• Journal of Yeungnam Medical Science
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• 제38권4호
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• pp.356-360
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• 2021

Treating cardiac injuries following blunt trauma to the chest requires thorough examination, accurate diagnosis, and therapeutic plan. We present two cases; pulmonary vein rupture and left atrial appendage laceration, both as a result of blunt chest trauma. Through these cases, our team learned the importance of maintaining hemodynamic stability during the examination of injured cardiac structures. And based on the comprehensive cardiac examination, a decision to surgically intervene with median sternotomy via cardiopulmonary bypass was made, saving lives of the patient. This report introduces how such decision was made based on what supporting evidence and the diagnostic process leading to the initiation of surgical intervention. This report may help with decision-making process when confronted by blunt cardiac injury patients who need cardiac exploration.

• Journal of Chest Surgery
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• 제52권1호
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• pp.58-60
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• 2019

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

• 한국임상보건과학회지
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• 제6권2호
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• pp.1189-1198
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• 2018

Purpose. The study was basic materials are provided to identify differences in the knowledge, attitude and performance of cardiopulmonary resuscitation(CPR) depending on the characteristics of child care teachers, and to develop an education program that will enable you to improve your future CPR performance. Methods. This study was conducted on 147 child care teachers. The questionnaire of the previous study was corrected and 48 total questions were used. Using spss 22.0 frequency analysis, T-test, ANOVA and Duncan-test were performed. Results. The knowledge level of 50s was higher those in their 20s. The higher the satisfaction level with education, the more positive was about CPR(p<.001). The more CPR training, the higher the performance(p<.01). The was a positive correlation between CPR attitude and performance ability(r=.355, p<.001). Conclusion. In order to have a positive influence on the CPR of child care teachers, the number of education should be increased and the level of education satisfaction should be managed to increase.

• 근관절건강학회지
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• 제26권2호
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• pp.131-140
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• 2019

Purpose: The purpose of this study was to explore factors influencing for intention to perform cardiopulmonary resuscitation (CPR) in undergraduate nursing students. Methods: A total of 146 students at G University participated in this descriptive study. With a self-administered questionnaire, the data were collected from November 26 to November 30, 2018. Results: In this study, intention to perform CPR had significant positive correlations with attitude of CPR (r=60, p<.001), self-efficiency of CPR (r=.53, p<.001), and confidence in automated external defibrillator (AED) utilization (r=.47, p<.001). Stepwise multiple regression analysis showed that factors influencing for intention to perform CPR were attitude of CPR (${\beta}=.60$, p<.001) and confidence in AED utilization (${\beta}=.26$, p<.001). Overall, approximately 41% of the variability in intention to perform CPR was explained by these variables ($R^2=.41$, F=50.04, p<.001). Conclusion: In order to promote the intention to carry out CPR among nursing college students, it will be necessary to develop strategies to strengthen a positive attitude toward CPR in fundamental nursing and clinical nursing practices in addition to improve confidence in AED utilization.

• Child Health Nursing Research
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• 제25권1호
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• pp.17-27
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• 2019

Purpose: The purpose of this study was to examine the effects of an infant cardiopulmonary resuscitation (CPR) training program that applied the 5-step method on the knowledge, attitudes, and performance ability of nursing students in terms of enhancement and sustainability. Methods: Sixty-one nursing students (28 in the experimental group and 33 in the control group) from D city participated in this study. Data were collected from April 25 to December 15, 2016. The experimental group and control group received infant CPR education using the 5-step method and the traditional method, respectively. The outcome variables were measured 3 times (pretest and posttest at 1 week and 6 months after training) Results: There were significant differences in attitude (t=2.68, p=.009) and performance ability (t=4.56, p<.001) between the groups at 1 week after training, as well as in sustained performance ability at 6 months after training (F=6.76, p=.012). Conclusion: The 5-step method of infant CPR training was effective for improving performance ability in a sustained manner and promoting a positive attitude. Therefore, it is recommended that nursing students, as infant CPR novices, receive training using this effective method.

• 한국컴퓨터정보학회논문지
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• 제24권4호
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• pp.153-159
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• 2019

In this paper, we propose a the effects of new chest compressions in the implementation of chest compressions during infant cardiopulmonary resuscitation, and to provide basic data for high-quality CPR. On March 12, 2019, the research target used the SPSS 22.0 Version as an experimental study using randomized cross-design of 30 emergency medical services students who completed BLS Health Care-provider. The study also showed significant differences in chest depth and average rate of pressure($34.61{\pm}1.29$, $39.40{\pm}1.08$, <0.001, $105.46{\pm}4.23$, $107{\pm}3.84$, <0.001) depending on chest compressions. There was also a significant difference in the convenience and degree of pain of chest compressions(<0.001). In addition, new chest compressions appeared close to vertical and showed statistically significant differences(p<.001). Based on the results of this study, we can see that the accuracy of the new chest compressions during infant cardiopulmonary resuscitation is increased, and the depth of chest compressions is improved, improving the quality index of chest compressions. However, it will be necessary to further study the use of the new chest compressions to identify the potential for clinical use.

• 한국응급구조학회지
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• 제24권3호
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• pp.79-87
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• 2020

Purpose: This study sought to determine how the act of performing cardiopulmonary resuscitation (CPR) affects the rescuer's muscle tone, stiffness, and fatigue in the lumbar region. Methods: The research subjects were 30 healthy men in their twenties in possession of a Basic Life Support (BLS) provider certificate. In this study, the CPR rescuer's muscle tone and stiffness in the upper and lower lumbar regions were measured in the resting position, starting position, and position after 10 min. Their level of fatigue was measured before and after performing CPR. Results: Muscle tone and stiffness in the upper and lower lumbar regions of the research subjects significantly increased throughout the CPR process and lasted up to 10 min after the process (p<.001). The subjects' fatigue also significantly increased post-CPR (p<.001). Conclusion: This study suggests that performing CPR creates muscular and physiological stress, fatigue, and ultimately, lower back pain.

• 한국응급구조학회지
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• 제26권1호
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• pp.139-150
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• 2022

Purpose: This protocol aims to improve the simplicity of the existing two-person cardiopulmonary resuscitation (CPR) by focusing on chest compressions and artificial respiration, and classifying the roles within the scope that can be observed. Methods: In this study, the protocol was developed by forming an expert group consisting of a professor from the emergency and rescue department, a professor from the nursing department, and a first aid officer from the fire department. In addition, if the number of panels is 15 and the derived content validity ratio (CVR) value exceeds 0.49, a reference point that satisfies content validity at 95% reliability is presented. Results: All 11 performance items exceeded the CVR value of 0.49 to meet the reference point, and the CVR range of this protocol is 0.625 to 1.000. Conclusion: In order to improve the quality of three-person CPR, verification of simulation models and continuous protocol revision should be conducted by individuals specializing in various fields.

• 운동영양학회지
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• 제23권1호
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• pp.36-47
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• 2019

[Purpose] We conducted a meta-analysis to evaluate the effects of Taekwondo training on the physical fitness factors in Korean elementary students comprehensively and quantitatively. [Methods] We classified research studies published until November 2018 according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and selected a total of 17 research items; a meta-analysis of these items was then conducted. We used the Comprehensive Meta-Analysis 3.0 and Review Manager 5.3 to analyze the mean effect size, study quality, and publication bias. [Results] Taekwondo training improved the cardiopulmonary endurance, muscle endurance, and power of the elementary students, but was not practical or less useful on other physical fitness factors. The meta-regression analysis of the cardiopulmonary endurance and power items showed that the effect size was large when the sample size was small. Therefore, it is necessary to consider the sample size in interpreting the effect size for these two items. Further, during correction of the publication bias for the power items, the improvement effect by Taekwondo training was eliminated. [Conclusion] Taekwondo training is helpful for improving the cardiopulmonary endurance and muscle endurance of Korean elementary students but is not useful for other physical fitness factors.

• 한국교육논총
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• 제41권2호
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• pp.1-23
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• 2020

본 연구의 목적은 고등학생의 체력요인인 심폐지구력과 근력·근지구력, 순발력 그리고 체지방지수가 학업성취도인 국어와 영어 그리고 수학성취도에 어떤 관계가 있는지를 알아보는 것이다. 연구방법은 2014년과 2017년 전국 고등학교 641명의 남·여학생을 대상으로 심폐지구력과 유연성, 근력·근지구력, 순발력 그리고 체지방지수를 이용하였다. 본 연구의 결과로 2014년도에서는 20m왕복오래달리기와 국어, 수학성취도가 음의 상관관계(p<0.01), 앉아윗몸앞으로굽히기가 영어성취도와 양의 상관관계(p<0.01), 제자리멀리뛰기와 영어성취도가 양의 상관관계(p<0.01), 체지방지수는 영어성취도와 양의 상관관계로 나타났다(p<0.05). 2017년도에서는 20m왕복오래달리기와 영어성취도가 양의 상관관계(p<0.05). 오래달리기걷기와 국어성취도, 수학성취도는 음의 상관관계로 나타났다(p<0.01). 앉아윗몸앞으로굽히기와 국어, 영어, 수학성취도는 양의 상관관계(p<0.01), 팔굽혀펴기와 수학성취도는 양의 상관관계(p<0.01), 체지방지수와 영어성취도는 음의 상관관계로 나타났다(p<0.05). 본 연구의 결론은 다양한 신체활동은 체력요인뿐만 아니라 학업 성취도에 긍정적인 관계를 만들기 때문에 보다 효과적인 체력증진프로그램을 개발하고 시행하는 것이 국내학생들의 학습능력증진에 기여할 수 있다고 기대한다.