• Title/Summary/Keyword: Early discharge

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Surgical Treatment of Spontaneous Rupture of the Esophagus [Boerhaave`s Syndrome] (식도 자연파열[Boerhaave 증후군]의 외과적 치료;2례 보고)

  • Kim, Keun;Chang, Bong-Hyun;Lee, Jong-Tae;Kim, Kyu-Tae
    • Journal of Chest Surgery
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    • v.25 no.8
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    • pp.812-818
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    • 1992
  • The spontaneous rupture of the esophagus is an uncommon disease, but without early diagnosis and treatment, the mortality rate is high. This report is on the two cases treated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyu-ngpook National University. The first patient, after heavy drinking, had vomiting followed by chest pain, dyspnea and subcutaneous emphysema. After diagnosis using an esophagogram, an operation was perfomed. About a 4cm rupture was found at the lower left part of the esophagus and was primarily sutured with the intercostal muscle. The patient was weaned from the ventilator after 40 hours. The second patient had symptoms the same as the first case. Six days after the app-earence of the symptoms, the patient was treated by the Thais onlay gastric patch method. The leakage happened after the surgery and he received a conservative treatment. After discharge no abnormalities, such as leakage and stricture, were found on the eso-phagogram The two patients now live a normal life.

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Survey of the Secondary Effluents from Municipal Wastewater Treatment Plants in Korea (우리나라 하수처리장 방류수 수질현황 및 특성)

  • Kim, Youngchul;An, Ik-Sung;Kang, Min-Gi
    • Journal of Korean Society on Water Environment
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    • v.21 no.2
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    • pp.158-168
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    • 2005
  • In this study, the discharging effluents from have been 9 municipal wastewater treatment plants surveyed for 1 year-period. Statistics including probability distribution, cumulative occurrence concentration and other statistical parameters were presented. In addition, treatment performance and its stability were also discussed. Most of the plants, have an operational problem of high soluble organic content in the secondary effluent which may be associated with the integrated treatment of human and livestock manures. Nitrogen concentration in the effluents were usually higher during the period of summer and winter. It was found that this is mainly due to lack of the proper C/N ratio during the summer, or/and the effects of low temperature and less dilution by dry weather during the winter. Phosphorus concentration is sharply increased in June. Discussion with plant operators told that it is due to the dissolution of phosphate from the sludge accumulated in the primary settling tanks from the early spring to june. During this period, usually, sludge treatment line is highly overloaded with flush-outs of the sediments also stored in the bottom of combined sewer due to the low flow during winter season. Most of the plants can meet new effluent discharge limits of the nitrogen and phosphorus, and total coliform without further treatment.

Monoclonal antibody-based enzyme immuno-slide assay (EISA) in the rapid diagnosis of Peste des petits ruminants of goats

  • Das, Kamol K.;Rahman, M.B.;Shil, N.K.;Rahman, Md Siddiqur;Jang, Hyung-Kwan;Song, Hee-Jong
    • Korean Journal of Veterinary Service
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    • v.33 no.1
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    • pp.1-6
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    • 2010
  • Monoclonal antibody (mAb)-based enzyme immune-slide assay (EISA) was used for the detection of Peste des petits ruminants (PPR) virus from field samples collected from a natural outbreak. The clinicopathological study was undertaken to diagnose the case primarily of PPR. Antigen was detected from discharges and faeces of infected goats and swabs of postmortem lesions prepared on glass slide or glass plate using acetone fixation. Nasal discharge collected at the early stage of disease course or lung is an appropriate ante- or postmortem sample for this technique, respectively. Convalescent polyclonal sera collected from recovered animals which were diagnosed as PPR by EISA showed high antibody titer against PPR by C-ELISA, demonstrating the satisfactory specificity of the test. Therefore, EISA is a sensitive and specific assay to confirm PPR infection both in field and laboratory conditions and especially suitable for developing country.

Home care services: crisis and prospects (가정간호: 위기와 전망)

  • Song, Chong-Rye
    • Perspectives in Nursing Science
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    • v.6 no.1
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    • pp.55-65
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    • 2009
  • The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

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A Study on the Advanced Treatment of Wastewater by Plants (식물을 이용한 오수의 고도처리에 관한 연구)

  • 이용두;김현희
    • Journal of Environmental Science International
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    • v.8 no.1
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    • pp.75-81
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    • 1999
  • In recent years increasing production and disposal of wastewater have caused an accelerated eutrophication of receiving waters. Therefore, in order to alleviate the detrimental impact of wastewater discharge, there is an increasing demand for removing the main nutrients, nitrogen and phosphorus, as well as the organic content of the waste water prior to disposal. This is effectively achieved by extended conventional treatment technology. However, the working expenses and energy requirements of such advanced treatment systems are rather high. So in a sparsely populated rural community is required development of wastewater treatment system combined with the regional characteristics. In this study, the systems are planted with Reeds and Amaryllis In A.C and estimated purification potential of system. The results obtained are as follows. BOD removal rate is 20% in the early stage, the last removal rate is 35% in A.C process and is 65% in Amaryllis+A.C process and is 50% in Reed+A.C process. T-N removal rate by Amaryllis is average 2.6g/$m^3$ㆍd, T-N removal rate by Reed is average 1.76g/$m^3$ㆍd. T-P removal rate by Amaryllis is average 0.27g/$m^3$ㆍd, T-P removal rate by Reed is average 0.25g/$m^3$ㆍd. BOD removal rate constant with retention time is 1.4494(1/d), T-N removal rate constant is 0.5428(1/d), T-P removal rate constant is 0.5287(1/d).

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The Ultrasonic Treatment Characteristics of LiV$_3$O$_8$ by New Synthesis (새로운 합성법에 의한 LiV$_3$O$_8$ 의 초음파처리 특성)

  • 박수길;김종진;손원근;김상욱;류부형;이주성
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 1998.06a
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    • pp.151-154
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    • 1998
  • The layered trivanadate, LiV$_3$O$_{8}$ has been investigated as a cathode material for secondary lithium batteries. Early in its development the preparation method of LiV$_3$O$_{8}$ strongly influenced its electrochemical properties, such as discharge capacity, rate capability and cycling efficiency. In the present experiment, a new synthesis route has been applied to obtain LiV$_3$O$_{8}$ . Instead of the conventional high temperature technique leading to the crystalline form, a solution technique producing the amorphous form has been used. This material, after dehydration, shows an electrochemical performance exeeding that of the crystalline one. The rationale for this behavior mainly lies in microscopic factors, i.e., in the possibility for the unit cell of amorphous LiV$_3$O$_{8}$ to insert up to 9 Li$^{+}$, instead of six for crystalline LiV$_3$O$_{8}$ . The ultrasonically treated products in water were characterized by XRD, TGA, DSC, and SEM. These measurements showed that the ultrasonic treatment process of crystalline LiV$_3$O$_{8}$ causes a decrease in crystallinity and considerable increases in specific surface area and interlayer spacing.g.

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A Study on Auto-Classification of Acoustic Emission Signals Using Wavelet Transform and Neural Network (웨이블렛 변환과 신경망을 이용한 음향방출신호의 자동분류에 관한연구)

  • Park, Jae-Jun;Kim, Meyoun-Soo;Oh, Seung-Heon;Kang, Tae-Rim;Kim, Sung-Hong;Beak, Kwan-Hyun;Oh, Il-Duck;Song, Young-Chul;Kwon, Dong-Jin
    • Proceedings of the KIEE Conference
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    • 2000.07c
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    • pp.1880-1884
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    • 2000
  • The discrete wavelet transform is utilized as preprocessing of Neural Network(NN) to identify aging state of internal partial discharge in transformer. The discrete traveler transform is used to produce wavelet coefficients which are used for Classification. The statistical parameters (maximum of wavelet coefficients, average value, dispersion, skewness, kurtosis) using the wavelet coefficients are input into an back-propagation neural network. The neurons whose weights have obtained through Result of Cross-Validation. The Neural Network learning stops either when the error rate achieves an appropriate minimum or when the learning time overcomes a constant value. The networks, after training, can decide if the test signal is Early Aging State or Last Aging State or normal state.

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A Study on the Thermal Characteristics of the Low Temperature Vacuum Dryer by Material Layers (시료 두께에 의한 저온진공건조기의 열적 특성에 관한 연구)

  • 최순열;문수범
    • Journal of Advanced Marine Engineering and Technology
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    • v.26 no.2
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    • pp.226-232
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    • 2002
  • In tradition, there have been two kinds of drying methods, which are sun drying and artificial drying. The sun drying method which has been adopted traditionally has been replaced by the hot-air drying method which is one of the most general methods of artificial drying, with its simple drying system, low initial cost of drying plant, and easy operating method. But the hot-air drying method has some defects ; (1)much energy loss happens due to the discharge of hot air during the drying process, (2)control of drying rate is not easy on account of changing relative humidity of inlet air for uniform hot air temperature, (3)high temperature of floods in drying process brings about the production of low-grade drying products. Also, the hot-air drying method is inducing environmental and sanitary problems which are resulting from the emission of high temperature and high humidity air, including stick on the drying progress. Vacuum drying technique, whose drying time and 7uantity of exhausting energy is about 1/3 ~1/4 of hot air drying, is very excellent in the drying efficiency. As the results, it took about 20 hours for material to reach about 18% of the final moisture content in order to store products for a long time, from about 470% of the early moisture content at the beginning of drying, and maximum drying rate comes to about $0.35 kg/m^2hr$ at about 350% of the moisture content.

Study on Power Control and Optimal Management for Dog-Horse Robot (견마로봇의 전력제어 및 최적 운용에 대한 연구)

  • Kang, Tae-Ha;Huh, Jin-Wook;Kim, Jun;Kang, Sin-Cheon
    • Journal of the Korea Institute of Military Science and Technology
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    • v.13 no.3
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    • pp.343-348
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    • 2010
  • Recently, unmanned electric vehicles are increasingly interested among all of the world since they can provide low exhaust gas, high efficiency and high mobility. To exploit their silent maneuver and high mobility, unmanned electric vehicles have been developed since early 1980's for military. However, it is not easy to design and control a power system satisfying operating duration and mobility performance requirements based on various mission profiles for military use under the conditions of limited space and weight. Moreover it is also necessary to prevent over-charge, over-discharge and voltage unbalance between cells of battery to secure high voltage battery which is serially connected with muti-cells. In this paper, we presents power control and optimal management method for the dog-horse robot which adopts a electric power system and suggests a guide-line to manage and control to secure high voltage battery.

Virtual Environment Modeling for Battery Management System

  • Piao, Chang-Hao;Yu, Qi-Fan;Duan, Chong-Xi;Su, Ling;Zhang, Yan
    • Journal of Electrical Engineering and Technology
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    • v.9 no.5
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    • pp.1729-1738
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    • 2014
  • The offline verification of state of charge estimation, power estimation, fault diagnosis and emergency control of battery management system (BMS) is one of the key technologies in the field of electric vehicle battery system. It is difficult to test and verify the battery management system software in the early stage, especially for algorithms such as system state estimation, emergency control and so on. This article carried out the virtual environment modeling for verification of battery management system. According to the input/output parameters of battery management system, virtual environment is determined to run the battery management system. With the integration of the developed BMS model and the external model, the virtual environment model has been established for battery management system in the vehicle's working environment. Through the virtual environment model, the effectiveness of software algorithm of BMS was verified, such as battery state parameters estimation, power estimation, fault diagnosis, charge and discharge management, etc.