• Title/Summary/Keyword: active safety

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WALANT: A Discussion of Indications, Impact, and Educational Requirements

  • Shahid, Shahab;Saghir, Noman;Saghir, Reyan;Young-Sing, Quillan;Miranda, Benjamin H.
    • Archives of Plastic Surgery
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    • v.49 no.4
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    • pp.531-537
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    • 2022
  • Wide-awake, local anesthesia, no tourniquet (WALANT) is a technique that removes the requirement for operations to be performed with a tourniquet, general/regional anesthesia, sedation or an anesthetist. We reviewed the WALANT literature with respect to the diverse indications and impact of WALANT to discuss the importance of future surgical curriculum integration. With appropriate patient selection, WALANT may be used effectively in upper and lower limb surgery; it is also a useful option for patients who are unsuitable for general/regional anesthesia. There is a growing body of evidence supporting the use of WALANT in more complex operations in both upper and lower limb surgery. WALANT is a safe, effective, and simple technique associated with equivalent or superior patient pain scores among other numerous clinical and cost benefits. Cost benefits derive from reduced requirements for theater/anesthetic personnel, space, equipment, time, and inpatient stay. The lack of a requirement for general anesthesia reduces aerosol generating procedures, for example, intubation/high-flow oxygen, hence patients and staff also benefit from the reduced potential for infection transmission. WALANT provides a relatively, but not entirely, bloodless surgical field. Training requirements include the surgical indications, volume calculations, infiltration technique, appropriate perioperative patient/team member communication, and specifics of each operation that need to be considered, for example, checking of active tendon glide versus venting of flexor tendon pulleys. WALANT offers significant clinical, economic, and operative safety advantages when compared with general/regional anesthesia. Key challenges include careful patient selection and the comprehensive training of future surgeons to perform the technique safely.

Nonlinear incremental dynamic analysis and fragility curves of tall steel buildings with buckling restrained braces and tuned mass dampers

  • Verki, Amir Masoumi;Preciado, Adolfo
    • Earthquakes and Structures
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    • v.22 no.2
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    • pp.169-184
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    • 2022
  • The importance of seismicity in developing countries and the strengthening of buildings is a topic of major importance. Therefore, the study of several solutions with the development of new technologies is of great importance to investigate the damage on retrofitted structures by using probabilistic methods. The Federal Emergency Management Agency considers three types of performance levels by considering different scenarios, intensity and duration. The selection and scaling of ground motions mainly depends on the aim of the study. Intensity-based assessments are the most common and compute the response of buildings for a specified seismic intensity. Assessments based on scenarios estimate the response of buildings to different earthquake scenarios. A risk-based assessment is considered as one of the most effective. This research represents a practical method for developing countries where exists many active faults, tall buildings and lack of good implementable approaches. Therefore, to achieve the main goal, two high-rise steel buildings have been modeled and assessed. The contribution of buckling-restrained braces in the elastic design of both buildings is firstly verified. In the nonlinear static range, both buildings presented repairable damage at the central top part and some life safety hinges at the bottom. The nonlinear incremental dynamic analysis was applied by 15 representative/scaled accelerograms to obtain levels of performance and fragility curves. The results shown that by using probabilistic methods, it is possible to estimate the probability of collapse of retrofitted buildings by buckling-restrained braces and tuned mass dampers, which are practical retrofitting options to protect existing structures against earthquakes.

Characteristics of injuries associated with electric personal mobility devices: a nationwide cross-sectional study in South Korea

  • Kim, Maro;Suh, Dongbum;Lee, Jin Hee;Kwon, Hyuksool;Choi, Yujin;Jeong, Joo;Kim, Sola;Hwang, Soyun;Park, Joong Wan;Jo, You Hwan
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.3-11
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    • 2022
  • Purpose: The increasing use of electric personal mobility devices (ePMDs) has been accompanied by an increasing incidence of associated accidents. This study aimed to investigate the characteristics of ePMD-related injuries and their associated factors. Methods: This cross-sectional study was conducted using data from the Emergency Department-based Injury In-depth Surveillance database from 2014 to 2018. All patients who were injured while operating an ePMD were eligible. The primary outcome was the rate of severe injury, defined as an excess mortality ratio-adjusted Injury Severity Score of ≥25. We calculated the adjusted odds ratios (AORs) of outcomes associated with ePMD-related injuries. Results: Of 1,391,980 injured patients, 684 (0.05%) were eligible for inclusion in this study. Their median age was 28 years old, and most injuries were sustained by men (68.0%). The rate of ePMD-related injuries increased from 3.1 injuries per 100,000 population in 2014 to 100.3 per 100,000 population in 2018. A majority of the injuries occurred on the street (32.7%). The most commonly injured area was the head and face (49.6%), and the most common diagnosis was superficial injuries or contusions (32.9%). Being aged 55 years or older (AOR, 3.88; 95% confidence interval, 1.33-11.36) and operating an ePMD while intoxicated (AOR, 2.78; 95% confidence interval, 1.52-5.08) were associated with severe injuries. Conclusions: The number of emergency room visits due to ePMD-related injuries is increasing. Old age and drunk driving are both associated with serious injuries. Active traffic enforcement and safety regulations regarding ePMDs should be implemented to prevent severe injuries caused by ePMD-related accidents.

An Analysis of Meal Hygiene Management Status of Children's Foodservice Facilities in Anyang Area - Regarding the Change in the Number of Visits due to COVID-19 -

  • Kim, Hye Won;Pie, Jae Eun
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.12-20
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    • 2022
  • In order to prevent mass infection of food poisoning in children, children's foodservice facilities should always thoroughly manage the hygiene and safety of meals. In this study, the hygiene management levels of daycare centers and kindergartens were compared according to the characteristics of foodservice facilities for four years from 2018, and the effect of the number of visits on the meal hygiene management scores analyzed. The facilities were divided into a small-scale and the group foodservice facilities and was divided into the Sprout group and the Fruit group according to the meal hygiene management level. As a result, the meal hygiene management of the Fruit group was generally better than that of the Sprout group, and the meal hygiene management scores in the second half of each year increased compared to the first half of the year. In addition, it was confirmed that the meal hygiene management scores in 2020, when the number of visits to foodservice facilities decreased due to COVID-19, was the worst compared to other years, and the decrease in the number of visits could affect the level of hygiene management. In conclusion, meal hygiene management of children's foodservice facilities should be applied differently depending on the characteristics of the facilities. Moreover, the number of visits and the hygiene management scores correlated, so it is considered that the appropriate number of visits should be maintained to improve the meal hygiene management level. However, in situations where it is necessary to prevent the spread of mass infectious diseases such as COVID-19, other active measures to replace visits should be proposed.

Antioxidant, Black Hair, and Hair Growth Effect of Mixed Extracts of Nardostachys jatamansi, Ocimum basilicum and Crocus sativus

  • Mi Jeong Choi;Yu Ri Kim
    • Microbiology and Biotechnology Letters
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    • v.51 no.1
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    • pp.43-52
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    • 2023
  • The purpose of this study is to confirm the antioxidant, black hair, and hair growth effects of the N. jatamansi, O. basilicum, and C. sativus mixed extracts that pharmacological efficacy has been verified. Accordingly, four samples (NOC-1 to-4) produced under different extraction conditions were prepared and the results are as follows. First, all samples showed an increase in antioxidant content in a concentration-dependent manner from the results of antioxidant efficacy. In particular, NOC-4 extracted by steaming and ultrasonic methods showed the highest antioxidant effect among the four samples. As a result of analysis of the amount of melanin production in mouse melanoma cells, NOC-4 with concentration of 500 ㎍/ml showed higher melanin production compared to the control group, so the black hair efficacy was the best. Also, in the hair growth test results, it was found that the hair growth was the best at 0.94 ± 0.10 mm at experimental group orally administered with 500 mg/kg of NOC-4. In addition, as a result of cytotoxicity analysis in mouse melanoma cells, the safety of samples was demonstrated by maintaining cell viability of 95% or more at all concentrations. These results suggest that the steaming and ultrasonic extraction method increased the extraction yield of active ingredients for antioxidant, melanin, and hair generation, thereby affecting physiological activity. Based on these results, if the steaming and ultrasonic extraction methods are applied to the mixed extraction of N. jatamansi, O. basilicum, and C. sativus, it is judged that the practical potential as a natural material for black hair and hair growth agents will increase.

Characteristics of Lithium-ion(Li-ion) Batteries according to Charging and Discharging by Scenario (시나리오별 충방전에 따른 리튬이온(Li-ion) 배터리 특성)

  • Yongho Yoon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.23 no.4
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    • pp.171-176
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    • 2023
  • In the modern society of the 21st century, portable electronic products using secondary batteries are continuously becoming lightweight and miniaturized. And along with this trend, we are active in the era of the Fourth Industrial Revolution, where we collect and share information in our daily lives using wearable electronic devices. Therefore, the role of secondary batteries that can be recharged while using small home appliances and digital devices is increasingly important. Along with this increase, secondary battery performance tests require various test methods such as characteristics, lifespan, failure diagnosis, and recycling. In addition, the construction of a battery test system to ensure the safety and proper functioning of the battery, along with guidelines and correct basic knowledge are being considered. Therefore, in this paper, we will examine the characteristics of the secondary battery Li-ion battery according to the charging and discharging scenarios directly connected to the performance of the battery.

The Role of Vanadium Complexes with Glyme Ligands in Suppressing Vanadium Crossover for Vanadium Redox Flow Batteries

  • Jungho Lee;Jingyu Park;Kwang-Ho Ha;Hyeonseok Moon;Eun Ji Joo;Kyu Tae Lee
    • Journal of Electrochemical Science and Technology
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    • v.14 no.2
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    • pp.152-161
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    • 2023
  • Vanadium redox flow batteries (VRFBs) have been considered one of promising power sources for large scale energy storage systems (ESS) because of their excellent cycle performance and good safety. However, VRFBs still have a few challenging issues, such as poor Coulombic efficiency due to vanadium crossover between catholyte and anolyte, although recent efforts have shown promise in electrochemical performance. Herein, the vanadium complexes with various glyme ligands have been examined as active materials to suppress vanadium crossover between catholyte and anolyte, thus improving the Coulombic efficiency of VRFBs. The conventional Nafion membrane has a channel size of ca. 10 Å, whereas vanadium cation species are small compared to the Nafion membrane channel. For this reason, vanadium cations can permeate through the Nafion membrane, resulting in significant vanadium crossover during cycling, although the Nafion membrane is a kind of ion-selective membrane. In this regard, various glyme additives, such as 1,2-dimethoxyethane (monoglyme), diethylene glycol dimethyl ether (diglyme), and tetraethylene glycol dimethyl ether (tetraglyme) have been examined as complexing agents for vanadium cations to increase the size of vanadium-ligand complexes in electrolytes. Since the size of vanadium-glyme complexes is proportional to the chain length of glymes, the vanadium permeability of the Nafion membrane decreases with increasing the chain length of glymes. As a result, the vanadium complexes with tetraglyme shows the excellent electrochemical performance of VRFBs, such as stable capacity retention (90.4% after 100 cycles) and high Coulombic efficiency (98.2% over 100 cycles).

Zn3(PO4)2 Protective Layer on Zn Anode for Improved Electro-chemical Properties in Aqueous Zn-ion Batteries

  • Chae-won Kim;Junghee Choi;Jin-Hyeok Choi;Ji-Youn Seo;Gumjae Park
    • Journal of Electrochemical Science and Technology
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    • v.14 no.2
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    • pp.162-173
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    • 2023
  • Aqueous zinc-ion batteries are considered as promising alternatives to lithium-ion batteries for energy storage owing to their safety and cost efficiency. However, their lifespan is limited by the irreversibility of Zn anodes because of Zn dendrite growth and side reactions such as the hydrogen evolution reaction and corrosion during cycling. Herein, we present a strategy to restrict direct contact between the Zn anode and aqueous electrolyte by fabricating a protective layer on the surface of Zn foil via phosphidation method. The Zn3(PO4)2 protective layer effectively suppresses Zn dendrite growth and side reactions in aqueous electrolytes. The electrochemical properties of the Zn3(PO4)2@Zn anode, such as the overpotential, linear polarization resistance, and hydrogen generation reaction, indicate that the protective layer can suppress interfacial corrosion and improve the electrochemical stability compared to that of bare Zn by preventing direct contact between the electrolyte and the active sites of Zn. Remarkably, MnO2 Zn3(PO4)2@Zn exhibited enhanced reversibility owing to the formation a stable porous layer, which effectively inhibited vertical dendrite growth by inducing the uniform plating of Zn2+ ions underneath the formed layer.

Current technologies, regulation, and future perspective of animal product analogs - A review

  • Seung Yun Lee;Da Young Lee;Jae Won Jeong;Jae Hyeon Kim;Seung Hyeon Yun;Ermie Jr. Mariano;Juhyun Lee;Sungkwon Park;Cheorun Jo;Sun Jin Hur
    • Animal Bioscience
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    • v.36 no.10
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    • pp.1465-1487
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    • 2023
  • The purpose of this study was to investigate the recent development of meat analog, industrialization, and the related legal changes worldwide. Summarizing the current status of the industrialization of meat analog, studies on plant-based meat, mycoprotein, and edible insects were mainly conducted to investigate their sensory properties (texture, taste, flavor, and color resembling meat), nutritional and safety evaluations, acquisition method of meat alternatives, and commercialization. Cultured meat is mainly studied for developing muscle satellite cell acquisition and support techniques or materials for the formation of structures. However, these technologies have not reached the level for active industrialization. Even though there are differences in the food categories and labeling between countries, it is common to cause confusion or to relay false information to consumers; therefore, it is important to provide accurate information. In this study, there were some differences in the food classification and food definition (labeling) contents for each country and state depending on the product shape or form, raw materials, and ingredients. Therefore, this study can provide information about the current research available on meat alternatives, improve regulation, and clarify laws related to the meat analog industry, which can potentially grow alongside the livestock industry.

A Study on Priority Determination of Seismic Reinforcement of Apartment Houses Considering Earthquake Risk Factors (지진의 위험요인을 고려한 공동주택의 내진보강 우선순위 결정에 관한 연구)

  • Han, Bum-Jin
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.4
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    • pp.405-416
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    • 2023
  • Recent seismic activities in countries like China and Turkey have underscored the widespread and severe damages that earthquakes can inflict globally. Being situated in a seismically active zone, South Korea can no longer regard itself as immune to earthquake hazards, necessitating the urgent adoption of proactive measures against such threats. The government has been proactive in evaluating, formulating processes, and methods for the seismic retrofitting of public buildings lacking in earthquake resistance. However, enforcement mechanisms for privately-owned apartment complexes are absent, and in the face of insufficient previous research and guidelines, preemptive measures for public safety remain alarmingly inadequate. With over 48% of residential structures in Korea aged over 30 years, and apartment complexes constituting more than 80% of these, the gravity of the situation is undeniable. This study deduces key factors for seismic retrofitting of apartment buildings like earthquake zones, soil type, building significance, aging degree, vulnerability, etc., based on building seismic design codes. It further proposes an algorithm for a more succinct and efficient determination of the priority of seismic reinforcements for apartment buildings.