• Title/Summary/Keyword: Assessment Protocol

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Thromboprophylaxis in Abdominoplasty: Efficacy and Safety of a Complete Perioperative Protocol

  • Marangi, Giovanni Francesco;Segreto, Francesco;Poccia, Igor;Campa, Stefano;Tosi, Daniele;Lamberti, Daniela;Persichetti, Paolo
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.360-364
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    • 2016
  • Background Venous thromboembolism, a spectrum of diseases ranging from deep venous thrombosis to pulmonary embolism, is a major source of morbidity and mortality. The majority of cases described in plastic surgery involve abdominoplasty. Risk assessment and prophylaxis are paramount in such patients. General recommendations were recently developed, but the evidence in the literature was insufficient to prepare exhaustive guidelines regarding the medication, dosage, timing, or length of the prophylaxis. Methods A thromboprophylaxis protocol was developed for patients undergoing abdominoplasty. The protocol consisted of preoperative, intraoperative, and postoperative measures. Enoxaparin was administered as chemoprophylaxis in selected patients. The study involved 253 patients. The patients were analyzed for age, body mass index, enoxaparin dosage, risk factors, and complications. Results Deep venous thrombosis was documented in two cases (0.8%). No pulmonary embolism occurred. Three patients (1.2%) presented mild subcutaneous abdominal hematoma within the first postoperative week that spontaneously resorbed with neither aesthetic nor functional complications. Two patients (0.8%) presented severe hematoma requiring surgical re-intervention for drainage and hemostasis revision. Statistical analysis showed no significant correlation between enoxaparin dosage and hematoma (P=0.18) or deep venous thrombosis (P=0.61). Conclusions The described thromboprophylaxis protocol proved to be effective in the prevention of thrombotic events, with an acceptable risk of hemorrhagic complications. Furthermore, it provides new evidence regarding the currently debated variables of chemoprophylaxis, namely type, dosage, timing, and length.

Status of Policies Relating Biosafety

  • Jang, Hi-min
    • Journal of Plant Biotechnology
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    • v.5 no.1
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    • pp.13-17
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    • 2003
  • Biotechnology is certainly one of the major landmarks in the 20th century history of science. It may produce enormous utility to human beings, but at the same time, it carries huge potential risks to the environment and public health. Thus, with a view to securing safety for the environment and public health in relation to the development and use of living modified organisms (LMOs), the Cartagena Protocol on Biosafety was adopted, in which a regulation Procedure as to the transboundary movements, transportation, handling, and use of LMOs were drawn up. In order to prepare for the entry into force of the Protocol, the Republic of Korea legislated the "Act on the Transboundary Movements of living modified organisms(hereinafter referred as the 'Act')" in Mar 2001, and has pre-announced the enactments of the enforcement ordinance and the enforcement regulation to the Act. Pursuant to the Act, the Ministry of Commerce, Industry and Energy, as a Competent National Authority, is making efforts to implement domestic biosafety schemes in cooperation with other bio-related government ministries. In order for these efforts to reap fruits, industry, academia, and research institutions should cooperate with one another, and civic groups and NGOs should narrow the differences in opinions and timely respond to the fast-changing situations. Focusing on the precautionary principle, the Protocol puts a great emphasis on the importance of information sharing amongst countries, and the Act also follows this principle. In order to gurantee biosafety, countries around the world, including the ROK, agreed to establish National Biosafety Clearing, designed to provide the information on the export/import of LMOs, R'||'&'||'Ds, risk assessment, safety control, etc. and register it on the CBD Central Biosafety Clearing House.e.

Review of the Computerization Component for the Utilization of ICF as a Global Protocol (글로벌 프로토콜로서의 ICF 활용을 위한 전산화 구성요소 고찰)

  • Nyeon-Sik Choi;Ju-Min Song
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.121-133
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    • 2023
  • PURPOSE: Computerization using ICF as a protocol can enhance the assessment, communication, and decision-making of various disciplines and cultures, individual functions, disabilities and health to promote communication and understanding among various professionals, organizations, and countries. The empirical foundation for these propositions was provided by delineating of six distinct computerization components. METHODS: This study analyzed 14 papers that combined the medical field and information technology to activate the ICF through computerization. From each of these papers, distinctive advantages were extracted to propose six computerization elements. The validity of these computerization elements was examined. These papers encompass various computerization elements, among which core elements were identified. In particular, six common core elements were extracted from these papers and assumed to be strategic computerization components for ICF activation. A heuristic methodology was employed to validate these components, representing IT technology maturity using four determining indices, which were then presented graphically for validation attempts. RESULTS: Four quantified indices were defined: reliability, cost-effectiveness, support and updates, and collaboration. Using these indices, this study identified elements that leverage existing IT technologies and require new development. The possibility of increasing utility was identified by applying computerization to ICF. CONCLUSION: This study examined the strategic elements of utilizing ICF by computerizing it using a protocol concept and discussed its potential for utilization. The potential to enhance the value of information in social, physical, and cultural contexts was presented by integrating various domains and data within the ICF framework.

Time Synchronization of the Monitoring Data for the VoIP User Assessment of Voice Quality Measurement (인터넷전화 이용자 체감품질 측정을 위한 측정데이터 간의 시간동기화)

  • Kweon Tae-Hoon;Hwang Hyae-Jeong;Lee Seog-Ki;Song Han-Chun;Won Seung-Young
    • The Journal of the Korea Contents Association
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    • v.5 no.4
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    • pp.227-236
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    • 2005
  • We study, in terms of VoIP user assessment of voice quality, the synchronization of measurement system is important. Commonly the synchronization system uses NTP(Network Time Protocol) or GPS(Global Positioning System), these synchronization method has time error of distance, system overhead of data processing, and system specialized clock error. we propose and implement the synchronization method to correct time error between two measurement system in the internet. So the time synchronization of systems can get time error, then user assessment of voice quality become reliable.

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Application of Life Cycle Assessment to Ship (전과정 평가의 선박 적용 연구)

  • Im, Nam-Kyun;Cho, Ho-Jin;Choi, Kyong-Soon
    • Proceedings of KOSOMES biannual meeting
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    • 2006.05a
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    • pp.201-206
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    • 2006
  • As the seriousness of the global environment is gaining increasing our attention recently, studies on application of LCA(Life Cycle Assesment) to ship are being carried dynamically in various industry fields. This study examined general outline about local and international application cf LCA to ship. First of all, international background for the appearance of LCA and its general meaning are introduced. The state-of-the-art for its application to ship will be also explained. Finally, domestic study methodology for application of LCA to ship were suggested.

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The Development of the Monitoring System for Wind resource measurement in onshore wind energy experimental research complex (육상풍력실증연구단지 풍황계측 모니터링 시스템 개발)

  • Ko, Seok-Whan;Jang, Moon-Seok;Lee, Youn-Seop
    • 한국태양에너지학회:학술대회논문집
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    • 2009.04a
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    • pp.277-280
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    • 2009
  • Wind monitoring system is an absolutely-required system for assessing a performance and fatigue load of the wind energy generator in an on-shore wind energy experimental research complex. It was implemented for the purpose of monitoring the wind information measured from a meteorological tower at the monitoring house and of utilizing the measured data for the performance assessment, by using the LabVIEW program. Then, by adding the performance assessment-related data acquired from the wind energy generator during the performance assessment and the data recorder for synchronizing the data of meteorological tower, the system was implemented. Because it transmitted the data by converting the output 'RS-232' of data logger which measures the wind condition into CAN protocol, the data error rate was minimized, This paper is intended to explain the developed wind data monitoring system.

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A Quantitative Analysis of Greenhouse Gas Emissions from the Danish Seine Fishery using Life Cycle Assessment (전과정평가 방법에 의한 외끌이 대형기선저인망 어업의 온실 가스 배출량의 정량적 분석)

  • Lee, Jihoon;Lee, Chun-Woo;Kim, Jieun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.48 no.2
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    • pp.200-206
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    • 2015
  • The fishing industry has a negative effect on the environment due to greenhouse gas (GHG) emissions with the high use of fossil fuels, the destruction of underwater ecosystems by bottom trawls, reduction in resources by fishing, and altered ecosystem diversity. GHG emissions from fisheries were discussed at the Canc$\acute{u}$n meeting in Mexico in 1992 and are part of the Kyoto protocol in 2005. However, few studies have investigated the GHG emissions from Korean fisheries. To find a way to reduce GHG emissions from fisheries, quantitative analysis of GHG emissions from the Korean fishery industry is needed. Therefore, this study investigated the GHG emissions from the Korean Danish seine fishery using the life cycle assessment (LCA) method. The system boundary and input parameters for each process level are defined for the LCA analysis. The fuel-use coefficient of the fishery is also calculated. The GHG emissions from the representative fish caught by the Danish seine fishery are considered and the GHG emissions for the edible weight of fishes are calculated, considering consumption in different areas and different slaughtering processes. The results will help to understand the GHG emissions from Korean fisheries.

The Development of the Monitoring System for Power performance using the Lab View (LabView를 이용한 풍력발전 성능평가용 모니터링 시스템 개발)

  • Ko, Seok-Whan;Jang, Moon-Seok;Ju, Young-Chul;Lee, Yoon-Sub
    • Journal of the Korean Solar Energy Society
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    • v.29 no.6
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    • pp.69-74
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    • 2009
  • Monitoring system is an absolutely-required system for assessing a performance and fatigue load of the wind turbine in an on-shore wind energy experimental research complex. It was implemented for the purpose of monitoring the wind information measured from a meteorological tower at the monitoring house, and of utilizing the measured data(fatigue data and electric analyzing data of wind turbine)for the performance assessment, by using the LabVIEW program. Then, by adding the performance assessment-related data acquired from the wind turbine during the performance assessment and the data recorder for synchronizing the data of meteorological tower, the system(BusDAQ) was implemented. Because it transmitted the data by converting the output 'RS-232' of data logger which measures the wind condition into CAN protocol, the data error rate was minimized. Also, This paper is introduced to make the best use of the developed monitoring system and to explain about construct of the system and detailed data communication of its system.

Practical Communication Strategies to Improve the Surgical Outcomes in a Pediatric Cardiac Intensive Care Unit (소아심장외과 중환자실에서의 실무의사소통 프로토콜이 수술 후 성과에 미치는 영향)

  • Uhm, Ju-Yeon;Lee, Worlsook
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.243-253
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    • 2015
  • Purpose: The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU). Methods: Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS. Results: The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (${\chi}^2=7.23$, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (${\chi}^2=6.66$, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (${\chi}^2=20.31$, p<.001). Conclusion: Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

Analysis of Agricultural Characters to Establish the Evaluating Protocol and Standard Assessment for Genetically Modified Peppers (GM 고추의 환경위해성 평가 프로토콜 작성을 위한 농업적 형질 분석)

  • Cho, Dong-Wook;Chung, Kyu-Hwan
    • Journal of Environmental Science International
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    • v.20 no.9
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    • pp.1183-1190
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    • 2011
  • This study was aimed to establish the evaluating protocol and standard assessment for genetically modified (GM) hot pepper and to find out a proper statistic method to analyze for equality of agricultural characters between GM and non-GM pepper lines. GM and non-GM hot pepper lines were cultivated in two GMO fields in the middle region of Korea and total of 52 agricultural characters were collected during the plant growing season for 4 years, 2007 to 2010. Levene's test was conducted to confirm the homogeneity of raw data before statistic analysis. Two-way ANOVA in the multivariate tests and t-test were conducted to analyze 52 agricultural characters in order to find out the equality between H15 and P2377. From the statistical analysis through two-way ANOVA, 16 out of 16 plant growth traits, 9 out of 18 green fruit traits and 7 out of 18 red fruit traits among 4 years and 9 out of 16 plant growth traits, 4 out of 18 green fruit traits and 3 out of 18 red fruit traits between H15 and P2377 have shown the statistic differences. With the same raw data of 52 agricultural characters, t-test was also conducted. Based on the result from t-test, only 1 out of 16 plant growth traits, 2 out of 18 green fruit traits and 1 out of 18 red fruit traits have shown the differences between H15 and P2377, so that it was concluded that there is no statistic difference between H15 and P2377 in terms of agricultural characters. Also, the t-test is a proper statistic method to analyze each trait between GM and its control lines in order to evaluate agricultural characters.