• Title/Summary/Keyword: forearm skin

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Immediate Fasciotomy for Acute Thermal Contact Burn Combined with Compression Injury of the Right Forearm and Hand: A Case Report (우측 전완부와 수부에 화상과 압궤손상을 입은 환자에서 즉시 근막절제술: 증례보고)

  • Jung, Sung Won;Lee, Seungje;Yoo, Kyung-Tak
    • Journal of the Korean Burn Society
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    • v.23 no.1
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    • pp.13-19
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    • 2020
  • Treatment of compartment syndrome is early decompressive fasciotomy to prevent dreadful sequelae of ischemic necrosis of muscles and nerves. We experienced one patient of impending or early compartment syndrome of right forearm and hand caused by a hot compress machine. We did immediate fasciotomy on forearm and late flap coverage with skin graft in this patient with good results.

Development and Evaluation of skin Hydration Measure System using the Suscepance Method (Susceptance를 이용한 피부수화도 측정 장비의 개발 및 평가)

  • Kim, Hong-Sig;Jang, Woo-Young;Shin, Kun-Soo;Cho, Baek-Hwan;Kim, In-Young;Kim, Sun-I.
    • Journal of Biomedical Engineering Research
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    • v.29 no.6
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    • pp.493-501
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    • 2008
  • In this paper, a novel system is proposed to measure skin hydration using the susceptance method. This system largely consists of a low-voltage(${\pm}2.6$ V) driven circuit and minimized electrodes of size($5{\times}5mm^2$). To evaluate the accuracy of the novel system in measuring skin hydration, skin hydration values from 105 subjects are measured by the proposed system. The measurements are then compared to those obtained by the golden reference device based on the capacitance method in terms of Intraclass Correlation Coefficient(ICC) and correlation coefficient. All measurements are performed on 7 sites, which are forehead, Crow's foot, cheek, chin, volar forearm, dorsal forearm, and back of the hand, in a room where the temperature and humidity are maintained at an uniform level of $22{\pm}2^{\circ}C$ and $50{\pm}5%$, respectively. ICC values are above 0.9(p=0.001), signifying that the skin hydration values measured by the two methods show a good level of reliability. Correlation coefficient between the two methods is also 0.562(p=0.001). Based on these results, it is expected that the proposed system may be applicable in a variety of clinical or cosmetic areas.

Blood Flow and Skin Temperature Increases by Monochromatic Infrared Energy Irradiation

  • Lee, Jae-Hyoung;Kim, Gi Won
    • The Journal of Korean Physical Therapy
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    • v.24 no.3
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    • pp.202-207
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    • 2012
  • Purpose: The purpose of this study was to determine the effect of monochromatic infrared energy (MIRE) on the blood flow of the superficial radial artery and local skin temperature in healthy subjects. Methods: Forty healthy volunteers were recruited and randomly assigned to MIRE group (n=20) and placebo group (n=20). The MIRE group received a 890 nm MIRE irradiation on the forearm using two therapy pads for 30 minutes. The therapy pad was composed of an array of 60 diodes. MIRE unit was set at bar 8, that corresponds to a diode power of 10 mW and a power density of $63mW/cm^2$. The placebo group received sham MIRE. Peak blood flow velocity (PBFV), mean blood flow velocity (MBFV), and skin temperature (ST) were measured pre- and post-MIRE irradiation. Results: There was a significant difference in PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) between the pre- and post-treated values in the MIRE group. In contrast, no significant difference was found between the pre- and post-treated values in the placebo group. There was significant difference in mean change values from baseline of PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) between the MIRE group and the placebo group. There was a significant increase in PBFV (p<0.001), MBFV (p<0.001), and ST (p<0.001) following MIRE irradiation. Conclusion: The arterial blood flow and local skin temperature of the forearm in the healthy subjects were significantly increased following MIRE irradiation.

Study on skin cold spot distributions of Korean adult (성인남녀의 피부 냉점 분포에 관한 연구)

  • Choi, Jeong-wha;Seol, Hyang
    • Journal of the Korean Society of Clothing and Textiles
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    • v.23 no.5
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    • pp.667-671
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    • 1999
  • The purpose of this study was to determine the number of skin cold receptor in Korean adult as a part of the study to investigate thermal physiological characteristics of Korean. For this 10 healthy subjects were placed in a climatic chamber and received cold stimulation of 1$0^{\circ}C$ on skin surface of each measuring site with a thermo-stimulator. As a result of cold spot measurement we found 23 points/cm2 at face 13. points/cm2 at chest 16 points/cm2 at abdomen 11 points/cm2 at back 14 points/cm2 at upper arm 16 points/cm2 at forearm 18 points/cm2 at back of the hand 15 points/cm2 at thigh 8 points/cm2 at leg 12 points/cm2 at dorsum of foot 8 points/cm2 at sole of foot in male subjects and in female subjects we fund 18 points/cm2 at face 13 points/cm2 at forearm 11 points/cm2 at at back of the hand 8 points/cm2 at palm 9 points/cm2 at thigh 6 points/cm2 at leg 8 points/cm2 at dorsum of foot 2 points/cm2 at sole of foot. The distributions of cold spots varied in different regions of the body surface and was exceptionally dense in the facial skin. There were some differences among other researchers' results but the cause of those differences are not yet known those are due to individual or methodological difference.

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Skin Hydration Status and Skin Surface pH According to the Body Parts of the Aged with Immobilization (기동장애 노인의 신체 부위별 피부수분 상태와 피부표면 산성도)

  • Han, Ae-Kyung;Won, Jong-Soon;Kim, Ok-Soo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.3
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    • pp.314-323
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    • 2010
  • Purpose: This study was performed to identify skin hydration status and skin surface pH according to the body parts of the aged with immobilization. Methods: The subjects were 101 aged patients in a hospital and a institution for the elderly in Seoul. Data for skin hydration and skin surface pH were collected using corneo-meter and skin pH-meter. The body parts of measurement were 10 parts; face, forearm, back of the hand, flank, upper abdomen, leg, back of the foot, heel, scapular, and sacrum. The data were analyzed by SPSS/WIN 12.0 program. Results: Skin hydration status were relatively low especially on lower extremity and back of body, and skin surface pH of scapular and sacrum were high. There was significant negative correlation between skin hydration status and skin surface pH on the 6 body parts. Conclusion: Skin hydration status and skin surface pH, especially on scapular, sacrum, and lower extremity need to be considered as important control factors for increasing skin health status of the aged with immobilization.

Effects of EMLA Cream in Intradermal Skin Test of Ampicillin Sodium Antibiotics (EMLA 크림이 ampicillin sodium 항생제 피내반응검사에 미치는 효과)

  • Kim, Jin;Kang, Hee-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.1
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    • pp.46-53
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of EMLA cream (eutectic mixture of local anesthetics, lidocaine and prilocaine) on pain during ampicillin sodium intradermal (ID) skin test, and also to assess skin reaction after the skin test. Methods: Forty-three nurse-volunteers had skin tests with 0.01ml-0.05ml ampicillin sodium antibiotics. Skin tests were done on each forearm to compare the pain level of the skin test site after application of EMLA cream with the pain level when no EMLA cream was applied. EMLA cream was applied at the ID skin test site with an occlusive dressing for one hour. Pain was evaluated using a visual analogue scale and pain sensation using the short form McGill Pain Questionnaire. The transverse diameter of the wheal and redness was read right after and at 15 minutes after the skin test. The results were compared using independent t-tests. Results: Pain score and sensation with EMLA cream treatment were significantly lower than when EMLA cream was not applied. There was no difference in skin reactions; reading of the skin test was not affected by EMLA cream. Conclusions: EMLA cream was found to be an effective local anesthetic to relieve the pain of clients having ampicillin sodium antibiotics ID skin tests.

Anatomical Study on Hand Gworeum Skin in Human

  • Park, Kyoung-Sik
    • The Journal of Korean Medicine
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    • v.41 no.4
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    • pp.72-77
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    • 2020
  • Objectives: This study was carried out to concrete the concept of Hand Gworeum Skin referred in Suwen of Huangdi Neijing. Methods: The Hand Gworeum Meridian was labeled with latex in the body surface of the cadaver, subsequently dissecting a superficial fascia and muscular layer in order to observe internal structures. Results: Skin histologically encompasses a common integument and a immediately below superficial fascia, this study established the skin boundary with adjacent structures such as relative muscle, tendon as its compass. The realm of the Hand Gworeum Skin is as follows: The skin close to the nipple on the 4th intercostal space, the interceps of biceps brachii muscle, the cubital surface at ulnad of bicipital aponeurosis, the anterior surface of the forearm, between flexor carpi radialis and palmaris longus(from wrist crease to 5chon above), the palm between the 3rd and 4th metacarpals on the cross part with the palm crease, the radiod from the middle finger nail(or the end of middle finger). The realm of the Hand Gworeum Skin is situated on between Hand Taeeum Skin and Hand Soeum Skin in front of arm. Conclusion: The realm of Hand Gworeum Skin from the anatomical viewpoint seems to be the skin area outside the superficial fascia or the muscle involved in the pathway of the Hand Gworeum Meridian vessel, Collateral Meridian vessel, and Meridian muscle, being considered adjacent vessels or nerves at the same time.

Reconstruction of Hypopharynx and Cervical Esophagus : Choice of Flap (하인두 및 경부식도 결손의 재건 : 재건술의 선택)

  • Choi Eun-Chang;Lee Sei-Young;Chung Tae-Young;Kim Se-Heon;Kim Young-Ho;Ryu Dae-Hyun;Kim Choong-Bae
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.1
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    • pp.26-32
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    • 2000
  • Background and Objectives: Various flaps are using for reconstruction of hypopharyngeal and esophageal defect. However, complication and indication of each flap are not fully analyzed. Patient and Methods: Records of 52 hypopharyngeal cancer patients who had surgical treatment and 13 other head and neck cancer patients who underwent hypopharyngeal and/or esophageal reconstruction with flap were retrospectively analyzed. Eighty three percent(54 cases) of patients needed reconstruction other than primary pharyngeal closure. Five split thickness skin graft, 1 pectoralis major myocutaneous flap, 20 forearm free flap, 13 jejunal free flap, 15 gastric pull up were used. Result: Flap failure was noted in 2 cases who had subsequent gastric transposition. Wound dehiscence and fistula were most common problem of forearm free flap. Most fistulas were developed in patients with conduit type reconstruction of forearm flap while there wasn't any fistula in patient with patch type reconstruction. Stenosis of lower anastomosis was the frequent problem of jejunal transfer. Gastric pull-up has frequent com-plication of stomal stenosis. All but three patients had reached oral feeding postoperatively. Conclusion: Based on this study, forearm flap is effective in partial hypopharyngeal defect while jejunum is the choice for circumferential defect. Gastric pull-up is for combined esophageal defect.

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Local Cooling of the Limbs in $37^{\circ}C$ Ambient Temperature (사지부의 냉각효율성에 관한 연구)

  • Hwang, Kyoung-Sook;Choi, Jeong-Wha;Lee, Kyung-Suk
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.87-95
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    • 2007
  • This study was to determine the effect of cooling parts of the limbs without harm to health. The results provide basic data for the development of clothing which could increase work efficiency and reduce body strain in hot environments. Five male adults took part in the study, conducted in a climate chamber with an ambient temperature of $37^{\circ}C$ and a relative humidity of 50%. The limbs were divided into six areas to be cooled: upper arm, forearm, thigh, calf, hand, and foot. According to preceding studies, permissible cooling safety limits of skin temperature for each part of the body for one-hour were $20^{\circ}C$ on the upper arm, forearm, thigh, and calf, and $23^{\circ}C$ on the hand and foot. For this reason, cooling the skin of each region was carried out at the above mentioned temperatures. In conclusion, cooling the hand and foot reduced perspiration, rectal temperature and heart rate. Therefore, the heat stress of workers exposed to hot environments would be reduced by decreased subjective sensations of heat and increased comfort. The effectiveness of cooling was better on the arm than on the leg.

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Tactile Sensation Display with Electrotactile Interface

  • Yarimaga, Oktay;Lee, Jun-Hun;Lee, Beom-Chan;Ryu, Je-Ha
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.145-150
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    • 2005
  • This paper presents an Electrotactile Display System (ETCS). One of the most important human sensory systems for human computer interaction is the sense of touch, which can be displayed to human through tactile output devices. To realize the sense of touch, electrotactile display produces controlled, localized touch sensation on the skin by passing small electric current. In electrotactile stimulation, the mechanoreceptors in the skin may be stimulated individually in order to display the sense of vibration, touch, itch, tingle, pressure etc. on the finger, palm, arm or any suitable location of the body by using appropriate electrodes and waveforms. We developed an ETCS and investigated effectiveness of the proposed system in terms of the perception of roughness of a surface by stimulating the palmar side of hand with different waveforms and the perception of direction and location information through forearm. Positive and negative pulse trains were tested with different current intensities and electrode switching times on the forearm or finger of the user with an electrode-embedded armband in order to investigate how subjects recognize displayed patterns and directions of stimulation.

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