• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.1-12
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• 2012

Backgrounds: Burn of children and adolescents is an accident due to careless protector in many case. All the pediatric burns are preventable. We investigated the characteristics of pediatric burns. Such data can propose proper health educational program designs to suit the community. Purpose: This study aims to analyse the characteristics of pediatric burn patients and to discusses a possible prevention program for this population. Methods: The subjects were 77 patients reviewed burn injury in pediatric under 15 years old. Data were burn center of the B General Hospital from January 1 to December 31 2009 and a retrospective epidemiological study was collecting medical records. Results: seventy-seven children and adolescents with burn were admission treated for Burns and they were 54.5% boys and 45.5% girls. An incidence of age group with pediatric burn was less than one year of age(46.8%), 2-3 year(27.3%), 4~7year(10.4%), over 8 years old(15.6). Length of stay hospitalization was 1~2 week(32.9%) highest percentage and second-degree deep burns were 41.6% the highest percentage. Divided by the age of about 3, length of stay, ICU status, time of injury onset, cause, indication, place of accident, treatment, degree, region of burns had a statistically significant difference. Conclusion: Less than one year of age was the highest percentage. Divided by the age of about 3, Characteristics and factors affecting the range of burn were significant. Education and guide are necessary to reduce incidence of pediatric burns.

• PNF and Movement
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• 제18권3호
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• pp.453-463
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• 2020

Purpose: This study aimed to investigate the effect of an intensively rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. Methods: In this study, the anonymized electronic medical records of individuals who participated in the intensive rehabilitation program (among those who were admitted to the hospital belonging to the Labor Welfare Corporation) due to an industrial accident from August 2018 to September 2019 were collected. As a result, the records of 12 subjects meeting the screening criteria were analyzed. Results: According to the time of application to the intensive rehabilitation program, the 10 Meter Walk Test (10MWT) (p < 0.01), Berg Balance Scale (BBS) (p < 0.01), Timed Up and Go Test (TUG) (p = 0.01), the L Test of Functional Mobility (L-test) (p < 0.01), Prosthetic Limb Users Survey of Mobility (Plus-M) (p < 0.01), and Houghton Score Question (HSQ) (p < 0.01) values significantly improved with time. Conclusion: This study confirmed the positive effect of an intensive rehabilitation program on the gait, balance, functional performance, and wearing satisfaction of patients with traumatic lower extremity amputations caused by industrial accidents. However, this study was limited by the absence of a control group, and, thus, it highlights the need for more extensive research with a large sample.

• 대한한방소아과학회지
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• 제18권1호
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• pp.1-9
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• 2004

Objectives: The purpose of this study was clinical review of pediatric patients with fracture that visited oriental medicine center. Methods: In retrospective study, the pediatric patients, who were visited to oriental medicine center due to fracture, were classified by sex, age, fracture site, date of accident, injury mechanism, time of treatment, kind of treatment. Results and Conclusion: Total 32 patients were visited due to fracture from April 2001 to March 2004. Male Patients were 27, female were 5. In distribution of age, 10 year-old and 11 year-old were 40.7% of totality. In distribution of month, May was 10(31.3%), June was 6(18.8%), and March was 4(12.5%). There are more patients with fracture in spring than other season. In distribution of fracture site, foot was 15(46.9%), hand was 7(21.9%), ankle was 4(12.5%), upper extremity was 3(9.4%), clavicle was 2(6.3%), tibia was 1(3.1%). In distribution of injury mechanism, slip down was 23(71.9%), impaction 5(15.6%), fall down 3(19.4%), crushing injury 1(13.1%). In distribution of injury motive, soccer was 8(25.0%), basketball 4(12.5%), skating 3(9.4%), cycling 2(6.3%), sliding 1(3.1%), Tae-kwon-do 1(3.1%), other sports 5(15.6%), collision 1(3.1%), walking 2(6.3%), hit 3(9.4%), etc. 2(6.3%). In distribution of treatment account, one time was 23(71.9%), twice 3(9.4%), three times 2(6.3%), four times 2(6.3%), five times 2(6.3%). In distribution of treatment time, 1 week was 26(81.3%), 2 weeks 4(12.5%), 3 weeks 2(6.3%). In distribution of treatment kind, acupuncture treatment was 18(56.3%), negative cupping 7(21.9%), splint 13(40.6%), and other treatment(coban taping, medical patch, and so on) 5(15.6%), transfer 14(43.8%).

• 대한지역사회영양학회지
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• 제2권4호
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• pp.539-546
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• 1997

This study was designed to investigate factors related to recovery from cerebrovascular accidents(CVA). Medical charts of 100 CVA patients(40 males and 60 females) who had been treated at Bul-Guang hospital in Teagu from June to December 1994 were reviewed to assess their recovery from CVA. Not only types of CVA, blood pressure and serum cholesterol and triglyceride were factors affecting recovery from CVA, but also smoking and drinking status and food preference seemed to be important factors. The percentages of recovered patients were higher in the order of cerebral thrombosis(83.3$\%$), subarachnoid hemorrhage(57.1$\%$), cerebral embolism(50.0$\%$), and cerebral hemorrhage(26.7$\%$). Recovery rates of patients with serum cholesterol below 200mg/dl, 200-239mg/dl, over 240mg/dl were 81.8$\%$, 66.6$\%$, and 16.6$\%$ respectively. Recovery rates of patients with serum triglyceride below 160mg/dl, 160-209mg/dl, and oover 210mg/dl were 84.6%, 72.8$\%$, and 35.7$\%$ respectively. Patients with standard weight recovered better than those with overweight or obesity. Recovery rates of underweight, standard weight, overweight and obesity patients were 73.3$\%$, 85.7$\%$, 45.8$\%$, and 31.6$\%$ respectively. Smoking and drinking seemed to be important factors which inhibited recovery from CVA. Patients preferring spiced foods were recovered better than those preferring salty or pungent foods. (Korean J Community Nutrition 2(4) : 539-546, 1997)

• Advances in pediatric surgery
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• 제11권2호
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• pp.115-122
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• 2005

Falls from a height are the leading cause of injury and death among urban children. This study describes the incidence, clinical characteristics, and treatment results of children under 15 year of age who fell from a height of more than one meter and were admitted for abdominal injury. The medical records of 585 consecutive patients treated between January 1997 and December 2003 at Ewha Womans University Mokdong Hospital were analyzed retrospectively. The falling heights were 1 to 31.2 meters, and 28 patients(4.8 %) suffered from blunt abdominal trauma. The male to female ratio was 2.1: 1. The median age of the victims was 5.5 years, and the median height fallen was 3 meters. Fifteen patients (53.6 %) were injured during the summer and seventy-nine percent of the falls occurred between noon and 9 pm. Eighteen (64.3 %) of falls occurred in residential place and 19(67.8 %) of patients arrived at the emergency department within 30 minutes of the accident. Only 16 patients (57.1 %) complained of abdominal pain. Liver injuries were found in 12(42.9 %), spleen injuries in 5(17.9 %), kidney injuries 3(10.7 %), pancreatic injuries in 1(3.6 %) and nonspecific abdominal injuries in 9(32.1 %) cases. Increased SGOT and SGPT were found in 23(82.2 %) and 18(64.3 %) cases. Eleven patients (39.3 %) had associated head injuries. Limb injuries were present in 17.9% and thoracic injuries in 7.1%. Twenty-five patients (89.3 %) recovered without operation. The median length of hospital stay was 6 days (2 -20 days). Despite the absence of abdominal symptoms or shock, falls from a height in children may carry significant intra-abdominal organ injuries. The height falling could not predict the degree of the abdominal injury. For the evaluation of potential abdominal injuries, CT scan should be utilized.

• 자동차안전학회지
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• 제10권4호
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• pp.7-12
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• 2018

Injury mechanisms of lower extremity injuries in motor vehicle accidents are focused on fractures, sprains, and contusions. The purpose of this study is to evaluate the analysis of lower extremity injury mechanism in occupant motor vehicle accident by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 1,699 patients due to motor vehicle crashes, 88 (5.2%) received a diagnosis of lower extremity fracture and 141 (8.3%) were the severe who had ISS over 15. Nevertheless during 19 months for research, it was difficult to build up in-depth database about motor vehicle crashes. It has a limitation on collecting data because not only the system for constructing database about motor vehicle crash is not organized but also the process for demanding materials is not available due to prevention of personal information. For accurate analysis of the relationship between occupant injury and vehicle damage in motor vehicle crashes, build-up of an in-depth database through carrying out various policies for motor vehicle crashes is necessary for sure.

• 한국산학기술학회논문지
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• 제12권1호
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• pp.294-300
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• 2011

본 연구는 연하장애에 대한 병식이 없는 뇌졸중 환자들에서 연하장애의 유무와 양상을 알아보고자 시행되었다. 부산시에 소재하고 있는 P 재활의학병원을 내원한 뇌졸중 환자들 중 설문지 조사를 통하여 병식이 없다고 응답한 11명의 환자(남자 4명, 여자 7명)들을 최종대상으로 선정하였다. 설문지 조사, 비디오 투시 연하 조영 검사(video-fluoroscopic swallowing study, VFSS), 기능적 연하곤란 척도, 신경행동학적 인지상태 검사(neuro- behavioral cognitive status examination, NCSE)를 실시하였다. 결과 분석은 SPSS12.0을 사용하여 기술통계와 피어슨 상관분석을 하였다. 본 연구의 대상 뇌졸중 환자들 중 연하장애에 대한 병식이 없다고 응답한 환자들은 모두 연하장애를 동반하였다. 동반되는 연하장애의 양상으로는 구강기의 문제들과 인두기의 삼킴반사 지연이 있으며 인지적 특성에 있어서는 NCSE 항목 중 구성력, 기억력, 유사성이 다른 항목들보다 더 낮은 것으로 나타났다. 기능적 연하곤란 척도와 NCSE 항목들 간의 상관관계를 살펴본 결과 지남력과 판단력이 삼킴반사 지연과 언어이해가 구강 내 식괴의 잔여정도와 유의한 상관관계가 있었다. 본 연구의 결과에 의하면 연하장애에 대한 병식이 없는 뇌졸중 환자들이 연하장애를 가질확률이 높다. 따라서 연하장애로 인한 합병증을 예방하고 작업치료의 효과를 높이기 위해 뇌졸중 환자들에게 조기에 연하장애 평가가 이루어져야 할 것이다.

• 의료법학
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• 제16권1호
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• pp.255-288
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• 2015

의료사고는 환자의 생명, 건강과 직결되는 경우가 많기 때문에 사전에 예방하는 것이 바람직하다. 그러나 의료사고가 발생한 경우에는 당사자 간의 감정이 첨예하게 대립되기 전에 조정을 통해 신속하고도 원만하게 해결할 필요가 있다. 한국소비자원은 신속 공정하고 효율적인 해결을 목적으로 의료분쟁 조정업무를 수행하고 있고, 이는 동일한 업무를 수행하고 있는 한국의료분쟁조정중재원 역시 마찬가지이다. 그런데 한국소비자원과 의료분쟁조정중재원은 업무중복 및 그로 인한 비효율을 이유로 통폐합에 대한 논의가 끊임없이 제기되어 오고 있지만, 소비자의 선택권 보장, 경쟁을 통한 상호 발전을 위해 두 기구가 공존하는 것이 바람직하다. 그러므로 소비자원이 조정중재원과 공정한 경쟁을 할 수 있도록 법적, 제도적 뒷받침을 해주어야 한다. 그것은 소비자원을 위 한 것이 아니라 궁극적으로 소비자를 위한 것이다.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1600-1605
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• 2000

Objective : World Health Organization and International Labour Organization, in June 8, 1999, requested that working conditions should be reformed ethically right and economically solid for 2.7 billion world labour force. The purpose of this study is to request compensable surgical therapeutic options and to suggest the renewal in cognizance criteria for worker's compensation, especially in spondylolisthesis. Methods : Regarding spondylolisthesis, we obtained data from Korea Labor Welfare Corporation(KLWC). Spinal disease occurrence incidences and medical fees of National Federation of Medical Insurance(NFMI) were analysed. The compensated 122 spinal instrumented cases included 117 male and 5 female patients, aged from 23 to 72 years old(mean : $45{\pm}9.85$). We compared Korean and Foreign Workers Compensation Law. Results : Numbers of herniated nucleus pulpus(78 cases), spinal fractures(34 cases) and dislocations(4 cases) were claimed after spinal interbody fusion operation and were compensated. These compensated degenerative diseases, work related illness, occurred in the course of work. A case of 52-year old spondylolisthesis patient with Disability Grade 8 was compensated by KLWC, according to its occurrence at work by accident. With exception of trauma at work by accident, current cognizance criteria were too narrow to be compensable, especially in surgical therapeutic option, for worker's spondylolisthesis. Conclusion : Considering both worker's compensation law and clinical pathologic progress, we believe that spondylolisthesis should be regarded as a compensable occupation related disease if and when aggravates rapidly in the course of work. We suggest a new cognizance standard to KLWC for labour welfare and proper worker's compensation.

• 대한방사선기술학회지:방사선기술과학
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• 제28권3호
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• pp.227-234
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• 2005

골다공증은 대표적인 성인병으로 유병율이 높고, 쉽게 골절을 일으켜 여러 가지 합병증을 유발하여 노후의 삶의 질을 좌우하는 중요한 질환이다. 폐경전,후 여성을 대상으로 골다공증 발생에 관련된 위험요인과 골다공증에 의한 골절시 환자에게 치명적인 결과를 초래하고, 유병률 및 사망률에 가장 큰 영향을 미치는 요추와 대퇴골의 골밀도를 측정하여 비교 분석하고자 본 연구를 실시하였다. 본 연구는 2004년 1월 1일부터 2004년 11월 30일 까지 11개월동안 D 보건소에 내원한 고객중 요추와 대퇴골 골밀도 검사를 시행한 $40{\sim}60$대 폐경전,후 여성을 대상으로 하였다. 설문지를 통하여 수검자의 일반적인 특징과 골다공증의 위험요인에 대해 조사하고, 설문에 충실히 응답한 사람 100명의 요추(L2-L4)와 대퇴골부위의 검사 기록지를 분석 하였다. 자료분석은 SPSS 10.1을 사용하여, 상관분석과 단계적 다중 회귀 분석을 하였다. 조사대상군 100명중 최대 골밀도치의 표준편차 -1.0이상을 정상, -1.0이하를 골다공증으로 정하여 요추에서 정상군이 61명(61%), 골다공증군이 39명(39%), 대퇴골에서 정상군이 72명(72%), 골다공증군이 28명(28%)이었다. 골다공발생에 영향을 미치는 위험 인자에 대한 다중 회귀 분석결과 가장 많은 변량을 설명하는 위험요인이 요추에서는 연령이 대퇴골에서는 체중이 통계적으로 유의 하게 나타났다(p<0.05). 연령이 증가하면서 골밀도의 감소가 나타났고, 폐경전에는 요추와 대퇴골의 골다공증의 발생이 통계적으로 유의한 차이가 없었지만, 폐경후에는 유의하게 요추부위의 골다공증 발생이 많은 것은 의미 있는 결과이다. 또한 골다공증 발생에 요추부위에서는 연령이 대퇴골에서는 체중이 가장 많이 관련 있는 것으로 나타났다.