• Title/Summary/Keyword: Non-emergency

Search Result 638, Processing Time 0.029 seconds

Systematic Approach for the Diagnosis of IEM in the Neonatal Period (신생아기의 유전성대사이상질환의 체계적 접근방법)

  • Lee, Hong Jin
    • Journal of The Korean Society of Inherited Metabolic disease
    • /
    • v.14 no.1
    • /
    • pp.10-18
    • /
    • 2014
  • Recent advances in the diagnosis and treatment of inborn errors of metabolism have improved substantially the prognosis of many of these diseases, if diagnosed early enough before irreversible damage occurs. This makes it essential that the practicing pediatrician, especially neonatologists be familliar with the clinical presentations and systematic approaches of these disorders. Characteristic clinical presentations, methods of systematic approach and typing of various disorders is discussed in this review. The signs of neurological dysfunctions of many IEMs manifesting in the neonatal period is very nonspecific, such as poor feeding, poor sucking, apnea or tachypnea, vomiting, hypertonia, hypotonia, seizure, letharginess, consciousness change and coma. Many other non-metabolic severe disorders of neonatal period such as neonatal sepsis and intracerebral hemorrhage share these nonspecific symptoms. Hyperammonemia, metabolic acidosis, ketosis and hyperlatic acidemia are observed in many of these conditions but there are exceptions in which conditions all basal laboratory tests are normal, such as NKH, sulfite oxidase deficiency and peroxisomal disorders. According to the results of basal laboratory tests, IEMs in the neonatal period can be categorized in to 6 types. Grouping of IEMs into 6 types will make confirmatory tests and early emergency treatment more efficient.

Diversity of the Definition of Stable Vital Sign in Trauma Patients: Results of a Nationwide Survey (외상 환자에서 안정화된 생체 징후에 대한 정의의 다양성: 전국적인 조사 결과)

  • Mun, Seong Pyo;Yoo, Young Sun
    • Journal of Trauma and Injury
    • /
    • v.27 no.4
    • /
    • pp.115-125
    • /
    • 2014
  • Purpose: Stable vital signs (SVSs) are thought to be the most important criteria for successful non-operative management (NOM) of blunt spleen injury (BSI). However, a consistent definition of SVSs has been lacking. We wanted to evaluate the diversity of the definitions of SVSs by using a nationwide survey. Methods: A questionnaire regarding the definition of SVSs was sent to the trauma surgeons working at the Department of Trauma Surgery and Emergency Medicine at a level-I trauma center between October 2011 and November 2011. Data were compared using analyses of the variance, t-tests, ${\chi}^2$ tests and logistic regressions. Results: Among 201 surgeons, 198 responded (98.2%). Of these 198 responses, 45 were incomplete, so only 153 (76.1%) were analyzed. In defining the SVSs, significant diversity existed on the subjects of type of blood pressure (BP), cut-off value for hypotension, technique for measuring BP, duration of hypotension, whether or not to use the heart rate (HR) as a determinant, cut-off value of hypotension when the patient had a comorbidity or when the patient was a child. Of the 153 surgeons whose responses were analyzed, 91.5% replied that they were confused when defining SVSs. Conclusion: Confusion exists regarding how to define SVSs. Most surveyed surgeons felt that a need existed to clarify both the definition of SVSs and the use of SVSs to determine hemodynamic stability for NOM.

A Study of Smoke Exhaust Facility Operation of Subway Platform with Installation of Platform Screen Door (승강장 스크린도어 설치에 따른 배연설비운영에 대한 연구)

  • Rie, Dong-Ho;Ko, Jae-Woong;Kim, Ha-Young
    • Journal of the Korean Society of Safety
    • /
    • v.21 no.1 s.73
    • /
    • pp.35-40
    • /
    • 2006
  • A study on fire phenomena in a subway transit mass station has been carried out as a part of disaster prevention plan at the subway station. The ventilation facilities installed in both the platform and the trackway are designed to convert into a smoke exhaust system in emergency situation, creating such an environment as necessary for evacuation. 3 dimensional Numerical Simulations based on the CFD are carried out using a simulation tool, Fire Dynamic Simulator. Additionally, four different vent modes are made and performances are compared with the original design mode and each other to find better operation of vents at both the platform and the trackway in case of fire. From the result, an vent operational characteristics under the condition of installed PSD is clarified for the effective smoke and heat removal from the platform area compared with non installed PSD.

Thermal Resistance and daf-16 Regulation of Fermented Zizyphus jujuba Fruits in Caenorhabditis elegans

  • Yu, Young-Bob
    • Korean Journal of Plant Resources
    • /
    • v.33 no.6
    • /
    • pp.645-650
    • /
    • 2020
  • The mechanism of anti-aging of fermented jujube (Zizyphus jujuba fruits (ZJF)) was investigated using transgenic daf-16 and mev-1 strains of C. elegans. Jujube extracts fermented for 7 days (F7-ZJF) and 14 days (F14-ZJF) with Laetiporus sulphureus were treated to a NGM agar plate with 10-15 transgenic daf-16 and mev-1 strains of the synchronized age. There was no difference of lifespan between the drug-treated group (7-day fermented ex. (F7-zjf-200 ㎍/mL), 14-day fermented ex. (F14-zjf-200 ㎍/mL)) and the non-treatment group in both daf-16 and mev-1 strains. In the thermal stress experiment, F7-zjf-200 ㎍/mL showed a significant (t = 4.017) activity in thermal stress resistance with a 12% higher survival rate than the control group. In the survival test in H2O2, F7-zjf-200 ㎍/mL and F14-zjf-100 ㎍/mL have significant activity in oxidative stress resistance compared to the control group. This study indicates that life span expand of N2 strain of the jujube extract is related to the regulation of daf-16 and inhibition of mev-1 signal in C. elegans.

Design of intelligent fire detection / emergency based on wireless sensor network (무선 센서 네트워크 기반 지능형 화재 감지/경고 시스템 설계)

  • Kim, Sung-Ho;Youk, Yui-Su
    • Journal of the Korean Institute of Intelligent Systems
    • /
    • v.17 no.3
    • /
    • pp.310-315
    • /
    • 2007
  • When a mail was given to users, each user's response could be different according to his or her preference. This paper presents a solution for this situation by constructing a u!;or preferred ontology for anti-spam systems. To define an ontology for describing user behaviors, we applied associative classification mining to study preference information of users and their responses to emails. Generated classification rules can be represented in a formal ontology language. A user preferred ontology can explain why mail is decided to be spam or non-spam in a meaningful way. We also suggest a nor rule optimization procedure inspired from logic synthesis to improve comprehensibility and exclude redundant rules.

Gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference in Korea adults

  • Kim, Gwang-Seok
    • Journal of the Korea Society of Computer and Information
    • /
    • v.21 no.11
    • /
    • pp.113-120
    • /
    • 2016
  • The present study was conducted to assess gender differences in the relationship between adiposity and systolic inter-arm blood pressure difference (sIAD) in Korean adults. In this paper, we propose a 410 adults (235 men and 175 women) who were over 30 years old and had undergone a health check participated from June to November 2013. The incidences of high sIAD (sIAD ${\geq}10mmHg$) in males and females were 24.6% and 15.3%, respectively. We conducted a logistic regression analysis after adjusting for variables such as age, smoking, drinking, exercising, TC, TG, HDL-C, and FPG. Key study results were as follows: First, in men, the odds ratio (OR) of high sIAD of the obesity group was significantly higher than that of the normal weight group [2.25 (95% confidence interval (CI), 1.19-4.25)], but abdominal obesity was not associated with high sIAD. Second, in women, the OR of high sIAD of the abdominal obesity group was significantly higher than that of the non-abdominal obesity group [2.52 (95% CI, 1.03-6.13)], but obesity status was not associated with high sIAD. In conclusion, Obesity is associated with the incidence of high sIAD in Korean men, and abdominal obesity is associated with the incidence of high sIAD in Korean women.

COMPUTED TOMOGRAPHIC STUDY OF MAXILLOFACIAL GUNSHOT INJURIES (악안면부 총상 환자의 전산화단층사진상의 연구)

  • Park In-Woo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.26 no.2
    • /
    • pp.65-73
    • /
    • 1996
  • The purpose of this study was to evaluate the clinical and computed tomographic features of 7 cases of maxillofacial gunshot injuries in the suicidal patients visited the emergency room, Capital Armed Forces General Hospital. The obtained results were as follows : 1. The gunshot wounds were directed from submental area to dorsum of nose(3 cases), frontal area(1 case), orbit(1 case), infraorbital area (1 case), and lateral to nasal wing(l case). The shape of inlet in gunshot wounds were round (diameter: l-3cm) and that of outlet were oval shape(size : inlet

  • PDF

Design of a Two-Axis Force Sensor for Measuring Arm Force of an Upper-Limb Rehabilitation Robot (상지재활로봇의 팔힘측정용 2축 힘센서 설계)

  • Kim, Gab-Soon
    • Journal of Sensor Science and Technology
    • /
    • v.24 no.2
    • /
    • pp.137-143
    • /
    • 2015
  • This paper describes the design of a two-axis force sensor with two step plate beams for measuring forces in an upper-limb rehabilitation robot. The two-axis force sensor is composed of a Fz force sensor and a Ty torque sensor. The Fz force sensor measures the force applied to a patient's arm pushed by a rehabilitation robot and the force of patient's arm. The Ty torque sensor measures the torque generated by a patient's arm motion in an emergency. The structure of sensor is composed of a force transmitting block, two step plate beams and two fixture blocks. The two-axis force sensor was designed using FEM (Finite Element Method), and manufactured using strain-gages. The characteristics test of the two-axis force sensor was carried out. as a test results, the interference error of the two-axis force sensor was less than 1.24%, the repeatability error of each sensor was less than 0.03%, and the non-linearity was less than 0.02%.

Down the Rabbit Hole-Considerations for Ingested Foreign Bodies

  • Brown, Jerry;Kidder, Molly;Fabbrini, Abigail;deVries, Jonathan;Robertson, Jason;Chandler, Nicole;Wilsey, Michael
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.22 no.6
    • /
    • pp.619-623
    • /
    • 2019
  • We report the case of a seven-year-old boy with an ingested foreign body, which was retained within the appendix for a known duration of ten months, ultimately requiring appendectomy. The ingested foreign body was incidentally discovered by abdominal x-ray at an emergency room visit for constipation. Despite four bowel cleanouts, subsequent x-rays showed persistence of the foreign body in the right lower quadrant. While the patient did not have signs or symptoms of acute appendicitis, laparoscopic appendectomy was performed due to the risk of this foreign body causing appendicitis in the future. A small metallic object was found within the appendix upon removal. This case highlights the unique challenge presented by foreign body ingestions in non-verbal or developmentally challenged children and the importance of further diagnostic workup when concerns arise for potential retained foreign bodies.

Prospects of Dual Form of Teaching and Learning in the Realities of the Covid-19 Pandemic and the Post-pandemicPeriod

  • Bratitsel, Maryna;Kravchuk, Olena;Tishko, Liliya;Osiievskyi, Valerii;Bellie, Victoriia
    • International Journal of Computer Science & Network Security
    • /
    • v.21 no.12spc
    • /
    • pp.483-490
    • /
    • 2021
  • The COVID-19 pandemic has posed significant community challenges towards higher education around the world. The urgent and unexpected request for full-time university courses to switch over to online teaching was a particular challenge. Online learning and learning imply a certain pedagogical knowledge content (PKC), mainly related to the design and organization for better learning and the creation of unique learning environments using digital technologies. With the help of the present academic paper, we provide some expert opinion on the PKC connected with online learning with the aim of helping non-university professionals (that is, those with lack of online learning experience) navigate these challenging times. Our findings point to the planning of learning activities with certain features, a combination of three types of presence (social, cognitive and facilitative) and the need to adapt the assessment system to new learning requirements. We will conclude by contemplating on how responding to a crisis can improve teaching and learning practices in the post-digital era.