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A Study on the Actual Condition for Air Respirators Using Air-breathing (공기호흡기용 압축공기 시스템에 대한 실태 연구)

  • Lee Chang-Woo;Lee Young-Jae;Hyun Seong-Ho;Seong Jae-Man;Song Yun-Suk;Choi Don-Muk;Yoon Myung-O
    • Fire Science and Engineering
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    • v.18 no.4
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    • pp.16-21
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    • 2004
  • This paper has investigated influences of pollutants in air-breathing on the respirators and it by year of disused air respirators that fire fighter is using in domestic cutting done air respirators after collection observed state of cylinder material through instrumental analysis, and cut open pipe to confirm pollution degree of pipe from cylinder of air respirators to airline mask and confirm pollution availability. The metal surface inside the air respirators was corroded by moisture included in the compressed air. The material generated by corrosion is white powder of less then 100㎛, which is analyzed as aluminum hydroxide corroded by moisture. This aluminum hydroxide powder may get into the lung while one breathes in, and it is easy to be attached to the lung so it will cause a serious influences to human health. This study suggests that Korea should set out the standards for components and composition of breathing air as soon as possible.

A Case of Congenital Laryngeal Atresia with Single Umbilical Artery Who Required a Tracheotomy (기관절개술을 받았던 단일 제대동맥이 동반된 선천성 후두폐쇄증 1례)

  • Wi, Ho Sung;Baek, Hey Sung;Oh, Jae Won;Yum, Myung-Kul;Kim, Yong Joo;Moon, Soo Jee;Tae, Kyung;Kim, Chang-Ryul
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.557-560
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    • 2005
  • Congenital laryngeal atresia is a rare cause of airway obstruction that is almost always lethal within a few minutes after birth. Therefore congenital laryngeal atresia should be diagnosed in the prenatal period. If not, it should be considered in newborn infant with life-threatening symptoms at birth such as cyanosis and dyspnea that need emergent procedures like a tracheotomy. We report a case of congenital laryngeal atresia with single umbilical artery diagnosed in a one-day-old neonate who required a tracheotomy and ventilator care after intubation failure.

Delayed Detection of a Penetrating Tracheal Foreign Body (수상 후 10년이 지나 발견된 기관 내 이물질)

  • Jang, Woo-Sung;Kim, Young-Tae;Kim, Joo-Hyun;Kang, Chang-Hyun
    • Journal of Chest Surgery
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    • v.40 no.5 s.274
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    • pp.384-387
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    • 2007
  • The finding of a tracheal penetrating injury that's caused by a foreign body is rare in adulthood. A 42-year-old man had experienced penetrating trauma due to a glass fragment 10 years ago. He presented with blood tinged sputum and dyspnea on exertion, and this had developed 1 year previously. Chest CT scan and bronchoscopy revealed a foreign body crossing the tracheal lumen and the object arose from outside of the trachea; this was all associated with airway edema. We removed the foreign body, which was a 5cm length of glass fragment, and we repaired the tracheal defect using a simple primary suture. The postoperative course of the patient was uneventful and he is now being followed up at the outpatient department; he has had no additional symptoms.

Full mouth rehabilitation with dental implant utilizing 3D digital image and CAD/CAM system: case report (3차원 디지털 영상과 CAD/CAM 시스템을 활용한 전악 임플란트 수복 증례)

  • Kang, Se-Ha;Jeong, Seung-Mi;Shin, Jae-Ok;Fang, Jeong-Whan;Kim, Dae-Hwan;Choi, Byung-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.158-168
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    • 2015
  • This article describes how to use digital system in a fully edentulous case that diagnosis to definitive prosthesis fabrication. While proceeding oral scan and CBCT taking, digital markers were attached on maxillary palate and lower existing denture. Using CBCT image and oral scan image, the bone contour and anatomical structures were analyzed and flapless surgical guide, customized abutment and prosthesis were made. After the osseointegration, the definitive prosthesis was fabricated using the oral scan image with scan body. It provides clinicians with a fast workflow and improves clinical efficiency.

A Study on Three-Dimensional Image Modeling and Visualization of Three-Dimensional Medical Image (삼차원 영상 모델링 및 삼차원 의료영상의 가시화에 관한 연구)

  • Lee, Kun;Gwun, Oubong
    • Journal of the Korea Computer Graphics Society
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    • v.3 no.2
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    • pp.27-34
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    • 1997
  • 3-D image modeling is in high demand for automated visual inspection and non-destructive testing. It also can be useful in biomedical research, medical therapy, surgery planning, and simulation of critical surgery (i.e. cranio-facial). Image processing and image analysis are used to enhance and classify medical volumetric data. Analyzing medical volumetric data is very difficult In this paper, we propose a new image modeling method based on tetrahedrization to improve the visualization of three-dimensional medical volumetric data. In this method, the trivariate piecewise linear interpolation is applied through the constructed tetrahedral domain. Also, visualization methods including iso-surface, color contouring, and slicing are discussed. This method can be useful to the correct and speedy analysis of medical volumetric data, because it doesn't have the ambiguity problem of Marching Cubes algorithm and achieves the data reduction. We expect to compensate the degradation of an accuracy by using an adaptive sub-division of tetrahedrization based on least squares fitting.

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Percutaneous Screw Fixation in a Displaced Pubic Fracture: Technical Note (전위성 치골 골절의 경피적 고정술: 술기보고)

  • Kong, Gyu Min;Kim, Seung Chul
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.361-365
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    • 2021
  • Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

Factors Influencing on Burden of Family Members of Intensive Care Patients : Planned Transfer to General Ward after Intensive Care (일반병동 전실예정의 중환자실 환자 가족의 부담감 영향 요인)

  • Lee, Hea-Suk;You, Mi-Ae;Lee, Soo-Kyoung;Son, Youn-Jung
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.211-223
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    • 2014
  • The aim of this study was to identify the levels of family members' burden and to describe factors influencing on famiCX*//8ly caregiver's burden when they are planned to transfer to general ward from the intensive care units (ICU). A descriptive survey was used with a convenience sampling of 101 family members of ICU patients at S university hospital in C city, Korea from August to November, 2010. The data were analyzed with SPSS 18.0 program. The level of object burden in family members had statistically significant differences with level of consciousness, number of patients' monitoring devices, and tracheostomy tube. The level of subject burden had statistically significant differences according to patients' gender, patients' education level, and relationship with patients. Transfer anxiety was showed statistically positive correlation with objective and subjective burden. We found transfer anxiety was statistically significant predictor of family caregiver's objective burden with explanatory power 12.7%. Family members' subjective burden were statistically influenced by patients' gender and transfer anxiety. These factors explained 23.8% out of total variance of family members' objective burden. The structured individualized method of transfer is recommended with further research of ICU families to further examine the dimension of transfer anxiety and how it affects family members' burden and patient outcomes.

Off-pump Coronary Artery Bypass Surgery in a Patient with a Functional Single Lung - A case report- (기능적 단일폐 환자에서 심폐체외순환 없이 시행한 관상동맥우회술 - 치험 1예 -)

  • Yoon, Young-Choul;Wi, Jin-Hong;Han, Il-Yong;Jun, Hee-Jae;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.492-495
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    • 2008
  • A functional single lung caused by lung diseases or pneumonectomy can result in anatomic and physiologic changes that may interfere with the conduct of subsequent coronary artery bypass surgery. Since. this type of case is extremely rare, there has not been any report on this in Korea. A 71-year-old female with a history of a destroyed left lung from pulmonary tuberculosis 13 years ago was admitted for evaluation of her increasing chest pain that she'd experienced for 2 weeks. Since coronary angiographies demonstrated 80% stenosis of the left main os, $90{\sim}95%$ stenosis of the p-LAD, 90% stenosis of the m-LCx and 90% stenosis of the RCA, coronary artery bypass surgery (CABG) was planned. Off-pump CABG with vein grafts through a median sternotomy was performed and the patient recovered the same as other CABG patients without complications.

A Study on Wound Care Knowledge and Concerns of Patients at Discharge (퇴원하는 환자의 상처관리에 대한 지식과 염려에 관한 연구)

  • Han, Il-Kyoung;Lee, Myung-Seon;Kim, Jung-A;Ha, Won-Choon;Kim, Myung-Hee;Hwang, Sun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3434-3443
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    • 2009
  • This study was done to examine patients' wound care knowledge and concerns prior to discharge from a tertiary hospital. The participants in this descriptive survey were 112 patients having wounds. During interview, a structured self-administered questionnaire was filled out. The participants were 71 males and 41 females. Wound types were surgical incision (52.7%), percutaneous wound (26.8%), pressure ulcer (9.8%) and diabetic foot and arterial ulcers (5.4%). Their wound care knowledge was 52.0% of correct answer and the mean of concerns (range 1-7) was 2.79. There was no significant correlation between their knowledge and concerns of wound care. The factors influence on wound care concerns were fear of wound care, wound pain, length of hospital stays, and perceived health condition. This findings showed that discharge patients with a wound had some incorrect knowledge and various concerns about wound care. They may help to direct patient teaching in discharge plan.

The Flora of Vascular Plants in the West Side of DMZ Area (DMZ 일원의 관속식물상 I - 민통선 이북 서부지역(파주-연천) -)

  • Lee, Seung-Hyuk;Choi, Seung-Se;Lee, Doo-Bum;Hwang, Seung-Hyun;Ahn, Jin-Kap
    • Korean Journal of Environment and Ecology
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    • v.30 no.1
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    • pp.1-18
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    • 2016
  • This study was carried out to investigate the flora of the western front (Paju-Yencheon Area) of the Civilian Control Zone. Vascular plants collected in these areas were a total of 558 taxa composing of 501 species, 3 subspecies, 48 varieties and 1 forma of 330 genera under 109 families This shows that 11% of the 4,880 vascular plant species that are known to exist in Korea is distributed in the western part of the DMZ. 1 taxa of endangered species designated by the Ministry of Environment was found: the Polygonatum stenophyllum Maxim in the edge of the military operation road from Taepung observatory to Imjin river. For the floristically specific ones of the Korean floristic zones, 3 taxa of the $5^{th}$ grade, 3 taxa of the $4^{th}$ grade, 13 taxa of the $3^{rd}$ grade, 13 taxa of the $2^{nd}$ grade and 22 taxa of the $1^{st}$ grade were found. For the endemic species of Korea, 4 taxa including Cirsium setidens (Dunn) Nakai were confirmed to be distributed mostly on the slope or the cutting area. Among the collected rare plants (11 taxa), there were 1 taxa of endangered species, 4 taxa of vulnerable species and 6 taxa of least concern species. Also, 51 taxa of naturalized plants were identified and 4 taxa of ecosystem disturbance organism designated by the Ministry of Environment were identified. The urbanization index and naturalization index for all species were estimated to be 15.89% and 9.14% respectively. Our survey is expected to be considered as primary data of biological diversity and ecological axis in the DMZ and the western part of the DMZ. According to the results of this study, it is thought to be necessary to establish policies for conservation and protection of the DMZ.