Epidemiología de lesiones por deportes de invierno atendidas en un servicio de urgencia / Epidemiology of winter sports injuries treated in the emergency department

Objective: To analyze the incidence and characteristics of winter injuries treated at an Emergency Department in Santiago, Chile. Method: 198 patients were examined in the Emergency Department after a winter sports related accident between June 1 and October 31, 2004. All of them filled a questionnaire regarding their accident. Results: 119 men (60,1 percent) and 79 women (39,9 percent) with an average age of 23 years (4-65). The technical and environmental conditions in which the injury occurred were homogeneous. 80 percent of the accidents were secondary to a fall. 123 injuries happened during skiing, 63 during snowboarding and 12 by other sports, being 64 percent minor and 36 percent severe injuries. 10,1 percent of patients required hospitalization. Conclusion: Most of the patients were young men, with little experience that fell on minimum to moderately difficult courses. Most of these were low grade injuries.

Objetivo: Analizar incidencia y características de lesiones invernales atendidas en Servicio de Urgencia (SU) de Santiago, Chile durante una temporada invernal. Método: Encuesta realizada a 198 pacientes que consultaron en SU tras accidentarse practicando algún tipo de deporte en nieve entre 1 de Junio y 31 de Octubre de 2004. Resultados: Se atendieron 119 hombres (60,1 por ciento) y 79 mujeres (39,9 por ciento) con promedio de edad de 23 años (4-65). El nivel técnico y las condiciones medioambientales en que ocurrió la lesión fueron homogéneos. 80 por ciento de los accidentes fueron por caída: 123 lesiones por ski, 63 por snowboard y 12 por otros deportes siendo 64 por ciento de lesiones menores y 36 por ciento graves. Un 10,1 por ciento de pacientes requirió hospitalización. Conclusión: El grupo de pacientes mayormente afectados son hombres jóvenes, con escasa experiencia, que sufren caídas esquiando en pistas de dificultad mínima a moderada, siendo la mayoría de las lesiones de carácter menos graves.

A case of hypersensitivity pneumonitis with positive precipitin antibody to Trichosporon cutaneum / 천식및알레르기

A 25-year-old woman complaining of dyspnea on exertion, coughing, fever and chills was admitted in January, 1998. Her clinical, radiological, and pathological findings were compatible with hypersensitivity pneumonitis and precipitin antibody to Trichosporon cutaneum was detected in her serum. Although some cases of T. cutaneum-induced hypersensitivity pneumonitis developed during the winter season were reported in Japan, there had been no report of such a case in Korea. This case suggests that T. cutaneum-induced hypersensitivity pneumonitis can develop beyond the summer season in certain environments.

Psychological change in the wintering members of the Japanese antarctic research expedition / 日本温泉気候物理医学会雑誌

Psychological tests were undertaken on the eight wintering members of the 28th Japanese Antarctic Research Expedition (mean age 35±SD 4years old) with about 4 month intervals through the expedition.<br>The first test was done on the ship to Antarctica on November 24, 1986 (Test-1), and the second (Test-2), the third (Test-3) and the fourth test (Test-4) were done at the Japanese Antarctic Asuka Base on March 28, 1987, July 17, 1987 and October 11, 1987, respectively. The last fifth test (Test-5) was performed on the ship to Japan on February 29, 1988.<br>For psychological tests, MAS (manifest anxiety scale), CMI (Cornell Medical Index) and SRQ-D (Self-rating Questionaire for Depression) were used.<br>The mean scores of MAS-A, CMI-T (S, I, J+M-R) showed a tendency to become high in Test-2 and Test-3 and become low after Test-4. The mean scores of SRQ-D exhibited a tendency to become high in Test-3 and the high score continued after Test-4.<br>The psychological stress seems to have reached a peak point at Test-3, in July, 1987, when was the last session of winter with no sunshine at Antarctic Base.<br>Some management for mental health might be needed in this season for the wintering members of the Japanese Antarctic Research Expedition.