http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
흉부압박 횟수를 세는 것이 흉부압박의 질에 미치는 영향: 마네킨 시뮬레이션 실험을 이용한 전향적 무작위할당 탐색연구
오제혁,김성은,김찬웅,이동훈 대한응급의학회 2015 대한응급의학회지 Vol.26 No.2
Purpose: This study compared the effects of counting chest compressions verbally and silently on the performance of cardiopulmonary resuscitation (CPR). Methods: Forty-six medical students were enrolled in this study. After the participants performed a two-min CPR (Test 1), during which they counted each compression silently, they were divided randomly into Groups A and B. After a 30-min rest, the participants took Test 2. In Test 2, Group A performed two-min CPR, during which the participants counted the number of chest compressions verbally (Test 2A), and in Group B, CPR was performed using the same methods as detailed for Test 1 (i.e., with silent enumeration; Test 2B). Each student counted the number of chest compressions aloud from one to 30 in Test 2A. Results: No significant differences were observed for either test (Tests 1 and 2) between Groups A and B. Although the mean compression rate (MCR) was increased significantly from 107.2±15.4 to 116.3±15.9/min between Tests 1 and 2B in Group B (p<0.01), a similar result was also obtained in Group A. In the individual interviews conducted with the Group A participants, all members reported having difficulty breathing while counting the number of chest compressions verbally when compared with silent enumeration. Conclusion: Tallying the numbers of chest compressions verbally did not significantly alter the performance of CPR.
오제혁,장종하,민현석,이상진,김성은 대한응급의학회 2007 대한응급의학회지 Vol.18 No.2
A 56-year-old man was transferred to the emergency department complaining of right lower quadrant pain of 3 days duration. The Maximal tender area was the slightly upper part of the abdomen up to McBurney’s point. We ordered CT to evaluate for several disease such as appendicitis, diverticulitis and primary epiploic appendagitis, and the patient was diagnosed with omental infarct based on the CT finding. After five days of supportive care, the symptoms were resolved. Omental infarct is a rare cause of acute abdominal pain, which is often misdiagnosed as acute appendicitis when it presents with right lower quadrant pain. Although surgical resection is required in severe cases, most cases are successfully managed with supportive treatment. The emergency physician should consider omental infarct as a differential diagnosis in patients with right lower quadrant pain.
응급의료현장에서 질적 확률표현에 대한 의료인-환자 간의 인식 비교
오제혁,김찬웅,정현수,김승호,양은배,이신호 대한의료커뮤니케이션학회 2014 의료커뮤니케이션 Vol.9 No.2
Purpose: Medical professionals frequently use probabilistic expression when they provide medical information for patients in clinical settings. Probabilistic expression includes qualitative expression which consists of words and quantitative expression which consists of numbers. Previous studies have reported that patients misunderstand terms because they recognize the probability of qualitative expression differently. Thus, the author has attempted to develop a countermeasure for the shortcomings by comparing recognized probability of qualitative expression between medical professionals and patients. Methods: Ten qualitative probabilistic expressions most commonly used were selected. They were included in a 20-item questionnaire which explained the diagnostic possibility of bronchitis and lung cancer. This questionnaire was sent to medical professionals and patients, and its probability values were investigated on a visual analogue scale. Results: Most expressions had ≥50% range between maximum and minimum values. Patients recognized high probability items at a much higher probability than medical professionals, whereas they recognized low probability items at a much lower probability than medical professionals. However, in the context of lung cancer, both recognized high probability items at a much higher probability, whereas both recognized low probability items at a much lower probability. Conclusion: In conclusion, in order to increase the accuracy of communication and to eliminate the potential for misunderstanding the author would like to suggest combined usage of qualitative probabilistic expressions with its categorized probability.
하복부 통증과 배뇨장애로 내원한 선천성 처녀막 폐쇄증 1례
오제혁,박인철,김승호,윤유상 대한응급의학회 2004 대한응급의학회지 Vol.15 No.4
A 13-year-old girl was transferred from a private clinic to our emergency department due to lower abdominal pain and acute urinary retention. Radiologic evaluation showed an imperforate hymen with hematocolpometra. In the emergency department, an imperforate hymen is a rare cause of acute urinary retention. Usually, the diagnosis of a congenital inperforate hymen can be made by inspection of the perineum; however, in many cases, an extensive radiologic evaluation must be performed because of misdiagnosis. The emergency physician should consider an imperforate hymen in girls with lower abdominal pain and urinary retent i o n .
오제혁,김동성,김태원,강태욱,유옥환,이원철 한국통합생물학회 2017 Animal cells and systems Vol.21 No.3
The rapid increase in carbon dioxide levels in seawater is causing ocean acidification and is expected to have significant effects on marine life. To explore the ability of the harpacticoid copepod Tigriopus japonicus to adapt to an increased concentration of dissolved carbon dioxide (CO2) in seawater, we compared the survival rates of adult and nauplius stages at 400, 1000, and 1550 ppm pCO2 over a 14-day period. The survival rate of T. japonicus dramatically decreased over time with increase in pCO2 concentration. At 1550 ppm, the survival rate showed a decrease of more than 20% at the end of the experimental period over that at 400 ppm. Furthermore, the survival rate decreased by a greater amount at all concentrations in nauplii than in adults, with a greater effect in wild-collected specimens than in culture-derived individuals. The results suggest that future ocean acidification may negatively influence the sustainability of T. japonicus and thus may eventually influence benthic ecosystems.