• Title/Summary/Keyword: community trauma

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Diagnosis of Health Problems in School-aged Children Through the Analysis of Daily Health Records (양호일지 분석에 의한 초등학생 건강문제 규명)

  • Mun, Young-Hee;Im, Mee-Young
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.746-754
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    • 2001
  • In order to analyze the health problems of school-aged children. daily health records from a convenient sample of two primary schools were analyzed. Diseases were classified into 21 categories according to the KCD (Korea Standard Classification of Diseases). The mean number of visits to health care rooms during school per student was 1.98 during 212 school days from Mar. 2000 to Feb. in 2001 and the mean number of daily visits was 11.66. Male students and 3rd graders visited health care rooms more frequently than female students and other graders. The total spell base incidence rate was 1976.8 per 1.000 students in a year: the incidence rate from injuries was 960.0: 542.4 were for digestive diseases: and 415.2. for respiratory diseases, 97% of all diseases were injuries, digestive diseases and respiratory diseases. The most frequent diseases for male students resulted from trauma, and those for female students. from digestive and respiratory symptoms. The services that nursing teachers implemented were wound treatment (48.8%), medication (44.6%), and so on. Therefore, the findings of this research can serve as the basis for developing school health service program and health education program.

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THE CHARACTERISTICS ON THE DENTAL EMERGENCY PATIENTS OF WONJU CHRISTIAN HOSPITAL FOR LAST 10 YEARS (원주기독병원 응급실로 내원한 치과 응급환자에 관한 임상적 연구)

  • Moon, Won-Kyu;Jung, Young-Soo;Lee, Eui-Wung;Kwon, Ho-Keun;Yoo, Jae-Ha
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.1
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    • pp.34-42
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    • 2004
  • The appropriate care to the dental emergency patients is much important in the aspect of community dental service. To attain such a purpose, the sacred duty of the training of oral and maxillofacial surgeons is required. So, a retrospective study on the characteristics of dental injuries and diseases in emergency care unit will be very meaningful. This study was carried by reviewing the charts and radiographic films of 3,394 patients, treated for dental emergency at Wonju Christian Hospital, Republic of Korea, from January 1, 1993 to December 31, 2002. All patients were classified to 6 groups including trauma, toothache, infection, hemorrhage, TMJ disorder and the others. The clinical characteristics of diseases and treatment modalities according to each group were analyzed. The trauma (73.9%) was the most frequent cause in dental emergency patients, and acute toothache, odontogenic infection, oral hemorrhage, and TMJ disorder were next in order. Gender prediction was male (68%), there were many patients on May and December in the monthly frequency, and the most frequent age group was from 0 to 9 years. In the trauma group, male (68.6%) was predominant, and soft tissue injuries and primary closures were the most frequent type of injury and treatment. In jaw fractures, traffic accidents were the most cause and the weakest site was mandibular symphysis area, and mandibular angle, condyle, and body area were next in order. In the acute toothache group, the cause was dental pulpitis mostly and treatment for that was drug administration mainly. Buccal space abscess in infection group had the largest incidence (24.5%), and common treatments were incision and drainage and medications. In the hemorrhage group, a major cause was postoperative bleeding (60.3%) and hemostasis was obtained by pressure dressing, curettage and suture. For the TMJ disorder group, the peak incidence (63.8%) was shown in the post-traumatic myofascial pain dysfunction syndrome and its primary care was medication such as analgesics and sedatives. In the other group, the various specific symptoms were complained due to acute sialadenitis, trigeminal neuralgia, acute stomatitis, chemical burn, terminal stage neuritis of head and neck cancer, and foreign body aspiration. In conclusion, for the rapid and proper care of the emergency dental diseases, well-trained education should be presented to the intern and resident course of oral and maxillofacial surgery. And it is demanded that oral and maxillofacial surgeons must be prepared in knowledge and skill for such emergency care.

Protective Effects of Social Support on Relationship Between Trauma Level and Posttraumatic Growth of Family Caregivers for the Elderly with Dementia : Focused on Gender Difference (치매노인 가족 보호자의 외상 수준과 외상 후 성장의 관계에서 사회적 지지의 성격별 보호효과: 성차를 중심으로)

  • Jeon, Byeong-Joo;Gwak, Hyun-Ju;Lee, Kyoung-Ju
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.598-608
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    • 2019
  • This study aimed to investigate the role of social support to enhance posttraumatic growth in the Family Caregivers focusing on their trauma by development of the elderly with dementia. The study subjects were 204 family Caregivers for the elderly with dementia and the data were analyzed by the gender. This study utilized IBM SPSS Statistics ver. 20.0 for analysis, and the main results of this study were as follows. First, female group of the family Caregivers showed significantly higher in the level of trauma while male group showed significantly higher in the informal areas of social support and posttraumatic growth. Second, female group showed the protective effect in the formal area of social support and male group did the effect in the formal and informal area of social support. As such, this study investigated the level of trauma by gender of family Caregivers for the elderly with dementia and suggested the implementation strategies to enhance posttraumatic growth. Moreover, this study has the meaning to provide the required fundamental data to establish proper community care upon demonstrating the practical analysis results considering the characteristics of social support.

A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form

  • Shambharkar, Vaibhao I.;Puri, Santosh B.;Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.106-109
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    • 2011
  • Oral cancer treatment involves the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The postoperative restoration of esthetics, deglutition, and speech shortens recovery time in the hospital and expedites the patient's return to the community as a functioning member. The surgical obturator is the proven treatment option in such situations. This article describes a simple technique to fabricate a surgical obturator that restores patient's original dentition and facial and palatal tissue form. The obturator fabricated with this technique utilizes the vacuum formed index of patient's original tissue form and duplicated partly in heat and partly in auto polymerizing acrylic resin. Duplication of the original tissue form helps patient to minimize the immense physiological trauma immediately after the surgical resection. The obturator fabricated with this technique supports soft tissues after surgery and minimizes scar contracture and disfigurement, and thus may have a positive effect on the patients' psychology.

What is Emergency Medicine and Its Agenda for Future (응급의학은 어떤 의학분야이며 그 미래는?)

  • Do, Byung-Soo;Lee, Sam-Beom
    • Journal of Yeungnam Medical Science
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    • v.19 no.2
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    • pp.92-98
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    • 2002
  • Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

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Survey Of the Musculoskeletal Pain Among Farmers in the Rural Community (농촌지역 주민의 근골격계의 통증에 대한 조사)

  • Sun, Myung-Hoon;Park, In-Sun;Jo, Geun-Yeol
    • Journal of agricultural medicine and community health
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    • v.16 no.1
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    • pp.40-47
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    • 1991
  • Musculoskeletal disorders are a major cause of occupational disabilities. Approximately thirty percent state that the major reason for an inability to work is a musculoskeletal problem. A farm work is associated with increased stress and trauma to joints. Chronic overuse injuries are a result of stresses that exceed the body's adaptive or healing capabilities. They can occur in bone, tendons and muscle-tendon-bone junctions. The aim of the investigation was to the study the frequency of pain, ache, and discomfort in the musculoskeletal system among farmers, to find possible correlations between these symptoms and various working positions and different working actions. A questionnaire was answered by 138 farmers. Of those who answered the questionnaire 82% had pain and discomfort from back, shoulders, arms in orders, The result showed that musculoskeletal pain predominate in the farming seasons, and of those who had pain and discomfort 89% thought that farm works had a correlation with the pain and discomfort of musculoskeletal system. But only 17% of quationnaire were put to periodic medical examinations, and 50% of those who had pain and discomfort consulted a doctor. Education in effective pain treatment should therefore be intensifide to ascertain that farmers in rural areas have satisfactory knowledge of the musculoskeletal pain as a chronic overuse syndrome.

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Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

  • Hassanijirdehi, Marzieh;Khak, Mohammad;Afshari-Mirak, Sohrab;Holakouie-Naieni, Kourosh;Saadat, Soheil;Taheri, Taher;Rahimi-Movaghar, Vafa
    • The Korean Journal of Pain
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    • v.28 no.2
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    • pp.129-136
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    • 2015
  • Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL. Results: The mean age of the participants was $45.91{\pm}6.69$ with mean injury time of $25.54{\pm}5.91$. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.

A New Form of Public Participation in Science and Technology : Two Cases of Doing 'Undone Science' in Korea (과학기술 시민참여의 새로운 유형: 수행되지 않은 과학 하기 -한국의 두 가지 사례 - 아토피와 근골격계 질환-)

  • Han, Jae-Kak;Chang, Young-Bae
    • Journal of Science and Technology Studies
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    • v.9 no.1
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    • pp.1-31
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    • 2009
  • The need and rationale for public participation in science and technology is widely acknowledged in academic communities and policy circles. In addition to institutionalized forms of participation, some STS researchers have paid attention to spontaneous forms of public participation, particularly with regard to social movement. This paper aims to explore a new form of public participation, which had been relatively neglected in STS studies. For this purpose, in this paper we examine environmental health issues and cumulative trauma disorders (CTDs) debates as examples of doing "undone science" in Korea. Our focus will be specifically on how environmental organizations and trade unions have both succeeded in making those issues as research and policy agenda for both scientific community and policy makers. In a concluding section, a couple of suggestions for further research are proposed.

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Age-related Injury Profile in Childhood (소아환아의 연령별 손상특성)

  • Ahn, Kyung A;Kim, Eun Sook;Lim, Kyung Soo
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.87-96
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    • 2009
  • Purpose: Injuries are the most important cause of morbidity and mortality in the childhood population worldwide. Thus, this study was down to investigate the type and the severity of injuries according to the age group in childhood. Methods: A survey of injury information and a chart review were done on 378 children (257 boys, 121 girls) who visited the Emergency Departments of Asan Medical Center from March 1, 2009, to March 31, 2009. To determine differences in injury mechanism, accident place, injury site, New Injury Severity Score (NISS) and Pediatric Trauma Score (PTS), we divided the 378 patients into 4 group: under 1 year, 1 to 4 years, 5 to 9 years, and 10 to 15 years. Results: The mean (${\pm}SD$) age of the study group was 5.1 (${\pm}4.4$) years. Two year olds formed the largest group of injured children, with 77 cases (20.4% of the total). The most common cause of injury in childhood was being hit by an object (26.2%). Falls were frequent in the under-1-year group (22.2%) and slip downs (30.1%) were more frequent in 1-to-4-year group. More than half (53.4%) of the injuries occurred in the home, and the most common places of home-related injuries were the living room (41.1%) and the bedroom (31.2%). The mean (${\pm}SD$) NISS was 1.5 (${\pm}1.8$), and traffic accidents had the highest NISS ($2.8{\pm}5.1$). Injuries occurred most frequently during the evening. The peak period was 4:00 PM to 8:00 PM (33.7%). Conclusion: Patterns of childhood injury by age group were considerably different, and less severe and nonhospitalized injuries were common. Thus, need to improve surveillance of a variety of injuries, promote intersectional collaboration, build institutional capacities and mobilize community support and policy as an investment in prevention.

An epidemiological study on the prevalence of temporomandibular disorder and associated history and problems in Nepalese subjects

  • Rokaya, Dinesh;Suttagul, Kanokwan;Joshi, Shraddha;Bhattarai, Bishwa Prakash;Shah, Pravin Kumar;Dixit, Shantanu
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.1
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    • pp.27-33
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    • 2018
  • Background: Temporomandibular disorder (TMD) represents a subgroup of painful orofacial disorders involving pain in the temporomandibular joint (TMJ) region, fatigue of the cranio-cervico-facial muscles (especially masticatory muscles), limitation of mandible movement, and the presence of a clicking sound in the TMJ. TMD is associated with multiple factors and systemic diseases. This study aimed to assess the prevalence of TMD in Nepalese subjects for the first time. Methods: A total of 500 medical and dental students (127 men and 373 women) participated in this study from May 2016 to September 2016. The Fonseca questionnaire was used as a tool to evaluate the prevalence of TMD, and Fonseca's Anamnestic Index (FAI) was used to classify the severity of TMD. Results: The majority of the participants with TMD had a history of head trauma, psychological stress, and dental treatment or dental problems. The prevalence of TMD in Nepalese students was mild to moderate. Conclusions: The prevalence of TMD in Nepalese subjects was mild to moderate. The majority of the study subjects had eyesight problems, history of head trauma, psychological stress, and drinking alcohol and had received dental treatments.