• 대한소아치과학회지
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• 제34권3호
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• pp.461-467
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• 2007

감염성 심내막염은 치과치료로부터 발생할 수 있는 심각한 심장질환 합병증이며, 생명을 위협하는 치명적인 상황을 초래할 수 있다. 따라서 심내막염 예방을 위하여 위험군에 속하는 환자에서 침습적 술식을 행하기에 앞서 예방적 항생제를 전투여한다. 본 증례는 영구치 근관치료 후 발생한 감염성 심내막염을 주소로 내원한 환아로서 심실중격결손으로 인해 예방적 항생제를 투여했음에도 불구하고 심내막염이 발병하여, 항생제 요법 후 의심되는 원인치아를 발거하고 심장수술을 시행하였다. 이에 다소의 지견을 얻었기에 보고하는 바이다.

• 동의생리병리학회지
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• 제23권4호
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• pp.903-907
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• 2009

The purpose of this study is to investigate the pattern of metabolic syndrome(Mets) in stroke patients who were hospitalized in Daejeon oriental hospital. The present study was done over 445 hospitalized patient with stroke in the Daejeon University Oriental Medical Hospital in the period of November 2006 to December 2008. Stroke patients had been interviewed by residents and specialists who studied standard operation procedures in Fundamental study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. We analyzed all registered data and evaluated the prevalence of Mets and specific components of Mets. The distribution of Mets in stroke patients according to American Heart Association/National Heart Lung and Blood Institute(AHA/NHLBI) criteria is 65.63%. The distribution of Mets in stroke patients according to International Diabetes Federation(IDF) criteria is 48.05%. The distribution of female patients is higher than that of male patients. The distribution of central obesity, low HDL cholesterol and hypertension is higher in female patients. There is no significant relationship between Mets and stroke type in AHA/NHLBI criteria.. But, there is significant relationship between Mets and stroke type in IDF criteria.

• 한국컴퓨터정보학회논문지
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• 제24권10호
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• pp.175-182
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• 2019

이 연구는 경찰관에게 실시한 기본인명소생술 훈련의 효과를 증명하기 위해 실시되었고, 연구대상자는 K 경찰관 중 10명의 실험군과 10명의 대조군으로, 교육프로그램은 60분 이론과 30분 실습을 포함하였다. 기본인명소생술 술기 측정은 미국심장협회에서 제시한 응급 심혈관 치료의 가이드라인을 따랐다. 결과는 다음과 같다. 실험군에서 현장확인기술, 1차 평가수행기술 및 기본인명소생술 능력(심장압박, 인공호흡, 의학적 평가)이 대조군에 비하여 높게 나타났다. 결론적으로, 이 연구결과는 시뮬레이션 교육프로그램이 전통적인 이론실습강의보다 경찰관의 임상술기능력을 향상시키는데 효과적이라는 것을 증명하였다. 그러므로 시뮬레이션 교육프로그램을 심정지 응급치료에 대한 교육프로그램으로 적용하는 것을 제안한다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2019년도 춘계학술대회
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• pp.525-527
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• 2019

심정지(Cardiac arrest)는 원인과 관계없이 심장의 박동이 정지되어 발생하는 일련의 상태를 말한다. 심정지 발생 시 환자의 생명을 구하기 위한 유일한방법 중 하나는 심폐소생술이며 이 술기를 통하여 순환을 유지 시킬 수 있고, 고품질의 심폐소생술은 환자의 생존률과 신경학적 예후에 영향을 미치기 때문에 매우 중요한 술기이다. 영아 심폐소생술의 경우 두 손가락으로 가슴을 압박하는 방법을 사용한다. 하지만 이 방법은 해부학적으로 손가락의 피로도가 가중되고 수직압박이 힘들어 미국심장협회에서 권장한 가슴압박깊이에 도달하기 힘들 수 있다. 이 연구는 영아 심폐소생술 중 가슴압박 시행 시 새로운 가슴압박법의 효과를 검증하고, 고품질의 심폐소생술을 위한 기초자료를 제공하고자 한다. 연구결과 가슴압박 방법에 따라 가슴의 평균압박깊이 및 평균압박 속도가 유의한 차이가 있었다(p<0.001) 또한 가슴압박의 편리성 및 통증정도에서 유의한 차이를 보였다. 본 연구의 결과를 종합해 볼 때 영아 심폐소생술 중 새로운 가슴압박법 시행 시 정확도가 높아지고, 가슴압박 깊이가 나아져 가슴압박의 질적 지표가 개선되었음을 알 수 있었다.

• 한국동물위생학회지
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• 제47권1호
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• pp.1-7
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• 2024

Radiographic left atrial dimension (RLAD) is a valuable metric for assessing left atrial enlargement in dogs. While there have been studies on the use of RLAD and the increase in C-reactive protein (CRP) levels based on heart disease stages, there has been no prior research on the correlation between RLAD and CRP. In this study, the objective was to investigate the relationship between the rise in RLAD as myxomatous mitral valve disease (MMVD) stages advance and the increase in CRP levels with MMVD stage progression. In this study, a total of 30 small-breed dogs were included as subjects. These dogs were diagnosed with MMVD at the American College of Veterinary Internal Medicine (ACVIM) stage B1 or B2, or stage C, based on a comprehensive assessment including physical examination, thoracic radiography, and echocardiography. Measurements of VHS and RLAD were compared to assess any significant differences. There were significant differences in RLAD between dogs with MMVD ACVIM stage B1 and those with stage C. The monocytes and CRP levels showed significant differences between ACVIM stage B1, B2 and ACVIM C. Additionally, a significant correlation was observed between the RLAD and VHS measurements. This underscores the notable association between MMVD stage advancement and elevated monocyte and CRP levels. The RLAD scores exhibited a significant difference among dogs with ACVIM stages B1, B2, and C, and significant variations were also observed in monocyte and CRP levels. These results suggest that monocyte and CRP levels may be a valuable diagnostic indicator for heart disease in dogs during the diagnostic evaluation.

• 한국농촌간호학회지
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• 제7권1호
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• pp.5-17
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• 2012

Purpose: The objectives of this study were to investigate the prevalence of the metabolic syndrome (MetS) and to identify associated factors with MetS among rural residents. Methods: Data were collected from 1,196 subjects over aged 30 years by a self-administered questionnaire, physical measurement, and blood test in a rural area. The prevalence of MetS was determined by the criteria of the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI) and 2005 the Korean society for the study of obesity. Results: The prevalence of MetS was 40.5% for men, 49.2% for women. The prevalence of risk factors of MetS was 57.4% for elevated blood pressure, 49.0% for low HDL-cholesterol, and 48.6% for abdominal obesity. Unemployment and higher Body mass index (BMI) were associated factors for MetS regardless of gender. And higher age and physical inactivity in women only increased the odds of the MetS. Especially, BMI was a strong risk factor of MetS in both men and women. Conclusion: The prevalence of metabolic syndrome was higher in a rural area. Therefore, health care providers should develop lifestyle modification program to increase physical activity level and to prevent the obesity among rural residents in order to decrease the prevalence of MetS.

• 한국응급구조학회지
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• 제17권1호
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• pp.9-19
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• 2013

Purpose : The purpose of this study was to investigate the variation of elapsed time in the cardiopulmonary resuscitation (CPR) quality and the fatigue in continuous CPR by single rescuer. This study will provide basic data about the time for the alternation of the CPR providers. Methods : The volunteer students having healthcare provider certification were recruited from the department of emergency medical service. The students performed 30:2 CPR for 20 minutes, and the data were recorded and analyzed. Metrics were based on the 2010 American Heart Association (AHA) Guidelines, and the CPR continued without any feedback. Results : Among the indicators of CPR, the accuracy and the depth of chest compressions decreased after about 5.3 minutes, and the rate increased approximately after 6.8 minutes. Changes in clinical indicators appeared, and fatigue increased after about 3 minutes. According to the increase in fatigue level, the changes in the CPR indicators and clinical indicators showed up, and these results proved to be statistically significant. However, there were no associations among the time, fatigue, and gender. Conclusion : Even though the times of changes in the indicators appeared differently, the times of changes in fatigue and CPR quality were able to be confirmed.

• 성인간호학회지
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• 제23권6호
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• pp.624-632
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• 2011

Purpose: This study was performed to determine the perception and attitude of emergency medical staff by the presence of family members while performing Cardiopulmonary Resuscitation (CPR). Methods: Data were collected from June and August in 2010 using questionnaire. The participants were 187 doctors and nurses who were working at emergency medical centers located at eight hospitals. Results: Approximately half of the medical emergency staff had previous experience of having requests from a patient's family members to remain present at the time of performing CPR. Most of the subjects did not know that the 2005 American Heart Association (AHA) guideline recommended including willing family members' during CPR. Doctors were more likely than nurses to recognize that the positive effects of family members being present during CPR. Conclusion: This study indicates that health professionals are not aware of the AHA guidelines for including family members during CPR of a patient and further that more doctors than nurses recognized the value of including willing family members during CPR.

• Journal of Korean Biological Nursing Science
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• 제4권2호
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• pp.41-49
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• 2002

Aim To evaluate blood pressure, blood glucose and serum lipid level in obese and nonobese type 2 diabetic patients. Methods 206 obese(76 male, 130 female) and 442 nonobese(208 male, 234 female) type 2 diabetic patients underwent fasting blood glucose, 2-hour postprandial blood glucose, $HbA_1c$ total cholesterol, triglyceride, high density lipoprotein, microalbuminuria, blood urea nitrogen, creatinine and C-peptide were measured. Diabetes was diagnosed according to the American Diabetes Association(ADA)criteria. Obesity was defined as body mass index(BMI, kilograms per meters squared)${\geq}25$. Results In male, systolic blood pressure, triglycerides, microalbuminuria and C-peptide were significant higher in obese than nonobese patients. Fasting blood glucose were significantly lower in obese than nonobese patients. Diastolic blood pressure, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, high density lipoprotein, blood urea nitrogen, and creatinine were no difference between 2 groups. In female, triglycerides and C-peptide were significant higher in obese than nonobese patients, Blood pressure, fasting blood glucose, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, high density lipoprotein, microalbuminuria, blood urea nitrogen, and creatinine were no difference between 2 groups. Conclusion Our present study supports that increased triglycerides play a major role in increasing the risk of coronary heart disease(CHD) in obese women type 2 diabetic patients.

• Journal of Korean Biological Nursing Science
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• 제5권1호
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• pp.5-12
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• 2003

The purpose of this study to compare of clinical profile between obese and nonobese type 2 diabetic patients. The subjects were consist of 111 obese (50 male, 61 female) and 159 non obese (79 male, 80 female) type 2 diabetic patients underwent fasting blood glucose, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, triglyceride, high density lipoprotein, microalbuminuria, fasting C-peptide and 2-hour postprandial C-peptide were measured. Diabetes was diagnosed according to the American Diabetes Association (ADA) criteria. Obesity was defined as body mass index (BMI, kilograms per meters squared) ${\geq}23$. Data analyses were t-test, chisquare test in SAS program. The results were as follows : 1) Triglycerides and 2-hour postprandial C-peptide were significant higher in obese than non-obese patients. 2) Systolic blood pressure, Diastolic blood pressure, fasting blood sugar, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, high-density lipoprotein, microalbuminuria and fasting C-peptide were no difference between obese and non-obese groups. These data indicate that obesity is a risk factor for the development of coronary heart disease (CHD) in diabetic patients. Therefore, weight reductions have beneficial effects on insulin action and glycemic control in obese type 2 diabetic patients.