• 제목/요약/키워드: Tube-by-tube method

검색결과 1,987건 처리시간 0.031초

가정용 인공호흡기 적용 환자의 가정간호서비스 이용실태 (A Survey of Hospital-Based Home Healthcare Utilization in Patients using Home Mechanical Ventilator)

  • 이미경;송종례;오은경;윤영미
    • 가정∙방문간호학회지
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    • 제24권2호
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    • pp.210-220
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    • 2017
  • Purpose: The study aimed to describe the utilization of home healthcare in patients using home mechanical ventilator(HMV) Method: A descriptive cross-sectional design was used in this study. A Questionnaires were sent to nation wide home healthcare agencies to assess their utilization status of home healthcare. A convenience sample of 158 patients data was reviewed. Result: A total of 88(55.7%) men with the mean age of 51.94(${\pm}19.52$) years were included in the study. Approximately 55.1% of patients at the outpatient department were referred to the home healthcare services after discharge. The underlying diseases were as follows : 129 amyotrophic lateral sclerosis and 27 muscular dystrophies. A total of 155 patients have invasive HMV. Efficient home healthcare nursing activities provided by a highly skilled home healthcare advanced practice nurses(HHCAPN) were tracheotomy and gastrostomy tube management and urinary catheterization. The average frequency of home visit for one patient was 2.52times per month. The duration of home healthcare utilization with >1 year was 82.9%. HHCAPNs have limited knowledge and skill for HMV. Conclusion: The government support is required to provide sufficient home healthcare services to the patients discharged with HMV. HHCAPNs should be properly educated on the effective HMV care.

고온부재의 재질열화에 따른 응력부식균열 평가에 관한 연구 (A Study on Stress Corrosion Cracking Evaluation with Material Degradation of High Temperature Components)

  • 박종진;유호선;정세희
    • 대한기계학회논문집A
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    • 제20권4호
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    • pp.1123-1132
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    • 1996
  • It has been reported that high temperature structural components represent the phenomenon of material degradation according to a long term service under high temperature and pressure. Especially, fossile power plant components using the fossil fuel and heavy oil are affected by dewpoint corrosion of $H_2SO_4$produced during a combustion. Therefore, the service materials subjected to high temperature and pressure may occur the stress corrosion cracking. The object of this paper is to investigate SCC susceptibility according to the material degradation of the high temperature structural materials in dewpoint corrosive environment-$H_2SO_4$.The obtained results are summarized as follows : 1) In case of secondary superheater tube, the fractograph of dimple is observed at the concentration of $H_2SO_4$-5%. When the concentration of $H_2SO_4$ is above 10%, the fracture mode is shifted from a transgranular fracture to an quasi-intergranular fracture according to the increment of concentration. 2) In the relationship between [$\Delta$DBTT]$_sp$ and SCC susceptibility, it is confirmed that the greater material degradation degree is, the higher SCC susceptibility is. In addition, it can be known that SP test is useful test method to evaluate SCC susceptibility for high temperature structural components. 3) When [$\Delta$DBTT]$_sp$ is above 17$17^{\circ}C$ the SCC fracture behavior is definitely observed with SCC susceptibility of above 0.4.

Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Reduces Major Complications in High-Risk Pediatric Patients

  • Balogh, Brigitta;Szucs, Daniel;Gavaller, Gabriella;Rieth, Anna;Kovacs, Tamas
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권3호
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    • pp.273-278
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    • 2021
  • Purpose: Percutaneous endoscopic gastrostomy (PEG) is a safe method to feed patients with feeding difficulty. This study aimed to compare the outcomes of conventional PEG and laparoscopic-assisted PEG (L-PEG) placement in high-risk pediatric patients. Methods: In our tertiary pediatric department, 90 PEG insertions were performed between 2014 and 2019. Children with severe thoracoabdominal deformity (TAD), previous abdominal surgery, ventriculoperitoneal (VP) shunt, and abdominal tumors were considered as high-risk patients. Age, sex, diagnosis, operative time, complications, and mortality were compared among patients who underwent conventional PEG placement (first group) and those who underwent L-PEG placement (second group). Results: We analyzed the outcomes of conventional PEG placement (first group, n=15; patients with severe TAD [n=7], abdominal tumor [n=6], and VP shunts [n=2]) and L-PEG placement (second group, n=10; patients with VP shunts [n=5], previous abdominal surgery [n=4], and severe TAD [n=1]). Regarding minor complications, 1 (6.6%) patient in the first group underwent unplanned PEG removal and 1 (10%) patient in the second group had peristomal granuloma. We observed three major complications: colon perforation (6.6%) in a patient with VP shunt, gastrocolic fistula (6.6%) in a patient with Fallot-tetralogy and severe TAD, and pneumoperitoneum (6.6%) caused by early tube dislodgement in an autistic patient with severe TAD. All the three complications occurred in the first group (20%). No major complications occurred in the second group. Conclusion: In high-risk patients, L-PEG may be safer than conventional PEG. Thus, L-PEG is recommended for high-risk patients.

Development of a Novel Multiple Cross-Linking Spiral Amplification for Rapid and Sensitive Detection of HPV16 DNA

  • Zhang, Donghong;Liu, Dongliang;Liu, Bing;Ma, Xiulan
    • Journal of Microbiology and Biotechnology
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    • 제31권4호
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    • pp.610-620
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    • 2021
  • There has been increasing interest in the head and neck squamous cell carcinoma (HNSCC) that is caused by high-risk human papillomavirus (HR-HPV) and has posed a significant challenge to Otolaryngologists. A rapid, sensitive, and reliable method is required for the detection of HR-HPV in clinical specimens to prevent and treat HPV-induced diseases. In this study, a multiple cross-linking spiral amplification (MCLSA) assay was developed for the visual detection of HPV-16. In the MCLSA assay, samples were incubated under optimized conditions at 62℃ for 45 min, and after mixing with the SYBR Green I (SGI) dye, the positive amplicons showed bright green fluorescence while the negative amplicons exhibited no obvious change. The specificity test revealed that the developed MCLSA technique had high specificity and could effectively distinguish all five HPV-16 strains from other pathogenic microorganisms. In terms of analytical sensitivity, the limit of detection (LoD) of MCLSA assay was approximately 5.4 × 101 copies/tube, which was 10-fold more sensitive than loop-mediated isothermal amplification (LAMP) and RT-PCR. The detection results of laryngeal cancer specimens collected from 46 patients with suspected HPV infection in the Liaoning region demonstrated that the positive detection rates of MCLSA and hybridized capture 2 kit were 32.61% (15/46). The true positive rate of the MCLSA assay was higher than that of RT-PCR (100% vs. 93.33%) and LAMP (100% vs. 86.67%). Therefore, the MCLSA assay developed in the present study could be a potentially useful tool for the point-of-care (PoC) diagnosis of HR-HPV, especially in resource-limited countries.

Components of phytoncide from a pine forest in the southern temperate zone

  • Lee, Jeong Do;Park, Choong Hee;Joung, Da Wou;Koo, Seung Mo;Park, Bum Jin
    • 농업과학연구
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    • 제46권1호
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    • pp.33-44
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    • 2019
  • This study was conducted to examine the components of phytoncide from a pine forest in the southern temperate zone. Recent studies have found that a large amount of phytoncide is released not only from cypress trees but also from pine trees. Because the amount released is the highest during summer, we selected a warm climate region in the southern temperate zone and measured the concentration in the month of August. To capture the phytoncide from the forest atmosphere, we used the adsorption tube method with a mini pump and successfully gathered 9 L of forest air at a flow rate of 150 mL/min. We performed duplicate sampling from two different tubes installed at the same location and derived the mean value. A gas chromatography/mass spectrometer detector with thermal desorption spectroscopy was utilized to perform quantitative and qualitative analyses of the captured material. The results showed that the average phytoncide particle of the pine forest in the southern temperate zone contained a number of components as follows in descending order: ${\alpha}$-Pinene (39%, $0.28ng/m^3$), followed by ${\beta}$-Pinene (16%, $0.11ng/m^3$), D-Limonene (8%, $0.06ng/m^3$), camphor (6%, $0.04ng/m^3$), camphene (6%, $0.04ng/m^3$), and p-Cymene (5%, $0.04ng/m^3$). There were also 13 additional phytoncide components in trace amounts. The results of this study are expected to provide a useful dataset for building a "Healing-forest".

Analysis of Oral Pathogenic Microorganisms by Elderly's Systemic and Oral Health Status of the Elderly Over 65 Years

  • Lee, Min-Kyung;Yu, Su-Bin;Kim, Hye-Jin
    • 대한의생명과학회지
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    • 제24권4호
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    • pp.372-379
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    • 2018
  • Korean society is experiencing rapid growth due to industrialization and urbanization, and the aging of population is emerging. Degradation of the masticatory muscle due to aging and reduction of the number of mastications causes dry mouth syndrome with decreased saliva in the elderly. Changes in the amount and composition of saliva cause various oral diseases, especially, periodontal disease is closely related to the microorganisms that form the plaque. In the elderly education, stimulation saliva was collected at the first visit and the last visit to observe changes in microorganisms in the oral cavity. For the collection of the probes, the paraffin wax was chewed for 5 minutes. The samples were immediately refrigerated in a 50 cc plastic tube and then stored at $-20^{\circ}C$ until the next use. The subjects of this study were the elderly people aged 65 years or older, and the study was conducted on 16 persons, 3 males and 13 females. The distribution of saliva microorganisms according to rolling brushing method showed significant difference in all three groups (Aa & Red complex, Orange complex and Green complex) before and after the education. In the group who answered that they had dentures, it was confirmed that the amount of microorganisms before and after education was significantly reduced in all three groups. There was a significant decrease in the amount of microorganisms in the Aa & Red complex and Orange complex group in the case of hypertension related to systemic disease. In conclusion, the higher the interest of oral health and general health of the subjects, the more effective the education.

Physicochemical, Antibacterial Properties, and Compatibility of ZnO-NP/Chitosan/β-Glycerophosphate Composite Hydrogels

  • Huang, Pingping;Su, Wen;Han, Rui;Lin, Hao;Yang, Jing;Xu, Libin;Ma, Lei
    • Journal of Microbiology and Biotechnology
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    • 제32권4호
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    • pp.522-530
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    • 2022
  • In this study we aimed to develop novel ZnO-NP/chitosan/β-glycerophosphate (ZnO-NP/CS/β-GP) antibacterial hydrogels for biomedical applications. According to the mass fraction ratio of ZnO-NPs to chitosan, mixtures of 1, 3, and 5% ZnO-NPs/CS/β-GP were prepared. Using the test-tube inversion method, scanning electron microscopy and Fourier-transform infrared spectroscopy, the influence of ZnO-NPs on gelation time, chemical composition, and cross-sectional microstructures were evaluated. Adding ZnO-NPs significantly improved the hydrogel's antibacterial activity as determined by bacteriostatic zone and colony counting. The hydrogel's bacteriostatic mechanism was investigated using live/dead fluorescent staining and scanning electron microscopy. In addition, crystal violet staining and MTT assay demonstrated that ZnO-NPs/CS/β-GP exhibited good antibacterial activity in inhibiting the formation of biofilms and eradicating existing biofilms. CCK-8 and live/dead cell staining methods revealed that the cell viability of gingival fibroblasts (L929) cocultured with hydrogel in each group was above 90% after 24, 48, and 72 h. These results suggest that ZnO-NPs improve the temperature sensitivity and bacteriostatic performance of chitosan/β-glycerophosphate (CS/β-GP), which could be injected into the periodontal pocket in solution form and quickly transformed into hydrogel adhesion on the gingiva, allowing for a straightforward and convenient procedure. In conclusion, ZnO-NP/CS/β-GP thermosensitive hydrogels could be expected to be utilized as adjuvant drugs for clinical prevention and treatment of peri-implant inflammation.

불교란시료를 활용한 포항시 송림공원 사질토층의 액상화저항강도 평가 (Evaluation of Liquefaction Resistance of Sandy Soil Layer in Songlim-park, Pohang, Using Undisturbed Sample)

  • 김종관;한진태;박가현;이석형
    • 한국지반공학회논문집
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    • 제37권12호
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    • pp.107-116
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    • 2021
  • 본 연구에서는 2017년 포항지진 시 액상화 현상이 목격된 포항시 송림공원에서 불교란 시료를 채취하여 액상화 실내실험을 수행하였다. 채취한 불교란시료는 현장에서 동결시킴으로써 이동 및 보관, 그리고 실내실험 시 발생할 수 있는 교란을 최소화 하는 방법을 적용하였다. 동결 보관한 불교란시료를 활용하여 반복삼축압축실험을 통해 액상화저항강도를 산출하였다. 그 결과 심도 8.0~8.8m 및 11.0~11.8m에서 채취한 시료는 유사한 액상화 저항강도를 나타냈으며, 간편법을 통해 산출한 액상화저항강도와 비교하여 0.04~0.07가량 큰 값을 나타냈다. 이는 연대효과 및 간편법의 경우 안전측 설계를 위하여 하한선을 채택하고 있기 때문으로 판단된다. 이를 통해 불교란 시료를 활용할 경우 경제적설계에 기여할 수 있을 것으로 보인다.

미용전공 학생들의 네일미용 관련 특성과 네일제품 구매 고려요소에 대한 연구 (A study on considerations when purchasing nail products and the nail beauty-related characteristics of beauty major students)

  • 설현진
    • 복식문화연구
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    • 제30권5호
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    • pp.703-716
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    • 2022
  • This study was conducted with students who had experience in purchasing nail products asa result of by taking the nail design course of the department of beauty at a junior college. The purpose of this study was to provide useful information to nail companies, including the importance of product elements and effective media promotion, to support the planning and promoting of nail products for beauty major students. Means analysis, one-way ANOVA, and multiple regression analysis were conducted on detailed characteristics related to nail beauty (degree of nail management, degree of contact with nail beauty media) and considerations for the purchase of nail products. The results were as follows: For beauty major students, it was concluded that the greater the interest in nail beauty, such as degree of nail management and degree of contact with nail beauty media, the greater the interest in product quality, purpose, and safety, which are practical product elements considered when purchasing nail products. It was also confirmed that Instagram and YouTube advertising media have a significant effect on promoting nail product brands for beauty major students. As the subjects of this study comprise beauty major students in their early 20s, there is a limit to expanding and applying the conclusions of this study to general nail product consumers. Therefore, in subsequent studies, analysise of a wider range of nail product consumers should be conducted through an expanded sampling method.

콘텐츠 명성 및 사용자 명성 평가를 이용한 UCC 검색 품질 개선 (Improving the Performance of the User Creative Contents Retrieval Using Content Reputation and User Reputation)

  • 배원식;차정원
    • 한국시뮬레이션학회논문지
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    • 제19권1호
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    • pp.83-90
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    • 2010
  • 본 논문에서는 콘텐츠 명성 및 사용자 명성 평가를 통해 신뢰성 높은 UCC 검색을 가능하게 하는 방법에 대해 기술한다. 기존 정보검색과 달리 UCC에서는 얻을 수 있는 텍스트 정보가 한정적이기 때문에 텍스트 외적인 정보의 사용이 필요하다. 콘텐츠 명성과 사용자 명성은 비텍스트 정보를 이용하여 평가되는데, 평가된 명성을 자질로 사용하여 UCC 검색을 수행하면 기존 검색 방법보다 향상된 검색 성능을 기대할 수 있다. 콘텐츠 명성은 영상 자체 정보와 영상과 관련된 소셜활동 정보로부터 콘텐츠의 명성, 즉 가치를 평가한다. 또한 사용자 명성은 콘텐츠와 사용자, 사용자와 사용자 사이의 소셜활동 하나하나에 주목하여 네트워크를 구축하여 사용자의 명성을 평가한다. 각각의 명성을 평가하여 UCC 검색에 사용하는 두 개의 시스템을 구현하고, 유튜브로부터 수집한 UCC와 사용자 정보를 이용하여 두 시스템의 비교 실험을 수행하였다. 실험 결과, 콘텐츠 명성을 활용한 시스템에서 조금 더 높은 사용자의 동의를 이끌어 낼 수 있었으며, 이 결과는 향후 UCC 검색에 활용할 수 있을 것이라 기대된다.