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최강현 ( Kang-hyeon Choi ),유종원 ( Jong-won Yu ),유강현 ( Kang-hyeon Yu ),주동철 ( Dong-chul Joo ),박현주 ( Hyun Joo Park ),박대우 ( Dae Woo Park ) 한국정보처리학회 2019 한국정보처리학회 학술대회논문집 Vol.26 No.2
South Korea's per capita alcohol consumption ranking is 14th in the world, but it ranks first in the world for binge drinking. In society, dining and dining culture is developed, which leads to drinking. He often puts his hands on the wheel in a relaxed way after drinking. To prevent this situation from happening in advance, a Bluetooth module is installed in the aduino circuit to transmit the measured alcohol level to the smartphone and measure the blood alcohol level.
최재현 ( Jae Hyeon Choi ),김미경 ( Mi Kyoung Kim ),박재근 ( Jae Geun Park ),박용근 ( Yong Kun Park ),최강현 ( Kang Hyeon Choi ),이기만 ( Ki Man Lee ),안진영 ( Jin Young An ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.4
Exogenous lipoid pneumonia occurs rarely in healthy people. In most cases, exogenous lipoid pneumonia is usually caused by aspiration of mineral, vegetable, or animal oil. We report the case of 42-year-old woman, who have experienced lipoid pneumonia after silicon injection into her breast for cosmetic purposes. The patient experienced fever, dyspnea, sputum, and hemoptysis after silicon injection into her breast. Chest computed tomography demonstrated non- segmental distribution of bilateral consolidation in both lung fields. A transbronchial lung biopsy specimen shows foamy microphages in alveolar spaces. Papanicolaous staining of bronchoalveolar lavage fluid showed abundant foamy marcrophages and many neutrophils. With these results, we confirmed lipoid pneumonia was associated with silicon oil injection into breast.
최승원(Seung Won Choi),고윤석(Youn Suck Koh),주용선(Yong Sun Ju),최강현(Kang Hyeon Choe),김우성(Woo Sung Kim),김재중(Jae Joong Kim),박성욱(Seong Wook Park),박승정(Seung Jung Park),이종구(Jong Koo Lee),김원동(Won Dong Kim) 대한내과학회 1994 대한내과학회지 Vol.46 No.3
Objetive: The measurement of cardiac output by CO2 rebreathing method is noninvasive procedure using indirect Fick equation. In order to compare the result of cardiac output measured by CO2 rebreathing method with that by thermodilution technique, this study was performed. Methods: Simultaneous measurement of cardiac output by CO2 rebreathing method and thermodilution technique was performed in 13 mitral stenosis patients. The subjects were 4 men and 9 women, with mean age of 41.15±11.01 year. The cardiac output (CO) can be calculated from indirect Fick equation using the CO2 rebreathing method, CO=CO2 production/CvCO2-CaCO2. The CO2 production was obtained by collecting expired gas and multiply its volume by CO2 concentration and the arterial PCO2 was estimated from the end tidal PCO2. The mixed venous PCO2 was obtained from rebreathing plateau during O2 and mixture gas breathing through rebreathing bag. Results: 1) The average cardiac output was 3.41±0.45(L/min) by CO2 rebreathing method and 3.45±0.37(L/min) by thermodilution technique. 2) The result of cardiac output measured by CO2 rebreathing method was highly correlated to that by thermodilution technique (r=0.82). 3) The equation relating two measurements was Y =-0.01±0.99X. (Y: CO2 rebreathing method, X: thermodilution technique) Conclusion: This study showed that the result of cardiac output by CO2 rebreathing method was correlated well with that by standard thermodilution technique, so it is thought that CO2 rebreathing method could provide valid estimate of cardiac output for evaluation of cardiac function. It is simple to perform, easily repeatable and essentially risk free. Therefore this method could be very useful for clinical use.
Volume-Controlled Mode의 기계환기시 동일환 I:E Ratio하에서 Inspiratory Pause가 기도압 몇 가스교환에 미치는 영향
최원준,정성한,이정아,최강현,Choi, Won-Jun,Jung, Sung-Han,Lee, Jeong-A,Choe, Kang-Hyeon 대한결핵및호흡기학회 1998 Tuberculosis and Respiratory Diseases Vol.45 No.5
연구배경: Volume controlled ventilation(VCV)시 inspiratory pause의 사용은 흡기시간을 연장하여 평균기도압을 상승시키고 가스교환을 호전시키는 것으로 알려져 있다. 그러나 같은 흡기시간을 유지하더라도 inspiratory pause를 사용하였을 경우 평균기도압과 가스교환의 변화에 대하여는 잘 알려지지 않았다. 방 법: 저자들은 VCV으로 기계호흡을 받는 12명의 환자를 대상으로 흡기산소농도, 상시호흡량, 호흡수 및 I : E ratio(1 : 3)는 변화시키지 않고 5%의 pause를 사용한 경우와 사용하지 않은 경우의 기도압 및 가스교환의 변화를 관찰하여 비교하였다. 결 과: 동맥혈 이산화탄소분압은 pause를 사용한 경우 $38.6{\pm}7.4$ mmHg로 시용하지 않은 경우의 $41.0{\pm}7.7$ mmHg보다 유의하게 낮았다 (p<0.01). 동맥혈 산소분압은 pause를 사용한 경우 $94.4{\pm}23.2$ mmHg로 사용하지 않은 경우의 $91.8{\pm}19.7$ mmHg보다 높은 경향이 있었으나 (p=0.054), 폐포-동맥혈 산소분압차$(P(A-a)O_2)$는 pause 유무에 따른 차이가 없었다 ($185.3{\pm}86.5$ mmHg vs. $184.9{\pm}84.9$ mmHg, P=0.766). 평균기도압은 pause를 사용한 경우 $9.7{\pm}4.0\;cmH_2O$로 사용하지 않은 경우의 $8.8{\pm}4.0\;cmH_2O$보다 유의하게 높았다 (p<0.01). Pause를 사용했을 때의 pause pressure와 pause를 사용하지 않을 때의 최고흡기압의 차이는 호흡기계의 저항과 역상관관계를 보였으나 (r=-0.777, p<0.01), pause가 없을 때의 최고흡기압에서 pause를 사용했을 때의 최고흡기압으로의 증가는 호흡기계의 저항과 정상관관계를 보여 (r=0.811, p<0.01), 평균기도압의 차이는 호흡기계의 저항과 유의한 정상관관계를 보였다(r=0.681, p<0.05). 평균기도압의 변화는 $PaCO_2$의 변화와 상관관계를 보이지 않았다. 결 론: Volume control ventilation시 동일한 1:3 의 I:E ratio하에서라도 5%의 inspiratory pause를 사용하는 것이 평균기도압을 더 높게 유지할 수 있으며 폐환기를 호전시킬 수 있는 것으로 사료되었다. 또한 호흡기계의 저항이 증가되어 있을수록 평균기도압의 상승이 많았으나 평균기도압의 상승 정도는 폐환기의 변화와 상관관계를 보이지 않았다. Background : In volume-controlled ventilation, the use of inspiratory pause increases the inspiratory time and thus increases mean airway pressure and improves ventilation. But under the same I : E ratio, the effects of inspiratory pause on mean airway pressure and gas exchange are not certain. Moreover, the effects may be different according to the resistance of respiratory system. So we studied the effects of inspiratory pause on airway pressure and gas exchange under the same I : E ratio in volume-controlled ventilation. Methods: Airway pressure and arterial blood gases were evaluated in 12 patients under volume-controlled mechanical ventilation with and without inspiratory pause time 5%. The I : E ratio of 1 : 3, $FiO_2$, tidal volume, respiratory rate, and PEEP were kept constant. Results: $PaCO_2$ with inspiratory pause was lower than without inspiratory pause ($38.6{\pm}7.4$ mmHg vs. $41.0{\pm}7.7$ mmHg. p<0.01). P(A-a)$O_2$ was not different between ventilation with and without inspiratory pause $185.3{\pm}86.5$ mmHg vs. $184.9{\pm}84.9$ mmHg, p=0.766). Mean airway pressure with inspiratory pause was higher than without inspiratory pause ($9.7{\pm}4.0\;cmH_2O$ vs. $8.8{\pm}4.0\;cmH_2O$, p<0.01). The resistance of respiratory system inversely correlated with the pressure difference between plateau pressure with pause and peak inspiratory pressure without pause (r=-0.777, p<0.l), but positively correlated with the pressure difference between peak inspiratory pressure with pause and peak inspiratory pressure without pause (r=0.811, p<0.01). Thus the amount of increase in mean airway pressure with pause positively correlated with the resistance of respiratory system (r=0.681, p<0.05). However, the change of mean airway pressure did not correlated with the change of $PaCO_2$. Conclusion: In volume-controlled ventilation under the same I : E ratio of 1 : 3, inspiratory pause time of 5% increases mean airway pressure and improves ventilation. Although the higher resistance of respiratory system, the more increased mean airway pressure, the increase in mean airway pressure did not correlated with the change in $PaCO_2$.
쑥 화분증 환자에게 발생한 쑥갓의존성 운동유발성 아나필락시스 1예
윤태영 ( Tae Young Yoon ),최강현 ( Kang Hyeon Choi ),이기만 ( Ki Man Lee ),안진영 ( Jin Young Ahn ),김미경 ( Mi Kyeong Kim ) 대한천식알레르기학회 2011 천식 및 알레르기 Vol.31 No.1
We report a case of crown daisy-dependent exerciseinduced anaphylaxis in a patient with mugwort-sensitized pollinosis, which is the first case as far as we know. A 41-year-old female with rhinitis experienced the generalized urticaria, angioedema and syncope on walking about 1 hour after ingestion of grilled pork and boiled rice wrapped with crown daisy, lettuce and sesami leaf during mountain climbing. Skin prick tests for food allergens showed the strong positive reaction to crown daisy, and those for inhalant allergens showed strong positive reactions to mugwort and other weed pollens. Her PC20-methacholine was 5.6 mg/mL. Exercise challenge and an oral challenge with crown daisy showed negative results. However, exercise challenge 1 hour after ingestion of crown daisy revealed a positive reaction manifested with generalized urticaria, angioedema and hypotension. She was diagnosed with crown daisy-dependent exercise-induced anaphylaxis. (Korean J Asthma Allergy Clin Immunol 2011;31:63-66)
조영증강 흉부전산화 단층촬영 후 발생한 대량의 공기 색전증 1예
박병출 ( Byeong Chool Park ),길호 ( Ho Kil ),박찬선 ( Chan Sun Park ),정지인 ( Jee In Jeong ),최은영 ( Eun Young Choi ),신윤미 ( Yoon Mi Shin ),이기만 ( Ki Man Lee ),김성진 ( Sung Jin Kim ),최강현 ( Kang Hyeon Choe ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.2
정맥 내 공기 색전은 조영제 주입과 관련된 합병증으로 알려져 있다. 대부분의 경우 색전된 공기의 양이 적고 증상이 없으나 대량의 공기 색전은 치명적일 수 있다. 저자들은 흉부 CT 촬영 중 조영제 주입과 관련하여 발생한 대량의 우심실 내 공기 색전과 보존적 치료로 후유증 없이 회복된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. A venous air embolism is a complication of various venous access procedures such as contrast-enhanced computed tomography (CECT). Although most cases of iatrogenic venous air embolisms during CECT involve a few milliliters of air and are asymptomatic, a massive venous air embolism can be fatal. We report a case of a massive intraventricular air embolism after CECT with a review of the literature regarding the pathophysiology and treatment of air embolisms. (Tuberc Respir Dis 2007; 63: 178-182)