, Gyu Bae Lee, Jihyun Yoon, Yang-Hyun Kim This review describes a psychological support service designed to address post-traumatic stress disorder in workers impacted by workplace injuries, assisting in their recovery and facilitating their return to work. It explores the rationale and context behind establishing trauma counseling centers for these individuals, along with the status, roles, future directions, and recommendations for these centers. The review details the operational framework and functions of the workplace injury trauma management program, the scope of the impacts of such injury, the groups targeted for crisis intervention, and the psychological interventions tailored to each stage of recovery. Initiated as a pilot project in 2018, trauma counseling centers for workers have gradually become more common, with 23 centers in operation across Korea as of 2024.
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, So Yeon Ryu, Mina Ha, Bo Youl Choi, Soo Young Kim Citations
, Min Hyouk Beak, Won-joong Kim Although sciatica is commonly associated with lumbar spinal issues, it is important to acknowledge that non-spinal factors can also play a significant role in this condition. This is particularly relevant for female patients, in whom gynecologic conditions can lead to secondary sciatic neuropathy. Herein, we report the case of a 66-year-old woman who experienced posterolateral right lower extremity radiating pain. We initially performed a lumbar transforaminal epidural steroid injection, but the pain persisted. Subsequently, hip MRI revealed sciatic neuropathy adjacent to the pedunculated portions of a uterine myoma. We then performed a sub-gluteal sciatic nerve block under ultrasound guidance, resulting in significant relief of her pain. In conclusion, hip MRI can be helpful for the differential diagnosis of sciatica, and ultrasound-guided sciatic nerve block can be considered an appropriate and effective treatment option.
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Percutaneous biopsy is the most frequent interventional radiologic procedure. Itsincreased use is related to new imaging technique facilitating needle placement, greater safety offine needle and advances in cytology. Over a period of recent 3 years, 174 cases who underwent percutaneous needle aspiration and biopsy were analyzed.
174 biopsies under fluoroscopic or ultrasonic guidance were performed. Various anatormic sites were targeted, chest 82, liver 55, neck 10, pancreas 10, intraabdominal 6, retrperitoneal 4, thyroid 2, kidney 1, breast 1.
Obtained cytologic specimen and tissue were diagnostic in 170 of the 174 biopsies(97.7%). 4 biopsies yielded inadequate or were composed of necrotic debris. The overall accuracy for both suspected malignant and infectious diseases were 98%. The diagnosis weremalignancy in 127 biopsies and benign disease in 47 biopsies. No complications other thanpneumothorax(7 cases ; 4.1%) and a transient hemoptysis(3 cases: 17%) was observed in 10cases(5.8%).
The author obtained extremely high diagnostic accuracy of malignant andbeign or inflammatory lesions using percutaneous fine needle aspiration biopsy without seriouscomplirations. It is a valuabel diagnostic methd in the lesion of the body at any location.
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