• Title/Summary/Keyword: 수액

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The Actual State of Hospital-based Skill Training in Level 1 Emergency Medical Technician (소방 1급응급구조사의 병원임상수련 술기 실태 조사)

  • Roh, Sang-Gyun;Lee, Jae-Gook;Bang, Sung-Hwan
    • Fire Science and Engineering
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    • v.26 no.5
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    • pp.54-60
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    • 2012
  • This study is the analysis of the actual state of hospital-based training in level 1 emergency medical technicians (EMTs) in fire station. The survey was carried out to 42 fire fighters having level 1 emergency medical technician certification from May 11 to 12 in 2012. The results showed 56.5 %, that the level 1 EMTs of roles had direct experienced. Level 1 EMTs performance frequency of clinical practice that endotracheal intubation 66.9 %, laryngeal mask airway 8.4 %, intravenous access 76.6 %, nitroglycerin sublingual 61.2 %, bronchodilator inhalation 50.0 %, fluid loading 73.8 %, ventilator apply 57.6 %, dextrose injection 57.6 %. It is necessary to investigate the continuous study on the education among the level 1 EMTs and the continuous evaluation and analysis of problems, supplemented of guidebook, practical education programs and regulation upon the operation and management of a hospital-based skill training.

Cytologic Analysis of Malignant Tumor Cells in Cerebrospinal Fluid (뇌척수액에서 진단된 악성 종양세포의 세포학적 분석)

  • Suh, Jae-Hee;Gong, Gyung-Yub;Khang, Shin-Kwang;Kim, On-Ja
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.21-28
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    • 1998
  • Cytologic evaluation of cerebrospinal fluid(CSF) is an effective tool in diagnosing many disorders involving the central nervous system(CNS). CSF examination has been found to be of particular value in the diagnosis of metastatic carcinoma, lymphomatous or leukemic involvement of CNS and certain primary CNS tumors. As a survey of metastatic tumors to CSF and an evaluation of the preparation techniques increasing cellular yield in our laboratory, 713 CSF specimens examined between July 1995 and April 1997(1 year 10 months), were reviewed. There were 75 positive and 5 suspicious cases, the latter have had no evidence of tumors clinically. Primary tumors of 75 positive cases were classified as follows; 4(5.3%) as primary brain tumors, 40(53.3%) as secondary carcinomas, 13(17.3%) as leukemias, and 18 (24.0%) as lymphomas. The most common primary site of metastatic carcinomas was the lung in 17 cases(42.5%) followed by the stomach in 13(32.5%), breast in 8 (20.0%), and unknown primary in 2(5.0%). Four primary brain tumors were 3 cerebellar medulloblastomas and a supratentorial primitive neuroectodermal tumor (PNET). All 40 metastatic carcinomas were adenocarcinoma presented as single cells or cell clusters. Although signet ring cells were frequent in the cases of gastric primary cancers, no significant cytologic differences according to the primary site were observed. The cytologic features of leukemia and lymphoma were characterized by hypercellular smears presenting as individual atypical cells with increased N/C ratio, presence of nucleoli, and nuclear protrusions. In medulloblastomas and PNET, the principal cytologic findings were small undifferentiated cells arranged singly or in loose clusters with occasional rosettoid features. This study suggests that the CSF cytology is useful in the diagnosis of malignancy, especially metastatic extracranial tumors and the diagnostic accuracy can be improved by increasing cellular yield using cytocentrifuge.

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Acute Kidney Injury Accompanied by Acute Pyelonephritis and Renal Abscess in a Child with Vesicoureteral Reflux (소아에서 방광 요관역류가 동반된 급성 신우신염 및 신장 농양으로 인한 급성 신부전 1례)

  • Park, Cheol;Kim, Min-Sang;Kim, Mi-Kyung;Yim, Hyung-Eun;Yoo, Kee-Hwan;Hong, Young-Sook;Lee, Joo-Won
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.63-67
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    • 2012
  • Acute pyelonephritis (APN) is a relatively common bacterial infection in children. In previously healthy children, acute kidney injury (AKI) is very rare in the course of APN without urinary tract obstruction, renal hypoperfusion due to hypotension or exposure to nephrotoxic agents. We describe a case of AKI secondary to APN and renal abscess in a child with vesicoureteral reflux. With antibiotic treatment and adequate hydration, the patient was improved. APN should be included in the differential diagnosis of AKI and adequate treatment by proper antibiotics is crucial for full recovery of renal function.

Meningoencephalitis in Dachshund Dog with Canine Distemper Virus Infection: 1.5 T and 7.0 T MRI Findings (닥스훈트견의 바이러스성 뇌수막염에서 1.5T와 7T 자기공명영상을 이용한 진단 증례)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.755-759
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    • 2010
  • A 6-year-old, intact female Dachshund was presented with generalized seizure for 2 days. Based on the neurologic and physical examinations, intracranial diseases were suspected. 1.5T and 7.0T magnetic resonance imaging (MRI) of the brain were taken. The MRI results revealed diffuse hyperintense lesions in the area of the diencephalon to the medulla oblongata in the T2-weighted images. Canine distemper virus-induced meningoencephalitis was confirmed by the result of RT-PCR of the cerebrospinal fluid (CSF). The dog was euthanized 7 days after diagnosis due to poor prognosis and clinical deterioration. Postmortem histopathologic examination was consistent with the MRI findings. This is the first case report using 1.5T and 7.0T MRI to compare the virus-induced intracranial lesions in meningoencephalitis.

Accuracy and Satisfaction with IVIC300 (Intravenous infusion controller) (IVIC300(Intravenous infusion controller)의 정확성과 만족도)

  • Park, Jung Hee;Yang, Nam Young;Na, Moon Jun;Go, Young Jin;Kim, Ki Suk;Kim, Young Aue
    • Journal of Korean Public Health Nursing
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    • v.28 no.1
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    • pp.114-126
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    • 2014
  • Purpose: The purpose of this study was to determine the accuracy and satisfaction with IVIC300 (Intravenous infusion controller). Method: The subjects consisted of 90 nurses and 100 patients. Data collected during July 2013 were analyzed using descriptive statistics, t-test, ANOVA, and $X^2$-test (Chi-Square). Result: The error value of IVIC300 was less than that of Dosi-flow. Differences of error values according to variable of fluid infusion (needle's gauge, patient's moving, patient's calls, and nurse's arabitary calls) were not significant. The mean scores for satisfaction with IVIC300 of nurses ($3.67{\pm}.76$), patients ($3.75{\pm}.63$) were above average. Satisfaction with IVIC300 of nurses differed significantly according to age, work unit, and clinical career. Satisfaction with IVIC300 of patients was not significantly different according to general characteristics. Conclusion: These findings indicate that it is proven the accuracy of IVIC300, and is considered individual characteristics in use IVIC300.

A Implementation of Acer Pictum Sap Integrated Management System based on Energy Harvesting and Monitoring System (에너지 하베스팅 및 모니터링 기반의 고로쇠 수액 통합 관리 시스템 구현)

  • Jung, SeHoon;Jo, KyeongHo;Kim, JunYeoung;Park, Jun;Kim, JongChan;Choi, SooIm;Sim, ChunBo
    • Journal of Korea Multimedia Society
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    • v.22 no.11
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    • pp.1324-1337
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    • 2019
  • This study set out to investigate an energy harvesting device to ensure stable energy supply to batteries and data collection devices and a monitoring system for acer pictum sap to check collected data. Acer pictum sap farmers have written down weather information and yield of acer pictum sap manually for data storage. Since the job is done manually, there are many missing values in their data. In addition, it is not easy to manage batteries due to the characteristics of the areas where acer pictum sap is collected. The present study thus decided to build an energy harvesting device based on new renewable energy to ensure stable energy supply by taking into consideration power load, daily power consumption, and number of days with no sunshine for various devices. For a monitoring system, the investigator proposed a JSP-based web page to monitor temperature, humidity, volume of collected water, and battery state in real time. The proposed energy harvesting device was applied to reduce missing values in data. It promoted stable energy supply to the batteries and data collection devices, reducing the percentage of missing values in data from 30.55% to 0%.

Acute Gastric Dilatation in Rhesus (Macaca mulatta) and Cynomolgus (Macaca fascicularis) Monkeys (Rhesus 및 Cynomolgus 원숭이에서 급성위확장 증례)

  • Lee, Jae-Il;Kang, Byeong-Cheol
    • Journal of Veterinary Clinics
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    • v.25 no.4
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    • pp.314-316
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    • 2008
  • Acute gastric dilatation (AGD), one of the common causes of emergency occurs in macaca monkeys that are accommodated as laboratory-housed nonhuman primates. This report introduces some cases of occurrence in raising primates. The primates revealed an acute gastric dilatation, including the histories that were trained by monkey chair, anesthetized for the study or intact case. The clinical signs were comatose condition with sever abdominal distension, dehydration, cyanosis and apnea. One case died by deterioration of systemic body condition and performed necropsy. The other cases recovered from the AGD by the emergency treatment using the gastric tube and fluid therapy. Necropsy revealed the huge stomach filled with water, gas and ingesta. This report suggests that etiologic factors of AGD may include non-specific factors like these cases, with special emphasis on the incidence and management of AGD in nonhuman primates.

The Thermal Insulation of Warm Fluid using Aluminium Foil in Trauma Care (외상환자 수액 투여에서 알루미늄 호일을 이용한 단열 효과)

  • Kim, Seo Jin;Sun, Kyung Hoon;Park, Yong Jin;Kim, Sun Pyo
    • Journal of Trauma and Injury
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    • v.27 no.2
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    • pp.20-24
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    • 2014
  • Purpose: The temperature of a warm fluid infused into a patient is lowered because the line that allows the fluid to be infused into the patient is exposed to room air. This study evaluated the effects of aluminum foil used as an insulator surrounding the fluid infusion lines when using warm crystalloid fluids to treat traumatic shock patients. Methods: The study measured the differences in fluid temperature between infusion lines with and without the aluminum-foil insulation. We used 1L of normal saline at $40^{\circ}C$ as the infusion fluid, and the fluid infusion line was 200 cm long. The differences in temperature were measured for various fluid flow rates from 12,000 mL/min to 100 mL/min. We performed three experiments at each flow rate. Results: The results showed the differences in temperature between the groups with and without the aluminum insulation were significant for flow rates above 100 mL/min. Conclusion: Hypothermia in trauma patients results in many adverse complications such as peripheral vascular constriction, tissue hypoxia, metabolic acidosis, heart dysfunction and so on. Thus, the use of warm fluids and blood components is essential to reduce the probability of hypothermia. This study showed the aluminum foil wrapped around the infusion line had an insulator effect. As a result, such a wrapping can be used to avoid the adverse effects of hypothermia.

A ROENTGENOGRAPHIC STUDY OF NORMAL SUBMANDIBULAR GLANDS USING ISOBARIC SIALOGRAPHY (등압수액선조영술을 이용한 정상성인의 악하선에 관한 방사선학적 연구)

  • O Gyu Myeong;Lee Sang Rae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.13 no.1
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    • pp.127-137
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    • 1983
  • The aim of this study was to establish the diagnostic criteria of normal submandibular glands in adults. Materials included 132 sialograms of selected person from 23 to 28 years of age. In subjects each variable was measured and evaluated statistically introducing 18 items respectively. Conclusions from this study were as follows. 1. The mean diameter of main duct was 1.96㎜ in distal end and 2.71㎜ in hilar end, so the diameter of distal end was smaller than that of hilar end in submandibular glands. 2. The mean length of main duct was 42.02㎜ in submandibular glands. 3. The mean angle of main duct was 35.67 degrees with inferior border of mandible and 103.05 degrees at posterior mylohyoid portion. 4. In configurations following shape of main duct, those revealed that 39.39% of cases of the curvilinear type, 16.67% of cases of the linear type, 22.73% of cases of the sigmiod type and 21.21% of cases of the angular type. And in configurations following course of main duct, those revealed that 83.33% of cases of the smooth type and 16.67% of cases of the tortuous type. 5. The mean caliber of submandibular glands was 45.59㎜ in superoinferior height, 43.56㎜ in anteroposterior width, 28.85㎜ in mediolateral width and 33.65㎜ in extent below mandibular angle. 6. Well-delineated acinar parenchyme was observed in 77.28% of cases and well-defined tertiary ducts in 50.06% of cases. 7. There were no differences between right and left submandibular glands in size and shape of main duct and parenchymal portion, but there were great variations in each individual.

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Characteristics of Water Droplets in Gasoline Pipe Flow (가솔린 송유관에서의 수액적 거동 특성)

  • Kim, J.H.;Kim, S.G.;Bae, C.;Sheen, D.H.
    • Journal of ILASS-Korea
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    • v.6 no.1
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    • pp.18-24
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    • 2001
  • Liquid fossil fuel contaminated by water can cause trouble in the combustion processes and affect the endurance of a combustion system. Using an optical sensor to monitor the water content instantaneously in a fuel pipeline is an effective means of controlling the fuel quality in a combustion system. In two component liquid flows of oil and water, the flow pattern and characteristics of water droplets are changed with various flow conditions. Additionally, the light scattering of the optical sensor measuring the water content is also dependent on the flow patterns and droplet characteristics. Therefore, it is important to investigate the detailed behavior of water droplets in the pipeline of the fuel transportation system. In this study, the flow patterns and characteristics of water droplets in the turbulent pipe flow of two component liquids of gasoline and water were investigated using optical measurements. The dispersion of water droplets in the gasoline flow was visualized, and the size and velocity distributions of water droplets were simultaneously measured by the phase Doppler technique. The Reynolds number of the gasoline pipe flow varied in the range of $4{\times}10^{4}\;to\;1{\times}10^{3}$, and the water content varied in the range of 50 ppm to 300 ppm. The water droplets were spherical and dispersed homogeneously in all variables of this experiment. The velocity of water droplets was not dependent on the droplet size and the mean velocity of droplets was equal to that of the gasoline flow. The mean diameter of water droplets decreased and the number density increased with the Reynolds number of the gasoline flow.

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