• Title/Summary/Keyword: Full discharge

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Unexpected Aggravation of COVID-19 After Recovery in Three Adolescents With Chronic Neurologic Conditions: A Case Series

  • Dayun Kang;Seung Ha Song;Bin Ahn;Bongjin Lee;Ki Wook Yun
    • Pediatric Infection and Vaccine
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    • v.29 no.3
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    • pp.147-154
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    • 2022
  • The clinical severity of coronavirus disease 2019 (COVID-19) in children is usually mild. Most of the affected patients completely recovered from COVID-19 before being released from approximately 7-day quarantine. However, children with comorbidities are at risk of more severe disease and adverse outcomes. We report three cases of COVID-19-affected adolescents with underlying chronic respiratory difficulty due to neurologic diseases who showed sudden clinical aggravations at the time of discharge, even after full clinical improvement. Patient 1 is a 17-year-old boy with Ullrich congenital muscular dystrophy who had cardiopulmonary arrest 9 days after the initial COVID-19 symptoms. Patient 2 is a 17-year-old girl with intracerebral hemorrhage with infarction in bed-ridden status who had cardiopulmonary arrest 11 days after the initial symptoms. Patient 3 is a 12-year-old boy with intraventricular hemorrhage with hydrocephalus in bed-ridden status who showed multiorgan failure 10 days after the initial symptoms. Remdesivir, dexamethasone, and empirical antibiotics were administered with mechanical ventilation and intensive unit care. Among the three patients, two (patients 1 and 3) were alive, and one (patient 2) expired. Clinicians caring for adolescents with chronic neurologic and/or pulmonary disease should keep in mind that these patients could have sudden deterioration after recovery from the acute phase of COVID-19 around or after the time of discharge.

Pebble flow in the HTR-PM reactor core by GPU-DEM simulation: Effect of friction

  • Zuoyi Zhang;Quan Zou;Nan Gui;Bing Xia;Zhiyong Liu;Xingtuan Yang
    • Nuclear Engineering and Technology
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    • v.56 no.9
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    • pp.3835-3850
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    • 2024
  • The high-temperature gas-cooled reactor (HTGR) with spherical fuel elements contains complex pebble flow. The flow behavior of pebbles is influenced by various factors, such as pebble density, friction coefficient, wall structure, and discharge port size. Using a GPU-DEM numerical model, the effects of the friction coefficient on the cyclic loading and unloading of pebbles in the full-scale HTR-PM are studied. Numerical simulations with up to 420,000 spherical pebbles are conducted. Four sets of friction coefficient values are determined for comparative analysis based on experimental measurements. Discharging speed, residence time, stress, porosity, and velocity distribution are quantitatively analyzed. In addition, a comparison with the CT-PFD experiment is carried out to validate the numerical model. The results show that near-wall retention phenomena are observed in the reactor core only when using large friction coefficients. However, using friction coefficient values closer to the measured experimental values, the pebble bed in HTR-PM exhibited good flow characteristics. Furthermore, the friction coefficient also influences the porosity and velocity distribution of the pebble bed, with lower friction coefficients resulting in lower overall stress in the bed. The discharge outlet's influence varies with different friction coefficient values. In summary, this study demonstrates that the value of the friction coefficient has a complex influence on the pebble flow in HTR-PM, which provides important insights for future numerical and experimental studies in this field.

Clinical Characteristics and Treatment Effects of Shoulder Pain Patients Admitted to a Korean Medicine Hospital Based on MRI Findings (한방병원에 입원한 견통 환자들의 MRI소견에 따른 임상적 특징, 한방치료 효과에 대한 비교고찰)

  • Lim, Su Jin;Jun, Jae Yun;Lee, Chong Whan;Kim, Hae Sol;Kim, Ho Sun;Bae, Young Hyun;Ahn, Ji Hoon
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.109-119
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    • 2014
  • Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings. Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used. Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~60-year-old age group. In the under 40 population, 1 or less MRI findings were found. 2. As for the type of disorder, 82.1 % of the patients were diagnosed with 'Supraspinatus lesion', 39.3 % with 'subacromial-subdeltoid(SA-SA) bursitis', and 28.6 % with 'Adhesive capsulitis' 3. Numerous correlations could be made between duration of pain and MRI findings. 'rotator cuff full thickness tear' was more prevalent in acute shoulder pain patients, and 'Adhesive capsulitis' in chronic patients. 4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission. 5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with 'rotator cuff partial tear' reported to be in 'good' condition or better whereas those with 'rotator cuff full thickness tear' reported to be in 'fair' condition or worse. Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.

Experimental Study on the Explosion and Fire Risks of Mobile Phone Batteries (휴대폰 배터리의 폭발 및 화재 위험성에 관한 실험적 연구)

  • Lee, Ho-Sung;Kim, Si-Kuk
    • Fire Science and Engineering
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    • v.30 no.4
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    • pp.111-120
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    • 2016
  • This is an experimental study to analyze the explosion and fire hazards of mobile phone batteries. Using the lithium-ion batteries currently used on smart phone as the experiment samples, the experiments were conducted by overcharging, internal and external short circuit, and thermal shock with the potential of explosion and fire caused by careless use or abnormal conditions. The experiment results showed that, in the case of overcharging and external short circuit, there was no explosion and fire hazard in the normal operation of the protection circuit module (PCM), but there were big risks when the PCM faulted conditions were assumed. In the case of the experiments by internal short circuit and thermal shock, such risks varied depending on a battery charge state. In other words, it could be verified that there were low risks of explosion and fire in a full discharge state, but there were high risks in a full charge state. These experiment results suggest that to minimize the explosion and fire hazards of mobile phone batteries, an alarm device is necessary when the PCM fault occurs. In addition, a solid battery case should be made and safety equipment, such as a cooling device to avoid high temperature, is needed.

Severe hypernatremic dehydration in a breast-fed neonate (모유 수유 환아에서 발생한 심한 고나트륨혈성 탈수)

  • Oh, Yun Jung;Lee, Ji Eun;An, So Hyun;Kim, Yang Kyong;Kang, Sung Kil;Kim, Ja Kyoung;Son, Byong Kwan;Jun, Yong Hoon
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.85-88
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    • 2007
  • Although it is a rare condition, breast-feeding may result in hypernatremic dehydration. However, incidences might be increasing with more mothers breast-feeding. Although the early detection and management of hypernatremic dehydration from breast-feeding is important, its prevention is even more important on account of its serious complications. In order to prevent hypernatremic dehydration secondary to breast-feeding, it is essential to educate mothers in successful breast-feeding methods. An early follow-up after discharge is recommended. We report a case of hypernatremic dehydration secondary to breast-feeding in a full-term newborn that was corrected without any complications.

Modeling of the lifetime prediction of a 12-V automotive lead-acid battery (차량용 납축전지의 수명 예측 모델링)

  • Kim, Sung Tae;Lee, Jeongbin;Kim, Ui Seong;Shin, Chee Burm
    • Journal of Energy Engineering
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    • v.22 no.4
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    • pp.338-346
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    • 2013
  • The conventional lead acid battery is optimized for cranking performance of engine. Recently electric devices and fuel economy technologies of battery have influenced more deep cycle of dynamic behavior of battery. I also causes to reduce battery life-time. This study proposed that aging battery model is focused for increasing of battery durability. The stress factors of battery aging consist of discharge rate, charging time, full charging time and temperature. This paper considers the electrochemical kinetics, the ionic species conservation, and electrode porosity. For prediction of battery life cycle we consider battery model containing strong impacts, corrosion of positive grid and shedding. Finally, we validated that modeling results were compared with the accelerated thermal measurement data.

Design and Implementation of Dermatology $CO_2$ Laser System (피부과용 $CO_2$레이저시스템의 설계 및 구현)

  • Kim, Whi-Young
    • Journal of the Korea Society of Computer and Information
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    • v.6 no.2
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    • pp.8-13
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    • 2001
  • We demonstrate a pulsed CO$_2$laser with long pulse duration of millisecond order in the low pressure less than 30 Torr. A new power supply for our laser system switches the voltage of AC power line(60㎐) directly. The power supply doesn't need elements such as a rectified bridge, energy-storage capacitors. and a current-limiting resistor in the discharge circuit. In order to control the laser output power, the pulse repetition rate is adjusted up to 60㎐ and the firing angle of SCR gate is varied from 30˚ to 150˚. A ZCS(Zero Crossing Switch) circuit and a PIC one-chip microprocessor are used to control the gate signal of SCR precisely. The maximum laser output is 23W at the total pressure of 18 Torr, the pulse repetition rate of 60㎐, and SCR gate firing angle of 90˚. In addition, the obtained laser pulse width is approximately 3㎳(FWHM)

A Study on Gas Explosion Hazardous Ranges for International Electrotechnical Commission Technical Standards (IEC 기술표준의 가스폭발위험범위 연구)

  • Jung, Jae Yong;Lee, Chang Jun
    • Journal of the Korean Society of Safety
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    • v.33 no.3
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    • pp.39-45
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    • 2018
  • The occupational safety and health act defines how to evaluate the explosion hazardous areas according to KS (Korean Industrial Standards). Current KS have to follow IEC (International Electrotechnical Commission) 60079-10-1 1st edition and there has been no change since 2008. And its 2nd edition has been revised in 2015. In this study, IEC 1st Ed. (IEC 60079-10-1 1st edition) is compared with IEC 2nd edition. Total 112 case studies including four materials (methane, propane, benzene, methanol) are selected to test and explosion hazardous ranges evaluated by IEC 1st and 2nd Ed. are analyzed according to various leakage pressures and hole sizes. In order to verify the results calculated by them, PHAST, which is one of the most representative consequence analysis programs, is employed. As a result, it can be concluded that there are many differences between IEC 1st and 2nd Ed. due to the discharge and the ventilation parameters. As comparing with PHAST, it is confirmed that IEC 1st provides more conservative values than PHAST. Even if IEC 2nd Ed. provides more conservative for gases, this fails to provide more conservative values for liquids. Therefore, it is worth to note that a large value between the explosion hazardous ranges value calculated by the IEC 1st Ed. and 2nd Ed. should be selected until further investigation and analysis is made. Morevover, the full consideration for IEC 2nd Ed. have to be needed.

USING SATELLITE SYNTHETIC APERTURE RADAR IMAGERY TO MAP OIL SPILLS IN THE EAST CHINA SEA

  • Shi, Lijian;Ivanov, Andrei Yu.;He, Mingxia;Zhao, Chaofang
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.981-984
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    • 2006
  • Oil pollution of the ocean is a major environmental problem, especially in its coastal zones. Synthetic aperture radar (SAR) flown on satellites, such as ERS-2 and Envisat, has been proved to be a useful tool in oil spill monitoring due to its wide coverage, day and night, and all-weather capability. The total 120 SAR images containing oil spill over the East China Sea were collected and analyzed, ranging in date from July 23, 2002 to November 11, 2005. After preprocessed, SAR images were segmented by adaptive threshold method. The oil spill images were incorporated into GIS after distinguished from look-like phenomena, finally we presented the oil spills distribution map for the East China Sea. The wide-swath and quick-looks SAR imagery for mapping of oil spill distribution over large marine areas were proved to be useful when full resolution data are not available. After the temporal and spatial distribution of the oil spills were analyzed, we found that most of oil spills were distributed along the main ship routes, which means the illegal discharge by ships, and the occurrence of oil spill detected on SAR images acquired during morning and summer is much higher than during evening and winter.

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A Study on the Hydraulic Characteristics in a Compound Channel (복단면(複斷面) 수로(水路)에서의 수리학적(水理學的) 특성(特性)에 관한 연구(研究))

  • Jeong, Dong Guk;Ahn, Soo Hahn
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.6 no.1
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    • pp.25-33
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    • 1986
  • Natural river channels usually have a deep section and one or two floodplains, which is called a compound channel. As the general method in the compound channel overestimates the discharge capacity, the momentum transfer due to interaction between the main channel flow and flow over its floodplain must be considered. Scale model experiments are performed for the rectangular main channel with an asymmetrical floodplain. Firstly, velocities are measured at various section grids. Secondary, boundary shear stresses are calculated from velocity distributions. Lastly, in order to determine the apparent shear force, the shear stress distributions are integrated along the wetted perimeter for the full cross-section and equated to the total weight force in the flow direction. The hydraulic characteristics in a compound channel are closely examined with the scales of length, velocity, boundary shear stress, and apparent shear force which are described with the various relationships.

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