• Title/Summary/Keyword: 주입압

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Hemodynamics Effects of $CO_2$ Insufflation During Thoracoscopy (흉강경시 $CO_2$에 의한 혈역학적 영향)

  • 손동섭;원경준
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.723-727
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    • 1996
  • An adequate exposure is important in thoracoscopic procedures. The insufflation of $CO_2$has been demonstrated to aid in compressing lung parenchyma, and act as a retractor when combined with changes in patient's position. However, a recent study demonstrated that $CO_2$insufflation during thoracoscopy in the pig has adverse hemodynamic consequences. We prospectively studied 12 patients undergoing thoracoscopy to evaluate the effect of $CO_2$insufflation in the clinical setting. The mean arterial pressure, heart rate, central venous pressure, arterial oxygen saturation, and end-tidal $CO_2$pressure were monitored. Measurements were determined at baseline, at the initiation of one-lung ventilation, and at intrapleural pressure of 5, 10, 15 mmHg and following results were obtained. 1) The insufflation of 5 to 15 mmHg of $CO_2$had no significant effect on the mean arterial pressure, heart rate, arterial oxygen saturation. 2) The end-tidal $CO_2$pressure rose from 31.00$\pm$1.67 mmHg to 38.49$\pm$1.82 mmHg at an intrapleural pressure of 15 mmHg(p<0.05). 3) The central venous pressure rose from 7.75$\pm$0.76 mmHg to 12.83$\pm$1.64 mmHg and 16.16$\pm$l.97mmHg at an intrapleural pressure of 10 and 15 mmHg(p<0.05). 4) The low pressure (<10 mmHg) insufflation is a safe adjunct to the conduct of thoracoscopic surgical procedures.

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Analysis of Groundwater Flow into Underground Storage Caverns by Using a Boundary Element Model (경계요소모형을 이용한 지하 저장공동의 지하수 유입량 분석)

  • Chung, Il-Moon;Lee, Jeong-Woo;Cho, Won-Cheol
    • Journal of Korea Water Resources Association
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    • v.38 no.7 s.156
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    • pp.537-544
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    • 2005
  • For the proper management of high pressurized gas storage caverns, analysis of groundwater flow field and inflow quantity according to the groundwater head, gas storage pressure and water curtain head should be performed. The finite element method has been widely used for the groundwater flow analysis surrounding underground storage cavern because it can reflect the exact shape of cavern. But the various simulations according to the change of design factors such as the width of water curtain, shape of cavern etc. are not easy when elements were set up. To overcome these limitations, two dimensional groundwater flow model is established based on the boundary element method which compute the unknown variable by using only the boundary shape and condition. For the exact computation of drainage rate into cavern, the model test is performed by using the exact solution and pre-developed finite element model. The test result shows that the model could be used as an alternative to finite element model when various flow simulations are needed to determine the optimizing cavern shape and arrangement of water curtain holes and so forth.

Animal Model for Sequential Bilateral Reimplantation of the Lung in Dog (순차적 자가 양측 폐재식을 위한 황견에서의 실험 model -2례 보고)

  • 이두연;김해균
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.733-738
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    • 1997
  • Sequential bilateral lung transplantation may result in a variety of perioperative and postoperative complications, showing high perioperative morbidity and mortality rates. This research was performed to investigate the hemodynamic changes in adult mongrel dogs after bilateral reimplantation, two methods preferred for avoiding or minimizing graft rejection. The anterior portion of the pulmonary artery and the left atrium proximal to the superior and the inferior pulmonary veins were resected out and then re-anastomosed one hour later to prevent torsion or stenosis of the anastomotic site and the formation of a thrombosis in the left atrium. An everted suture technique was employed for the left atrium; An hour after the division, however, the main bronchus was tightly anastomose by interrupted sutures of No. 4-0 prolene in a telescope method. A modified I-C solution mixed with PGEI was infused into the cut portion of the pulmonary artery at the rate of 15 mllkglmin and at a pressure of 40 cmH20 for a total dosage of 70 mlfkg in order to preserve the transected lung. Topical cooling using wet gauzes soaked with cold I-C solution was performed for one hour to prevent ischemic lung injury. The above procedures are considered to be beneficial for achieving a satisfactory outcome for bilateral lung reimplantation.

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Measurement of Rock Permeability Considering In-situ Stress Conditions (현장 응력조건에 따른 암석 투과도 특성 분석)

  • Kim, Jaewon;Choi, Junhyung;Choe, Keumbong;Sim, Sumin;Lee, Dae Sung
    • Tunnel and Underground Space
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    • v.27 no.1
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    • pp.26-38
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    • 2017
  • In this study, bedding rock permeability was measured using Berea sandstones with three different beddings. The fracture permeability was also measured using tight sandstone with two different fracture regimes considering in-situ stress conditions. The Berea sandstone with vertical, horizontal and non-bedding was used to analyze evolution of permeability upon in-situ stress conditions. In order to describe applied effective stress around rock in underground, the triaxial pressure cell & hydrostatic pressure cell was designed and permeability experiments were performed with controlled axial and confining pressures. The measurement of permeability was conducted by increasing and decreasing effective stress. The permeability of non-bedding rock sample is the most sensitive to applied stress conditions and fracture permeability of tight sandstone increases with fracture treatment with proppant.

Application of Water Treatment with Membrane in Seomjin River (섬진강 수계에서 막여과 정수처리 공정 적용성 평가)

  • Kim, Jongdoo;Park, Kyungwook;Park, Chulhwi
    • Membrane Journal
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    • v.23 no.1
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    • pp.12-23
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    • 2013
  • On the subject of river bed water in Seomjin river, it had accomplished the verifying experiment of membrane filtration pilot plant for evaluating the applicability of its process throughout the prediction of membrane fouling as a function of the pore size of membrane and the determination of optimum coagulant dosage. On the result of the experiment for the evaluation of the membrane fouling as a function of the pore size, a increasing rate of irreversible resistance of membrane pore size $0.1{\mu}m$ and $0.01{\mu}m$ was measured each $0.44{\times}10^{12}/m^2$ and $0.42{\times}10^{12}/m^2$, respectively. And on the result of Flux-test, it showed that the optimum coagulant dosage was measured lower than the it of the Jar-test. The result to be operated in a condition of a permeate flux $1.0{\sim}1.5m^3/m^2{\cdot}day$ without coagulation and a permeate flux $1.0{\sim}2.0m^3/m^2{\cdot}day$ with coagulation was maintained at stable trans-membrane pressure (TMP) value for 6 months up to. Therefore it showed that the stable operation without the coagulation was possible on permeate flux $1.0{\sim}1.5m^3/m^2{\cdot}day$ in the operation of membrane filtration process.

Evaluation of Respiration Reproducibility of Chest General X-ray Examination using Self-made Respiratory Synchronization Device (자체 제작한 호흡 동기화 장치를 통한 흉부 일반촬영 검사의 호흡 재현성 평가)

  • Kwon, Oh-Young;Lee, Chang-Hun;Yong, Keum-Ju;Jin, Seon-Hui;Jung, Da-Bin;Heo, Yeong-Cheol
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.1049-1056
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    • 2021
  • The purpose of this study was to develop a respiratory synchronization device for X-ray (X-RSD) to increase the reproducibility of inspiration when examining the Chest X-ray of a patient who difficulty in breathing coordination. The X-RSD was self-made using an air pressure sensor and air was injected by connecting a ventilator to the mannequin for CPR. At this time, the amount of injected air was quantified using the SkillReporting device. After placing the X-RSD on the chest of the mannequin, the amount of air was tested in 6 steps from 200 to 700 cc by 100 cc increased. For the accuracy evaluation, the sensitivity of X-RSD was measured by repeating a total of 80 measurements, and the sensitivity was 100%, and very precise results were obtained. After that, the images examined while viewing the X-RSD of the chest lateral examination and the images obtained by the blind examination were compared and evaluated. The lung volume of X-RSD was larger than that of the blind test, and the deviation was smaller. Overall, the use of X-RSD can help with chest X-ray examination of patients who have difficulty in cooperating, and it is thought that it will be possible to contribute to the reduction of exposure dose by reducing the repeat rate of general X-ray examinations.

New tunnel reinforcement method using pressurized cavity expansion concept (천공홀 가압 팽창 개념을 도입한 터널 보조 신공법 연구)

  • Cho, In-Sung;Park, Jeong-Jun;Kim, Jong-Sun;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.12 no.6
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    • pp.407-416
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    • 2010
  • A new tunnel auxiliary method is proposed in this paper which utilizes the concept of cavity expansion for tuunel reinforcement by forming an umbrella arch on the roof of tunnel. When an inflatable pipe is inserted and expanded by pressure in the bore hole of umbrella arch, the ground around the bore hole can be compacted so that the stress condition above the tunnel perimeter is favorably changed. In order to verify the reinforcement effect of new concept, pilot-scale chamber test, trapdoor test and numerical analysis were performed and compared. In pilot-scale chamber test, three types of inflatable pipes are tested to verify the capability of expansion, and the results arc compared with analytical results obtained by applying cavity expansion theory and with results obtained from finite clement analysis, and the experimental results showed agreeable matches with analytical and numerical ones. Numerical analysis of a tunnel and trapdoor test applied with the inflatable pipes are also performed to figure out the reinforcement effect of the proposed techniques, and the results implied that the new method with 3 directional inflatable pipe (no pressure to downward direction) can contribute to reduce tunnel convergence and face settlement.

Oxyfluorination of Pitch-based Activated Carbon Fibers for High Power Electric Double Layer Capacitor (고출력 전기이중층 캐패시터를 위한 핏치계 활성탄소섬유의 함산소불소화 처리)

  • Jung, Min-Jung;Ko, Yoonyoung;Kim, Kyung Hoon;Lee, Young-Seak
    • Applied Chemistry for Engineering
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    • v.28 no.6
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    • pp.638-644
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    • 2017
  • Pitch based activated carbon fibers for electric double layer capacitor (EDLC) electrodes were treated by oxyfluorination via varying the ratio of fluorine and oxygen gases to improve high power property. As the partial pressure of fluorine increased, the oxyfluorinated activated carbon fibers showed an increase of linear fluorine functional groups. While the oxygen functional groups increased, no changes was observed with respect to the partial gas pressure. The specific surface area and pore volume decreased due to the etching reaction on the activated carbon fiber surface through oxyfluorination, but the mesopore volume increased about 4.5 times. In the case of activated carbon fibers treated with 50% of the fluorine gas partial pressure, the specific capacitance increased to about 29% and 61% at scan rates of 5 and 50 mV/s, respectively. The improvement of the specific capacitance was believed to be due to the introduction of oxygen and fluorine functional groups on the activated carbon fiber surface and the increase of mesopores through oxyfluorination.

Evaluation of the signal intensity of magnetic resonance angiography in accordance with the dilution rate of the contrast agent (조영제 희석률에 따른 조영증강 자기공명혈관조영검사의 신호강도 평가)

  • Choi, Kwan-Woo;Seo, Sung-Mi;Son, Soon-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5124-5130
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    • 2014
  • Dilution of the contrast agent by analyzing the change in the signal intensity during MR angiography in accordance with the viscosity and osmotic pressure minimizes the side effects, and improves the image quality. The contrast agent molarity changes by the dilution of the contrast agent in the blood, as it is injected, which leads to a change in signal intensity. Based on this principle, a phantom was prepared and experiments were performed. After the phantom experiment, a clinical experiment was conducted using the results of the phantom experiment. From November 2013 to January 2014, a group of patients were classified into diluted contrast agent (30 persons) and undiluted (30 persons), and the signal intensity of the cerebral vessels was compared. The signal intensity of the phantom according to the molarity of the contrast agent increased sharply from 0.0125 mmol, reached a peak at 20 mmol, and achieved equilibrium from 200 mmol. Based on the study results, the signal intensity of the blood vessels in the brain through were compared in a clinical experiment. All the brain vessels in the imaging range with diluting a high content of the gadolinium contrast agent showed high signal intensity. This result supports the phantom experiment and means that using the 500mmol diluted contrast agent is better than using 1000mmol undiluted contrast agent because it is easier to approach the 20mmol level needed to achieve the highest signal intensity. This study has significance in that it can minimize the high viscosity and osmotic pressure, which can cause side effects and improve the image quality using the method of the dilution rate.

A Applicability Study on Single Grouted Column Method (C-RJP Grouting) for Buoyancy-Resistant Permanent Anchor in Highly Permeable Volcanic Clastic Zones (투수성이 높은 화산쇄설층에서 부력앵커 시공을 위한 단일공 차수공법 (C-RJP Grouting)의 적용성에 관한 연구)

  • Jung, Yonggun;Chae, Youngsu;Park, Byunghee;Kim, Jeongryeol
    • Journal of the Korean GEO-environmental Society
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    • v.16 no.8
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    • pp.5-12
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    • 2015
  • In this study, buoyancy-resistance permanent anchor was considered to prevent uplift pressure of a building structure. However, this test was failed to put anchor body in the boring hole because of the rapid outflow of ground water and coefficient of permeability. In addition, the hole where the anchor body was forcefully inserted constantly flew the sea water and cement. And it was found that anchor was not settled in the ground. In order to solve this problem, jet grouting method was applied to block the ground water and the single grouted column method was chosen to install the buoyancy-resistance permanent anchor. In this paper, the single grouted column method was applied with the general jet grouting methods and grout material was fixed by 3-field tests. These tests confirmed the effect of permeability and ground improvement with field permeability test by core sampling, Standard Penetration Test (SPT) and unconfined compression test. Confirming the stability of the buoyancy-resistance permanent anchor with installation and tension test, application of the single grouted column method in the volcanic clastic zones was verified.