Effect of Pre-Exercise Heat Pack Treatment on Markers of Muscle Damage After Resistance Exercise

Abstracts PURPOSE This study aimed to investigate the effect of pre-exercise heat pack treatment on muscle activity and markers of muscle damage after exercise-induced damage. METHODS Ten healthy male university students were tested for 3 weeks. They were exposed to three conditions (non-warm-up exercise, warm-up exercise, and heat pack treatment) before exercise. The experiment was conducted at 1-week intervals for every partici-pant. The warm-up exercise was performed by combining a modified active warm-up with a cycle ergometer and an isokinetic dynamometer. The main exercise, which modified the exercise-induced muscle damage protocol, was conducted by flexing and extending the knee joint using an isokinetic dynamometer. The heat pack treatment before the exercise involved moist heat application for 20 min. RESULTS The changes in blood muscle fatigue markers and blood muscle damage markers were not significantly different between the groups (α>.05). However, significant differences were observed in the time immediately after exercise, 10-min recovery, 30-min recovery, and 60-min recovery (p<.05). A statistically significant difference was observed in the change in pain in the heat pack treatment group (p<.05). CONCLUSIONS Heat pack treatment for 20 min before exercise did not minimize the muscle damage markers and fatigue markers following exercise-induced damage, but reduced immediate muscle soreness. Use of heat pack treatment was associated with a change in muscle activity and improvement in certain aspects of muscle soreness

Takotsubo Cardiomyopathy: A Case of Persistent Apical Ballooning Complicated by an Apical Mural Thrombus

Takotsubo cardiomyopathy (TTC) is an infrequent cardiac syndrome characterized by acute onset chest pain with apical ballooning on echocardiography. It is often triggered by severe emotional or physical stress, and in contrast to acute myocardial infarction (AMI), the regional wall motion abnormality returns to normal within days. Here, we describe a 62-year-old female who presented with acute onset chest pain during treatment for a liver abscess. We presumed a diagnosis of AMI because of ST segment elevation on electrocardiography and elevated cardiac enzyme levels. However, the patient's coronary arteries were normal on angiography, and apical ballooning was seen on echocardiography. A diagnosis of TTC was made, and the patient was managed with intensive cardiopulmonary support using vasopressors in our hospital's medical intensive care unit. The patient's symptoms improved, but persistent severe left ventricular dysfunction was detected on follow-up echocardiography. After 5 weeks, a new apical mural thrombus appeared, and anticoagulation therapy was started. The apical ballooning persisted 3 months later, although the patient's overall ejection fraction was slightly improved. The apical thrombus was completely resolved without any embolic event. Non-adrenergic inotropics can be recommended in TTC with shock, and clinicians should keep in mind the potential risk of thrombus formation and cardioembolism

Total Gastrectomy in Gastric Conduit Cancer

We report a very rare case of surgery on gastric conduit cancer. A 67-year-old male patient underwent esophagectomy and intrathoracic esophagogastrostomy for squamous cell carcinoma of the lower thoracic esophagus 27 months ago. Upon follow-up, a gastric carcinoma at the intra-abdominal part of the gastric conduit was found on an esophagogastroduodenoscopy. We performed total gastrectomy and esophagocolonojejunostomy in the manner of Roux-en-Y anastomosis. The postoperative course was not eventful and an esophagogram on the 10th postoperative day showed no leakage or stenosis of the passage. The patient was discharged on the 17th day with no complications

Associations between mandibular torus and types of temporomandibular disorders, and the clinical usefulness of temporary splint for checking bruxism

Abstract Background Occlusal stress from oral parafunctional habits is one of the causes of temporomandibular disorders (TMD) and mandibular torus (MT). Although some studies have investigated the correlation between TMD and MT, understanding of the relationships between types of TMD and MT is insufficient. Therefore, we conducted this study to investigate the associations between presence of MT and TMD types. Methods This study included 77 patients diagnosed with TMD who first visited our clinic for TMD between March 2019 and July 2020. Among them, 30 (38.9%) had MT, and 54 (70.1%) had oral parafunction. Parafunctional activity during sleep was confirmed using a temporary splint for checking bruxism (TSCB). Results The relationship between prevalence of MT and oral parafunction in TMD patients was not statistically significant (P = 0.131), but the odds ratio was relatively high at 2.267. An analysis of TMD type revealed that Type I, which is classified as myalgia of the masticatory muscles, and MT had a significant association (P = 0.011). We fabricated a TSCB for 27 patients to wear during sleep and confirmed that 23 (85.2%) had nocturnal bruxism. The TSCB results and presence of MT showed a significant relationship (P = 0.047). Conclusion Through the results of this study, clinicians may consider the hyperactivity of masticatory muscles in the presence of MT when treating TMD patients. In addition, TSCB has a great diagnostic value as it can be easily manufactured and be useful for discovering pre-existing oral parafunctions that patients are not aware of

A Case of Rhabdomyolysis Associated with Use of a Pneumatic Tourniquet during Arthroscopic Knee Surgery

The common causes of rhabdomyolysis include trauma, hypoxia, drugs, toxins, infections and hyperthermia. Operative insults, including direct trauma and ischemia, have the potential to cause the development of rhabdomyolysis. Pneumatic tourniquets used during arthroscopic knee surgery to prevent blood loss have led to many complications such as nerve paralysis and vascular injuries. Rhabdomyolysis can also be caused by prolonged pneumatic tourniquet application without a midapplication release, and also from an increased application pressure, but the actual incidence of this is low. In order to prevent rhabdomyolysis, the clinicians must be aware of such risks and follow strict guidelines for the application time, the midapplication release and also the inflation pressure. Vigorous hydration and postoperative patient surveillance are helpful to prevent rhabdomyolysis. We have recently experienced a case of rhabdomyolysis after the arthroscopic knee surgery, and the rhabdomyolysis could have been associated with the use of a pneumatic tourniquet

Footwear Design Crowdsourcing Platform Model For Strengthening Of the Competitiveness Of The Footwear Industry

The volumes of global footwear production and consumption have been steadily increasing. In particular, the income increases of China and Southeast Asian countries have led to the rapid growth of footwear production and consumption in Asia. However, while advanced countries still include footwear business as one of their growth engines, Korea regard it as stagnant or diminishing. However, beyond the category of simple manufacturing, footwear industry involves the integration of highly functional products, parts manufacturing, and marketing business, and includes expertise in the fields of design, materials, and epidemiology. The strengthening of the shoe industry is an important potential driver of the overall economy. The strengthened competiveness of the footwear industry will play an important role in the overall economic growth. Crowdsourcing is an approach that encourages the participation of specific communities or unspecified masses in a company’s production, service, or problem-solving processes to increase efficiency. To this end, this paper suggests the crowdsourcing platform model built through the integration of footwear design and IT for the ultimate enhancement of the competitiveness of the Korean footwear industry. Following this paper, a study about the practical development, application, and active use of such platform needs to be conducted. One limitation of this study is that the platform is yet to be developed or applied. Future research should focus on developing an actual platform and further studies in its application and vitalization

Active Surveillance of Adverse Events Following Immunization against Pandemic Influenza A (H1N1) in Korea

SUMMARY: Surveillance of vaccine safety is one of the public health interventions used to investigate the causal relationship between vaccines and adverse events. Using active surveillance data, we aimed to compile a detailed summary describing the safety of the pandemic influenza A (H1N1) vaccine. Computer-assisted telephone interview was used to investigate adverse events for 9,000 subjects who ha

Round-robin test on thermal conductivity measurement of ZnO nanofluids and comparison of experimental results with theoretical bounds

Ethylene glycol (EG)-based zinc oxide (ZnO) nanofluids containing no surfactant have been manufactured by one-step pulsed wire evaporation (PWE) method. Round-robin tests on thermal conductivity measurements of three samples of EG-based ZnO nanofluids have been conducted by five participating labs, four using accurate measurement apparatuses developed in house and one using a commercial device. The results have been compared with several theoretical bounds on the effective thermal conductivity of heterogeneous systems. This study convincingly demonstrates that the large enhancements in the thermal conductivities of EG-based ZnO nanofluids tested are beyond the lower and upper bounds calculated using the models of the Maxwell and Nan et al. with and without the interfacial thermal resistance