• Title/Summary/Keyword: Injury rate

검색결과 1,250건 처리시간 0.027초

한국에서 외상성 췌장 손상의 치료에 대한 문헌 고찰 (Management of Traumatic Pancreas Injury in Korea: Literature Review)

  • 이승환;장지영;심홍진;이재길
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.207-213
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    • 2013
  • Purpose: Traumatic pancreas injuries are rare conditions that result in high morbidity and mortality. Thus, early diagnosis and intervention are very important to manage pancreatic injuries. The purpose of this study is to review the management and outcomes of the pancreatic injuries in the Korean population. Methods: Original articles published from January 2001 to December 2012 and addressing the Korean population were selected by using indices such as 'pancreas injury', 'traumatic pancreas injury', and 'pancreatic trauma' to search KoreaMed and PubMed. Nine reports were selected to review the management options for surgery or endoscopic retrograde cholangio-pancreatography. We assessed the injury mechanisms, injury severities, associated injuries, types of operation, and outcomes. Results: Two hundred fifty of the 332 patients included in the 9 selected reports were men, and the mean age of all patients was 36.4 years. The main injury mechanism was traffic accidents(65.6%). Most patients had grade II or III injuries(68.9%). The most common extra-pancreatic injury site was the liver, followed by the chest and spleen. Operative management, including distal pancreatectomies(129), drainage procedures(64), pancreaticoduodenectomies(23), and others(60), was used for 276 patients. The reported mortality rate was 10.2%, and the morbidity rate ranged from 38% to 76.9%. The average length of hospital stay was 39.5 days. Risk factors for mortality were amount of transfusion, injury severity, base deficit, age, and presence of shock. Conclusion: In this study, we found neither significant data nor a consensus. If national guidelines are to be developed and established, a national data bank or registry, and nationwide data collection are required.

수부손상환자의 물리치료 실태조사 (A Survey on the Band Injury Patients of Physical Therapy)

  • 곽정인;배성수;황보각;김호봉;한동욱;이한숙
    • The Journal of Korean Physical Therapy
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    • 제13권1호
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    • pp.83-96
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    • 2001
  • The purpose of this study is to provide the fundamental information fer the rehabilitation of hand injury and to emphasize the point of early treatment of hand injury after operation. The subjects are composed with the physical therapists who care hand injury and are engaged in 76 university hospitals,59 general hospitals and 88 semi and local clinics respectively. Investigator take the research form chart with 41 questionnaire and use the cross tabulation frequencies and one-way ANOVA of SPSS WIN(ver 10.0) for the statistic analysis. The results of this research are as follows :1. The number of physical therapists who care hand injury are 110 men and 113 women. 2. The beginning period of active assistive exorcise on the various type of injuries are as follows: At the case of flexor tendon injury, the most part of physical therapists make response to the period that is above 4 weeks in the rate of 29.1%. At the case of fracture, the most part of physical therapists make response to the period those are from 3 weeks to less than 4 weeks and from 4 weeks to less than 5 weeks in the rate of 28.7% respectively. At the case of crushing injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 32.2%. At the case of amputation injury, the most part of physical therapists response to the period that is above 4 weeks in the rate of 40.4%. 3. In the physical therapy request, treatment period are mentioned in 22.0%. 4. The most difficult factors in the hand treatment is to contracture soft tissue and joint to physical therapist in the rate of 59.6%. 5. Among the reasons of the intervention between physical therapy request and actual treatment, the case of wrong physical therapy request is examined in 69.4%.

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태권도 자유 품새에 적용하기 위한 뛰어 앞차기 착지 동작의 상해 예방 전략 (Injury Prevention Strategies of Landing Motion of Jumping Front Kick to Apply Free Style Poomsae of Taekwondo)

  • Ryu, Sihyun
    • 한국운동역학회지
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    • 제30권1호
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    • pp.37-49
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    • 2020
  • Objective: The purpose of this study was to investigate the injury factors of Taekwondo jumping kick during landing phase according to the experience of injury and to suggest a stable landing movement applicable to free style Poomsae. Method: The participants were non-injury group (NG), n = 5, age: 20.5±0.9 years; height: 171.6±3.6 cm; body weight: 65.7±4.4 kg; career: 5.0±2.7 years. Injury group (IG), n = 9, age: 21.0±0.8 years; height: 170.9±4.6 cm; body weight: 67.1±7.0 kg; career: 8.6±5.0 years. The variables are impact force, loading rate, vertical stiffness, lower limb joint angle, stability, balance, and muscle activity in the landing phase. Results: NG was statistically larger than IG in the gluteus medius (p<.05). The impact force, loading rate and vertical stiffness decreased as the landing foot angle, the ROM of lower limb joint angle and COM displacement increased (p<.05). Conclusion: Based on the results, it means that the landing foot angle plays an important role in the impact reduction during landing phase. It is required the training to adjust the landing foot angle.

가족의 건강증진-보호 모형에 입각한 사고예방 행위 분석 -학령 전기 가족을 대상으로- (The Behavior Analysis of Home Injury Prevention based on the Model of Family Health Protection)

  • 이인숙
    • 지역사회간호학회지
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    • 제12권2호
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    • pp.406-416
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    • 2001
  • This study is performed to confirm the influencing factors of family health protection behaviors using the variables included in Pender's Family Promotion Model. 1. The subjects are 110 families in preschooler family developmental stage, respondents are children's mother or father. These families are almost all nuclear types(95%), function of families is healthy as much as 8.0 the mean FAPGAR score. The prevalence rate of family members' illness was 14.7% these last 3 months, and 21.1 % of families responded suffered from injury for last 2 years. 2. The practice rate of injury prevention behavior is below a half in supervision and modifying of their home and residential environments, especially controlling through collaborative community power. The more familiar function score is the better practicing rates of injury prevention behaviors. 3. The injury prevention behaviors correlate to family size, health status of family member, and children's congenital defects with statistical significance. Families' economic condition correlates also significantly to family health status, cognition of benefits of injury prevention, cognition of the importance of community collecting power. And the recognition of the benefits of injury prevention correlates the adaptive health concept, family norms about injury prevention, economic status. 4. Considering family health promotion model. the general influencing factor is only affected to family protective behavior, and other paths don't affect to family's behaviors. In simple regression, the family protective behavior model explains 27.8%(P=0.05), significant factors are family function status, family size, chronic illness of family members', mother's education level. father's age. 5. To define of familiar preventive behavior as a unit is very important, but it has the limitation to solve the difficulties of family studies going with the operationalized difficulties of health promotion concept.

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돌기해삼(Apostichopus japonicus)의 보관 후 회복 가능성 파악을 위한 외상 및 형태학적 변화의 관찰 (Observation of External Injury and Morphological Movement for Analysis of Recovery Possibility after Storage of the Juvenile Sea Cucumber, Apostichopus japonicus)

  • 김태익;손맹현;조재권;진영국
    • 수산해양교육연구
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    • 제28권4호
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    • pp.1006-1013
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    • 2016
  • 돌기해삼 종묘의 보관에 따른 외상, 부위별 움직임 및 생존율을 관찰하였다. 10, 15, 20 및 $25^{\circ}C$에 종묘를 3, 6, 12, 24시간 보관 후 회복과정을 통해 생존율을 관찰하였고, 이를 위해 외상정도와 네 가지 부위별 움직임 변화(촉수 움직임, 촉수를 제외한 몸의 움직임, 뒤집기, 이동)를 적용할 수 있는지 검증하였다. 외상정도는 $20^{\circ}C$에서 24시간 실험구와 $25^{\circ}C$의 12시간 실험구에서 각각 $2.2{\pm}0.8$, $2.6{\pm}0.7$로 낮게 나타났다. 부위별 움직임 변화는 촉수의 움직임과 이동 여부 항목에서 생존율 및 외상 정도와 관련성을 보였다. 생존율은 보관 온도 $10^{\circ}C$$15^{\circ}C$ 실험구에서는 24시간까지, $20^{\circ}C$는 12시간까지 그리고 $25^{\circ}C$에서 6시간까지는 변화가 없었다. 돌기해삼 종묘의 보관 온도에 따른 치사시간(LT10)은 $20^{\circ}C$의 경우 15.73시간 이었으며, $25^{\circ}C$의 경우 5.57시간 이었다. 본 연구결과는 방류종묘의 운송에 따른 생존율을 간접적으로 파악할 수 있는 지표로서 적용 가능할 것이다.

Post-Traumatic Cerebral Infarction Following Low-Energy Penetrating Craniocerebral Injury Caused by a Nail

  • Chen, Po-Chuan;Tsai, Shih-Hung;Chen, Yu-Long;Liao, Wen-I
    • Journal of Korean Neurosurgical Society
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    • 제55권5호
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    • pp.293-295
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    • 2014
  • Post-traumatic cerebral infarction (PTCI) is a secondary insult which causes global cerebral hypoxia or hypoperfusion after traumatic brain injury, and carries a remarkable high mortality rate. PTCI is usually caused by blunt brain injury with gross hematoma and/or brain herniation. Herein, we present the case of a 91-year-old male who had sustained PTCI following a low-energy penetrating craniocerebral injury due to a nail without evidence of hematoma. The patient survived after a decompressive craniectomy, but permanent neurological damage occurred. This is the first case of profound PTCI following a low-energy penetrating craniocerebral nail injury and reminds clinicians of possibility this rare dreadful complication for care of head-injured patients.

주산기 가사가 있는 신생아에서 theophylline의 신기능 개선 효과에 대한 체계적 문헌고찰 및 메타분석 (The Effect of Theophylline on Improvement of Renal Function in Asphyxiated Neonates: A Systematic Review and Meta-analysis)

  • 이주원;이소연;안숙희
    • 한국임상약학회지
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    • 제29권2호
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    • pp.115-124
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    • 2019
  • The purpose of this systematic review and meta-analysis was to assess the preventive effect of theophylline on acute kidney injury and the ameliorative effect of theophylline on renal function in asphyxiated neonates. A literature search of the PubMed/Medline, Embase, and Cochrane Library databases for information published up to February 2019 was conducted. All studies that reported the incidence rate of acute kidney injury, serum creatinine level, and glomerular filtration rate after the randomized administration of theophylline or placebo were included. In total, eight studies involving 498 neonates were eligible. The incidence rate of acute kidney injury was significantly lower in the theophylline group than in the placebo group (risk ratio [RR]: 0.42, 95% confidence interval [CI]: 0.32-0.55, p < 0.001). The changes in serum creatinine level in the theophylline group were significantly higher than those in the placebo group from the first day of life to 3 and 5 days of age (weighted mean difference [WMD]: -0.51, 95% CI: -0.62 to -0.40, p < 0.001, and WMD: -0.26, 95% CI: -0.34 to -0.18, p < 0.001, respectively). The changes in glomerular filtration rate in the theophylline group were significantly higher than those in the placebo group from the first day of life to 3 days of age and the last day of follow-up (WMD: 12.30, 95% CI: 9.39-15.21, p < 0.001, and WMD: 9.35, 95% CI: 6.43-12.27, p < 0.001, respectively). These results suggested that theophylline has a beneficial effect on the prevention of acute kidney injury in neonates with perinatal asphyxia.

모 금속 제조 업체에서 5년간 발생한 안전사고에 관한 조사 (A Study on Safety Accidents Occurred for 5 Years at a Welding Material Manufacturing Factory)

  • 임현술
    • Journal of Preventive Medicine and Public Health
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    • 제28권3호
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    • pp.551-562
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    • 1995
  • To assess the status of safety accidents, authors reviewed and analysed the records of safety accidents of a welding material manufacturing factory at Pohang city from January 1989 to December 1993. The results are; 1. The total incidence of safety accidents was 295 spells for five years. 2. Average age of workers with accident was 35.7 years. Average duration of employment was 6.2 years and the duration of employment increased as the year increased. 3. There was no statistical significance on season, month, weekday and time by year in the incidence of safety accidents. The most frequent part of body injured was upper extremities and the most frequent type of injury was abrasion. 4. Mean admission rate of safety accidents was 12.6% and the ratio of treated spells as occupational injury was 7.8%. 5. The most frequent cause of injury was worker's mistake and the most frequent action for the prevention of further accidents was safety education. 6. The incidence rate of safety accidents on 1993 was 116.2 spells per 1,000 persons. Above results suggest that to prevent safety accidents, safety education should be done continuously, the environmental and human factors were controlled and more exact reporting system of safety accidents was needed.

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제조업 중업종별 재해율과 작업능력지수에 관한 연구 -경북북부지역을 중심으로- (The Correlation between Work Ability Index and Workplace Injuries of Semi-Industrial Classification around North GyeongBuk Area)

  • 최원일;김상호
    • 대한안전경영과학회지
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    • 제16권1호
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    • pp.129-138
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    • 2014
  • As S. Korea is becoming an "aged society", workers in the country would be exposed to higher risk of workplace injuries due to their reducing work abilities as they are getting old. To identify the relationship between the work ability and the incident rate of workplace injuries, the work ability index (WAI) scores were surveyed from 409 workers occupied in different manufacturing industries reside on north GyoengBuk area. The workplace injury statistics in the year of 2010 for the corresponding industries were analyzed and summarized with the WAI scores by age groups, years of service, and sizes of business. The results showed the WAI scores of the workers occupied in the higher risk of workplace injury was lower than that of the workers of the lower risk. It means the lower the WAI score, the higher the chance of being injured during the task. It is concluded that appropriate correlation exists between the WAI scores of workers and the incident rate of workplace injury. It is recommended to administrate individual work abilities of aged workers in order to keep low rate of workplace injuries in upcoming aged and highly aged society.

일부 초등학교 고학년 학생들의 신체적 건강에 대한 자가-인식과 운동수행 상태 (Health-related self-cognition and physical performance status of a elementary school children)

  • 김선엽
    • 대한정형도수물리치료학회지
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    • 제10권2호
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    • pp.57-72
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    • 2004
  • Background : The part to be very important that we make the physical development rightly at elementary school student days. Objective : This study investigated the relation of a physical health status which itself recognizes and an exercise performance situation out for an elementary school students. Methods : This cross-sectional study examined health and exercise performance status of 1,032 elementary school children. To examine children's a physical injury experience and injury occurrence characteristic and a personal computer utility condition, a body alignment status of the student which parents recognize and the relation of a fatigue and concentration level was an investigation with other factors. Results: An average age of the children was the 10.95 yr and an average weight was the 39.02 kg and an average height was the 145.17cm. The student to be experiencing currently an pain occurrence was 192(19.07%). It was most high to the grade 6(23.33%) compared with different grade(p<.01). Physical pain occurrence rate did not exist by gender(p>.05). There is most an pain occurrence region the ankle(38.0%). They had a 27.19% an physical injury experience of the students. A injury rate was revealed that were high as were the high grade(grade 6, 36.72%)(p<.01). A reason of the injury rate was high in a collision at the body(19.84%), falling down(18.68%) sequence at a traffic accident(22.96%)(p<.05). There were the significant relation to the school year the reason of the injury (p<.05). Currently there was the student to be taking special exercises a 57.97%. This that they have the relation with exercise with physical pain students to recognize 23.8%. The significant relation did not exist in the physical exercise execution and pain occurrence on the body(p>.05).

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