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이경룡 ( Kyeong-ryong Lee ),조영필 ( Yeong-pil Cho ),유준승 ( Jun-seung You ),백윤흥 ( Yun-heung Paek ) 한국정보처리학회 2021 한국정보처리학회 학술대회논문집 Vol.28 No.2
Trusted Execution Environment(TEE) is an execution environment provided by CPU hardware to gain guarantee that the execution context is as expected by the execution requester. Remote attestation of the execution context naturally arises from the concept of TEEs. Many implementations of TEEs use cryptographic remote attestation methods. Though the implementation of attestation may be simple, the implementation of verification may be very complex and heavy. By using a server delegating the verification process of attestation information, one may produce lightweight binaries that may verify peers and establish a secure channel with verified peers.
홍대영,백광제,이경룡,권운용,박준석,어은경,오범진,이미진,이성우,서주현,노형근,김준식,Hong, Dae-Young,Baek, Kwang-Je,Lee, Kyeong-Ryong,Kwon, Woon-Yong,Park, Joon-Seok,Eo, Eun-Kyung,Oh, Bum-Jin,Lee, Mi-Jin,Lee, Sung-Woo,Suh, Joo-Hyun,Roh, 대한임상독성학회 2007 대한임상독성학회지 Vol.5 No.1
Purpose: Owing to organophosphate-pyrethroid mixtures are widely used, suicidal or unintentional poisoning is common. But there have been relatively few reports of poisoning. The purpose of this study is to evaluate the difference of the severity and toxicity between organophosphate-pyrethroid mixtures poisoning and single organophosphate poisoning. Methods: From August 2005 to July 2006, 65 patients presented with organophosphate-pyrethroid mixtures poisoning to emergency medical center. Date were gathered by report form it was drawn up. Results: 65 patients were enrolled in 28 hospitals and their mean age was $56.5{\pm}16.2$ years old. The most common cause of poisoning was suicide, in 52 cases(80%). Chlorpyrifos-cypermethrin, malathion-esfenvalerate were the most frequent chemicals involved, and the mean ingestion amount was 135.4ml. The most common symptom of the patients was nausea/vomiting, in 16 patients. The average GCS score was 13. The mean ICU stay was $4.4{\pm}5.2$ days, and mortality was 3.1%. Conclusion: The severity and toxicity of organophosphate-pyrethroid mixture poisoning were lower than that of single organophosphate poisoning.
메스암페타민 검사 양성 환자에 대한 임상적 고찰: 단일기관 연구
옥영빈,김진용,이경룡,홍대영,백광제,박상오,김종원,김신영,Ok, Young Bin,Kim, Jin Yong,Lee, Kyeong Ryong,Hong, Dae Young,Baek, Kwang Je,Park, Sang O,Kim, Jong Won,Kim, Sin Young 대한임상독성학회 2018 대한임상독성학회지 Vol.16 No.1
Purpose: Methamphetamine is an ongoing illegal drug problem worldwide, and its use in South Korea has spread over the last few years. In this study, a clinical review of patients who visited emergency medical centers with positive methamphetamine tests was conducted. Methods: Patients underwent methamphetamine screening based on physician suspicion over a period of 13 years. Their patient characteristics, clinical features, and drug administration properties were described. Results: A total of 297 patients were included, with 19 positive methamphetamine results. Patient age ranged from 21 to 84, with a mean of 37.52. Additionally, 13 were male and 6 were female. The mean BP, PR, RR were 131/82 mmHg, 94/min, 20/min. Saturation levels were all over 95%. Five patients had a psychiatric history. Patient showed varied symptoms ranging from mental changes to chest discomfort. In addition, seven showed abnormal electrocardiography findings and one showed elevated cardiac enzyme levels. Other laboratory results revealed no significantly abnormal results. Six patients also suffered from related trauma. The majority of patients consumed the methamphetamine orally, with unknown motivation at unknown locations. Most were transported by 119 and six patients co-ingested other drugs. Conclusion: Patients who showed positive results to a methamphetamine screening test in Korea visited the emergency medical center mostly by 119 and were unaware of or reluctant to reveal the fact that they had ingested methamphetamine. Emergency physicians should be more aware of the possibility that a patient may have consumed methamphetamine.
박인철 ( In Cheol Park ),이경룡 ( Kyeong Ryong Lee ),구홍두 ( Hong Du Goo ),김승환 ( Seung Whan Kim ),장석준 ( Seok Joon Jang ),심호식 ( Ho Sik Shim ) 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2
To reduce the degree of overcrowding in level III emergency care centers, authors have conducted a prospective study of patient who were transferred to level I or II emergency center based on the non-emergent patient guideline currently used at the Severance Hospital, level III emergency center, during the period of 65 days from Jan. 1st 1995 to Mar. 6th 1995. Followings are guideline for non-emergent patient described by the Korean government law: 1) systolic blood pressure greater than 80/100 of normal. 2) respiration rate between 10 to 24 per minute. 3) pulse rate between 60 to 100 per minute. 4) body temperature between 36 to 37.5C by rectal. 5) relatively alert mental status. 6) patient not requiring emergency operation at the time of examination. The results were as follows: 1. Among the total 5,301 patients, 464 patients ranged from age of 1 to 82 years old were transferred to level I or II emergency center after simple treatment. 2. Among the 464 patients, 276 patients were treated in expected hospital with medical pmblems in 101 (36.6%) patients, and 175 (63.4%) patients had surgical problems. 3. Among the 276 patients, 122 (44.2%) patients were admitted, 145 (52.9%) patients were discharged from the emergency room after adequate treatment. 4. Among the transferred patients, simple laceration (33.0%) were most common, acute gastroenteritis (12.0%), and simple contusion (10.5%) were followed. These results suggest that about 10% of patients visiti@ng level III emergency care center, can be safely transferred to nearest level I or II emergency centers on the bases of non-emergent patient guideline described by Emergency Medical Service law. These guideline, if put into proper use, can reduce the degree of overcrowding problems in level III emergency care center through out the country.
의도성 여부를 중심으로 한 일산화탄소 중독환자의 임상적 특성
조민기 ( Min Ki Cho ),김양원 ( Yang Weon Kim ),이경룡 ( Kyeong Ryong Lee ),이경우 ( Kyung Woo Lee ),이장영 ( Jang Young Lee ),조규종 ( Gyu Chong Cho ),조준호 ( Junho Cho ),김현종 ( Hyun Jong Kim ),김승환 ( Seong Hwan Kim ),정성필 대한임상독성학회 2012 대한임상독성학회지 Vol.10 No.2
Purpose: The purpose of this study was to identify the changes in the characteristics of patients with carbon monoxide (CO) poisoning, as well as the distinctive differences in intentionally exposed patients. Methods: The medical records of CO poisoning patients, who visited nine emergency departments between January 2010 and December 2011, were reviewed retrospectively. The clinical information including age, gender, hospitalization, type of discharge, cause and location of exposure, site of onset, concentration of initial blood carboxyhemoglobin (COHb), methods of treatment and presence of neurological complications was examined. The subjects were divided into an intentional and non-intentional group and the differences between them was compared. Results: A total 209 subjects were recruited. The median age was 38 years (29~49.5 years). They frequently complained of nausea and vomiting, and the most common exposures occurred in winter, normally in the home. The cause of exposure was usually fire, followed by incomplete combustion of fuels. The median initial blood COHb was 13.15%. The proportion of intentionally exposed patients was 21%. They were significantly younger, more frequently discharged against medical advice, and showed a higher initial blood COHb level (22.85%) than the non-intentional group. Conclusion: This study suggests that those with intentional CO poisoning are normally discharged against medical advice even when they have a higher initial COHb level. An adequate explanation of the delayed neurologic sequelae and short term follow-up observation is recommended for those patients with intentional exposure.
이누가 ( Nu Ga Rhee ),정성필 ( Sung Phil Chung ),박인철 ( In Cheol Park ),이경룡 ( Kyeong Ryong Lee ),김현진 ( Hyun Jin Kim ),김건배 ( Gun Bea Kim ),조영순 ( Young Soon Cho ),권인호 ( In Ho Kwon ),김승환 ( Seung Whan Kim ) 대한임상독성학회 2012 대한임상독성학회지 Vol.10 No.1
Purpose: Toxic alcohols are responsible for accidental and suicide motivated poisonings, resulting in death or permanent sequelae for the afflicted patients. Major therapeutic modalities in these cases include treatment with alcohol dehydrogenase inhibitors and extracorporeal elimination. There have been a number of case reports of toxic alcohol intoxication in Korea. The purpose of this study was to review the clinical characteristics of patients suffering toxic alcohol intoxication. Methods: We retrospectively reviewed the medical records of patients who presented with toxic alcohol intoxication at 8 emergency departments (ED) from Jun 2005 to Nov 2011. Patients who ingested methanol, isopropyl alcohol, ethylene glycol, and other alcohols except ethanol, were included in this study. The clinical characteristics of these patients were analyzed to include anion and osmolar gap, and estimated concentration of alcohol in the body. Results: During the study period, 21 patients were identified who had ingested toxic alcohol (methanol; 12 patients, ethylene glycol; 9 patients). At ED arrival, the mean anion gap was 18.7±6.9 and the osmolar gap was elevated in 13 patients. Oral and IV ethanol were administrated to 11 patients in order to inhibit alcohol dehydrogenase. Extracorporeal elimination procedures such as hemodialysis were performed in 9 patients. There were no fatalities, but the one patient suffered permanent blindness. Conclusion: This study found that ethylene glycol and methanol were the substances ingested which produced toxic alcohol intoxication. The patients presented with high anion gap metabolic acidosis and were typically treated with oral ethanol and hemodialysis.