• Title/Summary/Keyword: skin damage

Search Result 685, Processing Time 0.026 seconds

Early Definitive Closure of an Open Abdomen by Using Porcine Dermal Collagen Graft: A Case Report (외상환자의 손상통제 수술 후 돼지진피아교질 이식편을 이용한 조기 완전 폐복의 사례보고)

  • Park, Sung Jin;Kim, Jae Hun;Yun, Sung Pil;Choi, Sun Woo;Kim, Seon Hee
    • Journal of Trauma and Injury
    • /
    • v.26 no.1
    • /
    • pp.14-17
    • /
    • 2013
  • Purpose: The open abdomen is now the standard of care in various clinical situations, especially it is used to treat abdominal compartment syndrome. Many techniques have been reported for closure after an open abdomen, but most take a long time for complete definitive closure and are associated with various problems. We describe a technique using biologic mesh that can achieve early definitive closure after an open abdomen. Methods: A 45-year-old man presented to the emergency room with a painful hip and painful lower extremities after a fall from 80 feet. Radiologic examination revealed multiple fractures of the pelvis and low extremities. Abdominal compartment syndrome caused by a retroperitoneal hematoma developed during the orthopedic surgery. We performed exploration immediately and closed abdomen temporarily. A peritoneal graft of porcine dermal collagen with anterior myofascial approximation of the rectus abdominis muscles and sliding skin flap was performed three days after the previous surgery. Results: There were no complications related to the wound. The patient was transferred to the Department of Orthopedic Surgery seven days after the initial surgery. Conclusion: Early definitive closure using porcine dermal collagen is a feasible method that can reduce the length of hospitalization and the number of operations for an open abdomen.

Strengthening the Occupational Exposure Limit for 1-Bromopropane according to the Results of Epidemiological Studies and Exposure Status (1-브로모프로판의 노출 실태와 역학조사에 따른 노출기준 강화에 관한 연구)

  • Ha, Kwonchul;Kim, Seung Won;Phee, Young Gyu;Lee, Naroo
    • Journal of Korean Society of Occupational and Environmental Hygiene
    • /
    • v.30 no.3
    • /
    • pp.270-279
    • /
    • 2020
  • Objective: The aim of this study was to propose revision of the occupational exposure limit(OEL) for 1-Bromopropane(1-BP) following a review of the appropriateness of the standard in light of increasing epidemiological data and handling risk. Materials and Methods: The results of toxicity and epidemiologic investigations for 1-BP and agencies' OELs were compared and reviewed through a literature review. In order to investigate the status of 1-BP handling in South Korea, data from work environment actual condition survey results and work environment measurement results were used. Results: The toxicity of 1-BP, such as central nervous system(CNS) damage, peripheral neuropathy, hematological adverse effects, and developmental and reproductive toxicity(male and female) has been reported. ACGIH recommends 0.1 ppm as a TLV-TWA value, but the OEL of South Korea stands at 25 ppm, which is 250 times higher than the TLV-TWA. Although 1-BP is a specially managed substance under the Industrial Safety and Health Law, the currently applied OEL cannot be said to be a safe level based on the results of epidemiological studies to date. In a work environment measurement in 2017, the total number of samples was 626, which were derived from 78 industries, and the average concentration was 1.173 ppm(standard deviation 2.88). Conclusions: To protect the health of workers handling 1-BP, estimated to be 780 in South Korea, it is necessary to strengthen the OEL(TWA) to a level of 0.3 ppm(lower than the 0.34 ppm with known toxic effects), which is believed to be safe as a result of epidemiological investigation. "Skin" notation should be recommended.

Cold Hardiness in Relation to Vine Management in 'Campbell Early' Grapevines ('캠벨얼리' 포도의 수체관리와 내한성)

  • Song, Gi-Cheol;Choi, In-Myung;Cho, Myong-Dong
    • Horticultural Science & Technology
    • /
    • v.18 no.3
    • /
    • pp.387-390
    • /
    • 2000
  • The experiment was conducted to investigate the effects of vine management and yield on fruit quality and bud burst of 'Campbell Early' grapevines in Hwaseong and Suwon area. The extreme value of minimum temperature of Hwaseong area, frequently causing cold damage, was lower than that of Suwon area in winter. Narrow spacing, overbearing, and poor vine management were observed in Hwaseong area, where the harvest time was delayed by 7 days compared with that of Suwon area. Total carbohydrate content of bearing mother branches was lower with 1.2~1.7%, and the percentage of bud burst was extremely lower at $-15^{\circ}C$. In Suwon area, there were no differences in cluster and berry size, but soluble solids content was lower and skin coloration was poorer when yield was high. Total carbohydrate content was lower when yield was high. The percentage of bud burst was lower at cold treatments below $-20^{\circ}C$. The results suggest that appropriate yield based on fruit quality is 2.3~2.6 MT/10a.

  • PDF

New Approach for Detecting Leakage of Internal Information; Using Emotional Recognition Technology

  • Lee, Ho-Jae;Park, Min-Woo;Eom, Jung-Ho;Chung, Tai-Myoung
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.9 no.11
    • /
    • pp.4662-4679
    • /
    • 2015
  • Currently, the leakage of internal information has emerged as one of the most significant security concerns in enterprise computing environments. Especially, damage due to internal information leakage by insiders is more serious than that by outsiders because insiders have considerable knowledge of the system's identification and password (ID&P/W), the security system, and the main location of sensitive data. Therefore, many security companies are developing internal data leakage prevention techniques such as data leakage protection (DLP), digital right management (DRM), and system access control, etc. However, these techniques cannot effectively block the leakage of internal information by insiders who have a legitimate access authorization. The security system does not easily detect cases which a legitimate insider changes, deletes, and leaks data stored on the server. Therefore, we focused on the insider as the detection target to address this security weakness. In other words, we switched the detection target from objects (internal information) to subjects (insiders). We concentrated on biometrics signals change when an insider conducts abnormal behavior. When insiders attempt to leak internal information, they appear to display abnormal emotional conditions due to tension, agitation, and anxiety, etc. These conditions can be detected by the changes of biometrics signals such as pulse, temperature, and skin conductivity, etc. We carried out experiments in two ways in order to verify the effectiveness of the emotional recognition technology based on biometrics signals. We analyzed the possibility of internal information leakage detection using an emotional recognition technology based on biometrics signals through experiments.

Reconstruction of Hand Using Peroneal Perforator Free Flap in High-Voltage Electrical Burn Patients (고압 전기화상에 의한 수부 손상 시 비골동맥 천공지 유리피판술을 이용한 재건)

  • Kim, Dong Hoon;Yoo, Jung Seok;Lim, Jun Kyu;Lee, Dong Lark
    • Archives of Plastic Surgery
    • /
    • v.35 no.1
    • /
    • pp.67-72
    • /
    • 2008
  • Purpose: The hand is frequently affected area in high voltage electrical burn injury as an input or output sites. Electrical burn affecting the hand may produce full thickness necrosis of the skin and damage deep structures beneath the eschar, affecting the tendon, nerve, vessel, even bone which result in serious dysfunction of the hand. As promising methods for the reconstruction of the hand defects in electrical burn patients, we have used the peroneal perforator free flaps. Methods: From March 2005 to June 2006, we applied peroneal perforator free flap to five patients with high tension electrical burn in the hand. Vascular pedicle ranged from 4cm to 5cm and flap size was from $4{\times}2.5cm$ to $7{\times}4cm$. Donor site was closed primarily.Results: All flaps survived completely. There was no need to sacrifice any main artery in the lower leg, and there was minimal morbidity at donor site. During the follow-ups, we got satisfactory results both in hand function and in aesthetic aspects.Conclusion: The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized wound defect, especially hand with electrical burn injury.

Baicalein Attenuates Oxidative Stress-Induced Expression of Matrix Metalloproteinase-1 by Regulating the ERK/JNK/AP-1 Pathway in Human Keratinocytes

  • Kim, Ki-Cheon;Kang, Sam-Sik;Lee, Jong-Sung;Park, Deok-Hoon;Hyun, Jin-Won
    • Biomolecules & Therapeutics
    • /
    • v.20 no.1
    • /
    • pp.57-61
    • /
    • 2012
  • The matrix metalloproteinase (MMP) family is involved in the breakdown of the extracellular matrix during normal physiological processes such as embryonic development, reproduction, and tissue remodeling, as well as in disease processes such as pathological aging, arthritis, and metastasis. Oxidative conditions generate reactive oxygen species (ROS) (e.g., hydrogen peroxide [$H_2O_2$]) in cells, which subsequently induce the synthesis of matrix metalloproteinase-1 (MMP-1). MMP-1, an interstitial collagenase, in turn stimulates an aging phenomenon. In this study, baicalein (5,6,7-trihydroxyfl avone) was investigated for its in vitro activity against $H_2O_2$-induced damage using a human skin keratinocyte model. Baicalein pretreatment signifi cantly inhibited $H_2O_2$-induced up-regulation of MMP-1 mRNA, MMP-1 protein expression and MMP-1 activity in cultured HaCaT keratinocytes. In addition, baicalein decreased the transcriptional activity of activator protein-1 (AP-1) and the expression of c-Fos and c-Jun, both components of the heterodimeric AP-1 transcription factor. Furthermore, baicalein reduced phosphorylation of extracellular signal-regulated kinase (ERK) and c-Jun-N-terminal kinase (JNK), which are upstream of the AP-1 transcription factor. The results of this study suggest that baicalein is involved in the inhibition of oxidative stress-induced expression of MMP-1 via inactivation of the ERK/JNK/AP-1 signaling pathway.

Inhibitory Effect of adding Phase Change Material (PCM) to Fire Fighter Protective Clothing on Burn Injuries (Phase Change Material (PCM) 소재 적용 소방보호복의 화상발생 억제효과에 관한 연구)

  • Lee, Jun Kyoung
    • Fire Science and Engineering
    • /
    • v.30 no.3
    • /
    • pp.16-22
    • /
    • 2016
  • Fire fighters rely on fire fighter protective clothing (FFPC) to provide adequate protection in the various hazardous environments. To enhance its protection performance, the FFPC material must be thick and thus it is difficult to achieve weight reduction. One of the methods of overcoming this problem, the addition of phase change material (PCM) to FFPC, is a new technology. In previous studies, the researches was mostly related to the temperature characteristics of the fibers incorporating PCM, but little information is available about its effect on burn injuries. Thus, in this study, the inhibitory effects of adding PCM to FFPC on second degree burns were investigated through numerical calculations. Thermal analyses of biological tissues and FFPC with embedded PCM exposed to several fire conditions causing severe tissue damage were studied by using a finite difference method based on the Pennes bio-heat equation. FFPC with embedded PCM was found to provide significantly greater protection than conventional fire fighting clothing, because the heat of absorption due to the phase change within the material is used to limit the heat conduction of the material.

Determination of formaldehyde residue and histopathological observation in formalin and neutral-formalin treated Korean rockfish(Sebastes schlegeli) (포르말린과 중성포르말린 약욕한 어류의 Formaldehyde 잔존량 측정과 병리학적 관찰)

  • Cho, Jae-Kwon;Yang, Han-Choon
    • Journal of fish pathology
    • /
    • v.9 no.2
    • /
    • pp.157-168
    • /
    • 1996
  • In this study, Residue of formaldehyde and histopathological changes in formalin and neutralformalin in treated fish(Sebastes schlegeli) were observed at two different temperatures(15 and $25^{\circ}C$). Immediately after in treatment, residue of formaldehyde in formalin treated fish was show little bit higher than in neutral-formalin treated fish at $15^{\circ}C$. But, there is no difference at water temperature $25^{\circ}C$. The elimination of formaldehyde was markedly temperature-dependent. The approximated withdrawal time were 72hr and 24hr at water temperature 15 and $25^{\circ}C$. Formalin was more toxic than the neutral-formalin at the same condition. Intensity of tissues damage was increased with increasing concentration of chemical and temperature. Formalin and neutral-formalin treatments caused edema and seperation of epithelium, winding of secondary gill lamella, necrosis in the gill ; congestion and pycnosis, vacuolation in the liver ; hydropic and granulated degeneration, necrosis of epithelial cells in the proximal renal tubule ; increasing mucus cells, cracking, necrosis of epidermis and dermis in the skin tissue.

  • PDF

Reconstruction of a long defect of the median nerve with a free nerve conduit flap

  • Campodonico, Andrea;Pangrazi, Pier Paolo;De Francesco, Francesco;Riccio, Michele
    • Archives of Plastic Surgery
    • /
    • v.47 no.2
    • /
    • pp.187-193
    • /
    • 2020
  • Upper limb nerve damage is a common condition, and evidence suggests that functional recovery may be limited following peripheral nerve repair in cases of delayed reconstruction or reconstruction of long nerve defects. A 26-year-old man presented with traumatic injury from a wide, blunt wound of the right forearm caused by broken glass, with soft tissue loss, complete transection of the radial and ulnar arteries, and a large median nerve gap. The patient underwent debridement and subsequent surgery with a microsurgical free radial fasciocutaneous flap to provide a direct blood supply to the hand; the cephalic vein within the flap was employed as a venous vascularized chamber to wrap the sural nerve graft and to repair the wide gap (14 cm) in the median nerve. During the postoperative period, the patient followed an intensive rehabilitation program and was monitored for functional performance over 5 years of follow-up. Our assessment demonstrated skin tropism and sufficient muscle power to act against strong resistance (M5) in the muscles previously affected by paralysis, as well as a good localization of stimuli in the median nerve region and an imperfect recovery of two-point discrimination (S3+). We propose a novel and efficient procedure to repair >10-cm peripheral nerve gap injuries related to upper limb trauma.

Strength Analysis of Double Bottom Structures in Stranding by Idealized Structural Unit Method (이상화(理想化) 구조요소법(構造要素法)에 의한 좌초시(坐礁時) 이중저(二重底) 구조(構造)의 손상 및 강도(强度) 해석(解析))

  • Jeom-K. Paik;Chang-Y. Kim
    • Journal of the Society of Naval Architects of Korea
    • /
    • v.28 no.1
    • /
    • pp.125-138
    • /
    • 1991
  • In this paper, an efficient method for the analysis of damage and strength of double bottom structure in stranding is described by using idealized structural unit method. Also a procedure for the determination of the effective double bottom height which is required in order to protect the inner-bottom plate is proposed. In the comparison between the present solution and he existing experimental and numerical results in stranding, its observed that the present method gives reasonable results requiring very shorts computiong times. The present method is then applied to the double bottom structure of 40K product oil carrier which is designed by the double skin design concept as an example. By performing the series of analysis, the influence of vertical member space, plate thickness and double bottom height on the energy absorption capacity of the double bottom structure in stranding is investigated. Also the minimum double bottom height with varying each design variable Is calculated based on the above result.

  • PDF