• Journal of The Korean Society of Clinical Toxicology
• /
• v.18 no.1
• /
• pp.11-17
• /
• 2020

Purpose: This study examines errors in death certificates (DCs) issued to cases of poisoning. Methods: DCs issued in poisoning cases were retrospectively reviewed. Errors in the DC were classified as major and minor errors, and were evaluated in accordance with their impact on the process of selecting the cause of death (COD). Results: A total of 79 DCs were evaluated; 43 (54.4%) DCs were issued in the emergency department (ED), and 36 (45.6%) DCs were issued outside the ED. The average major and minor errors per DC were determined to be 0.4 and 3.3, respectively. Moreover, an average of 3.0 errors were discovered in DCs issued at the ED, and 4.4 errors in DCs issued outside the ED. The most common major errors were incorrect manner of death (11.4%, 9/79), followed by unacceptable COD (7.6%, 6/79), and the mode of dying as an underlying COD (5.1%, 4/79). The common minor errors most frequently encountered were incorrect time interval (86.1%, 68/79), followed by incorrect other significant conditions (73.4%, 58/79), and no record for date of onset (62.0%, 49/79). Conclusion: Our results indicate that the total numbers of major errors, minor errors and cases of misjudged cause of death were greater in DCs issued outside the ED than in DCs issued at the ED. The most frequently quoted major error of DCs related to poisoning was determined to be the incorrect manner of death.

• Korean Journal of Clinical Pharmacy
• /
• v.28 no.1
• /
• pp.51-56
• /
• 2018

Objective: An automated process for medication preparation and dispensing is essential to improve the quality of work. To reduce night pharmacy workload, a new automated dispensing cabinet system was implemented in a hospital emergency medical center. The purpose of this study is to verify that implementation of an automated dispensing cabinet system will influence the efficiency of night pharmacy work. Methods: To evaluate the new system implementation, a retrospective study and survey was performed in the Ewha Womans University medical center. We compared the dispensing and near-miss error rates between the automated dispensing cabinet system and a night pharmacy. The degree of satisfaction of night shift workers with the new system was surveyed. Results: This study showed significantly reduced dispensing rates of night medications (56.1% and 37.3%; p < 0.01) and near-miss night medications (0.27% and 0.17%; p<0.01). Thirty-two persons responded to the survey, and the satisfaction score for the new system was 4.0 (${\pm}0.8$). The scores were high in order of efficiency, management, and convenience. Time requirement was also reduced because of the simple step of only reviewing in the pharmacy with the new system. Conclusion: Due to system implementation, workload was reduced and time was saved for not only night shift workers but also patients receiving emergency discharge medicine. It was suggested that this will have a positive effect on pharmacist medical service and patient safety.

• Journal of Electrochemical Science and Technology
• /
• v.13 no.2
• /
• pp.261-268
• /
• 2022

In this study, electrochemical treatment of urban wastewater with electrical conductivity of 1000 μS cm^-1 and chemical oxygen demand of 250 mg L^-1 was investigated using the variables of initial pH value, current density and flow rate. Electrocoagulation was used, in which aluminum and stainless steel were selected, as the electrochemical treatment process. The electrocoagulation process was operated in continuous mode. The data obtained in experimental studies show that the best COD removal efficiency occurred in experiments where the initial pH value was 6. The increase in current density from 5 A to 15 A decreased the removal efficiency from 79 to 67%. The increase in flow rate under constant current density also reduced the efficiency of removal as expected. In experiments in which current density and flow rate were examined together, the increase in flow rate allowed the application of higher current densities. This situation led to considerable reductions in energy consumption values, even if the COD removal efficiency did not significantly increase. The high COD removal obtained with the use of high flow rate and high current density indicates that the electrocoagulation process can be used for high flow rate municipal wastewater treatment.

• Journal of Trauma and Injury
• /
• v.34 no.1
• /
• pp.31-38
• /
• 2021

Purpose: Traumatic vertebral injuries have a prevalence of 4-5% at level I centers. Studies have demonstrated that isolated thoracolumbar transverse process fractures (iTPF) rarely require brace or surgical interventions. We hypothesized that similarly isolated thoracolumbar spinous process fractures (iSPF) would have less need for bracing and operative interventions than SPFs with associated vertebral body (VB) fractures (SPF+VB). We performed a similar analysis for iTPF compared to transverse process fractures associated with VB injury (TPF+VB). Methods: In this single-center, retrospective study from 2012 to 2016, patients were classified into iSPF, SPF+VB, iTPF, and TPF+VB groups. Data including the fracture pattern, neurologic deficits, and operative intervention were obtained. The primary outcome studied was the need for bracing and/or surgery. A statistical analysis was conducted. Results: Of 98 patients with spinous process fractures, 21 had iSPF and 77 had SPF+VB. No iSPF patients underwent surgery, whereas 24 (31.17%) SPF+VB patients did undergo surgery (p=0.012). In the iSPF group, three patients (15%) received braces only for comfort, whereas 37 (48.68%) of the SPF+VB group required bracing (p=0.058). Of 474 patients with transverse process fractures, 335 had iTPF and 139 had TPF+VB. No iTPF patients underwent surgery, whereas 28 (20.14%) TPF+VB patients did (p≤0.001). Of the iTPF patients, six (1.86%) were recommended to receive braces only for comfort, while 68 (50.75%) of the TPF+VB patients required bracing (p<0.001). Conclusions: No patients with iSPF or iTPF required surgical intervention, and bracing was recommended to patients in these groups for comfort only. It appears that these injures may be safely managed without interventions, calling into question the need for spine consultation.

• Korean Journal of Computational Design and Engineering
• /
• v.18 no.2
• /
• pp.83-92
• /
• 2013

IFC based open BIM has internationally developed as a solution for interoperability problem among different software applications. Despite much interest and effort, the open BIM technologies are rarely introduced to the construction industry and need more technical development for a practical application as well. This research aims to develop automated code checking modules for quality assurance process of BIM data. The research have analyzed domestic regulations focusing on super-tall buildings and developed open BIM-based code checking modules for the evacuation regulations. The modules are able to validate evacuation regulations such as installation of emergency elevator and fire safety zone. The authors expect to improve the process of BIM quality assurance and enhance the quality of BIM data by this research on automated checking system.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.10
• /
• pp.6126-6133
• /
• 2014

This study examined the effects of a simulation-based core skill program regarding emergency care on the knowledge, problem solving process and self-esteem of health related department students. A quasi-experimental non-equivalent control group pre-post test design was used. A total of 46 students, 23 students for the experimental group and 23 students for the control group, were enrolled in this study. The simulation-based core skill program included lectures, skill training, team-based practice, simulation and debriefing. This was implemented in the experimental group for 3 weeks in May, 2013. The data was analyzed using the frequency, ratio, Chi-square, and t-test by the SPSS/Win 18.0. The experimental group, who had a simulation-based core skill program, showed significantly higher clinical knowledge, problem solving process and self-esteem compared to the control group who had a traditional education. A clinical simulation-based core skill program was verified to be an effective teaching method to improve on the clinical knowledge, problem solving process and self-esteem of health-related department students.

• Journal of Korean Academy of Nursing
• /
• v.42 no.6
• /
• pp.861-869
• /
• 2012

Purpose: The purpose of this research was to develop a scale to measure the life transition process of parents of children with autism, against the backdrop of a lack of research on this topic. Methods: Seventy preliminary items were drawn from previous qualitative research, and content validity was tested by three professors as well as three parents of children with autism. A questionnaire survey was also done between August 2011 and February 2012. Data were collected from 207 parents of children with autism and analyzed using descriptive statistics, item analysis, Cronbach's alpha, Pearson correlation coefficients, and factor analysis with the SPSS Win 15.0 program. Results: Twenty-nine items were selected to constitute the appropriate measuring scale and categorized into 5 factors explaining 63.2% of the total variance. The 5 factors were named; stages of denial (5 items), wandering (6 items), devotion (7 items), frustration (3 items), and finally acceptance (8 items). Cronbach's alpha for the 29 items was .80. Conclusion: The results of this study not only suggest assessment criteria for the life transition process of parents who have children with autism but also provide basic directions for program development to provide differentiated support and care at each stage.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.8
• /
• pp.391-400
• /
• 2019

In this study, we tried to find out the difference in confidence in performing Healthy Life on CPR before and after CPR education to middle school volunteers. Through the above statistical analysis process, the following findings were obtained: First, the general characteristics of the respondents who participated in this survey were higher than that of boys, followed by third, first and second graders. Second, junior high school volunteers were shown to have similar confidence (Chonbach's α=.80) and confidence (Chonbach's α=.76) before CPR education, and confidence in the degree of social contribution (Chonbach's α=7.77). Third, the Pearson Rates Correlation was performed to see the correlation between grade, gender, pre-education confidence, post-training confidence, confidence in the application of airway methods, confidence in the patient's breathing, confidence in chest compression, confidence in the use of defibrillators, and post-cardiopulmonary resuscitation education. As a result, it was confirmed that there was a significant correlation between all the spokesmen. In particular, post-training self-confidence was the highest correlation with coping confidence in case of cardiac arrest, followed by chest compressive confidence. Comparing and reviewing these findings and prior studies as shown above, we were able to establish that CPR education has an impact on the confidence performed by gender.

• Parasites, Hosts and Diseases
• /
• v.57 no.4
• /
• pp.405-409
• /
• 2019

In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.

• Clinics in Shoulder and Elbow
• /
• v.22 no.1
• /
• pp.37-39
• /
• 2019

Irreducible dislocation of the elbow is an uncommon event. We present the case of a posterolateral elbow dislocation after a fall injury in a 67-year-old woman. A closed reduction performed in the emergency department was unsuccessful since the limited passive range of motion resulted in difficulty to perform longitudinal traction and flexion. Computed tomography images showed that the posterolateral aspect of the capitellum was impacted by the tip of the coronoid process, thus appearing similar to the Hill-Sachs lesion in the humeral head. Subsequent open reduction of the elbow revealed the dislocation to be irreducible since the tip of the coronoid process had wedged into a triangular Hill-Sachs-like lesion in the capitellum. The joint was reduced by providing distal traction on the forearm, and main fragments were disengaged using digital pressure. At the 3-month follow-up, the patient reported no dislocations, and had an acceptable range of motion. Thus, we propose that to avoid iatrogenic injury to the joint or other nearby structures, irreducible dislocations should not be subjected to repeated manipulation.