scholarly journals Anesthesia, Sedation, and Unplanned Extubation of Tracheal Intubation in Children with Severe Pneumonia

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zengchun Wang ◽  
Qiang Chen ◽  
Lingshan Yu ◽  
Yu Huang ◽  
Hua Cao
Keyword(s):  
Tracheal Intubation ◽  
Adverse Reactions ◽  
Severe Pneumonia ◽  
Anesthesia Induction ◽  
Hemodynamic Parameters ◽  
Analysis Method ◽  
Unplanned Extubation ◽  
Effect Analysis ◽  
Pdca Cycle ◽  
Sedation Scores

We randomly divided 200 children with severe pneumonia who met the indications for tracheal intubation into 2 groups in this prospective study. One group that received dexmedetomidine for sedation was recorded as the dexmedetomidine group (n = 100), and the group that received midazolam for sedation was recorded as the midazolam group (n = 100). We compared the anesthesia sedation scores, time to fall asleep, time to wake up from anesthesia, related hemodynamic parameters, and adverse reactions between the two groups of children. The failure mode and effect analysis method (FMEA) was also used to investigate the causes of unplanned extubation (UEX) of tracheal intubation in 32 children with severe pneumonia. Our conclusion is as follows: (1) Compared with midazolam, the comprehensive effect of dexmedetomidine on children with severe pneumonia undergoing tracheal intubation for anesthesia and sedation is better, it can effectively shorten the anesthesia induction time and the recovery time after stopping the drug, and there are few adverse reactions, which is worthy of application and promotion. (2) UEX is an important risk factor in the monitoring and nursing of children with severe pneumonia tracheal intubation, and the nursing method of PDCA cycle management is particularly important for them.

scholarly journals Observational Study of Medication Error in Outpatient Pharmacy RSUP Dr. Hasan Sadikin Bandung

2017 ◽  
Vol 15 (2) ◽  
pp. 210
Author(s):  
Viki Hestiarini ◽  
Lia Amalia ◽  
Eni Margayani
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Drug Information ◽  
Data Entry ◽  
Care Process ◽  
Analysis Method ◽  
Risk Priority Number ◽  
Effect Analysis ◽  
Root Cause ◽  
Cause Of Failure

Medication error can occur at all stages, starting from prescribing, dispensing and administration of drugs. This study aims to assess the medication errors that occur in the pharmaceutical care process and analyze the cause of failure using the root cause analysis method, to improvement action and decrease the incidence of medication errors. The data were completeness prescription, frequency of dispensing error and completeness of drug information. The number of sample was 1100 prescriptions Prescribing errors were found the potential injury 15.69±11.51% and near missed error 0.5±0.55%. At dispensing stage, occur 427 incidences (9.71%), consist of two incidences (0.04%) for validation assessment regulations, 224 incidences (5.09%) of data entry, 113 incidences (2.57%) of retrieval of drugs, 19 incidences (0.43%) of fi ll in drugs, 69 incidences (1.57%) of fi nal check. At dispensing stage, near missed 330 incidences (7.51%) of near missed and 97 incidences (2.21%) of potential injury. Failure mode and effect analysis calculate of risk priority number, the drug retrieval (RPN 210) and data entry (RPN 126) were analyzed root cause of the analysis for man, material, method, facility and environment.

scholarly journals Parameters Assessment of the FMEA Method by Means of Fuzzy Logic

2018 ◽  
Vol 2 (Special edition 2) ◽  
pp. 123-132
Author(s):  
Jasminka Bonato ◽  
Martina Badurina ◽  
Julijan Dobrinić
Keyword(s):  
Fuzzy Logic ◽  
Failure Analysis ◽  
Failure Mode ◽  
Mathematical Function ◽  
Analysis Method ◽  
Effect Analysis ◽  
New Approach ◽  
System Failures ◽  
Numerical Indicator ◽  
Fmea Method

The paper aims at presenting the FMEA method based on the fuzzy technique, representing a new approach to the failure analysis and its effects on the observed system. The FMEA (Failure Mode and Effect Analysis) method has assigned the risks a coefficient i.e. a numerical indicator that very clearly defines the degree of risk. The risk is calculated as a mathematical function of RPN which depends on the effects S, probability O that some case will lead to a failure and to a probability that a failure D can not be detected before its effects are realized. RPN = S O D. The FMEA method, based on the fuzzy logic, makes a more reliable evaluation of the observed system failures possible.

scholarly journals An effect-analysis method for species-dependent coral health status in temperature and ammonia: a case study of Acropora sp., Turbinaria sp., and Porites sp.

2019 ◽  
Vol 93 ◽  
pp. 01002
Author(s):  
U Bussapakorn ◽  
C Petchporn ◽  
R Sompop
Keyword(s):  
Health Status ◽  
Toxicity Testing ◽  
The Other ◽  
Analysis Method ◽  
Acute Effects ◽  
Effect Analysis ◽  
Effects Of Temperature ◽  
Coral Health ◽  
Acute Toxicity Testing

This research aimed to study the effects of temperature and ammonia on the health status of Acropora sp., Turbinaria sp., and Porites sp. by using acute toxicity testing (50% Lethal Concentration: LC50). The acute effects were monitored at temperatures of 30°C and 33°C at 24 and 48 hrs. The concentrations of ammonia varied at 0 0.05 0.07 and 0.1 mgN/L, respectively. The active polyp percentages of Acropora sp. was analyzed with comparison to the health status percentages. According to the findings at 30°C (24 and 48 hrs) and 33°C (24 hrs), the LC50 could not be investigated because the mortality percentages was not below 50%. On the other hand, at 33°C (48 hrs), the LC50 could be evaluated because the mortality percentages exceeded 50%. Therefore, the LC50 at 48 hrs of Acropora sp., Turbinaria sp., and Porites sp. were equal to 0.043, 0.075 and 0.054 mgN/L, respectively.

Analysis of Zhejiang Logistics Industry Spreading Effect Based on Inverse Matrix Coefficient Table

2010 ◽  
Vol 143-144 ◽  
pp. 384-388
Author(s):  
Rui Zhang ◽  
Jun Hu ◽  
Lin Ping Huang
Keyword(s):  
Economic Development ◽  
Zhejiang Province ◽  
Inverse Matrix ◽  
Matrix Coefficient ◽  
Analysis Method ◽  
Spreading Effect ◽  
Effect Analysis ◽  
Logistics Industry ◽  
National Economic ◽  
National Economic Development

With economic globalization, the modern logistics industry has been considered as a key of the national economic development. Based on Inverse Matrix Coefficient Table, using spreading effect analysis method, an empirical study was conducted about the development of logistics industry in Zhejiang Province. The position of the logistics industry was identified in national economic development of Zhejiang Province. The conclusion is that government should give priority to the development of basic industries and bottlenecks industry including of logistics industry.

scholarly journals Responses of the second derivative of the finger photoplethysmogram indices and hemodynamic parameters to anesthesia induction

2011 ◽  
Vol 35 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Atsushi Kohjitani ◽  
Masaaki Miyata ◽  
Yoko Iwase ◽  
Kazuna Sugiyama
Keyword(s):  
Anesthesia Induction ◽  
Second Derivative ◽  
Hemodynamic Parameters

Evaluating the Risk of Failure on Injection Pump Using Fuzzy FMEA Method

2014 ◽  
Vol 657 ◽  
pp. 976-980 ◽  
Author(s):  
Nicoleta Rachieru ◽  
Nadia Belu ◽  
Daniel Constantin Anghel
Keyword(s):  
Failure Mode ◽  
Traditional Method ◽  
Assessment Model ◽  
Risk Level ◽  
Analysis Method ◽  
Effect Analysis ◽  
Pump Design ◽  
Injection Pump ◽  
Fuzzy Fmea ◽  
Fmea Method

This research is aimed at utilizing failure mode and effect analysis (FMEA) which is a reliability analysis method applicable to rotary injection pump design. In traditional FMEA, Risk Priority Number (RPN) ranking system is used to evaluate, the risk level of failures to rank failures and to prioritize actions. RPN is obtained by multiplying the scores of three risk factors like the Severity (S), Occurrence (O) and Detection (D) of each failure mode. RPN method can not emphasise the nature of the problem, which is multi-attributable and has a group of experts' opinions. Furthermore, attributes are subjective and have different importance levels. In this paper, a framework is proposed to overcome the shortcomings of the traditional method through the fuzzy set theory. Two case studies have been shown to demonstrate the methodology thus developed. It is illustrated a parallel between the results obtained by the traditional method and fuzzy logic for determining the RPNs. We expect that fuzzy FMEA model will assist FMEA team in assess and rank risks more precisely compared with risk assessment model of method.

scholarly journals MODERN CONCEPTS OF ENTERPRISE MARKETING MANAGEMENT

2017 ◽  
pp. 257-262
Author(s):  
Inna Chajka
Keyword(s):  
Marketing Management ◽  
Educational Institutions ◽  
Analysis Method ◽  
Effect Analysis ◽  
Theoretical Approaches ◽  
Management And Development ◽  
Systematic Development ◽  
Definition Of ◽  
Activity Method ◽  
Practical Recommendations

Introduction. The article analyses the essence of marketing management of company activity as a scientific category through the theoretical analysis of the terms content. These terms determine it. They are presented in the works of foreign and Ukrainian authors. On the basis of the research it has been proved that universities need systematic development of consumers to improve their marketing and general increase of functioning efficiency on the market of educational services. Purpose. The article aims to develop the theoretical approaches and practical recommendations which concern the role and main tasks of marketing management of company activity. Method (methodology). The directions of improvement of higher educational institutions marketing management on the basis of consumers’ development have been determined. It has been done considering the method of systematic and structural analysis, method of causal and effect analysis, method of synthesis and argumentation. Result. The development of conceptual model of marketing management, as well as the author's definition of "marketing management" and "development of consumers" have become the results of research.

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