• Title/Summary/Keyword: 외상환자

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The Relationship between COVID-19 related Post-traumatic Stress, Nursing Work Environments, and the Resilience of nurses in Tertiary General Hospitals (상급종합병원 간호사의 COVID-19 관련 외상 후 스트레스, 간호근무환경과 회복탄력성의 관계)

  • Kim Eun Kyoung
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.37-49
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    • 2023
  • The purpose of this study was to determine the correlation between the COVID-19 related post-traumatic stress, nursing work environments, and the resilience among nurses in Tertiary General Hospitals. Data were collected from 155 nurses who directly cared for COVID-19 patients and were working at the K University D Hospital in D Metropolitan City using an online survey. The SPSS 28.0 program was used for data analysis. Based on the results of the survey, post-traumatic stress showed a significant negative correlation with the nursing work environments(r=-.17, p<.001), and the nursing work environments showed a significant positive correlation with the resilience of nurses(r=.20, p<.001). Through the results of this study, it is necessary to improve the nursing work environments for managing post-traumatic stress, to build an active support system by securing manpower from the government, and to develop and apply intervention programs for improving the resilience of nurses in the COVID-19 situation.

Interventional Management for Pelvic Trauma (골반 외상 인터벤션)

  • Jung Han Hwang;Jeong Ho Kim;Suyoung Park
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.835-845
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    • 2023
  • Traumatic pelvic injuries usually include high-energy crush injuries and are associated with significant morbidity and mortality. Mortality rates range from 6% to 15% and increase to 36%-54% in cases of fractures that result in increased pelvic volume. Therefore, retroperitoneal hemorrhage can spiral and progress to hemorrhagic shock. Pelvic hemorrhage most commonly occurs secondary to disrupted pelvic veins or fractured bones, and 10%-20% of cases involve arterial injuries. Owing to extensive bleeding and limitations of surgery for pelvic hemorrhage, interventional treatment is at the forefront of pelvic hemorrhage management. CT is an accurate indicator of active hemorrhage in patients with pelvic trauma that affects the diagnosis and management, including interventions. Identification of the site of hemorrhage is necessary for focused interventional treatment. The current trend toward a more conservative approach for treatment of pelvic trauma and advances in interventional radiology in the field of pelvic trauma may favor widespread use of interventional treatment for patients with pelvic injuries. In this review, we discuss therapeutic modalities available to the interventional radiologist and common angiographic treatment strategies and techniques.

Effects of Virtual Reality-Based Activities of Daily Living Training on Activities of Daily Living and Rehabilitative Motivation in Patients With Traumatic Brain Injury: A Pilot Study (가상현실 기반의 일상생활활동 훈련이 외상성 뇌손상 환자의 일상생활활동 및 재활동기에 미치는 효과 : 예비연구)

  • Moon, Jong-Hoon;Jeon, Min-Jae
    • Therapeutic Science for Rehabilitation
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    • v.8 no.4
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    • pp.41-51
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    • 2019
  • Objective : The purpose of this study was to investigate the effects of virtual reality-based activities of daily living (ADL) training on ADL and rehabilitative motivation in patients with traumatic brain injury. Methods : This study was performed using a pre-post design with seven traumatically brain injured patients. Subjects were subjected to virtual reality-based ADL training for 30 minutes a day, 2 to 3 times a week for 4 weeks. Evaluation was conducted before and after the intervention using the Korean Modified Barthel Index (K-MBI), Cognitive Functional Independence Measure (C-FIM), and Volitional Questionnaire (VQ). Changes before and after intervention were analyzed by Wilcoxon signed-rank test, and correlations were analyzed using Spearman's coefficient. Results : After intervention, patients with traumatic brain injury showed significant improvements in K-MBI (p<.05). There was no significant change in total C-FIM score and VQ score (p>.05). Total C-FIM score correlated significantly with VQ score (p<.05, r=.755). The social cognition domain of C-FIM had a significant correlation with VQ score (p<.05, r=826). Conclusions : Virtual reality-based ADL training can improve ADL performance, but further research is needed to determine whether improvements in social cognition and rehabilitative motivation are possible.

Differential Response Style on the Personality Assessment Inventory according to Compensation-Seeking Status in Patients with Traumatic Brain Injury (외상성 뇌손상 환자에서 보상추구 여부에 따른 성격평가질문지 반응 양식의 차이)

  • Kim, Yeon-Jin;Kweon, Seok-Joon;Rho, Seung-Ho;Paik, Young-Suk
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.1
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    • pp.12-19
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    • 2015
  • Objectives : This study examined the characteristics and differences of PAI(Personality Assessment Inventory) profile between compensation-seeking(CS) and treatment-seeking(TS) patients with traumatic brain injury(TBI) and assessed the clinical meaning of the characteristics and differences of profiles between the two groups. Methods : 36 TBI patients who visited the Wonkwang University Hospital were selected. The patients were categorized as compensation-seeking TBI patients(n=22) and treatment-seeking TBI patients(n=14). The PAI scales and subscales were used to compare differences between two groups. t-verification for each variable and comparison analysis were performed. Results:In validity scales, CS group showed significantly higher NIM scores and lower PIM scores than TS groups. In full scales, CS group showed significantly higher SOM, ANX, ARD, DEP, and SCZ scores than TS group. In subscales, CS group showed significantly higher SOM-S, ANX-A, ARD-P, DEP(-C, A, P), (MAN-I), PAR-H, SCZ(-T, P), BOR(-A, N), and ANT-S scores than TS groups. In supplementary scales, CS group showed significantly higher SUI, NON and AGG-P, and lower RXR scores than TS group. Conclusions:There were significant differences in PAI scales with validity scales, some full and subscales according to compensation seeking status in TBI patients. The CS patients tended to exaggerate their symptoms on PAI, and showed higher scores representing somatic preoccupation and emotional distress. These results show the usefulness of PAI in reflecting the significant psychological differences between two groups.

The Effects of Cognitive Training Using Application Games of Smart Device on Cognitive Function in Patients With Mild Traumatic Brain Injury (스마트기기 애플리케이션 게임을 이용한 인지훈련이 경미한 손상이 있는 외상성 뇌손상 환자의 인지기능에 미치는 영향)

  • Kang, Seon-Hwa;Kim, Young-Sil;Kang, So-La;Moon, Jong-Hoon
    • Journal of Korean Society of Neurocognitive Rehabilitation
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    • v.10 no.2
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    • pp.9-18
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    • 2018
  • The research has sought to examine the effect of cognition training using smart device application games on the cognition function of traumatic brain injury patients. The research was conducted to the seventeen traumatic brain injury patients with slight symptoms who were treated with occupational therapy. The patients were divided into the two groups, nine for the experimental group and eight for the control group. The experimental group was assigned to conduct cognition training using smart device application games and traditional cognition training for fifteen minutes each, and the control group has conducted the traditional cognition training for 30 minutes. All arbitrations were conducted for 30 minutes a day, five times a week and for four weeks. To assess the cognitive function, Korean Mini-Mental State Examination (K-MMSE), Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) and visual memory 1 and 2 of Motor-free Visual Perception Test-3 (MVPT-3) were measured before and after the intervention. In the comparison of the change between the two groups, the experimental groups showed a significant improvement in the visual memory of Motor-free Visual Perception Test-3 and remembrance section of the Korean Mini-Mental State Examination (p<.05). The result of this research has confirmed that the cognition training using the smart device application game can make the positive change to the visual memory of the traumatic brain injury patients more than the traditional cognition training.

MTA APEXIFICATION OF TRAUMATIZED IMMATURE PERMANENT INCISORS: A RETROSPECTIVE STUDY (미성숙 영구 전치의 외상 후 MTA를 이용한 치근단 형성술 : 후향적 연구)

  • Jeong, Seo Young;Ahn, Byung-Duk;Hong, So-Yi;Kong, Eun-Kyoung;Mah, Yon-Joo;Jung, Young-Jung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.17-24
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    • 2011
  • The aim of this study was to assess the outcome of MTA apexification in young permanent anterior teeth. Among the patients with the traumatized permanent incisors which were treated with MTA apexification, the dental records and radiographs were examined only for the patient who had follow-up examination at least 3 months after the treatment. Forty nine patients with 64 teeth were included in this study. Demographic information, location and type of teeth and periodontal injury, pre-treatment periapical lesion, clinical symptoms, status of MTA filling, healing of apical lesion and apical barrier formation after treatment were investigated. The outcome based on clinical and radiographic criteria were assessed. The results were as follows 1. Of 64 immature permanent incisors with MTA apexification, the clinical and radiographic success rates were 89.1% and 73.4%, respectively. 2. The maxillary incisors showed significantly higher success rates than the mandibular incisors. 3. There was no statistically significant difference in success rates among the teeth with different types of teeth and periodontal injury. 4. The status of MTA filling did not influence the clinical and radiographic success.

A Study on the Characteristics of Prematurely Discharged Patients and Establishing a Model for Predicting Prematurely Discharged Patients -Using Data Mining- (환자이탈군 특성요인과 이탈환자 예측모형에 관한 연구 -데이터마이닝을 활용하여-)

  • Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3480-3486
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    • 2009
  • This research was based on the purpose of establishing predicted model of prematurely discharged patients using the mandatory information data, recorded in the medical institutes based on discharged patients of a University Hospital for the period of 1 year, from July. The result showed that the regression analysis model was the most excellent method of application model for preventing discharged patients, and when this is applied to discharged patients who are outpatients, the possibility of discharge can be less than staying in the emergency room. In addition, based on threshold 0.7, when we expect the discharged patients, out of 920 discharged patients, the actual patients who are discharged can become 136, showing the extract effectiveness of 14.78%. Based on the perspective of lift value, compared to random extract, this is 2.9 times (14.78/5.15) more effective.