• 성인간호학회지
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• 제13권1호
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• pp.136-147
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• 2001

Dysphagia is common and serious problem in intracerebral hemorrhage patients. Nasogastric-tube intubation is an important method for dysphagic patients who have an intracerebral hemorrhage. But many discomforts develope in patients with a nasogastric-tube. Therefore, it is necessary to decide when to remove the tube and as early as possible. The purpose of this study is to decide the applying time of training program to facilitate deglution for dysphagic patients who have intracerebral hemorrhage. Among the 343 patients with intracerebral hemorrhage who had been admitted to P-university hospital from April, 1994 to December, 1998, the medical record of the 110 patients with nasogastric tube were reviewed retrospectively. Results from the study were as follows: 1. Nasogastric tube insert duration of improved patients was a mean of 23.2 days 2. When a L-tube was inserted and removed, the L.O.C. of improved patients was $2.6{\pm}0.8$(in the midst of stupor or a semicoma),$1.9{\pm}0.5$(close to drowsy), respectively. This was signifcantly different(P=0.000). 3. When a L-tube was inserted and removed, GCS of improved patients was $9.3{\pm}2.9$, $12.1{\pm}2.2$ respectively. This was significantly different (P=0.000). 4. The duration of nasogastric tube insertion was the longest when in a stupor(L.O.C), 6~8 points(GCS).

• The Korean Journal of Pain
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• 제19권2호
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• pp.288-291
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• 2006

Epidural analgesia using an epidural catheter is an effective method to relieve the pain during the rehabilitating procedure for postoperative orthopedic patients. Total spinal anesthesia is one of the possible complications of epidural catheterization which can lead to a life-threatening condition. Achondroplasia is the most common form of short-limbed dwarfism resulting from a failure of endochondral bone formation. In patients suffering with short stature syndrome like achondroplasia, the incidence and risk of total spinal anesthesia during epidural anesthesia may increase because of the technical difficulty and structural anomaly of the spine. We report here on a 35-year old female patient with a height of a 115 cm. She was diagnosed as achondroplasia and she had a previous Ilizarov operation; both tibial lengthening and correction of valgus were done. No specific event occurred during epidural catheterization. Immediately after the injection of a test dose via epidural catheter, the patient became hypotensive, drowsy and showed weakness of both her upper and lower extremities. The symptoms were disappeared after 40 minutes. The catheter was removed on the next day. We concluded that the total spinal anesthesia was caused by intrathecal injection of local anesthetics through the epidural catheter, and the anesthesia then migrated into the subarachonoid space.

• 한국학교보건학회지
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• 제10권2호
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• pp.169-178
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• 1997

In order to investigate the complaint rates of subjective fatigue symptoms and study the relationship between them and body type, health awareness in middle school students, we carried out a survey of 1,209 students (654 boy students and 555 girl students) at a middle school in Taejon City by a self-recorded questionnaire. The survey was conducted in June, 1997. The results obtained were as follows: 1. Among complaints of fatigue, "feel like lying down" was the highest, followed by "feel anxious about things", "feel drowsy", "yawning a lot", "eye strain" and "whole body feels tired" in descending order. 2. In the average weighted score of fatigue complaint, dullness and sleepiness (I) was the highest, followed by a difficulty in concentration (II) and bodily projection of fatigue (III) in descending order. Fatigue seems to create mental stress rather than physical burdens. 3. In the classification of body type based on the $R\ddot{o}hrer$ index, the obesity type (145 and above) was 11.0%, standard type (110~144) was 64.7% and leptosomic type (l09 and below) was 24.3%. Comparison between both sexes revealed that the rate of obesity and leptosomic types were significantly higher in boy students than in girl students. 4. In terms body type awareness, the statistics are the following: those who consider themselves to be standard type, 44.3%, slightly obese 24.5%, leptosomic, 23.5% and obese 7.8%. However, the level of obesity awareness was significantly higher in girl students than in boy students. 5. As for health awareness, 36.5% considered themselves healthy, 5.4% generally healthy and 10.1% a little unhealthy, but the level of unhealthy awareness was higher in girl students than in boy students. 6. In the relationship between body type and health awareness, most students thought that they were obese in spite of their standard body type. Also, many students who were obese and leptosomic tended to consider themselves to be a little unhealthy. 7. The more the students were obese or felt unhealthy, the more the average weighted score of fatigue complaints was high.

• 융합신호처리학회논문지
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• 제13권3호
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• pp.136-141
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• 2012

운전 중 운전자의 졸음은 교통 사망사고를 일으키는 중요한 요인이며 음주운전보다도 더 위험할 수 도 있다. 이러한 이유로 운전자의 졸음을 판별하고 경고하는 시스템 개발이 최근에 매우 중요한 이슈로 떠올랐다. 그중에서도 졸음과 가장 밀접한 관련이 있는 생체 신호인 뇌파 (Electroencephalogram, EEG)와 안구전도 (Electrooculogram, EOG)를 분석하는 연구가 주류를 이루고 있다. 본 논문에서는 실험 프로토콜에 의거하여 측정된 뇌파를 주파수별로 분석하여 운전자의 상태별 뇌파 데이터베이스를 구축하고 선형예측(Linear Predictive coding, LPC) 계수를 특징벡터로 한 신경회로망 기반 운전자 졸음 감지 시스템을 제안한다. 실험결과로 졸음의 뇌파분석에서 알파파가 감소하며 세타파가 증가하는 추세를 보였으며, LPC 계수가 각성, 졸음 및 수면상태의 특징을 잘 반영하였다. 특히 제안한 시스템은 적은 샘플(250ms)을 가지고도 96.5%라는 높은 분류 결과를 얻어 짧은 순간에 일어날 수 있는 운전 시 돌발 상황을 실시간으로 검출 가능성을 확인하였다.

• 대한약침학회지
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• 제4권1호
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• pp.103-104
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• 2001

This study was done to observe the effect on the local thermal changes of herbal acupuncture on D.I.T.I.. The objects of this study are as follows; If there are remarkable local thermal changes between pre and post herbal acupuncture therapy on D.I.T.I.or not. If there are those, We examine how long that changes are maintained, what the adequate interval is on herbal acupuncture therapy, and what the reaction in a .local or whole body are on that therapy Materials and Methods : To study the local thermal changes in herbal acupuncture therapy, D.I.T.I. was used. Determination of this analysis periods are pre and post-therapy(1 hour, 24hours, 48hours and 7days later). The study group was divided into three groups(comprised 23 students in oriental medical college, Woosuk University). One was NS(Normal Saline) group, another was CF(CARTHAMI SEMEN) group and the other was BU(FEL URSI + BENZOAR BOVIS) group. The Herbal Acupunture solution was injected 0.2ml divide into 0.05ml at tile P'ungmun(B12), P'yesu(B13), Pubun(B41), Paek'o(B42) 4 points. Then, in order to analyze the clinical form, we have observed response of 23 students whenever we checked the thermal changes of their after perfoming Results : The results were obtained as follows ; 1. There is no significant dermatothermal changes at NS group and CF group, but BU group have remarkable changes in 24, 48, 72 hours. 2. From post-therapy 1 hour to 48 hours, there is a significant change (P<0.01) at NS-BU group and CF-BU group, But there is none 7 days later. 3. In the analysis of whole or local body reaction, local pain appears at NS group(22%), CF group(11%), BU group(91%), discomfort reaction appears at CF group(14%), BU group(30%). BU groilp has feel vertigo(13%), drowsy (70%) and pain in action(52%). 4. In the analysis of the duration of physic진 reaction, BU group is most lately maintained. Conclusions : These results suggest that in the physical reaction of herbal acupuncture solutions, BU solution is more sensitive than CF solution or NS.

• 대한한의학회지
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• 제18권1호
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• pp.87-100
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• 1997

Clinical Observation was made on 29 cases of Hypertensive intracerebral hemorrhage patients in the ICU of In-Chon Oriental Medical Hosptital of Dongguk University from October in 1994 to June in 1996. The observation are ability in daily life(ADL) of patients by Location and Type of Hemorrhage, Amounts of Hematoma, Graeb's Score, Intraventricular Hemorrhage, States 4th Ventricle, Surrounding Edema around the Hematoma, Middle Line Shift, Age, Level of Consciousness. Pupillary Light Reflex and Treatment Modalities. Our conclusions on Prognostic Factors using Computerized Tomographic Findings and Ability in daily Life(ADL) Evaluation in patients with Hypertensive Intracerebral Hemorrhage Patients are as follows. A variety of prognostic factors that influence ADL5+6(%) were observed. 1. ADL5+6($\%$) of total cases was 34.9%. The prognosis were unfavorable when high Graeb score(P<0.05), dilated 4th ventricle(P<0.01), much surrounding edema around the hematoma (P<0.05), unilateral unreactive or both unreactive pupillary light reflex(P<0.05). 2. There was no difference of ADL5+6(%) in both hypertensive basal ganglionic and thalamic intracerebral hemorrhage. 3. The prognosis gets poorer as the volume of hematoma is more than 16cc. But there was no difference of ADL5+6(%) in each group. 4. The prognosis gets poorer in cases with IVH than without IVH. But there was no difference of ADL5+6(%) in each group. 5. The prognosis gets poorer as the middle line shift is more than 6mm. But there was no. difference of ADL5+6(%) in each group. 6. The prognosis gets poorer as the level of consciousness is more than drowsy. But there' was no difference of ADL5+6(%) in each group.

• 디지털융복합연구
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• 제14권11호
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• pp.305-311
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• 2016

최근 자동차 업계는 무선 인터넷 기술의 발달과 응용의 확산으로 자율 주행의 연구가 활발히 진행 중에 있으나 교통사고는 아직도 해결되지 않는 부분이다. 사고의 요인으로는 졸음운전, 운전자의 실수, 환경적인 요소, 잘못된 도로 구조 등이 있으며 사고 원인의 하나인 운전자의 운전 행태와 특성은 교통사고에 큰 영향을 미친다. 본 논문에서는 자율 주행 및 자가 운전을 하는 경우에 발생 할 수 있는 교통사고에서 사고발생 전에 나타날 수 있는 사행운전의 특성을 판단하기 위한 연구를 수행하였다. 기존 연구에서는 영상기법이나 1,2차로의 운전행태로 횡방향 각속도 변화의 특성으로 사행 운전을 판단하였으나 본 논문은 센서의 값을 이용하여 횡방향의 이동거리와 임계 범위를 설정하여 사행 운전을 검출하는 연구를 진행하였다.

• 대한임상독성학회지
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• 제5권2호
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• pp.126-130
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• 2007

Metformin is antihyperglycemic, not hypoglycemic. It causes neither insulin release from the pancreas nor hypo glycemia, even when taken in large doses. But, there are several reports of metformin-associated lactic acidosis (MALT). We present a case report of severe lactic acidosis most probably resulting from high doses of metformin in a patient with no known contraindications for metformin. A 43-year-old female was admitted to the emergency department due to a metformin overdose. She had diabetes for 6 years, well-controlled with metformin and novolet. One hour before admission, she impulsively took 50g metformin (100 mg or 100 tablets). Physical examination for symptoms revealed only irritability, and laboratory evaluation revealed only mild leukocytosis. After one hour the patient was drowsy, and arterial blood gas analysis showed severe lactic acidemia Seven hours after ED arrival, she commenced hemofiltration treatment and was admitted to the intensive care unit. Continuous venovenous hemodiafiltration was initiated. Forty-eight hours later, full clinical recovery was observed, with return to a normal serum lactate level. The patient was discharged from the intensive care unit on the third day. A progressive recovery was observed and she was discharged from the general word on the thirteenth day.

• 한국의료질향상학회지
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• 제15권2호
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• pp.107-120
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• 2009

Background : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Method : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Result : The incidence rate of fall, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, $$\geq_-$$65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient's room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended.

• 한방재활의학과학회지
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• 제25권4호
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• pp.175-182
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• 2015

The purpose of this study was to report an anaphylaxis after treated with Bee-venom acupuncture. Anaphylaxis is a clinical syndrome characterized by the acute system reaction of multiple organ systems to an IgE-mediated immunologic mediator release in previously sensitized individuals. We investigated the patients who had injected with Bee-venom in our clinic from March 2, 2014 to May 30, 2015. and two patients of anaphylaxis treated by Bee-Venom acupuncture were observed. One case of anaphylaxis was expressed clinically hypotension drowsy mentality, dyspnea, vomiting and so on. The other case was expressed itching sensation, urticaria, breathlessness, abdominal pain and so on. Based on this case, Bee venom-induced anaphylaxis can occur although preceding reactions are local or mild systemic ones. So, Korean medical doctor using Bee-Venom acupuncture must be prepare the system consider a countermeasure by anaphylaxis.