• Title/Summary/Keyword: Serious injuries

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Analysis for Traffic Accidents against Car-Pedestrian on Simulation (시뮬레이션을 통한 차대 보행자의 교통사고 분석)

  • Chae, Hee-Hong;Lim, Jong-Han
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.3
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    • pp.115-121
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    • 2012
  • In spite of serious injuries caused by traffic accidents of car-pedestrian, the dispute is constantly occurring and economic losses and mental suffering is escalating since the cause of accidents is not scientifically identified. This study reviewed vehicle dynamics, driving dynamics, collision dynamics, traffic and road engineering for traffic accidents analysis based on traffic accidents related physically objective evidence and analysed the cause of accidents by getting results which applied vehicle initial collision velocity before collision, processing trajectory, collision stance, vehicle velocity before & after collision and parameter by using PC-Crash program. I found that skid mark and collision velocity of car-pedestrian had the error of 11.2%, 2,27% compared to theoretical values.

Effect of Coenzyme Q10 Supplementation in Statin-Treated Obese Rats

  • Choi, Hye-Kyung;Won, Eun-Kyung;Choung, Se-Young
    • Biomolecules & Therapeutics
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    • v.24 no.2
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    • pp.171-177
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    • 2016
  • Statins, HMG-CoA reductase inhibitors, are known to cause serious muscle injuries (e.g. myopathy, myositis and rhabdomyolysis), and these adverse effects can be rescued by co-administration of coenzyme $Q_{10}$ ($CoQ_{10}$) with statins. The goal of the current research is to assess the efficacy of combined treatment of $CoQ_{10}$ with Atorvastatin for hyperlipidemia induced by high-fat diet in SD rats. 4-week-old Sprague-Dawley male rats were fed normal diet or high-fat diet for 6 weeks. Then, rats were treated with either Statin or Statin with various dosages of $CoQ_{10}$ (30, 90 or 270 mg/kg/day, p.o.) for another 6 weeks. Compared to Statin only treatment, $CoQ_{10}$ supplementation significantly reduced creatine kinase and aspartate aminotransferase levels in serum which are markers for myopathy. Moreover, $CoQ_{10}$ supplementation with Statin further reduced total fat, triglycerides, total cholesterol, and low-density lipoprotein-cholesterol. In contrast, the levels of high-density lipoprotein-cholesterol and $CoQ_{10}$ were increased in the $CoQ_{10}$ co-treated group. These results indicate that $CoQ_{10}$ treatment not only reduces the side effects of Statin, but also has an anti-obesity effect. Therefore an intake of supplementary $CoQ_{10}$ is helpful for solving problem of obese metabolism, so the multiple prescription of $CoQ_{10}$ makes us think a possibility that can be solved in being contiguous to the obesity problem, a sort of disease of the obese metabolism.

A Case Study on the Human Error Analysis for the Prevention of Converter Furnace Accidents (전로사고 예방을 위한 인적오류 분석)

  • Shin, Woonchul;Kwon, Jun Hyuk;Park, Jae Hee
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.195-200
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    • 2014
  • Occupational fatal injury rate per 10,000 population of Korea is still higher among the OECD member countries. To prevent fatal injuries, the causes of accidents including human error should be analyzed and then appropriate countermeasures should be established. There was an severe converter furnace accident resulting in five people death by chocking in 2013. Although the accident type of the furnace accident was suffocation, many safety problems were included before reaching the death of suffocation. If the safety problems are reviewed throughly, the alternative measures based on the review would be very useful in preventing similar accidents. In this study, we investigated the converter furnace accident by using human error analysis and accident scenario analysis. As a result, it was found that the accident was caused by some human errors, inappropriate task sequence and lack of control in coordinating work by several subordinating companies. From the review of this case, the followings are suggested: First, systematic human error analysis should be included in the investigation of fatal injury accidents. Second, multi man-machine accident scenario analyis is useful in most of coordinating work. Third, the more provision of information on system state will lessen human errors. Fourth, the coordinating control in safety should be performed in the work conducting by several different companies.

A Case of Penetrating Facial Wound by a Grinder (분쇄기에 의한 얼굴 관통창 1 례)

  • Kang, Jin-ah;Kim, Kang Ho;Paik, Jin Hui;Hong, Dae Young;Kim, Ji Hye;Lee, Kyoung Mi;Kim, Jun Sig;Han, Seung Baik
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.89-92
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    • 2006
  • Penetrating facial wounds are uncommon and are usually life threatening because of the possibility of brain damage. There are three possible pathways for penetrating the cranium through the orbit: via the orbital roof, via the superior orbital fissure, or between the optic canal and lateral wall of the orbit. Brain injuries resulting from the penetrating wounds show extensive parenchymal damage, hemorrhage, and brain edema. Transorbital penetrating wounds can lead to diverse lesions of the optical apparatus, including the eye globe, the optical nerve, and the chiasm. Moreover, intracerebral structures may be hurt, and bleeding and infection may occur. Early diagnosis and prompt debridement are the fundamental factors affecting the outcome of a penetrating facial wound. An 87-year-old man was admitted to the emergency department with a grinder impacted into the medial aspect of the right eye. On presentation, the man was fully conscious with a Glasgow Coma Scale score of 15 and complained of a visual disturbance of the right eye. Computed tomography demonstrated a right orbital medial and inferior wall fracture, a frontal bone fracture, and a contusional hemorrhage in frontal lobe of the brain. A craniotomy with hematoma removal and repair of the orbital floor was done. He showed no neurological deficits except right visual loss. This appears to be the first report of a man with a penetrating facial wound caused by a grinder, who presented with a potentially disastrous craniocerebral injury that did not lead to any serious neurological seguelae.

Foliar Absorption Rates of 45Ca-labeled Calcium Compounds Applied on Tomato and Citrus Leaves (45Ca 표지 칼슘 화합물별 토마토와 감귤의 엽면 흡수율)

  • Song, Sung-Jun;Kim, Yang-Rok;Han, Seung-Gap;Kang, Young-Gil
    • Korean Journal of Soil Science and Fertilizer
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    • v.39 no.2
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    • pp.80-85
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    • 2006
  • The foliar injuries and absorption rates of calcium compounds in tomato (Lycopersicon esculentum cv. momotaro) and citrus [Shiranuhi(C. Marc. ${\time}C$. sinensis Osbeck)${\time}C$. reticulata Blanco)] were investigated. 0.3, 0.5 and 1.0% of $CaCl_2$, $Ca(NO_3)_2$, $Ca(H_2PO_4)_2$, Ca-EDTA, Ca formate or Ca acetate solution were applied to the leaves of tomato and citrus. The leaf burns were observed only in the foliar applications of Ca-EDTA and $Ca(H_2PO_4)_2$. Ca-EDTA exhibited more serious foliar injury than CaH2PO4. As applied with $^{45}CaCl_2$, $^{45}Ca(NO_3)_2$, $^{45}Ca$ formate or $^{45}Ca$ acetate, the rates of Ca absorptions by tomato and citrus leaves for 7 days were 17 to 32% and 6.6 to 46%, respectively. It meant that the absorption was differently influenced on calcium compounds. In tomato, the order of Ca foliar absorption was $Ca(NO_3)_2$ > Ca formate = $CaCl_2$ > Ca acetate. Although there was no difference in Ca absorption between the adaxial and abaxial parts of tomato leaves, total absorption was greater in expanded leaves than in expanding ones. On the other hand, in citrus Ca foliar absorption from $Ca(NO_3)_2$ or Ca formate was more active than that from $CaCl_2$ or Ca acetate. In conclusion, $Ca(NO_3)_2$ and Ca formate are recommended for the foliar application of Ca in tomato and citrus in order to increase absorption of Ca into their leaves.

Risk free zone study for cylindrical objects dropped into the water

  • Xiang, Gong;Birk, Lothar;Li, Linxiong;Yu, Xiaochuan;Luo, Yong
    • Ocean Systems Engineering
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    • v.6 no.4
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    • pp.377-400
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    • 2016
  • Dropped objects are among the top ten causes of fatalities and serious injuries in the oil and gas industry (DORIS, 2016). Objects may accidentally fall down from platforms or vessels during lifting or any other offshore operation. Proper planning of lifting operations requires the knowledge of the risk-free zone on the sea bed to protect underwater structures and equipment. To this end a three-dimensional (3D) theory of dynamic motion of dropped cylindrical object is expanded to also consider ocean currents. The expanded theory is integrated into the authors' Dropped Objects Simulator (DROBS). DROBS is utilized to simulate the trajectories of dropped cylinders falling through uniform currents originating from different directions (incoming angle at $0^{\circ}$, $90^{\circ}$, $180^{\circ}$, and $270^{\circ}$). It is found that trajectories and landing points of dropped cylinders are greatly influenced by the direction of current. The initial conditions after the cylinders have fallen into the water are treated as random variables. It is assumed that the corresponding parameters orientation angle, translational velocity, and rotational velocity follow normal distributions. The paper presents results of DROBS simulations for the case of a dropped cylinder with initial drop angle at $60^{\circ}$ through air-water columns without current. Then the Monte Carlo simulations are used for predicting the landing point distributions of dropped cylinders with varying drop angles under current. The resulting landing point distribution plots may be used to identify risk free zones for offshore lifting operations.

Abdominal Wall Closure Using Artificial Mesh for Patients with an Open Abdomen (복부개방(Open abdomen) 환자에서 인공막(Artificial Mesh)를 이용한 근막봉합술)

  • Cha, Sung Whan;Shim, Hong Jin;Jang, Ji Young;Lee, Jae Gil
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.172-177
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    • 2012
  • Purpose: After damage control surgery, abdominal wall closure may be impossible due to increased intra-abdominal pressure (IAP), and primary closure may induce abdominal compartment syndrome. The purpose of this study was to investigate changes in the IAP and the feasibility of abdominal wall closure using artificial mesh. Methods: From July 2010 to July 2011, 8 patients with intra-abdominal hypertension underwent abdominal wall closure using artificial mesh. Medical data such as demographics, diagnosis, operation, IAP, postoperative complications, mortality and length of hospital stays were collected and reviewed, retrospectively. One patient was excluded because of inadequate measurement of the IAP. Results: Seven patients, 4 males and 3 females, were enrolled, and the mean age was 54.1 years old. Causes of operations were six traumatic abdominal injuries and one intra-abdominal infection. The IAP was reduced from $21.9{\pm}6.6mmHg$ before opening the abdomen to $15.1{\pm}7.1mmHg$ after fascial closure. Fascial closure was done on $14.9{\pm}17.5$ days after the first operation. The mean lengths of the hospital and the intensive care unit (ICU) stays were 49.6 days and 29.7 days respectively. Operations were performed $3.1{\pm}1.5$ times in all patients. Two patients expired, and one was transferred in a moribund state. Three patients suffered from complications, such as retroperitoneal abscesses, enterocutaneous fistulas, and bleeding that was related to the negative pressure wound therapy. Conclusion: After abdominal wall closure using artificial mesh, intra-abdominal pressure was well controlled, and abdominal compartment syndrome does not occur. When the abdominal wall in patients who have intra-abdominal hypertension is closed, artificial mesh may be useful for maintaining a lower abdominal pressure. However, when negative pressure wound therapy is used, the possibility of serious complications must be kept in mind.

Reconstruction of Hand Using Peroneal Perforator Free Flap in High-Voltage Electrical Burn Patients (고압 전기화상에 의한 수부 손상 시 비골동맥 천공지 유리피판술을 이용한 재건)

  • Kim, Dong Hoon;Yoo, Jung Seok;Lim, Jun Kyu;Lee, Dong Lark
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.67-72
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    • 2008
  • Purpose: The hand is frequently affected area in high voltage electrical burn injury as an input or output sites. Electrical burn affecting the hand may produce full thickness necrosis of the skin and damage deep structures beneath the eschar, affecting the tendon, nerve, vessel, even bone which result in serious dysfunction of the hand. As promising methods for the reconstruction of the hand defects in electrical burn patients, we have used the peroneal perforator free flaps. Methods: From March 2005 to June 2006, we applied peroneal perforator free flap to five patients with high tension electrical burn in the hand. Vascular pedicle ranged from 4cm to 5cm and flap size was from $4{\times}2.5cm$ to $7{\times}4cm$. Donor site was closed primarily.Results: All flaps survived completely. There was no need to sacrifice any main artery in the lower leg, and there was minimal morbidity at donor site. During the follow-ups, we got satisfactory results both in hand function and in aesthetic aspects.Conclusion: The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized wound defect, especially hand with electrical burn injury.

Vein Wrapping Technique for Nerve Reconstruction in Patients with Thyroid Cancer Invading the Recurrent Laryngeal Nerve

  • Yoo, Young-Moon;Lee, Il-Jae;Lim, Hyo-Seob;Kim, Joo-Hyoung;Park, Myong-Chul
    • Archives of Plastic Surgery
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    • v.39 no.1
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    • pp.71-75
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    • 2012
  • Recurrent laryngeal nerve paralysis is the most common and serious complication after thyroid cancer surgery. The objective of this study was to report the advantages of the vein wrapping technique for nerve reconstruction in patients with thyroid cancer invading the recurrent laryngeal nerve and its effects on postoperative phonatory function. The subjects were three patients who underwent resection of the recurrent laryngeal nerve during surgical extirpation of papillary thyroid cancer. Free ansa cervicalis nerve graft or direct neurorrhaphy with a vein wrapping technique was used to facilitate nerve regeneration, protect the anastomosed nerve site mechanically, and prevent neuroma formation. One-year postoperative laryngoscopic examination revealed good vocal cord mobility. Maximum phonation time ($19.5{\pm}0.3$ sec) was longer than a previously-reported value in conventional reconstruction patients ($18.8{\pm}6.6$ sec). The present phonation efficiency index ($7.88{\pm}0.78$) was higher than that previously calculated in conventional reconstruction ($7.59{\pm}2.82$). The mean value of the Voice Handicap Index-10 was 6, which was within the normal range. This study demonstrates improvement in phonation indices measured 1 year after recurrent laryngeal nerve reconstruction. Our results confirm that the vein wrapping technique has theoretical advantages and could be favored over conventional reconstruction techniques for invenerate nerve injuries.

A Study of the Factors Related with Postoperative Neurologic Complications after Parotid Gland Surgery (이하선 종양 수술 후 신경계 합병증 발생에 관여하는 인자들에 대한 연구)

  • Choi Nak-Seon;Yoon Jung-Han;JaeGal Young-Jong;Cho Jae-Sik
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.200-204
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    • 1999
  • Objectives: Injuries of neurologic structures during parotid surgery are sometimes unavoidable even in benign tumors. Since the major postoperative neurologic complications such as facial nerve palsy and Frey's syndrome give a serious and heavy burden to both patients and surgeons, it is very important to know detailed information concerning risk factors, the incidence of complication, possibility of recovery, and the term before complete recovery. Materials and Methods: This report was based on 95 patients with parotid gland tumor who had been treated and followed up over 1 year at department of surgery and otolaryngology, chonnam university hospital. Results: 1) Among total 95 cases, the facial nerve palsy developed in 18 cases(l8.9%) and Frey's syndrome in 6 cases(6,3%). 2) The incidence of facial nerve palsy increased in cases with large tumor size, and in those operated with bipolar method. However, we didn't find out relationships between the incidence of facial palsy, localization, and histologic type. 3) The incidence of Frey's syndrome showed an increasing tendency in the cases with large tumor size, benign nature, and in those underwent superficial lobectomy with posterior approach, without a statistical significance. Conclusions: Risk of facial nerve palsy, especially a transient form, seems to be related to tumor size and bipolar coagulation method. Although Frey's syndrome tends to develop easily in the cases treated with superficial lobectomy under the diagnosis of benign tumor, a futhermore study is suggested to obtain a statistical significance.

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