• Title/Summary/Keyword: Early discharge

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A Clinical study on the patients of Brain stem infarction (뇌간경색환자에 대한 임상적 고찰)

  • Park, Kyu-Taek;Kim, Young-Kyun;Kwon, Jung-Nam;Park, Sook-Ja
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.729-738
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    • 2000
  • Objective : We examined patients admitted to Dong Eui University Oriental Medical Hospital from 1st January to 31st December in 2000. We studied 110 cases of patients who were diagnosed as Brain stem(pons, mid brain, medullar) infarction with brain CT, MRI scan, MR Angiography. Methods : We analyzed patients into sex, age, onset time, invasion lesion, past and family history, risk factor, abnormal vital sign for early 2 weeks, prodromal symptoms, symptoms at entry, progress and incidental symptoms at acute stage, complications, the state of condition at discharge, demonstrations, herb medications, western and oriental medical cooperation and admission period. Results : Our study was similar to existing studies in the distribution of sex, age, past and family history and risk factors. But there was some differences in the prodromal symptoms, symptoms at entry progress and incidental symptoms at acute stage, and the state of condition at discharge. Conclusions : Our study shows the brain stem infarction patients differed from other cerebrovascular accident patients in the symptoms. We hoped that our study would be further studied in western and oriental medicine.

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Stereotactic Hematoma Removal of Spontaneous Intracerebral Hemorrhage through Parietal Approach

  • Kim, Jeong Hoon;Cho, Tack Geun;Moon, Jae Gon;Kim, Chang Hyun;Lee, Ho Kook
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.373-378
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    • 2015
  • Objective : To determine the advantages of parietal approach compared to Kocher's point approach for spontaneous, oval-shaped intracerebral hemorrhage (ICH) with expansion to the parietal region. Methods : We divided patients into two groups : group A had burr holes in the parietal bone and group B had burr holes at Kocher's point. The hematoma volume, Glasgow coma scale (GCS) score, and modified Barthel Index (mBI) score were calculated. At discharge, we evaluated the patients' Glasgow outcome scale (GOS) score, modified Rankin Scale (mRS) score, motor grade, and hospitalization duration. We evaluated the patients' mBI scores and motor grades at 6 months after surgery. Results : The hematoma volume in group A was significantly less than that in group B on postoperative days 1, 3, 5, 7, 14, and 21. Group A had significantly higher GCS scores than did group B on postoperative days 1 and 3. Group A had higher mBI scores postoperatively than did group B, but the scores were not significantly different. No differences were observed for the GOS score, mRS score, motor grade at discharge, or duration of hospitalization. The mBI score of group A at 6 months after surgery was significantly higher, and more patients in group A showed muscle strength improvement. Conclusion : In oval-shaped ICH with expansion to the parietal region, the parietal approach is considered to improve the clinical symptoms at the acute phase by removing the hematoma more effectively in the early stages. The parietal approach might help promote the long-term recovery of motor power.

Enhancement of Thermal Insulation Performance with Phase Change Material for Thermal Batteries (상변화 물질을 이용한 열전지 단열성능 향상에 관한 연구)

  • Lee, Jaein;Ha, Sang-hyeon;Kim, Kiyoul;Cheong, Haewon;Cho, Sungbaek
    • Journal of the Korea Institute of Military Science and Technology
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    • v.19 no.4
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    • pp.469-475
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    • 2016
  • Thermal batteries are primary reserve power sources, which are activated upon the melting of eutectic electrolytes by the ignition of heat sources. Therefore, sufficient thermal insulation is absolutely needed for the stable operation of thermal batteries. Currently, excessive amount of heat sources is being used to compensate the heat loss in the cell stack along with the insertion of metal plates and thermal insulators to reserve heat at the both ends of cell stack. However, there is a possibility that the excessive heat flows into the cell stack, causing a thermal runaway at the early stage of discharge. At the same time, the internal temperature of thermal batteries cannot be maintained above the battery operating temperature at the later stage of discharge because of the insufficient insulation. Therefore, the effects of Phase Changing Material(PCM) plates were demonstrated in this study, which can replace the metal and insulating plates, to improve the thermal insulation performance and safety of thermal batteries.

A Study of Corona Discharge in Polymer Insulators by Artificial UV Radiation (인위적인 자외선 조사량에 따른 폴리머애자에서의 코로나 방전 특성)

  • Kim, Y.S.;Choi, M.I.;Kim, C.M.;Bang, S.B.;Shong, K.M.;Kwag, D.S.
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.62 no.5
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    • pp.643-648
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    • 2013
  • In this study, degradation was observed by irradiating UV rays to the polymer insulators which have been widely used in outdoor electric power facilities. For an indoor accelerated UV test, 0.55 w/m2 of UV rays were applied using a xenon-arc method. A UV detection system with 65 ${\phi}mm$ in diameter, 100 mm in length and 1.0 of brightness (F/#) has been designed. Even though efflorescence on the surface of polymer insulators wasn't observed according to the accelerated UV test. UV rays were detected at around 50% and 40% of insulation breakdown in EPDM and silicone-type insulators respectively. As degradation continued because of an indoor accelerated UV test, breakdown voltage with which UV rays can be detected in an early stage decreased as well. A silicone polymer insulator would be severer than EPDM polymer insulator in terms of surface degradation because of UV strength against $V_m/V_{BD}$ was high in silicone polymer insulators. UV strength in silicone-type insulators increased at 1,000 $kJ/m^2$ because contact angle at the intial stage sharply decreased to from $113^{\circ}$ to $92.1^{\circ}$.

A Study on Some Problems and the Need for Reform of the Rule of Warranty in English Law of Marine Insurance (영국 해상보험법 상 담보법원칙의 문제점 및 개혁 필요성)

  • Shin, Gun-Hoon
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.43
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    • pp.239-273
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    • 2009
  • Marine insurance contracts, which intended to provide indemnity against marine risks upon the payment of a premium, originated in Northern Italy in the late 12th and early 13th centuries. The law and practice of Italian merchants were later introduced into England through Lombard merchants. It is, therefore, quite exact that English and Continental marine insurance law have common root. Nevertheless, some significant divergences between English and Continental marine insurance systems occurred since the late 17th century, mainly due to different approaches adopted by English courts. The rule of warranty in English marine insurance was established in the second part of the 18th century by Lord Mansfield, who laid the foundations of the modern English law of marine insurance and developed different approaches, especially in the field of warranty in marine insurance law. Since the age of Lord Mansfield, English marine insurance law has developed a unique rule on warranty. Bearing in mind the realities of the 18th century, it could easily be understood why Lord Mansfield afforded such a strict legal character to marine warranties. At that time, the 'promise' given by the assured, played an important role for the insurer to assess the scope of the risk. Legal environments, however, have changed dramatically since the times of Lord Mansfield. Of course, it is still important that the assured keep his promises to the insurer under the insurance contract, which is based upon utmost good faith. Nevertheless, the remedy of automatic discharge from liability, regardless of existence of a casual link between the breach and loss seems harsh in the realities of the 21st century. After examining the warranty regime adopted by the German and Norwegian hull clauses, it is fair to say that they provide a more equitable approaches for the assured than does English law. Therefore, this article suggests that English warranty regime needs overall reform and it is time to reform.

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A Clinical Analysis on Traumatic Subarachnoid Hemorrhage (두부외상 후 발생한 지주막하 출혈에 대한 임상분석)

  • Goo, Tae Heon;Kim, Han Sik;Mok, Jin Ho;Lee, Kyu Chun;Park, Yong Seok;Lee, Young Bae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.108-112
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    • 2000
  • Objective : Many authors suggest that patients with traumatic subarachnoid hemorrhage(tSAH) visible on first CT after heve injury had a significantly worse prognosis than patients who do not. The aim of this study is to identify patients with tSAH who present with a bad prognosis by reviewing their clinicoradiological features and plan appropriate treatments. Patients and Methods : We reviewed and analysed the factors that influenced discharge outcomes in 172 patients with tSAH for a 3-year period. The outcome was divided into good(good recovery and moderate disability of glasgow outcome scale) and good(severe disability, vegetative state and death). Results : A regression analysis of statistical significant factors(p<0.05) among the clinical and CT features ranked them by descending order of contribution to Glasgow Outcome Scale(GOS) scores at the time of discharge from acute hospitalization as follows 1) clinical : admission Glasgow Coma Scale(GCS), hypotension, CT grade, abnormal APTT, skull fracture, hyperglycemia(>160mg/dl), hypoxia, operation, 2) CT : basal cistern effacement(BCE), mass lesion, cortical sulcal effacement(CSE), midline shift. Conclusion : We have also experienced that the CT grading scale proposed by Green et al is a simple and useful prognostic factor. The authors believe that the patients with high CT grade need adjuvant therapies as of well surgery but it seems mandatory to consider early identification and correction of hypotension, hyperglycemia, and hypoxia in emergency setting.

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Tidal Influence on Physical Parameters and Phytoplankton Size Structure in Youngsan River Estuary during Neap Tide (조석에 따른 영산강 하구의 물리적 환경 및 식물플랑크톤 크기구조: 소조기)

  • Park, Geon-Woo;Lee, Da-Hye;Shin, Yongsik
    • Journal of Environmental Science International
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    • v.26 no.3
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    • pp.325-334
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    • 2017
  • To understand the changes in physical parameters and phytoplankton size structure caused by tides, a fixed station in the Youngsan River estuary was monitored at 2-h intervals, on April 28, 2012 and August 12, 2012. No clear relationship was observed between the temperature and salinity changes and tidal levels in April. However, in August, temperature decreased during the ebb tide and increased during the flood tide, while salinity showed the opposite trend. In addition, there was no specific change in the phytoplankton biomass corresponding to tidal levels in April. In August, the total chlorophyll a and the biomass of net phytoplankton (>$20{\mu}m$) increased almost 20 times during the ebb tide and decreased during the flood tide. The biomass of nanophytoplankton (<$20{\mu}m$) showed a similar variation in response to tidal level changes. In April, the relationship between percent contributions of phytoplankton size structure and tidal levels was not clear. In August, the net phytoplankton was dominant in the early stage and nanophytoplankton was dominant in the later stage, while contribution of nanophytoplankton and net phytoplankton increased at high tide and low tide, respectively. Therefore, in April, other factors such as freshwater discharge were more important than the tide, whereas in August, when no freshwater discharge was recorded, the changes in semidiurnal tides influenced the physical parameters and phytoplankton dynamics. These results could contribute to the understanding of phytoplankton dynamics in the Youngsan River estuary.

Clinicopathological Correlation of Cervical Carcinoma: A Tertiary Hospital Based Study

  • Shruthi, Pannayanapalya Suresh;Kalyani, Raju;Lee, Jun Kai;Narayanaswamy, Mariyappa
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1671-1674
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    • 2014
  • Background: To study the clinical presentation of cervical carcinoma correlating with histopathological findings in a tertiary hospital situated in the southern part of India catering to rural and semi-urban populations Materials and Methods: 199 cases histopathologically diagnosed as cervical cancer over a period of one year were considered for the study. Clinical details of the patients were noted with the help of semi-structured proforma. The data was analysed by descriptive analysis using SPSS software. Results: Out of 199 patients, 109 had moderately differentiated squamous cell carcinoma, 51 poorly differentiated and 35 well differentiated. Adenocarcinomas numbered only four. 121 cases were in the age group of 40-59 years, 59 in 60-80 years and 19 in 20-39 years. All four cases of adenocarcinoma were seen between 40-59 years. 95 (47.7%) cases were in women who had 4 or more children, 120 presented with white discharge, 89 with bleeding per vagina and 68 had constitutional symptoms. Most of the patients with adenocarcinoma presented with bleeding per vagina. 151 was in stage IIIB, 29 in stage IIB, 14 in stage IVA and 5 in stage IB. Conclusions: Screening of cervical cancer should be emphasised in women with white discharge especially in rural areas for early detection of dysplastic cells and reduce mortality and morbidity in productive age. In addition health education has to be given to women regarding the awareness of hygiene, risk factors and symptoms of cervical cancer.

The Influence of Nutrients Concentration and the Ratio on Phytoplankton Community Structure during Late Spring and Early Summer in Sagami Bay, Japan (춘계와 하계의 영양염 농도와 그 구성비가 식물플랑크톤의 군집구조에 미치는 영향평가)

  • Baek, Seung-Ho;Shimode, Shinji;Han, Myung-Soo;Kikuchi, Tomohiko
    • ALGAE
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    • v.23 no.4
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    • pp.277-288
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    • 2008
  • The relationship between nutrients and phytoplankton dynamics was investigated daily from 12 April to 22 July 2003 in Sagami Bay, Japan. According to multidimensional scaling (MDS) and cluster analysis, phytoplankton community was divided into four distinct groups. The first group was consisted of centric diatom species, such as Guinardia spp., Detonula spp., Letocylindrus danicus, Skeletonema costatum, Eucampia zodiacus and Chaetoceros spp.. The second and third clusters comprised mainly diatoms and dinoflagellates, respectively. The other cluster was restricted to the samples collected during the last sampling period when the rainfall and river discharge was frequently recorded. Canonical correspondence analysis (CCA) was applied to analyze four groups respectively, which focused on the effects of nutrients concentration and ratio on phytoplankton variations. Based on CCA analysis, most species of centric diatom were negatively correlated with DSi concentrations and Si/N ratio. Nutrients were strongly limited phytoplankton growth during the summer when the rainfall was not observed, whereas river discharge by rainfall and counterclockwise coastal currents (although the surface circulation pattern is often altered by Kuroshio Current, the counterclockwise coastal currents are generally dominant) has brought phytoplankton population accumulation and triggered the micoalgae growth in western part of the bay. Phosphorous (P) was strongly limited after significantly increases in the phytoplankton abundances. However, silicate (Si) was not a major limiting factor for phytoplankton production, since Si/DIN and Si/P ratio did not create any potential stoichiometric limitation. This indicates that high Si availability contributes favorably to the maintenance of diatom ecosystems in Sagami Bay.

Thrust Characteristics of a Laser-Assisted Pulsed Plasma Thruster

  • Masatoshi Kawakami;Hideyuki Horisawa;Kim, Itsuro ura
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2004.03a
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    • pp.294-299
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    • 2004
  • An assessment of a novel laser-electric hybrid propulsion system was conducted, in which a laser-induced plasma was induced through laser beam irradiation onto a solid target and accelerated by electrical means instead of direct acceleration only by using a laser beam. A fundamental study of newly developed rectangular laser-assisted pulsed-plasma thruster (PPT) was conducted. On discharge characteristics and thrust performances with increased peak current compared to our previous study to increase effects of electromagnetic forces on plasma acceleration. Maximum peak current increased for our early study by increasing electromagnetic effects in a laser assisted PPT. At 8.65 J discharge energy, the maximum current reached about 8000 A. Plasma behaviors emitted from a thruster in various cases were observed with an ICCD camera. It was shown that the plasma behaviors were almost identical between low and high voltage cases in initial several hundred nanoseconds, however, plasma emission with longer duration was observed in higher voltage cases. Canted current sheet structures were also observed in the higher voltage cases using a larger capacitor. With a newly developed torsion-balance type thrust stand, thrust performances of laser assisted PPT could be estimated. The impulse bit and specific impulse linearly increased. On the other hand, coupling coefficient and the thrust efficiency did not increase linearly. The coupling coefficient decreased with energy showing maximum value (20.8 ?Nsec/J) at 0 J, or in a pure laser ablation cases. Thrust efficiency first decreased with energy from 0 to 1.4 J and then increased linearly with energy from 1.4 J to 8.6 J. At 8.65 J operation, impulse bit of 38.1 ?Nsec, specific impulse of 3791 sec, thrust efficiency of 8 %, and coupling coefficient of 4.3 ?Nsec/J were obtained.

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