• Title/Summary/Keyword: Safe discharge

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Cytomorphologic Patterns of Breast Lesions in Sudanese Patients: Lessons Learned from Fine Needle Aspiration Cytology

  • Almobarak, Ahmed Omer;Elhassan, Taiseer Mohamed;Elhoweris, Mohamed Hassan;Awadalla, Heitham Mohammed;Elmadhoun, Wadie Mohamed Yasin;Ahmed, Mohamed Hassan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3411-3413
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    • 2014
  • Background: Cytology for breast lesions is a safe, rapid and cost-effective with a high specificity and sensitivity. Objective: To determine the cytomorphologic patterns of breast lesions identified among a group of Sudanese patients. Materials and Methods: This study included 759 patients undergoing either a fine needle aspiration FNA, nipple discharge (ND) smears or breast skin scraping (SS) at a cytology clinic in Khartoum. Clinical and demographic data were reviewed. Stained smears were categorized into: inadequate sample, normal breast, benign lesion, suspicious, or malignant neoplasm. Results: Of the 759 cases, 734 (96.71%) were FNA, 18 (2.37%) ND and 7 cases (0.92%) SS. For 28 cases, FNA was done under ultrasound guidance. Females were 720 (94.86%). Benign lesions were 423 (55.75%) and 248 (32.67%) were malignant and 77 (10.14%) of smears were normal without any detected abnormality. Ten (1.31%) cases were suspicious for malignancy, and only one case (0.13%) was reported as inadequate. Most lesions were observed among the age group 30 years and above. Conclusions: Most patients investigated have benign lesions, one third of cytological smears were malignant. FNAC is a useful tool for investigating breast lesions in limited-resource settings.

Post-Loop Electrosurgical Excision Procedure Complications in Srinagarind Hospital

  • Maleerat, Pimjai;Chumworathayi, Bandit;Kietpeerakool, Chumnan;Luanratanakorn, Sanguanchoke;Temtanakitpaisan, Amornrat
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2211-2215
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    • 2016
  • The purpose of this study was to evaluate the prevalence and predictors of post-Loop Electrosurgical Excision Procedure (LEEP) complications in Srinagarind Hospital, Khon Kaen, Thailand. Retrospective chart review was performed for 200 patients undergoing LEEP during January 2012 to February 2013. Their mean age was 45 years-old. Fifty-three (26.5%) were menopausal. The three most common preceding abnormal cervical cytology were high-grade squamous intraepithelial lesion (HSIL; 50%), atypical squamous cell cannot exclude HSIL (ASC-H; 10.5%), and low-grade squamous intraepithelial lesion (LSIL; 10%). The overall complications prevalence rate was 16.5% (95%CI, 11.4-21.6). Complications included bleeding (11%; 95%CI, 6.66-15.3), offensive discharge (4%; 95%CI, 1.28-6.72), and pelvic inflammatory disease (1.5%; 95%CI, 0.18-3.18). Only mode of delivery was an independent predictor of post-LEEP complications. Women with previous caesarean sections carried an increased risk of complications by 3.9 times (95%CI, 1.21-12.56) compared with vaginal delivery. In conclusion, LEEP is generally safe with an acceptable complication rate. Previous caesarean section was the only independent predictor for post-LEEP complications. However, this predictor still needs prudent evaluation as no clear cause-effect relationship was identified.

A Study on Improvement of Connection Method of Underground Parking Lot SP Equipment Water Supply Pipe for Effective Fire Activities (효과적인 소방활동을 위한 지하주차장 스프링클러설비 송수배관 연결방식의 개선에 관한 연구)

  • Son, Gae-Seong;Choi, Ji-Hun;Choi, Don-Mook
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.161-169
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    • 2015
  • A fire sprinkler system is very important to extinguish fire in the building. The sprinkler system initiates sprinkler discharge if the detection system identifies a developing fire and opens the pre-action valve. However, pre-action fire sprinkler systems mainly installed in the underground parking lot at the apartment complex do not properly operate at fire if the connection type of fire sprinkler systems does not properly installed and operated. This study identified the relationship between fire dispersion & damage and the connection type of water supply in the sprinkler system from many fire cases at the apartment complex in South Korea. In addition, this study also identified the water supply differences and characteristics between South Korea and foreign countries. The main purpose of this study is also to improve the water connection types in the sprinkler system that can reduce the potential failures of pre-action valve operation through electrical signal system. The study also suggests the improvement plan for water connection types in pre-action fire sprinkler system that can minimize potential failure of pre-action fire sprinkler system. The suggestions for revising the fire safe standard in South Korea includes letting the water supply pipe of sprinkler system water inlet connect to the second side of pre-action valve and the water flow device that can minimize potential failure of sprinkler system.

Strategic design for oxide-based anode materials and the dependence of their electrochemical properties on morphology and architecture

  • Gang, Yong-Muk
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2012.05a
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    • pp.73-73
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    • 2012
  • Modern technology-driven society largely relies on hybrid electric vehicles or electric vehicles for eco-friendly transportation and the use of high technology devices. Lithium rechargeable batteries are the most promising power sources because of its high energy density but still have a challenge. Graphite is the most widely used anode material in the field of lithium rechargeable batteries due to its many advantages such as good cyclic performances, and high charge/discharge efficiency in the initial cycle. However, it has an important safety issue associated with the dendritic lithium growth on the anode surface at high charging current because the conventional graphite approaches almost 0 V vs $Li/Li^+$ at the end of lithium insertion. Therefore, a fundamental solution is to use an electrochemical redox couple with higher equilibrium potentials, which suppresses lithium metal formation on the anode surface. Among the candidates, $Li_4Ti_5O_{12}$ is a very interesting intercalation compound with safe operation, high rate capability, no volume change, and excellent cycleability. But the insulating character of $Li_4Ti_5O_{12}$ has raised concerns about its electrochemical performance. The initial insulating character associated with Ti4+ in $Li_4Ti_5O_{12}$ limits the electronic transfer between particles and to the external circuit, thereby worsening its high rate performance. In order to overcome these weak points, several alternative synthetic methods are highly required. Hence, in this presentation, novel ways using a synergetic strategy based on 1D architecture and surface coating will be introduced to enhance the kinetic property of Ti-based electrode. In addition, first-principle calculation will prove its significance to design Ti-based electrode for the most optimized electrochemical performance.

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Performance Evaluation of R435A on Refrigeration System of Water Purifiers (R435A를 적용한 정수기 냉동시스템의 성능평가)

  • Lee, Yo-Han;Kang, Dong-Gyu;Choi, Hyun-Joo;Jung, Dong-Soo
    • Journal of the Korean Solar Energy Society
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    • v.33 no.1
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    • pp.15-23
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    • 2013
  • In this study, thermodynamic performance of R435A is examined both numerically and experimentally in an effort to replace HFC134a used in the refrigeration system of domestic water purifiers. Even though HFC134a is used predominantly in such a system these days, it needs to be phased out in the near future in Europe and most of the developed countries due to its high global warming potential. To solve this problem, cycle simulation and experimental measurements are carried out with a new refrigerant mixture of 20%R152a/80%RE170 using actual domestic water purifiers. This mixture is numbered and listed as R435A by ASHRAE recently. Test results show that the system performance with R435A is greatly influenced by the amount of charge due to the small internal volume of the refrigeration system of the domestic water purifiers. With the optimum amount of charge of 21 to 22 grams, about 50% of HFC134a, the energy consumption of R435A is 11.8% lower than that of HFC134a. The compressor discharge temperature of R435A $8^{\circ}C$ lower than that of HFC134a at the optimum charge. Overall, R435A, a new long term environmentally safe refrigerant, is a good alternative for HFC134a requiring little change in the refrigeration system of the domestic water purifiers.

The Effect of Continuous Epidural Block in Lumbago and Sciatica (요통, 좌골 신경통 환자에서의 지속적 경막외 차단의 효과)

  • Kim, Seok-Hong;Lim, Kyung-Im;Sohn, Hang-Soo;Park, Hack-Ju
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.279-285
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    • 1995
  • Extradural block is a form of treatment described as early as the beginning of the present centuries. It has since had positive criticism from a number of authors in different countries. Epidural injections of steroids with or without local anesthetic have become an occasional method of conservative treatment in sciatica & lumbago, especially in acute case. We assess the results of continuous epidural block with steroids and local anesthetics in sciatica & lumbago. From July 1994 to June 1995, we treated 46 case of lumbago and sciatica using continuous epidural block with steroids and local anesthetics. After placement of 17-Gauge Tuohy needle in the epidural space by the technique of loss of resistance, 0.25% bupivacaine 5 cc and triamcinolone 40 mg was administered and then epidural catheter was placed and connected to multiday infusor(Paragon) using 1% lidocaine with continuous infusion rate of 1 ml/hour. Usually, the catheter was removed after 1~2 weeks and then treated with the physical therapy. At the time of patient's discharge, 69.5% of all cases showed excellent or good results. Of particular note, 26 of the 46 cases were followed up by telephone. At present, in using Of particular note, 26 of the 46 cases were followed up by telephone. At present, in using continuous epidural block procedure, a relief in symptoms showed in 65.5% of these 26 cases. Continuous epidural block provides shortening of the recovery time from pain, avoidance of long period bed rest and early physical therapy and exercise. Therefore, continuous epidural block is simple and safe in the treatment of lumbago and sciatica, especially in acute phase.

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Performance of R430A on Refrigeration System of Domestic Water Purifiers (대체냉매 R430A를 적용한 정수기 냉동시스템의 성능 평가)

  • Park, Ki-Jung;Lee, Yo-Han;Jung, Dong-Soo;Kim, Kyoung-Kee
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.21 no.2
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    • pp.109-117
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    • 2009
  • In this study, thermodynamic performance of R430A is examined both numerically and experimentally in an effort to replace HFC134a used in the refrigeration system of domestic water purifiers. Even though HFC134a is used predominantly in such a system these days, it needs to be phased out in the near future in Europe and most of the developed countries due to its high global warming potential. To solve this problem, cycle simulation and experimental measurements are carried out with a new refrigerant mixture of 76%R152a124% R600a using actual domestic water purifiers. This mixture is numbered and listed as R430A by ASHRAE recently. Test results show that the system performance with R430A is greatly influenced by the amount of charge due to the small internal volume of the refrigeration system of the domestic water purifiers. With the optimum amount of charge of 21 to 22 grams, about 50% of HFC134a, the energy consumption of R430A is 13.4% lower than that of HFC 134a. The compressor dome and discharge temperatures and condenser center temperature of R430A are very similar to those of HFC134a at the optimum charge. Overall, R430A, a new long term environmentally safe refrigerant, is a good alternative for HFC134a requiring little change in the refrigeration system of the domestic water purifiers.

Hydraulic Design of Culvert Size (암거 규격의 수리 설계)

  • Yoo, Dong-Hoon;Kim, Jong-Hee
    • Journal of Korea Water Resources Association
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    • v.43 no.3
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    • pp.275-282
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    • 2010
  • The purpose of culvert design is to determine optimum size for a safe drainage of flood discharge. The present method of culvert design in Korea is generally carried out by using "Road Drainage Design" of Korea Expressway Corporation (1991), which is based on the manual of Federal Highway Association (FHWA) of USA. However, this method may result in subjective error because of using graphs and the usage of nomograph can be a major obstacle for computer modelling. Some errors found in the previous works of culvert design are corrected, and a new logic has been developed for a simple determination of culvert size in this study. FHWA (1985) presents a nomograph to determine the critical water depth and the velocity head for a circular pipe, but in this study simple explicit equations have been developed to determine both respectively.

A Study on Flood Risk Analysis for A Small Stream in Urban Residential Area (도시 주거지역 내 소하천의 홍수 안정성에 관한 연구)

  • Kwak, Jae-Won;Ahn, Kyoung-Soo;Kyoung, Min-Soo;Kim, Hung-Soo
    • 한국방재학회:학술대회논문집
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    • 2008.02a
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    • pp.195-198
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    • 2008
  • In this study we analyzed flood runoff and flood characteristics of an small urban river basin which is in an apartment complex in Yewol-Dong, Buchun-Si, Gyunggi-Do. A little discharge normally flows in the river, however this small river has a relatively high potential of flood damage risk in the flood season due to the high flood level and velocity. Therefore we used the GIS data, cross section data in the river, HEC-RAS model, etc. for investigating safety of a river against flood runoff and also we investigated the stability of hydraulic structures and ability of flood prevention in the river. As the result of investigation, we found that the river had the risk of flood damage occurrence due to the hydraulic structures constructed for various purposes in the river. So we should analyze backwater effect by the structures and consider the risk factors can be occurred by the flood runoff and velocity for more safe design of a small river basin in the residential area such as an apartment complex in the urban area.

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Case Report of Autonomic Dysreflexia in a Pressure Sore Patient (욕창 환자에서 자율신경성 반사부전증의 경험례)

  • Nam, Seung Min;Park, Eun Soo;Park, Sun A;Kim, Young Bae
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.531-534
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    • 2007
  • Purpose: Plastic surgeons are responsible for the management of spinal cord injury patients with upper and lower extremity reconstruction, pressure sore, and wounds. Derailment of autonomic nervous systems caused by injury to the spinal cord may result in fatal autonomic dysreflexia. Autonomic dysreflexia is a syndrome of massive imbalance of reflex sympathetic discharge occurring in patients with spinal cord lesion above the splanchnic outflow(T6). It is characterized by a sudden onset and severe increase in blood pressure and is potentially life threatening. The other classic symptoms are headache, chest pain, sweating, and bradycardia. In order to lower the blood pressure, it is important to remove the noxious stimulus for autonomic dysreflexia. If such symptoms last for more than 15 minutes despite conservative interventions, antihypertension drugs are recommended. Methods: In this case study, we report an autonomic dysreflexia case that developed in a 45 year-old tetraplegia patient with sacral pressure sore. When he got bladder irrigation, his blood pressure went up very high and his mentality became stuporous. He was sent to ICU for his blood pressure and mental care. ICU care made his vital sign stabilized and his mentality alert. Results: After the patient underwent proper treatment like inotropic agent, he was transferred to the general ward and his pressure sore on sacral area was coveraged with gluteus maximus myocutaneous advancement flap. Conclusion: If treatment is not effective, the patients have to undergo sudden, severe hypertension, which can cause stroke or death. To provide safe and effective care, plastic surgeons should be able to recognize and treat autonomic dysreflexia.