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의식변화를 주 증상으로 내원한 응급실 노인환자의 임상적 고찰
이정호,서준석,설동환,최마이클승필,서강석,박정배,정제명 대한응급의학회 2004 대한응급의학회지 Vol.15 No.1
P u r p o s e: The number of geriatric patients admitted to the emergency department (ED) is growing as the elderly population grows. The altered mental status of the elderly is more difficult to evaluate and manage than others. The purpose of this study was to determine the etiologies of altered mental status in elderly patients visiting the ED. M e t h o d s: A retrospective study was made of 119 patients who visited the ED of Kyungpook National University Hospital for altered mental status from January 2001 to June 2002. R e s u l t s: The results of this study showed that extracranial causes (67.8%) were more than intracranial causes (31.9%): metabolic (35.3%), cerebrovascular (29.4%), extracranial infection (16.0%), cardiovascular (8.4%), drugs/toxins (8.4%), and intracranial infection (2.5%). The group with underlying disease or with brain imaging done showed more intracranial causes than extracranial causes. The results showed that the age, the initial Glasgow coma scale (GCS) score, a new positive finding on a brain image, and the causes of the mental change had significant influence on improvement of the mental status and on the survival rate (p < 0.05). C o n c l u s i o n: Initial evaluation of the underlying disease, the GCS score, an early study of brain imaging, and a search for possible metabolic causes, as well as others should be done simultaneously to deliver high quality care to elderly patient. Knowledge of the most frequent causes of altered mental status in elderly patients may assist the emergency physician in the approaching these potentially ill patients and managing their care.
集合住宅의 建物 配置方式이 心理的 壓迫感에 미치는 影響에 關한 硏究
李正浩,咸鎭植 대구대학교 기초과학연구소 1991 基礎科學硏究 Vol.8 No.-
Recently, there has been enormous research efforts to maximize usage of the site due to rapidly increased price of the residential quarter in big cities and enlarged city population. The size of the apartment building, have been enlarged. However, these enlarged building sized seemed to bring many potential problems such as the residents' feeling of deadend, supression, expossed privacy, lack of the right of view, right to enjoy sunshine, and inadequate ventilation. Among these factors, the effects of 3types of apartment site plans on the residents' feeling of supression were examined in this study. Eight subjects were used to evaluate the degree of the psychological pressure evoked by the apartment housing site plan. Result of this study showed differential psychological effects by 3 types of apartment housing site plan. The details of the result were discussed in this article.