• 한국산학기술학회논문지
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• 제12권6호
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• pp.2607-2615
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• 2011

본 연구는 심폐소생술 시행 시 구령집단과 비구령집단 간의 심폐소생술 정확도 비교를 통하여 심폐소생술 시행에 효율성과 정확성을 높이고자 한다. 본 연구는 G도에 소재 대학생 62명(비구령집단 31명, 구령집단 31명)을 편의추출 하였으며, 조사기간은 2010년 10월 7일부터 10월 21일까지 이루어졌다. 분석방법은 SPSS WIN(Version 12.0) 프로그램을 이용하여 분석하였다. 연구결과 심폐소생술 시행 시 비구령집단이 구령집단보다 여러 영역에서 인공호흡과 가슴압박에 대한 심폐소생술의 정확도가 높게 나타났다. 이를 바탕으로 차후 심폐소생술 교육과 술기를 수행함에 있어서 비구령방법을 적용해 볼 필요가 있다. 그리고 응급상황에서 구령방법과 비구령방밥 간의 효과성에 대한 지속적 연구도 필요하다.

• Clinical and Experimental Pediatrics
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• 제48권10호
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• pp.1143-1143
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• 2005

흉부 관통상에 의해 심실중격결손이 동반된 대부분의 환자들은 내원 시 활력징후가 불안정하여 심폐소생술 및 응급 개흉술을 시행받게 되는데, 이러한 경우 심장과 흉부 손상의 위치 및 정도에 대한 자세한 검사가 이루어지지 않은 상태이므로 발견되지 않았거나 잔존하는 이상 소견들이 수술 후 검사에서 발견될 수 있고 이에 대한 재수술을 필요로 하는 경우도 있다. 심실중격결손의 심도자술을 통한 폐쇄는 수술을 대처할 수 있는 방법으로서, 특히 수술 후 잔존하는 단락의 경우 이차 수술의 위험을 피할 수 있다. 저자들은 흉부 자상에 의한 심실벽의 열창 및 심실중격결손을 수술적 방법으로 봉합한 후 잔존하는 심실중격결손을 기구($Amplatzer^{(R)}$ VSD occluder)를 이용한 중재적 심도자술로 치료한 증례를 문헌 고찰과 함께 보고한다. 심도자술 6개월 후 시행한 심초음파검사에서 잔존하는 심실 좌우 단락은 없었고, 심실 크기와 기능도 정상이었고, 현재 상태는 양호하여 정상적으로 학교생활을 하고 있다.

• Safety and Health at Work
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• 제6권3호
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• pp.192-199
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• 2015

Background: Overweight, obesity, and cardiovascular disease risk factors are prevalent among firefighters in some developed countries. It is unclear whether physical activity and cardiopulmonary fitness reduce cardiovascular disease risk and the cardiovascular workload at work in firefighters. The present study investigated the relationship between leisure-time physical activity, cardiopulmonary fitness, cardiovascular disease risk factors, and cardiovascular workload at work in firefighters in Hong Kong. Methods: Male firefighters (n = 387) were randomly selected from serving firefighters in Hong Kong (n = 5,370) for the assessment of cardiovascular disease risk factors (obesity, hypertension, diabetes mellitus, dyslipidemia, smoking, known cardiovascular diseases). One-third (Target Group) were randomly selected for the assessment of off-duty leisure-time physical activity using the short version of the International Physical Activity Questionnaire. Maximal oxygen uptake was assessed, as well as cardiovascular workload using heart rate monitoring for each firefighter for four "normal" 24-hour working shifts and during real-situation simulated scenarios. Results: Overall, 33.9% of the firefighters had at least two cardiovascular disease risk factors. In the Target Group, firefighters who had higher leisure-time physical activity had a lower resting heart rate and a lower average working heart rate, and spent a smaller proportion of time working at a moderate-intensity cardiovascular workload. Firefighters who had moderate aerobic fitness and high leisure-time physical activity had a lower peak working heart rate during the mountain rescue scenario compared with firefighters who had low leisure-time physical activities. Conclusion: Leisure-time physical activity conferred significant benefits during job tasks of moderate cardiovascular workload in firefighters in Hong Kong.

• Journal of Chest Surgery
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• 제30권7호
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• pp.724-728
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• 1997

68세된 남자로 좌측과 후측 흉부에 통증을 주소로 내원하였다. 술전 시행한 흉복부 W scan에서 대동맥류는 좌측 쇄골하동맥에서 횡격막까지 연결되었고 긴박성 파열의 소견도 보였다. 또한 술전 관동맥조영술에서는 좌회선동맥에 95%, 좌전하행지에 50%의 협착소견을 보였다. 수술은 고동맥-고정맥 우회술을 하면서 좌측 제 4늑간을 통하여 측후방 개흉절개를 하여 수술시야를 확보하였고 대동맥을 차단한뒤 대동맥류를 절개하고 인조혈관으로 대치하였다. 그리고 심박동하에서 대복제정 맥을 이용하여 좌회선동맥의 두번째 둔각변연동맥과 좌측 쇄골하동맥 기시부에 관상동맥 우회술을 하였다. 술후 환자는 술중 저혈압성 쇼크와 저산소증으로 다발성 뇌경색의 합병증을 보였다.

• Journal of Chest Surgery
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• 제41권6호
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• pp.764-767
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• 2008

최근 심각한 심기능 저하와 호흡 부전 환자의 소생술에서 체외막 산소화 장치의 이용 사례는 지속적으로 증가하고 있다. 본 증례에서는 한 환자에서 두 차례의 기관지 출혈로 인하여 호흡 부전 및 심정지가 발생하였고, 각각의 경우에 정맥 정맥간 체외막 산소화 장치와 정맥 동맥간 체외막 산소화 장치를 적절하게 적응하여 좋은 결과를 보였기에 이를 보고하고자 한다.

• 지역사회간호학회지
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• 제16권2호
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• pp.177-185
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• 2005

Purpose: This study was to examine the effects of an exercise program on physical fitness, cardiopulmonary function and life satisfaction for adult women. Method: The exercise program combined dance and resistance training. The subject group consisted of 114 women aged between 33 and 60. Three 8-week sessions consisted of 55-80% HR max for 60-90 minutes a day and 3 times a week from March to November, 2004. Data were collected through pre- and post-exercise tests before and after each session. Data were collected with dynamometer, sphygmomamometer, spirometer and structured questionnaires. Data were analyzed employing descriptive statistics and paired t-test with SPSS/PC(10.0version) program. Results: There were significantly positive changes in muscle strength, flexibility, balance quality, forced vital capacity and life satisfaction, but no significantly positive changes in agility and blood pressure. Conclusion: This study showed that an exercise program has partially positive effects for adult women. The results of this study suggest that there should be programs of continuous exercise at community health centers for adult women's health.

• 지역사회간호학회지
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• 제31권3호
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• pp.384-394
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• 2020

Purpose: The study aimed to investigate elementary and secondary school teacher's knowledge, attitude, and self-efficacy regarding cardiopulmonary resuscitation (CPR), and explore which factors affect their intention to perform CPR. Methods: A descriptive correlational study design was utilized. Data were collected using self-reported questionnaire from 147 teachers. Statistical analysis was conducted using descriptive statistics, t-test, 𝑥² test, F-test, Pearson correlation coefficients, and logistic regression with the SPSS/WIN 21.0 program. Results: The average of knowledge, attitude and self-efficacy on CPR was 11.11±1.88 out of 15, 42.81±5.22 out of 55, and 86.19±17.74 out of 120 in order. CPR performance intention had significantly positive correlations with knowledge, attitude, and self-efficacy on CPR. In logistic regression, factors significantly affecting intention to perform CPR were the total number of training sessions on CPR (OR=12.15, 95% CI: 2.83~52.20), attitude on CPR (OR=9.26, 95% CI: 1.61~53.34), and self-efficacy on CPR (OR=1.72, 95% CI: 1.04~2.84), which accounted for 42.7% of the variance. Conclusion: In order to increase the intention to perform CPR among teachers in elementary and secondary schools, it is necessary for an educational program to be developed to improve positive attitudes and self-efficacy on CPR.

• 한국융합학회논문지
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• 제8권10호
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• pp.125-134
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• 2017

본 연구의 목적은 치과위생사의 심폐소생술에 대한 융복합적 지식, 태도 및 수행자신감의 상관관계를 분석하고자 함이다. 전북지역 치과병의원의 치과위생사 234명을 대상으로 하였으며, 자기기입식 설문지 작성을 통해 자료를 수집하였다. 수집된 자료는 SPSS 21.0 을 이용하여 t-test, ANOVA, peason's correlation coefficients으로 분석하였다. 지식과 태도, 교육을 포함한 태도와 지식, 지식과 수행자신감의 관계가 긍정적 상관관계를 나타내었다(r=.25, r=.40, r=.19). 치과위생사가 심폐소생술이 필요한 기도폐쇄나 심장정지 상황에서 신속하고 정확한 심폐소생술을 수행할 수 있도록 정확한 지식 및 긍정적인 태도를 갖고, 수행 자신감을 향상시킬 수 있는 체계적이고 반복적인 심폐소생술 교육과정 프로그램이 필요하다.

• 대한간호학회지
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• 제18권2호
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• pp.105-117
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• 1988

To evaluate training effect, aerobic dance was performed by eight female collegestudents for 8 weeks. Body composition, cardiopulmonary function at rest and during maximal exercise, blood cholesterol concentration at rest were determined before and after 8weeks of aerobic dance training. Maximal exercise was performed on the treadmill according of Bruce protocol. Pre to post training differences were evaluated. The results obtained were as follows : 1. After the training, skinfold thickness and total body fat decreased significantly(p＜0.1) while lean body mass increased with significance (p＜0.1). 2. Heart rate and arterial blood pressure at rest decreased without sinificance after the training. 3. As a result of training, forced vital capacity and forced expiratory volume for a second increased significantly (p＜0.01, p＜0.1). 4. After the training period, heart rate at 3, 6, and 9 min. during treadmill exercise was significantly lower than those of pretraining (p＜0.05). 5. After the training, systolic and diastolic blood pressure at 6 and 9 min during the exercise was significantly lower than those of pretraining (p＜0.025, p＜0.1). 6. After the training, oxygen uptake at 3 and 6 min during the exercise was significantly greater than those of pretraining (p＜0.05). 7. As a result of training, the maximal oxygen uptake increased significantly during the exercise (p＜0.1). 8. After the training, expired air volume for a minute at 3 and 6 min during the exercise was signigicantly grerter than those of pretraining (p＜0.1). 9. After the training, repiratory quotient during the exercise was lower than pretaining without significance. 10. After the training, blood HDL -cholesterol concentration incereased with significance, (p＜0.1) blood total cholesterol and triglycerids concentration decreasedsignificantly (p＜0.1). From these results, it may be concluded that 8 week aerobic dance training reduces skinfold thickness and body fat contents, improves the cardiopulmonary function and tissue oxygen utilization, reduces blood cholesterol and triglyceride concentration and brings about the increase of blood HDL-cholesterol concentriation.

• 한국전문물리치료학회지
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• 제19권1호
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• pp.56-65
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• 2012

This study examines the effects of a rehabilitation program on quality of life (QOL), cardiopulmonary function and fatigue during radiotherapy for breast cancer patients. The program includes aerobic exercise, stretching and strengthening exercises. Sixty-five women participated in this study and they were asked to perform supervised exercises that last for 60 minutes five times a week for six weeks. The European organization for research and treatment of cancer-cancer (EORTC QLQ-C30) and the breast (EORTC QLQ-BR23), predicted maximal volume of oxygen consumption ($VO_{2max}$) and fatigue severity scale (FSS) were assessed before and after the rehabilitation program. The 60-minute program consisted of a 10-minute warm-up, 30-minute of aerobic exercises, and 15-minute of strengthening exercises, followed by a five-minute cool-down. Heart rates were monitored throughout the exercise class to ensure that patients were exercising at the target heart rate of 40~75% of the age-adjusted heart rate maximum. There were statistically significant differences in the changes of physical function and cancer related symptoms in the EORTC QLQ-C30 and EORTC QLQ-BR23 (p<.05). There was a statistically significant improvement in the predicted $VO_{2max}$ (p<.05), although there were no significant differences in the FSS (p>.05). The results of our study suggest that a supervised rehabilitation program may benefit the physical aspects and QOL of patients receiving radiotherapy for breast cancer.