• Title/Summary/Keyword: Head and face

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A Giant Sebaceous Epithelioma on the Scalp: A Case Report (두피에 발생한 거대 피지샘 상피종 1례)

  • Kim, Eun Yeon;Kim, Sun Goo;Kim, Yu Jin;Lee, Se Il
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.76-79
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    • 2012
  • Purpose: Sebaceous epithelioma (sebaceoma) is a benign tumor with sebaceous differentiation. It presents primarily as a yellowish papule or nodule on the face and scalp. It must be differentiated from basal cell carcinoma and other appendageal tumors. We report a giant sebaceous epithelioma on the scalp and describe the immunohistochemical character of the cells in sebaceous epithelioma to epithelial membrane antigen (EMA). Methods: A 55-year-old-man who presented with 5-cm-diameter 2-cm-height, round shape exophytic ulcerated tumor on his head presented for treatment. The patient had noticed the lesion 40 years prior as a small yellowish plaque and 18 months ago, the plaque started to grow progressively larger. We excised the lesion with 1 cm resection margin, considering the possibility of malignancy because this lesion grossly resembled basal cell carcinoma (BCC). The defect was repaired with the use of a splitthickness skin graft. Results: When we excised the lesion, the margin was clear. Histology showed nodules that consisted of an admixture of basaloid cells and mature adipocytes lacking an organized lobular architecture. Strong expression of EMA on mature adipose cells confirmed the differential diagnosis from BCC with sebaceous differentiation because of the absence of a nuclear palisade pattern and cleft-like spaces on the hematoxylin and eosin (H&E) section. Conclusion: We treated the giant sebaceous epithelioma on the scalp with surgical excision and a split-thickness skin graft. It is important to know that the diagnosis of sebaceous epithelioma should be made based on the histologic pattern of the H&E section. Immunohistochemistry with EMA can help to confirm the differential diagnosis between sebaceous epithelioma and BCC.

Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study

  • Cho, Min Jeng;Kim, Jihoon;Kim, Sung Jeep;Kyoung, Kyu Hyouck;Keum, Min Ae;Park, Sung Kyun
    • Clinical and Experimental Pediatrics
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    • v.62 no.3
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    • pp.90-94
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    • 2019
  • Purpose: Several published policy statements have warned against the risks associated with trampoline use and recommended safety guidelines. However, few studies have focused on trampoline-related injuries in Korea. This study aimed to assess the incidence and characteristics of pediatric trampoline-related injuries presented to Ulsan University Hospital. Methods: We retrospectively reviewed the medical records of children aged <16 years with trampoline-related injuries who visited our Emergency Department between 2008 and 2017. Results: Over the 10-year period, 178 trampoline-related injuries were reported, which represented a significant increase (P=0.016). Most (87.6%) of the injuries occurred during the last 5 study years, and a rapid increase in injuries was observed in children aged <6 years. Lower extremity injuries (62.4%) were the most common, followed by injuries of the upper extremities, head and face, and trunk, including injuries to the neck and spine. Sixty-seven children (37.6%) had fractures, and proximal tibia fractures were the most common. Fractures were significantly more common in younger children (<6 years old) than in older children (P=0.026). Conclusion: In Korea, the mechanism of trampoline injury is similar to that of injuries incurred in indoor trampoline parks but is characterized by smaller spaces and multiple users. Trampoline use and the incidence of trampoline-related injuries in children aged <6 years are increasing rapidly. Prohibiting the use of trampolines for children aged <6 years, restricting simultaneous use by multiple children, and ensuring adult supervision should be strictly emphasized. Public awareness and policy guidelines are needed to reduce the incidence of trampoline-related injuries.

Insertions of the striated muscles in the skin and mucosa: a histological study of fetuses and cadavers

  • Ji Hyun Kim;Gen Murakami;Jose Francisco Rodriguez-Vazquez;Ryo Sekiya;Tianyi Yang;Sin-ichi Abe
    • Anatomy and Cell Biology
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    • v.57 no.2
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    • pp.278-287
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    • 2024
  • Striated muscle insertions into the skin and mucosa are present in the head, neck, and pelvic floor. We reexamined the histology of these tissues to elucidate their role in transmission of the force. We examined histological sections of 25 human fetuses (gestational ages of ~11-19 weeks and ~26-40 weeks) and 6 cadavers of elderly individuals. Facial muscle insertion or terminal almost always formed as an interdigitation with another muscle or as a circular arrangement in which muscle fiber insertions were sandwiched and mechanically supported by other muscle fibers (like an in-series muscle). Our examination of the face revealed some limited exceptions in which muscle fibers that approached the dermis were always in the nasalis and mentalis muscles, and often in the levator labii superioris alaeque nasi muscle. The buccinator muscle was consistently inserted into the basement membrane of the oral mucosa. Parts of the uvulae muscle in the soft palate and of the intrinsic vertical muscle of the tongue were likely to direct toward the mucosa. In contrast, the pelvic floor did not contain striated muscle fibers that were directed toward the skin or mucosa. Although 'cutaneous muscle' is a common term, the actual insertion of a muscle into the skin or mucosa seemed to be very rare. Instead, superficial muscle insertion often consisted of interdigitated muscle bundles that had different functional vectors. In this case, the terminal of one muscle bundle was sandwiched and fixed mechanically by other bundles.

A Review on Child Abuse in Pediatric Dentistry (아동학대에 대한 소아치과적 고찰)

  • Jeong, Taesung;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.334-339
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    • 2016
  • Child abuse often interferes with the normal and healthy development of a child, bringing about various complications and problematic behaviors. Furthermore, such physical, mental abuse or neglect, and sexual abuse on a developing child may have serious effects even until after adolescence. The types of injuries caused by physical abuse vary, but some types of injuries are common. A great number of them can be detected during a routine dental examination because many of these injuries are present in the facial and dental region. Accordingly, in the case of abused children, it is important to find the signs of abuse through regular dental checkups, as many suffer injuries to the face, head and neck area including the oral and perioral area. As a pediatric dentist, it is the legal and social obligation to contribute to preventing and assisting the struggle against child abuse. The authors contemplate ways for all pediatric dental related personnel to find some clinical signs and symptoms of child abuse to help early detection, and to manage the situation properly.

Clustering of Facial Color Types and Their Favorable Colors on Korean Adult Males (한국 남성의 얼굴 피부색 분류와 유형에 어울리는 색채 연구)

  • Kim, Ku-Ja
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.2 s.150
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    • pp.316-325
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    • 2006
  • The colors of apparel are getting more important to give the differentiated character on fiber and fabrics. This study was to extract the favorable colors that become to facial color types. Research was carried out to classify the facial colors into several similar facial color groups. With JX-777, 2 points of face: forehead and cheek, were measured and classified into 3 facial color types. Sample size was 418 Korean adult males and other 15 of new males subjects. New chosen 3 subjects who had the classified facial color types, wore silver gown and black hat on his head to minimize the interaction of the clothe color an hair. The 40 standardized color samples were used to extract the favorable colors. 187 respondents answered the degree of becomingness of color samples on 3 facial color types. Data were analyzed by K-means cluster analysis, ANOVA and Duncan multiple range test using SPSS Win. 12. Findings were as follows: 1. 418 subjects who had YR colors were classified into 3 kinds of facial color groups. Type 1 was 4.59YR 5.89/5.12, Type 2 was 5.61 YR 5.41/4.79 and Type 3 was 4.38YR 6.49/4.89 respectively. 2. Favorable colors for Type 1 were 2 colors that belonged to ' a ' group from among colors that were divided into a, b, c group and 18 colors that belonged to ' a ' group from among colors that were divided into a, b group by Duncan post hoc test. 3. Type 2 showed that this type had many unfavorable colors. Unfavorable colors were 16 colors that belonged to ' c ' by Duncan test. 5. Favorable colors for Type 3 were 14 colors that belonged to ' a ' from among colors that were divided into a, b, c and 16 colors that belonged to ' a ' from among colors that were divided into a, b by Duncan test.

Accident research II for the college students happened during Dental Laboratory Technology-major classes (치기공과 실습 중 안전사고 실태조사 II)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.27 no.1
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    • pp.131-153
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    • 2005
  • The purpose of this study was to identify the accidents happened in the college dental laboratory technique classes and to realize the level of safety education for the dental laboratory technique major students. The research data were collected from a self-administered survey distributed to the conveniently selected college students whose majors were dental laboratory technology in Suwon, Daejeon, Daegu, Kimcheon, and Icsan. The study participants were 422 freshmen, sophomore and junior students in the selected cities. All collected survey responses were encoded and analyzed in SPSS 12.0. The findings were as follows. 1. The students who had any accidents in their laboratory classes were 36% and the other 64% answered 'no.' 2. Most injuries which the participants had were not significant. 3. The medical treatment periods of most injury cases were less than one week; however, approximately 20% of the self-reported injury cases reported that their treatment periods were longer than one week. 4. The body parts frequently injured from accidents were hands with 84.7% and arms, eyes, face, head, and legs in order. 5. Concerning the materials involved in the laboratory classes, most accidents happened when working with wax in 59.9%, with plaster in 52.3%, with wire in 39.8%, with alcohol in 34.6%, and casting iron in 22.2% in order. 6. The accident-prone laboratory methods were polishing with 53.5%, pickling or sanding with 17.4%, and casting or burning with 5.8% in order. 7. Most students wore their laboratory gowns well; however, few students wore mask before dust-involved jobs. Furthermore, only 57.1% students answered their laboratory fans worked during the polishing job. 8. Approximately 54% participant students answered that they took laboratory safety education when necessary only from the class instructors. 9. The 76.1% students responded that they needed laboratory safety education at least 1-2 times every semester. 10. The survey participants answered that the primary factors for injury prevention in their laboratory were taking safety education, wearing safety equipments, and providing safety-focused facilities. Concludingly, comprehensive evaluation and monitoring for potential risk factors from both the human side and the environment side should be continually provided to minimize the college laboratory accidents.

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Responses of Edwardsiella tarda to innate immunity of olive flounder, Paralichthys olivaceus (넙치, Paralichthys olivaceus의 비특이적 방어기작에 대한 Edwardsiella tarda 균의 반응)

  • Ha, Su-Jin;Woo, Sung-Ho;Lee, Deok-Chan;Park, Soo-Il
    • Journal of fish pathology
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    • v.21 no.3
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    • pp.189-199
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    • 2008
  • This paper aims to compare difference with the in an ability of their resistance and survival against in a non-specific defence mechanism of the olive flounder, between the virulent and the avirulent E. tarda strains. The tested E. tarda strains, we divided into the virulent and the avirulent strain groups on the basis of a value of 50% lethal dose (LD50) for the olive flounder weighed 10.3 g in average. The strains of LD50 101.6~104.2 cfu/fish were grouped as virulent strains, such as KE-1, KE-3, KE-5 and FSW910410. The group of avirulent strains as LD50 exceeded 108.7 cfu/fish were included the strains, SU100 and AL92448. A test was conducted to understand the survival ability of each strain in the mucus of the skin and the intestine of olive flounders. The results showed KE-1, KE-3, KE-5 and FSW910410 were highly to survive between 6 hours and 24 hours in intestine. The survival ability in the bile of olive flounder the number of avirulent strains declined during incubation but the virulent strain showed the number of alive bacteria having sustained or increased. In the test for the survival of bacteria in fresh sera of olive flounder, the virulent strains also had tendency to multiply. Concerning the tested bacteria internalization into the head kidney macrophages and the intracellurar replication in the macrophages of olive flounder. The virulent strains exhibited strong internalization, followed high rate replication. According to the results, virulent strains of E. tarda revealed more ability to resist and survive in the face of humoral and cellular defence factors than avirulent strains.

Development of a Low Pressure Auxiliary Fan for Local Large-opening Limestone Mines (대단면국내석회석광산용저풍압국부선풍기개발연구)

  • Lee, Chang Woo;Nguyen, Van Duc
    • Tunnel and Underground Space
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    • v.25 no.6
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    • pp.543-555
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    • 2015
  • At present, local limestone mines with large opening employ auxiliary fans for workplace ventilation which have been used in coal mines with much smaller airways. Considering the low static pressure loss in the large-opening mines, high pressure auxiliary fans face serious economical limitations mainly due to their excessive capacity. The optimal fan selected for the ventilation in large-opening working places should supply air quantity enough for maintaining safe environment and keep its operating cost as low as possible. This study focuses on the development of a low pressure auxiliary fan designed to have smaller range of the static head but to have more potential for higher ventilation and energy efficiency. The flow characteristics of high and low pressure auxiliary fans were theoretical as well as experimentally investigated to assess the ventilation efficiency in term of environmental and economical aspects. Moreover, the low pressure fan was tested in two limestone mine sites with small and large cross-sectional areas for evaluating its ventilation efficiency. Results from this study can be applied to improve the economy and efficiency of auxiliary fan for ensuring better air quality and work environment management.

Characteristic Analysis of Occupational Motorcycle Accidents for Food Delivery Workers by Employment Status (종사상 지위별 음식 배달 종사자의 이륜차 산업재해 특성 분석)

  • Byungdoo, Moon;Sudong, Lee;Kihyo, Jung
    • Journal of the Korean Society of Safety
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    • v.37 no.6
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    • pp.118-127
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    • 2022
  • This study analyzes the characteristics of occupational accidents of food delivery via motorcycle in terms of accident probability and work-days. Depending on their employment status, food-delivery workers were divided into "employed" workers (who work for restaurants) and "special-type" workers (who work for delivery platforms). Collected data include occupational accident-information during the last two years (1,468 cases for employed workers and 4,899 cases for special-type workers) and their risk information such as age, work experience, accident location, season of the accident, and weather conditions. The study finds that special-type workers had a significantly higher accident probability for the younger age group (80.8%), while employed workers had more accidents in both 20's or younger (34.9%) and 50's or older (25.4%). The number of work-days-lost was higher for special-type workers with less work experience, and it decreased with increasing work experience. Moreover, the chance for accidents was higher at night time (55%) than for day time (45%) for special-type workers as well as for employed workers. The number of work-days-lost was higher in foreign workers (180.79 days) than in Korean workers (121.44 days). Accident probability (30.7%) and work-days-lost (136.2 days) was higher in winter than in other seasons. In addition, accidents-per-day was higher on snowy days (12.7 cases per day) than rainy (8.1) and windy days (7.1). In addition, it was found that deadly accidents mainly caused injuries to face, head, and chest, while non-deadly accidents affected mainly the legs and feet. This study enables the development of better policies to prevent accidents of food delivery workers.

A Review of the Anatomy of Face for the Clinical Application of Facial Acupuncture (안면침(顔面鍼) 시술(施術)을 위한 안면(顔面) 근육(筋肉)의 해부학적(解剖學的) 이해(理解) 및 임상적(臨床的) 적용(適用)에 대한 고찰(考察))

  • Kim, Joo-Hee;Kwon, Hyo-Jung;Song, Jeong-Hwa;Choi, Do-Young;Lee, Sang-Hoon;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.221-228
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    • 2008
  • Objectives : The purpose of this study is to understand the anatomical basis of the facial muscles and to apply this knowledge on the clinical practice of facial acupuncture. Methods : We searched both contemporary and the latest literatures on the practical application of facial muscle anatomy on Facial Acupuncture. Conclusions : Facial Acupuncture improves skin tone, texture and wrinkling by assisting the circulation of Ki. It stimulates the facial muscles directly to undo the stagnation of the meridians. To practice Facial Acupuncture, thorough understanding of facial anatomy is required. In this study the muscles of the head and neck, appropriate depth and angle of acupuncture needle, etc. were reviewed. The upper facial muscles including frontalis, procerus, corrugator supercilii and orbicularis oculi, the mid facial muscles including auricularis, nasalis, levator labii superioris, zygomaticus and so on, and the lower facial muscles including orbicularis oris, depressor labii inferioris, depressor anguli oris, mentalis and platysma etc. were reviewed in this study. For safer and more effective use of Facial Acupuncture, further study on the objective outcome of the technique should be done.

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