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김광일 ( Kwang Il Kim ),정혜경 ( Hye Kyung Jung ),김창오 ( Chang Oh Kim ),김수경 ( Soo Kyung Kim ),조현호 ( Hyun Ho Cho ),김대열 ( Dae Yul Kim ),하용찬 ( Yong Chan Ha ),황성희 ( Sung Hee Hwang ),원장원 ( Chang Won Won ),임재영 ( J 대한내과학회 2015 대한내과학회지 Vol.89 No.6
Falls and fall-related injuries are common in older population and have deleterious effects to the quality of life or independence of daily living in the elderly. Falling is also associated with substantial morbidity, mortality, nursing home admission and the increase of medical costs. Because Korea has shown extreme demographic shift with its population aging at the fastest pace among developed country, assessment of fall risks and intervention to high risk population are getting more important. The guideline for prevention of falls was developed first by The Korean Association of Internal Medicine and The Korean Geriatric Society. This guideline was developed by adaptation process as evidence-based method; four guidelines were retrieved by systematic review and the Appraisal of Guidelines for Research and Evaluation II process, seven statements were made with the grading of evidence and recommendations followed the Grades of Recommendation, Assessment, Development, and Evaluation framework. Because falls result from various combinations of many factors, the guideline contains multidimensional assessment and multimodal strategy to prevent falls. This guideline was developed for not only primary physician but also patients and general population, therefore it provides detailed recommendations and concrete measures to assess the risk and prevent falls in older people. (Korean J Med 2015;89:752-780)
최세진,김대열,이원형 대한마취과학회 1990 Korean Journal of Anesthesiology Vol.23 No.1
In postanesthetic period, infants and children have a risk of hypoxemia due to decreased functional residual capacity(FRC) and increased alveolar-arterial O₂ tension gradient(A-a DO₂). We measured arterial oxygen saturation(SaO₂) with a pulse oximeter in 60 ASA class 1 infants and children. Group 1 was breathing with supplemental oxygen(4L/min) by mask and Group 2 was breathing with room air in recovery room after general anesthesia. SaO₂ was measured on arrival in the recovery room, 2,4,6, 8,10,15, and 20 minute after arrival The results were as follows: 1) Postanesthetic SaO₂ measured on arrival in the recovery room had decreased significantly(p$lt;0.05) to preanesthetic SaO₂, 2) SaO₂ measured in room air had decreased significantly compared with SaO measured in supplemental oxygen. As a result of the study, it is thought to be safe that supplemental oxygen is administered to patient on transfer and in recovery room.
직장암 환자의 지주막하 15 % phenol in Glycerine 주입에 의한 암성통증 차단
이원형,최세진,강평희,김대열 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.5
This patient who was a 42-year-old female had suffered from bearing down sensation and pain on anal region due to metastatic rectal cancer. She was done intrathecal block with 15% phenol in glycerine. The result was exellant to bearing down sensation and pain on anal area. Because lower back pain, pain on lower extremity and generalized painful sensation was not improved, we has done pharmacologic assistance. Urination difficulty became slightly aggrevated but was improved at post-block day 4th. This pain clinic report that intrathecal block with 15% phenol in glycerine was effective to treatment of cancer pain without major complications.