• Journal of Korean Physical Therapy Science
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• v.7 no.1
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• pp.311-319
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• 2000

This study was to measure whether single axis foot or the SACH foot applied to below-knee amputation patients would bring positive changes to the patients' cardiopulmonary function, and help them to overcome their disability. The experiment took place at Asan Medical Center, University of Ulsan, from July 20th to November 20th, 1999 with 10 below-knee amputation patients. The patients were asked to equip single axis foot and SACH foot by turns and lead them to walk on a treadmill which was designed to increase its steep slope. Patients heart rate and blood pressure were recorded before and after their walking, The heart rate, systolic blood pressure, diastolic blood pressure of the patients who were equipped with, either SACH foot or single axis foot, have been increased with as the slant becoming steeper. The heart rates during the experiment did not show relevant changes according to the kind of foot used and the gradient, but the changes occurred before and after the walking(p=0.0001), The similar result of systolic blood pressure was found during the waking(p=0.01). Below-knee amputation patients are expected to walk and perform the routines better, no matter what type of foot is used, as long as they wear an artificial foot properly and taking features of foot product into consideration

• The Korean Journal of Physiology
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• v.21 no.2
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• pp.305-311
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• 1987

To evaluate training effect, the step exercise was loaded to three mem for nine weeks. Step score, cardiopulmonary functions and blood constituents were measured before, during and after the test exercise (50 cm-step exercise and treadmill running), and were compared with the pre-tranining values. The results were as follows: 1) By the training, Harvard step score increased remarkably, expecially in the early stage of training. 2) The post-training values of maximal oxygen uptake increased very significantly and it seemed to be due to increases of stroke volume and tissue oxygen extraction. 3) After the training, the degree of increase in expired volume was small during the treadmill exercise. 4) By the training, increasing rate of respiratory quotient lessened during the exercise and it was considered to be caused by the decreases of carbohydrate consumption and anaerobic metabolism. 5) The blood cholesterol concentrations were harldy changed with this degree of training. 6) The blood lactate level decreased during the recovery periods and the values of the recovery 0 and 5 minutes decreased remarkably, in comparison with the pre-trained values. The above results suggest that the 9 week-training of the step exercise brings about the enhancement of circulatory functions and tissue oxygen utilization, and changes of food-stuffs used during the exercise.

• Journal of environmental and Sanitary engineering
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• v.24 no.4
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• pp.49-59
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• 2009

The purpose of this study was to examine the effects of an aquarobics exercise program on the physical fitness and blood lipids in elderly women. The subjects of the study were twenty-six elderly women enrolled in an Aquarobics exercise program consisting of 60 minutes per session, 3 times a week during the period of 12 weeks. The effects of the program were assessed using the instruments to measure physical fitness and blood lipids before and after the aquarobics exercise program. Data was collected between September and December in 2006, and analyzed by frequency, paired with a t-test, using a SPSS. The results were statistically significant in muscle strength, muscle endurance, flexibility, and cardiopulmonary endurance, but no significant differences were found in agility, total cholesterol, triglycerides and high density lipoprotein cholesterol. Aquarobics exercise can be an effective nursing intervention to improve muscle strength, muscle endurance, flexibility and cardiopulmonary endurance in elderly women.

• Journal of Chest Surgery
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• v.20 no.2
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• pp.404-410
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• 1987

An 18-day-old male neonate with hypoplastic left heart syndrome underwent surgical intervention by modification of the Norwood procedure on September 23, 1986. Hypoplastic left heart syndrome is a serious congenital cardiac anomaly that has a fatal outlook if left untreated. Included in this anomaly are [1] aortic valve atresia, and hypoplasia of the ascending aorta and aortic arch, [1] mitral valve atresia or hypoplasia, and [3] diminutive or absent left ventricle. Patent ductus arteriosus is essential for any survival, and there is usually a patent foramen ovale. Coarctation of the aorta is frequently associated with the lesion.z With a limited period of cardiopulmonary bypass, deep hypothermia, and circulatory arrest, the ductus arteriosus was excised. The main pulmonary artery was divided immediately below its branches, and the distal stump of the divided pulmonary artery was closed with a pericardial patch. The aortic arch was incised, and a 1 5mm tubular Dacron prosthesis was inserted between the main pulmonary artery and the aortic arch. A 4mm shunt of polytetrafluoroethylene graft was established between the new ascending aorta and the right pulmonary artery to provide controlled pulmonary blood flow. Following rewarming, the heart started to beat regularly, but the patient could not be weaned from cardiopulmonary bypass. At autopsy, the patient was found to have hypoplasia of the aortic tract complex with mitral atresia and aortic atresia. A secundum atrial septal defect was noted. Right atrial and ventricular hypertrophy was present, and the left ventricle was entirely absent. Although unsuccessful in this case report, continuing experience with hypoplastic left heart syndrome will lead to an improvement in result.

• Journal of Chest Surgery
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• v.37 no.7
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• pp.609-612
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• 2004

Even though the Cox-Maze III procedure is the gold standard in the therapy for atrial fibrillation (AF) and its outcome is excellent, the complexity of the operation, longer cardiopulmonary bypass time and the risk of bleeding have tended to dissuade cardiac surgeons from its application. The recent data of the pathogenesis of AF and the development of alternative energy sources have facilitated the development of the modified Cox-Maze procedure rapidly. We reported that atrial fibrillation was conversed to sinus rhythm by the epicardial microwave ablation without cardiopulmonary bypass and the normal sinus rhythm was observed during 33 months of follow-up period.

• The Korean Journal of Emergency Medical Services
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• v.17 no.2
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• pp.29-41
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• 2013

Purpose : The purpose of this study was to investigate the effectiveness of cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) education for school teachers by questionnaire survey including the knowledge, self-efficacy and skills of CPR and AED after basic life support (BLS) education. Methods : The subjects were school teachers who participated in BLS education from 24 Nov. to 1 Dec. 2012. They completed the self-reported questionnaire based on BLS skill checklist. Results : There was a statistically significant increase in the knowledge(p <.001), self-efficacy (p <.001) and skills(p <.001) of CPR and AED after BLS education. The correlation existed conspicuously between knowledge versus self-efficacy(r =.409, r =.387), knowledge versus skill(r =.442, r =.084), and self-efficacy versus skills (r =-.148, r =.047) of CPR and AED before and after BLS education. Conclusion : After BLS education, most of the participants found the program was easy and useful to perform. Participants had the willingness to do CPR and AED and wanted to teach BLS to others. It is necessary to provide BLS education for school teachers by systematic approach.

• Child Health Nursing Research
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• v.26 no.4
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• pp.454-462
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• 2020

Purpose: Sudden unexplained infant death (SUID) is a major contributor to infant mortality, and pediatric nurses have the responsibility to educate parents on SUID-reducing strategies. This study was conducted to measure pediatric nurses' knowledge of SUID-related safe sleep practices (K-SSSP) and infant cardiopulmonary resuscitation (K-ICPR). Methods: In total, 136 pediatric nurses were administered a survey including K-SSSP (13 items), K-ICPR (5 items), confidence in K-SSSP education (1 item; 5 points), and other factors relating to SUID experiences or education. Results: The correct answer rates of the K-SSSP and K-ICPR were 62.6% and 62.5%, retrospectively. The mean score for confidence in K-SSSP education was 2.6±0.9. Only 18 nurses (13.2%) responded that they educated parents on the content of the K-SSSP, while 76 nurses had received education on SUID. Positive relationships were observed between K-SSSP scores and higher education, between K-ICPR scores and having own child(ren) and clinical experience, and between confidence in K-SSSP education and higher education or having one's own child(ren). Nurses caring for newborns performed more SUID education than nurses working in other units. Conclusion: There is a profound need to implement a systemic educational program on SUID and strategies to reduce SUID for pediatric nurses.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.4
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• pp.508-517
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• 2013

Purpose: The purpose of this study was to evaluate the effectiveness of infant CPR (Cardiopulmonary Resuscitation) immediate remediation[LAB2]. Methods: This is a quasi-experimental study with a non-equivalent comparison group pre-post test design. Participants were 73 child care teachers in J district in Seoul. The experimental group (35) received immediate remediation with video learning [LAB3]for infant CPR education and the control group (38) received video learning only. We investigated confidence of infant CPR and tested single-rescuer infant CPR performance depending on a checklist (8 items). Data were collected before and right after to evaluate the confidence of infant CPR and before, right after and 2 weeks after the education to evaluate the skill performance and final acceptance. Results: There was a significant increase in confidence of infant CPR in the experimental group and control group. There was a statistically significant difference in the degree of skill performance between groups according to the amount time (F=10.58, p<.001). The degree of skill performance was tested two weeks after the education and immediate remediation was 5.35 times more effective compared to the video image demonstration (B=1.677, p<.001). Conclusion: The findings provide the necessity of immediate remediation education of infant CPR to increase confidence and skill performance ability.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.30 no.1 s.244
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• pp.87-94
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• 2006

This paper presents the hydrodynamic design and performance analysis method for a miniaturized centrifugal blood pump using three-dimensional computational fluid dynamics (CFD) code. In order to obtain the hydraulically high efficient configuration of a miniaturized centrifugal blood pump for cardiopulmonary circulation, a well-established commercial CFD code was incorporated considering detailed flow dynamic phenomena in the blood pump system. A prototype of centrifugal blood pump developed by the present design and analysis method has been tested in the mock circulatory system. Predicted results by the CFD code agree very well with in vitro hydraulic performance data for a centrifugal blood pump over the entire operating conditions. Preliminary in vivo animal testing has also been conducted to demonstrate the hemodynamic feasibility for use of centrifugal blood pump as a mechanical circulatory support. A miniaturized centrifugal blood pump developed by the hydraulic design optimization and performance prediction method presented herein shows the possibility of a good candidate for intra and extracorporeal cardiopulmonary circulation pump in the near future.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.109-119
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• 2014

The purpose of this research is to determine oriental hospital staffs' education status, their knowledge, overall attitudes and self-confidence in conducting cardiopulmonary resuscitation (CPR) and how those factors influence their performance of CPR. This research was conducted from September 1st to 15th in 2014 and involved 104 participants who worked at P Oriental Hospital at Y city, and well-structured surveys were used throughout the research. The collected data underwent descriptive statics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficients and stepwise multiple regression by the SPSS WIN 19.0 program. The results revealed the staffs' knowledge of CPR (r=.27, p=.007), attitude (r=.42, p=.001), and confidence in conducting cardiopulmonary resuscitation (r=.48, p=.001), which indicates all the factors are positively correlated. In conclusion, as the knowledge of CPR increased, CPR attitude and CPR performance confidence increased. We also found that a positive attitude toward CPR increases CPR performance confidence. Therefore, education in CPR should be included in workplaces. Through education, CPR performance and performance confidence can be reinforced at the time of emergency.