• 보건행정학회지
• /
• 제31권4호
• /
• pp.451-461
• /
• 2021

Background: Readmissions related to lack of quality care harm both patients and health insurance finances. If the factors affecting readmission are identified, the readmission can be managed by controlling those factors. This paper aims to identify factors that affect readmissions of convalescent rehabilitation patients. Methods: Health Insurance Review and Assessment Service claims data were used to identify readmissions of convalescent patients who were admitted in hospitals and long-term care hospitals nationwide in 2018. Based on prior research, the socio-demographics, clinical, medical institution, and staffing levels characteristics were included in the research model as independent variables. Readmissions for convalescent rehabilitation treatment within 30 days after discharge were analyzed using logistic regression and generalization estimation equation. Results: The average readmission rate of the study subjects was 24.4%, and the risk of readmission decreases as age, length of stay, and the number of patients per physical therapist increase. In the patient group, the risk of readmission is lower in the spinal cord injury group and the musculoskeletal system group than in the brain injury group. The risk of readmission increases as the severity of patients and the number of patients per rehabilitation medicine specialist increases. Besides, the readmission risk is higher in men than women and long-term care hospitals than hospitals. Conclusion: "Reducing the readmission rate" is consistent with the ultimate goal of the convalescent rehabilitation system. Thus, it is necessary to prepare a mechanism for policy management of readmission.

• Journal of Chest Surgery
• /
• 제37권12호
• /
• pp.1022-1024
• /
• 2004

국균은 사람에서 발견되는 진균중 가장 흔한 것이기는 하나 낮은 병원성을 갖고 있다. 국균의 호흡기 감염은 국균종, 기관지폐 국균증,괴사성 및 침습형 폐 국균증의 유형으로 분류된다. 이중 괴사성 및 침습형 폐 국균증은 장기 이식 후 면역억제 치료를 받고 있거나, 항암요법을 받는 자, 혈액 이상자 또는 후천성 면역 결핍증 환자 같이 면역 저하자에서 주로 발생하며 정상적인 면역 능력이 있는 자에서는 발병률이 매우 낮다. 본원에서는 정상 면역 능력을 갖은 자에서 흉추에 침범한 침습형 페 국균증을 1예 치험하였기에 보고하는 바이다.

• 제어로봇시스템학회:학술대회논문집
• /
• 제어로봇시스템학회 1992년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 19-21 Oct. 1992
• /
• pp.90-94
• /
• 1992

A portable multichannel functional electrical stimulation(FES) system for the fine control of the paralyzed extremities in spinal cord injury patients is described. This system is composed of a stimulation data creating system, a serial communication device, a 16-bit microprocessor, D/A converter of 32 channels and a display device. Stimulation patterns are created from analytical results of integrated EMGs during motion in normal subjects and are stored in the stimulation data creating system as data files. And then the stimulation patterns are sent to the memory in the portable multichannel FES system through serial communication interfacing device. Sophisticated fine control of paralyzed extrimities was realized by transmitting multichannel stimulation patterns to percutaneous intramuscular electrodes, which stimulate the motor function of paralyzed muscle simultaneously. Advantages of this system are as follws: 1) It is possible to modify stimulation patterns in accordance with the patient's situation. 2) This system is small and light.

• 대한전자공학회:학술대회논문집
• /
• 대한전자공학회 2002년도 하계종합학술대회 논문집(3)
• /
• pp.17-20
• /
• 2002

This paper proposes a new 75 fuzzy model approximation method which reduces error in nonlinear fuzzy model approximation over the V-type decision rules. Employing rational Bezier curves used in computer graphics to represent curves or surfaces, the proposed method approximates the decision rule by constructing a tractable linear equation in the highly non-linear fuzzy rule interval. This algorithm is applied to the self-adjusting air cushion for spinal cord injury patients to automatically distribute the patient's weight evenly and balanced to prevent decubitus. The simulation results indicate that the performance of the proposed method is bettor than that of the conventional TS Fuzzy model in terms of error and stability.

• The Journal of Korean Physical Therapy
• /
• 제5권1호
• /
• pp.101-108
• /
• 1993

Physical therapy for patients with Multiple sclerosis, Parkinson's disease, Spinal cord injury. Osteoporosis, CVA and Cerebral Palsy often includes the evaluating and teaching of rolling movements. Motor abilities such as rolling from a supine to a prone position, moving to sitting. getting up on all fours and ultimately standing up from a supine position. represents progression toward physical independence. Rolling is important functional abilities for need to dressing, decubit prevent. bed mobility, neck control, crawling, creeping, sitting, standing and walking. The purposes of this study were to describe motor development concept and rolling task patterns and to approach the therapeutic exercises.

• The Korean Journal of Pain
• /
• 제1권2호
• /
• pp.177-180
• /
• 1988

Transsacral neurolytic block with 2.5ml of phenol in glycerine or bupivacaine was performed in 6 patients with malignant diseases and a patient with sphincter spasm of bladder due to spinal cord injury. Pain relief was satisfactory in all patints except one patient with very low pain threshold. In one patient, second transsacral neurolytic block alone was not sufficient because of widespread pain along distant metastasis of the malignant disease, although the first block was satisfactory. The complications include transient motor weakness(4), voiding difficulty(1), subarachnoid puncture(1), and epidural venous puncture(1), but they were all spontaneously recovered within a sbort period of time and did not give any limitation to the block.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1993년도 춘계학술대회
• /
• pp.120-122
• /
• 1993

This paper describes an improved FES system to restore paralyzed extremities in spinal cord injury patients. For composing stimulus pattern which is suitable for each muscle, electrical stimulus pattern creating system is also developed by using IBM-PC. In the improved portable FES system using V40 microprocessor, muscle fatigue can be decreased by selecting the stimulus frequency which is proper to the response characteristics of each muscle. Driving softwares for the portable FES system and the stimulus pattern creating system are programmed with assembler and C language. A multichnnel portable FES system is designed to minimize the sire and weight using a D/A converter and 32 channel multiplexer.

• The Journal of Korean Physical Therapy
• /
• 제14권2호
• /
• pp.153-161
• /
• 2002

The purpose of this study was to investigate the chest physical therapy in the hospital of seoul, kyungido and to activate the chest physical therapy. Dept. of physical therapy in 15 hospitals, 65 physical therapists disabled and analysis of interview. The results are as follows: 1) $86.7\%$ of respondents were not chest physical therapist in the hospital. $79.4\%$ of respondents were a lack of 5 patients per month. 2) The chief diagnosis of chest physical therapy was respiretory muscles weakness by reason of spinal cord injury and muscle diseases. Many physical therapists was obtain the chest physical therapy information from university or collage. 3) Management of chest Physical therapy Patient was to be alike physical therapist and doctor A problem of chest physical therapy was a lack of chest physical therapy information, cognition of a physician. The results of this study suggested that chest physical therapy need to organization of the treatment and magnification of the treatment area.

• 대한두개안면성형외과학회지
• /
• 제19권4호
• /
• pp.270-274
• /
• 2018

Background: Nasal bone fractures occur frequently because the nasal bone is located at the forefront of the face. The goal of this study was to examine the cause, change in severity, change in incidence, and demographics of nasal bone fracture according to today's lifestyle. Methods: A total of 2,092 patients diagnosed as having nasal bone fractures at our department between 2002 and 2017 were included in this study. We retrospectively examined patients' medical records to extract information regarding age, sex, cause of injury, combined facial bone fractures, and related injuries such as skull base fracture, spinal cord injury, brain hemorrhage, and other bone fractures. Fracture severity was classified by nasal bone fracture type. Results: No statistically significant difference was found in annual number of patients treated for nasal bone fracture. The proportion of patients who underwent closed reduction was significantly decreased over time for those with nasal bone fractures caused by traffic accidents. However, it was not significantly changed for those with nasal bone fractures due to other causes. The number of patients with combined facial bone fractures increased over time. Incidences of severe nasal bone fracture also increased over time. Conclusion: The study suggested that there is a decrease in the frequency and increase in the severity of nasal bone fracture due to traffic accident. Many protective devices prevent nasal bone fractures caused by a small amount of external force; however, these devices are not effective against higher amounts of external force. This study highlights the importance of preoperative thorough evaluation to manage patients with nasal bone fractures due to traffic accident.

• The Korean Journal of Pain
• /
• 제3권2호
• /
• pp.165-171
• /
• 1990

The reflex sympathetic dystrophy syndrome (RSDS) consists of sustained burning pain and tenderness, vasomotor instabilitiy, swelling, occasional functional instability, trophic skin change and edema of extremity following trauma, peripheral nerve injury, spinal cord injury, infection, burn and other etiologic factors. The most important thing in RSDS is to start the treatment as soon as the disease was diagnosed. Most patients with RSDS respond dramatically and permanently to sympathetic blocks if treatment is instituted before irreversible trophic changes. The characteristic radiological finding in RSDS is a patchy osteoporosis in the cancellous bone. Periarticular hyperactivity is seen in RSDS by Tc99m bone scan. We have managed 4 cases of RSDS. The methods of management and effects are as follows: 1) In case 1, 28 lumbar sympathetic blocks in both sides were performed. The patient did not complain of pain or tenderness and the limping improved. 2) In case 2, 7 lumbar sympathetic blocks were performed, but we could find only a slight improvement in the symptoms. 3) In case 3, 8 stellate ganglion blocks were carried out. The patient refused the treatment of RSDS because of the lack of rapid improvement. 4) In case 4, total 64 stellate ganglion blocks were carried out; the patient was permanently improved.