• Title/Summary/Keyword: 심정지

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A Study on Safe Hiking According to Caution Against Cardiac Arrest That Occurs Unexpectedly during Mountaineering (등산 중 발생하는 심정지 주의에 따른 안전산행 연구)

  • Park, Ok-Nam;OH, Hye-Ryeong
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2023.11a
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    • pp.129-130
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    • 2023
  • The From COVID-19 until recently, the demand for hiking has been rapidly increasing due to the popularization of mountain seekers.,On weekends and holidays, people who do not hike frequently while hiking in large and small mountains to see wildflowers and foliage in the mountains are more likely to be exposed to safety accidents due to an increase in sudden muscle use.,If you fall or get muscle damage during a hike, you can prevent a major accident with a simple treatment. In some cases, the error of first aid may permanently damage the important function of the body.,In particular, during a safety accident on a mountain, while climbing in light clothes, the body temperature rises due to the sweat that was shed at the beginning, and the blood pressure rises due to the contraction of the blood vessels due to the drop in body temperature from the top, resulting in an emergency such as cardiac arrest.,According to statistics from the National Park Service, nearly half (48%) of deaths in national parks are known to be sudden cardiac deaths.,There are many safety accidents that occur frequently in the mountains, but among them, we will study how to cope with acute diseases such as cardiac arrest due to increased blood pressure due to insufficient body temperature control, chest pain or dyspnea, and heart burden due to excessive hiking.

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Reactive Learning Inference System Considering Emotional Factor (감정적 요소를 고려한 반응학습 추론 시스템)

  • 심정연
    • Journal of Institute of Control, Robotics and Systems
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    • v.10 no.11
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    • pp.1107-1111
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    • 2004
  • As an information technology is developed, more intelligent system considering emotional factor for implementing the personality is required. In this paper, Reactive Learning Inference System considering emotional factor is proposed. Emotional Facter(E) is defined for a criterion for representing the personal preference. This system is designed to have functions of Reactive filtering by Emotional factor, Incremental learning, perception & inference and knowledge retrieval. This system is applied to the area for analysis of customer's tastes and its performance is analyzed and compared.

농장탐방 - 예산농장(산란계)

  • Kim, Dong-Jin
    • KOREAN POULTRY JOURNAL
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    • v.49 no.10
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    • pp.122-126
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    • 2017
  • 계란 살충제 파동으로 농가들은 AI에 이어 또 다시 불안에 떨고 있다. 이번 사태는 농장의 책임도 피할 수 없지만, 정부의 잘못된 제도와 부실한 관리 감독이 만들어 낸 인재이다. 정부에서 허가해 주고 지자체에서 지원해준 제품마저도 농가에서 고스란히 피해를 보는 상황에서 농가들은 어디에 하소연해야 할지 답답한 심정이다. 본지는 이번 사태를 겪으면서 닭 진드기에 대한 피해를 최소화할 수 있는 방법을 모색하기 위해 지금까지 닭 진드기 피해를 보지 않은 예산농장(대표 김영식)을 찾았다. 충남 예산에 위치한 예산농장은 이번 계란 안전성 관련 사태가 발생하자 지역 2개 농장(금덕농장, 호성농장)과 함께 계란 안전성에 대한 안내문을 지역 신문에 게재하는 등 적극 대처를 해왔으며, 차단 방역 등 위생적인 닭 관리로 닭 진드기 방제를 위해 노력해 오고 있다.

Cardiac Function of Asphyxiated Rat Hearts (질식사한 흰 쥐 심장의 기능평가)

  • 조준용;허동명
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.255-262
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    • 1996
  • The donor pool for heart transplants is severely limited and there is still a legal problem of brain death. This study assessed the function of hearts "absolute anoxic" for ten minutes after asphyxia by perfusing the hearts on a Langendorfr apparatus for 45 minutes with Krebs-Henseleit buffier at 37 t at 80 cm H2O. Forty isolated rat hearts were divided into four groups. Ten control hearts (group 1) were perfused on the circuit without intervening ischemia. Ten hearts (group 2) were harvested, quickly flushed with 5cc of cold University of Wisconsin solution, and stored in the same cold solution for 4 hours. Ten hearts (group 3) were excised, quickly flushed with 5 u of cold Stanford cardioplegic solution and stored in cold saline solution for 4 hours. Ten asphyxiated hearts (group 4) had warm ischemia for ten minutes and were perfused with 5u of cold Stanford cardioplegia containing 7,500 units of urokinase to dissolve intravascular clots, and stored in cold saline solution for 1.5 hours. Time of spontaneous defibrillation (TSD) after perfusion was significantly longer in group 2, group 3 and group 4 than in group 1. TSD in group 3 and group 4 was significantly longer in comparison to that of group 2. Left ventricular developed pressure(LVDP) at 15 minutes was significantly lower in group 3 and group 4 than in group 1 and group 2. In group 4, LVDP at 30 minutes and 45 minutes was significantly lower compared with that in group 1 . In conclusion, asphyxiated rat hear;ts which had absolute anoxia for 10 minutes after as hyxia showed relatively satisfactory cardiac function. function.

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Endotracheal Intubation of Paramedics in a Moving Ambulance (이동 중 구급차에서 1급 응급구조사의 기관내 삽관)

  • Shim, Gyu-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5292-5298
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    • 2012
  • The purpose of this study is to perform the effectively advanced airway management in an emergency patient with cardiac arrest and trauma by comparing the appearance of influence in a change of visual-field height upon endotracheal intubation according to a change in position with intubation of paramedics in a moving ambulance and by analyzing the appearance of the influence in a patient's change in position with intubation upon speed in endotracheal intubation. Research subjects were randomly extracted 60(30 people for control group, 30 people for experimental group) people as the paramedics who are working at 13 fire stations in C Province. Data analysis was carried out ${\chi}^2$-test, independent t-test, paired t-test by using SPSS WIN 14.0 Version. As a result of research, to improve speed of the advanced airway management, it is considered to be likely effective in a patient's sniffing position and in the endotracheal intubation in the upper space of the main stretcher. The self-confidence in intubation after experiment increased significantly. Thus, the continuous education(training) on the intubation position and method within ambulance is considered to be likely needed for improving efficiency of the advanced airway management.

The Use of Rapid Ventricular Pacing to Facilitate Stent Graft Deployment in the Distal Aortic Arch (빠른 심실유도를 이용한 흉부대동맥류의 혈관 내 스텐트 그라프트 치료)

  • Kong, Joon-Hyuk;Koo, Yang-Hee;Lee, Yoon-Ji;Hur, Jin;Kim, Duk-Sil;Kim, Sung-Wan
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.769-773
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    • 2010
  • Systemic hypotension has been traditionally used to facilitate deployment of thoracic stent grafts. Decreasing blood pressure with vasodilating agents further increases cardiac output and, consequently, the cardiac output-mediated windsock effect during deployment. Use of rapid ventricular pacing reduces the windsock effect during stent graft deployment and allows the graft to appose to the aortic wall under zero cardiac output, thus minimizing aortic wall shear stress. In this case we report the use of transvenous rapid ventricular pacing, a safe and reproducible technique to allow precise deployment of a Valiant Captivia stent graft in the distal thoracic arch for a saccular thoracic aneurysm.

The Effect of applying Subsidiary step developed for CPR on the main stretcher during movement (이동 중 주들것에서 심폐소생술을 위해 개발된 보조발판(C-step)의 적용 효과)

  • Shim, Gyu-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5950-5957
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    • 2012
  • CPR with minimized hands-off time is one of integral factors for the improvement of the survival rate of patients. The purpose of this study was to examine the relationship of the installation of C-steps on the main stretcher to CPR accuracy and errors. The subjects in this study were 70 paramedics in 10 firehouses in the province of C(35 for control group, 35 for experimental group), and their CPR accuracy on the main stretchers was checked. As a result, it's found that the main stretchers equipped with the C-steps served to boost the accuracy of chest compression by creating suitable environments for that in terms of height and posture(t=65.104, p=.000), to improve the accuracy of artificial respiration by providing a proper amount of ventilation(t=5.207, p=.000), and to bolster the self-confidence of the paramedics about CPR(t=-10.612, p=.000). In conclusion, the mounting of C-steps on the main stretcher is expected to be of use for the improvement of the survival rate of cardiac-arrest patients by ensuring the precise performance of high-quality CPR.

Surgical Resection of Renal Cell Carcinoma Extended to the Inferior Vena Cava Using Pump Driven Veno-venous Bypass (정맥-정맥간 우회술을 이용하여 하대정맥까지 확장된 콩팥세포암종의 수술적 치료 1예)

  • Park Han Gyu;Choi Chang Woo;Lee Jae Wook;Her Keun;Shin Hwa Kyun;Won Yong Soon
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.72-75
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    • 2006
  • In a 40 year-old man who has complained of epigastric pain and dyspnea for 10 days including melena for 1 month, abdominal ultrasonography and computerized tomography revealed a large, solid mass in the right kidney and thrombus of inferior vena cava (IVC) that extended to the cavoatrial junction. Renal cell carcinoma was performed by percutaneous needle biopsy. IVC thromboembolectomy was performed using centrifugal pump driven venovenous bypass without cardiac arrest and cardiopulmonary bypass (CPB).

Extracorporeal Membrane Oxygenation in the Patient with Cardiopulmonary Resuscitation Failure after Open Heart Surgery. - A case report - (개심술 후 심폐소생술 실패환아에서의 체외막산소화 치험 1례)

  • 전희재;성시찬;우종수;이혜경
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.53-57
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    • 1999
  • We describe a case of successful extracorporeal membrane oxygenation(ECMO) in a small infant with cardiopulmonary resuscitation(CPR) failure after an open heart surgery. A 35-day-old male infant weighing 4.4 kg who had congestive heart failure and pulmonary hypertension underwent patch closure of ventricular septal defect without any intraoperative event. Postoperative course was unremarkable in the intensive care uint for about 5 hours before the junctional ectopic tachycardia developed. Sudden cardiac decompensation with bradycardia occurred about 50 minutes after the development of junctional ectopic tachycardia. He was put on ECMO by arterial cannulation at the ascending aorta and by venous cannulation at the right atrial appendage after 4 hours' CPR. The hemodynamics were stable with enough urine output during ECMO. He was weaned from ECMO 38.5 hours after initiation. Delayed sternal closure was attempted. He was extubated on postoperative day 7 and discharged home on postoperative day 21 without any neurologic sequelae.

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Comparison on the Quality and fatigue of hands-Only CPR According to the Presence or Absence of Verbal counting by Some Middle-aged Women (일부 중년 여성에서 구령 유무에 따른 가슴압박소생술의 질과 피로도 비교)

  • Kim, Geon-Nam;Choi, Sung-Soo;Choi, Seong-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1320-1329
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    • 2013
  • According to the comparing the quality and fatigue of Hands-only CPR with counting by middle-aged women who is most likely to witness the cardiac arrest. This paper wants to provide the basic data to establish a CPR education program for the role of the first responders. After conducted three hours of basic life support training, it divided into two 45-persons groups by assignment of probability. 2-minutes research conducted with dummy by dividing into Group-A that counting the number loudly during the Hands-Only CPR, And Group-B that does not counting the number during the Hands-Only CPR. Between the two groups, the quality of Hands-Only CPR does not showed its difference clearly and the downtime of Hands-Only CPR was reduced, Depending on the over time, the frequency that reduces the depth of Hands-Only CPR was also significantly lower. And after the Hands-Only CPR, the fatigability who felt themselves was also significantly lower.