• Journal of the Korea Convergence Society
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• v.8 no.11
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• pp.177-182
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• 2017

The purpose of the study is to investigate the intravenous access of paramedics in ambulance. The study consisted of confidence change in pre and post intravenous access by driving condition and speed of the vehicle. The research subjects were 30 119 paramedics (20 level 1 emergency medical technicians, 10 nurses), and 6 ambulance driving conditions were established in order to measure the number of attempts at intravenous access. The data was collected for 9 days from May 18 through May 27, 2017. The results show no disparities in number of attempts in terms of stop conditions and flat section driving conditions(p=.161) although there were significant disparities in unpaved road(p=.003), speed bump(p=.005), curve(p=.022), and slope(p=.003) section driving conditions. Confidence appeared to significantly rise(p=.000) after the experiment. In conclusion, it is recommended that swift intravenous access inside an ambulance while driving is attempted when the vehicle has come to a stop or a flat section and paramedics should maintain their confidence in intravenous access through continued training.

• Journal of the Korean Society of Radiology
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• v.18 no.1
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• pp.53-63
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• 2024

The purpose of this study was to analyze radiological technologists' (RT) task perceptions of intravenous injection behavior of contrast medium and use it as basic data for future workforce response plans. We surveyed a total of 172 RT using questionnaire terms consisting of demographic characteristics, job priorities, and RT' task perceptions of intravenous injection behavior. Statistical analysis was performed using descriptive statistics, frequency analysis, independent samples T-test, and ANOVA analysis. As a result, first, current clinical RT were highly aware of the need for intravenous injection behavior as a response to the future workforce of them, and the workload burden resulting from this was evaluated as low. Second, the fear of intravenous injection behavior was found to be significant, so it is judged to be useful to perform them as selective job actions rather than all RT' task. Third, the need for training courses and certification for RT' intravenous injection behavior is being raised, and additional specific research on this is required. Last, RT' positive perception of intravenous injection behavior could be expected as a foundation for improving national medical services, strengthening RT expertise, and expanding tasks.

• Clinical and Experimental Pediatrics
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• v.51 no.12
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• pp.1359-1362
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• 2008

The most effective treatment strategy for patients with hemophilia is replacement therapy with FVIII or FIX concentrates, which usually requires long-term, uncomplicated venous access. However, central venous access device (CVADs, ports) insertion requires inpatient admission and general anesthesia, and presents some problems regarding health insurance coverage. Peripherally inserted central catheters (PICCs) were inserted in two severe hemophilia patients aged 7 and 11 years with high titers of inhibitors. They experienced frequent bleeding episodes and required replacement therapy, which eventually resulted in difficulty in acquiring venous line access. Factor VIII activity was below 1%, and inhibitor titers were 160 and 26.3 BU/ml. In an outpatient setting, PICC lines are easily placed by radiological guidance and require local anesthesia alone. PICC has been feasible, in particular, for hemophilia patients with frequent bleeding episodes.

• The Journal of the Korea institute of electronic communication sciences
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• v.19 no.1
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• pp.327-334
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• 2024

In this paper, we developed a system with a near-infrared LED light source with a wavelength of 950nm to acquire palm vein images and a white LED light source to acquire palm creases based on Raspberry Pi. In addition, we implemented a unique pattern-extractable image processing technology that can prevent counterfeiting and enhance security of mixed creases and palmprints through image pre-processing (Gray scaling, Histogram Equalization, Blurring, Thresholding, Thinning) for the acquired vein and palm images, and secured a source technology that can be used in a security-enhanced system.

• Journal of Chest Surgery
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• v.43 no.2
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• pp.161-163
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• 2010

A 12-day-old female baby underwent a Norwood procedure for hypoplastic left heart syndrome. The left superior vena cava (LSVC), which was found incidentally during the operation, was divided to facilitate surgical exposure. After the operation, she developed signs of low cardiac output and died 7 hours afterward. Autopsy findings showed that the coronary sinus was atretic at the orifice without unroofing into both atria, rendering the LSVC the sole route of coronary sinus drainage. In patients with incidentally-found LSVC during surgery, special care should be taken to leave the LSVC intact because the LSVC may be the exclusive drainage vein of the coronary venous system.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.2
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• pp.760-766
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• 2014

This study was performed to determine the effect factors in the survival of cardiac arrest patients. This study involved 4,092 cardiac arrest patients of K province, who were transported by 119 during 2010. The data collection involved using 119 rescue daily reports, cardiopulmonary arrest patients emergency treatment detail reports and 119 paramedics survival data. In conclusion, 119 rescue's interventions in the patients with pre-hospital cardiac arrest have significantly increased survival rates. 119 rescue's interventions included early defibrillation, oxygen supply, airway open, and intravenous access affected significantly survival rate. Therefore there is need to increase 119 rescue's interventions performance to improve survival rate of cardiac arrest patients.

• Journal of Chest Surgery
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• v.43 no.4
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• pp.441-446
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• 2010

The ideal graft requires acceptable size, less tissue toxicity, resistance to infection, and long-term durability. Great saphenous veins are gaining popularity as acceptable graft conduits, but they require time to grow in caliber. We report 2 cases of graft bypass and reconstruction using superficial femoral veins to acheive immediate high-flow patency.

• Journal of Chest Surgery
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• v.41 no.1
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• pp.124-127
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• 2008

Injury to the inferior vena cava (IVC) is associated with a high mortality rate, and little progress has been made for improving the treatment for this since the 1970s. Injury to the retrohepatic IVC, in particular, has been associated with up to a 75% mortality rate due to the difficulty in gaining adequate exposure and controlling the bleeding. Both the severity of injury and anatomic accessibility has been directly correlated with survival in IVC injury. We have experienced a patient with retrohepatic IVC that was ruptured by a penetrating gunshot injury and we managed to save this patient's life.

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.2
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• pp.213-217
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• 2010

The use of chloral hydrate and hydroxyzine for oral sedation is most effective in children aged less than 36 months and weighing less than 15 kg. Children who do not belong to this category may show frequent movements due to shallow sedation level, and it can lead to sedation failures. One of the solutions to such sedation failure is conversion to deeper sedation. But, it is not so much of an option, since inhalation anesthetics and devices are required. In this case, conversion from oral sedation to intravenous sedation was successfully achieved without causing injection pain while searching for an intravenous route, by using EMLA cream (Eutectic Mixture of Local Anesthesia). A patient aged 46 months and weighing 15 kg visited the Pediatric Department of Dankook University Dental Hospital. Treatment under TSD(Tell Show Do) was offered, but due to the parent's request, oral sedative measures were taken. Considering prompt converting from oral sedation to iv sedation in case the oral sedation fails, EMLA cream was apllied preemptively. Adequate sedation level could not be achieved after 90 minutes of oral administration, therefore, under the parent's consent, intravenous route was prepared after conscious sedation by $N_2O-O_2$. During treatment, $ETCO_2$, $SPO_2$ and heart rate was monitored every 5 minutes. The patient showed stable vital signs and did not show any movements. The whole procedure took two and a half hours in total, and the treatment was completed without any adverse effects.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.6
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• pp.500-506
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• 2018

This study analyzed current prehospital emergency care for severe trauma patients administered by different number of 119 EMS (emergency medical services) teams. Out of 1,067 severe trauma patients transferred by 119 EMS teams in J province from January 1st to December 31st 2015, 438 were evaluated in this study. IBM SPSS Statistics 21.0 was used to analyze collected data. The number of patients with severe trauma during the period of study was higher in male with two and three ambulance crews of 119 EMS teams with 242 patients (70.6%) and 66 patients (69.5%) respectively. The percentage of transfers made to local emergency medical centers was highest in those two groups, being 44.0% (151 patients) and 49.5% (47 patients), respectively. Total time spent at the scene did not differ between ambulance crews of two and three, nor did the frequency of practicing advanced airway management and IV (intravenous) cannulation, or the success rate of IV cannulation (p=0.253, p=0.362, p=1.000). Overall, the results indicated that merely increasing the number of paramedics does not improve the quality of prehospital care for severe trauma patients. Measures such as securing professional paramedics, simplifying direct medical oversights, activating indirect medical oversights, and expanding the legally allowed work scope are required.