• Title/Summary/Keyword: electrical injury

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기능적 전기자극 I - 척수손상환자의 기능적 보행을 중심으로 - (Functional Electrical Stimulation(FES) : Part I)

  • 이재호
    • 한국전문물리치료학회지
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    • 제2권1호
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    • pp.62-70
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    • 1995
  • The use of electricity to evoke s skeletal muscle response is FES, which is a form of functional electrical stimulation. In the case of the damaged spinal cord, the technique can supply stimulation to the lower moter neurons and their muscle fiber, which have been disconnected from control of the higher nervous system. Recent advances in electronics, particularly miniaturization, have made possible the design of much improved systems of electrodes and stimulaters for FES. Clinical research has followed two main lines: the use of FES in the upper extremities for producing functional hand rehabilitation in quadriplegics and in the lower extremities for producing standing and gait in paraplegics.

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마이크로패턴된 전극을 이용한 실시간 생체물질 감지 랩칩 시스템 (Interdigitated Microelectrode Lab-on-a-chip sensing system for Biomoelcule Detection)

  • 유용경;황교선;이정훈
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2015년도 제46회 하계학술대회
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    • pp.1223-1224
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    • 2015
  • Recently, Alzheimer's Disease (AD) is one of the biggest threats to healthy society. Current medical AD diagnosis depends on interviews and the molecular neuroimaging. There is no cure for the disease, which worsens as it progresses, and eventually leads to death. Amyloid ${\beta}$ and Tau-meditated neuronal injury and dysfunction are candidates of biomarker for AD diagnosis using blood. For highly sensitive and selective biosensor platform, interdigitated microelectrodes (IMEs) sensor was prepared with micro fabrication process and Amyloid ${\beta}$ antibody. Amyloid ${\beta}$ concentration of 1, 10, 100, and 1000 pg/mL was injected in reaction chamber with IME sensors, impedance and conductance of IMEs changed respectively. These results show our newly proposed IMEs sensor can be usefully utilized for AD early diagnosis.

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두피의 고압전기화상 환자에서의 두개골 만성골수염: 증례보고 (Chronic Osteomyelitis of Cranial Bones in a Patient with High-Voltage Electrical Burn on the Scalp: A Case Report)

  • 정승원;최주헌;유경탁;임창수
    • 대한화상학회지
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    • 제24권2호
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    • pp.53-59
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    • 2021
  • High-voltage electrical burn injuries on the scalp often result in scalp and cranial bone necrosis. Repetitive debridements and rich-vascularized flap coverage of the cranium are required. However, despite successful flap coverage, chronic osteomyelitis of cranial bones may occur. Treatment of chronic osteomyelitis of cranial bones is surgical debridement of the necrotic bone with re-coverage by a well-vascularized flap. The latissimus dorsi musculocutaneous flap is suitable not only for coverage of the cranium after the burn injury, but also for treatment of chronic osteomyelitis of the skull.

Expediting venous drainage in large anterolateral thigh flaps for scalp electrical burns in India: two case reports on the use of primary vein grafts for second vein anastomosis

  • Jyotica Jagadish Chawaria;Parvati Ravula;Nazia Tabassum;Srikanth Rangachari
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.404-410
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    • 2023
  • Large scalp defects resulting from high-voltage electrical burns require free flaps, preferably skin, to permit optimal coverage and enable future or simultaneous cranial vault reconstruction. The anterolateral thigh permits the harvest of a large area of skin supplied by a reliable perforator. The superficial temporal vessels offer the proximate choice of recipient vessels to enable adequate reach and coverage. The lack of a second vein at this site implies the inability to perform a second venous anastomosis; however, this obstacle can be overcome by using an interposition vein graft, to the neck veins primarily. This assures adequate venous drainage and complete flap survival.

전기화상 환자에서 전완부피판을 이용한 수부의 재건 (Reconstruction of Hand Defects with Forearm Flaps in Electrical Burn Patients)

  • 김기선;송홍식;나민화;이태섭;이동은
    • Archives of Reconstructive Microsurgery
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    • 제10권1호
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    • pp.55-59
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    • 2001
  • The hand is a frequently affected area in high voltage electrical burn injury as an input or output sites. Therefore, early debridement and synchronous flap coverage are generally accepted as a primary treatment of several electrical burns complicated by exposure of tendons, neurovascular structures, and bones. So, in order to establish convenient, promising methods for the reconstruction of hand defects in electrical burn patients, we performed various reverse forearm flaps. From March 1997 to February 2000, we reconstructed 12 cases of hand defects in high voltage electrical burn wounds with reverse forearm flaps. Reverse radial fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap were 3 cases, reverse ulnar fasciocutaneous flap and STSG were 4 cases, reverse ulnar fascial flap and STSG were 2 cases. We successfully reconstructed hand defects in all 12 cases, and obtained following conclusions. 1 Various reverse forearm flaps provide well vascularized, profitable tissues and they require short operative time with relatively easy procedures. 2. Reverse fascial flap and STSG, reverse fasciocutaneous flap and STSG provide thin flaps with good aesthetics and minor donor site morbidity.

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Slope Movement Detection using Ubiquitous Sensor Network

  • Jung, Hoon;Kim, Jung-Yoon;Chang, Ki-Tae;Jung, Chun-Suk
    • Journal of Electrical Engineering and Technology
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    • 제4권1호
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    • pp.143-148
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    • 2009
  • About 70% of Korea consists of mountainous areas, and during the construction of many roads and railroads, cut slopes are inevitably formed. The rainy season, frost heaving in winter, and thawing in spring can all cause rockfalls and landslides. The failure of these slopes is increasing every year, causing damage to vehicles, personal injury and even death. To protect people and property from such damage, a real-time monitoring system is needed to detect the early stages of slope failures. The GMG placed TRS sensor units in the slopes to monitor them in real-time. But due to its reliance on data lines and power lines, the system is vulnerable to lightning damage. The whole system can be damaged by a single lighting strike. Consequently, for the purposes of this paper we propose the use of the Ubiquitous Sensor Network (USN) which follows the IEEE 802.1.4. By using the USN system we can minimize lightning damage and can monitor the movement of the slopes consistently.

Neuroprotective Effects of Sacral Epidural Neuromodulation Following Spinal Cord Injury : An Experimental Study in Rats

  • Lee, Chang-Hyun;Hyun, Seung-Jae;Yoon, Cheol-Yong;Lim, Jae-Young;Jahng, Tae-Ahn;Kim, Ki-Jeong
    • Journal of Korean Neurosurgical Society
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    • 제52권6호
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    • pp.509-512
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    • 2012
  • Objective : The purpose of this study is to evaluate neuroprotective effect of sacral neuromodulation in rat spinal cord injury (SCI) model in the histological and functional aspects. Methods : Twenty-one female Sprague Dawley rats were randomly divided into 3 groups : the normal control group (CTL, n=7), the SCI with sham stimulation group (SCI, n=7), and the SCI with electrical stimulation (SCI+ES, n=7). Spinal cord was injured by dropping an impactor from 25 mm height. Sacral nerve electrical stimulation was performed by the following protocol : pulse duration, 0.1 ms; frequency, 20 Hz; stimulation time, 30 minutes; and stimulation duration, 4 weeks. Both locomotor function and histological examination were evaluated as scheduled. Results : The number of anterior horn cell was $12.3{\pm}5.7$ cells/high power field (HPF) in the CTL group, $7.8{\pm}4.9$ cells/HPF in the SCI group, and $6.9{\pm}5.5$ cells/HPF in the SCI+ES group, respectively. Both the SCI and the SCI+ES groups showed severe loss of anterior horn cells and myelin fibers compared with the CTL group. Cavitation and demyelinization of the nerve fibers has no significant difference between the SCI group and the SCI+ES group. Cavitation of dorsal column was more evident in only two rats of SCI group than the SCI+ES group. The locomotor function of all rats improved over time but there was no significant difference at any point in time between the SCI and the SCI+ES group. Conclusion : In a rat thoracic spinal cord contusion model, we observed that sacral neuromodulation did not prevent SCI-induced myelin loss and apoptosis.

마비환자의 근전도제에기능적전기자극을 위한 M-wave 제거용 최적적응필터 설계 (Design of an Optimal Adaptive Filter for the Cancellation of M-wave in the EMG Controlled Functional Electrical Stimulation for Paralyzed Individuals)

  • 염호준;박영철;이영희;윤영로;신태민;윤형로
    • 대한의용생체공학회:의공학회지
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    • 제25권6호
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    • pp.479-487
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    • 2004
  • 중추신경계손상으로 인하여 약화된 근육기능을 회복하기 위한 전기자극의 제어신호로 생체신호를 이용하고 있다. 생체신호중에서 마비된 근육에서 발생되는 자발적이면서 근수축을 하기에 부족한 자발근전도신호로 전기자극의 강도를 조절해야 하는 경우, 전기자극에 의해 발생되어 자발근전도신호에 섞이는 M-wave를 제거해야 한다. 본 연구에서는 M-wave를 제거하고 동시에 자발근전도신호의 크기를 보존하기 위한 최적필터를 설계하였고 최적필터의 계수는 입력 공분산 행렬의 최소고유치에 해당하는 고유벡터가 됨을 보였으며. inverse Power methd(IPM)을 사용하여 이를 적응적으로 구현하는 과정을 통해 기존의 예측오차필터 방법이 부최적 방법임을 보였다. 최적필터의 성능을 평가하기 위하여 모의데이터에 대한 false-positive rate를 측정하여 분석하였으며, 실험결과는 최적필터가 이전에 연구되었던 예측오차필터에 비해 효과적으로 M-wave를 제거할 수 있음을 보여준다.

전기 화상 환자에서 수근부 및 전완부의 전외측 대퇴근막 유리 피판술을 이용한 재건 (Reconstruction of Wrist and Forearm with use of Anterolateral Thigh Free Flap in High Tension Electrical Burn Patients)

  • 윤형노;이준협;이태섭;이동은
    • Archives of Reconstructive Microsurgery
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    • 제11권2호
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    • pp.179-185
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    • 2002
  • The wrist and forearm are a frequently damaged area in high tension electrical injury as an input or output of the current. Electrical burns affecting the wrist and forearm may produce full thickness necrosis of the skin and damage deep vital structures beneath the eschar, affecting the local tendons, nerves, even bones and joints which result in serious dysfunction of the hand. From January 1997 to December 2001, we had treated 20 patients with high tension electrical burn in the wrist and forearm using anterolateral thigh free flap. Average follow up period were 24 months and we get satisfactory results both in functional and aesthetic aspects. This flap is considered useful in one-stage reconstruction of wide and large soft tissue defect combined with arterial injuries.

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Effect of Bridge Exercise Combined with Functional Electrical Stimulation on Trunk Muscle Activity and Balance in Stroke Patients

  • Kang, Jeongil;Jeong, Daekeun;Heo, Sinhaeng
    • 국제물리치료학회지
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    • 제12권2호
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    • pp.2323-2330
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    • 2021
  • Background: Stroke patients have weak trunk muscle strength due to brain injury, so a single type of exercise is advised for restoring functionality. However, even after intervention, the problem still lies and it is suggested that another intervention method should be applied with exercise in order to deal with such problem. Objectives: To Investigate the effect of bridge exercise combined with functional electrical stimulation (FES) on trunk muscle activity and balance in stroke patients. Design: Randomized controlled trial. Methods: From July to August 2020, twenty stroke patients was sampled, ten patients who mediated bridge exercises combined with functional electrical stimulation were assigned to experiment group I, and ten patients who mediated general bridge exercises were assigned to experiment groupII. For the pre-test, using surface EMG were measured paralyzed rectus abdominis, erector spinae, transverse abdominis/internal oblique muscle activity, and using trunk impairment scale were measured balance. In order to find out immediate effect after intervention, post-test was measured immediately same way pre-test. Results: Change in balance didn't show significant difference within and between groups, but muscle activity of trunk was significant difference rectus abdominis and erector spinae within groups I (P<.01), also between groups was significant difference (P<.05). Conclusion: Bridge exercise combined with FES could improve trunk function more effectively than general bridge exercise due to physiological effect of functional electrical stimulation.