• Title/Summary/Keyword: ASA condition

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Effect-site Concentration of Alfentanil or Remifentanil for the Relief of Postoperative Pain in the Intensive Care Unit Patients

  • Jang, Hae-Lan;Kang, Hoon
    • International Journal of Contents
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    • v.11 no.2
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    • pp.69-73
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    • 2015
  • This study was performed to determine the optimal doses of alfentanil or remifentanil (effect-site concentrations) required to prevent pain and other suffering after abdominal general surgery in ICU patients. A total of 52 general abdominal surgical patients (ASA IIIII) requiring artificial ventilatory care in the ICU were provided with either alfentanil (24 patients) or remifentanil (28 patients) through target controlled infusion (TCI). Alfentanil and remifentanil concentrations were titrated up and down until the pain score became less than 3 (VAS; Visual Analogue Score < 3). The effect-site concentrations (ng/ml) of alfentanil or remifentanil required to adequately control postoperative pain in the ICU were 64 +/- 12 and 1.9 +/- 0.5 for intubation with artificial ventilation, 57 +/- 9 and 1.7 +/- 0.7 for intubation with spontaneous ventilation, and 41 +/- 10 and 1.2 +/- 0.5 after extubation, respectively. Pain scores and the corresponding opioid concentrations were independent from respiratory condition. The three effect-site concentrations of alfentanil and remifentanil obtained from this clinical trial using the TCI technique can be a guideline in the administration of the same opioids to relieve the discomfort of ICU patients who have undergone abdominal general surgery.

Characterization of $CO_2$ Separation in Landfill Gas by Using Adsorbent (흡착제를 이용한 매립지가스 내 $CO_2$ 분리 특성)

  • Heo, Rye-Hwa;Yoo, Young-Don;Kim, Mun-Hyun;Kim, Hyung-Taek;Choi, Ik-Hwan
    • New & Renewable Energy
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    • v.5 no.4
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    • pp.46-51
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    • 2009
  • The purpose of this study is to investigate selective adsorption of $CO_2$ from LFG (Landfill gas) by using commercialized NaX-type zeolite adsorbent under the ambient temperature and pressure. The experiment of $CO_2$ adsorption was carried out by using simulated LFG. The $CO_2$ adsorption capacity and separation efficiency of NaX-type adsorbent were investigated by analyzing gas flow rate and gas composition at inlet and outlet of the adsorption reactor. The adsorbed $CO_2$ were desorbed under decompression condition which 0.5 Torr or by air purge. Through the result to use simulated LFG, when the method of VSA was used, 73.2~75.3 mg of $CO_2$ was adsorbed per 1 g commercial adsorbent, when the method of air purge was used, 78.4~83.2 mg of $CO_2$ was adsorbed per 1 g of commercial adsorbent.

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Analysis on Triangle Determination and Congruence (삼각형의 결정과 합동의 분석)

  • Kim, Su-Hyun;Choi, Yoon-Sang
    • Journal of the Korean School Mathematics Society
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    • v.10 no.3
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    • pp.341-351
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    • 2007
  • The primary purpose of this treatise is to suggest the solutions as follows for the errors concerning the triangle determination and congruence in every Korean mathematics textbook for 7th graders: showing that SsA, along with SSS, SAS, ASA, should also be included as the condition for triangle determination, congruence and similarity; proving that contrary to what has been believed, minimality applies only to congruence and similarity but not to determination; examining related Euclidean propositions; discussing the confusion about the characteristics of determination and congruence; and considering the negative effects of giving definite figures in construction education. The secondary purpose is to analyze the significance of triangle determinant that is not dealt with in either Euclid's Elements or the text books in the U.S. or Japan, and suggest a way to effectively deal with triangle determination and congruence in education.

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Clinical Evaluation of Thoracoscopic Sympathectomy in Hyperhidrosis (흉강경하 흉부 교감신경간 절제술을 시행한 본태성 다한증 환자의 임상적 고찰)

  • Oh, Wan-Soo;Kang, Jeong-Kweon;Yon, Jun-Heum;Kim, Jeong-Won;Hong, Ki-Hyuk
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.81-86
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    • 1999
  • Background: Essential hyperhidrosis is a condition with excessive sweating, which may be localized in any parts of the body. Thoracic sympathectomy has been a surgical procedure for the management of hyperhidrosis. Methods: We studied 30 ASA I and II patients suffering from severe hyperhidrosis. Bilateral upper thoracoscopic sympathectomy of $T_{2-4}$ was performed in 30 patients under general anesthesia. Anesthesia was induced with 2.5% thiopental sodium 5 mg/kg and succinylcholine chloride 1 mg/kg and was maintained with enflurane 1~2 Vol% and $N_2O-O_2$ mixture adjusted to maintain $SpO_2$ greater than 96%. During anesthesia, invasive arterial pressure, heart rate, EKG, $SpO_2$ and capnography were monitored. Skin temperature was measured with thermister probes attached to the index finger of each hand. An increase in temperature after cautery confirmed success of the sympathectomy. Results: There were 14 men and 16 women whose ages ranged from 16 to 46 years old (mean age 22.2). Of these patients, 13 patients had complained of palm-sole hyperhidrosis, 9 of palm-sole-axilla hyperhidrosis, 4 of palm-sole-face hyperhidrosis and 4 of palm-sole-axilla-face hyperhidrosis. The provocative factors of excessive sweating were tension and stress from interpersonal relationships. There was positive familial history in 37%. The most common complication was compensatory hyperhidrosis in 23 patients comprising 76%. Other complication included peumothorax (4 patients), hemothorax (1 patient), ipsilateral Horner's syndrome (1 patient) and paresthesia of right arm (1 patient). The degree of satisfaction was graded as good, fair and poor with 15, 12 and 3 patients, respectively. Conclusions: Thoracoscopic sympathectomy with VATS is an efficient, safe and minimally invasive surgical procedure for essential hyperhidrosis.

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Effect of cryopreservation of ginseng (Panax ginseng C.A. Meyer) seeds on redox ratio of ascorbate and glutathione (인삼종자 초저온보존 후 Ascorbate 및 Glutathione의 산화환원 변화)

  • Baek, Hyung-Jin;Lee, Young-yi;Yoon, Mun-Seop;Song, Jae-young;Balaraju, Kotnala
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.81-81
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    • 2019
  • Ginseng seeds are one of short-lived seeds species which loose their viability easily in the condition of conventional storage. Cryopreservation using liquid nitrogen (LN) has been recommended as a alternative storage for this kind of germplasm short lived or dessiccation-sensitive. This study was performed to find out whether cryopreservation could affect physiological change such as enzyme activity induced by reactive oxygen species. In this work, the redox ratio of ascorbate and glutathione were examined onto ginseng seedlings before and after LN storage of seeds for 1 day using spectrophotometer method. Reduced ascorbate (ASA) was increased while oxidized ascorbate (DHA) was decreased slightly for both after 1d-LN storage. And for glutathione also, reduced form (GSH) was increased while oxidized form (GSSG) was decreased slightly for both after 1d-LN storage. Consequently total phenol compound and ion leakage after LN storage showed no significant differences. Additionally root growth from the seeds after LN storage was not affected by ultra low temperature. From the above results, we may suggest that cryopreservation could be recommended for storage tool of ginseng seeds even with low viability also and expected to make slower seed aging process during preservation period through further study.

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3D printing of multiple container models and their trajectory tests in calm water

  • Li, Yi;Yu, Hanqi;Smith, Damon;Khonsari, M.M.;Thiel, Ryan;Morrissey, George;Yu, Xiaochuan
    • Ocean Systems Engineering
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    • v.12 no.2
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    • pp.225-245
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    • 2022
  • More and more shipping containers are falling into the sea due to bad weather. Containers lost at sea negatively affect the shipping line, the trader and the consumer, and the environment. The question of locating and recovering dropped containers is a challenging engineering problem. Model-testing of small-scaled container models is proposed as an efficient way to investigate their falling trajectories to salvage them. In this study, we first build a standard 20-ft container model in SOLIDWORKS. Then, a three-dimensional (3D) geometric model in the STL (Standard Tessellation Language) format is exported to a Stratasys F170 Fused Deposition Modeling (FDM) printer. In total, six models were made of acrylonitrile styrene acrylate (ASA) and printed for the purpose of testing. They represent three different loading conditions with different densities and center of gravity (COG). Two samples for each condition were tested. The physical models were dropped into the towing tank of University of New Orleans (UNO). From the experimental tests, it is found that the impact of the initial position after sinking can cause a certain initial rolling velocity, which may have a great impact on the lateral displacement, and subsequently affect the final landing position. This series of model tests not only provide experimental data for the study of the trajectory of box-shape objects but also provide a valuable reference for maritime salvage operations and for the pipeline layout design.