• Title/Summary/Keyword: Chest Compression

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Pulmonary Bone Cement Embolism Following Percutaneous Vertebroplasty (요추 압박 골절의 골 시멘트를 이용한 척추성형술 치료 후 발생한 폐동맥 시멘트 혈전증: 증례보고)

  • Cha, Yong Han
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.202-205
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    • 2015
  • Purpose: Pulmonary cement embolization after vertebroplasty is a well-known complication. The reported incidence of pulmonary cement emboli after vertebroplasty ranges frome 2.1% to 26% with much of this variation resulting from which radiographic technique is used to detect embolization. Onset and severity of symptoms are variable. Case description: We present the case of a 83-year-old women who underwent fourth lumbar vertebroplasty and subsequently had dyspnea several days later. Posteroanterior chest radiography showed multiple linear densities. Computed tomography of thorax revealed also multiple bilateral, linear hyperdensities within the lobar pulmonary artery branches are detected in axial and coronal views. Literature Reviews: Operative management of vertebral compression fractures has included percutaneous vetebroplasty for the past 25 years. Symptoms of pulmonary cement embolism can occur during procedure, but more commonly begin days to weeks, even months, after vertebroplsty. Most cases of pulmonary cement emboli with cardiovascular and pulmonary complications are treated nonoperatively with anticoagulation. Endovascular removal of large cement emboli from the pulmonary arteries is not without risk and sometimes requires open surgery for complete removal of cement pieces. Conclusion: Pulmonary cement embolism is a potentially serious complication of vertebroplasty. If a patient has chest pain or respiratory difficulty after the procedure, chest radiography and possibly advanced chest imaging studies should be performed immediately.

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Complete Rupture of Cervical Trachea after Compressed Chest Injury in a Child (소아에서 흉부 압박상 후 발생한 경부기관의 완전 파열)

  • Byun, Joung-Hun;Cho, Sung-Ho;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.4 s.273
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    • pp.309-312
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    • 2007
  • Cervical tracheal rupture is one of the rare injuries after blunt chest trauma, and this can be explained by several mechanisms. Early diagnosis and treatment of tracheal rupture after trauma can reduce the mortality and morbidity. We report here on a surgical experienced case of complete rupture of the cervical tracheal that was due to increased intra-tracheal pressure after a compression injury to the chest of an 8 years old child. We also include a review of the literature.

Adaptive image enhancement technique considering visual perception property in digital chest radiography (시각특성을 고려한 디지털 흉부 X-선 영상의 적응적 향상기법)

  • 김종효;이충웅;민병구;한만청
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.31B no.8
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    • pp.160-171
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    • 1994
  • The wide dynamic range and severely attenuated contrast in mediastinal area appearing in typical chest radiographs have often caused difficulties in effective visualization and diagnosis of lung diseases. This paper proposes a new adaptive image enhancement technique which potentially solves this problem and there by improves observer performance through image processing. In the proposed method image processing is applied to the chest radiograph with different processing parameters for the lung field and mediastinum adaptively since there are much differences in anatomical and imaging properties between these two regions. To achieve this the chest radiograph is divided into the lung and mediastinum by gray level thresholding using the cumulative histogram and the dynamic range compression and local contrast enhancement are carried out selectively in the mediastinal region. Thereafter a gray scale transformation is performed considering the JND(just noticeable difference) characteristic for effective image displa. The processed images showed apparenty improved contrast in mediastinum and maintained moderate brightness in the lung field. No artifact could be observed. In the visibility evaluation experiment with 5 radiologists the processed images with better visibility was observed for the 5 important anatomical structures in the thorax.

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A Screening Test of Extensibility and the Prediction of Clothing Pressure for Commercial Compression T-shirts (시중 컴프레션 티셔츠의 신장 특성에 대한 스크리닝 테스트와 의복압 예측)

  • Kim, Nam Yim;Hong, Kyunghi
    • Journal of the Korean Society of Clothing and Textiles
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    • v.41 no.6
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    • pp.1010-1021
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    • 2017
  • Adjustment of clothing pressure for compression wear is critical to the physiological and psychological satisfaction of the wearer; however, there are limited studies on the practical relationship among extensibility of materials, pattern reduction of compression wear and resultant clothing pressure. This study provides consumers and designers with information on clothing pressure using a screening extensibility test suggested by Ziegert and Keil (1988) even for the final products. As the first step, ten commercial products were collected and their size, extensibility and corresponding clothing pressure were analyzed. It was found that clothing pressure around the waist level could be predicted well from the information of Ziegert and Keil's (1988) % extensibility of the material (Z stretch %) and the actual application of Z stretch amount to the pattern reduction rate (applied % of Z stretch), with an $r^2$ of around 0.80, especially at the waist level. However, it was not simple for the case of clothing pressure around the back of the chest level due to the various design variation and the complexity of the anatomical structure around the trapezius.

Compression Wear Design for Women's Soccer Players (여자 축구선수를 위한 컴프레션 웨어 설계)

  • Park, Sanghee
    • Journal of Fashion Business
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    • v.25 no.2
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    • pp.127-142
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    • 2021
  • This study aims to organize the prototype design method of compression wear for women professional soccer players. Despite the excellent performance of female soccer players in world competition, most functional wear has been developed mainly for men, so professional female athletes have fewer choices. Soccer is a sport requiring core and lower body muscle strength, and muscular endurance for long periods of playing or walking on the field. Female soccer players did not differ much in upper body compared to other women, but their lower body had a smaller hip circumference than waist circumference and a larger thigh circumference, requiring compilation considering the physical characteristics and movement of athletes. Female soccer players wear sports bras while playing but regular bras and compression wear during normal exercise because they sweat on under their breast, which irritates sensitive skin. For core muscles in the upper body and to support for thigh and hip muscles in the lower body, the uniform in this study was designed by reducing the body size of a professional female soccer player in her 20s and the actual measurements of commercial compilation software to 81% of the chest circumference, 95% of the waist circumference, and 78% of the hip circumference. The design experiment in this study was a simple exercise and did not produce produce results for long-term exercise and performance improvement, but can be used to design a composition pattern system for other professional female athletes.

A Study on Educational CD-Title develop to Basic Life Support (기본인명구조술 교육용 CD-Title 개발 연구)

  • Lee, Jung-Eun;Koh, Bong-Yeun;Ahn, Kisoo
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.33-45
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    • 2004
  • The study is designed to develop an educational CD-Title for Basic Life Support. The study is conducted from July to December, 2002, Based on the course of program development suggested by Dick and Cray. the study followed the planning, development, education and evaluation of a program. The developed CD-Title consists of 8 parts. 1. Intro include Introduction, Adult CPR, Child CPR, Infant CPR, Adult Foreign-Body Airway Obstruction, Infant Foreign-Body Airway Obstruction, and Exercise in Menu at Right of screen. 2. Introduction consist of death process at cardiac arresst, chain of survival, introduction of CPR, respiratory & ciculatory anatomy and physiology. 3. Adult CPR consist of assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, 1 person & 2 persion adult CPR video. 4. Child & Infant CPR consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, rescue breathing, checking for sign of circulation, chest compression, activating EMS system, child & infant CPR video. 5. Adult Foreign-Body Airway Obstruction include assessment responsiveness, activating EMS system, position victim, opening a airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, finger sweep, 5 abdominal thrusts, unresponsiveness adult Foreign-Body Airway Obstruction video. 6. Infant Foreign-Body Airway Obstruction consist of, causes, assessment responsiveness, position victim, opening the airway, checking for breathing, 2 rescue breathing, reopening the airway, 2 rescue breathing, checking foreign-body object in oral cavity of victim, 5 back blow, 5 chest thsusts, activating EMS system, video. 7. 32 exercise consist of 8 Adult CPR, 12 Child & Infant CPR, 5 Adult Foreign-Body Airway Obstruction, 7 Infant Foreign-Body Airway Obstruction. Every part consist of animations to trigger students interests. This CD-Title will be useful education for first responders and lay rescuers.

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Multiple Symmetric Lipomatosis (다발성 대칭성 지방종증 -1례 보고-)

  • Lee, Jo-Han;Hong, Jong-Myeon;An, Jae-Ho
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.244-247
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    • 1996
  • Multiple symmetric lipomatosis is a rare disease characterized by progressive growth of subcutaneous fat masses which are located symmetrically at neck, shoulders, chest, abdomen and groin. Recent surveys revealed a high incidence of combined somatic and autonomic neuropathy. The exact cause of the disease is not known. We have experienced one case of multiple symmetric lipomatosis with mediastinal involvement with symptomatic compression of trachea. The patient was a 55-year-male, complaining of dyspnea and slowly enlarging multiple symmetric masses at the neck, shoulders, chest, abdomen, flank and groin over a period of 10 years. He had a habit of excessive alcohol intake for many years. The fatty masses in the neck and the upper mediastinum including peritracheal region were excised through transverse cervical incision. But, because of the incomplete excision of peritracheal fatty tissue, we performed reoperation for the relief of residual tracheal compression at the 15th postoperative day. Two days later emergent tracheostomy was performed due to postoperative pneumomediastinum and subcutaneous emphysema. He could discharge with permanant tracheostomy.

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Comparison of Commercial Bralette's Functions through Trial Wearing Experiments (착용실험을 통한 시판 브라렛의 기능 비교)

  • Kim, Seungyeon;Yang, Yerin;Jung, Jinoe;Han, Hyunsook
    • Fashion & Textile Research Journal
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    • v.23 no.5
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    • pp.624-633
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    • 2021
  • This study was intended to compare the comfort of wearing each type of commercially available bralette. The trial wearing experiment was conducted on five women in their 20s who wear an average Korean bra size of 70A. The experimental bralettes were of four types: a bralette with both hooks and pads and a bralette without both, a bralette with hooks but no pads, and a bralette with pads but no hooks. The wearing test results are as follows. First, in terms of functional satisfaction, the padded bralette provided the greatest satisfaction in supporting the chest from the bottom up and bringing it to the center, and the bralette without the pad provided the least satisfaction. In addition, the level of convenience of attaching/detaching was about twice as high in the bralette with hooks than those without hooks. Chest compression was found to be greater in bralettes without hooks than in those with hooks. In terms of the pressure on the shoulder strap and on the lower chest band, it was found that bralettes with hooks had a greater sense of pressure than those without. In the appearance characteristics test, the unpadded bralettes scored higher than the padded one in the matter of feeling embarrassed, because in unpadded bralettes, the nipples were exposed underneath the clothes . This study is meaningful in classifying the design of the bralette and evaluating the fit for each design in the absence of prior research on the bralette.

Use of an Optical Scanning Device to Monitor the Progress of Noninvasive Treatments for Chest Wall Deformity: A Pilot Study

  • Kelly, Robert E. Jr.;Obermeyer, Robert J.;Kuhn, M. Ann;Frantz, Frazier W.;Obeid, Mohammad F.;Kidane, Nahom;McKenzie, Frederic D.
    • Journal of Chest Surgery
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    • v.51 no.6
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    • pp.390-394
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    • 2018
  • Background: The nonsurgical treatment of chest wall deformity by a vacuum bell or external brace is gradual, with correction taking place over months. Monitoring the progress of nonsurgical treatment of chest wall deformity has relied on the ancient methods of measuring the depth of the excavatum and the protrusion of the carinatum. Patients, who are often adolescent, may become discouraged and abandon treatment. Methods: Optical scanning was utilized before and after the intervention to assess the effectiveness of treatment. The device measured the change in chest shape at each visit. In this pilot study, patients were included if they were willing to undergo scanning before and after treatment. Both surgical and nonsurgical treatment results were assessed. Results: Scanning was successful in 7 patients. Optical scanning allowed a visually clear, precise assessment of treatment, whether by operation, vacuum bell (for pectus excavatum), or external compression brace (for pectus carinatum). Millimeter-scale differences were identified and presented graphically to patients and families. Conclusion: Optical scanning with the digital subtraction of images obtained months apart allows a comparison of chest shape before and after treatment. For nonsurgical, gradual methods, this allows the patient to more easily appreciate progress. We speculate that this will increase adherence to these methods in adolescent patients.

Analysis of clothing pressure for commercially customized burn patient's medical compression garments for men in their 20s (시판 맞춤형 화상환자 압박복의 의복압 분석 -20대 남성 상의를 대상으로-)

  • Cho, Shin-Hyun
    • Journal of the Korea Fashion and Costume Design Association
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    • v.21 no.4
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    • pp.55-67
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    • 2019
  • This study analyzed the fabric and product size of the burn patient's custom compression garment and measured the pressure applied by the garment to assess whether proper pressure is being delivered for treatment. The test clothes were presented to the market by body size and commissioned with the same design. The subjects selected four people close to the average body size of men in their 20s determined by 7th Size Korea. The experiment was conducted by wearing a compression suit, performing activities and measuring changes in the pressure of the garment according to changes in posture. The fabric used for the compressive clothing was not ruptured even at 216 kPa, the elasticity recovery rate was measured between 80.5 and 94.5%. The product dimensions of the experimental clothing varied by up to 8cm from brand to brand, requiring the standardization of compression clothing. The experiment showed that four types of compression suit varied in pressure, and the pressure range, excluding the gastric arm (17.9mmHg), was between 2.5-14.1mmHg, which failed to meet the level of pressurization for treatment purposes. The clothing pressure in the chest area dropped when performing movements rather than standing still. This was interpreted to be a result of reduced the adhesion of the compression suit during operation. The peak pressure (31.68mmHg) and the lowest pressure (2.2mmHg) was noted in the scapula, indicating that no pressure was being transmitted on the vertebrae. The pressure of the garment on the right shoulder blade was elevated in a supine position. Because much time is spent laying down, it is necessary for the pattern design to accommodate for the increased clothing pressure on the shoulder blades. Standardization of the level of pressurization for burn patient's custom-made pressure suits for each stage of treatment is urgently required.