• Title/Summary/Keyword: Time to operating room

Search Result 162, Processing Time 0.027 seconds

Remote Calibration Control and Monitoring System for Conveyor Scale using LabVIEW (LabVIEW를 이용한 Conveyor Scale의 원격 교정제어 및 모니터링 시스템)

  • Bang, Nam-Soo;Jang, Woo-Jin;Song, Joong-Ho
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
    • /
    • v.26 no.10
    • /
    • pp.72-80
    • /
    • 2012
  • In general, electronic conveyor scales are installed in a relatively distributed manner on the crushed rock and sand production site. It is one of the time-consuming and difficult engineering works to monitor and control the plant operation status such as the management of measuring data, malfunction of belt conveyor, and fault of electronic conveyor scale. Therefore, to alleviate the inefficient problems and to monitor the operating plant in the online and remote control room, a remote calibration and real-time monitoring system, which is practically applied to the electronic conveyor scale system and verified by onsite experiment, is developed based on the LabVIEW.

Speech Quality Estimation Algorithm using a Harmonic Modeling of Reverberant Signals (반향 음성 신호의 하모닉 모델링을 이용한 음질 예측 알고리즘)

  • Yang, Jae-Mo;Kang, Hong-Goo
    • Journal of Broadcast Engineering
    • /
    • v.18 no.6
    • /
    • pp.919-926
    • /
    • 2013
  • The acoustic signal from a distance sound source in an enclosed space often produces reverberant sound that varies depending on room impulse response. The estimation of the level of reverberation or the quality of the observed signal is important because it provides valuable information on the condition of system operating environment. It is also useful for designing a dereverberation system. This paper proposes a speech quality estimation method based on the harmonicity of received signal, a unique characteristic of voiced speech. At first, we show that the harmonic signal modeling to a reverberant signal is reasonable. Then, the ratio between the harmonically modeled signal and the estimated non-harmonic signal is used as a measure of standard room acoustical parameter, which is related to speech clarity. Experimental results show that the proposed method successfully estimates speech quality when the reverberation time varies from 0.2s to 1.0s. Finally, we confirm the superiority of the proposed method in both background noise and reverberant environments.

Role of the Neutrophil-to-Lymphocyte Ratio at the Time of Arrival at the Emergency Room as a Predictor of Rhabdomyolysis in Severe Trauma Patients

  • Bae, Jin Chul;Sun, Kyung Hoon;Park, Yong Jin
    • Journal of Trauma and Injury
    • /
    • v.33 no.2
    • /
    • pp.96-103
    • /
    • 2020
  • Purpose: In patients with trauma, rhabdomyolysis (RM) can lead to fatal complications resulting from muscle damage. Thus, RM must be immediately diagnosed and treated to prevent complications. Creatine kinase (CK) is the most sensitive marker for diagnosing RM. However, relying on CK tests may result in delayed treatment, as it takes approximately 1 hour to obtain CK blood test results. Hence, this study investigated whether the neutrophil-to-lymphocyte ratio (NLR) could predict RM at an earlier time point in patients with trauma, since NLR results can be obtained within 10 minutes. Methods: This retrospective study included 130 patients with severe trauma who were admitted to the emergency room of a tertiary institution between January 2017 and April 2020. RM was defined as a CK level ≥1,000 U/L at the time of arrival. Patients with severe trauma were categorized into non-RM and RM groups, and their characteristics and blood test results were analyzed. Statistical analysis was performed using SPSS version 26.0 for Windows. Results: Of the 130 patients with severe trauma, 50 presented with RM. In the multivariate analysis, the NLR (odds ratio [OR], 1.252; 95% confidence interval [CI], 1.130-1.386), pH level (OR, 0.006; 95% CI, 0.000-0.198), presence of acute kidney injury (OR, 3.009; 95% CI, 1.140-7.941), and extremity Abbreviated Injury Scale score (OR, 1.819; 95% CI, 1.111-2.980) significantly differed between the non-RM and RM groups. A receiver operating characteristic analysis revealed that a cut-off NLR value of 3.64 was the best for predicting RM. Conclusions: In patients with trauma, the NLR at the time of arrival at the hospital is a useful biochemical marker for predicting RM.

Current status of simulation training in plastic surgery residency programs: A review

  • Thomson, Jennifer E.;Poudrier, Grace;Stranix, John T.;Motosko, Catherine C.;Hazen, Alexes
    • Archives of Plastic Surgery
    • /
    • v.45 no.5
    • /
    • pp.395-402
    • /
    • 2018
  • Increased emphasis on competency-based learning modules and widespread departure from traditional models of Halstedian apprenticeship have made surgical simulation an increasingly appealing component of medical education. Surgical simulators are available in numerous modalities, including virtual, synthetic, animal, and non-living models. The ideal surgical simulator would facilitate the acquisition and refinement of surgical skills prior to clinical application, by mimicking the size, color, texture, recoil, and environment of the operating room. Simulation training has proven helpful for advancing specific surgical skills and techniques, aiding in early and late resident learning curves. In this review, the current applications and potential benefits of incorporating simulation-based surgical training into residency curriculum are explored in depth, specifically in the context of plastic surgery. Despite the prevalence of simulation-based training models, there is a paucity of research on integration into resident programs. Current curriculums emphasize the ability to identify anatomical landmarks and procedural steps through virtual simulation. Although transfer of these skills to the operating room is promising, careful attention must be paid to mastery versus memorization. In the authors' opinions, curriculums should involve step-wise employment of diverse models in different stages of training to assess milestones. To date, the simulation of tactile experience that is reminiscent of real-time clinical scenarios remains challenging, and a sophisticated model has yet to be established.

Performance Evaluation of the QoS Guarantee Mechanisms for Medical Multimedia Network Using DiffServ (DiffServ를 이용한 의료용 멀티미디어 네트워크의 QoS 보장에 대한 성능평가)

  • 이상학
    • Journal of the Korea Computer Industry Society
    • /
    • v.2 no.12
    • /
    • pp.1505-1516
    • /
    • 2001
  • The goal of Medical multimedia server is to develop computer hardware and software which would enable electronic access, storage, transmission, and display of patient data and images. Since the current network only provides so called "best-effort" services, it is impossible to satisfy QoS guarantee that is required for real time application services for emergency room, operating room etc. Accordingly, world-wide research is being made for a variety of services to provide QoS. he goal of DiffServ is to offer scalable differentiated service in Internet which are made possible by traffic classification and conditioning only performed at an edge(or a boundary) node. In case DiffServ was deployed in the Medical multimedia network, it is difficult to estimate how the QoS mechanism would affect totally the network performance. Therefore, we need to verify by simulation the design of algorithm which provide a variety of differentiated services. In QoS for Medical multimedia network, a simulator is designed and implemented using OPNET to investigate the performance of DiffServ QoS support mechanism. The developed DiffServ simulator may generate packets according to random, and bursty traffic models in order to incorporate diverse traffic conditions in the Medical multimedia network environment. Based on our simulation results, we confirmed that service differentiation is possible by using the EF(Expedited Forwarding) class in DiffServ networks.

  • PDF

Modelling of a High Efficiency Refrigeration System with Heat Storage for Reverse Cycle Hot Gas Defrost

  • Ardiyansyah, Ardiyansyah;Choi, Kwang-Il;Oh, Jong-Taek;Oh, Hoo-Kyu
    • International Journal of Air-Conditioning and Refrigeration
    • /
    • v.15 no.4
    • /
    • pp.175-181
    • /
    • 2007
  • A computer model of a high efficiency refrigeration system equipped with heat storage for reverse cycle-hot gas defrost (the stored heat is used during defrost cycle of the system) is presented. The model was developed based on both theoretical and empirical equations for the compressor, evaporator, condenser and the heat storage equipment. Simulations of the prototype system were carried out to investigate refrigeration system performance under various operating conditions during refrigeration cycles. The simulations of the evaporator during defrost cycles at 30 and $40^{\circ}C$ hot gas refrigerant temperature were also performed which resulted on shorter defrost time but only slight increase in defrost efficiency. These information on energy efficiency and the defrost time required are important in order to avoid excessive parasitic load and temperature rise of the refrigerated room.

Historical Review of Park Myungja, very Pioneering and Creative Registered Nurse who winned the Florence Nightingale Medal (나이팅게일 기장 수상자 박명자의 창조적이고 개척적인 간호업적 고찰)

  • YI, Ggodme
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.21 no.3
    • /
    • pp.361-372
    • /
    • 2015
  • Purpose: The purpose of this study is to present a model for R.N. and nursing students. Methods: Main primary sources were certificates, writings, news and articles. On the basis of them, her life was described over time and analyzed on the secondary sources. Results: Park Myungja faced Korean War as a nursing student and became the military officer of nursing. In 1950s and 1960s she worked hard to improve the operation room nursing. And she devoted herself to improve nursing education and help her students. Park Myungja became a military training teacher in 1972 and included first aid with the military training course. As a researcher of Korean National Open University, she tried to develop a course that R.N.s can receive a bachelor's degree in Nursing. Her last formal career was the head of a middle school, and she established the first nursery facility for the teachers. After the retirement, she devoted herself to the volunteer works, especially such as the hospice care, free clothes making, and Taichi teaching to arthritis patients. Conclusion: Park's life has been that of a R.N and volunteer. She has been very creative to find what she could do and pioneering to accomplish them.

A Strategy for Exposure Assessment of Humidifier Disinfectant Associated to Health Effects (가습기 살균제 건강 피해 조사에서 노출 평가 방법 고찰)

  • Park, Dong-Uk
    • Journal of Environmental Health Sciences
    • /
    • v.44 no.2
    • /
    • pp.107-114
    • /
    • 2018
  • Objectives: The objectives of this study are to describe strategy for exposure assessment of humidifier disinfectant (HD) used in the national program to associate the use of HD with lung injury. Methods: Strategy and method employed to evaluate HD use characteristics were developed to associate health effects including HD associated with lung injury (HDLI). We developed HD-specific questionnaire to assess potential HD exposure, which was consistently used in the national program. Trained environmental health scientists visited the residences of registered subjects and investigated HD use characteristics. Results: Major HD exposure related variables were type of HD brand/s used; HD volume added to the humidifier, frequency of HD addition, and time spent in room/s with the humidifier; duration of HD use in the household in average months/year, weeks/month, and days/week; average sleeping hours in a room with an operating humidifier containing a disinfectant; number of HD brands used and type of HD; average distance of the bed from the humidifier in meters. Conclusions: We concluded that estimated airborne HD concentration was significantly associated with the risk of HDLI.

A Study on the Sensible Waiting Time and Architectural Planning Characteristic of Medical Service Space in General Hospital (종합병원 체감 대기시간과 의료서비스공간의 건축계획특성 연구)

  • Im, Yang-Bin
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.16 no.12
    • /
    • pp.8820-8829
    • /
    • 2015
  • While medical services are recognized to be crucial in a process of disease treatment, the research has been done with the service space and waiting time in a medical institution. This paper's objective is to evaluate the waiting areas of lobby, outpatient clinic, operating room in a general hospital and to draw factors of architecture design for further improvement, identifying strengths and weaknesses to be analyzed in terms of medical service. Research method is to define concepts of waiting time through literature review and advanced researches, analyze characteristics of architectural plan through drawing analysis and site survey. This research will contribute to the improvements of the planning methods which will reduce the waiting time and increase the quality of medical service.

Analysis of 174 Consecutive Free Flaps (유리피판 이식술 174예의 분석)

  • Tark, Kwan Chul;Roh, Tai Suk
    • Archives of Reconstructive Microsurgery
    • /
    • v.9 no.1
    • /
    • pp.15-22
    • /
    • 2000
  • One hundred & seventy four consecutive free-flap transfers were reviewed to analyze distribution of the type of reconstructions, kinds of donor flaps as well incidence of complications. The role of emergent exploration and the effect of preoperative wound conditions in flap survival were evaluated. Free flap transfer for head and neck reconstruction was most common as 93 cases, followed by for upper extremity of 30 cases, for lower extremity 30 cases, 18 penile reconstructions and for trunk & breast 3 cases. Nine flaps exhibited signs of ciruclatory insufficiency between 5 hours and 7 days. Three were managed conservatively with ultimate partial necrosis of the flaps. Eight flaps required return to the operating room. On exploration, early arterial occlusion was revealed in 1 flap, late arterial occlusion in 2 flaps, early venous occlusion in 1 flap, late venous thrombosis in 2 flaps, prolonged venous spasm in 1 and hematoma in 1 flap. The average time from the first abnormal examination to exploration was 2.6 hours. There were no false-positive explorations. Four free flaps failed in spite of the correction of the cause of circulatory compromise. The remaining 4 flaps were salvaged following the correction the casuse. Recipient vessel problems such as irradiation and infection were the most common cause of circulatory crisis. Among the eight flaps requiring return to the operating room, single vein was anastomosed in three flaps and two veins in the remaining five. In the totally failed four flaps only single vein was anastomosed in three cases. The results of this study demonstrate the efficacy of clinical monitoring and the role of early exploration. Precautious selection of recipient vessels and two vein anastomosis are recommended for safe and better prognosis.

  • PDF