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JYMS : Journal of Yeungnam Medical Science

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Original articles
Impact of an emergency department resident strike during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, South Korea: a retrospective cross-sectional study
Yo Han Cho, Jae Wan Cho, Hyun Wook Ryoo, Sungbae Moon, Jung Ho Kim, Sang-Hun Lee, Tae Chang Jang, Dong Eun Lee
J Yeungnam Med Sci. 2022;39(1):31-38.   Published online August 10, 2021
DOI: https://doi.org/10.12701/yujm.2021.01130
  • 5,493 View
  • 109 Download
  • 6 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Background
To prepare for future work stoppages in the medical industry, this study aimed to identify the effects of healthcare worker strikes on the mortality rate of patients visiting the emergency department (ED) at six training hospitals in Daegu, Korea.
Methods
We used a retrospective, cross-sectional, multicenter design to analyze the medical records of patients who visited six training hospitals in Daegu (August 21–September 8, 2020). For comparison, control period 1 was set as the same period in the previous year (August 21–September 8, 2019) and control period 2 was set as July 1–19, 2020. Patient characteristics including age, sex, and time of ED visit were investigated along with mode of arrival, length of ED stay, and in-hospital mortality. The experimental and control groups were compared using t-tests, and Mann-Whitney U-test, chi-square test, and Fisher exact tests, as appropriate. Univariate logistic regression was performed to identify significant factors, followed by multivariate logistic regression analysis.
Results
During the study period, 31,357 patients visited the ED, of which 7,749 belonged to the experimental group. Control periods 1 and 2 included 13,100 and 10,243 patients, respectively. No significant in-hospital mortality differences were found between study periods; however, the results showed statistically significant differences in the length of ED stay.
Conclusion
The ED resident strike did not influence the mortality rate of patients who visited the EDs of six training hospitals in Daegu. Furthermore, the number of patients admitted and the length of ED stay decreased during the strike period.

Citations

Citations to this article as recorded by  
  • A deliberative framework to assess the justifiability of strike action in healthcare
    Ryan Essex
    Nursing Ethics.2024; 31(2-3): 148.     CrossRef
  • Impact of junior doctor strikes on patient flow in the emergency department: a cross-sectional analysis
    Svenja Ravioli, Raeesa Jina, Omar Risk, Fleur Cantle
    European Journal of Emergency Medicine.2024; 31(1): 53.     CrossRef
  • What Do Trainees Want? The Rise of House Staff Unions
    Debra Malina, Lisa Rosenbaum
    New England Journal of Medicine.2024; 390(3): 279.     CrossRef
  • Medical students’ professionalism attributes, knowledge, practices, and attitudes toward COVID-19 and attitudes toward care provision during pandemic amidst the COVID-19 outbreak according to their demographics and mental health
    Eun Kyung Choi, Sanghee Yeo
    Korean Journal of Medical Education.2024; 36(2): 157.     CrossRef
  • Impacts of industrial actions, protests, strikes and lockouts by health and care workers during COVID-19 and other pandemic contexts: a systematic review
    Isabel Craveiro, Pradeep Kumar Choudhury, Ana Paula Cavalcante de OLiveira, Alessandra Pereira, Inês Fronteira, Raphael Chança, Giorgio Cometto, Mario Roberto Dal Poz, Paulo Ferrinho
    Human Resources for Health.2024;[Epub]     CrossRef
  • Why Did All the Residents Resign? Key Takeaways From the Junior Physicians’ Mass Walkout in South Korea
    Jinwook Park, Chang Ho Shin, Joo-Young Lee
    Journal of Graduate Medical Education.2024; 16(4): 402.     CrossRef
  • Experience of operating a medical humanities course at one medical school during the COVID-19: a retrospective study
    Yu Ra Kim, Hye-won Shin, Young Hwan Lee, Seong-Yong Kim
    Journal of Yeungnam Medical Science.2023; 40(2): 179.     CrossRef
  • Study on the Learning Environment of Medical Students in the COVID-19
    Yu Ra Kim, Hye Jin Park, Saeyoon Kim
    Keimyung Medical Journal.2023; 42(2): 80.     CrossRef
Determining the correlation between outdoor heatstroke incidence and climate elements in Daegu metropolitan city
Jung Ho Kim, Hyun Wook Ryoo, Sungbae Moon, Tae Chang Jang, Sang Chan Jin, You Ho Mun, Byung Soo Do, Sam Beom Lee, Jong-yeon Kim
Yeungnam Univ J Med. 2019;36(3):241-248.   Published online July 2, 2019
DOI: https://doi.org/10.12701/yujm.2019.00248
  • 7,204 View
  • 84 Download
  • 1 Crossref
AbstractAbstract PDF
Background
Heatstroke is one of the most serious heat-related illnesses. However, establishing public policies to prevent heatstroke remains a challenge. This study aimed to investigate the most relevant climate elements and their warning criteria to prevent outdoor heatstroke (OHS).
Methods
We investigated heatstroke patients from five major hospitals in Daegu metropolitan city, Korea, from June 1 to August 31, 2011 to 2016. We also collected the corresponding regional climate data from Korea Meteorological Administration. We analyzed the relationship between the climate elements and OHS occurrence by logistic regression.
Results
Of 70 patients who had heatstroke, 45 (64.3%) experienced it while outdoors. Considering all climate elements, only mean heat index (MHI) was related with OHS occurrence (p=0.019). Therefore, the higher the MHI, the higher the risk for OHS (adjusted odds ratio, 1.824; 95% confidence interval, 1.102–3.017). The most suitable cutoff point for MHI by Youden’s index was 30.0°C (sensitivity, 77.4%; specificity, 73.7%).
Conclusion
Among the climate elements, MHI was significantly associated with OHS occurrence. The optimal MHI cutoff point for OHS prevention was 30.0°C.

Citations

Citations to this article as recorded by  
  • Ambient heat exposure and kidney function in patients with chronic kidney disease: a post-hoc analysis of the DAPA-CKD trial
    Zhiyan Zhang, Hiddo J L Heerspink, Glenn M Chertow, Ricardo Correa-Rotter, Antonio Gasparrini, Niels Jongs, Anna Maria Langkilde, John J V McMurray, Malcolm N Mistry, Peter Rossing, Robert D Toto, Priya Vart, Dorothea Nitsch, David C Wheeler, Ben Caplin
    The Lancet Planetary Health.2024; 8(4): e225.     CrossRef
Case report
Late complication of the Nuss procedure: recurrent cardiac tamponade
Won Jong Park, Jang Won Son, Kyu Hwan Park, You Min Kim, Jong Ho Nam, Kang Un Choi, Jung Ho Kim
Yeungnam Univ J Med. 2019;36(3):260-264.   Published online June 13, 2019
DOI: https://doi.org/10.12701/yujm.2019.00241
  • 6,919 View
  • 70 Download
AbstractAbstract PDF
Pectus excavatum (PE) is known as one of the most common congenital deformities of the anterior chest wall. The Nuss procedure is an effective surgical therapy to correct PE. Here, we report a case of recurrent cardiac tamponade due to hemopericardium that occurred after 16 months following the Nuss procedure. The cause of recurrent hemopericardium was thought to be local, repetitive irritation of the pericardium by the Nuss steel bar. We should keep in mind that this serious complication can occur after the Nuss procedure, even in the late phase.
Case Reports
Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule
You Ho Moon, Jung ho Kim, Won joon Jeong, Sin-Youl Park
Yeungnam Univ J Med. 2018;35(1):127-129.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.127
  • 6,340 View
  • 63 Download
  • 1 Crossref
AbstractAbstract PDF
Fitz-Hugh-Curtis syndrome (FHCS) is characterized by inflammation of the perihepatic capsules associated with the pelvic inflammatory disease (PID). FHCS is not a serious disease, but if not treated properly, it can result in increased medical costs, prolonged treatment, and dissatisfaction with treatment. However, early recognition of FHCS in the emergency department can be difficult because its symptoms or physical findings may mimic many other diseases. Although contrast-enhanced computed tomography (CECT) is the useful imaging modality for recognition of FHCS, it is available only when a high suspicion is established. We performed point-of-care ultrasonography in an 18-year-old woman who had a sharp right upper quadrant (RUQ) abdominal pain without PID symptoms and found a thickened or three-layer hepatic capsule. These findings coincided with areas showing increased hepatic capsular enhancement in the arterial phase of CECT. These results show that if the thickened or three-layer hepatic capsule without evidence of a common cause of RUQ pain is observed on ultrasonography in women of childbearing age with RUQ abdominal pain, the physician can consider the possibility of FHCS.

Citations

Citations to this article as recorded by  
  • Analysis of Misdiagnosis of FHCS Syndrome as Cholecystitis and Literature Review
    旭旗 申
    Advances in Clinical Medicine.2022; 12(06): 5608.     CrossRef
A Case of Subcutaneous Emphysema without Associated Injuries at Neck from Motorcycle Accident.
Jung Ho Kim, Sam Beom Lee, Byung Soo Do
Yeungnam Univ J Med. 2003;20(2):217-222.   Published online December 31, 2003
DOI: https://doi.org/10.12701/yujm.2003.20.2.217
  • 1,694 View
  • 7 Download
AbstractAbstract PDF
Subcutaneous emphysema defines collection of air in subcutaneous spaces of body. It is usually originated from air in upper airway and lower respiratory tract such as larynx, trachea, bronchus and lungs. Air in subcutaneous spaces derives from leakage of air due to tearing or ruptures of airway structures, and also accompanies pneumothorax or pneumomediastinum and/or rib or sternal fractures or other major airway injuries. We experienced a case of subcutaneous emphysema caused by laryngeal injury without any associated airway injuries at neck from motorcycle accident, so we would report a case with the review of literatures.
A Case of Spontaneous Pneumomediastinum without Direct Cause.
Sam Beom Lee, Jung Ho Kim, Byung Soo Do
Yeungnam Univ J Med. 2003;20(2):212-216.   Published online December 31, 2003
DOI: https://doi.org/10.12701/yujm.2003.20.2.212
  • 1,589 View
  • 0 Download
AbstractAbstract PDF
No abstract available.
Original Article
Multimarker Approach by Troponin T, C-Reactive Protein, and CK-MB to Assessment in AMI in the Emergency Department.
Sam Beom Lee, Jung Ho Kim, Byung Soo Do
Yeungnam Univ J Med. 2003;20(2):197-205.   Published online December 31, 2003
DOI: https://doi.org/10.12701/yujm.2003.20.2.197
  • 1,662 View
  • 1 Download
AbstractAbstract PDF
No abstract available.
Case Report
Congenital Left Ventricular Diverticulum.
Jong Young Kim, Jung Ho Kim, Jin Gon Jun
Yeungnam Univ J Med. 1990;7(2):181-187.   Published online December 31, 1990
DOI: https://doi.org/10.12701/yujm.1990.7.2.181
  • 1,658 View
  • 1 Download
AbstractAbstract PDF
Congenital diverticulosis of the left ventricle is an extremely are rare maldevelopment. We report a 9 year old girl with probable isolated left ventricular diverticulum in whom the diagnosis was made by cross sectional echocardiography and by angiography.

JYMS : Journal of Yeungnam Medical Science
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