• Title/Summary/Keyword: chronic wounds

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Wound Infiltration in Patients with Chronic Pain after Forehead Lift Surgery -A case report- (이마주름제거술 후 발생한 만성통증의 치료경험 -증례보고-)

  • Lee, Woo Chang;Yoon, Kyung Bong;Yoon, Duck Mi;Lee, Jeong Soo
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.80-83
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    • 2008
  • Local infiltration in surgical wounds can reduce postoperative pain with very few side effects. We experienced two cases of chronic pain after forehead lift surgery. A 41-year-old male patient was suffering from a headache at the crown of the head and pain from the posterior neck. A 54-year-old female patient had pain around the forehead, worsened by psychological stress. They underwent forehead lift surgery 10 years and 8 months ago, respectively. Conservative treatments such as medication and physical therapy were not effective. After wound infiltration with 1% lidocaine more than ten times, pain significantly resolved in both patients.

Health Conditions Sensitive to Retirement and Job Loss Among Korean Middle-aged and Older Adults

  • Park, Su-San;Cho, Sung-Il;Jang, Soong-Nang
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.3
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    • pp.188-195
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    • 2012
  • Objectives: This study was conducted to examine the association between health condition and leaving the labor market among middle-aged and older adults in South Korea. Methods: Data was obtained from individuals aged 45 years and older participating in the 2006 and 2008 Korean Longitudinal Study of Ageing. We used various health measures including chronic diseases, comorbidities, traffic accident injuries, disabilit of instrumental activities of daily living, depressive symptoms, and self-rated health. The odds ratios of job loss, and retirement, versus employment were calculated using multinomial logistic regression by each health measure. Results: In our cross-sectional and longitudinal analysis, health problems related to physical disabilities had the greatest effect on leaving the worksite. A shift in health condition from good to poor in a short period was a predictor of increased risk of unemployment but a persistent pattern of health problems was not associated with unemployment. Women with health problems showed a high probability of retirement, whereas among men, health problems instantly the possibility of both job loss and retirement. Conclusions: Health problems of middle aged and older workers were crucial risk factors for retirement and involuntarily job loss. Especially functional defect and recent health problems strongly and instanty affected employment status.

Case Reports of Periodontal Treatment Under Hypnoanesthesia (최면마취하의 치주처치 증례보고)

  • Kim, Jong-Eun;Kim, Young-Chul;Lee, Chung-Ho
    • The Journal of the Korean dental association
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    • v.11 no.10
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    • pp.667-670
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    • 1973
  • It has been studied over 500 cases of hypnotic susceptibility test and among them performed 15 cases of periodontal treatment under hypnoanesthesia. Conclusions were obtaines as following ; 1) The patients with chronic periodontal disease were surrendered more easily to the operator than those with acute periodontal disease. 2) bleeding was occurred much more than in drug anesthetic state and less in waking state. 3) The different depth of hypnotic state was needed to the different individual. 4) The post-operative pain did not occurred by the operators suggestion. 5. Those operation brought more rapid healing of wounds.

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Chronic Traumatic Glass Foreign Body Removal from the Lung through a Direct Parenchymal Incision

  • Yoon, Su Young;Kim, Si Wook;Lee, Jin Suk;Lee, Jin Young;Ye, Jin Bong;Kim, Se Heon;Sul, Young Hoon
    • Journal of Trauma and Injury
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    • v.32 no.4
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    • pp.248-251
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    • 2019
  • Traumatic intrapulmonary glass foreign bodies that are missed on an initial examination can migrate and lead to severe complications. Here, we present a rare case of a traumatic intrapulmonary glass foreign body surgically removed by a direct pulmonary incision, which preserved the pulmonary parenchyma and avoided severe complications caused by migration.

Wound Healing Consequences of Psychological Stress

  • Whitney, JoAnne D.;Heiner, Stacy
    • Perspectives in Nursing Science
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    • v.2 no.1
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    • pp.48-60
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    • 2005
  • The relationship of psychological stress to human health is of interest to health care providers and researchers in the field of psychoneuroimmunology. The effect of stress on wound healing is a sub-component of study within the larger context, with relevance to both wounds that are acute and chronic in nature. Data from several studies that explore the influence of stress on events early in the trajectory of wound healing suggest that activation of both the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis are involved. There is consistent evidence that psychological stress is associated with dysregulation of immune and other responses to tissue injury that are required for healing and also to the final wound healing result. Current data pertinent to psychological stress and its wound healing consequences is reviewed and a biopsychosocial framework for future studies in this area is suggested and described.

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Proliferation of Keratinocytes Induced by Adipose-Derived Stem Cells on a Chitosan Scaffold and Its Role in Wound Healing, a Review

  • Gomathysankar, Sankaralakshmi;Halim, Ahmad Sukari;Yaacob, Nik Soriani
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.452-457
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    • 2014
  • In the field of tissue engineering and reconstruction, the development of efficient biomaterial is in high demand to achieve uncomplicated wound healing. Chronic wounds and excessive scarring are the major complications of tissue repair and, as this inadequate healing continues to increase, novel therapies and treatments for dysfunctional skin repair and reconstruction are important. This paper reviews the various aspects of the complications related to wound healing and focuses on chitosan because of its unique function in accelerating wound healing. The proliferation of keratinocytes is essential for wound closure, and adipose-derived stem cells play a significant role in wound healing. Thus, chitosan in combination with keratinocytes and adipose-derived stem cells may act as a vehicle for delivering cells, which would increase the proliferation of keratinocytes and help complete recovery from injuries.

Catechin-7-O-$\beta$-D-apiofuranoside: An Anti-inflammatory constituent from alnus japonica bark

  • Jeong, Choon-Sik;Kang, Min-Hee;Hyun, Jin-Ee;Lim, Duk-Yun
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.191.3-192
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    • 2003
  • Alnus japonica (Betulaceae) has been traditionally used for purifying blood, and curing feces containing blood, enteritis, diarrhea, alcoholism and cut wounds. In the current work, activity guided isolation of the butanol fraction of the Alnus japonica bark led to the isolation of catechin-7-O-${\beta}$-D-apiofuranoside. Anti-inflammatory activity was determined with carrageenan-induced paw edema in mice as an acute inflammation, complete Freund's adjuvant-induced arthritis as a chronic inflammation. Carrageenan- induced paw edema in mice was significantly inhibited at 0.5, 1, 2, and 3 hr after carrageenan injection by administration of the flavonoid glycoside at the dose of 150mg/kg. (omitted)

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Extensive calcific myonecrosis of the lower leg treated with free tissue transfer

  • Kim, Tae Gon;Sakong, Yong;Kim, Il Kug
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.329-332
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    • 2021
  • Calcific myonecrosis is a rare condition in which hypoperfusion due to compartment syndrome causes soft tissue and muscle to become calcified. As calcific myonecrosis gradually deteriorates, secretions steadily accumulate inside the affected area, forming a cavity that is vulnerable to infection. Most such cases progress to chronic wounds that are unlikely to heal spontaneously. After removing the calcified tissue, the wound can be treated by primary closure, flap coverage, or a skin graft. In this case, a 72-year-old man had extensive calcific myonecrosis on his left lower leg, and experienced swelling and increasing tenderness. After removing the muscle calcification, we combined two anterolateral thigh free flaps, which were harvested from the patient's right and left thigh, respectively, to reconstruct the wound with a dead-space filler and skin-defect cover at the same time. The patient recovered without revision surgery or major complications.

Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review

  • Yu-Wen Tsui;Chia-Yu Tsai;Hung-Chi Chen
    • Archives of Plastic Surgery
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    • v.51 no.1
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    • pp.135-138
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    • 2024
  • A patient suffered from chronic ulcer due to recalcitrant fungal infection for 3.5 years. Five antifungal agents and 40 times of debridement—all failed. Finally, radical microscopic debridement was performed for eradication of fungal conidiospores. Since then, there was no recurrence at 2 years of follow-up. Scopulariopsis brevicaulis is one of the rarest pathogens of cutaneous fungal infections, for which multidrug resistance increased the complexity and difficulty of treatment. Radical excision, especially microscopic debridement, was the key for eradication of fungal conidiospores in this case.

A Case of Chronic Arthritis Due to Mycobacterium intracellulare after Trauma (외상 후 발생한 Mycobacterium intracellulare에 의한 만성 관절염 1예)

  • Kim, Jae-Gyung;Kim, Dae-Won;Cho, Yul-Hee;Yim, Sun-Mie;Kang, Ju-Hyun;Joo, Young-Bin;Kang, Hyeon-Hui;Song, Jeong-Sup;Yoon, Hyoung-Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.191-196
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    • 2012
  • While nontuberculous mycobacterium (NTM) infections are recently on the rise, arthritis caused by NTM is hardly reported in Korea. NTM arthritis has no distinctive clinical characteristics from chronic arthritis. Tuberculosis of the joint specifically produces similar clinical and pathologic presentations to NTM arthritis, so it is not easy to distinguish between them. We report a case of Mycobacterium intracellulare in an arthritis patient after trauma and surgical repair of the injury. At the beginning, the patient was diagnosed as tuberculous tenosynovitis through pathology without microbiologic evidence. The final diagnosis was made after subsequent recurrences for several years. The misdiagnosis and delayed diagnosis led to irreversible joint destruction and functional impairment. NTM infection must be included in the differential diagnosis of chronic arthritis at the outset.