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      • KCI등재

        Investigation of the Cause of Readmission to the Intensive Care Unit for Patients with Lung Edema or Atelectasis

        Yoshinori Matsuoka,Akinori Zaitsu,Makoto Hashizume 연세대학교의과대학 2008 Yonsei medical journal Vol.49 No.3

        Purpose: For patients with acute respiratory failure due to lung edema or atelectasis, Surplus lung water that is not removed during an initial stay in the Intensive Care Unit (ICU) may be related to early ICU readmission. Therefore, we performed a retrospective study of patient management during the first ICU stay for such patients. Materials and Methods: Of 1,835 patients who were admitted to the ICU in the 36 months from January, 2003 to December, 2005, 141 were patients readmitted, and the reason for readmission was lung edema or atelectasis in 21 patients. For these 21 patients, correlations were investigated between body weight gain at the time of initial ICU discharge (weight upon discharge from the ICU ÷ weight when entering the ICU) and the time to ICU readmission, between body weight gain and the P/F ratio at ICU readmission, between the R/E ratio (the period using a respirator (R) ÷ the length of the ICU stay after extubation (E)) and the time to ICU readmission, between the R/E ratio and body weight gain, and between body weight gain until extubation and the time to extubation. Results: A negative linear relationship was found between body weight gain at the time of initial ICU discharge and the time to ICU readmission, and between body weight gain at the time of ICU discharge and the P/F ratio at ICU readmission. If body weight had increased by more than 10% at ICU discharge or the P/F ratio was below 150, readmission to the ICU within three days was likely. Patients with a large R/E ratio, a large body weight gain, and a worsening P/F ratio immediately after ICU discharge were likely to be readmitted soon to the ICU. Loss of body weight during the period of respirator support led to early extubation, since a positive correlation was found between the time to extubation and body weight gain. Conclusion: Fluid management failure during the first ICU stay might cause ICU readmission for patients who had lung edema or atelectasis. Therefore, a key to the prevention of ICU readmission is to ensure complete recovery from lung failure before the initial ICU discharge. Strict water management is crucial based on body weight measurement and removal of excess lung water is essential. In addition, an apparent improvement in respiratory state may be due to respiratory support, and such an improvement should be viewed cautiously. Loss of weight at the refilling stage of transfusion prevents ICU readmission and may decrease the length of the ICU stay.

      • KCI등재

        Tradition and Japanese vegetables: history, locality, geography, and discursive ambiguity

        Yuta Uchiyama,Yoshinori Fujihira,Hikaru Matsuoka,Ryo Kohsaka 한국식품연구원 2017 Journal of Ethnic Foods Vol.4 No.3

        Background: Traditional vegetables are produced and consumed throughout Japan. Individual vegetables, including Kyo vegetables and Kaga vegetables, are individually defined with their own criteria for history and quality standards and are registered in their respective regions. Several traditional vegetables are utilized as symbols of regional revitalization. For example, Kaga vegetables are tourist attractions, and Noto vegetables are promoted in the Noto region and were registered under the Globally Important Agricultural Heritage Systems (GIAHS). Methods: We will review the distribution, public standards, and definitions of dento-yasai, traditional Japanese vegetables. Quantitative analysis on the status of the branding of traditional vegetables will be conducted. Results: First, the ambiguity and distribution of traditional vegetables are demonstrated. Next, as a case study, the results of a quantitative analysis of Kaga vegetables and Noto vegetables are provided. Kaga vegetables have their own quality standards and definition, and producers have acknowledged the positive impact of the regional certification, GIAHS, on the amount sold. However, a social conflict has been caused by their standards and definition. On the other hand, Noto vegetables do not have a strict quality standard, and they were registered relatively recently. Because of their comparatively lax standard, producers could not acknowledge the positive impacts of GIAHS certification. Conclusion: Origins of traditional Japanese vegetables and relationships with their regions have innumerable ambiguous points. The results of the analysis of two types of traditional vegetables show that quality standards and definitions strongly influence branding and brand management.

      • KCI등재

        Discrete element simulations of continental collision in Asia

        Tanaka Atsushi,Sanada Yoshinori,Yamada Yasuhiro,Matsuoka Toshifumi,Ashida Yuzuru Korean Society of Earth and Exploration Geophysici 2005 지구물리와 물리탐사 Vol.8 No.1

        조립질 물질을 이용한 축소모형실험(예를 들어 모래상자실험)을 다양한 크기의 많은 지질학적 문제에 성공적으로 적용되어왔다. 이러한 물리적 실험은 개별요소법(DEM)을 이용하여 수치적으로도 수행될수 있다. 이연구에서는 현재 지구상에서 가장 중요한 지구조적 과정 중의 하나인 인도판과 유라시아판의 충돌문제를 시뮬레이션하기 위해 개별요소법을 적용하였다. 개별요소 시뮬레이션은 구조지질학뿐만 아니라 토질역학, 암석역학 등의 다양한 동역학적 분야에 적용되어왔다. 조사대상이 많은 작은 입자들의 조합으로 가정되기 때문에 개별요소 시뮬레이션은 거대하고 불연속적인 변형이 일어나는 대상을 다룰 수 있다. 그러나 DEM 시뮬레이션에서는 개개 입자에 대한 입력변수들과 전체 물성의 관계에 대해 거의 알려져 있지 않기 때문에 입력 변수들의 타당성을 검증하기 어려운 경우가 자주 있다. 그러므로 이전의 연구들에서는 시행착오에 의해 입력변수를 조정하여만 하였다. 이러한 어려움을 극복하기 위하여, 이 연구에서는 개별요소 시뮬레이션에 수치적인 이축 시험을 도입하였으며, 이러한 수치 시험 결과를 이용하여 충돌 모델에 사용되는 입력변수의 타당성을 검토하였다. 결과적인 층돌 모델은 동 아시아에서 관측되는 실제 변형과 매우 비슷하며, GPS 자료 및 동 아시아의 원위치 응력자료와 잘 대비된다.

      • KCI등재

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