41 research outputs found

    Rising Incidence of Hip Fracture in Gwangju City and Chonnam Province, Korea

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    The purpose of study was to determine the incidence of hip fracture in 2001, to compare this with that of 1991, and to identify possible causes of change. Patients aged 50 yr or more living in Gwangju City and Chonnam Province, Korea, and who sustained a fracture of the hip during 2001 were investigated. Only patients who were admitted to hospitals for primary treatment of the first hip fracture were selected. There were 1,152 patients. A comparison of fracture incidences for 1991 and 2001 showed considerable increase during the 10-yr period. The total annual number of hip fractures rose from 247 in 1991 to 1,152 in 2001 and the fracture incidence also increased remarkably from 3.3 persons per 10,000 population in 1991 to 13.3 in 2001, representing a 4-fold increase over 10-yr. The reasons for this rising trend of hip fracture were not fully explained. However, an increase in the elderly population, an increase in osteoporosis, and an increase in injurious falls could partly account for the observed increase

    A Clinical Study of Replantation of Amputated Limbs and Digits

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    Tidal variability in benthic silicic acid fluxes and microphytobenthos uptake in intertidal sediment

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    International audienceSilicic acid (DSi) benthic fluxes play a major role in the benthic-pelagic coupling of coastal ecosystems. They can sustain microphytobenthos (MPB) development at the water-sediment interface and support pelagic diatoms when river DSi inputs decrease. DSi benthic fluxes have been studied at the seasonal scale but little is known about their dial variations. This study measured the amplitude of such variations in an intertidal area over an entire tidal cycle by following the alteration of DSi pore water concentrations at regular intervals over the flood/ebb period. Furthermore we independently estimated the potential DSi uptake by benthic diatoms and compared it to the variations of DSi pore water concentrations and fluxes. The microphytobenthos DSi demand was estimated from primary production measurements on cells extracted from the sediment. There were large changes in DSi pore water concentration and a prominent effect of tidal pumping: the DSi flushed out from the sediment at rising tide, occurs in a very short period of time, but plays a far more important role in fueling the ecosystem (800 μmol-Si m−2 d−1), than diffusive fluxes occurring throughout the rest of the tidal cycle (2 μmol-Si m−2 d−1). This process is not, to our knowledge, currently considered when describing the DSi cycling of intertidal sediments. Moreover, there was a large potential MPB requirement for DSi (812 μmol-Si m−2 d−1), similar to the advective flow periodically pumped by the incoming tide, and largely exceeded benthic diffusive fluxes. However, this DSi uptake by benthic diatoms is almost undetectable given the variation of DSi concentration profiles within the sediment

    A Novel Screening, Brief Intervention, and Referral to Treatment (SBIRT) Based Model for Mental Health in Occupational Health Implemented on Smartphone and Web-Based Platforms: Development Study With Results From an Epidemiologic Survey

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    Background: While the importance of mental health is well-recognized in the field of occupational health, implementation of effective strategies in the workplace has been limited by gaps in infrastructure, program comprehensiveness, coverage, and adherence. authors developed a Screening, Brief Intervention, and Referral to Treatment (SBIRT) based occupational mental health intervention, and implemented in a web-based format with a smartphone application. Methods: The SBIRT-based intervention was developed by a multidisciplinary team, including occupational health physicians, nurses, psychiatrists, and software developers. The following mental health areas were included, based on outcomes of an epidemiological survey conducted: insomnia, depression, anxiety, problematic alcohol use, and suicidal The viability of the two-step evaluation process utilizing a combination of the brief version and the full-length version of the questionnaire was examined using responses from the survey. The intervention was adjusted according to the survey results and expert opinions. Results: The epidemiological survey included 346 employees who completed the long-form version of mental health scales. These data were the used to confirm the diagnostic value of using a combination of short-form and long-form version of the scales for screening in the SBIRT model. The model uses a smartphone application for screening, provision of psychoeducation, and for surveillance. The universal methods of the model ensure it can be implemented by all occupational managers, regardless of their specialization in mental health. In addition to the two-step screening procedure to identify employees at-risk for mental health problems, the model includes a stepped care approach, based on risk stratification, to promote mental health education, management, and follow-up for continuous care. Conclusion: The SBIRT model-based intervention provides an easy-to-implement approach for the management of mental health in the workplace. Further studies are required to examine the effectiveness and feasibility of the model

    Horse Oil Mitigates Oxidative Damage to Human HaCaT Keratinocytes Caused by Ultraviolet B Irradiation

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    Horse oil products have been used in skin care for a long time in traditional medicine, but the biological effects of horse oil on the skin remain unclear. This study was conducted to evaluate the protective effect of horse oil on ultraviolet B (UVB)-induced oxidative stress in human HaCaT keratinocytes. Horse oil significantly reduced UVB-induced intracellular reactive oxygen species and intracellular oxidative damage to lipids, proteins, and DNA. Horse oil absorbed light in the UVB range of the electromagnetic spectrum and suppressed the generation of cyclobutane pyrimidine dimers, a photoproduct of UVB irradiation. Western blotting showed that horse oil increased the UVB-induced Bcl-2/Bax ratio, inhibited mitochondria-mediated apoptosis and matrix metalloproteinase expression, and altered mitogen-activated protein kinase signaling-related proteins. These effects were conferred by increased phosphorylation of extracellular signal-regulated kinase 1/2 and decreased phosphorylation of p38 and c-Jun N-terminal kinase 1/2. Additionally, horse oil reduced UVB-induced binding of activator protein 1 to the matrix metalloproteinase-1 promoter site. These results indicate that horse oil protects human HaCaT keratinocytes from UVB-induced oxidative stress by absorbing UVB radiation and removing reactive oxygen species, thereby protecting cells from structural damage and preventing cell death and aging. In conclusion, horse oil is a potential skin protectant against skin damage involving oxidative stress
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