• Title/Summary/Keyword: Maintain and Manage

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How to approach orthognathic surgery in patients who refuse blood transfusion

  • Lee, Sang Hwan;Kim, Dong Gyu;Shin, Ho Seong
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.404-410
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    • 2020
  • Background Some patients who need surgery refuse a blood transfusion because of their religious beliefs or concerns about blood-borne infections. In recent years, bloodless surgery has been performed successfully in many procedures, and is therefore of increasing interest in orthognathic surgery. Methods Ten Jehovah's Witnesses who visited our bloodless surgery center for orthognathic surgery participated in this study. To maintain hemoglobin (Hb) levels above 10 g/dL before surgery, recombinant erythropoietin (rEPO) was subcutaneously administered and iron supplements were intravenously administered. During surgery, acute normovolemic hemodilution (ANH) and induced hypotensive anesthesia were used. To elevate the Hb levels to >10 g/dL after surgery, a similar method to the preoperative approach was used. Results The 10 patients comprised three men and seven women. Their average Hb level at the first visit was 11.1 g/dL. With treatment according to our protocol, the average preoperative Hb level rose to 12.01 g/dL, and the average Hb level on postoperative day 1 was 10.01 g/dL. No patients needed a blood transfusion, and all patients were discharged without any complications. Conclusions This study presents a way to manage patients who refuse blood transfusions while undergoing orthognathic surgery. rEPO and iron supplementation were used to maintain Hb levels above 10 g/dL. During surgery, blood loss was minimized by a meticulous procedure and induced hypotensive anesthesia, and intravascular volume was maintained by ANH. Our practical approach to orthognathic surgery for Jehovah's Witnesses can be applied to the management of all patients who refuse blood transfusions.

Blockchain Watchdog: Real-time Blockchain Surveillance System Connecting Smart Contract Code and Distributed Storage (Blockchain Watchdog: 분산 저장소와 스마트 컨트랙트 코드 연동 실시간 블록체인 관제시스템)

  • Hong, Joongi;Kim, Suntae;Ryu, Duksan
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.4
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    • pp.115-121
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    • 2020
  • As the participation of blockchain increases, governance to maintain the ecosystem is being activated. Governance must be managed/supervised to maintain and improve the blockchain. However, as the usage of blockchain increases, there is a limit for people to manage it individually. In addition, smart contracts applied from Ethereum need to be verified for trade that are determined according to status values, as new trade types are possible. This research proposes a surveillance system, Blockchain Watchdog, based on the state monitoring of the blockchain smart contract as a tool for maintaining and developing the blockchain ecosystem of governance, and implemented and tested the surveillance system. As a case study, we conducted experiments on Ropsten and Ganache, and were able to see real-time information collection and visualization using dashboards, graphs, and charts. We expect to contribute to the maintenance and development of the ecosystem of blockchain governance through Blockchain Watchdog.

Design of Smartfarm Environment Controller Using Fuzzy Control Method and Human Machine Interface for Livestock Building (퍼지 제어법과 HMI를 이용한 축사용 스마트팜 환경 제어기 설계)

  • Byeong-Ro Lee;Ju-Won Lee
    • Journal of the Institute of Convergence Signal Processing
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    • v.23 no.3
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    • pp.129-136
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    • 2022
  • The most important part of the smart livestock building system is to maintain a breeding environment so that livestock can grow to high quality despite changes in the internal and external atmospheric environment. Especially, it is very important to maintain the temperature and humidity in the livestock building because various diseases occur during the summer and winter. To manage the environment suitable for livestock, a smartfarm system for livestock building is applied, but it is very expensive. In this study, we propose a hardware design and control method for low cost system based on HMI and fuzzy control. To evaluate the performance of the proposed system, we did a simulation experiment in the atmospheric conditions of summer and winter. As a result, it showed the performance of minimizing the temperature and humidity stress of livestock. And when applied to the livestock building, the proposed system showed stable control performance even in the change of the external atmospheric environment. Therefore, as with these results, if proposed system in this study is applied to the smart farm system, it will be effective in managing the environment of livestock building.

Development of an Unmanned Land-Based Shrimp Farm Integrated Monitoring System (무인 육상 새우 양식장 통합 모니터링 시스템 개발)

  • Hyeong-Bin Park;Kyoung-Wook Park;Sung-Keun Lee
    • The Journal of the Korea institute of electronic communication sciences
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    • v.19 no.1
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    • pp.209-216
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    • 2024
  • Land shrimp farms can control the growth environment more stably than coastal ones, making them advantageous for high-quality, large-scale production. In order to maintain an optimal shrimp growth environment, various factors such as water circulation, maintaining appropriate water temperature, oxygen supply, and feed supply must be managed. In particular, failure to properly manage water quality can lead to the death of shrimp, making it difficult to have people stationed at the farm 24 hours a day to continuously manage them. In this paper, to solve this problem, we design an integrated monitoring system for land farms that can be operated with minimal manpower. The proposed design plan uses IoT technology to collect real-time images of land farms, pump status, water quality data, and energy usage and transmit them to the server. Through web interfaces and smartphone apps, administrators can check the status of the farm stored on the server anytime, anywhere in real time and take necessary measures. Therefore, it is possible to significantly reduce field work hours without the need for managers to reside in the farm.

A Study on Online Detection Schemes of Earthquake Induced Shifts in Coordinate Time Series of GNSS Continuous Operation Reference Station by Kalman Filtering (칼만필터에 기반한 GNSS 상시관측소 좌표 시계열의 지진에 따른 편의검출 기법에 관한 연구)

  • Lee, Hungkyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.662-671
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    • 2020
  • It is crucial to manage and maintain the geodetic reference coordinates of GNSS continuously operating reference stations (CORSs) in consideration of their fundamental roles in geodetic control and positioning navigation infrastructure. Earthquake-induced crustal displacement directly impacts the reference coordinates, so such events should be promptly detected, and appropriate action should be made to maintain the target accuracy, including update of the geodetic coordinates. To this end, this paper deals with online schemes for the detection of persistent shifts in the coordinate time-series produced by an automatic GNSS processing system. Algorithms were implemented to test filtered results, such as hypothesis tests of the innovation sequence of a Kalman filter and a cumulative sum (CUSUM) test. The results were assessed by the time-series of coordinates of 14 CORS for two years, including the 2011 Tohoku earthquake. The results show that the global hypothesis test is practical for detecting abrupt jumps, whereas CUSUM is effective for identifying persistent shifts.

Design and Evaluation of ARDG Scheme for Mobility Management in Ad Hoc Networks (에드 혹 네트워크에서 이동성 관리를 위한 적응적 랜덤 데이터베이스 그룹 방안의 설계 및 평가)

  • Bae Ihn-Han;Ha Sook-Jeong
    • The KIPS Transactions:PartC
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    • v.11C no.7 s.96
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    • pp.917-922
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    • 2004
  • Mobile ad hoc networks (MANETs) are networks of mobile nodes that have no fixed network infrastructure. Since the mobile node's location changes frequently, it is an attractive area to maintain the node's location efficiently. In this paper, we present an adaptive randomized database group (ARDG) scheme to manage the mobile nodes mobility in MHANETs. The proposed scheme stores the network nodes' location in location databases to manage the nodes' mobility. When a mobile node changes its location or needs a node's location, the node randomly select some databases to update or que교 the location information. The number of the selected databases is fixed in the case of querying while the number of the databases is determined according to the node's popularity in the case of updating. We evaluated the performance of the proposed scheme using an analytical model, and compared the performance with that of the conventional randomized database group (RDG) scheme.

A Study on the Morphological Management of Major Landscape Elements in Organic Farming (유기농업단지 주요경관요소의 물리적 관리방안에 관한 연구)

  • An, Phil Gyun;Kong, Min Jea;Lee, Sang Min;Kim, Sang Bhum;Jo, Jung Lae;Kim, Nam Chun;Shin, Ji Hoon
    • Journal of Korean Society of Rural Planning
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    • v.26 no.2
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    • pp.107-116
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    • 2020
  • Up to date, the majority research on the major landscape elements in organic farming has been mainly focused on the practice of seeking efficiency. The problem is that this type of study contributes to polluting the agricultural environment and damaging the ecological circulation system. As an alternative, there is a growing body of research on organic farming, but it is not widely applied that research on how to manage the landscape considering the scenic characteristics of farming villages practicing organic farming. Therefore, this study was carried out in the conservative aspects of rural landscapes in order to effectively manage the landscape of organic agriculture and, intended to be used to maintain and preserve natural and ecologically harmonious landscapes by deriving management methods suitable for landscape elements targeting the major landscape elements of the organic farming complex. To carry out, this study performed the experts survey which is composed of 13 major landscape elements, including rice paddies and fields, monoculture and diverse crops, dirt roads, windbreak trees, accent planting, dum-bung(small pond), natural small river, natural waterways, plastic film houses, one-storied houses, and pavilion. As a result, Farm land was formed in a square shape, concentrated in an independent space, planted companion plants around the crop, and covered with plants to manage the borders. As for the surrounding environment, it was analyzed that the aspart road system circulating through the village, the evergreen broad-leaved windbreak forest around the cultivated land, and the accent plant located at the entrance of the village were suitable. The hydrological environment consists of Round small pond made of stone in an open space, natural rivers around the village, and natural channels around the farmland, and The Major facilities are suitable for greenhouses that are shielded by plants in independent regions, and wooden duck houses located inside the cultivation area are suitable and The settlement facilities were analyzed to be suitable for single-story brick houses located in independent residential areas, pavilion located with greenery in the center of the village, and educational spaces shielded with wood from arable land. If supplementary evaluation criteria suitable for the management of organic farming landscape are additionally supplemented based on the results derived from this study, It is expected to enhance the landscape value of ecologically superior organic farming.

한국 시설호스피스의 원리와 실제

  • Gang Seung-Gye;Kim Su-Ho;Kim Sin-Su;Park Hui-Myeong;Song Geun-Ok;Won Ju-Hui;Lee Myeong-Suk;Lee Seong-Ok;Lee Ok-Je;Lee Eun-Ui;Lee Chae-Yeong;Lee Hyeon-Mi;Heo Pil-Seok
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.87-111
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    • 2002
  • The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.

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Implementing an Integrated System for R&D Results Management (연구성과물 통합 관리 시스템 구현)

  • Shin, Sung-Ho;Um, Jung-Ho;Seo, Dong-Min;Lee, Seung-Woo;Choi, Sung-Pil;Jung, Han-Min
    • The Journal of the Korea Contents Association
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    • v.12 no.8
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    • pp.411-419
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    • 2012
  • In case that R&D results from R&D projects are well managed and archived, the research institutes can transfer the valuable technologies related to R&D results with some costs to corporations. However, it is still difficult to maintain and reuse R&D results because they are managed by each person or each department and not integrated between R&D results. Therefore, the government should undertake to manage R&D results overall by collecting meta data and distribute analyzed information from meta data. Each researching institute also makes an efforts to manage R&D results focusing on their reusing. For this purpose, in this paper, we present a process to manage R&D results; insert meta data of R&D results to the system, upload files of R&D results to the database of the system, inquire, and use meta data of R&D results. Based on the process, we design a system architecture for managing R&D results. In addition, it should be mainly considered to design a global schema for integrating R&D results into one database. The system shows detailed information on R&D results and provides R&D results conveniently to users. We expect that we may reduce the cost of reusing R&D results and improve the quality of R&D results with designing efficiently a process and a global schema of R&D result management system.

Dietary and Health-Related Lifestyle Habits and Blood Parameters of Non-Insulin Dependent Diabetes Patients

  • Song, In-Ja;Lee, Jeong-A;Lim, Hyeon-Sook
    • Nutritional Sciences
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    • v.8 no.1
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    • pp.35-41
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    • 2005
  • Controlling dietary behaviors and health-related lifestyle habits is important to manage non-insulin dependent diabetes mellitus (NIDDM). If NIDDM is not treated properly, the prevalence of macro-vascular complications (MC) may increase. The goal of NIDDM therapy is to maintain normal concentrations of blood glucose and lipid profiles by having regular meals, controlling alcohol drinking, quitting smoking, and performing physical exercise regularly. This study was performed to investigate the dietary and health-related lifestyle habits and blood parameters of NIDDM patients of both genders and compared these characteristics between the patients with and without MC. Our results show that the subjects with MC compared to without MC and the female patients than the males controlled their diets more regularly, tended to regulate the number of meals better, and smoke less than those without MC. Although plasma lipid profiles were not significantly different between the genders and between the subjects with and without MC, the men had higher blood glucose and plasma tHcy concentrations than the women and plasma tHcy concentration was higher in the female subjects without MC. These results imply that the male patients of NIDDM without MC might have more problems in maintaining their blood glucose. In addition, smoking may be the most important life-style factor influencing some blood parameters like blood glucose, HbAlc, and total cholesterol in the NIDDM patients.