• Title/Summary/Keyword: Injection site

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A Study on the Nurse's Recognition and Performance in Intravenous Therapy Management (간호사의 정맥주사 관리에 대한 인식과 수행에 관한 연구)

  • Kim Myung-Hee;Kim Youn-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.207-224
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    • 1998
  • The purposes of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. Tha data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al', CDC' Stanley' and Kurdi' guideline, Cllinical Nurse's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cron-bach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The datas were analized by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient teaching about medication, disinfectional methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance in IV therapy were 'having no time', 'insufficiency of goods', 'unknowing of methods', 'no disadvantage', and 'factors of doctor's doing'. The most important factor was 'have no time', especially item of hands washing. The other factors of hindrance showed high frequency in the following items ; 'insufficiency of goods' in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, 'unknowing of methods' in the certification of drugs compatibility, 'no disadvantage' in the labeling the dressing over the injection site, and 'factors of doctor's doing' in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and alternative plan which are political and financial aids such as setting up the sink, giving of paper towels and necessary goods in the IV therapy for reducing the factors of hindrance for IV therapy management.

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The Radiological Findings of the Catheters Inserted 10cm Cephaladly in Epidural Space (경막외강내 두측으로 10cm 삽입한 카테터의 X-선상 소견)

  • Chung, So-Young;Lee, Hyo-Keun;Chae, Jin-Ho;Lee, Chul-Seung;Lee, Chul;Kim, Chan;Kim, Soon-Yul
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.298-303
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    • 1995
  • We have inserted epidural catheter for single or continuous injection of a drug for epidural analgesia. It is important to localize the tip of epidural catheter in appropriate site to acquire the most effective analgesia. In epidural block, we observed course and location of the tip of epidural catheter. Subject: 70 patients were divided into group I(non-injection of saline group during catheter insertion) and group II(injection group during catheter insertion). Group I included cervical(n=20), thoracic(n=10), and lumbar(n=20) epidural group. Group II, cervical(n=10), and lumbar(n=10) epidural group. Method: 19G FlexTip $Plus^{TM}$ Epidural Catheter ($Arrow^{(R)}$) was inserted 10cm cephaladly in epidural space with(group II) or without(group I) saline flushing. We observed course and location of the tip of epidural catheter by C-arm image intensifier during injection of contrast media ($Omnipaque^{(R)}$). Result: In group I, the number of tips of epidural catheters located within 2 cm from inserted site were: cervical 14/20(70%), thoracic 2/10(20%). lumbar 16/20(80%). In thoracic epidural blocks, tips of epidural catheters were more cephaladly located than with cervical and lumbar epidural blocks. With cervical epidural blocks, the number of tips of epidural catheters located within 2 cm from insertion site were less in group II than group I (20% vs. 70%). But no significant differences were noted between group I and group II with lumbar epidural block(90% vs. 80%). The number of tips of epidural catheters located around a predicted site were: cervical 2/20(10%), thoracic 4/10(40%), lumbar 0/20(0%) in group I, and cervical 2/10(20%), lumbar 1/10(10%) in group II. Conclusion: It was impossible to predict the exact location of tips of epidural catheters by measuring the inserted length without epidurogram. With many cases, tips of epidural catheters were located around the insertion site in lumbar epidural blocks, and in some cases around the predicted site in thoracic epidural blocks. The results suggests that epidural block should be done at a point near the required band of analgesia.

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Evaluation of Intralesional Injection Therapy for Pediatric Lymphangiomas Classified with MRI (자기공명영상으로 분류한 소아 임파관종 주사 요법의 평가)

  • Kim, In-Kyu;Moon, Suk-Bae;Baek, Sin-Hyen;Seo, Jeong-Meen;Lee, Suk-Koo
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.113-120
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    • 2009
  • Pediatric lymphangioma can occur at any site. However the neck is the most common site. There are two treatment modalities (surgical excision and intralesional injection) for lymphangiomas. But, the treatment guide line for lymphangioma has not been established, yet. The aim of this study is to establish the treatment guide line based on our experience with lymphangiomas. Medical records of 82 cases of lymphangioma were reviewed retrospectively. On MRI (magnetic resonance image) findings, lymphangiomas were divided into 4 groups by the proportion of the cyst bigger than 2 cm in diameter of the tumor; group A-proportion of cyst occupies more than 75%, group B-proportion of the cyst 50~75%, group C-25~50%, and D in less than 25%. All patients were treated with OK-432 intralesional injection as the initial treatment. The effective response rates of OK-432 in group A & B were 88.2% and 88.8%, respectively. Group C response was 38.0% and D only 20.0%. Twenty-three patients received surgical excision. The result of surgical excision was generally satisfactory. Surgical site infection occurred in 1 case and postoperative bleeding in 1 case. Theses results indicate that intralesional injection of OK-432 could be the first line therapy in group A & B. In group C, OK-432 would be better as the first line therapy than surgery. For the group D, surgical excision should be the first line of treatment.

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Development of a String Injection Vulnerability Analyzer for Web Application Programs (웹 응용 프로그램의 문자열 삽입 보안 취약성 분석기 개발)

  • Ahn, Joon-Seon;Kim, Yeong-Min;Jo, Jang-Wu
    • The KIPS Transactions:PartA
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    • v.15A no.3
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    • pp.181-188
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    • 2008
  • Nowadays, most web sites are developed using dynamic web pages where web pages are generated and transmitted by web application programs. Therefore, the ratio of attacks injecting malevolent strings to vulnerable web applications is increasing. In this paper, we present a static program analyzer which analyzes whether a web application program has vulnerabilities to the SQL injection attack and the cross site scripting(XSS) attack. To analyze programs using abstract interpretation framework, we designed an abstract domain which models potential string set along with excluded strings and developed an abstract interpreter for the PHP language. Also, based on them, we implemented a static analyzer. According to our experiments, our analyzer has competitive analysis speed and accuracy compared with related research results.

Settlement Restraint of Soft Ground by Low Slump Mortar Injection (저유동설 몰탈주입에 의한 연약지반의 침하억제 효과)

  • 천병식;여유현;정영교
    • Journal of the Korean Geotechnical Society
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    • v.17 no.6
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    • pp.53-67
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    • 2001
  • In this study the pilot test of CGS as injection method by low slump mortar was performed and the results were analyzed in order to find out the application of this method and effect of settlement restraint. The site far pilot test is adjacent to apartments supported by pile foundations. Sand drain method was performed previously as countermeasures against settlement, but settlement occur continuously because this ground is very soft. Site investigations such as SPT, DCPT and vane shear test were performed to determine the characteristics of ground improvement. Field measurements and FDM analysis were performed on purpose to find out the displacement of ground during injection works. From the results of this study, CGS method can be optimized by the control of diagram, space, depth, injection material, and injection pressure. CGS improved soft ground compositely by the bearing effect of CGS columns and reinforcement of adjacent ground. Considering that increase of N value is about 2.1, CGS can be considered as an effective method to increase the bearing capacity as well as to stop the settlement of soft ground. It is also expected to be economic and effective in improvement of ground when it is used in applicable sites.

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Development of Real-Time Condition Diagnosis System Using LabVIEW for Lens Injection Molding Process (LabVIEW 를 활용한 실시간 렌즈 사출성형 공정상태 진단 시스템 개발)

  • Na, Cho Rok;Nam, Jung Soo;Song, Jun Yeob;Ha, Tae Ho;Kim, Hong Seok;Lee, Sang Won
    • Journal of the Korean Society for Precision Engineering
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    • v.33 no.1
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    • pp.23-29
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    • 2016
  • In this paper, a real-time condition diagnosis system for the lens injection molding process is developed through the use of LabVIEW. The built-in-sensor (BIS) mold, which has pressure and temperature sensors in their cavities, is used to capture real-time signals. The measured pressure and temperature signals are processed to obtain features such as maximum cavity pressure, holding pressure and maximum temperature by the feature extraction algorithm. Using those features, an injection molding condition diagnosis model is established based on a response surface methodology (RSM). In the real-time system using LabVIEW, the front panels of the data loading and setting, feature extraction and condition diagnosis are realized. The developed system is applied in a real industrial site, and a series of injection molding experiments are conducted. Experimental results show that the average real-time condition diagnosis rate is 96%, and applicability and validity of the developed real-time system are verified.

Effects of Foot-and-mouth Disease Vaccination Location and Injection Device on the Incidence of Site Lesions in Pork

  • Ko, Eun Young;Jung, Samooel;Jeong, Hyun Kyu;Han, Jeong Hee;Son, Jung Ho
    • Food Science of Animal Resources
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    • v.38 no.3
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    • pp.498-505
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    • 2018
  • This study was aimed to investigate the effects of the type O foot-and-mouse disease vaccine (FMDV) on the incidence of abnormal meat such as granuloma or abscess formation at the injection site in pork and its associated economic losses. At 56 d of age, piglets were inoculated with FMDV by one of three administration routes: N-Neck (a conventional needle-syringe injection into the neck), N-Ham (a conventional needle-syringe injection into the ham), and Non-Neck (injection with a needle-free device into the neck). The injection sites were visually examined for the presence of a granuloma or abscess, and the incidence rate of abnormal meat was calculated. The gross weight of the portion of the pork carcasses condemned because of granuloma or abscess formation was measured and multiplied by the weekly sales price to calculate the total economic losses. After implementation of FMDV, the economic losses were approximately six times higher than before implementation. Granuloma or abscess formation was significantly higher in the N-Neck and Non-Neck groups, in which the vaccine was inoculated into the neck area, than in the N-Ham group (N-Neck and N-Ham vs Non-Neck, p<0.05). These results suggest that the incidence of lesions could be reduced if the ham route was used for vaccination.

EC50 of Remifentanil to Prevent Propofol Injection Pain

  • Hong, Hun Pyo;Ko, Hyun Min;Yoon, Ji Young;Yoon, Ji Uk;Park, Kun Hyo;Roh, Young Chea
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.3
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    • pp.89-94
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    • 2013
  • Background: Various strategies have been studied to reduce the propofol injection pain. This study was designed to find out effect-site target concentration (Ce) of remifentanil at which there was a 50% probability of preventing the propofol injection pain (EC50). Methods: Anesthesia was induced with a remifentanil TCI (Minto model). The Ce of remifentanil for the first patient started from 2.0 ng/ml. The Ce of remifentanil for each subsequent patient was determined by the response of the previous patient by Dixon up-and-down method with the interval of 0.5 ng/ml. After the remifentanil reached target concentrations, propofol was administered via a target-controlled infusion system based on a Marsh pharmacokinetic model using a TCI device (Orchestra$^{(R)}$; Fresenius-Vial, Brezins, France). The dose of propofol was effect site target-controlled infusion (TCI) of $3{\mu}g/ml$. Results: The EC50 of remifentanil to prevent the propofol injection pain was $1.80{\pm}0.35ng/ml$ by Dixon's up and down method. Conclusions: The EC50 of remifentanil to blunt the pain responses to propofol injection was $1.80{\pm}0.35ng/ml$ for propofol TCI anesthesia.

Coupled Hydrological-mechanical Behavior Induced by CO2 Injection into the Saline Aquifer of CO2CRC Otway Project (호주 오트웨이 프로젝트 염수층 내 CO2 주입에 따른 수리-역학적 연계거동 분석)

  • Park, Jung-Wook;Shinn, Young Jae;Rutqvist, Jonny;Cheon, Dae-Sung;Park, Eui-Seob
    • Tunnel and Underground Space
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    • v.26 no.3
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    • pp.166-180
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    • 2016
  • The present study numerically simulated the CO2 injection into the saline aquifer of CO2CRC Otway pilot project and the resulting hydrological-mechanical coupled process in the storage site by TOUGH-FLAC simulator. A three-dimensional numerical model was generated using the stochastic geological model which was established based on well log and core data. It was estimated that the CO2 injection of 30,000t over a period of 200 days increased the pressure near the injection point by 0.5 MPa at the most. The pressure increased rapidly and tended to approach a certain value at an early stage of the injection. The hydrological and mechanical behavior observed from the CO2 flow, effective stress change and stress-strength ratio revealed that the CO2 injection into the saline aquifer under the given condition would not have significant effects on the mechanical safety of the storage site and the hydrological state around the adjacent fault.

In vivo kinetics and biodistribution of a HIV-1 DNA vaccine after administration in mice

  • Kim, Byong-Moon;Lee, Dong-Sop;Kim, Chae-Young;Son, Mi-Won;Sung, Young-Chul;Kim, Won-Bae
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.423.2-424
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    • 2002
  • The present study evaluates the pharmacokinetics and tissue distribution of GX-12, a multiple plasmid DNA vaccine for the treatment of HIV-1 infection. PCR analysis after i.v. injection in mice showed that plasmid DNA was rapidly degraded in blood with a half-life of 1.34 min and was no longer detectable at 90 min post-injection. Plasmid DNA concentration also rapidly declined at the injection site after i.m. injection. with less than 1 % of the initial concentration remaining at 90 min post-injection. (omitted)

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