• Title/Summary/Keyword: the Phase of Order

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Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2329-2336
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    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

Experimental Study on Heat Transfer and Pressure Drop Characteristics for Single-Phase Flow in Plate and Shell Heat Exchangers. (Plate and Shell 열교환기의 단상유동 열전달 및 압력강하 특성에 관한 실험적 연구)

  • 서무교;김영수
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.12 no.4
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    • pp.422-429
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    • 2000
  • Plate and shell heat exchanger(P&SHE) is widely applied as evaporators or condensers in the refrigeration and air conditioning systems for their high efficiency and compactness. In order to set up the database for the design of the P&SHE, heat transfer and pressure drop characteristics for single phase flow of water in a plate & shell heat exchanger are experimentally investigated in this study. Single phase heat transfer coefficients were measured for turbulent water flow in a plate and shell heat exchangers by Wilson plot method. The shell side heat transfer resistance was varied and the overall heat transfer coefficients were measured. The single-phase heat transfer coefficients in a plate side were obtained by Wilson plot method. Single-phase heat transfer correlations based on projected heat transfer area and friction factor correlations have been proposed for single phase flow in a plate and shell heat exchanger.

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Kinetic Characterization of Swelling of Liquid Crystalline Phases of Glyceryl Monooleate

  • Lee, Jae-Hwi;Choi, Sung-Up;Yoon, Mi-Kyeong;Choi, Young-Wook
    • Archives of Pharmacal Research
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    • v.26 no.10
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    • pp.880-885
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    • 2003
  • Research in this paper focuses on the kinetic evaluation of swelling of the liquid crystalline phases of glyceryl monooleate (GMO). Swelling of the lamellar and cubic liquid crystalline phases of GMO was studied using two in vitro methods, a total immersion method and a Franz cell method. The swelling of the lamellar phase and GMO having 0 %w/w initial water content was temperature dependent. The swelling ratio was greater at $20^{\circ}^C than 37^{\circ}^C$ . The water uptake increased dramatically with decreasing initial water content of the liquid crystalline phases. The swelling rates obtained using the Franz cell method with a moist nylon membrane to mimic buccal drug delivery situation were slower than the total immersion method. The swelling was studied by employing first-order and second-order swelling kinetics. The swelling of the liquid crystalline phases of GMO could be described by second-order swelling kinetics. The initial stage of the swelling (t < 4 h) followed the square root of time relationship, indicating that this model is also suitable for describing the water uptake by the liquid crystalline matrices. These results obtained from the current study demonstrate that the swelling strongly depends on temperature, the initial water content of the liquid crystalline phases and the methodology employed for measuring the swelling of GMO.

A study on the improvement of PLL system for three phase induction motor speed control (삼상유도전동기의 속도제어를 위한 PLL System의 개선에 관한 연구)

  • 정연택;이성용
    • 전기의세계
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    • v.30 no.12
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    • pp.832-837
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    • 1981
  • The study of PLL System to control the Speed of three phase induction motor is described. By solving some problems of conventional PLL system, the system has ability to be easily locked under any conditions. In order to study response velocity and stability of system, this paper presents different filter types and methods of determination of time constant.

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Correlation Estimation between Geochemical Metal-fraction and Soil Properties in Agricultural and Industrial Soils (농경지 및 공장지역 토양 내 중금속 존재형태와 토양 특성과의 상관성 평가)

  • Lee, Hong-gil;Kim, Ji-in;Noh, Hoe-Jung;Park, Jeong-Eui;Kim, Tae Seung;Yoon, Jeong Ki
    • Journal of Soil and Groundwater Environment
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    • v.21 no.6
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    • pp.169-178
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    • 2016
  • The Standards, Measurement and Testing Programme (SM&T-formerly BCR) extraction procedure was applied to fractionate Cr, Cu, Ni, Pb and Zn in 23 top soil samples into: (i) exchangeable phase; (ii) reducible phase; (iii) oxidisable(sulfides and organics bound) phase; and (iv) residual phase. Fractions of Cr and Ni were in the order of residual > oxidisable > reducible > exchangeable phase. The oxidisable phase was identified as dominant for Cu and Pb. Zn had the highest ratio of exchangeable phase in comparision to the other metals. The bioavailability and mobility were assessed to be the greatest for Zn, followed by a decreasing order of Pb, Cu, Ni and Cr. All metal average concentrations in topsoil samples was higher in industrial sites than in agricultural sites. Our results revealed higher concentrations in topsoil samples (0~15 cm) than in sub soils (15~30 cm, 30~60 cm) for most metals at six sites (No. 5, 6, 17, 19, 20, 23). The fractions of exchangeable, reducible ad oxidisable phases showed relatively high correlation with soil pH, Fe/Mn oxide concentrations and organic matter contents, respectively.

Chaotic Behavior in a Dynamic Love Model with Different External Forces

  • Bae, Youngchul
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • v.15 no.4
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    • pp.283-288
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    • 2015
  • In this paper, we propose a dynamic mathematical model of love involving various external forces, in order to analyze the chaotic phenomena in a love model based on Romeo and Juliet. In addition, we investigate the nonlinear phenomena in a love model with external forces using time series and phase portraits. In order to describe nonlinear phenomena precisely using time series and phase portraits, we vary the type of external force, using models such as a sine wave, chopping wave, and square wave. We also apply various different parameters in the Romeo and Juliet model to acquire chaotic dynamics.

Sensorless speed control of switched reluctance motor using phase current detection and dwell angle control (상전류 검출 및 도통각 조정을 이용한 SRM 센서리스 속도제어)

  • 신규재;권영안
    • Proceedings of the IEEK Conference
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    • 1998.06a
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    • pp.955-957
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    • 1998
  • Switched reluctance motor(SRM) has the advantages of simple structure, low rotor inertia, and high poer rate per unit volume. However, position sensor isessential in SRM in order to synchronize the phase excitation to the rotor position. The position sensors increase the cost of drive system, and tend to reduce system reliability. This paper investigtes the speed control of sensorless SRM. The proposed system consists of position detection circuit, dwell angle controller, digital logic commutator, PI speed controller and 4-phase inverter. The performances in the proposed system are verified through the experiment.

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Application of the Through-Transmitted Ultrasonic Signal for the Identification of Two-Phase Flow Patterns in a Simulated High Temperature Vertical Channel

  • Chu In-Cheol;Song Chul-Hwa;Baek Won-Pil
    • Nuclear Engineering and Technology
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    • v.36 no.1
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    • pp.12-23
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    • 2004
  • In the present study a new measurement technique has been developed, which uses an ultrasonic transmission signal in order to identify the vertical two phase flow pattern. The ultrasonic measurement system developed in the present study not only provides the information required for the identification of vertical two phase flow patterns but also makes real time identification possible. Various vertical two phase flow patterns such as bubbly, slug, churn, annular flow etc. have been accurately identified with the present ultrasonic measurement system under atmospheric condition. In addition, the present test apparatus can practically simulate the ultrasonic propagation characteristics under high temperature and high pressure systems. Therefore, it is expected that the present ultrasonic flow pattern identification technique could be applicable to the vertical two phase flow systems under high temperature and high pressure conditions.

Coarsening Phenomena in Polymer-Solvent Systems-A Review (고분자 용액에서의 Coarsening 현상)

  • 송승원
    • Membrane Journal
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    • v.7 no.2
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    • pp.49-56
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    • 1997
  • In order to understand the formation of polymeric membranes or microcellular foams, phase separation phenomena in polymer solutions should be understood. The present review examines the progress made in the understanding of these phenomena, with emphasis on selected polymer-solvent systems. In the case of polymer-solvent systems, coarsening is of particular importance as it may come to dominate or overshadow spinodal decomposition effects within the first minute or few minutes of phase separation. In this article, some of the most important theoretical models of late stage of phase separation are reviewed, and recent experimental studies on coarsening in polymer-solvent systems are studied.

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A New Sliding Mode Control for Set-point Regulation of Second Order LTI Nonminimum Phase Systems (이차 선형 시불변 비최소 위상 시스템의 설정값 조정을 위한 새로운 슬라이딩 모드 제어)

  • Lee, Ha-Joon;Park, Cheol-Hoon
    • Journal of Institute of Control, Robotics and Systems
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    • v.13 no.10
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    • pp.990-999
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    • 2007
  • We deal with second order NMP(Non-Minimum Phase) systems which are difficult to control with conventional methods because of their inherent characteristics of undershoot. In such systems, reducing the undesirable undershoot phenomenon makes the response time of the systems much longer. Moreover, it is impossible to control the magnitude of undershoot in a direct way and to predict the response time. In this paper, we propose a novel two sliding mode control scheme which is capable of determining the magnitude of undershoot and thus the response time of NMP systems a priori. To do this, we introduce two sliding lines which are in charge of control in turn. One is used to stabilize the system and achieve asymptotic regulation eventually like the conventional sliding mode methods and the other to stably control the magnitude of undershoot from the beginning of control until the state meets the first sliding line. This control scheme will be proved to have an asymptotic regulation property. The computer simulation shows that the proposed control scheme is very effective and suitable for controlling the second order NMP system because it can decide the magnitude of undershoot in a direct and stable way and reduce the response time compared with the conventional ones.