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      • 保健敎育指導에 關한 硏究

        李守熙 서울敎育大學校 1983 論文集 Vol.16 No.-

        A study on health education guidance was conducted by author from July to December, 1982 towards 435 teachers in elementary schools. This study was made on the item length of teaching years, name of school graduated, curriculum of health education, who was teaching the health education, compare withnew curriculum and last, a time of year, content of guidance, a difficult the teaching method, ability of health teaching, training of in service etc. 1. In regard to length of teaching year, the highest rate is shown in the group of 5∼10 years with 98.1% followed by 11∼15 years with 1.2%. 2. Regarding the school graduated from, the teachers college graduates are highest in rate with 84.1% and other school 1.9%. 3. Regarding the curriculum of health education, the highest rate is shown in unknown teachers 53.1% followed by known with 46.9%. 4. Who was teaching the health education, the highest rate is shown class-room teachers with 90.1% followed by health teachers with 7.4%. 5. In regard to compare with the new curriculum and last, it was meed new curriculum with 92.4% and last by with 6.9%. 6. Concerning the health education in a time of year, the highest rate is shown in the group of 1∼5 times with 51.0% followed by 6∼10 times with 35.4%. 7. According to content of guidance in health education, the highest rate is shown in the crriculum with 73.3% followed by communicable diseases with 14.7%. 8. Regarding the health education teaching in a difficult, the highest rate is shown in short age andio-visual materials with 66.4% followed by text-books with 25.5%. 9. Regarding the teaching method, the highest rate is shown text-books with 88.7% followed by andio-visual education with 6.5%. 10. Concerning the ability with 54.9% and non-ability with 42.3%. 11. Regarding to the training of inservice, the highest rate is shown no with 77.7% followed by yes with 20.0%.

      • KCI등재

        Mechanisms underlying lipid emulsion resuscitation for drug toxicity: a narrative review

        이수희,손주태 대한마취통증의학회 2023 Korean Journal of Anesthesiology Vol.76 No.3

        Currently, lipid emulsion (LE) is widely used to treat local anesthetic systemic toxicity (LAST). LE also ameliorates intractable cardiovascular collapse caused by lipid-soluble non-local anesthetic drug toxicity. This review aims to provide the underlying mechanism of LE resuscitation in drug toxicity (including LAST) and a detailed description of LE treatment and to discuss further research directions. We searched for relevant articles using the following keywords: “local anesthetic systemic toxicity or LAST or toxicity or intoxication or poisoning” and “Intralipid or lipid emulsion”. The underlying mechanisms of LE treatment can be classified into indirect and direct effects. One indirect effect known as the lipid shuttle is a commonly accepted mechanism of LE treatment. The lipid shuttle involves the absorption of highly lipid-soluble drugs (e.g., bupivacaine) from the heart and brain through the lipid phase, which are then delivered to the muscle, adipose tissue, and liver for storage and detoxification. The direct effects include inotropic effects, fatty acid supply, attenuation of mitochondrial dysfunction, glycogen synthase kinase-3β phosphorylation, and inhibition of nitric oxide. These mechanisms appear to act synergistically to treat drug toxicity. The recommended protocol for LE treatment of LAST is as follows: a bolus administration of 20% LE at 1.5 ml/kg over 2–3 min followed by 20% LE at 0.25 ml/kg/min. LAST most commonly occurs after intravenous administration of local anesthetics. However, non-local anesthetic drugs that cause drug toxicity are orally administered. Further studies are needed to determine the optimal dosing schedule of LE treatment for non-local anesthetic drug toxicity.

      • KCI등재
      • 學校保健에 關한 硏究

        李守熙 서울 敎育大學校 1981 論文集 Vol.14 No.-

        A study on school health was conducted by 1980. This study was made on the items law and administrations, status and problems of school health etc. As the result of this study the following conclusions were obtained; 1. School health established plan of long term. 2. School health education and service carry out of throughly. 3. School environment of improvement and purification area established by urgent. 4. School health must be secure facilities and finance. 5. Health teachers of consolidate training or inservice plan. 6. Health system reinforced of administration. 7. Health teaching materials of development or improvement on teachers ?av by government dimension.

      • 學校保健環境에 關한 硏究

        李守熙 서울 敎育大學校 1972 論文集 Vol.5 No.-

        A study on health evironment in schools was conducted by author from Dcember 1969 to December 1971 to wards teachers who are educated for health environment. This survey was made on the items such as distribution of age and sex, educational level, educational career, monthly incomes, area of schools, water-works, inspectionof cleaning butification, cleaning of privy and class-room, physical examination, examination of x-ray and parasites, state of immunity and health counceling, etc. As the result of this survey the following conclusions were obtained; Ⅰ. Study on Health Environment Basis 1. Regarding age and sex, the highest rate is shown in a group of 31-35 years of age(male:58.0% female:59.0%), and ages in average were 32 years in male and female. 2. Regarding the educational level, the highest rate is shown in normal schools with 70.9% and low rate in teachers college with 0.6%. 3. In regard to educational career, the highest rate is in the group of 11-15 years with 71.0% followed by 6-10 years with 23.4%, 16-20years with 8.7%. 4. In the respect of monthly incomes, \20,001-30,000 are highest in rate with 49.6% followed by \10,000-20,000 with 34.8%, \30,000 over with 16.6% and average incomes for a month is \25,000. Ⅱ. Study on Health Environment Content 5. Regarding the area of schoois, the highest rate is shown in urban with 62.4% followed by rural 19.8%, fishing village with 17.3%. 6. Regarding the water-works, the highest rate is show in water with 64.1% and well-water is 30.2%. 7. Regarding the inspectionof cleaning beautification, the highest rate is shown in yes with 76.2% and no is 23.8%. 8. As to cleaning of privy and class-room, the highest rate is shown in privy of exllent 58.3% and class-room with good 36.9%. 9. Regarding the physical examination, the highest rate is shown in yes with 73.8% and no is 26.2%. 10. In regard to examination of x-ray and parasites, the highest rate is shown yes with 71.2% and 72.4%, no was 28.8% and 27.6%. 11. Regarding the state of immunity, the highest rate is shown in yes with 73.2% and no was 26.8%. 12. Regarding the state of health conceling the highest rate is shown in yes with 73.2%and no was 26.8%.

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