• Title/Summary/Keyword: stays

Search Result 340, Processing Time 0.025 seconds

Factors Influencing Ventilator-Associated Pneumonia in Cancer Patients

  • Park, Sun-A;Cho, Sung Sook;Kwak, Gyu Jin
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.14
    • /
    • pp.5787-5791
    • /
    • 2014
  • Background: With increasing survival periods and diversification of treatment methods, treatment of critically ill cancer patients has become an important factor influencing patient prognosis. Patients with cancer are at high risk of infections and subsequent complications. This study investigated the incidence and factors contributing to the development of ventilator-associated pneumonia (VAP). Materials and Methods: This retrospective study investigated the incidence of VAP and factors leading to infection in patients admitted to the intensive care unit (ICU) of a cancer center from January 1, 2012 to December 31, 2013. Results: The incidence of VAP was 2.13 cases per 1,000 days of intubation, and 13 of 288 patients (4.5%) developed VAP. Lung cancer was the most common cancer associated with VAP (N=7, 53.9%), and longer hospital stays and intubation were associated with increased VAP incidence. In the group using a "ventilator bundle," the incidence was 1.14 cases per 1,000 days compared to 2.89 cases per 1,000 days without its use; however, this difference was not statistically significant (p=0.158). Age (${\geq}65$, OR=5.56, 95% confidence interval [CI]=1.29-23.95), surgery (OR=3.78, 95%CI=1.05-13.78), and tracheotomy (OR=4.46, 95%CI=1.00-19.85) were significant VAP risk factors. The most common causative organisms were methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa (N=4, 30.8% each), followed by Acinetobacter baumannii and Candida albicans (N=2, 15.4% each). Conclusions: The incidence of pneumonia among critically ill cancer patients is highest in those with lung cancer, but lower than among non-cancer patients. The length of hospital stay and time on mechanical ventilation are important risk factors for development of VAP. Although not statistically significant, "ventilator bundle" care is an effective intervention that delays or reduces incidence of VAP. Major risk factors for VAP include age (${\geq}65$ years), surgery, and tracheostomy, while fungi, gram-negative bacteria, and multidrug-resistant organisms were identified as the major causative pathogens of VAP in this study.

A Study of Stage Costume of Peking Opera

  • Lee, Young-Suk
    • The International Journal of Costume Culture
    • /
    • v.6 no.1
    • /
    • pp.38-51
    • /
    • 2003
  • Peking Opera, one of a representative Chinese dramas, is a synthesis of drama and stage art. Peking Opera's stage costume was set up in Qing dynasty though its style was embellished with mainly Ming dynasty's clothing style. The special patterns in the clothing were very important because they classified social rankings. There are two kinds of roles in Peking Opera. Sheng stands for male roles and Dan stands for female roles though Dan had traditionally been acted by male actors with female attire until the ruling of the People's Republic of China. There are five different kinds Peking Opera's stage costume. First, Mang is a formal dress for kings and generals. It is a very delicate long Po with special patterns. It has several names depending on the color and shape of a dragon. Second, Pee is a casual attire for kings, government officials, and their families. It is also a long Po with front opening and symmetrical neckline. Third, Kao is an armor of warrior which is made not for protection in a real war but for ornament of a formal dress. Kao reflects the wearer's authority when the wearer stays still, but it is a comfortable clothing for big dancing moves once the wearer starts dancing. The wearer puts a banner into the shoulder to alarm tension of a war. Fourth, Cheup is an outfit that one wears the left part adjust to the top. There are different lengths of Cheup and it has a straight neckline. There are twenty-one different kinds of Cheup according to its shape and color. Last, Yi is name for the rest of Peking Opera's stage costume other than Mang, Pee, Kao, and Cheup.

  • PDF

An Interval Data Model for Tracing RFID Tag Objects (RFID 태그 객체의 위치 추적을 위한 구간 데이터 모델)

  • Ban, Chae-Hoon;Hong, Bong-Hee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
    • /
    • 2007.10a
    • /
    • pp.578-581
    • /
    • 2007
  • For tracing tag locations, a trajectories should be modeled and indexed in radio frequency identification (RFID) systems. The trajectory of a tag can be represented as a line that connects two spatiotemporal locations captured when the tag enters and leaves the vicinity of a reader. If a tag enters but does not leave a reader, its trajectory is represented only as a point captured at entry. Because the information that the tag stays in the reader is missing from the trajectory represented only as a point, we should extend the region of a query to find the tag that remains in a reader. In this paper, we propose an interval data model of tag's trajectory in order to solve the problem. Trajectories of tags are represented as two kinds of intervals; dynamic intervals which are time-dependent lines and static intervals which are fixed lines. We also show that the interval data model has better performance than others with a cost model

  • PDF

Trends in the Prescribing of Antimanic Agents for Acute Manic Inpatients (급성 조증 입원환자에 대한 항조증약물의 처방 경향)

  • Lee, So Young Irene;Jung, Han-Yong;Jun, Yong-Ho
    • Korean Journal of Biological Psychiatry
    • /
    • v.9 no.2
    • /
    • pp.129-139
    • /
    • 2002
  • Objective:This study was performed to investigate the prescribing patterns of antimanic agents in the treatment of acute bipolar disorder inpatients in Korea from 1990 through 2000. The results will serve as the basic data for the practice guideline for the pharmacotherapy of bipolar disorder patients in Korea. Method:Retrospective chart review of bipolar disorder inpatients of Soonchunhyang Medical Center in Seoul and Chun-An was conducted for each of the year 1990, 1995, and 2000. The following data are collected ; 1) demographic data, 2) history of bipolar disorder, 3) length of hospital stay, 4) detailed drug titration records of antimanic agents and antipsychotic agents. Results:During the last decade, the frequency of lithium monotherapy was decreased obviously. Instead, more than half of the patients in 2000 were on combination therapy of lithium and anticonvulsants. Lithiumvalproate combination was the preferred strategy and the use rate of carbamazepine has been decreased. In addition, most of the patients were given antipsychotic agents during the last 10 years. And recently, atypical antipsychotics were increasingly prescribed. These changes in the field of pharmacology of bipolar disorder have resulted neither in shorter hospital stays nor lower dosages of concurrent neuroleptics. Conclusions:The results indicate the trends in the prescribing of antimanic agents for the treatment of bipolar disorder in Korea across the past 10 years. Mostly, the change seems to correspond to the international practice guideline. More systematic research is needed to find out the clinical benefits of the anticonvulsants in the real practice of treatment of bipolar disorder.

  • PDF

Simulated Study on the Effects of Substrate Thickness and Minority-Carrier Lifetime in Back Contact and Back Junction Si Solar Cells

  • Choe, Kwang Su
    • Korean Journal of Materials Research
    • /
    • v.27 no.2
    • /
    • pp.107-112
    • /
    • 2017
  • The BCBJ (Back Contact and Back Junction) or back-lit solar cell design eliminates shading loss by placing the pn junction and metal electrode contacts all on one side that faces away from the sun. However, as the electron-hole generation sites now are located very far from the pn junction, loss by minority-carrier recombination can be a significant issue. Utilizing Medici, a 2-dimensional semiconductor device simulation tool, the interdependency between the substrate thickness and the minority-carrier recombination lifetime was studied in terms of how these factors affect the solar cell power output. Qualitatively speaking, the results indicate that a very high quality substrate with a long recombination lifetime is needed to maintain the maximum power generation. The quantitative value of the recombination lifetime of minority-carriers, i.e., electrons in p-type substrates, required in the BCBJ cell is about one order of magnitude longer than that in the front-lit cell, i.e., $5{\times}10^{-4}sec$ vs. $5{\times}10^{-5}sec$. Regardless of substrate thickness up to $150{\mu}m$, the power output in the BCBJ cell stays at nearly the maximum value of about $1.8{\times}10^{-2}W{\cdot}cm^{-2}$, or $18mW{\cdot}cm^{-2}$, as long as the recombination lifetime is $5{\times}10^{-4}s$ or longer. The output power, however, declines steeply to as low as $10mW{\cdot}cm^{-2}$ when the recombination lifetime becomes significantly shorter than $5{\times}10^{-4}sec$. Substrate thinning is found to be not as effective as in the front-lit case in stemming the decline in the output power. In view of these results, for BCBJ applications, the substrate needs to be only mono-crystalline Si of very high quality. This bars the use of poly-crystalline Si, which is gaining wider acceptance in standard front-lit solar cells.

Spatio-Temporal Trends in Temperature, Acidification and Dissolved Oxygen in Lower Mekong Basin for 1985-2005

  • Ratanavong, Nilapha;Lim, Sam-Sung;Lee, Hyung-Seok
    • Journal of Korean Society for Geospatial Information Science
    • /
    • v.19 no.4
    • /
    • pp.3-12
    • /
    • 2011
  • Understanding of water sediment trends is an important part of water quality monitoring. Water quality variables change over time and space, and cannot be modeled or explained clearly by either temporal or spatial analysis alone. This research analysed the trends of temperature, pH levels and dissolved oxygen levels based on the sediment records and spatial data obtained in Lower Mekong Basin (LMB) during 1985-2005. Our aim is to evaluate spatio-temporal trends and graphical analyses using an Inverse Distance Weighting (IDW) interpolation method. The main results from this research can be summarized as follows. The maximum temperature and pH have been stable during the study period and the maximum dissolved oxygen has been increasing gradually until 2002. The minimum pH and dissolved oxygen have been changing in an unsteady trend during the period. A spatial analysis shows that the water temperature in this region has been increasing over time. The pH trend shows that it is decreasing during 1993-2005. Dissolved oxygen concentration has been increasing from 1989 onwards and stays in that track.

Applications of Cryogenic Method to Water Vapor Sampling from Ambient Air for Isotopes Analysis (수증기 동위원소 측정을 위한 저온채집법에 대한 연구)

  • Kim, Songyi;Han, Yeongcheol;Hur, Soon-Do;Lee, Jeonghoon
    • Ocean and Polar Research
    • /
    • v.38 no.4
    • /
    • pp.339-345
    • /
    • 2016
  • Stable water vapor isotopes have been utilized as a tracer for studying atmospheric global circulations, climate change and paleoclimate with ice cores. Recently, since laser spectroscopy has been available, water vapor isotopes can be measured more precisely and continuously. Studies of water vapor isotopes have been conducted over the world, but it is the early stage in south Korea. For vapor isotopes study, a cryogenic sampling device for water vapor isotopes has been developed. The cryogenic sampling device consists of the dewar bottle, filled with extremely low temperature material and impinger connected with a vacuum pump. Impinger stays put in the dewar bottle to change the water vapor which passes through the inside of impinger into the solid phase as ice. The fact that water vapor has not sampled completely leads to isotopic fractionation in the impinger. To minimize the isotopic fractionation during sampling water vapor, we have tested the method using a serial connection with two sets of impinger device in the laboratory. We trapped 98.02% of water vapor in the first trap and the isotopic difference of the trapped water vapor between two impinger were about 20‰ and 6‰ for hydrogen and oxygen, respectively. Considering the amount of water vapor trapped in each impinger, the isotopic differences for hydrogen and oxygen were 0.33‰ and 0.06‰, respectively, which is significantly smaller than the precision of isotopic measurements. This work can conclude that there is no significant fractionation during water vapor trapping.

CHARACTERISTIC SOLAR WIND DYNAMICS ASSOCIATED WITH GEOSYNCHRONOUS RELATIVISTIC ELECTRON EVENTS

  • Kim, Hee-Jeong;Lee, Dae-Young
    • Journal of Astronomy and Space Sciences
    • /
    • v.21 no.2
    • /
    • pp.93-100
    • /
    • 2004
  • We have investigated characteristic solar wind dynamics associated with relativistic electron events at geosynchronous orbit. Most of the events for April, 1999 through December, 2002 are found to be accompanied by a prolonged solar quiet period which is characterized as low solar wind density, weak interplanetary magnetic field (IMF), and fast alfvenic fluctuations in IMF $B_z$. In a typical relativistic event, electron fluxes begin to increase by orders of magnitude when solar wind parameters drop to low values (e.g., $n_{sw}∼5 cm^{-3}$ and |$B_{IMF}$∼5 nT) after sharp peaks. Then the elevated electron fluxes stay at the high level during the solar quiet period. This observation may suggest the following scenario for the occurrence of a geosynchronous relativistic event: (ⅰ) Quiet solar winds can yield a stable and more dipole-like magnetospheric configurations in which the geosynchronous orbit locates well inside the trapping boundary of the energetic electrons. (ⅱ) If a large population of MeV electrons are generated (by whatever acceleration process(es)) in the inner magnetosphere, they can be trapped and effectively accumulated to a high intensity. (ⅲ) The high electron flux can persist for a number of days in the geosynchronous region as long as the solar wind dynamics stays quiet. Therefore the scenario indicates that the occurrence of a relativistic event would be a result of a delicate balance between the effects of electron acceleration and loss. In addition, the sensitive dependence of a relativistic event on the solar wind conditions makes the prediction of solar wind variability as important as understanding of electron acceleration processes in the forecast of a relativistic event.

Analysis of Delayed Diagnosis of Pediatric and Adolescent Patients Injured by Minor Trauma (경미한 외상을 받은 소아.청소년 환자의 지연 진단에 대한 고찰)

  • Choi, Jee Ahn;Park, Won Bin;Kim, Jin Joo;Jo, Jin Sung;Kim, Jae Kwang;Lim, Yong Su;Hyun, Sung Yeol;Jeong, Ho Seong;Yang, Hyuk Jun;Lee, Gun
    • Journal of Trauma and Injury
    • /
    • v.22 no.2
    • /
    • pp.212-217
    • /
    • 2009
  • Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

Fistula of Ascending Aorta and Right Atrium Following Percutaneous Transcatheter Atrial Septal Defect Closure (경피적 카테타 심방중격결손 폐쇄술 후 발생한 상행 대동맥-우심방루)

  • Um Hong Gook;Seo Hong Joo;Kim Chong Whan;Kim Jun Seok;Lee Chang-Ha
    • Journal of Chest Surgery
    • /
    • v.39 no.2 s.259
    • /
    • pp.150-153
    • /
    • 2006
  • Percutaneous transcatheter closure of atrial septal defects as a therapeutic alternative in appropriate patients provides superior cosmetic results, is less invasive, and allows for shorter hospital stays. Unfortunately, however, such percutaneous procedures can be associated with catastrophic procedure complications that may require immediate surgical intervention. We report a case of aorta-to-right atrial fistula two months after transcatheter occlusion of an atrial septal defect by an Amplatzer septal occluder. Revealed by dyspnea, palpitation and hemolysis, this complication needed an emergency surgical operation. The fistula between the noncoronary Valsalva sinus of the aorta and the right atrium was repaired. The atrial septal defect was closed by patch. The cause of this serious complication appears to be erosion into the aorta by the right atrial disk.