• Title/Summary/Keyword: Central line

검색결과 924건 처리시간 0.023초

HIGH RESOLUTION $HC_3N$ OBSERVATIONS TOWARD THE CENTRAL REGION OF SAGITTARIUS B2

  • CHUNG HYUN SOO;OHISHI MASATOSHI;MORIMOTO MASAKI
    • 천문학회지
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    • 제27권1호
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    • pp.1-11
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    • 1994
  • We have observed the emission of $HC_3N$ J=4-3, 5-4,10-9 and 12-11 transitions toward the Sgr B2 central region in an area of $150'\times150'$ with resolutions of 16'-48'. The intensities and central velocities of line profiles show significant variations with positions. In contrast to the intensities of the low J-level transitions which gradually increase from the central source toward the outside region, the $HC_3N$ emission of the high J-level transition become stronger toward 'the central radio continuum source MD5. Systematic change in the radial velocity of each line profile occurs along north-south direction. There are a few peaks in most line profiles, and these indicate that there are multiple velocity components along the line of sight. Distributions of excitation temperature and column density which were estimated from the excitation calculations show the existence of a small $(1\times2pc),\;hot\;(T_{ex}>50K)$ core which contains two temperature peaks at-15' east and north of MD5. The column density of $HC_3N\;is\;(1-3)\times10^{14}cm^{-2}$ Column density at distant position from MD5 is larger than that in the central region. We have deduced that this 'hot-core' has a mass of 105M 0, which is about an order of magnitude larger than those obtained by previous studies.

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Can central venous access device care bundles and regular feedback reduce central line-associated complications in pediatric patients?

  • Chaiyakulsil, Chanapai;Pharadornuwat, Onsuthi
    • Clinical and Experimental Pediatrics
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    • 제64권3호
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    • pp.123-129
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    • 2021
  • Background: The use of indwelling central venous access devices (CVADs) in children can result in complications such as infection, occlusion, and dislodgement. Purpose: To evaluate whether reinforcing CVAD care bundles by using a regular direct feedback system could reduce such complications in children. Methods: The intervention in this retrospective interrupted time-series study was initiated in January 2019. The study was divided into the preintervention (October-December 2018), 3-month postintervention (January-March 2019), and 6-month postintervention (April-June 2019) phases. Risk difference and Poisson regression analyses were used to illustrate the effectiveness of the intervention. Results: The hospital-wide central line-related bloodstream infection rate decreased from 10.0/1,000 catheter-days to 4.5/1,000 catheter-days at 3-month postintervention (P=0.39) and to 1.4/1,000 catheter-days at 6-month postintervention (P=0.047). The central line occlusion rate significantly decreased from 30% to 12.8% (P=0.04) and 8.3% (P=0.002) at 3 and 6 months, respectively. Approximately 7% of CVADs became dislodged during the preintervention phase versus 8.5% (P=0.364) and 3.3% (P=0.378) at 3 and 6 months, respectively. Conclusion: Reinforcing CVAD care bundles with direct feedback could significantly decrease CVAD-associated complications in terms of infection at 6-month postintervention, and occlusion at 3- and 6-month postintervention. Thus, reinforcement and regular direct feedback might improve care quality in children with CVADs.

Cranial Vena Cava Syndrome in a Retriever Dog Receiving CPN through Central Venous Catheter

  • Oh, Sangjun;Kang, Jinsu;Kim, Bumseok;Kim, Namsoo;Heo, Suyoung
    • 한국임상수의학회지
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    • 제39권5호
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    • pp.253-257
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    • 2022
  • A 5-year-old castrated male Golden Retriever dog weighing 15 kg presented with evidence of intestinal intussusception. The patient had cachexia and severe dehydration before being referred to our department. Ultrasound imaging revealed a target sign indicative of intestinal intussusception. Emergency surgery was performed shortly after diagnosis. After a successful surgery, the patient was hospitalised for postoperative care. Initial treatment was aimed at the reversion of dehydration and the provision of adequate nutrition. Fluid therapy and central parenteral nutrition were administered via the peripheral and central venous catheters, respectively. Ten days postoperatively, swelling and edema were observed in the head and neck. Ultrasound and computed tomography confirmed complete blockage of the cranial vena cava due to thrombosis, which consequently obstructed both the left and right jugular veins. For treatment, dalteparin and tissue plasminogen activator were administered. However, the patient lost all of its vital function on the daybreak of postoperative day 11. Venous thrombus formation secondary to central parenteral nutrition application via the central line is a rare but possible complication. Veterinarians who are concerned about taking care of patients receiving CPN through the central line should keep the possibility of venous thrombus formation in mind.

수술실에서 중심정맥관 삽입 시 번들적용이 중심정맥관 관련 혈류감염에 미치는 영향 (Impact of Central Line Insertion Bundle on the Adherence of Bundle and Central Line-Associated Bloodstream Infections in the Operating Room)

  • 신은정;정재심;최상호;허인영
    • Journal of Korean Biological Nursing Science
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    • 제18권4호
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    • pp.257-263
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    • 2016
  • Background: This study purposed to examine how the incidence of the central line-associated bloodstream infection (CLABSI) in a operating room (OR) is affected by bundle application on central line insertion (CLI) practice. Methods: The study design was a pretest-posttest experimental trial. The subjects were 83 patients before the bundle application on CLI and 70 patients after. Results: The compliance(%) of bundle on CLI of among those who observed all of the five items increased from 7.2% before the intervention to 72.9% after. By items, compliance with the maximal barrier precaution was 100% for the use of a mask and cap before and after the intervention, but increased from 73.5% before the intervention to 88.6% after for the hand hygiene, from 73.5% to 88.6% for the use of a sterile gown, and from 9.6% to 75.7% for the use of a sterile large drape covering the whole body. CLABSI did not happen on CLI either before or after the application of the bundle intervention. Conclusion: Bundle application increased compliance with the use of a sterile gown and the use of a sterile large drape. However, its effect in the prevention of CLABSI was not clear probably due to the short period of intervention in a single hospital.

중앙난방시스템의 온라인 최적제어기법에 관한 연구 (On-line Optimal Control Technology for Central Heating System)

  • 안병천;최상곤;조성환
    • 설비공학논문집
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    • 제17권2호
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    • pp.140-146
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    • 2005
  • The on-line optimal control algorithm for central heating system has been researched for minimizing energy consumption while maintaining the comfort of indoor thermal environment in terms of the environmental variables such as indoor heating load and outdoor temperature variation. This study has been done by using TRNSYS Program in order to analyze the central heating system. The optimal control algorithm shows good energy Performances in comparison with the conventional one.

고압 회전기 고정자 권선의 절연진단을 위한 중앙 집중 감시 시스템 개발 (Development of Central Monitoring System for Insulation Diagnosis of High-Voltage Generator/Motor Stator Windings)

  • 신병철;윤대회;황돈하;김용주;주영호;김정우
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2000년도 하계학술대회 논문집 C
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    • pp.1906-1908
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    • 2000
  • The central monitoring system with on-line diagnosis of high-voltage generator/motor stator insulation is developed. The system is capable of remote diagnosis and monitoring partial discharges of high-voltage generator/motor stator insulation. GOMS(Generator On-line Monitoring System) with maximum of 9 input channels can measure and analyze the status of high-voltage motor stator insulation by on-line. The measured and analysis data are brought to the central monitoring system via modem to build database. The central monitoring system can diagnose and monitor the insulation status of several high-voltage generator/motor at any time. The insulation status of those machines can be enhanced by the database on partial discharges.

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Cytokines Expression and Nitric Oxide Production under Induced Infection to Salmonella Typhimurium in Chicken Lines Divergently Selected for Cutaneous Hypersensitivity

  • Singh, Rani;Jain, Preeti;Pandey, N.K.;Saxena, V.K.;Saxena, M.;Singh, K.B.;Ahmed, K.A.;Singh, R.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권7호
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    • pp.1038-1044
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    • 2012
  • In the present study, the impact of Salmonella Typhimurium on cell-mediated immunity (CMI) was investigated in 5 week-old immuno divergent broiler lines selected for the high and low response to phytohemagglutinin-P. The immune response was assessed in peripheral-blood mononuclear cells (PBMCs) induced with Salmonella Typhimurium at different time intervals (0 h, 0.5 h, 2 h, 4 h, 6 h, 12 h and 24 h). The differential mRNA expression patterns of IFN-${\gamma}$, IL-2 and iNOS were evaluated by quantitative real time PCR. In-vitro production of nitric oxide (NO) was also estimated in the culture supernatant and correlated with iNOS mRNA expression. Present study showed higher production of NO in the high cell-mediated line (HCMI) as compared to the low cell-mediated line (LCMI) upon stimulation with Salmonella Typhimurium. Correspondingly, higher mRNA expression of iNOS and IFN-${\gamma}$ were observed in high response birds (HCMI); but IL-2 was down regulated in this line compared to the low response birds (LCMI). Significantly (p<0.05) higher expression of iNOS, IFN-${\gamma}$ and higher production of NO in high line indicated that the selection for PHA-P response might be employed for increasing the immune competence against Salmonella Typhimurium in chicken flocks.

Apatinib as a Third-Line Treatment for HER2-Positive Metastatic Gastric Cancer: A Multi-Center Single-Arm Cohort Study

  • Zhang, Xin;Huo, Haoran;Nie, Yanan;Xue, Jiadong;Yuan, Zengjiang;Zhang, Zhenyi
    • Journal of Gastric Cancer
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    • 제22권4호
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    • pp.408-417
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    • 2022
  • Purpose: Treatment options are limited after the failure of first-and second-line treatments in patients with HER2+ metastatic gastric cancer (mGC). The present study aimed to explore the efficacy, safety, and prognostic factors of apatinib efficacy as a third-line therapy for patients with human epithelial growth factor receptor 2-positive (HER2+) mGC. Materials and Methods: A total of 59 HER2+ mGC patients who received apatinib as third-line therapy were retrospectively enrolled in this two-center, single-arm, cohort study; the clinical response, survival data, and adverse events were retrieved. Results: The median progression-free survival (PFS) was 5.2 months (95% confidence interval [CI], 3.9-6.5), and the median overall survival (OS) was 8.2 months (95% CI, 6.6-9.8) Furthermore, forward stepwise multivariate Cox regression analysis showed that a higher Eastern Cooperative Oncology Group performance status score and multiple metastases were independently correlated with decreased PFS and OS (both P<0.05). The main adverse events were leukopenia (45.8%), hypertension (44.1%), thrombocytopenia (39.0%), hand-foot syndrome (37.3%), and elevated transaminase (33.9%). Grade 3 adverse events mainly included hypertension (5.1%) and neutropenia (5.1%); grade 4 adverse events did not occur. Conclusions: Apatinib is efficient and well tolerated in patients with HER2+ mGC as a third-line treatment, suggesting that it may be a candidate of choice for these patients.

Heterobeltiotic Genetic Interaction between Congenic and Syngenic Breeds of Silkworm, Bombyx mori L.

  • Verma A. K.;Chattopadhyay G. K.;Sengupta M.;Das S. K.;Sarkar A. K.
    • International Journal of Industrial Entomology and Biomaterials
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    • 제11권2호
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    • pp.119-124
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    • 2005
  • To determine the level of heterosis, higher cocoon shell weight multivoltine congenic lines (Con. L) and bivoltine syngenic lines (Syn. L) of silkworm were used for crosses. First filial generations $(F_1s)$ expressed heterobeltiotic genetic interaction at significant magnitude (p < 0.01) for single cocoon shell weight (SCSW). The other linked characters viz., single cocoon weight (SCW) and yield by weight per 10, 000 larvae were also significantly higher (p < 0.01) than the better parental lines. All the hybrids showed significant improvement for these aforesaid characters over standard heterosis (Standard check). The reeling parameters viz., filament length, raw silk, neatness, cohesionstrokes etc, also showed improvement among the hybrids than check in congenial environment. Overall results suggested that the cross between congenic and syngenic lines provide better heterosis with good quality silk than conventional hybrids and may be used for commercial exploitation.

연속숫자음 인식을 이용한 열차무선호출방식 개선방안 연구 (A Study on Improving the Train Radio Call Using Continuous Digit Recognition)

  • 최윤석;이상배
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 정기총회 및 추계학술대회 논문집
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    • pp.2775-2781
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    • 2011
  • Urban Transit Train Radio is Radio Communication system that is used official business as leading motive for train safety running among the train crew and the central control center and drive-caring-chamber on main line and branch line. This system is operated that organizes talking path on handset of terminal after the train crew receives audio and understands call voice on speaker of terminal at calling the train of the central control center. When the central control center calls the specific train uses all call radio form, the train crew doesn't recognize the call cause the train situation, noise and action as train control. So there is a delay response cause reset call at the central control center. This research discusses the management of subway radio system and describes the call the train system that recognize train call number of all-call used between the central control center and the train crew.

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