• Title/Summary/Keyword: 흉부압박

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Characteristics of Vehicle Structure Deformation and Body Injury caused by Side Impact Test using AE-MDB (AE-MDB 시험결과에 따른 인체상해 및 차체 특성)

  • Kim, Doyup;Lee, Jaewan;Chang, Hyungjin;Yong, Boojoong
    • Journal of Auto-vehicle Safety Association
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    • v.3 no.2
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    • pp.34-41
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    • 2011
  • Side collisions (or side crash) account for 51.6% of all car to car accidents occurred in 2010. It is necessary to analyze those vehicles' structure deformation and passengers' injuries in the side collisions. A moving barrier (950kg) is currently used in the KNCAP side impact test. However, in order to enhance a passengers' safety in the side collisions, we introduce an AE-MDB (1500kg) which provides more severe conditions for this test. In this study, the test results using both barriers are compared and analyzed.

Aneurysm of the Proximal Subclavian Artery - A case report - (우측 근위부 쇄골하 동맥류의 수술치험 - 1예 보고 -)

  • Cho, Jae-Min;Cho, Hye-Won
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.655-658
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    • 2008
  • Subclavian artery aneurysms are quite rare and they are known to be as only 1% of all peripheral aneurysms. Atherosclerotic disease is the most common cause of subclavian artery aneurysms. These aneurysms can cause rupture, thrombosis, embolisms or symptoms by local compression. Surgical operations are generally performed as treatment. We report here on a case of successful surgical treatment for a right proximal subcalvian artery aneurysm, and the surgery was peformed via the medical exclusion method.

Venous Backflow in a Patent Polytetrafluoroethylene Arteriovenous Graft -A case report- (개존되어 있는 인조혈관(Polytetrafluorethylene)에 정맥성 역류 -1예 보고-)

  • Chon Soon-Ho
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.389-390
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    • 2005
  • We report a case of a 48-year-old woman with end-stage renal failure who had a Polytetrafluoroethylene graft for hemodialysis and who had developed complications of venous outflow stenosis and venous backflow. Although venous backflow is an harbinger of graft failure, it is not enough reason to abandon the graft immediately. The patient was able to utilize her graft for 6 further months.

External Compression of Bronchus by Aneurysm from Divided Major Aortopulmonary Collateral Artery after Unifocalization (단일화수술 후 분리되어 남은 체폐동맥 부행혈관에 의한 기관지 압박)

  • 이현성;박영환;홍유선;조범구
    • Journal of Chest Surgery
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    • v.32 no.12
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    • pp.1135-1139
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    • 1999
  • Multistage unifocalization and complete repair have been performed for pulmonary atresia ventricular septal defect and major aortopulmonary collateral arteries. We reported a case that divided major aortopulmonary collateral artery was changed into an aneurysm that compressed the left main bronchus. A 1-year-8-month old boy was operated. The Rastelli operation with left pulmonary artery reconstructuion ligation of patent ductus arteriosus and take-down of right Blalock-Taussing shunt was performed on the patient who had pulmonary atreisia ventricular septal defect patent ductus arteriosus and MAPCA at 1 year and 8 months of his age. He previously underwent the unifocalization and right B-T shunt at 9 months of age,. He repeatedly had difficulty in weaning from the mechanical ventilator, After removing the aneurysm from the divided MAPCA that compressed the left main bronchus externally it was possible to wean him from the mechanical ventilator.

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Intrapericardial Pericardial Cyst - A case report - (심막 내에 위치한 심막 낭종 - 1예 보고 -)

  • Kim, Jeong-Won;Cho, Suk-Ki;Do, Young-Woo;Lee, Eung-Bae
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.781-784
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    • 2009
  • Pericardial cyst is an uncommon congenital mediastinal tumor. The majority of pericardial cysts are located in the right cardiophrenic angle, but rarely they can be located intrapericardially. We now present a case of a huge intra-pericardial pericardial cyst excised with video-assisted thoracoscopic surgery.

Development of VR-based CPR and AED Training System (VR 기반의 CPR 및 AED 교육 평가 시스템 개발)

  • Kang, Won-Yun;Yun, Won-Tae;Lee, Kyung-Yong;Kim, Seong-Hyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.10a
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    • pp.559-562
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    • 2019
  • 본 시스템은 4 차 산업 혁명이 발발한 이점을 살려 가상현실(Augmented Reality)을 활용, 극대화된 시각적인 요소들을 추가하여 사용자들의 흥미를 유발한다. 또한 더욱 정확한 평가 기준을 세우기 위해 사용자의 흉부 압박 빠르기와 깊이를 측정할 수 있는 각종 센서를 활용하였다. 관리자는 신뢰성 있는 데이터를 바탕으로 사용자들을 평가한다. 기존의 평가는 평가자의 눈대중, 직감으로만 평가가 이루어지기에 신빙성 및 신뢰를 하기 어렵다. 따라서 사용자들은 현실감 있고 정량화된 데이터를 바탕으로 정확한 평가 및 피드백을 받을 수 있는 교육, 평가가 절실히 필요하다. 따라서 본 논문에서는 가상현실을 활용한 심폐소생술(CPR) 및 자동 제세동기(AED) 교육 평가 시스템을 제안한다.

Intercostal Neuralgia and Spinal Cord Compression Symptom due to Spinal Tumor -A Case Report- (척추 종양에 의한 늑간 신경통 및 척수 압박 증상 -증례 보고-)

  • Lee, Hyo-Keun;Shin, Dong-Yeop;Lee, Hee-Jeon;Kim, Chan
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.287-291
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    • 1994
  • A 49 years old male patient was admitted to our neuro-pain clinic with symptoms of left 11th intercostal neuralgic pain and low back pain that developed 2 months prior to admission. Upon initial physical examination, motor weakness or sensory deficit were absent. Intercostal neuralgic pain improved significantly after we performed thoracic root thermocoagulation. However on the afternoon of the procedure the patient started to experience voiding difficulty, saddle anesthesia and rapidly progressing motor weakness and hypoesthesia that involved the lower back area and the lower extremities for three days. Based on these symptoms spinal cord compression was suspected and subsequently plain T-L spine X-rays and T-L spine MRI were performed. A spinal tumor that appeared metastatic in origin was seen at the T11 and T12 level. Liver ultrasonography demonstrated the presence of a $4{\times}4cm$ sized ill defined mass in the posterior segment of the right lobe. The patient was diagnosed to have hepatocellular carcinoma after needle aspiration biopsy and cytologic studies. Further orthopedic surgery was recommended but as the patient rejected any further treatment and examination, it was not possible to confirm the primary focus of the tumor. However as metastasis of a primary liver tumor to the spine is a rare occurrence, some other primary focus of metastasis or even a malignant primary tumor of the spine is more likely to explain this patient's condition.

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Repair of Left Ventricular Free Wall Rupture after Acute Myocardial Infarction: Application of Pericardial Patch Covering and Fibrin Glue Compression A case report (급성심근경색 후 발생한 좌심실벽 파열에서 소심낭과 Fibrin Glue 압박을 이용한 치험 - 1예 보고 -)

  • 김상익;금동윤;원경준;오상준
    • Journal of Chest Surgery
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    • v.36 no.5
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    • pp.363-366
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    • 2003
  • Background: Left ventricular rupture after acute myocardial infarction is a serious complication with high mortality. Emergency operation is usually the only available treatment. A 76-year-old female with persistent chest pain and syncopal attacks was admitted. Transthoracic echocardiography showed the pericardial effusion and generalized hypokinesia of the inferolateral wall of left ventricle. Coronary angiography revealed a total occlusion of the first diagonal branch. After percutaneous transluminal coronary angioplasty with coronary stent and insertion of intraaortic balloon pump, emergency operation was performed. Under cardiopulmonary bypass and cardiac arrest with cold blood cardioplegia, coronary artery bypass graft with saphenous vein, pericardial patch covering on the rupture area with 6-0 polypropylene running sutures, and fibrin glue compression under the patch were performed. We present a case of left ventricular (free wall) rupture after acute myocardial infarction.

Unilateral Pulmonary Vein Stenosis with Life-threatening Hemoptysis - A case report - (위급한 객혈을 동반한 일측성 폐정맥 협착증)

  • Lee, Jae-Hang;Kang, Chang-Hyun;Noh, Chung-Il;Seo, Jeong-Wook;Lee, Jeong-Ryul
    • Journal of Chest Surgery
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    • v.38 no.10 s.255
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    • pp.725-728
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    • 2005
  • A case is described in a girl who presented with recurrent life-threatening hemoptysis at the age of 18 months, and had been diagnosed as atrial septal defect with severe cardiomegaly which was presumed to result in pulmonary vein stenosis at the age of 6 months. Closure of atrial septal defect was associated with decreased heart size and improved pulmonary venous flow. However, recurrent life-threatening hemoptysis occurred during follow-up, Computed tomography scan demonstrated left pulmonary vein stenosis and extrinsic compression of the left bronchus by multiple soft tissue density-masses. Exploratory thoracotomy revealed single stenotic left pulmonary vein, and flat left main bronchus compressed by multiple hypertrophied lymph nodes, Unexpected endotrachial tube bleeding during left hilar dissection mandated to proceed to left pneumonectomy, The patient's postoperative course was uneventful. Follow-up chest roentgenography revealed acceptable left hydrothorax without mediastinal shifting, Nevertheless, a long-term follow-up is necessary.

Usability of CPR Training System based on Extended Reality (확장현실 기반의 심폐소생술 교육 시스템의 사용성 평가)

  • Lee, Youngho;Kim, Sun Kyung;Choi, Jongmyung;Park, Gun Woo;Go, Younghye
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.115-122
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    • 2022
  • Recently, the importance of CPR training for the layperson has been emphasized to improve the survival rate of out-of-hospital cardiac arrest patients. An accurate and realistic training strategy is required for the CPR training effect for laypersons. In this study, we develop an extended reality (XR) based CPR training system and evaluate its usability. The XR based CPR training system consisted of three applications. First, a 3D heart anatomy image registered to the manikin is transmitted to the smart glasses to guide the chest compression point. The second application provides visual and auditory information about the CPR process through smart glasses. At the same time, the smartwatch sends a vibration notification to guide the compression rate. The 'Add-on-kit' is a device that detects the depth and speed of chest compression via sensors installed on the manikin and sends immediate feedback to the smartphone. One hundred laypersons who participated in this study agreed that the XR based CPR training system has realism and effectiveness. XR based registration technology will contribute to improving the efficiency of CPR training by enhancing realism, immersion, and self-directed learning.