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Alexandrina S. Nikova,Maria-Valeria Karakasi,Pavlos Pavlidis,Theodossios Birbilis,Ivaylo Dimitrov 대한신경손상학회 2019 Korean Journal of Neurotrauma Vol.15 No.2
Objective: Penetrating brain trauma (PBT) caused by gunshot is one of the most lethaltraumatic brain injuries (TBIs) and its management and confrontation is of great importance. Methods: The authors searched retrospectively the archives from 2 similar autonomouslaboratories of forensic science and toxicology in the Balkan peninsula for a 10-year period oftime and included only fatal penetrating brain injuries. Results: The study is conducted in 61 cadavers with gunshot PBT. All of the cadavers werevictims of suicide attempt. The most common anatomical localization on the skull were thefacial bones, followed by skull base, temporal and parietal bone, conducting a trajectoryof the gunshot. Additional findings were atherosclerosis of the blood vessels and chronicdiseases such as chronic obstructive pulmonary disease, cancer and fatty liver. Conclusion: PBI has a high mortality rate. There are factors and findings from the collecteddata differing between the 2 aforementioned nations. Either way, better preventativemeasures, gun control and healthcare system are highly necessary.
Stylianos Kapetanakis,Eirini Giovannopoulou,Triphonas Thomaidis,George Charitoudis,Pavlos Pavlidis,Konstantinos Kazakos 대한척추신경외과학회 2016 Neurospine Vol.13 No.3
Objective: To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). Methods: Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery. Results: VAS and ODI showed significant (p<0.005) reduction one year after TPED, with a percentage improvement of 83.9% and 79.4%, respectively. Similarly, all aspects of quality of life (SF-36) were significantly (p<0.005) improved 1 year after the procedure. Bodily pain and role physical demonstrated the highest increase followed by role emotional, physical function, social function, vitality, mental health, and general health. Beneficial impact of TPED on clinical outcome and HRQoL was independent of gender and operated level. Conclusion: TPED is effective in reducing lower limb symptoms and low back pain in patients with lumbar disc hernia, suffering from PD. Positive effect of endoscopy is, also, evident in HRQoL of those patients one year after the procedure.
Maria-Valeria Karakasi,Alexandrina S. Nikova,Christina Valsamidou,Pavlos Pavlidis,Theodossios A. Birbilis 대한신경손상학회 2020 Korean Journal of Neurotrauma Vol.16 No.1
Objective: Brain trauma is an extremely important economical and social issue withincreasing daily incidence. It is important to observe and report brain trauma, in order toprovide better conditions for improvement of the trauma prevention and management. Methods: A ten-year retrospective observational analysis was performed on 292 (fatal andnon-fatal) incidents of traumatic brain injury among 2,847 totally examined cases in therecords of the laboratory of forensic sciences at Democritus University of Thrace betweenJanuary 1, 2007 and December 31, 2016. The results were further analyzed and classifed intopertinent categories associated with the purpose of the study. Results: The average age was estimated at 47.24 years with an obvious male domination. The most common cause of TBI, according to the results, is transport accidents (61.85%)followed by trauma inflicted by blunt instrument (22.49%), fall from height (11.65%) andoccupational accidents (4.02%). Mortality rates were evaluated for each type, revealingextremely disturbing numbers. Regarding the anatomical localization on the skull, the mostcommon region of cranial fractures is the cranial base (16.48%), followed by the frontal(12.87%), occipital (11.29%) and parietal bones (11.06%). In the majority of the cases, therewere associated injuries. Conclusion: The management of traumatic brain injuries is difcult and sometimesimpossible. Better prevention measures are required to minimize as much as possible theincidence of brain trauma.