• Title/Summary/Keyword: pressure injury

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Hypertensive Encephalopathy with Reversible Brainstem Edema

  • Lee, Sungjoon;Cho, Byung-Kyu;Kim, Hoon
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.139-141
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    • 2013
  • Presented here is a 36-year-old male with arterial hypertension who developed brainstem edema and intracranial hemorrhage. Magnetic resonance scan revealed diffuse brainstem hyperintensity in T2-weighted and fluid-attenuated inversion-recovery images, with an increase in apparent diffusion coefficient values. After a reduction in blood pressure, rapid resolution of the brainstem edema was observed on follow-up. The patient's condition was thus interpreted as hypertensive brainstem encephalopathy. While many consider this a vasogenic phenomenon, induced by sudden, severe hypertension, the precise mechanism remains unclear. Prompt recognition and aggressive antihypertensive treatment in such patients are essential to prevent permanent or life-threatening neurologic injury.

The Study development of body balance function rehabilitation training equipment (인체평형기능 재활훈련장치의 개발에 관한 연구)

  • O, J.Y.;Kim, Dong-Wook
    • Proceedings of the KIEE Conference
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    • 2002.11c
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    • pp.422-425
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    • 2002
  • Position balance control refers to ability that is kept bodily center of gravity under minimum position shake on surface of land. Patients who an injury of brain, a wound of the central nervous system or weakening of leg muscular power is fallen are trend increasing steadily by the car accident body balance function is on an increasing trended. These patients have difficulty in position balance control, receive big restriction walk and life style. This research composed to do body balance function rehabilitation training which elevate leg muscular power using step machine. And expect to become effective rehabilitation training device because measuring bodily pressure center using Force Platform and do so that can confirm training result easily as that is monitor.

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Improvement of Passenger Airbag Based on the Injury Assessment of the 5th Percentile Female Dummy (작은 체형의 여성 승객을 고려한 조수석 에어백의 설계 개선)

  • Kwon, Yul;Kim, Kwon-Hee;Son, Chang-Kyu;Kim, Hyung-Il
    • Transactions of the Korean Society of Automotive Engineers
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    • v.20 no.5
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    • pp.1-7
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    • 2012
  • Automobile airbag deployment process has been studied with MADYMO software. Based on the FMVSS208 and USNCAP(United States New Car Assessment Program) regulations, four parameters were chosen for the design improvement with reference to the 5th percentile female passenger dummy: time to fire, vent hole size, tether length and tank test pressure of inflator. Sensitivity analyses based on orthogonal arrays show that enhanced protection of small females can be achieved with improved USNCAP rating within the boundary of FMVSS 208.

Reconstruction of a Large Infected Midline Abdominal Wall Defect Using a Latissimus Dorsi Free Flap

  • Cha, Han Gyu;Kim, Eun Key;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.31 no.2
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    • pp.91-95
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    • 2018
  • Managing large infected midline abdominal defects are clinically challenging and technically demanding. The alloplastic materials, regional flaps, and component separation are usually infeasible because of the size, location, depth, and state of the defects. In these cases, the free flap is the only option with a large well-vascularized tissue that is free to inset regardless of the location. Herein, we report a case of 44-year-old man with a large infected midline abdominal wall defect who was completely treated with a latissimus dorsi myocutaeous free flap followed by negative pressure wound therapy.

Correlation Analysis between Safety and Health Indices in a Shipbuilding Industry (조선업종의 안전보건지수에 관한 상관성 분석)

  • Pyo, Yeon;Jeong, Byung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.897-905
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    • 2010
  • The purpose of this study is to identify relationships between safety and health indices in a shipbuilding industry. From the results of periodical health examination, job stress test, and health questionnaire for musculoskeletal disorders, the author stratified the 704 shipbuilding workers into categories of smoking, drinking frequency, the amount of exercise per week, obesity, blood pressure, diabetic symptoms, liver function, audibility, job stress, fatigued condition, musculoskeletal symptom, and accident. The results show that occupational injuries are highly related to smoking, drinking frequency, auditory capacity, fatigued condition, and musculoskeletal symptoms. These results can be used to develop more effective accidental occupational injury prevention programs for shipbuilding industries.

Tracheoesophageal Fistula Associated with Endotracheal Intubation (기관삽관과 관련된 경부 기관의 기관식도루)

  • Hah, J. Hun
    • Korean Journal of Bronchoesophagology
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    • v.18 no.2
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    • pp.41-44
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    • 2012
  • Acquired tracheoesophageal fistula (TEF) can occur rarely from various causes. Recently, cuff-related tracheal injury after endotracheal intubation with the orotracheal tube and tracheostomy cannula is the most common etiology of nonmalignant TEF. Since cuff-related TEF is usually preventable with proper selection of the cuffed tube and close monitoring of cuff pressure. Although most patients present increased secretions, recurrent pneumonia, or coughing after swallowing, a high index of suspicion is required in patients at risk for developing a TEF. Surgical correction for the defectis required. In most cases, primary closure of the esophageal defect and tracheal resection and end-to-end anastomosis give the best results.

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Regulatory expression and cellular localization of doublecortin in the rat retina following ischemia-reperfusion injury

  • Gwon, Jae-Sung;Chun, Myung-Hoon;Kang, Wha-Sun
    • Animal cells and systems
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    • v.15 no.2
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    • pp.155-159
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    • 2011
  • Doublecortin (DCX) is microtubule-associated protein and is required for neuronal migration, differentiation and plasticity. In the retina, it is highly expressed between embryonic day 18 (E18) and E20, and is poorly expressed postnatally. In this study, we investigated the expression and cellular localization of DCX in the rat retina following ischemia induced by transiently increasing the intraocular pressure. While DCX immunoreactivity in control retinas was restricted to the outer border of the inner nuclear layer, it appeared in horizontal cell somata and processes in affected retinas. Quantitative evaluation by immunoblotting confirmed that DCX expression continuously increased after ischemia-reperfusion and showed 370% of control protein levels at 4 weeks after ischemic insult. These results suggest that the DCX in horizontal cells might play a role in neurite remodeling or modulating other neurons in ischemic rat retinas.

A Case of Peritoneal Dialysis-related Peritonitis Caused by Aeromonas Hydrophila in the Patient Receiving Automated Peritoneal Dialysis

  • Kim, Hyun Jin;Park, Hyun Sun;Bae, Eunsin;Kim, Hae Won;Kim, Beom;Moon, Kyoung Hyoub;Lee, Dong-Young
    • Electrolytes & blood pressure
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    • v.16 no.2
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    • pp.27-29
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    • 2018
  • Peritoneal dialysis (PD)-related peritonitis is a major cause of injury and technique failure in patients undergoing PD. Aeromonas hydrophila is ubiquitous in the environment, and is a Gram-negative rod associated with infections in fish and amphibians in most cases; however, it can also cause opportunistic infections in immunocompromised patients. We report a case of A. hydrophila peritonitis in a 56-year-old male on automated PD. Peritonitis may have been caused by contamination of the Set Plus, a component of the automated peritoneal dialysis device. Although Set Plus is disposable, the patient reused the product by cleansing with tap water. He was successfully treated with intraperitoneally-administered ceftazidime and has been well without recurrence for more than 2 years.

Fatal vocal cord granuloma after orthognathic surgery

  • Park, Si-Yeon;Choi, Hong Seok;Yoon, Ji-Young;Kim, Eun-Jung;Yoon, Ji-Uk;Kim, Hee Young;Ahn, Ji-Hye
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.6
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    • pp.375-378
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    • 2018
  • Endotracheal intubation is commonly associated with laryngeal injury that often resolves spontaneously without any complication. However, stenosis or granulomatous lesions are generally found on the tracheal wall or vocal process at the tube cuff level, caused by excessive cuff pressure. We present a case of fatal vocal cord granuloma leading to dyspnea following orthognathic surgery and sustained intubation for 14 hours.

The role of cap-assisted endoscopy and its future implications

  • Sol Kim;Bo-In Lee
    • Clinical Endoscopy
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    • v.57 no.3
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    • pp.293-301
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    • 2024
  • Cap-assisted endoscopy refers to a procedure in which a short tube made of a polymer (mostly transparent) is attached to the distal tip of the endoscope to enhance its diagnostic and therapeutic capabilities. It is reported to be particularly useful in: (1) minimizing blind spots during screening colonoscopy, (2) providing a constant distance from a lesion for clear visualization during magnifying endoscopy, (3) accurately assessing the size of various gastrointestinal lesions, (4) preventing mucosal injury during foreign body removal, (5) securing adequate workspace in the submucosal space during endoscopic submucosal dissection or third space endoscopy, (6) providing an optimal approach angle to a target, and (7) suctioning mucosal and submucosal tissue with negative pressure for resection or approximation. Here, we review various applications of attachable caps in diagnostic and therapeutic endoscopy and their future implications.