유보통합의 기본 실행구조 마련을 위한 몇 가지 제언

이삼범 한국유아교육학회 2023 정기학술대회 논문집 Vol.2023 No.1

A Case of Throwing Fracture of the Humerus in a Amateur Baseball Pitcher

이삼범 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.5

Spiral fractures of the humerus that occur during throwing,such as in baseball, are not very common but have beenwell described in orthopedics and sports medicine. Theyare known to occur by sudden extreme muscular actionwhile throwing balls. I report on a case of spiral fracture ofthe humerus shaft while pitching in a baseball game with areview of the literature.

Multimarker Approach by Troponin T, C-Reactive Protein, and CK-MB to Assessment in AMI in the Emergency Department

이삼범,김정호,도병수 영남대학교 의과대학 2003 Yeungnam University Journal of Medicine Vol.20 No.2

A Case of Spontaneous Pneumomediastinum without Direct Cause

이삼범,김정호,도병수 영남대학교 의과대학 2003 Yeungnam University Journal of Medicine Vol.20 No.2

궤양성 대장염 31예에 대한 임상적 고찰

이삼범,정문관,이현우,이현주,장병익 대한소화기내시경학회 1991 Clinical Endoscopy Vol.11 No.2

Ulcerative colitis is diffuse inflammatory condition at mucosal lining of the colon & rectum and rare in Korea but there are no pathognomonic features or specific diagnostic tests. However, recently the diagnostic methods for ulcerative colitis are much developed and the incidence of ulcerative colitis is increased in Korea. Therefor, an analysis of 31 cases of ulcerative colitis which was diagnosed and treated in the department of the YeungNam University Hospital from May l983 to April 1991 was reviewed. The results were as following: 1) The sex distribution assumed a ratio of 1 to 2.1 and the age distribution was vqriable but the most prevalent age group was 5th decade(29.0%). 2) The most common clinical manifestations were abdominal pain & bloody diarrhea. 3) As to the extent of disease determined by the barium enema & endoscopy, rectum or rectosigmoid colon was involved in majority of the cases 22.6%, 41.9 (respectively). 4) Significant laboratory findings were elevated ESR, anemia, leukocytosis, hypoalbuminemia. 5) The endoscopic examination was performed in all 31 cases and showed sinificant findings such as hyperemia, mucosai edema, superficial ulceration & mucosal friability. 6) 23 of 26 cases treated by sulfasalazine medication showed improved, and 3 cases were improved by steriod medication and the surgical operation was indicated in 1 case.

A Case of Unknown Cause of Subcutaneous Emphysema Presented by Generalized Edema

이삼범,김종하,박신률,도병수 대한응급의학회 2016 대한응급의학회지 Vol.27 No.3

Subcutaneous emphysema and pneumomediastinum are commonly derived from trauma or injury of respiratory or gastrointestinal tracts, but occasionally the origin of air was not determined at evaluation. We report on a case of severe subcutaneous emphysema detected using simple X-ray films in the emergency department, which extended to almost all of the bodies, with a review of the literature.

2년간의 의과대학 학생의 해외임상실습 경험

이삼범,방재범,이영환 영남대학교 의과대학 2009 Yeungnam University Journal of Medicine Vol.26 No.1

결과적으로 영남대학교 의과대학에서는 3학년 학생을 대상으로 2008년도에 처음으로 해외임상실습을 시행하게 되어 2년간 새로운 경험을 하게 되었으며 외국의 병원까지도 교류의 기회를 넓히게 되었다. 향후에는 좀 더 영역을 넓히고 전 학생이 참가할 수 있는 프로그램을 개발하여 글로벌 의사양성이라는 교육목표를 완수하려는 지속적인 관심과 노력이 필요할 것으로 생각한다. Background : The aims of medical education have recently been changing in Korea, which has been accompanied by efforts to modify the rotating clerkship courses, improve the quality of clinical education, and make global doctors. We report the experiences of medical students going through an international elective clerkship for during past two years. Materials and Methods : Third year medical students could apply to the international elective clerkship course during a 4 week period after their third-year rotating clerkship at a university hospital. This was done twice - in 2008 and in 2009. Applicant students were allowed to select hospitals anywhere in the world. We analyzed their choices including data on nation, state or city, hospital or institute, contacted hospitals by medical college, differences of two years, etc. Results : Twelve students (10.9%) of a total of 75 third-year students applied to 3 nations and 4 hospitals in 2008. Nine students applied to the Tampa General Hospital at the University of South Florida (USF) in the USA, which was arranged by their medical college. In 2009, a total of five (4.2%) of 77 students applied to 2 nations and 3 hospitals, including three at the University of South Florida, one in another city in the USA, and one in another nation because of the increased financial burden due to a higher exchange rate. Conclusion : Medical students started their first international elective clerkship courses during the past two years. Experiences were interesting and meaningful to the students and the medical college. Greater effort and support to developing a new paradigm and to enlarge the scope of the program for making global doctors are required in the future.

폐 침윤을 동반한 특발성 과호산구 증후군 1례

류헌모,권영수,정진홍,이관호,이현우,김동석,이삼범 영남대학교의과대학 1994 Yeungnam University Journal of Medicine Vol.11 No.2

저자들은 말초 혈액에서 현저한 호산구 증가를 보이면서 간, 임파선, 골수 및 폐에 호산구 침윤을 보여 hydroxyurea로 치료한 특발성 과호산구 증후군 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. The idiopathic hyperecoinophilic syndrome consists of peripheral blood eosinophilia of 1500/㎣ or more without a known cause, plus signs and symptoms of organ eosinophilia. The prognosis of HES without treatment is poor. However, about one third of the patients with this syndrome may respond to corticosteroid thrapy. Morever, the majority of the remainder may have a favorable response to hydroxyurea. We present here a case of hypereosinophilic syndrome without any identifiable causes, involving bone marrow, liver, lungs and cervical lymph node. We tried corticosteroid as a treatment but it showed on response. However the hydroxyurea showed good response.

대구 영진전문대학 2급 응급구조사 양성교육에 대한 고찰

정준영,도병수,김현정,도호석,이창현,이삼범 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.4

Study objective : To evaluate the adequacy of level-2 EMT training program and the future of students after receiving EMT certification. And then to search the ideas for improving the quality of education and the rates of getting employment. Design : Retrospective review of the personnel datas, and the written survey Setting : University teaching hospital Participants : The 83 students had finished the level-2 EMT (Emergency Medical Technician) training program of 324 hours between August 21, 1995 and November 15, 1995. And the 72 of those were examined by the written questions and the survey of the personal card. Results : The mean age the students was 30±5.6 years. The gender ratio of male to female was 65:7. The marital status of students was 32 married. The educational status of the students was, in all, more than high school graduation. The present addresses of students were Daegu 73.6%, Kyeungbuk 16.7%, Kyeungnam 4.2%. The students who have no job for life support were 41.7%. In written survey, 56.9% of the students answered that the contents and teaching techniques had been inappropriate. Also were passed the national examination for certification and certified as level-2 EMT, but anyone of them could not take a job for EMT. Conclusion : In Korea, because the medical control of prehospital care of patients and victims is off-line system, the education and training of EMT is very important. But all designated facilities and teachers have no sufficient preparations for the education and training of EMT. And anyone could not get employment for EMT, although they had spent much times and costs for certification of EMT. So powerful policies and laws will be needed for qualitative improvement and activation of regional EMSS.

응급의료와 그 적용 법률에 대한 개요

도병수,이삼범 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.3

Background : The medicolegal problems can be occurred in all medical field. Especially ED can be more exposed to the legal claims due to the very nature of ED business and characteristics of ED patient (or their family member). All emergency physicians, as a ED manager, should be concerned about the law associated with emergency care for handling the medicolegal problem. So they can deal with and prevent the legally risky situations that may be occurred in ED practice. Ultimately we can reduce the risk of a malpractice lawsuit and provide good emergency care services Suggestion :The authors would like to suggest several items that we have thought the ED physicians and managers always have to remember to manage the medicolegally risky situations 1. Every member of ED health care team must be trained in understanding the patients' wants and desires. 2. The emergency physicians and nurses must realize that they are the best risk management tools in the hospital. 3. ED physician should have the knowledge of the law associated with emergency health care. 4. Develop the system that can share the informations about the medicolegal events which were experienced by each ED health care providers of every health care institutes. 5. We should never forget the time honored sentences, "Good medicine is good law".