• Title/Summary/Keyword: on-site treatment

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Analysis of external environmental factors affecting patient transport time

  • LEE, Hyeryeong;PARK, Sang Woong;YUN, Eunjeong;KIM, Dakyeong;CHOI, Hea Kyung
    • The Korean Journal of Food & Health Convergence
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    • v.8 no.6
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    • pp.11-17
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    • 2022
  • Emergency transport is directly related to the life of the patient, and rapid transport to the hospital is crucial. However, external environmental factors such as traffic or weather, interfere with hospital transport. In this study, we investigated the external environment affecting hospital transport time. We examined the transfer time and patient treatment time of emergency patients in an area of northern Gyeonggi-do from 2018 to 2020. Diagnosis after arrival at the hospital was used, and on-site treatment time was measured from paramedic arrival time at the scene to departure. Furthermore, we examined whether there was a correlation between the time paramedics left the scene and hospital arrival time through the reason for the delay as recorded in the emergency log. Traffic jams had the greatest impact on patient transport, while transport delays occurred due to heavy rain, but not snow. Among injured patients, electrical accidents were the most problematic in terms of on-site treatment time. This was because a lot of first aid is needed in electrical accidents. It must be necessary to mobilize two ambulances in an emergency through the expansion of infrastructure, prepare a plan for rapid transport in heavy rain, and implement strong laws against transport obstruction.

Effect of Cupric Ion on the PSII Activity in Isolated Chinese Cabbage Chloroplasts (배추 엽록체의 광계II 활성에 미치는 구리이온의 영향)

  • 박인호
    • Journal of Plant Biology
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    • v.30 no.3
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    • pp.181-187
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    • 1987
  • Copper inhibited PSII-mediated O2 evolution (H2OlongrightarrowDCIP, H2OlongrightarrowSiMo) but not PSImediated O2 uptake(DCIP. Asc.longrightarrowMV) in isolated Chinese cabbage chloroplasts. Copper toxicity on PSII-mediated O2 evolution was higher at alkaline condition than at acidic condition and was inhanced by light illumination after copper treatment. The increased toxicity by light illumination was not recovered by subsequent dark treatment. The inhibitory effect of copper on H2OlongrightarrowDCIP reaction was higher than that on H2OlongrightarrowSiMo reaction. This result suggests that there may be another inhibitory site of copper on PSII other than water oxidizing side of PSII.

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Conservation Treatment on the Bamboo Sunblind from the No. 1 Catchment Site in Baesanseongji, Busan (부산 배산성지 1호 집수지 출토 대나무 발 수습 및 보존처리)

  • Park, Ji Hyeon;Park, Jung Hae;Lee, Kwang Hee;Seo, Yeon Ju;Park, Jung Wook;Kim, Soo Chul
    • Journal of Conservation Science
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    • v.37 no.5
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    • pp.536-544
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    • 2021
  • In the present study, safe management and value improvement of bamboo sunblind, which is an item of cultural heritage, were performed by adopting stable conservation treatment methods. The bamboo sunblind used in the present study was excavated from No. 1 catchment site in Baesanseongji, Busan. It was determined that the main material used to make the sunblind was bamboo, and herbal plants were used to weave the bamboo using lacquer as an adhesive agent. All contaminants and soil adhered to the sunblind was removed. Thereafter, the sunblind, which was recovered in the form of blocks, was washed separately after fixing it to a temporary plaster frame and to avoid the blocks from breaking during washing. Then, polyethylene glycol (PEG) impregnation was utilized for the reinforcement treatment. Based on the preliminary test results, the shape of the sunblind was fixed using a stainless-steel frame to prevent physical damage that may occur during the drying process. Thereafter, the bamboo sunblind was vacuum freeze-dried. PEG 20% (in ethyl alcohol) was applied as a surface treatment agent for stabilization the sunblind. After the surface treatment, the bamboo sunblind were joined together to fit the maximum width, and the rectangular shape of the sunblind was restored-as best as possible-while filling in the missing parts by maximizing the use of unknown members such as in the disturbed layers below bamboo sunblind surface. The conservation treatment was completed by fixing the bamboo sunblind into the fabricated frame.

Current treatment and disposal practices for medical wastes in Bujumbura, Burundi

  • Niyongabo, Edouard;Jang, Yong-Chul;Kang, Daeseok;Sung, Kijune
    • Environmental Engineering Research
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    • v.24 no.2
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    • pp.211-219
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    • 2019
  • Since improper management practices of solid medical waste (SMW) could potentially result in serious health risks and environmental problems, it is very important to properly treat and dispose of the medical wastes. In this study, current practices of SMW management from storage to final disposal stage in 12 health care facilities (HCFs) of Burundi were investigated using the official government reports. The results showed that 75% and 92% of HCFs used uncovered wheelbarrows and trucks for on-site or off-site SMW transportation, respectively, indicating that most transportation equipment and waste workers are not safely protected. The results also showed that 92.8% of SMW (15,736.4 ton) from all 12 HCFs were inappropriately disposed of through uncontrolled land disposal and incineration. If pharmaceutical wastes and discarded medical plastics (29.5% of SMW) can be separated and treated properly, the treatment costs can be reduced and resource savings can be achieved. Raising awareness of healthcare workers and general public about potential health effects arising from improper SMW management, sufficient financial and human resources for the treatment facilities (especially incinerators), and effective regulations and guidelines for transportation and treatment of SWM are some of the major tasks for safe and sustainable medical waste management in Burundi.

Alteration in Infrared Thermal Imaging by Use of Acupuncture-like Electric Stimulation on Finger Control Gate (체열촬영으로 관찰한 전기수지자극의 효과)

  • Lee, Sang-Hun;Lee, Kyu-Chang;Woo, Nam-Sik;Lee, Ye-Chul;Kim, Sun-Bok;Lee, Hyung-Hoan
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.222-230
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    • 1994
  • Acupuncture-like transcutaneous electrical nerve stimulation(ALTENS) on acupuncture site(dorsal and ventral side of finger) were compared with a placebo site(forearm) by infrared thermal imaging. Six disease-free volunteers underwent, on different days, an ALTENS treatment and a placebo treatment in a cross-over sequences of stimulation control and inhibition control in excess of 50 treatments. ALTENS treatments were given at 30Hz at an intensity just below pain threshold delivered to acupuncture points on fingers. Placebo stimulations were administered in similar manner. After every thirty minutes of ALTENS and placebo treatment with stimulation, inhibition control sequence and vice versa, we examined whole body infrared thermal imaging and checked changed skin temperature on frontal, anterior chest, upper and lower abdomen, dorsal and ventral aspect of hand, thoracic and lumbar area, anterior and posterior aspect of lower leg. There were significant skin temperature elevations with ALTENS treatment, especially finger control gate corresponding organ area. Placebo treatment revealed no skin temperature change. We concluded that ALTENS on finger control gate influence physiologic state as opposed to conventional electric stimulation.

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Antidepressants and Related Drug Interactions (항우울제와 연관약물의 약물상호작용)

  • Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.7 no.1
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    • pp.21-33
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    • 2000
  • As the clinical practice of using more than one drug at a time increase, the clinician is faced with ever-increasing number of potential drug interactions. Although many interactions have little clinical significances, some may interfere with treatment or even be life-threatening. This review provides a better understanding of drug-drug interactions often encountered in pharmacotherapy of depression. Drug interactions can be grouped into two principal subdivisions : pharmacokinetic and pharmacodynamic. These subgroups serve to focus attention on possible sites of interaction as a drug moves from the site of administration and absorption to its site of action. Pharmacokinetic processes are those that include transport to and from the receptor site and consist of absorption, distribution on body tissue, plasma protein binding, metabolism, and excretion. Pharmacodynamic interactions occur at biologically active sites. In this review, emphasis is placed on antidepressant medications, how they are metabolized by the P450 system, and how they alter the metabolism of other drugs. When prescribing antidepressant medications, the clinician must consider the drug-drug interactions that are potentially problematic.

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A Study on the Pretreatment of Municipal Landfill Leachate by Electrolysis (전해처리에 의한 매립지 침출수의 전처리에 관한 연구)

  • 이병인;황순홍
    • Journal of Environmental Science International
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    • v.3 no.4
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    • pp.417-425
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    • 1994
  • Leachate from municipal landfill site is known to be hard to treat because it commonly contains various toxic material and heavy metals. In addition, portions of biodegradable organic substances in leachate are decreasing in the course of wastes stabilization, which is one of the critical reason for inefficient biological treatment at the end stage of landfill site operation. So this study was conducted to examine the feasibility of municipal lanuill leachate pretreatment using electrolysis. The optimum electrode combination was made. The optimum electrode combination was found to be lead and graphite.

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Neuronal activity in the periaqueductal gray associated with chronic cannula implantation and microdialysis (Chronic cannula implantation 및 microdialysis가 periaqueductal gray내 신경세포 활성에 미치는 영향)

  • Lee, Jang-hern;Han, Ho-jae;Yang, Il-suk
    • Korean Journal of Veterinary Research
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    • v.38 no.4
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    • pp.720-729
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    • 1998
  • Immunohistochemical technique of the c-fos primary gene protein, Fos, was used to analyze the effects of external factors on the neuronal activities in the periaqueductal gray(PAG) of the intact rats, sham-operated rats and post-operated stress control rats. In addition, the number of Fos positive neurons has been evaluated to verify the effects of cannula implantation and veratridine treatment on the neuronal activities in PAG area. The results were summerized as follow : 1. There was no significant difference in the number of Fos positive neurons observed in the caudal and middle portion of lateroventral PAG from cannula implanted rats and sham operated rats. 2. The number of Fos positive neurons in the PAG was not changed by the stress induced by connection of collecting tube to rats for 12 hours as compared to that of intact rats. 3. In the saline treated group, the Fos immunoreactivity in the PAG did not changed at 30 minutes and 1 hour after saline treatment as compared to that of intact rats. However, the number of Fos positive neurons was significantly increased at 2 hours after treatment compared to that of saline treated rats at 30 minutes after treatment. 4. The Fos immunoreactivity was dramatically increased at 30 minutes, 1 hour and 2 hours after veratridine treatment as compared to those of saline treated groups. The number of Fos immunoreative neurons showed the maximal level at 2 hours after veratridine treatment. 5. The Fos positive neurons induced by saline and veratridine treatment were mainly distributed in front of the microdialysis window. These results suggest that new microdialysis demonstrated in this study improves efficiency and accuracy to confine the neuronal activity in front of microdialysis window site. Moreover, this directional specificity allows us to locate probe tips adjacent to the brain area of the interest site rather than centering the probes within that brain area. Finally, This microdialysis method can be used to dialyse the neurotransmitters using concious and freely moving rats.

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A clinical study on pediatric patients with fracture that visited oriental medicine center (한방병원에 내원한 소아 골절환자에 대한 임상적 고찰)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Baek, Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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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%).

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A Clinical Study on One Case of a Patient with Fibromyalgia by Chuna Therapy and Traditional Korean Medicine Treatment (섬유근통 환자의 추나요법 및 한의약치료 증례보고)

  • Lee, Eun-Ji;Bang, Sung-Pil;Jo, Hyun-Jung;Kim, Ki-Yuk;Kim, Sung-Tae;Park, Jae-Suk;Choi, Young-Min;Kim, Min-Sung;Hwang, Chun-Ho;Chiang, Suo-Yue
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.67-75
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    • 2014
  • Objectives : The purpose of this study is to report a clinical progress of treatment of fibromyalgia through Traditional Korean medicine treatment. A patient was diagnosed with fibromyalgia by clinical correlation on 2009 in Jeonnam university hospital, he had multi sited pain and severe muscle spasm. Methods : Between 27th march 2014 and 15th April 2014, he was treated with acupuncture, cupping, electro-acupuncture and chuna therapy every day and observed by visual analogue scale and assessment about number of pain site and square of pain. Results : After treated by using above treatment, VAS and assessment about number of pain site and square of pain were improved. Conclusions : Chuna therapy and other Traditional Korean medicine treatment are estimated to be good for fibromyalgia. But more cases are required to prove the effectiveness of chuna therapy on fibromyalgia.

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