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중증도 분류 교육 프로그램이 중증도 분류 정확성에 미치는 효과 -119구급대원을 중심으로-
김용석,KIM, YOUNG SEOK 국제문화기술진흥원 2022 The Journal of the Convergence on Culture Technolo Vol.8 No.6
The study was conducted to determine the effectiveness of the triage training program utilizing pre-and post-training experiments designed for 119 emergency medical services teams. Objectives: This study evaluated the effectiveness of triage training programs on the accuracy of triage performed by 119 emergency medical services team staff who participated in the triage training program. Behavior: Participants in this study included 119 of the 166 EMS staff. In this program, a modified START triage consisting of a 20-minute theoretical presentation was presented to the participants. Data were analyzed using SPSS 21.0. Results: A significant increase in triage accuracy for 119 EMS teams(p<.001). And undertriage showed a significant decrease(p<.001). In addition, overtriage showed a decrease but was not statistically significant. Conclusions: The results obtained from this study showed that the triage training program was effective in improving the accuracy of the triage of multiple injury patients or disaster victims when presented to the 119 emergency medical services team. Therefore, these results suggest that it would be helpful to add triage training to the fire department's formal training program.
채소 자동결속기의 개발(II) : 시제품제작 및 성능검증
김용석,박성호,양순용,Kim, Yong-Seok,Park, Sung-Ho,Yang, Soon-Young 한국생산제조학회 2009 한국생산제조학회지 Vol.26 No.3
In this paper, it has been proposed an automatic vegetable bundling mechanism that makes use of heat melt sticking. The proposed mechanism is consisted of three modules for the rationality of manufacture. Design specification has been determined by the bundling mechanism that was optimized mechanically. And, it has been manufactured the prototype of the automatic bundling machine. It has been carried out directly the field test for verification of performance in farmhouse which produces vegetable. In field test, this bundling machine showed efficiency of about 3.6 times than the manual working by manpower, and other performance it got satisfied result. This automatic vegetable-bundling machine was already registered as the agricultural machine. and This machine will be commercialized soon.
김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),김태현 ( Tae Hyeon Kim ),이태훈 ( Tae Hoon Lee ) 대한췌담도학회 2013 대한췌담도학회지 Vol.18 No.4
총담관결석의 진단방법은 여러 가지가 있으며 크게 임상양상, 영상검사 및 내시경검사로 나눌 수 있다. 이 중에서 임상증상, 검사실 소견, 초음파검사 또는 복부전산화단층촬영과 같은 기본 검사 결과를 바탕으로 총담관결석이 있을 가능성이 높은 군과 낮은 군으로 구별 혹은 층화하여 몇 개의 위험군으로 나누어 치료 방침 및 추가 검사를 시행한다. 저위험군에서는 환자가 담낭담석을 동반하여 담낭절제술이 필요하다면 내시경역행담췌관조영술을 시행하지않고 바로 담낭절제술을 시행할 수 있다. 중등도 위험군에서는 총담관결석의 제거를 위한 내시경역행담췌관조영술이 필요한지를 알아보기 위하여 자기공명 담췌관조영술이나 내시경초음파검사의 추가 검사가 필요하다. 고위험군에서는 다른 추가 검사 없이 담석 제거 등의 치료를 할 수 있는 내시경역행담췌관조영술을 바로 시행할 수 있다. Choledocholithiasis is the presence of at least one gallstone in the common bile duct.Symptoms may be variable ranging from asymptomatic to complications such as cholangitis, sepsis, pancreatitis. Wherever patients have symptoms and investigation suggests ductal stones, extraction should be performed if possible. The approach to patients with suspected choledocholithiasis requires careful consideration because missed common bile duct stones pose a risk of complication. Under these circumstance, guidelines have been prepared in some countries and these criteria are now being evaluated. In this review, we are going to suggest the guideline of Korean Pancreatobiliay Association for adequate diagnosis and risk stratification of common bile duct stones.
골수 이형성 증후군에서 급성 백혈병으로 전환기에 발생한 위 과립구 육종 1예
김용석 ( Yong Seok Kim ),최용우 ( Young Woo Choi ),임대승 ( Dae Seung Im ),이태희 ( Tae Hee Lee ),임의혁 ( Eui Hyeog Im ),허규찬 ( Kyu Chan Huh ),강영우 ( Young Woo Kang ) 대한내과학회 2008 대한내과학회지 Vol.74 No.5
저자들은 골수 이형성 증후군으로 외래에서 추적관찰 중이던 환자에서 혈액 검사와 골수 검사 결과 급성 골수성 백혈병으로의 전환기에 위벽에서 발생한 과립구성 육종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granulocytic sarcoma is a localized tumor that`s composed of immature cells of the granulocytic series. The tumor may be involved anywhere in the body, but we present here a rare case that involved the gastrointestinal tract (and especially the stomach). Granulocytic sarcoma may represent the initial manifestation of blast transformation or it may herald the onset of acute leukemia from myelodysplastic syndrome. We report here on a case of gastric granulocytic sarcoma in a patient with transformed acute leukemia from myelodysplastic syndrome. A 56-year-old male who was suffering with myelodysplastic syndrome (RARS) for 5 years presented with upper abdominal pain. Gastrofiberoscopy revealed an elevated lesion with central erosion at the posterior wall of the gastric upper body, which histologically proved to be a granulocytic sarcoma. The peripheral blood smear and bone marrow examination showed acute myeloid leukemia.(Korean J Med 74:570-573, 2008)
김용석(Yong-Seok Kim),김재준(Jea-Jun Kim),박태표(Te-Pyo Park),양순용(Soon-Young Yang) 대한기계학회 2008 대한기계학회 춘추학술대회 Vol.2008 No.5
In this paper, we propose an automatic vegetable-bundling mechanism that makes use of heat melt sticking. The proposed mechanism is made of three modules for aligning, shaping, and bundling. Using the SMO(SimDesigner Motion) module, we optimize condition of mechanical movement of the bundling mechanism. We manufactured the prototype of the automatic bundling machine. Also we carried out directly the field test for verification of performance in farmhouse which produces vegetable, and we got satisfied result. This machine will be commercialized and announced soon.
김용석(Yong Seok Kim),황준영(Jun Young Hwang),안지현(Ji Hyun Ahn),김미경(Mi Kyung Kim),박준석(Jun Seok Park),최유신(Yoo Shin Choi),김범규(Beom Gyu Kim),박용검(Yong Gum Park),지경천(Kyung Chun Chi),이정효(Jung Hyo Lee),임현묵(Hyun Muc 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
Paragangliomas are rare tumors that arise from the extraadrenal chromaffin cells. We report here on a case of retroperitoneal paraganglioma in a 24-year-old young man. Abdomen CT and magnetic resonance imaging showed a hypervascular mass near the left ureter. He had not felt paroxysmal palpitation and his vital signs were within the normal range. An exploratory laparotomy revealed a 7.2×5.5 cm sized mass below the jejunum and near the aorta, and this mass had adhesion to the left ureter. It was histologically diagnosed with a paraganglioma after the surgical resection. Although there was an increase of blood pressure on palpation during surgery, the postoperative course was uneventful. When we consider the unusual locations and the associated operative risk, we should take care to rule out the possibility of a functional paraganglioma in the preoperative differential diagnosis of an abdominal mass.
전산화 단층 촬영을 통해 발견된 소아 기관기관지(Tracheal Bronchus)의 임상적 고찰
김용석 ( Yong Seok Kim ),엄태민 ( Tae Min Um ),손승국 ( Seung Kook Son ),김혜영 ( Hye Young Kim ),김용우 ( Yong Woo Kim ),박희주 ( Hee Ju Park ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.4
목 적 : 기관기관지는 기관분기부 상부의 기관의 측벽에서 기원하는 이소성 기관지로, 대개 무증상으로 우연히 발견되며, 다른 기형과 동반되는 경우가 많다. 본 연구에서는 기관기관지의 임상 양상에 대해서 알아보고자 한다. 방 법 : 2000년 1월부터 2011년 12월까지 흉부 전산화단층 촬영 스캔을 실시하여 기관기관지로 진단된 19례를 대상으로 이들의 증상, 방사선학적 소견, 동반 기형의 유무 등 임상 양상을 후향적으로 조사하였다. 결 과 : 기관기관지로 진단될 때 나이는 2일부터 14세까지(평균 51개월)였으며, 남아가 12명(63.2%), 여아가 7명(36.8%)이었다. 우측 기관기관지가 18명(94.7%), 좌측 기관기관지가 1명(5.3%)으로 대부분 우측에서 기원하였고, 기관지의 수에 따라 전위형이 14명(73.7%), 과다형이 5명(26.3%)으로 전위형이 많았다. 증상은 없는 경우가 13명(68.4%)이었고, 기침 5명(26.3%), 반복적 천명이 4명(21.1%)에서 관찰되었다. 동반기형은 17명(89.5%)에서 확인되었고, 선천 심혈관계 기형이 16명(84.2%), 기관-식도루 3명(15.8%), 다운증후군 2명(10.5%)이었다. 결 론 : 기관기관지 환자에서 호흡기계 증상은 심하지 않았으나, 다른 동반 기형들이 많이 발견되었다. 따라서 반복되는 천명과 같은 증상이 있는 경우 기관기관지 여부를 확인하고, 기관기관지로 진단된 경우에는 동반 기형 여부 등에 대한 평가가 필요하겠다. 본 연구는 연구 대상에 심혈관계 기형을 가진 환자의 빈도(84.2%)가 높아 한계를 가진다. Purpose : Tracheal bronchus is an aberrant bronchus arising from tracheal wall above the carina. Most cases of tracheal bronchus are asymptomatic, so they are diagnosed incidentally. Tracheal bronchus may be associated with other anomalies. The aim of this study is to evaluate the clinical characteristics of tracheal bronchus. Methods : This study was conducted on 19 children who were diagnosed as tracheal bronchus by the chest computed tomography from January 2000 to December 2011. Based on the medical record, clinical features, such as symptoms, radiologic findings, combined anomalies were evaluated retrospectively. Results : The age at diagnosis was ranged from 2 day to 14 years (mean, 51 months). Among the 19 children, twelve children (63.2%) were boys and seven children (36.8%) were girls. Eighteen children (94.7%) had right-side tracheal bronchus and one child (5.3%) had left-side tracheal bronchus. Displaced type were fourteen children (73.7%), supernumerary type were five children (26.3%). Thirteen children (68.4%) had no respiratory symptoms, but five children (26.3%) had persistent cough and four children (21.1%) had recurrent wheezing. Combined congenital abnormalities were present in seventeen children (89.5%), including congenital cardiovascular anomaly (n=14, 73.7%), trachea-esophageal fistula (n=3, 15.8%), Down syndrome (n=2, 10.5%). Conclusion : The patients with tracheal bronchus had not severe respiratory symptoms, but had many combined anomalies. So, it is necessary to consider the presence of tracheal bronchus in children with respiratory symptom, like recurrent wheezing, and to evaluate clinical significance, like combined anomaly, in tracheal bronchus patients. The limitation of this study is that the study group includes many cardiovascular disease patients (84.2%). [Pediatr Allergy Respir Dis(Korea) 2012;22:411-416]