• Title/Summary/Keyword: Serious injuries

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Imaging of Abusive Head Trauma : A Radiologists' Perspective

  • Cheon, Jung-Eun;Kim, Ji Hye
    • Journal of Korean Neurosurgical Society
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    • v.65 no.3
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    • pp.397-407
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    • 2022
  • Abusive head trauma (AHT) is the most common and serious form of child abuse and a leading cause of traumatic death in infants and young children. The biomechanics of head injuries include violent shaking, blunt impact, or a combination of both. Neuroimaging plays an important role in recognizing and distinguishing abusive injuries from lesions from accidental trauma or other causes, because clinical presentation and medical history are often nonspecific and ambiguous in this age group. Understanding common imaging features of AHT can increase recognition with high specificity for AHT. In this review, we discuss the biomechanics of AHT, imaging features of AHT, and other conditions that mimic AHT.

Isolated penetrating gluteal stab injury with uncontrolled bleeding in Türkiye: a case report

  • Ali Metehan Celep;Gorkem Yigit;Ayla Ece Celikten;Kudret Atakan Tekin;Ufuk Turkmen
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.454-457
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    • 2023
  • Arterial injuries in the gluteal region caused by a knife are rare but serious, with mortality rates of up to 25%. This case report presents the management of a young male patient admitted to the emergency department in hypovolemic shock, with uncontrollable bleeding from an isolated penetrating gluteal injury. Additionally, the details of the surgical approach employed are discussed.

Radiological assessment and follow-up of a nonsurgically treated odontoid process fracture after a motor vehicle accident in Egypt: a case report

  • Ahmad Mokhtar Abodahab
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.411-415
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    • 2023
  • An odontoid process fracture is a serious type of cervical spine injury. This injury is categorized into three types based on the location of the fracture. Severe or even fatal neurological deficits can occur due to associated cord injury, which can result in complete quadriplegia. Computed tomography is the primary diagnostic tool, while magnetic resonance imaging is used to evaluate any associated cord injuries. These injuries can occur either directly from the injury or during transportation to the hospital if mishandled. There are two main treatment approaches: surgical fixation or external nonsurgical fixation, with various types and models of fixation devices available. In this case study, computed tomography follow-up confirmed that external fixation can yield successful results in terms of complete healing, even in cases complicated by other factors that may impede healing, such as pregnancy.

Serious Penetrating Craniocerebral Injury Caused by a Nail Gun

  • Jeon, Yong Hyun;Kim, Dong Min;Kim, Sung Hoon;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.56 no.6
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    • pp.537-539
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    • 2014
  • Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral injury caused by a nail gun. Total excision of the offending nail via emergency craniotomy was performed, but the patient's neurologic status was not improved in spite of aggressive rehabilitative treatment. Here, we report on this troublesome case in light of a review of the relevant literature.

Predicted the behavior of the femur according to the loading condition using FEM (유한요소해석을 이용한 하중조건에 따른 대퇴골의 거동예측)

  • Song, Seung-Youp;Choi, Seong Dae
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.12 no.4
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    • pp.3-9
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    • 2013
  • Falling related injuries are categorized as the most serious and common medical problems experienced by the elderly. Hip joint fracture, one of the most serious consequences of falling in the elderly, occurs in only about 1% of falling. In this study, according to the loading conditions, the analysis is the behavior of the femur. The CT images using the commercial program "Mimics" the bones of three-dimensional CAD data generated, and we will analyze the results of finite element analysis. The boundary conditions on the basis of existing research has been simplified. In this paper, the whole femur was assumed to be isotropic linear elastic material. Predicted the behavior of the femur according to the loading condition, it can be help the development of high-precision artificial bones and joints can be treated with surgery and will be able to perform efficiently.

Prediction of Unsafe Factors for Industrial Accident Prevention (재해예방을 위한 사업장 불안전 요인의 유형 예측)

  • 임현교;장성록;김주홍
    • Journal of the Korean Society of Safety
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    • v.9 no.2
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    • pp.26-32
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    • 1994
  • It is quite similar in the current automated works likewise in the past manual works that single trivial human error and/or unsafe acts may lead to serious industrial accidents. Though the traditional approach for accident prevention focused on the serious injuries or losses, that was misleaded by failure of accident perception. As Heinrich pointed out, there are still enormous numbers of unsafe acts or near-misses before a real accident happen. Thus, for industrial accident prevention, a research on unsafe acts was committed. With accident data occurred during the last decade, statistics were analyzed for extracting behavioral characteristics. After that, a practical method Integrating AHP and statistics which shows possible accident factors and their priority at an individual factory was suggested. A computer program was developed also.

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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.

Analysis on Factors Affecting Traffic Accident Severity - Case Study : Arterial Included Curve Section - (교통사고심각도 영향요인 분석에 관한 연구 - 곡선부가 포함된 국도를 중심으로 -)

  • Park, Jae Hong;Yun, Duk Geun;Sung, Jung Gon
    • Journal of the Korean Society of Safety
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    • v.28 no.6
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    • pp.84-89
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    • 2013
  • The main causes of traffic accidents can be classified by 3 factors - human error, vehicle deficiency and road environmental problem and most accidents occurs not only 1 factor but combination of 2 or 3-factors. Among these factors, road environmental factor is the most important factor due to influence the behavior of cars and road users and road environmental factor affects 30% of total accidents approximately. The 5 years traffic accidents data analyzed to verify the accidents severity on Korea National Highways. In order to analyze the severity, Ordered Probit Model was used. As a independent variables of this model the number of lane, neighbor road environments, sight distance, vertical grade, lane width, shoulder width and traffic volume were used and as a dependent variables the minor injuries, serious injuries and fatalities were used. Research results shows that sight distance and lane width are identified as significant factors for the traffic accident severity and lesser sight distance and lane width shows greater traffic accident severity.

Design of the Active Hood Lift System Using Orthogonal Arrays (직교배열표를 이용한 액티브 후드 리프트 시스템의 설계)

  • Shin, Moon-Kyun;Park, Kyung-Taek;Lee, Keun-Bae;Bae, Han-Il;Park, Gyung-Jin
    • Transactions of the Korean Society of Automotive Engineers
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    • v.14 no.4
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    • pp.123-131
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    • 2006
  • The majority of pedestrian fatalities and injuries are caused by vehicle-pedestrian accidents. Recently, it has been recognized as a serious problem. Injuries of occupants in a vehicle have been decreased considerably. However, efforts for protection of pedestrians are still insufficient. These days, many advanced industries are striving for a better protection of pedestrians by using an active hood lift system, rather than reforming the existing structure. In this research, the active hood lift system is designed to enhance the performance for protection. The active hood lift system is analyzed by using the nonlinear finite element method. An optimization problem is formulated by incorporation of the analysis results. Orthogonal arrays are utilized to solve the formulated problem. An iterative optimization algothrithm using orthogonal arrays is utilized for design in the discrete space. It is found that the method can remarkably decrease the number of function evaluations.

Applications of digital subtraction angiography in the management of penetrating injuries of the maxillofacial region: A case report

  • Fonseca, Vitor Jose;Chaves, Roberta Rayra Martins;Campos, Felipe Eduardo Baires;Lehman, Luiz Felipe;Moraes, Gustavo Meyer;Castro, Wagner Henriques
    • Imaging Science in Dentistry
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    • v.48 no.4
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    • pp.295-300
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    • 2018
  • This report presents a clinical case of trauma due to assault with a knife, and describes the importance of using the correct imaging modality in cases of facial penetrating trauma involving the superficial and deep anatomical planes. Penetrating wounds in the maxillofacial region are rare and poorly reported, but can result in serious complications that are difficult to resolve and may compromise the patient's quality of life, especially when large blood vessels or other vital structures are involved. Thus, it is essential to determine the extent of the affected blood vessels and the proximity of the retained object to the anatomical structures. In this case, digital subtraction angiography was the imaging modality chosen. The use of appropriate imaging examinations allows a proper map of the surgical field, reducing the chances of vascular damage during the surgical procedure.