• 제목/요약/키워드: 4.3 Incident

검색결과 387건 처리시간 0.022초

압력 상해에 의한 식도파열 -1례보고- (Barotraumatic Rupture of The Esophagus -A Case Report-)

  • 이해영
    • Journal of Chest Surgery
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    • 제27권4호
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    • pp.331-334
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    • 1994
  • Pneumatic rupture is a rare cause of esophageal injury, as evidenced by only 19 cases reported in the literature. We experienced one case of esophageal rupture due to bursting of a truck inner tube. The patient, who was a 45-year old male, had severe chest pain, respiratory distress, flushing in the face and neck, and subcutaneous emphysema after tire explosion. Three days after the incident, a diagnosis of rupture of the thoracic esophagus was established by esophagogram using water soluble contrast media, and then emergency operation was done. The operation involved mediastinal and thoracic drainage and resection of the esophagus combined with cervical esophagostomy and feeding gastrostomy. On the 105th day after the operation, cervical esophagogastrostomy via substernal route was performed. The patient was successfully treated with the staged operations. As in the other reported cases, the injury was located in the lower one third of the esophagus. Four main characteristics of the clinical signs of pneumatic rupture are 1] wounds or burns to the face or mouth, 2] chest pain or epigastric pain, 3] subcutaneous emphysema, and 4] respiratory distress. We emphasize that the high index of suspicion of esophageal rupture is very important in diagnosis and that diagnosis should be based on the same findings common to other forms of esophageal injury.

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Meat Consumption, Animal Products, and the Risk of Bladder Cancer: A Case-Control Study in Uruguayan Men

  • Ronco, Alvaro Luis;Mendilaharsu, Maria;Boffetta, Paolo;Deneo-Pellegrini, Hugo;Stefani, Eduardo De
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5805-5809
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    • 2014
  • In the time period 1996-2004, all incident cases of bladder cancer were included in a case-control study in order to study the role of meat consumption and product animals in the etiology of urothelial cancer. The study included 225 cases and 1,510 hospitalized controls with non-neoplastic conditions, not related to smoking and alcohol drinking. Relative risks, approximated by the odds ratios, were calculated in order to clarify the effect of meat consumption in the etiology of urothelial cancer. Total meat consumption (OR 1.47, 95% CI 1.02-2.11), total processed meat (OR 1.57, 95% CI 1.08-2.27), frankfurters (hot dogs) (OR 2.03, 95% CI 1.28-3.21), ham (OR 1.79, 95% CI 1.21-2.67) and salted meat (OR 2.73, 95% CI 1.78-4.18) were positively associated with risk of bladder cancer. Animal products, like cheese, whole milk, and total eggs were also associated with bladder cancer risk (OR for eggs 4.05, 95% CI 2.68-6.12). In conclusion, total meat, processed meat, and eggs could play an important role in the etiology of bladder cancer in Uruguay.

High Temperature of Food and Beverage Intake Increases the Risk of Oesophageal Cancer in Xinjiang, China

  • Tang, Li;Xu, Fenglian;Zhang, Taotao;Lei, Jun;Binns, Colin William;Lee, Andy Ho-Won
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5085-5088
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    • 2013
  • Background: The north-western region of China has a high incidence of oesophageal cancer. This study aimed to investigate whether the intake of food and beverage at high temperature is associated with the risk of oesophageal cancer among adults residing in this remote part of China. Materials and Methods: A case-control study was undertaken in Urumqi and Shihezi, Xinjiang Uyghur Autonomous Region of China, between 2008 and 2009. Participants were 359 incident oesophageal cancer patients and 380 hospital-based controls. Information on temperature of food and beverage intake was obtained by face-to-face interview. Logistic regression analyses were performed to ascertain the association between intake temperature and the risk of oesophageal cancer. Results: The oesophageal cancer patients consumed foods and beverages at higher temperatures than controls, p<0.001. High temperature of tea, water and food intake appeared to increase the risk of oesophageal cancer by more than two-fold, with adjusted odds ratio (95% confidence intervals) of 2.86 (1.73-4.72), 2.82 (1.78-4.47) and 2.26 (1.49-3.45), respectively. Conclusions: Intake of food and beverage at high temperature was positively associated with the incidence of oesophageal cancer in north-western China.

Application of Subirrigation Using Capillary Wick System to Pot Production

  • Lee, Chi-Won;So, In-Sup;Jeong, Sung-Woo;Huh, Moo-Ryong
    • 농업생명과학연구
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    • 제44권3호
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    • pp.7-14
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    • 2010
  • Alternative subirrigation way, capillary wick system (CWS) was tested to reduce labor cost, waste water, contamination of ground water, and use of fungicide compared to overhead irrigation system (OIS). CWS helped reduce remarkably the working hours for watering from 4 hours in OSI to just 5 minutes. Labor cost was saved 98% in CWS compared to OIS. By the physical characteristics of various growing media, 1 coconut coir+2 perlite (v/v) mixture was selected because it had an ideal distribution of three phase, e.g. 1 solid: 1 liquid: 2 gas phase. Medium mixture containing scoria had so high bulk and particle density to hurt root. In bark-containing medium, the liquid phase and the percent saturation of liquid phase with time elapsed was lower than that of other mixture. It meant that the mixture contained very low level of water. Application of CWS for cyclamen pot production played an important role in reducing the incident of fusarium wilt symptom from 18% in conventional over watering system to 4%. Cyclamen pot irrigated by capillary wick had shorter petiole and more leaves than those by overhead watering. As a result, this system was highly beneficial to get uniform pot products with high quality. It improved water and nutrient solution efficiency relative to conventional overhead irrigation system (OIS).

Verrucous carcinoma arising from actinic keratosis: a case report

  • Jung, Ji Hyuk;Jeon, Yeo Reum;Kim, Hyo In;Lee, Mi Kyung;Chung, Seum
    • 대한두개안면성형외과학회지
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    • 제22권6호
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    • pp.333-336
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    • 2021
  • Verrucous carcinoma (VC) is a rare subtype of squamous cell carcinoma that commonly occurs in the oral cavity. However, VC of the facial skin is relatively rare. We report a case of a 91-year-old woman with VC of the facial skin in the left zygoma area. She was diagnosed with actinic keratosis (4×3 cm) of the same site approximately 12 years previously, but declined further treatment. The mass was excised with a minimum of 0.4 cm from gross margins with the result of free from tumor of all margins by frozen section, allowing for primary closure after skin undermining. Basal resection was performed in the preplatysmal plane. The diagnosis of VC was confirmed by histopathological examination. Postoperatively, the wound healed without incident and with no signs of facial nerve injury. To our knowledge, this is the first reported case of VC of facial skin arising from actinic keratosis.

양극산화로 제조된 다공성 나노구조 철 산화막의 열처리 조건에 따른 광전기화학적 성질 (Photoelectrochemical performance of anodized nanoporous iron oxide based on annealing conditions)

  • 정동헌;유정은;이기영
    • 한국표면공학회지
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    • 제56권4호
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    • pp.265-272
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    • 2023
  • Photoelectrochemical (PEC) water splitting is one of the promising methods for hydrogen production by solar energy. Iron oxide has been effectively investigated as a photoelectrode material for PEC water splitting due to its intrinsic property such as short minority carrier diffusion length. However, iron oxide has a low PEC efficiency owing to a high recombination rate between photoexcited electrons and holes. In this study, we synthesized nanoporous structured iron oxide by anodization to overcome the drawbacks and to increase surface area. The anodized iron oxide was annealed in Ar atmosphere with different purging times. In conclusion, the highest current density of 0.032 mA/cm2 at 1.23 V vs. RHE was obtained with 60 s of pursing for iron oxide(Fe-60), which was 3 times higher in photocurrent density compared to iron oxide annealed with 600 s of pursing(Fe-600). The resistances and donor densities were also evaluated for all the anodized iron oxide by electrochemical impedance spectra and Mott-Schottky plot analysis.

설맹 방지를 위한 고소등반용 선글라스 디자인 (A Sunglasses Design to Prevent Snow Blindness at High Altitude)

  • 최병진;장준영
    • 한국안광학회지
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    • 제12권4호
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    • pp.19-22
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    • 2007
  • 산악 인구 증가와 더불어 해외원정 등반 인구도 크게 늘고 있다. 6천 미터 이상의 고소등반 시 발생하는 조난사고의 많은 부분이 설맹 때문이다. 설맹의 직접적 원인은 자외선에 의한 각막 및 망막의 손상이다. 고소에서의 자외선의 강도는 기압강하에 따른 고도효과와 설면에서 반사효과의 상승작용에 의해 크게 높아진다. 해발 4천 미터 설산에서의 자외선 강도는 지상에서보다 약 3배, 8천 미터에서는 약 4배 증가하는 것으로 나타났다. 고소등반에서 설맹을 방지하기 위해서는 고글보다 선글라스 형태가 바람직하다. 또 고소등반용 선글라스는 기계적 강도가 높은 프레임, 자외선을 100% 차단하는 플라스틱 렌즈의 사용이 요구된다. 얼굴과 선글라스 틈 사이로 들어오는 자외선을 차단하기 위해 탈부착식 차단막이 필요하다. 또 선글라스가 쉽게 탈착되지 않기 위하여 템플은 귀를 감을 수 있도록 길고 유연성이 좋아야 한다. 안구 주위의 동상을 방지하기 위해 메탈프레임을 합성수지로 피복하는 것이 바람직하다.

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200kW 탑형 태양열발전시스템에서 사용되는 Heliostat의 집열특성 분석 (Analysis of Energy Concentration Characteristics of Heliostat used in 200kW Tower Type Solar Thermal Power Plant)

  • 박영칠
    • 한국태양에너지학회 논문집
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    • 제31권3호
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    • pp.80-88
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    • 2011
  • Heliostat in the tower type solar thermal power plant is a sun tracking mirror system to reflect the solar energy to the receiver and the optical performance of it affects to the efficiency of whole power plant most significantly. Thus a solid understanding of heliostat's energy concentration characteristics is the most important step in designing of the heliostat field and the whole power plant. The work presented here is the analysis of energy concentration characteristics of heliostat used in 200kW solar thermal power plant, where the receiver located at 43m high in tower has $2{\times}2$m rectangular shape. The heliostat reflective surface is formed by 4 of $1{\times}1$m flat plate mirror facet and the mirror facet is mounted on the spherical frame. The direct normal incident radiation models in vernal equinox, summer solstice, autumnal equinox and winter solstice are first derived from the actually measured data. Then the intercept ratio, heat flux distribution and total energy collected at the receiver for the heliostats located in the various places of the heliostat field are investigated. Finally the effect of mirror facet installation error on the optical performance of the heliostat is analyzed.

ORFEUS OBSERVATIONS OF ULTRAVIOLET EXCITED HIGH-J MOLECULAR HYDROGEN

  • Lee, Dae-Hee;Dixon, W. Van Dyke;Min, Kyoung-Wook;Pak, Soo-Jong
    • 천문학회지
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    • 제42권6호
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    • pp.145-153
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    • 2009
  • We present measurements of diffuse interstellar $H_2$ absorption lines in the continuum spectra of 10 early-type stars. The data were observed with the Berkeley Extreme and Far-Ultraviolet Spectrometer (BEFS) of the ORFEUS telescope on board the ORFEUS-SPAS I and II space-shuttle missions in 1993 and 1996, respectively. The spectra extend from the interstellar cutoff at 912 $\AA$ to about 1200 $\AA$ with a resolution of ~ 3000 and statistical signal-to-noise ratios between 10 and 65. Adopting Doppler broadening velocities from high-resolution optical observations, we obtain the $H_2$ column densities of rotational levels J" = 0 through 5 for each line of sight. The kinetic temperatures derived from J" = 0 and 1 states show a small variation around the mean value of 80 K, except for the component toward HD 219188, which has a temperature of 211 K. Based on a synthetic interstellar cloud model described in our previous work, we derive the incident UV intensity IUV and the hydrogen density $n_H$ of the observed components to be -0.4 $\leq$ log $I_{UV}\leq2.2$ and $6.3{\leq}n_H2500cm^{-3}$, respectively.

환자안전 관리를 위한 위험요인 분석 (Analysis of Risk Factors for Patient Safety Management)

  • 안성희
    • 간호행정학회지
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    • 제12권3호
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    • pp.373-384
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    • 2006
  • Purpose: This is a pilot study to identify patient safety risk factors and strategies for patient safety management perceived by nurses. Methods: Data were collected and analyzed with an open questionnaire from April to May 2005, targeted on 100 nurses working in two hospitals. The issues were 'what are risk factors for patients, nurses, and other medical practitioners? How do they prevent with the aftermath of risk factors, causes of incidents?' For data analysis, types and frequency of risk factors were worked out, using the Australian Incident Monitoring System Taxonomy. Results: The types of patient safety risk factor perceived by nurses were as follows ; therapeutic devices or equipment, infrastructure and services (29.5%), nosocomial infections (16.3%), clinical processes or procedures (15.4%), behavior, human performance, violence, aggression, security and safety (12.2%), therapeutic agents (9.7%), injuries and pressure ulcers (8.7%), logistics, organization, documentation, and infrastructure technology (5.6%). Strategies for patient safety included training of prevention of infection, education about safety management for patients and medical professionals, establishment of reporting system, culture of care, pre-elimination of risk factors, cooperative system among employees, and sharing information. Conclusion: These results will be used to provide evidences for patient safety management and educational program.

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