http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
구강악안면 영역의 수술 시 악하 기관 삽관술의 유용성에 대한 임상적 고찰
김일규,장금수,최진호,오남식,류승현,김재우,정종권 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.2
It is hardto make a decision of what route we will select for endotracheal intubation at open reduction of oral and maxillofacial trauma. In the patients with fractures of multiple facial bones combined with fracture of crainal basal bone, intermaxillary fixtion makes oro-endotracheal intubation impossible. And the possibility of injury to the fracture site of crainal basal bone and the impossibility of reconstruction of naso-orbito-ethmoidal(NOE) complex fractures also make the naso-endotracheal intubation difficult. But it is not easy to select the tracheostomy because of its several complications and abhorrences. For above reson, Altermir introduced submental route for endotracheal intubation as new technique in 1986 and Green etc. modified this technique in 1996. The purpose of this article is to evaluate the efficiency of submental route for endotracheal intubation after experience of 10-clinical cases for variable reasons with review of articles.
김금자,김현재 仁川敎育大學校 科學敎育硏究所 1998 과학교육논총 Vol.10 No.-
As young children develop intellectually they begin to understand the physical principles of buoyancy that explain the conditions under which objects float or sink. Under Piaget's system of intellectual development, this understanding occurs when the learner reaches the concrete operational level of thinking. The purpose of this study is to develop and teach buoyancy unit is underdeveloped in the primary science education. This study was carried out as follows : 1) The concepts of buoyancy unit are composed of the experience science which the student can easily acquire in every day life. 2) The individual or cooperative learning and holistic learning approach were taken as instructional methods. This study suggests that buoyancy unit which can give not only children faith and confidence but also participant actively in the unit with interest and concern. Then, the new instructionals or cooperative learning and holistic learning approach should be applied to the modernization of open education in practical and effective method.
Pierre Robin syndrome 환아에서 기관내 삽관 경험 : 증례보고
김상훈,이현영,소금영,유병식,정이남 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S
Pierre Robin syndrome is characterized by micrognathia, glossoptosis, and cleft palate. Neonates with Pierre Robin are at risk of upper airway obstruction and may require surgical fixation of the tongue to the mandible. Such neonates are at high risk of hypoxia and difficult to intubation during induction of anesthesia. We report a case of an 11-day old neonate with Pierre Robin syndrome was intubated in operative room and emergency room. While under general anaesthesia, awake intubation was attempted and facilitated oxygenation. After a 4 day discharge, he revisited to emergency room due to airway obstruction symptom. Repeated attempts at intubation (again with spontaneous breathing) failed. Finally, laryngeal mask airway (LMA) was introduced, and as a result of this ventilation was achieved. The next day, we awake fiberoptic intubation through the laryngeal mask and were easily achieved.
Duchenne 근이영양증 환자에서 Propofol과 Remifentanil을 이용한 전정맥마취 경험 : 증례보고
김상훈,이현영,소금영,정종달,고지현 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S
Patients with Duchenne's muscular dystrophy are considered to be at risk of peri-operative complications. It's patients can be associated with cardiac arrest, rhabdomyolysis, malignant hyperthermia during anaesthesia. This is a case report of a 14 years old male patient who had known Duchenne muscular dystrophy was scheduled for open reduction and internal fixation of right humerus fracture. Regional anesthesia was refused by the patient. Total intravenous anesthesia (TIVA) was performed with propofol and remifentanil, which was started at the targeted effect concentration of 3.0μg/ml and 10ng/ml via target controlled infusion. After the end of operation, the patient was awaken without any problem and was transferred to recovery room.
박금수,김영식,이진응,임종천,이강현,임경수,황성오,최경훈 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2
To estimate the quality of the emergency medical services system of Wonju City, we studied the diurnal variations of 179 non-traumatic cardiac arrest victims who received cardiopulmonary reuscitation at the emergency center of Wonju Christian Hospital. Diurnal variations of non-traumatic cardiac arrest patients were as follows ; The occurence of cardiac arrest at day-time was higher than night-time; 18 cases (11%) from midnight to AM 4, 25 cases (14%) from AM 4 to AM 8, 42 cases (24%) from AM 8 to AM 12, 46 cases (25%) from AM 12 to PM 4, 35 cases (19%) from PM 4 to PM 8, 13 cases (7%) from PM 8 to midnight. Witness cardiac arrest was increased more during the day than night ; 40% from midnight to AM 4, 48% from AM 4 to AM 8, 57% from AM 8 to AM 12.52% from AM 12 to PM 4, 60% from PM 4 to PM 8, 38% from PM 8 to midnight. The transportation time at night-time cardiac arrest was more longer than day-time cardiac arrest ; 30±12mins from midnight to AM 4, 26±9mins from AM 4 to AM 8, 27±12mins AM 8 to Am 12, 25±11mins from AM 12 to PM 4, 25±9mins from PM 4 to PM 8, 35±15mins from PM 8 to midnight. The rate of restoration of spontaneous circulation(ROSC) in day-time cardiac arrest was higher than the night-time cardiac arrest ; 30% from midnight to AM 4, 36% from AM 4 to AM 8, 32% AM 8 to AM 12, 44% from AM 12 to PM 4, 41% from PM 4 to PM 8, 15% from PM 8 to midnight. The survival rate of cardiac arrest has been correlated with collapse time, early bystander CPR, early advanced care. To improve outcome for prehospital cardiac arrest, we concluded that early bystander CPR, and early advanced life support should be performed at the scene and during the transportation especially at night.
혈액 투석 대기중 불안과 조절위 성격 특성과의 관계에 관한 연구
박금옥,김종임,김현리 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2
The purpose of this study was to provide data to better nursing intervention and nursing care plan for preventing or decreasing anxiety of hemodialysis patient. The data was gathered from May 1st to June 30th, 1992. The data was analysis was used SPSS PC program frequency, mean, standard deviation, ANOVA, Pearson Correlation Coefficient and Chronbach' α for reliability of STAI and HLC scale were computed. The results are summarized as follows: 1. The hypothesis that the higher the level of external locus of control in personalty, the higher the level of state anxiety, was rejected.(r=0.665, P=0.0001) 2. The hypothesis that the higher the level of trait anxiety, the higher the level of state anxiety, was accepted.(r=0.675, p=0.0001) The author thought that the futher study are needed to assist the specialized nursing care and holistic care of hemodialysis patient.
이화운,김유근,정우식,오은주,임헌호,노순아,반수진,최현정,김민선,김헌숙 부산대학교 환경문제연구소 2002 環境硏究報 Vol.20 No.-
In the view of the results investigated the effect of air pollutants that is emitted from a new generator facilities, the total estimated concentration which is the summation of a contributional concentration and observational concentration is much less than that of atmospheric environment criterion for the air pollutants. So we can predict that the operation of the new generator facilities with mitigation equipment don't seriously affect around environment. At the same time, we compared the contributional concentration of before mitigation equipment with that of after it to examine the decreasing amount due to mitigation equipment. The result showed that the concentration of SO2, NO2 and PM-10 is reduced to 25%, 30% and 26% of original value, respectively.
이부수,김영식,이강현,황성오,임경수,박금수,윤정한,안무업,최경훈 대한응급의학회 1994 대한응급의학회지 Vol.5 No.2
Background : Mechanism of blood flow during cardiopulmonary resuscitation(CPR) in humans remains controversial and poorly understood, although cardiac or thoracic pump theory was proposed. We investigated cardiac movement, ventricular function and atrioventricular valve motion with aid of transesophageal echocardiography during precordial compression during CPR in humans. Methods and results : During CPR transesophageal echocardiography was performed in 14 patients with non-traumatic cardiac arrest. Manual precordial compression during CPR was performed according to American Heart Association guidelines. Mitral valve closed in 9 and did not close in 5 patients during "compression systole". Tricuspid valve closed during compression systole. Compression vector directed to right ventricle, basal portion of interventricular septum and left atrium. The heart rotated clockwise and the apex was more displaced than the base("swing motion"). Fractional shortening(FS) and ejection fraction(EF) of right ventricle exceeded those of left ventricle(FS : 55±9% vs 18±8%, p<0.05), EF : 79±9% vs 37±16%, p<0.05). FS and EF of left ventricle was higher in patients with systolic mitral valve closure than patients with persistent systolic opening of mitral valve(FS : 21±7 vs 13±7%, EF : 45±12 vs 22±12%, p<0.05), but FS and EF of right ventricle was not different. Conclusion : During precordial compression, the heart rotated clockwise and displaced. Systolic function of right ventricle exceeded left ventricle. Marked compression of right ventricle and systolic closure of tricuspid valve suggested that right ventricle functioned as a pump generating blood flow during precordial compression. Closure of mitral valve was dependant on systolic function of the left ventricle.