ABSTRACT
The quality of public cardiopulmonary resuscitation training plays an important role in improving the survival rate of patients with cardiac arrest. Various forms of training have been carried out all over China, which plays a great role in promoting the work of cardiopulmonary resuscitation. However, there is still a lot of room for improvement in the quality management and effect sustainability of training. This paper reviews the current situation and deficiencies of quality management of public cardiopulmonary resuscitation training, and the role of training quality in enhancing people's self-confidence in learning and rescue, training contents, training methods, quality evaluation indicators, evaluation methods, and quality influencing factors and retraining time requirements, and so on. And it puts forward some practical suggestions on the quality management of public cardiopulmonary resuscitation training in China. Such as it will more emphasize standardized training, deliberate practice, proficient training, National Training, long-term maintenance of knowledge and skills, and using useful tools to improve the quality of cardiopulmonary resuscitation training, etc. In order to improve the training quality management level of the public, so that the trainees can really master cardiopulmonary resuscitation skills, so as to improve the rescue rate and survival rate of patients with cardiac arrest. To promote the sustainable development of people's health.
ABSTRACT
Dermatologists often treat patients with complications arising from illegal cosmetic practices. Large numbers of non-medical personnel who claim to be “beauty experts” currently offer laser treatment, surgery, or injections that result in serious complications. Here we report two cases of adverse events: one after epilation with an unidentified laser device and the other after rhytidectomy performed using an unproven surgical method. Dermatologists should be aware of these complications and be able to educate both patients and fellow doctors about the potential risks.
Subject(s)
Humans , Hair Removal , Methods , RhytidoplastyABSTRACT
BACKGROUND: During the last dozen years, tremendous changes have occurred in dermatologic care in Korea. Unlike in the past, dermatologic procedures, including cosmetic treatments, are now frequently carried out by non-dermatologists, oriental medicine doctors, dentists, or non-medical personnel. Procedure-related complications are increasing, but few studies have addressed this issue. OBJECTIVE: This study aims to analyze the scope of complicated cases after dermatologic procedures at Chonbuk National University Hospital. METHODS: This study analyzed the records of 74 patients with complications after dermatologic procedures that visited Chonbuk National University Hospital between January 2008 and December 2013. RESULTS: The numbers of complicated cases increased yearly. The ratio of male to female patients with complicated cases was 1:6.4, and the mean age was 44.4 years. The ratio of practitioners who treated the patients was 1u1. 6u5.7 dermatologists to non-medical personnel to non-dermatologists, and the majority of non-dermatologists who treated the patients were general practitioners. A total of 82.5% of the patients who visited non-dermatologists mistook them as dermatologists. The most common complication was a pigmentation change detected by non-dermatologists (n=21, 38.9%), and dermatologists (n=4, 44.4%). Foreign body granulomatous reactions were detected by non-medical personnel (n=12, 80.0%). Especially, laser ablations of undiagnosed skin cancer by non-dermatologists were seven times greater than dermatologist. CONCLUSION: Complications after dermatologic procedures are increasing and happen more commonly when patients are seen by non-dermatologists, including oriental medicine doctors, dentists, and non-medical personnel, than dermatologists. This study may help improve strategies for health-care safety management and quality in the dermatological field in Korea.
Subject(s)
Female , Humans , Male , Dentists , Foreign Bodies , General Practitioners , Korea , Medicine, East Asian Traditional , Pigmentation , Safety Management , Skin Neoplasms , Tertiary Care CentersABSTRACT
BACKGROUND: Cases of patients presenting side effects after illegal therapeutic attempts by non-medical personnel have been increasing and the patterns of attempts and related side effects become complicated. OBJECTIVE: To analyze the causes and characteristics of illegal therapeutic attempts and its' side effects performed by non-medical personnel. METHODS: Between April 1, 2008 and April 30, 2008, a total of 120 case reports of patients who developed side effects after illegal therapeutic attempts by non-medical personnel were collected from the members of the Korean dermatological association and analyzed. RESULTS: Clinical diagnoses, suggested to have before receiving illegal therapeutic attempts, revealed that 44 (36.6%) patients presented various pigmentary disorders, such as acquired melanocytic nevi and melasma, 22 (18.3%) wanted to have tattooing for permanent make up, skin aging in 16 (13.3%) cases, and acne in 10 (8.3%). Illegal therapeutic attempts performed included tattooing for permanent make up in 22 (18.3%) cases, peelings 19 (15.8%), laser therapies 18 (15.0%), and filler injection 12 (10.0%). The various clinical diagnoses of the patients with side effects were suggested, such as contact dermatitis in 34 (25.6%) cases, scarring in 33 (24.8%), post-inflammatory hyperpigmentation 20 (15.0%), secondary infection 19 (14.3%), and acne or acneiform eruption 9 (6.8%). CONCLUSION: In this report, we demonstrated patterns of illegal therapeutic attempts by non-medical personnel and its' side effects. We suggest that more effort should be followed by dermatologists to inform patients the risks of the illegal therapeutic attempts by non-medical personnel and to increase public health awareness.
Subject(s)
Humans , Acne Vulgaris , Acneiform Eruptions , Cicatrix , Coinfection , Cosmetics , Dermatitis, Contact , Hyperpigmentation , Laser Therapy , Melanosis , Nevus, Pigmented , Public Health , Skin Aging , TattooingABSTRACT
PURPOSE: The penis has been attracted to everyone associated with various diseases and sexual activity. Lots of materials and instruments has been applied to the penis for sexual arousal. Furthermore, those ar e usually made and applied in inappropriate ways by non-medical personnel. This resulted in lots of complications in various degrees. So, we investigated the real problems concerning various procedures performed on the genitalia by non-medical personnel. MATERIALS AND METHODS: We reviewed retrospectively medical records of 32 male and one female patients having complications which had been developed following some procedures on the genitalia by non-medical personnel from January 1995 to December 1999. These patients were analyzed according to characteristics of the patients, the methods, purposes, complications and treatments. RESULTS: Their age at first visit was various from 12 years to 70 years (mean, 35.8 years). At that time when procedures had been performed, their age were 12 years to 56 yeats (mean, 30.8 years) in 26 cases whose ages were identified. Among them 22cases (66.7%) were the married and 11 (33.3%) were the unmarried. Occupations were various and out-of-work were 10 (30.4%), commerce 8 (24.2%), firm worker 6(18.2%), student 5 (15.2%), and private job manager and the not-identified 2 (6.1%). according to the school career, the high school graduates were 18 (54.6%), the college graduates 7 (21.2%), middle school graduates 4 (12.1%), and 4 were under middle school. These procedures were performed for sexual satisfaction in 29 cases (87.9%) and for cheap and easy circumcision in 4 cases (12.1%), of which 26 cases (78.8%) had been performed by other person and 7 cases (21.2%) by himself. According to the materials used, 22 (66.7%) cases had been injected vaseline or paraffin in to the penis and one (3.0%) into the vulva, and one (3.0%) plicated his penile skin with rubber band using sewing needle, which 24 cases (72.7%) were for enlargement of the genitalia. 2 (6.0%) cases inserted plastic balls into the penile skin for sexual arousal of partner. 3 (9.1%) cases put a metallic ring, a ceramic ring, and a vacuum device over their penis for improving erection quality, respectively. 4(12.1%) cases had applied the commercially-maid self-circumcision devices over their prepuce, Complications were foreign body sensation, pain at erection, inflammation, skin necrosis, and septic condition, which were variable case by case. Treatments were removal of foreign materials and devices, necrotic tissue, and primary repair of defected skin, for that, in 2 (6.0%) cases, skin flap and graft were needed. CONCLUSIONS: Lots of complications, severe in some cases, had been developed on external genitalia following various procedures performed by medically unauthorized person. So, we have to strongly for their purpose and it would be rather harmful. At the same time, we have to strongly recommend the government to control strictly such materials and instruments not to be sold and used inappropriately.