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Traumatic hematoma-based pseudoaneurysm of the superficial temporal artery in a 7-year-old boy: a case report

  • Dae Hwan Park;June Key Lee;Bong Soo Baik;Wan Suk Yang;Sun Young Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.1
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    • pp.32-36
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    • 2023
  • The superficial temporal artery (STA), the terminal branch of the external carotid artery, is divided into the frontal (anterior) and parietal (posterior) branches. The frontal branch of the STA is located superficially on the anterior region of the scalp, making it especially susceptible to trauma. Here, we report a traumatic pseudoaneurysm of the STA in a 7-year-old boy who was injured in a minor car accident. A physical examination showed only a small bruise on the patient's forehead, and all vital signs were stable at the emergency room of our medical center. A facial computed tomography scan showed no significant findings. However, the boy later re-visited the hospital with slight swelling on the right forehead, and an ultrasonography scan revealed a hematoma near the right temporal artery. The resected hematoma (approximately 2 cm) was diagnosed as a traumatic pseudoaneurysm. Awareness of the possibility of a traumatic pseudoaneurysm in the STA may prevent a circumspect diagnosis in the future.

Giant Urethral Stone Presenting as a Scrotal Mass and Urethral Fistula (척추 손상 환자에서 고환 종물로 오인된 거대 요도 결석과 요도루)

  • Park, Seung Chol;Lee, Jea Whan;Choi, Jeong Woo;Hwang, Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.208-212
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    • 2017
  • A urinary calculus in the urethra is rarely seen and usually encountered in men with a urethral stricture or diverticulum. Herein, we report a rare case of a giant calculus in the urethra of a 42-year-old male patient with paraplegia after spinal cord injury due to car accident 20 years ago. A recent urologic consultation from the emergency room was performed since the patient had multidisciplinary symptoms during the day without any urination and presented with urinary difficulties due to hematuria and pain symptoms occurring with a mass in the bottom of the testicles. Abdomen and pelvic computed tomography (CT) was performed to examine the tumor mass, which was found to be absent. In addition, urethral stones were observed in the CT. Cystostomy was performed after the first urethroplasty, and the stone was removed from the urethra. Two weeks later, the patient was subjected to urethrography to remove the Foley catheter. No specific finding in voiding was detected. Giant urethral stones sometime require differentiation from tumor status. Treatment may vary according to size and location, requiring careful examination.

Study about the relationship between Chief complaint of pure death patients using medical record information (의무기록 정보를 활용한 순사망환자 주호소 증상과 진단명과의 연관성에 관한연구)

  • Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.407-414
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    • 2015
  • This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

Public Exposure to Natural Radiation and the Associated Increased Risk of Lung Cancer in the Betare-Oya Gold Mining Areas, Eastern Cameroon

  • Joseph Emmanuel Ndjana Nkoulou II;Louis Ngoa Engola;Guy Blanchard Dallou;Saidou;Daniel Bongue;Masahiro Hosoda;Moise Godefroy Kwato Njock;Shinji Tokonami
    • Journal of Radiation Protection and Research
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    • v.48 no.2
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    • pp.59-67
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    • 2023
  • Background: This study aims to reevaluate natural radiation exposure, following up on our previous study conducted in 2019, and to assess the associated risk of lung cancer to the public residing in the gold mining areas of Betare-Oya, east Cameroon, and its vicinity. Materials and Methods: Gamma-ray spectra collected using a 7.62 cm×7.62 cm in NaI(Tl) scintillation spectrometer during a car-borne survey, in situ measurements and laboratory measurements performed in previous studies were used to determine the outdoor absorbed dose rate in air to evaluate the annual external dose inhaled by the public. For determining internal exposure, radon gas concentrations were measured and used to estimate the inhalation dose while considering the inhalation of radon and its decay products. Results and Discussion: The mean value of the laboratory-measured outdoor gamma dose rate was 47 nGy/hr, which agrees with our previous results (44 nGy/hr) recorded through direct measurements (in situ and car-borne survey). The resulting annual external dose (0.29±0.09 mSv/yr) obtained is similar to that of the previous study (0.33±0.03 mSv/yr). The total inhalation dose resulting from radon isotopes and their decay products ranged between 1.96 and 9.63 mSv/yr with an arithmetic mean of 3.95±1.65 mSv/yr. The resulting excess lung cancer risk was estimated; it ranged from 62 to 216 excess deaths per million persons per year (MPY), 81 to 243 excess deaths per MPY, or 135 excess deaths per MPY, based on whether risk factors reported by the U.S. Environmental Protection Agency, United Nations Scientific Committee on the effects of Atomic Radiation, or International Commission on Radiological Protection were used, respectively. These values are more than double the world average values reported by the same agencies. Conclusion: There is an elevated level of risk of lung cancer from indoor radon in locations close to the Betare-Oya gold mining region in east Cameroon. Therefore, educating the public on the harmful effects of radon exposure and considering some remedial actions for protection against radon and its progenies is necessary.

A Study on the Simulation Modeling Method of LKAS Test Evalution (LKAS 시험평가의 시뮬레이션 모델링 기법에 관한 연구)

  • Bae, Geon-Hwan;Lee, Seon-bong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.57-64
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    • 2020
  • The leading technologies of the ADAS (Advanced Driver Assist System) are ACC (Advanced Cruise Control), LKAS (Lane Keeping Assist System), and AEB (Autonomous Emergency Braking). LKAS is a system that uses cameras and infrared sensors to control steering and return to its running lane in the event of unintentional deviations. The actual test is performed for a safety evaluation and verification of the system. On the other hand, research on the system evaluation method is insufficient when an additional steering angle is applied. In this study, a model using Prescan was developed and simulated for the scenarios proposed in the preceding study. Comparative analyses of the simulation and the actual test were performed. As a result, the modeling validity was verified. A difference between the front wheels and the lane occurred due to the return velocity. The results revealed a maximum error of 0.56 m. The error occurred because the lateral velocity of the car was relatively small. On the other hand, the distance from wheels to the lanes displayed a tendency of approximately 0.5 m. This can be verified reliably.

Development of Bioelectric Signal Sensor System using Band Type ECG (밴드형 심전도 생체신호 전극시스템의 구현)

  • Kang Sung-Chul;Kim Gi-Ryon;Kim Kwang-Nyeon;Jung Dong-Keun;Kim Min-Sung;Jeong Do-Wun;Jeon Gye-Rok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.1023-1026
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    • 2006
  • There are some cases in trouble with monitoring emergency patient by existing electrode sensor in measuring instrument in home and hospital etc. And there are problem to measure because of coming down electrode in emergency car or vessel of shaking and fat, humidity of patient. In this study, it has designed band-type for patient to put on the breast easily and go around anywhere freely putting band electrode on his body. Gold has used as electrode material in this electrocardiogram because of its excellent electronic resistance peculiarity and no trouble with skin. And it is able to monitor multi-body-signal by additional design of periphery temperature. There are good results of body signal transmission in the breast or the rib, and get a little body signal in abdomen. We get a result it is better case of gold than usual electrode on signal detection, and know usual electrode was disposable, but we have more correct result from gold electrode sensor, being semi-permanent ana. great contact ability even if movement.

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The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea

  • Choi, Wonseok;Kim, Hanju;Son, Whee Sung;Sakong, Seungyeob;Cho, Jun-Min;Choi, Nak-Jun;Noh, Tae-Wook;Kim, Namryeol;Cho, Jae-Woo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.195-201
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    • 2022
  • Purpose: The objective of this study was to determine the effects of coronavirus disease 2019 (COVID-19) on the volume of trauma patients, the number of orthopedic trauma operations, and the severity of injuries. We also investigated the correlations between social distancing and these variables. Methods: This was a retrospective review of trauma patient cases at a single focused training center for trauma in Korea from January 2017 to April 2021. The COVID-19 group included patients treated from January 1 to April 30 in 2020 and 2021, and the control group included patients treated during the same months from 2017 to 2019. The volume of trauma patients according to the level of social distancing was evaluated among patients treated from August 2, 2020 to November 23, 2020. Results: The study included 3,032 patients who presented to the emergency department with traumatic injuries from January to April 2017 to 2021. The average number of patients was 646.7 and 546.0 in the control and COVID-19 groups, respectively. The percentage of patients injured in traffic accidents (TAs) decreased from 25.0% to 18.2% (P<0.0001). The proportions of in-car TAs and pedestrian TAs also decreased from 6.7% and 10.8% to 3.5% and 6.0%, respectively (P=0.0002 and P<0.0001). The percentage of bicycle TAs increased from 2.4% to 4.0% (P=0.0128). The proportion of patients with an Injury Severity Score above 15 and the mortality rate did not change significantly. As the level of social distancing increased, the number of trauma patients and the number of trauma injuries from TAs decreased. The number of orthopedic trauma operations also depended on the social distancing level. Conclusions: The number of trauma patients presenting to the emergency department decreased during the COVID-19 period. The volume of trauma patients and orthopedic trauma operations decreased as the social distance level increased.

A Study on Algorithm for Materials Take-off Using Pothole Detection System (포트홀 감지 시스템을 이용한 보수재료량 산출 알고리즘 개발)

  • Kim, Kyungnam;Kim, Sung-Ho;Kim, Nakseok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.3
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    • pp.603-610
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    • 2017
  • Various type of pavement deterioration such as crack, bumpy, pothole is rapidly increasing according to the accelerated environmental changes like heavy rainfall, frequent snowing, difference temperature, etc. Accident related to pothole that cause fatal traffic accidents has been increased more than five times over the next five years starting from 2008. As direct or indirect damage by pothole which caused injuries and car damages increases every year, quicker and more efficient management measures are necessary. This study presents the algorithm for materials quantity take-off. The algorithm was suggested by correlation in pothole size and area. Suggested algorithm were confirmed the validity through the 15 field survey in capital area. According to the results of survey, usually the residual materials at which 5~7 kg was generated decreased to 1~2 kg. It showed that automatic pothole detection system is expected not only to reduce materials and resources, but also to contribute to quality improvements of pavement through more accurate material take-off from the situation of constructing rely on their own judgement.

A Study on the Standard Preparation for Cab Design of EMU with the 180km/h of Maximum Speed (180km/h급 간선형 전기동차 운전실 설계기준 마련 연구)

  • Lhim, Jea-Eun;Jung, Do-Won;Kim, Chi-Tae
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1229-1234
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    • 2009
  • The rolling stocks of KORAIL are KTX, Saemaulho Multiple Unit(PP), New Electrical Locomotive(DL), Electrical Locomotive(EL), Diesel Locomotive, Metropolitan Commuter Train(CDC), VVVF and Resistance Controlled Multiple Unit, etc. EMU with the maximum speed of 150km/h is under the test run at the moment. Electrical Multiple Units for mainlines with 180km/h speed are supposed to be introduced as a substitute for Saemaulho Multiple Unit which is scheduled to be out of service. But the specification standard for the control board design of train driver's cab does not exist and there is no a study for layout and type of controlling device with driver's ergonomical approach. That's why the types of controller and operating are different from rolling stocks, which has high possibility of driver's human error and needs education whenever a new car comes in. Based on the opinion poll of drivers, design specification of safety engineering and ergonomics for controlling devices and safety facilities can improve exact control for devices and deal quickly with an emergency so as to improve rolling stock safety and operational efficiency.

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Facial Injury after Airbag Deployment in Occupant Motor Vehicle Accident (자동차 교통사고 시 에어백에 의한 안면부 손상특성)

  • Lee, Hee-Young;Lee, Kang-Hyun;Lee, Jung-Hun;Sung, Sil;Kang, Chan-Young;Kim, Ho-Jung;Kim, Sang-Chul;Youn, Young-Han
    • Journal of Auto-vehicle Safety Association
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    • v.8 no.3
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    • pp.10-15
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    • 2016
  • The purpose of this study is to evaluate the injury mechanism of facial injury related to an air-bag's deployment in occupant motor vehicle accident (MVA) by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 309 patients with agreement for an investigation, thirty five (11.3 %) were the severe who had ISS over 15. And also, sixteen (5.2%) derived from the reconstructed data (maximum collision energy, maximum acceleration, delta V) by PC-Crash. As a result, ISS including the facial injuries was affected by the condition. It was high when the number of crash extent, the safety belt was not fastened, and the seating position of occupant and the direction of collision is same. For accurate analysis of the relationship between occupant injury and vehicle damage in MVAs, build-up of an in-depth database through carrying out various policies for motor vehicle accidents is necessary for sure.