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RISS 인기검색어
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중증 COVID-19 환자에서 호흡재활프로그램의 종합적 효과: 단일사례연구
이태헌,이남기 대한심장호흡물리치료학회 2022 대한심장호흡물리치료학회지 Vol.10 No.2
Purpose: This study was designed to determine the comprehensive effects of a respiratory rehabilitation program on the immune system, pulmonary function, motor ability, and activities of daily living (ADLs) in a patient with severe coronavirus disease 2019 (COVID-19). Methods: A 73-year-old female patient diagnosed with severe COVID-19 was recruited at OO university hospital. The respiratory rehabilitation program was conducted for 8 weeks, 5 days per week, for 120 min per day, and consisted of aerobic and strength exercises. We assessed the changes in the immune system-related cells and inflammatory markers, dyspnea, coughing ability, respiratory muscle strength, pulmonary functions, upper and lower extremity strength, balance, walking speed, and ADLs. Results: The lymphocytes showed a meaningful increase after the intervention, whereas the level of C-reactive protein and erythrocyte sedimentation rate decreased, suggesting the setting down of inflammation. COVID-19-related dyspnea was reduced, and the coughing ability of the patient was improved. Finally, there were remarkable increases in the upper and lower extremity strength, balance, walking speed, and ADL assessments. Conclusion: Hence, we suggest that the respiratory rehabilitation program, which includes aerobic and strength exercises, helps patients with COVID-19 relieve the main symptoms, such as dyspnea and cough, and improve the immune system and pulmonary function, motor ability, and ADLs.
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종합병원에 내원한 사륜구동 오토바이(ATV, All-Terrain Vehicle) 사고 환자에 대한 고찰
이태헌,서정열,문중범,이재성,안무업,안희철,손유동,천승환,조광윤,김남호,김동원,이정열,조준휘 대한응급의학회 2009 대한응급의학회지 Vol.20 No.5
Purpose: Recently, all-terrain vehicle (ATV)-related injuries have increased. The purpose of this study was to evaluate and analyze the ATV injuries in Korea. Methods: We analyzed the patients who visited Chuncheon Sacred Heart Hospital emergency center with ATVrelated injuries, from 2004 January to 2008 December. The injury severity was evaluated according to the injury severity score (ISS), the revised trauma score (RTS), and the yrauma score and the injury severity score (TRISS). Results: From 2004 to 2008, a total of 78 cases, 28 male and 50 female, of ATV-related injuries were reviewed. The annual incidence had increased 22.5-fold from 2004(2 cases) to 2008(45 cases). The age ranged from 8 to 68 years (median, 24 years). The most frequently injured site was the lower extremity(48.7%). The primary mechanism of injury was roll-over(35.9%), the next was falling down (33.3%). Eighty-two percent(82%) of accidents occurred on paved roads when ATVs are legislated for off-road use only. The average ISS was 6.8. In cases including both the driver and the passenger, the ISS of passengers was higher than that of drivers(7.4 vs. 4.7). Fifty percent (50%) of patients required an operation. The rate of admission was 62.8%. The average length of hospital stay was 25 days. Eighty-one percent (81%) of patients had no previous experience of operating an ATV. Sixty-seven percent (67%) of patients did not receive any formal training before operating an ATVs. Conclusion: Both the incidence and severity of ATV-related injuries are increasing in Korea. There is a lack of regulation enforcement and public awareness of the dangers of ATV use. The wearing of appropriate safety equipment and sufficient education about driving skills can reduce the ATVrelated injuries.
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