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고영관(Young Gwan Ko),박현경(Hyun Kyung Park),박성준(Sung Jun Park),김명천(Myung Cheon Kim) 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3
Background: lawsuits associated with medical troubles are increasing rapidly. Beginning with 69 cases in 1989, the annual rate of increase has reached above 36%. After the system of emergency medical specialist was born in 1995, it was expected that medical lawsuit cases would increase due to the importance of the emergency medical specialist's role to the emergent patients. Methods: A database was established for medical lawsuits (1982~1998, n=254), and lawsuits involving the emergency department (1982~1998, n=16) were selected from that database. Results: In criminal cases, the prosecutor's win rate was one out of four (25%). In civil cases, the prosecutor's win rate was 8 out of 10(80%); that is, the rate was higher than in general medical cases. Conclusion: To reduce the number of lawsuit following medical troubles in the emergency department, we should give careful attention and appropriate cure to patients who visit the emergency center.
조미란 ( Mi Ran Cho ),이정숙 ( Jung Sook Lee ),김명천 ( Myung Cheon Kim ) 한국정맥경장영양학회 2012 한국정맥경장영양학회지 Vol.5 No.1
Purpose: Diarrhea is generally recognized as one of the most common complications associated with tube feeding. As a result, various forms of fibers are added to the formula to reduce the incidence of tube-feeding-related diarrhea. The purpose of this study was to compare the frequency of liquid stool in enterally fed patients receiving an insoluble fiber-enriched formula and those fed a mixed fibers diet formula. Methods: We conducted a prospective, double-blind trial to determine the effects of administration of enteral nutrition containing insoluble fiber on the stool frequency. Eight patients were given soluble and insoluble group (SIF group), and 11 patients were given the insoluble fiber formula (IF group) for consecutively 7 days. A number of stool and fecal score were recorded for all 7 days by using the King`s stool chart with an absolute daily fecal score of 15. Results: Calorie was started on the first day with 625± 170.6 (150∼1,400) kcal/day for SIF group and 827.3± 140.8 (300∼1,200) kcal/day for IF group. On the seventh day, these values were increased to 74.9±6.6 (44.4∼ 100)% for SIF group and 87.0±4.6 (66.7∼107.1)% for IF group of nutritional goal. SIF group reported a significantly higher tendency towards the mean number of stools per day (2.8±0.7 [0.7∼6.7]), mean fecal score per day (16.3±3.8 [4.6∼36.0]) and mean number of days with diarrhea per week (3.1±1.0 [0∼7]) than IF groups with corresponding values of (1.8±0.2 [0.6∼2.9], 10.3± 2.0 [2.6∼19.7] and 1.9±0.5 [0∼4]). Conclusion: The results of this study suggest that enteral nutrition with insoluble fiber is beneficial in reducing the incidence of diarrhea in patients. Because gastrointestinal functional status (e.g., delayed gastric emptying) and intestinal environment (e.g., antibiotics) of patients with enteral tube feeding may be different from that of healthy humans, gastrointestinal symptoms (e.g., stool aspects) may vary depending on the fiber in enteral formula. (JKSPEN 2013;5(1):31-35).
박현경,박성준,김명천,고영관 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3
Background: lawsuits associated with medical troubles are increasing rapidly. Beginning with 69 cases in 1989, the annual rate of increase has reached above 36%. After the system of emergency medical specialist was born in 1995, it was expected that medical lawsuit cases would increase due to the importance of the emergency medical specialist's role to the emergent patients. Methods: A database was established for medical lawsuits(1982~1998, n=254), and lawsuits involving the emergency department(1982~1998, n=16) were selected from that database. Results: In criminal cases, the prosecutor's win rate was one out of four(25%). In civil cases, the prosecutor's win rate was 8 out of 10(80%); that is, the rate was higher than in general medical cases. Conclusion: To reduce the number of lawsuit following medical troubles in the emergency department, we should give careful attention and appropriate cure to patients who visit the emergency center.
이성은,김명천,고영관 대한응급의학회 2001 대한응급의학회지 Vol.12 No.1
Uterine rupture in the second trimester is rare, but it is a surgical emergency. Also it results rapid deterioration of patient and high mortality despite of prompt therapy and massive transfusion. Radiologic studies often do not allow definitive diagnosis of it, so clinical judgement is critical for optimizing patient care. We present a case of spontaneous uterine rupture with fetal death in 17 weeks of pregnancy due to placenta percreta with brief review of the literature.