• Title/Summary/Keyword: injury characteristics

Search Result 859, Processing Time 0.029 seconds

Anatomical knowledge of zygomatico-buccal plexus in a cadaveric study

  • Sukanya Uruwan;Chalermquan Rungsawang;Tawiwan Sareebot;Tanvaa Tansatit
    • Anatomy and Cell Biology
    • /
    • v.56 no.3
    • /
    • pp.313-321
    • /
    • 2023
  • The details of the facial nerve pattern were clearly explained in the parotid gland (PG), lateral area of the face, and periorbital areas to prevent the unexpected outcome of medical intervention. However, it remains unclear whether information about the zygomatico-buccal plexus (ZBP) in the masseteric and buccal regions. Therefore, this study aimed to help clinicians avoid this ZBP injury by predicting their common location. This study was conducted in forty-two hemifaces of twenty-nine embalmed cadavers by conventional dissection. The characteristics of the buccal branch (BB) and the ZBP were investigated in the mid-face region. The results presented that the BB gave 2-5 branches to emerge from the PG. According to the masseteric and buccal regions, the BB were arranged into ZBP in three patterns including an incomplete loop (11.9%), a single-loop (31.0%), and a multi-loop (57.1%). The mean distance and diameter of the medial line of the ZBP at the corner of the mouth level were 31.6 (6.7) and 1.5 (0.6) mm respectively, while at the alar base level were 22.5 (4.3) and 1.1 (0.6) mm respectively. Moreover, the angular nerve arose from the superior portion of the ZBP at the alar base level. The BB formed a multiloop mostly and showed a constant medial line of ZBP in an area approximately 30 mm lateral to the corner of the mouth, and 20 mm lateral to the alar base. Therefore, it is recommended that physicians should be very careful when performing facial rejuvenation in the mid-face region.

Dynamic Postural Control and Ankle Joint Laxity among Dancers and Non-dancers with Chronic Ankle Instability, and Healthy Dancers (만성 발목 불안정성을 가진 무용수와 비무용수, 건강한 무용수의 동적 자세 조절 및 발목 관절 이완성)

  • Eun Ji Hong;Jiho Kang;Hyung Gyu Jeon;Kyeongtak Song;Sae Yong Lee
    • Korean Journal of Applied Biomechanics
    • /
    • v.34 no.2
    • /
    • pp.93-103
    • /
    • 2024
  • Objective: The purpose of this study was to investigate whether dancers with chronic ankle instability (CAI) exhibit different characteristics in dynamic postural control ability and ankle joint laxity compared to dancers without CAI and non-dancers with CAI. Method: Twelve dancers with CAI, 14 dancers without CAI, and 12 non-dancers with CAI participated in the study. Dynamic balance was evaluated using the Star Excursion Balance Test (SEBT) and the single-leg hop balance. The laxity of the ankle joint was evaluated through the anterior drawer test and the talar tilt test. SEBT measured maximum reach distances in anterior, posteromedial, and posterolateral directions. Single-leg hop assessed center of pressure (COP) and time-to-boundary (TTB) outcomes. One-way ANOVA and Chi-square tests were performed to compare the outcome variables among the three groups. Results: Dancers with CAI demonstrated greater reach distance in the posterolateral direction compared to non-dancers with CAI during SEBT (p=.014). Secondly, dancers without CAI showed greater reach distance in the posterolateral (p<.001) and posteromedial (p=.001) directions during SEBT compared to non-dancers with CAI. Additionally, dancers without CAI exhibited better postural control with higher TTB AP mean of minima (p=.003) and TTB AP standard deviation of minima (p=.012) during single-leg hop compared to nondancers with CAI. Thirdly, dancers with CAI showed a lower positive rate during the anterior drawer test compared to non-dancers with CAI (p=.019). Conclusion: Dancers with CAI demonstrated better ankle function and reduced mechanical instability compared to non-dancers with CAI. Therefore, to elucidate the underlying mechanisms of lateral ankle sprain and CAI development exacerbation in dancers, additional factors that can affect ankle sprain, such as visual dependence during postural control and evaluation in dance movements, should be explored.

The Effects of Work Sense, Job Stress, Job Satisfaction on Turnover Intention of Caregivers in Long-Term Care Hospitals (요양병원 간병인의 직업의식, 직무스트레스, 직무만족도가 이직의도에 미치는 영향)

  • Hyeon-Suk Han;Wang-keun Yoo;Eun-Su Do
    • Korea Journal of Hospital Management
    • /
    • v.28 no.4
    • /
    • pp.23-32
    • /
    • 2023
  • Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

  • PDF

A Baseline Survey on Development of Primary Health Care in the Rural Korea -Sanpuk Village, Kumsa-Myun, Yuju- Gun, Kyunggi-Do- (농촌지역의 일차보건사업 개발을 위한 기초조사 연구 - 경기도 여주군 금사면 산북부락을 중심으로 -)

  • Kim, Myung-Ho;Yun, Suk-Woo;Rhee, Hae-Soak
    • Journal of agricultural medicine and community health
    • /
    • v.12 no.1
    • /
    • pp.5-27
    • /
    • 1987
  • It is widely recognized that primary health care in the community is one of the most important and effective health measures in these days. However, it is reality that unsatisfactory health care system, ineffective utilization of health care by the community people in the rural area are hampering better understanding for primary health care. Therefore promoting health for the rural people and increasing understanding about primary health care, the baseline survey in the community focused in examination for safe community water supply was carried out. The survey was conducted through August 25-31, 1986 in order to find out health problems and relevant factors and to define the demographic characteristics of $^*$Sanpuk village, Kumsa-Myun, Yuju-Gun, Kyunggi-Do, Korea. Household survey was carried out for every home by trained interviewers. The major results are found out as follows : 1) 84.2%(400 houses) of total households were surveyed because 15.8%(75 houses) were unable to survey due to either refusal against interview or absence of family. These 400 households were composed of 1,697 residents(male:830, female 867). Educational level of respondents showed 34.1% as elementary school graduated. Religion distribution showed Buddism(23.8%) as the most dominant. 50.7% of respondents married in the area. 2) Most households(91.5%) have lived in their own house in Sanpuk area. Average family size showed 4.3. More than half of residents(64.2%) have used public supplied water tap. Only 1.5% of the households had a flush toliet. The rest of households have still used primitive insanitary latrines. 3) 32.5% of residents have used gas burner for cooking and for heating in the house, and the coal briquet were used for boiler. Lack of convenient public transportation was the chief complaint for their day life. 4) Each household occupied 1,990 pyungs of rice paddy and 1,170 pyungs of ordinary field in average. Beside farming products, mushroom was the highest product. 5) Sixth percent of households in the survey area regularly participated in community meeting one hand and on the other hand 39.5% never participated. Most of respondents closely contacted with their neighbours and they seemed very friendly each other. 6) The prevalence rate of illness and injury during recent 15 days showed 48.3 per 1,000. The prevalence rate of chronic illnesses during the past one year showed 74 per 1,000. Injury and accident lead the higher portion(22.0%) in the former and in the latter pain(arthritis, back-pain) showed 27.0% as the dominant sickness. 87.8% of the ill residents in the former received medical treatment. As the most frequently utilized medical facility, the clinic or hospital were counted. Among the residents suffering from chronic illnesses, 77.3% in Sanpuk area get some kind of medical treatments and they rarely utilized the clinic or hospital. The reason why the patient did not receive any medical care was found out the fact that symptoms of illness was light or mild and economic problems was serious. 7) Average age of marriage showed 21.6 years old in the women and the average duration of marital period was shown for 15.1 years. The married woman in reproductive age in Sanpuk area had experienced pregnancies 4 times in the aver-age including 0.7 time of pregnancy in average were interrupted by induced abortion and 0.3 time by spontaneous abortion respectively. The practicing rate of the family planning of the married woman during reproductive ages showed 70.7% and the tuballigation was found out as the most frequently used contraceptives. 8) Among woman who has children under 2 years old, 70.0% had received the prenatal care for the last pregnancy. However, the average number of prenatal care visitis per woman showed 3.3 times. Fifty-two % of woman who received the postnatal care for the last delivery showed only 37.5%. 9) Immunization rate of the children under 2 years old showed relatively high and looked successful. The breast feeding for these children showed dominantly in the most. Most of the mothers in Sanpuk area had started the supplementary diet during weaning period of their infants of 6th and 7th month after birth. * : Sanpuk area is a demstration area for community development which has been supported by the Community Development Foundation during the part 10 years. The village is relatively closer to urban area such as Seoul, However, it has a similar characteristics shown as a remote village because of geographical location and inconvenient transportation at present.

  • PDF

Issues and Considerations surrounding Revocation Physician's Medical License Arising from Criminal Offenses (의사의 형사범죄에 따른 면허취소처분의 쟁점과 고려사항)

  • Kim, Sung-eun
    • The Korean Society of Law and Medicine
    • /
    • v.19 no.1
    • /
    • pp.113-142
    • /
    • 2018
  • In recent years, there have been opinions in which physicians are liable to the revocation of their medical license if they are sentenced to above a certain level for criminal charges regardless of the types of offenses. Accordingly, a revised bill of law was submitted in the National Assembly, and related discussions are thus expected to commence. Considering the morality and ethics or the level of the rule of law that the general public expects of physicians, as well as the license revocation system in other professional sectors, it is assessed that medical license revocation due to criminal convictions of physicians is appropriate to some degree. However, if a poorly devised system is established based on unrefined inferences or emotional judgements, unexpected side-effects are likely to arise. With regard to serious criminal acts that society generally perceives as unacceptable, it can be assessed that the revocation of physicians' licenses would appropriately protect the general public from threats. However, given the life-saving characteristics of high-risk medical practices, higher malpractice exposures, and social values, it is difficult to assess charges of professional negligence resulting in death(or in injury) and minor offences in the same manner as anti-social criminal offences are handled. Physicians need to be treated the same as any other professions. At the same time, they are engaged in administering medical treatment to patients in the face of great risks as professionals. Under the circumstances, a discussion on the introduction of a more specific and empirical system is needed by considering the intrinsic characteristics of medical treatment and the need for an equitable health and medical policy. Accordingly, based on the above judgment and perception, this study explores the code of ethics for physicians and medical license revocation related to criminal offences at home and abroad, and examines various legislative alternatives appropriate for the Republic of Korea. In doing so, the purpose of the study is to contribute to the development of a reasonable system for handling criminal offences by physicians.

Effect of Furrow Directions on Growth and Yield in Panax ginseng C.A. Meyer (해가림 방향이 인삼의 생육 및 수량에 미치는 영향)

  • Lee, Sung-Woo;Cha, Seon-Woo;Hyun, Dong-Yun;Kim, Young-Chang;Kang, Seung-Won;Seong, Nak-Sul
    • Korean Journal of Medicinal Crop Science
    • /
    • v.14 no.4
    • /
    • pp.221-224
    • /
    • 2006
  • To analyze how the furrow directions made by the azimuth of $90^{\circ}-270^{\circ}(N\;90^{\circ})$, $120^{\circ}-300^{\circ}(N\;120^{\circ})\;and\;0^{\circ}-180^{\circ}(N\;180^{\circ})$ effect on the growth characteristics and yield of 2 and 3-year-old ginseng, both of $N\;90^{\circ}\;and\;N\;180^{\circ}$ compared with$N\;120^{\circ}$ recommended as the standard practices for ginseng cultivation. $N\;90^{\circ}$ showed lower quantum and air temperature during forenoon, while it showed higher quantum and air temperature from 15:00 to 19:00 than that of $N\;120^{\circ}$. $N\;180^{\circ}$ showed high quantum and air temperature due to the distinct increase of sunlight penetrated from 9:00 to 11:00, and which were similar to that of$N\;120^{\circ}$ during afternoon. Stem length and leaf area in $N\;90^{\circ}\;and\;N\;180^{\circ}$, respectively, were decreased more than that of$N\;120^{\circ}$, and those in $N\;180^{\circ}$ were decreased more distinctly than $N\;90^{\circ}$. Heat injury rate was decreased in $N\;90^{\circ}$, while it was increased distinctly in $N\;180^{\circ}$ that showed high quantum and air temperature, and which showed great variation according to the year. Yield of $N\;180^{\circ}$ was decreased more than that of$N\;120^{\circ}$ in 2004, the year when it was a relatively high air temperature during summer season, but which was increased more than that of$N\;120^{\circ}$ in 2005 showing a rotatively low air temperature.

Electrophysiologic Characteristics of Combined Idiopathic Carpal Tunnel Syndrome and Tarsal Tunnel Syndrome (동반이환된 특발성 수근관증후군과 족근관증후군의 전기생리학적 특징)

  • Kim, Sung-Hyouk;Yang, Ji-Won;Sung, Young-Hee;Park, Kee-Hyung;Park, Hyeon-Mi;Shin, Dong-Jin;Lee, Yeong-Bae
    • Annals of Clinical Neurophysiology
    • /
    • v.13 no.1
    • /
    • pp.31-37
    • /
    • 2011
  • Background: Carpal tunnel syndrome (CTS) and tarsal tunnel syndrome (TTS) are thought to share a similar pathophysiology, compression of the median and plantar nerve by the carpal tunnel and flexor retinaculum. A few reports introduced the relationship between idiopathic CTS and TTS without definite evidence of coexistence. The current study was designed to analyze the electrophysiologic characteristics of combined idiopathic CTS and TTS by comparing with each idiopathic CTS or TTS. Methods: We retrospectively collected patients with combined idiopathic CTS and TTS (CTS-TTS group) from June 2001 to February 2009. Patients with each idiopathic CTS or TTS were collected as controls. Electrophysiologic data of median and plantar nerves were compared between CTS-TTS group and controls. Results: CTS-TTS group was composed of 31 patients. Control group of each CTS or TTS were 50 CTS and 49 TTS patients. In comparison of median nerve conduction study between CTS-TTS group and CTS control group, decreased compound muscle action potential amplitude (p<0.001), decreased median sensory nerve action potential amplitude (p<0.001) and sensory nerve conduction velocity at finger stimulation (p=0.013) were prominent in CTS-TTS group. Decreased medial plantar sensory nerve action potential amplitude (p=0.034) was indicated when CTS-TTS groups and TTS control group were compared. Conclusions: If the electrophysiology study of patients with CTS or TTS was suggestive of severe degree of nerve injury, concerns about the possibility of combined CTS and TTS would be helpful.

Chemical Control of Weed for Angelica gigas NAKAI (제초제(除草劑)에 의한 참당귀 밭 잡초방제(雜草防除))

  • Seo, Jeong-Sik;Son, Su-Gyu;Kim, Ki-Sik;Seo, Sang-Myung;Kim, Dong-Han
    • Korean Journal of Medicinal Crop Science
    • /
    • v.2 no.3
    • /
    • pp.187-192
    • /
    • 1994
  • This study was conducted to evaluate the effect of herbIcides on weed control, growth characteristics and yield in Angelica gigas NAKAI, after transplanting it to the field. All herbicids treated had no effect on the emergency period, bolting rate, and growth characteristics of A. gigos. Simazin wp, methabenzthiazuron wp were slightly harmful, but linuron wp pendimethalin ec, triflurain ec had no injury on the A. gigas, even with double dosage level. Under the treatment of pendimethalin ec, linulon wp, effect of weed control valuae at 55 days after transplanting was 89.6, and 88.3 respectively with 5 or 7 species of weeds appearing. Broadleaf weeds f?ere abundant than grasses, and the major weeds were C. albam, C. flexuos, D.sanguinalis, and E. arvense. Dry yield were increased somewhat more with herbicides than by hand weeding, even with double dosage level.

  • PDF

Study on the Adolescent Patient′s Stress during Hospitalization (청년기환자의 입원생활에 따르는 긴장에 관한 연구)

  • 백영주
    • Journal of Korean Academy of Nursing
    • /
    • v.6 no.1
    • /
    • pp.72-79
    • /
    • 1976
  • Contemper nursing literature place much importance on human- centered and individualized care. Nursing research has related stress during hospitalization of adolescent patients to adaptation to a new environment, isolation from friends, limitation due to illness, over protection of parents and communication with member of the medical team. The investigator conducted this study in the hope that an understanding of adolescents responses to hospitalization, their perceptions, the kinds and levels of stress, and the relationships between stressors and individual characteristics would contribute to the improvement of adolescent patient care. The objective of the study was to obtain informations related to the adolescents psychological stress experience during hospitalization, specifically stress from interpersonal relationships and communication, isolation from the family, social or economic problems, illness and from the treatment environment and nursing care. An interview schedule adopted from Holmes and Rahe's Social Readjustment Rating Scale and selected items from Voicer's instrument on stress-producing events was used with 120 adolescent inpatients aged 13 to 18 years three general hospitals in Seoul during Aug. 10, to Sep. 30, 1975. 1. The sample consisted of 66 male and 54 female patients. Sixty-six percent were late adolescents, aged 16 to 18 years: 4% were early adolescents, aged 13 to 15 years. The primary cause for hospitalization was for orthopedic problems (35.8%). More than half of these (54.4%) were due to injury or accident. 2. Stress eclated to illness revealed the highest score (4.97), followed by stress related to treatment environment and nursing care (4.34) , isolation from family and social or economic problems (4.01) and interpersonal relationships and communication (3.96). 3. The perceived indifference of doctors and nurses was a serious cause of stress (mean=4.83). Fellow patients and visitors caused least stress (mean=2.06). 4. Discontinuation of education or unemployment were major stressful events (mean=4.71). Least stressful was isolation from the family (mean=3.47). 5. More than 94% of the respondents expressed fears related to body image (mean=4.97) 6. Within the category of treatment environment and nursing care, items related to restrictions because of treatment, discomfort because of treatment, inadequate explanation from nurses about procedures were rated as severe stress events (mean=4.6). Items related to the ward environment and to having a relative stay with them were seen by the group as less serious events (mean=3.7). 7. Stress related to interpersonal relationships and communication was correlated positively with female patients and those preferring passive activities. (P〈0.05) 8. Stress related to family problems was positively related to female and early adolescent patients (P< 0.05). Stress related to social problems was positively , elated to students and those preferring active pursuits (P< 0.05). 9. There were no correlation between the high stress related to disease and any of the characteristic items. (P> 0.05) 10. Stress related to treatment environment and nursing care was positively related of early adolescent and female and student patients. (P< 0.05) This group of hospitalized adolescents reported high level of stress related to treatment environment and nursing care, due to lack of consideration of normal growth and development and individual characteristics. The findings have important implications for the planning of effective, individualized, comprehensive nursing care of adolescents during hospitalization.

  • PDF

Comparison of Growth Rate and Cold Tolerance with Basic Species, Commercial Lines, and Breeding Lines of Zoysiagrass (한국잔디류 기본종, 상업종 및 육종계통들의 생육속도 및 내한성 비교)

  • Choi, Joon-Soo;Yang, Geun-Mo
    • Asian Journal of Turfgrass Science
    • /
    • v.19 no.2
    • /
    • pp.131-140
    • /
    • 2005
  • This study was conducted to compare cold tolerances and growth rates of 5 basic species, commercial lines, and breeding lines of zoysiagrass. Total 41 zoysiagrasses were tested at the northern part (Jeokseong-myeon) and the middle part (Cheonan) of South Korea. Cold tolerance (survival rate during winter), growth rate, green-up speed, and density data were collected visually. Four types of zoysiagrasses (Z. matrella, Z. tenuifolia, USm, and S4M2) with genetic characteristics of Z. matrella died during winter cold, while the others survived. Midium leaf type zoysiagrasses, such as Anyang1, Samdeock1, Anyang2, SJ21, and Pyeongdong, with genetic characteristics of both Z. sinica and Z. macrostachya showed vigorous growth rate one year after planting at the northern part (Jeokseong-myeon). Twenty nine ($70.7\%$) zoysiagrasses showed vigorous growth rate, but the other twelve ($29.3\%$) zoysiagrasses died by cold and drought condition at the middle (Cheonan) part of S. Korea. Anyang2, AJ9-7, Samdeock1, Samdeock2, Samdeock3, and Zenith-C showed vigorous growth rate even though cold and drought environmental condition were artificially provided at these region. But, SJ2-19, NSm, 88Mey, 88Mey-7S, 88Mey-9S, SJ2l-10, ASm, and DBm which did not die at the northern part, showed serious injury at the middle part of S. korea. From this results, we can conclude that drought is as important factor as low temperature for zoysiagrasses during winter.