관계를 도출하여 상호 작용을 평가하였다. 연구결과에 의하면, 표면염화물이온농도는 간만대에서 KCI 2009, 물보라지역과 해상대기중에서 Cheong et al.(2005)의 제안한 값이 타당한 것으로 판단된다. 또한, 해상 콘크리트 교량의 염해방지도장은 염화물이온의 침투, 탄산화 깊이 및 압축강도 저하 대한 방지효과가 있음을 알 수 있었다. 콘크리트의 압축 강도는 탄산화 깊이와 염화물이온농도의 증가에 따라 감소하였다.

Short-Term Strength Deficit Following Zone 1 Replantations

  • Roh, Si Young;Shim, Woo Cheol;Lee, Kyung Jin;Lee, Dong Chul;Kim, Jin Soo;Yang, Jae-Won
    • Archives of Plastic Surgery
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    • 제42권5호
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    • pp.614-618
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    • 2015
  • Background Hand strength deficit following digital replantation is usually attributed to the mechanical deficiency of the replanted digit. Zone 1 replantation, however, should not be associated with any mechanical deficit, as the joint and tendon are intact. We evaluate shortterm motor functions in patients who have undergone single-digit zone 1 replantation. Methods A single-institution retrospective review was performed for all patients who underwent zone 1 replantation. Hand and pinch strengths were evaluated using standard dynamometers. Each set of measurements was pooled according to follow-up periods (within 1 month, 1 to 2 months, 2 to 3 months, and after 3 months). The uninjured hand was used as reference for measurements. Results The review identified 53 patients who had undergone zone 1 replantation and presented for follow-up visits. Compared to the uninjured hand, dynamometer measurements revealed significantly less strength for the hand with replanted digit at one month. The relative mean grip, pulp, and key pinch strength were 31%, 46%, and 48% of the uninjured hand. These three strength measurements gradually increased, with relative strength measurements of 59%, 70%, and 78% for 4-month follow up. Conclusions Despite the lack of joint or tendon injury, strength of the injured hand was significantly lower than that of the uninjured hand during the 4 months following replantation. Improved rehabilitation strategies are needed to diminish the short-term negative impact that an isolated zone 1 replantation has on the overall hand strength.

Common Carotid Artery Laceration Managed by Clamping at Emergency Department

  • Choi, Young Un;Kim, Kwangmin;Kim, Seongyup;Bae, Keumseok;Jang, Ji Young;Jung, Pil Young;Shim, Hongjin;Kwon, Ki Youn
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.197-201
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    • 2017
  • Common carotid artery laceration is a life-threatening injury by causing hypovolemic shock. Nevertheless the initial management is very difficult until definitive surgery at operation room. Before neck exploration at operation room, arterial bleeding control by compressing the bleeding point is not always effective. We experienced one case with externally penetrating injuries in zone II neck, which was operated after clamping of common carotid artery in the emergency department. Here we report this case.

백서의 가역성 뇌허혈 모형에서 저체온의 효과와 적용시기 (The Time and Effect of Hypothermia in Early Stage of the Reversible Cerebral Focal Ischemic Model of Rat)

  • 최병연;정병우;송광철;박진한;김성호;배장호;김오룡;조수호;김승래
    • Journal of Korean Neurosurgical Society
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    • 제29권2호
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    • pp.167-179
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    • 2000
  • Objective : We studied to clarify the effective time zone of mild hypothermic neural protection during ischemia and/or reperfusion after middle cerebral artery occlusion. Methods : In a reversible cerebral infarct model which maintained reperfusion of blood flow after middle cerebral artery occlusion for two hours, the size of cerebral infarction, cerebral edema and the extent of neurological deficit were observed and analyzed for comparison between the control and the experimental groups under hypothermia($33.5^{\circ}C$). The temporalis muscle temperature was reduced to $33.5^{\circ}C$ by surface cooling for two hours during middle cerebral artery occlusion for study group I. The following groups applied hypothermia for two-hour periods after reperfusion : group II(0-2 hours), group III(2-4 hours), and group IV(4-6 hours). They were rewarmed to $36.5^{\circ}C$ until sacrified at 2, 4, 6, 12, and 24 hours after reperfusion. Control group was maintained at normothermia without hypothermia. Results : In the experimental groups with hypothermia, the average value of the size of cerebral infarction($mean{\pm}SD$) was $1.97{\pm}1.65%$, which was a remarkable reduction over that of the control, $4.93{\pm}3.79%$. In the control, a progressive increase was shown in the size of infarction from point of reperfusion to 6 hours after reperfusion without further changes in size afterward. Intra-ischemic hypothermia(group I) prevented ischemic injury but did not prevent reperfusion injury. Group II examplified the most neural protective effect in comparison to the control group and group IV(p<0.05). The cortex was more vulnerable to reperfusion injury than the subcortex. Mild hypothermia showed more neural protective effects on the cortex than subcortex. Conclusion : The most appropriate time zone for application of mild hypothermia was defined to be within four hours following reperfusion.

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