• Title/Summary/Keyword: Medical accidents.

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A Review of the Assessment Tools in Clinical Trials for Patients Injured in Traffic Accidents in South Korea (국내 교통사고 후유증 환자의 평가도구에 대한 임상연구 실태조사)

  • Jo, Hee Jin;Kwon, Min Soo;Kim, Jung Hwan;Jo, Dae Hyun;Choi, Ji Eun;Han, Ji Sun;Lee, Seung Min;Lee, Sang Hoon;Nam, Sang Soo
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.15-31
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    • 2016
  • Objectives : The aim of this study is to review the instruments used to assess patient condition and the effects of Korean medical treatment for patients injured in traffic accidents in clinical studies in the Korean medical field published in South Korea. Methods : A literature study was performed, and clinical studies on patients injured in traffic accidents visiting Korean medical clinics or hospitals were examined. Data about chief complaints, tools used to assess either patients' condition or the effectiveness of Korean medical treatment, and time point of assessment were extracted. The studies were classified according to symptom. The use-frequency and the parent category of the assessment tools were also analyzed. Results : 78 studies were selected and classified into 5 categories based on the chief complaints, neck pain, lower back pain, headache, psychological symptoms and unspecified symptoms. Various scales were used to report the patient's pain severity, and functional or psychological status resulting from traffic accidents. Pain index, in particular VAS, was most frequently used and a few mechanical instruments and Korean medicinal assessment tools were mentioned. Conclusion : Most instruments used in Korean medicine clinical studies on patients injured in traffic accidents are self-reported tools. To assess both the patient's condition precisely and the effectiveness of Korean medical treatment on patients injured in traffic accidents, more appropriate and unified tools should be designed that consider pain, functional disability, psychological status and objective assessments measured by devices together.

Fracture patterns and causes in the craniofacial region: an 8-year review of 2076 patients

  • Jin, Ki-Su;Lee, Ho;Sohn, Jun-Bae;Han, Yoon-Sic;Jung, Da-Un;Sim, Hye-Young;Kim, Hee-Sun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.29.1-29.11
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    • 2018
  • Background: For proper recovery from craniofacial fracture, it is necessary to establish guidelines based on trends. This study aimed to analyze the patterns and causes of craniofacial fractures. Methods: This retrospective study analyzed patients who underwent surgery for craniofacial fractures between 2010 and 2017 at a single center. Several parameters, including time of injury, region and cause of fracture, alcohol intoxication, time from injury to surgery, hospitalization period, and postoperative complications, were evaluated. Results: This study analyzed 2708 fracture lesions of 2076 patients, among whom males aged 10 to 39 years were the most numerous. The number of patients was significantly higher in the middle of a month. The most common fractures were a nasal bone fracture. The most common causes of fracture were ground accidents and personal assault, which tended to frequently cause more nasal bone fracture than other fractures. Traffic accidents and high falls tended to cause zygomatic arch and maxillary wall fractures more frequently. Postoperative complications-observed in 126 patients-had a significant relationship with the end of a month, mandible or panfacial fracture, and traffic accidents. Conclusions: The present findings on long-term craniofacial fracture trends should be considered by clinicians dealing with fractures and could be useful for policy decisions.

A case study of hospital logistic and medical wastes management's innovation (병원 물류 및 의료 폐기물 관리 혁신 사례 연구)

  • Ahn, Tae-Yong;Kim, Soon-Jo;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.10 no.3
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    • pp.55-62
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    • 2008
  • This is to prevent accidents that can be caused during the process of hospital logistics and accidents in relation to the traceability of medical wastes. And this is also to set up the logistic management system of medical wastes is hospital where the safety of patients shall to regard as the first priority. through these case studies effective operating plans shall be provided.

Suggestion for the Application of the ADR system under the Patient Safety Act (환자안전법상 ADR제도 적용을 위한 제언)

  • Mingyu, Choi
    • Journal of Arbitration Studies
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    • v.32 no.4
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    • pp.3-31
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    • 2022
  • In the past, there has not been a law with the main purpose of preventing or preventing a risk in advance in order to protect the safety of patients in relation to medical services. It is evaluated that the enactment of the Patient Safety Act has a very important meaning in protecting patient safety as the top priority and further improving the quality of medical care. However, looking at the status of patient safety accidents reported to the Patient Safety Reporting System after the Patient Safety Act was enacted and implemented, various types of risk factors for patient safety still exist in the medical field. Meanwhile, Korea Consumer Agency and Korea Medical Dispute Mediation and Arbitration Agency, the existing domestic ADR specialized agencies, have been operating reasonable damage relief procedures such as recommendation of settlement, mediation, and arbitration according to the purpose of their establishment. Therefore, with the aimof broadening the choice of compensation system for patients, we propose the establishment and revision of ADR-related laws to apply the damage relief procedures of both institutions.

Efficacy Evaluation of Alpha/Beta Radioactivity Screening in Urine Samples using Liquid Scintillation Counting

  • Ki Hoon Kim;Jae Seok Kim;Won Il Jang;Seokwon Yoon
    • Journal of Radiation Industry
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    • v.18 no.2
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    • pp.101-107
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    • 2024
  • Rapid screening for internal contamination by alpha- and beta-emitting radionuclides is essential in situations involving radiation workers or radiation accidents. This study focused on the use of urine samples and liquid scintillation counting to quickly and accurately assess contamination. Calibration of the alpha and beta detection areas ensured precise measurement results. The major radionuclides recommended for surveillance during accidents were also considered. This study evaluated the effectiveness of the method by examining various parameters, including the limit of detection, linearity, sensitivity, selectivity, accuracy, ruggedness, and blind test sample analysis. The liquid scintillation counting method is an effective tool for screening urinary samples to detect alpha- and beta-emitting radionuclides, particularly during radiation emergencies, despite some limitations in precision.

Fingernail electron paramagnetic resonance dosimetry protocol for localized hand exposure accident

  • Jae Seok Kim;Byeong Ryong Park;Minsu Cho;Won Il Jang;Yong Kyun Kim
    • Nuclear Engineering and Technology
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    • v.55 no.1
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    • pp.270-277
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    • 2023
  • Exposure to ionizing radiation induces free radicals in human nails. These free radicals generate a radiation-induced signal (RIS) in electron paramagnetic resonance (EPR) spectroscopy. Compared with the RIS of tooth enamel samples, that in human nails is more affected by moisture and heat, but has the advantages of being sensitive to radiation and easy to collect. The fingernail as a biological sample is applicable in retrospective dosimetry in cases of localized hand exposure accidents. In this study, the dosimetric characteristics of fingernails were analyzed in fingernail clippings collected from Korean donors. The dose response, fading of radiation-induced and mechanically induced signals, treatment method for evaluation of background signal, minimum detectable dose, and minimum detectable mass were investigated to propose a fingernail-EPR dosimetry protocol. In addition, to validate the practicality of the protocol, blind and field experiments were performed in the laboratory and a non-destructive testing facility. The relative biases in the dose assessment result of the blind and field experiments were 8.43% and 21.68% on average between the reference and reconstructed doses. The results of this study suggest that fingernail-EPR dosimetry can be a useful method for the application of retrospective dosimetry in cases of radiological accidents.

The Clinical Study of Night Crying and Night Terror in Children after Traffic Accidents (교통사고 후 야제(夜啼), 야경(夜驚) 증상을 보인 소아 환자 35명에 대한 증례보고)

  • Kang, Kyung Ha;Lee, Sun Jung;Park, Eun Jung
    • The Journal of Pediatrics of Korean Medicine
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    • v.29 no.4
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    • pp.90-96
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    • 2015
  • Objectives The purpose of this study was to report 35 children who had sleep disorder like night crying or night terror after traffic accidents. Methods This clinical study had been carried out with 35 infants and children, who visited to the department of Pediatrics, ${\bigcirc}{\bigcirc}$ Oriental Medical Hospital from January 2012 to June 2015. Results The study group had similar sex the ratio between boys and girls and the group had more of 1-3 year-old children. The number of patients who were diagnosed as night crying were 24, night terror were 7 and palpitation due to alarm were 4. All patients took herb medicine and 15 patients were treated by acupuncture. During the treatment, symptom of night crying and terror were disappeared. Conclusions This result showed that the oriental medical treatment was effective in children who suffered from night crying or night terror after traffic accidents.

Safety Countermeasure in Industrial Accident Weakness Company (산재취약 기업의 안전대책)

  • 홍상우;이근희
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.17 no.29
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    • pp.47-61
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    • 1994
  • Today, we can see the more serious industrial accidents than in the past according to the high growth rate of industrial society. Therefore, from the corporate as well as the human viewpoint it pays to have workers adequately trained and safety - oriented. The cost of accidents is high in terms of medical insurance costs lost time on the job, legal fees for court cases, workers' compensation, disability insurance, and unemployment compensation. The cost of preventing occupational accidents or illnesses is much less then the cost of treatment or workers' compensation. In this study, we investigate the situations of industrial accidents and safety control of 277 coporates in Busan, analyze the causes of accidents and propose the countermeasures to each of causes.

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The Proportional Mortality Ratios of Specific-cause Mortality by Occupation and Education among Men Aged 20-64 in Korea (1993-2004) (직업 및 교육수준에 따른 사망원인별 비례사망비의 연도별 추이: 1993-2004년 우리나라 사망등록자료의 분석)

  • Kim, Ki-Hye;Lee, Kyung-Hak;Lee, Sang-Min;Lee, Seung-Yeon;Lee, Ye-Seung;Lim, Kyoung-Ree;Chang, Jee-Eun;Cho, Sang-Won;Choi, Eun-Hye;Chung, Sung-Tae;Jin, Eun-Jeong;Son, Mi-A
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.1
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    • pp.7-15
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    • 2007
  • Objectives : This study investigated the relationship of occupational class and educational background with proportional mortality ratios in Korea. Methods : Mortality was investigated using the entire registered death data from 1993 to 2004, obtained from the Korean National Statistics Office. Proportional mortality ratios (PMRs) for specific diseases were calculated according to the occupational class and educational background of men aged 20-64. Results : Manual workers were found to have higher PMRs for liver disease and traffic accidents, as did the lower educated group. Especially, this study showed trends of an increasing of the wide gap between lower and higher socioeconomic stati for liver disease, traffic accidents, diabetes mellitus and cerebral vascular disease. The mortality for cerebrovascular disease, diabetes mellitus, heart disease, traffic accident and liver disease showed increasing trends according to the calendar year for the lower than the higher social class. Conclusions : The specific conditions that had higher PMRs in the Korean lower social class were liver disease and traffic accidents. Especially, there was an increasing trend for a widening of the gap between manual and non-manual groups in relation to mortality from liver disease, diabetes mellitus and traffic accidents.

Observational Study on the Effectiveness of Korean Medical Treatment on Stress Caused by Traffic Accidents (한의 치료가 교통사고 환자의 스트레스 및 심박변이도 변화에 미치는 영향)

  • Kim, Jin Youp;Jo, Hee Jin;Nam, Sang Soo;Kim, Young Suk
    • Journal of Acupuncture Research
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    • v.31 no.2
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    • pp.31-38
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    • 2014
  • Objectives : The purpose of this study is to find the effectiveness of Korean medical treatment on stress caused by traffic accidents. HRV analysis and IES-R K research were used to evaluate it. Methods : We selected patients who entered the KangNam KyungHee Hospital between 28 Sep 2013 and 14 Apr 2014 and met inclusion/exclusion criteria. Before taking treatment, we took HRV and IES-R-K first to know the exact mental conditions of patients. For a week, we had taken acupuncture treatment, herb medicine treatment and physical therapy. After that, we compared patients' changes between before-treatment and after-treatment with the same examination. Results : In a period of one week, Korean medical treatment makes LF(Norm) stay within the normal range and HF(Norm) increase. But, we could not find statistical significance between two. The normal range of LF/HF ratio increased, and there was statistical significance. After treatment, the IES-R-K score tended to decrease. Statistically, korean medical treatment is useful to alleviate subjective stress by traffic accidents. Conclusions : Korean medical treatment makes the sympathetic system relax and parasympathetic system rise so it balances an autonomic nervous system. But, there is not statistical significance. Also, it gives positive effect on car accident patients' treatment in terms of easing their subjective stress. Prospective and Larger study will be necessary.