• Title/Summary/Keyword: Operation Deviation

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Composition of Visit-customized Movement Program Utilizing Care Workers for the Home-cared Elderly with Dementia (방문요양보호사를 활용한 재가 치매노인대상 방문 맞춤형 움직임 프로그램 구성요소)

  • Hong, Misung
    • 한국체육학회지인문사회과학편
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    • v.58 no.5
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    • pp.201-217
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    • 2019
  • The purpose of this study was to consider composition of the movement program for the elderly with dementia to develop visit-customized movement program. For the study, 20 experts were selected including 8 dance therapists, 2 dementia-specialized doctors, 5 physical education leaders of the elderly, and 5 geriatric care helpers. First Delphi data, which listed items, was used to analyze content. Second and third Delphi questionnaires, which evaluated importance in Likert scale, was used to calculate content validity rate, average, standard deviation, quartile, convergence degree, and concurrence degree of each composition. 46 core composition of movement program for the elderly, which were selected and highlighted by the experts, were departmentalized into 6 considered compositions of movement program. 7 required composition of movement program, 1 Appropriate frequency of 3 times in a week and 1 30 minutes for each exercise, 1 operation method, 5 appropriate exercise of rhythm expression, 4 appropriate aerobic exercise, 4 appropriate muscle exercises, 5 appropriate stretches, 3 appropriate partner exercises 4 Appropriate massages, 5 appropriate tools

Design of a 60 Hz Band Rejection FilterInsensitive to Component Tolerances (부품 허용 오차에 둔감한 60Hz 대역 억제 필터 설계)

  • Cheon, Jimin
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.15 no.2
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    • pp.109-116
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    • 2022
  • In this paper, we propose a band rejection filter (BRF) with a state variable filter (SVF) structure to effectively remove the influence of 60 Hz line frequency noise introduced into the sensor system. The conventional BRF of the SVF structure uses an additional operational amplifier (OPAMP) to add a low pass filter (LPF) output and a high pass filter (HPF) output or an input signal and a band pass filter. Therefore, the notch frequency and the notch depth that determine the signal attenuation of the BRF greatly depend on the tolerance of the resistors used to obtain the sum or difference of the signals. On the other hand, in the proposed BRF, since the BRF output is formed naturally within the SVF structure, there is no need for a combination between each port. The notch frequency of the proposed BRF is 59.99 Hz, and it can be confirmed that it is not affected at all by the tolerance of the resistor through the Monte Carlo simulation results. The notch depth also has an average of -42.54dB and a standard deviation of 0.63dB, confirming that normal operation as a BRF is possible. Also, with the proposed BRF, noise filtering was applied to the electrocardiogram (ECG) signal that interfered with 60 Hz noise, and it was confirmed that the 60 Hz noise was appropriately suppressed.

Estimation of Appropriate Wage by Development of Wage Survey Framework for Forest Workers (산림사업 작업자 임금실태조사 프레임워크 개발을 통한 적정 노임단가 추정)

  • Hye-in Park;Cham Kim;Sung-Min Choi
    • Journal of Korean Society of Forest Science
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    • v.112 no.2
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    • pp.217-229
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    • 2023
  • Forest projects often apply construction industry labor rates, without considering the demanding work conditions and labor intensity unique to forest operations, resulting in workplace issues. This study aims to analyze forest operations' characteristics and wage survey methods in other fields to establish a framework for surveying the wages of forest workers. The developed framework was tested through direct surveys conducted with all forest operation companies. Survey items included actual wages by occupation, identification and removal of outliers using quartile deviation, and occupation-based wage calculation. Results revealed that the appropriate wages for 2022 were as follows: KRW 163,376 for general workers, KRW 221,407 for special workers, KRW 250,045 for work leaders, and KRW 239,863 for wood cutters. These figures were 16.27% higher than those derived from the standard construction wage survey. The developed framework was validated by comparing the appropriate wages with both the standard construction wage survey and the forestry workers' wage. The results indicated that the wages calculated using the developed framework were 4.5% more similar to the forestry workers' wage compared with those from the standard construction wage survey. Consequently, the standard construction wage survey was deemed unsuitable for forest projects. To ensure efficient forest operations, it is imperative to conduct wage surveys using the developed framework over multiple years to accumulate sufficient data.

A Study on the Performance of Vocational Training Course for the New Middle at Korea Polytechnics (2018-2020) (한국폴리텍대학 신중년 직업훈련과정(2018-2020) 성과 연구)

  • Mi-hyun Paek;Ji-young Lee
    • Journal of Practical Engineering Education
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    • v.15 no.3
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    • pp.751-759
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    • 2023
  • In the era of global aging and the retirement of baby boomers, the response is very intensive and dynamic. As baby boomers actually retire, the terms for middle-aged people have been diversified into middle-aged, midle-elderly, and the new middle, which are also evident in the training process. In line with the timing, the government and academia are also making efforts to advance the development of training courses for middle-aged, along with organizing terms for middle-aged. From this point of view, this study aims to analyze the performance of the three-year training courses (2018-2020) for the new middle at Korea Polytechnics and suggest the direction of development of the new middle training course. As a result of the study, the three-year performance of the Shin middle-aged training course gradually increased, but the completion rate and employment rate gradually decreased, indicating that countermeasures were needed. In addition, campus performance in the metropolitan area was higher than that in the non-capital area, so a plan for this deviation was needed. In addition, the need for the integrated operation of the existing 'middle-aged' and 'the new middle' courses operated by Korea Polytechnics was suggested, and measures to specialize in the new middle-aged were proposed.

A Study of Wind Characteristics around Nuclear Power Plants Based on the Joint Distribution of the Wind Direction and Wind Speed

  • Yunjong Lee
    • Journal of Radiation Industry
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    • v.17 no.3
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    • pp.299-307
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    • 2023
  • Given that toxic substances are diffused by the various movements of the atmosphere, it is very important to evaluate the risks associated with this phenomenon. When analyzing the behavioral characteristics of these atmospheric diffusion models, the main input data are the wind speed and wind direction among the meteorological data. In particular, it is known that a certain wind direction occurs in summer and winter in Korea under the influence of westerlies and monsoons. In this study, synoptic meteorological observation data provided by the Korea Meteorological Administration were analyzed from January 1, 2012 to the end of August of 2022 to understand the regional wind characteristics of nuclear power plants and surrounding areas. The selected target areas consisted of 16 weather stations around the Hanbit, Kori, Wolsong, Hanul, and Saeul nuclear power plants that are currently in operation. The analysis was based on the temperature, wind direction, and wind speed data at those locations. Average, maximum, minimum, median, and mode values were analyzed using long-term annual temperature, wind speed, and wind direction data. Correlation coefficient values were also analyzed to determine the linear relationships among the temperature, wind direction, and wind speed. Among the 16 districts, Uljin had the highest wind speed. The median wind speed values for each region were lower than the average wind speed values. For regions where the average wind speed exceeds the median wind speed, Yeongju, Gochang, Gyeongju, Yeonggwang, and Gimhae were calculated as 0.69 m s-1, 0.54m s-1, 0.45m s-1, 0.4m s-1, and 0.36m s-1, respectively. The average temperature in the 16 regions was 13.52 degrees Celsius; the median temperature was 14.31 degrees and the mode temperature was 20.69 degrees. The average regional temperature standard deviation was calculated and found to be 9.83 degrees. The maximum summer temperatures were 39.7, 39.5, and 39.3 in Yeongdeok, Pohang, and Yeongcheon, respectively. The wind directions and speeds in the 16 regions were plotted as a wind rose graph, and the characteristics of the wind direction and speed of each region were investigated. It was found that there is a dominant wind direction correlated with the topographical characteristics in each region. However, the linear relationship between the wind speed and direction by region varied from 0.53 to 0.07. Through this study, by evaluating meteorological observation data on a long-term synoptic scale of ten years, regional characteristics were found.

Development of an Efficiency Calibration Model Optimization Method for Improving In-Situ Gamma-Ray Measurement for Non-Standard NORM Residues (비정형 공정부산물 In-Situ 감마선 측정 정확도 향상을 위한 효율교정 모델 최적화 방법 개발)

  • WooCheol Choi;Tae-Hoon Jeon;Jung-Ho Song;KwangPyo Kim
    • Journal of Radiation Industry
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    • v.17 no.4
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    • pp.471-479
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    • 2023
  • In In-situ radioactivity measurement techniques, efficiency calibration models use predefined models to simulate a sample's geometry and radioactivity distribution. However, simplified efficiency calibration models lead to uncertainties in the efficiency curves, which in turn affect the radioactivity concentration results. This study aims to develop an efficiency calibration optimization methodology to improve the accuracy of in-situ gamma radiation measurements for byproducts from industrial facilities. To accomplish the objective, a drive mechanism for rotational measurement of an byproduct simulator and a sample was constructed. Using ISOCS, an efficiency calibration model of the designed object was generated. Then, the sensitivity analysis of the efficiency calibration model was performed, and the efficiency curve of the efficiency calibration model was optimized using the sensitivity analysis results. Finally, the radiation concentration of the simulated subject was estimated, compared, and evaluated with the designed certification value. For the sensitivity assessment of the influencing factors of the efficiency calibration model, the ISOCS Uncertainty Estimator was used for the horizontal and vertical size and density of the measured object. The standard deviation of the measurement efficiency as a function of the longitudinal size and density of the efficiency calibration model decreased with increasing energy region. When using the optimized efficiency calibration model, the measurement efficiency using IUE was improved compared to the measurement efficiency using ISOCS at the energy of 228Ac (911 keV) for the nuclide under analysis. Using the ISOCS efficiency calibration method, the difference between the measured radiation concentration and the design value for each simulated subject measurement direction was 4.1% (1% to 10%) on average. The difference between the estimated radioactivity concentration and the design value was 3.6% (1~8%) on average when using the ISOCS IUE efficiency calibration method, which was closer to the design value than the efficiency calibration method using ISOCS. In other words, the estimated radioactivity concentration using the optimized efficiency curve was similar to the designed radioactivity concentration. The results of this study can be utilized as the main basis for the development of regulatory technologies for the treatment and disposal of waste generated during the operation, maintenance, and facility replacement of domestic byproduct generation facilities.

Recognition and Request for Medical Direction by 119 Emergency Medical Technicians (119 구급대원들이 지각하는 의료지도의 필요성 인식과 요구도)

  • Park, Joo-Ho
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.3
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    • pp.31-44
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    • 2011
  • Purpose : The purpose of emergency medical services(EMS) is to save human lives and assure the completeness of the body in emergency situations. Those who have been qualified on medical practice to perform such treatment as there is the risk of human life and possibility of major physical and mental injuries that could result from the urgency of time and invasiveness inflicted upon the body. In the emergency medical activities, 119 emergency medical technicians mainly perform the task but they are not able to perform such task independently and they are mandatory to receive medical direction. The purpose of this study is to examine the recognition and request for medical direction by 119 emergency medical technicians in order to provide basic information on the development of medical direction program suitable to the characteristics of EMS as well as for the studies on EMS for the sake of efficient operation of pre-hospital EMS. Method : Questionnaire via e-mail was conducted during July 1-31, 2010 for 675 participants who are emergency medical technicians, nurses and other emergency crews in Gyeongbuk. The effective 171 responses were used for the final analysis. In regards to the emergency medical technicians' scope of responsibilities defined in Attached Form 14, Enforcement regulations of EMS, t-test analysis was conducted by using the means and standard deviation of the level of request for medical direction on the scope of responsibilities of Level 1 & Level 2 emergency medical technicians as the scale of medical direction request. The general characteristics, experience result, the reason for necessity, emergency medical technicians & medical director request level, medical direction method, the place of work of the medical director, feedback content and improvement plan request level were analyzed through frequency and percentage. The level of experience in medical direction and necessity were analyzed through ${\chi}^2$ test. Results : In regards to the medical direction experience per qualification, the experience was the highest with 53.3% for Level 1 emergency medical technicians and 80.3% responded that experience was helpful. As for the recognition on the necessity of medical direction, 71.3% responded as "necessary" and it turned out to be the highest of 76.9% in nurses. As for the reason for responding "necessary", the reason for reducing the risk and side-effects from EMS for patients was the largest(75.4%), and the reason of EMS delay due to the request of medical direction was the highest(71.4%) for the reason for responding "not necessary". In regards to the request level of the task scope of emergency medical technicians, injection of certain amount of solution during a state of shock was the highest($3.10{\pm}.96$) for Level 1 emergency rescuers, and the endotracheal intubation was the highest($3.12{\pm}1.03$) for nurses, and the sublingual administration of nitroglycerine(NTG) during chest pain was the highest($2.62{\pm}1.02$) for Level 2 emergency medical technicians, and regulation of heartbeat using AED was the highest($2.76{\pm}.99$) for other emergency crews. For the revitalization of medical direction, the improvement in the capability of EMS(78.9%) was requested from emergency crew, and the ability to evaluate the medical state of patient was the highest(80.1%) in the level of request for medical director. The prehospital and direct medical direction was the highest(60.8%) for medical direction method, and the emergency medical facility was the highest(52.0%) for the placement of medical director, and the evaluation of appropriateness of EMS was the highest(66.1%) for the feedback content, and the reinforcement of emergency crew(emergency medical technicians) personnel was the highest(69.0%) for the improvement plan. Conclusion : The medical direction is an important policy in the prehospital EMS activity because 119 emergency medical technicians agreed the necessity of medical direction and over 80% of those who experienced medical direction said it was helpful. In addition, the simulation training program using algorithm and case study through feedback are necessary in order to enhance the technical capability of ambulance teams on the item of professional EMS with high level of request in the task scope of emergency medical technicians, and recognition of medical direction is the essence of the EMS field. In regards to revitalizing medical direction, the improvement of the task performance capability of 119 emergency medical technicians and medical directors, reinforcement of emergency medical activity personnel, assurance of trust between emergency medical technicians and the emergency physician, and search for professional operation plan of medical direction center are needed to expand the direct medical direction method for possible treatment beforehand through the participation by medical director even at the step in which emergency situation report is received.

A Study On the Operating Room Nurses' Performances of Duties and Their Fatigue (수술실간호사의 직무수행과 피로에 관한 연구)

  • Park, Jeong Sook
    • Korean Journal of Occupational Health Nursing
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    • v.6 no.2
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    • pp.110-127
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    • 1997
  • The aim of this study is to present the basic datum for the promotion of effectiveness and improvement of nursery tasks, by grasping the situation of operating room nurses tasks and the degree of their fatigue. For these researches, 70 nurses out of the operating rooms of 3 university-affiliated hospitals-two in Seoul and one in Pusan, were chosen at random by a non-probability sampling method. These researches were done from April 14 to April 26 in 1997 by questionairing method. The questionaire was composed of 30 items, which asks the examinees of their physical, mental, and neurosensory symptoms, with 10 items respectively. The reliability of the research instrument was turned out very high with Cronbach's ${\alpha}=.9376$. The datum were electronically processed using Statistics Program for Social Sciences(SPSS). The analysis of datum in this study has a general character, in which the demosociological character and the special ex-officio character was calculated by frequency and percentage. The situation of tasks in operating rooms was calculated by frequency and percentage. The fatigue of operating room nurses was calculated by average and standard deviation. To compare the fatigue with regard to the character of operating room nurse's tasks, t-test and F-test(ANOVA) were used after the character of variations, and the variations at the level of P<.05 which might have some meaning was verified after the fact with Duncan's Multiple Range(DMR). The results of this research are as follows : 1) The nurses working in operating rooms show their fatigue in three fields-in Group I physical symptoms 3.28, in Group III neurosensory symptoms 2.85, and in Group II mental symptoms 2.73, which shows I Dominant type (general type). 2) They complain, in Group I they are "feeling the heavy legs," 3.28 and in Group II they "occasionally forget soon what to do," 3.09. and in Group III, they "feel lumbago," 3.47, which is the highest rate of the three. The highest rate results from the character of their tasks, in which they have to move rapidly the heavy appliances and do their jobs standing many hours, especially wearing heavy radiation protector. 3) As to transportation, subway using group feel the greatest fatigue, 3.18(F=4.315, P=.008). 4) As to department, nurses in the orthopedic's surgery part feel the greatest fatigue, 3.26(F=2.040, P=.050). 5) As to the change of physical symptoms, the group answering that they found physical abnormality after working in operating rooms show the greatest fatigue, 3.12(t=-3.13, P=.003). 6) At to the general circumstances, the group answering that they receive insufficient consideration on their physical abnormality in their department, show the greatest fatigue, 3.10(F=3.200, P=0.47). 7) As to the relation with superior officers, the group answering that their superior officer has an impetuous temperament, show great fatigue, 3.11(F=4.855, P=.011). 8) As to the time of feeling fatigue, the fatigue reaches the highest point 1~2 hours after operations, 3.04(F=2.703, P=.046). 9) When they feel fatigue after scrub nurse duties, they feel the greatest fatigue 2 hours after the duties, 3.09( F=2.841, P=.038). 10) As to the operation instruments, when they use complex instruments borrowing from the outside in addition to the basic instruments, their fatigue becomes the greatest, 3.09(F=7.831, P=.000). 11) As to the kind of operation, when they participate in orthopedic's surgery operations, they feel the greatest fatigue, 3.18(F=4.362, P=.000). With the above results, it is proved that the degree of operating room nurses' fatigue is considerably high. So it may be concluded that the measure for lessening the fatigue should be find immediately, not on the level of personal matters but on the level of hospital nursing administration.

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Consideration of Radioactive Contamination Materials Disposal (방사성오염물질 처분에 대한 고찰)

  • Im, Hyun-Jin;Kim, Tae-Yeob;Lee, Hong-Jae;Kim, Jin-Eui;Kim, Hyun-Joo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.128-132
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    • 2010
  • Purpose: Nuclear medicine general operation room is radioactive control room which is used for the handling of radioisotope(R.I). Radioactive contamination materials must be under control and separated from general trash. With this experiments, we want to actively suggest the guideline of controling and operating radioactive contamination materials by measuring contamination degree and analyzing the causes which is not realized so far. Materials and Methods: Materials are selected from Oct. 2009 to March. 2010. salines which are used for labelling radiophamaceuticals and generator cap, saline needle cap, $^{99m}Tc$-needle cap saline vial which is generated from $^{99}Mo$/$^{99m}Tc$ generator. After measuring each surface contamination degree by survey meter, mean value and standard deviation one were solved out. Results: In result, After measuring surface contamination degree, radioactivity of saline for labelling radiophamaceuticals showed $14429{\pm}26378$ cpm (p<0.05) and in measured generators, foreign imported things showed that generator cap : $9{\pm}21$ cpm, saline vial : $17{\pm}28$ cpm. saline needle cap : $35{\pm}66$ cpm, $^{99m}Tc$-needle cap : $9{\pm}21$ cpm, saline vial $13{\pm}28$ cpm. domestic things showed that generator cap : $22852{\pm}52545$ cpm, saline needle cap : $87367{\pm}109711$ cpm, $^{99m}Tc$-needle cap : $9008{\pm}10459$ cpm, saline vial : $186416{\pm}158196$ cpm (p<0.05). Conclusion: The saline which is used for labelling, exceeded 1/10 of maximum permissible range. this is generated from radiophamaceuticals dilution procedure. and In generators, radioactive value of foreign import things showed closely background value. but which of domestic thing showed that exceeded more than 1000 values 1/10 of maximum permissible range. the causes of that is domestic generator is contaminated in manufacturing procedure. So, to dispose radioactive contamination materials which is could betaken out of, the control and operation must be radical under controlled by radioactive measuring, recording and equipping of its own. if this is kept well, we can prevent surely that radioactive waste could be disposed like as general trash.

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Use of Undiluted Potassium Solution in Intermittent Antegrade Warm Blood Cardioplegia (IAWBC) (간헐적 전방온혈심정지액에서 희석되지 않은 고농도 포타슘의 사용)

  • 백완기;손국희;김영삼;윤용한;김혜숙;임현경;이춘수;김광호;김정택
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.660-664
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    • 2004
  • Background: Dilution of blood cardioplegia is not needed in IAWBC as it is in cold blood cardioplegia because it does not aggregate red blood cells on normal body temperature and does not compromise micro coronary circulation. This study was designed to evaluate the safety and efficacy of undiluted potassium solution in IAWBC. Material and Method: Thirty patients who underwent CABG with IAWBC were grouped into dilutedplegia (n=14) and microplegia (n=16). Potassium was delivered conventionally with 4 : 1 delivery kit in the dilutedplegia group. The undiluted potassium was directly connected on the blood of oxygenator in the microplegia group. Result: There were no differences in sex, age, left ventricular ejection fraction, number of grafts, aortic cross clamping time, and the value of perioperative myocardial enzyme between the two groups. There were no perioperative myocardial infarction and hospital mortality. The amount of crystalloid cardioplegia was 1346$\pm$597 mL in dilutedplegia (mean$\pm$standard deviation, and 28$\pm$9 mL in microplegia (p<0.0001). The hematocrit during cardiopulmonary bypass was 21$\pm$4% in dilutedplegia and 24$\pm$3% in microplegia (p>0.05). 11 patients in dilultedplegia received blood transfusion, but 4 patients in microplegia received blood transfusion (p<0.05). The amount of urine and hemofiltration during the operation were more in dilutedplegia (1250$\pm$810 mL, 1689$\pm$548 mL) than in microplegia (959$\pm$410 mL, 1461$\pm$784 mL; p<0.05). Conclusion: The undiluted potassium of IAWBC in CABG operation is a safe, effective technique for myocardial protection to prevent fluid overload, and blood transfusion. There is no need to use the delivery kit.