Antiadhesive effect and safety of oxidized regenerated cellulose after thyroidectomy

Kyoung Sik Park,Kyu Eun Lee,Do Hoon Ku,Su-Jin Kim,Won Seo Park2,Hoon Yub Kim3,,Mi Ra Kwon1,Yeo-Kyu Youn1 대한외과학회 2013 Annals of Surgical Treatment and Research(ASRT) Vol.84 No.6

Purpose: To evaluate the antiadhesive effects and safety of an oxidized regenerated cellulose (Interceed) after thyroidectomy. Methods: Seventy-six thyroidectomized patients were prospectively randomized into two groups with regard to the use of Interceed. We evaluated each group for their adhesive symptoms using four subjective and four objective items at the 2nd week, 3rd and 6th month after thyroidectomy. All patients were examined for vocal cord motility by indirect laryngoscope at each period. Results: Total adhesion scores at each postoperative follow-up period decreased with time, but were not significantly different in each group. The median score for swallowing discomfort for liquid was significantly lower in the Interceed group than in the control group 2 weeks after surgery. In addition, the severity of skin adhesion to the trachea was reduced in the Interceed group compared with the control group 6 months after surgery. During the study, there were no adverse effects or significant differences in postoperative complications between the groups. Conclusion: Interceed appeared to be safe and effective in improving neck discomfort at early postoperative periods and preventing skin adhesion to the trachea 6 months after thyroidectomy.

[P6-35] Property characteristics of Black edged sculpin sik-hae

Kyoung A Nam,Kwan Sik Choi,Dong O Kim,Sang Moo Kim 한국식품영양과학회 2006 한국식품영양과학회 학술대회발표집 Vol.2006 No.10

단기교육으로 시행가능한 심실기능평가법

김원,임경수,오병연,홍은석,김영식,김선만,이부수,현석천,김영득 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: The initial history, physical examination, and ECG assessment should focus on identification of potentially serious noncardiac or cardiac disorders, including coronary artery disease, congestive heart failure, and electrical instability at the emergency room. additionally, it is essential to define disease severity, stability and need for emergency therapy. echocardiography is a useful tool for this purpose. especially Doppler echocardiography may be more sensitive and time-saving diagnostic tool for the evaluation of patients presenting with cardiogenic symptoms. So we evaluate the feasibility of the echocardiographic measurement by emergency physicain after short-term course. Method and Results: Twenty volunteers(10 male, 38.8±9.3 years) were included in the study for measurement of myocardial performance index and established parameters of ventricular function using conventional echo-Doppler methods. Myocardial performance index: (ICT+IRT)/ET, was obtained by subtracting ejection time(ET) from the interval between cessation and onset of the mitral inflow velocity to give the sum of isovolumic contraction time(ICT) and isovolumic relaxation time(IRT). The most of mean values of echocardiogrphic parameters were not significantly different between those of cardiologist and those of emergency physicians(p<0.01). The duration for measuring myocardial performance index was shortest among echocardiographic parameters. the validity of echocardiographic parameters measured by emergency physicians was proved relatively good. Conclusion: It is proved to be feasible for emergency physician to perform echocardiographic evaluation of ventricular function after short-term course

응급실 내원환자에 대한 병원전 응급체계와 후송체계에 대한 조사

김영식,황성오,임경수,윤양구 大韓應急醫學會 1992 대한응급의학회지 Vol.3 No.1

A prospective research of 1,573 patients who visited emergency room was completed by the emergency physician of Wonju College of Medicine of Yonsei University, and Youngdong Hospital. This prospective study demonstrate the problems of prehospital emergency care and transfer system of the emergency patient. Among 1,573 patients, 86.9% were admitted to the Emergency room by the non-emergency vehicle such as taxi and bus, and only 13.1% was admitted via ambulance. At the situation of emergency, the most of patients and patient`s families could not call for the help to emergency telemetry center because only 3.1% among total patients knew the emergency call number(Tel. No: 129). Because the emergency delivery system between emergency centers from Level. Ⅰ, Ⅱ to Level Ⅲ was not established yet, only 492 patients(31.3%) were transferred from Level Ⅰ, Ⅱ emergency room to our emergency room to our emergency center but 1081 patients(68.7%) were admitted directly to Level Ⅲ emergency center from emergency fields. Among 1,081 patients who visited Level Ⅲ emergency center directly, only 240 patients(23%) were admitted for further treatment, but in transferred cases(492 patients), 271 patients(55%) were admitted. Especially in the injured patients, severely injured patients(ISS 16) occupied only 6% among 441 patients who visited directly, but it occupied 21% among 150patients who were transferrd from local community hospital. This result means that many non-urgent patients visited Level Ⅲ emergency centers without the previous visiting of Level ⅠⅡ emergency room. This study reveals that EMSS(Emergency Medical Services System) including the telemetry systems must be organized in short-time to reduce the mortality and morbidity of emergency patients. First, the educations about the emergency call system and First Aids to the people must be stsryed initially through the school and mass-media such as television and radio network. Second, emergency delivery system between Level Ⅰ,Ⅱ,Ⅲ emergency center must be organized for the effective and rapid transportaion of acute ill patients.

기능성 킬레이트 고분자 Ⅳ -VSA-VP-DVB 킬레이트 수지의 이온교환 특성-

김공수, 심상무, 김경호, 김영식 忠北大學校 1986 論文集 Vol.32 No.-

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運動種目間 屈指力 特性에 關한 硏究 : 男子 柔道 및 劍道種目을 中心으로

金景烈,강충식 公州大學校스포츠科學硏究所 1999 스포츠科學硏究所論文集 Vol.- No.13

To investigate the effects of judo-and kendo-training on finger flexion trength (FFS), single FFS (SFFS) in 2nd fingers(Ⅱs), 3rd fingers(Ⅲs), 4th fingers(Ⅳs), 5th fingers(Ⅴs),and combined FFS(C-FFS) in ⅡⅢs, ⅣⅤs,ⅡⅢⅣs, ⅢⅣⅤs, ⅡⅢⅣⅤs were measured in 19 judo-athletes(average training period:13 years), 30 kendo-athletes(average training period:13.5 years) and 50 non-athletic students as untrained controls. All the subjects were right-handed male. The isometric FFS were measured at the right angles of PIP joint (s) by the load cell method. The results were summarized as follows : 1) Both the kendo-and the judo-athletes had significant stronger FFS than the controls in all kinds of FFs. (P〈0.05) 2) The kendo-athletes had significant stronger FFS in their left Vs than in their right Vs, although their C-FFS in the left ⅡⅢⅣⅤs was significantly weaker than that in the right ⅡⅢⅣⅤs. (P〈0.05) 3) The judo-athletes had significant stronger S-FFS in Ⅱs and Ⅲs in both hands than the kendo-athletes. No significant difference, however, was found between any C-FFS in the judo-athletes and in the kendo-athletes. (P〈0.05) 4) There were significant correlations between the grades (dan-i) and S-FFS (Ⅱs) in both hands in the judo-athletes, and the training periods or the grades and left S-FFS (Ⅱs∼Ⅴs) in the kendo-athletes. These results suggest distinctive effects of kendo-training on FFS in left hand, especially in left Ⅴs, and those of judo-training on FFS in Ⅱs in both hands.

AVPU scale과 Glasgow Coma Scale의 상관관계 : 외상환자의 의식상태 평가법 THE EVALUATION METHODS OF MENTAL STATUS IN TRAUMA

김 현,임경수,이강현,김영식,김선만,황성오 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Background: The emergency treatment of multiple trauma patient includes rapid evaluation of mental status, triage and resuscitation. The principles of Advanced Trauma Life Support consist of primary survey & resuscitation, secondary surveys and definitive cares. In primary survey, the mental status is evaluated by AVUP scale, and GCS(Glasgow coma scale) is used in secondary survey because the calculation of GCS needs more times than AVPU scale. Purposes: Is there a correlation between AVPU scale and GCS as an evaluation method of mental status in trauma? Subjects: 434 injured patients(male 321, female 113, mean age 35.9 years) who had visited the emergency center of Wonju Christian Hospital was evaluated prospectively. The mental status was evaluated by AVPU scale and GCS by emergency physician as soon as the patients was admitted to emergency center. Results: Alert patients as AVPU scale were ranged from 14 to of GCS, patients who responded to verbal command were from 9 to 14 of GCS, patients who responded to pain stimuli were from 4 to 10 of GCS, and patients who did not respond to pain stimuli were from 3 to 5 of GCS. The linear correlation of AVPU scale and GCS was seen(r2=0.90). Conclusion: This study suggest that AVPU scale was vey closely correlated with GCS.

지역병원에서 다발성 손상환자 후송시에 문제점

김영식,안무업,임경수,황성오,조남천,강성준 대한응급의학회 1992 대한응급의학회지 Vol.3 No.2

A prospective review of 53 multiple injured patients(ISS≥16) initially treated at local community hospitals and subsequently transported more than 50km to referral emergency center was completed. All injury mechanisms were blunt, and among them traffic accidents occupied the 54.7%. Revised Trauma Score ranged from 0 to 12 (mean, 10.4) and Injury Severity Score ranged from 16 to 50 (mean, 24.3). No prior notification of patient transfer to the referring facility were received in 52(98.1%) cases, and absent or very incomplete record were evident in 44 (83.0%) cases. The quality of care during initial stabilization and transport was evaluated by ATLS guideline for airway management, cervical immobilization, breathing support, treatment of shock, fracture immobiliaztion, neurologic evaluation, secondary assessment, life-threatening deficiencies were identified in 10(18.9%) patients and serious deficiencies in 32(60.4%). Most frequent departures from these standards involved failure to place a nasogastric tube before transport(58.5%), inadequate breathing support(30.2%), inadequate cervical immobilization(24.5%) and inadequate shock treatment(17.0%). This study demonstrates the need for education of emergency physicians about priorities in trauma management and ATLS courses. Furthermore guidelines for transport and interhospital communication must be established in rural area.

고밀도 유도결합 플라즈마 시뮬레이터의 GUI 및 Post Processor 개발

남경진, 김용일, 권득철, 윤남식 충북대학교 컴퓨터정보통신연구소 2007 컴퓨터정보통신연구 Vol.15 No.2

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피스톤 측정 시스템 개발에 관한 연구

김경석,장완식,김성식 한국공작기계학회 1997 한국생산제조학회지 Vol.6 No.2

The purpose of this study is the development of professional measuring system of piston. Designed values are compared with values of measured data of oval shape piston and allowable range and deviation are printed out by using this system. Thereafter, it is able to measure ovality precisely and to estimate itw quality rapidly.