• 제목/요약/키워드: Wound monitoring

검색결과 47건 처리시간 0.033초

The utilities of U-shape EM sensor in stress monitoring

  • Wang, Guodun;Wang, Ming L.
    • Structural Engineering and Mechanics
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    • 제17권3_4호
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    • pp.291-302
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    • 2004
  • In this paper, load monitoring technologies using U-shape Magnetoelastic (EM or ME) sensors have been exploited systemically for the first time. The steel rod to be tested is the Japan 7 mm piano steel rod. The load dependence of the magnetic properties of the piano steel rod was manifested. Two experimental designs of U-shape magnetoelastic sensors were introduced, one with double pick-up concentric coils wound on the rod to be tested, the other with pick-up coil on one yoke foot. The former design is used to derive the correlation of the relative permeability with elastic tension, while the latter is aimed to reflect the stress induced magnetic flux variation along the magnetic circuit. Magnetostatic simulations provide interpretations for the yoke foot sensing technology. Tests with double pick-up coils indicate that under proper working points (primary voltages), the relative permeability varies linearly with the axial load for the Japan 7 mm piano steel rod. Tests with pick-up coil on the yoke foot show that the integrated sensing voltage changes quadratically with the load, and error is more acceptable when the working point is high enough.

Digital Time-Domain Simulation of Ferroresonance of Potential Transformer in the 154 kV GAS Insulated Substation

  • Shim, Eung-Bo;Woo, Jung-Wook;Han, Sang-Ok
    • KIEE International Transactions on Power Engineering
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    • 제11A권4호
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    • pp.9-14
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    • 2001
  • This paper reports a set of digital time-domain simulation studies conducted on 154 kV wound Potential Transformer(PT) int he 154 kV Gas Insulated Substation(GIS). The Electro-Magnetic Transient Program(EMTP) is used to develop the PT model and conduct the transient studies. The accuracy of the PT model is verified through comparison of the EMTP simulation results with those obtained from the field test results. The investigations shows that the developed model can accurately predict PT transient resonance, especially, the phenomenon of ferroresonance. The model is developed not only to determine impact of transients on PT response but also to design ferroresonance suppressor devices of PT. And it can also be used to predict PT transient response on power system monitoring and protection scheme.

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Venous Occlusion Detected by Caregiver with Implantable Doppler in a Buried Free Flap

  • Hur, Su Won;Kim, Tae Gon;Lee, Jun Ho;Chung, Kyu Jin;Kim, Yong-Ha
    • Archives of Craniofacial Surgery
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    • 제15권3호
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    • pp.121-124
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    • 2014
  • The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.

A Case of Cardiac Laceration due to Anterior Thoracic Stab Injury (흉부 자상 환자에서 발생한 심장 열상)

  • Woo, Won Gi;Jang, Ji Young;Lee, Seung Hwan;Lee, Chang Young;Lee, Jae Gil
    • Journal of Trauma and Injury
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    • 제27권3호
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    • pp.71-74
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    • 2014
  • Among chest trauma patients, cardiac laceration is a rare, but severe, condition requiring prompt management. Depending on the patient's hemodynamic status, early detection rate of a cardiac laceration may or may not be occur. If a possibility of cardiac laceration exists, an emergent thoracotomy should be performed. Furthermore, patients who experience a cardiac laceration also experience different kinds of complications. Therefore, close follow-up and monitoring are required. Herein, we report a 41-year-old man with a left atrium and a left ventricle laceration caused by a thoracic stab injury.

Therapeutic monitoring of vancomycin according to initial dosing regimen in pediatric patients

  • Kim, Dae-Il;Im, Mi-Sun;Choi, Jin-Hyoung;Lee, Jin-A;Choi, Eun Hwa;Lee, Hoan-Jong
    • Clinical and Experimental Pediatrics
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    • 제53권12호
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    • pp.1000-1005
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    • 2010
  • Purpose: This study aimed to determine the optimal initial vancomycin dose to achieve appropriate trough levels in pediatric patients. Methods: We analyzed clinical data for 309 children treated with intravenous vancomycin between 2004 and 2009 at 2 different hospitals in South Korea. The patients were 1-16 years old and exhibited normal renal function. Patient data, including reason for treatment and initial dosing regimen, were reviewed. Two subgroups were identified and compared according to initial vancomycin dose: 40 (35-45) mg/kg/day and 60 (55-65) mg/kg/day. Trough levels were obtained at steady state after at least 4 doses of vancomycin. Results: Patients who received vancomycin had post-operation or wound-related infections (37.2%), localized infection (12.9%), catheter-related infections (9.4%), meningitis (8.7%), or endocarditis (6.8%). Pathogens were confirmed in 79 cases: 28 cases of methicillin-resistant $Staphylococcus$ $epidermidis$ (35.4%) and 25 of methicillin-resistant $Staphylococcus$ $aureus$ (31.6%). Out of the 309 patients, 201 (65%) received vancomycin at 40 mg/kg/day and 108 (35%) at 60 mg/kg/day. Average trough concentrations were significantly different between the groups ($P$<0.001). Trough levels over 10 mg/L were less likely to be achieved in the 40 mg/kg/day group (14%) than in the 60 mg/kg/day group (49%) ($P$<0.001). There were no differences in renal function deterioration between the groups. Conclusion: A common vancomycin dosing regimen, 40 mg/kg/day, was not high enough to achieve trough levels of over 10 mg/L in pediatric patients. Careful drug monitoring must be performed, and increasing initial dose of vancomycin should be considered in pediatric patients.

Application of Multiple Parks Vector Approach for Detection of Multiple Faults in Induction Motors

  • Vilhekar, Tushar G.;Ballal, Makarand S.;Suryawanshi, Hiralal M.
    • Journal of Power Electronics
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    • 제17권4호
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    • pp.972-982
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    • 2017
  • The Park's vector of stator current is a popular technique for the detection of induction motor faults. While the detection of the faulty condition using the Park's vector technique is easy, the classification of different types of faults is intricate. This problem is overcome by the Multiple Park's Vector (MPV) approach proposed in this paper. In this technique, the characteristic fault frequency component (CFFC) of stator winding faults, rotor winding faults, unbalanced voltage and bearing faults are extracted from three phase stator currents. Due to constructional asymmetry, under the healthy condition these characteristic fault frequency components are unbalanced. In order to balanced them, a correction factor is added to the characteristic fault frequency components of three phase stator currents. Therefore, the Park's vector pattern under the healthy condition is circular in shape. This pattern is considered as a reference pattern under the healthy condition. According to the fault condition, the amplitude and phase of characteristic faults frequency components changes. Thus, the pattern of the Park's vector changes. By monitoring the variation in multiple Park's vector patterns, the type of fault and its severity level is identified. In the proposed technique, the diagnosis of faults is immune to the effects of unbalanced voltage and multiple faults. This technique is verified on a 7.5 hp three phase wound rotor induction motor (WRIM). The experimental analysis is verified by simulation results.

Endoscopic Intervention for Anastomotic Leakage After Gastrectomy

  • Ji Yoon Kim;Hyunsoo Chung
    • Journal of Gastric Cancer
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    • 제24권1호
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    • pp.108-121
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    • 2024
  • Anastomotic leaks and fistulas are significant complications of gastric surgery that potentially lead to increased postoperative morbidity and mortality. Surgical intervention is reserved for cases with severe symptoms or hemodynamic instability; however, surgery carries a higher risk of complications. With advancements in endoscopic treatment options, endoscopic approaches have emerged as the primary choice for managing these complications. Endoscopic clipping is a traditional method comprising 2 main categories: through-the-scope clips and over-the-scope clips. Through-the-scope clips are user friendly and adaptable to various clinical scenarios, whereas over-the-scope clips can close larger defects. Another promising approach is endoscopic stent insertion, which has shown a high success rate for leak closure, although vigilant monitoring is required to monitor stent migration. Infection control is essential in post-surgical leakage cases, and endoscopic internal drainage provides a relatively safe and noninvasive means to manage fluids, contributing to infection control and wound healing promotion. Endoscopic suturing offers full-thickness wound closure, but requires additional training and endoscopic versatility. As a promising tool, endoscopic vacuum therapy potentially surpasses stent therapy by draining inflammatory materials and closing defects. Furthermore, the use of tissue sealants, such as fibrin glue and cyanoacrylate, has been reported to be effective in selected situations. The choice of endoscopic device should be tailored to individual cases and specific patient conditions, with careful consideration of the nature of the defect. Further extensive studies involving larger patient populations are required to provide more robust evidence on the efficacy of endoscopic approach in managing post-gastric anastomotic leaks.

The control effect of some fungicides against cucumber sclerotinia rot and the sensitivity of sclerotinia isolates to fungicides (오이 균핵병에 대한 몇 가지 살균제의 방제 효과와 살균제에 대한 균핵병균의 감수성 정도 조사)

  • Kim, Myeong-Ok;Min, Ji-Young;Choi, Woo-Bong;Kang, Beum-Kwan;Park, Sung-Woo;Choi, Gyung-Ja;Park, Chang-Sik;Cho, Kwang-Yun;Kim, Heung-Tae
    • The Korean Journal of Pesticide Science
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    • 제9권4호
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    • pp.429-436
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    • 2005
  • As Sclerotinia sclerotiorum causing cucumber sclerotinia rot was the fastest in the mycelial growth at $25^{\circ}C$, its pathogenicity was strong at the same temperature among several temperatures. All the isolates of Sclerotinia sclerotiorum showed a strong pathogenicity against cucumber fruits, which was confirmed by a disk assay and a wound assay. A wound assay was superior to a disk assay to develop the assay system for assessing the fungicidal activity of several fungicides against Sclerotinia sclerotiorum. In a disk assay, it was very difficult to assess the fungicidal activity, because the pathogenicity of isolates used in the experiment was very strong. At 500 and $3.0{\mu}g/mL$, the activity of dichloflouanid and the mixture of carbendazim and diethofencarb against cucumber sclerotinia rot was 14.3 and 42.3%, respectively, by using a disk assay. However, at same concentration two fungicides showed the high controlling activity as 100 and 92.5%, through a wound assay in a laboratory. Also, the activity of two fungicides was good against cucumber sclerotinia rot in the greenhouse where cucumber plants were cultivated in the field, showing the control value as 91.1 and 82.9% at 100 and $825{\mu}g/mL$, respectively. All the isolates of Sclerotinia sclerotiorum from cucumber fruits sampled in the polyvinyl house were subjected to monitoring for the resistance to 7 fungicides. The $EC_{50}$ value of 7 fungicides was as follows: fenhexamid; $0.13{\mu}g/mL$, procymidon and iprodione; 0.18 and $0.24{\mu}g/mL$, carbendazim and the mixture of carbendazim and diethofencarb; 0.13과 $0.05{\mu}g/mL$, iminoctadine and dichlofluanid; 1.94 and $8.95{\mu}g/mL$. Ultimately it was not found that resistant isolates of Sclerotinia sclerotiorum were appeared in the field.

Needs of Home Care Nursing Services for Hospital Patients (재원환자의 질환군에 따른 가정간호 요구도)

  • Han, Sung-Suk;Kim, Soon-Lae;Lee, So-Young;Kwon, Eun-Ha
    • Research in Community and Public Health Nursing
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    • 제18권1호
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    • pp.165-176
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    • 2007
  • Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

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Fabrication of tunable all-fiber feedback laser and its application (파장가변이 가능한 완전 광섬유형 궤환 레이저 구현 및 응용)

  • Sohn, Kyung-Rak
    • Journal of Advanced Marine Engineering and Technology
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    • 제33권8호
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    • pp.1220-1225
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    • 2009
  • In this paper, a tunable fiber feedback laser based on the use of Sagnac loop filter and fiber Bragg grating (FBG) is proposed. The Sagnac loop filter using a high birefringence fiber provides precise 0.33-nm channel spacing as a multi-wavelength grid filter. Ni-Cr wire wound on the FBG is useful to induce the thermo-optic effect of the fiber. Two types of FBG structures, which have a different length of wire, are demonstrated to show the wavelength shift and separation. To tune FBG by resistant heat, some current is supplied into the wire. When the wavelength matched with one of the cavity modes of Sagnac loop filter, the mode-locked lasing is occurred. The electrical power sensitivity of the resonant wavelength is measured to 1.75pm/mW. This laser configuration can be applied the electrical power system for monitoring the power fluctuation.