2인과 3인의 기본 심페소생술 비교

정준영,이창현,김현정,도호석,이삼범,도병수 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

Study objectives: To compare the quality of CPR provided by medical students and pre-EMTs perfoming three-rescuer CPR with that achieved by same students trained to provide standard two-rescuer CPR and to find the most effective method of resuscitation and to educate this methods to students. Material and methods: From July 1 to September 30, 1996, we had trained 60 groups consisted of the medical students, students of EMS technology and pre-EMT. Each group practiced two-rescuer CPR and three-rescuer CPR for 120 minutes with Resusci? Anne and perfomed CPR for at least 3 minutes without feedback. To eliminate any visual cues of perfomance the mannequin's recorder was hidden. Each actions were recorded by Resusci? skillmeter and Laerdal printer. To compare the quality of two-rescuer CPR and three-rescuer CPR, we analyzed the data by SPSS with paired t-test. Results: Three-rescuer teams delivered a mean minute ventilation and a mean minute cardiac compression substantially greater than that produced by two-rescuer teams(11.30±1.85 vs 9.09±2.22, p<0.001; 99.22±12.42 vs 95.12±15.75, p<0.001). Three-rescuer teams produce the more correct actions in chest compression and ventilation(93.84±7.56% vs 83.49±16.94%, 90.90±9.33% vs 77.00±17.06%). Conclusion: Three-rescuers can produce better CPR than two rescuers when a bag-valve-mask devices is used and the technique is easily learned and readily retrained, so we think that repeated education and training of this CPR methods to students is needed.

응급센터 입원환자의 통증처치에 대한 응급의학적 고찰

도병수,김현정,정준영,도호석,이창현,이삼범 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Study objective: To recognize importance of pain management in ED and properly manage the ED patients complaining pain by analyzing the intervals between arrival time in ED and pain medicine starting time, the types and the administered routes of pain medicine. Design: Retrospective review of ED charts Setting: University teaching hospital Participants: The patients had admitted in ED of Yeungnam University Hospital with a chief complaint of acute abdominal pain or pain due to bone fracture between June 1, 1995 and December 31, 1995. Results: The study group consisted 256 patients, 161 of them female. ED administrations of analgesics were 103 cases, 17 of them administered more than two times. The average time interval between arrival time and medication time was 169.02±120.25 minutes. Each types of perceived analgesics were antispasmodics 55 cases(53.40%), NSAID 26 cases(25.24%) and opioid 19 cases(18.45%). Every analgesics were administered through intramuscular routes, except only 3 cases. Violences of patients or relatives due to delayed pain control were occured 32 cases, 5 cases of them self-discharged and looked for other hospitals. Conclusion: Emergency physicians including interns and residents delayed management so long and ordered inappropriate administration routes and types of analgesics. So we thought proper protocols about pain management in ED were established.

급성흉통으로 내원한 환자에서 심근경색증을 조기 발견하기 위한 TROP-T?Rapid Assay의 유용성

정준영,이창현,김현정,도호석,이삼범,도병수 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Study Objectives : In the past, measurement of cardiac enzymes(i.e. CK and/or CK-MB, GOT, LDH)and myoglobin, cardiac specific serum troponin-T were widely used for the diagnosis of acute myocardial infarction, but it need a long time and have low specificity. Thus new diagnostic modality, TROP-T?? Rapid Assay, is very easy and rapid qualitative methods, is needed for the early detection of acute myocardial infarction. Methods : Total CK, GOT, LDH, myoglobin and serum troponin-T activities were measured in patients presenting with acute chest pain at the emergency department and at the same time TROP-T? Rapid Assay was done. Final diagnosis and diagnostic usefulness was evaluated. Results : Overall diagnotic sensitivity and specificity of initial results were as follows; TROP-T? Rapid Assay, 77.3, 100.0; myoglobin, 63.6, 70.4; CK, 95.5, 96.3; GOT, 86.4, 96.3; LDH, 90.9, 92.6; serum troponin-T, 86.4, 96.3, respectively. Conclusion : The TROP-T?? Rapid Assay is simple method and has a short time and nearly same sensitivity and specificity compared to other cardiac enzymes. Thus this is considered useful method in the early detection of acute myocardial infarction at emergency department.

외상성 간손상과 비장손상시 CT분류의 의의

정준영,이창현,김현정,도호석,이삼범,도병수 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

The Organ Injury Scaling Committee of the American Association for the Surgery of Trauma recently published a consensus classification of hepatic and splenic injuries. The hepatic and splenic injury scales, based on parenchymal laceration and intrahepatic hematoma, include grade 1 to 6 and grade 1 to 5 respectively, representing the least to most severe injury. Forty-eight patients with hepatic and splenic injury were evaluate by abdominal CT from January 1995 to May 1996 and we compared abdominal CT grading with operative grading. Four CT grades did not correlate with operative finding. CT grading showed a sensitivity of 80%, specificity 80% in regard to operative grading. We conclude that 1) CT is an accurate technique to determine the extent of hepatic and splenic injury. 2) CT grading of hepatic and splenic trauma has a high correlation with operative grading.

뇌실내 주입한 Lipopolysaccharide가 뇌실주위 신경조직에 미치는 영향

황성규,손윤경,김대현,김진석,곽정식,김승래 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.10

대구 영진전문대학 2급 응급구조사 양성교육에 대한 고찰

정준영,도병수,김현정,도호석,이창현,이삼범 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.4

Study objective : To evaluate the adequacy of level-2 EMT training program and the future of students after receiving EMT certification. And then to search the ideas for improving the quality of education and the rates of getting employment. Design : Retrospective review of the personnel datas, and the written survey Setting : University teaching hospital Participants : The 83 students had finished the level-2 EMT (Emergency Medical Technician) training program of 324 hours between August 21, 1995 and November 15, 1995. And the 72 of those were examined by the written questions and the survey of the personal card. Results : The mean age the students was 30±5.6 years. The gender ratio of male to female was 65:7. The marital status of students was 32 married. The educational status of the students was, in all, more than high school graduation. The present addresses of students were Daegu 73.6%, Kyeungbuk 16.7%, Kyeungnam 4.2%. The students who have no job for life support were 41.7%. In written survey, 56.9% of the students answered that the contents and teaching techniques had been inappropriate. Also were passed the national examination for certification and certified as level-2 EMT, but anyone of them could not take a job for EMT. Conclusion : In Korea, because the medical control of prehospital care of patients and victims is off-line system, the education and training of EMT is very important. But all designated facilities and teachers have no sufficient preparations for the education and training of EMT. And anyone could not get employment for EMT, although they had spent much times and costs for certification of EMT. So powerful policies and laws will be needed for qualitative improvement and activation of regional EMSS.

논문편 - 식생활편 : 노인영양 실태에 관한 조사연구 (Ⅰ) - 대구지역을 중심으로 -

김성미,정현숙 ( Sung Mee Kim,Hyun Suk Jyung ) 대한가정학회 1978 Human Ecology Research(HER) Vol.16 No.2

세미-미크로 HPLC 키랄 컬럼을 이용한 광학분할

현명호,조윤재,류재정,정경규,허귀석,Hyun, Myung Ho,Cho, Yoon Jae,Ryoo, Jae-Jeong,Jyung, Kyung Kyu,Heo, Gwi Suk 대한화학회 1995 대한화학회지 Vol.39 No.2

뇌실내 주입한 Lipopolysaccharide가 뇌실주위 신경조직에 미치는 영향

황성규,손윤경,김대현,김진석,곽정식,김승래 경북대학교 의학연구소 1999 경북대학교병원의학연구소논문집 Vol.3 No.1

Ventriculitis is one of the most serious complication of the ventriculoperitoneal shunt. which may cause intelligence deterioration in children. The purpose of this study is to investigate the mechanism of the neural damage in lipopolysaccirid(LPS)-induced ventriculitis in rat. Ventriculitis was induced by intraventricular injection of 1mg/kg LPS in rat. H & E and Tunel stains were done on The day 1. 2 and 14 to access the microscopic changes of the periventricular tissue and apoptosis. respectively. TNF-α and IL-lβ mRNA expressions were studied using RT-PCR HRP was injected into the femoral vein and electron microscopic examinations were performed to access the BBB changes. Light microscopic examination one day after LPS injection revealed neutrophilic infiltration. Which diminished on day 4. and disappeared on 14. Tunel stain revealed apoptosis on day 1 and 4. TNF-α and IL-1β were expressed on day 1. and diminished progressively thereafter HRP histochemical electron microscopic examination revealed accumulation of HRP reaction in the interstitial space around the brain parenchyma. These findings suggest the opening of the BBB and increased capillary permeability in the periventricular tissue in the LPS induced ventriculitis. This can possibly damage the periventricular neural tissue. TNF-αand IL-1β seemed to play an important role in the opening of the BBB.

대구·경북지방 곡류중의 Aflatoxin 생성균주의 오염에 관한 연구

김동술,문귀임,오일웅,오현숙,민충식,김은경,이삼룡,안경아,정영숙 식품의약품안전청 1998 식품의약품안전청 연보 Vol.2 No.-

대구·경북지역 농산물 중에 aflatoxin생성균주의 오염실태를 파악하기 위하여 고려, 문경, 상주, 안동, 포항, 성주, 경주, 김천, 구미, 예천, 영천, 영덕 등 12개 지역으로부터 쌀 66점, 보리 44점, 콩 94점, 당콩 36점, 조 37점, 토양 57점 등 총 334점을 수집하여 rose bengal, PDAmSLS, YES등의 배지를 사용하여 Aspergillus flavus및 parasiticus를 분리한 결과 12.6%인 42균주를 분리하엿으며 이들 중 TLC에서 형광을 나타내는 균주는 21%인 9균주였다. 또한 HPLC로 aflatoxin B₁생성능이 있는 균주를 확인하 결과 시룝점(콩)에서 분리되었으며 따라서 aflatoxin 생성능이 있는 aspergillus속 곰팡이으 ㅣ오염률은 0.3%이였다. In order to iBvestigate aflatoxin producing strains from agricultural products in the Taegu and Kyungpook dist·ricts, we collected 334 sarrlples svch as rice (66), barley(44), soybean(94), pea-nut(36), millet(37), soil(57). Using rose bengal, PDA, sLs, YES medium, we isolated the aflatoxin pro-ducing strains, fsfergiHur ffauHs and farasificur. As a result of screening by thin layer chromatography(TLC), 42 straius(21% ) from the 334 samples showed fluorescent spot. Aflatorin Bl was determinedfrom soybean(1) by HPLC- ln consequence, the contarHination percentage of fsfergiffHs sf. which pro-duce aflatoxiu sholved 0-3% .