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      • KCI등재

        선진 교정시설의 건축계획 특성과 기준에 관한 연구

        문영삼 대한건축학회 2006 대한건축학회논문집 Vol.22 No.9

        The role of correctional facilities is to protect society from unruly or dangerous persons who have broken the law and have been sentenced to incarceration by the courts. The physical environment of the modern correctional facility has much effort on the rehabilitation of the inmate. This study is aimed to offer the basic architectural data and to suggest desirable direction for the inmate in correctional facility designs, through the investigation of the American instances. Especially, the architectural characteristics and standards of the prison architecture are important to analyze in this paper. As the result of study, the correction facilities in the USA have always sought to reinforce correctional philosophy and practice. Administrative standards of correctional facility in the USA have been developed by the American Correctional Association(ACA). This standards are the basic threshold for facilities where are safe and humane and essential human and civil rights are respected. However, most of domestic correctional facilities have been thought of the role which is only the confinement of inmates. A domestic institution also is considered achieving a more normal or humane environment for inmates like American instances.

      • SCOPUSKCI등재

        수술 및 마취중 발생한 심정지 사례

        이현섭,문영삼,노일현,최기상 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.4

        A review was made four cases for intraoperative or immediate postoperative cardiac arrest which occurred during the period from Jan. 1. 1980 to May 31. 1981 and resulted in dealth. The probable causes of death were; Case Ⅰ: inadequate monitoring, hemorrhage, body fluid loss, lengthy operation and sepsis Case Ⅱ: untoward effect of succinylcholine or an underlying cardiac problem Case Ⅲ: cardiac failure due to cadiopulmonary dysfunction cased by kyphoscoliosis Case Ⅳ: peripheral circulatory failure due to massive hemorrhage

      • SCOPUSKCI등재

        전신마취후 속발한 양측실명 1 례

        김태숙,문영삼,고성백,노일현 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.3

        Postoperative total blindness was seen in a 48 year old male who had a laparotomy for traumatic perforation of intestine. General inhalation anesthesia of ether-oxygen-mask with semiclosed system was applied after initial ketamine administration. This unhappy ocular complication could be occur secondary to excessive prolonged external compression to eyeballs with mask or/and prolonged postoperative hypotension.

      • SCOPUSKCI등재

        Ether-Air 마취의 재평가

        오흥근,문영삼,최강 대한마취과학회 1973 Korean Journal of Anesthesiology Vol.6 No.1

        Air can be used as a carrier for volatile agent, ether, with a clear airway, normal pulmonary function and normal oxygenation. In 1858 John Snow, the Father of British Anesthesia stated in his book on Chloroform and Other Anesthetics that he believed it to be almost impossible for death to occur from ether administered with ordinary intelligence and attention. Today ether is probably still the safest anesthetic drug we possess. Ether is cheap and easily obtained; with controlled respiration 3% is adequate. Recovery smooth and rapid. Vomiting may be no different from other agents. Most machines depend upon cylinders of oxygen and other gases, and there are difficulties of refilling cylinders and the cost of transporting them. In such circumstances the E.M.O. Inhaler, allowing ether to be vaporized in known concentrations in air, has many advantages as an alternative to the open method administration. From all types of patients chosen at random 22 patients were studied for ether-air anesthesia. Anesthesia was induced with intravenous thiopental and subsequent endotracheal intubation was performed within 30 seconds with the aid of intravenous succinylcholine. SatO₂, PaO₂, pH, and Base E. were measured 3 times during pre-anesthesia, immediately after the intubation, and post-operatively by Radiometer, using the oxy-hemoglobin dissociation curve and the Siggard-Anderson alignment nomogram. Vital signs were recorded every 5 minutes. It is the purpose of this paper to present this series of 22 anesthetics by the use of the E.M.O. Inhaler with air and to discuss the possibility of hypoxia, advantages and limitations that became apparent. The results obtained may be summarized as follows. 1. It is essential that endotracheal intubation by carried out rapidly and that everything necessary be ready and immediately at hand before starting the anesthetic. 2. In all patients ventilated room air during anesthetic induction, no significant decreases of PaO₂ and SatO₂ were observed immediately after the endotracheal intubatio. 3. The duration of any period of complete apnea inflicted on the patient must be carefully controlled. 4. 100% oxygen prevented the possibility of hypoxia on extubation after all the reflexes had returned. 5. Ether-air anesthesia is recommended without hesitation for use where economy and portability of anesthetic machine are needed.

      • SCOPUSKCI등재

        Halothane 이 뇌척수액압에 미치는 영향

        김완식,문영삼 대한마취과학회 1971 Korean Journal of Anesthesiology Vol.4 No.1

        Recently the influence of respiratory depression, hypercarbia and hypoxia on the intracranial pressure during general inhalation anesthesia has been strongly stressed. The study was taken to determine quantatively the effect on the cerebrospinal fluid pressure in dogs. 1) CSF pressure was determined during anesthesia via cisternal puncture with direct water-manometer and polygraph recording. 2) The changes in blood pressure, pulse rate and temperature with 0.5% halothane were observed. 3) CSF pressure was apt to rise within 30 minutes with halothane but later It gradually returned to normal or decreased slightly. This was associated with little changes or with slight rise in central venous pressure. 4) This emphasised factors related to good anesthetic technic in neurosurgery. it is recommended that preoxygenation before the induction period should be done in the administration of halothane.

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