• Title/Summary/Keyword: specific discharge

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Cancer Patients' Needs When Chemotherapy Ends (항암화학요법 종료 시기 암환자의 요구)

  • Han, Kyung-Ja;Lee, Eun-Ok;Kim, Mae-Ja;Park, Young-Sook;Hah, Yang-Sook;Song, Mi-Soon;Chung, Chae-Weon;Park, Sung-Hee;Kim, Bo-Yul
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.107-115
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    • 2005
  • Purpose: The present study was designed to identify cancer patients' needs when chemotherapy ends. Method: In-depth interview with focus questions was applied for the study. The participants were recruited from the patients receiving cancer chemotherapy in a university hospital. They were seven cancer patients with stomach cancer and two with liver cancer at the ending period of their chemotherapy protocol. Participants were interviewed on discharge date of last treatment and when they returned for the first outpatient follow-up. The focus question was 'what are your needs at this point?' The interviews were audio-taped and transcribed before analysis. The data were analyzed for common categories, special analytic categories, and conceptual categories. Results: Thirty two common categories, ten special analytic categories, and six conceptual categories were identified as patient's needs. The six conceptual categories were comfort needs, social needs, information needs, humanism needs, environmental needs, and self-efficacy needs. Conclusion: There were characteristic specific patients' needs when chemotherapy ends. There are needs to develop and to apply nursing intervention for cancer patients.

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Symmetrical Multipartite of Lateral Fabella in a Small Breed Dog (소형견에서 외측 무릎 종자뼈의 대칭적 다분화)

  • Cho, Young-Kwon;Lee, Ki-Chang
    • Journal of Veterinary Clinics
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    • v.26 no.6
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    • pp.655-658
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    • 2009
  • An 11-year-old, female, Maltese dog was presented with abdominal distension and intermittent slight lameness on left hindlimb. Palpable abdominal pain and purulent vaginal discharge were observed on physical examination. Severe leukopenia with toxic change, and azotemia, hyperphosphatemia, and hyponatremia were identified on blood profile. On radiographs and abdominal sonograms, remarkable soft tissue mass containing echogenic material deviating intestines craniodorsally compatible with pyometra. On stifle radiographs, 4-5 fragmented sesamoid bone (fabella) was identified on both stifle joint with medial patella luxation. Immediate ovariohysterectomy was performed and the patient was recovered well with normal blood work. No specific treatment was attempted to the left hindlimb showing minimal and intermittent lameness. No remarkable abnormal gait was reported for 3-month follow-up period. The fragmented lateral fabella is considered congenital multipartite of lateral fabella not related to the lameness.

TheMagneticFieldDistributionAnalysisandOpticalCharacteristicsfortheRing-ShapedElectrodelessFluorescentLamp. (환형무전극형광램프의자계분포해석과광학적특성에관한연구)

  • Jo Ju-Ung;Lee Jong-Chan;Choi Yong-Sung;Kim Yong-Kap;Park Dae-Hee
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.54 no.6
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    • pp.255-261
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    • 2005
  • Recently, the RF inductive discharge or inductively coupled plasma continues to attract growing attention as an effective plasma source in many industrial applications, the best known of which are plasma processing and lighting technology. To the point of lighting sources, the ring-shaped electrodeless fluorescent lamps utilizing an inductively coupled plasma have been objects of interest and research during the last decades, mainly because of their potential for extremely long life, high lamp efficacies, rapid power switching response. In this paper, maxwell 3D finite element analysis program (Ansoft) was used to obtain electromagnetic properties associated with the coil and nearby structures. The electromagnetic emitting properties were presented by 3D simulation software operated at 250 kHz and some specific conditions. The electromagnetic field in the ferrite core was shown to be high and symmetric. An LS-100 luminance meter and a Darsa-2000 spectrum analyzer were used in the experiment. According to data on the lamp tested using high magnetic field ferrite, the optical and thermal wave fields were shown to be high around the ring-shaped electrodeless fluorescent lamp. The optical or light field was high at the center of the bulb rather than around the ferrite core. The light conditions of the bulb were assumed to be complex, depending on the condition of the filler gas, the volume of the bulb, and the frequency of the inverter. Our results have shown coupling between the gas plasma and the field of the light emitted to be nonlinear.

Synbiotics use for preventing sepsis and necrotizing enterocolitis in very low birth weight neonates: a randomized controlled trial

  • Pehlevan, Ozge Serce;Benzer, Derya;Gursoy, Tugba;Karatekin, Guner;Ovali, Fahri
    • Clinical and Experimental Pediatrics
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    • v.63 no.6
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    • pp.226-231
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    • 2020
  • Background: Probiotics and prebiotics have strain-specific effects on the host. Synbiotics, a mixture of probiotics and prebiotics, are proposed to have more beneficial effects on the host than either agent has alone. Purpose: We performed a randomized controlled trial to investigate the effect of Lactobacillus and Bifidobacterium together with oligosaccharides and lactoferrin on the development of necrotizing enterocolitis (NEC) or sepsis in very low birth weight neonates. Methods: Neonates with a gestational age ≤32 weeks and birth weight ≤1,500 g were enrolled. The study group received a combination of synbiotics and lactoferrin, whereas the control group received 1 mL of distilled water as placebo starting with the first feed until discharge. The outcome measures were the incidence of NEC stage ≥2 or late-onset cultureproven sepsis and NEC stage ≥2 or death. Results: Mean birth weight and gestational age of the study (n=104) and the control (n=104) groups were 1,197±235 g vs. 1,151±269 g and 29±1.9 vs. 28±2.2 weeks, respectively (P>0.05). Neither the incidence of NEC stage ≥2 or death, nor the incidence of NEC stage ≥2 or late-onset culture-proven sepsis differed between the study and control groups (5.8% vs. 5.9%, P=1; 26% vs. 21.2%, P=0.51). The only significant difference was the incidence of all stages of NEC (1.9% vs. 10.6%, P=0.019). Conclusion: The combination of synbiotics and lactoferrin did not reduce NEC severity, sepsis, or mortality.

Readmission Rate: Experience in USA, Canada and UK (미국, 캐나다, 영국의 재입원율 활용 현황)

  • Lee, Sang-Ah;Ju, Yeong-Jun;Shin, Jae-Yong;Park, Eun-Cheol;Lee, Hoo-Yeon
    • Quality Improvement in Health Care
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    • v.22 no.1
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    • pp.29-37
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    • 2016
  • Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

Noise Evaluation Algorithm for Applying Complex Denoising Technique in On-line Partial Discharge Diagnosis System for Power Apparatus (전력기기의 운전중 부분방전 진단장치에서 복합잡음제거 적용을 위한 잡음평가 알고리즘)

  • Yi, Sang-Hwa;Youn, Young-Woo;Choo, Young-Bae;Kang, Dong-Sik
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.23 no.2
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    • pp.70-76
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    • 2009
  • This paper introduces an evaluation code, which can numerically express the noise possessing degree of signals. By using this code, the best kind and setting of noise suppressing techniques can be chosen automatically. This code is applied to three kinds of specific denoising techniques; those are simple noise removing method in the count versus phase distribution, fuzzy logic method based on noise type in magnitude versus phase plot, and lastly, the technique using grouping characteristics of PD pulses in 3D plot of magnitude versus phase versus cycle. The algorithm shows good performance in the various real PD signals measured from various high voltage apparatuses in Korea.

Development of Road Tunnel Ventilation System with Electrostatic Precipitator (도로터널용 전기집진시스템 개발)

  • Kim, Jong-Ryul;Weon, Jong-Oung
    • Proceedings of the SAREK Conference
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    • 2008.11a
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    • pp.80-83
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    • 2008
  • As SOC (Social Overhead Capital) has been expanded, the highway road construction has been accelerated and city road system has been more complicated. So, long road tunnels have been increased and traffic flow rate also has been raised. Accordingly, the exhausting gas of vehicle cars seriously deteriorates the tunnel inside air quality and driving view. In order to improve tunnel inside air quality, we may need to introduce a compulsory ventilation system as well as natural ventilation mechanism. The natural ventilation mechanism is enough for short tunnels, meanwhile longer tunnels require a specific compulsory ventilation facility. Many foreign countries already have been devoting on development of effective tunnel ventilation system and especially, some European nations and Japan have already applied their developed tunnel ventilation system for longer road tunnels. More recently, as the quality of life improved, our concerns about safety of driving and better driving environment have been increased. In order to obtain clearer and longer driving view, we are more interested in EP tunnel ventilation system in order to remove floating contaminants and automobile exhaust gas. Evan though it's been a long time since many European countries and Japan applied more economical and environment-friendly tunnel ventilation system with their self-developed Electrostatic Precipitator, we are still dependant on imported system from foreign nations. Therefore, we need to develop our unique technical know-how for optimum design tools through validity investigation and continuous possibility examination, eventually in order to localize the tunnel ventilation system technology. In this project, we will manufacture test-run products to examine the performance of system in order to develop main parts of tunnel ventilation system such as electrostatic precipitator, high voltage power generator, water treatment system, etc.

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The Effects of Preoperative Nursing Instruction on tile Physical and Emotional Recovery of Pediatric Surgical Patients - An Experimental Study- (소아의 수술전 환자교육이 신체 및 정서에 미치는 영향)

  • 심치정
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.44-56
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    • 1974
  • Very few studies regarding the effects of preoperative nursing intervention on children's welfare after surgery have been conducted. The purpose of this study was 1) to evaluate the effects of preoperative nursing instructions on children's physical recovery and emotional state after surgery and 2) to analyse the relationship between the effects of preoperative nursing instructions and the age and general anxiety of child. The study was conducted flow: August 15th to October 30th at Severance Hospital, Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to 14, participated in the study. Twenty patients, randomly selected, were visited by the experimenter in the evening before, surgery and received specific preoperative nursing instructions. These instructions were designed to alleviate emotional stress and were adopted to the age of child. The postoperative recovery of these patients were then compared with a randomly selected control group of 21 patients who received only the routine preoperative care by the staff in the hospital Dependent variable were vomiting, pain medication, ability to void, elevation of temperature, infection, the between surgery and hospital discharge and postoperative emotional stress which was measured by the vital signs. Because of the limitation of the sample size it was difficult to obtain valid statistical results. However, the analysis of the raw data indicates that: 1) the preoperative nursing instructions appears to promote physical recovery and it seems especially effective in preventing elevation of temperature and shortening the length of the hospital stay, 2) the preoperative nursing instruction also seems to be effective in relieving the child's emotional stress(situational anxiety) after surgery, 3) the patient's general anxiety level preparatively seems to be a predictor of postoperative problems, 4) the preoperative nursing instructions were an effective means of promoting physical recovery in every age group as long as the child understood the instructions. The above data would seem to indicate that all preoperative pediatric patients four years of age or older, if they can understand, should have preoperative nursing instruction in order to alleviate postoperative stress and enhance physical recovery. The level of general anxiety preparatively deserves special attention since the amount of nursing instruction needed seems to vary with tile level of anxiety.

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Rainfall-Runoff Characteristics in a Jeju Stream considering Antecedent Precipitation (선행강우를 고려한 제주하천 유출특성 분석)

  • Yang, Sung-Kee;Kim, Dong-Su;Jung, Woo-Yul
    • Journal of Environmental Science International
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    • v.23 no.4
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    • pp.553-560
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    • 2014
  • The rainfall-runoff characteristics in Jeju Island significantly differ from those in inland, due to highly permeable geologic features driven by volcanic island. Streams are usually sustained in the dry conditions and thereby the rainfall-runoff characteristics changes in terms of initiating stream discharge and its types, depending highly on the antecedent precipitation. Among various the rainfall-runoff characteristics, lag time mainly used for flood warning system in river and direct runoff ratio for determining water budget to estimate groundwater recharge quantity are practically crucial. They are expected to vary accordingly with the given antecedent precipitation. This study assessed the lag time in the measured hydrograph and direct runoff ratio, which are especially in the upstream watershed having the outlet as $2^{nd}$ Dongsan bridge of Han stream, Jeju, based upon several typhoon events such as Khanun, Bolaven, Tembin, Sanba as well as a specific heavy rainfall event in August 23, 2012. As results, considering that the lag time changed a bit over the rainfall events, the averaged lag time without antecedent precipitation was around 1.5 hour, but it became increased with antecedent precipitation. Though the direct run-off ratio showed similar percentages (i.e., 23%)without antecedent precipitation, it was substantially increased up to around 45% when antecedent precipitation existed. In addition, the direct run-off ration without antecedent precipitation was also very high (43.8%), especially when there was extremely heavy rainfall event in the more than five hundreds return period such as typhoon Sanba.

Manganese Doped LiFePO4 as a Cathode for High Energy Density Lithium Batteries (고에너지밀도 리튬전지를 위한 망간이 첨가된 LiFePO4 양극재료)

  • Kim, Dul-Sun;Kim, Jae-Kwang;Ahn, Jou-Hyeon
    • Journal of the Korean Electrochemical Society
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    • v.16 no.3
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    • pp.157-161
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    • 2013
  • Porous $LiMn_{0.6}Fe_{0.4}PO_4$ (LMFP) was synthesized by a sol-gel process. Uniform dispersion of the conductive carbon source throughout LMFP with uniform carbon coating was achieved by heating a stoichiometric mixture of raw materials at $600^{\circ}C$ for 10 h. The crystal structure of LMFP was investigated by Rietveld refinement. The surface structure and pore properties were investigated by SEM, TEM and BET. The LMFP so obtained has a high specific surface area with a uniform, porous, and web-like nano-sized carbon layer at the surface. The initial discharge capacity and energy density were 152 mAh/g and 570 Wh/kg, respectively, at 0.1 C current density, and showed stable cycle performance. The combined effect of high porosity and uniform carbon coating leads to fast lithium ion diffusion and enhanced electrochemical performance.