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Bon Nyeo Koo,Shin Ok Koh,Sung Yong Park,Jae Kwang Shim,Sung Sik Chon Korean Society of Critical Care Medicine 2000 Acute and Critical Care Vol.15 No.2
Ketamine is well known for its analgesic, bronchodilating and sympathetic stimulating effect. Hence, it has been widely used for induction of patients with hypotension or asthma and also for analgesic and sedating purposes in the ICU. We presented a 62 year old female patient with ventilator support in septic shock with refractory asthma whom we managed successfully with continuous intravenous infusion of ketamine postoperatively in the ICU. The patient had a history of asthma but had been asymptomatic recently and was scheduled for an emergent explo-laparotomy under the diagnosis of acute panperitonitis. Before the induction of anesthesia, the patient was in septic shock but no wheezing could be auscultated. After the induction of general anesthesia and endotracheal intubation, wheezing was apparent in both lung fields with a high peak inspiratory pressure. Inotropics, vasopressors and bronchodilators were promptly instituted without any improvement of asthma and the patient had to be transferred to the ICU with intubated after the operation. Clinical symptoms of asthma continued throughout the first day despite using bronchodilators under mechanical ventilation but, after starting the IV infusion of ketamine, there were decrease in the peak inspiratory pressure and wheezing with a subsequent improvement in the arterial blood gas analysis findings. We could also achieve considerable analgesic and sedating effect without any decrease in the blood pressure. The patient's general physical status improved and weaning with extubation was successfully done on the 21st day and was transferred to the general ward on the 28th day.
엄녀 ( Nyeo Eom ) 국제한국어교육학회 2007 한국어 교육 Vol.18 No.1
The purpose of this study is to analyze and to evaluate the previous KFL(Korea as a foreign language) textbook for re-edition of a textbook and development of a new textbook. For reliability and positiveness, (1) this study classifies the current of KFL textbook development in China. And this study reviews the content and characteristic of typical KFL textbook in each period that the quickening period, the preparing period, the leaping period, the growing period. Also, this study indicates the tendency and issues of the researches which are related to KFL textbook in China through arrangement of theme. (2) For systematic and valid analysis, this study considers the distinctiveness between `korean language education` and `the chinese-speaking language`. and then, frames criteria of KFL for evaluation. Based on these criteria of evaluation, this study analyzes "The basic korean language" textbook that published by Peking University and Fudan University in diverse aspects that aim of education, teaching method, organization of unit, theme, alphabet, pronunciation, vocabulary, grammar, and learning activity. (Seoul National University)
Suggestion of System Reforms for Assistant Nurses at the Dental Hospital or Dental Clinic
Ok-Nyeo Hong,Kyu-Hwan Lee 대한예방치과학회 2020 International Journal of Clinical Preventive Denti Vol.16 No.4
The dental assistant system has not been established in Korea, and the assistant nurse workforce at the dental clinics has instead taken the role of the dental assistant. Therefore, for some time now, there have been some arguments between dental hygienists because of the limitation of their tasks by the law. The assistant nurse system should be reformed for dental works. The main theme would be considered from the reference for study, for supply, and the task of the dental assistant workforce compared with dental hygienists. From the study, the ideas for system reform for assistant nurses who have worked at the dental clinics would be suggested with the consideration of present dental situations. The co-operation of the workers at dental clinics should be required between dental hygienists and assistant nurses together by changing relative regulations. The dental expert or professional assistant nurse system should be established in the future.