• Title/Summary/Keyword: Blast injury

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Laryngeal Inhalation Injury (흡인성 화상에 의한 후두 손상)

  • 조정일;김영모;임정혁;김용재;이철우;이명택
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.12 no.1
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    • pp.11-16
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    • 2001
  • Background and Objectives : A burn injury to the glottis differs from a burn injury to the trachea, bronchi, and lung parenchyma, in that thermal injury does not occur to any significant degree below the level of the larynx, due to the effective cooling of air by the upper airway and to reflex closure of the vocal cords from a blast of hot air. Therefore, the laryngeal inhalation injury give rise to airway problem and voice change. The objectives of this study is to assess management of laryngeal inhalation injury and voice change after management. Materials and Methods : Voice choses and laryngeal injuries of eight laryngeal inhalation patients were analyzed through questionnaire, voice dynamic laboratory, and laryngeal stroboscopy. Operative management was performed to five patients for airway patiency and vocal cord movement on laryngeal pathology ind voice therapy was performed to all patients. One-year after, voice changes and laryngeal injuries were reanalyzed with same methods. Results : Vocal breathiness, decreased voice intensity, reduced voice range, and easy fatigability were major complaints of laryngeal inhalation patients. Glottic stenosis were developed to five of eight patients, and vocal cord atrophy, bowing were developed to others. Vocal cord mucosal waves were significantly decreased in all patients. Jitter(%), Shimmer(dB) were increased and Maximal phonation time(MPT) was decreased. One-year after, subjective voice changes and objective voice parameters were improved. And vocal cord mucosal waves were recovered in all patients. Conclusions : Subjective voice quality and objective voice parameters were improved after operative management for laryngeal pathology and voice therapy. And we observed recovery of vocal fold mucosal waves by laryngeal stroboscopy. We think that early preventable tracheotomy is necessary to reduce the laryngeal contact injury in laryngeal inhalation patients.

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Effect of Bordeaux Mixture on Control of Rice Leaf Blast (벼 유기재배에서 석회보르도액을 이용한 벼 잎도열병 방제 효과)

  • Kang, Beom-Ryong;Kim, Seon-Gon;Kim, Do-Ik;Lee, Yong-Hwan;Choi, Kyong-Ju;Choi, Yong-Soo
    • Research in Plant Disease
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    • v.14 no.3
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    • pp.182-186
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    • 2008
  • Recently organic farming practice of rice has been emerged in Korea, but one of the major limiting factor is the no effective environmental-friendly agro-materials to control major plant diseases. Bordeaux mixture has been used effectively as a preventive agro-chemical. The aim of this study was to investigate efficacy of Bordeanux mixture on control of rice blast caused by Magnaporthe grisea which is one of the disruptive rice diseases in world-wide. In greenhouse experiment, pre-treatment of 6-6 type of Bordeaux mixture before inoculation of spore suspension of M. grasea showed 71 % of control value. In field experiment, preventive applications of 4-8 and 6-6 types of Bordeaux mixture showed over 71 % of the control value. Chemical injury on rice leaves were not found in the application concentrations of all types of Bordeaux mixture, but observed in applications of Bordeaux mixtures between 30 and 100 diluted concentrations. This results indicate Bordeaux mixture can be used as an effective environmental-friendly agro-chemical to control rice blast disease in the field.

Design of Roll-over Protection Structure for an Orchard Sprayer (과수용 방제기 전도 방지 구조물의 설계)

  • Kang, Tae-Gyoung;Lee, Chai-Sik;Jun, Hyeon-Jong;Choi, Duck-Kyu;Park, Suk-Ho;Kim, Hyeok-Ju;Kang, Tae-Hwan
    • Journal of Biosystems Engineering
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    • v.36 no.6
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    • pp.407-415
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    • 2011
  • Damage to agricultural production caused by insects and diseases affects farming yields. The orchard sprayer is mainly used in the country to protect the fruit in a large area, with less effort and at minimum cost. The excellent performance of the air blast spray increases the fruit protection. Chemical application in orchards has been accomplished by the orchard sprayers with air assist nozzles and a axial fan in Korea. However, the orchard sprayers without ROPS resulted in severe injury or death when operators drive the sprayers improperly on hilly orchard or farming road. This study was to develop a ROPS for the orchard sprayers improving farmer's safety. In this study, the accident case was used in analysing the design and building TOP structure of the orchard sprayer. The maximum impact, body torsion frame structures including the driver's protection are also analysed for adherence to safety regulations. The ROPS safety regulations according to the strength test results were established.

A Case of Severe Hypercalcemia Causing Acute Kidney Injury: An Unusual Presentation of Acute Lymphoblastic Leukemia

  • Hyun, Hye Sun;Park, Peong Gang;Kim, Jae Choon;Hong, Kyun Taek;Kang, Hyoung Jin;Park, Kyung Duk;Shin, Hee Young;Kang, Hee Gyung;Ha, Il Soo;Cheong, Hae Il
    • Childhood Kidney Diseases
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    • v.21 no.1
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    • pp.21-25
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    • 2017
  • Severe hypercalcemia is rarely encountered in children, even though serum calcium concentrations above 15-16 mg/dL could be life-threatening. We present a patient having severe hypercalcemia and azotemia. A 14-year-old boy with no significant past medical history was referred to our hospital with hypercalcemia and azotemia. Laboratory and imaging studies excluded hyperparathyroidism and solid tumor. Other laboratory findings including a peripheral blood profile were unremarkable. His hypercalcemia was not improved with massive hydration, diuretics, or even hemodialysis, but noticeably reversed with administration of calcitonin. A bone marrow biopsy performed to rule out the possibility of hematological malignancy revealed acute lymphoblastic leukemia. His hypercalcemia and azotemia resolved shortly after initiation of induction chemotherapy. Results in this patient indicate that a hematological malignancy could present with severe hypercalcemia even though blast cells have not appeared in the peripheral blood. Therefore, extensive evaluation to determine the cause of hypercalcemia is necessary. Additionally, appropriate treatment, viz., hydration or administration of calcitonin is important to prevent complications of severe hypercalcemia, including renal failure and nephrocalcinosis.

Vascular Injuries Due to Penetrating Missile Trauma in Anti-Terrorism Ops

  • Dhillan, Rishi;Bhalla, Alok;Kumar Jha, Sushil;Singh, Hakam;Arora, Aman
    • Journal of Trauma and Injury
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    • v.32 no.2
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    • pp.93-100
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    • 2019
  • Purpose: Penetrating vascular trauma though less common poses a challenge to all Surgeons. This study was designed to analyse the profile, management modalities of vascular trauma and the outcomes thereof at a Trauma Care Centre in a Tertiary care setting in hostile environment in India. Methods: A prospective review of all patients with arterial and venous injuries being transferred to the Trauma Center at out Tertiary Care Center between June 2015 and May 2018 was done. Demographics, admission data, treatment, and complications were reviewed. Results: There were a total of 46 patients with 65 vascular injuries, 39 arterial injuries and 26 venous injuries. The age range was 21 to 47 years. Nineteen patients had both arterial and venous injuries. A total of 42 cases presented within 12 hours of injury and complete arterial transections were found in 33 cases (80.49%). There were three mortalities (6.52%) and three amputations (8.33%). The overall limb salvage rate was 91.67% with popliteal artery being the commonest injured artery. Poor prognosticators for limb salvage were increasing time to present to the trauma centre, hypovolemic shock, multi-organ trauma and associated venous injuries. Conclusions: Penetrating missile trauma leading to vascular injuries has not been widely reported. Attempting limb salvage even in cases with delayed presentation should be weighed with the threat to life before revascularisation and should preferably be done at a centre with vascular expertise. A team approach with vascular, orthopaedic, general surgeons, and critical care anaesthesiologists all aboard improve the outcomes manifold. Use of tourniquets and early fasciotomies have been emphasized as is the use of native veins as the bypass conduit. This is probably the largest study on penetrating Vascular trauma in anti-terrorism ops from the Indian subcontinent. It highlights the significance of prompt recognition and availability of vascular expertise in optimally managing cases of vascular trauma.

A Study on the Excavation Method Near Fish Farms and Livestock (양만장 및 가축사육시설 인접지역 암굴착공법 검토에 관한 연구)

  • Lim, Dae-Kyu;Shin, Young-Cheol;Jun, Yang-Bae
    • Explosives and Blasting
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    • v.31 no.1
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    • pp.23-32
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    • 2013
  • Construction vibration such as explosive blast, hydraulic breaker, vibratory roller, pile driving noise and so on, injuries in areas around the construction sites. In particular, underwater sound caused by ground vibration is propagation such as structure borne noise. Vibration and underwater sound due to construction activities may cause injury to river, sea or land fish farms near construction sites. The purpose of present study is to measure the sound pressure level and frequency analysis of the underwater noise generated by ground vibration(Blasting, hydraulic crawler drill, hydraulic breaker, vibratory roller). Underwater noise were monitoring by a hydrophone (TC 4013) and recorded, analysis were made using a by software (Prosig).

Establishment of Economic Threshold by Evaluation of Yield Component and Yield Damages Caused by Rice Leaf Blast (Magnaporthe grisea) (벼 잎도열병 피해해석에 의한 경제적 방제수준 설정)

  • Yeh, Wan-Hee;Park, Hong-Hyun;Nam, Young-Ju;Kim, Seol-A;Lee, Jeong-Hee;Shim, Hong-Sik;Kim, Yong-Ki;Lee, Yong-Hwan;Lee, Yeong-Hoon
    • Research in Plant Disease
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    • v.14 no.1
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    • pp.21-25
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    • 2008
  • This study was conducted to decide disease incidence level of rice leaf blast required for reasonable fungicide application in paddy field. We induced the disease development by inoculating rice blast pathogens on rice seedlings (Jinmibyeo) in the greenhouse and transplanting the infected seedlings in the field two weeks after rice plants were transplanted. We scored the disease incidence, grouped and marked according to degree of percentage of diseased leaf area at maximum stage of disease development. The percent diseased leaf area (PDLA) had negative correlations with panicle number per hill, ripened grain (%), and total yield; their correlation coefficients (r), $-0.97^{**}$, $-1.00^{**}$ and $-0.96^{**}$, respectively. However, it had positive correlations with spikelets per panicle and thousand grain weight; their correlation coefficients (r), $0.98^{**}$ and $0.98^{**}$, respectively. Gain threshold (GT) calculated based on control cost and market price was estimated to be 8.35. Economic injury level (EIL) obtained based on GT and coefficient of damage of regression equation between disease incidence and the different yield components; panicle number per hill, spikelets per panical, ripened grain(%), thousand grain weight and yield were 41.8, 9.7, 19.1, 291.1 and 3.4%, respectively. Economic threshold (ET) for yield was 2.7% ($3.4%(EIL){\times}0.8$) on PDLA. These results suggest that application of fungicide is necessary when two under leaves are almost covered with lesions or contained more than twenty large lesions under leaves at maximum tillering stage.

Musculoskeletal Injuries by Weapons in Korean Soldiers: Four-Year Follow-Up (총기 및 폭발물에 의한 군인의 근골격계 손상: 최근 4년간 분석)

  • Yang, Hanbual;Hwang, Il-Ung;Song, Daeguen;Moon, Gi Ho;Lee, Na Rae;Kim, Kyoung-Nam
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.234-244
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    • 2021
  • Purpose: To date, studies of firearm and explosive injuries in the Korean military have been limited compared to its importance. To overcome this, this study examined the characteristics of musculoskeletal damages in soldiers who have suffered firearm and explosive injuries over the past four years. Materials and Methods: From January 2015 to July 2019, military forces who had suffered musculoskeletal injuries from firearms or explosive substances were included. The medical records and radiographs were reviewed retrospectively, and telephone surveys about Short Musculoskeletal Functional Assessment (SMFA) for this group were conducted. To compare the functional outcomes, statistical analysis was performed using a t-test for the types of weapons, and ANOVA for others. Results: Of the 61 patients treated for firearms and explosives injuries, 30 patients (49.2%) were included after undergoing orthopedic treatment due to musculoskeletal injury. The average age at injury was 26.4 years old (21-52 years old). The number of officers and soldiers was similar. Eleven were injured by gunshot and 19 by an explosive device. Sixteen were treated in the Armed Forces Capital Hospital and 10 at private hospitals. More than half of the 16 patients (53.3%) with a fracture had multiple fractures. The most common injury site was the hand (33.3%), followed by the lower leg (30.0%). There were 14 patients (46.7%) with Gustilo-Anderson classification 3B or higher who required a soft tissue reconstruction. Fifteen patients agreed to join the SMFA survey for the functional outcomes. Between officers and soldiers, officers had better scores in the Bother Index compared to soldiers (p=0.0045). Patients treated in the Armed Forces Capital Hospital had better scores in both the Dysfunction and Bother Index compared to private hospitals (p=0.0008, p=0.0149). Conclusion: This is the first study to analyze of weapons injuries in the Korean military. As a result of the study, the orthopedic burden was high in the treating patients with military weapon injuries. In addition, it is necessary to build a military trauma registry, including firearm and explosive injuries, for trauma treatment evaluation and development of military trauma system.

Counter Measures of the Subway Terrorism through Case Analysis (사례분석을 통한 지하철 테러에 대한 대책)

  • Kwon, Jeong-Hoon;Kim, Tae-Hwan;Choi, Jong-Gyun
    • Korean Security Journal
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    • no.18
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    • pp.1-20
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    • 2009
  • Nowadays most nations around the world including Korea have experienced absolute shortages of available urban space. To solve various problems of the city, each nation constantly tends to extend the underground space. However there is a serious problem in making use of the underground space. Especially new terrorism coming into existence after 9.11 terror turns into the so-called ‘soft target’ which has something to do with public transportation facilities available to most people. Good examples are like these: poisonous gas attacks in Tokyo subway in 1995, Daegu subway station fire in 2003, serial bomb blast of London subway in 2005. In spite of being a concern on incidents related to the underground space it is inevitable to utilize the underground space and the tendency is growing. But Korea lags badly behind in foreign countries in this field and so seeking measures is urgently needed. Therefore the aim of this study is to note visible damages stemmed from the domestic and foreign underground space and propose more effective and adequate measures. Safety measures of terrorism are associated to minimize damage out of terrorism and they are as follows. In the first place, preparing protective equipment for saving a life from fire attacks and poisonous gas is needed urgently. In the second place, counterpart management on the spot and systematic security training should be established in order to minimize injury. In the third place, fire escapes must be provided for a rapid evacuation of potential unspecified individuals. In the fourth place, building up a network of related institutions is required for a systematic omnidirectional counterpart. Finally the Korean government ought to take fast and appropriate actions for the injured and bereaved family of the terror incident.

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Gain Threshold Estimation for Some Pests in Major Crops (주요 작물 몇 가지 병해충에 대한 수익역치 추정)

  • Park, Hong-Hyun;Yeh, Wan-Hae;Park, Hyung-Man
    • Korean journal of applied entomology
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    • v.46 no.1 s.145
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    • pp.63-69
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    • 2007
  • This study was conducted to examine the problems that would arise in our cropping systems when introducing Gain Threshold (GT) which is an important element in determining Economic Injury Level (EIL). Cain Threshold (GT) can be defined as the amount of damage (=yield loss) to justify management, and calculated by dividing the management costs by the market crop price. GTs for some pests in rice, soybean, and greenhouse vegetable crops cultivation were estimated and also compared with those in foreign countries. GTs and percentage of yield loss equivalent to them were estimated to be 4.6-6.1kg/10a/season and 1.0-1.3% for brown planthopper, white-backed planthopper, rice water weevil, and sheath blight, whereas for rice blast in rice cultivation were 12.7kg/10a/season and 2.7%. In soybean cultivation, the values for bean bug were 6.2 kg/10a/season and 3.6%. GTs and percentage of yield loss estimated for melon thrips, whitefly, and downy mildew in cucumber cultivation were 10.0-12.6kg/10a/week, 1.4-1.7%, and the values for two spotted mite and gray mildew in strawberry cultivation were 3.1-3.5kg/10a/week, 1.3-1.5%, and the values for American leaf minor, whitefly, and gray mold in tomato were 8.4-9.7kg/10a/week, 1.7-1.9%. Overall GTs in our cropping systems were so low compared to those in foreign countries, which meant that the low GTs might yield the low EILs. Therefore, we could suggest that prior to direct introduction of GTs calculated from current cultivation systems in developing EILs it is necessary to seriously consider reasonable values of GTs or the yield loss equivalents to them.