• 제목/요약/키워드: internal injuries

검색결과 229건 처리시간 0.023초

외국인 근로자 환자의 성형외과 영역에 대한 분석 (Analysis of the Foreign Worker Patients in Plastic Surgery)

  • 백인수;노상훈;홍인표;박철규
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.561-564
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    • 2010
  • Purpose: According to the data presented by ministry of justice, a number of foreign workers in Korea is approximately 700 thousands and among them 22 thousands are illegal workers. We would like to provide the basic information the foreign workers by analyzing clinical contents. Methods: 1456 patients who visited the hospital were reviewed by nationality, medical department, gender and age. 62 patients have visited plastic surgery department and they were additionally reviewed by diagnosis, chief complant and operation. Results: Mongolians were 388 cases (26.7%), followed by Chineses with 452 cases (31.1%). General surgery had 264 visits (18.1%) followed by internal medicine with 388 visits (26.6%). In gender grouping, 781 patients were males and 675 patients were females. Hand, face and extremity injuries were common in plastic surgery field but many foreign worker patients also wanted to take aesthetic surgery such as scar revision, blepharoplasty and augmentation rhinoplasty. Conclusion: It has been twenty years since foreign workers have come to the Korean society. In the past foreign workers were mostly neglected. However with the vast improvement in labor and welfare related services, demands for plastic surgery, especially aesthetic surgery are increasing among foreign workers. Therefore plastic surgeons' continuous interest in foreign workers is required.

Clinical Outcome of a Precontoured Symphysis Pubis Plate with Tension Band Wiring for Traumatic Symphysis Pubis Rupture in Pelvic Fractures

  • Lee, Jeong Moon;Yoon, Sun Jung;Park, Myung Sik;Song, Kyung Jin
    • Journal of Trauma and Injury
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    • 제29권1호
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    • pp.22-27
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    • 2016
  • Purpose: The optimal method of fixation of symphysis pubis (SP) diastasis in pelvic ring injuries is still controversial. In this study, we investigated the radiological and the clinical results of a precontoured 4.5-mm symphysis pubis (SP) plate with tension band wiring (TBW) after an anterior pelvic injury in pelvic fractures. Methods: We treated 25 patients with traumatic SP diastasis by open reduction and internal fixation with plates and wires. We used a four-hole 4.5-mm precontoured SP plate with a tension band wiring. Results: Patients with a SP with TBW fixation achieved excellent or good results at final follow-up. Post-operative complications included two (8%) patients with metal work movement. The mean symphyseal width was smaller in 4.5 mm SP plate with TBW during 1-year follow up period. Conclusion: A precontoured symphysis pubis plate (4.5 mm) with figure-of-eight fashion tension band wiring shows favorable radiological results, excellent or good clinical outcome, and a lower complication (hardware failure and revision surgery).

'종음인양(從陰引陽), 종양인음(從陽引陰)'의 해석과 활용에 대한 연구 (Interpretation and clinical meanings of cong Yin yin Yang(從陰引陽) cong Yang yin Yin(從陽引陰))

  • 조학준
    • 대한한의학원전학회지
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    • 제26권2호
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    • pp.9-24
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    • 2013
  • Objectives : I would find out the interpretation of cong Yin yin Yang(從陰引陽) cong Yang yin Yin(從陽引陰) in Su Wen(素問) Yin Yang Yin Xiang Da Lun(陰陽應象大論) and its clinical meanings. Methods : I had searched the opinions of annotators about this paragraph and compared treatment principles that TCM clinicians, such as Li Dong-yuan(李東垣), Zhang Jie-bin (張介賓), Yu Jia-yan(喩嘉言) developed. Results : This paragraph is related to treatment principles of the paragraph Yang bing zhi Yin(陽病治陰) Yin bing zhi Yang. Li Dong-yuan applied it to treatment principle of internal injuries(內傷病), Zhang Jie-bin extended its clinical meanings to the opposite treatment principles(反治) such as gu han wu xie(求汗於血) sheng Qi wu Jing(生氣於精), yin huo gui yuan(引火歸源) and na Qi gui shen(納氣歸腎), Yu Jia-yan used it as treatment principle of tuo zheng(脫症). Conclusion : This paragraph can mean several messages and be applied to several treatment principles.

실험적 기관 재건술에 대한 고찰 (Review of Experimental Tracheal Reconstruction)

  • 성숙환;김용희
    • 대한기관식도과학회지
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    • 제7권2호
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    • pp.128-139
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    • 2001
  • The purpose of this study was to review the literatures of experimental tracheal reconstruction. Although there have been significant advancements in the surgical treatment of the long circumferential tracheal injuries, there still has been a difficult problem with high morbidity and mortality. The method for tracheal reconstruction after circumferential resection is preferred end-to-end anastomosis for defects up to 6 cm in length, but larger tracheal defects require the use of tracheal allograft, various artificial prosthesis or autogenous organs. The tracheal allotransplantation has been widely used as there was significantly improved the method of surgical technique, preservation and immunosuppression. But it has been limited by a number of factors such as few donor, limited use of immunosuppressant, delayed revascularization and re-epitheliazation. Experimental studies on the tracheal prosthesis have a long history and they tried to use silicone, polytetrafluoroethylene, polypropylene mesh, Dacron, Marlex mesh, external or internal stents. Other experimental studies were reported the use of autogenous tissues that were cartilage. jejunum, aorta, skin, muscle, periostium or esophagus. But a great variety of these protheses have been resulted unsatisfactory in a significant Proportion of cases. Alternatively, the tissue-engineering technique has showed a new approach to reconstruct trachea and much progress in tissue-engineering bas been made recently. In conclusion, although the tracheal allotransplantation and the use of prosthesis and allograft have been reported a lot of limitation to overcome, we could sooner expect good result of ideal tracheal prosthesis.

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단독 후외측 견봉 골절에 대한 내고정술 - 증례 보고 - (Internal Fixation for Isolated Posterolateral Fracture of the Acromion - A Case Report -)

  • 권영호;정구희;차상원
    • Clinics in Shoulder and Elbow
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    • 제11권1호
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    • pp.62-65
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    • 2008
  • 견갑골의 견봉에서 일어나는 골절은 오구돌기, 관절와와 같은 다른 견갑골 부위의 골절과 동반되거나 견봉쇄골 관절 탈구와 동반되는 경우가 흔하며, 이들 대부분의 골절은 전위가 많지 않아 보존적인 방법으로 치료가 가능하다. 저자들은 견갑부 주위 골절의 동반 없이 단독으로 견봉 후외측부위에 골절 및 전위가 있는 환자에서 유관나사 및 K-강선을 이용한 내고정으로 좋은 기능적 결과를 경험하였기에 견봉 골절 내고정을 위한 술기적 특징 및 문헌적 고찰을 보고하고자 한다.

Effect of Different Rest Intervals on Ankle Kinematics during a Dynamic Balance Task

  • Kwon, Yong Ung
    • 한국운동역학회지
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    • 제28권3호
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    • pp.193-197
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    • 2018
  • Objective: The relationship between the rest intervals during physical tasks and performance enhancement has been studied. However, whether or not different rest intervals would result in altered multiplanar ankle kinematics during performance of the Star Excursion Balance Test (SEBT) is unknown. Method: Fifteen healthy subjects (7 males and 8 females) without a history of ankle injuries were participated in this study. 3 rest intervals of 10, 20, and 40 seconds were used during the current study. Three visits were required in order to complete the 3 rest intervals. Variables of interest included dorsiflexion (DF) excursion, tibial internal rotation (TIR), and eversion (EV) excursions. The means of ankle angular excursions were compared across the 3 directions in the 3 rest interval groups. Results: There were no significant main effects for any variables between restintervals. However, DF excursion in the anteromedial (AM) direction was greaterthan in both the medial (M) and posteromedial (PM) directions and was greater in the M direction compared to the PM direction. TIR excursion in the AM direction was less than in both the M and PM directions. Conclusion: Different rest intervals ranging from 10 to 40 seconds did not influence ankle angular excursions during the SEBT in a healthy population. However, our results suggest that multiplanar motion is necessary during the SEBT and differs depending on the direction of movement.

소아 상완골 원위부 골단의 골절 및 분리 (Fracture-Separation of the Distal Humeral Epiphysis in Children)

  • 구자웅;김세동;안종철
    • Journal of Yeungnam Medical Science
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    • 제8권2호
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    • pp.121-127
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    • 1991
  • 상완골 원위부 골단의 골절 및 분리 7례를 장기 추시하여 분석한 결과를 요약하면 다음과 같다. 세밀한 이학적 검사와 방사선 검사로 상완골 외과 골절이나 주관절 탈구와 감별진단이 필요하며, 정확한 진단에서 치료를 시도하는 것이 바람직할 것으로 사료된다. 치료는 골절의 정복 상태를 객관적이고 정확하게 평가할 수 있는 방법이 없어 어려우나 저자들의 경우 보존적인 치료로서 비교적 좋은 결과를 얻었다.

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고분자 생체재료와 줄기세포를 이용한 조직공학과 재생의학의 최신 동향 (Recent Applications of Polymeric Biomaterials and Stem Cells in Tissue Engineering and Regenerative Medicine)

  • 이상진
    • 폴리머
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    • 제38권2호
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    • pp.113-128
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    • 2014
  • Tissue engineering and regenerative medicine strategies could offer new hope for patients with serious tissue injuries or end-stage organ failure. Scientists are now applying the principles of cell transplantation, material science, and engineering to create biological substitutes that can restore and maintain normal function in diseased or injured tissues/organs. Specifically, creation of engineered tissue construct requires a polymeric biomaterial scaffold that serves as a cell carrier, which would provide structural support until native tissue forms in vivo. Even though the requirements for scaffolds may be different depending on the target applications, a general function of scaffolds that need to be fulfilled is biodegradability, biological and mechanical properties, and temporal structural integrity. The scaffold's internal architecture should also enhance the permeability of nutrients and neovascularization. In addition, the stem cell field is advancing, and new discoveries in tissue engineering and regenerative medicine will lead to new therapeutic strategies. Although use of stem cells is still in the research phase, some therapies arising from tissue engineering endeavors that make use of autologous adult cells have already entered the clinic. This review discusses these tissue engineering and regenerative medicine strategies for various tissues and organs.

한약을 이용한 chemotherapy-induced peripheral neuropathy (CIPN) 치료 관련 무작위 배정 임상 시험에 대한 고찰 (A review of herbal medicines for chemotherapy induced peripheral neuropathy)

  • 박봉기
    • 대한암한의학회지
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    • 제21권2호
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    • pp.51-61
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    • 2016
  • Background : Chemotherapy-induced peripheral neuropathy (CIPN) is a common adverse effect in cancer patients who were exposed to chemotherapy. CIPN impacts on the quality of life and could delay chemotherapy. The aim of this review was to assess the therapeutic effectiveness of herbal medicine in CIPN patients. Methods : Randomized controlled trials (RCTs) were included in this review. We searched MEDLINE, Cochrane database, EMBASE, CNKI, Wanfang and four Korean databases without restrictions on time or language. The risk of bias was assessed using the Cochrane risk of bias tool. Results : Eleven RCTs involving 706 patients met the inclusion criteria. Eleven different herbal medicines were examined in the included trials. Almost RCTs showed insufficiency in the reporting randomization method and allocation concealment. One trial used allocation concealment and a double-blinding method. Five studies reported that participants dropped out of RCTs and conducted an 'as-treated analysis'. One trials reported adverse effects of herbal medicine. In ten of the eleven trials, the use of herbal medicine had shown significant differences in clinical symptoms or nerve conduction velocity. Conclusions : The use of herbal medicines for CIPN showed significant improvements in the management of CIPN. However, conclusions cannot be drawn because of the generally low quality of methodology and low quantity of data for each single herbal medicine. Further rigorous trials are needed.

남자 만성피로의 형상의학적 고찰 (Study on Male Chronic Fatigue in Hyungsang Medicine)

  • 박태숙;이용태
    • 동의생리병리학회지
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    • 제19권3호
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    • pp.605-611
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    • 2005
  • Chronic fatigue refers to the tiredness which disturbs one's daily activities and lasts more than six months without the sign of improvement by rest or sleep. Male chronic fatigue is included in internal injuries due to overstrain and exhaustion and closely related to river, spleen, stomach and kidney out of five Jang organs. Male chronic fatigue is based on the deficiency of Yang and aggravated by liquor, sex and emotional depression. Chronic fatigue has the following features in Hyungsang ; an inclination for lying: unwillingness to everything; drooping eyes and feeble voice; yellow pale complexion; withered ears; redness on the tip of nose; cheekbone, and lips; blood shot eyes; dryness and loss of hair. Male chronic fatigue usually attacks the persons of horse type and bird type because they are hyperactive compared with what they eat. The following medicines are commonly prescribed for the treatment of male chronic fatigue. Ssangwhatang, Sokunzungtang, and Yanghyulsamultang are commonly prescribed to horse type. Jaumkangwhatang, Chungsimyunzaum, Yookmijiwhangtang to bird type. Palmiwhan, Gozinumja. and Shinkihwan to fish type. Bozungikkitang, Galwhahaesungtang, Samchulgunbitang and Sipjundaebotang to turtle type.