http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
심민섭,송형곤,정연권,송근정 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4
Hypertension is a risk factor for developing fatal aortic dissection. Aortic dissection occurs 2~3 times as often in men than in women between ages of 50~70 years old. Among other risk factors, aortic dissection occurs especially in women below the age of 40 years old in pregnancy-related cases. In pregnancy-related cases, aortic dissection occurs n the third trimester and in puerperium, as well as in multiparous women. The writers experienced an aortic dissection related pregnancy. The patient was 32 years old, diagnosis of dissection occurred in the postpartum period. Although, aortic dissection is a rare complication of pregnancy, the knowledge of this may assist the emergency physician save the lives of patients.
'퇴원설명문'에 의한 72시간내 부적절한 응급센터 재방문의 감소
박하영,심민섭,송형곤,송근정 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1
Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.
베이비 부머 은퇴자들을 위한 산림치유 프로그램이 회복 탄력성과 우울에 미치는 영향
심남섭 ( Nam-seob Sim ),신창섭 ( Chang-seob Shin ),신민자 ( Min-ja Shin ) 한국환경생태학회 2021 한국환경생태학회지 Vol.35 No.4
고령화 시대에 퇴직을 맞이하는 사람들은 회복탄력성과 심리적 우울의 변화를 경험하게 된다. 한국 사회의 경제 사회분야에서 중심적 역할을 주도해 온 베이비부머 세대의 퇴직이 시작되면서 이들의 퇴직 이후의 삶에도 관심이 높아지고 있다. 본 연구에서는 생태숲이 가지고 있는 산림치유인자들을 활용한 산림치유 프로그램을 통해 베이비부머 은퇴자들의 회복탄력성, 우울에 미치는 영향을 알아보고자 하였다. 실험은 베이비부머 세대 58명을 대상으로 3그룹으로 구분하여 그룹 간 차이를 검정하였다. 그 결과 산림치유 프로그램에 참여한 그룹(FHPG)은 자율적인 숲 활동 그룹(FHNG)과 일상생활 그룹(DLG)에 비하여 회복탄력성이 매우 유의미하게 증가되었고, 우울감도 통계적으로 유의하게 감소되었다. 따라서 은퇴자들의 자율적인 숲 활동 보다도 산림치유 프로그램에 참여하는 것이 매우 효과적이라고 할 수 있다. 본 연구 결과가 향후 은퇴자들의 회복탄력성과 우울 연구에 기초자료로 활용되기를 기대한다. People who face retirement in aging society experience changes in resilience and psychological depression. As the baby boomer generation, which has played a central role in Korea's economic and social sectors, begins retiring, interest in their post-retirement lives has also increased. Thus, this study investigates the effects of a forest healing program using forest healing factors of ecological forests on the resilience and depression of baby-boomer retirees. This experiment divided 58 subjects in the baby boomer generation into three groups and examined differences among the groups. The result showed that the subjects in the forest healing program group (FHPG) had a very significant increase in resilience and a statistically significant decrease in depression compared to those in the forest healing program non-participation group (FHNG) and the daily life group (DLG). Therefore, it can be said participating in the forest healing program is more effective for retirees than voluntary forest activities. The results of this study can be used as basic data for research on the resilience and depression of retirees.
Cystic Hemangiopericytoma in the Third Ventricle
Sim, Jong-Eun,Jeong, Jin-Sook,Choi, Sun-Seob,Choi, Young-Min,Kim, Ki-Uk The Korean Neurosurgical Society 2006 Journal of Korean neurosurgical society Vol.40 No.6
Primary intracranial hemangiopericytoma is rare and resemble meningioma on imaging study. It shows meningeal attachment, and is usually isointense with gray matter on T1-weighted MR image with heterogeneous enhancement and prominent vascular flow voids on T2-weighted image. Cystic type of hemangiopericytoma is very rare and only 3 cases have been reported in the literature which arised in the middle fossa, cerebellum, and occipital area. Ventricular hemangiopericytomas were reported in 9 cases, and all of them were solid type. Authors experienced a peculiar case of cystic hemangiopericytoma in the 3rd ventricle and report it with review of the literature.
한국과 일본의 인터넷에서의 기본 소생술 정보의 신뢰성과 정확성 비교
심민섭,송근정,최필조,권운용,송형곤,정연권 대한응급의학회 2003 대한응급의학회지 Vol.14 No.1
Purpose: The internet is a vast resource for consumers. The internet is a decentralized, global medium, so quality management of health information is difficult for the lay person. Basic Life Support (BLS) is basic information provided for the lay person in the province of emergency medicine. The writers searched for BLS information on Korean and Japanese Web sites and assessed the quality of that information. Methods: We used the search engine 'Yahoo! Korea' in Korea and 'Yahoo! Japan' in Japan. The search references were 'Basic Life Support' and 'Cardiopulmonary Resuscitation (CPR). The assessment was based on three 'Credibility' and seven 'Content' factors. 'Credibility' factors composed of 'Source', 'Context' and 'Currency'. 'Content' factors composed of six factors of accuracy of six course of BLS and one factor of 'Original Source Stated'. We make our own criteria for each factors. And, If the web site fitted the criteria, we give 1 point, if not, give 0point. So, 'Credibility' factors point is 3 points full mark and 'Content' factors point is 7 points full mark. Results: Eight Korean and fifteen Japanese sites were found as a result of the search. No difference in 'Credibility' factors existed between the two nations' web sites. There was, however, a statistical difference in the 'Content' factors between the two nations' web site. The mean of 'Content' factors points is 3.75 and 5.06 in 7 points full mark, Korean web site and Japanese web site respectively. Conclusion: Improvement in the quality of BLS on internet web sites in needed, especially BLS on 'Recovery position', 'Assessment of circulation', and 'Cardian compression'.
도시지역 3차 응급센터에서의 급성중독환자에 대한 의약분업의 영향
심민섭,최필조,송근정,장문준 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4
Purpose: The separation of prescription and dispensation of drugs starting from July 2000 has led to a reduced exposure to drugs for the general population. Therefore, we hypothesize that the policy of separation the prescribing and the dispensing of drugs has decreased the actual incidence of drug intoxication from drug abuse. Methods: Patients with acute intentional drug intoxication who were admitted to emergency centers in Seoul were retrospectively studied. The study period was subdivided into three: before, during, and after the launch of the policy of separation of prescription and dispensation, corresponding to the periods January to June, 2000; January to June 2001; and January to June 2002, respectively. Results: Acute drug intoxication was associated with 0.2% of all prescriptions during the studied period. There was no significant difference in the types of intoxicating drugs whereas the most commonly abused drug was Doxylamine succinate. Prescribed medications accounted for 37.0%, 29.2%, and 32.3% of the acute drug intoxication cases in 2000, 2001, and 2002, respectively. There was no significant difference in the treatment outcomes between the three study groups although three patients died of paraquat intoxications in 2001. Conclusion: The launch of the policy of separation of prescription and dispension of drugs did not significantly reduce the rate of acute drug intoxication from drug abuse which questions the effectiveness of the policy in decreasing drug abuse. We suggest reassessment of sedatives, in particular, those prescribed medications, in order to decrease the incidence of acute intoxications.