• Title/Summary/Keyword: 흡인

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Proper Time of the Sterile Tracheal Suction Catheter Change Based on Nursing Clinic (기도흡인용 카테터의 교환시기를 규명하기 위한 임상적 근거)

  • Lee, Myung-Ok;Lee, Yoo-Jin
    • Journal of Korean Biological Nursing Science
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    • v.5 no.1
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    • pp.45-53
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    • 2003
  • The purpose of this study was to identify the proper changing time of tracheal suction catheter by examining the microorganisms inside after used The samples were the adult and the elderly patients who were in the intensive cane unit of one university hospital in Korea from the early December, 2002 to the end of May 2003. Since the patients needed tracheal suction, sterile catheter including other equipments were used whenever tracheal suction provided, to the experimental group. The sterile catheter with others was provided when the catheter repeatedly used for four hours, to the comparative group. Research was permitted by the head of hospital administration, hospital nursing department; microbiology and intensive care unit. The main results of the study are as follows. 1) The demographic characteristics between the two groups present statistically no difference. 2) Every the experimental group showed various kinds of microorganisms, the numbers of the kinds and carries of the microorganisms were less than those of the comparative group. 3) The mean numbers of the microorganisms between the two groups were significantly different, p < 0.05. This study results strongly emphasize the needs of using sterile catheter whenever a nurse suctions to keep patient's airway open.

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Effect of Structure on the Sound Absorption and Sound Transmission Loss of Composite Sheet (복합시트의 구조가 흡·차음성에 미치는 영향)

  • Lee, Byung-Chan;Kim, Sung-Ryong
    • Composites Research
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    • v.25 no.5
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    • pp.154-158
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    • 2012
  • The effect of structure on the sound absorption and sound transmission loss of composite sheet was investigated. A sheet of polypropylene was bonded by hot press with nonwoven fabric sheets of polyethylene terephthalate on the top side and the back side. Absorption coefficient of composite sheet using nonwoven fabric with surface density of $0.64kg/m^2$ was 0.1-0.2. It is 100-400% improvement compare to that of polypropylene sheet. The transmission loss of composite sheet was increased with surface density of polypropylene board and introduction of hemisphere hole on the surface of sheet. Two types of composite sheet were made using flat sheet and sine wave shaped sheet and the effect of sheet structure on the transmission loss was investigated.

Development of a Nasogastric Tube Feeding Algorithm to Prevent Aspiration Pneumonia (흡인성 폐렴 예방을 위한 비위관 영양 알고리즘 개발)

  • Lee, Hye Jin;Kim, Dong-Hee
    • Journal of Korean Critical Care Nursing
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    • v.7 no.1
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    • pp.1-10
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    • 2014
  • Purpose: The purpose of this study was developing a nasogastric tube feeding algorithm to prevent aspiration pneumonia. Methods: The algorithm was developed through a methodological design. First, a pilot study was performed to determine the incidence of pneumonia. The second step was development of a preliminary algorithm through a literature review and collection of nurse opinions. The third step was to establish content validity using a panel of 12 experts. The fourth step was revision of the algorithm. Next, 20 intensive care unit nurses applied the revised algorithm for six months to their actual treatment, and the practical feasibility was verified after that. Results: In the patients for whom this algorithm was applied, no cases of pneumonia occurred. The algorithm that was developed by the present author was suitable for clinical application. Conclusion: The effect and practical feasibility of the algorithm was tested with a few patients in this study. The effect of this algorithm should be examined by applying it to more patients on an ongoing basis.

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Maximal Inspiratory Pressure, Maximal Expiratory Pressure, and Maximum Phonation Time in Singers, Untrained Normal Person, and Patients with Vocal Cord Diseases (성악가와 성악훈련을 받지 않은 일반인과 성대질환이 있는 환자에서 최대흡기압, 최대호기압, 최대발성지속시간에 관한 연구)

  • 남도현;안철민;최홍식
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.117-123
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    • 2002
  • MIP was significantly increased in singers, compared to the untrained group. MIP in patients showed decreasing tendency compared to the untrained group, but were significantly lower than that in singers. MEP in singers was higher than that in the untrained group. MPT increased significantly in singers, but diminished in patients compared to the untrained group. MIP, MEP, and MPT in male singers were 50.8%, 61.0%, and 28.7 % higher than those in female singers. MIP, MEP, and MPT in the untrained male were more increased 32.3%, 25.0%, and 28.7%, respectively than those in the untrained female. There was no correlation between MPT and MIP or MEP. Regression analysis of the data set showed that weight and vocal cord dysfunction was a positive predictor of MPT. Factors affecting MIP were male, singers and weight. Factors affecting MEP were male, singers, vocal cord dysfunction and weight.

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Optimal Shape of LCVA considering Constraints on Liquid Level (수위의 구속조건을 고려한 LCVA의 최적형상)

  • Park, Ji-Hun;Kim, Gi-Myun;Lee, Sung-Kyung;Min, Kyung-Won
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.22 no.5
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    • pp.429-437
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    • 2009
  • This study addresses the optimal shape of a LCVA maximizing its vibration control effect through numerical parametric study. Various LCVAs having the same total mass and tuning frequency are designed with constraints on the dimensions and water level, and one obtaining the highest equivalent damping ratio of the controlled system is chosen as an optimal solution. As a result, it was found that the limit on the variation of the water level in the vertical liquid column plays an important role constraining the shape of the LCVA. As the LCVA width perpendicular to the plane of liquid motion increases, the equivalent damping ratio rises with slowdown so that determination of the proper width is important in design of the LCVA shape.

Fine Needle Aspiration Cytology of Two Cases of Leiomyosarcoma (평활근육종의 세침 흡인 세포학적 소견 -2예 보고-)

  • Ha, Chang-Won;Myong, Na-Hye;Cho, Kyung-Ja;Jang, Ja-June
    • The Korean Journal of Cytopathology
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    • v.1 no.2
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    • pp.147-151
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    • 1990
  • Leiomyosarcoma of the soft tissue is a well-defined and characteristic entity histologically, but cytomorphological studes are lacking. A correlaive cytological study of 2 cases of leiomyosarcoma is presented. The smears from case 1 were rich in tumor cells and most cells were arranged in large sheets or clusters. The cells showed round to oval nuclei containing fine chromatin and small promiment nucleoli. The smears from case 2 were moderate in cellularity with loose clusters or isolated cells. The characteristic blunt-ended and cigar-shaped nuclei containing coarse chromatin and prominent nucleoli were identified in case 2. Nuclear atypia, prominent nucleoli and high cellularity permit diagnosis of malignancy, although the atypia is generally less pronounced than in the histology. The cytological diagnosis of leiomyosarcoma may be auxiliary in the diagnosis of recurrence or metastasis in the patients with alleged leiomyosarcoma.

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Diagnosis of Cervical Tuberculous Lymphadenitis with Fine Needle Aspiration Biopsy Under Ultrasonographic Guides (초음파 유도하 세침 흡인 생검을 이용한 경부 결핵성 림프절염의 진단)

  • Suh Kwang-Wook;Park Cheong-Soo;Lee Jong-Tae;Lee Kwang-Gil
    • Korean Journal of Head & Neck Oncology
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    • v.8 no.2
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    • pp.91-96
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    • 1992
  • The efficacy of the fine needle aspiration biopsy and cytological examination(FNABC) under ultrasonographic(US) guides for the diagnosis of cervical tuberculous lymphadenitis was assessed. There were one hundred and one patients whose neck masses were proven to be tuberculous lymphadenites with cytologic and/or histologic diagnosis. The physical characteristics shown by US revealed that all the cases were multiple lesions. Multiregional lesions were found in 80 cases(79.1%) and 19 cases(18.8%) were the bilateral lesion. The region V was the most prevalent site(n=69, 68.3%). US findings revealed 92 cases(90.9%) showed hypoechoic lesions and 9(9.1%) showed mixed echo patterns. There was no hyperechoic lesion (p<0.05). The sensitivity of FNABC was 77.2% and specificity was 99.0%. Diagnostic accuracy was 85.0%. There was no complication during the procedures. FNABC for the diagnosis of cervical tuberculous lymphadenitis is a safe, convinient procedure and has a high specificity. The pitfall of FNABC the low sensitivity, seemed to be compensated by US evaluations.

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Supraclavicular BCG Lymphadenitis Noted at 21 Months after BCG Vaccination Confirmed by a Molecular Method (분자생물학적 방법으로 확진한 접종 21개월 후에 발생한 BCG 쇄골상부 림프절염 1례)

  • Lee, Min Hyun;Chae, Moon-Hee;Park, Kyoung Un;Cho, Hye-Kyung
    • Pediatric Infection and Vaccine
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    • v.21 no.2
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    • pp.139-143
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    • 2014
  • Bacille Calmette-$Gu\acute{e}rin$ (BCG) lymphadenitis is the most common complication of BCG vaccination. It commonly occurs in infants aged <6 months involving ipsilateral axillary lymph nodes. We described BCG lymphadenitis in a 22-month-old boy presenting swelling of left supraclavicular lymph node that was confirmed by real-time polymerase chain reaction (PCR) and the multiplex PCR targeting the region of difference (RD).

균열암반 대수층에서의 방사성 핵종원소 거동예측을 위한 이론적/실험적 고찰

  • 이승구;이길용;조수영;김용제;윤윤열
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2004.09a
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    • pp.406-409
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    • 2004
  • 최근 Lee et al.$^{l-2)}$ 은 화강암질 편마암내 균열면의 방해석이 Eu의 변화에 큰 영향을 주며, 아울러 Eu 은 Am의 유사체로서 매우 적합한 원소라고 제안하였다. 이 논문에서는 1)희토류원소와 액티나이드 원소의 이온반경, 배위수 등의 상호비교와 2) 응집력(cohesive energy)의 유사성과 물리적/화학적 특성 그리고 3) 희토류원소 지구화학의 최근 연구결과를 토대로 하여, 고준위 방사성 핵종원소인 Am의 지질매체내 거동을 예측하기 위한 유사체(analog)로서 Eu이 매우 유용한 역할을 해준다는 가설2)을 검증한 결과를 보고하고자 한다. 연구방법으로서, 핵종원소의 지질매체별 흡착특성을 밝혀내기 위해 금번 실험에서는 희토류원소 암상별 분포의 특성을 고려하여 4종류(화강암질 편마암류 2종, meta-basalts, 응회암)의 시료를 선별하였다. 방사화학적 흡탈착 실험의 핵종동위원소로서는 152Eu와 241Am을 선택하였다. 이는 본 연구팀의 연구결과, Eu과 Am의 밀접한 물리적/화학적 상관관계 그리고 지질환경내에서의 거동특성을 고려한 것이다. 실험결과 양 동위원소의 지질매체와의 흡착 반응 특성을 비교해 볼 때, 시간의 경과에 따라 서로간에 매우 유사한 양상의 증감을 보여주면서 변화함을 알 수가 있었다. 이 결과는 희토류원소가 액티나이드 원소의 지질환경내 거동예측을 위한 유사체로서 매우 훌륭한 도구라는 것을 입증해 주는 것이라 할 수 있다.

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Delayed Bronchoplasty in Complete Transection of Left Main Bronchus after Blunt Trauma (외상성 좌측주기관지 절단환자의 지연수술 치험)

  • 김명천;이재영;조규식;박주철;유세영
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.182-185
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    • 1998
  • Recently, The non-penetrating injury of bronchus has been increased, especially by traffic accident. Early diagnosis and primary repair of bronchial injury not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. This report describes about a case of total collapse and consolidation of left lung with the complete transection of nearly bifurcated portion of left main bronchus , lasted for 2weeks after traffic accident. This was diagnosed by fiberbronchoscopy and 3-D chest computed tomography(CT). She underwent the sleeve resection and end to end anastomosis, and postoperative PEEP for 2 days, suctioning twice by fiberbronchoscopy, continue postural drainge and physiotherapy were applied. She had almost full expansion of the left lung at discharge.

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