• Title/Summary/Keyword: $ED_s$

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Factors Influencing Nurses' Attitudes towards Nurse-led Defibrillation (간호사에 의한 제세동 시행에 대한 간호사 태도의 영향요인)

  • Yun, Hee Je;Kim, Chun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.11-23
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    • 2020
  • Purpose : This study examined factors influencing the attitudes towards nurse-led defibrillation in the emergency department (ED) and intensive care unit (ICU). Methods : This was a cross-sectional study. A total of 212 nurses in the ED and ICU from three general hospitals responded to the survey. Data were collected between September and October 2015 using structured questionnaires. Independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and hierarchical multiple regression were used to analyze factors affecting nurses' attitudes towards nurse-led defibrillation. Results : The mean score of nurses' attitudes towards nurse-led defibrillation was 61.37 of a possible 91. Hierarchical multiple regression showed that nurses' attitudes towards nurse-led defibrillation were significantly affected by their experiences regarding cardiopulmonary resuscitation (p=.003), knowledge regarding electrocardiogram interpretation and defibrillation (p=.007), and tenure in ED or ICU (p=.043). Conclusion : Results indicate that employers should set policies to support nurses in maintaining their careers in the ED or ICU and conduct systematic educational programs for them. This will increase nurses' confidence in performing defibrillation, which will lead to early defibrillation during in-hospital cardiac arrest. Consequently, it can be a strategy to increase the survival rate of cardiac arrest patients.

Antitumor Effects of Acetylshikonine and some Synthesized Naphthazarins on L1210 and S-180 Systems (Acetylshikonine 및 합성 Naphthazarin 유도체의 L1210 및 S-180 암에 대한 항암효과)

  • Kim, Hyun;Ahn, Byung-Zun
    • YAKHAK HOEJI
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    • v.34 no.4
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    • pp.262-266
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    • 1990
  • Acetylshikonine, isolated from the root of Lithospermum erythrorhizon showed a strong cytotoxic activity ($ED_{50}=0.10\;ug/ml$) against L1210 cell and T/C = 182% in ICR mice bearing S-180 at a dose of 5 mg/kg. Administrations of 10 mg/kg and 15 mg/kg reduced the T/C values to 60 and 77% respectively. Higher doses reveal toxicity. Seven naphthazarin derivatives synthesized showed good cytotoxic activities against L1210 cell. Especially, naphthazarin and hydronaphthazarin have strong activities ($ED_{50}=0.05\;ug/ml$ for both). Naphthazarin showed a severe toxic effect on ICR mice bearing S-180; no significant toxic effect was observed at a dose of 1 mg/kg or 2 mg/kg, but a severe toxicity (T/C = 23%) by administration of 5 mg/kg. Alkylation of C-2 of naphthazarin is necessary for reducing the toxic effect on ICR mice bearing S-180.

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Investigation of the seismic performance of precast segmental tall bridge columns

  • Bu, Z.Y.;Ding, Y.;Chen, J.;Li, Y.S.
    • Structural Engineering and Mechanics
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    • v.43 no.3
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    • pp.287-309
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    • 2012
  • Precast segmental bridge columns (PSBC) are alternatives for monolithic cast-in-situ concrete columns in bridge substructures, with fast construction speed and structural durability. The analytical tool for common use is demonstrated applicable for seismic performance prediction of PSBCs through experiment conducted earlier. Then the analytical program was used for parameter optimization of PSBC configurations under reversal cyclic loading. Shear strength by pushover analysis was compared with theoretical prediction. Moreover, seismic response of PSBC with energy dissipation (ED) bars was compared with its no ED bar counterpart under three history ground acceleration records. The investigation shows that appropriate ED bar and post-tensioned tendon arrangement is important for higher lateral bearing capacity and good ductility performance of PSBCs.

Free Volume in polymers. Note I。 : Theoretical background

  • Consolati, G.;Pegoraro, M.;Zanderighi, L.
    • Korean Membrane Journal
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    • v.1 no.1
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    • pp.8-24
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    • 1999
  • free volume in polymers is defined as the difference of the specific volume and the volume which is not available for the particular molecular motion which is responsible or the process that is considered . Relations between free volume and viscosity free volume and diffusion coefficient are pre-sented both in the case of simple low molecular weight liquids and in the case of polymers. Molecular models and free volume models are reminded starting from the equilibrium state equation of Simha and Somcynski. The non equilibrium situations of specific volume of glass polymers below Tg are shown introducing different relaxation volume equations which involve different material's parameters and con-cept of the fictitious temperature. The diffusivity equations of Vrentas and Duda are introduced both for the glassy and rubbery states. The possibility of introducing time relaxation functions is also suggested. The importance of finding experimental evidences of the free volume is stressed. highlights of the free volume measurement methods are given in particular as to dilatometry photocromy fluorescence electron spin resonance small angle X-ray scattering positron annihilation spectroscopy.

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Analysis of the Genotype Distribution in Cattle Breeds Using a Double Mismatched Primer Set that Discriminates the MC1R Dominant Black Allele (소 MC1R 우성흑모색 대립인자를 구분하는 변형 프라이머를 이용한 소 품종들의 유전자형 분포 분석)

  • Han, Sang-Hyun;Kim, Young-Hoon;Cho, In-Cheol;Jang, Byoung-Gui;Ko, Moon-Suck;Jung, Ha-Yeon;Lee, Sung-Soo
    • Journal of Animal Science and Technology
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    • v.50 no.5
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    • pp.633-640
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    • 2008
  • With a double mismatch primer set designed for amplifying the modified DNA sequence fragments, bovine melanocortin-1 receptor(MC1R) gene encoded in Extension locus which plays a critical role in coat color development was analyzed using polymerase chain reaction mediated restriction fragment length polymorphism(PCR-RFLP). Amplified PCR fragments were successfully discriminated with combining the MspI- and AluI-RFLP into three major alleles(ED, E+, and e), directly related to bovine coat color phenotypes. The genotyping results showed that Jeju black cattle contained three MC1R alleles, but yellowish-red colored Hanwoo and bridle colored Korean Brindle cattle did not contained the dominant black allele ED. However, two dominant black-colored cattle breeds, Holstein and Angus, contained the ED allele over 96% in frequency. Hanwoo×Holstein F1 and Hanwoo×Angus F1 crossbred calves showed ED/e MC1R genotypes, and uniformly black coat color. the results suggested that this MC1R genotyping method be useful in allele discrimination for bovine MC1R gene which used for breed classification and characterization, as one of the important genetic markers, using combination of MspI- and AluI-RFLP for modified PCR product amplified with a newly designed double mismatch primer set.

Diagnostic Device Model for Insecticide susceptibilities of Beet Armyworm, Spodoptera exigua(Hubner) (파밤나방(Spodoptera exigua (Hiibner)) 살충제 감수성 진단장치모형)

  • 김용균;이준익;강성영;한상찬
    • Korean journal of applied entomology
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    • v.38 no.1
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    • pp.53-57
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    • 1999
  • Simple diagnostic kits for monitoring insecticide susceptibility of beet armyworm, Spodoptera exigua (Hiibner) were developed and applied to the field populations. The operation of the kits was based on the correlations between enzyme activities of esterase (EST) and acetylcholinesterase (AChE) and the insecticide susceptibilities. Four different kinds of diagnostic kits (ED, EM, AD, and AM) were designed and classified by diagnostic enzymes (E for esterases and A for acetylcholinesterase) and inhibitors (D for dichlorvos and M for monocrotophos). Diagnostic inhibitor concentrations were 1 mM for ED, 10 mM for EM, 100 mM for AD, and 100 mM for AM. Resistant larvae which were not inhibited by the diagnostic amounts of insecticides developed positive staining (red color), but susceptible~ s howed negative (no color). An insect was used for both EST and AChE diagnostic kits, but different in their samples: hemolymph for EST and the head for AChE. These four diagnostic kits were applied to 1 1 different populations which showed variations of insecticide susceptibilities. Four kits were different in the capability discriminating the insecticide susceptibilites according to insecticides: ED to bifenthrin, AD to methomyl, and ED and AM to chlorpyrifos-methyl. These diagnostic devices can be used for insecticide-resistance management program for this insect pest. It also provide a technical guide to insect pest management for farmers, directors, and researchers.

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A study on the Active Site of Cytidine Deaminase from Bacillus subtilis ED 213 by Chemical Modification (화학적수식에 의한 Bacillus subtilis ED 213 Cytidine Deaminase의 활성부위에 관한 연구)

  • Park, Jung-Moon;Park, Sang-Won;Suh, Tae-Soo;Kim, Jung;Yu, Tae-Shick
    • Korean Journal of Microbiology
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    • v.35 no.2
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    • pp.133-138
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    • 1999
  • Essential amino acids involving in the active site ofthe cytidn~e deruninase from Bncillus subtilis ED 213 were determined by chemical modification studies. Tllc purified cytidine deruninase tiom Booillus subtilis ED 213 required the reduced form of Fe(lI)ion. since the enzyme was inhibited 43% by 1 mnM o-phenanthroline. Whereas the enzyme activity was activated up to 28% by 1 1 ethylenediaminetetraacetic acid. The cytidine deaninase activily was completely inhibited by 1 mM N-bromosuccinimide, chloramine-T, and p-chloromercuribenzoic acid (p-CMB), respectively. The enzyme activity was inhibited 36% by 1 mM pyridoxal-S-phosphale, and 31% by 1 mM l-ethy~-3-(3-dirneIhj~laminoprop}~~)c~bodiiamide and glycine inethyl ester. The enzyme activity was strongly inhibited 68% by 1 \mu$M \rho$-CMB and this inhibition of the enzyme activity with 1 \mu$M \rho$-CMB was completely reactivated by 5 mM cysleine as a reducing agent. We speculaled that tyrosine, methionine, cysteuie and/or serine residues are located ui or near ihe active site of the cytidine deruniuase from Bncilus subrilis ED 213 and indirectly related to lysine and/or glycine.

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PC Based Sensor Application DAQ (PC기반 센서 응용 실험실습 Data Acquisition)

  • Park, Yong-Hoo;Park, Chang-Soo
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2006.06a
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    • pp.59-60
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    • 2006
  • Principals and characteristics of sensors can be easily understood by experiments based on PC. Applied experiments help further understanding sensor's wide utilization. Moreover, PC based operation makes stored sensor data to be used in Excel for various charts and graphs.

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Radiation-induced Pulmonary Damage in Lung Cancer Patients (폐종양 환자에서 방사선치료에 의한 폐손상)

  • Chung, Su-Mi;Choi, Ihl-Bohng;Kong, Ki-Hun;Kim, In-Ah;Shinn, Kyung-Sub
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.321-330
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    • 1993
  • Purpose: A retrospective analysis was performed to evaluate the incidence of radiation induced lung damage after the radiation therapy for the patients with carcinoma of the lung. Method and Materials: Sixty-six patients with lung cancer (squamous cell carcinoma 27, adenocarcinoma 14, large cell carcinoma 2, small cell carcinoma 13, unknown 10) were treated with definitive, postoperative or palliative radiation therapy with or without chemotherapy between July 1987 and December 1991. There were 50 males and 16 females with median age of 63 years (range: 33~80 years). Total lung doses ranged from 500 to 6,660 cGy (median 3960 cGy) given in 2 to 38 fractions (median 20) over a range or 2 to 150 days (median in days) using 6 MV or 15 MV linear accelerator. To represent different fractionation schedules of equivalent biological effect, the estimated single dose (ED) model, $ED=D{\dot}N^{-0.377}{\dot}T^{-0.058}$ was used in which D was the lung dose in cGy, N was the number of fractions, and T was the overall treatment time in days. The range of ED was 370 to 1357. The endpoint was a visible increase in lung density within the irradiated volume on chest X-ray as observed independently by three diagnostic radiologists. Patients were grouped according to ED, treatment duration, treatment modality and age, and the percent incidence of pulmonary damage for each group was determined. Result: In 40 of 66 patients, radiation induced change was seen on chest radiographs between 11 days and 314 days after initiation of radiation therapy. The incidence of radiation pneumonitis was increased according to increased ED, which was statistically significant (p=0.001). Roentgenographic changes consistent with radiation pneumonitis were seen in $100\%$ of patients receiving radiotherapy after lobectomy or pneumonectomy, which was not statistically significant. In 32 patients who also received chemotherapy, there was no difference in the incidence of radiation induced change between the group with radiation alone and the group with radiation and chemotherapy, among the sequence of chemotherapy No correlation was seen between incidence of radiation pneumonitis and age or sex. Conclusions: The occurrence of radiation pneumonitis varies. The incidence of radiation pneumonitis depends on radiation total dose, nature of fractionation, duration of therapy, and modifying factors such as lobectomy or pneumonectomy.

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Impact of Job Stress, Coping Behavior, Hardiness on Burnout in Nurses in the Emergency Department (응급실 간호사의 직무 스트레스, 스트레스 대처방식, 강인성이 소진에 미치는 영향)

  • Ha, Do Gyeong;Sung, Mi-Hae
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.4
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    • pp.215-223
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    • 2018
  • Purpose: This study aimed to identify the effect of job stress, coping behavior, and hardiness on burnout in nurses in the emergency department (ED). Methods: Data were acquired via self-reporting questionnaires from 148 nurses in EDs at one general hospital, four university hospitals, and six hospitals with >200 beds. Data were analyzed using the SPSS 23.0 program through descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: A statistically significant difference in burnout was observed with respect to the age of the nurses. Burnout was positively correlated with job stress and wishful thinking and detachment, among coping behaviors, and was negatively correlated with hardiness. Job stress and wishful thinking, among coping behaviors, were significant predictors of burnout and were observed in 14.9% of the nurses who experienced burnout. Conclusion: According to our results, job stress was identified as the most significant factor which influenced burnout in ED nurse's. Therefore, it is necessary to develop and implement educational programs for reducing job stress and minimizing the use of wishful thinking as a coping behavior in order to alleviate the burnout in ED nurses.