• 제목/요약/키워드: Injury analysis

검색결과 1,933건 처리시간 0.032초

급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석 (Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey)

  • 조재호;조병기;정형진;배서영;2021 대한족부족관절학회 학술위원회
    • 대한족부족관절학회지
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    • 제26권2호
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    • pp.88-94
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    • 2022
  • Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the epidemiology, diagnosis, and management of acute Achilles tendon rupture (AATR) over the past few decades. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in October 2021. The questions were mainly related to the clinical experience and preferred management of patients with AATR. Answers with a prevalence ≥50% of the respondents were considered a tendency. Results: Seventy-one (12.9%) of the 550 members responded to the survey. The male sex ratio in AATR was answered mean 78%, and the most common age groups were 30~40 years (n=49; 69.0%), and 40~50 years (n=37; 52.1%), in that order. The most common seasons for the occurrence of AATR were spring (37 cases; 52.1%) and autumn (27 cases; 38.0%). Also, sports-related rupture had an average occurrence of 76.2%. The most important clinical factor to determine the type of treatment was the history of previous injuries, and 75.9% of respondents started conservative treatment in the 2010s. The most preferred protocol of conservative treatment was an orthosis capable of ankle range of motion after casting (68.5%), and 53.7% 'satisfied' and 1.9% 'very satisfied' with conservative treatment. The most preferred surgical method was open repair (80.3%), and the Krackow method (60.6%), and 49.3% of treated patients responded 'satisfied' and 45.1% 'very satisfied' with this treatment. Conclusion: This study gives updated information concerning the current trend of epidemiology, diagnosis, and treatment of AATR in Korea. Both consensus and variation in the approach to AATR were identified using this survey study. This study may raise the awareness of various possible approaches toward AATR and should be used to further establish a standard protocol for the management of this injury.

Simotang Alleviates the Gastrointestinal Side Effects of Chemotherapy by Altering Gut Microbiota

  • Deng, Lijing;Zhou, Xingyi;Lan, Zhifang;Tang, Kairui;Zhu, Xiaoxu;Mo, Xiaowei;Zhao, Zongyao;Zhao, Zhiqiang;Wu, Mansi
    • Journal of Microbiology and Biotechnology
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    • 제32권4호
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    • pp.405-418
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    • 2022
  • Simotang oral liquid (SMT) is a traditional Chinese medicine (TCM) consisting of four natural plants and is used to alleviate gastrointestinal side effects after chemotherapy and functional dyspepsia (FD). However, the mechanism by which SMT helps cure these gastrointestinal diseases is still unknown. Here, we discovered that SMT could alleviate gastrointestinal side effects after chemotherapy by altering gut microbiota. C57BL/6J mice were treated with cisplatin (DDP) and SMT, and biological samples were collected. Pathological changes in the small intestine were observed, and the intestinal injury score was assessed. The expression levels of the inflammatory factors IL-1β and IL-6 and the adhesive factors Occludin and ZO-1 in mouse blood or small intestine tissue were also detected. Moreover, the gut microbiota was analyzed by high-throughput sequencing of 16S rRNA amplicons. SMT was found to effectively reduce gastrointestinal mucositis after DDP injection, which lowered inflammation and tightened the intestinal epithelial cells. Gut microbiota analysis showed that the abundance of the anti-inflammatory microbiota was downregulated and that the inflammatory microbiota was upregulated in DDP-treated mice. SMT upregulated anti-inflammatory and anticancer microbiota abundance, while the inflammatory microbiota was downregulated. An antibiotic cocktail (ABX) was also used to delete mice gut microbiota to test the importance of gut microbiota, and we found that SMT could not alleviate gastrointestinal mucositis after DDP injection, showing that gut microbiota might be an important mediator of SMT treatment. Our study provides evidence that SMT might moderate gastrointestinal mucositis after chemotherapy by altering gut microbiota.

Restorative effects of Rg3-enriched Korean Red Ginseng and Persicaria tinctoria extract on oxazolone-induced ulcerative colitis in mice

  • Ullah, H.M. Arif;Saba, Evelyn;Lee, Yuan Yee;Hong, Seung-Bok;Hyun, Sun-Hee;Kwak, Yi-Seong;Park, Chae-Kyu;Kim, Sung Dae;Rhee, Man Hee
    • Journal of Ginseng Research
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    • 제46권5호
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    • pp.628-635
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    • 2022
  • Background: Ulcerative colitis (UC) is the large intestine disease that results in chronic inflammation and ulcers in the colon. Rg3-enriched Korean Red Ginseng extract (Rg3-RGE) is known for its pharmacological activities. Persicaria tinctoria (PT) is also used in the treatment of various inflammatory diseases. The aim of this study is to investigate the attenuating effects of Rg3-RGE with PT on oxazolone (OXA)-induced UC in mice. Methods: A total of six groups of mice including control group, OXA (as model group, 1.5%) group, sulfasalazine (75 mg/kg) group, Rg3-RGE (20 mg/kg) group, PT (300 mg/kg) group, and Rg3-RGE (10 mg/kg) with PT (150 mg/kg) group. Data on the colon length, body weight, disease activity index (DAI), histological changes, nitric oxide (NO) assay, Real-time PCR of inflammatory factors, ELISA of inflammatory factors, Western blot, and flow cytometry analysis were obtained. Results: Overall, the combination treatment of Rg3-RGE and PT significantly improved the colon length and body weight and decreased the DAI in mice compared with the treatment with OXA. Additionally, the histological injury was also reduced by the combination treatment. Moreover, the NO production level and inflammatory mediators and cytokines were significantly downregulated in the Rg3-RGE with the PT group compared with the model group. Also, NLR family pyrin domain containing 3 (NLRP3) inflammasome and nuclear factor kappa B (NF-𝛋B) were suppressed in the combination treatment group compared with the OXA group. Furthermore, the number of immune cell subtypes of CD4+ T-helper cells, CD19+ B-cells, and CD4+ and CD25+ regulatory T-cells (Tregs) was improved in the Rg3-RGE with the PT group compared with the OXA group. Conclusion: Overall, the mixture of Rg3-RGE and PT is an effective therapeutic treatment for UC.

인간 각막상피세포에서 미세먼지로 인한 세포 손상을 완화할 수 있는 유익한 한약재의 탐색 (Exploration of Beneficial Herbal Medicines to Attenuate Particulate Matter-induced Cellular Injury in Human Corneal Epithelial Cells)

  • 김다혜;김민영;황보현;지선영;박세광;박성호;김미영;최영현
    • 생명과학회지
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    • 제32권8호
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    • pp.647-658
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    • 2022
  • 미세먼지는 유해한 다양한 작은 입자를 가진 대기오염 물질로서 산화적 및 염증성 반응을 촉진하여 다양한 질환의 발병과 진행에 관여하는 것으로 알려졌다. 본 연구에서는 외부 오염물질에 직접적으로 노출되는 1차 노출 기관인 안구를 미세먼지로부터 보호할 수 있는 약재를 선정하기 위해, 인간 각막상피세포에서 후보 약물들의 방어 효능을 평가했습니다. 그 결과, 12종의 후보 약재 중 PM2.5에 의한 세포 독성 억제효능을 보인 후보 약재 5가지(천문동, 석창포, 황련, 감국 및 금잔화)를 선별하였다. 이들 후보 물질들의 항산화 활성을 평가하기 위하여 ROS 소거능을 조사한 결과, 석창포, 천문동 및 황련 추출물이 유의한 효과를 나타내었으며, 이는 미토콘드리아 활성 보존 효능과 다소 연관성이 있었다. 또한, 이들은 PM2.5에 의한 DNA 손상을 차단할 수 있었음을 8-OHdG 생성 및 γ-H2AX 발현 분석을 통하여 확인하였다. 본 연구의 결과는 PM2.5에 대한 각막상피세포의 보호 신규 천연물의 탐색을 위한 자료로 활용될 것이다.

EFFECTS OF UV-B RADIATION ON GROWTH AND DEVELOPMENT OF RICE CULTIVARS (ORYZA SATIVA L.).

  • T.Kumagai;Kang, H.S.;J.Hidema;T.Sato
    • 한국식물학회:학술대회논문집
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    • 한국식물학회 1994년도 94 Symposium on Plant science September 10, 1994 Ewha Womans University, Seoul, Korea 94 식물학 심포지움 환경 스트레스와 식물의 반응
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    • pp.29-39
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    • 1994
  • Serious issues about the changes in the environmental conditions on earth associated with human activities have arisen, and the interest in these problems has increased. It is urgent to determine how the expansion of terrestrial UV-B radiation due to the stratospheric ozone depletion influences living matters. In this connection, we have been investigating the effects of UV-B radiation on the growth of rice cultivars (Oryza sativa L.). We report here some physiological and genetic aspects of resistance to inhibitory effects of UV-B radiation on growth of rice cultivars as described below. Elevated UV radiation containing large amount of UV-B and a small amount of UV-C inhibited the development of plant height, the photosynthetic rate and the chlorophyll content in rice plants in a phytotron. Similar results were obtained in experiments, in which elevated UV-V radiation. Similar results were obtained in experiments, in which elevated UV-B radiation (transmission down to 290 nm) was applied instead of UV-B radiation containing a small amount of UV-C. The inhibitory effects of UV radiation was alleviated by the elevated CO2 atmospheric environment or by the exposure to the high irradiance visible radiation. The latter suggested the possibility that the resistance to the effects of UV radiation was either due to a lower sensitivity to UV radiation or to a greater ability to recover from the injury caused by UV radiation through the exposure to visible radiation. The examination of cultivar differences in the resistance to UV radiation-caused injuries among 198 rice cultivars belonging to 5 Asian rice ecotypes (aus, aman, boro, bulu and tjeleh) from the Bengal region and Indonesia and to Japanese lowland and upland rice groups showed the following: Various cultivars having different sensitivities to the effects of UV radiation were involved in the same ecotype and the same group, and that the Japanese lowland rice group and the boro ecotype were more resistant. Among Japanese lowland rice cultivars, Sasanishiki (one of the leading varieties in Japan) exhibited more resistance to UV rakiation, while Norin 1 showed less resistance, although these two cultivars are closely related. It was thus indicated that the resistance to the inhibitory effects of UV radiation of rice cultivars is not simply due to the difference in the geographical situation where rice cultuvars are cultivated. Form the genetic analysis of resistance to the inhibitory effects of UV radiation on growth of rice using F2 plants generated by reciprocally crossing Sasanishiki and Norin 1 and F3 lines generated by self-fertilizing F2 plants, it was evident that the resistance to the inhibitory of elebated UV radiation in these rice plants was controlled by recessive polygenes.

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텍스트 마이닝기법을 활용한 '자해' 및 '자살' 관련 트위터 게시물 분석 (Analysis of Twitter Post with 'Self-Iinjury' and 'Ssuicide' Using Text Mining)

  • 이유리;권호인
    • 한국심리학회지 : 문화 및 사회문제
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    • 제29권1호
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    • pp.147-170
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    • 2023
  • 본 연구는 트위터에서 나타나는 '자해' 및 '자살' 관련 게시물의 주요 등장 단어와 핵심 토픽을 탐색하여 그 의미를 파악하고자 하였다. 연구대상은 2019년 10월 29일부터 2020년 11월 30일까지 관련 해시태그를 포함한 '자해' 및 '자살' 관련 해시태그를 포함한 트위터 게시물이었다. 수집된 게시물을 바탕으로 텍스트 마이닝을 실시한 결과, '자해' 관련 6개, 자살 관련 5개로, 총 11개의 핵심토픽이 도출되었다. 토픽에 담긴 주요 메시지를 살펴보면 온라인 상에서는 오프라인에서 표현하기 어려운 자해와 자살 경험을 솔직하게 표현하고 있으며, 도움요청의 경로로 SNS를 활용하고 있었다. 또한 '자해' 및 '자살' 관련 게시물에서 공통 특징과 차별적 특징이 있었다. '자해' 관련 토픽에는 자해의 정서조절 및 대인관계적 기능이 주로 드러난 반면, '자살' 관련 메시지에는 자살 예방 및 사회문제 등에 대한 메시지가 보다 분명하게 드러났다. 이러한 결과는 자해 및 자살사고를 경험한 사람들과 국민들의 자해 및 자살 관련 이슈에 대한 의견을 이해할 수 있고, 효과적인 자해 및 자살예방 및 개입 방안을 모색한다는 점에서 의의가 있겠다.

꽃노랑총채벌레 종합방제 - 화학농약 처리 후 안정적 천적 투입 시기 (Integral Pest Management of the Western Flower Thrips, Frankliniella occidentalis: Optimal Time to Introduce a Natural Predator after Chemical Insecticide Treatment)

  • 김철영;이동현;이동희;함은혜;김용균
    • 한국응용곤충학회지
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    • 제61권4호
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    • pp.519-528
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    • 2022
  • 시설재배지 고추를 가해하는 꽃노랑총채벌레(Frankliniella occidentalis)를 대상으로 미끌애꽃노린재(Orius laevigatus)를 이용한 생물적 방제가 검토되고 있다. 그러나 대상 해충의 빠른 집단 성장은 화학 살충제의 투입이 때에 따라 요구된다. 본 연구는 화학 살충제와 천적의 이상적 종합 방제를 구현하기 위한 목적으로 선택성이 높은 살충제 선발 및 이들 살충제 처리 이후 미끌애꽃노린재의 안전한 재투입 시기를 결정하기 위해 수행되었다. 첫째로 꽃노랑총채벌레에 방제 효과가 높은 상용 살충제가 선발되었다. 총 17종류의 상용 살충제 가운데 5종류(pyriproxyfen+spinetoram, abamectin, spinosad, acetamiprid, chlorpyrifos) 주성분을 갖는 상용 살충제가 꽃노랑총채벌레에 우수한 방제효과를 주는 약제로 선발되었다. 이들 5종류의 살충제에 대해서 미끌애꽃노린재의 감수성 반응은 꽃노랑총채벌레와 상이하였다. 특별히 아바멕틴과 스피네토람이 유기인계 또는 네오니코티노이드에 비해 상대적으로 낮은 독성을 보였다. 이들 5종류의 살충제 처리 이후 잔류 독성을 미끌애꽃노린재를 이용하여 생물검정한 결과 유기인계 및 네오니코티노이드 약제는 비교적 오랜 기간 독성을 유지하지만, 아바멕틴과 스피네토람 약제의 경우 3일 이후에는 대상 천적에 피해를 주지 않는 것으로 나타났다. 이러한 잔류독성결과는 LC-MS/MS를 이용한 농약 잔류량 화학분석을 통해 뒷받침되었다. 이상의 결과는 높은 밀도로 증가한 꽃노랑총채벌레에 대해서 이 해충에 살충성이 높은 아바멕틴 또는 스피네토람의 약제를 살포하고 이후 3일 지나 미끌애꽃노린재의 투입을 통해 대상 해충의 평균 밀도를 경제적피해수준 이하로 유지할 수 있다는 종합방제 기술을 제시하고 있다.

수동휠체어를 사용하는 척수손상자의 어깨통증이 삶의 질에 미치는 영향 (The Effect of Shoulder Pain on the Quality of Life of Manual Wheelchair Users With Spinal Cord Injuries )

  • 이정규;강모열;전은미
    • 재활치료과학
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    • 제12권3호
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    • pp.33-44
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    • 2023
  • 목적 : 본 연구는 수동휠체어를 주 이동 수단으로 사용하며 의료기관과 지역사회에 거주하는 척수손상자를 대상으로 어깨통증 발생 위험 요인을 파악하고 어깨통증과 삶의 질과의 상관관계를 알아보고자 하였다. 연구방법 : 연구를 위한 대상자 수는 탈락률과 불완전 응답률을 고려하여 총 182명을 산출하였다. 회수된 설문지 중 대상자 선정 기준에 부합하지 않은 14명을 제외한 최종 168명을 분석하였다. 휠체어 사용자의 어깨통증 측정을 위한 한국어판 휠체어 사용자 어깨통증 지수(Wheelchair User's Shoulder Pain Index, WUSPI) 15문항, 삶의 질 평가를 위한 한국어판 세계보건기구 삶의 질 척도-단축형(World Health Organization Quality of Life-BREF, WHOQOL-BREF) 26문항으로 조사하였다. 결과 : 본 연구에서 WUSPI 총점은 50.75점으로 나타났으며, 휠체어를 사용한 이동 영역과 머리 위 활동에서 높은 점수를 보였다. 또한 WHOQOL-BREF 전체 총점은 70.48점, 평균은 2.71점으로 나타났는데, 이는 일반 성인을 대상으로 한 WHOQOL-BREF 전체 평균 3.11점, 근골격계 만성 통증을 경험하고 있는 노인의 WHOQOL-BREF 전체 총점 77.92점보다 낮게 나타났다. 결론 : WUSPI와 WHOQOL-BREF 총점을 비롯한 신체적 건강 영역, 심리적 영역, 생활환경 영역, 전반적인 삶의 질과 만족도 영역, 사회적 영역 모두에서 음의 상관관계가 나타났으며, 이는 어깨통증이 삶의 질에 부정적인 영향을 미치는 것으로 해석할 수 있다. 따라서 작업치료사를 비롯한 임상 전문가들은 수동휠체어를 사용하는 척수손상자에게 어깨통증 예방과 관리를 위한 중재 프로그램을 제공하여 삶의 질을 높이는 데 기여해야 한다.

군중 밀집 위험도 시뮬레이션 기반의 인파 관리 안전대책 수립 (Establishment of Crowd Management Safety Measures Based on Crowd Density Risk Simulation)

  • 김현철;임형준;이승현;주영범;권순조
    • 한국안전학회지
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    • 제38권2호
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    • pp.96-103
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    • 2023
  • Generally, human stampedes and crowd collapses occur when people press against each other, causing falls that may result in death or injury. Particularly, crowd accidents have become increasingly common since the 1990s, with an average of 380 deaths annually. For instance, in Korea, a stampede occurred during the Itaewon Halloween festival on October 29, 2022, when several people crowded onto a narrow, downhill road, which was 45 meters long and between 3.2 and 4 meters wide. Precisely, this stampede was primarily due to the excessive number of people relative to the road size. Essentially, stampedes can occur anywhere and at any time, not just at events, but also in other places where large crowds gather. More specifically, the likelihood of accidents increases when the crowd density exceeds a turbulence threshold of 5-6 /m2. Meanwhile, festivals and events, which have become more frequent and are promoted through social media, garner people from near and far to a specific location. Besides, as cities grow, the number of people gathering in one place increases. While stampedes are rare, their impact is significant, and the uncertainty associated with them is high. Currently, there is no scientific system to analyze the risk of stampedes due to crowd concentration. Consequently, to prevent such accidents, it is essential to prepare for crowd disasters that reflect social changes and regional characteristics. Hence, this study proposes using digital topographic maps and crowd-density risk simulations to develop a 3D model of the region. Specifically, the crowd density simulation allows for an analysis of the density of people walking along specific paths, which enables the prediction of danger areas and the risk of crowding. By using the simulation method in this study, it is anticipated that safety measures can be rationally established for specific situations, such as local festivals, and preparations may be made for crowd accidents in downtown areas.

족관절 인대 손상 치료 동향: 대한족부족관절학회 회원 설문조사 분석 (Current Trends in the Treatment of Ankle Ligament Injuries: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey)

  • 조병기;조재호;이명진;이준영;배서영;2021 대한족부족관절학회 학술위원회
    • 대한족부족관절학회지
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    • 제26권1호
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    • pp.22-29
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    • 2022
  • Purpose: Despite continuous updates of standard treatment guidelines for acute ankle sprain and chronic ankle instability (CAI), in practice preferred treatment protocols vary widely. Based on a Korean Foot and Ankle Society (KFAS) member survey, this study reports current trends in the management of ankle ligament injuries. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. Questions mainly addressed clinical experience and preferences for the diagnosis and treatment of ankle ligament injuries. Answers with a prevalence of ≥50% among respondents were considered to reflect tendencies. Results: Eighty-four of the 550 members (15.3%) responded. Answers that showed a tendency were as follows: commonest additional image study (ultrasound), conservative treatment modality (immobilization, oral medication), frequency of surgical treatment (<5 cases per annum), most important factor when deciding on surgical treatment (activity level, e.g., occupation or sport), and commonest surgical procedure (open ligament repair). Answers that showed a tendency for CAI were as follows: most important symptom (repeated sprain, giving way), radiological factors (talar tilt, osteochondral lesion, anterior talar translation), and patient factors (occupation, sports activities, recurrent instability after surgery, etc.). For decision making regarding surgical treatment and method, the most preferred surgical procedure was the modified Broström procedure, and the most common repair technique was suture anchor technique. The following were considered poor prognostic factors; generalized laxity, failed previous surgery, cavovarus, severe mechanical instability, heavy work, obesity, and dissatisfaction after surgery because of residual pain. Conclusion: This study updates information regarding current trends in the management of ankle ligament injuries in Korea, and reveals consensus opinions and variations in approaches to patients with an acute or chronic injury. The divergence of approaches identified indicates the need for further studies to determine standard guidelines and long-term results.