• Title/Summary/Keyword: 흡입

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Capnographic Monitoring of End-Tidal Partial Pressure of Carbon Dioxide in Anesthetized Cinereous vultures (Aegypius monachus) (독수리(Aegypius monachus)의 흡입마취에서 Capnography를 이용한 호기말 이산화탄소분압 모니터링)

  • Park, Won-Kyu;Seok, Seong-Hoon;Park, Se-Jin;Lee, Seung-Yong;Kim, Young-Ki;Hwang, Jae-Min;Jeong, Dong-Hyuk;Lee, Hee-Chun;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.380-384
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    • 2015
  • The relationships between end-tidal partial pressure of carbon dioxide ($P_{ET}CO_2$) and arterial partial pressure of carbon dioxide ($P_aCO_2$), and between $P_{ET}CO_2$ and blood pH in isoflurane-anesthetized cinereous vultures were evaluated. Nine cinereous vultures (weighing 7.3-9.5 kg) were anesthetized via mask with isoflurane, intubated, and connected to a mechanical ventilator. By mechanical ventilator, respiratory rate was altered to achieve a $P_{ET}CO_2$ randomly selected among 30 to 35 mmHg. $P_aCO_2$ and blood pH were determined in serial arterial samples and compared with concurrent $P_{ET}CO_2$ measured with a sidestream capnography. Thirty six samples, nine cinereous vultures were tested 4 times each, were used to determine correlations coefficients between $P_aCO_2$ and $P_{ET}CO_2$, and between $P_{ET}CO_2$ and blood pH. Strong correlations were observed between $P_aCO_2$ and $P_{ET}CO_2$ (r = 0.951, P = 0.000, y = 1.679x - 30.236, $R^2=0.905$) as well as between $P_{ET}CO_2$ and blood pH (r = -0.728, P = 0.000, y = -0.024x + 8.389, $R^2=0.530$) with Pearson's correlation coefficient and simple linear regression. These results suggest that the capnography used provided a sufficiently accurate estimation of $P_aCO_2$ and blood pH. Thus, the monitoring of $P_{ET}CO_2$ can be useful method to prevent hypoventilation for cinereous vultures receiving mechanical ventilation.

Usefulness of X-ray Guided Biopsy and Ultrasound Guided Biopsy in Breast Microcalcification Biopsy (유방 미세석회화 조직검사에서 X선 유도 하 조직검사와 초음파 유도 하 조직검사의 유용성)

  • Choi, Miseon;Song, Jongnam
    • Journal of the Korean Society of Radiology
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    • v.10 no.3
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    • pp.201-206
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    • 2016
  • Social interest in breast cancer has increased. The most basic exams for diagnosis include breast X-ray and breast ultrasound. In particular, breast microcalcification requires histological diagnosis, and breast microcalcification biopsy is commonly performed. Therefore, this study aimed to analyze and assess X-ray guided biopsy (needle localized open biopsy) and ultrasound guided biopsy (sono guided core needle biopsy), which are basics in diagnosis of microcalcification. Targeting 241 cases in which magnification mammography was performed for patients who visited the hospital due to breast microcalcification, age distribution and the location of lesions were analyzed in X-ray guided biopsy and ultrasound guided biopsy. By classifying exams performed after magnification mammography, the frequencies of X-ray guided biopsy and ultrasound guided biopsy were analyzed, and malignant and benign results were confirmed. The results showed that 64 cases(26.6%) were X-ray guided biopsy, which was 5.4 times higher than 12 cases(4.9%) of ultrasound guided biopsy. Due to development of ultrasound equipments, stereotactic vacuum-assisted biopsy, etc. the methods of histological diagnosis of microcalcification have become diverse, but when considering characteristics and limitations of each exam, X-ray guided biopsy is thought to be most accurate and useful.

The Effects of Diesel Exhaust Particulates and Particulate Matters on the ICAM-1 and VCAM-1 Expression in the Lung of Asthma-incuced Mouse (디젤분진 및 미세분진이 천식마우스의 폐조직에서 ICAM-1과 VCAM-1의 발현에 미치는 효과)

  • Li, Tian-Zhu;Lee, Soo-Jin;Jang, Yang-Ho;Lee, Jeong-Hak;Park, Se-Jong;Park, Jun-Hong;Chang, Byung-Joon;Lee, Jong-Hwan;Choe, Nong-Hoon
    • Journal of Life Science
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    • v.17 no.3 s.83
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    • pp.396-401
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    • 2007
  • This research investigated whether exposure of diesel exhaust particulate (DEP) and particulate metter (PM) effect on intercellular. adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1) expression in asthma-induced Balb/c and IL-10 knock out (KO) mouse. Mouse was sensitized with intraperitoneal injection with ovalbumin, followed by challenges with intranasal ovalbumin. After induction of asthma mouse placed in the inhalation chamber and exposed to DEP and PM (10 $mg/m^3$). The evidences of pulmonary inflammation were assessed by immunohistochemical stain and westen blot against ICAM-1 and VCAM-1 in the lung tissue. In the immunohistochemical stain, positive reactions for ICAM-1 and VCAM-1 were much stronger in asthma-induced groups and asthma-induced group with DEP or PM than control groups. Although mild positive reactions were appeared in asthma-induced IL-10 KO mice groups, positive reactions were very strong in the asthma-induced group with DEP or PM. In Western blot, expression of VCAM-1 was increased in asthma-induced group with DEP or PM than asthma-induced groups. In the IL-10 KO mouse, ICAM-1 and VCAM-1 expression were increased in asthma-induced group with DEP or PM than asthma-induced groups. DEP and PM exposure have additive effects on the aggravation of inflammatory signs in the asthma-induced murine model. These results suggest that inhalation of DEP and PM in asthmatic patients may aggravate clinical symptoms.

A Numerical Study on the Generation and Propagation of Intake Noise in the Reciprocating Engine (엔진 흡기계의 소음발생 및 전파에 관한 수치연구)

  • 김용석;이덕주
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1996.10a
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    • pp.65-70
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    • 1996
  • 엔진소음을 소음특성에 따라 분류하면 공력소음(Aerodynamic Noise), 연소소음(Combustion Noise), 기계적인 소음(Mechanical Noise)으로 나눌 수 있으며 소음원의 종류에 따라 분류하면 배기계소음(Exhaust System Noise)으로 나눌 수 있으며 소음원의 종류에 따라 분류하면 배기계소음(Exhaust System Noise), 흡기계소음(Intake System Noise), 냉각계소음(Cooling System Noise), 엔진표면소음(Engine System Noise)등으로 분류할 수 있다. 이러한 여러소음중 엔진 내부의 유동에 의한 흡배기계통으로의 소음방출은 자동차 실 내외 소음의 중요한 문제로 대두되는데, 이를 줄이기 위해 그 동안 소음기 등의 서브시스템의 형태와 그 위치조정에 관한 연구가 수행되어 왔다. 그러나 이것이 비용 또는 성능에 영향을 미치므로 본질적인 소음원을 규명해 내는 것이 필요하게 되었다. 흡배기계의 소음은 엔진의 흡입, 배기행 정시 피스톤의 운동에 의해 팽창 및 압축파 형태의 압력파(pressure wave)로 발생하게 되고, 밸브근방에서는 유동의 박리(separation)에 의해 발생하게 된다. 소음기 등의 서브시스템에서도 유동의 박리에 의해 발생하게 되며 특히 배기행정시 발생하는 압력파는 비선형영역에 있게된다. 흡기소음은 배기에 비해 그 크기가 작아서 그동안 등한시 되어왔으나 이것이 소비자의 불평요인으로 작용하므로써 이에 대한 연구도 활발히 수행되어야 한다. Bender, Bramer[1]는 흡배기계 소음의 외부 방사에 관하여 전반적으로 기술하였고 Sierens등[2]은 흡기계에서 1차원 MOC(Method of Characteristics)방법으로 비정상 유동해석을 하고 실험결과와 비교하였다. J.S.Lamancusa 등[3]은 흡기 소음원을 실험을 통해 예측하였고, 흡기소음도 비선형 거동을 보인다고 밝혔다. Yositaka Nishio 등[4]은 새로운 흡기실험장치를 고안하여 공명기(resonator)의 위치 변화에 의한 저소음 흡기계를 설계 초기단계에서부터 적용하려 하였다. 일반적으로 흡배기계의 복잡한 형상 때문에 대부분 실험을 통해 문제를 해결하려 하였고, 수치해석은 피스톤의 운동을 배제한 단순화한 흡배기계의 정상상태 유동해석이 주를 이루어왔다. Taghaui and Dupont 등[5]은 KIVA코드를 사용하여 흡기포트와 연소실 그리고 밸브의 움직임을 동시에 고려한 수치해석을 도입하였다. 하지만 이들이 밸브의 운동을 고려하기 위해 사용한 이동격자는 격자점은 시간에 따라 변화하지만 그 격자의 수가 일정하게 유지되어 있어서 밸브의 완전개폐를 해석할 수가 없다. 강희정[6]은 단일 실린더와 단일 배기밸브를 갖는 문제로 단순화하여 피스톤과 밸브의 움직임을 고려하므로써 배기행정 후 소음이 어떻게 전파해 나가는가를 연구하였다. 본 연구에서도 최소밸브간격과 최대밸브간격 사이에서만 계산이 가능하나 흡기의 경우는 밸브가 닫힐 때 생기는 압력파가 중요하므로 실린더와 밸브사이에 벽면조건을 주어 밸브의 개폐를 모사하였다.

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Computational Fluid Analysis for the Otter Boards - 4 . Efficiency Analysis of the Cambered Otter Boards for the Vortex Generators - (전개판에 대한 수직해법 - 4 . 과발생기에 따른 만곡형전개판의 성능분석 -)

  • 고관서
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.27 no.4
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    • pp.286-292
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    • 1991
  • The authors propose to use the vortex generators in order to improve of the efficiency for the cambered otter boards. The equipments and testing method of this model test was the same as the previous report. This study was tested for 6 models such as the single cambered, the V-shaped cambered and the slotted cambered otter board without and with vortex generators. The results obtained are as follows: \circled1 C sub(L) of the single cambered model otter board with vortex generators was increased about 10% in comparison with that of model without vortex generators, C sub(D) decreased 2%, and L/D increased 5~20%. \circled2 L/D of the V-shaped cambered model otter board with vortex generators was increased 10~20% in comparison with that of model without vortex generators. \circled3 C sub(L) of the two slotted cambered model otter board with vortex generators was increased about 20% within an angle of attack 25$^{\circ}$ in comparison with that of without vortex generators, C sub(D) increased 5~20%, and L/D was higher than prototype within an angle of attack 20$^{\circ}$. \circled4 The separation point of the model otter boards with vortex generators was removed back ward a little in comparison with that of the model without vortex generators. \circled5 Flow speed difference of the back side to the front side of model otter boards with vortex generators was increased a little in comparison with that of the models without vortex generators. \circled6 The size of separation zone in case of the model otter boards with vortex generators was decreased about 10% in comparison with that of the models without vortex generators.

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A Biomechanical Modeling of Human Pharyngeal Muscular Dysfunction by Using FEM(Finite Element Method) (유한요소법을 이용한 인두의 기능이상에 대한 생체역학적 모델)

  • Kim Sung Jae;Bae Ha Suk;Choi Byeong Cheol;Kim Sung Min
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.515-522
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    • 2003
  • Pharynx is a system transporting foods by peristaltic motion(contraction and expansion movement! into the esophagus and functioning as airway passages. In this study, structural changes of pharyngeal dysfunction are analyzed by biomechanical model using CT and FEM(finite clement method). Loading condition was assumed that equal pressure was loaded sequentially to inside of pharyngeal tissue. In order to analyze the pharyngeal muscular dysfunction by biomechanical model. the pharyngeal dysfunctions was classified into 3 cases. Taking into account the clinical complication by neuromuscular symptoms such as pharyngeal dysfunction after stroke. we assumed that a change of material property is caused by muscular tissue stiffness. A deformation of cross sectional area of the pharynx is analyzed increasing the stiffness $25\%,\;50\%,\;75\%$ in each case on the basis of stress-strain relationship. Based on three-dimensional reconstruction of pharyngeal structure using limited factor - techniques and the optimization procedure by means of inverse dynamic approach. the biomechanical model of the human pharynx is implemented. The results may be used as clinical index illustrating the degree of pharyngeal muscular dysfunction. This study may be used as useful diagnostic model in discovering early deglutitory impediment caused by physiological or pathological pharyngeal dysfunction.

Syncope and pneumomediastinum during the maxillary sinus elevation with an air-syringe: a case report (주사기를 이용한 상악동 거상술 시 발생한 실신 및 종격동기종에 관한 증례보고)

  • Kim, Su Wan;Lee, Jonggeun;Song, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.171-176
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    • 2021
  • Pneumomediastinum is a very rare and potentially catastrophic complication of dental procedures. Its common causes are tooth extraction, endodontic treatment, and subgingival curettage using handpieces and high-pressure air/water syringes. We present a case of massive pneumomediastinum with subcutaneous emphysema in a 61-year-old female who underwent bone grafting into the maxilla for pretreatment of dental implantation using a syringe. The patient suffered from abrupt severe odynophagia and loss of consciousness. The patient transferred to emergency department and images work-up revealed a pneumomediastinum and subcutaneous emphysema on the entire face and neck. We performed conservative treatments including prophylactic antibiotics, oxygen inhalation, and fasting meals, and then discharge after 7 days uneventfully. The patient's syncope might be resulting from hypotension and pain shock induced by pneumomediastinum with a sudden chest compression. The pneumomediastinum could be resulting from concurrent perforation and massive air infiltration into the maxillary sinus during bone grafting. We suggest that pneumomediastinum needs prompt diagnosis and management because of the risk of airway obstruction when a patient present syncope in the dental room.

Eco-friendliness Evaluation of a Low-Noise and Dust-Recovery Type Pavement Cutter (저소음·분진회수형 도로절단기의 친환경성 평가)

  • Kim, Kyoon Tai
    • Ecology and Resilient Infrastructure
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    • v.8 no.4
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    • pp.194-203
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    • 2021
  • With the recent increase in maintenance works on water and sewer pipes as well as district heating supply pipes, pavement cutting work using pavement cutter is on the rise. The pavement cutting operation generates considerable dust (cutting sludge) as well as noise; therefore, it is necessary to apply eco-friendly technologies that have low noise and dust recovery capability. Thus far, various equipment for recovering dust have been developed; however, there is a limitation in that the environmental friendliness is not quantified. Therefore, in this study, we developed a low-noise, dust-recovery type pavement cutter that can fundamentally remove the causes of environmental hazards such as noise and dust and evaluated the eco-friendliness of the pavement cutting process performed by this cutter. To this end, an integrated water cooling-sludge recovery system composed of a vacuum device and a sludge suction unit was developed, and the developed system was applied to a pavement cutter. Subsequently, the developed equipment was applied to the test bed, and data related to its eco-friendliness were collected and evaluated. The results showed that the cutting sludge recovery rate of the developed equipment was greater than 83%, the noise level was approximately 82 - 83 dB, and the sound power level was 115 dB. The results of this study will be used as basic data to develop improved pavement cutters in the future with improved cutting sludge recovery performance and lower noise.

A Preliminary Study on the Evaluation of Internal Exposure Effect by Radioactive Aerosol Generated During Decommissioning of NPPs by Using BiDAS (BiDAS를 적용한 원전 해체 공정 시 발생되는 방사성 에어로졸의 내부피폭 영향평가 사전 연구)

  • Song, Jong Soon;Lee, Hak Yun;Kim, Sun Il
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.16 no.4
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    • pp.473-478
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    • 2018
  • Radioactive aerosol generated in cutting and melting work during the NPP decommissioning process can cause internal exposure to body through workers' breath. Thus, it is necessary to assess worker internal exposure due to the radioactive aerosol during decommissioning. The actually measured value of the working environment is needed for accurate assessment of internal exposure, but if it is difficult to actually measure that value, the internal exposure dose can be estimated through recommended values such as the fraction of amount of intake and the size of particles suggested by the International Committee on Radiological Protection (ICRP). As for the selection of particle size, this study applied a value of $5{\mu}m$, which is the size of particles considering the worker recommended by the ICRP. As for the amount of generation, the amount of intake was estimated using data on the mass of aerosol generated in a melting facility at a site in Kozloduy, Bulgaria. In addition, using these data, this study calculated the level of radioactivity in the worker's body and stool and conducted an assessment of internal exposure using the BiDAS computer code. The internal exposure dose of Type M was 0.0341 mSv, that of Type S was 0.0909 mSv. The two types of absorption showed levels that were 0.17% and 0.45% of the domestic annual dose limit, respectively.

DENTAL MANAGEMENT OF A PATIENT WITH MUSCULAR DYSTROPHY UNDER GENERAL ANESTHESIA: CASE REPORT (근이영양증(muscular dystrophy) 환자의 전신마취 하 치과치료 : 증례보고)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.50-54
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    • 2019
  • Muscular dystrophy (MD) is a heterogeneous group of inherited neuromuscular disorders, characterized by progressive muscle weakness. Severity of the disease ranges from mild to severe, and the disease is mostly caused by mutations in a number of genes. These genetic mutations cause lack of proteins which are essential for muscle cell stability. Muscle fibers are gradually replaced by fat and fibrous tissue. The muscles of the head and neck are affected in several types of MD that manifest as altered craniofacial morphology and dental malocclusion. A 3-year-10-month old, 15.0 kg boy with MD presented to Seoul National University Dental Hospital, Seoul, South Korea because of extensive carious teeth. A number of dental caries in primary dentition were identified during clinical oral examination. Due to dental anxiety and underlying systemic disease, general anesthesia was considered. General anesthesia was induced and maintained with intravenous anesthetics, propofol and remifentanil. Caries treatments - resin restoration, pulpectomy, zirconia crown restoration, stainless steel crown restoration - were performed. Under general anesthesia, successful dental procedure was done. Total intravenous anesthesia (TIVA) was performed instead of inhalation anesthesia in order to avoid risk of complications such as malignant hyperthermia and life-threatening rhabdomyolysis. With decreasing muscle function, plaque control becomes more difficult and leads to gingivitis. Especially, the open-mouth posture worsens gingivitis and can leads to malocclusions and problems in swallowing. Regular and periodic dental care is essential for maintaining oral health for patients with MD.