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천남성(天南星)음독에 의한 구강과 인두의 충혈과 통증 및 부종의 1례
홍민기,박주옥,왕순주,Hong, Min-Ki,Park, Ju-Ok,Wang, Soon-Joo 대한임상독성학회 2003 대한임상독성학회지 Vol.1 No.1
Korean people use a lot of herbal agents for medical purposes, such as curing diseases, improving health state, but some of the herbal agents have toxic side effects. In terms of toxicology, herbal agents classified into 3 categories generally nontoxic, potentially toxic and toxic. But, there are few studies about the mechanisms and clinical features of intoxication of herbal agents. So detoxification or initial treatment of these agents is very difficult to clinicians in hospital. Authors experienced an uncommon case of intoxication after Arisaematis Rhizoma Ingestion. We report this case with review of Arisaematis Rhizoma.
이준녕(Lee, Joonnyong),박주옥(Park, Ju Ok),박정호(Park, Jeong Ho),양승만(Yang, Seungman),주윤하(Joo, Yoon-ha),신상도(Shin, Sang Do) 한국방재학회 2017 한국방재학회논문집 Vol.17 No.3
본 연구에서는 특수재난 대응 통합 위해인자 탐지 장비를 고안하고, 제작하여 그 사용성을 평가하였다. 본 연구에서 개발된 장비는 화학 가스 탐지 및 분석, 방사선 탐지 및 분석, 생물학 위해 인자 탐지로 구성이 되었다. 화학 가스 탐지의 결과를 상황 위험도를 나타내는 acute exposure guideline levels (AEGLs)로 변환하여 제시하고 방사선 탐지의 결과는 노출량과 누적량만이 아니라 10mSv를 기준으로 최대 활동 시간으로 제시한다. 최종 사용성 평가에서 개발된 시제품은 탐지 분석 결과에 대한추가적인 정보를 제공하여 사용자가 결과 해석을 쉽게 할 수 있도록 한 특징이 잘 나타났다. 시제품은 여러 장비의 통합으로크기가 크고 운반의 용이성은 떨어졌지만, 전반적 사용성 및 버튼 조작의 편리성, 화면 구성 및 결과 제시 방식에 대한 사용자 만족도는 높은 것으로 나타났다. In this study, we developed a unified chemical, biological, radiological, and nuclear (CBRN) threat analyzer and performed user evaluation of the device. The proposed device is composed of sub-systems capable of analyzing common toxic industrial chemical(TIC) gases, gamma rays, and common non-gaseous biological agents. The threats are analyzed and presented in a user-friendly form; the results of gas analysis are presented in the form of acute exposure guideline levels (AEGLs), the results of radiation analysis are presented in the form of maximum exposure time, and the results of biological agents analyses are presented as present or absent. In the user evaluation, the developed device is compared against commercial devices. Due to the extra analyses on the CBRN threats in addition to chemical gas concentration and radiation levels, the subjects were better able to comprehend the degree of danger as compared to the commercial devices. The proposed device was also rated as bulky and less portable as compared to the commercial devies, but was rated higher in terms of ease of use and information display
김대곤 ( Dae Kon Kim ),홍기정 ( Ki Jeong Hong ),노현 ( Hyun Noh ),홍원표 ( Won Pyo Hong ),김유진 ( Yu Jin Kim ),신상도 ( Sang Do Shin ),박주옥 ( Ju Ok Park ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Purpose: The field trauma triage for injured patients is essential for trauma care system. In this study, agreement of patient evaluation between by prehospital EMS personnel and by hospital staffs and the appropriateness of prehospital triage were evaluated. Methods: This observational study was conducted from September to October 2012 for 5 weeks. During this period, EMT evaluated patient’s severity according to guideline for field triage and recorded. Same guideline was applied in 26 hospitals for patients with EMS use. Kappa statistics were used to measure agreement for each item of guideline. Finally, over-triage and under-triage rate of EMT were calculated. Results: During study period, total 3,106 patients were transferred to 26 hospital emergency departments with EMS use. Kappa statistics for “vital signs” items were 0.45 for mentality lower than V and 0.44 for systolic blood pressure lower than 90 mmHg as a moderate agreement. In “anatomy of injury” items Kappa statistics were very low. In “mechanism of injury” items Kappa statistics were 0.28 for high-rise fall down and 0.27 for high energy traffic accident but in other items Kappa statistics were very low. 362 patients (12.0%) were over-triaged and 281 patients (9.3%) were under-triaged. Conclusion: Field triage can be applied but need to evaluate and modify in order to become accurate and sensitive for decision of transportation. [ J Trauma Inj 2014; 27: 126-32 ]