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Clinical Characteristics of Acute Drug Intoxication in Emergency Department

  • Kim In Byung;Chun Sung Pil;Kim Seung Whan
    • Biomedical Science Letters
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    • v.10 no.3
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    • pp.299-303
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    • 2004
  • The number of acute drug intoxication who visiting to emergency department which is located near urban and rural area concomitantly is inclined to increase slightly, The purpose of this study was the investigation of methods and strategies of management of acute drug intoxication in emergency department Clinical trials were done on 92 cases of acute drug intoxication visiting to Emergency Department of Chungnam National University Hospital during 4 months from April to July 2003. 1. The total number of acute drug intoxication during this period was 92 patients, which presented 0.95% of all the emergency department visiting patients during the study. The intentional ingestions were observed in 84 cases (91.3%). 2. The maximal point of age distribution was 4th decade. The number of that was 21 cases (22.8%). 3. The number of patients who had ingested benzodiazepines and doxylamine succinates was 26 cases (28.2%), organophosphorus was 20 (21.7%), paraquat was 10 (10.8%), others were 36 (39.3%). 4. Five kinds of po1ydrug ingestion was observed in 3 cases, four kinds was observed in 3, three kinds was observed in 5 and co-ingestion of alcohol was observed in 28 cases (30.4%). 5. The mortality was occurred in 4 cases, 2 of them were caused by paraquat, 1 of them was caused by organophosphorus (OP), 1 of them was caused by acetic acid. 6. The gastric larvage as a mean of treatment modality was done in 57 cases (61.9%). The use of activated charcoal was done in 8 (8.69%). The maintenance of tracheal intubation was done in 6 (6.52%). 7. The mean observational period in emergency department was 8 hours 42 minutes in benzodiazepine and doxylamine succinate group, 21 hours 46 minutes in OP, 20 hours 39 minutes in other germicidal except OP, 23 hours 9 minutes in paraquat group. Without a drug information and intoxication center in Korea, We should minimize the exhaustion of medical resources by establishment of determinant criteria which can be seen in relatively less-complicated cases of acute drug intoxication. Thus, we should consider the introduction of simple toxicology treatment protocol and toxicologic observation unit in emergency department as possible means to reduce economical and social burdens.

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Palliative operation of congenital heart disease - a report of 380 cases - (선천성 심장질환의 고식적 수술 - 380례 보고 -)

  • 정윤섭
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.49-60
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    • 1990
  • Between Jan. 1962 and Dec. 1988 380 cases of palliative operations were done in 357 patients for congenital heart disease. These includes 55 cases of classic Blalock-Taussig shunt, 212 cases of modified Blalock-Taussig shunt, 17 cases of Glenn shunt, 26 cases of Waterston shunt, 3 cases of Brock procedure, 33 cases of pulmonary artery banding, 6 cases of transpulmonary valvotomy, 4 cases of unifocalization, and 10 cases of open atrial septectomy. We divided the operative procedures into the conventional and the unconventional. Under the unconventional procedures, the cases since April, 1986 were only included. The number of patients who died within the early 30 days after operation is the following: 40 in systemic-pulmonary shunts, 2 in Brock procedure, 12 in PAB, 15 in unconventional procedures. The age of the patients who need palliative operation is lowering more and more and their characteristics of the disease is being transferred to the more complexities. So the role of palliative surgery in the congenital heart disease is changing.

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Analysis of Supply Chain Management Operations Cases in Korea (한국기업의 SCM 업무사례 분석)

  • Rim, Suk-Chul
    • IE interfaces
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    • v.13 no.3
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    • pp.496-502
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    • 2000
  • Supply Chain Management is drawing attention of business management all over the world. A number of SCM cases from world-class enterprises have been reported. However, not many detailed SCM cases from Korean enterprises have been reported in the literature. In this paper, we present SCM cases of Korea to illustrate what specific activities are conducted and how, mostly from practical viewpoint instead of academic viewpoint; and relate the cases with the SCM framework, so as to provide better view and insights for implementing effective SCM.

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Epidemiological application of the cycle threshold value of RT-PCR for estimating infection period in cases of SARS-CoV-2

  • Soonjong Bae;Jong-Myon Bae
    • Journal of Medicine and Life Science
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    • v.20 no.3
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    • pp.107-114
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    • 2023
  • Epidemiological control of coronavirus disease 2019 (COVID-19) is needed to estimate the infection period of confirmed cases and identify potential cases. The present study, targeting confirmed cases for which the time of COVID-19 symptom onset was disclosed, aimed to investigate the relationship between intervals (day) from symptom onset to testing the cycle threshold (CT) values of real-time reverse transcription-polymerase chain reaction. Of the COVID-19 confirmed cases, those for which the date of suspected symptom onset in the epidemiological investigation was specifically disclosed were included in this study. Interval was defined as the number of days from symptom onset (as disclosed by the patient) to specimen collection for testing. A locally weighted regression smoothing (LOWESS) curve was applied, with intervals as explanatory variables and CT values (CTR for RdRp gene and CTE for E gene) as outcome variables. After finding its non-linear relationship, a polynomial regression model was applied to estimate the 95% confidence interval values of CTR and CTE by interval. The application of LOWESS in 331 patients identified a U-shaped curve relationship between the CTR and CTE values according to the number of interval days, and both CTR and CTE satisfied the quadratic model for interval days. Active application of these results to epidemiological investigations would minimize the chance of failing to identify individuals who are in contact with COVID-19 confirmed cases, thereby reducing the potential transmission of the virus to local communities.

Surgical Treatment of Paragonimiasis (폐흡충증의 외과적 치료)

  • 안욱수
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.312-317
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    • 1979
  • 1] During the period of Jan. 1959, to Aug. 1979, 47 patients of paragonimiasis have been treated in the department of Chest Surgery. 2] The total number of patients who has been admitted and treated in the department of Chest Medicine are 262 and annual distribution of number of patients has been decreased. However, since 1964, the number of patients has been stationary. On the other hand, the total number of patients who has been admitted and treated surgically in the department of Chest Surgery are 47 and the annual distribution of number of patients has not been decreased. 3] The peak age incidence lies in fourth decade [34%], and over halves of patients is in third to fifth decade. Male to female is 8.4 to 1. 4] The symptoms, which are mainly cough, chest pain, dyspnea and blood tinged sputum, developed mostly in two to five years after infestation by Paragonmius westermani. 5] Sputum tests for eggs of Paragonimus westermani were positive in 16 out of 43 patients [37%]. The 93% of patients were positive in skin test for Paragonimus westermani. The patients with negative skin test were 7%, but sputum or stool examination for Paragonimus westermani`s eggs were positive in these negative group of skin test. 6] Chest roentgenogram revealed pleural effusion [41 cases], hydropneumothorax [1 case], atelectasis [1 case] and mediastinal mass [1 case]. 7] All patients were preoperatively treated with Bithionol. The mode of surgery were decortication only [31 cases], pleuropneumonectomy [3 cases], decortication & lobectomy [2 cases], decortication & closure of bronchial fistula [1 case], thoracentesis [1 case] and postural drainage [1 case]. 8] Paragonimiasis is primarily medical disease and well treated by the administration of Bithionol. But the delayed diagnosis and missed diagnosis, especially as pulmonary tuberculosis, make the disease aggravated and chronic. Subsequently, surgical treatment is infrequently required. Chronic empyema due to Paragonimus westermani is much benign than tuberculous empyema thoracis.

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담도계 회충증의 간호와 임상적 고찰

  • 김은덕
    • Journal of Korean Academy of Nursing
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    • v.1 no.1
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    • pp.95-102
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    • 1970
  • Ascariasis symptoms penetrated into biliary tract are reported to be found much more in Korea than in foreign countries. And the present writer believes there are also many cases of biliary tract symptoms that are actually experienced but that are not reported. As a result of experiencing and nursing twenty cases of ascariasis symptoms of biliary tract, the present writer has got several conclusions, and reports them together with reference to sundry records. (1) The penetrating rate of ascariasis in male versus female was 1 to 1.5. Consequently the rate of female was higher than that of male. The highest age of the case was 67, the lowest 19, and the average age was 45.2. (2) As to symptoms, right upper quadrant abdomen pain and fat diet intolerance were the largest in number. By laboratory findings there were depressive pain on right upper quadrant abdomen in all the cases. (3) As to the location of ascariasis, choledochus occupied the largest part, and the longer illness history was, the more cases coexisting with calculus were found. (4) As to operative method, cholecystectomy and choledochotomy weres the largest in number, and choledochotomy T-tube was inserted in all cases. As to complication after operation, there were operative wound infection, excoriation through bile juice issue, etc. There were three cases of re-penetration of ascariasis and only one case of reoperation.

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The Five Cases Report about Enuretic Children with Moxa Bucket Moxibustion on Gwanwon(CV4) (관원(關元)(CV4)에 온통구(溫筒灸)를 시술한 야뇨(夜尿) 환아(患兒) 5례 보고)

  • Kim, Jee-Young;Lim, Hae-Won;Kim, Ji-Hyon;Kwon, Kang;Kim, Jong-Hwa
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.2
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    • pp.159-168
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    • 2010
  • Objectives This study to investigate the effect of oriental medical treatment including moxa bucket moxibustion on children with nocturnal enuresis. Methods We treated five cases of enuretic children with oriental medical treatment like moxa bucket moxibustion on Gwanwon(CV4) at every cases and acupuncture, TDP, herbal medicine at some cases. To investigate relapse, we followed up by telephone at least about 3 months after the end of the therapy. Results After the treatment, the number of enuresis before and after the treatment were compared. The number was decreased by 67% or more all cases. Conclusions According to the result, oriental medical treatment including moxa bucket moxibustion is considered to be effective on the nocturnal enuresis and further study is needed with more cases.

Recent outbreaks of rabies in Gangwon-do (강원도내 광견병 발생 및 진단)

  • 신은경;신명균;한태옥
    • Korean Journal of Veterinary Service
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    • v.27 no.1
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    • pp.31-39
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    • 2004
  • This study was performed to investigate the rabies surveillance in Gangwon-do from 1997 to 2001. Of 185 laboratory submissions for rabies diagnosis, 65(35.1%) cases were determined to be infected with the rabies virus. Annual incidence of animal rabies was 10 cases in 1997, 20 cases in 1998, 16 cases in 1999, 3 cases in 2000, and 16 cases in 2001, respectively. The total number of the reported cases were increased 382% compared with that of the previous period from 1993 to 1996(7 cases). The relative contributions of infected animals in this period were as follows: cattles(24 cases), dogs(26 cases), and raccoons(15 cases). Rabies outbreak in raccoon were steadily expanded. Epidemiologic surveillance showed the rabies outbreaks spreaded to the southern area in Gangwon-do. All rabies cases were showed positive results to rabies tests such as clinical signs, histopathological findings, indirect flourescent antibody test, and mouse inoculation test. Further studies such as genetic and phylogenetic analysis of the isolates should be performed in order to figure out accurate rabies outbreak.

Etiological Agents Implicated in Foodborne Illness World Wide

  • Lee, Heeyoung;Yoon, Yohan
    • Food Science of Animal Resources
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    • v.41 no.1
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    • pp.1-7
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    • 2021
  • This mini review focuses on foodborne illnesses and outbreaks caused by food-producing animals because statistical information of the foodborne illnesses is important in human health and food industry. Contaminated food results in 600 million cases of foodborne diseases and 420,000 deaths worldwide every year. The world population is currently 7.8 billion, and 56 million people die every year; of these, every year, 7.69% of people experience foodborne diseases, and 7.5% of annual deaths (56 million deaths) was died by foodborne illness in the world. A majority of such patients are affected by norovirus and Campylobacter. Listeria monocytogenes is the most fatal. In the United States, except for those caused by Campylobacter, the number of foodborne diseases did not decrease between 1997 and 2017, and cases caused by Toxoplasma gondii are still being reported (9 cases in 2017). The percentage of foodborne illnesses caused by food-producing animals was 10.4%-14.1% between 1999 and 2017 in the United States. In Europe, foodborne illnesses affect 23 million people every year and cause approximately 5,000 deaths. Europe has more Campylobacter- and Salmonella-related cases than in other countries. In Australia, the highest number of cases are due to Campylobacter, followed by Salmonella. In Korea, Escherichia coli followed by norovirus. Campylobacter- and Clostridium perfringens-related cases have been reported in Japan as well. This review suggests that Campylobacter, Salmonella, L. monocytogenes, and E. coli, which are usually isolated from animal-source food products are associated with a high risk of foodborne illnesses.

A Study on the Police-related Emergency Reporting (경찰 관련 긴급신고에 관한 연구)

  • Lee, Kang-Hoon
    • Korean Security Journal
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    • no.41
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    • pp.357-386
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    • 2014
  • The Purpose of this study is to search for ways to improve the police-related emergency reporting service through the analysis of its actual condition - focusing 112 emergency reporting & 122 emergency reporting. For this purpose, the main data related to police-related emergency reporting required for inspection of the administration conducted by the National Assembly in 2013 is utilized. The actual condition of the police-related emergency reporting service is examined in 3 aspects - the number of reported cases by reporting type, the number of police response, and the average arrival time. The principal analysis results of the actual condition revealed that 112 emergency reporting is increasing and 122 emergency reporting oscillates between increases and decreases in the total number of reported cases, the number of non-emergency reporting is increasing in both 112 and 122 reported cases, the number of prank call is high in 122 reported cases, the rate of other agency transmit($122{\rightarrow}112$) is higher than 12% in 122 reported cases, and the number of police response and the average arrival time are decreasing in 112 reported cases. To improve the police-related emergency reporting, based on the above actual condition, the followings are required: to operate dualistic police-related response; to publicize a police-related reporting service; to take stern measures against false report; to make continuous improvement of the police-related emergency reporting system.

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