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Incidence and Risk Factors of Nausea and Vomiting after Exposure to Low-Osmolality Iodinated Contrast Media in Children: A Focus on Preparative Fasting

  • Ji Young Ha;Young Hun Choi;Yeon Jin Cho;Seunghyun Lee;Seul Bi Lee;Gayoung Choi;Jung-Eun Cheon;Woo Sun Kim
    • Korean Journal of Radiology
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    • v.21 no.10
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    • pp.1178-1186
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    • 2020
  • Objective: To evaluate the incidence and risk factors of emetic complications associated with the intravenous administration of low-osmolality iodinated contrast media (ICM) in children undergoing computed tomography (CT). Materials and Methods: All children who underwent contrast-enhanced CT between April 2017 and July 2019 were included. Pediatric patients were instructed on the preparative dietary protocol at our institution. Experienced nurses in the radiology department monitored the children during the CT scans and recorded any emetic complications in their electronic medical records. These data were used to calculate the incidence of emetic complications. Various patient factors and technical factors, including fasting duration, the type and volume of ICM, and ongoing chemotherapy, were evaluated to identify risk factors for emetic complications using univariate and multivariate logistic regression analyses. Results: Among the 864 children (mean age, 8.4 ± 5.7 years) evaluated, 18 (2.1%) experienced emetic complications (6 experienced nausea only and 12 experienced nausea and vomiting). None of the children developed aspiration pneumonia. The mean fasting duration of patients with emesis was 7.9 ± 5.7 hours (range, 3-21 hours), whereas that of patients without nausea was 8.7 ± 5.7 hours (range, 0-24 hours). Fasting duration was not associated with the development of nausea and vomiting (p = 0.634). Multivariate logistic regression analysis revealed that ongoing chemotherapy (odds ratio [OR] = 4.323; 95% confidence interval [CI] = 1.430-13.064; p = 0.009), iomeprol use (OR = 7.219; 95% CI = 1.442-36.146; p = 0.016), and iohexol use (OR = 5.241; 95% CI = 1.350-20.346; p = 0.017) were independent risk factors for emetic complications. Conclusion: Only a small proportion (2.1%) of children experienced nausea or vomiting after exposure to low-osmolality ICM. Many children underwent excessive fasting; however, fasting duration was not associated with nausea and vomiting. Moreover, ongoing chemotherapy and the use of iomeprol or iohexol were identified as potential risk factors for emetic complications in children.

A Review on the Emission Sources of Ammonia and the Factors Affecting Its Loss

  • Das, Piw;Sa, Jae-Hwan;Kim, D.S.;Kim, K.H.;Jeon, E.C.
    • Journal of Korean Society for Atmospheric Environment
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    • v.23 no.E2
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    • pp.47-56
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    • 2007
  • Among all the nitrogen species present in the atmosphere, ammonia forms a considerable portion along with the nitrogen oxides. The major sources of atmospheric ammonia are animal feedlot operations including emission from excreta of domestic animals and agricultural activities, followed by emission from synthetic fertilizers, biomass burning and to some lesser extent, fossil fuel combustion. Ammonia emission factor, expressed as the weight of ammonia per unit weight, volume, or duration of the activity emitting it, is generally used in developing emission estimates for emission inventories. The factors determining ammonia loss from soil or from manures are the temperature, pH, humidity, precipitation and the velocity of wind above it.

A Comparison of Fretting Wear Characteristics of Zircaloy-4 Tube in Light Water and in Air (경수 및 공기중에서의 지르칼로이-4 튜브의 프레팅 마멸특성 비교)

  • 조광희;김태형;김석삼
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 1999.06a
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    • pp.303-309
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    • 1999
  • The fretting wear behaviour of Zircaloy-4 tube used as the fuel rod cladding in PWR nuclear power plants has been investigated at the different test environment, in light water and in air as a function of slip amplitude, normal load, test duration and frequency. Zircaloy-4 tubes were used for both of oscillating and stationary specimens. A fretting wear tester was designed to be suitable for this fretting test. The wear volume and specific wear rate of Zircaloy-4 tube in water were greater than those in air under various slip amplitude. It was found that delaminate debris and surface cracks were observed at low slip amplitude and high load in water Experimental results showed that the light water accelerated the wear of Zircaloy-4 tube at low slip amplitude in fretting.

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DATA QUALITY AND COSTS IN MEASURING TIME-RELATED UNDEREMPLOYMENT IN KOREA

  • Kim Sulhee
    • Proceedings of the Korean Statistical Society Conference
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    • 2000.11a
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    • pp.97-104
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    • 2000
  • Time-related underemployment exists when a person's employment is insufficient in terms of the volume of work. Two alternative definitions can be considered based on a longer-term view or a shorter-term view and these were designed into a single questionnaire. We conducted a pilot sample survey with about 6,000 respondents in Korea. The estimates of underemployment using the two definitions show some differences given the ages, genders, industrial areas and main activities of the respondents. A larger number of people could be identified as underemployed when the longer-term view is used than when the shorter-term view is used, but there is a greater cost associated with the former. The cost-benefit of the interviewers' time was investigated by multiple visits to households. Biases and costs are also analyzed using the results of the comparison of the decrease in non-responses with the increase in the costs for the interviews.

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A Study on the Characteristics of Injection and Combustion with Directly Injected Hydrogen Fuel (직접분사식 수소연료의 분무 및 연소특성에 관한 연구)

  • Lee, Seang-Wock;Kee, Wan-Soo
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.5
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    • pp.24-29
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    • 2007
  • This study aims to provide a fundamental data for directly injected hydrogen fuel engines. Spray, ignition and combustion characteristics of hydrogen were studied using constant volume chamber. For spray visualization, hydrogen was vertically injected into a combustion chamber at various condition, for example, injection pressure, ambient pressure. And an argon laser was used for the shadowgraph photography by applying optical method. Also, to investigate heat-release rate and flame propagations, spark was ignited on hydrogen injected at the different time after injection and the duration of injection was also changed. Processes of ignition and combustion were analyzed by heat-release rate calculated by pressure history and were observed by shadowgraph photography The results gave much knowledge of spray, ignition and combustion characteristics of hydrogen.

Development of Portable Arrhythmia Moniter Using Microcomputer(I) (마이크로 컴퓨터를 이용한 휴대용 부정맥 모니터의 개발(I)-하드웨어 설계를 중심으로-)

  • 이명호;안재봉
    • Journal of Biomedical Engineering Research
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    • v.7 no.2
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    • pp.169-182
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    • 1986
  • Pulsed ultrasonic Doppler system is a useful diagnostic instrument to measure blood-flow-velocity, velocity profile, and volume-blood-flow. This system is more powerful compare with 2-dimensional B-scan tissue image. A system has been deve- loped and ii being evaluated using TMS 32010 DSP. We use this DSP for the purpose of real-time spectrum analyzer to obtain spectrogram in singlegate pulsed Doppler system and for the serial comb filter to cancel clutter and zero crossing counter to estimate Doppler mean frequency in multigate pulsed Doppler system. The Doppler shift of the backscattered signals is sensed in a phase detector. This Doppler signal corresponds to the mean velocity over a some region in space defined by the ultrasonic beam dimensions, transmitted pulse duration, and transducer ban(iwidth. Multi- gate pulsed Doppler system enable the transcutaneous and simultaneous assessment of the velocities in a number of adjacent sample volumes as a continuous function of time. A multigate pulsed Doppler system processing the information originating from presented.

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Compact green light sources for laser projection display

  • Ko, Do-Kyeong;Jung, Chang-Soo;Yu, Nan-Ei;Yu, Bong-Ahn;Lee, Yeung-Lak;Lee, Jong-Min
    • 한국정보디스플레이학회:학술대회논문집
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    • 2008.10a
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    • pp.1335-1336
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    • 2008
  • A compact diode-pumped microchip(DPM) green light source which consist of pump LD, $Nd:YVO_4$, KTP and a built-in thermoelectric element has been fabricated for laser projection display. The volume of the source is as small as $0.7\;cm^3$ and we obtained the output power of 25mW with the average electric power consumption in pump LD of 304mW which correspond to the electrical-to-optical efficiency of 7.8%. Another approach using quasi phase matching(QPM) technique has been attempted. We obtained the output power of 90mW of green beam with 350mW pumping of a $Nd:YVO_4$ laser with 20-kHz rep. rate and 10-ns pulse duration. Detailed characteristics and issues of the DPM and QPM green light sources will be addressed.

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A Study on a Multichannel(128) Ultrasound Pulsed Doppler System with Serial Data Processing for Sensing the Blood Flow (혈류 진단을 위하여 직렬데이터 처리를 하는 다중(128) 채널 초음파 펄스 도플러 시스템에 관한 연구)

  • Kim, Young-Kil
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.23 no.3
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    • pp.389-396
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    • 1986
  • A pulsed ultrasonic doppler flowmeter for mesurements of velocity profils in man is described. The device projects a beam of ultrasound in burst of 570 ns duration at 3.5 MHz. The back-scattered signals are processed to produce a signal oxrresponding to the mean velocity over a small region of the flowing stream. The observation range of 112mm is divided into 128 depth channels. The size of this sample volume determines the flowmeter sensitivity and accuracy. The device uses a quadrature detector to detect the direction of the moving target(hemoglobin). The main feature of the novel instrumnet is its simple hardware structure due to sequential signal processing.

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Preliminary pharmacological evaluation of an Ayurvedic formulation Dasamularista

  • Rajia Sultana;Choudhuri M Shahabuddin Kabir;Sattar Mafruhi;Shahriar Masum
    • Advances in Traditional Medicine
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    • v.6 no.3
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    • pp.208-214
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    • 2006
  • In this study the Ayurvedic formulation Dasamularista was studied for its preliminary pharmacological properties using laboratory mice. Dasamularista showed a decrease in food intake and stool formation, while the water content of stool and water intake was higher and the volume of the urine was less. Dasamularista in a slight extent reduced the intestinal motility. This constipating effect was further supported by the significant anti-diarrhoeal property of the formulation in castor oil induced dairrhoea. The tested formulation markedly increased the latent period of diarrhoea and reduced the purging index value. Dasamularista did not alter the acetic acid induced abdominal writhing. Significant reduction on the onset of sleeping time and increased duration of sleep was observed in pentobarbital induced sleeping time test.

Acoustic properties of vowels produced by cerebral palsic adults in conversational and clear speech (뇌성마비 성인의 일상발화와 명료한 발화에서의 모음의 음향적 특성)

  • Ko Hyun-Ju;Kim Soo-Jin
    • Proceedings of the KSPS conference
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    • 2006.05a
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    • pp.101-104
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    • 2006
  • The present study examined two acoustic characteristics(duration and intensity) of vowels produced by 4 cerebral palsic adults and 4 nondisabled adults in conversational and clear speech. In this study, clear speech means: (1) slow one's speech rate just a little, (2) articulate all phonemes accurately and increase vocal volume. Speech material included 10 bisyllabic real words in the frame sentences. Temporal-acoustic analysis showed that vowels produced by two speaker groups in clear speech(in this case, more accurate and louder speech) were significantly longer than vowels in conversational speech. In addition, intensity of vowels produced by cerebral palsic speakers in clear speech(in this case, more accurate and louder speech) was higher than in conversational speech.

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