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미국 자리공 (Phylolacca americana, pokeweed) 중독으로 의식변화 및 복통 증상을 호소한 2례
김양원,윤유상,김미란,박상훈,최준철,Kim, Yang-Weon,Yoon, Yoo-Sang,Kim, Mi-Ran,Park, Sang-Hoon,Choi, Jun-Cheol 대한임상독성학회 2008 대한임상독성학회지 Vol.6 No.2
Phytolacca americana poisoning is a benign plant intoxication that causes gastrointestinal symptoms, including abdominal cramps, vomiting, diarrhea, and gastrointestinal bleeding. Other signs and symptoms include diaphoresis, salivation, visual disturbance, and seizures or mental changes. We report two cases of patients who experienced confusion and abdominal pain, vomiting, and hematemesis after oral ingestion of pokeweed. A 60-year-old female with confusion and a 67-year-old female with abdominal pain, vomiting, and diarrhea were admitted to the emergency department after pokeweed poisoning. After supportive treatment of hydration and gastrointestinal medication, the two patients showed full recovery within 24 h and were discharged from the hospital.
3차 의료기관 응급실로 내원한 안면부 열상 환자에 대한 임상적 고찰
김양원,안성훈,류석용,김홍용,전병민,김기태 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2
Background: Facial laceration is a common clinical problem in the emergency room that is frequently associated with other craniofacial injuries. It elicits an emotional response from the patient because of the underlying concern of permanent scar and secondary facial disfigurement, so they demand prompt and adequate treatment. The aim of this study is to analyze the incidence, etiology, depth, and site of facial lacerations to provide basic data for further understanding. Method: This study reviewed 1,043 facial-laceration patients treated in the emergency room at Pusan Paik Hospital between March 1999 and February 2000. This retrospective study was done by reviewing and analyzing the sex and age distributions, the monthly and daily distributions, the causes of injury, the types of injury, the sites of injury, the lengths of the lacerations, and associated injuries. Results: The sex ratio of men to wemen was 2.4:1, and the 0~10 age group was at the top of the age distribution. The number of patients was the highest on sundays and during March. About 9.2% of the patients visited the emergency room between 10:00 P.M. and 11:00 P.M. Falls(38.1%) were the most common cause of facial laceration, and deep laceration(51.8%) was the most common type of facial laceration. The most common laceration site was the forehead, followed by the chin and the nose. The most common associated craniofacial injury was facial bone fracture(39%), Facial-lacerations were sutured by plastic surgeons(80%), emergency physicians(10%), and oromaxillofacial surgeons(10%). We found statistical significance in the types and lengths of lacerations between men and women, among age groups(p<0.05). Conclusion: Facial laceration is one of the most common craniofacial injuries in the emergency room. By now, most lacerations have been repaired by plastic surgeons, But, the causes of lacerations are diverse and many patients are admitted due to the associated injuries. Therefore, emergency physicians should participate more aggressively in the care of facial-laceration patients to improve the outcome of the patients.
김양원 대전대학교 생활과학연구소 1998 생활과학연구 Vol.4 No.-
To get the basic data for the development of the method to diminsh the amount of disposed or dead storaged clothes by effective management or recycling of those clothes, in the view point of environmental protection, collegians clothing lifestyle was surveyed. The questionnaire included disposal means, and desirable disposal patterns of clothes in dead storage, awareness on the influences of clothing disposal on the environment, and so on. The final sample of 202 male and female collegians resulted from a sample of 300 Taejon residents. Data were collected during October of 1997 by respondents filling up. The results are follows: 1. Female bought clothes more on purpose than male. Also the low family income group and apartment residents bought clothes on purpose. 2. Regardless of sex and housing pattern, respondents took the most serious view of practical use in purchasing clothes. 3. Male usually kept the clothes in dead storage because of their unfittness for the body and deformation. On the other hand, out-of-date designs and colors and repugnance were the most frequent reason for dead storage. 4. The most popular pattern of the disposal of unattactive clothes was keeping those in wardrobe, regardless of sex, family income, and housing patter 5. More than half of the respondents thought that recycling or donation of dead storaged clothes to the neighbors, relatives, and public welfare facilities was the most desirable and environmentally affordable way of disposal in future.
심근경색후 발생한 심실중격 결손의 외과적 치료 -1례 보고-
김양원 대한흉부심장혈관외과학회 1994 Journal of Chest Surgery (J Chest Surg) Vol.27 No.6
A 62 year old female, who had suffered from severe pulmonary and cardiac failure with postinfarction VSD [NYHA class IV], underwent successful concomittant patch closure of ventricular septal defect and coronary artery bypass for obstructed first diagonal branch. The operation was performed electively 4 weeks after occurrence of the postinfarction VSD.
김양원 대전대학교 생활과학연구소 2002 생활과학연구 Vol.8 No.-
With considerable development of comfortable and functional clothing in recent years, we need to measure the distribution of garment pressure on each parts of human body because the garment pressure is important to design the clothing. This study was designed to measure clothing pressure distribution on each parts of human body in the actual clothing conditions. All the data of this study were collected from 53 volunteered subjects. Clothing pressure was measured in December with 8 points CPMS clothing pressure system from scapula, upper arm, elbow, under arm, front waist line, side waist line, abdomen, crista ilica, upper hip, middle of hip, front thigh, back thigh, front knee and back knee. The postures of subjects were controlled with 3 positions such as standing (posture 1), sitting on the chair (posture 2), and sitting on the floor (posture 3) during measurement of clothing pressure. Clothing weights were more in men than in woman. It shows that clothing weights has no effects on clothing pressure. However in this study, just the garment pressure on scapular and top of the hip increased significantly by clothing weight (p<. 05). Clothing pressed horizontally on scapular and top of hip but not on other parts . When subjects stood, the garment pressure was the highest on the side waist in December. Especially clothing pressure on the front waist point was lower than that of the left side waist . On the upper parts of the human body, clothing pressure of left side waist was the highest, and followed by front waist, crista ilica, and abdomen in order. When subjects were sitting on the chair, clothing pressure on the lower parts of the human body was the highest on the top of hip. When the subjects were sitting on the chair or on the floor, surface area in their skin of hip and waist parts was increased by postures.
김양원 대전대학교 이과대학 기초과학연구소 1997 自然科學 Vol.- No.-
The rates of subcutaneos fat on the system of clothing weights including clothing microclimate, subjective sensations, were measured to get basic data to develop guideline for healthy clothing life. For this study, skinfold thickness, the rate of subcutaneos fat, clothing microclimate, subjective sensations and clothing weights were measured from 85 male and 105 female colligians. The results were as follows: 1. The rate of subcutaneos fat showed negative correlation with the temperature inside clothing in chest, but not with the temperatures in back and thigh. The correlation was not significant between the rate of subcutaneos fat and humidity inside clothing. 2. The correlation between the rate of subcutaneos fat and thermal sensations was positively significant at 5% level. However, no correlation was found between the rate of subcutaneos fat and comfort and humid sensations. 3. There was significant correlation between the rate of subcutaneos fat and under clothing weights and total clothing weights. Form these results, it seems possible, it seems possible that temperature inside clothing and thermal sensations was influenced by the rate of subcutaneos fat. Further, they suggested that the rate of subcutaneos fat have an effect on total clothing weights. Therefore, optimal clothing weight should be studied in consideration to air temperature and the rate of subcutaneos fat to pursue reasonable and healthy clothing life.