• Title/Summary/Keyword: Bruise

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The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

  • Bagheri, Zahra;Azizi, Azim;Oshvandi, Khodayar;Mohammadi, Younes;Larki-Harchegani, Amir
    • Journal of Pharmacopuncture
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    • v.24 no.4
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    • pp.196-205
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    • 2021
  • Objectives: Bruising is an important side effect of enoxaparin injection. Comfrey (Symphytum officinale) is used to treat different types of wounds, bone fractures, and bruising in traditional medicine in many countries for centuries. This study aimed to determine the effects of the Comfrey ointment on the bruise size and color following enoxaparin injection. Methods: This double-blind randomized clinical trial was conducted on 80 patients with acute coronary syndrome (ACS). The participants were randomly divided into two groups of 40, namely Comfrey and Placebo. Changes in bruise size and color in both groups were assessed daily before and after the intervention. Results: The Comfrey and Placebo groups were homogeneous in demographic and clinical variables. A downward trend was observed in the bruise size in both groups throughout the study. However, the bruise size was smaller in the Comfrey group than the Placebo group on day 2-5 of the intervention. Moreover, there was a significant difference in bruise color between the groups, with a shorter healing course in the Comfrey group. Conclusion: The Comfrey ointment accelerated the healing process of enoxaparin injection-induced bruising in patients with ACS. It is recommended as a safe and simple approach for these patients.

Histopathological Study of Cartilage in the Bone Bruise of the Lateral Femoral Condyle Associated with Anterior Cruciate Ligament Rupture (전방 십자 인대 파열시 손상된 대퇴골 외과 연골의 병리조직학적 연구)

  • Bae, Dae-Kyung;Yoon, Kyoung-Ho;Kim, Hee-Seon
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.154-161
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    • 2005
  • Purpose: to describe the histologic appearance of the type III bone bruise in knees which had sustained an acute anterior cruciate ligament (ACL) rupture. Materials and Method: Twenty-five patients who sustained acute ACL rupture were prospectively enrolled in this study. On MRI, 14 patients demonstrated type III bone bruise on lateral femoral condyle, and 11 patients didn't demonstrated bone bruise. Arthroscopic evaluation and biopsy of the articular cartilage and subchondral bone wert performed before ACL reconstruction. Histologic and immunohistochemical evaluations were done. Results: There was no difference between the bone bruise and control group in the hematoxylin-eosin staining for cell distribution, Masson's trichrome staining for collagen and immunohistochemical staining for type I and type II collagen (p>0.05). But in the safranin-O staining for glycosaminoglycan distribution, the bone bruise group had an evidence of decreased staining at the superficial and middle layers, compared with the control group (p<0.05). We also found fatty change of bone marrow in calcified zone of the bone bruise group with safranin-O staining. Conclusion: We suggest that the type III bone bruise found on MRI indicates a substantial damage to normal articular cartilage homeostasis, and may induce further damage of the articular cartilage.

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The Relationship between Bone Bruise in MR-Imaging and the Degrees of Acute Anterior Cruciate Ligament Injury (급성 전방십자인대 손상 시 자기공명영상에서 나타나는 골멍과 전방십자인대 손상 정도의 관계)

  • Jeong, Hwa-Jae;Shin, Hun-Kyu;Ko, Chun-Suk;Kim, Jang-Hwan
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.1
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    • pp.17-25
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    • 2012
  • Purpose: The aim of this retrospective study was to evaluate the relationship between appearance and size of bone bruise and severity of anterior cruciate ligament (ACL) injury with magnetic resonance imaging (MRI), furthermore, to identify the mechanism of ACL injury by analyzing the footprint of bone bruise. Materials and Methods: Sixty-five subjects who was taken an MRI within 6 weeks after acute ACL injury were studied. All MRI showed ACL injury and associated bone bruises. Bone bruises were analyzed using Costa-Paz classification based on appearance and location and also scored using Kornaat bone bruise grading system based on size and location. The severity of the ACL injury was graded using a 4-point system (ie, grade 0-3) with oblique coronal MRI. Results: There was statistically significant correlation between Costa-Paz classification of bone bruises in lateral femoral condyle and grade of ACL injury. There were more type 2 lesions in partial tear group (grade 1, 2), however, type 3 lesions of Costa-Paz classification in complete tear group (P=0.037). Significant positive correlations were observed between Kornaat total bone bruise score and grade of ACL injury (P=0.014). Most common ACL injury mechanism was pivot shift injury. Other mechanisms were clip valgus injury, phantom foot injury, and hyperextension injury. Conclusion: It is highly suggested that appearance and size of bone bruise is related to severity of ACL injury after acute ACL injury. The foot print of bone bruise provides valuable clues to identify ACL injury mechanism.

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Combination of Infrared Light Source and Barrier Filter for Suction Bruise Photography (음압에 의해 생성된 멍 촬영을 위한 적외선 광원과 필터 조합에 관한 연구)

  • Kim, Ju-Eun;Kim, Ji-Yeon;Jeon, So-Young;Kim, Eun-A;Yu, Je-Seol
    • The Journal of the Korea Contents Association
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    • v.16 no.11
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    • pp.693-698
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    • 2016
  • Bruise caused by damages through physical compression and suction is one of evidences that can prove abuse or assault. It is essential for taking photography to prove a crime. Some studies about the Infrared (IR) light source have limitations that only one IR light source and one barrier filter were used. To find the best combination of filters and IR light sources, we produced suction bruise artificially and used three IR light sources and five barrier filters. Consequently, we found that the best combination is using a tungsten lamp and Kodak Wratten #18A barrier filter.

Analysis of bone bruise associated with anterior cruciate ligament injury (전방십자인대 손상과 관련된 골멍의 패턴 분석)

  • Jung, Dae-Won;Kim, Chang-Wan;Baik, Jong-Min;Seo, Seung-Suk
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.44-50
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    • 2012
  • Purpose: The purpose of this study is to analyze the relationship between acute anterior cruciate ligament (ACL) injury and bone bruise using the survey for location and incidence of bone bruise. Materials and Methods: From Jan. 2006 to Feb. 2010, 87 knees from who had complaint a traumatic knee pain were diagnosed as acute ACL tear using MRI evaluation. Associated injury, location and incidence of bone bruise were analyzed using MRI. The location of bone bruise on the MRI was classified as medial, central and lateral area on anteroposterior and lateral view of femur and tibia. The bone bruise was classified with Costa Paz classification. Results: Bone bruise of injury during daily living activity were located at medial area on coronary view and anterior area on sagittal view of distal femur, at medial area on coronary view and anterior area on sagittal view of proximal tibia (p=0.024, p=0.021, p=0.025 and p=0.029, respectively). Bone bruise of injury during sports activity were located at lateral area on coronary view and central area on sagittal view of distal femur, at lateral area on coronary view and posterior area on sagittal view of proximal tibia (p=0.014, p=0.015, p=0.018 and p=0.017, respectively). Bone bruise patterns due to traffic accident were inconclusive (p=0.264, p=0.254, p=0.229 and p=0.267, respectively). Conclusion: Injury mechanism of acute ACL injury from activities of daily living or sports activities compared to that of traffic accident showed a more consistent bone bruise patterns. Special attention to acute ACL tear must be paid in case of bone bruise at lateral tibial plateau and lateral femoral condyle.

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The Relationship between Bone Bruise in MRI and Associated Injuries after the Knee Joint Trauma (슬관절 외상 후 자기 공명 영상에서 관찰되는 잠재성 골 병변과 동반 손상과의 관계)

  • Kyung Hee-Soo;Ihn Joo-Chul;Kim Poong-Taek;Oh Chang-Wug;Yeo Jun-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.89-96
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    • 2002
  • Purpose : The purpose is to analyze the relationship between bone bruise in MRI and associated injuries after the knee joint trauma. Materials and Methods : Total 50 cases were reviewed, divided into two groups according to initial trauma energy. High-energy group (group I), such as traffic accident was 13 cases, low-energy group (group II), such as sports trauma was 37 cases. The type of the lesion was used the classification by Costa-Paz. The site of lesion was analyzed according to femoral/tibial, medial/lateral and anterior/middle/posterior site respectively. Associated injuries were confirmed by physical examination, radiograph, MRI and arthroscopy. Results : In group I there was a various distribution of the bone bruise in the knee joint according to mechanism of injury. The bone bruise with ACL injury was 38$\%$ only and the most frequent type was Costa-Paz type I (52.6 $\%$). In group II more frequent locations were the middle portion of the lateral femoral condyle and the posterior portion of the lateral tibial condyle. Bone bruise associated with ACL injury, was upto 56.8 $\%$ and the frequent type were Costa-Paz type II (48 $\%$), in order type I (42 $\%$). As a result, in the high-energy injury the bone bruise had a various location in both condyle and less frequently associated injury, but in the low-energy injury there was particularly frequent location of bone bruise, associated injury and type. Conclusions : We could assess the associated injury by analysis of the location and type of bone bruise, especially in the low-energy injury, e.g. sports injury. But further study will be necessary with more case analysis.

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Epidemiological Study of the Accident patients in Chun Chon area (일부지역에서 발생한 우발사고환자의 역학적 고찰)

  • 백혜자
    • Journal of Korean Academy of Nursing
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    • v.6 no.2
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    • pp.39-54
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    • 1976
  • In order to contribute to the formulation of a public health plan, the epidemiological study conducted by the record of 834 accident patients during the year Jan.1975 to Dec.1975 at Lim's clinic Chun Chon city has been analysed in hospital treatment. The accident patients were divided into Common, Psychosomatic, Industrial and Traffic. The results obtained from this study are summarized as follows ; 1. Common accident showed highest rate as 32.1%, Industrial showed 28.6% rate, Psychosomatic showed 27.2% and Traffic accident showed lower rate as 12.1%. 2. The age group from 16 to 20 years old showed the highest rate as 23.0% and the distribution of this same age group in the Kang Won Province area was 20.4%, sexual grouping shows men with the highest rate as much as 69.5%. 3. The highest rate of accidents (23.9%) occurred from 3Pm to 6Pm. The highest monthly accident rate (13.1%) occurred in July, in the most concentrated season, summer (31.3%) 4. The place of indoor accidents were highest 30.3% 5. Bruise and laceration form wounds showed highest with traffic accident victims suffering 35.0% of this bruise rate 6. Wound lesions of the upper limbs showed the highest type 28,6% by head lesions 28.2% 7. Among those completely cured after treatment(84.1% of the total), intoxication cases showed the highest rate (86.5% ) 8. From accident tims to treatment at the clinic, intoxication cases had the longest wait (77.2%) treated within six hours.

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Study on Bruise Detection of 'Fuji' apple using Hyperspectral Reflectance Imagery (초분광 반사광 영상을 이용한 '후지' 사과의 멍 검출에 관한 연구)

  • Cho, Byoung-Kwan;Baek, In-Suck;Lee, Nam-Geun;Mo, Chang-Yeun
    • Journal of Biosystems Engineering
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    • v.36 no.6
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    • pp.484-490
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    • 2011
  • Defects exist underneath the fruit skin are not easily discernable by using conventional color imaging technique in the visible wavelength ranges. Development of sensitive detection methods for the defects is necessary to ensure accurate quality sorting of fruits. Hyperspectral imaging techniques, which combine the features of image and spectroscopy to acquire spatial and spectral information simultaneously, have demonstrated good potentials for identifying and detecting anomalies on biological substances. In this study, a high spatial resolution hyperspectral reflectance technique was presented as a tool for detecting bruises on apple. The two-band ratio (494 nm / 952 nm) and simple threshold methods were applied to investigate the feasibility of discriminating the bruises from sound tissue of apple. The pixel wise accuracy of the discrimination was 74%. The resultant images processed with selected wavebands and morphologic algorithm distinctively showed the early stages of bruises on apple which were not discernable by naked eyes as well as a conventional color camera. Results demonstrated good potential of the hyperspectral reflectance imaging for detection of bruises on apple.

Development of Multi-channel Eddy Current System for Inspection of Press Rolls (압연롤 검사를 위한 다중 센서 와전류 탐상 검사 시스템 개발)

  • Lee, Jae-Ho;Park, Tae-Sung;Park, Ik-Keun
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.26 no.3
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    • pp.306-312
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    • 2017
  • Press rolls are constantly exposed to physical and heat stresses on their surface and are prone to crack, bruise, and spall if the accumulated stress goes beyond the critical point. Such surface phenomenon can cause them to lose their functionality and eventually lead to a halted production line. Eddy current testing can be considered a useful method to investigate the surface of the roll. The method involves the application of a high intensity magnetic field onto the surface of the roll, and thereby finding any early stage of possible defects. When the method was applied for roll inspection, the cross section of the sensor was regulated as per the overall testing speed. A smaller cross sectional area implied a better resolution but a longer testing time. In this paper, a convenient method to increase both overall system resolution and inspection speed of eddy current roll inspection is suggested by using a devised array sensor structure.

Multispectral Wavelength Selection to Detect 'Fuji' Apple Surface Defects with Pixel-sampling Analysis

  • Park, Soo Hyun;Lee, Hoyoung;Noh, Sang Ha
    • Journal of Biosystems Engineering
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    • v.39 no.3
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    • pp.166-173
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    • 2014
  • Purpose: In this study, we focused on the image processing method to determine the external quality of Fuji apples by identifying surface defects such as scabs and bruises. Method: A CCD camera was used to capture filter images with 24 different wavelengths ranging between 530 nm and 1050 nm. Image subtraction and division operations were performed to distinguish the defect area from the normal areas including calyx, stem, and glaring on the apple surface image. All threshold values of the image were examined to reveal the defect area of pretreated filter images. Results: The developed operation methods were [image (720 nm) - image (900 nm)]/image (700 nm) for bruise detection and [image (740 nm) - image (900 nm)]/image (590 nm) for scab detection, which revealed 81% and 90% recognition ratios, respectively. Conclusions: Our results showed several optimal wavelengths and image processing methods to detect Fuji apple surface defects such as bruises and scabs.