• Title/Summary/Keyword: Agitation intensity

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Comparison of Physical Injury, Emotional Response and Unplanned Self-Removal of Medical Devices According to Use of Physical Restraint in Intensive Care Unit Patients (중환자실 환자의 물리적 억제대 적용 여부에 따른 신체손상, 정서반응, 우발적 치료기구 자가 제거 발생 비교)

  • Lee, Mi Mi;Kim, Keum Soon
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.296-306
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    • 2012
  • Purpose: This study was done to compare the physical injury, emotional response and unplanned self-removal of medical devices in patients with physical restraints and patients not restrained. Methods: Eighty patients admitted to the intensive care unit (ICU) of a university hospital in Seoul participated in this study. Forty patients made up each group and the group not restrained was matched with the restraint group for age and history of smoking and alcohol consumption. Data on occurrence of physical injury, intensity of anxiety, stage of agitation and unplanned self-removal of medical devices were collected by observation and medical chart review using a structured instrument. Statistical processing of collected data was done with the SPSS WIN 17.0 program. Results: The physically restrained group experienced more physical injuries and recorded significantly higher levels of anxiety and agitation than the unrestrained group. However, there were no significant differences between the groups in occurrence of unplanned self-removal of medical devices. Conclusion: Results indicate a need for critical care nurses to carefully monitor physical injuries and emotional responses of physically restrained patients and to develop nursing interventions to prevent adverse effects associated with restraint use. There is also a need to develop patient safety guidelines when using physical restraints.

Effect of degumming conditions on the fluorescence intensity of fluorescent silk cocoons: A combined experimental and molecular dynamics study

  • Chan Yeong, Yu;Ezekiel Edward, Nettey-Oppong;Elijah, Effah;Su Min, Han;Seong-Wan, Kim;Seung Ho, Choi
    • International Journal of Industrial Entomology and Biomaterials
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    • v.45 no.2
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    • pp.56-69
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    • 2022
  • Silk is a unique natural biopolymer with outstanding biocompatibility, high mechanical strength, and superior optical transparency. Due to its excellent properties, silk has been widely reported as an ideal biomaterial for several biomedical applications. Recently, fluorescent silk protein, a variant of native silk, has been reported as a biophotonic material with the potential for bioimaging and biosensing. Despite the realization of fluorescent silk, the traditional degumming process of fluorescence silk is crude and often results in fluorescence loss. The loss of fluorescent properties is attributed to the sensitivity of silk fibroin to temperature and solvent concentration during degumming. However, there is no comprehensive information on the influence of these processing parameters on fluorescence evolution and decay during fluorescent silk processing. Therefore, we conducted a spectroscopic study on fluorescence decay as a function of temperature, concentration, and duration for fluorescent silk cocoon degumming. Sodium carbonate solution was tested for degumming the fluorescent silk cocoons with different concentrations and temperatures; also, sodium carbonate solution is combined with Alcalase enzyme and triton x-100 to find optimal degumming conditions. Additionally, we conducted a molecular dynamics study to investigate the fundamental effect of temperature on the stability of the fluorescent protein. We observed degumming temperature as the prime source of fluorescent intensity reduction. From the MD study, fluorescence degradation originated from the thermal agitation of fluorescent protein Cα atoms and fluctuations of amino acid residues located in the chromophore region. Overall, degumming fluorescent silk with sodium carbonate and Alcalase enzyme solution at 25 ℃ preserved fluorescence.

Treatment of Hydrogen Fluoride Generated from the F-gases Decomposition Processes

  • Park, Jun-Hyeong;Choi, Chang Yong;Kim, Tae-Hun;Shin, InHwan;Son, Youn-Suk
    • Asian Journal of Atmospheric Environment
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    • v.10 no.4
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    • pp.190-196
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    • 2016
  • The objective of this study is to obtain the optimal conditions to remove hydrogen fluoride (HF) generated from a variety of F-gas treatment processes. First, we selected $Ca(OH)_2$ and $CaCO_3$ as a reactant among the various alkali salts which have a high removal efficiency and a competitive price by forming a calcium fluoride precipitate. Additionally, various factors were investigated to improve the removal efficiency of HF. The conditions such as the settling time, agitating time and intensity, reaction temperature, and pH were considered as main factors. As a result, in the treatment process to remove HF through Ca-based alkali salts, the optimal conditions were a 120 min settling time, 30 min of agitation at 100 rpm, a pH of 4-8, and a reaction temperature of $40^{\circ}C$.

A Case of Miliary Brain Metastasis of Lung Cancer Mimicking Neurocysticercosis (뇌낭미충증과 감별이 어려웠던 폐암의 속립성 뇌전이 1예)

  • Lee, Ho-Jun;Oh, In-Jae;Park, Sang-Woo;Ban, Hee-Jung;Kim, Young-Chul;Kim, Soo-Ok
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.182-186
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    • 2012
  • Miliary brain metastasis from the lung is uncommon and has a poor therapeutic response. We report a case of pulmonary adenocarcinoma combined with multiple brain cystic lesions that were initially misdiagnosed as neurocysticercosis. A 53-year-old male who never smoked was admitted to our hospital with complaints of agitation and cognitive impairment. Brain magnetic resonance imaging showed innumerable, small nodular lesions with a central, low signal intensity in whole brain parenchyma. His symptoms were not improved by the empirical praziquantel medication for disseminated neurocysticercosis. After a transbronchial biopsy from the right middle lobe, we could diagnose the primary lung adenocarcinoma with a single nucleotide polymorphism in the epidermal growth factor receptor exon 20 at codon 787 (Q787Q). His neurologic symptoms and imaging findings have been gradually improving with a first-line Gefitinib treatment for five months. We recommend a more active diagnostic approach including biopsy in case of atypical imaging findings.

Optimization of Outdoor Cultivation of Spirulina platensis and Control ofContaminant Organisms (Spirulina platensis의 옥외배양 최적화 및 오염생물 구제)

  • Kim, Choong-Jae;Jung, Yun-Ho;Choi, Gang-Guk;Park, Yong-Ha;Ahn, Chi-Yong;Oh, Hee-Mock
    • ALGAE
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    • v.21 no.1
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    • pp.133-139
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    • 2006
  • Outdoor cultivation of cyanobacterium Spirulina platensis was carried out for 40 days in a batch mode. A half concentration of the SOT based on the underground water was used as culture medium. Working volume was 5.7 tons with 0.2 m depth. During cultivation, mean water temperature, DO and light intensity were all in proper conditions for the S. platensis growth. The adjustment of pH to over 10 with Na2CO3 and addition of the 1.5% natural salt were very effective to delete contaminant organisms, Chlamydomonas moewusii and Chlorella minutissima occurred one after the other in the culture. The mean productivity of the biomass based on the dry cell weight from 14 to 25 days, after the contaminants were deleted, was 7.8 g ·m–2· d–1, which was relatively high productivity in that a half concentration of the SOT was used for the culture. Underground water used in the culture minimized contaminants invasion and addition of the 1.5% natural salt was effective to delete contaminants as well as acted as mineral supplement in outdoor cultivation of S. platensis. Harvesting using the floating activity of S. platensis was effective from mass floating in day time after overnight without agitation and illumination.

Pool Boiling Heat Transfer in a Vertical Annulus with a Longer Outside Tube (외부 튜브 길이가 긴 수직 환상공간 내부의 풀비등 열전달)

  • Kang, Myeong-Gie
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.8
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    • pp.775-782
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    • 2012
  • To investigate pool boiling heat transfer in a vertical annulus with closed bottoms, the length of an outer tube was varied between 0.3 and 0.6 m. For the test, a heated tube of 0.2-m length and 19.1-mm diameter and water at atmospheric pressure were used. To elucidate the effects of the outer tube length on heat transfer, the results for the annulus were compared with data for a single unrestricted tube. The increase in the outer tube length resulted in an increase or decrease in heat transfer depending on the gap size. This tendency is mainly attributed to the difference in the intensity of liquid agitation.

FUNDAMENTAL STUDY ON THE RECOVERY AND REMOVAL OF WHITE PHOSPHORUS FROM PHOSPHORUS SLUDGE

  • Jung, Joon-Oh
    • Environmental Engineering Research
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    • v.10 no.1
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    • pp.38-44
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    • 2005
  • Electro-thermal production of white phosphorus(WP, P4) generates substantial amount of highly toxic phossy water and sludges. Because of their high phosphorus contents and lack of reliable processing technology, large tonnages of these hazardous wastes have accumulated from current and past operations in the United States. In this study, two different methods for treatment of phosphorus sludge were investigated. These were bulk removal of WP by physical separation(froth flotation) and transformation of WP to oxyphosphorus compounds by air oxidation in the sludge medium. Kerosene, among other collectors, resulted in selective flotation of WP from the associated mineral gangue. Solvent action of kerosene occurring on the WP surface(by rendering WP particles hydrophobic) might produce the high selectivity of WP. The WP recovery in the froth was 79.3% from a sludge assaying 34.2% of WP. In the oxidation study, air gas was dispersed in the sludge medium by the rapid rotation of the impeller blades. The high level of sludge agitation intensity caused a fast completion of the oxidation reactions and it resulted in the high percentage conversion of WP to PO4-3 with PO3-3 making up almost all portion of oxyphosphorus compounds. The WP analysis on the treated sludge showed that supernatant solution and solid residue contained an average of 4.2 μg/L and 143 ppm respectively from the sludge containing about 26 g of WP. Further investigation will be required on operational factors to better understand the processes and achieve an optimum condition.

Formation of Cheese Flavor and EMC Technology (치즈 풍미성분의 형성과 EMC 제조기술)

  • Han, Kyeong-Sik;Jeon, Woo-Min
    • Journal of Dairy Science and Biotechnology
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    • v.21 no.2
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    • pp.88-96
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    • 2003
  • Cheese flavor is derived from three main pathways, that are proteolysis, lipolysis and glycolysis, the extent of which varies according to the cheese variety. Proteolysis is the most complex of the three primary events during cheese ripening. The basis of EMC technology is the use of specific enzymes acting at optimum conditions to produce required cheese flavors from suitable substrates. These enzymes consist of proteinases, peptidases, lipases, esterases. The key factors in EMC production are the type of cheese flavor required, the type and specificity of enzyme or cultures used, their concentration and some processing parameters, such as pH, temperature, agitation, aeration, and incubation time. The emulsifiers, bacteriocins, flavor compounds, and precursors also effect to it importantly. The dosage of enzyme or starter culture used is dependent on the intensity of flavor required, processing time and temperature and the quality of the initial substrate. To produce a consistent EMC product it is necessary to have a highly controlled process, and a detailed knowledge of the enzymatic reactions under the conditions used must be fully understood.

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Cloud and Fog Computing Amalgamation for Data Agitation and Guard Intensification in Health Care Applications

  • L. Arulmozhiselvan;E. Uma
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.18 no.3
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    • pp.685-703
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    • 2024
  • Cloud computing provides each consumer with a large-scale computing tool. Different Cyber Attacks can potentially target cloud computing systems, as most cloud computing systems offer services to many people who are not known to be trustworthy. Therefore, to protect that Virtual Machine from threats, a cloud computing system must incorporate some security monitoring framework. There is a tradeoff between the security level of the security system and the performance of the system in this scenario. If strong security is needed, then the service of stronger security using more rules or patterns is provided, since it needs much more computing resources. A new way of security system is introduced in this work in cloud environments to the VM on account of resources allocated to customers are ease. The main spike of Fog computing is part of the cloud server's work in the ongoing study tells the step-by-step cloud server to change the tremendous measurement of information because the endeavor apps are relocated to the cloud to keep the framework cost. The cloud server is devouring and changing a huge measure of information step by step to reduce complications. The Medical Data Health-Care (MDHC) records are stored in Cloud datacenters and Fog layer based on the guard intensity and the key is provoked for ingress the file. The monitoring center sustains the Activity Log, Risk Table, and Health Records. Cloud computing and Fog computing were combined in this paper to review data movement and safe information about MDHC.

Induction of ${\beta}$-carotene by Ozone and Hydrogen Peroxide and Extraction Using Vegetable Oil from Microalga Dunaliella bardawil (미세조류 Dunaliella bardawil에서 오존과 과산화수소에 의한 ${\beta}$-carotene의 축적과 식용기름을 이용한 추출)

  • Yu, Gyeong-Won;Jeong, Uk-Jin;Jeong, Byeong-Cheol
    • Korean Journal of Microbiology
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    • v.35 no.4
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    • pp.289-295
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    • 1999
  • Halotolerant microalga Dunaliella bardawil was reported to massively accumulate the ${\beta}$-carotene, which protects cells from excess light intensity. Maximum specific growth rate of 0.168/hr was achieved when cells were cultivated at 1 N NaCl, pH 8.0, light intensity 80 ${\mu}E/m^{2}/s$, agitation 70rpm. For the effectiv accumulation of ${\beta}$-carotene, ozone ro hydrogen peroxide was added to media which was irradiated with white fuorescent lamps with moderate light intensity of 250 ${\mu}E/m^{2}/s$. As a result, maximum volumetric content of ${\beta}$-carotene was 324 ${\mu}$g/㎖. The ${\beta}$-carotene extraction efficiency of vegetable oils was in the order of olive oil, sesame oil, rice brain oil, corn oil, and soy bean oil. Sonication and warming was effective in ${\mu}$-carotene extraction and finally 96.9% of ${\beta}$ could be extracted using olive oil.

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