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권성순,박병원,이민호,방덕원,현민수,장원호,오홍철,박영우 대한흉부외과학회 2020 Journal of Chest Surgery (J Chest Surg) Vol.53 No.5
Background: Cardiac arrest during or after office-based cosmetic surgery is rare, and little is known about its prognosis. We assessed the clinical outcomes of patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics. Methods: Between May 2009 and May 2016, 32 patients who developed cardiac arrest during or after treatment at cosmetic surgery clinics were consecutively enrolled. We compared clinical outcomes, including complications, between survivors (n=19) and non-survivors (n=13) and attempted to determine the prognostic factors of mortality. Results: All 32 of the patients were female, with a mean age of 30.40±11.87 years. Of the 32 patients, 13 (41%) died. Extracorporeal life support (ECLS) was applied in a greater percentage of non-survivors than survivors (92.3% vs. 47.4%, respectively; p=0.009). The mean duration of in-hospital cardiopulmonary resuscitation (CPR) was longer for the non-survivors than the survivors (31.55±33 minutes vs. 7.59±9.07 minutes, respectively; p=0.01). The mean Acute Physiology and Chronic Health Evaluation score was also higher among non-survivors than survivors (23.85±6.68 vs. 16.79±7.44, respectively; p=0.01). No predictor of death was identified in the patients for whom ECLS was applied. Of the 19 survivors, 10 (52.6%) had hypoxic brain damage, and 1 (5.3%) had permanent lower leg ischemia. Logistic regression analyses revealed that the estimated glomerular filtration rate was a predictor of mortality. Conclusion: Patients who developed cardiac arrest during or after cosmetic surgery at office-based clinics experienced poor prognoses, even though ECLS was applied in most cases. The survivors suffered serious complications. Careful monitoring of subjects and active CPR (when necessary) in cosmetic surgery clinics may be essential.
증례 : 소화기 ; 글루코사민 복용 후 발생한 약물 유발성 자가면역성 간염
권성순 ( Seong Soon Kwon ),위지완 ( Jee Wan Wee ),박정완 ( Jung Wan Park ),윤석윤 ( Seug Yun Yoon ),정승원 ( Soung Won Jeong ),장재영 ( Jae Young Jang ),진윤미 ( Yoon Mi Jin ) 대한내과학회 2013 대한내과학회지 Vol.85 No.5
글루코사민은 흔하게 사용되며 각광받는 건강 보조식품 중 하나로 항산화 효과 등이 보고되어 있으나 독성, 특히 간염에 대해서는 아직 잘 알려지지 않았다. 저자들은 글루코사민 섭취 후 간독성이 발생한 67세 여자 환자를 경험하였다. 상기 식품을 한 달 이상 섭취 후 약제 유발성 급성 자가면역 간염이 발생하였으며 간손상이 발생할 만한 다른 원인은 관찰되지 않았다. 12주간의 보존적인 치료와 자가면역 간염에 대한 치료(prednisolone과 azathioprine의 병합요법) 후 증상과 생화학적 이상 소견이 호전되었다. Herbal remedies and health foods are widely used, and their side effects have been reported. Glucosamine is a naturally occurring amino-monosaccharide and a safe health food; rarely, however, it can cause cholestatic and hepatocellular hepatitis. We describe a case of drug-induced autoimmune hepatitis after ingestion of glucosamine. A middle-aged woman who had no history of liver disease complained of jaundice after taking glucosamine. The diagnosis of drug-induced acute autoimmune hepatitis was made using the Roussel Uclaf Causality Assessment Method score based on the patient`s history and laboratory data, and percutaneous liver biopsy. After supportive care and administering prednisolone and azathiprine, the patient showed rapid improvement in clinical symptoms and laboratory findings. (Korean J Med 2013;85:503-506)
공동 주택 리모델링 다차원모듈 설계 기법에 관한 연구 - 단위세대 다차원모듈 구성을 위한 감성정보 체계화를 중심으로 -
이찬용,권성순,Lee, Chan-Yong,Kwon, Sung-Sun 한국디지털건축·인테리어학회 2005 한국디지털건축인테리어학회 논문집 Vol.5 No.1
The major goal of this study is drawing design plan factors considering residents' life cycle and life style when remodeling design is needed. By drawing such design factors, the study will propose an alternative remodeling design plan. Such design method was defined as Multi-Dimensional module design method. And constructing data-system based on Multi-Dimensional module was secondary goal in this study. The details are as follows: Based on analysis of Residents' demand for remodeling and features of emotion-design applied to remodeling, the system which is suitable for application in remodeling design method was conducted. Based on the type of construction materials, the level value was set up according to emotion-factor application. Also, by conducting coding operation according to the distinction of construction materials, this study seeks the unit drawing method of information for constructing emotion-information system.