• Journal of The Korean Society of Emergency Medicine
• /
• v.29 no.6
• /
• pp.641-648
• /
• 2018

Objective: This study examined the incidence and amount of air inflow during central venous catheter (CVC) insertion. Methods: This study was an experimental study aimed at designing an apparatus to implement blood vessel and blood flow in the human body. A 1.5-m long core tube with a Teflon tube, suction rubber tube, and polyvinyl chloride tube were made. This core tube was assumed to be the blood vessel of the human body. Blood was replaced with a saline solution. The saline solution was placed higher than the core tube and flowed into the inside of the tube by gravity. The CVC was injected 15-cm deep into the core tube. The air was collected through a 3-way valve into the upper tube. The experiments were carried out by differentiating the pressure in the tube, CVC insertion step, and diameter of the end of the catheter. The experiment was repeated 10 times under the same conditions. Results: The amount of air decreased with increasing pressure applied to the tube. Air was not generated when the syringe needle was injected, and the amount of air increased with increasing size of the distal end catheter. Conclusion: To minimize the possibility of air embolism, it is necessary to close the distal end catheter at the earliest point as soon as possible.

• Journal of Chest Surgery
• /
• v.32 no.7
• /
• pp.628-636
• /
• 1999

Background: Recent advances in understanding the anatomy of the complete atrioventricular septal defect(including right-dominant unbalanced atrioventricular septal defect) have led to alternative methods of repairing these defects. Material and Method: From May 1997 to July 1998, 8 consecutive infants(age range, 2 to 28 months, mean body weight 6.0$\pm$2.2 kg) received a single-stage intracardiac repair of the complete atrioventricular septal defect with modified surgical methods. Depending on the specific anatomic structure, the procedure was simplified in 3 patients by a direct closure of the ventricular element of the defect(Group I). Two patients judged unsuitable for direct closure due to a potential left ventricular outflow tract obstruction had received a standard two-patch repair(Group II). The remaining 3 patients with right-dominant unbalanced complete atrioventricular septal defect underwent biventricular repair; to enlarge the orifice of the left atrioventricular valve, the ventricular septal patch was placed slightly more to the right of the ventricular crest, a left sided bridging leaflet was augmented with an autologous pericardial patch, and the leaflet was repaired with a double- orifice(Group III . Result: In all 8 patients, the postoperative echocardiography demonstrated good hemodynamics. Seven patients were weaned from the ventilators after a mean 3$\pm$1 days, and 1 patient was weaned after 24 days due to a reoperation and emphysematous lung problem. A reoperation was performed in 1 patient for progressive left atrioventricular valve regurgitation due to leaflet tearing. There were no early and late mortalities. At the time of the latest review, judging from the echocardiographic criteria, left atrioventricular valve stenosis was mild in 1 patient(mean pressure gradient 6.5 mmHg, 13.5%), left atrioventricular valve regurgitation was absent or grade I in 7 patients(87.5%). The right atrioventricular valve regurgitation was absent or grade I in all 8 patients(100%). Conclusion: Infants with complete atrioventricular septal defect were treated with either a simplified approach with direct closure of the ventricular element of the defect or a modified surgical technique for a right-dominant unbalanced atrioventricular septal defect, depending on the anatomic structure. The results were no operative mortalities and low morbidity.

• Journal of the Korean Institute of Gas
• /
• v.19 no.6
• /
• pp.15-21
• /
• 2015

Natural gas fuel has known to be very promising in terms of abundancy and economic value. Therefore it is widely treated as research topics in a variety field of production, storage and utilization. Natural gas has become one of the major sources for the power generation by using internal combustion engines(ICE). Development of natural gas fuel injection device should be preceded to realize a reliable natural gas fuel supply system for a MW class power generation reciprocating ICE. In this research, an injection valve which consists of solenoid and body part with a moving plate was designed and its dynamic performance was experimented in the engine-like environment. As a result of the experiments, linearity of flow rate was obtained and overall around 2ms of response time was observed at the pressure difference of 1bar. In addition, more than 100Liter/min(@2Hz) of gas flow rate was witnessed, which is expected to be adequate for the fuel supply system of a MW class natural gas engine.

• Transactions of the Korean Society of Mechanical Engineers B
• /
• v.21 no.9
• /
• pp.1139-1148
• /
• 1997

Compression waves propagating in a high-speed railway tunnel develops large pressure fluctuations on the train body or tunnel structures. The pressure fluctuations would cause an ear discomfort for the passengers and increase the aerodynamic resistance of trains. As a fundamental research to resolve the pressure wave phenomenon in the tunnel, experiments were carried out by using a shock tube with an open end. A blockage to model trains inside the tunnel was installed on the lower wall of shock tube, thus forming a sudden cross-sectional area reduction. The compression waves were obtained by the fast opening gate valve instead of a conventional diaphragm of shock tube and measured by the flush mounted pressure transducers with a high sensitivity. The experimental results were compared with the previous theoretical analyses. The results show that the ratio of the reflected to the incident compression wave at the sudden cross-sectional area reduction increases but the ratio of the passing to the incident compression wave decreases, as the incident compression wave becomes stronger. This experimental results are in good agreements with the previous theoretical ones. The maximum pressure gradient of the compression wave abruptly increases but the width of the wave front does not vary, as it passes over the sudden cross-sectional area reduction.

• Proceedings of the KSME Conference
• /
• 2002.08a
• /
• pp.705-706
• /
• 2002

Hemodynamics of the TPLS(Twin Pulse Life Support System) is numerically investigated to delineate the possibility of hemolysis in blood. Computational method employing finite element algorithm is utilized to solve the blood flow of the sac squeezed by moving actuator. We assume that the blood flow interacts with the sac material which is activated by the rigid body motion of the actuator. Valve dynamics at the ends of the sac is simplified as on/off type motion. We compute the transient viscous flow in the two-dimensional geometry of the blood sac. Incompressible laminar flow is simulated on the assumption of Newtonian fluid. Blood velocity has a step gradient near the throat of the sac formed by the moving actuator. According to the decrease of the gap size of blood passage, the magnitude of shear stress in the blood is dramatically increased. Numerical solutions show that the maximum value of shear stress in the blood flow in TPLS is relatively smaller than that of the roller type ECLS.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.24 no.6
• /
• pp.702-708
• /
• 2016

The torque converter is deformed according to the rotating speed and control pressure when engine power is transferred to the transmission. This deformation, which is called ballooning phenomenon, occurs mainly at the outer side by the centrifugal force of the automatic transmission fluid (ATF) and the control pressure from the valve body. Although the torque converter is slightly deformed when rotating, the ballooning phenomenon affects fluid performance, efficiency and durability. Thus, expansion characteristics analysis is important in determining torus size, control pressure and structure. In this paper, an analysis equation and FEM model was developed to investigate the expansion characteristics. Using this model, structural analysis was performed to investigate the relationships between deformation and the torus diameter. The results were confirmed by comparing with the test results.

• Transactions of the Korean Society of Automotive Engineers
• /
• v.8 no.3
• /
• pp.181-189
• /
• 2000

The aerodynamic characteristics of large transport vehicle has become more and more important in recent vehicle design to improve driving performance in high speed cruising and raise the product valve with regard to a comfortable driving condition. Hence, detailed knowledge of the flow field around truck coner vane is essential to improve fuel efficiency and reduce the dirt contamination on vehicle body surface. In this study, three-dimensional flow characteristics around corner vane attached to truck cabin were computed for the steady, incompressible, and high speed viscous flow, adopting the RNG k-$\varepsilon$ turbulence model. In order to investigate the influence of configuration and structure of corner vane, computations were carried out for four cases at a high Reynolds number, Re=4.1$\times$106 (based on the cabin height). The global flow patterns, drag coefficient and the distributions such as velocity magnitude, turbulent kinetic energy around the corner vane, were examined. As a result of this study, we could identify the flow characteristics around corner vane for the variation of corner vane length and width. Also, suggest the improved structure to reduce the dirt contamination in cabin side.

• Korean Journal of Materials Research
• /
• v.16 no.11
• /
• pp.698-704
• /
• 2006

In this study, the effect of chill layers occurred in shot sleeve on the molten metal filling was analyzed through computer simulation. The behavior of chill layers with temperature variation of shot sleeve set from 200 to $280^{\circ}C$ was also investigated. The simulation results showed the chill layers set in the in-gates during the injection process change the main filling direction and cause turbulent flow pattern, resulting in porosities inside the castings. The amount of chill layers with the increasing temperature of shot sleeve was considerably reduced. Particularly, at the setting temperature of $280^{\circ}C$ by heat control unit, the biggest reduction in chill layers, excellent trimmed surface and the highest density were achieved, suggesting that as the optimal sleeve condition in aluminum high pressure diecasting, especially for highly complex parts like valve body.

• Journal of Veterinary Clinics
• /
• v.36 no.3
• /
• pp.155-158
• /
• 2019

Morphologic changes or functional impairments of the papillary muscle (PM) can influence mitral valve competence. The purpose of this study was to investigate PM size and contractile function using two-dimensional and color tissue Doppler echocardiography in normal dogs. 35 unsedated Beagle dogs without cardiovascular disease were examined. The vertical (VD) and horizontal diameter (HD) of the posterior and anterior PM was measured at end-diastole, and compared with the thickness of the left ventricular posterior wall (LVPWd). Longitudinal systolic movement of the PM was quantified as myocardial velocity and strain using tissue Doppler. The VD, HD, and ratios (VD/LVPWd, HD/LVPWd, VD/HD) were significantly greater in the posterior than anterior PM (P < 0.001). The VD and HD of posterior PM and the HD of anterior PM were significantly correlated with LVPWd (r = 0.47, 0.44, and 0.42, respectively). Body weight was significantly correlated with VD of posterior PM (r = 0.37). The peak systolic tissue velocity of the PM was $4.93{\pm}1.25cm/sec$ and peak strain was $-30.83{\pm}11.92%$. PM size and systolic function can be quantitatively assessed using two-dimensional and tissue Doppler. The establishment of these objective PM measurements may be useful to evaluate morphological and functional abnormalities of the canine PM.

• The Korean Journal of Legal Medicine
• /
• v.42 no.4
• /
• pp.153-158
• /
• 2018

Staphylococcus aureus is an important cause of human infections, and it is also a commensal that colonizes the nose, axillae, vagina, throat, or skin surfaces. S. aureus has increasingly been recognized as a cause of severe invasive illness, and individuals colonized with this pathogen are subsequently at increased risk of its infections. S. aureus infection is a major cause of skin, soft tissue, respiratory, bone, joint, and endovascular disorders, and staphylococcal bacteremia may cause abscess, endocarditis, pneumonia, metastatic infection, foreign body infection, or sepsis. The authors describe a case of a fisherman who died of sepsis on a fishing boat during sailing out for fish. The autopsy shows paravertebral abscess, pus in the pericardial sac, infective endocarditis with vegetation on the aortic valve cusp, myocarditis, pneumonia and nephritis with bacterial colonization, and also liver cirrhosis and multiple gastric ulcerations.