• Title/Summary/Keyword: Pressure injuries

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A Survey of Human Injury and Crowd Packing in Mass Gathering (군중집회 시의 인명피해 및 군중눌림 현상의 고찰)

  • Wang, Soon-Joo;Byun, Hyun-Joo
    • Journal of the Society of Disaster Information
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    • v.7 no.1
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    • pp.12-20
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    • 2011
  • This study was performed for identifying the characteristics of mass gathering and human injury in mass gathering based on the literature survey and analysis of mass gathering and crowd packing. The size and density of crowd influenced the characteristics of mass gathering according to type of mass gathering. The variables and causes of human injuries of mass gathering have positive or negative influences based on the weather, attendance, duration, location, mobility, event type, crowd mood, alcohol, drug, crowd density and age. Based on the physical mechanism of crowd packing, the degree of crowd packing was influenced by crowd pressure, crowd density and lasting time. But the magnitude of pressure for pedestrian injury criteria remains for further research.

Investigating the Effects of Job Stress on the Distraction and Risky Driving Behaviors of Food Delivery Motorcycle Riders

  • Ching-Fu Chen
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.207-214
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    • 2023
  • Background: Occupational safety issues related to food delivery riders emerge with evidence of an increase in associated traffic accidents and injuries along with the rapid growth of the online food delivery business. This paper focuses on food delivery riders' job stress and investigates its relationships with both antecedents and risky riding outcomes. Method: Survey data were collected from 279 Taiwanese food delivery motorcycle riders and analyzed using hierarchical regression analysis. Results: The results show that job overload and time pressure positively impact riders' job stress, while self-efficacy slightly reduces job stress. Job stress positively leads to risky driving behavior and distraction. In addition, time pressure can strengthen the impact of job overload on job stress. Riders' risky riding attitude can also strengthen the impacts of job stress on risky riding behaviors and distraction. Conclusion: This paper advances the literature on online food delivery as well as the occupational safety improvement of food delivery riders. Specifically, this study provides insights into the job stress of food delivery motorcycle riders and the effects of job characteristics and risky behavioral consequences.

Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes

  • Plaku-Alakbarova, Bora;Punnett, Laura;Gore, Rebecca J.;Procare Research Team
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.408-415
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    • 2018
  • Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0-100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes.

Secondary Analysis on Pressure Injury in Intensive Care Units

  • Hyun, Sookyung
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.145-150
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    • 2021
  • Patients with Pressure injuries (PIs) may have pain and discomfort, which results in poorer patient outcomes and additional cost for treatment. This study was a part of larger research project that aimed at prediction modeling using a big data. The purpose of this study were to describe the characteristics of patients with PI in critical care; and to explore comorbidity and diagnostic and interventive procedures that have been done for patients in critical care. This is a secondary data analysis. Data were retrieved from a large clinical database, MIMIC-III Clinical database. The number of unique patients with PI was 2,286 in total. Approximately 60% were male and 68.4% were White. Among the patients, 9.9% were dead. In term of discharge disposition, 56.2% (33.9% Home, 22.3% Home Health Care) where as 32.3% were transferred to another institutions. The rest of them were hospice (0.8%), left against medical advice (0.7%), and others (0.2%). The top three most frequently co-existing kinds of diseases were Hypertension, not otherwise specified (NOS), congestive heart failure NOS, and Acute kidney failure NOS. The number of patients with PI who have one or more procedures was 2,169 (94.9%). The number of unique procedures was 981. The top three most frequent procedures were 'Venous catheterization, not elsewhere classified,' and 'Enteral infusion of concentrated nutritional substances.' Patient with a greater number of comorbid conditions were likely to have longer length of ICU stay (r=.452, p<.001). In addition, patient with a greater number of procedures that were performed during the admission were strongly tend to stay longer in hospital (r=.729, p<.001). Therefore, prospective studies focusing on comorbidity; and diagnostic and preventive procedures are needed in the prediction modeling of pressure injury development in ICU patients.

Clinical analysis of heart trauma: a review of 13 cases (심장손상에 대한 임상분석: 13례 분석보)

  • 기노석
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.715-722
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    • 1984
  • From 1978 to April 30 84 thirteen cases of cardiac injured patients were operated under general anesthesia at Department of Thoracic and Cardiovascular Surgery in Chonnam National University. These patients were divided Into two groups according to their cause of trauma: Group 1, penetrating cardiac injury and Group II, blunt cardiac injury. 1.In 7 cases of Group 1, 6 cases were stab wound and one case was gunshot wound, and among 6 cases of Group II, 3 cases traffic accident, 2 cases pedestrian, 1 case agrimotor accident. 2.The sites of cardiac injury in penetrating trauma were right ventricle mainly and the next left ventricle and in blunt trauma right ventricle, myocardial contusion, right atrium, and inferior vena cava in order. 3.In most of cases central venous pressure was elevated above 15 cmH2O and in 5 of 13 cases revealed cardiomegaly in simple chest X-ray. 4.The relationship between the condition on arrival and the time to operation is not significant. 5.Associated injuries in penetrating cardiac trauma were hemothorax, pneumothorax, laceration of lung and in blunt trauma hemothorax, sternal fracture, rib fracture and pneumothorax in order. 6.One case of gunshot injury died after operation.

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Unusual Presentation of a Penetrating Aortic Arch Injury

  • Vural, Fikret Sami;Patel, Atul Kumar;Mustafa, Kashif
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.295-297
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    • 2017
  • A 27-year-old man was admitted with a penetrating injury at the mid-manubrium. Computed tomographic (CT) angiography showed a f illing def ect in the aortic arch. This was evaluated as a sign of injury and the patient underwent an emergency operation. No active bleeding or clot was f ound in the mediastinum during the operation. The laceration point was between the innominate and the left carotid artery posteriorly. The injury was approached using hypothermic circulatory arrest. Aortotomy and exploration showed a 2-cm-long full-thickness aortic injury with an overlying clot. A filling defect on angiography as a sign of a penetrating arch injury has never been reported previously, but was the main pathological finding on CT angiography in our case. The aorta is a high-pressure system and injuries to it should be treated aggressively.

Vacuum-assisted Closure Therapy for Treating Patients with Severe Subcutaneous Emphysema (피하기종의 Vacuum-assisted Closure Therapy)

  • Oh, Tak-hyuk;Lee, Sang Cjeol;Lee, Deok Heon;Cho, Joon Yong
    • Journal of Trauma and Injury
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    • v.28 no.4
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    • pp.276-279
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    • 2015
  • Subcutaneous emphysema is a benign condition following trauma (pneumothorax and oropharyngeal), cervical or thoracic procedures, and mediastinal infection. However, severe subcutaneous emphysema may be related to serious complications such as respiratory failure, airway compromise, and tension- related phenomena. Many alternative therapies have been tried to treat patients with this condition. We report our experience with vacuum-assisted closure therapy for treating patients with severe subcutaneous emphysema.

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The design of the Fall detection algorithm using the smartphone accelerometer sensor

  • Lee, Daepyo;Lee, Jong-Yong;Jung, Kye-Dong
    • International Journal of Advanced Culture Technology
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    • v.5 no.2
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    • pp.54-62
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    • 2017
  • Currently, falling to industrial field workers is causing serious injuries. Therefore, many researchers are actively studying the fall by using acceleration sensor, gyro sensor, pressure sensor and image information.Also, as the spread of smartphones becomes common, techniques for determining the fall by using an acceleration sensor built in a smartphone are being studied. The proposed method has complexity due to fusion of various sensor data and it is still insufficient to develop practical application. Therefore, in this paper, we use acceleration sensor module built in smartphone to collect acceleration data, propose a simple falling algorithm based on accelerometer sensor data after normalization and preprocessing, and implement an Android based app.

Treatment of Secondary Soft Tissue Compromised Calcaneus Fractures Using a Cannulated Screw and Simple Cerclage Wiring: A Report of Two Cases (이차적인 연부조직 손상을 동반한 종골 골절에 대한 유관 나사 및 단순 환상 강선 고정술을 이용한 치료: 2예 보고)

  • Kim, Junkyom;Suh, Jae Wan
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.4
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    • pp.165-169
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    • 2017
  • Secondary soft tissue injuries can occur from the pressure of the displaced fragment of posterior calcaneal tuberosity in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The soft tissue injury can be prevented by immediate reduction of the displaced fragments. Various techniques can be used to fix the fracture fragments, but the stability of fixation and minimal invasiveness to soft tissue should be considered. This paper reports the successful outcomes of patients with soft tissue compromises in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The fixation technique of a large cannulated screw and simple cerclage wiring is believed to be a useful surgical option for the treatment of secondary soft tissue compromised calcaneal fractures.

Correlation Analysis between Safety and Health Indices in a Shipbuilding Industry (조선업종의 안전보건지수에 관한 상관성 분석)

  • Pyo, Yeon;Jeong, Byung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.897-905
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    • 2010
  • The purpose of this study is to identify relationships between safety and health indices in a shipbuilding industry. From the results of periodical health examination, job stress test, and health questionnaire for musculoskeletal disorders, the author stratified the 704 shipbuilding workers into categories of smoking, drinking frequency, the amount of exercise per week, obesity, blood pressure, diabetic symptoms, liver function, audibility, job stress, fatigued condition, musculoskeletal symptom, and accident. The results show that occupational injuries are highly related to smoking, drinking frequency, auditory capacity, fatigued condition, and musculoskeletal symptoms. These results can be used to develop more effective accidental occupational injury prevention programs for shipbuilding industries.