• Title/Summary/Keyword: Accidental fails

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Medication Use as a Risk Factor for Falls among Hospitalized Stroke Patients (노인전문병원에 입원한 뇌졸중환자의 복용약물과 관련된 낙상 위험요인)

  • Sohng Kyeong-Yae;Cho Ok-Hee;Park Mi-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.60-67
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    • 2006
  • Purpose: To identify the relationship between medication use and falls among hospitalized stroke patients. Method: The medical records of 472 patients with strokes were reviewed using a questionnaire on falling developed by the authors. Frequencies, percentages, means, standard deviations, and t-test and ${\chi}^2$-test, multiple logistic regression analysis were done using the SAS program. Results: The rate for falls by the patients during their stay in the hospital was 14.0%. The length of stay was longer and the morbidity duration of stroke shorter in the fall group than in the non-fall group. The use of sedatives, laxatives, and antidepressants was a significant predictor of falls and was associated with increase likelihood of falling(1.82, 1.81, 1.75 times respectively). Conclusion: In hospitalized stroke patients, there was a significant association between the use of sedatives, laxatives, antidepressants and falls. The number and kinds of ingested drugs was also associated with falls. It is necessary to further analyze the causes of falls based on results of the present study.

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2D and 3D numerical analysis on strut responses due to one-strut failure

  • Zhang, Wengang;Zhang, Runhong;Fu, Yinrong;Goh, A.T.C.;Zhang, Fan
    • Geomechanics and Engineering
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    • v.15 no.4
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    • pp.965-972
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    • 2018
  • In deep braced excavations, struts and walers play an essential role in the whole supporting system. For multi-level strut systems, accidental strut failure is possible. Once a single strut fails, it is possible for the loads carried from the previous failed strut to be transferred to the adjacent struts and therefore cause one or more struts to fail. Consequently, progressive collapse may occur and cause the whole excavation system to fail. One of the reasons for the Nicoll Highway Collapse was attributed to the failure of the struts and walers. Consequently, for the design of braced excavation systems in Singapore, one of the requirements by the building authorities is to perform one-strut failure analyses, in order to ensure that there is no progressive collapse when one strut was damaged due to a construction accident. Therefore, plane strain 2D and three-dimensional (3D) finite element analyses of one-strut failure of the braced excavation system were carried out in this study to investigate the effects of one-strut failure on the adjacent struts.

The Thermal Stability Analysis of Fumes and Mists During the Drying Process of a PCB (PCB 건조공정의 흄과 미스트에 대한 열안정성 분석)

  • Chu, Chang Yeop;Lee, Jung Suk;Baek, Jong Bae
    • Journal of the Korean Society of Safety
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    • v.34 no.4
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    • pp.32-40
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    • 2019
  • During the manufacturing process of a printed circuit board(PCB), fumes and mists are generated as the ink dries on the PCB surface. The generated fumes and mists are deposited in the dryer wall and the exhaust duct. Deposited fumes and mists may present a fire hazard if the dryer temperature control system fails. In this study, the thermal stability of the fumes and mists deposited in the dryer and ducts has been analyzed by experimental methods such as thermo gravimetric analysis (TGA), differential scanning calorimetry (DSC), auto ignition temperature (AIT), and multiple mode calorimetry(MMC). According to the experimental analyses, experimental samples are likely to generate gas at the temperature ($180{\sim}240^{\circ}C$) that deviates from the normal operating temperature ($150{\sim}156^{\circ}C$). It has been shown that the thermal stability is degraded when the temperature is deviated from the normal operating temperature. In the end, engineering and management safety measures of accidental prevention have been suggested.

Surgical Treatment of Acid Induced Corrosive Esophageal Stricture in Children (소아의 산성 부식성 식도협착의 외과적 치료)

  • Park, Kwi-Won;Yang, Seok-Jin;Chun, Yong-Soon;Jung, Sung-Eun;Lee, Seong-Cheol;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.3 no.1
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    • pp.47-53
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    • 1997
  • Accidental ingestion of caustic substance is one of the common problems among children around the world. Acid intake accounts for a mere 5% of all reported cases of corrosive ingestion in the West. Because of the esophageal sparing effect of acid, clinically significant esophageal involvement after acid ingestion occurs in only 6 to 20 percent of the instances. Despite effort of prevention, 7% to 15% of children sustaining caustic esophageal burns develop esophageal strictures. If balloon dilatation or bougie dilatation fails to resolve the esophageal strictures, successful outcome following replacement by colon or stomach has been reported in children. But the complications and morbidity following these operations are still relatively high. Seven patients with corrosive-acid induced esophageal strictures who were operated upon at the Department of Pediatric Surgery, Seoul National University Children's Hospital from 1991 to 1995 were reviewed. Primary resection and anastomosis was performed in all of 7 patients. The stricture involved short segments of the esophagus at the level of the lower cervical and the upper thoracic vertebra. The operations were approached through a left cervical incision or a left thoracotomy. In one patient, operative repair of anastomotic leakage was done, and three patients required re-resection of anastomotic strictures postoperatively, and one patient required a third operation(reversed gastric tube) due to an anastomotic stricture. The other anastomotic leaks, strictures or pulmonary complications were resolved with conservative treatment. In conclusion, primary resection and anastomosis of the esophagus was performed successfully on the 6 of 7 children with acid induced corrosive esophageal strictures. This approach is physiologic, especially in children who should have a long life expectancy, and recommended for the treatment of short-segment acid induced corrosive esophageal strictures.

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