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The status quo of offering help in emergency room on pediatric patients with 119 rescuer - Focused on the Emergency Center of C National University Hospital - (119구급대를 이용한 소아환자의 응급실 내원 현황 - C대학병원 응급의료센터를 중심으로 -)

  • Yun, Jong-Geum;Lee, Jeong-Yong
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.3
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    • pp.119-128
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    • 2007
  • It is happening a lot that the pediatric patients who are offering help in emergency room with background 119 rescuer require emergency care compared to adults. Our study was conducted to have a clear grasp of the status quo of pediatric patients who are offering help in emergency room with 119 rescuer. METHOD & OBJECT pediatric patients under 8 age who were offering help was conducted as objects by 119 cases from January, 2006 to January 2007, with 119 rescuer at C university hospital in Gwangju metropolitan city, which were 87 cases for a boy(73.1%), 32 cases for a girl. Based on emergency diary of emergency members and the medical treatment record of emergency room in C university hospital, a disease and a type of an external wound were analyzed according to ages of these patients, a time zone and season. RESULT In terms of an age, 25 cases(21.0%) have less than 1 age extremelymuch, in case of emergency, 61 cases(51.3%), which were more than non-emergency, in terms of happened places of patients, there were households up to 78 cases(65.5%) extremely much. In terms of happened time, 13:00 to 18:00 have highest data up to 48 cases(40.3%). According to season, there were no big differences in 4 seasons(spring : 30.3%, summer : 24.4%, fall : 29.4%, winter : 16.0%). In case of being offered help at emergency room due to diseases, 1-2 ages have highest estimate with 55.7%, in terms of a time zone, 19:00-24:00 have highest with 33.7%, in terms of season, summer(6, 7, 8) have highest with 32.8%. in case of traffic accident, 7-8 age have highest with 47.1%, according to a time zone, 13:00 to 18:00 have highest with 88.2%, according to season, fall have highest with 64.7%. In case of an external wound, 3-4 age have highest with 38.2%, according to a time zone, 13:00-18:00 have highest with 41.2%, according to season, spring have highest with 38.2%. CONCLUSION It shows that in case of pediatric patients who were offering help at emergency room with 119 rescuer, a pediatric under 1 age was due to a disease, in case of an external wound, there were 3-4 age, in case of traffic accident, 7-8 age have highest, a case for emergency have highest.

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The Business Strategy Innovations of the Top Design Firms in Global Design & Engineering Markets (해외 선진 설계회사의 사업구조 혁신 동향 분석)

  • Jang Hyoun-Seung;Choi Seok-In;Hyun Joon-Sik
    • Korean Journal of Construction Engineering and Management
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    • v.5 no.6 s.22
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    • pp.226-234
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    • 2004
  • Dynamic nature of the A/E/C industry, rapidly changing global market environment, and lowest cost competitive bidding make it difficult to survive in global engineering markets. To understand of the global design&engineering market, a case study has been undertaken. The top 150 global design forms represented in the ENR(Engineering News Record) from 1995 to 2003 are classified three groups for the case study, First group is the firms that its rank is getting raised from 1995. Second group is the firms keep holding its rank from 1994 until 2003. Third group is the firms that its rank has gone down from 1995 until 2003. However, finding key factors and changing business strategies of successful top design fm are the fundamental goals in this paper, After examined case study, this paper concludes and suggests that professionalization, M&A strategies, patrons of government, and academic supporting are needed to be succeeding in the global design & engineering industry.

Epidemiological Characteristics of Bicycle-Injured Patients (자전거손상 환자의 역학적 특성)

  • Nam, Young-Hee;Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.2
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    • pp.47-57
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    • 2013
  • Backgrounds: According to a high interest in health these days, a bicycle is being highlighted as a means of leisure activity and auxiliary transportation means. Along with an increase in this interest, there is tendency that even the width of bicycle utilization gets diverse and that bicycle accident is also rapidly growing. Purpose: The purpose of this study was to suggest a prevention measure available for reducing occurrence of bicycle accidents by analyzing the Epidemiological characteristics according to age and injury severity in bicycle-injured patients. Methods: This study analyzed 115 materials suitable for this study by examining a medical record of patients, who received the hospitalized treatment owing to bicycle accident from January 1, 2011 to December 31 at one general hospital in S city. Results: The male-and-female ratio of bicycle-injured patients stood at about 7:3. The average age was 38.14(${\pm}21.59$) years old. The largest injury happened in 40-59 years old(31.3%). The averagely hospitalized period was 17.33(${\pm}18.12$) days. Injury severity was the ratio of 2:8 in a mild case versus a serious case. As for drinking and smoking characteristics according to age, the injury occurred the most in between 40 and 59 years old for people with drinking and smoking and in under 19 years for people without drinking and smoking. According to injury severity, the ratio of serious case got higher in the higher age. This was indicated(${\chi}^2$=15.675, p=0.001) to be statistically significant. Conclusion: In this study, a bicycle accident was indicated to have high injury risk in young children, adolescents, and old-age group. Prevention measure and publicity are demanded for reducing injury occurrence such as the prevention education for bicycle accident and wearing protective gear focusing on the ages of corresponding to groups with risk of injury occurrence. In addition, the security of safe movement route is necessarily demanded in order to increase application level as an auxiliary transportation means.

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Full mouth prosthodontic reconstruction on patient with occlusion collapse & decreased vertical dimension (교합 붕괴 환자의 수직고경거상을 동반한 완전 구강회복 증례)

  • Yoo, H.J.;Choi, M.H.;Kim, C.H.;Park, Y.R.;Kang, D.W.
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.115-124
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    • 2003
  • One of the important things in the full mouth reconstruction is the determination of therapeutic position. Centric jaw relation is used as a therapeutic position for the full mouth reconstruction. There are several techniques associated with recording this position. Five clinically acceptable techniques are as follows: 1) Swallowing or free closure, 2) Chin point guidance, 3) Bimanual method 4) Myo-monitor technique, 5) Anterior deprogrammer. Centric relation obtained utilizing the anterior acrylic resin platform in this case. Another important thing in full mouth reconstruction is provisional restoration. Provisional restorations are an excellent diagnostic instrument, especially in full remain esthetics, phonetics, function, parafunction, and dysfunction after evaluation and acceptance through clinical trial with the provisional restorations should be accurately transferred to the final restorations to ensure the same clinical success. Especially, anterior guidance should be accurately transferred to the final restorations. An accurate anterior guidance is critical for optimal esthetics, phonetics, comfort, function, stress minimization, and longevity of teeth and restorations. To record optimum anterior guidance, customized anterior guide table is used in this case. Considering previously mentioned points, we did successive treatment. And it resulted in a better situation esthetically and functionally. Followings are what we cared in treating a patient in this case. 1) Accurate centric relation recording 2) Accurate transference of anterior guidance to the final restorations.

The Big Data Analysis and Medical Quality Management for Wellness (웰니스를 위한 빅데이터 분석과 의료 질 관리)

  • Cho, Young-Bok;Woo, Sung-Hee;Lee, Sang-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.12
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    • pp.101-109
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    • 2014
  • Medical technology development and increase the income level of a "Long and healthy Life=Wellness," with the growing interest in actively promoting and maintaining health and wellness has become enlarged. In addition, the demand for personalized health care services is growing and extensive medical moves of big data, disease prevention, too. In this paper, the main interest in the market, highlighting wellness in order to support big data-driven healthcare quality through patient-centered medical services purposes. Patients with drug dependence treatment is not to diet but to improve disease prevention and treatment based on analysis of big data. Analysing your Tweets-daily information and wellness disease prevention and treatment, based on the purpose of the dictionary. Efficient big data analysis for node while increasing processing time experiment. Test result case of total access time efficient 26% of one node to three nodes and case of data storage is 63%, case of data aggregate is 18% efficient of one node to three nodes.

A Study on the Size of the Back Slit for Tight Skirts - In the Case of Walking on the Floor or Stairways - (동작에 따른 타이트스커트의 뒤트임 분량에 대한 연구 -보행시와 계단 승강시 -)

  • Kim Chung Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.16 no.4 s.44
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    • pp.485-493
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    • 1992
  • Three kinds of tight skirts, slim type, straight type, and semi-tight type were investigated to obtain necessary information about the size of the back slit. Fourteen college students put on these experimental clothes and walked on the flat floor, going up and down the stairs. The dimensions of the back slit were measured by width and length. The stride length was taken from the record of footprints of walking. The correlation between the body measurement, stride length and the size of the back slit was studied. As a result of this experiment, the findings are as follows: 1. The size of the back slits differed from each skirt type at the level of p<0.001. In the case of walking on the floor, the average dimension of the back slit was 14.0 cm long 5.0 cm wide for the slim type,9.5 cm long 2.8 cm wide for the straight type and 2.1 cm long 0.5 cm wide for the semi-tight type. 2. In the case of walking on the stairways, the average dimension of the back slit was 16.0 cm long 5.8 cm wide for the slim type, 12.4 cm long 3.9 cm wide for the straight type and 3.1 cm long 1.1 cm wide for the semi-tight type. 3. The correlation between the height (stature, waist height, knee height) and the size of back slit was 0.3 to 0.6. The correlation between the girth (waist, hip) and the size of back slit was 0.3 to -0.5. 4. The correlation between the stride length and the size of back slit was 0.76 for the slim skirt, 0.56 for the straight skirt, 0.28 for the semitight skirt.

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Patholgic Finding and Surgical Consideration in Micropapillary Carcinoma of the Thyroid (갑상선 미세유두암의 병리학적 소견 및 수술적 고려)

  • Lee, Hyun-Chul;Kim, Woon-Won;Oh, Sang-Hoon;Kim, Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.189-193
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    • 2008
  • Objectives:The incidence of micropapillary thyroid carcinoma(MPC) which is very good prognosis is increasing due to ultrasonography and accurate fine neede aspiration cytology. MPC defined papillary thyroid carcinoma below 1cm. According to the size, histophaothogic feature is different, lymph node metastasis and capsular invasion occur occasionally. So, we consider different treatment according to the size of MPC. Matrials and Methods:We reviewed and analyzed the record of 216 MPC patients operated at department of general surgery Busan Paik Hospital since 1995 January to 2005 Desember retrospectively. Result:The sex ratio was 1:9.29(male;21, female;195). Total thyroidectomy 20cases(9.3%), subtotal thyroidectomy 141cases(65%), lobectomy 52cases(24%), completion operation 3cases(1.4%) were done. Combined diseases were follicular carcinoma 4cases, follicular adenoma 11cases, thyroiditis 46cases, nodular hyperplasia 44cases. Lymph node metastasis 56cases and capsular invasion 56cases were presented. Group A(<5mm) was 53cases, group B(5-10mm) was 163cases. Group B showed higher lymph node metastasis and capsular invasion(P<0.05). Multiple carcinoma Showed higher capsular invasion than single carcinoma (P<0.05). Complications were post operative bleeding 1case, husky voice 1case, hypocalcemia 1case. Conclusion:We can consider more extensive operation in 5-10mm of MPC patients.

The Synoptic Characteristics of Heavy Rain in South Korea (한반도 집중호우의 종관적 특성)

  • Jeong, Goan-Young;Ryu, Chan-Su
    • Journal of Integrative Natural Science
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    • v.1 no.2
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    • pp.89-114
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    • 2008
  • Interrelationship between heavy rainfalls and related with low-level jets(LLJ) is analyzed by using fifty cases of heavy rainfall events occurred over the Korean peninsula from 1992 to 2001. Those cases are classified with four synoptical features. There are 32% chances that the low pressure exist in heavy rainfall over than 150 mm per day case by case. Secondly Changma front and front zone account for 28% of all cases. The ratio of marine tropical boundary type and trough type record 22% and 18% respectively. The moist and warm south-westerly winds associated with low-level jets have been induced convective instability and baroclinic instability. Therefore, heavy rainfall due to the approach of a low pressure occurred at September and before Changma. During the period of Changma, this type has been happened heavy rainfall when low pressure and stationary front has vibrated south and north. Changma type has longer the duration time of precipitation than other types. Third type, located with marine Tropical boundary, have mainly rained in August and September. The last trough case locally downpoured in short time with developing cell. The occurrence low-level jets related to heavy rainfall has increased over 12.5 m/s wind speed. The result is that 43 heavy rainfalls out of 50 cases reach peak at the time of maximum precipitation intensity. Also, the variation of wet number and K-index corresponded with the variation of wind speed. It is found that the number of frequency of low-level jets with southwestward direction has been increased and these jets are mainly passed from the southwest toward to the northeast of the Korean peninsula in that time.

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Monitoring on Dose Index Analyzed in the Mammography (유방촬영검사에서 선량지표분석에 대한 모니터링)

  • Cho, Ji-Hwan;Lee, Hyo-Yeong;Im, In-Chul
    • Journal of the Korean Society of Radiology
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    • v.10 no.7
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    • pp.477-482
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    • 2016
  • This study is tried to determine whether the management of medical radiation is well handled by comparison the guidelines of KFDA(korea food & drug administration) with analysis of dose indicator in mammography. As a method, it is analysed that kVp, exposure time, mAs, compressed breast thickness, average glandular dose and body mass index that were classified in the examination of both breasts by CC(cranio-caudal) and MLO(medio-lateral oblique) with EMR(electronic medical record) and dose report that were sent to the PACS(picture archiving communication system). As a result, in the site inspection according to the age, Compressed breast thickness in CC and MLO were the thickest of 45.6 mm and 49.6 mm in the 50-59 year old respectively. In the overall average compressed breast thickness, CC were 44.2 mm and MLO were 48.9 mm. MLO has more thick by 4.7 mm. In average glandular dose, CC were 1.05 mGy and MLO were 1.14 mGy. MLO has higher by 0.09 mGy than CC. As the compressed breast thickness increases 10mm, CC and MLO increases 0.15 mGy and 0.17 mGy respectively. When it was compared with the average glandular dose of 1.16 mGy per 1 film presented by KFDA, CC was showed 1.05 mGy. However, the 60 mm or more was found to exceed a 1.30 mGy. Also, As the compressed breast thickness was higher, body mass index showed high score. And in the case of 25 or more in the obese body index according to body mass index, it was showed obesity in case of the compressed breast thickness was more than 50mm.

Film Image Transfer System (FITS): An Efficient Method for Proper Positioning of Orthodontic Mini-implants

  • Go, Taek-Su;Kim, Seong-Hun;Nelson, Gerald
    • Journal of Korean Dental Science
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    • v.4 no.1
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    • pp.20-25
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    • 2011
  • Purpose: To describe the newly developed Film image transfer system (FITS) for proper positioning of the orthodontic mini-implant in the narrow interdental space and considerations for better application. Materials and Methods: A patient who was planning to have orthodontic mini-implant treatment on the posterior maxilla was recruited to assess the feasibility of FITS. Dental radiographic film and bite record was taken. And then the film image was transferred on the photographic emulsion coated model using transfer light through film projector (enlarger). After exposing the photo emulsion coating on the model, the image was developed with a working solution for a paper developer and fixed. The surgical guide for the mini-implant was fabricated from the transported FITS data. Results: The completed surgical guide was easily placed intraorally, and allowed a simple and rapid placement of the mini-implant. The site of the implant placement was accurate as planned position. Conclusion: In the reported case, The FITS technique represents an effort to minimize risk to the patient and produce consistently good results based upon accurate information about the anatomy of the implant site.