• Title/Summary/Keyword: observation scale

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Necessity of pharyngeal anesthesia during transoral gastrointestinal endoscopy: a randomized clinical trial

  • Tomoyuki Hayashi;Yoshiro Asahina;Yasuhito Takeda;Masaki Miyazawa;Hajime Takatori;Hidenori Kido;Jun Seishima;Noriho Iida;Kazuya Kitamura;Takeshi Terashima;Sakae Miyagi;Tadashi Toyama;Eishiro Mizukoshi;Taro Yamashita
    • Clinical Endoscopy
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    • v.56 no.5
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    • pp.594-603
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    • 2023
  • Background/Aims: The necessity for pharyngeal anesthesia during upper gastrointestinal endoscopy is controversial. This study aimed to compare the observation ability with and without pharyngeal anesthesia under midazolam sedation. Methods: This prospective, single-blinded, randomized study included 500 patients who underwent transoral upper gastrointestinal endoscopy under intravenous midazolam sedation. Patients were randomly allocated to pharyngeal anesthesia: PA+ or PA- groups (250 patients/group). The endoscopists obtained 10 images of the oropharynx and hypopharynx. The primary outcome was the non-inferiority of the PA- group in terms of the pharyngeal observation success rate. Results: The pharyngeal observation success rates in the pharyngeal anesthesia with and without (PA+ and PA-) groups were 84.0% and 72.0%, respectively. The PA- group was inferior (p=0.707, non-inferiority) to the PA+ group in terms of observable parts (8.33 vs. 8.86, p=0.006), time (67.2 vs. 58.2 seconds, p=0.001), and pain (1.21±2.37 vs. 0.68±1.78, p=0.004, 0-10 point visual analog scale). Suitable quality images of the posterior wall of the oropharynx, vocal fold, and pyriform sinus were inferior in the PA- group. Subgroup analysis showed a higher sedation level (Ramsay score ≥5) with almost no differences in the pharyngeal observation success rate between the groups. Conclusions: Non-pharyngeal anesthesia showed no non-inferiority in pharyngeal observation ability. Pharyngeal anesthesia may improve pharyngeal observation ability in the hypopharynx and reduce pain. However, deeper anesthesia may reduce this difference.

The Effects of Action-Observation Training Program on Gait and Balance of Patients with Hemiplegia (동작관찰훈련 프로그램이 편마비환자의 보행 및 균형에 미치는 영향)

  • Kim, Haeri;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.1
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    • pp.45-54
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    • 2018
  • Purpose : The purpose of this study is to evaluate the effects of Action-observational training program on gait and balance of patients with hemiplegia. Method : The subjects of this study are patients with hemiplegia; 10 patients who agreed with this research, were picked up. Participants were divided randomly into equal groups: experimental group that applied to action-observation training for at least 30 minutes/day for 6 weeks and control group that underwent general task-oriented training. Gait and balance were measured 10 meter walk test(10MWT), gait speed, berg balance scale(BBS) and timed up and go(TUG). The intervention were compared by measuring before and after. Result : There were significant improvements in the subscales of the gait and balance test of those who practiced with the Action-observational training program, while the control group showed no significant changes. Conclusion : Therefore, Action-observational training program is effective in improvement of to improve the gait and balance in patients with hemiplegia.

Cavitation Observation and Visualization of the Gap Flows on a Rudder Influenced by Propeller Slipstream and Hull Wakes (프로펠러 및 선미반류에 의해 영향을 받는 혼-타의 캐비테이션 관찰 및 간극 유동에 대한 가시화 연구)

  • Paik, Bu-Geun;Kim, Kyung-Youl;Ahn, Jong-Woo;Park, Sun-Ho;Heo, Jae-Kyung;Yu, Byeong-Seok
    • Journal of the Society of Naval Architects of Korea
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    • v.45 no.3
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    • pp.238-246
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    • 2008
  • In the present study, the influences on the gap cavitaiton of the semi-spade rudder are investigated experimentally in the condition with propeller and hull wakes. To reduce the scale effect in the given experimental conditions, 1/28.5-scale-down models of propeller and rudder are manufactured. We have the propeller rotate ahead of the rudder, inducing the three dimensional effects originated from the propeller action. Experimental methods are composed of the cavitation observation using high speed camera, PIV (particle image velocimetry) measurements to visualize the cavitaition and flows around the gap. The propeller slipstream affects both of the gap flows and cavitation of the rudder.

Deformation process and prediction of filling gangue: A case study in China

  • Wang, Changxiang;Lu, Yao;Li, Yangyang;Zhang, Buchu;Liang, Yanbo
    • Geomechanics and Engineering
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    • v.18 no.4
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    • pp.417-426
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    • 2019
  • Gangue filling in the goaf is an effective measure to control the surface subsidence. However, due to the obvious deformation of gangue compression, the filling effect deserves to be further studied. To this end, the deformation of coal gangue filling in the goaf is analyzed by theoretical analysis, large-scale crushed rock compression test, and field investigation. Through the compression test of crushed rock, the deformation behaviour characteristics and energy dissipation characteristics is obtained and analysed. The influencing factors of gangue filling and predicted amount of main deformation are summarized. Besides, the predicted equation and filling subsidence coefficients of gangue are obtained. The gangue filling effect was monitored by the movement observation of surface rock. Gangue filling can support the roof of the goaf, effectively control the surface subsidence with little influence on the ground villages. The premeter and equations of the main deformation in the gangue filling are verified, and the subsidence coefficient is further reduced by adding cemented material or fine sand. This paper provides a practical and theoretical reference for further development of gangue filling.

A Large-scale Structural Mixing Model applied to Blowout of Turbulent Nonpremixed Jet Flames in a Cross Jet Flow (횡분류(流)(橫噴流)에서 난류 비예흔합 화염의 화염날림에 대한 거대 와(渦)구조 혼합 모텔 적용)

  • Lee, Kee-Man;Park, Jeong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.26 no.1
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    • pp.133-140
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    • 2002
  • This article presents an application of a large-scale structural mixing model(Broadwell et at. 1984) to the blowout of turbulent reacting cross flow jets. Experimental observations, therefore, aim to identify the existence of large-scale vortical structure exerting an important effect upon the flame stabilization. In the analysis of common stability curve, it is seen that the phenomenon of blowout are only related to the mixing time scale of the two flows. The most notable observation is that the blowout distance is traced at a fixed positions according to the velocity ratio at all times. Measurements of the lower blowout limits in the liftable flame are qualitatively in agreement with the blowout parameter $\xi$, proposed by Broadwell et al. Good agrement between the results calculated by a modified blowout parameter $\xi$'and the present experimental results confirms the important effect of large-scale structure in the stabilization feature of blowout.

Korea Road-Kill Observation System: The First Case to Integrate Road-Kill Data in National Scale by Government

  • Kim, Kyungmin;Woo, Dong-Gul;Seo, Hyunjin;Park, Taejin;Song, Eui-Geun;Choi, Tae-Young
    • Journal of Forest and Environmental Science
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    • v.35 no.4
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    • pp.281-284
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    • 2019
  • Efficient management of road-kill data is difficult at national scale when there are many organizations that are in charge of different road types. Here, we described the first case to integrate road-kill data through Korea Road-kill Observation System (KROS) by the Korean government. The system was launched in June 2018 to approximately 3,000 road menders. During 15 months, 5,812 road-kill observations were registered on KROS including mammals, birds, reptiles and amphibians. Of them, about 86 % was occupied by five species (Hydropotes inermis, Felis catus, Capreolus pygargus, Nyctereutes procyonoides, and Canis lupus familiaris) listed in number of occurrences. The observed road-kill frequency rapidly increased until April 2019 and peaked on May 2019. However, as the system is just starting, the results from KROS cannot be treated as the exact representation of road-kill trend in the country. Although the efficient method to manage national road-kill statistic is arranged, still there are some limitations to overcome to make the system stable.

A Study of Sample Size for Two-Stage Cluster Sampling (이단계 집락추출에서의 표본크기에 대한 연구)

  • Song, Jong-Ho;Jea, Hea-Sung;Park, Min-Gue
    • The Korean Journal of Applied Statistics
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    • v.24 no.2
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    • pp.393-400
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    • 2011
  • In a large scale survey, cluster sampling design in which a set of observation units called clusters are selected is often used to satisfy practical restrictions on time and cost. Especially, a two stage cluster sampling design is preferred when a strong intra-class correlation exists among observation units. The sample Primary Sampling Unit(PSU) and Secondary Sampling Unit(SSU) size for a two stage cluster sample is determined by the survey cost and precision of the estimator calculated. For this study, we derive the optimal sample PSU and SSU size when the population SSU size across the PSU are di erent by extending the result obtained under the assumption that all PSU have the same number of SSU. The results on the sample size are then applied to the $4^{th}$ Korea Hospital Discharge results and is compared to the conventional method. We also propose the optimal sample SSU (discharged patients) size for the $7^{th}$ Korea Hospital Discharge Survey.

Large-Scale Transport of Air Pollutants in the East Asian Region: Satellite and Ground Observations (동아시아 지역에서 광역적 대기오염의 이동: 위성과 지상 관측)

  • Kim, Hak-Sung;Chung, Yong-Seung
    • Journal of the Korean earth science society
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    • v.28 no.1
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    • pp.123-135
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    • 2007
  • Five episodes of the large-scale transport of air pollutants in East Asia and its inflow into the Korean Peninsula have been analyzed through satellite and ground observations. These episodes include regionally polluted continental airmass, which is created by the pollutants produced in the cities and the industrial regions in China, to land on or pass through the Korean Peninsula by way of the Yellow Sea. The analysis of the NOAA satellite observation data made it possible to create images by combining 3 channels of visible and infrared ray ranges and also to identify the distribution and the transport of the air pollution mass over the Yellow Sea. The ground observation data of the air pollutants gathered in Chongwon were found highly valuable in verifying the information in comparison with ones from the satellite. Especially, regarding the episodes of large-scale transport of the air pollutants, the difference of concentration between $PM_{10}\;and\;PM_{2.5}$ was found small with the increase of $PM_{2.5}$ value. The concentration of $PM_{10}$ in the episode of yellows and, however, was found much higher than that of $PM_{2.5}$. In the episode of 27 January 2006, the inflow of the regionally polluted continental air mass into the central and southwestern region of the Korean Peninsula was observed sequentially in the various ground observatories as well as by the satellite. The north-northwest airflow dissipated the clouds over from Mt. Halla in Jeju Island up to far downwind, reduced air pollution, and created von $K\acute{a}rm\acute{a}n$ vortex.

Inter-scale Observation and Process Optimization for Guanosine Fermentation

  • Chu, Ju;Zhang, Si-Liang;Zhuang, Ying-Ping
    • Proceedings of the Korean Society for Applied Microbiology Conference
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    • 2005.06a
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    • pp.233-244
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    • 2005
  • Guanosine fermentation process can be well predicted and analyzed by the proposed state equations describing the dynamic change of a bioreactor. Pyruvate and alanine were found to be characteristically accumulated along with the decline of the guanosine formation rate during the mid-late phase of the process. The enzymological study of the main pathways in glucose catabolism and the quantitative stoichiometric calculation of metabolic flux distribution revealed that it was entirely attributed to the shift of metabolic flux from hexose monophosphate (HMP) pathway to glycolysis pathway. The process optimization by focusing on the restore of the shift of metabolic flux was conducted and the overcoming the decrease of oxygen uptake rate (OUR) was taken as the relevant factor of the trans-scale operation. As a result, the production of guanosinewas increased from 17 g/L to over 34 g/I.

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Rolling Wear Mechanism of Ceramics by SEM Observation (SEM 관찰에 의한 세라믹의 구름마모기구)

  • Kim, Seock-Sam;Kato, Kohji;Hokkirigawa, Kazuo
    • Tribology and Lubricants
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    • v.5 no.1
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    • pp.36-43
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    • 1989
  • Scanning electron microscopic observations were carried out on the worn surface and the wear debris of ceramic materials to investigate the wear mechanism of those in dry rolling contact. It was found from the scanning electron microscopic observations that the wear in ceramic materials is related to brittle fracture and has two types of wear mechanisms, small scale wear and larvae scare wear. Plate-like wear debris were created from the initial surface cracks and defects. The small scale wear was related to real contact area and large scale wear was related to HertzJan contact area. A wear model was proposed on the basis of scanning electron microscopic observations.