• Title/Summary/Keyword: loss of consciousness

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Concept Analysis of Cardiac Arrest: Identifying the Critical Attributes and Empirical Indicators (심정지(Cardiac Arrest)에 대한 개념분석: 개념적 속성 및 경험적 지표의 규명)

  • Lee, Kang Im;Oh, Hyun Soo
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.573-583
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    • 2014
  • Purpose: Cardiac arrest has multiple characteristics that need to be approached as an integrated method according to the various changes in the body system. This study was performed to develop a useful guideline for early detection of cardiac arrest by revealing the attributes of cardiac arrest through a concept analysis. Methods: This study was conducted according to the Walker and Avant's concept analysis method. Systematic literature review and in-depth interview with nurses who experienced cardiac arrest situation were conducted. Based on the literature reviews and in-depth interviews with nurses, the attributes and the empirical referents of the concept of cardiac arrest were elicited. Results: The definable attributes of cardiac arrest were 1) loss of consciousness, 2) abnormal respiratory condition, 3) abnormal cardiovascular signs. Cardiac arrest was found to occur by several antecedents such as cardiac problem, non-cardiac problem, or general problem, whereas ischemia and re-perfusion injury, which can lead to multiple organ failure and death, were derived as consequences. Conclusion: In this study, the concept analysis eliciting attributes and empirical referents is found to be useful as a guideline for understanding and managing cardiac arrest. Based on these findings, clinical providers are expected to make a precise and rapid decision on cardiac arrest and respond quickly, which may increase survival rate of the patients underwent the arrest event.

Acute Respiratory Distress Due to Methane Inhalation

  • Jo, Jun Yeon;Kwon, Yong Sik;Lee, Jin Wook;Park, Jae Seok;Rho, Byung Hak;Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.3
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    • pp.120-123
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    • 2013
  • Inhalation of toxic gases can lead to pneumonitis. It has been known that methane gas intoxication causes loss of consciousness or asphyxia. There is, however, a paucity of information about acute pulmonary toxicity from methane gas inhalation. A 21-year-old man was presented with respiratory distress after an accidental exposure to methane gas for one minute. He came in with a drowsy mentality and hypoxemia. Mechanical ventilation was applied immediately. The patient's symptoms and chest radiographic findings were consistent with acute pneumonitis. He recovered spontaneously and was discharged after 5 days without other specific treatment. His pulmonary function test, 4 days after methane gas exposure, revealed a restrictive ventilatory defect. In conclusion, acute pulmonary injury can occur with a restrictive ventilator defect after a short exposure to methane gas. The lung injury was spontaneously resolved without any significant sequela.

Surgical Treatment of Giant Serpentine Aneurysm of A2-A3 Segment Distal Anterior Cerebral Artery : Technical Case Report

  • Moon, Hyung Sik;Kim, Tae Sun;Joo, Sung-Pil
    • Journal of Korean Neurosurgical Society
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    • v.52 no.5
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    • pp.501-504
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    • 2012
  • Objective : To report our surgical experience using in situ end-to-side bypass for giant serpentine distal anterior cerebral artery aneurysm, unsuitable for microsurgical clipping. Methods : A 49-year-old woman presented with headache and intermittent loss of consciousness. The brain computed tomography scan revealed a partially calcified mass in the interhemispheric fissure. On cerebral angiography, that was giant ($30{\times}18mm$ sized), serpentine aneurysm originating from the A2 to A3 segment of the distal anterior cerebral artery (DACA). The aneurysm was trapped with clips, and the right A3 segment to left A3 segment of DACA, end-to-side in situ bypass was performed. Surgical result was favorable, with no newly developed ischemic event in the acute recovery period. Postoperative angiography showed total occlusion of the aneurysm and good patency, with preserved distal flow. Conclusion : Giant fusiform aneurysms of the DACA are extremely rare and can be particularly challenging to treat. End-to-side A3 : A3 bypass with aneurysm trapping could be a treatment modality for these locations.

High Spinal Block following Epidural Block for Postoperative Pain Control -A case report- (수술후 통증조절을 위한 경막외 차단후 발생한 고위척추차단 -증례 보고-)

  • Chung, Sung-Su;Yoo, Kyung-Yeon;Chae, Young-Mi
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.260-263
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    • 1996
  • High spinal block is a rare complication during epidural block, but it may result in serious events. 56-year-old man with gall stones was scheduled for cholecystectomy under general anesthesia. After operation, lumbar epidural catheterization was done at $T_{8-9}$ interspace for postoperative pain control. At the recovery room, initial bolus drug (0.1% bupivacaine 10 ml containing fentanyl $100{\mu}g$) was administered via epidural catheter and observed carefully. 15 minutes later, hypotension and bradycardia ouccurred. Hartman' solution was administered rapidly and ephedrine 5 mg was injected. 30 minutes after drug administration, loss of consciousness and respiratory arrest developed. Tracheal intubation was done immediately. Cardiovascular and respiratory functions were monitored continuously. The location of intrathecal catheter was confirmed by cerebrospinal fluid (CSF) seen in syringe after aspiration of catheter. The patient recovered gradually and was placed in the ward 4 hours after drug administration, without any problems. He was discharged 1 week later in good health.

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A Study on the Alighieri Dante's La Divina Commedia focused on Wuwei-ziran & Humanism in Length animation '9' (단테의 신곡으로 본 장편애니메이션 '9'의 무위자연과 인본주의 연구)

  • Park, Yoon-sung
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.435-441
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    • 2017
  • In this study, through the Wuwei-ziran of Alighieri Dante's La Divina Commedia & Humanism and Chuang-tzu, revealed in the full-length animation '9' reflecting the loss of humanity and the recovery and the artististic consciousness of producing animation with a new world view, It is an animation case analysis that restores humanity and awakens the inside of human being. Wuwei-ziran of Chuang-tzu is a way of life which helps humans to flow through relation and coordination. Wuwei-ziran is a way of life of dharma where all things are harmonized by the subjective self It is the beginning.

Evaluation of defective risk for the finishing work of apartment house (공동주택 마감공사의 하자위험도 평가에 관한 연구)

  • Kim, Jin-Hyun;Go, Seong-Seok
    • Korean Journal of Construction Engineering and Management
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    • v.13 no.6
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    • pp.63-70
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    • 2012
  • The apartment house taking most part of our housing types was facing the limit of consumption from the housing supply-oriented policy in the past of rapid urbanization resulting in being transferred to the housing supply-oriented one. Accordingly the requirement for housing quality by customers is diversified varied, in order to meet this the effective and systematic quality control for preventing the defects from the stage of building is required. In this study for the effective and systematic quality management for defects of apartment house analysis on the frequencies and loss expenses from defective maintenance regarding examples of apartment houses having been moved in within five years recently, and the survey on their dwellers' consciousness were made, and the table for quantified apartment house defective risk.

Acute Oral Toxicity Studies of WHS-1 and WHS-2 in Rats (경구용 복합제 WHS-1,2의 급성독성시험 연구)

  • 조대현;황세진;이원용;이주영;윤형중;문병우
    • Biomolecules & Therapeutics
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    • v.1 no.2
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    • pp.275-279
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    • 1993
  • Single oral administration to SD rats of both sexes were performed to investigate the acute toxicity of two new cough and cold remedies, WHS-1 and WHS-2. WHS-1 is composed of acetaminophen, chlorpheniramine maleate, cloperastine hydrochloride, dl-methylephedrine hydrochloride, caffein anhydrous, thiamine hydrochloride, riboflavin and serratiopeptidase. WHS-2 is composed of similar formula except that thiamine hydrochloride and riboflavin is not added. The results were as follows. $LD_{50}$ values of WHS-1 were 4295.5 mg/kg for males and 4606.3 mg/kg for females, and $LD_{50}$ values of WHS-2 were 3236.7 mg/kg for males and 4360.5 mg/kg for females. Death occurred within 2~3 hours after administration at doses up to 2900 mg/kg in WHS-1 and 2500 mg/kg in WHS-2, the main cause of deaths seemed to be respiratory disturbance. General symptoms included decreased motor activity, salivation and loss of consciousness which were commonly observed in all dead animals treated with WHS-1 and WHS-2. No significant gross finding and body weight changes were observed at any dose level in the groups treated with WHS-1 and WHS-2.

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A Study on the Applications of Herba Menthae Mainly Blended Prescription in Dongeuibogam (동의보감(東醫寶鑑) 중(中) 박하(薄荷)가 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察))

  • Choi, Jung;Yun, Hen-Ja;Yun, Yong-Gab
    • Herbal Formula Science
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    • v.19 no.1
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    • pp.91-102
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    • 2011
  • Objectives : This report describes 48 prescriptions related to the use of Herba Menthae main blended from Dongeuibogam. The following conclusions were drawn through investigations on the prescriptions that use Herba Menthae as a key component. Prescriptions that Herba Menthae was taken as a monarch drug are utilized for 15 therapeutic purposes, for example, wind stroke, throat disease, nose disease, head disease and tooth disease. In particular, 12.5% of prescriptions appear in the chapter of each wind stroke, throat disease, nose disease. Methods : Prescriptions that utilize Herba Menthae as the main ingredient are used in the treatment of urticaria, hemoptysis-hematemesis, loss of consciousness due to wind stroke and they are also used for treating 41 different types of disease. Herba Menthae is used for pathogenic factors such as wind and heat. Results : The dosage of Herba Menthae is 0.15pun(about 0.06g) to 4don(about 14g), however 5pun(about 1.88g) has been taken the most for clinical application. Conclusions : Gamgiltang, Piryongbanggamgiltang and Hoichunyanggyeoksan are the most useful base prescriptions which use the Herba Menthae as the main ingredient.

How to cope with medical emergencies in the Dental Clinic (치과진료실에서 흔한 긴급상황의 처치)

  • Kim, Hyun Jeong
    • The Journal of the Korean dental association
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    • v.53 no.8
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    • pp.530-537
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    • 2015
  • Conceptually, the emergency is classified as an urgency and an emergency. The Urgency is not immediately life threatening, but could become so if not resolved promptly. So, it requires prompt patient care same as in the emergency situation. However, the emergency is immediately life threatening and requires immediate action, such as calling 119 and basic life support. Most medical emergencies in the dental clinic cases are urgencies. The incidence of true emergencies is approximately 1/1,000,000. Adequate managing medical urgencies are important because the chance of encountering medical emergencies in the dental clinic is high and higher these days especially because of rapidly aging Korean society. Many dentists indicate that many dentists feel difficulties to recognize and treat medical problems. This paper reviews the concept of medical emergencies and how to cope with commonly occurring urgencies in the dental clinic such as loss of consciousness, hypoglycemia, hyperventilation syndrome. The best treatment for medical urgencies and emergencies in the dental clinic is prevention. Also, it is required to make preparation for emergency situations such as CPR education for dentists and being well-acquainted with equipment and drugs for the emergency care as well as to systemic medical evaluation, patient monitoring, and sedations for controlling patient's anxiety and pain. In this paper, simple algorithms based on guidelines for common urgencies in the dental clinic are suggested. In conclusion, every dentist has competencies to do the urgency care adequately and basic life support. Also, advanced cardiac life support is strongly recommended when sedation is performed in the clinic.

The Effect of Learning Flow and Learning Satisfaction from App Programming Education Using m-Bizmaker (m-Bizmaker를 활용한 앱 프로그래밍 교육이 학습몰입 및 학습만족도에 미치는 영향)

  • Han, SoonJae;Kim, SungSik
    • The Journal of Korean Association of Computer Education
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    • v.21 no.2
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    • pp.41-48
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    • 2018
  • This study aims to present a method for app programming education by analyzing the effect of Learning Flow and Learning Satisfaction from app programming education using m-Bizmaker in specialized high school students. Currently, SW education to increase computational thinking is actively carried out in schools that are leading SW education school and various SW education methods are being applied. In particular, the app programming education could continue when the learner is engaged in Learning Flow and Learning Satisfaction with the learning. And according to survey results, it has been proved that the app programming education using m-Bizmaker is effective to improve some factors of Learning Flow(control sense, loss of consciousness) and Learning Satisfaction in specialized high school students.