Kim, Nam-Kyun;Kim, Min-Ju;Jang, Hyo-Mi;Song, Joong-Hyun;Yu, Do-Hyeon;Hwang, Tae-Sung;Lee, Hee-Chun;Jung, Dong-In
Journal of Veterinary Clinics
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v.34
no.5
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pp.388-391
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2017
A 8-month-old, spayed female, Domestic shorthair cat lived in a shelter was presented with pelvic limbs ataxia and dysuria. Serum biochemical profile abnormalities were hyperproteinemia and decreased albumin/globulin (A:G) ratio (0.70). Results of cerebrospinal fluid (CSF) analysis were mixed cells pleocytosis with predominance neutrophils and an increase in protein concentration. In addition, feline coronavirus was detected by realtime RT-PCR in CSF. Magnetic resonance imaging (MRI) findings revealed lesions of the lumbar spinal cord. Based on clinical signs, MR finding, CSF analysis and realtime RT-PCR result in CSF, this case was diagnosed as feline infectious peritonitis (FIP) associated meningomyelitis. Although prednisolone and mycophenolate mofetil were administrated, clinical signs were not resolved and progressed to tetraplegia and coma status. This case presentation describes that feline infectious peritonitis virus could affect the lumbar spinal cord only and cause meningomyelitis with pelvic limbs ataxia without other neurological signs.
Purpose: study of the mutual influence of the individual anatomical regions damage in patients associated with falls from heights. Methods: 561 medical reports of patients associated with falls from heights admitted to Republican Research Center of Emergency Medicine (RRCEM), in period of 2010-2013 yy, were analyzed retrospectively. Patient's age range was from 15 to 89. Treatment of these patients held in three stages: period of acute disorders of vital functions; relative stabilization period; stabilization of vital functions. The scope and content of medical diagnostic procedures performed on pre-hospital and intensive care stages. The severity of each injury was scored according to the AIS scale, the total severity of lesions was scored by points due to ISS. Digital material is treated by methods of mathematical statistics. Results: Falls from heights leads to associated injuries for 4 times more than isolated trauma, and increases according to height of fall and falling surface. Patients with TBI+chest trauma, are most serious contingent that has highest mortality and complications (36.8%). TBI+musculoskeletal system trauma are characterized by high blood loss, traumatic shock and fat embolism, forming a vicious circle. Conclusion: in patients associated with falls from heights clinical manifestations of injuries mutual aggravation syndrome will be seen. TBI leads to complication of chest trauma, delayed diagnostics of abdominal and chest trauma, aggravation of coma condition. Developing of high blood loss and fat embolism in musculoskeletal system trauma leads to shock and pulmonary embolism, which increases probability of death in the presence of abdominal or chest trauma, but abdominal trauma or chest trauma has no significant effect on the severity of the musculoskeletal system trauma.
Purpose: The present study will identify risk factors for aspiration in severe trauma patients by comparing patients who showed a sign of aspiration lung disease on chest computed tomography (CT) and those who did not. Methods: We conducted a retrospective review of the Korean Trauma Data Bank between January 2014 and December 2019 in a single regional trauma center. The inclusion criteria were patients aged ≥18 years with chest CT, and who had an Injury Severity Score ≥16. Patients with Abbreviated Injury Scale (AIS)-chest score ≥1 and lack of medical records were excluded. General characteristics and patient status were analyzed. Results: 425 patients were included in the final analysis. There were 48 patients showing aspiration on CT (11.2%) and 377 patients showing no aspiration (88.7%). Aspiration group showed more endotracheal intubation in the ER (p=0.000) and a significantly higher proportion of severe Glasgow Coma Scale (GCS) (p=0.000) patients than the non-aspiration group. In AIS as well, the median AIS head score was higher in the aspiration group (p=0.046). Median oxygen saturation was significantly lower in the aspiration group (p=0.002). In a logistic regression analysis, relative to the GCS mild group, the moderate group showed an odds ratio (OR) for aspiration of 2.976 (CI, 1.024-8.647), and the severe group showed an OR of 5.073 (CI, 2.442-10.539). Conclusions: Poor mental state and head injury increase the risk of aspiration. To confirm for aspiration, it would be useful to perform chest CT for severe trauma patients with a head injury.
Kang, Min Jin;Lim, Jee Yong;Oh, Sang Hoon;Kim, Han Joon;Kim, Young-Min
Journal of The Korean Society of Clinical Toxicology
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v.13
no.2
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pp.95-102
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2015
Purpose: Drug overdose is easily found in the emergency department (ED). Sedative-hypnotics overdose causes the aspiration pneumonia in patients with decreased mental status. The purpose of this study was to investigate the risk factors of aspiration pneumonia in patients poisoned with sedative-hypnotics. Methods: One hundred seventy eight patients who were poisoned with sedative-hypnotics and who visited ED between 2009 and 2015 were included. This study was conducted retrospectively, with collection of data by review of medical records. We collected the data concerning the characteristics of patients and classified them into two groups based on the development of aspiration pneumonia. Logistic regression analysis was performed to investigate the factors for the development of aspiration pneumonia. Results: Thirty five patients had an aspiration pneumonia during their hospital stay in 178 patients. The age, amount of ingestion, Glasgow Coma Scale (GCS) score at admission, a history of hypertension and diabetes mellitus, and the hypotension at admission were significantly different between two groups in univariate analysis. The age, amount of ingestion and GCS score at admission were associated with the development of aspiration pneumonia in the multivariate logistic regression analysis (OR 1.028 (95%CI, 1.002-1.056, p=0.037), 1.026 (95%CI, 1.004-1.043, p=0.001), 0.737 (95%CI, 0.683-0.915, p=0.002)). All patients with aspiration pneumonia were discharged without a sequelae. Conclusion: The development of aspiration pneumonia in the patients of sedative-hypnotics overdose is associated with old age, amount of drug ingestion, and GCS score at admission.
Diabetes Mellitus is a worldwide disease affecting millions of persons and appears to be on the increase in Korea. At the present time it can not be cured but can be controlled. To achieve control the patient must know about the disease. Education of the patient is an essential part of the management of the diabetic and is the responsibility of the nurse. The educational program must be adapted according to patient's knowledge and attitude about their diseases. Therefore, the opportunity to assess the knowledge and attitude of diabetics must provided. The objectives of this study were : 1. To describe the general characteristics of the study population. 2. To find out the characteries of experience of treatment. 3. To exams the knowledge and attitude of diabetics about the self-control. 4. To learn the influencing factors affecting the knowledge and attitude of diabetics about self - control. The study population defined and selected was 65 diabetics registered at the Diabetic Clinic of 5. hospital who visited the Diabetic Clinic from April 16, 1976 to May 14, 1976. The direct interview method was used. Statistical analysis of the data was X²- test. The following results were obtained : A. General characteristics of the study population : The respondent's average age was 50. 8 years old, sex ratio(male to female) revealed as 1 : 1.1, economic background was upper middle class, the most respondents had better than- average education, 75.4 Percents of the respondents lived in Seoul, 47. 2 percents were unemployed, the average size of family was 5.3 and 47.7 percents of respondents had religions. B. The characteristics of clinical experience : The average duration was 7.0 years, 46.1 percents of respondents had experience of hospitalization, 56.9 percents was taking oral drugs, 67.7 percents examined urine- sugar at home, 60.0 Percents had treat compilations and 20.0 percents had experience of coma. C. There was significant difference in the relationship : Between complications and durations of diabetes, hospitalization and therapeutic methods.
Polarization is a rich source of information on the physical properties of astronomical objects. In particular, scattered sunlight by optically thin media (e.g., cometary comae) shows linear polarization of light, which highly depends on the phase angle (an angle between the Sun-Comet-Earth), wavelengths, and physical properties of cometary dust particles such as size, composition, and structures. Here, we present a study of polarimetric properties of non-periodic comet C/2013 US10 (Catalina) in optical and near-infrared wavelength regions obtained from imaging, spectroscopy, and polarimetric observations taken on UT 2015 December 17 - 19 welcoming its (probably) first close approach to the Earth. In this presentation, we want to introduce our progress since the last Korean Astronomical Society meeting (at BEXCO, Busan, 2016 April 14 - 15) especially in terms of spatial variations of degree of linear polarization (DOLP) and its possible scenarios to explain the correlations with other observational results. In particular, we found that there is strong anti-correlation between the gas/dust flux ratio and DOLP at the cometocentric distance of $(2-5){\times}104 km$. Besides, within 10 arcseconds in radii (corresponding to inner coma region of 104 km from the center), the inverse relationship of these two parameters does not hold anymore. We conjecture that the rapid outward increase of DOLP can be supported by either the sublimation/evaporation of icy volatiles, disaggregation of cometary dust particles ejected from the nucleus, and/or difference of dominant dust particle sizes. From our results, we can conclude that comet C/2013 US10 (Catalina) corroborates rather indefinite traditional classification of poalrimetric classes of comets, and provides good opportunity to study less processed material which probably cherishes its memory at the formation epoch of the Solar System.
Purpose: The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy. Methods: This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, $\chi^2$-test and logistic regression analyses were used for data analysis. Results: The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (${\leq}7$ days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (${\leq}7$ scores) (OR=4.71, 95% CI=1.64-13.50). Conclusion: The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.
The Transactions of the Korea Information Processing Society
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v.3
no.5
/
pp.1253-1261
/
1996
The base station (BS) of CDMA mobile system (CMS) provides mobile call services by controlling call processing functions. The call Processing part of the BS is divided into two components; the base station transceiver subsystem (BTS) and the base station controller (BSC). In this paper, we present the call capacity estimation of the BS about control signals and traffic data of calls by the simulation, and find the bottleneck points and problems which may occur in the BS. In order to estimate the call capacity, first we extract the major parameters for the modeling the BS. Second, we suggest the simulation model for the BS. Third, we estimate the simulation results by finding major objective factors such that the call blocking probability, the utilization ratio and the delay time in the traffic channel elements (TCEs), the BTS interconnection network (BIN)-COMA interconnection network (CIN) trunks, the transcoding channels and the CIN packet router.
The aim of this study was to explore the role of galaxy mergers on the formation and evolution of galaxies in galaxy clusters. For this purpose, u', g', r' deep optical imaging and multi-object spectroscopic observation were done for four rich Abell clusters at z ${\lesssim}$ 0.1 (A119, A2670, A3330, and A389) with a MOSAIC 2 CCD and Hydra spectrograph mounted on a Blanco 4-m telescope at CTIO. With the deep images, we found that about 25% of the bright red-sequence galaxies exhibited post-merger signatures in a cluster environment. This fraction was much higher than what was expected from the results of the field environment (-35%, van Dokkum 2005) and significantly low on-going merger fractions (about one-fifth of the field) appeared in the clusters currently. Taking advantage of the most up-to-date semi-analytic model, the results indicate that most of the post-merger galaxies may have carried over their merger features from their previous halo environment. All the brightest cluster galaxies in our cluster samples revealed faint structures in their halos as well as multiple nuclei in their centers seen in the deep optical images. We suggest that the mass of the BCGs increased mainly though major mergers at recent epochs based on their post-merger signatures and the large gaps in the total magnitudes between the BCGs and the second-rank BCGs. A UV bright tidal tail and tidal dwarf galaxy (TDG) candidates around the post-merger galaxy, NGC 4922, were discovered in the outskirts of the Coma cluster using the GALEX UV data. We did two-component stellar population modeling for the TDG candidates and the results indicate that they are an early form of dwarf galaxies frequently found around massive early-type galaxies in clusters. In conclusion, we suggest that the mergers of galaxies are an important driving force behind galaxy formation and evolution in cluster environments even until recent epochs.
Interplanetary space of the solar system contains a large number of dust particles, referred to as Interplanetary Dust Particles (IDPs) cloud complex. They are observable through meteors and zodiacal lights. The relative contribution of possible sources to the IDPs cloud complex was an controversial topic, however, recent research (Yang & Ishiguro, 2015 and references therein) suggested a dominance of cometary origin. In this study, we numerically investigated the orbital evolution of cometary dust particles, with special concerns on different evolutionary tracks and its consequences according to initial orbits, size and particle shape. The effect of dust particle density and initial size-frequency distribution (SFD) were not decisive in total cloud complex mass and mass supply rate, when these physical quantities are confined by observed zodiacal light brightness and dust particle SFD at 1 au. We noticed that, if we assume the existence of fluffy aggregates discovered in the Earth's stratosphere and the coma of 67P/Churyumov-Gerasimenko, the required mass supply rate decreases significantly. We also found out that close encounters with planets (mostly Jupiter) are the dominating factor of the orbital evolution of dust particles, as the result, the lifetime of cometary dust particles are shorter than Poynting-Robertson lifetime (around 250 thousand years). As another consequence of severe close encounters, only a small fraction of cometary dust particles can be transferred into the orbit < 1 au. This effect is significant for large size particles of ${\beta}$ < 0.01. The exceptional cases are dust particles ejected from 2P/Encke and active asteroids. Because they rarely encounter with Jupiter, most dust particles ejected from those objects are governed by Poynting-Robertson effect and well transferred into the orbits of small semimajor axis. In consideration of the above effects, we directly estimated probability of mutual collisions between dust particles and concluded that mutual collisions in the IDPs cloud complex is mostly ignorable, except for the case of large sized particles from active asteroids.
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