• Title/Summary/Keyword: common shock

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Clinical Observation of Penterating Thoracic Injury (흉부 관통상에 대한 임상적 고찰)

  • Kim, Seong-Jun;Lee, Hong-Sik;Choe, Hyeong-Ho
    • Journal of Chest Surgery
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    • v.25 no.3
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    • pp.283-288
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    • 1992
  • From january 1970 through december 1990, 130 cases of patients with chest penetrating injury were admitted to department of thoracic and cardiovascular surgery in Chosun University Hospital. We analyzed above patients and obtained results were as follows: 1. The ratio of male to female was 7.1:1 in male predominance, and the majority[69.6%] was distributed from 2nd to 3rd decade. 2. The most common cause of chest penetrating injuries was stab wound. 3. 110 cases[84.5%] were arrived to our emergency room within six hours after trauma. 4. The most common injuring mode was hemo, pneumothorax. 5. The frequently injured site of the penetrating chest trauma was left side of the chest [64.65%]. 6. The common associated injuries of penetrating chest injuries were extremities injuries, abdominal injuries, head & facial injuries. 7. The common method of surgical treatment were closed thoracostomy[78 cases], open thoracotomy[20 cases], laparatomy[12 cases]. 8. The overall motality was 3.07%[4/130], and the causes were hypovolemic shock, sepsis and asphyxia.

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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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    • v.30 no.4
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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.

Infected Left Atrial Myxoma (감염된 좌심방 점액종)

  • Kim, Hyuck;Kang, Jeong-Ho;Chung, Yoon-Sang;Kim, Young-Hak;Chung, Won-Sang
    • Journal of Chest Surgery
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    • v.42 no.4
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    • pp.513-515
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    • 2009
  • Myxoma is the most common primary tumor of the heart. The common symptoms of myxoma can be similar to those of infective endocarditis, which include fever, weight loss, fatigue and arthralgia, but it is very rare for a myxoma to become infected. We report on a case of a 76-year-old male patient with fever and loss of conscious-ness, and he underwent an emergency operation after suffering shock state due to the infected myxoma.

Juvenile Polyp associated with Hypovolemic Shock Due to Massive Lower Gastrointestinal Bleeding

  • Kim, Dong Yeop;Bae, Joon Yeol;Ko, Kyung Ok;Cheon, Eun Jung;Lim, Jae Woo;Song, Young Hwa;Yoon, Jung Min
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.613-618
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    • 2019
  • Juvenile polyps are the most common types of polyps in children, and patients usually present with lower gastrointestinal (GI) bleeding as the predominant symptom. These lesions, which are referred to as hamartomas, usually measure approximately 2 cm in size and are benign tumors located mainly in the rectum and sigmoid colon. The most common symptom of a juvenile polyp is mild intermittent rectal bleeding. It is rare for anemic patients because the amount of blood loss is small and often not diagnosed immediately. We present the case of a 6-year-old girl with a juvenile polyp in the distal transverse colon, who developed hypovolemic shock due to massive lower GI bleeding. Pediatricians must perform colonoscopy for thorough evaluation of polyps, because their location and size can vary and they can cause massive bleeding.

Development of Performance Evaluation Method of Shock-Resistance(DDAM) using NASTRAN DMAP (NASTRAN DMAP을 활용한 내충격 평가 기법(DDAM) 개발에 관한 연구)

  • M.Y. Shin;J.H. Lee;J.H. Jung;B.H. Kim
    • Journal of the Society of Naval Architects of Korea
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    • v.36 no.2
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    • pp.114-120
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    • 1999
  • The DDAM(Dynamic Design Analysis Method) has been the most popular method for the shock response analysis of naval shipboard equipment. It was common to model the equipment as a simplified mass-spring system with multi degree of freedom in DDAM. Nowadays, however, it is necessary to adopt the finite element method for the shock response analysis due to the complexity of equipment. In this study, the DDAM program is developed to evaluate the performance of shock-resistance of FEM models using MSC/NASTRAN DMAP(Direct Matrix Abstraction Program) which provides the practical tools in interfacing with the externally developed program. Through the numerical test of the structural components and comparison with the results of ANSYS DDAM, it is confirmed that the developed program can be applicable to analyze the shock responses of the shipboard equipments.

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Survival Prediction of Rats with Hemorrhagic Shocks Using Support Vector Machine (지원벡터기계를 이용한 출혈을 일으킨 흰쥐에서의 생존 예측)

  • Jang, K.H.;Choi, J.L.;Yoo, T.K.;Kwon, M.K.;Kim, D.W.
    • Journal of Biomedical Engineering Research
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    • v.33 no.1
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    • pp.1-7
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    • 2012
  • Hemorrhagic shock is a common cause of death in emergency rooms. Early diagnosis of hemorrhagic shock makes it possible for physicians to treat patients successfully. Therefore, the purpose of this study was to select an optimal survival prediction model using physiological parameters for the two analyzed periods: two and five minutes before and after the bleeding end. We obtained heart rates, mean arterial pressures, respiration rates and temperatures from 45 rats. These physiological parameters were used for the training and testing data sets of survival prediction models using an artificial neural network (ANN) and support vector machine (SVM). We applied a 5-fold cross validation method to avoid over-fitting and to select the optimal survival prediction model. In conclusion, SVM model showed slightly better accuracy than ANN model for survival prediction during the entire analysis period.

Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection

  • Lee, Sang Hyun;Park, Jae Woo;Hwang, Byeong Mun
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.280-283
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    • 2015
  • Caudal epidural injection is a common intervention in patients with low back pain and sciatica. Even though the complications of fluoroscopically directed epidural injections are less frequent than in blind epidural injections, complications due to contrast media can occur. We report a case of anaphylactic shock immediately after injection of an intravenous nonionic contrast medium (iohexol) during the caudal epidural injection for low back pain and sciatica in a patient without a previous allergic history to ionic contrast media (ioxitalamate). Five minutes after the dye was injected, the patient began to experience dizziness, and the systolic blood pressure dropped to 60 mmHg. Subsequently, the patient exhibited a mild drowsy mental state. About 30 minutes after the subcutaneous injection of 0.2 mg epinephrine, the systolic blood pressure increased to 90 mmHg. The patient recovered without any sequela. Life-threatening complications after injection of intravenous contrast medium require immediate treatment.

Epitope specificity of Porphyromonas gingivalis heat shock protein for T-cell and/or B-cell in human atherosclerosis (동맥경화증에서 T-세포 및 B-세포에 대한 Porphyromonas gingivalis 열충격 단백의 항원 결정 부위 특이성 연구)

  • Bak, Jung-Gyu;Kim, Sung-Jo;Choi, Jeom-Il
    • Journal of Periodontal and Implant Science
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    • v.33 no.2
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    • pp.179-191
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    • 2003
  • Since periodontal infections are suggested as risk factors for the development of cardiovascular diseases, the present study was performed to evaluate the T cell immune responses specific to Pophylomonas gingivalis(P. gingivalis) heat shock protein(hsp) 60 and T-cell and B-cell epitope specificities for P. gingivalis hsp60 in atherosclerosis. Anti-P, gingivalis IgG antibody titers were elevated in all patients. We could establish P. gingivalis hsp-specific T cell lines from the atheroma lesions, a mixture of $CD4^+$ and $CD8^+$ cells producing the cytokines characteristic of both Th1 and Th2 subsets. of 108 overlapping synthetic peptides spanning whole P. gingivalis hsp60 molecule, ten peptides with common epitopes specificities for both T-cell and B-cell were identified. it was concluded that P. gingivalis hsp60 might K involved in the immunoregulatory process of atherosclerotic diseases with epitope specificities.

Effects of 6 Week Kinesiotaping and Extracorporeal Shock Wave Therapy on the Joint Range of Motion in Patients with Frozen Shoulder

  • Choi, Jung Hyun;Kim, Soon Hee;An, Ho Jung;Koo, Ja Pung;Kim, Nyeon Jun
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1095-1099
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    • 2017
  • This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

Diagnosis and management of toxic shock syndrome after breast reconstructive procedures with silicone implants

  • Kim, Minseo;Ku, Inhoe;Jin, Ung Sik
    • Archives of Plastic Surgery
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    • v.48 no.2
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    • pp.189-193
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    • 2021
  • Breast implant insertion is one of the most commonly used methods for breast reconstruction after total mastectomy. However, infection is a common postoperative complication of implant insertion. In most cases, these infections can be managed with antibiotics and supportive therapy. However, severe septic conditions, such as toxic shock syndrome (TSS), can sometimes occur. TSS is an extremely rare but life-threatening complication, for which early diagnosis and proper management play a crucial role in determining patients' outcome. Although only 16 cases of TSS after breast implant insertion have been reported in the literature, most of those cases involved a serious clinical course. The reason for the seriousness of the clinical course of TSS in these cases is that the initial impression and presentation of these patients are nonspecific, and patients can easily be misdiagnosed as having a simple upper respiratory infection, causing the underlying condition to be neglected. Herein, we present two patients who were diagnosed with TSS after receiving breast reconstruction surgery via a silicone implant after total mastectomy. Both patients were misdiagnosed at the initial examination since they showed no local infectious signs on the postoperative wound.