• 제목/요약/키워드: apache

Search Result 359, Processing Time 0.03 seconds

The Predcitors of the Development of Acute Respiratory Distress Syndrome in the Patients with Acute Pancreatitis (급성 췌장염으로 내과계 중환자실에 입원한 환자들의 급성호흡곤란 증후군 발생에 연관된 인자에 관한 연구)

  • Yoo, Mi-Ran;Koh, Youn-Suck;Lim, Chae-Man;Lee, Moon-Gyu;Lee, Hong-Jae;Lee, Moo-Song;An, Jong-Jun;Lee, Sung-Koo;Kim, Myung-Hwan;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
    • /
    • v.44 no.4
    • /
    • pp.861-870
    • /
    • 1997
  • Background : Though acute respiratory distress(ARDS) often occurs in the early stage of severe acute pancreatitis and significantly contributed to the mortality of the condition, the characteristics of the group who develops ARDS in the patients with acute pancreatitis have not been fully found. The objective of this investigation was to identify predictable factors which distinguish a group who would develop ARDS in the patients with acute pancreatitis. Method : A retrospective analysis of 94 cases in 86 patients who were admitted the Medical Intensive Care Unit with acute pancreatitis was done. ARDS were developed in 13 cases among them (13.8%). The possible clinical factors related to the development were analyzed using univariate analysis and $x^2$-test. Results : The risk of ARDS development was increased in the patients with abonormal findings of chest X-ray at admission compared to the patients with normal chest X-ray (p<0.05). The risk was also increased according to the sevecrity index score in abdominal computed tomography at the time of admission (p<0.05). The higher APACHE III score of the first day of admission, the more risk increment of ARDS development was observed (p<0.01). Patients with more than one points of Murray's lung injury score showed higher risk of ARDS compared to the patients with 0 points of that. The patients with sepsis and the patients with more than three organ dysfunction at admission had 3.5 times and 23.3 times higher risk of the development of ARDS compared to the patients without sepsis and without organ failure in each (p<0.05, p<0.01). Conclusion : The risk of ARDS development would be higher in the acute pancreatitis patients with abnormal chest X-ray, higher CT severity index, higher APACHE III or Murray's lung injury score, accompanying sepsis, and more than three organ failure at admission.

  • PDF

The Early Prognosis of Burn Patients with Elevated Initial Arterial Carboxyhemoglobin Level (초기 동맥혈 Carboxyhemoglobin 농도가 높았던 화상 환자들의 예후지표에 관한 연구)

  • Choi, Chang Soon;Kim, Cheal Hong;Kim, Keun Sook;Lee, Tae-Yu;Chung, Youn Son;Eom, Kwang Seok;Park, Young Bum;Jang, Seung Hun;Kim, Dong Gyu;Park, Myung Jae;Lee, Myung Goo;Hyun, In-Gyu;Jung, Ki-Suck;Kim, Jong Hyun
    • Tuberculosis and Respiratory Diseases
    • /
    • v.55 no.2
    • /
    • pp.188-197
    • /
    • 2003
  • Background : Smoke inhalation injury is an important determinant of mortality in burn patients. The early detection of inhalation injury in burn patients is important because the incidence of respiratory failure after inhalation injury was known to be high, with hypoxemia, pneumonia, and prolonged ventilatory support being commonplace. Acute carbon monoxide poisoning was one feature of smoke inhalation. The purpose of our study were to investigate the clinical characteristics of burn patients whose initial arterial carboxyhemoglobin (COHb) level had been elevated, to assess the clinical impact of COHb for smoke inhalation injury. Methods : Among 1,416 burn patients had been admitted at our institution from August 1, 2001 to July 31, 2002, 39 patients whose initial arterial COHb level have been more than 5% were included. We compared clinical scoring system for inhalation injury, percent total body surface area (%TBSA) burn, initial chest X-ray findings, APACHE II scores and SAPS II scores between survivors (n=27) and non-survivors (n=12) retrospectively. Results : COHb level were 9.7(5.71% and 10.3(8.81% in survivors and in non-survivors (p>0.05). Mean %TBSA burn of survivors and non-survivors were $16.6{\pm}17.8%$ and $60.7{\pm}28.8%$ (p<0.001). We did not find any difference in clinical scoring system, initial chest X-ray findings in survivors and in non-survivors. But %TBSA burn, APACHE II and SAPS II scores were high in non-survivors than in survivors significantly. Important factors associated with death were %TBSA burn, APACHE II scores, SAPS II scores, and the most important factor in predicting mortality was %TBSA burn. Conclusion : Burn patients with elevated initial arterial COHb level showed poor prognosis, but further study may be performed to know that the effect of COHb on prognosis in burn patients accompanying smoke inhalation.

The Prognostic Indicies of Pneumocystis Carinii Pneumonia in Immunocompromised Patients other than Acquired Immune Deficiency Syndrome (비 AIDS 면역 결핍 환자들에서 발생한 주폐포자충 폐렴의 예후인자)

  • Park, Wann;Kim, Yoo-Kyum;Lee, Jin-Seong;Ahn, Jong-Jun;Hong, Sang-Bum;Shim, Tae-Sun;Lim, Chae-Man;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
    • /
    • v.45 no.4
    • /
    • pp.805-812
    • /
    • 1998
  • Background: Among the variety of opportunistic infections, pneumonia comprises the major morbidity in immunocompromised patients. Pneumocystis carnii pneumonia (PCP) and cytomegalovirus (CMV) pneumonia are common infectious illness of immunocompromised hosts. Although there are many reports regarding to the co-infection of PCP and CMV diagnosed by bronchoalveolar lavage (BAL) fluid examination, the effects of CMV co-infection on the outcome of PCP is still controversial. The purpose of this investigation is to evaluate the effects of CMV detected by BAL fluid examination on the clinical course of PCP in the immunocompromised patients other than human immunodeficiency virus infection. Method: Ten patients with PCP were enrolled and retrospective analysis of their medical records were done. HIV infected persons were excluded. The PCP was diagnosed by BAL fluid examination with Calcofluor-White staining. CMV was detected in BAL fluid by Shell-vial culture system. Chest radiographic findings were reviewed. We used Fisher's exact test and Mann-Whitney U test for statistical analysis of data. Results: The underlying disorders of patients were idiopathic pulmonary fibrosis (n=1), renal transplantation (n=4), necrotizing vasculitis (n=l), systemic lupus erythematosus (n=1), brain tumor (n=1), chronic myelogenous leukemia (n=1), unidentified (n=1). There were no difference in clinical course, APACHE III score, arterial blood gas analysis, white blood cell count, lymphocyte count, serum albumin concentration, chest radiographic findings and mortality between patients with PCP alone (n=4) and those with CMV co-infection (n=6). Univariate analysis regarding to the factors that associated with mortality of PCP were revealed that the application of mechanical ventilation (p=0.028), the level of APACHE III score (p=0.018) and serum albumin concentration (p=0.048) were related to the mortality of patients with PCP. Conclusion: The clinical course of PCP patients co-infected by CMV were not different from PCP only patients. Instead, accompanied respiratory failure, high APACHE III score and poor nutritional status were associated with poor outcome of PCP.

  • PDF

The Comparison of Base Deficit, Lactate, and Strong Ion Gap as Early Predictor of Mortality in Trauma Patients (외상환자의 초기 사망 예측 지표로서의 내원 초기의 염기 결핍, 젖산 및 강이온 차이의 유용성 비교)

  • Park, Kyung Hye;Lee, Kang Hyun;Kim, Seon Hyu;Oh, Sung Bum;Moon, Joong Bum;Kim, Hyun;Hwang, Sung Oh;Kim, Heon Ju
    • Journal of Trauma and Injury
    • /
    • v.18 no.2
    • /
    • pp.127-134
    • /
    • 2005
  • Purpose: Currently, there is a variety of systems available for predicting prognosis of trauma patients such as trauma score, Injury severity score (ISS) and acid-base variables. But it is not clear that the initial acid-base variables are predictors of prognosis in trauma patients at the emergency department. The objective of this study is to compare the base deficit, lactate and strong ion gap as an early predictor of mortality in trauma patients. Methods: Retrospective record review of 136 trauma patients needed to admit to intensive care unit via emergency department (June 2004 to February 2005). Data included age, injury mechanism, ISS, Revised trauma score (RTS), Multiple organ dysfunction score (MODS), Acute physiology and chronic health evaluation III (APACHE III), Glasgow coma scale (GCS), laboratory profiles, calculated anion gap and strong ion gap. Patients were divided into survivors and non-survivors, shock group and non-shock group with comparison by t-test;significance was assumed for p<0.05. Correlation between acid-base variables and mean arterial blood pressure (MABP) was evaluated. Results: There was a significant difference between the RTS (p=0.00), APACHE III (p=0.00), MODS (p=0.00), GCS (p=0.00) of survivors and non-survivors. There was no significant difference between the ISS (p=0.082), lactate (p=0.541), base excess (p=0.468) and SIG (p=0.894) of survivors and non-survivors. There was a significant difference between the RTS (p=0.023), APACHE III (p=0.002), lactate (p=0.000), base excess (p=0.000) and SIG (p=0.000) of shock and non-shock group. There was no significant difference between the ISS (p=0.270), MODS (p=0.442) and GCS (p=0.432) of shock and non-shock group. The base excess was most correlated to MABP (r2=0.150). Conclusion: Initial base deficit, serum lactate and SIG are not predictors of mortality in moderate to severe trauma patients. Initial base deficit, serum lactate and SIG are correlated with the mean arterial blood pressure in trauma patients in emergency department.

A Study on the Procedure for Constructing Linked Open Data of Records Information by Using Open Source Tool (오픈소스 도구를 이용한 기록정보 링크드 오픈 데이터 구축 절차 연구)

  • Ha, Seung Rok;Yim, Jin Hee;Rieh, Hae-young
    • Journal of the Korean Society for information Management
    • /
    • v.34 no.1
    • /
    • pp.341-371
    • /
    • 2017
  • Recently, the web service environment has changed from document-centered to data-oriented focus, and the Linked Open Data (LOD) exists at the core of the new environment. Specific procedures and methods were examined to build the LOD of records information in accordance with this trend. With the service sustainability of small-scale archive in consideration, an exemplification on LOD building process by utilizing open source software was developed in this paper. To this end, a 5-step service framework for LOD construction was proposed and applied to a collection of diary records from 'Human and Memory Archive'. Proof of Concept (POC) utilizing open source softwares, Protege and Apache Jena Fuseki, was conducted according to the proposed 5 step framework. After establishing the LOD of record information by utilizing the open source software, the connection with external LOD through interlinking and SPARQL search has been successfully performed. In addition, archives' considerations for LOD construction, including improvement on the quality of content information, the role of the archivist, were suggested based on the understanding obtained through the LOD construction process of records information.

Storm-Based Dynamic Tag Cloud for Real-Time SNS Data (실시간 SNS 데이터를 위한 Storm 기반 동적 태그 클라우드)

  • Son, Siwoon;Kim, Dasol;Lee, Sujeong;Gil, Myeong-Seon;Moon, Yang-Sae
    • KIPS Transactions on Software and Data Engineering
    • /
    • v.6 no.6
    • /
    • pp.309-314
    • /
    • 2017
  • In general, there are many difficulties in collecting, storing, and analyzing SNS (social network service) data, since those data have big data characteristics, which occurs very fast with the mixture form of structured and unstructured data. In this paper, we propose a new data visualization framework that works on Apache Storm, and it can be useful for real-time and dynamic analysis of SNS data. Apache Storm is a representative big data software platform that processes and analyzes real-time streaming data in the distributed environment. Using Storm, in this paper we collect and aggregate the real-time Twitter data and dynamically visualize the aggregated results through the tag cloud. In addition to Storm-based collection and aggregation functionalities, we also design and implement a Web interface that a user gives his/her interesting keywords and confirms the visualization result of tag cloud related to the given keywords. We finally empirically show that this study makes users be able to intuitively figure out the change of the interested subject on SNS data and the visualized results be applied to many other services such as thematic trend analysis, product recommendation, and customer needs identification.

Clinical Significance of Serum Endothelin-1 and Interleukin-8 in Sepsis (패혈증에서 혈중 Endothelin-1 및 Interleukin-8의 임상적 의의)

  • Park, Kwang-Joo;Choi, Young-In;Oh, Yoon-Jung;Choi, Young-Hwa;Hwang, Sung-Chul;Lee, Yi-Hyeong
    • Tuberculosis and Respiratory Diseases
    • /
    • v.50 no.3
    • /
    • pp.300-309
    • /
    • 2001
  • Background : Sepsis is a clinical syndrome characterized by a systemic inflammatory and hemodynamic response to severe bacterial infections that involve various mediators. Endothelin (ET)-1, a potent vasoconstrictor is associated with mu1tiple organ failure, and interleukin (IL)-8, a proinflammtory cytokine, plays a major role in neurophil activation. Both have been reported to be useful parameters in the clinical assessment of sepsis. The levels of ET-1 and IL-8 in the blood were measured in patients with sepsis, and the correlation of both parameters and their relationship with the clinical data was assessed. Methods : 19 sepsis patients and 17 controls were studied. Blood samples of the sepsis patients were drawn in day 1, 3, 7, and 14. The APACHE III scores were calculated in concurrent days. The ET-1 and IL-8 levels were measured using immunoassay methods. Results : The ET-1 levels of patients with sepsis were significantly higher than in the controls. In patients with sepsis, non-survivors had higher ET-1 levels than survivors on day 1 and 7, and patients with shock also had higher ET-1 levels than normotensive patients on admission. The ET-1 levels were significantly correlated with the creatinine levels on day 1, 7, and 14. The IL-8 levels showed a significant correlation with the ET-1 levels on day 14. Conclusion : ET-1 was found to be closely related with the clinical outcome, shock, and renal failure, and showed a correlation with IL-8. These mediators can be considered not only to play pathophysiologic roles but also as useful parameters in the clinical assessment of sepsis.

  • PDF

A Study on the Development of IoT Inspection System for Gas Leakage Inspection in Kitchen Gas Range Built-in Method (주방 가스레인지 빌트인 방식에서 가스 누출검사를 위한 IoT 검사 시스템 개발에 관한 연구)

  • Kang, Dae Guk;Choi, Young Gyu
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
    • /
    • v.15 no.4
    • /
    • pp.283-290
    • /
    • 2022
  • In this study, an IoT inspection system that can be linked with a server was developed using a gas timer and ESP-01 Wi-Fi module installed on a gas valve in the home. The server environment of the gas leak IoT inspection system was installed with APM (Apache, PHP, MySQL) to collect gas pressure data by generation so that leakage checks could be performed. In order to control the gas leak IoT inspection system, the app inventory was used to manage the gas leak check value in real time. In addition, user convenience has been enhanced so that membership management, WiFi settings, and leakage check values can be checked through mobile apps. In order to manage subscribers by region, the user list was checked by logging in in in the administrator mode so that the information on whether or not the leak test was conducted and the results could be provided. In addition, when the user presses the gas leak check button, the pressure is automatically checked, and the measured value is stored in the server, and when a gas leak occurs, the leakage check is performed after alarm and repair so that it can be used if normal. In addition, in order to prevent overlapping membership, membership management can be performed based on MAC addresses.

PI Controller of BLDC Motor System embodied in Virtual laboratory (가상실험실 상에 구현한 BLDC 모터 시스템의 PI 제어기 설계)

  • Myoung, N.Y.;Baek, S.H.;Kim, Y.;Choi, J.S.
    • Proceedings of the KIEE Conference
    • /
    • 2001.07b
    • /
    • pp.825-827
    • /
    • 2001
  • In this paper, we made mathematical modeling of BLDC motor system and design of PI controller. Using Apache web-server and PHP web-programming, we embodied virtual laboratory for PI controller design of BLDC Motor system by using proportional constants$(K_P)$ and constants of integration$(K_I)$.

  • PDF

An Analysis of System calls for Web Server : Apache 2.0 MPM-worker (하이브리드 멀티 프로세스 멀티 스래드 방식 웹서버의 시스템 호출 오버해드 분석)

  • Yeom, Mi-Ryeong
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2003.05b
    • /
    • pp.1349-1352
    • /
    • 2003
  • 웹 서버는 CPU time의 대부분인 $75{\sim}78%$를 시스템 코드에서 소비하며 사용자 코드에서는 생각보다 많은 시간을 소비하지 않는다. 이것은 웹 서버의 성능에 운영체제가 많은 영향을 끼치고 있음을 암시하는 것이다. 본 논문에서는 Linux Trace Toolkit를 이용하여, 하이브리드 멀티 프로세스 멀티 스래드 방식의 아파치 웹 서버가 구동 중인 동안 호출되는 시스템 호출의 동작 과정과 역할에 대해 알아보고 어떤 시스템 코드에서 오버해드가 큰지를 분석하였다.

  • PDF