• Annals of Clinical Neurophysiology
• /
• 제17권2호
• /
• pp.80-81
• /
• 2015

Syncopes are the most common non-epileptic attacks mimicking epileptic seizures. Among them, cardiogenic syncope is potentially life threatening. A 49 year old man was refered for the recurrent episodes of loss of consciousness with tonic posture and upward eyes deviation. The electrocardiogram showed polymorphologic ventricular tachycardia during attacks, which normalized after that. He was treated with isoproterenol and symptoms subsided. Here, we report a case of ventricular tachycardia manifested as epileptic seizures.

• 한국안전학회지
• /
• 제30권6호
• /
• pp.85-93
• /
• 2015

Construction sites have various risks, and safety managements are enforced based on the law such as Industrial Safety and Health Act, etc. Safety management by the law saves lives and preserves health of workers by removing and understanding risks in advance. When the emergency situation has come, poor response causes loss of lives and physical damages. This study suggests basic strategy that can mitigate the industrial disaster in all construction sites. A survey was conducted to identify the current safety consciousness and to evaluate first aid ability of coworkers. Finally, four measures were suggested: (1) designating muster points; (2) hiring occupational health managers; (3) increasing the first aid ability of coworkers; and (4) carrying safety brochure. The proposed suggestions can be helpful in mitigating the construction disaster, and in responding the major accident efficiently within a short time.

• Journal of Chest Surgery
• /
• 제44권3호
• /
• pp.253-256
• /
• 2011

Spontaneous pneumothorax is a common clinical problem in emergency care. However, the overall incidences of primary spontaneous pneumothorax has been reported from as low as 1.4% to 7.6%. The clinical findings of simultaneous bilateral spontaneous pneumothorax can be variable. Clinical presentation is variable, ranging from mild dyspnea to tension pneumothorax. Bilateral tension pneumothorax can defined as cases where no tracheal deviation is detected in chest X-ray, and symptoms may be equal bilaterally. Herein, we present a case with simultaneous bilateral tension pneumothorax, severely deteriorated (i.e. with loss of consciousness, cyanosis, and hemodynamically unstable), that was successfully treated with immediate large-size needle decompression.

• 항공우주시스템공학회지
• /
• 제3권3호
• /
• pp.39-44
• /
• 2009

Humans rely on the availability of a supply of gaseous oxygen for survival. If the minimal requirements for oxygen are not met, both mental and physical abilities and performance are degraded rapidly. So oxygen systems are required for the aircraft operating at high altitude to prevent physical and psychological problems, or loss of consciousness in an aircraft pilot, flight crew, or passengers. If oxygen system and equipments are to be included in the type design of an airplane, applicant should consider applicable airworthiness requirements and operating rules. In this paper we analyze the various oxygen system requirements for the type of aircraft, oxygen system, and operating conditions.

• 대한유전성대사질환학회지
• /
• 제6권1호
• /
• pp.96-107
• /
• 2006

Citrin deficiency resulting from mutations of SLC25A13is associated with two major clinical phenotypes; neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and adult-onset type 2 citrullinemia (CTLN2). In Korea, 7 cases of citrin deficiency have been diagnosed based on biochemical and molecular findings. Four NICCD cases were identified by newborn screening using MS/MS or presenting symptoms like cholestatic jaundice. They are all males, presenting with conjugated hyperbilirubinemia, elevated liver enzymes, hypoalbuminemia, mild hyperammonemia, elevated citrullin, methionine and threonine. All of them have been spontaneously recovered from hepatic manifestation by the age of 6-8 months. Mutation analysis has been performed using their genomic & cDNAs obtained from skin fibroblasts. They turned out to be compound heterozygotes carrying each of 851del4, IVS11+1G>A, and IVS13+1G>A. Three CTLN2 patients were identified. Two adult male patients presented with a sudden loss of consciousness, seizure, vomiting, hyperammonemia and citrullinemia in their twenties. They carried an IVS13+1G>A, 851del4, and IVS11+1G>A mutant alleles. The other CTLN2 patient was 52 year old female patient, manifesting lethargy, altered consciousness, irritability and hyperammonemia. Similar clinical symptoms had recurred at the delivery of first and second babies in her past medical history. She was managed by hemodialysis and survived with neurological sequellae. Also, we screened the presence of 9 common mutations in 500 Korean newborns using dried blood spot of filter papers. Only a allele carried 854del4 mutation. In conclusion, the entire picture of citrin deficiency in Korea including incidence, genotype, clinical features and natural courses, is still vague at the present time.

• 기본간호학회지
• /
• 제7권2호
• /
• pp.149-163
• /
• 2000

The purposes of this study were to investigate the pathway which stroke patients take in seeking medical care and to identify factors which influence that pathway. This study was conducted by a survey. The subjects were 130 adults, who were diagnosed with a stroke between January and April of 2000. Data was collected by means of a interview, questionnaires, and an Activity Index. The result of this study are summarized as follows: 1. The mean age of subject was 61.58 years. Forty-nine percent were men and fifty percent were women. The majority of the subjects were married. For educational level, thirty-three percent finished elementary school, and twenty-three percent, high school. Most of the subjects reported 'middle' economic status. Ninety-two percent lived with their spouse and children. The diagnosis for seventy-two percent was ischemic stroke and for twenty-two percent, hemorrhagic stroke. 2 The most frequent early sign of stroke was hemiplegia(43.3%), loss of consciousness (36.7%), dysarthria(33.3%). The type of hospital first used was a herb hospital(40.8%), or a western hospital(59.2%). The factors in their choice were ; distance from the hospital to the place that the stroke occurred(47.5%), desire for a herb hospital(15.8%), and an invitation(12.9%). The ischemic stroke patients preferred herb hospitals, but hemorrhagic stroke patients preferred a western hospitals. 3. The pattern of stroke patients seeking medical care was that forty-three percent of stroke patients pass through step 1, forty-six percent, through step 2, and 8.5% through step 3. The more steps, the higher the use of herb hospitals. 4. The factors influencing the pathway of stroke patients seeking medical care were diagnosis, and level of consciousness. Ischemic stroke patients used herb hospitals, more frequently hemorrhagic stroke patients, who used western hospitals. The alert patient preferred a herb hospital, but stupor patients preferred a western hospital. 5. The Activity Index was not related to the pathway which stroke patients used in seeking medical care.

• 정보교육학회논문지
• /
• 제26권5호
• /
• pp.353-360
• /
• 2022

본 연구는 인간 지능의 가장 중요한 요소인 스토리텔링을 기반으로 한 인공지능 학습을 돕기 위해 구안된 인공지능 스토리텔링 교육 프로그램이 학습 몰입도에 미치는 영향을 검증하는 데 목적이 있다. 이를 위해 16차시 분량의 인공지능 교육 프로그램을 설계하여 개발하고, 초등학교 5~6학년군 영재 학생 19명을 대상으로 8주에 걸쳐 적용하였다. 인공지능 스토리텔링 교육 프로그램은 차시별 교수·학습과정안과 이야기책의 형태로 개발되었다. 인공지능 스토리텔링 교육 프로그램 적용 결과, 도전과 능력의 조화, 행위와 의식의 통합, 명확한 목표, 구체적인 피드백, 과제에 대한 집중, 통제감, 자의식의 상실, 시간 감각의 왜곡, 자기 목적적 경험 등 학습 몰입도의 9가지 모든 하위 요소에서 평균 점수에 유의미한 향상이 나타났다. 즉, 인공지능 스토리텔링 교육 프로그램은 학습 몰입도 향상에 효과적임을 확인할 수 있었다.

• Journal of Chest Surgery
• /
• 제54권3호
• /
• pp.200-205
• /
• 2021

Background: Various methods have been used to reduce postoperative pain after thoracic surgery. However, these methods may affect the patient's respiratory response and delay recovery from anesthesia. We aimed to evaluate the effects of fentanyl and remifentanil during extubation after video-assisted thoracic surgery (VATS). Methods: This study included 45 randomly-selected male patients who underwent VATS for pneumothorax between July 2011 and August 2012. We divided the participants into 3 groups: the F group, which received a bolus injection of 1.0 ㎍/kg of fentanyl; the R1 group, which received a 0.04 ㎍/kg/min remifentanil infusion; and the R2 group, which received a 0.08 ㎍/kg/min remifentanil infusion. Hemodynamics, pain, cough, consciousness level, and nausea were assessed for each group. Results: The number and severity of coughs were lower in the R1 and R2 groups than in the F group, and there were no differences between the R1 and R2 groups. Respiratory depression and loss of consciousness were not observed in any of the patients, and there were no differences in hemodynamics. Conclusion: In comparison with fentanyl, remifentanil did not result in a wide fluctuation of blood pressure and heart rate upon emergence from general anesthesia. Moreover, remifentanil contributed to cough suppression and postoperative pain control. Remifentanil seems to be a safe and effective analgesic after VATS.

• 대한간호학회지
• /
• 제30권4호
• /
• pp.917-931
• /
• 2000

This study was to provide understanding for the juvenile problem of drug brought about by industrialization, and the importance people that we should take a role in helping to resolve the problem. The purpose of this study lies in approaching the effective methods to prevent Korean adolescents from being involved in drug by examining the factors of their experience. The method of this study is designed to grasp the adolescents' drug experience, its meaning, its structure and the nursing intervention ways. By applying a phenomenological approach which is based on a qualitative research method, the researchers hoped to reveal key data in each group. It has been carried on from October 1998 until September 1999 with sample of 5 adolescent inmates in K mental hospital located in Seoul. The data were collected by sereous personal deep interviews and observations. Collected data were analyzed according to the phenomenological method suggested by Giorgi. The results of this study are as follows: First, pleasure seeking: curiosity, joy, and fun; Second, affiliation: formation of clique with the same age; Third, escape from reality: loneliness, emptiness, heroic mind, self- confidence, self-absorption, and comfort; Forth, feeble- mindedness: anxiety, fear, and temptation; Fifth, psychological unadaptation: wandering, forfeiture, and incompetence; Sixth, physical counteraction: headache, vomiting, loss of memory, loss of appetite and loss of sensibility; Seventh, psychological confusion: illusion, auditory hallucination and dream; Eighth, recovery of self-consciousness: repentance, desire and awareness This study results in the following suggestions of the nursing intervention 1. To cultivate a wholesome game culture for the adolescents. 2. To make up the group activities so that the adolescents can establish their sense of identity through a variety of group counseling program. 3. To foster the capability to cope with the change in the process of social accommodation. 4. To enforce the social life skill for the adolescents. 5. To practice the systematic education about drug use. 6. To develop the social education programs. 7. To help the adolescents build up their sense of identity by applying the adolescent cure programs. Above all, it is necessary that school and community as well as home should establish the educational environment paying special concern and consideration to the adolescents.

• 심성연구
• /
• 제26권2호
• /
• pp.149-188
• /
• 2011

한국의 남쪽 섬 진도의 장례식에서는 상여가 나가기 전날 밤에 다시래기(再生 ; 다시 낳기)라는 연극을 한다. 그 과정 중에 숨겨진 죽음과 관련된 원초적이고 보편적인 심리적 의미를 분석심리학적 관점에서 고찰해 본다. 이 연희의 특징은 1) 축제식 장례 2) 광대의 등장(대극의 존재와 갈등) 3) 성적표현들 4) 여성의 적극적 참여 5) 출산과정의 난관 6) 아이의 탄생과 함께 나누는 기쁨들로 요약된다. 이는 인생의 마지막 통과의례 중 전이기의 의례(Transition)이다. 연희의 전제조건인 호상(好喪)은 삶의 여정에서 그가 갖추어야 할 페르조나(persona)들에 대한 집단의식의 판단이다. 갖추어진 삶을 산 다음에 제대로 된 죽음이 된다. 등장하는 눈 뜬 장님 거사와 남성들을 희롱하는 사당 그리고 파계승 세 사람은 삼각의 갈등 구조를 보인다. 거기에 연출자이면서 주인공인 가상제가 합세 4인의 균형을 이룬다. 이들은 예의 바르고 이성적인 집단의식의 그림자적 측면을 나타내는 광대들이다. 동시에 트릭스터 원형상의 모습을 나타낸다. 산 자와 죽은 자, 상자와 가상자, 경건함과 난장판, 통곡과 웃음, 침묵과 넋두리, 죽음과 출생 등 다양한 대극이 공존하고 이로서 전체가 된다. 거사와 중은 대극이며 사당(아니마)은 둘 사이를 오가며 갈등을 부추긴다. 아기는 그 갈등의 소산이며 동시에 해결책이기도 하다. 갈등은 전체성의 상징인 아이의 탄생으로 해소되는 듯 하다 아기의 친권을 두고 재연되고 그 해결은 네 번째 인물이자 최초의 시작인 상주에게 아기를 맡기는 것이다. 이렇게 무의식은 드러나는 현실과 손을 잡는다. 무의식의 상들이 의식화 되고 무의식에서 생성된 새로운 에너지는 의식으로 흘러들어 의식의 결손을 치유하는 힘이 된다. 다시래기는 죽은 자를 위한 것이기 보다 오히려 산자를 위로하기 위한 성격이 더 강한 놀이이다. 죽음이 상실이 아니라 새로 태어남이요, 살아남은 자에게는 새로운 독립된 지도자로의 변환을 뜻한다. 죽은 자와 산 자 모두에게 갱신이라는 이중적 의미를 갖는다. 최근에 민간의 장례절차에서는 다시래기가 사라지고 단지 무대에서 굿으로 그 형태가 일부 보존되고 있다. 지나치게 엄격한 죽음에 대한 집단의식의 일방적 태도를 보상하는 무의식의 표현이 다시래기라면, 그 사라 저감은 죽음을 종결로 보고 너무 쉽게 정리해 버리려는 오늘날의 사회적 태도와 관련성을 고려해 봐야 할 것이다.