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      • KCI등재
      • KCI등재

        체간부 장기 손상을 동반한 외상성 체간부 동맥 손상 환자의 치료 방침

        조충현 ( Choong Hyun Jo ),정용식 ( Yong Sik Jung ),김욱환 ( Wook Hwan Kim ),조영신 ( Young Shin Cho ),안정환 ( Jung Hwan Ahn ),민영기 ( Young Gi Min ),정윤석 ( Yoon Seok Jung ),김성희 ( Sung Hee Kim ),이국종 ( Kug Jong Lee ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.1

        Purpose: The appropriate management of traumatic truncal arterial injury is often difficult to determine, particularly if the injury is associated with severe additional truncal lesions. The timing of repair is controversial when patients arrive alive at the hospital. Also, there is an argument about surgery versus stent-graft repair. This study`s objective was to evaluate the appropriate method and the timing for treatment in cases of truncal abdominal injury associated with other abdominal lesions. Methods: The medical records at Ajou University Medical Center were reviewed for an 8-year period from January 1, 2001, to December 31, 2008. Twelve consecutive patients, who were diagnosed as having had a traumatic truncal arterial injury, were enrolled in our study. Patients who were dead before arriving at the hospital or were not associated with abdominal organ injury, were excluded. All patients involved were managed by using the ATLS (Advanced Trauma Life Support) guideline. Data on injury site, the timing and treatment method of repair, the overall complications, and the survival rate were collected and analyzed. Results: Every case showed a severe injury of more than 15 point on the ISS (injury severity score) scale. The male-to-female ratio was 9:3, and patients were 41 years old on the average. Sites of associated organ injury were the lung, spleen, bowel, liver, pelvic bone, kidney, heart, vertebra, pancreas, and diaphragm ordered from high frequency to lower frequency. There were 11 cases of surgery, and one case of conservative treatment. Two of the patients died after surgery for truncal organ injury: one from excessive bleeding after surgery and the other from multiple organ failure. Arterial injuries were diagnosed by using computed tomography in every case and 9 patients were treated by using an angiographic stent-graft repair. There were 3 patients whose vessels were normal on admission. Several weeks later, they were diagnosed as having a truncal arterial injury. Conclusion: In stable rupture of the truncal artery, initial conservative management is safe and allows management of the major associated lesions. Stent grafting of the truncal artery is a valuable therapeutic alternative to surgical repair, especially in patients considered to be a high risk for a conventional thoracotomy. (J Korean Soc Traumatol 2009;22:77-86)

      • KCI우수등재
      • KCI등재

        일개 권역응급의료센터에서의 중증 외상환자의 전원 현황과 문제점

        이원철 ( Won Chul Lee ),조충현 ( Choong Hyun Jo ),정경원 ( Kyoung Won Jung ),민영기 ( Young Gi Min ),최상천 ( Sang Cheon Choi ),김기운 ( Gi Woon Kim ),안정환 ( Jung Hwan Ahn ),정용식 ( Yong Sik Jung ),황선애 ( Sun Ae Hwang ),김지 대한외상학회 2010 大韓外傷學會誌 Vol.23 No.1

        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. (J Korean Soc Traumatol 2010;23:6-15)

      • 스포츠 관광 활성화를 위한 마케팅 전략

        조충현,김홍식,이동헌 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

        This study was the marketing strategy based on sports tourism, which affects the tour industry. The study used the simple random sampling method in the group of the Kwang-Ju district citizens. The group representatives were directly interviewed, and 277 interviewees replied with concern. The rest of the interviewees were not interested in the survey. The general characteristics of the interviewees -- gender, age, education, job, monthly salary. --were used to analyze the items related to the marketing strategy for the traditional wrestling. In the product selling strategy, there was a significant difference depending on the job and age difference. The interest put on the game changed according to the age difference. The suggested policy is as follows. There is a need for a certain space, in order to provide the public relations of the date and location of the sports tourism match, which will be the product selling strategy. Also, the promotion strategy, using various events, is required urgently. Moreover, it would be good to have more than just viewers of family and friends, but to develop more active programs with higher participation level. This study is, valuable, in the sense that it offers fundamental information related to the traditional wrestling and its marketing strategy, when there is no such information in this field. It is expected for the readers to utilize this study to investigate more into the field, or to look up for new plans to activate the sports tourism.

      • 스포츠 관광 활성화 개선방안에 관한 연구

        조충현,김홍식,박은석,강성찬,이동헌 圓光大學校 附設 體力科學硏究所 2003 體力科學硏究 Vol.26 No.1

        This study was conducted to investigate the effects of the marketing strategy based on the traditional wrestling, which affects the tour industry. The study used the simple random sampling method in the group of the Kwang-Ju district citizens. The group representatives were directly interviewed, and 277 interviewees replied with concern. The rest of the interviewees were not interested in the survey. The general characteristics of the interviewees -- gender, age, education, job, monthly salary. -- were used to analyze the items related to Sports Tourism in general. Sport Tourism in general Male interviewees had higher recognition over females in the interview. The rate of experience was low for both genders. According to their education, the satisfaction of sport tourism showed low rate. However, there were many answers where the interviewees, not depending on the age or gender, indicated that they will participate in the future. The policy recommended based upon the results of the study is as follows. There is a need for setting up a new strategy in order to increase participation of sports. Also, it is urgent to set up a sports theme center to raise professional sportsmen and to supply them to where they are needed.

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