• Title/Summary/Keyword: 호흡 일

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Effects Of Continuous Epidural Analgesia For Fractured Ribs (늑골골절 환자에서 지속적 경막외 신경차단에 의한 진통효과)

  • 안상구;김재영
    • Journal of Chest Surgery
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    • v.29 no.9
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    • pp.1017-1022
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    • 1996
  • Patients with fractured ribs necessarily suffer from severe chest ain, which prevents coughing, deep breathing and bronchial toilette, cause atelectasis and pulmonary shunting. Relief of chest pain is benecial to patients, providing consort and facilitating physiotherapy and effective expectoration. We compared the efficacy of pain relief be!ween continuous epidural analgesia and conventional intramlrscular analgesia in 20 patients with fractured ribs. Among 20 patients, epidural analgesia was done or 10 patients(experimental group) and the remainder ten received intramuscular analgesia(control group). The pain and ROM(range of motion) scores, vital sign, PaO2, forced vital capacity(FVC) and forced expiratory volume for 1 second(FEVI) were checked on immediate admission and 12, 24 hours, third, fifth, and seventh day after starting of continuous epidural block. The pain and ROM scores were decreased and the PaO2, FRC and FEVI were significantly increased in experimental group. The side effects of epidural analgesia were mild and reversible. With th se result, we can suggest that epidural analgesia is more effective for pain relief and restoration of pulmonary mechanics in patients with fractured ribs.

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항암약물요법후 골수억제가 수반된 진행암환자에서 rhGM-CSF의 제2상 임상연구: rhGM-CSF의 용량에 대한 효과비교

  • 라선영;이경희;정현철;이혜란;유내춘;김주항;노재경;한지숙;김병수
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.313-313
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    • 1994
  • 대상환자는 40예중 37예에서 평가가 가능하였고 남녀비는 11:26. 중앙연령 42세 이었으며 대상질환은 위선암 12에, 유방암 10예. 골옥종 5예등 이었다. rhGM-CSF에 의한 부작용은 150.250 $\mu\textrm{g}$/$m^2$/d 용량군에서는 Grade I-II의 전신쇠약감, 근육통.심계항진등이 관찰되었으나 특별한 조치없이 회복되었다. 350$\mu\textrm{g}$/$m^2$/d 용량군에서는 8예에서 WHO grade II-III의 전신쇠약, 전신열감, 흉부압박감, 호흡곤란 등을 호소하였고 1예에서 투여 1일러 WHO gradeIII의 피부반응이 나타났으며, 이 중 2예에서는 rhGM-CSF를 250 $\mu\textrm{g}$/$m^2$/d로 감량투여후 상시 증상이 소실되었다. rhGM-CSF 투여전의 대조기와 투여기의 혈액학적 소견 비교시. 평균 중성구 최저치는 세 용량군에서 모두 관찰기에 비해 시험기어서 증가하였고. 평균 총 백혈군 최저치는 150.350 $\mu\textrm{g}$/$m^2$/d 용량군은 차이가 있었고 250 $\mu\textrm{g}$/$m^2$/d 용량군은 차이가 있었으나 통계적 유의성은 없었다. 비혈구치가 최저치에서 4.000/㎣ 이상으로 회복되는 평균일수와 호중구치가 최저치에서 2.000/㎣ 이상으로 회복되는 평균일수는 세 용량군 모두에서 관찰기어 비해 시험기에서 증가하였다. 고용량 항암약물요법후 중성구 감소에 의한 발열은 rhGM-CSF 비투여기에서 18예. rhGM-CSF 투여기에서 8예 관찰되었다고 발열기간은 각각 5-7일. 2-3일 이었다. 임상 양상은 세 용량군 간 차이가 없었으나, 시험기에서 발열의 발현율이 낮았으며, 발열일 수와 항생제 사용일 수가 짧았다. 결론: 골수억제 조절 효과는 용량에 따른 혈액소견에 미치는 영향, 부작용, 감염의 빈도, 감염발생에 따른 항생제 사용기간 등을 고려하여 그 임상 유효성 평가시, 제 3상 시험에 사용할 권장량 (recommended dose) 은 250 ug/$m^2$/d $\times$ 10d 으로 관찰되었다.

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Indoor Radon Levels and Effective Dose Estimation in Learning and Common Living Space of University (대학 내 학습공간과 공동 생활공간에 대한 실내 라돈 농도 측정과 유효선량 산출)

  • Kim, Jung-Su
    • Journal of the Korean Society of Radiology
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    • v.12 no.3
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    • pp.329-334
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    • 2018
  • Radon which is natural component of air is a colorless and odorless radioactive gas. Radon exposure can also occur from some building materials if they are made from radon-containing substances by breathing. In this study, The radiation dose of radon concentration was detected at 8 buildings of the A university during 3-month from June. 2017 to August. 2017. We detected indoor radon exposure at 8 building of the university and estimated annual effective dose. The radon concentration of Hall G and Hall F of the A university represented 81 and $14Bq/m^3$ respectively and average indoor radon concentration represented $41.63Bq/m^3$. Average effective dose was estimated 0.40 mSv/y, maximum effective dose was 0.78 mSv/y and minimum effective dose was 0.13 mSv/y respectively. University is the place that students spend the almost whole time. We suggest ventilation and appropriate management of a building, which could reduce the natural radiation exposure by radon concentration.

Comparison of Accuracy in Cardiopulmonary Resuscitation(CPR) between Group with Verbal Order and Group with Non-Verbal Order in Operation of CPR (심폐소생술 시행 시 구령집단과 비구령집단 간의 심폐소생술 정확도 비교)

  • Park, Sang-Sub;An, Ju-Yeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2607-2615
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    • 2011
  • The purpose of this study is to increase efficiency and accuracy in operation of CPR(Cardiopulmonary Resuscitation) through comparing accuracy in CPR between group with verbal order and group with non-verbal order given carrying out CPR. This study performed convenience sampling targeting 62 students(31 people for group with non-verbal order, 31 people for group with verbal order) at university where is located in G Province. Survey period was carried out from October 7, 2010 to October 21. Analytical method was made by using SPSS WIN(Version 12.0). As a result of research, the group with non-verbal order was indicated to be higher in accuracy of CPR on artificial respiration and chest compression in several spheres than the group with verbal order. Based on this, the non-verbal order method needs to try to be applied to performing education and skills of CPR in the future. And, even a continuous research is needed on effectiveness between verbal order method and non-verbal order method in an emergency situation.

Effect of Prolongation by Precooling Treatment and Improved Packing of Mushrooms (Agaricus bisporus) (예냉처리 및 포장 방법 개선에 따른 양송이의 선도 연장 효과)

  • Kim, Byeong-Sam;Park, Shin-Young;Jang, Min-Sun;Kwon, An-Sik
    • Food Science and Preservation
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    • v.14 no.1
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    • pp.109-112
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    • 2007
  • Precooling and improved packing of mushrooms were investigated with a view to prolonging their freshness. Harvested mushrooms were precooled by forced air cooling and then packed in an EPS container. Mushrooms were transported to customers by insulated truck and stored at either $10^{\circ}C\;or\;25^{\circ}C$. Conventionally packed mushrooms in cartons were also examined as controls. Mushroom respiration rate slowly fell 2- to 3-fold upon precooling. Weight loss was decreased by precooling and the use of the insulated pack. Also, the L-value of the mushroom surface remained high with precooling, and mushroom elongation was less than in the control. Summer market life was extended to 3-4 days (from 1-2 days) by the improved distribution method.

Safety Awareness of High School Students, Disaster Safety Education and First Aid Knowledge (고등학생의 안전의식, 재난안전교육 및 응급처치 지식)

  • Jung, Eun-Young;Lim, Kyoung-Suk;Kim, Eun-Young
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.417-426
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    • 2018
  • The purpose of this study is to understand the safety consciousness of high school students, disaster safety education, and the degree of first aid knowledge and to understand the relationship between safety consciousness and first aid knowledge. The subjects were 293 male students attending third grade of high school at G city and analyzed using SPSS 21.0 from March 19, 2018 to March 28, 2018. The results of the study showed that the correctness rate of first aid knowledge was 40.15% and that the relationship between safety consciousness and subcategories of first aid knowledge was significant(r=-.131, p=.025), respiratory and circulatory system(r=.213, p<.001), dressing and bandages(r=.156, p=.008). The purpose of this study is to contribute to the utilization of the basic knowledge of the curriculum to cultivate the ability to cope with safety accidents and to develop and evaluate educational programs to improve the level of first aid.

The Influence of Knowledge and Attitude on Behavior related to Particulate Matter in Nursing Students (간호대학생의 미세먼지 관련 지식과 태도가 행위에 미치는 영향)

  • Kim, Eun-Hwi;Ha, Young-Sun
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.417-425
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    • 2020
  • This study investigated predictors of the behavior related to particulate matter in nursing students. The participants in this descriptive study were 186 nursing students at K university in G city from May 1 to 14 in 2018. Collected data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression using SPSS WIN 18.0 program. The level of knowledge(10.6/15), attitude(59.94/75) and behavior(42.56/60) were relatively high. The significant predictors of the behavior were attitude(β=.591, p<.001), smoking(β=-.134, p=.049) and respiratory disease(β=.133, p=.025), and explained 40.1% of it. Educational programs to enhance nursing students' health promoting behaviors against particulate matter must be focused on attitude change.

Dissolved Oxygen Budget in Floating Net Cage of Fish Farm at the Coastal Area -In case of yellow tail farm in Konli-Do- (해산 어류 양식장 가두리의 DO수지 -곤리도 방어 양식장의 경우-)

  • KIM Yong Sool
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.21 no.1
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    • pp.30-34
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    • 1988
  • In roastal fish farms the farmers, especialy engaging in dealing with the floating cage culture, going to know about relationships between holding capacity and water quality in cage. Some of water quality managers and specialists studing physiological ecology understand that the key of water quality management concerned fish farming is budget of dissolved oxygen. This paper deals with oxygen budget in floating cage of the yellow tail farms at southern coastal area in Korea. The sampling station is located at Konli-Do fish farm near Chungmu, and the data is collected for 24 hours from 3:00 p.m. 8th September 1987. In result, the needed oxygen coming after the consumption by the rearing fish had been supplied with the tide current exchange, the sum of oxygen produced by phytoplankton photosynthesis and diffused from atmosphere are no more that $43\%$ for the needs of sea water consumption included respiration of planktons and decomposition of organic matters. The optimum holding capacity of cage is possible to compute with the calculation of minimum diurnal water exchange rate $[Qin{\cdot}V^{-1}\;(C-\bar{c})]$ through net mesh of cage.

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Multiple Symmetric Lipomatosis (다발성 대칭성 지방종증 -1례 보고-)

  • Lee, Jo-Han;Hong, Jong-Myeon;An, Jae-Ho
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.244-247
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    • 1996
  • Multiple symmetric lipomatosis is a rare disease characterized by progressive growth of subcutaneous fat masses which are located symmetrically at neck, shoulders, chest, abdomen and groin. Recent surveys revealed a high incidence of combined somatic and autonomic neuropathy. The exact cause of the disease is not known. We have experienced one case of multiple symmetric lipomatosis with mediastinal involvement with symptomatic compression of trachea. The patient was a 55-year-male, complaining of dyspnea and slowly enlarging multiple symmetric masses at the neck, shoulders, chest, abdomen, flank and groin over a period of 10 years. He had a habit of excessive alcohol intake for many years. The fatty masses in the neck and the upper mediastinum including peritracheal region were excised through transverse cervical incision. But, because of the incomplete excision of peritracheal fatty tissue, we performed reoperation for the relief of residual tracheal compression at the 15th postoperative day. Two days later emergent tracheostomy was performed due to postoperative pneumomediastinum and subcutaneous emphysema. He could discharge with permanant tracheostomy.

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Rapid, Two-Stage Arterial Switch for Transposition of the Great Arteries with Intact Ventricular Septurn Beyond the Neonatal Period -A Case Report (신생아기를 넘긴 대혈관 전위증 환아에서 단기간에 걸친 2단계 동맥 전환술 -1례 보고-)

  • Yang, Hyeon-Ung;Choe, Jong-Beom
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1121-1124
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    • 1997
  • This is a report of a successful, rapid two-stage arterial switch operation in an infant with dextrotransposition of great arteries with an intact ventricular septum beyond the appropriate time for arterial switch operation.'A 4-month-old female infant was admitted due to severe cyanosis, respiratory insufficiency, and frequent dia rhea secondary to ischemic colitis. Echocardiographic examination presented marked leftward deviation of the interventricular septum, and left and right ventricular pressures as measured by cardiac catheterization were 40/4 mmHg and 85/2 mmHg, respectively. Fifteen days after a preparatory operation (pulmonary artery band with modified right Blalock-Taussig shunt), left ventricular-right ventricular systolic pressure ratio increased to 105/90. Arterial switch operation associated with the division of the right Blalock-Taussig shunt and the removal of pulmonary artery band was performed. A(leer the operation, the infant showed normal cardiac function with no postoperative complication.

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