• Clinical and Experimental Pediatrics
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• 제54권9호
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• pp.359-362
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• 2011

There is a delicate balance between too little and too much supplemental oxygen exposure in premature infants. Since underuse and overuse of supplemental oxygen can harm premature infants, oxygen saturation levels must be monitored and kept at less than 95% to prevent reactive oxygen species-related diseases, such as retinopathy of prematurity and bronchopulmonary dysplasia. At the same time, desaturation below 80 to 85% must be avoided to prevent adverse consequences, such as cerebral palsy. It is still unclear what range of oxygen saturation is appropriate for premature infants; however, until the results of further studies are available, a reasonable target for pulse oxygen saturation ($SpO_2$) is 90 to 93% with an intermittent review of the correlation between $SpO_2$ and the partial pressure of arterial oxygen tension ($PaO_2$). Because optimal oxygenation depends on individuals at the bedside making ongoing adjustments, each unit must define an optimal target range and set alarm limits according to their own equipment or conditions. All staff must be aware of these values and adjust the concentration of supplemental oxygen frequently.

• 항공우주시스템공학회지
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• 제3권3호
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• pp.39-44
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• 2009

Humans rely on the availability of a supply of gaseous oxygen for survival. If the minimal requirements for oxygen are not met, both mental and physical abilities and performance are degraded rapidly. So oxygen systems are required for the aircraft operating at high altitude to prevent physical and psychological problems, or loss of consciousness in an aircraft pilot, flight crew, or passengers. If oxygen system and equipments are to be included in the type design of an airplane, applicant should consider applicable airworthiness requirements and operating rules. In this paper we analyze the various oxygen system requirements for the type of aircraft, oxygen system, and operating conditions.

• 한국습지학회지
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• 제18권4호
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• pp.488-498
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• 2016

축산지역 강우유출수 처리를 위한 간헐 포기식 인공습지에서 산소공급 및 소비량을 산출하여 낮과 밤 동안의 산소수지(oxygen balance)를 분석하였다. 조류의 광합성 활동이 활발한 얕은 습지에서 주간에는 내부 생산되는 산소가 지배적이었다. 또한 조류에 의한 내호흡이 가장 큰 소비원인 것으로 분석되었으며 질산화와 탈질에 의한 소비량은 각각 전체의 약 5.35%와 6.43%인 것으로 분석되었다. 조류에 의한 과도한 양의 산소소비는 포기조작에 의한 침전조류의 재부상에 의해 초래된 것으로 후속 공정에도 지속적으로 영향을 미쳤다. 더욱이 주간에 조류의 광합성 활동에 의해 생산된 풍부한 산소량은 습지에서 발생하는 산소요구량을 충족시키기에 충분한 것으로 분석되었다. 따라서 주간에 실시되는 인위적인 포기활동은 불필요한 조작으로 판명되었다. 이와 반면에 광합성 활동이 중단되는 야간에는 조류의 내호흡작용으로 습지내부의 산소농도가 크게 저하하였으며 이는 습지에서 탈질반응을 촉진하는 것으로 추정된다. 따라서 인위적인 포기를 중단해도 유기물질 제거나 질소제거에 큰 영향을 미치지 않을 것으로 판단되며, 야간에 혐기성 상태의 지속으로 악취와 같은 문제가 발생될 수 있으므로 간헐적인 모드로 운전하는 것이 타당할 것으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제63권1호
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• pp.59-66
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• 2007

연구배경: 수술적 폐생검은 간질성 폐질환의 확진 및 환자의 치료와 예후 예측에 도움을 주며, 안전하게 시행할 수 있는 방법이다. 간질성 폐질환의 확진을 위해 수술적 폐생검을 한 환자들을 분석하여, 간질성 폐질환 환자에 있어서 수술적 폐생검의 안전성 및 의의를 규명하고자 한다. 방 법: 2001년 1월부터 2006년 6월까지 충남대학교 병원에서 간질성 폐질환이 의심되어 확진을 위해서 수술적 폐생검을 시행 받은 70예 중, 간질성 폐질환으로 진단된 40명의 환자를 후향적으로 분석하였다. 결 과: 연령 분포는 21세에서 77세까지로 평균은 56.4${\pm}$16.1세이며, 총 40명의 환자 중 28명(70%)은 최소 개흉술을 시행하였고, 12명(30%)은 흉강경으로 폐조직 검사를 시행하였다. 수술적 폐생검 후 30일 전체 사망률과 90일 전체 사망률은 각각 15%와 20%이였다. 수술 후 90일 사망자(8명)와 생존자(32명)를 비교해 보면, 수술 전 추가적인 산소 요법이 필요했던 경우는 술후 90일 사망자가 100%(8명)이고, 생존자가 28.1%(9명)이었으며 (p=0.000), 수술 전 기계적 환기요법을 하였던 경우는 술후 90일 사망자가 62.5%(5명)이고, 생존자가 12.5%(4명)으로 (p=0.000) 수술 후 사망률과 통계적 유의성을 보였다. 결 론: 수술적 폐생검은 간질성 폐질환이 의심되는 환자 중에서 산소 공급을 하고 있거나, 기계적 환기 요법을 하고 있는 경우 술후 사망할 위험도가 높기 때문에, 임상에서 수술적 폐생검이 환자의 치료 및 예후에 어떤 영향을 미칠지 신중하게 생각하고 결정해야 한다.

• Tuberculosis and Respiratory Diseases
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• 제83권4호
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• pp.257-267
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• 2020

Patients with chronic obstructive pulmonary disease receive a range of treatments including but not limited to inhaled bronchodilators, inhaled and systemic corticosteroids, supplemental oxygen, and pulmonary rehabilitation. Pulmonary rehabilitation is a multidisciplinary intervention that seeks to combine patient education, exercise, and lifestyle changes into a comprehensive program. Programs 6 to 8 weeks in length have been shown to improve health, reduce dyspnea, increase exercise capacity, improve psychological well-being, and reduce healthcare utilization and hospitalization. Although the use of pulmonary rehabilitation is widely supported by the literature, controversy still exists regarding what should be included in the programs. The goal of this review was to summarize the evidence for pulmonary rehabilitation and identify the areas that hold promise in improving its utilization and effectiveness.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.447-452
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• 2001

Hyperbaric oxygen therapy(HBO) is defined as breathing 100% oxygen while in an enclosed system pressurized to greater than on atmosphere(sea level). This increased oxygen delivery furthers your body's ability to kill germs and to increase healing. HBO is a supplemental therapy to be used in addition to the current medical and surgical therapy you are receiving. HBO typically is used to complement treatments of medical problems such as bone infections, complication of radiotherapy, and certain chronic, non-healing wounds. On an emergency basis, the chamber also is used to treat problems such as carbon monoxide poisoning and the decompression sickness. We analysed stastically cases which are treated by hyperbaric oxygen therapy in point of oral and maxillofacial region on the Kangnam General Hospital for aid in comprehension and application of this therapy. Total 760 patients were treated at Gangnam General Hospital from July 1996 to September 1999. They were classified by region to Decompression sickness(DCS), Carbon monoxide poisoning(CO), General surgery(GS), Orthopedics(OS), Oral and Maxillofacial surgery(OMFS), others. Patients of Oral and Maxillofacial surgery were divided by diseses to Osteomyelitis, Osteoradionecrosis, Reconstruction, Bone graft, Difficult wounds, others. The results were as follows. 1. This institute conducts HBO therapy for DCS which takes up 62% and 10.5% for OMF region. 2. In OMF region, Osteomyelitis is 40%, Osteoradionecrosis is next, Bone graft, and Reconstruction is a row. 3. According to our precious study, HBO has been frequently conducted in OMF region compared to past, however, it is less actively conducted in this area for research than other conturies. Therefore, We need further application to the clinical use.

• 한국응급구조학회지
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• 제24권1호
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• pp.67-76
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• 2020

Purpose: Effective time management, as well as life-saving care, are important in maximizing the prognosis of patients who have sustained major traumas. This study evaluated the appropriateness of emergency medical system (EMS) provider's essential care and how this care impacted on-scene time in patients with major traumas. Methods: This retrospective observational study analyzed the EMS major trauma documents, classified according to the physiological criteria (Glasgow coma scale <14, systolic blood pressure <90mmHg, Respiration rate <10 or >29) in Daejeon, from January, 2015 to December, 2018. Results: Of the 707 major trauma cases, the mean on-scene time was 7.75±4.64 minutes. According to EMS guidelines, essential care accuracy was 67.5% for basic airway, 36.4% for advanced airway, 91.2% for cervical collar, 81.5% for supplemental oxygen, 47.0% for positive pressure ventilation, 19.9% for intravenous access and fluid administration, and 96.0% for external hemorrhage control. Factors affecting on-scene time were positive pressure ventilation (p<.004), and intravenous access and fluid administration (p<.002). Conclusion: Adherence to guidelines was low during advanced airway procedures, positive pressure ventilation, intravenous access, and fluid administration. In addition, the on-scene time was prolonged when the practitioner provided positive pressure ventilation, intravenous access, and fluid administration; however, these durations did not exceed the recommended 10 minutes.

• 한국양식학회지
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• 제18권2호
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• pp.115-121
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• 2005

본 연구는 통기방법과 배양수의 환수에 따른 담수산 rotifer B. calyciflorus의 내구란 형성을 조사하였고 0.5 톤 수조에서 내구란 대량 생산을 수행하였다. 산소와 공기를 공급한 실험구에 있어서 rotifer의 최고밀도와 유성생식률은 차이는 없으나 수정률과 내구란 형성은 공기를 공급한 실험구가 산소를 공급한 실험구보다 높게 나타났다. 배양수의 환수간격에 따른 실험에서 환수를 하지 않은 실험구가 rotifer 최고밀도와 내구란 형성은 환수를 한 실험구(매일 환수한 실험구)보다 높게 나타났지만 내구란 생산의 효율적인 측면에서 Chlorella 건조중량당 내구란 형성은 환수를 한 실험구(매일 환수한 실험구)에서 가장 높게 나타났다. 또한 0.5톤 수조에서 내구란의 총 생산량은 $51.8{\sim}57.9{\times}10^6$개로 나타났다. 본 연구의 결과를 종합하여 볼 때, 공기를 공급한 batch 배양이 담수산 rotifer, B. calyciforus의 내구란을 대량생산하는데 효과적인 방법인 것으로 판단된다. 또한 이종의 내구란 대량생산은 해수산 rotifer B. plicatilis와 B. rotundiformis와 비슷한 생산 효율을 보인 것으로 판단된다.

• 한국응급구조학회지
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• 제2권1호
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• pp.26-35
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• 1998

This study was to exhibit the effective emergency care method for the drowning and non-drowning who are reached two-thousand peoples every year in our country. For investigate the effective emergency care, this study was discussed as follows ; Pathophysiology of the water submersion, Fresh-water & sea-water drowning, Factors affecting survival, and Prehospital management. The conclusions from this study were summarized as follows; 1. Remove the patient from the water. If you suspect neck or spinal injuries, Always support the head and neck level with the back and, begin rescue breathing. 2. Maintain the airway and support ventilation in the water use the jaw-thrust technique to avoid farther injury to the neck or spine. We might encounter more resistance to ventilations than you expect because of water in the airway. Once you have determined that there are no foreign objects in the airway, apply ventilations with more force; adjust ventilations until you see the patient's chest rise and fall but not until you see gastric distention. Do not attempt to remove water from the patient's lungs or stomach. 3. If there is no pulse, begin CPR. 4. Administer high-flow supplemental oxygen; suction as needed. 5. Once the patient is breathing and has a pulse, assess for hemorrhage; control any serious bleeding that you find. 6. Cover the patient to conserve body heat, Handle the patient very gently, and, Transport the patient as quickly as possible to Emergency Department, Continuing resuscitative measures during transport. If the patient have the hypothermia, follow hypothermia management.

• Clinical and Experimental Pediatrics
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• 제53권2호
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• pp.244-247
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• 2010

자발성 종격동 기흉은 신생아기에 발생하는 호흡곤란의 드문 원인 중의 하나이며 대부분의 증례에서는 인공호흡, 출산손상, 태변흡입 등이 선행하는 경우가 많으며, 또한 대다수가 미숙아로 알려져있다. 저자들은 신생아 진찰 중 심음이 적게 들리는 소견으로 발견되었던, 위와 같은 위험인자가 없는 건강한 만삭아에서 발생한 자발성 종격동 기흉 1예를 경험하였기에 이를 보고하는 바이다.