• Proceedings of the KOR-BRONCHOESO Conference
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• 2003.09a
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• pp.112-112
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• 2003

호흡곤란에 대한 적절한 대처는 의사로서 숙지하여야 할 가장 중요하고도 기본적인 개념 중의 하나이다. 상부 기도에 발생하는 여러 가지 임상적 상황은 흔히 흡기성 천명을 동반하는 호흡 곤란으로 나타나고, 이에 대해 흔히 기도 삽관이나, 기관절개술 등이 행해 지지만, 그 발생 원인에 대해서 감별점들을 숙지하지 않으면, 원발 질환에 대한 합리적인 치료 뿐만 아니라 응급상황에서 적절하게 기도를 확보하는 데에도 문제가 생길 수 있다. 후두 상부에 일어나는 기도폐쇄의 상황은 비강에서부터 인두와 성문 상부, 식도 입구부에 이르는 해부학적 위치에 발생하는 다양한 질환들에 의한다. 비강과 비인두에는 pyriform aperture stenosis, choanal atresia, lacrymal duct cyst, 또는 teratoma나 encephalocele과 같은 질환이 발생할 수 있다. 구강, 인두부에서는 다양한 종류의 안면골격의 이상이나 설거대증, 또는 설갑상선, 갑상설관낭종, 또는 유피종등이 설기저부에 발생하기도 하고, 흔한 이유로 심한 편도-아데노이드 비대가 심각한 호흡곤란을 일으키기도 한다. 특히 소아에서는 이물의 가능성도 항상 염두에 두어야한다 이와 같이 기도 협착의 위치에 따라서 임상적 표현 양상이 구별될 수 있고, 또 부위에 따라 다양한 질환이 감별되어야 하므로 발생 위치에 따른 각 질환의 이해가 적절한 기도의 관리를 위해서 필수적이다.

• Journal of the Korean Society of Radiology
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• v.83 no.5
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• pp.1128-1133
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• 2022

Common carotid artery (CCA) rupture during parathyroid cancer surgery is extremely rare and is generally life-threatening. We present a case of successful management of a ruptured CCA following the emergency placement of stent-graft in a 59-year-old male diagnosed with recurrent parathyroid cancer. During recurrent parathyroid cancer surgery, his right CCA ruptured unexpectedly, and his vital signs deteriorated rapidly despite surgical management. After stent replacement, his unstable vital signs improved and, thereafter, he was discharged without any complications.

• Journal of the Korea Society of Computer and Information
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• v.25 no.11
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• pp.239-244
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• 2020

The purpose of this study is to provide basic data for injury prevention measures through the risk factors of injury occurrence by comprehending injury characteristics of the trauma patients visiting a regional emergency medical center according to distribution based on external causes and injury severity score. This study was analyzed using SPSS-Window(ver. 20.1) for 2585 trauma patients who visited a regional emergency medical center and the research period is for four months from 1st of September, 2019 to 31th of December, 2019. The following were the results of the research. First, it is shown from the analyzed data that the proportion of males (61.3%) is greater than that of females (38.7%) and the group aged from 20 to 50 had a significantly higher occurrence rate of injury but in terms of injury severity, 50 takes up the great proportion(P<.001). Second, roads and traffic areas (35.1%) were the highest in the place of occurrence of injury(P<.001). Third, the time of injury occurrence was as high as 12-18 hours(35.8%)(P<.001). Fourth, the injury part was highest in the head and face (55.4%)(P<.001). Fifth, the type of injury was higher in open wounds (31.2%)(P<.001). Therefore, it is required to establish detailed injury prevention policies according to the characteristics of injury severity.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.123-129
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• 2022

This study investigated a differences in grade (G), academic performance (AP), and household income (HI) on adolescents' stress (S), peer relationship (PR), and depression (D) in the coal mine area. The study method was to measure S, PR and D according to different of G, AP, HI for 87 middle school students located in Taebaek and Samcheok Dogye area. As a result, there were significant differences in PR in the 2^nd G, and significant differences were shown in PR and D according to HI and AP. Based on these results, it is necessary to expand the support program for PR of middle school students in the coal mine area, and to develop and support active health promotion programs in the community for stress relief and academic activities, especially for low HI.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2002.11a
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• pp.440-447
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• 2002

This paper considerated about exact flow volume calculation method from factors having an influence on measurement and introduced in anesthesia ventilator realized spirometry system. System used differential pressure sensing method with factors, that is temperature, pressure, gas density, humidity and mucus etc. System optimized for low power system for mobile system. System composed analog interface part, signal processing part, display part. Analog interface part have differential pressure flow sensor and defferential pressure sensor. Signal processing part have AVR processor for low power system display part use serial port (RS232, SPT). so it display at pc monitor or send to anesthesia ventilator. System is stable by linearizing 2th characteristics of flow-differential pressure, auto correction of sensor. Noise reduced by algorithm with analog filter and digital processing. Small, light, low power system is good at mobile system and applied to patient in emergency or mobile. and, System is useful at anesthesia ventilator by using flow sensor.

• Journal of Chest Surgery
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• v.30 no.10
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• pp.1028-1031
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• 1997

Rupture of an innominate artery caused by blunt chest trauma is extremel rare because this artery is short and relatively well protected by the bony cage. This report describes a 37-year-old male who sustained a blunt chest injury that resulted in an innominate artery rupture, detected by chest CT and thoracic aortography. The patient underwent an urgent operation through median sternotomy. A 3 by 3 m sized pseudoaneurysm of proximal innominate artery was found with a complete intimal tear. After the origin of the innominate artery was closed, the injured segment of artery was excised and an aorto-innominate artery bypass with a 10 mm Gore-tex graft was performed without use of a shunt. The patient was discharged 20 days later without neurologic complications and had equal blood pressure in both arms.

• Journal of the Korea Society of Computer and Information
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• v.14 no.8
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• pp.89-96
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• 2009

In the future energy environment, a power information system will meet the real-time capability to process the emergency events, unexpected blackouts or over-load, and the high performance to provide the consumer service events such as remote meter reading. In addition to, it must have facility which is able to process a large information occurred on system effectively. In this paper, we developed a distributed power information system based on event with metadata processing technique which was both load balancing and decreased hot spot using XML that was efficient for information exchange. In order to experiment, we made a reduced future power system with controling power device using wireless communications and we could do experiments through it.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.4
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• pp.809-816
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• 2010

This paper proposed about a load-balanced multi-agent model in mobile distribution environment to monitor moving patients and to deal with a situation of emergency. This model was designed to have a structure based on distribution framework by expanding a mobile system, and provides healthcare services based on real time situational information on moving patients. In order to overcome the limitation of middleware when we design system, we provided an abstract layer between applications and their base network infrastructure so that balance between QoS requests and network life can be maintained. In addition, clustering was used in cells for the efficient load distribution among multi-agents. By using Clustering FCM, we got optimal resources and had solve about transmission delay.

• Journal of Chest Surgery
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• v.42 no.1
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• pp.115-118
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• 2009

A 65 year-old man, who underwent transthoracic esophagectomy for mid-thoracic esophageal squamous cell carcinoma, suffered from an incarcerated herniation of the transverse colon through a defect in the left mediastinal pleura. The patient had a gas collection in the left lower lung field and this then insidiously progressed; the final result was total collapse of the left lung and hemodynamic compromise. The life-threatening herniation of the transverse colon into the pleural cavity after pervious esophagectomy was corrected by emergency laparotomy. Postoperative pulmonary complications after esophagectomy can induce potentially lethal transhiatal herniation because of the danger of intestinal obstruction or strangulation. The optimal approach to transhiatal herniation after esophagectomy is prevention.

• Journal of Digital Convergence
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• v.17 no.3
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• pp.271-280
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• 2019

This study aimed to examine the relations between organizational fairness and organizational effectiveness in fire-fighting organizations, and provide basic data for higher organizational effectiveness. The subjects of the study were fire-fighting officers under the Jeollanamdo Fire Service and were interviewed with the use of questionnaire from April 3 through 13, 2016. 433 copies of the responses were analysed with the use of SPSS ver. 18.0 for Window. The results are presented as follows: Distributive justice and interaction justice had a positive effect on job satisfaction, and procedure justice and distributive justice had a positive effect on organizational commitment. Distributive justice and interaction justice had a negative effect on turnover intention.