• 제목/요약/키워드: GCS-AS

검색결과 191건 처리시간 0.02초

Predictors of Outcome in Management of Paediatric Head Trauma in a Tertiary Healthcare Institution in North-Central Nigeria

  • Gyang Markus Bot; Danaan J. Shilong; Jerry A. Philip; Ezekiel Dido Dung; Andrew H. Shitta; Nanpan Isa Kyesmen;Jeneral D. Alfin; Lena Mary Houlihan; Mark C. Preul; Kenneth N. Ozoilo; Peter O. Binitie
    • Journal of Korean Neurosurgical Society
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    • 제66권5호
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    • pp.582-590
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    • 2023
  • Objective : Trauma is a leading causes of death and disability in all ages. The aim of this study was to describe the demography and characteristics of paediatric head trauma in our institution and examine the predictors of outcome and incidence of injury related mortality. Methods : We examined our institutional Trauma Registry over a 2 year period. Results : A total of 1100 trauma patients were seen over the study period. Of the 579 patients who had head injury 99 were in the paediatric age group. Of the paediatric head trauma patients 79 had documented Glasgow coma score (GCS), 38 (48.1%), 17 (21.5%) and 24 (30.4%) had mild, moderate and severe head injury respectively. The percentage mortality of head injury in the paediatric age group was 6.06% (6/99). There is an association between mortality and GCS (p=0.008), necessity for intensive care unit (ICU) admission (p=0.0001), associated burns (p=0.0001) and complications such as aspiration pneumonia (p=0.0001). The significant predictors of outcome are aspiration (p=0.004), the need for ICU admission (p=0.0001) and associated burns (p=0.005) using logistic binary regression. During the study period 46 children underwent surgical intervention with extradural haematoma 16 (34.8%), depressed skull fracture 14 (30.4%) and chronic subdural haematoma five (10.9%) being the commonest indication for surgeries. Conclusion : Paediatric head injury accounted for 9.0% (99/1100) of all trauma admissions. Majority of patients had mild or moderate injuries. Burns, aspiration pneumonitis and the need for ICU admission were important predictors of outcome in children with traumatic brain injury.

Formation and evolution of mini halos around a dwarf galaxy sized halo - Candidate sites for the primordial globular clusters

  • Chun, Kyungwon;Shin, Jihye;Kim, Sungsoo S.
    • 천문학회보
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    • 제40권2호
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    • pp.34.2-34.2
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    • 2015
  • We aim to investigate the formation of primordial globular clusters (GCs) in the isolated dwarf galaxy (${\sim}10^{10}M_{sun}$) with cosmological zoom-in simulations. For this, we modified cosmological hydrodynamic code, GADGET-3, in a way to include the radiative heating/cooling that enables gas particles cool down to T~10K, reionization (z < 8.9) of the Universe, UV shielding ($n_{shield}$ > $0.014cm^{-3}$), and star formation. Our simulation starts in a cubic box of a side length 1Mpc/h with 17 million particles from z = 49. The mass of each dark matter (DM) and gas particle is $M_{DM}=4.1{\times}10^3M_{sun}$ and $M_{gas}=7.9{\times}10^2M_{sun}$, respectively, thus the GC candidates can be resolved with more than hundreds particles. We found the following results: 1) mini halos with the more interactions before merging into the main halo form the more stars and thus have the higher star mass fraction ($M_{star}/M_{total}$), 2) the mini halos with the high $M_{star}/M_{total}$ can survive longer and thus spiral into closer to the galactic center, 3) the majority of them spiral into bulge, but some of them can survive until the last as baryon-dominated system, like the GC.

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유전간호교육 교과과정에 관한 연구 (A Study of the Curriculum of Genetics Nursing Education)

  • 최경숙;김현정;장은실;박정애
    • 종양간호연구
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    • 제10권1호
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    • pp.103-111
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    • 2010
  • Purpose: This study was undertaken to establish the framework for development of the curriculum of genetics in Nursing Education. Methods: The Internet search, literature review of the US system of genetic nurses, genetic graduate nursing education programs and curricula for nurse in Korea were reviewed and analyzed. Results: American Nurses genetic system consists of APNG and the GCS and all the APNG credential provided by the GNCC of ISONG. The curriculums of genetic nursing education in the US are mainly conducted in of master's program and genetically related subjects consists of basic genetics subjects, basic applied genetics subjects, genetics in nursing subjects and practical training subjects. Lastly a genetic nursing education program in Korea 44 hr of lectures and practical training of 4 hr is composed of basic genetics, genetic cancer, genetics in nursing and practicum in the computer lab and online include family history assessment, pedigree construction, breast and colorectal cancer risk calculations, and ELSI discussions. Conclusion: This study suggested that genetic nursing education course needs in master's program as detailed subjects. Also the establishment of the genetic nurse system is an urgent needed.

영상 기반 자동 착륙용 멀티로터 시스템 설계 및 개발 (Design and Fabrication of Multi-rotor system for Vision based Autonomous Landing)

  • 김규범;송승화;윤광준
    • 한국인터넷방송통신학회논문지
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    • 제12권6호
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    • pp.141-146
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    • 2012
  • 본 논문에서는 영상 기반 자동 착륙 시스템 개발과 이 시스템을 사용하는 멀티로터 플랫폼 개발에 대해서 소개 한다. 멀티로터 플랫폼은 뉴턴 오일러 개념을 근간으로 하는 강체 운동 모델링을 하였고, LQR 제어 기법을 통한 제어기 튜닝 및 시뮬레이션을 하였다. 영상기반 자동 착륙 시스템은 멀터로터 시스템에 탑재된 단일 카메라를 사용하여 추가적인 임무장비 없이 증강 현실 알고리즘을 사용하여 마커를 탐지하고 정밀한 착륙을 유도하도록 GCS와 연동 코드를 구현 하였다.

연속공정 자동화를 위한 전동기 그룹제어시스템의 개발 (Development of Mmotor Group Control System for Continuous Process Automation)

  • 조영조;오상록;최익;안현식;권순학;이준수;김광배;임준홍
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1990년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 26-27 Oct. 1990
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    • pp.218-224
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    • 1990
  • A motor group control system is developed for continuous manufacturing processes such as rolling process or electrolytic tinning process. The control system consists of four subsystems ; Multi-Function Controller (MFC), Flexible Motor Drive (FMD), Bulky Input/Output (BIO), Graphic Console and Simulator (GCS). A graphic control language, called Function Block Language, is used to configure the control algorithms for each subsystem. All subsystem are linked together thru a field bus to communicate data with each other.

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Molybdenum isotopes separation using squared-off optimized cascades

  • Mahdi Aghaie;Valiyollah Ghazanfari
    • Nuclear Engineering and Technology
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    • 제55권9호
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    • pp.3291-3300
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    • 2023
  • Recently molybdenum alloys have been introduced as accident tolerating materials for cladding of fuel rods. Molybdenum element has seven stable isotopes with different neutron absorption cross section used in various fields, including nuclear physics and radioisotope production. This study presents separation approaches for all intermediate isotopes of molybdenum element by squared-off cascades using a newly developed numerical code with Salp Swarm Algorithm (SSA) optimization algorithm. The parameters of cascade including feed flow rate, feed entry stage, cascade cut, input feed flow rate to gas centrifuges (GCs), and cut of the first stage are optimized to maximize both isotope recovery and cascade capacity. The squared off and squared cascades are studied, and the efficiencies are compared. The results obtained from the optimization showed that for the selected squared off cascade, Mo94 in four separation steps, Mo95 in five steps, Mo96 in six steps, Mo97 in seven steps, and Mo98 in two steps are separated to the desired concentrations. The highest recovery factor is obtained 63% for Mo94 separation and lowest recovery factor is found 45% for Mo95.

Large Scale Distribution of Globular Clusters in the Coma Cluster

  • O, Seong-A;Lee, Myung Gyoon
    • 천문학회보
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    • 제46권2호
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    • pp.41.3-42
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    • 2021
  • Coma cluster (Abell 1656) is one of the most massive local galaxy clusters such as Virgo, Fornax, and Perseus, which holds a large collection of globular clusters. Globular cluster systems (GCSs) in a galaxy cluster tell us a history of hierarchical cluster assembly and intracluster GCs (ICGCs) are known to trace the gravitational potential of the galaxy cluster. Previous studies of GCSs in Coma mainly utilized data obtained using Hubble Space Telescope (HST) with high spatial resolution. However, most of the data were based on narrow-field pointing observations. In this study we present the widest survey of GCSs in the Coma cluster using the archival Subaru/Hyper Suprime-Cam (HSC) g and r images, supplemented with the archival HST images. The Coma GCSs are largely extended in E-W and SW direction, along the general direction of Coma-Abell 1367 filament. This global structure of the GCSs is consistent with the spatial distribution of the intracluster light (ICL). ICGC spatial distribution is largely extended to almost ~50% of the virial radius. Most of these ICGCs are blue and metal-poor, which supports the scenario that ICGCs are mainly originated from dwarf galaxies and some proportion from brighter galaxies. Implications of the results will be discussed.

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RELATIVE AGE DIFFERENCE BETWEEN THE METAL-POOR GLOBULAR CLUSTERS M53 AND M92

  • CHO, DONG-HWAN;SUNG, HYUN-IL;LEE, SANG-GAK;YOON, TAE SEOG
    • 천문학회지
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    • 제49권5호
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    • pp.175-192
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    • 2016
  • CCD photometric observations of the globular cluster (GC), M53 (NGC 5024), are performed using the 1.8 m telescope at the Bohyunsan Optical Astronomy Observatory in Korea on the same nights (2002 April and 2003 May) as the observations of the GC M92 (NGC 6341) reported by Cho and Lee using the same instrumental setup. The data for M53 is reduced using the same method as used for M92 by Cho and Lee, including preprocessing, point-spread function fitting photometry, and standardization etc. Therefore, M53 and M92 are on the same photometric system defined by Landolt, and the photometry of M53 and M92 is tied together as closely as possible. After complete photometric reduction, the V versus B − V , V versus V − I, and V versus B − I color-magnitude diagrams (CMDs) of M53 are produced to derive the relative ages of M53 and M92 and derive the various characteristics of its CMDs in future analysis. From the present analysis, the relative ages of M53 and M92 are derived using the Δ(B − V ) method reported by VandenBerg et al. The relative age of M53 is found to be 1.6 ± 0.85 Gyr younger than that of M92 if the absolute age of M92 is taken to be 14 Gyr. This relative age difference between M53 and M92 causes slight differences in the horizontal-branch morphology of these two GCs.

Serum S-100B Protein as a Prognostic Factor in Patients with Severe Head Injury

  • Jang, Woo-Youl;Kim, Jae-Hyoo;Joo, Sung-Pil;Lee, Jung-Kil;Kim, Tae-Sun;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.271-276
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    • 2006
  • Objective : Despite the recent progress that has been made in intracerebral monitoring, it is still difficult to quantify the exact extent of primary brain damage after severe head injury. In this work, we investigate the role of S-100B protein as a serum marker of brain damage after severe head injury. Methods : 21 patients with severe head injury [GCS score <9] were selected for this prospective study. A venous blood sample was taken as soon as possible after head injury and the serum concentration of S-100B protein was measured daily for five consecutive days. The serum level of S-100B protein was compared with the patients' outcome. The outcome was measured twice, at hospital discharge and after 6 months of follow-up using the Glasgow Outcome Scale[GOS]. Results : Those patients who died within two weeks [after head injury] had a significantly higher serum S-100B value than those who survived [median, 9.64ug/L versus 2.91ug/L]. Seven [78%] of the nine patients who died had a maximum S-100B value of 2ug/L or higher, while three [25%] of the twelve surviving patients showed a maximum S-100B protein value of more than 2ug/L [P<005]. Conclusion : These results indicate that S-100B protein appears to be the most reliable index for estimating the extent of brain damage.

단일 응급의료기관에서 경험한 글루포시네이트 암모니움 포함 제초제 중독 후 중증도 예측에 관한 연구 (A Study of Predicting the Severity Following Glufosinate Ammonium Containing Herbicide Poisoning Experienced in Single Emergency Medical Institution)

  • 이두성;최경호
    • 대한임상독성학회지
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    • 제17권1호
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    • pp.7-13
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    • 2019
  • Purpose: Owing to the increased agricultural use of the herbicide glufosinate ammonium (GLA), the incidence of GLA poisoning has recently increased. Therefore, we investigated the possible predictive factors associated with severe complications following GLA poisoning. Methods: A retrospective analysis of medical records was conducted based on 76 patients who had visited our regional emergency medical center with GLA poisoning from 2006 to 2017. Severe complications were defined as respiratory failure requiring intubation, systolic blood pressure less than 90 mmHg, Glasgow Coma Scale (GCS) less than 8, and presence of seizure. Results: Age, ingested amount and ingested amount per weight were significantly greater in the severe group (p<0.001). PSS grade 2 or higher was more common in the severe group (p<0.001), and In addition, the APACHE II score was significantly higher in the severe group (p<0.001), as were the SOFA scores (p=0.002). Serum ammonia levels were significantly higher in the severe group (p=0.007), while MDRD-GFR was smaller in the severe group (p=0.002). The spot urine protein levels were significantly higher in the severe group (p=0.005), as was the urine protein to creatinine ratio (p=0.001). Upon multivariate analysis, the amount ingested per weight and PSS grade 2 or higher were identified as significant predictors. Conclusion: Our study showed that MDRD-GFR was significantly lower in the severe group after GLA poisoning. PSS grade 2 or higher and ingested amount per weight may be useful to evaluate the severity of complications after GLA poisoning.