• Title/Summary/Keyword: Internal discharge

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Predictive Factors for Mortality among Adult Trauma Victims Transfused in an Emergency Department (응급의료센터에서 수혈을 시행한 성인 외상환자에서 사망 예측 인자)

  • Lee, Kyung Won
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.79-86
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    • 2012
  • Purpose: The most common cuase of transfusion for trauma victims in an emergency department is hypovolemic shock due to injury. After an injury to an internal organ of the chest or the abdomen, transfusion is needed to supply blood products and to compensate tissue oxygen transport and bleeding. From the 1990's, there have been some reports that transfusion is one of the major factors causing multiple-organ failure. Thus, as much as possible, tranfusion has been minimized in the clinical setting. This study aims to analyze the prognostic factors for mortality among trauma victims transfused with blood products in an emergency department. Methods: We conducted this study for the year of 2010 retrospectively. The study group included adult trauma victims tranfused with blood products in our ED. The exclusion criteria were discharge against medical advice, and missing follow-up due to transfer to another facility. During the study period, 34 adult trauma victims were enrolled. We compared the clinical variables between survivors and non-survivors. Results: the mean age of the 34 victims was 58.06 years, and males account for 58.5% of the study group. The most-frequently used form transportation was ambulance(119, 55.9%), and the most common injury mechanism was mobile vehicle accidents(67.6%). The mean revised trauma score (RTS) was 5.9, and the mean injury severity score (ISS) was 47.76. The mortality rate in the ED was 58.5%, Comparison of survivors with non-survivors showed statistical differences in injury mechanism, initial SBP, DBP, RTS, ISS, and some laboratory data such as AST, ALT, pH, PO2, HCO3, glucose (p<0.05). Regression analyses showed that mortality among adult trauma victims transfused in the ED correlated with RTS. Conclusion: When an adult trauma victim is transported to the ED and needs a tranfusion, the emergency physician carefully assess the victim by using physiologic data.

Degradation Diagnosis of Complex System Using Regression Analysis (희귀분석을 이용한 복합 시스템의 열화진단)

  • Kim, Seong-Hong;Song, Jae-Joo
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2001.09a
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    • pp.60-66
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    • 2001
  • Because of internal voids in insulators give rise to partial discharge(PD), which cause local breakdown and even entire insulation breakdown. Treeing due to PD is one of the main causes of breakdown of the insulating materials and reduction of the insulation life. Therefore the necessity for establishing a method to diagnose the aging of insulation materials and to predict the breakdown of insulation has become important. From this viewpoint, our studies diagnose insulation degradation using the method of computer sensing system, which has the advantages of PD and acoustic emission(AE) sensing system. To use advantages of these two methods can be used effectively to search for treeing location and PD in some materials. In analysis method of degradation, We analyzed the PD pulse and AE pulses by regression analysis, compared to these obtained the correlation coefficient and determination coefficient by T-distribution and saw that PD and AE pulses show a similar pattern on the whole. This is in agreement with the results of the research by Yoshimura and Fujita.

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Development of Thin-Film Thermo-Electrochemical Cell for Harvesting Waste Thermal Energy (폐열 에너지 수집을 위한 박막형 열-전기화학전지 개발)

  • Im, Hyeongwook;Kang, Tae June;Kim, Dae Weon;Kim, Yong Hyup
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.40 no.11
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    • pp.1010-1015
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    • 2012
  • In this study, a thin-film thermo-electrochemical cell that directly converts waste thermal energy into electrical energy was fabricated. Electrical conductivity of conducting carbon fiber, which was used as flexible electrode, was increased through coating of carbon nanotube, and resistance of the CNT-coated fiber electrode was not changed even after bending test with various curvatures. Maximum output power of the thermocell was increased quadratically with the temperature difference, and showed a value of about 2.5 mW/kg at temperature difference of $3.4^{\circ}C$. As a result of discharge test for 12 hours, it is confirmed that the cell can operates continuously. And thin-film thermocell wrapped around a pipe with hot liquid flowing within was demonstrated. Internal resistance of the cell was decreased with various curvature of heat pipe, and maximum output power was increased by 30 %. Therefore, the cell can be applied to various heat source.

The Evaluation of Water Quality in Coastal Sea of Incheon Using a Multivariate Analysis (다변량 해석기법을 이용한 인천연안해역의 수질평가)

  • Kim, Jong-Gu
    • Journal of Environmental Science International
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    • v.15 no.11
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    • pp.1017-1025
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    • 2006
  • This study was conducted to evaluate characteristic of water duality in coastal sea of Incheon using a multivariate analysis. The analysis data in coastal sea of Incheon was aquired by the NFRDI data which was surveyed from March 1997 to November 2003. Eleven water quality parameters were determined on each survey The results were summarized as follow : Water quality in Incheon coastal sea could be explained up to 64.62% by three factors which were included in loading of fresh water and nutrients by the land(36.98%), seasonal variation(16.19%), and internal metabolism (11.24%). The results of time series analysis by factor score, in case of factor 1, station 1 influenced by Han river was shown to high factor score and station 3 located by outer sea was shown to low factor score. In case of factor 2, station 1 was appeared to high variation and station 3 was appeared to low variation. The result of cluster analysis by station was classified into three group that has different water quality characteristics. Especially, station 1 which affected by Han river and station 4 which affected by sewage treatment plant was appeared to considerable water quality characteristics against other station. In yearly cluster analysis, three group was classified and water quality in 2003 years due to high precipitation was different to another year. It could be suggested from these results that it is important to control discharge of fresh water by Han rivet and sewage treatment plant for water quality management of coastal sea of Incheon.

A Convergence Study on the Characteristics of Length of Hospital Stays of Injured and Traumatic Death Patients - Based on the Korea National Hospital Discharge Injury Survey Data (손상 및 외상 사망 환자의 재원일수 특성에 관한 융합 연구 -퇴원손상심층조사자료를 중심으로)

  • Song, Yu-Rim;Lee, Moo-Sik;Kim, Doo-Ree;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.87-96
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    • 2017
  • This study was carried out to provide basic data for prevention of death from injuries and traumas by analyzing the characteristics of length of hospital stay of patients with injuries and traumas, utilizing in-depth investigation data of discharged injuries. The study subjects were 233 patients discharged from January 1 to December 31 in 2014 whom the final treatment result was 'death' and the main diagnosis were injuries and accidental external causes(S00-T98). According to the research findings, the length of hospital stay of females was longer than that of males. Based on the main diagnosis, the longest length of hospital stay had complication of other internal prosthetic devices, implants and grafts(T85). In conclusion, it is necessary to develop a policy to identify the factors affecting the length of hospital stays of patients and to manage them intensively.

Preparation of Co3O4/NF Anode for Lithium-ion Batteries

  • Tian, Shiyi;Li, Botao;Zhang, Bochao;Wang, Yang;Yang, Xu;Ye, Han;Xia, Zhijie;Zheng, Guoxu
    • Journal of Electrochemical Science and Technology
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    • v.11 no.4
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    • pp.384-391
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    • 2020
  • Due to its characteristics of light weight, high energy density, good safety, long service life, no memory effect, and environmental friendliness, lithium-ion batteries (LIBs) are widely used in various portable electronic products. The capacity and performance of LIBs largely depend on the performance of electrode materials. Therefore, the development of better positive and negative materials is the focus of current research. The application of metal organic framework materials (MOFs) derivatives in energy storage has attracted much attention and research. Using MOFs as precursors, porous metal oxides and porous carbon materials with controllable structure can be obtained. In this paper, rod-shaped Co-MOF-74 was grown on Ni Foam (NF) by hydrothermal method, and then Co-MOF-74/NF precursor was heat-treated to obtain rodshaped Co3O4/NF. Ni Foam was skeleton structured, which effectively relieved. The change of internal stress changes and destroys the structural volume of the electrode material and reduces the capacity attenuation. Co3O4/NF composite material has a specific discharge capacity of up to 1858 mA h/g for the first time, and a reversible capacity of up to 902.4 mA h/g at a current density of 200 mA/g, and has excellent rate and impedance performance. The synthesis strategy reported in this article opens the way to design high-performance electrodes for energy storage and electrochemical catalysis.

Relationship between Lateral Position Change and Sternal Complications after Cardiac Surgery through Median Sternotomy (정중 흉골 절개술을 이용한 심장수술 후 환자의 체위변경과 흉골 합병증 발생과의 관계)

  • Kang, Young Ae;Bae, Su Jin;Song, Chie Eun
    • Journal of Korean Critical Care Nursing
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    • v.9 no.1
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    • pp.66-76
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    • 2016
  • Purpose: This study was conducted to examine the relationship between lateral position change and sternal complications after cardiac surgery through median sternotomy. Methods: This study was a retrospective descriptive case-control study, involving 241 patients who underwent cardiac surgery through median sternotomy. Data from October 2011 to September 2014 were collected. Results: Sternal complications (i.e. dehiscence, sternal instability, mediastinitis) developed in 33 patients (13.7%). Primary symptoms of complications were discharge and erythema, and the mean time difference from surgery to appearance of symptoms was 15 days (range, 1-138 days). The factors associated with sternal complications were cancer comorbidity (${\chi}^2=5.22$, p=.039), internal mammary artery procedure (${\chi}^2=4.16$, p=.041), and duration of extra-corporeal membrane oxygenation (p=.033). Position change was not related to incidence of sternal complications (${\chi}^2=0.14$, p=.704). Pressure ulcers appeared in 63 patients (26.1%). Mean time difference from surgery until occurrence of ulcers was 6.7 hours (range, 0-323.0 hours), but position change was started from 132.4 hours (range, 27.1-503.2 hours) after intensive care unit admission. Conclusions: These results provide baseline data to create a standard position change and activity protocol for patients after median sternotomy. Furthermore, the study could help clinical practitioners establish evidence-based nursing practices.

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Clinical Case Study of Facial Nerve Palsy Using Facial Acupuncture (안면 성형침을 이용한 안면신경마비 치험 2례)

  • Chu, Min-Gyu;Jo, Hee-Guen;Choi, Jin-Bong;Kim, Sun-Jong;Park, Kyung-Mi;Cho, Gook-Ryung;Lee, Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1188-1192
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    • 2009
  • Facail nerve palsy is a common disease in the face. This disease is treated by many methods. But it is not treated by Facial Acupunture. Therefore we performed to evaluate the effect of Facial Acupuncture with oriental dedical treatment in facail nerve palsy. This clinical study was carried out 2 caese of facail nerve palsy which had been admitted our hospital. In this study the patients were treated by Facail Acupuncture. Other treatment were herbal medication, regabilitative therapy. H-B scale(House-Brackmann facial nerve grading system) and Digital Infrared Thermal Imaging were measured from admission to discharge. After being treated by our methods, Patients' H-B scale and Inequality of Facial DITI were improved in cases compared to existing. In the study, The treatment of facial nerve palsy using Facial acupuncture was more effective, especially H-B scale, Digital Infrared Thermal Imaging and treatment period, compared to existing.

Electrochemical Characteristics of Electrolyte Additives and Nano-Pb/AC Anode for Ultra Batteries (울트라 배터리 용 전해액 첨가제와 Nano-Pb/AC 음극의 전기화학적 특성)

  • Kim, Geun Joong;Lee, Jong Dae
    • Applied Chemistry for Engineering
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    • v.29 no.5
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    • pp.549-555
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    • 2018
  • In this study, the electrochemical properties of nano-Pb/activated carbon (nano-Pb/AC) composites and electrolyte additives were examined to improve the performance of ultra batteries. Physical properties of the prepared nano-Pb/AC composites were analyzed using FE-SEM, TEM, XPS and BET. The electrochemical performances of ultra batteries were performed by cycle, rate performance and impedance tests. The cycling performance of nano-Pb/AC (Pb : 9 wt%) coated ultra battery increased by 150% with respect to the lead acid one, and the discharge specific capacity increased by 119-122% for 1-5 C rate tests. As a result of the impedance test, it was confirmed that the internal resistance decreased as the nano lead content increased. The cycle performance of the ultra battery containing 0.45 vol% electrolyte additives showed 140% longer than that of no electrolyte additives.

The Clinical Study in 20 Cases of Patients with Chronic Prostatitis on the effects by Takrisodokeum for 1 month (탁리소독음가미(托裏消毒飮加味) 처방(處方)을 투여(投與)한 만성(慢性) 전립선염(前立腺炎) 환자(患者) 20례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Kim, man ho;Lee, Ji young;Lee, Jung Won;Cho, Chung Sik;Kim, Chul Jung
    • Journal of Haehwa Medicine
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    • v.11 no.1
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    • pp.103-110
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    • 2002
  • A Clinical study was done on 20 patients of chronic prostatitis who were treated by Takrisodokeum for 1 month in Dept. of Internal Medicine, Oriental Medicine Hospital, Daejon University, from 1 November. 2001 to 30 April 2002. The results were as Follows. 1. Therapeutic improvement of symptoms were distributed the voiding symptoms(81.3%), the Pain-neurological symptoms(80.0%), the others symptoms(77.6%) and the symptoms related with sexual punction(77.1%). 2. Therapeutic improvement rate of whole symptoms was 79.5%. 3. The voding symptoms was the most effectively improved and cured than any other symptoms. 4. The residual urine sensation was the most effectvely improved(93.7%) and the Urethral discharge was the less ineffectually improved(61.2%) than any other single symptoms. 5. Most symptoms of the voiding symptoms were improved over 80%. 6. According to the change of WBC counts on expressed prostatic secretion(EPS), improvement rate was 45.0% and cure rate was 15.0%.

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