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Clinical Analysis of Trauma Characteristics Among Preschool-Aged Children
Dohoe Ku,김기훈 대한외상중환자외과학회 2020 Journal of Acute Care Surgery Vol.10 No.2
Purpose: This study aimed to independently analyze pediatric trauma characteristics from a single institution in Korea to gain a better understanding of pediatric injury. Methods: A retrospective review was conducted at a single, non-regional trauma center using data from 303 children (< 8 years) who presented at the emergency department (March 2010 to December 2018), to determine the frequency and details of admissions. Demographic variables [sex, age, mechanism of injury, regions of trauma on the body, score of the injury (abbreviated injury scale)] location where the trauma occurred, injury severity score, history of surgery, mortality, and cumulative length of hospital stay], were used to evaluate the severity of the trauma. Results: The frequency of admissions was typically high for all seasons except winter. The most common mechanism of injury was due to falls; however, this was not the case for 1-, 2-, and 4-year-olds. The most common location where trauma occurred was at home for the age group 1-3 years, and outside the home for children aged 4 years or older. The most common area of injury was the extremities (65.7%). The median injury severity score was 4 (range, 4-4), and the median hospital stay was 4 days (range, 2-6). The overall mortality rate was 0.3%. Conclusion: Although mortality from trauma is low among pediatric patients, we must continue to improve treatment outcomes. Hospitals lack sufficient resources for pediatric trauma specialists, however to improve patient outcome, it is necessary to recognize age-specific trauma characteristics.
Comparison of robotic and laparoscopic lateral transperitoneal adrenalectomies
Seung Yeon Ko,Young Woo Chang,Dohoe Ku,Da Young Yu,Hye Yoon Lee,Woong Bae Ji,Gil Soo Son 대한외과학회 2023 Annals of Surgical Treatment and Research(ASRT) Vol.105 No.2
Purpose: This study aimed to compare the intraoperative and postoperative outcomes between robotic and laparoscopic transperitoneal adrenalectomies. Methods: In this retrospective study, 93 patients underwent adrenalectomy using 2 surgical modalities: 45 patients underwent adrenalectomy using the da Vinci Xi system (robotic group), and 48 patients using laparoscopic devices (laparoscopic group). We compared the operation time, intraoperative bleeding, and hospital stay according to the surgical modality and tumor characteristics. Results: There were no significant differences in the operative time (P = 0.827), hospital stay (P = 0.177), and intraoperative bleeding (P = 0.174) between the groups. However, the robotic group showed a lower coefficient of variation in total operative time than that of the laparoscopic group (100.6 ± 23.3 minutes vs. 101.9±32.7 minutes, 0.230 vs. 0.321). When divided into 2 subgroups based on the tumor size (<3 cm and ≥3 cm), the robotic group with a tumor sized >3 cm had a shorter operative time than that of the laparoscopic group (P = 0.032). The robotic group also had fewer cases of intraoperative bleeding (P = 0.034). Conclusions: Compared to the laparoscopic transperitoneal adrenalectomy, the robotic one achieved a lower deviation in total operative time and showed less bleeding and a shorter operative time, especially for tumors sized >3 cm.
Son, Ilhong,Lee, Sangmi,Kim, Doho,Jeong, Hohyung,Cho, Seung-Hun,Lee, Eun-Yong,Lee, Seung-Deok,Ahn, Seong-Hun,Kim, Sungchul KOREAN PHARMACOPUNCTURE INSTITUTE 2014 Journal of pharmacopuncture Vol.17 No.2
Objectives: This study was performed to analyze single dose toxicity and the lethal dose of Scolopendrid Pharmacopuncture in rats. Methods: All experiments were conducted at the Korea Testing & Research Institute (KTR), an institution authorized to perform non-clinical studies, under the regulations of Good Laboratory Practice (GLP). Sprague-Dawley rats were chosen for the pilot study. Doses of Scolopendrid pharmacopuncture, 0.1, 0.5, and 1.0 mL, were administered to the experimental group, and 1.0 mL doses of normal saline solution were administered to the control group. This study was conducted under the approval of the Institutional Animal Ethic Committee. Results: No deaths or abnormalities occurred in any of the groups. No significant changes in the weight, hematological parameters or clinical chemistry were noted between the control group and the experimental group. To check for abnormalities in organs and tissues, we used microscopy to examine representative histological sections of each specified organ; the results showed no significant differences in any of the organs or tissues. Conclusion: The above findings suggest Scolopendrid Pharmacopuncture is a relatively safe to use for treatment. Further studies on the subject should be conducted to yield more concrete evidence.