Park, Sung Hyuk;Choi, Han Sung;Hong, Hoon Pyo;Ko, Young Gwan
Journal of Trauma and Injury
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v.19
no.2
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pp.126-134
/
2006
Purpose: The aim of this study was to determine the kinematical characteristics of the pendular and the translational movements of each cervical vertebra at flexion and extension for understanding the mechanism of injury to the cervical spine. Methods: Twenty volunteers, young men (24~37 years), with clinically and radiographically normal cervical spines were studied. We induced two directional passive movements and then took X-ray pictures. The range of pendular movement could be measured by measuring the variation of the distance between the center point of two contiguous cervical vertebrae, and the range of translational movement could be measured by measuring the variation of the shortest distance between the center point of a vertebra and an imaginary line connecting the center points of two lower contiguous cervical vertebrae. The measurements were done by using a picture archiving and communicating system (PACS). Results: The total length of all cervical vertebrae in the neutral position was, on average, 133.66 mm, but in both flexion and extension, the lengths were widened to 134.83 mm and 134.79 mm, respectively. The directions of both the pendular and the translational movements changed at the $2^{nd}$ cervical vertebra, and the ranges of both movements were significantly larger from the $5^{th}$ cervical vertebra to the $7^{th}$ cervical vertebra for flexion and combined flexion and extension motion (p<0.05). Conclusion: The kinematical characteristics for flexion and extension motions were variable at each level of cervical vertebrae. The $1^{st}$ and the $2^{nd}$ cervical vertebrae and from the $5^{th}$ to the $7^{th}$ cervical vertebrae were the main areas of cervical spinal injury. This shows, according to "Hook's law," that the tissues supporting this area could be weak, and that this area is sensitive to injury.
Woo, Jae-Hyug;Yang, Hyuk Jun;Lim, Yong Su;Cho, Jin Seong;Kim, Jin Joo;Park, Won Bin;Jang, Jae Ho;Lee, Gun
Journal of Trauma and Injury
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v.27
no.3
/
pp.43-49
/
2014
Purpose: Trauma is one of the most common causes of death for children, and identifying severely injured children quickly in an overcrowded emergency room (ER) is difficult. Therefore, severe injury must be prevented, and the severity of injuries in children must be determined easily from their general characteristics and pre-hospital factors. Methods: Injured children younger than 15 years of age who visited the ER from June 2011 to May 2013 were enrolled. According to the revised trauma score (RTS) of the patients, the study population was divided in two groups, a severe group (RTS<7) and a mild group ($RTS{\geq}7$). The general characteristics and the pre-hospital factors were compared between the two groups. Results: Six hundred seventy-three children were enrolled, their mean age was 8.03 (${\pm}4.45$) years, and 476 (70.73%) patients were male. Of these patients, 22 patients (3.27%) were in the severe group, and 651 patients (96.73%) were in the mild group. Fewer males were in the severe group than in the mild group (50.00% vs. 71.43%, p=0.030), and children in the severe group were younger than children in the mild group (3.50 vs. 8.00 years, p=0.049). In the severe group, toddlers (54.55%, p=0.036) were the most common age group. Severe injuries occurred more often in spring (32.81%) and summer (54.56%) than in autumn (9.09%) and winter (4.55%) (p=0.026). The most common places of injury in the severe group were roads (50.00%, p=0.009), and the most common mechanisms of injury in the severe group were traffic accidents (50.00%), followed by falls (31.82%) (p=0.011). Most severely injured children were transferred by ambulance (72.73%, p=0.000). Conclusion: The results of this study may be helpful for identifying severely injured children quickly in the field and the ER. To prevent severe pediatric injuries, precautions and policies based on these results should be established.
Purpose: The number of the deceased from free-fall is increasing nowadays. Free-fall comes to a great social problem in that even the survivor will be suffering for cord injury or brain injury, and so on. We analyzed the cases of free-fall patients to find out whether the injury severity is mainly correlated with the height of fall. Methods: We retrospectively investigated the characteristics of patients, who fall from the height above 2m from January 2000 to August 2004. We excluded the patients who transferred to other hospital, transferred from other hospital, and not known the height of fall. 145 patients were evaluated. Variables included in data analysis were age, height of fall, injury severity score (ISS), the being of barrier, and the survival or not. To find out the correlation between height of fall and death, we used receive operating characteristics (ROC) curve analysis. Results: The mean age of patients was $36.5{\pm}19.4$ years old. 110 were male and 35 were female. Mean height of fall was $11.1{\pm}8.5m$. 51 patients (35.2%) were died and 30 patients of them (58.9%) got emergency room on dead body. The mean height of fall is $8.9{\pm}5.8m$ for 94 survivors and $15.2{\pm}11.0m$ for the 51 deceased (p<0.001). The area under the ROC curve was 0.646, which means the height of fall was not adequate factor for predicting for death. At 13.5m, as cut?off value, sensitivity is 52.9%, specificity is 86.2%, positive predictive value is 67.5% and negative predictive value is 77.1%. There were statistical differences in mortality rate and ISS between 'below 13.5m group' and 'above 13.5m group', but there was not statistical difference in head and neck AIS. Conclusion: The height of fall is not adequate factor for prediction of death. So other factors like intoxication or not, the being of barrier or protection device need to be evaluated for predicting of free-fall patient's death.
This study was conducted to evaluate the quality characteristics of and chilling injury development in 'Ooishiwase' plum fruits after harvest, according to the ripening stage and storage temperature. The fruits were harvested at three ripening stages (60, 80, and >90% skin color) and were then stored at 1, 4, 5, 6, and $20^{\circ}C$ cold-storage rooms for up to 48 days. The fruit quality parameters, respiration patterns, and chilling injury development were monitored during the storage periods and the three days of subsequent ripening at $20^{\circ}C$. The fruits harvested at the 60%-skin-color stage maintained the flesh firmness, color, weight loss, and TA, and their respiration rates and ethylene production were decreased compared with the 80%-or >90%-skin-color fruits, at a lower storage temperature. The major symptoms of chilling injuries in the Ooishiwase plums were gel breakdown, flesh browning, and flesh translucency. These symptoms appeared at all the low-storage-temperature and ripening treatment stages. When the fruits, however, were harvested at a more immature stage and were stored at a lower storage temperature, the chilling injury development decreased. These results show that the development of chilling injury in Ooishiwase plums is related to the climacteric behavior during cold storage.
The Journal of Korean Society for School & Community Health Education
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v.13
no.1
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pp.1-12
/
2012
Backgrounds: Burn of children and adolescents is an accident due to careless protector in many case. All the pediatric burns are preventable. We investigated the characteristics of pediatric burns. Such data can propose proper health educational program designs to suit the community. Purpose: This study aims to analyse the characteristics of pediatric burn patients and to discusses a possible prevention program for this population. Methods: The subjects were 77 patients reviewed burn injury in pediatric under 15 years old. Data were burn center of the B General Hospital from January 1 to December 31 2009 and a retrospective epidemiological study was collecting medical records. Results: seventy-seven children and adolescents with burn were admission treated for Burns and they were 54.5% boys and 45.5% girls. An incidence of age group with pediatric burn was less than one year of age(46.8%), 2-3 year(27.3%), 4~7year(10.4%), over 8 years old(15.6). Length of stay hospitalization was 1~2 week(32.9%) highest percentage and second-degree deep burns were 41.6% the highest percentage. Divided by the age of about 3, length of stay, ICU status, time of injury onset, cause, indication, place of accident, treatment, degree, region of burns had a statistically significant difference. Conclusion: Less than one year of age was the highest percentage. Divided by the age of about 3, Characteristics and factors affecting the range of burn were significant. Education and guide are necessary to reduce incidence of pediatric burns.
Lee, Sang Min;Choi, Woo Ik;Kim, Sung Jin;Jin, Sang Chan
Journal of The Korean Society of Clinical Toxicology
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v.13
no.2
/
pp.87-94
/
2015
Purpose: We investigated comparison of clinical characteristics and prognosis by initial endoscopic severity in caustic injury and then discussed predisposing factors which can be helpful in predicting the prognosis and determining the treatment. Methods: This study was a retrospective review of medical records from patients over the age of 15, who underwent initial endoscopy for caustic injury from April 2007 through November 2014. Patients were classified according to two groups based on the initial endoscopic finding by Zargar's classification: patients with grade 0, I, IIa at esophagus (low risk group) and patients with grade IIb, IIIa, IIIb at esophagus (high risk group). The two groups were then compared. Results: A total of 55 patients were included (low risk group [n=44] vs. high risk group [n=11]). Old age (p<0.001), large amount of ingestion (p<0.05), oropharyngeal symptoms (p<0.01), high SOFA score (p<0.001), high WBC count (p<0.05), low base excess (p<0.01), and HCO3 (p<0.05) were statistically significant factors in the high risk group. A poor prognosis was observed for hospital stay (p<0.001), ICU admission (p<0.001), mortality (p<0.01), and stricture (p<0.001) in the high risk group. Conclusion: Clinical characteristics including age, amount of ingestion, oropharyngeal symptoms, SOFA score, WBC count, base excess, and $HCO_3$ can be helpful in the decision to undergo initial endoscopy and risk assessment by initial endoscopic severity can be helpful in predicting prognosis and determining the treatment plan.
Kim, Jang-Uk;Lee, Jung-Woo;Jo, Ick-Hyun;Kim, Dong-Hwi;Kim, Kee-Hong;Kim, Young-Chang
Korean Journal of Agricultural Science
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v.42
no.4
/
pp.299-304
/
2015
This study was conducted to investigate growth characteristics to develop the technique to select resistant cultivar by wet injury at an early stage through the automatic irrigation maintaining 30, 20, 10 kPa respectively using native variety, Chunpoong, Yunpoong, Gumpoong and Sunun. The aerial growth was decreased at 10 kPa compared to 30 kPa. In addition, the survival rate was decreased by 66.6%, 62.3%, 33.8% at 30, 20, 10 kPa, respectively. The survival rate of Chunpoong and Gumpoong were higher than others at 10 kPa. While root growth characteristics such as root length, root weight, number of lateral root and side root were tended to decrease, root diam was no significant or increased. And the more humid condition is, the more the incidence rate of rusty root and rough skin were tended to increase. The epidermal thickness of Chunpoong and Gumpoong was increased but the figures of native variety, Yunpoong and Sunun were decreased at 10 kPa compared to 30 kPa. But, the tissue stiffness of root was decreased at 10 kPa compared to 30 kPa.
This study is on the characteristics of LiSangSockDanBang(理傷續斷方). Through this study, the characteristics of LiSangSockDanBang(理傷續斷方) can be oganized as the following: First of all, in LiSangSockDanBang, the treatment of traumatic injury is consisted of the fourteen steps. This fourteen steps is resorted by four steps. ; Washing(洗藥法), Standin in line(整復法), Using an external application(外治法), Using an internal medicine(內服法). This is LiSangSockDanBang's major characteristics. Because of this contents, LiSangSockDanBang is quoted on EuiBangLyuChi(醫方類聚). The first treatment of traumatic injury is Wahing. Wahing is not only sterilizing a wounded region but pushing out the PungSa(風邪). So, to avoid a infection of a tetanus, washing medicine consist of the herbs, that push out the PungSa(風邪). LiSangSockDanBang has high level of surgery. In 1456, YoungLyuGumBang(永類鈐方), has no more level than surgery's in LiSangSockDanBang, is reprinted. This fact means that the surgery is used frequently in those days. In this scientific backing, an operation needle, that described in ChiJongJiNam(治腫指南) and ChiJongBiBang(治腫秘方), are written by Lim UnGook(任彦國), is used frequently, too. In LiSangSockDanBang, the major external applications are HookLyongSan(黑龍散) and PungLyuSan(風流散). In case of open wound, the HookLyongSan is used but in closed wound, PungLyuSan is used. The internal medicine has three applications. ; Removing extravasated blood(瘀血), Catharsis(通利大小便), Supplementation(補氣血).
Karaoz, Erdal;Tepekoy, Filiz;Yilmaz, Irem;Subasi, Cansu;Kabatas, Serdar
Journal of Korean Neurosurgical Society
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v.62
no.2
/
pp.153-165
/
2019
Objective : Spinal cord injury (SCI) is a very serious health problem, usually caused by a trauma and accompanied by elevated levels of inflammation indicators. Stem cell-based therapy is promising some valuable strategies for its functional recovery. Nestin-positive progenitor and/or stem cells (SC) isolated from pancreatic islets (PI) show mesenchymal stem cell (MSC) characteristics. For this reason, we aimed to analyze the effects of rat pancreatic islet derived stem cell (rPI-SC) delivery on functional recovery, as well as the levels of inflammation factors following SCI. Methods : rPI-SCs were isolated, cultured and their MSC characteristics were determined through flow cytometry and immunofluorescence analysis. The experimental rat population was divided into three groups : 1) laminectomy & trauma, 2) laminectomy & trauma & phosphate-buffered saline (PBS), and 3) laminectomy+trauma+SCs. Green fluorescent protein (GFP) labelled rPI-SCs were transplanted into the injured rat spinal cord. Their motilities were evaluated with Basso, Beattie and Bresnahan (BBB) Score. After 4-weeks, spinal cord sections were analyzed for GFP labeled SCs and stained for vimentin, $S100{\beta}$, brain derived neurotrophic factor (BDNF), 2',3'-cyclic-nucleotide 3'-phosphodiesterase (CNPase), vascular endothelial growth factor (VEGF) and proinflammatory (interleukin [IL]-6, transforming growth factor $[TGF]-{\beta}$, macrophage inflammatory protein [MIP]-2, myeloperoxidase [MPO]) and anti-inflammatory (IL-1 receptor antagonis) factors. Results : rPI-SCs were revealed to display MSC characteristics and express neural and glial cell markers including BDNF, glial fibrillary acidic protein (GFAP), fibronectin, microtubule associated protein-2a,b (MAP2a,b), ${\beta}3$-tubulin and nestin as well as anti-inflammatory prostaglandin E2 receptor, EP3. The BBB scores showed significant motor recovery in group 3. GFP-labelled cells were localized on the injury site. In addition, decreased proinflammatory factor levels and increased intensity of anti-inflammatory factors were determined. Conclusion : Transplantation of PI-SCs might be an effective strategy to improve functional recovery following spinal cord trauma.
Journal of the Korea Society of Computer and Information
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v.24
no.5
/
pp.93-102
/
2019
The nation's fraternity and elite players who have built up a global bicycle infrastructure often find it to be a problem with the bicycle's speed and speed reduction, pain in knees and hip joints, or even with the bike itself, or with the bike's own physical defects or a riding posture. However, we found that most cases of cleat adjustment errors were likely to be true. Accurate adjustment of the cleats is the most important of the entire fitting process and can be the basis for improving the ability of the bicycle rider and preventing injury. Therefore, the study was intended to give a prior study of bicycle fitting, which can improve bicycle efficiency and prevent injury when riding bicycle, and specific ways of adjusting bicycle shoe cleats, and the following results were obtained. First, the cleat characteristics of Shimano, LOOK and Speedplay, which are currently used in public, and the characteristics during the cleat adjustment process, were derived. In addition, the structure and characteristics of dedicated shoes using cleats and the method of using pedalling by the structure of shoes after adjusting the cleats were derived. Second, the position of the shoe and its relationship with torque in pedalling was discussed, and the method of adjusting front and back of cleats was derived. Third, leg length, ASIS, Q-Angle and Q-factor etc. were analyzed and the method of setting and adjusting cleat left and right values were derived. Fourth, the relationship between walking angle and cleat rotation was analyzed, the method was derived, and the torque size and angle behind the cleat adjustment were compared and analyzed using the spinner to indicate the torque and the effective mean torque angle after the cleat adjustment.
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