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Spinal Cord Stimulation in Pain Management: A Review
전영훈 대한통증학회 2012 The Korean Journal of Pain Vol.25 No.3
Spinal cord stimulation has become a widely used and efficient alternative for the management of refractory chronic pain that is unresponsive to conservative therapies. Technological improvements have been considerable and the current neuromodulation devices are both extremely sophisticated and reliable in obtaining good results for various clinical situations of chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. This technique is likely to possess a savings in costs compared with alternative therapy strategies despite its high initial cost. Spinal cord stimulation continues to be a valuable tool in the treatment of chronic disabling pain.
사례분석을 통한 모듈러 건축의 현장 작업자 안전관리 체크리스트의 분류 체계 제안
전영훈,김균태,전은비,Jun, Younghun,Kim, Kyoontai,Jeon, Eunbi 한국건설관리학회 2021 한국건설관리학회 논문집 Vol.22 No.6
최근 정부는 건설재해 예방을 위하여 건설공사 안전관리를 강화하고 있으며, 예방적 차원의 작업자 안전관리 방안이 중요한 실정이다. 한편 모듈러 건축은 중고층 건축물 등으로 점차 확대 적용될 예정이나, 작업환경이 열악하고 안전관리가 미흡한 중소규모 건설현장이 많아 재해예방을 위한 안전관리가 미흡한 실정이다. 또한 국내 모듈러 건축의 안전관리 방안은 작업자의 안전사고에 영향을 미치나 시공오차, 하자 등 구조안전과 관련한 요소를 관리하는 품질관리에 집중되어 있어, 작업자의 안전보건을 관리하여 재해를 예방하는 작업자 안전관리는 부족한 실정이다. 따라서 본 논문에서는 국내 연구 개발된 사례들을 분석하고 전문가 자문을 통하여 도출된 모듈러 건축의 작업자 안전관리를 위한 체크리스트의 분류체계를 제안하였다. 분류체계는 공장제작, 운송, 현장시공을 대분류로 구성하였으며, 하위체계는 현장시공의 6가지의 중분류 중 모듈러 골조설치 공사의 세부작업인 양중작업과 조립작업을 중심으로, 12가지의 단위작업을 구분하였다. 그리고 안전관리를 위한 관리요소에 따른 단위작업별 작업내용을 정의하고 분류체계에 최종적으로 반영하였다. 본 연구의 결과가 모듈러 건축의 건설현장에서 효율적인 안전관리를 수행하는데 기여할 수 있기를 기대한다. Recently, the government is reinforcing safety management at construction sites to prevent safety accidents in construction works, and the safety management plan of workers is an important situation. Meanwhile, modular construction is expected to be gradually expanded to middle and high-rise buildings, but active measures to ensure worker safety are insufficient. This study is a preliminary study of the development of a checklist for preventive worker safety management. The purpose of this study is to derive a checklist classification system for the safety management of workers in the field of modular construction by preceding studies, case analysis, and expert advisory opinions. The classification system consists of large categories of factory manufacturing, transportation, and on-site construction, and the sub-system consists of six sub-classes: foundation work, frame work, modular frame installation work, finishing work, and facility work. Among them, the sub-classification of modular frame installation work consists of 12 unit works, centering on module lifting and assembly module work, which are the main construction processes. And the classification system reflects the three main management factors and contents for defined safety management. It is expected that the research results of this study can contribute to efficient safety management at the modular construction site.
척수강 내로 투여한 Midazolam이 척추 마취 및 술중 진정에 미치는 영향
전영훈,박준모,홍정길 대한마취통증의학회 2005 Korean Journal of Anesthesiology Vol.49 No.4
Background: There have been recent reports on the effects of the addition of intrathecal midazolam to bupivacaine on spinal anesthesia. Therefore, the effects of the addition of intrathecal midazolam to bupivacaine on spinal anesthesia and peri-operative sedation were investigated. Methods: Thirty one ASA class 1 and 2 patients, scheduled for transurethral resection of the bladder or prostate (TURB or TURP), were randomly divided into two groups. Group B (n = 15) received bupivacaine 12 mg, and normal saline 0.6 ml, whereas group BM (n = 16) received bupivacaine 12 mg, midazolam 2 mg, and normal saline 0.2 ml. The blood pressure (BP), heart rate (HR), arterial oxygen saturation (SaO2), bispectral index (BIS) and Observer's Assessment of Alertness/Sedation Scale (OAA/S scale) scores were recorded every 5 minutes, both before and during the spinal anesthesia. The sensory blockade was measured using a pin-prick test, and motor blockade evaluated using the Bromage motor scale. In addition, the side effects, including pruritus, nausea, vomiting, and headache, and so on, were observed for a period of 24 hours. Results: There were no differences in the motor and sensory block and recovery between the two groups. However, a difference was found in the time to first recognition of pain and the BIS scores between the two groups. Conclusions: Intrathecal midazolam did not, itself, affect the spinal anesthesia, but was found to have a statistically prolonged postoperative analgesic and more sedative effects.