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Effects of Endotracheal Suction and Position Change on Blood Pressure of Patients with Head and Intracranial Surgery (기관내 흡인과 체위변경이 두부 및 두 개내 수술을 받은 환자의 혈압에 미치는 영향)

  • Jo, Eun Hee;Jung, Yoo Jung;Kim, Eun Jin
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.3
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    • pp.226-234
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    • 2014
  • Purpose: This study was done to present guidelines for deciding appropriate times for measuring blood pressure (BP) in patients with neurological disorders who had surgery due to brain damage. Method: It was a repeated measures-experimental research on time variants in BP after nursing care. SBP (Systolic BP) and DBP (Diastolic) were measured every 2 minutes up to 5 times using an EKG patient monitor. Measured data were analyzed using repeated measures ANOVA and paired t-test. Results: For suctioning, there were significantly higher differences for SBP averages after 2 min. (138mmHg, p<0.01) and 4 min. (133mmHg, p<0.01) compared to before suctioning (120mmHg). For position change, there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01) and 4 min. (130mmHg, p=0.01) compared to before changing position (121mmHg). For position change followed by suctioning there were significant differences in SBP averages after 2 min. (136mmHg, p<0.01), 4 min. (136mmHg, p<0.01) and 6 min. (125mmHg, p=0.003) compared to before the interventions (121mmHg). Conclusions: Results indicate that there are significant differences in SBP and DBP over time during nursing interventions, suggesting clinical measurement of BP after 6 min. or 8 min. be done for patients with neurological disorders in neurosurgery clinics.

A Selective Determination Method of Inorganic and Organic Mercury (무기수은과 유기수은의 선택정량)

  • Kim, Chon Han
    • Journal of the Korean Chemical Society
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    • v.41 no.8
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    • pp.392-398
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    • 1997
  • A method of selective determination of inorganic and organic mercury compounds has been described. The $CHCl_3$ solution of a high molecular quaternary alkylammonium salt, Aliquat 336 was used for the simultaneous preconcentration of both inorganic, $Hg^{2+}$ as its thiocyanate complex, and organic mercury compounds, $CH_3HgCl$ and $C_2H_3O_2$ $HgC_6H_5$ by extraction from their aqueous solution. Selective separation of the inorganic mercury from the extract was followed by stripping with 3 M $HClO_4 $ solution for the subsequent determination by CVAAS. Organic mercury was also determined by CVAAS after removal of $CHCl_3solvent$ from the extract and decomposition of the residue with 4% $KMnO_4 $-1 MH_2$S0_4$. The mixtures of inorganic and organic mercury compounds contained 1.0 $\mug$ as Hg in 50 mL of sample solution(0.02 ${\mu}gHg/mL$) were analysed within ${\pm}6%$ by absolute errors.

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Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis (풍선 카테터에 의한 폐동맥 판막 성형술)

  • Park, Kook-Yang;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1256-1262
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    • 1990
  • Percutaneous pulmonary valvuloplasty was performed in 19 patients of congenital pulmonary valve stenosis. Pulmonary annulus diameter was estimated by cross sectional echocardiography and right ventricular cineangiography. The size of balloon dilatation catheter was chosen by the same size of the estimated pulmonary annulus in the first 3 patients and 20 \ulcorner30% greater than the annulus in the last 17 patients. After valvuloplasty a satisfactory results was obtained in most patients. Before dilatation, the right ventricular systolic pressure was 91.7 mmHg[range 58-150 mmHg] and it fell to 49.2mmHg[25-85 mmHg] after dilatation. The transvalvular gradient was 67.7 mmHg[33 \ulcorner120 mmHg] before dilatation and it fell to 23.7mmHg [5 \ulcorner62] after dilatation. Repeat cardiac catheterization has been scheduled in all patients 3 months after the initial valvuloplasty but follow up recatheterization was performed in only two patients; in one of them residual gradient of 50 mmHg was reduced to 30 mmHg by repeat valvuloplasty. The other patient showed no evidence of restenosis with transvalvular gradient of 20 mmHg The balloon used for valvuloplasty was single balloon for the first 10 cases and for the later 10 cases it was replaced by Trefoil balloon which was easier for inflation and deflation. There were no significant complications during and after the procedure. From our results, we conclude that balloon valvuloplasty for congenital pulmonary valve stenosis is the treatment of choice in most patients.

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Development and Animal Tests of Prototype Oxygen Concentrator (국산 산소 농축기의 개발 및 동물실험)

  • 변정욱;성숙환;이태수
    • Journal of Chest Surgery
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    • v.31 no.7
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    • pp.643-649
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    • 1998
  • Background: For the patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy, oxygen concentrator machines are already widely available for use in home. In this study, we used mongrel dogs as test subjects to compare the functional efficiency and safety of the oxygen concentrator developed by our own research team with those of the imported FORLIFE(TM) machine made by AIRSEP Corp. Method and method: To test mechanical reliability, the concentrations of oxygen delivered were measured after 4 hours of continuous operation. Sixteen mongrel dogs were divided into two equal groups. Mongrel dogs in group A were given oxygen using the imported oxygen concentrator, and those in group B using the machine developed. 5 l/min of oxygen were given, after which vital signs were analyzed, arterial blood gases measured, and blood chemistry tests carried out. Results: After 4 hours of continuous operation, the imported model performed better, giving 98${\pm}$3% oxygen, compared to our model, which gave 91${\pm}$1%. In the animal experiments, oxygen concentrations were measured at the inlet of face mask 1, 2, 3, and 4 hours after continuous administration, and there was no statistically significant difference(repeated measures of analysis of variance p=0.70) between the values of 70.6${\pm}$2.5%, 67.1${\pm}$2.9%, 68.2${\pm}$2.6%, and 64.9${\pm}$3.9% that were measured from group A, and the values of 65.1${\pm}$4.8%, 65.2${\pm}$3.6%, 68.7${\pm}$4.3%, and 66.0${\pm}$5.0% measured from group B. Before oxygen administration, and at 1, 2, 3, and 4 hours after oxygen administration, arterial blood partial pressure of oxygen 87.2${\pm}$2.5 mmHg, 347.4${\pm}$29.3 mmHg, 353.4${\pm}$21.2 mmHg, 343.0${\pm}$28.8 mmHg, and 321.6${\pm}$24.4 mmHg, respectively, were read from group A, which were not statistically different (p=0.24) to the values of 102.5${\pm}$9.6 mmHg, 300.3${\pm}$17.1 mmHg, 321.6${\pm}$23.7 mmHg, 303.4${\pm}$27.4 mmHg, and 273.5${\pm}$25.9 mmHg read from group B. Nonetheless, the arterial blood partial pressure of oxygen values appear to be somewhat higher in dogs that were given oxygen using the imported oxygen concentrator. Conclusions: From these results the prototype oxygen concentrator developed appears to function relatively satisfactorily compared to the imported, established model, but may be criticized for the excessive noise generated and poor long-term endurance or consistency, which need improvement.

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Selective Chemosensing of Hg2+ Ions by Diazatetrathia-crown Ether Having Nitrobenzoxadiazolyl Subunits

  • Kim, So-Hee;Youn, Na-Jin;Park, Ji-Yeon;Choi, Myung-Gil;Chang, Suk-Kyu
    • Bulletin of the Korean Chemical Society
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    • v.27 no.10
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    • pp.1553-1556
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    • 2006
  • A diazatetrathia crown ether derivative that has two appended nitrobenzoxadiazolyl moieties showed selective OFF-ON type fluoroionophoric signaling properties toward Hg2+ ions over other transition metal ions. The compound also exhibited a pronounced chromogenic behavior toward Hg2+ ions by changing the solution color from light orange to yellow, which can easily be detected with naked-eye. The detection limit for the analysis of Hg2+ ions in 90% aqueous acetonitrile was found to be 4.8??10-6 M, which suggests that the compound may be used as a chemosensor for analyzing sub-millimolar Hg2+ ions in aqueous environments.

Release of Airborne Mercury from Major Waste Incineration Systems in Korea (국내 주요 쓰레기 소각시설로부터 발생하는 수은의 대기 배출량에 관한 연구)

  • 김기현;송동웅
    • Journal of Korean Society for Atmospheric Environment
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    • v.12 no.5
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    • pp.593-596
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    • 1996
  • The encironmental consequences of airborne mercury (Hg) release from waste incineration system are wellperceived. To provide some insights into those phenomena, we have assessed annual emission rates of Hg for several major incineration systems in Korea following the procedures developed abroad. The results of our computation, derived on the basis of dividing the whole amounts of annually incinerated wastes into municipal solid Wastes (MSW), and medical solid wastes (MDW), indicate that the extent of Hg release may be significant nationwide, possibly approaching a few tonnes of Hg per year basis. Knowing that the airborne transport and the resulting deposition of Hg can exert serious pollutions to the aquatic ecosystems, of particular fisheries, we are obliged to establish a stringent measure to confine the amount of Hg released via incineration.

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Hg(0) Removal Using Se(0)-doped Montmorillonite from Selenite(IV)

  • Lee, Joo-Youp;Kim, Yong Jin
    • Bulletin of the Korean Chemical Society
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    • v.34 no.12
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    • pp.3767-3770
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    • 2013
  • Potassium methylselenite ($KSeO_2(OCH_3)$) was reduced to elemental selenium, Se(0), and then doped onto montmorillonite K 10 (MK10) clay to examine the interaction between elemental mercury (Hg(0)) vapor and Se(0) in an effort to understand the possible heterogeneous reaction of Hg(0) vapor and Se(0) solid. The clay was used as a cost-effective support material for uniform dispersion of Se(0). The Se(0)-doped MK10 showed an excellent reaction performance with Hg(0) under an inert nitrogen gas at 70 and $140^{\circ}C$ in our lab-scale fixed-bed system. However, the precursor, $KSeO_2(OCH_3)$-doped MK10 showed a negligible reaction performance with Hg(0), suggesting that the oxidation state of selenium plays a key role in the reaction of Hg(0) vapor and selenium compounds.

Ultra Precision Machining the Characteristics of IR Detection device HgCdTe (초정밀 가공기를 이용한 적외선 감지소자 HgCdTe의 절삭특성에 관한 연구)

  • Kim, Hyo-Sik;Yang, Sun-Choel;Kim, Myung-Sang;Kim, Geon-Hee;Lee, In-Je;Won, Jong-Ho;Cho, Byoung-Moo
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.6 no.4
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    • pp.50-56
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    • 2007
  • This study aims to find the optimal cutting conditions, when are IR Detection device HgCdTe is machined with diamond tool of diamond turning machine. Machining technique for HgCdTe with single point diamond turning tool is reported in this paper. The main factors influencing the machined surface quality are discovered and regularities of machining process are drawn. It has been found HgCdTe has more and more important applications in the field of modern optics. The purpose of our research is to find the optimum machining conditions for ductile cutting of HgCdTe and apply the SPDT technique to the manufacturing of ultra precision optical components of brittle materials.

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Gold Nanoparticle-Based Detection of Hg(II) in an Aqueous Solution: Fluorescence Quenching and Surface-Enhanced Raman Scattering Study

  • Ganbold, Erdene-Ochir;Park, Jin-Ho;Ock, Kwang-Su;Joo, Sang-Woo
    • Bulletin of the Korean Chemical Society
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    • v.32 no.2
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    • pp.519-523
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    • 2011
  • We studied the detection of the Hg(II) concentration in an aqueous solution using rhodamine dyes on citrate-reduced Au nanoparticles (NPs). The quenching effect from Au NPs was found to decrease as the Hg(II) concentration increased under our experimental conditions. As the fluorescence signals intensified, the surface-enhanced Raman scattering (SERS) intensities reduced on the contrary due to less rhodamine dyes on Au NPs as the Hg(II) concentration increased. The rhodamine 6G (Rh6G) and rhodamine 123 (Rh123) dyes were examined via fluorescence and SERS measurements depending on Hg(II) concentrations. Fast and easy fluorescence detection of an Hg (II) concentration as low as a few ppm could be achieved by naked eye using citrate-reduced Au NPs.

Surgical Treatment of Supravalvular Aortic Stenosis (대동맥 판상부 협착증의 수술요법)

  • 유재현;유환국;이원용;나찬영;정윤섭;김응수;백완기;한재진;이영탁
    • Journal of Chest Surgery
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    • v.26 no.2
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    • pp.135-140
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    • 1993
  • Supravalvular aortic stenosis is an uncommon, congenital narrowing of ascending aorta just above aortic valve. Eleven patients underwent an aortoplasty to relieve supravalvular aortic stenosis at Sejong General Hospital from July 1985 to December 1991. Age ranged from 5 to 14 years(median 9 years). There were 7 male and 4 female patients. Seven patients had characteristics of Williams' syndrome including elfin face and mental retardation. All patients had localized, hourglass type but 4 patients had atypical findings. Preoperative left ventricula-aortic pressure gradient ranged from 40 to 190 mmHg(mean 88 mmHg). To relieve severe supravalvular aortic stenosis, extended aortoplasty was used in 7 patients and standard aortoplasty in 4 patients. Postoperative pressure gradient ranged from 0 to 40 mmHg (mean 16.6 mmHg). Follow-up pressure gradient with Doppler ranged from 0 to 88mmHg(mean 32.5mmHg).

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