• Title/Summary/Keyword: 복합외상

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치매

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.29 no.4 s.317
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    • pp.6-9
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    • 2005
  • 치매라는 말은 Dement라는 라틴어에서 유래된 것으로써 '정상적인 마음과는 거리가 멀어진것', '정신이 없어진 것'이라는 의미를 지니고 있다. 치매는 나이가 들어감에 따라 정상적으로 발달한 뇌가 후천적인 외상이나 질병 등 외부적인 요인에 의해 손상되거나 파괴되어 언어ㆍ학습ㆍ지능 등에 대한 전반적인 인지기능과 고등정신기능이 비정상적으로 감퇴되는 복합적인 임상증후군을 포괄적으로 이르는 것을 말한다.

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Effects of Splints on Hand Function in Person with Traumatic Brain Injury (외상성 뇌손상 환자의 손보조기 적용이 손기능에 미치는 효과)

  • Kim, Eun-Joo
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.511-516
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    • 2018
  • This study examined the effectiveness of a short thumb splint and a glove type splint which combined features of a fitness glove in order to improve hand function and performance of functional task after traumatic brain injury. One subject with traumatic brain injury participated in this study and wore a short thumb splint and customized glove type splint. His hand function was significantly improved when comparing to that of not using those splints. In addition, using the glove type splint was more significant to perform functional tasks than using the short thumb splint. The findings of this study identified that hand function of people with traumatic brain injury was improved by using those splints as an occupational therapy service and it is necessary to adapt the customized splints according to the personal characteristics.

A Study on the Necessity of Psychological First Aid for Firefighters (소방공무원의 심리적 응급처치 필요성에 관한 연구)

  • Ju-Hyun Kim;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.385-390
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    • 2023
  • The purpose of this study is to study the need for psychological first aid for stress of fire officials. a 1:1 in-depth interview with 10 paramedics to solve the research problem. Through interviews, the policy on the need for psychological first aid to improve the mental health of firefighters was proposed as follows by analyzing the working environment of paramedics, post-traumatic stress experience, and psychological first aid experience. First, fire officials need to be assigned to the site to educate in advance about post-traumatic stress and the resulting physical symptoms before being exposed to traumatic events. Second, fire officials should provide psychological first aid at an appropriate time after exposure to trauma cases. Third, it is necessary to supplement the manpower and institutional devices that will specialize in mental health work. Fourth, for customized professional medical services and psychological support suitable for fire officials, it is necessary to link fire-fighting complex healing centers and national firefighting hospitals.

Relationship between mental health and oral symptoms in youths of multicultural families (다문화 가정 청소년의 정신건강과 구강자각증상과의 관련성)

  • Park, Sin-Young
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.4
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    • pp.349-356
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    • 2021
  • Objectives: This study aimed to determine the relationship between mental health and oral symptoms in the youths of multicultural families. Methods: Our data source was from an online survey on youth health behaviors, mental health-examined stress, depression, and suicidal ideation, and oral symptoms-examined trauma, pain, and bleeding general characteristics, and the relationship between mental health and oral symptoms was analyzed using complex sample logistic regression. Results: Stress and depression were associated with pain and bleeding, and suicidal ideation was associated with trauma. Conclusions: Oral health plans should be prepared based on the mental health of adolescents from multicultural families.

Study for Reliability of Interpretation of the Three Phase Bone Scintigraphy in Patients with Post-traumatic Complex Regional Pain Syndrome (외상 후 복합부위통증증후군 환자에서 시행한 삼상 뼈 스캔의 판독 신뢰도에 관한 연구)

  • Park, Jung-Mi;Kim, Seon-Jung;Chung, Seung-Hyun;Lee, Yong-Taek
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.1
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    • pp.44-51
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    • 2008
  • Purpose: We performed this study to evaluate reliability on interpretation of three phase bone scintigraphy (TPBS) in patients with post-traumatic complex regional pain syndrome (PT-CRPS). Methods: Based on International Association for the Study of Pain guideline in 1994, 34 patients with PT-CRPS were selected for this study. Two nuclear medicine physicians evaluated identical TPBS according to the uptake pattern, extent and intensity of the lesion, and their agreements (kappa values) were analysed. The final diagnosis based on arbitrary criteria of each physician were compared with those obtained by the criteria for PT-CRPS established in this study, which are hyperactivity on all phases (criteria 1), hyperactivity of whole joints on delayed phase (criteria 2), and hyperactivity of either whole or FDGal joints on delayed phase (criteria 3). Results: Intra-observer agreements were good for uptake pattern, intensity, and extent on TPBS. Inter-observer agreements were also good, except extent on blood pool phase (0.55). The inter-observer agreements on final diagnosis improved when criteria 1-3 were applied (0.77-0.88), compared to when physician's own criteria were used (0.63). Those also improved from 0.29 to 0.47-0.82 for acute stage, and from 0.37 to 1.0 for chronic stage. The sensitivities of chronic stage were relatively lower to those of acute stage. Conclusions: Inter-observer's variations in diagnosis of the patients with PT-CRPS using TPBS were observed. These results were attributed to different criteria set by observers. In order to improve agreement on interpretation of TPBS, common positive criteria should be established, especially considering uptake pattern and clinical stages.

토끼 기관에 이식한 혈행성 연골막-구강점막 복합피판의 형태학적 연구

  • 김은서;홍원표;이정권;정유삼;최영준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1996.04a
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    • pp.88-88
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    • 1996
  • 선천성 또는 외상등에 의한 후천성 기도 협착의 치료는 아직도 어려운 문제중 하나로서 해결하여야 할 많은 과제를 내포하고 있다. 특히 안정되고 유연한 구조적인 골격과 함께 호흡성상피로 피복되는 기관점막은 기관기능 보존에 있어 필수적 조건이다. 저자들은 현재까지 보고자에 따라 견해 차이가 있는, 이식연골막 및 이식점막의 운명에 대하여 시기에 따른 형태학적 변화를 관찰하고자 하였다. 즉 저자들은 혈행성 복합피판의 형태로 이식한 점막에 일어나는 변화를 형태학적으로 연구하였으며, 대조군으로는 혈행이 유지되지 않는 유리이식(free graft)으로 구성된 복합피판을 이용하였다. 또한 면역조직화학적 염색을 통해 이식 초기에 일어나는, 이식점막과 결손부 주변조직사이의 재생능의 차이를 비교하고자 하였다. 토끼 40마리를 두 군으로 나누어 각 군당 20마리씩으로 하였으며 술후 각각 2주, 4주, 6주 및 8주에 기관에 이식한 피판을 조직학적으로 분석하였다. 섬모의 재생상태는 주사현미경을 통해 관찰하였으며 각 군당 4마리의 토끼를 술 후 1일과 2일에 Brdu-Anti Brdu로 염색하여 결손된 점막의 주변부와 이식한 점막사이의 재생능이 복합피판의 구성에 따라 어떤 차이가 있는지 알아보았다. 1. 혈행성의 복합피판으로 구성된 구강점막은 원주상피로 화생(metaplasia)하는 경향을 보였으나 유리 연골막에 부착한 구강점막에서는 괴사가 진행되면서 주위의 점막에서 성장해 들어가는 양상을 보였다. 2. Brdu-Anti Brdu 염색의 결과, 복합피판의 구성에 따라 이식점막과 주위 기관상피의 염색양상에 유의한 차이를 나타내었다.

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TREATMENT OF ANTERIOR TEETH FRACTURE BY FORCED ERUPTION (치아 정출술을 이용한 전치부 외상치의 치험례)

  • Kim, Ji-Young;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.575-582
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    • 2001
  • There have been many treatment methods for traumatic subgingival crown fracture and intrusion without spontaneous eruption. The orthodontic forced eruption generally results in favorable clinical findings than crown lengthening with osteotomy and intentional replantation. In first two cases with subgingival crown fracture due to trauma, authors applied orthodontic forced eruption with axed appliance after root canal therapy and then restored them with composite resin. In another case with traumatic intrusive luxation, we observed spontaneous eruption of the corresponding tooth for about 6 months and then returning it to normal position by forced eruption with removable appliance, but root canal filling was conducted after apexification due to devitalization during forced eruption, and so clinically favorable results were obtained.

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Research on Factors Affecting General Characteristics, Hospitalization Characteristics that Affect the Occurrence of Injuries and Trauma Patients (손상 및 외상환자 발생에 영향을 미치는 일반적 특성, 입원 특성에 미치는 요인에 관한 연구)

  • Jae Seong Baek;Kwang Hwan Kim
    • Journal of Digital Convergence
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    • v.22 no.1
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    • pp.23-32
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    • 2024
  • This study selected in-depth discharge damage survey data and analyzed 92,364 patients whose main diagnosis was S00-T98 (damage, addiction, and specific other results due to external factors) based on the Korean Standard Classification of Diseases and Deaths (KCD-7th) among patients discharged from the hospital after inpatient treatment from January 2016 to December 2018. As a result of analyzing the general characteristics of injured and traumatic patients, the incidence rate of men was higher in gender, and the incidence rate of women increased as the year increased. As a result of analyzing the characteristics of injury and trauma patients other than injury, the injury intention had a high rate of unintentional damage, the damage place was the highest on the road/road, and it showed a decreasing trend as the year increased, and it showed an increasing trend in the residential area. It can be used as basic data for the establishment of a related system to prevent damage as a result of subsang.

Evauation of Injury Mechanism and Clinical Outcome Between Non-Traumatic and Traumatic Type II Slap Lesions (제 2형 SLAP 병변의 외상 유무에 따른 손상 기전 및 치료 결과의 분석)

  • Kim, Yong-Ju;Jeong, Hoon;Ha, Jong-Kyoung;Lee, Kwan-Hee;Choi, Sung-Hyun
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.244-249
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    • 2010
  • Purpose: Our goal of this study was to compare the mechanism of injury and the clinical outcomes between the non-traumatic and traumatic type II SLAP lesions. Materials and Methods: From January 2007 to May 2009, the sunjects of this study were 27 patients who had undergone operations for isolated type II SLAP lesions. The lesions were classified according to Burkhart's method. The lesions that were located on the anterior-superior labrum were classified as type I, those lesions located on the posterior-superior labrum were classified as type II and those lesions located on the anterior-posterior labrum were classified as type III. The clinical outcomes were evaluated by the UCLA score and the KSS score preoperatively and postoperatively. Results: Of the 27 cases, 16 cases were traumatic and eleven cases were non-traumatic. In the traumatic group, there were 12, 2 and 2 cases of type I, type II and type III, respectively (p=0.013). In non-traumatic group, there were 2, 6 and 3 cases of type I, type II and type III (p=0.026). Anterior lesions were more frequent in the traumatic group and posterior lesions were more frequent in the non-traumatic group. For the clinical outcomes, the mean preoperative UCLA score and KSS score were 18 (range: 14~23) and 48 (range: 32~76), respectively, and the postoperative UCLA score and KSS score were 32 (range: 28~33) and 86 (range: 71~92), respectively, in the traumatic group, and the preoperative UCLA score and KSS score were 21 (18~25) and 58 (41~68), respectively, and the postoperative UCLA score and KSS score were 29 (26~31) and 81 (68~89), respectively in the non-traumatic group. There was no significant statistical difference of clinical outcomes between the two groups (p=0.317, 0.405). Conclusion: In this study, the anatomical feature of type II SLAP lesion was associated with a trauma mechanism. Therefore, a trauma mechanism must be considered when planning the surgical treatment for type II SLAP lesions.

CRPS Type-I Patient Treated with Acupuncture and Bee-venom Acupuncture: A Case Report (침과 봉독약침으로 치료한 CRPS 제1형 환자 1례)

  • Ko, Jeong-Min;Kim, Jong-In;Lee, Jae-Dong;Nam, Sang-Su;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.165-170
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    • 2009
  • 목적 : 복합부위 통증증후군은 사고나 외상 이후 한 쪽 사지에서 시작되는 신경병증성 통증이다. 그 기전은 명확히 밝혀지지 않아 추천되는 치료도 아직 없는 실정이다. 이에 한의학적인 치료 방법을 적용하여 그 효과를 보고자 하였다. 방법 : 전통 한의학에서 이 환자의 상태는 통비로 볼 수 있다. 양쪽 무릎과 왼쪽 발의 통증을 호소하는 26세 남자 환자가 3년 전 복합부위 통증증후군 제1형으로 진단 받은 후 봉독약침, 침, 뜸으로 4주 동안 주 2회씩 치료를 받았다. 치료 효과는 DITI, VAS를 통해 평가하였다. 결과 : DITI, VAS를 통하여 환자의 통증에 호전이 있었다. 결론 : 침, 봉독, 뜸을 이용하여 복합부위 통증증후군 환자 1명을 치료한 결과 효과가 있는 것으로 나타났다.

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