• Journal of Trauma and Injury
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• v.22 no.1
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• pp.65-70
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• 2009

Purpose: Many studies have addressed a psychiatric analysis of self-injury patients who have self-injurious behavior and who have attempted suicide. Few studies on the injury characteristics of self-injury related trauma patients have been conducted. We analyzed the injury characteristics of self-injury patients. Methods: A retrospective review of the medical records extracted from the injury surveillance system of Wonju Christian Hospital for the period from August 2006 to February 2008 was conducted. Of the 121 cases extracted, 103 were included in this study. We analyzed the sex ratio, age group, place of injury, injury mechanism, location of injury, management results, injury severity, and relation with drinking. Results: One hundred three cases were included (sex ratio: 1.06), and the mean age was $33.9{\pm}14.2$ years old. Fifty-six patients (54.4%) were discharged from the emergency department (ED) on the day of injury after primary care, and 9 patients (8.7%) were discharged, because they refused treatment. Seven patients (6.8%) died. Of these, 4 patients (3.9%) died after attempted cardio-pulmonary resuscitation in the ED, 1 patient (1%) was dead on arrival, and 2 patients (1.9%) died after admission. Sixteen patients (15.5%) were admitted to the hospital, including 2 patients (1.9%) needing emergency surgery. Sixteen patients (15.5%) were transferred to other hospitals. Sixty-one cases (59.2%) involved drinking, and 31 (30.1%) did not; for 11 cases (10.7%), the involvement of drinking was unknown. The mean revised trauma score (RTS) was $11.26{\pm}2.52$, and 88 cases (85.4%) hat a RTS of 12. The mean injury severity score (ISS) was $5.80{\pm}14.56$, and 9 (8.7%) severely injured patients had scores of more than 15. Conclusion: Most self-injuries were mild traumas related to drinking and occurred at a young age. Most cases were not so severe, and the patients were discharged from the ED, but some patients needed hospitalization. Other patients had injuries so severe that they died.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.2
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• pp.247-254
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• 2001

There is a growing tendency for injury and it is essential to know about the epidemiology of the injured teeth for proper and timely treatment. Through empirical data analysis of 120 children who came to pediatric dentistry of Kangnung National University Dental Hospital, this study purposes to give an understanding about the injury and analyzes the frequency by children's sex and age, the number of injured teeth according to the area in the mouth, the types of injury, causes and places of injury, the frequency occurred by month and hour, the position of injured teeth, and the elapse of time. The main findings of this study are summarized as follows: 1. The frequency analysis by sex shows that the rate of boys is more likely to be higher than girls(1.6:1). 2. The frequency analysis by age shows that the ratio of children between aged 2~4 and 8~10 are high. 3. The number of injured teeth is generally one(51.7%). 4. Periodontal tissue injury is the main cause for the primary teeth. In case of permanent teeth, the ratio of hard tissue injury which is much increased than the case of the primary teeth, is similar to that of periodontal tissue injury. 5. The main cause of injury is fall for both dentition; In case of permanent dentition, the ratio of injury by sports is increased. 6. The place of injury for primary teeth is mainly home(38.8%); Street and school for permanent teeth(42.5% and 35%, respectively). 7. The frequency by month shows that the injury is most frequently occurred in July. 8. The frequency analysis by hour shows that injury for primary teeth mostly happens in the morning; in the afternoon for permanent teeth. 9. The position of injured teeth according to the area in the mouth is mainly maxilla anterior in both case of primary and permanent teeth and especially the ratio of central incisors is high, 10. More than half(59.2%) of patients came to the hospital within one day and the seriously injured were likely to come within one day than the slightly injured.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.9
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• pp.472-482
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• 2016

The purpose of this study was to determine if a geriatric injury would have a statistically significant relationship with the spatial safety within a specific region. To achieve the objectives of this study, an independent sample t-test and One-way ANOVA were performed to verify difference in mean value of regional safety grade, depending on the injury intentionality, injury location, activities at the time of injury, and injury mechanism, in 6,572 geriatric injury patients by combining the National Hospital Discharge Patients Injury Survey data and regional safety index data. The results of statistical validation suggested that there was no difference in the mean value of regional safety grade by sub-group with respect to the injury intentionality. However, a statistically significant difference was observed in terms of the mean value of regional safety grade in each sub-group with regard to the injury location, activities at the time of injury, and injury mechanism in connection with some areas of the regional safety index. Based on the results of such analysis, we derived and presented 3 implications related to policies and practice for the prevention of geriatric injury and a reduction of its occurrence rate in light of spatial safety after a discussion of the results through a comparison with previous studies that examined individual areas.

• Journal of the Korea Convergence Society
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• v.11 no.10
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• pp.125-131
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• 2020

This study sought to reduce the risk of fractures in elite youth taekwondo athletes to find out the relationship between bone mineral density which are used as indicators of early diagnosis of osteoporosis and cardiorespiratory functional capacity which is an indicator of performance and sports injury the harmful to athletes. The Pearson product-moment correlation was performed to investigate the correlation between bone mineral density, cardiorespiratory functional capacity, and sports injury. The bone mineral density and cardiorespiratory functional capacity, sports injury were examined the relationship using the Simple Linear Regression. The bone mineral density were correlated with the ventilation (r=.388), and VO2max (r=.478). Bone mineral density was correlated with sports injury (r=-.292). When the bone mineral density increased by .002 and .006, the ventilation (p=.001) and VO2max (p=.006) increased by about 1. In addition, when the bone mineral density decline by .016, the sports injury increased by about 1. Improving athletes' bone mineral density can prevent sports injury, and it can be used as a sports injury prevention program in the future.

• Research in Community and Public Health Nursing
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• v.12 no.2
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• pp.406-416
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• 2001

This study is performed to confirm the influencing factors of family health protection behaviors using the variables included in Pender's Family Promotion Model. 1. The subjects are 110 families in preschooler family developmental stage, respondents are children's mother or father. These families are almost all nuclear types(95%), function of families is healthy as much as 8.0 the mean FAPGAR score. The prevalence rate of family members' illness was 14.7% these last 3 months, and 21.1 % of families responded suffered from injury for last 2 years. 2. The practice rate of injury prevention behavior is below a half in supervision and modifying of their home and residential environments, especially controlling through collaborative community power. The more familiar function score is the better practicing rates of injury prevention behaviors. 3. The injury prevention behaviors correlate to family size, health status of family member, and children's congenital defects with statistical significance. Families' economic condition correlates also significantly to family health status, cognition of benefits of injury prevention, cognition of the importance of community collecting power. And the recognition of the benefits of injury prevention correlates the adaptive health concept, family norms about injury prevention, economic status. 4. Considering family health promotion model. the general influencing factor is only affected to family protective behavior, and other paths don't affect to family's behaviors. In simple regression, the family protective behavior model explains 27.8%(P=0.05), significant factors are family function status, family size, chronic illness of family members', mother's education level. father's age. 5. To define of familiar preventive behavior as a unit is very important, but it has the limitation to solve the difficulties of family studies going with the operationalized difficulties of health promotion concept.

• Korean Journal of Clinical Pharmacy
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• v.24 no.3
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• pp.213-218
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• 2014

Objectives: The aim of this study was to identify the causal relationship between use of levocetrizine or cetrizine, and liver injury, by comparing frequency and pattern of hepatotoxicity in levocetrizine or cetrizine prescribed patients. Methods: This is a retrospective observational study, using data retrieved from electronic medical record system. Among 1164 patients prescribed levocetrizine or cetrizine during study period (Jul, 2009 - Jun, 2010) at Seoul National University Hospital, 543 patients with more than 4- time liver function test (LFT) results were included in final analysis. Liver injury was defined as greater than 3 times elevated level of alanine aminotransferase or 2 times elevated level of alkaline phosphatase or total bilirubin, compared to upper limit of normal, in patient with normal liver function at baseline. The frequency and pattern of liver injury were assessed. Results: Incidence of liver injury in patients prescribed with levotcetrizine or cetrizine were 1.48% and 2.94%, respectively. With few exceptions, most injuries were shown to be hepatocellular type. Rapid recovery was observed after drug cessation and long term use tends to be associated with incidence of liver injury. In patient with digestive system disorder, rate of liver injury was significantly higher (p=0.011). Conclusion: The result of this study implies potential need of liver toxicity monitoring, especially in patients taking long term levecetrizine or cetrizine or in patient with digestive system disorder. However, prospective large scale observational study is needed to confirm liver injury associated with the use of levocetirizine or cetirizine.

• Journal of Digital Contents Society
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• v.16 no.3
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• pp.417-424
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• 2015

The research of occupational injury for safety and health is a comparatively recent occurrence. As labor activities took place regarding to employee concerns in industrial uprising, human resources health was tried to enhanced as a labor safety subject. Noticing that traditional statistics approach has limitations in learning future forecasting and major factors causing occupational injuries in each industry, Korean Government initiated a quantitative systematic simulation model project to analyze how the annual injury rate has been dropped and stays in a level for recent years. From this motivation and the project, system dynamics models have been developed to explain the mechanisms for reducing annual injury rate, and the mechanisms quantitatively. The main cause effects for the reduction of annual injury rate were due to the government driven investment on safety facilities. In overall viewpoint the gain achievable from these efforts has been reached a saturated level. However, it could reduce the annual injury rate if you chose the industry and size carefully. The model for forecasting, major injury factors, safety budget and allocation are introduced and analyzed, and Analyzing occupational injury related factors can also reduce employee injury and disease related costs, including medical care, quit, and disability assistance costs.

• Journal of Home Health Care Nursing
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• v.8 no.1
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• pp.25-37
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• 2001

Spinal cord injury patients need rehabilitation after the acute stage. They should be cared for at home to decrease hospitalization. Home care nurses play an important role in making spinal cord injury patients who have physical. and psychosocial problems do their best. For effective care, home care nurses need standardized nursing intervention protocols for spinal cord injury patients, but they are rarely developed. Therefore, this study was conducted to develop home care nursing protocols, based on NIC, that are applicable to spinal cord injury patients at home. Forty home care nursing charts of spinal cord injury patients registered in a home care nursing agency from July 1st, 1994 to August 31st, 1999 in S city were analyzed. Fifteen home care nurses participated in this study as a user validity validation group, The results of this study are as follows. 1. Fifteen nursing diagnoses were classified through the frequency analysis of home care nursing charts and previous literature for 40 spinal cord injury patients: altered urinary elimination, constipation, high risk for impaired skin integrity, chronic pain, impaired skin integrity, impaired social interaction, knowledge deficit, bowel incontinence, high risk for injury, altered role performance, care giver role strain, impaired physical mobility, sexual dysfunction, dysreflexia, and ineffective breathing pattern. 2. Based on validation by experts and user validities, 93 nursing interventions which were above ICV(Index of Content Validity) .80 were chosen. 3. Nursing intervention protocols which showed above ICV .80 were developed.

• Journal of Korean Biological Nursing Science
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• v.23 no.2
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• pp.138-150
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• 2021

Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

• Journal of Korean Neurosurgical Society
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• v.65 no.5
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• pp.680-687
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• 2022

Objective : The influence of moderate-to-severe traumatic brain injury (TBI) on acute pulmonary injury is well established, but the association between acute pulmonary injury and mild TBI has not been well studied. Here, we evaluated the histological changes and fluctuations in inflammatory markers in the lungs to determine whether an acute pulmonary inflammatory response occurred after mild TBI. Methods : Mouse models of mild TBI (n=24) were induced via open-head injuries using a stereotaxic impactor. The brain and lungs were examined 6, 24, and 72 hours after injury and compared to sham-operated controls (n=24). Fluoro-Jade B staining and Astra blue and hematoxylin staining were performed to assess cerebral neuronal degeneration and pulmonary histological architecture. Quantitative real-time polymerase chain reaction analysis was done to measure inflammatory cytokines. Results : Increased neuronal degeneration and the mRNA expression of interleukin (IL)-6, tumor necrosis factor (TNF)-α, IL-10, and transforming growth factor (TGF)-β were observed after mild TBI. The IL-6, TNF-α, and TGF-β levels in mice with mild TBI were significantly different compared to those of sham-operated mice 24 hours after injury, and this was more pronounced at 72 hours. Mild TBI induced acute pulmonary interstitial edema with cell infiltration and alveolar morphological changes. In particular, a significant infiltration of mast cells was observed. Among the inflammatory cytokines, TNF-α was significantly increased in the lungs at 6 hours, but there was no significant difference 24 and 72 hours after injury. Conclusion : Mild TBI induced acute pulmonary interstitial inflammation and alveolar structural changes, which are likely to worsen the patient's prognosis.