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Predictors of Outcome in Management of Paediatric Head Trauma in a Tertiary Healthcare Institution in North-Central Nigeria

  • Gyang Markus Bot; Danaan J. Shilong; Jerry A. Philip; Ezekiel Dido Dung; Andrew H. Shitta; Nanpan Isa Kyesmen;Jeneral D. Alfin; Lena Mary Houlihan; Mark C. Preul; Kenneth N. Ozoilo; Peter O. Binitie
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.582-590
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    • 2023
  • Objective : Trauma is a leading causes of death and disability in all ages. The aim of this study was to describe the demography and characteristics of paediatric head trauma in our institution and examine the predictors of outcome and incidence of injury related mortality. Methods : We examined our institutional Trauma Registry over a 2 year period. Results : A total of 1100 trauma patients were seen over the study period. Of the 579 patients who had head injury 99 were in the paediatric age group. Of the paediatric head trauma patients 79 had documented Glasgow coma score (GCS), 38 (48.1%), 17 (21.5%) and 24 (30.4%) had mild, moderate and severe head injury respectively. The percentage mortality of head injury in the paediatric age group was 6.06% (6/99). There is an association between mortality and GCS (p=0.008), necessity for intensive care unit (ICU) admission (p=0.0001), associated burns (p=0.0001) and complications such as aspiration pneumonia (p=0.0001). The significant predictors of outcome are aspiration (p=0.004), the need for ICU admission (p=0.0001) and associated burns (p=0.005) using logistic binary regression. During the study period 46 children underwent surgical intervention with extradural haematoma 16 (34.8%), depressed skull fracture 14 (30.4%) and chronic subdural haematoma five (10.9%) being the commonest indication for surgeries. Conclusion : Paediatric head injury accounted for 9.0% (99/1100) of all trauma admissions. Majority of patients had mild or moderate injuries. Burns, aspiration pneumonitis and the need for ICU admission were important predictors of outcome in children with traumatic brain injury.

Prospect of Sustainable Organic Tea Farming in Lwang, Kaski, Nepa (네팔 르왕지역의 지속적 유기농차 재배 방향)

  • Chang, K.J.;Huang, D.S.;Park, C.H.;Jeon, U.S.;Jeon, S.H.;Binod, Basnet.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.12 no.1
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    • pp.137-150
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    • 2010
  • Traditionally, like many people in mountain region of the Himalaya, the Lwang communities depend on mix of subsistence agriculture, animal husbandry, and seasonal migrant labor for their livelihoods. These traditional systems are characterized by low productivity, diverse use of available natural resources (largely for home consumption), limited markets, and some aversion for innovation. The potential to generate wealth through commerce has largely been untapped by these mountain residents and thus is undervalued in local and national economies. Introduction of organic tea farming is a part of Lwang community's several initiatives to break the vicious poverty cycle Annapurna Conservation Area Project (ACAP) played facilitating roles in all their efforts since beginning. In five years, the tea plantation emerged as a new means for secured a livelihood. This study aims to analyze the current practices in tea farming both in terms of farm management and soil nutrient status(technical) and the prosperity of the tea farmers (social). The technical aspect covers the soil and tea leaf analysis of various nutrients contents in the soil and tea leaf. Originally, the technical aspect of the study was not planned but later during the consultation with the advisor it was taken into consideration which added value to the research study. The sample were collected from different locations and analyzed on the field itself. The other part of the study i.e. the social aspect was done through questionnaire survey and focus group discussion. the tea farming provided them not only a new opportunity but also earned an identity in the region. This initiative was undertaken as a piloting measure. Now that the tea is in production with processing unit established locally, more serious consideration has to be given for better yield and economic prosperity. This research finding will help the community to analyze their efforts and make correction measures in tea garden management and application of fertilizer. It is also expected to fill up the gaps of knowledge and information required to reduce economic stresses and enhance capacity of farmers to make the tea farming a sustainable and beneficial business. The findings are expected to Sustainability of organic tea farming has direct impacts on biodiversity conservation compared to the other traditional farming practices that are more resource intensive. The study will also contribute to identify key action points required for reducing poverty while conserving environment and enhancing livelihoods

Yield Formations of Sesame(Sesamum indicum L.) as Affected by Different Conditions of Soil Drainage (토양의 배수조건 차이가 참깨 수량성에 미치는 영향)

  • Choi, H.K.;Goo, J.O.;Kim, Y.Z.;Lee, D.G.
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.27 no.3
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    • pp.276-282
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    • 1982
  • To estimate the responses of sesame plant in growth and yielding traits to different soil drainage conditions, a pot trial was conducted by using of sesame variety "Suweon-9" were introduced with 5 different mixing combinations of clay and sea-sand soils as 0:100, 25:75, 50:50, 75:25, and 100:0 percents in volumetric ratio. Also two irrigation methods as 20mm/6 days interval and 10mm/3 days interval were detected. As a result, water drainage was linearly decreased with increament of clay contents. And the excess drainage condition(such as pure sand soil) required more irrigation, however in crop growths, no significant differences among various soil drainage conditions except the pure sand were recognized. On the other hand, number of capsules per plant, among other yielding components, was most contributed factor to the yield, which was effectively given from the soil mixed with clay and sea-sand as 75% and 25%, respectively. Therefore, much similar responses were also detected from the seed yields per a sesame plant. However, the number of seeds per capsule and maturity function were more effectively composed under the soil mixed with clay and sea-sand as 25% and 75% respectively better than under the soil of 75% and 25%. As a conclusion, the yielding responses of sesame plant was advanced more effectively at the soil conditions of water conserved type (e.g. 25%/75% in clay/sand ratio) than of water-draining type (e.g. 75%/25% in clay/sand ratio).nd ratio).

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Proposal of Mobilized Passive Earth Pressure to Allowable Wall Displacement and Movement Types in Sandy Soil (벽체 허용변위와 양상을 고려한 사질토지반에서 수동측토압 제안)

  • Yoon, Young-Ho;Kim, Tae-Hyung;Kim, Tae-O;Woo, Min-seok
    • Journal of the Korean Geotechnical Society
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    • v.39 no.7
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    • pp.5-15
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    • 2023
  • The evaluation of passive earth pressure plays a crucial role in the design of earth-retaining structures such as retaining walls and temporary earth-retaining walls to withstand horizontal earth pressure. In the earth pressure theory, active and passive earth pressures represent the earth pressures at the limit state, where the wall displacement reaches the maximum allowed displacement. In the design of earth-retaining structures, the passive earth pressure is considered as the resisting force. In this context, the limit displacement at which passive earth pressure occurs is significantly greater than that associated with the active earth pressure. Therefore, it is irrational to apply this displacement directly to the calculation of passive earth pressure. Instead, it is necessary to consider the mobilized passive earth pressure exerted at the allowable horizontal displacement to evaluate the structural stability. This study proposes an allowable wall displacement, denoted as 0.002 H (where H represents the excavation depth), based on a literature review that focuses on sandy soils. To calculate the mobilized passive earth pressure from the wall displacement, a semi-empirical equation is proposed. By analyzing the obtained data on mobilized passive earth pressure, a reduction factor applicable to Rankine's passive earth pressure is proposed for practical application in sandy soils under different wall movement types.

Comparison of Micro Mobility Patterns of Public Bicycles Before and After the Pandemic: A Case Study in Seoul (팬데믹 전후 공공자전거의 마이크로 모빌리티 패턴 비교: 서울시 사례 연구)

  • Jae-Hee Cho;Ga-Eun Baek;Il-Jung Seo
    • The Journal of Bigdata
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    • v.7 no.2
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    • pp.235-244
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    • 2022
  • The rental history data of public bicycles in Seoul were analyzed to examine how pandemic phenomena such as COVID-19 caused changes in people's micro mobility. Data for 2019 and 2021 were compared and analyzed by dividing them before and after COVID-19. Data were collected from public data portal sites, and data marts were created for in-depth analysis. In order to compare the changes in the two periods, the riding direction type dimension and the rental station type dimension were added, and the derived variables (rotation rate per unit, riding speed) were newly created. There is no significant difference in the average rental time before and after COVID-19, but the average rental distance and average usage speed decreased. Even in the mobility of Ttareungi, you can see the slow rhythm of daily life. On weekdays, the usage rate was the highest during commuting hours even before COVID-19, but it increased rapidly after COVID-19. It can be interpreted that people who are concerned about infection prefer Ttareungi to village buses as a means of micro-mobility. The results of data mart-based visualization and analysis proposed in this study will be able to provide insight into public bicycle operation and policy development. In future studies, it is necessary to combine SNS data such as Twitter and Instagram with public bicycle rental history data. It is expected that the value of related research can be improved by examining the behavior of bike users in various places.

Rabbit Platelet Activating Factor and Its Relationship with Embryo Development (토끼 혈소판촉진인자와 배발달과의 관계)

  • Zheng, X.;Ma, C.R.;Man, G.M.;Ye, J.X.;Wang, L.X.
    • Korean Journal of Animal Reproduction
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    • v.18 no.4
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    • pp.265-274
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    • 1995
  • 가토 20마리의 혈액중 혈소판의 수를 수정 전후로 조사한 결과, 수정전과 비교하여 수정후 1일부터 유의하게 감소하였으며 (26.84%, P<0.01), 이러한 감소는 수정후 5일까지 계속되었다. 수정후 5일동안 혈소판의 감소율과 혈소판의 최저치를 수정란의 수와 비교한 바, 이들간의 유의한 상관관계(r=0.5032)가 있었다. 가토수정란 (2세포기) 각각 30∼40개를 5마리의 비장적출수란가토의 난관에 이식한 다음, 혈소판수의 변화를 조사한 결과, 이식전에 비해 이식후 90분 (P<0.025)과 135∼270분 (P<0.025)에 유의한 감소를 확인하였따. 특히 수정란 이식후 180분경에 가장 크게 감소하였다 (P<0.001). 60∼70개의 2세포기 가토수정란을 24시간 배양한 다음, 배양액을 3마리의 비장적출가토에 주사한 후 혈소판의 변화를 조사하였을 때, 주사후 120분경부터 혈소판의 수가 유의하게 감소하기 시작하였다. 이들 배양액을 동결, 해동한 다음 주사한 실험에서도 유사한 결가를 얻었다. 또한 이 배양액을 비장적출생쥐에 주사한 경우에도 가토에서와 마찬가지의 혈소판 촉진현상이 나타났다. 혈소판 촉진인자(PAF)의 길항제인 kadsurenone이 첨가된 배양액에서 24시간동안 가토수정란을 배양한 다음, 이 배양액을 4마리의 비장적출생쥐에 주사한 결과, 혈소판수의 변화가 일어나지 않았다. 또한 kadsurenone이 첨가된 배양액에서는 2세포기 가토수정란의 상실기와 배반포기까지 발달율은 각각 4와 7%로 대조구의 7과 49%보다 유의하게 낮았다. 따라서 본 연구에서 가토의 초기배는 가토나 생쥐의 혈소판수를 감소시키고, 특히 길항제 처리는 이러한 혈소판 감소현상을 억제시킬 뿐만 아니라 가토 초기배발달을 억제한다는 것을 확인하였다. 결론적으로 가토초기배에서는 PAF 또는 수정란 유래의 PAF가 분비된다는 것을 알 수 있었으며, 이러한 인자는 동결처리에서도 그 기능은 전혀 변하지 않는다고 본다. 이후에 있어서 mouse LIF의 첨가는 돼지의 수정란을 배반포 이후의 단계에까지 발달시킬 수 있었다. 있어서 더 적합한 것으로 판단되었다. 5. 개발된 모형은 논 관개의 물리적 측면과 관리목표 모두를 고려한 것으로 계산된 효율은 벼, 생육 각 단계에서의 효율 비교에 양호한 방법임을 알 수 있다.은 Sharpsburg 점질양토에 대한 S.C.S 한계허용치 10ton/ha/year 이내로 나타났다. 비처리구에서의 토양유실량은 평균 2.56ton/ha/year로 높게 나타난 반면 3개의 서로 다른 추리구인 비수구, 초생수로구 및 Bromegrass구에서는 각각 0.152, 0.192 및 0.290ton/ha/year로 낮은 결과를 가져왔다. 6. 평균 침전량에 대한 L.S.D. 검정 걸과 전시험구중 비처리구가 고도의 유의차를 나타낸 반면 비수구, 초생수로구 및 Bromegrass 목초구 간에는 아무런 유의차가 인정되지 않았다. 7. 농지보전 처리구인 배수구와 초생수로구는 비처리구에 비해 낮은 침두 유출량과 낮은 토양유실량을 나타내었다.구보다 14% 절감되는 것으로 나타났다.작용하는 것으로 사료된다.된다.정량 분석한 결과이다. 시편의 조성은 33.6 at% U, 66.4 at% O의 결과를 얻었다. 산화물 핵연료의 표면 관찰 및 정량 분석 시험시 시편 표면을 전도성 물질로 증착시키지 않고, Silver Paint 에 시편을 접착하는 방법으로도 만족한 시험 결과를 얻을 수 있었다.째, 회복기 중에 일어나는 입자들의 유입은 자기폭풍의 지속시간을 연장시키는 경향을 보이며 큰 자기폭풍일수록 현저했다. 주상에서 관측된 이러한 특성은 서브스톰 확장기 활동이 자기폭풍의 발달과 밀접한 관계가 있음을 시사한다.se that were all low in two aspects, named "the Nonsignificant group". And the issues were high risk perception in general

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Anti-osteoarthritis effect of Boswellia serrata gum resin extract in monosodium iodoacetate-induced osteoarthritic Sprague-Dawley rats (Monosodium iodoacetate 유도 골관절염 동물모델에서 보스웰리아 검레진 추출물의 항골관절염 효과 연구)

  • Jae In Jung;Ryong Kim;Eun Ji Kim
    • Journal of Nutrition and Health
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    • v.56 no.3
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    • pp.231-246
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    • 2023
  • Purpose: The aim of this study was to investigate the anti-osteoarthritic effect of the ethanol extract of Boswellia serrata gum resin (FJH-UBS) enriched with keto-β-boswellic acid and 3-O-acetyl-11-keto-β-boswellic acid compared to the conventional Boswellia serrata extract by adding the process of removing oil with hexane, in the monosodium iodoacetate (MIA)-induced osteoarthritis rat model. Methods: Sprague-Dawley (SD) rats were orally administered 0, 40, or 80 mg of FJH-UBS/kg body weight (BW)/day for 5 weeks and injected with MIA intra-articularly into right knee joints on day 15 to induce osteoarthritis. Changes in the knee joint microarchitecture, cartilage degradation, the expression of inflammatory mediators, cytokines, and matrix metalloproteinases (MMPs) in serum and synovia were observed. Results: Oral administration of FJH-UBS (80 mg/kg BW/day) reduced MIA-induced knee swelling and cartilage degradation and increased the expression of type II collagen and aggrecan in articular cartilage. Furthermore, FJH-UBS administration reduced MIA-induced increases in the serum levels of prostaglandin E2, leukotriene B4, interleukin (IL)-1β, IL-6, and MMP-13, and MIA-induced increases in the mRNA expressions of inducible nitric oxide synthase, cyclooxygenase-2, 5-lipoxygenase, IL-1β, IL-6, TNF-α, MMP-2, MMP-9, and MMP-13 in the synovia of knee joints. Conclusion: These results indicate that FJH-UBS exerts its anti-osteoarthritic effects by suppressing the expressions of inflammatory cytokines and MMPs and, thus, cartilage degradation. Furthermore, they suggest that FJH-UBS has potential use as a functional food that improves joint and cartilage health.

Studio sulla regia di Strehler -Sulla regia de I giganti della montagna- (스트렐러의 연출론 연구 - I giganti della montagna 의 시대별 연출 -)

  • Jang, Ji Yeon
    • Lettere Italiane
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    • no.27
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    • pp.155-169
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    • 2009
  • Al centro dell'interesse di Strehler ci sono sempre l'uomo e le sue azioni, e l'uomo e la posizione del teatro. Inoltre, nei suoi teatri vengono alla luce i rapporti che interessano l'uomo e la societa', l'uomo e se stesso, l'uomo e la storia, l'uomo e la politica. Strehler interpreta sempre i testi prendendo in considerazione la contemporaneita' e completa la rappresentazione strutturandola in un sistema implacabilmente coerente di segni scrulolosi. Poiche' le sue opere, anche se le stesse, sono rappresentate ogni volta con significati diversi a secondo del tempo, non si tratta soltanto di rivivere le opere, ma di metterle in scena in nuove versioni che hanno significati che interpretano i cambiamenti avvenuti. Questo e' anche il caso de I giganti della montagna. Nella prima regia di quest'opera, Strehler cerca di mettere in evidenza una concreta e generale storia umana attraverso il mito, e un messaggio che è al tempo stesso di disperazione e di fede nell'uomo. Un messaggio di perdono e di pietà. Pietà per tutti. Nella seconda regia, egli incarna, attraverso il vuoto dell'immobilita' e il silenzio, la vita della poesia. Cerca di rappresentare l'estremo degli effetti scenici attraverso la minima mobilita' in una scena immobile, e attraverso il massimo grido di dolore in una scena di silenzio. E anche i personaggi sono divisi in due diverse categorie. 'Gli scalognati', che creano 'teatro puro' non per un pubblico ma per puro giuoco, e 'la compagnia dei comici', che crea 'teatro rappresentato' che implica la possibilita' dell'interprete condizionato dai rischi, dagli errori di valutazione e d'interpretazione e che resta legato ad una realta' concreta. Attraverso questo contrasto egli vuole esprimere "il timore che nonostante tanta "rivoluzione" giovanile intorno, il cammino della societa' degli uomini verso l'abbandono di alti ideali e valori, fosse accelerato e quasi ineluttabile". Nella terza regia, i due mondi si incontrano in uno spazio dove realta' e sogno si confondono. Non sono piu' contrapposti. E' come "una tragica contestazione che i Giganti hanno vinto e che ci hanno, consapevoli o inconsapevoli, travolti, che non siamo piu gli stessi, che stiamo precipitando". Ma egli non dispera, benche' rappresenti la condizione tragica, dice al pubblico di "comunicare in silenzio la reciprocita' delle sconfitte. al di la' delle parole che non esistono".

Eine Untersuchung ueber das Haus als das Mitte des Lebens und seine philosophische Bedeutung (삶의 중심으로서의 집과 그 철학적 의미에 대한 연구)

  • Byun, Sun-Yong
    • Journal of Ethics
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    • no.77
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    • pp.191-215
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    • 2010
  • In dieser vorliegenden Arbeit wird die eigentliche Bedeutung des Hauses in bezug auf M. Heidegger, G. Bachelard und O. F. Bollnow analysiert. Bei Heidegger ist das Wohnen ein Wesensmerkmal des Menschen und das Haus ein Raum des Wohnens als das Pflegen und Schonen. Insbesondre Bachelard hat die schuetzend Funktion des Hauses und das Haus als das Glueck des Wohnens behauptet. Fuer Bollnow bedeutet das Haus eine Mitte des menschlichen Lebens und der Welt. Heidegger behauptet, dass wir so in der eigentlichen Not des Wohnens, d.h. in der Heimatlosigkieit sind. Wir muessen nach die Bedeutung des Hauses nicht als einen wirtschaftlichen Wert sondern als den eigentlichen Wohnraum denken und das Wohnen lernen. Bachelard weist darauf hin, dass das Haus als ein gluekliche Raum ein wesentliches Trauen voraussetzt. Und er versteht das Haus mit dem dialektischen Zusammenhang zwischen dem Haus und der Welt. Bollnow versucht ueber dem Raum in anthropologische Hinsicht zu betrachten. Er behauptet, dass der Mensch seine wesentlichen Bedeutung durch das Wohnen hat. Durch die Vermenschlichung des Raumes muss der Mensch die Verantwortlichkeit ueber den Raum uebernehmen. In der heutigen Gesellschaft bemessen das Haus sich nur mit einem wirtschaftlichen Wert. Wir muessen das Haus lesen, und die eigentliche Bedeutung des Hauses.

Effect of LED Light Quality and Intensity on Growth Characteristics of Ginseng Cultivated in Plastic House

  • Sang Young Seo;Jong hyeon Cho;Chang Su Kim;Hyo Jin Kim;Min Sil An;Du Hyeon Yoon
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2020.12a
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    • pp.61-61
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    • 2020
  • This experiment was carried out using artificial bed soil and LED in the plastic film house(irradiation time: 07:00-17:00/day). Seedlings(n=63 per 3.3 m2) of ginseng was planted on May 17, 2018. LED was combined with red and blue light in a 3:1 ratio and irradiated with different light intensity(40-160 µmol/m2/s). Average air temperature from April to September according to the light intensity test was 20.4℃-20.9℃. Average artificial bed soil temperature was 20.1℃-21.7℃. The test area where fluorescent lamp was irradiated tended to be somewhat lower than the LED irradiation area. The chemical properties of the test soil was as follows. pH levels was 6.6-6.7, EC levels 0.9-1.3 dS/m and OM levels 30.6-32.0%. The available P2O5 contents was 73.3-302.3 mg/kg. Exchangeable cations K and Ca contents were higher than the allowable ranges and mg content was high in the fluorescent lamp treatment. The photometric characteristics of LED light intensity are as follows. The greater the light intensity, the higher the PPFD(Photosynthetic Photon Flux Density) value, illuminance and solar irradiation. Fluorescent lamp treatment had high illuminance value, but PPFD and solar irradiation were lower than LED intensity 40 µmol/m2/s treatment. The photosynthetic rate increased(2.0-3.8 µmolCO2/m2/s) as the amount of light intensity increased, peaking at 120 µmol/m2/s, and then decreasing. The SPAD (chlorophyll content) value decreased as the amount of light intensity increased, and was the highest at 36.1 in fluorescent lamp treatment. Ginseng germination started on April 5 and took 14-17 days to germinate. The overall germination rate was 68.8-73.6%. The growth of aerial parts(plant height etc.) were generally excellent in the treatment of light intensity of 120-160 µmol/m2/s. The plant height was 41.9 cm, stem length was 24.1 cm, leaf length was 9.8 cm and stem diameter was 5.6 mm. The growth of underground part (root length etc.) was the best in the treatment with 120 µmol/m2/s of light intensity. Due to the root length was long(24.8 cm) and diameter of taproot was thick(18.7 mm), the fresh root weight was the heaviest at 24.8 g. There were no disease incidence such as Alternaria blight, Gray mold and Anthracnose. Disease of Damping-off caused by Rhizoctonia solani occurred 0.6-1.5% and incidence ratio of rusty root ginseng was 30.8-62.3%. It is believed that the reason for the high incidence of rusty root ginseng is that the amount of field moisture capacity of artificial bed soil is larger than the soil. Leaf discoloration rate was 13.7-32.3%.

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