• Title/Summary/Keyword: 얕은 두께

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Effect of Additional 1 hour T-piece Trial on Weaning Outcome to the Patients at Minimum Pressure Support (최소압력보조 수준에서 추가적 1시간 T-piece 시도가 이탈에 미치는 영향)

  • Hong, Sang-Bum;Koh, Youn-Suck;Lim, Chae-Man;Ann, Jong-Jun;Park, Wann;Shim, Tae-Son;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.4
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    • pp.813-822
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    • 1998
  • Background: Extubation is recommended to be performed at minimum pressure support (PSmin) during the pressure support ventilation (PSV). In field, physicians sometimes perform additional 1 hr T-piece trial to the patient at PSmin to reduce re-intubation risk. Although it provides confirmation of patient's breathing reserve, weaning could be delayed due to increased airway resistance by endotracheal tube. Methods: To investigate the effect of additional 1 hr T-piece trial on weaning outcome, a prospective study was done in consecutive 44 patients who had received mechanical ventilation more than 3 days. Respiratory mechanics, hemodymic, and gas exchange measurements were done and the level of PSmin was calculated using the equation (PSmin=peak inspiratory flow rate $\times$ total ventilatory system resistance) at the 15cm $H_2O$ of pressure support. At PSmin, the patients were randomized into intervention (additional 1 hr T-piece trial) and control (extubation at PSmin). The measurements were repeated at PSmm, during weaning process (in cases of intervention), and after extubation. The weaning success was defined as spontaneous breathing more than 48hr after extubation. In intervention group, failure to continue weaning process was also considered as weaning failure. Results: Thirty-six patients with 42 times weaning trial were satisfied to the protocol. Mean PSmin level was 7.6 (${\pm}1.9$)cm $H_2O$. There were no differences in total ventilation times (TVT), APACHE III score, nutritional indices, and respiratory mechanics at PSmin between 2 groups. The weaning success rate and re-intubation rate were not different between intervention group (55% and 18% in each) and control group (70% and 20% in each) at first weaning trial. Work of breathing, pressure time product, and tidal volume were aggravated during 1 hr T-piece trial compared to those of PSmin in intervention group ($10.4{\pm}1.25$ and $1.66{\pm}1.08$ J/L in work of breathing) ($191{\pm}232$ and $287{\pm}217$cm $H_2O$ s/m in pressure time product) ($0.33{\pm}0.09$ and $0.29{\pm}0.09$ L in tidal volume) (P<0.05 in each). As in whole, TVT, and tidal volume at PSmin were significantly different between the patients with weaning success ($246{\pm}195$ hr, $0.43{\pm}0.11$ L) and the those with weaning failure ($407{\pm}248$ hr, $0.35{\pm}0.10$L) (P<0.05 in each). Conclusion : There were no advantage to weaning outcome by addition of 1 hr T-piece trial compared to prompt extubation to the patient at PS min.

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Shell Deposits in the Lower Cretaceous Hasandong Formation from Daesong-ri, Geumnam-myeon, Hadong-gun - Occurrences, Taphonomy, Paleoenvironments, and Implications in Geological Heritage - (하동군 금남면 대송리 부근의 하산동층에서 산출되는 패각화석층 - 산상, 화석화과정, 고환경 및 지질유산으로서의 의미 -)

  • Paik, In Sung;Kim, Na Young;Kim, Hyun Joo
    • Korean Journal of Heritage: History & Science
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    • v.44 no.1
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    • pp.4-29
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    • 2011
  • Paleoenvironments of the shell deposit-bearing sequence in the Hasandong Formation at Daesong-ri area, Hadong-gun, Korea, are interpreted on the basis of sedimentary facies and taphonomy of the shell deposits, with a discussion of their stratigraphic implications. A shell deposit-bearing sequence without reddish beds is mostly grayish, and the bedding is laterally extensive. These deposits are interpreted to have been formed in sandflats, mudflats, and shallow lakes generated by flooding on an alluvial plain. The shell deposits are classified into three types according to the occurrence, and the concentration of a single species of Brotiopsis wakinoensis in the shell deposits is deemed to have been attributed to the exclusive inhabitation of the genus Brotiopsis. Type 1 and 2 shell deposits are interpreted to have been fossilized in sandflats and mudflats after death in their habitat of shallow lakes and subsequent transformation by sheetflooding and lake flooding. Type 3 shell deposits are interpreted to have been fossilized in their habitat of shallow lakes during a stabilized period of lake development. The development of the shell deposit-bearing lacustrine sequence in a few tens of meters in thickness in the Hasandong Formation of fluvial deposits is compared to the shift of depositional environments from the Hasandong Formation (fluvial deposits) through the Jinju Formation (lacustrine deposits) to the Chilgok Formation (alluvial plain deposits), which suggests that additional lithostratigraphic classification is needed in the Hasandong Formation. The shell deposits at the study area can provide valuable data to understanding the paleoenvironments during the Early Cretaceous Period of Korea, and should give basic data to evaluate the value of the Cretaceous mollusc deposits in Korea as a geological heritage.

Comparison of Construction Costs for Bridge Foundation with Optimization of Steel and PHC Embedded Piles (강관 및 PHC 매입말뚝의 최적화에 따른 교량기초의 공사비 비교)

  • Yun, Jung-Mann;Yea, Geu-Guwen;Kim, Hong-Yeon;Kim, Dong-Min;Kim, Soo-Lo
    • Journal of the Korean Geosynthetics Society
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    • v.15 no.4
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    • pp.71-78
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    • 2016
  • In this study, execution costs of the foundation system are compared with PHC and steel pile in the same soil layers and load condition. Steel piles installed on the thin weathered rock are reduced as 12.5% in comparison with the number of PHC piles. Steel piles installed on the soft rock through weathered rock with 1.7m of thickness reduce the number of piles as 35.7% (STK 400) and 46.4% (STK 490), respectively, in comparison with PHC piles installed on the weathered rock. Also, they reduce the number of piles as 26.5% (STK 400) and 38.8% (STK 490), respectively, in comparison with steel piles (STK 400) installed on the weathered rock. When the thickness of footings is constant, steel piles installed on the soft rock may reduce the area of footings up to 12.2% (STK 400) and 45.4% (STK 490), respectively, in comparison with PHC piles installed on the weathered rock. Total cost of foundation system installed on the soft rock with steel piles (STK 400) increases as 12%, whereas in case of replaced with steel piles (STK 490), it reduces as 16% in comparison with PHC piles installed on the weathered rock. This is because the cost reduction due to the number of piles and footing area is more effective despite high cost of steel piles (STK 490). When the thickness of weathered rock is less than 5m, installing steel piles (STK 490) on the soft rock through it is more economic in comparison with installing PHC piles on the weathered rock.

On the Persistence of Warm Eddies in the East Sea (동해 난수성 에디의 장기간 지속에 관하여)

  • JIN, HYUNKEUN;PARK, YOUNG-GYU;PAK, GYUNDO;KIM, YOUNG HO
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.24 no.2
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    • pp.318-331
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    • 2019
  • In this study, comparative analysis is performed on the long-term persisted warm eddies that were generated in 2003 (WE03) and in 2014 (WE14) over the East Sea using the HYCOM reanalysis data. The overshooting of the East Korea Warm Current (EKWC) was appeared during the formation period of those warm eddies. The warm eddies were produced in the shallow Korea Plateau region through the interaction of the EKWC and the sub-polar front. In the interior of the both warm eddies, a homogeneous water mass of about $13^{\circ}C$ and 34.1 psu were generated over the upper 150 m depth by the winter mixing. In 2004, the next year of the generation of the WE03, the amount of the inflow through the western channel of the Korea Strait was larger, while the inflow was lesser than its climatology during 2015 corresponding to the development period of the WE14. The above results suggest that the heat and salt are supplied in the warm eddies through the Tsushima Warm Current (TWC), however the amount of the inflow through the Korea Strait has negligible impact on the long-term persistency of the warm eddies. Both of the warm eddies were maintained more than 18 months near Ulleung island, while they have no common feature on the pathways. In the vicinity of the Ulleung basin, large and small eddies are continuously created due to the meandering of the EKWC. The long-term persisted warm eddies in the Ulleung Island seem to be the results of the interaction between the pre-existed eddies located south of the sub-polar front and fresh eddies induced by the meanderings of the EKWC. The conclusion is also in line with the fact that the long-term persisted warm eddies were not always created when the overshooting of the EKWC was appeared.

Local Winds Effects on the Water Surface Variation at the Shallow Estuary, Mobile Bay (해수순환모델(FVCOM)을 이용한 하구의 조위 변화에 미치는 국부적 바람의 영향)

  • Lee, Jungwoo;Yun, Sang-Leen;Oh, Hye-Cheol;Kim, Seog-Ku;Lee, Jun
    • Journal of Korean Society of Environmental Engineers
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    • v.36 no.8
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    • pp.570-578
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    • 2014
  • A three-dimensional ocean circulation model was applied to a shallow estuary, Mobile Bay, to study local wind setup and setdown. Tides started from the northern Gulf of Mexico propagates up to the Mobile River system which is located in the north of the Mobile Bay. However, the tides started in the south of Mobile Bay were distorted when travelling upstream while affected by river discharge and local winds. The water surface elevation was less/over predicted responding north/south winds, respectively, when winds only at the Dauphin Island station (DPI) were used. However, the model predicted water surface elevation better when using two local winds from DPI and Mobile Downtown Airport (MDA). Wind speeds were greatly reduced (~ 88%) in about 43 km distance between DPI and MDA, and the canopy effects may be the reason for this. For this reason, the local winds are greatly responsible for local surface elevation setup and setdown especially at the shallow estuary like Mobile Bay.

An Experimental Study on Pullout Behavior of Shallow Bearing Plate Anchor (얕은 지압형 앵커의 인발거동특성에 관한 실험적 연구)

  • Hong, Seok-Woo;Kim, Hyung-Kong
    • Journal of the Korean Geotechnical Society
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    • v.30 no.2
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    • pp.5-18
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    • 2014
  • Depending on the underground load support mechanism, anchors are classified as friction anchors, bearing plate anchors and the recently developed combined friction-bearing plate anchors which combine the characteristics of both the friction and bearing plate type anchors. Even though numerous studies have been performed on bearing plate anchors, there were only few studies performed to observe the failure surface of bearing plate anchors. Furthermore most of the soil materials used on these tests were not real sand but carbon rods. In this study, sand was placed in the soil tank and laboratory tests were performed with bearing plate anchors installed with an embedment depth (H/h) ranging from 1~6. The variation in the pullout capacity and the behaviour of soil with the embedment depth (H/h) were observed. Ground deformation analysis program was also used to analyze soil displacement, zero extension direction, maximum shear strain contours. It was determined from the analysis of the results that at ultimate pullout resistance the deformation was 5 mm and the failure surface occurred in a narrower area when compared with results of the previous researches. It was also observed that the width of the fracture surface gradually becomes wider and expands up to the surface as the deformation increases from 10 mm to 15 mm.

Reliability Analysis of Wave Overtopping over a Seawall (호안에서의 월파에 대한 신뢰성 해석)

  • Oh Jung-Eun;Suh Kyung-Duck;Kweon Hyuck-Min
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.18 no.1
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    • pp.69-83
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    • 2006
  • A Level 3 reliability analysis has been performed for wave run-up and overtopping on a sloping seawall. A Monte-Carlo simulation was performed considering the uncertainties of various variables affecting the wave overtopping event. The wave overtopping probability was evaluated from the individual wave run-up by using the wave-by-wave method, while the mean overtopping rate was calculated directly from the significant wave height. Using the calculated overtopping probability and mean overtopping rate, the maximum overtopping volume was also calculated on the assumption of two-parameter Weibull distribution of individual wave overtopping volume. In addition, by changing wave directions, depths, and structure slopes, their effects on wave overtopping were analyzed. It was found that, when the variability of wave directions is considered or the water depth decreases toward shore, wave height become smaller due to wave refraction, which yields smaller mean overtopping rate, overtopping probability and maximum overtopping volume. For the same mean overtopping rate, the expected overtopping probability increases and the expected maximum overtopping volume decreases as approaching toward shore inside surfzone.

Characteristics of Water Temperature and Salinity Variations, and Seawater Exchange in Gamak Bay (가막만의 수온.염분변화 및 해수교환 특성)

  • Kim, Byeong-Kuk;Lee, Moon-Ock;Park, Sung-Jin
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.15 no.2
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    • pp.101-110
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    • 2012
  • In order to understand temperature and salinity variations, and the characteristics of the seawater exchange through two channels of Gamak Bay, we conducted measurements of water temperature, salinity and current for fifteen days in the summer and winter. Based on the observational data, the current seemed to have a close relation with wind. In addition, a correlation analysis result proved that water temperature is likely to be more influenced by air temperature rather than tide. Moreover, water temperatures at the south channel varied more sensitively with the season rather than at the east channel because of its shallow depth. Seawater exchange rates were estimated to be 0.5~29.9% (mean: 11.6%) at the east channel but 1.3~62.6% (mean: 18.6%) at the south channel in summer. On the contrary, they were estimated to be 0.3~28.5% (mean: 8.9%) at the east channel but 0.1~97.9% (mean: 31.2%) at the south channel in winter. Thus, the rates of seawater exchange in Gamak Bay turned out that the south mouth is approximately three times higher than the east mouth, and it also suggested that seasonal winds affect the rates of seawater exchange in Gamak Bay.

Comparison with ABCHES and Abdomen Compression Device in Respirational Radiation Therapy on Patients in Hepatocellular Carcinoma (간세포암 환자에서 ABCHES와 복부압박장비의 적용한 호흡동조방사선 치료의 유용성 비교)

  • Cho, Yoon-Jin;Byun, Sang-Joon;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.6 no.5
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    • pp.395-402
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    • 2012
  • 4D-Radiation Therapy is the optimal treatment to track moving organs(tumor) and give the appropriate prescription dose to tumor and low radiation dose to normal tissue surrounding tumor volume. The ABCHES is a 4DRT devices maintaining shallow breathing to patients. It allows the tumor's movement was minimize. Meanwhile, Abdominal compression device is limited the breath compressing abdomen on patients. In this paper we will quantitative analysis the movement of tumor on only ABCHES versus ABCHES with Abdomal compression device and Analysis tumor dose and normal tissue's dose by Dose Volume Histogram on two parts. The result of Comparision ABCHES and ABCHES with Abdominal compression device, SI(Superior-Inferior) direction, AP(Anterior-Posterior) direction and LR(Left-Right) direction was limited 1.0 mm, 0.2 mm, 0.2 mm(average). and also reduction rate of voluume in HPTV was $16{\pm}2%$, and LPTV was $15.8{\pm}0.8%$ under only using ABCHES and ABCHES with compression. The analysis dose volume histogram was more radiation dose in ABCHES and abdominal compression device than only using ABCHES, and less normal tissue-ipsilateral lung, whole lung, kidney-dose in ABCHES and abdominal compression device than only using ABCHES. The overall analysis was ABCHES with abdominal compression better than only using ABCHES method. In hereafter it will be studies that limitation of ABCHES and abdomonal compression device. In other words, patient's discomfort on compression intensity, method of application on patient with inaccurate respiration cycle.

Vertical distributions of dissolved eu and Ni in the central East Sea (동해 중앙 해역의 용존 Cu와 Ni의 수직적 분포)

  • Yang, Jae-Sam
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.2 no.2
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    • pp.117-124
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    • 1997
  • Vertical profiles of dissolved Cu and Ni at the upper 400 m water layer have been determined at two stations in the central East Sea in October 1995. This is the first report on the vertical distribution of trace metals in Korea. Copper concentrations are in the range of 2.1~5.8 nmol/kg and 1.6~2.4 nmol/kg for stations S and N, respectively. The vertical profile of Cu at S is found a scavenging type (i.e., drastic decrease with increasing depth). Concentrations of Ni range from 4.3 to 7.1 nmol/kg and from 3.4 to 5.4 nmol/kg for stations Sand N, respectively. At station S, Ni is best correlated with phosphate, but not at stations N. Such difference between two stations are probably due to their different vertical distribution of water masses. Station S has a strongly stratified water column with 6 distinct water masses, but station N with a well-mixed subsurface water layer extending from 50 to 300 m depth. Extremely low salinity (31.87~31.96 psu) found at the surface water of station S was interpreted as a result of the Yangtze River effluents which were probably fed into the East Sea through the Korea Strait during the late summer. Such seasonal appearance of low salinity in southern part of the East Sea was reported previously. The concentrations of Cu and Ni at two sites are comparable to those reported in the North Pacific. It was found that Ni mostly exist as dissolved phase.

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