• Title/Summary/Keyword: safety joint

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The Effectiveness and Safety of Acupuncture on Occipital Neuralgia: A Study Protocol for Systematic Review and/or Meta-Analysis

  • Jeong-Hyun Moon;Gyoungeun Park;Jung Eun Jang;Hyo-Rim Jo;Seo-Hyun Park;Won-Suk Sung;Yongjoo Kim;Yoon-Jae Lee;Seung Deok Lee;Eun-Jung Kim
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.238-244
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    • 2023
  • Background: Occipital neuralgia (ON) is an established risk factor for headaches in the posterior cervical region. Several conservative treatments by nerve decompression and pain relief are available for ON, but these treatments have limitations. Acupuncture treatment, which is known to demonstrate analgesic effects, involves various stimulation methods, and several studies have reported their clinical benefit. No recent systematic review (SR) has compared each acupuncture type for ON treatment. Thus, this SR aims to investigate the clinical effectiveness of each acupuncture type for treating ON. Methods: We will identify relevant studies using electronic databases, including EMBASE, MEDLINE, Cochrane Library, China National Knowledge Infrastructure (CNKI), Korean Studies Information Service System (KISS), Korean Medical Database, KoreaMed, and National Digital Science Library (NDSL) from the inception until August 2023. The primary outcome will include the numerical change of pain symptoms (visual analog scale and numerical rating scale) and effective rate. Safety and secondary outcomes will include adverse events and quality of life. We will compare the conservative treatment with the acupuncture treatment using network meta-analysis. The Cochrane Collaboration "risk of bias" tools will be used to assess the quality of included trials. The Grades of Recommendation, Assessment, Development, and Evaluation will be used to examine the evidence level. Conclusion: This study will provide clinical evidence of several acupuncture types for ON and help clinicians decide on the best.

Legal Violation of The Chemical Substances Control Act by Hazardous Chemical Business Operators in Ulsan Industrial Areas (울산지역 유해화학물질 영업자의 화학물질관리법 위반 현황과 내용)

  • Jihoon Park;Hye-Ok Kwon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.1
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    • pp.60-69
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    • 2023
  • Objectives: Business operators handling hazardous chemicals regulated under the Chemical Substances Control Act (CSCA) must receive permits to operate their business from the Ministry of Environment. This study analyzed the status of recent legal violation in chemical handling workplaces in Ulsan where a large volume of chemicals is handled for industrial use. Methods: A total of 557 corporations have been granted legal status as business operators in Ulsan. For all business operators, legal violations in regard to the CSCA that were discovered by the environmental office in the last five years (2018~2022) were thoroughly analyzed. Results: A total of 225 violations of the CSCA have been discovered at 165 corporations, with the violation rate accounting for approximately 27% of all business operators. In particular, 22% of the 165 violators (36 corporations) were discovered to have violated twice or more, and some business operators (6%) even violated in consecutive years. Non-compliance of facility inspection was the most frequent violation (45 cases, 20.1%), followed by non-reporting of important changes in the permitted matters (23 cases, 10.3%), non-completion of legal safety education (19 cases, 8.5%), failure to secure permission for modification in the permitted matters (18 cases, 8.0%), and failure to submit chemical transport plans (16 cases, 7.1%). Conclusions: Most of the violations could have been prevented if the field personnel had paid sufficient attention. Thus, it is fundamentally necessary to create an environment for spontaneous safety management for themselves and to strengthen individual capabilities.

7α,25-Dihydroxycholesterol-Induced Oxiapoptophagic Chondrocyte Death via the Modulation of p53-Akt-mTOR Axis in Osteoarthritis Pathogenesis

  • Jeong-Yeon Seo;Tae-Hyeon Kim;Kyeong-Rok Kang;HyangI Lim;Moon-Chang Choi;Do Kyung Kim;Hong Sung Chun;Heung-Joong Kim;Sun-Kyoung Yu;Jae-Sung Kim
    • Molecules and Cells
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    • v.46 no.4
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    • pp.245-255
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    • 2023
  • This study aimed to exploring the pathophysiological mechanism of 7α,25-dihydroxycholesterol (7α,25-DHC) in osteoarthritis (OA) pathogenesis. 7α,25-DHC accelerated the proteoglycan loss in ex vivo organ-cultured articular cartilage explant. It was mediated by the decreasing extracellular matrix major components, including aggrecan and type II collagen, and the increasing expression and activation of degenerative enzymes, including matrix metalloproteinase (MMP)-3 and -13, in chondrocytes cultured with 7α,25-DHC. Furthermore, 7α,25-DHC promoted caspase-dependent chondrocyte death via extrinsic and intrinsic pathways of apoptosis. Moreover, 7α,25-DHC upregulated the expression of inflammatory factors, including inducible nitric oxide synthase, cyclooxygenase-2, nitric oxide, and prostaglandin E2, via the production of reactive oxygen species via increase of oxidative stress in chondrocytes. In addition, 7α,25-DHC upregulated the expression of autophagy biomarkers, including beclin-1 and microtubule-associated protein 1A/1B-light chain 3 via the modulation of p53-Akt-mTOR axis in chondrocytes. The expression of CYP7B1, caspase-3, and beclin-1 was elevated in the degenerative articular cartilage of mouse knee joint with OA. Taken together, our findings suggest that 7α,25-DHC is a pathophysiological risk factor of OA pathogenesis that is mediated a chondrocyte death via oxiapoptophagy, which is a mixed mode of apoptosis, oxidative stress, and autophagy.

A self-confined compression model of point load test and corresponding numerical and experimental validation

  • Qingwen Shi;Zhenhua Ouyang;Brijes Mishra;Yun Zhao
    • Computers and Concrete
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    • v.32 no.5
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    • pp.465-474
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    • 2023
  • The point load test (PLT) is a widely-used alternative method in the field to determine the uniaxial compressive strength due to its simple testing machine and procedure. The point load test index can estimate the uniaxial compressive strength through conversion factors based on the rock types. However, the mechanism correlating these two parameters and the influence of the mechanical properties on PLT results are still not well understood. This study proposed a theoretical model to understand the mechanism of PLT serving as an alternative to the UCS test based on laboratory observation and literature survey. This model found that the point load test is a self-confined compression test. There is a compressive ellipsoid near the loading axis, whose dilation forms a tensile ring that provides confinement on this ellipsoid. The peak load of a point load test is linearly positive correlated to the tensile strength and negatively correlated to the Poisson ratio. The model was then verified using numerical and experimental approaches. In numerical verification, the PLT discs were simulated using flat-joint BPM of PFC3D to model the force distribution, crack propagation and BPM properties' effect with calibrated micro-parameters from laboratory UCS test and point load test of Berea sandstones. It further verified the mechanism experimentally by conducting a uniaxial compressive test, Brazilian test, and point load test on four different rocks. The findings from this study can explain the mechanism and improve the understanding of point load in determining uniaxial compressive strength.

Experimental study on replaceable precast concrete beam-column connections

  • Seung-Ho Choi;Sang-Hoon Lee;Jae-Hyun Kim;Inwook Heo;Hoseong Jeong;Kang Su Kim
    • Earthquakes and Structures
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    • v.26 no.1
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    • pp.49-58
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    • 2024
  • The purpose of this study was to develop a system capable of restoring the seismic performance of a precast concrete (PC) connection damaged by an earthquake. The developed PC connection consists of a top-and-seat angle, post-tensioning (PT) tendons, and U-shaped steel. The PC beam can be replaced by cutting the PT tendons in the event of damage. In addition, the seismic performance of the developed PC beam-column connection was evaluated experimentally. A PC beam-column connection specimen was fabricated, and a quasistatic cyclic loading test was conducted to a maximum drift ratio of 2.3%. Subsequently, the PC beam was replaced by a new PC beam, and the repaired PC connection was loaded to a maximum drift ratio of 5.1%. The structural performance of the repaired PC connection was then compared with that of the original PC connection. The difference in the load at the drift ratio of 2.3% between the original and the repaired PC specimens was only 0.2%. The residual drift ratio in the repaired PC specimen did not exceed 1.0% at the 2.0 % drift ratio cycles, which satisfies the life safety performance level specified in ACI 374.2R-13. When the developed PC connection system is used, structural performance can be restored by rapidly replacing the damaged elements.

Estimation of Safety and Economical Efficiency of Large High Tension Bolted Joints (대직경 고장력볼트 이음부의 안전성 및 경제성 평가)

  • Sung, Ki-Tae;Kyung, Kab-Soo;Lee, Seung-Yong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.13 no.6 s.58
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    • pp.97-105
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    • 2009
  • This study was conducted for the purpose of examinating the safety and economical efficiency of large high tension bolted joints. The specimen using F10T-M30 large high strength bolts has been selected and static tensile test has been conducted to evaluate the slip characteristics. In addition, finite element analysis has been carried out to estimate the number of required bolts. As a result, the average slip coefficient of M30 high strength bolts exceeded 0.4 - the standard in highway bridge design specification - and has satisfied the slip strength, which is the same as that of M22 high strength bolts. In addition, if F13T-M22 high strength bolts were applied, the number of required bolts decreased by 21%, and if F10T-M30 high strength bolts were applied, the number of required bolts decreased by 46%, that leads to the conclusion that the economical efficiency in accordance with diametering of high strength bolts was now verified.

The Effects of Work Characteristics of Grapes-harvesting Tasks on the Wrist and Elbow Angles (포도 수확 작업의 작업특성에 따른 손목과 팔꿈치 각도 영향 분석)

  • Kim, Jihye;Lee, Inseok
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.5
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    • pp.589-599
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    • 2017
  • Objective: The objective of this study was to measure the upper-limb motions and postures of grapes-harvesting tasks using electrical goniometers and analyze the upper-limb motions in a kinematic way to assess the risk of musculoskeletal disorders. Background: Grapes farmers are exposed to various risk factors of musculoskeletal disorders (MSDs) such as repetitive upper-limb motions, non-neutral postures, and manual handling of heavy items. The farmers have to use scissors repetitively while harvesting grapes with their being arms elevated over the shoulder height, which presumed to increase the physical workload. It has been reported that the grapes farmers feel the harvesting task as the one of the hardest work in cultivating grapes. We tried measure the wrist and elbow angles while the farmers were carrying out harvesting tasks to understand how much workload the work impose on the farmers, which can be helpful in making interventions of preventing musculosksletal disorders among grapes farmers. Method: We measured joint angles at the right wrist and elbow with a wireless measuring system with two electrical goniometers from five grape farmers. The grapes-harvesting task was classified into 6 different subtasks: 1) searching, 2) picking, 3) cleaning, 4) carrying, 6) storing, and 7) miscellaneous tasks. The subtasks were compared by mean angles, 10%, 50%, and 90% APDF values of wrist flexion/extension, ulnar/radial deviation, and elbow flexion. Results: The Kruskal-Wallis tests showed that the 10th percentiles of APDF of ulnar/radial deviation and flexion/extension of the wrist significantly differs among subtasks (p<0.05). It was found that the farmers assumed more deviated wrist postures in the ulnar direction when they picking and adjusting the grapes. The use of scissors seemed to force the farmers to severely bend their wrist in the directions of ulnar deviation and flexion. The grapes-harvesting task showed similar wrist postures and motion with poultry deboning and milking tasks. Conclusion: The grapes harvesting tasks make the farmers take ulnar deviated and extended postures in the wrist. The use of scissors makes them take more severely deviated postures in the wrist. Safety guidelines including use of ergonomic scissors can be provided to the farmers to improve their work conditions. Application: The results of this study can be used as a basic data for the development of safety guidelines for agricultural work.

Clinical study on safety of Scolopendrid aquacupuncture (오공약침의 안전성에 대한 임상적 연구)

  • So, Ki-suk;Choi, Hoi-kang;Park, So-young;Koh, Kang-hun;Kim, Sung-nam;Lee, Ok-ja;Yun, Min-young;Mun, Hyung-chul;Kim, Sung-chul;Lee, Jung-hun;Na, Won-kyung
    • Journal of Acupuncture Research
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    • v.21 no.1
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    • pp.136-148
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    • 2004
  • Objective: Recently scolopendrid aquacupuncture has been a good effect on pain control but it has not been known about clinical safety. So, In order to prove the clinical safety of scolopendrid aquacupuncture, We have observed the physical reac-tion and clinical pathology test after scolopendrid aquacupuncture treatment. Methods: We analyzed physical reaction and clinical pathology test before and after Scolopendrid aquacupuncture treatment of 30 patients suffering from pain, who admitted department of Acupunture and Moxibustion, College of Oriental Medicine, Won-Kwang University Kwangju hospital. Results & Conclusions: The results were summarized as follows. 1) The distribution of sex was 14 males and 16 females, and the average of patients age was 46.2 years. 2) The distribution of symptom was lumbago, lumbago with radiating pain, nuchal pain and knee joint pain. 3) In the 30 patients treated with Scolopendrid aquacupuncture, hematologic test did not show remarkable change. 4) In the 30 patients treated with Scolopendrid aquacupuncture, Liver function test(AST, ALT, ALP) showed a slight decrease on the contrary, and abnormal rate showed a decrease of 1.0%(from 3.3% to 2.3%) compared with previous study. 5) In the 30 patients treated with Scolopendrid aquacupuncture, Renal function test(BUN, Cr) and abnormal rate(from 2.5% to 2.0%) showed a slight decrease on the contrary. 6) In the 30 patients treated with Scolopendrid aquacupuncture. Electrolyte were normal range before & after treatment. 7) In the results of the Urine analysis of 30 patients, Leukocyte, Protein. Glucose, Keton, Bilirubin, U-bilinogen were not detected before and after Scolopendrid aquacupuncture treatment, and the rest almost made no difference. 8) In the Physical reactions, all of the patients complained of pain of body partially, only one patient showed reddish and itch, but symptoms like those were entirely disappeared within 24 hours and whole body pain, swelling, headache, dizziness, fatigue and nausea was not observed.

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Risk Assessment of Lead and Cadmium through Mushrooms (버섯류 중 납, 카드뮴 위해성 평가)

  • Choi, Hoon;Park, Sung-Kug;Lee, Bum-Noh;Kim, Meehye
    • Korean Journal of Food Science and Technology
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    • v.44 no.6
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    • pp.666-672
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    • 2012
  • The present study was carried out in order to assess the dietary exposure as well as the risk for lead (Pb) and cadmium (Cd) exposure through mushrooms among the Korean population. Various samples (n=536) covering 17 kinds of mushrooms were collected from retail outlets and markets in Korea. The contents of Pb were 0.005 (King oyster)-0.026 (Matsutake) mg/kg in raw mushrooms and 0.014 (Oyster)-16.411 (Manna lichen) mg/kg in dry mushrooms, respectively. The contents of Cd were 0.002 (Enoki)-0.205 (Hericium erinaciium) mg/kg in raw mushrooms and 0.021 (Vegetable worms)-2.650 (Agaricus blazei Muill) mg/kg in dry mushrooms, respectively. The mean dietary exposure of Pb for the general population was $0.053{\mu}g/day$, taking 0.03% of provisional tolerable weekly intake (PTWI). The mean dietary exposure of Cd for the general population was $0.168{\mu}g/day$, corresponding to 0.37% of provisional tolerable monthly intake (PTMI). Therefore, the level of the overall dietary exposure to heavy metals through mushroom for the Korean population was far below the recommended JECFA levels, indicating little possibility of concern.

Safety Evaluation of Heavy Metal in Salted Vegetable Foods from Diverse Origin in Korea (국내 시판되는 세계채소절임식품의 중금속 안전성 평가)

  • Jang, Ja-Young;Kim, Tae-Woon;Park, HaeWoong;Park, Sung-Hee;Lee, JongHee;Choi, Hak-Jong;Han, Eung Soo;Kang, Miran;Kim, Hyun Ju
    • Journal of Food Hygiene and Safety
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    • v.29 no.2
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    • pp.146-151
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    • 2014
  • This study was conducted to estimate the contents of heavy metals in salted vegetable foods from diverse origin in Korea which were sold in Korea. The levels of heavy metals were determined using an ICP-MS. The values of metals [minimum~maximum (mean), mg/kg] in kimchi were as follows; Pb 0.0~0.074(0.018), Cd 0.0~0.027 (0.004), As 0.0~0.024(0.002), Hg 0~0.002(0.0). The weekly average intakes of lead, cadmium, arsenic and mercury from kimchi take 0.06~0.13% PTWI (Provisional Tolerable Weekly Intakes) that the FAO/WHO Joint Food Additive and Contaminants Committee has set to evaluate their safeties.