• Title/Summary/Keyword: Injured Patient

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A Study on Contributing Factors of Industrially Injured Patients' Satisfaction (산재 환자의 의료서비스 만족도에 영향을 미치는 요인)

  • Lee, Hyun-Joo;Kang, Jung-In
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.319-327
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    • 2011
  • Purpose: The purpose of this study was to measure patient satisfaction among injured workers and determine the factors that affect satisfaction of the hospital services. Methods: The subjects of this study were 231 injured workers hospitalized in I WC Hospital and D WC Hospital located in one of the major cities in Korea, all of whom agreed to participate in this research. The questionnaires were selected as literature suggested for explaining satisfaction of the hospital services, general characteristics of injured workers, characteristics of the hospital services. The data were analyzed with descriptive statistics, t-test, ANOVA, multiple regression analysis by SPSS/WIN 18.0. Results: The patient satisfaction level is at 3.2 point, which is lower than general patient satisfaction in previous study. There were significant differences in satisfaction scores, depending on the gender, degree of medical treatments, the specialty of medical team, staff's kindness, medical treatment process, the cleanliness of hospital and the convenience of facilities. It was found that the patient satisfaction among injured workers is affected by the characteristics of the hospital services. Conclusion: It is necessary to promote medical facilities, specialization of doctors and nurses, staff's kindness, medical treatment process and hospital cleanliness for developing Workers' Compensation hospital services.

Factors Related to In-Hospital Death of Injured Patients by Patient Safety Accident : Using 2013-2017 Korean National Hospital Discharge In-depth Injury Survey (환자안전사고에 의한 손상환자의 병원내 사망 관련 요인 : 2013-2017 퇴원손상심층조사자료 활용)

  • Kim, Sang Mi;Lee, Hyun Sook
    • Korea Journal of Hospital Management
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    • v.26 no.1
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    • pp.17-25
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    • 2021
  • This study aimed to analysis factors related to in-hospital death of injured patients by patient safety accident. A total of 1,529 inpatients were selected from Korea Centers for Disease Control and Prevention database(2013-2017). Frequency, Fisher's exact test, t-test, ANOVA, logistic regression analyses by using STATA 12.0 were performed. Analysis results show that the mortality rate was lower for female than male but the mortality rate was higher for the older age, the higher the CCI, head (or neck), multiple, systemic damage sites, internal and others, metropolitan cities based on Seoul and 300-499 based on the bed size of 100-299. Based on these findings, the possibility of using the in-depth investigation of discharge damage from the Korea Centers for Disease Control and Prevention as a data source for the patient safety survey conducted to understand the actual status of patient safety accident types, frequency, and trends should be reviewed. Also, it is necessary to prevent injury and minimize death by identifying factors that affect death after injury by patient safety accident.

A study on the Clinical Characteristics of Injured Patient Using Tongdo-san -Focused on Traffic Accidents Cases- (통도산을 투약한 외상에 의한 상해 환자의 임상 특성 연구 -교통사고 환자를 중심으로-)

  • Kim, Ji Hee;Ahn, Hun Mo
    • Journal of Korean Medical Ki-Gong Academy
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    • v.16 no.1
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    • pp.101-115
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    • 2016
  • Objective : This study investigated the clinical characteristics with Tongdo-san on injured patients focused on traffic accidents cases. Methods : 108 injured patients diagnosed with stagnation of Qi and stagnated blood(氣滯瘀血) were treated with Tongdo-san, acupuncture, cupping, physical therapy, Su-Gi therapy. The degree of Martins AN was checked to observe the change after using Tongdo-san. Results : Evaluation grades of of patients treated with Tongdo-san were all improved. The shorter the period of morbidity and the lower the age, the better the elevation. The degree of elevation is more significant in women traffic accidents patients. Conclusions: According to the study, Tongdo-san might especially effective for women traffic accidents patients with short period of morbidity and lower age.

A Novel Method for Robots to Provide First Aid to Injured People Inside the Mines Using GIS Technology

  • Eman Galaleldin Ahmed Kalil
    • International Journal of Computer Science & Network Security
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    • v.23 no.8
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    • pp.1-8
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    • 2023
  • The artificial intelligence of robot is the weakness of digital intelligence of a person who able to train, self-realize and to develop competences, creative, professional and behavioral skills. A new methodology proposed for managing robots inside the mines using an electronic system designed for driving robots to injured people in seas, mines or wells who can not be reached by human force. This paper also explains the concept of managing and remote-controlling the process of searching and helping the injured. The user controls the robot through an application that receives all the reports that the robot sends from the injured person. The robot's tasks are to take a sample of the blood of the injured person, examine it, and measure the percentage of oxygen underground and send it to the user who directs the robot to pump a specific percentage of oxygen to the injured person. The user can also communicate with the person The patient and determine his condition through the camera connected to the robot equipped with headphones to communicate with the injured and the user can direct the camera of the robot and take x-rays from the injured.

Restoration of severely damaged maxillary anterior teeth (상악 전치부 고도손상 치아의 수복)

  • Park, Jong hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.1
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    • pp.4-17
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    • 2018
  • Extraction of highly injured teeth in the maxillary anterior teeth and implants restoration is almost good choice, lastly, you tried to save highly injured teeth is a good choice if you have a trust relationship between the dentist and the patient. If the dentist and the patient work together to achieve long-term maintenance, they will create a thicker trust relationship.

Muscle Contraction and Relaxation Pattern Analysis of Spinal Cord Injured Patient (척추 손상 환자의 근신호 수축 및 이완 패턴 분석)

  • Lee, Y.S.;Lee, J.;Kim, H.D.;Park, I.S.;Ko, H.Y.;Kim, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.398-401
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    • 1997
  • The EMG signal of spinal cord injured patient is very feeble because that the information from central nervous system is not sufficiently transmitted to molter neuron or muscle fiber. Therefore the observer can not observe contraction and relaxation movement of muscle from the raw EMG signal. In this paper, we propose the muscle contraction and relaxation pattern analysis method of spinal cord injured patient whose EMG signal is composed of the sum of motor unit action potential train with additive white Gaussian noise and impulsive noise. From the EMG model, we denoise impulsive noise using median filter which is a kind of nonlinear filter and the output of median filter is transformed to wavelet transform domain for denoising additive white Gaussian noise using threshold level removal technique. As a result, we can obtain the clear contraction and relaxation pattern.

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Recovery of an Injured Corticospinal Tract in a Patient With Infarction on the Corona Radiata

  • Lee, Sook;Lim, Hyoung-Won;Yeo, Sang-Seok
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.78-80
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    • 2015
  • Purpose: Many studies have attempted to elucidate the motor recovery mechanisms of stroke. In the current study, we report on a patient with infarction who showed recovery of an injured corticospinal tract (CST), using diffusion tensor imaging (DTI). Methods: A 20-year-old male presented with severe paralysis of the left extremities following an infarction in the right corona radiate and basal ganglia. The patient showed good motor recovery as much as being able to manipulate object using his left hand and could walk independently on stairs at 9 months after onset. Results: At 1 month after onset, the right CST showed decreased fiber volume due to the partial injury at the level of the corona radiate, and no (motor evoked potential) MEP was evoked from the right hemisphere. By contrast, the results at 9 months showed increased fiber volume of the right CST and the amplitude of MEP had improved to normal range on TMS. Conclusion: These results suggest that the severely injured right CST and MEP amplitude had been recovered during 9 months. Therefore, this result has important implications for brain plasticity and brain rehabilitation in patients with infarction.

A Study on the Activities of Daily Living Adaptation of Spinal Cord Injured Patients (척수손상자의 일상생활적응에 관한 연구)

  • Son, Kyung-Hyun;Kim, Chan-Kyu;Bang, Yoo-Soon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.47-57
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    • 2003
  • The purpose of this study was to evaluate the problem on activities of daily living ; the problem which spinal cord injured patients have when they adapt in daily living ; Subjects were 113 members who used the hospital which is located in Kwangju-city from November 20, 2001 to May 20, 2002. The evaluation of the ADL was performed according to MBI and collected data were statistically analysed by SPSS PC for paired Chi-square test T-test, One way ANOVA and Duncan's post-hoc test. The result's were as follows; 1. Modified Barthel Index average mark was $63.77{\pm}33.60$ points and MBI score distribution according to characteristics of injury is as following. 1) A patient who had long duration of injury, small injury region, incomplete paralysis in paralysis degree, paraplegia in paralysis type got high MBI score as statistical and significantly(p<0.05). 2. Society adaptation state by characteristics of spinal cord injured is an following. 1) After lapse of time of disease, a patient who is injured for a long term present surrounding environmental problem, a patient who is injured for a short term shows psychological problem. In society activity, as lapse of time of disease is long, patient did many hobby activity and same private club, on the other hand as lapse of time of diseases is short, the others appeared high and significantly as statistical(p<0.01). 2) In society activity by injury region, cervical injury and thoracic injury did more hobby activity than lumbar injury and in lumbar injury same private club or religion life appeared higher than thoracic injury of cervical injury significantly as statistical(p<0.01). 3) In walk method by paralysis degree Complete paralysis had more wheelchair life than incomplete paralysis(p<0.01). 4) In serious problem by paralysis type psychological problem in quadriplegia and surrounding environmental problem in paraplegia appeared high and significantly as statistical(p<0.01). 3. In society adaptation state by MBI score difference between variables appeared but it wasn't significantly.

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Current State and Problem of the Transfer of Severely Injured Patients in One Regional Emergency Medical Center (일개 권역응급의료센터에서의 중증 외상환자의 전원 현황과 문제점)

  • Lee, Won-Chul;Jo, Choong-Hyun;Jung, Kyoung-Won;Min, Young-Gi;Choi, Sang-Cheon;Kim, Gi-Woon;Ahn, Jung-Hwan;Jung, Yong-Sik;Hwang, Sun-Ae;Kim, Ji-Yong;Lee, Kug-Jong;Jung, Yoon-Seok
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.6-15
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    • 2010
  • Purpose: Trauma is one of the leading causes of death, especially among young people. Life-threatening conditions are very common in multiple-traumatized patients due to concurrent multi-organ injuries. Treating such severely injured patients is time critical. However, in Korea, the transfer of severely injured patients is not uncommon due to the lack of a mature trauma care system. In developed countries, the preventable trauma death rate is very low, but the rate is still very high in Korea. This study's objective was to demonstrate the current serious state in which severely injured patients have to be transferred from a Regional Emergency Medical Center even though it actually serves as a trauma center. Methods: Ajou University Medical Center is a tertiary hospital that serves as a trauma center in Gyeonggido. The medical records at Ajou University Medical Center for a 1-year period from January 1, 2008, to December 31, 2008, were retrospectively reviewed. A severely injured patient was defined as a patient who showed more than 15 point on the ISS (injury severity score) scale. We investigated the clinical characteristics of such patients and the causes of transfer. Results: Out of 81,718 patients who visited the Regional Emergency Medical Center, 19,731 (24.1%) were injured patients. Among them, 108 severely-injured patients were transferred from one Regional Emergency Medical Center to other hospitals. The male-to-female ratio was about 3.5:1, and the mean ISS was 23.08. The most common mechanism of injury was traffic accidents (41.7%). A major cause of transfer was the shortage of intensive care units (44.4%); another was for emergent operation (27.8%). Most of the hospitals that received the severely-injured patients were secondary hospitals (86.1%). Conclusion: Although the Regional Emergency Medical Center played a role as a trauma center, actually, severely-injured patients had to be transferred to other hospitals for several reasons. Most reasons were related with the deficiencies in the trauma care system. If a mature trauma care system is well-organized, the numbers of transfer of severely injured patients will be reduced significantly.

Factors Affecting the Satisfaction of the Hospital Services among Injured Workers (산재근로자의 의료기관 서비스 만족에 영향을 미치는 요인)

  • Lee, Hyun-Joo
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.1
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    • pp.97-104
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    • 2010
  • Purpose: The purpose of this study was to determine factors that affect satisfaction of the hospital services among injured workers. Methods: The subjects of this study were 532 injured workers. The questionnaires were selected as literature suggested for explaining satisfaction of the hospital services, general characteristics of injured workers, characteristics of the hospital services. The data were analyzed with descriptive statistics, t-test, ANOVA, multiple regression analysis by SPSS 19.0. Results: There were significant differences in satisfaction scores, depending on the types of disease, health status and possibility to return to work among the injured workers. Also, there were significant differences in satisfaction scores, in terms of medical facilities, food service, specialization of doctors and nurses, cleanliness of hospital, convenience of hospital teaching and counselling of doctors and nurses, supporting workers' compensation process, counselling of workers' compensation and unfair treatment. In the results of the standard multiple regression analysis, food service, medical facilities, specialization of doctors and nurses, health status and hospital cleanliness were significant factors for satisfaction scores of the hospital services. Conclusion: It is necessary to promote food service, medical facilities, specialization of doctors and nurses, hospital cleanliness, health status of injured workers for developing hospital services.