• 제목/요약/키워드: Korean medical accident

검색결과 716건 처리시간 0.031초

편타성 손상후 발생한 뇌진탕증 2례 (Two cases of concussion after whiplash injury)

  • 한을주;김봉찬;이명종
    • 한방안이비인후피부과학회지
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    • 제14권1호
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    • pp.87-93
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    • 2001
  • Object : This study was focused on finding out the better method of medical treatment of concussion after whiplash injury. Methods : This study has been carried out for two cases of concussion after whiplash injury which had been hospitalized at the Kangnam Oriental medical Hospital of the Dongguk University Results and conclusions : The concussion is caused by whiplash injury about $47\%. In the symptoms of concussion, there are lightheadedness, dizziness, neck pain, headache, photophobia, phonophobia, anamnesis disorder, concentration disorder, tinnitus, irritability, etc. It is considered more important that the treatment of nausea and vomiting than the removal of stagnation of blood. Oriental medical treatments including of herb-medicine, acupuncture, moxibustion, cupping, chuna, taping have more economic favor and rapid effects than the others. so we report on two cases.

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요추부염좌로 진단된 교통사고환자 27례와 비교통사고환자 33례에 대한 임상적 비교고찰 (The clinical comparative analysis on 27 patients of Traffic accident and 33 patients of Non-Traffic accident to be diagnosied as Lumbar spine Sprain)

  • 신정철;박은주;나건호;이동현;류충열;윤여충;채우석;조명래
    • Journal of Acupuncture Research
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    • 제21권3호
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    • pp.13-27
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    • 2004
  • Objective : The main purpose of this research is to make a survey of the effective way of the Korean traditional medical care about Traffic accidental patients. Methods : In following research, 27 patients of Traffic accident and 33 patients of Non-Traffic accident to be diagnosied as Lumbar spine Sprain who hospitalized in the Dong-shin Korean Traditional Medicine Hospital from January 1, 2003 to November 31, 2003 were surveyed. Result : 1. In distribution of sex and age, the female ratio was higher and twenties was the most distribution of age in Traffic accidental patients, the male ratio was higher and tirties was the most distribution of age in Non-Traffic accidental patients. 2. the number of patients via other hospital was much than that of the first visitor to our hospital in Traffic accidental patients, but the case of Non-Traffic accidental patients was contray results. 3. In medical Treatment, acupunture theraphy(100.0%), negative theraphy(100.0%), moxibustion theraphy(74.07%) et. was used in Traffic accidental patients, acupunture theraphy(100.0%), negative theraphy(100.0%), moxibust ion theraphy(84.84%), herbal acupunture theraphy(54.54%) et. was used in Non-Traffic accidental patients.

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교통사고 이후 신장외상 의심소견에 의한 무증상성 미세혈뇨의 저령탕 가감 투여 경과 : 증례보고 (Modified Zhu Ling Tang Administration for Asymptomatic Microhematuria Due to Suspicion of Kidney Trauma Following a Motor Vehicle Accident: a Case Report)

  • 김보민;조희근
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.551-556
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    • 2019
  • Objectives: This study aimed to introduce a clinical case of asymptomatic microhematuria due to suspicion of kidney trauma following a motor vehicle accident. Methods: A 19-year-old male was hospitalized with the chief complaint of back pain after a motor vehicle accident. He showed an elevated urine red blood cell (RBC) level in the laboratory test, although no specific traumatic lesions were present on the body. He was assessed to have asymptomatic microhematuria, and Zhu Ling Tang (polyporus decoction) was given to him to be taken three times daily. Results: After the treatment, the level of urine red blood cells returned to normal range. Adverse events were not observed. Conclusions: Zhu Ling Tang caused a short-term improvement in the urinalysis levels of a patient with asymptomatic hematuria. However, further studies are needed, as this study is only a single-case report.

뇌경색환자에게 병발한 마비성 장폐색과 요로감염의 치험례 (A Case of paralytic ileus and Urinary Tract Infection with cerebral infarction)

  • 박지윤;전찬용;한양희;고재철
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.471-476
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    • 2001
  • paralytic ileus and urinary tract infection(UTI) are common complications in stroke patient. A 78-year-old women was admitted because of right hemiparesis, motor aphasia due to 2nd cerebrovascular accident this patient had problem of paralytic ileus and UTI. without Western medical treatment, patient's symptom, sign and laborotory findings were improved through Korean medical treatment. so, we report it for the better treatment.

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Individual Doses to the Public after the Fukushima Nuclear Accident

  • Ishikawa, Tetsuo
    • Journal of Radiation Protection and Research
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    • 제45권2호
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    • pp.53-68
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    • 2020
  • Background: International organizations such as the World Health Organization (WHO) and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) reported public exposure doses due to radionuclides released in the Fukushima nuclear accident a few years after the event. However, the reported doses were generally overestimated due to conservative assumptions such as a longer stay in deliberate areas designated for evacuation than the actual stay. After these reports had been published, more realistic dose values were reported by Japanese scientists. Materials and Methods: The present paper reviews those reports, including the most recently published articles; and summarizes estimated effective doses (external and internal) and issues related to their estimation. Results and Discussion: External dose estimation can be categorized as taking two approaches-estimation from ambient dose rate and peoples' behavior patterns-and measurements using personal dosimeters. The former approach was useful for estimating external doses in an early stage after the accident. The first 4-month doses were less than 2 mSv for most (94%) study subjects. Later on, individual doses came to be monitored by personal dosimeter measurements. On the basis of these measurements, the estimated median annual external dose was reported to be < 1 mSv in 2011 for 22 municipalities of Fukushima Prefecture. Internal dose estimation also can be categorized as taking two approaches: estimation from whole-body counting and estimation from monitoring of environmental samples such as radioactivity concentrations in food and drinking water. According to results by the former approach, committed effective dose due to 134Cs and 137Cs could be less than 0.1 mSv for most residents including those from evacuated areas. Conclusion: Realistic doses estimated by Japanese scientists indicated that the doses reported by WHO and UNSCEAR were generally overestimated. Average values for the first-year effective doses for residents in two affected areas (Namie Town and Iitate Village) were not likely to reach 10 mSv, the lower end of the doses estimated by WHO.

산업보건서비스체계의 효율적 관리방안에 관한 연구 (A Study on Reforming the Occupational Health Care System is Korea)

  • 문옥륜;한동운;최병순;최재욱;하은희;이기효;장동민
    • 보건행정학회지
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    • 제4권1호
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    • pp.138-175
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    • 1994
  • The objectives of this study are (i) to review current situations and problems of the occupational health care system with emphasis on reforming the organizations and services, (ii) to find out a disirable occupational health system model based on integration of the occupational health system and the general health system, and finally, (iii) to suggest policy implications in occupational health services in the light of objectives of the newly emerging national health insurance reform in Korea. The major policy implications of this study are as follows: 1. In the long-run, within the occupational health system, preventive occupational health services such as employees' physical check-up, working environment examination, etc should financially be integrated with industrial accident compensation insurance. Currently separately paying expenses for each different category of services by the owner of an enterprise should be disbursed once through the payment of contributions of industrial accident compensation insurance. And then, it is necessary to strengthen and expand the role and function of industrial accident compensation insurance to cover preventive occupational health services. 2. The occupational health system should be integrated with general health system for its effective management. For the short-term policy, it is necessary to eliminate fiscal and access barrier between industrial accident compensation insurance and national health insurance by means of ex post facto settlement of accounts. The duplication of employees' physical check- ups between under the health insurance program and under the industrial health services must be coordinated in a manner either through mutual authorization by the two parties concerned or through merge into the health insurance. 3. The intent of current employees' physical check-up system focused on detection of occupational diseases, should be converted to an idea of medical surveillance system or biological moritoring system. The introduction of medical surveillance or biological monitoring system is a necessary condition to build a positive, effective and inexpensive occupational health care system.

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교통사고로 인한 편타성 손상 환자의 전침치료 효과에 대한 임상적 연구 (A Clinical Study on Effect of Electro-acupuncture Treatment for Whiplash Injury Patients Caused by Traffic Accident)

  • 한상엽;이재영;박소현;양기영;이재훈;김준수;박재영;김창연;이현종
    • Journal of Acupuncture Research
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    • 제28권6호
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    • pp.107-115
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    • 2011
  • Objectives : The purpose of this study is to investigate the effect of electro-acupuncture treatment for whiplash injury patients caused by traffic accident. Methods : 58 patients were divided into two groups, experimental group and control group, of 29 patients each. Experimental group was treated with electro-acupuncture treatment and general acupuncture treatment twice per week for four weeks. Control group was treated with general acupuncture treatment twice per week for four weeks. We evaluated the treatment effect of each group with the visual analog scale(VAS) and neck disability index(NDI). Results : 1. In both two groups, VAS and NDI were decreased significantly in statistics as treatment went on. 2. From 1st medical examination day to 4th treated day and From 1st medical examination day to 8th treated day, there were significant reduction of the VAS in experimental group than control group. 3. From 1st medical examination day to 8th treated day, there were not significant reduction of the NDI in experimental group than control group. Conclusions : We suggest that cotreatment of electro-acupuncture treatment could be recommended as a useful therapy in the early stages whiplash injury patients.

자동차 사고를 재현한 시뮬레이션 교육 프로그램 개발을 위한 요구도 조사 (Survey of the Need for the Development of a Simulated Training Program that Reproduces Automobile Accidents)

  • 강민주
    • 한국화재소방학회논문지
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    • 제33권1호
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    • pp.179-187
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    • 2019
  • 본 연구는 119 구급대원 60명과 응급구조학과 교수 9명을 대상으로 조사한 자동차 사고 시뮬레이션 교육 프로그램에 대한 요구도 조사이다. 연구결과 응급처치 항목에서 경추보호대 착용에 대한 시뮬레이션 교육 요구도가 가장 높았고(76.8%), 시나리오 주제 항목에서 머리 손상에 대한 시뮬레이션 교육 요구도가 가장 높았다(75.4%). 구급대원의 근무경력 43개월을 기준으로 두 그룹별 요구도 차이를 확인한 결과 응급처치 항목은 항쇼크바지 사용법과 KED 사용 및 신속 구출에 대한 요구도가 두 그룹에서 유의한 차이를 보였고(p = 0.01, p = 0.05), 시나리오 주제는 얼굴, 복부, 기타 손상에 대한 요구도가 두 그룹에서 통계적으로 유의한 차이가 있는 것으로 나타났다(p = 0.05, p = 0.04, p = 0.03). 자동차 사고 시뮬레이션 교육 프로그램에 대한 119 구급대원과 응급구조학과 교수의 요구도도 높게 나타났으므로 이를 기반으로 추후 시뮬레이션 프로그램 개발이 필요하다고 평가되었다.

Radiation Measurements at Fukushima Medical University over a Period of 12 Years Following the Nuclear Power Plant Accident

  • Ryo Ozawa
    • Journal of Radiation Protection and Research
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    • 제48권3호
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    • pp.153-161
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    • 2023
  • Background: Fukushima Medical University (FMU) is located 57 km northwest of the Fukushima Daiichi Nuclear Power Plant. Our laboratory has been conducting environmental radiation measurements continuously before and after the nuclear accident. We aimed to report the observed behavior of radiation originating from the released radioactive materials due to the accident, predict future trends, and disseminate the results to the local residents. Materials and Methods: Measurements of the counting rate by a diameter of 76 mm and a length of 76 mm thallium-doped sodium iodide (NaI[Tl]) scintillation detector (S-1211-T; Teledyne Brown Engineering Environmental Services) in the central part of the laboratory, and the dose rate outward at the window by NaI(Tl) scintillation detector and digital processor (EMF211; EMF Japan Co. Ltd.) were conducted. Results and Discussion: Measurements by Teledyne S-1211-T showed that in the early stages, radiation from radioactive isotopes with short half-lives was dominant, while radiation from radioactive isotopes with longer half-lives became dominant as the measurement period became longer. Through nonlinear least squares regression, both short and long half-lives were successfully determined. It was also possible to predict how the radiation dose would decrease. The environmental radiation trends around FMU were measured by the EMF211. Both measurements were affected by rainfall and snow accumulation. Decontamination work on the FMU campus impacted measurements by the EMF211 especially. Conclusion: The results of two types of measurements, one at the center and the other at the window side of the laboratory, were presented. By applying a simplified model, radiation from radioactive isotopes with short and long half-lives was identified. Based on these results, future trends were predicted, and the information was used for public communication with the local residents.

자동차보험 환자와 건강보험 환자의 의료 이용 양상 분석 - 일개 대학병원을 대상으로 - (An Analysis of Automobile Insurance and Health Insurance Patients' Uses of the Medical Services)

  • 유형식;박태섭
    • 대한예방한의학회지
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    • 제11권2호
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    • pp.175-188
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    • 2007
  • The purpose of this study was to confirm the reasons why the medical institutes avoid the traffic accident victims covered by the automobile insurance. For this purpose, a university hospital was sampled to comparatively analyze days of hospitalization, average medical cost per day, ratio of optional medical cost, average cost by injury/age group/department, distribution of MRI photographing, etc., between health insurance and automobile insurance patients. Accordingly, in order to assure automobile patients of a reasonable rights of medical services, it is deemed necessary to arrange a fair system encouraging them reduce the days of their hospitalization as well as a complementary mechanism preventing unnecessary expensive medical services due to the hazard.

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