• Title/Summary/Keyword: 순환 보조

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Successful Resuscitation of Cardiac Arrest with Acute Massive Pulmonary Embolism during Operation Using Percutaneous Cardiopulmonary Support (PCPS) - A case report - (수술 중 발생한 다량의 급성 폐동맥 색전증에 의한 심장 정지의 경피적 심폐 보조를 사용한 성공적 소생 - 1예 보고 -)

  • Park, Kyung-Taek;Kim, Yeon-Soo;Jang, Woo-Ik;Kim, Chang-Young;Ryoo, Ji-Yoon;Kwon, Sung-Uk
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.273-276
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    • 2008
  • Since the introduction of extracorporeal cardiopulmonary support of cardiac arrest in 1983, emergent cardiopulmonary support has been used to treat cardiac arrest. Acute massive pulmonary embolism is associated with a high mortality rate and it poses a challenge for both the anesthesiologist and the surgeons especially during operations. This report describes the use of the emergent bypass system in the effective management of an intraoperative massive pulmonary embolism and cardiac arrest in a 56-year-old woman. The patient was discharged on warfarin and there was no recurrence of the pulmonary embolism at the follow-up visit.

Evaluation on the Applicability of Recycled Fine Aggregate to Precast Concrete Products (순환잔골재의 콘크리트 2차 제품 활용성 평가)

  • Kim, Sang-Chel;Park, Do-Kuk;Yoog, Keun-Chang
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.4 no.1
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    • pp.1-9
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    • 2016
  • While the amount of construction waste has not been changed much in discharge for last 10 years, the recycled resources refined from construction waste have been mainly applied to low-leveled one such as reclamation, back-fill, road base or subbase and so on. Thus this study addresses the applicability of recycled fine aggregate as a replaceable material in precast concrete. To evaluate the possibility, both of dry and wet processes were adopted as well as steam curing, widely used in the field for rapid producing. Most important experimental parameters were driven through preliminary experiments and were evaluated in terms of concrete properties. It is found from aggregate-replacement tests that all of consistency and strengths of concrete were decreased as the ratio of recycled fine aggregate increased, and the amount of decrease can be estimated using proposed equations. Though the recycled fine aggregate showed a decrease of concrete properties more or less, the applicability in large volume as a constituent of precast product was well noted from experimental results.

The Engineering and Environmental Properties of Reclaimed Concrete Materials as Road Materials (도로건설재료로 순환골재의 공학적·환경적 특성에 관한 기초연구)

  • Lee, Yong-Soo;Kwan, Yong-Wan;Hyun, Jae-Hyuk
    • Journal of the Korean GEO-environmental Society
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    • v.6 no.3
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    • pp.17-23
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    • 2005
  • In Korea, the production of reclaimed concrete materials has been increased due to the increase in the concrete structures taken down every year. The reclaimed concrete materials have been reused as road materials. However, the studies on their mechanical and environmental properties have been very limited. The recycled rate of the materials is currently low in Korea. This paper presents the investigation of mechanical and environmental properties of the reclaimed concrete materials, as well as the comparisons with those of gravel. For the evaluation of the mechanical and environmental characteristics, following tests were conducted on both reclamed materials and gravel; liquid limit, plasticity index, CBR, sand equivalent test, abrasion test, pH test, and column leaching test. The test results showed that the reclaimed concretes satisfy the requirements for use as roadbase, subbase, and subgrade materials, except base materials. The pH of reclaimed concrete materials was less than 11 and the leaching test results satisfied the regulatory requirement of Waste Management Act in Korea. Based on the investigations, it appears that the reclaimed concrete materials are environmentally safe and applicable for use as road materials.

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A Development of Cold-Mixed Reclaimed Asphalt Pavement Materials (도로포장용 상온 재생 아스팔트 혼합물 개발)

  • Lee, Jong-Man;Kim, Nak-Seok;Kim, Wan-Sang;Hong, Eun-Cheol
    • Journal of the Korean Society of Hazard Mitigation
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    • v.9 no.3
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    • pp.1-7
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    • 2009
  • In order to use recycled aggregate as pavement base or subbase materials, the US and many other European countries have started research since the early 1980s. Korea also had a recycle idea as a plan for the vast amount of construction wastes due to the downtown renovation in the 1990s, but was not put into practical use. After the resources saving and recycle expedition law in 1994, wastes from construction sites that have more than a certain amount of construction budget were recycled as pavement base and subbase materials, but now, researches are being conducted to use them as paving materials. The use of construction wastes is meaningful in many ways. It helps the natural conservation and aggregate consumption, and also improves pavement performance. This research presents a development of cold-mixed reclaimed asphalt pavement materials using recycled aggregates.

Study on Electrically Powered Left Ventricular Circulation Assist Device (좌심실 전동순환 보조장치에 관한 연구)

  • Kim, Myoung-Nam;Lee, Jeong-Woo;Chang, Bong-Hyun;Cho, Jin-Ho
    • Journal of Sensor Science and Technology
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    • v.9 no.1
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    • pp.51-60
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    • 2000
  • This paper outlines the development of a non-pulsatile axial flow type blood pump control system. By utilizing blood pressure and heart rate, this system can assist the left ventricle in controlling blood pressure and blood volume. The system is comprised of a blood pump, signal sensor, signal interface, and signal-processing component. A control algorithm is also proposed which can control non-pulsatile, continuous blood flow in the human circulatory system. To facilitate the control required for non-pulsatile blood pump in a physiological system, an experimental control rule was developed utilizing ECG and blood pressure data, both of which are easily detectable variables in the body. The system was then tested using a mock-up circulation system and we found that it is possible that this systems could be temporarily used in clinic.

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Evaluation of Concrete Materials for Desulfurization Process By-products (황부산물의 콘크리트 원료 활용 가능성 평가)

  • Park, Hye-Ok;Kwon, Gi-Woon;Lee, Kyeong-Ho;Kim, Moon-Jeong;Lee, Woo-Weon;Ryu, Don-Sik;Lee, Jong-Gyu
    • Journal of the Korea Organic Resources Recycling Association
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    • v.28 no.4
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    • pp.15-22
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    • 2020
  • The landfill gas produced in landfill is generally made up of methane(CH4) and carbon dioxide(CO2) of more than 90%, with the remainder made up of hydrogen sulfide(H2S). However, separate pre-treatment facilities are essential as hydrogen sulfide contained in landfill gas is combined with oxygen during the combustion process to generate sulfur oxides and acid rain combined with moisture in the atmosphere. Various desulfurization technologies have been used in Korea to desulfurize landfill gas. Although general desulfurization processes apply various physical and chemical methods, such as treatment of sediment generation according to the CaCO3 generation reaction and treatment through adsorbent, there is a problem of secondary wastes such as wastewater. As a way to solve this problem, a biological treatment process is used to generate and treat it with sludge-type sulfide (S°) using a biological treatment process.In this study, as a basic study of technology for utilizing the biological treatment by-products of hydrogen sulfide in landfill gas, an experiment was conducted to use the by-product as a mixture of concrete. According to the analysis of the mixture concrete strength of sulfur products, the mixture of sulfur by-products affects the strength of concrete and shows the highest strength value when mixing 10%.

Respiratory Assist by Use of Electrical Diaphragmatic Pacing (전기자극에 의한 횡격막 조율을 이용한 호흡보조장치)

  • 오중환;김은기;서재정;박일환;김부연;이상헌;이종국;이영희
    • Journal of Chest Surgery
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    • v.34 no.6
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    • pp.441-446
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    • 2001
  • Background: Electrical breathing pacing has many advantages over mechanical ventilation. However, clinically permanent diaphragmatic pacing has been applied to limited patients and few temporary pacing has been reported. Our purpose is to investigate the feasibility of temporary electrical diaphragm pacing in explothoracotomy canine cases. Methods: Five dogs were studied under the general anesthesia. Left 5th intercostal space was opened. Self designed temporary pacing leads were placed around the left phrenic nerve and connected to the myostimulator. Chest wall was closed after tube insertion with underwater drainage. Millar catheter was introduced to the aorta and right atrium. Swan-Ganz catheter was introduced to the pulmonary artery. When the self respiration was shallow with deep anesthesia, hemodynamic and tidal volume were measured with the stimulator on. Results: Tidal volume increased from 143.3$\pm$51.3 ml to 272.3$\pm$87.4 ml(p=0.004). Right atrial diastolic pressure decreased from 0.7$\pm$4.0 mmHg to -10.5$\pm$4.7 mmHg(p=0.005). Pulmonary arterial diastolic pressure decreased from 6.1+2.5 mmHg to 1.2$\pm$4.8 mmHg(p<0.001). The height of water level in chest tube to show intrathoracic pressure change was from 10.3$\pm$6.7cmH$_{2}$O to 20.0$\pm$5.3 cmH$_{2}$O. Conclusion: Temporary electrical diaphragmatic pacing is a simple method to assist respiration in explothoracotomy canine cases. Self designed pacing lead is implantable and removable. Negative pressure ventilation has favorable effects on the circulatory system. Therefore, clinical application of temporary breathing pacing is feasible in thoracotomy patients to assist cardiorespiratory function.

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Development of an Algorithm for Regulation of Inlet Blood Flow in Electrohydraulic Left Ventricular Assist Device (전기유압식 좌심실 보조장치의 유입혈류량 조절 알고리즘의 개발)

  • Choi, Jae-Soon;Choi, Won-Woo;Jo, Yung-Ho;Park, Seong-Keun;Min, Byoung-Goo
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.211-215
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    • 1995
  • 전기유압식 좌심실 보조장치에서 모터 전류 파형을 정보로 하여 작동기의 이완기 속도를 조절함으로써 좌심방으로부터 유입되는 혈류량을 조절하는 알고리즘을 개발하였다. 전기 유압식 좌심실 보조장치에서는 혈액의 유입이 능동적으로 이루어지므로, 좌심방 함몰로 인한 심근 손상 및 외부 공기 유입으로 인한 색전증을 방지하기 위해 유입혈류량을 현재 좌심방 내의 상태에 따라 적절히 조절해 주어야 한다. 좌심방 내의 혈액량 정도는 혈액을 유입해내는 작동기의 이완기 동작 시에 소모되는 에너지 크기에 반영되고, 작동기를 구동하는 모터에 들어가는 전류의 크기는 작동기에 공급되는 에너지에 비례하므로, 이 전류 파형의 정보들을 통해 좌심방 내의 상태를 추정해 볼 수 있다. 본 논문에서는 퍼지로직을 적용하여 모터 전류 파형의 이상 유무를 판단한 뒤 이에 따라 작동기의 이완기 속도를 조절하는 알고리즘을 개발하여 모의순환장치 실험을 통해 그 실효성을 검증한 결과를 정리하였다.

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Improved ZCS-PWM Boost Converter (개선된 영전류 PWM 부스트 컨버터)

  • 안준연;최항석;유권종;조보형
    • The Transactions of the Korean Institute of Power Electronics
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    • v.7 no.4
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    • pp.353-358
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    • 2002
  • In this paper, improved ZCS-PWM boost converter is proposed. The proposed converter eliminates additional conduction loss of a main switch by flowing circulating current oかy through an auxiliary switch. The operation modes of proposed converter are explained. And design procedure of resonant parameters is established. Experimental results are presented to verify the theoretic analysis of the proposed converter.

Control of Left Ventricular Assist Device Using Neural Network Feedforward Controller (인공신경망 Feedforward 제어기를 이용한 좌심실 보조장치의 제어실험)

  • 정성택;김훈모;김상현
    • Journal of the Korean Society for Precision Engineering
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    • v.15 no.4
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    • pp.83-90
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    • 1998
  • In this paper, we present neural network for control of Left Ventricular Assist Device(LVAD) system with a pneumatically driven mock circulation system. Beat rate(BR), Systole-Diastole Rate(SDR) and flow rate are collected as the main variables of the LVAD system. System modeling is completed using the neural network with input variables(BR, SBR, their derivatives, actual flow) and output variable(actual flow). It is necessary to apply high perfomance control techniques, since the LVAD system represent nonlinear and time-varing characteristics. Fortunately. the neural network can be applied to control of a nonlinear dynamic system by learning capability In this study, we identify the LVAD system with neural network and control the LVAD system by PID controller and neural network feedforward controller. The ability and effectiveness of controlling the LVAD system using the proposed algorithm will be demonstrated by experiment.

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