• Title/Summary/Keyword: Medical accidents.

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Antihyperlipedimic activity of several traditional herbal medicines on experimental hyperlipidemia in rats (고지혈증 랫트를 이용한 수종 전통 한약제의 항고지혈 효과(II))

  • RO Hwan Seong;Ko Woo Kyoung;Kim Ona Ja;Park Kun Koo;Cho Young Hwan;Park Hyungsup
    • Korean Journal of Clinical Pharmacy
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    • v.5 no.2
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    • pp.61-69
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    • 1995
  • Hyperlipidemia is a major predisposing factor of atherosclerosis and cerebrovascular accidents. In effort to develope a hypolipidemic drug from medicinal herb, We tested three prescriptions of traditional medicine for the lipid lowering effect on diet-induced hyperlipidemic rats. GyejI-Bokryung-Hwan, Ohyak-Sunki-San, and Shihoga-Yongol-Moryu-Tang were selected based on the comnon prescriptions for patients with hyperlipidemia-related diseases. Water extract from each prescriptions was made by the method used in the clinical setting, and administered intragastrically once a day, for 4 weeks. Fenofibrate and lovastatin were given by the same method as the control drugs. Blood levels of total cholesterol(TC), high density lipoprotein(HDL), low density lipoprotein (LDL), and triglyceride(TG) were measured before, 1, 2, 3, and 4 weeks after starting the drug administration. All of the traditional prescriptions did not show lipid lowering effect, while fenofibrate lower the blood cholesterol levels(TC;from 215mg/dl before to 182m41 at 4 weeks-point of drug administration, and LDL ;from 203mg/dl before to aut 161, and 163mg/dl at 3 and 4 week-point respectively). Oyak-Sunki-San increased the level of TC (from 283mg/dl to over 350mg/dl starting from the first week of drug administratin). Effects on TG variable in the cases of traditional medicines and control drug In conclusion, any of the three traditional medical prescriptions did not decrease the level of blood cholesterol.

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A Study on Disaster Experience and Preparedness of University Students (일 지역 대학생의 재난경험과 재난대비에 대한 조사연구)

  • Kang, Kyung-Hee;Uhm, Dong-Choon;Nam, Eun-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.3
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    • pp.424-435
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    • 2012
  • Purpose: The purpose of this study was to investigate the disaster experience (accidents, education etc) and the concern for disaster preparedness of college students. Methods: This research design was a descriptive study. Data were collected from November 1, 2011 to December 30, 2011 and analyzed by the SPSS PASW statistics 18.0 program. Results: There were statistical significances in major (p<.050), grade(p<.001), and a completed disaster class(p<.001) between general characteristics and concern for disaster preparedness. The major disaster events that occurred from 2003 to 2010 in Korea were the 2007 Taean oil spill (85.4%), the 2003 Daegu subway fire (82.7%), and the 2008 Sungnyemun fire (62.9%). The possible disaster events in Korea were hurricanes, floods, fires (including wildfire), and the shutdown of communication lines. Subjects learned about cardiopulmonary resuscitation (18.2%), first aid for bleeding and fractures (17.8%), a fire drill (14.3%), and an escape drill for an earthquake (14.0%). They wanted to learn the fire drill (11.33%), the escape drill for an earthquake (9.7%), a war drill (9.0%), a disaster confrontation drill on the subway (8.6%), and a fire and explosion evacuation drill (8.4%). Half of subjects were not prepared with emergency supplies for disasters because they thought that a disaster would not occur. Conclusion: It is necessary to develop the disaster educational programs according to subject's demands in Korea.

Reconstruction of Sacral Pressure Sores Using Perforator-Based Island Skin Flaps (천공분지에 기저를 둔 도서형 피부피판을 이용한 천골부 욕창의 재건)

  • Moon, Ji Hyun;Lee, Nae Ho
    • Archives of Reconstructive Microsurgery
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    • v.9 no.1
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    • pp.62-67
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    • 2000
  • Recently, the incidence of pressure sore has been increased, due to increased number of patients with central nervous system injuries after traffic and industrial accidents or with long term loss of consciousness due to drug intoxication. The management of sacral pressure sore has been improved through the development of myocutaneous flap. However, sacrifice of the deep muscle cause some problems such as intraoperative bleeding, functional disabilities of donor site and further limitation of reconstruction for recurrent pressure sores in paraplegic patients. The development of perforator-based island skin flap introduce a new treatment modality for sacral pressure sores. We used perforator-based island skin flap in 15 cases with reasonable result from January 1998 to February 2000. This flap has a many advantages such as no significant sacrifice of the gluteus maximus muscle, wide rotation arc, reliable blood flow of the perforator, short elevation time for the flap, and no post-operative hindrance to walking in patients who are not paraplegic. There was no significant complication without significant sequelae and donor sites could be repaired primarily.

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A Case Report of Gastroesophageal Reflux Disease and Dysphagia Caused by Ingestion of Detergent (세정제 음독후 발생한 역류성 식도질환 및 연하곤란 환자 치험 1례)

  • Kim, Young-ji;Park, Jeong-su;Sung, Hyun-kyung;Lee, Ju-ah;Kim, Dam-hui;Go, Ho-yeon;Kong, Kyung-hwan
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.855-862
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    • 2016
  • The recent increased interest in hygiene has led to the use of a variety of detergents everyday life. Accordingly, accidents occur frequently, but proper precautions or treatments have not yet been established for these occasions. The patient in this case had accidentally ingested basic detergent, after mistaking it for a drink. This had caused acid reflux swallowing distress. Treatment in a western medical hospital had resulted in improvement in inflammation, as observed with an esophageal endoscopy test, but the patient still found it almost impossible to drink or eat. Following treatment with herbal medicine and acupuncture, the patient’s food intake increased and the pain and dysphagia were diminished. We cannot generalize based only on this one case study, so further studies are needed.

A Qualitative Study on the Treatment Process Experiences of Patients with Whiplash Associated Disorder Treated with Traditional Korean Medicine - Based on the Grounded Theory Approach - (교통사고 상해 증후군 환자들에 대한 한의치료 경험의 질적 연구 -근거이론 접근방법으로 -)

  • Im, Se Hoon;Lee, Seung Hoon;Lee, Seung Min;Nam, Dong Woo;Kim, Yong Suk
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.73-92
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    • 2016
  • Objectives : The purpose of this study is to understand the treatment process experiences of patients with whiplash associated disorder treated with Traditional Korean Medicine. Methods : This study was based on grounded theory. We recruited a total of 10 participants between the ages of 19 and 65, who were hospitalized at Kyung Hee University Korean Medicine Hospital and received treatment after traffic accidents from January to October 2014. Data was collected from in-depth interviews and notes, and was analyzed using open coding, axial coding and selective coding. Results : The core category of the phenomenon: 'The experiences of the treatment process for patients with whiplash associated disorder treated with Traditional Korean Medicine', was elicited as 'The selection of Traditional Korean Medicine treatment over other treatments for holistic healing that supplement for the deficiencies of Western medical treatment'. Conclusion :' The experiences of treatment process for patients with whiplash associated disorder treated with Traditional Korean Medicine', was elicited as 'The selection of the Traditional Korean Medicine treatment over other treatments for holistic healing that complements deficiency of the Western medical treatment'.

Design and Implementation of Mobile Healthcare System supporting Safe Transfusion (안전한 수혈을 지원하는 모바일 헬스케어시스템의 설계 및 구현)

  • Kang, Moon-Seol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.19 no.8
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    • pp.1845-1852
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    • 2015
  • From bar code systems and radio frequency identification (RFID) to beacons utilizing low power bluetooth technology, the fusion of information technology and health and medical treatment is spreading through advances such as automated treatment and examination stages and the use of treatment information connected to smart devices. In this paper, designed and implemented a mobile health care system for the safe management of blood transfusions to prevent accidental problems that can occur during patient blood transfusions. It makes safe and effective blood transfusion possible by using smart devices to read information saved on patient bracelets, blood-collecting containers, blood transfusion bags, and medical personnel identification cards so that they match patient information. By applying the blood transfusion management mobile health care system presented and implemented in this paper to blood transfusion processes in hospitals, it was verified that it allows for safe and effective blood transfusion, preventing accidents which may occur in blood transfusion processes.

Status of Adverse Events Received by Korea Consumer Agency-Focusing on Harm Information from 2013 to 2017 (의료문제가 발생하여 한국소비자원에 접수된 안전사고의 현황: 2013-2017년 위해정보 중심)

  • Seok, Na-Yeong;Lee, Mi-Suk;Jeong, Hyon-Suk;Jeon, Mi-Yang
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.287-298
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    • 2020
  • The purpose of this study was to identify the current situation of safety accident received by Korea Consumer Agency and to provide a basis for preparing measures to prevent safety accident. This study was a descriptive study that secondary analyzes 4934 safety accidents accident information received from Korea Consumer Agency from 2013 to 2017. In this study, safety accident occurred more frequently woman, between 50-59 years old, the cause of safety accident were adverse effect after medical procedure(42.4%), the place where safety accident occurred private hospital(28.6%), integumentary system(41.3%) where safety accident occurred, symptoms of safety accident caused other organ damage and pain(13.1%) occurred most frequently and characteristics of safety accident differed depending on place of safety accident. Based on the results of this study, it is suggested to established a surveillance system that can prevent safety accident in which medical problems occur.

Risk Factors of Intracranial Hemorrhage in Skull Fracture after Pediatric Head Trauma (두부 외상 후 두개골 골절 환아의 두개내 출혈 위험요인)

  • Ji, Myoung-Hee;Choi, Hye-Ran
    • Journal of Korean Biological Nursing Science
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    • v.22 no.1
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    • pp.45-52
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    • 2020
  • Purpose: The purpose of this study was to investigate the risk factors of intracranial hemorrhage in children with skull fractures from head trauma. Methods: The retrospective study included 205 patients diagnosed with a skull fracture in a pediatric emergency room. Data were analyzed using 𝓍2-test, Fisher's exact test, t-test, and logistic regression analysis with the SPSS/WIN24.0 program. Results: Intracranial hemorrhage was diagnosed in 71 patients. There were statistically significant differences between the hemorrhagic group and non-hemorrhagic group in age group, places of accident, type of accident, location of the fracture, and symptoms. Intracranial hemorrhage by age group was higher in school-age and adolescence than in infancy. The places of accidents of hemorrhage were higher in street and school than in the home. The types of an accident of bleeding were higher in the case of knock and traffic accident than in fall. Symptoms of nausea, headache, and loss of consciousness were associated with higher intracranial hemorrhage. Multivariable logistic regression analysis showed that knock (OR= 3.29, 95% CI= 1.50-7.22), traffic accident (OR= 4.78, 95% CI= 1.31-17.43), nausea (OR= 4.18, 95% CI= 1.42-12.31), and loss of consciousness (OR= 3.29, 95% CI= 1.41-9.50) were risk factors for intracranial hemorrhage. Conclusion: In this study, the risk factors of intracranial hemorrhage were identified in pediatric patients with skull fractures caused by head trauma. It is recommended that the results of this study be used to manage and educate patients, caregivers, and medical staff after head trauma hemorrhage.

Improvement of Pain according to Magnetic Resonance Imaging Classification in Bone Contusion around Foot and Ankle (족부 족관절 골좌상에서 자기공명영상 분류에 따른 통증의 호전)

  • Kim, Hyeong-Jik;Lee, Kwang-Bok
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.183-188
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    • 2019
  • Purpose: Bone contusion is usually treated with conservative therapy for 3 months. Bone contusion around knee and hip joints has been extensively reported on, but there are scant reports on this condition in foot and ankle joints. This study evaluated the nature, characteristics and location of bone contusion around foot and ankle joints to enlighten clinicians on how to better treat this disease entity. Materials and Methods: We classified bone contusion of the 76 patients into three types (102 sites; 47 ankle sprains, 18 traffic accidents, 11 falls) according to the Costa-Paz system with employing magnetic resonance imaging (MRI), and the study then analyzed the common sites and areas of occurrence according to the mechanism of injury and duration of pain after first conducting conservative therapy. Results: Of the 76 patients (102 sites) on the MRI, 43 case (42.2%) for talus, 19 cases for distal tibia, and 12 cases for calcaneus were involved. The classification, according to the Costa-Paz system, was Type I, 51 cases; Type II, 32 cases; and Type III, 19 cases. The duration of pain after conservative treatment was 12.15±2.17 weeks for Type I, 14.5±2.15 weeks for Type II, and 21.0±3.8 weeks for Type III. Conclusion: The most common location of post-traumatic bone contusion around both the foot and ankle is the talus, distal tibia, and calcaneus. The most common type of injury noted on MRI is a diffuse signal with change of the medullary component (Type I), In cases of bone contusion extending to a subjacent articular surface or disruption or depression of the normal contour of the cortical surface (Types II, III), the patients' pain appears to last longer. Thus, it is necessary to consider a longer period of conservative treatment in cases of Types II and III bone contusion because the patients' pain may last longer than 3 months.

Clinical Analysis of Trauma Surgery Patients in a Local Emergency Center; Does Emergency Physicians'Treatment Delay the Surgeons'Special Care like Emergency Operations for Trauma Victims? (응급수술을 시행한 응급의료센터 내원 외상 환자 분석; 응급의학과 진료는 외상환자에 대한 외과의 수술과 같은 전문적인 진료를 오히려 지연시키는가?)

  • Lee, Kyung Won
    • Journal of Trauma and Injury
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    • v.20 no.1
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    • pp.19-25
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    • 2007
  • Purpose: Trauma surgery is not an official medical specialty in the Republic of Korea (South Korea). Thus, a trauma victim transported to an emergency room (ER) is resuscitated and surveyed by an intern, a resident, or an emergency physician (EP) at first. Currently an operative management is decreasing because of multiple factors. Nevertheless, trauma surgery is the key for some patients. Does the EP's treatment in the ER delay the surgeon's emergency operation? Methods: A retrospective study was performed for trauma victims who underwent trauma surgery from March 2004 to February 2005 in a local emergency center of Daegu-city. We reviewed the medical records and analyzed the trauma victim's age, sex, cause of injury, method of transport, time from the trauma to the operation, EP's treatment, surgical department, mortality, and injury severity score (ISS). Results: Of the 223 trauma victims included in this study, males were predominant (83.4%). The mean age was 37.98 years of age. The main Causes of trauma were trauma NOS (not otherwise specified) and motor vehicle accidents (MVA). The main methods of transport was privately owned automobile. The mean time from trauma to operation was 617.46 min. The mean ISS was 7.67. Trauma surgery with the EP's treatment group included 40 trauma victims with higher ISS, and the time from trauma to operation was shorter than it was for the 183 trauma victims not in that group. Conclusion: The EP's treatment of high-ISS multiple-injury trauma victims can shorten the time from trauma to trauma surgery and will help the surgical department treatment. In the trauma care system of the Republic of Korea, and increased role should be encouraged for emergency physician.