• Title/Summary/Keyword: 성심

Search Result 521, Processing Time 0.025 seconds

The Accuracy of Prediction Models in Burn Patients (화상환자에서 사망예측모델의 성능 평가에 관한 연구)

  • Woo, Jaeyeon;Kym, Dohern
    • Journal of the Korean Burn Society
    • /
    • v.24 no.1
    • /
    • pp.1-6
    • /
    • 2021
  • Purpose: The purpose of this study was to evaluate the accuracy of four prediction models in adult burn patients. Methods: This retrospective study was conducted on 696 adult burn patients who were treated at burn intensive care unit (BICU) of Hallym University Hangang Sacred Heart Hospital from January 2017 to December 2019. The models are ABSI, APACHE IV, rBaux and Hangang score. Results: The discrimination of each prediction model was analyzed as AUC of ROC curve. AUC value was the highest with Hangang score of 0.931 (0.908~0.954), followed by rBaux 0.896 (0.867~0.924), ABSI 0.883 (0.853~0.913) and APACHE IV 0.851 (0.818~0.884). Conclusion: The results of evaluating the accuracy of the four models, Hangang score showed the highest prediction. But it is necessary to apply the appropriate prediction model according to characteristics of the burn center.

Spontaneous Degenerative Rupture of Extensor Hallucis Longus Treated with a Split Tibialis Anterior Tendon Autograft: A Case Report (전경골건 부분 이식을 이용한 장족무지신건 퇴행성 파열의 치료 사례)

  • Jiyoun, Kim;Gab-Lae, Kim;Taeho, Kim
    • Journal of Korean Foot and Ankle Society
    • /
    • v.26 no.4
    • /
    • pp.192-195
    • /
    • 2022
  • Chronic extensor hallucis longus (EHL) tendon rupture is relatively rare, but in such cases, surgical repair is necessary to prevent hallux dysfunction. To the best of our knowledge, reconstruction of chronic EHL rupture using a split tibialis anterior tendon autograft has not been previously reported. Here we present a case of spontaneous EHL tendon rupture with a 5 cm gap in a healthy 57-year-old woman. At the 1-year follow-up evaluation, hallux function was restored, and the patient was well satisfied with results.

Endoscopic Management of Ampullary Tumors (십이지장 팽대부 종양의 내시경적 치료)

  • Hwehoon Chung;Jae Keun Park
    • Journal of Digestive Cancer Research
    • /
    • v.11 no.2
    • /
    • pp.93-98
    • /
    • 2023
  • Ampullary tumor is a rare disease whose prevalence rate has increased gradually in recent years with the increase in endoscopic examinations. Ampullary lesions are observed via endoscopy, and biopsy is done to determine whether such lesions are adenomas or carcinomas. Endoscopic papillectomy is performed on ampullary adenomas without intraductal lesions. Before the procedure, bleeding tendencies and pancreatitis are assessed, and the lesion is resected using a high-frequency wave and a thin wire snare. Thereafter, pancreatic duct stent insertion or clipping of the resection site is performed to prevent postprocedural pancreatitis. Although 47-93% of the patients achieve complete endoscopic papillary resection, the recurrence rate is 5-31%. Hence, regular follow-up via endoscopy is required.

Unintentional Pharmaceutical Poisoning in the Emergency Department (응급실로 내원한 비의도적 의약품 중독)

  • Jo, Hyo Rim;Lee, Choung Ah;Park, Ju Ok;Hwang, Bo Na
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.16 no.2
    • /
    • pp.116-123
    • /
    • 2018
  • Purpose: The social environment of easy access to medicines and arbitrary personal decisions leading to overdose aggravate unintentional medicine poisoning. This study aimed to investigate the characteristics of patients who visited emergency departments with unintentional medicine poisoning and reasons for poisoning based on age group. Methods: We retrospectively collected patients who experienced unintentional medicine poisoning based on data from the national injury surveillance system between 2013 and 2016. Subjects were classified into three groups based on age (0-14 years, 15-64 years, and ${\geq}65\;years$). We identified sex, insurance, time of poisoning, place, alcohol co-ingestion, hospitalization, death, and reason for poisoning in each age group. Results: A total of 27,472 patients visited an emergency department with poisoning during the study period; 1,958 patients who experienced unintentional poisoning were enrolled in this study. Respiratory medicine was the most frequent medicine in those younger than 15 years of age, and sedatives and antipsychotic drugs were the most common in patients older than 15 years of age. In total, 35.1% of patients older than 65 years were hospitalized. The most common reasons for poisoning were careless storage of medicine in those younger than 15 years of age and overdose due to arbitrary decisions in those older than 15 years of age. Conclusion: Unintentional medicine poisoning has distinct characteristics based on age group, and strategies to prevent poisoning should be approached differently based on age.