• Title/Summary/Keyword: 순환정지

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Difference of Cardiopulmonary Resuscitation Using Visual Feedback of Mirror (거울의 시각적 피드백을 활용한 심폐소생술의 차이)

  • Yun, Seong-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.438-440
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    • 2018
  • Cardiac arrest is a series of conditions that occur when the heart is stopped, regardless of the cause. Cardiac arrest due to heart disease is included in the cause of death in korea every year and is unpredictable. One of the only ways to save a patient's life when a cardiac arrest is cardiopulmonary resuscitation is to maintain circulation through this procedure. The visual information is transmitted to the brain through the optic nerve. Among them, the mittor can see its movement and its shape, and it can be used for correction and analysis. Therefore compared the quality of chest compressions with visual information using mirrors. There was a significant difference in the mean depth of chest compressions($48.93{\pm}6.76$, $53.86{\pm}4.56$, <0.001), and there was also a difference in compression to relaxation ratio($0.87{\pm}0.13$, $0.96{\pm}0.10$, <0.002). There was also a significant difference in attitude awareness($4.93{\pm}0.85$, $8.14{\pm}1.38$, <0.001).

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The Effect Factors of Survival rate in the Patients with Cardiac Arrest (심정지 환자의 생존율에 미치는 영향요인)

  • Cho, Byung-Jun;Kim, Seon-Rye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.760-766
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    • 2014
  • This study was performed to determine the effect factors in the survival of cardiac arrest patients. This study involved 4,092 cardiac arrest patients of K province, who were transported by 119 during 2010. The data collection involved using 119 rescue daily reports, cardiopulmonary arrest patients emergency treatment detail reports and 119 paramedics survival data. In conclusion, 119 rescue's interventions in the patients with pre-hospital cardiac arrest have significantly increased survival rates. 119 rescue's interventions included early defibrillation, oxygen supply, airway open, and intravenous access affected significantly survival rate. Therefore there is need to increase 119 rescue's interventions performance to improve survival rate of cardiac arrest patients.

Thromboendarterectomy of Chronic Pulmonary Thromboembolism - A Case Report - (만성 폐색전증의 내막 절제술 1례보고)

  • Ban, Dong-Gyu;Kim, Hyuck;Kim, Young-Hak;Kang, Jung-Ho;Chung, Won-Sang;Jee, Heng-Ok;Lee, Chul-Bum;Jeon, Seok-Chol
    • Journal of Chest Surgery
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    • v.34 no.10
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    • pp.792-796
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    • 2001
  • Chronic pulmonary artery thromboembolism is a relatively rare phenomenon causing hypoxia and pulmonary hypertension that eventually leads to respiratory failure and right heart failure. Patients with acute pulmonary artery thromboembolism are generally treated with antithrombotics and thrombolytics. However, in cases with chronic pulmonary artery thromboembolism the fibrinized thrombus is so strongly adhered to the pulmonary artery wall that medical treatment becomes ineffective and surgical treatment must then be considered. We report a 47year old patient, with a history of repeated admission due to unresolved chronic obstructive pulmonary disease and chronic pulmonary artery thromboembolism at a local hospital, who underwent a successful endarterectomy of pulmonary artery thromboemboli using intermittent total circulatory arrest.

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Development and validation of daily evapotranspiration based on COMS satellite and surface energy budget equation (천리안 위성 자료와 지표 에너지 수지식을 이용한 위성 일 증발산량 알고리즘 개발 및 검증)

  • Park, Na-Yeon;Kim, Youngmi;Shin, Jinho;Lyu, Sang Jin
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.10-14
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    • 2016
  • 육상의 증발산량(evapotranspiration, ET)은 대기 중 수증기의 상변화를 통해 대기와 지표 사이의 물과 에너지 순환에 영향을 미치며, 강수량, 유출량과 함께 수자원에 영향을 미치는 주요 인자이다. 강수량과 유출량은 직접 관측이 가능한 반면, 증발산량은 숨어있는 잠열로서 관측하기 어렵다. 플럭스 타워나 라이지메타(Lysimeter) 등을 이용하여 증발산량을 직접 관측하고 있으나 이들 지상관측은 일부 지점(point)에서 제한적으로 이루어지고 있으며, 관측 지점의 수를 확대하게되면 관측 기기의 유지 보수 등의 많은 시간과 비용이 든다는 한계가 있다. 이러한 지상관측의 한계를 극복하고 넓은 영역의 증발산량 변화를 관측하기 위해 위성을 이용한 증발산량을 추정하는 연구가 활발히 진행되고 있다. 기상청 국가기상위성센터(National Meteorological Satellite Center, NMSC)에서는 우리나라 최초의 정지 기상 위성인 천리안 위성(Communication, Ocean and Meteorological Satellite, COMS) 자료를 지표 에너지 수지식(Surface Energy Budget Equation)에 적용하여 동아시아 지역의 지면과 식생 특성을 반영한 '일(daily) 증발산량 산출 알고리즘'을 개발하였다. 현열을 계산하기 위해 다양한 입력 변수가 사용되어지고 계산 과정이 복잡하기 때문에, 본 연구에서는 '반 경험적인 계수인 B 계수 모델'을 사용하여 현열 산출 기법을 단순화하였다. 본 알고리즘을 이용하여 2011년 4월부터 현재까지 동아시아(위도 $20{\sim}50^{\circ}N$, 경도 $100{\sim}145^{\circ}E$)의 해상도 1km의 일 증발산량을 산출하였고, 위성 증발산량의 검증을 위해 지면 특성이 다른 청미천(농경지), 설마천(혼효림) 지역의 플럭스 타워 증발산량 자료(유량조사사업단 제공)와 비교 분석하였다. 2011년 4월부터 2014년 12월까지 청미천 지역에서의 플럭스 타워 관측과 비교한 결과, 총 665개 자료에 대하여 RMSE는 2.82 mm/day, Bias는 2.56 mm/day의 결과를 보였다. 동일한 기간에 대하여 설마천 지역에서의 플럭스 타워 관측과 비교한 결과, 총 582개 자료에 대하여 RMSE는 1.92 mm/day, Bias는 1.45 mm/day의 결과를 보였다. 기상청 국가기상위성센터의 위성증발산량이 봄과 가을철에 다소 높게 산출되는 경향이 있었으나, 증발산량의 변화경향은 유사하게 나타났다. 이러한 결과를 바탕으로 동아시아 지역 위성 증발산량 변화를 감시하고 있으며 향후, 수문 및 기후 분야에서 가뭄 모니터링 등의 연구에도 활용할 수 있을 것이다.

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A Novel Method of Infant Chest Compression: A Study on the Cross-Simulation of Randomization Using Manekin (새로운 영아 가슴압박법의 비교: 마네킨을 이용한 랜덤화 교차 시뮬레이션 연구)

  • Yun, Seong-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.525-527
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    • 2019
  • Cardiac arrest is a series of conditions occur when the heart is stopped, regardless of the cause. one of the only ways to save a patient's life in the event of cardiac arrest is cardiopulmonary resuscitation, which is very important beacause it can maintain circulation through this technique, and high-quality CPR affects the survival rate and neurological prognosis of the patient. For infant cardiopulmonary resuscitation, use two finger to compress the chest. Hower, this method can be diffcult to reach the chest commpressions recommended by the American Heart Association because of the anatomically increased fatigue of the fingers and diffculty of vertical pressure. The study aims to verify the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation. The study also showed singnificant differences in chest depth and average rate of pressure(p<0.001). Based on the results of this study, we can see that the accuracy of the new chest compressions during infant cardiopulmonary resuscitation is increased, and the depth of chest compressions is improved, improving the quality index of chest compressions.

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Analysis of Surface Flow around a sequence of Spur Dikes Using Surface Image Velocimetry (표면영상유속계를 활용한 연속된 수제 주변의 흐름특성 분석)

  • Yong Jun Kwon;Hyung Suk Kim
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.324-324
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    • 2023
  • 수제는 비용 대비 높은 효율을 가지는 수공 구조물로 하천과 해안에 많이 이용된다. 수제는 하천에서 식생물의 서식처, 유량 확보, 하천시설 보호 등의 목적으로 설치되며 해안에서는 해안선보호, 수심 확보 등의 다양한 목적으로 설치된다. 수제는 일반적으로 넓은 영역을 제어할 수 있도록 여러개의 군수제 형태로 설치한다. 수제설치 시 기존 하도나 수로의 흐름에 교란이 일어나는데 본류부에서는 하폭이 좁아져 수제선단부에 의한 영향으로 높은 유속이 발생되며 수제역내에서는 재순환흐름과 함께 다양한 형태의 유속분포가 형성된다. 이러한 수제에 의한 흐름은 수제 선단부의 영향으로 발생하는 흐름분리선(Separation Layer)을 기준으로 흐름중심선(Talweg Line)과 흐름분리영역(Separation area)을 만들어내며 수제역내의 재순환영역에서 완화된 유속은 제방을 침식으로부터 보호하며 식생물의 서식처를 제공한다. 기존의 연구는 대부분 단일수제에 대한 연구가 수행되었으며 연속된 군수제에 대한 연구는 다소 제한된 조건에서 수행되었다. 이에 본 연구에서는 연속된 수제가 설치된 경우 수리실험을 통해 수제주변의 흐름 변화 특성을 분석하였다. 수리실험은 30.0m(L')×1.52m(B')×1.10m(H')의 직선 개수로에 050m(l)×0.10m(b)×0.25m(h)의 수제를 수로측면을 따라 연속적으로 배열하여 설치하였다. 실험은 수심, 유량, 수제설치간격을 변화시키면서 수행했으며 마그네틱유속계를 사용해서 수제의 영향을 받지 않으며 벽면의 영향이 가장 적은 수로상류의 중앙지점에서 접근유속을 측정했다. 표면유속을 취득하기 위해 일반디지털카메라로 FHD(1920×1080) 해상도를 가진 영상을 각각의 조건마다 10~20분 촬영했다. 촬영된 영상을 연속된 정지영상으로 변환하고 영상해석 프로그램을 이용하여 표면유속을 도출했다. 표면영상유속계를 활용하여 도출한 결과로 각각 조건에 따라 발생하는 최대유속과 최대역방향유속, 와도(vorticity), 흐름중심선과 단면유속분포의 변화와 발생 위치를 분석했다.

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A Comparison of the Efficiency of Chest Compression Methods during Cardiopulmonary Resuscitation (소아 심폐소생술 중 가슴압박 방법의 효율성 비교)

  • Yun, Seong-Woo;Lee, Hyo-Ju
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.388-390
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    • 2022
  • Cardiac arrest is a series of conditions that occur when the heart is stopped, regardless of the cause. Cardiac arrest due to heart disease is included in the cause of death in korea every year and is unpredictable. One of the only ways to save a patient's life when a cardiac arrest is cardiopulmonary resuscitation is to maintain circulation through this procedure. Therefore compared the quality of chest compressions with visual information using mirrors. There was a significant difference in the mean depth of chest compressions(48.93±6.76, 53.86±4.56, <0.001), and there was also a difference in compression to relaxation ratio(0.87±0.13, 0.96±0.10, <0.002). There was also a significant difference in attitude awareness(4.93±0.85, 8.14±1.38, <0.001).

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Application of machine learning technique for runoff prediction in watershed with limited data (자료 과소 유역 유출 모의을 위한 머신러닝 기법 적용)

  • Jeung, Minhyuk;Beom, Jina;Park, Minkyeong;Jeong, Jiyeon;Yoon, Kwangsik
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.254-254
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    • 2021
  • 기후변화로 인한 자연재해는 해마다 크게 증가하고있으며, 홍수 및 가뭄의 강도와 빈도 증가, 지구온난화로 인한 하천 건천화 등 많은 문제들이 대두되고 있다. 특히, 물 순환과정의 핵심요소로 설명되는 유출량의 변동은 용수 공급과 홍수 대응 및 관리, 하천생태계 유지를 위한 환경에 영향을 미치고 있다. 따라서, 갈수량, 풍수량 등을 산정하여 하천별 유황특성을 결정하는 방법을 사용하고 있으나, 이와같은 지표는 계측자료가 과소한 경우 하천의 유황특성을 세부적으로 이해하고 정량적으로 제시하는데에 한계가있다. 따라서, 미계측 유역에서 Soil and Water Assessment Tool (SWAT)과 같은 수리해석모델이 광범위하게 이용되고있으며, SWAT 모델은 유역의 수치표고모형, 토양 특성, 토지이용 현황, 기상 현황, 유역의 매개변수 등을 반영하여 모델이 구동되고 있다. 하지만, 광범위하게 이용되고 적용성이 입증된 모델임에도 불구하고 입력자료의 불확실성 및 조사되지 않은 영농활동 등으로 인해 결과에 불확실성이 내포되어있으며, 불확실성을 줄이기 위해 실측된 하천의 유량 자료를 이용하여 검정 및 보정작업을 거치고 있다. 모델의 보정 방법으로는 SWAT-CUP과 같은 프로그램 이용되고 있지만, 모델에서 이용되는 매개변수로는 보정할수 있는 범위가 한정적이기 때문에 모델의 정확성을 높이는데에 한계가 있다. 따라서, 본 연구에서는 선암천 유역을 대상으로 모델의 매개변수를 보정하지 않고도 머신러닝 기법을 이용하여 모델의 결과를 향상시켰다. 보정 결과, 유량의 경우 R2가 0.42에서 0.91으로 향상되었으며, 특히 고유량 구간에서의 정확성이 매우 향상되었다. 본 연구에서 평가된 SWAT+머신러닝 결합 모형은 향후 모델 구동에 필요한 입력자료가 부족한 경우와 빠른 검정 및 보정 작업이 필요할 경우 활용될수 있을것으로 판단된다.

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A Study on the Types of Tree Management in Modern Palace Using Photographs and Expert Interviews (사진과 전문가 인터뷰를 통해 추론한 근대 궁궐의 수목관리 판단 연구)

  • Choi, Jin-seo;Kim, Choong-Sik
    • Journal of the Korean Institute of Landscape Architecture
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    • v.51 no.2
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    • pp.94-102
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    • 2023
  • The Florence Charter, established in 1981 by the ICOMOS-IFLA International Commission on Historic Gardens, considered the historic garden as a plant-dominated architectural composition, a perpetual balance between the artist and the artisan's desire to remain unaltered in perpetuity. Trees, the main component of the garden, require continuous management as they repeat their creation and calling according to the cycle of the seasons and accordingly, it is suggested that management to maintain the appearance of trees in Korean palaces was an indispensable element. Although it is an important matter to historically verify the tree management techniques of the palaces of the past, research has been difficult due to the absence of historical records and the disconnection of life due to the Japanese colonial period. In addition, according to the view that trees were not generally managed in the palace, research on palace tree management techniques has not been conducted so far. Therefore, this study aimed to examine whether or not the tree management of the palaces was performed in the past through expert interviews based on photographs taken in modern times. With the identification of tree species and pruning through in-depth interviews with experts using photographs taken in the modern period, the results are as follows. First, it was found that the shapes of trees and leaves could be identified through photographs and by observing the phenomena caused by planting and pruning, it was possible to estimate whether or not the tree management was implemented in the modern palace. Second, as a result of in-depth interviews with 8 experts in 4 fields, it was possible to determine the tree species and pruning status, purpose, and method. There was no significant difference in opinions between groups, and the evidence was clearly presented. Third, the type of management of trees in the palace was mainly found to be determination of the types of tree, removal of hazardous factors of trees, and management of lower vegetation and through the photographs of Jondeokjeong and Gwanwanjeong, it was confirmed that the trees were managed even before the Japanese colonial era, considering the time of filming. Based on the photographs taken, it was possible to estimate whether the trees were managed before the Japanese colonial period through expert interviews. However, it could not be clarified due to lack of historical materials as to whether it was carried out on its own according to the circumstances of the times or by the Japanese Empire. Still, in this study, evidence was obtained to refute the view that trees of the palace were not managed in the past through the collected data. Expert opinions supporting this view were collected to make the conclusion. In addition, based on the general theory of pruning, an empirical review of expert opinions was conducted to secure the reliability of the research results.

Composite Graft Aortic Root Replacement with Coronary Button Reimplantation: The Early and Mid-Term Results (Composite graft를 이용한 대동맥근부 치환술: Button 술식의 중단기 결과)

  • 나찬영;백만종;김웅한;오삼세;김수철
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.356-364
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    • 2002
  • Background: This study was undertaken to investigate the outcome of composite graft aortic root replacement using coronary button reimplantation technique for the treatment of aneurysms of the ascending aorta involving the aortic root. Material and Method: Between April 1995 and September 2001, 54 patients having aortic root replacement with a composite valve graft using direct coronary button reimplantation were reviewed retrospectively. Left ventricular dysfunction was present in 14 patients(25.9%), aortic regurgitation in 48(89%), and Marfan's syndrome in 17(31.5%). The indications for operation were annuloaortic ectasia in 29 patients(53.7%), aortic dissection in 11(20.4%), aneurysms of the ascending aorta involving aortic root in 12(22.2%), and aortitis in 2(3.7%). Six patients(11.1%) had previous cardiac or ascending aortic operations. Concomitant procedures were arch replacement in 21 patients(38.9%), coronary artery bypass graft in 7(13%), mitral valve repair or replacement in 4(7.4%), and others in 6. The mean time of circulatory arrest, total bypass, and aortic crossclamp were 18 $\pm$ 9 minutes, 177 $\pm$ 42 minutes, and 127 $\pm$ 31 minutes, respectively. Result: There was 1 early death(1.9%). Mean follow-up was 24.6$\pm$ 19.5 months. There were two late deaths(3.8%) including one death due to the traumatic cerebral hemorrhage. The Kaplan-Meier survival rate was 98.0 $\pm$ 2.0% and 93.1 $\pm$ 5.1% at 1 and 6 years, respectively. Two patients required reoperation owing to a false aneurysm at the root anastomosis site and a malfunction of prosthetic aortic valve(3.8%). Staged operation for dissection of the remaining thoracoabdominal aorta was performed in 1 patient. The freedom rate from reoperation was 97.8 $\pm$ 2.0% and 65.3 $\pm$ 26.7% at 1 and 6 years, respectively.