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극단 저체중 신생아에서의 동맥관 개존증 결찰술을 위한 진정맥 마취 경험 2례
최영균,고명진,이상은,조광래,김영환,임세훈,이정한,이근무,정순호,김영재,신치만 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-
Running title: Cases of anesthesia for extremely low birth weight infant. Extremely low birth weight infants (birth weight < 1000 g) are prone to various morbidities such as respiratory distress syndrome, intraventricular hemorrhage, periventricular leukomalacia, patent ductus arteriosus, necrotizing enterocolitis and retinopathy. To accomplish successful anesthetic management, many precautions must be continuously taken during the operation. First, inspired oxygen concentration should be adjusted to avoid oxygen toxicity. Second, body temperature must be maintained adequately. Third, hemodynamic parameters should be kept stable. We report 2 cases of successful anesthetic management for extremely low birth weight infant who underwent ligation of patent ductus arteriosus at the neonatal intensive care unit.
Ko Ryoung-Eun,Kwon Oyeon,Cho Kyung-Jae,Lee Yeon Joo,Kwon Joon-myoung,Park Jinsik,Kim Jung Soo,Kim Ah Jin,Jo You Hwan,Lee Yeha,Jeon Kyeongman 대한의학회 2022 Journal of Korean medical science Vol.37 No.16
Background: The quick sequential organ failure assessment (qSOFA) score is suggested to use for screening patients with a high risk of clinical deterioration in the general wards, which could simply be regarded as a general early warning score. However, comparison of unselected admissions to highlight the benefits of introducing qSOFA in hospitals already using Modified Early Warning Score (MEWS) remains unclear. We sought to compare qSOFA with MEWS for predicting clinical deterioration in general ward patients regardless of suspected infection. Methods: The predictive performance of qSOFA and MEWS for in-hospital cardiac arrest (IHCA) or unexpected intensive care unit (ICU) transfer was compared with the areas under the receiver operating characteristic curve (AUC) analysis using the databases of vital signs collected from consecutive hospitalized adult patients over 12 months in five participating hospitals in Korea. Results: Of 173,057 hospitalized patients included for analysis, 668 (0.39%) experienced the composite outcome. The discrimination for the composite outcome for MEWS (AUC, 0.777; 95% confidence interval [CI], 0.770–0.781) was higher than that for qSOFA (AUC, 0.684; 95% CI, 0.676–0.686; P < 0.001). In addition, MEWS was better for prediction of IHCA (AUC, 0.792; 95% CI, 0.781–0.795 vs. AUC, 0.640; 95% CI, 0.625–0.645; P < 0.001) and unexpected ICU transfer (AUC, 0.767; 95% CI, 0.760–0.773 vs. AUC, 0.716; 95% CI, 0.707–0.718; P < 0.001) than qSOFA. Using the MEWS at a cutoff of ≥ 5 would correctly reclassify 3.7% of patients from qSOFA score ≥ 2. Most patients met MEWS ≥ 5 criteria 13 hours before the composite outcome compared with 11 hours for qSOFA score ≥ 2. Conclusion: MEWS is more accurate that qSOFA score for predicting IHCA or unexpected ICU transfer in patients outside the ICU. Our study suggests that qSOFA should not replace MEWS for identifying patients in the general wards at risk of poor outcome.
Ko, Tae-Jun,Kim, Sae Hoon,Hong, Bo Ki,Lee, Kwang-Ryeol,Oh, Kyu Hwan,Moon, Myoung-Woon American Chemical Society 2015 ACS APPLIED MATERIALS & INTERFACES Vol.7 No.9
<P>Reliable operation of a proton exchange membrane fuel cell requires proper water management to prevent water flooding in porous carbon materials such as the gas diffusion layer (GDL). In contrast to the conventional GDL that uses the “wet” dip-coating process with solvent and expensive polytetrafluoroethylene, we have proposed a novel GDL with a controlled hydrophobic silicone (i.e., hexamethyldisiloxane) nanolayer by a highly efficient and cost-effective “dry” deposition process. The GDL with the nanolayer exhibited an increased contact angle, decreased contact angle hysteresis, and suppressed water condensation. Even though the GDL with the nanolayer had a higher electrical resistance than the pristine GDL, the cell performance of the GDL with an optimum nanolayer thickness of 8.6 nm was practically the same as that of the pristine GDL under normal operating conditions. Under a supersaturated condition, the GDL with optimum nanolayer thickness exhibited much higher cell performance than the pristine GDL over all current densities due to enhanced hydrophobicity. Long-term operational stability and dynamic response of the GDL with the nanolayer were much improved over those of the pristine GDL.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/aamick/2015/aamick.2015.7.issue-9/acsami.5b00088/production/images/medium/am-2015-00088v_0009.gif'></P>