• Title, Summary, Keyword: Insertion

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Which is the proper insertion method of laryngeal mask airway according to the rescuer's position? : Comparison between index finger insertion and thumb insertion (구조자의 위치에 따른 적절한 후두마스크기도기 삽입방법은 무엇일까? : 검지손가락법과 엄지손가락법의 비교)

  • Chun, Kyoung-Ha;Moon, Jun-Dong
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.3
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    • pp.7-16
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    • 2017
  • Purpose: The purpose of the study was to investigate the effects of laryngeal mask airway (LMA) insertion from different positions, using different methods, on the quality of the insertion, for identifying a more convenient and effective insertion method. Methods: In a model ambulance, 30 paramedic students performed the LMA insertion procedure, in four different settings, combinations of the rescuer's position (at the head end of the patient, at the side of the patient), and insertion technique (index finger insertion, thumb insertion), in a randomized order. Quality of insertion index and convenience of use were measured. Results: The quality of insertion index (tidal volume, gastric insufflation, airway pressure, airway sealing pressure, midline positions, insertion success grade, and insertion time) were not significantly different among four different settings. However LMA insertion from the anterior (head) end, using the index finger method compared to the thumb method was found to be significantly more convenient. Conclusion: We recommend using the more convenient and familiar LMA insertion method, between index finger insertion and thumb insertion, regardless of rescuer's position.

Characteristics of Needle Insertion Performance of Automated Biopsy Device for Robotic Needle Insertion Type Intervention: Insertion Depth and Accuracy (로봇 자동화 바늘삽입형 중재시술을 위한 자동화 생검장치의 바늘삽입 특성: 바늘삽입 깊이 및 삽입정확도)

  • Moon, Youngjin;Choi, Jaesoon
    • Journal of the Korean Society for Precision Engineering
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    • v.33 no.7
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    • pp.565-570
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    • 2016
  • This paper presents the characteristics related to needle insertion of a robotic device for the automated biopsy procedure. The automated biopsy device, a main component of the robotic needle insertion type intervention system, allows performance of the full biopsy procedure, except for anesthesia, without direct handling of a radiologist or a tele-operated control. In this study, the needle length parameters corresponding to various insertion depths and precision for needle insertion of the automated biopsy device, are discussed. There were two combinations of needle length parameters for appropriate needle insertion and motion capture-based measurement was performed; 0.156 mm error for the 90 mm length commanded insertion displacement was measured. The pre-defined goal is a maximum 1 mm error and thus our measured error is within the acceptable range. In the repeatability check, it was also shown that the device can implement a highly accurate insertion.

A Study of N-Insertion Preferences in Korean (선호도 조사를 통한 ㄴ첨가 현상의 실현 양상 연구)

  • Kook, Kyungnk-A;Kim, Ju-Won;Lee, Ho-Young
    • MALSORI
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    • no.53
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    • pp.37-60
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    • 2005
  • A Study of N-Insertion Preferences in KoreanKyung-A Kook, Ju-Won Kim, Ho-Young LeeSince n-insertion is not an obligatory process in Korean, it is necessary to investigate what factors influence n-insertion preferences and whether n-insertion preferences have been changed over time. To find answers to these questions, an n-insertion preference test using a questionnaire was conducted. 183 words were selected for this test and 167 subjects participated in the test. The results of this test show that the n-insertion preferences were influenced by the speakers' age, the number and structure of the syllable, word class, phonetic environments, and familiarity. It is suggested that the results of this test should be incorporated into the Principles of Standard Pronunciation and in the Grand Dictionary of Standard Korean.

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The Patterns of Vowel Insertion in Korean Speakers' Production of English C+/l/ and C+/r/ Clusters

  • Kang, Seo-Yoon
    • Phonetics and Speech Sciences
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    • v.4 no.4
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    • pp.3-17
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    • 2012
  • This study examines Korean speakers' production of English consonant clusters, focusing on vowel insertion. An acoustic analysis along with a statistical test was carried out to see what factors are involved in this production. The following factors were considered in the present study: phonetic properties, L1 transfer, and cluster types. Specifically, liquid types were considered to see if they cause any difference depending on C+/l/ or C+/r/ clusters in the onset in terms of vowel insertion patterns. That is, it was examined which Korean speakers produce better, C+/l/ or C+/r/ clusters. Interestingly, the result of the present experiment shows that the correct answer percent was higher in the C+/r/ onset clusters than C+/l/ onset clusters unlike Eckman's (1977) Marked Differential Hypothesis. In other words, the occurrence of the vowel insertion in C+/l/ clusters is higher than C+/r/ onset clusters. This may be attributed to L1 transfer. Furthermore, in the present study, three patterns of vowel insertion in the C+/l/ clusters were identified by implementing an acoustic analysis based on vowel duration and formant: a) vowel insertion with gemination, b) phonological epenthesis, and c) phonetic intrusion. However, phonetic intrusion mainly occurred in the C+/r/ clusters. Data were collected from 54 Korean speakers to see what factors are involved in vowel insertion patterns in the production of English consonant clusters. This study provides evidence for L1 transfer, the duration effect of /l/ in a different context, and three kinds of vowel insertion patterns in conjunction with gestural coordination by age groups.

Development and Effects of Fear-Reduction Program for Malignant Disease Children with Inserting Implanted Port (이식형 포트 삽입 학령전기 아동의 주사공포감소를 위한 프로그램 개발 및 효과)

  • Yang, Kyung-Ah;Chang, Sook;Kim, Il-Ok
    • Korean Parent-Child Health Journal
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    • v.8 no.1
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    • pp.37-48
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    • 2005
  • Purpose: The purpose of this study was to develop a play education program to reduce children's fear of needle insertion to the implanted port, and to assess the effect of this program. Method: The play education program was composed of play education before needle insertion, encouragement during needle insertion, and a present to reward then after needle insertion. Measurement instruments were the Procedure Behavior Check List(PBCL) and Faces Rating Scale(FRS). Results: The first hypothesis, "the PBCL point of children with malignant disease would decrease after play education program", was rejected(before insertion : Z=-0.189, p= .850, during insertion : Z=-0.350. p= .727, after insertion : Z=-0.590, p= .555). The second hypothesis, "the FRS point of children with malignant disease would decrease after play education program education", was rejected(observer 1 : Z=-0.245, p= .806, observer 2 : Z=-0.912, p= .362, self-report : Z=-0.181, p= .856). The third hypothesis, "the Time of needle insertion would decrease after play education program", was rejected(Z=-0.464, p= .642). Conclusion: The effect on fear-reduction of play education program for children with malignant disease inserted implanted port was not significant but continuous education is needed for parents and children.

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Geometrical design characteristics of orthodontic mini-implants predicting maximum insertion torque

  • Katic, Visnja;Kamenar, Ervin;Blazevic, David;Spalj, Stjepan
    • The korean journal of orthodontics
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    • v.44 no.4
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    • pp.177-183
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    • 2014
  • Objective: To determine the unique contribution of geometrical design characteristics of orthodontic mini-implants on maximum insertion torque while controlling for the influence of cortical bone thickness. Methods: Total number of 100 cylindrical orthodontic mini-implants was used. Geometrical design characteristics of ten specimens of ten types of cylindrical self-drilling orthodontic mini-implants (Ortho Easy$^{(R)}$, Aarhus, and Dual Top$^{TM}$) with diameters ranging from 1.4 to 2.0 mm and lengths of 6 and 8 mm were measured. Maximum insertion torque was recorded during manual insertion of mini-implants into bone samples. Cortical bone thickness was measured. Retrieved data were analyzed in a multiple regression model. Results: Significant predictors for higher maximum insertion torque included larger outer diameter of implant, higher lead angle of thread, and thicker cortical bone, and their unique contribution to maximum insertion torque was 12.3%, 10.7%, and 24.7%, respectively. Conclusions: The maximum insertion torque values are best controlled by choosing an implant diameter and lead angle according to the assessed thickness of cortical bone.

Effects of EMLA Cream Application on Pain Perception and Pain Response of Children with Cancer During Implanted Venous Access Port Needle Insertion (EMLA크림 도포가 소아암환자의 피하매몰 중심정맥포트 바늘삽입 시 통증인지와 통증반응에 미치는 영향)

  • Seo, Hyun-Young;Kim, Young-Hae
    • Child Health Nursing Research
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    • v.22 no.1
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    • pp.21-28
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    • 2016
  • Purpose: The purpose of this study was to identify effects of EMLA (Eutectic Mixture of Local Anesthetics) cream application on pain perception and pain response during insertion of implanted venous access port needle in children with cancer. Methods: From December 2010 to August 2011, at U university hospital, 20 patients scheduled for implanted venous access port needle insertion were recruited, and randomly assigned to receive either EMLA or a placebo cream 1 hour before the implanted venous access port needle insertion. While conducting needle insertion, changes in pulse and oxygen saturation on the pulse oxymeter monitor were measured and pain behavior reaction was also measured during needle insertion in the treatment room. After conducting needle insertion, self-reported pain reaction, and mothers' perception of the children's pain reaction were measured. Collected data were statistically processed using SPSS version 17.0 for Windows, and analyzed using descriptive statistics, t-test. Results: Children's self-reported degree of pain, degree of pain as perceived by mothers and pain behavior reaction decreased significantly in the EMLA application group compared with the placebo group. Conclusion: Findings indicate that application of EMLA cream is effective in relieving pain in these children during implanted venous access port needle insertion.

A Low Insertion-Loss, High-Isolation Switch Based on Single Pole Double Throw for 2.4GHz BLE Applications

  • Truong, Thi Kim Nga;Lee, Dong-Soo;Lee, Kang-Yoon
    • IEIE Transactions on Smart Processing and Computing
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    • v.5 no.3
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    • pp.164-168
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    • 2016
  • A low insertion-loss, high-isolation switch based on single pole double throw (SPDT) for a 2.4GHz Bluetooth low-energy transceiver is presented in this paper. In order to increase isolation, the body floating technique is implemented. Based on characteristics whereby the ratio of the sizes of the shunt and the series transistors significantly affect the performance of the switches, the device sizes are optimized. A simple matching network is also designed to enhance the insertion loss. Thus, the SPDT switch has high isolation and low insertion loss without increasing the complexity of the circuit. The proposed SPDT is designed and simulated in a complementary metal-oxide semiconductor 65nm process. The switch has a $530{\mu}m{\times}270{\mu}m$ area and achieves 0.9dB, 1.78dB insertion loss and 40dB, 41dB isolation of transmission, reception modes, respectively.

Single Center Experience with Gastrostomy Insertion in Pediatric Patients: A 10-Year Review

  • Kim, Jiyoung;Koh, Hong;Chang, Eun Young;Park, Sun Yeong;Kim, Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.1
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    • pp.34-40
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    • 2017
  • Purpose: This study was performed to review the outcomes of gastrostomy insertion in children at our institute during 10 years. Methods: A retrospective chart review was performed on 236 patients who underwent gastrostomy insertion from October 2005 to March 2015. We used our algorithm to select the least invasive method for gastrostomy insertion for each patient. Long-term follow-up was performed to analyze complications related to the method of gastrostomy insertion. Results: Out of 236 patients, 120 underwent endoscopic gastrostomy, 79 had laparoscopic gastrostomy, and 37 had open gastrostomy procedures. The total major complication rates for endoscopic gastrostomy insertion, laparoscopic gastrostomy insertion, and open gastrostomy were 9.2%, 8.9%, and 8.1%, respectively. The most common major complication was gastroesophageal reflux requiring Nissen fundoplication (3.8%), and other complications included peritonitis (1.3%), hiatal hernia (1.3%), and bowel perforation (0.8%). Gastrostomy removal was successful in 8.6% and 5.0% of patients in the endoscopic and surgical gastrostomy groups, respectively. Gastrocutaneous fistula occurred in 60% of surgically inserted cases, requiring a second operation. Conclusion: This retrospective study was performed to review the outcome of gastrostomy insertion, as well as to introduce an algorithm that can be used for future cases. Further studies should be conducted to make a consensus on choosing the most appropriate method for gastrostomy insertion.