• Title/Summary/Keyword: Safe discharge

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Drug selection for sedation and general anesthesia in children undergoing ambulatory magnetic resonance imaging

  • Jung, Sung Mee
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.159-168
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    • 2020
  • The demand for drug-induced sedation for magnetic resonance imaging (MRI) scans have substantially increased in response to increases in MRI utilization and growing interest in anxiety in children. Understanding the pharmacologic options for deep sedation and general anesthesia in an MRI environment is essential to achieve immobility for the successful completion of the procedure and ensure rapid and safe discharge of children undergoing ambulatory MRI. For painless diagnostic MRI, a single sedative/anesthetic agent without analgesia is safer than a combination of multiple sedatives. The traditional drugs, such as chloral hydrate, pentobarbital, midazolam, and ketamine, are still used due to the ease of administration despite low sedation success rate, prolonged recovery, and significant adverse events. Currently, dexmedetomidine, with respiratory drive preservation, and propofol, with high effectiveness and rapid recovery, are preferred for children undergoing ambulatory MRI. General anesthesia using propofol or sevoflurane can also provide predictable rapid time to readiness and scan times in infants or children with comorbidities. The selection of appropriate drugs as well as sufficient monitoring equipment are vital for effective and safe sedation and anesthesia for ambulatory pediatric MRI.

A Study on the Superheat Control of a Tandem-type Airconditioner by Using a Variable Speed Outdoor Fan (변속실외기펜을 사용한 텐텀형냉방기의 과열도제어에 관한 연구)

  • Kim, Jae-Hyun;Han, Do-Young
    • Proceedings of the SAREK Conference
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    • 2005.11a
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    • pp.474-479
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    • 2005
  • For the safe operation of an air conditioner, the liquid car η 'over to compressors should be minimized and compressors should be operated in the specified region of suction and discharge pressures recommended by compressor manufactures. In this study, a capillary assisted tandem-type airconditioner was considered. A variable speed outdoor fan was used to control operating points of the system. Test results showed the possibilities to move system operating points to the safe region by controlling the speed of an outdoor fan.

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Surgical Treatment of Spontaneous Pneumothorax by Thoracoscopic Wedge Resection with Fibrin Glue (비디오흉강경을 이용한 자연기흉의 치료시 국소적 Fibrin Glue 도포)

  • 신화균
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.812-816
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    • 2000
  • Background ; To evaluate the efficacy of Fibrin glue to decrease recurrence in video-assisted thoracoscopic surgery(VATS) for a treatment of spontaneous penumothorax. Material and Method : All medical records of 17 patients who underwent a thoracoscopic wedge resections of bullae with stapling device with Fibrin glue in our institute between May 1998 and December 1999 were reviewed. variables analyzed include affected sites primary indication of VATS. duration from admission to discharge duration of postoperative stay duration of chest tube drainage recurrence and complication. There were 16 men and 1 woman. Result : There was no evidence of hemodynamic instability or arterial blood gas abnormalities encountered during the procedure. Mean age at the time of the VATS was 26.9 years (range 15 to 61 years) The mean duration from admission to discharge was 7.8 days and mean postoperative stay was 5.1days mean chest tube indwelling period was 4..0 days. There was no recurrence of pneumothorx. Conclusion : Thoracoscopic wedge resections with introduction of fibrin glue are safe and effective and requires only a short hospital stay. We believe that this thoracoscopic technique will further simplify the surgical treatment of pneumothorax.

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The analysis of leakage current characteristics of polymer insulators for estimation under Pollution conditions (고분자 절연물의 내오손 진단을 위한 누설전류 특성 해석)

  • Kim, I.S.;Han, S.W.;Cho, H.G.;Soh, J.J.;Kim, H.S.
    • Proceedings of the KIEE Conference
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    • 1997.07d
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    • pp.1452-1454
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    • 1997
  • Properties of flashover in polymer insulators are very important under pollution environments. It is necessary to analyse flashover characteristics whether insulators are still safe or not. A lot of precious information can be got out of polluted polymer insulators through leakage current measurement. The behavior of partial arc discharge leads to flashover directly. It is possible to measure partial arc discharge as leakage current pulses analysis. The shape of histogram reflects degree of pollution, wetting and voltage stress level. It can be expressed by Weibull distribution function.

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Manual Aspiration Thrombectomy Using Penumbra Catheter in Patients with Acute M2 Occlusion : A Single-Center Analysis

  • Park, Jung Soo;Kwak, Hyo Sung
    • Journal of Korean Neurosurgical Society
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    • v.59 no.4
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    • pp.352-356
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    • 2016
  • Objective : The efficacy and safety of manual aspiration thrombectomy using Penumbra in an acute occlusion of large intracranial arteries has been proven in many previous studies. Our study aimed to retrospectively assess the efficacy and safety of manual aspiration thrombectomy using Penumbra in patients with small vessel occlusions (M2 segment of the MCA). Methods : We conducted a retrospective review of 32 patients who underwent manual aspiration thrombectomy using the Penumbra 4 MAX Reperfusion Catheter for treatment of an M2 occlusion between January 2013 and November 2014. We evaluated immediate angiographic results and clinical outcomes through review of patient electronic medical records. Results : There were slightly more men in this study (M : F=18 : 14) and the median age was 72.5 (age range : 41-90). The rate of successful recanalization (TICI grade ${\geq}2b$) was 84% (27/32). NIHSS at discharge and favorable clinical outcomes at 3 months were significantly improved than baseline. Median initial NIHSS score was 10 (range : 4-25) and was 4 (range : 0-14) at discharge. Favorable clinical outcomes (mRS score ${\leq}2$ at 3 months) were seen in 25 out of 32 patients (78%). There were no procedure-related symptomatic intracerebral hemorrhages. One patient expired after discharge due to a cardiac problem. Conclusion : Manual aspiration thrombectomy might be safe and is capable of achieving a high rate of successful recanalization and favorable clinical outcomes in patients with distal cerebral vessel occlusion (M2).

Decomposition of Fe-EDTA in Nuclear Waste Water by using Underwater discharge Plasma

  • Kim, Jin-Kil;Lee, Han-Yong;Kang, Duk-Won;Uhm, Han-Sup
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.06a
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    • pp.336-336
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    • 2004
  • EDTA contained in decontamination wastes can cause complexation of radioactive captions resulting from its various treatment process such as chemical precipitation, and ion exchange etc. It might also import for elevated teachability and higher mobility of cationic contaminants from conditioned wastes such as waste immobilized in cement or other matrices. Therefore, various cheated or unchlelated EDTAS must be treated to environmentally safe materials.(omitted)

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The Study On Safety of Olive Oil Production Ozonized of Hair and Skin Improvement (모발 및 피부 개선의 오존화 올리브 오일 생산에 대한 안전성에 관한 연구)

  • Park, Sun-Yee
    • Journal of the Korean Applied Science and Technology
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    • v.32 no.3
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    • pp.583-587
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    • 2015
  • This Purpose of this study is to develop a system for stable production without troubling side effects, scalp and skin, and sensitivity to temperature and humidity, but the ozone-cream at a constant effective value and the durability of peroxide safe discharge tube. Furthermore, olive oil and ozone is reacted with the wish to apply to the manufacturing technology. If peroxide value of ozonized olive oil exceeded 1200 meg/kg, there may be microbial disinfection. However, to be produced with a minimum of risk because they look to the scalp and skin sensitization is the purpose of the present study. And also the durability of the discharge tube was tested during the production unit for stable production. And the experimental results, Peroxide value of the ozonized olive oil was measured to less than 1300 meg/kg, also it showed a stable result of the discharge tube.

Analysis of Battery Performance Test for DC Power System in Nuclear Power Plant (원자력발전소 직류전원계통용 축전지 성능시험 분석)

  • Kim, Daesik;Cha, Hanju
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.63 no.2
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    • pp.61-68
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    • 2014
  • Function of battery bank stores energy for DC load in general, and DC power system of the nuclear power plant is used to supply DC loads for safety- featured instrumentation and control such as inverter, class 1E power system control and indication, and station annunciation. Class 1E DC power system must provide a power for the design basis accident conditions, and adequate capacity must be available during loss of AC power and subsequent safe shutdown of the plant. In present, batteries of Class 1E DC power system of the nuclear power plant uses lead-acid batteries. Class 1E batteries of nuclear power plants in Korea are summarized in terms of specification, such as capacity, discharge rate, bank configuration and discharge end voltage, etc. This paper summarizes standards of determining battery size for the nuclear power plant, and analyzes duty cycle for the class 1E DC power system of nuclear power plant. Then, battery cell size is calculated as 2613Ah according to the standard. In addition, this paper analyzes performance test results during past 13 years and shows performance degradation in the battery bank. Performance tests in 2001 and 2005 represent that entire battery cells do not reach the discharge-end voltage. Howeyer, the discharge-end voltage is reached in 14.7% of channel A (17 EA), 13.8% of channel B (16 EA), 5.2% of channel C (6 EA) and 16.4% of channel D (19 EA) at 2011 performance test. Based on the performance test results analysis and size calculation, battery capacity and degradation by age in Korearn nuclear power plant is discussed and would be used for new design.

Fundamental Study on the Maintenance Technology for SF6 Gas Condition using Pressure and UHF Sensors (UHF 및 가스센서를 이용한 SF6 가스 상태 감시기술 기초연구)

  • Ahn, Hee-Sung;Cho, Sung-Chul;Eom, Ju-Hong
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.2
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    • pp.20-27
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    • 2007
  • [ $SF_6$ ] gas for compacted power facilities has a important role as an insulation gas. It is very blown well that $SF_6$ gas has the superior characteristics as an insulation gas. For reliable operation of SF6-gas-based high and medium voltage equipment it is very important to keep the insulation ability within a safe range. And the experimental and measuring system were implemented. The test chamber designed to endure up to 3 atmospheric pressure. The analysis results of the experimental data shows that positive partial discharge can be detected by discharge current and UHF signal. Additionally it is shown the possibility that $CO_2$ gas sensor of semiconductor type can be detect the variation of $SF_6$ gas condition. The UHF sensor shows good feature to detect the variation of $SF_6$ gas condition for partial discharge and breakdown discharge.

Evaluation of the Behavior of Dredged Materials in Ocean Dumping Area

  • Lee, Seung-Chul;Kim, Kang-Min;Kim, Hyung-Chul;Lee, Joong-Woo
    • Journal of Navigation and Port Research
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    • v.30 no.9
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    • pp.755-762
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    • 2006
  • When we consider to develop a new harbor, the most important factor, we think, is the lowest water depth of waterway and approaching channel for safe navigation of vessel. The existing harbors have been being dredged to meet the international trend of jumbo sized vessels by adopting the new design criteria. As the dredged materials over the expected at the design level were common and there are still lack of land based reclamation area, we have no choice to discharge the dredged materials in open sea area In this study, we analysed the behavior of discharged materials at the dumping area of offshore, which were collected from the dredging work at the waterway in Busan New Port. We measured the tidal currents and analyzed the waters of dumping site after the dumping work. These were used to evaluate the numerical models. Suspended Solids(SS) were introduced to the diffusion model. Because of the characteristic of the dumping site, the speed of initial diffusion and settle down of the discharged materials was so fast. Therefore, we believe that the dumped materials do not cause a significant impact to the marine environment.