• Journal of Trauma and Injury
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• v.32 no.3
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• pp.136-142
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• 2019

Purpose: Near drowning refers to immediate survival after asphyxia due to submersion or immersion in water, which is a crucial public safety problem worldwide. Acute lung injury or acute respiratory distress syndrome (ARDS) is a common complication of near drowning. The purpose of this study was to investigate the feasibility and effectiveness of noninvasive nasal positive pressure ventilation (NINPPV). Methods: This retrospective study was conducted at a tertiary emergency department. NINPPV was administered for moderate ARDS caused by submersion or immersion in patients who were older than 18 years, from January 2015 to December 2018. We collected the demographic (age, sex, length of hospital stay, and outcome), laboratory (arterial blood gas, lactate, oxygen saturation, partial pressure of oxygen divided by the fraction of inspired oxygen, complete blood count, blood urea nitrogen, and creatinine), and clinical data (acute lung injury index and ventilator failure) of the patients. A statistical analysis was performed using Statistical Package for the Social Sciences version 20.0 for Windows. Results: NINPPV treatment was provided to 57 patients for near drowning, 45 of whom (78.9%) were successfully treated without complications; in 12 (21.1%), treatment was changed to invasive mechanical ventilation within 48 hours due to ARDS or acute kidney injury. NINPPV treatment was successful in 31 (75.6%) out of 41 sea-water near drowning patients. They were more difficult to treat with NINPPV compared with the fresh-water near drowning patients (p<0.05). Conclusions: NINPPV would be useful and feasible as the initial treatment of moderate ARDS caused by near drowning.

• Tuberculosis and Respiratory Diseases
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• v.69 no.4
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• pp.298-302
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• 2010

Scedosporium apiospermum, the anamorph of Pseudallescheria boydii, is a ubiquitous saprophytic fungus. S. apiospermum can cause life-threatening infections usually in immunocompromised patients or after near-drowning incidents. Here, we report the first case of disseminated infection caused by S. apiospermum after near-drowning in Korea. A 44-year-old healthy man developed aspiration pneumonia, followed by multiple brain abscesses, and endopthalmitis, after a near-drowning incident in a septic tank. S. apiospermum infection was diagnosed on the 33rd day after the incident had occurred. The patient died from the progressive renal failure 255 days after incident, although he had been treated with voriconazole.

• The Korean Journal of Emergency Medical Services
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• v.5 no.1
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• pp.165-175
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• 2001

The purpose of this study is to investigate the actual status of occurrence of near-drowning accident by regions, sex, causes, places, months and days through Bureau of Statistics for 3 years from 1998 to 2000. 1. As the results of the drowned persons for 3 years from 1998 to 2000, the total number of them were 5,058 persons and 1,686 persons the yearly mean experienced near-drowning accidents. In the actual status of drowned persons by regions, 255 persons(15.1%) of Kyung-Ki regions are highest, 27 persons(1.62%) of Che-Ju regions are lowest. 2. In the actual status of drowned persons by sex, the yearly mean 1324 male persons(78.58%) and 362 female persons(21.42%) of 1,686 persons the yearly mean are drowned and the number of male drowned persons is 3.7 times higher than that of female. 3. In the actual status of drowned persons by age, among 1,686 drowned persons the yearly mean, 467 persons between fifteen and nineteen are drowned(9.23%). 4. In the actual status of drowned persons by causes, the major causes due to the poor swimming skills are 43.4%. 5. In the actual status of drowned persons by places, the major places are rivers and riversides(50.0%). 6. In the actual status of drowned persons by months, among 1,686 drowned persons the yearly mean, 319.33 persons(18.94%) on the July and 403.66 persons(23.94%) on the August had the highest the drowning accident. It is one of major cause of seasonal accidental death especially in summer. 7. In the actual status of drowned persons by day of the week, among 1,686 drowned persons the yearly mean, most of near-drowning accidents are happened on weekend(56.62%).

• Journal of Chest Surgery
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• v.43 no.2
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• pp.164-167
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• 2010

Extracorporeal membrane oxygenation (ECMO) during acute respiratory failure due to any cause aids in the recovery of respiratory function. The use of ECMO for acute respiratory failure due to near drowning was reported to be a successful therapeutic option in those patients who do not respond to optimal conventional therapies. We performed veno-venous ECMO for 2 acute respiratory failures due to near-drownings. All cannulations were performed percutaneously via both femoral veins. The 2 patients were successfully weaned off ECMO, but one patient experienced diffuse hypoxic brain damage and a subarachnoid hemorrhage.

• Tuberculosis and Respiratory Diseases
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• v.55 no.3
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• pp.287-296
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• 2003

Background : Drowning represents the third most common cause of all accidental deaths worldwide. Although few studies of submersion injury were done in Korea, the subjects were mainly pediatric patients. The purpose of this study is to describe the clinical feature of submersion injury in adults. Methods : The medical records of 31 patients with submersion injury who were >15 years of age and admitted to Kyungpook National University Hospital from July 1990 to March 2003 were retrospectively examined. Results : The most common age-group, cause, and site of submersion accidents in adults were 15-24 years of age, inability to swim, and river followed by more than 65 years of age, drinking, and public bath respectively. The initial chest radiographics showed bilaterally and centrally predominant distribution of pulmonary edema at lung base in about 90% of patients with pulmonary edema represented by submersion injury but at only upper lung zone in 10%. Eventually, 25 patients (80.6%) survived without any neurologic deficit and 2 patients (6.5%) with significant neurologic deficit, and 4 patients (12.9%) died. Age, arterial gas oxygenation, and mental status among baseline variables showed significant difference for prognosis. Conclusions : More than 65 year of age, drinking, and occurrence in public bath were relatively important in submersion injury of adults, and the successful survival of 80.6% of patients suggests that cardiopulmonary resuscitation should be intensively done in even adults.

• Korean Journal of Remote Sensing
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• v.36 no.1
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• pp.1-13
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• 2020

Seasonal changes in river water vary seasonally as well as locationally, and the assessment is essential. In this study, we used the recent technique of post-classification by using the Google earth engine (GEE) to map the seasonal changes in Mahanadi river of Odisha. However,some fixed problems results during the rainy season that affects the livelihood system of Cuttack such as flooding, drowning of children and waste material deposit. Therefore, this study conducted 1) to map and analyse the water density changes and 2) to analyse the seasonal variation of river water to resolve and prevent problem shortcomings. Our results showed that nine types of variation can be found in the Mahanadi River each year. The increase and decrease of intensity of surface water analysed, and it varies in between -130 to 70 ㎥/nf. The highest frequency change is 2900 Hz near Cuttack city. The pi diagram provides the percentage of seasonal variation that can be observed as permanent water (30%), new seasonal (28%), ephemeral (12%), permanent to seasonal (7%) and seasonal (10%). The analysis is helpful and effective to assess the seasonal variation that can provide a platform for the development of Cuttack city that lies in Mahanadi delta.

• Journal of Trauma and Injury
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• v.30 no.3
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• pp.75-79
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• 2017

Purpose: Although trauma is the most common cause of death under age 18, Korean national pediatric trauma data has lack of clinical data. This study is to prepare manpower resources, equipment, and make a correct policy decision on pediatric trauma victims Methods: The study enrolled 528 patients under age 16 with traumatic injury visited Wonju Severance Christian Hostpital Trauma Center, from February 12, 2015 to December 31, 2016. We analyzed the distribution of gender, age, place and time of the accident, injury mechanism, injury severity, and injured organ by medical record. Results: The major injury mechanisms were blunt injury in 485 (91.90%), penetrating injury in 27 (5.10%), burn in 13 (2.50%), near drowning in 2 (0.40%), and foreign body ingestion in 1 (0.20%). Ninety-seven (18.4%) patients were injured at home and 67 (12.7%) patients were injured at school. The overall mortality rate was 1.13% (n=6). 5 mortalities were related to automobile accident and one was fall down. Mean Injury Severity Score (ISS) was 4 (2, 8). No statistical significance was observed in the mean ISS between each age group. The peak time of accident occurrence was between 16 and 17 o'clock. The mean ISS was higher in blunt injury group than penetrating injury with statistical significance ($6.50{\pm}7.60$ vs. $3.00{\pm}8.10$; p<0.05). The most common injury site was upper extremity. Mean ISS was highest in thorax injury. However, mean ISS of thorax injury was higher with statistical significance only compared with face, neck and upper extremity injury. Conclusions: We reported our pediatric trauma patients data of our hospital level I trauma center, which is the only one level I trauma center of Gangwon Province. These data is useful to prevent and prepare for pediatric trauma.