• 제목/요약/키워드: Electrolyte Balance

검색결과 61건 처리시간 0.029초

개방성 승모판막 절개술에 관한 연구 (Open Mitral Commissurotomy: A Report of 21 Cases)

  • 이영균
    • Journal of Chest Surgery
    • /
    • 제6권1호
    • /
    • pp.69-88
    • /
    • 1973
  • Twenty-one cases of open mitral commissurotomy were done between October 1963 and March 1973. 1] Preoperative embolism consists of 7 cerebral and 2 peripheral cases. Two operative cerebral embolism cases were noted. 2] There were two cases of restenosis, one associated valvular disease, three mitral insufficiency cases, and six cases of pulmonary hypertension. 3] Out of 21 cases, 13 cases of atrial fibrillation were found and two cases of atrial fibrillation were found postoperatively among 8 cases of preoperatively normal sinus rhythm. 4] During operation 10 cases of valvular calcification and 6 cases of left atrial thrombus were noted. 5] Complete blood count, electrolyte and acid base balance showed normal range of data. 6] Four helix reservoir whole blood total body perfusion and 17 cases of .hemodilution perfusion utilizing Rygg-Kyvsgaard bag oxygenator with sigma motor were performed. 7] EACA 125 mg/kg intravenous administration before cardiopulmonary bypass resulted in markedly diminished postoperative bleeding. 8] Post-perfusion urine amount was in satisfactory range. 9] There were 2 operative mortality due to coronary embolism and three cases of hospital death, 2 due to severe hepatic failure and one due to cerebral embolism. 10] Sixteen survival cases showed marked clinical improvements and almost all of them returned to their occupation satisfactorily after operation.

  • PDF

일일 3교대 간호활동시 호르몬분비 및 신장기능의 변화에 관한 연구 -간호학생을 대상으로- (A Study on the Changes of Urinary Hormonal Excretion and Renal Function During Three-shift Nursing Practice)

  • 김명애
    • 대한간호학회지
    • /
    • 제16권3호
    • /
    • pp.78-96
    • /
    • 1986
  • The sympathico-adrenergic system and the hypophyseal-adrenocortical system mediates the regulation of the internal milieu. And the kidneys regulate both water and electrolyte balance of the body fluid. The kidneys are the sites of production of renin which participate indirectly in maintaining renin. angiotensin-aldosterone system. These system de-serve special attention in the context of adjustment the effects on the body function. And so, maximal exercise and work load are associated with home-osthetic function. The nurses working in the hospital have been complained of fatigue and stress by frequent duty changes and overload. In order to define this, the possible changes of hormonal excretion during three-shift nursing practice were investigated. Urine samples were collected at pre-duty and post-duty, and were measured with chemical assay and radioimmunoassay in 30 nursing students, in nursing practice and 43 nursing students, in studying. The results obtained were as follows. 1. In nursing practice, urinary norepinephrine concentration showed a marked increase during day duty, urinary cortisol concentration showed a marked increase during evening duty, and urinary renin concentration was increased in night duty, 2. Corrected ratio of urinary sodium excreted by the urinary excretion of creatinin (UNa/UCr) and UCl/UCr showed a marked decrease during night duty. Nursing practice did not affect on the UK/UCr and urinary concentrating ability. From these results, it is suggested that further studies the define the effects on some physiological function of the three-shift nursing practice against circadian rhythm are needed for better working condition of nurses.

  • PDF

Evaluation of Life Span for Al2O3 Nano Tube Formed by Anodizing with Current Density

  • 이승준;김성종
    • 한국표면공학회:학술대회논문집
    • /
    • 한국표면공학회 2017년도 춘계학술대회 논문집
    • /
    • pp.148-148
    • /
    • 2017
  • Surface modification is a type of mechanical manipulation skills to achieve extensive aims including corrosion control, exterior appearance, abrasion resistance, electrical insulation and electrical conductivity of substrate materials by generating a protective surface using electrical, physical and chemical treatment on the surface of parts made from metallic materials. Such surface modification includes plating, anodizing, chemical conversion treatment, painting, lining, coating and surface hardening; this study conducted cavitation experiment to assess improvement of durability using anodizing. In order to observe surface characteristics with applied current density, the electrolyte temperature, concentration was maintained at constant condition. To prevent hindrance of stable growth of oxide layer due to local temperature increase during the experiment, stirring was maintained at constant speed. In addition, using galvanostatic method, it was maintained at processing time of 40minutes for 10 to $30mA/cm^2$. The cavitation experiment was carried out with an ultra sonic vibratory apparatus using piezo-electric effect with modified ASTM-G32. The peak-to-peak amplitude was $30{\mu}m$ and the distance between the horn tip and specimen was 1mm. The specimen after the experiment was cleaned in an ultrasonic bath, dried in a vacuum oven for more than 24 hours, and weighed with an electric balance. The surface damage morphology was observed with 3D analysis microscope. As a result of the study, differences were observed surface hardness and anti-cavitation characteristics depending on the development of oxide film with the anodizing process time.

  • PDF

수소연료 생산의 효율향상을 위한 고주파수 초음파 응용 (극간격과 온도 중심으로) (An Ultrasonic Application with High Frequency for the Efficiency Elevation of the Hydrogen Fuel Production (On the Pole Interval and the Temperature))

  • 송민근;손승우;주은선
    • 한국수소및신에너지학회논문집
    • /
    • 제13권2호
    • /
    • pp.127-134
    • /
    • 2002
  • A Study on the application of ultrasonic with high frequency is carried out as a plan to rise the efficiency of the hydrogen fuel production in an electrolysis of water. KOH is selected as an electrolyte and concentrations are 0 %, 10 %, 20 %, and 30%. The solvent is city water. A measurable device of buoyancy by an electronic balance and a measurable device of voltage with a sensor of pressure are planned newly as a measuring device to measure the quantity of hydrogen production. An ultrasonic transducer with high frequency of 2 MHz is selected to give them the ultrasonic forcing. In results, it is clarified that ultrasonic influences the decrease of overpotential in the electrolytic solution. And basic data according to the pole interval and the temperature are obtained.

대면적 셀 고분자 막전해질 연료전지의 열관리를 위한 2 차원 수치 해석 모델 (Two Dimensional Numerical Model for Thermal Management of Proton Exchange Membrane Fuel Cell with Large Active Area)

  • 유상석;이영덕;안국영
    • 대한기계학회논문집B
    • /
    • 제32권5호
    • /
    • pp.359-366
    • /
    • 2008
  • A two-dimensional thermal model of proton exchange membrane fuel cell with large active area is developed to investigate the performance of fuel cell with large active area over various thermal management conditions. The core sub-models of the two-dimensional thermal model are one-dimensional agglomerate structure electrochemical reaction model, one-dimensional water transport model, and a two-dimensional heat transfer model. Prior to carrying out the simulation, this study is contributed to set up the operating temperature of the fuel cell with large active area which is a maximum temperature inside the fuel cell considering durability of membrane electrolyte. The simulation results show that the operating temperature of the fuel cell and temperature distribution inside the fuel cell can affect significantly the total net power at extreme conditions. Results also show that the parasitic losses of balance of plant component should be precisely controlled to produce the maximum system power with minimum parasitic loss of thermal management system.

만성 신부전 환자의 심장수술 - 개심술 4례 보고 - (Open Heart Surgery in Patients with Chronic Renal Failure)

  • 김정택
    • Journal of Chest Surgery
    • /
    • 제23권3호
    • /
    • pp.482-487
    • /
    • 1990
  • The leading cause of death in patients with chronic renal failure is cardiovascular diseases. The problems relevant to cardiac surgery in these patients are occurring more frequently with a growing number of patients at risk. Among these, important risk factors related to uremic patients undergone open heart surgery are fluid and electrolytes imbalance, coagulopathy, increased susceptibility to infection. Since 1968 when Lansing and colleagues reported the first successful aortic valve replacement in patients with chronic renal failure and infective endocarditis, there have been increasing reports of the cardiopulmonary bypass surgery in chronic renal failure patients with acceptable perioperative morbidity and mortality From Jan. 1988 to Nov. 1989 we have experienced four uremic patients necessitating open heart surgery ; one needing a coronary artery bypass graft and the other 3 needed cardiac valve replacement. Based on our observations we would like to suggest followings 1]Intraoperative ultrahemofiltration during C-P bypass thought to be an excellent means for the control of hyperkalemia and fluid balance. 2] The immediate postoperative application of peritoneal dialysis instead of hemodialysis is beneficial in controlling fluid and electrolyte imbalance. 3]The cause of one early postoperative death was not associated to renal failure, rather it was the result of an accidental rupture in the right ventricular wall.

  • PDF

Comorbidity Analysis on ICU Big Data

  • Hyun, Sookyung;Newton, Cheryl
    • International Journal of Advanced Culture Technology
    • /
    • 제7권2호
    • /
    • pp.13-18
    • /
    • 2019
  • Comorbidity isthe simultaneous presence of two chronic diseases or conditions in a patient. As part of a larger research study, the aims of this study were to explore comorbid conditions in intensive care unit (ICU) patients and to compare the comorbidity across different demographic groups, and to determine what comorbid health problems coexisted in the patients with hospital-acquired pressure injury (HAPI). The average number of comorbid conditions was 6.4 with range from 0-20 in the ICU patients. African American patients had significantly more comorbid health problems than other race/ethnicity groups. Asian and Hispanic female patients showed higher comorbidity than male patients across age. The patients with HAPIs had significantly more comorbid health problems than the patients without HAPIs -- the average numbers were almost two-fold. We found comorbid health problems that existed with HAPI in ICU patients. 'Other diseases of lung' and 'Disorders of fluid, electrolyte, and acid-base balance' were most frequently coexisting health problems in the ICU patients with HAPI. Exploratory plots are helpful to discover patterns or hypotheses relevant to clinical management in critical care. Inclusion of patients' comorbid health problems to ICU HAPI risk assessment may be helpful. Identification of patients at a high risk for the development of HAPI and the early preventative interventions can help reduce length of stay as well as costly complications.

Calcium chloride is a better calcium source rather than calcium carbonate for weanling pigs

  • JunYoung, Mun;ChangBeon, Lee;Abdolreza, Hosseindoust;SangHun, Ha;Habeeb, Tajudeen;JinSoo, Kim
    • Journal of Animal Science and Technology
    • /
    • 제64권5호
    • /
    • pp.871-884
    • /
    • 2022
  • Two experiments were conducted to evaluate the effects of calcium (Ca) levels in weanling pigs (Landrace × Yorkshire × Duroc). In experiment 1, one hundred and eighty weanling pigs were randomly allotted to one of the three treatments. The treatments were low (Ca 0.60% in phase 1 and 0.50% in phase 2), standard (Ca 0.72% in phase 1 and 0.66% in phase 2), and high (Ca 0.84% in phase 1 and 0.72% in phase 2). In experiment 2, hundred and forty weanling pigs were randomly assigned to one of four treatments differing in Ca levels (high and low) and sources (CaCl2 and CaCO3) in a 2 × 2 factorial arrangement. There were 10 pigs per replicate in both experiments, with 6 replicates in each treatment, and they were conducted in two phases (phase 1, days 0-14; phase 2, days 15-28). In experiment 1, body weight (BW), average daily gain (ADG), and growth to feed ratio (G/F) increased as the Ca level decreased (p < 0.05). P digestibility was higher in the low-Ca diet group than in the high-Ca diet group (p <0.05). In experiment 2, the final BW, ADG, and G/F increased in the CaCl2 diet group compared with the case in the CaCO3 diet group (p < 0.05). The digestibility of crude protein (CP), Ca, and P was higher in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). Cl- levels were higher in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). The bicarbonate (HCO3-), base excess (BE), and electrolyte balance (EB) levels were lower in the CaCl2 diet group than in the CaCO3 diet group (p < 0.05). Hematocrit increased as the Ca level decreased (p < 0.05). The HCO3- interacted with the Ca sources and thus, affected the Ca levels (p < 0.05). Bone ash, Ca, and P were downregulated in the low-Ca diet group compared with the case in the high-Ca diet group. Overall, the low dietary Ca supplementation led to greater growth performance. Furthermore, CaCl2 appeared to be a better Ca source than CaCO3 because of the greater digestibility of CP, Ca, and P, and improved EB.

1kW급 건물용 연료전지시스템 블로워의 안전성능 평가방법에 관한 연구 (A Study on the Safety Performance Evaluation Method of Blowers for 1kW Class Stationary Fuel Cell System)

  • 이정운;서원석;김영규
    • 한국신재생에너지학회:학술대회논문집
    • /
    • 한국신재생에너지학회 2010년도 춘계학술대회 초록집
    • /
    • pp.127.2-127.2
    • /
    • 2010
  • 우리나라는 기후변화 대응을 준비하기위해 2008년도에 수립한'국가에너지기본계획(2008-2030)'에 따라 2030년까지 신재생에너지 비중을 2.4%에서 11%까지 달성을 목표로 정하고 신재생에너지 분야를 성장시키기 위해 국가기술개발 및 산업화 전략을 수립해 추진하고 있다. 이에 발맞추어 건물용 연료전지시스템의 경우, 2006년도부터 1kW급 가정용 연료전지시스템 모니터링 사업의 일환으로 3년간 210대가 도시가스사 및 지자체 등을 중심으로 설치되어 운전되어지고 있다. 특히, 2010년부터 시범보급사업이 추진되어 올해 200대를 시작으로 2011년에 300대, 2012년에 500대가 일반가정에 보급되어질 예정이다. 하지만 현재 6천만원인 연료전지시스템 가격을 실제 보급가능한 가격인 5백만원 이하로 저감시키는 것이 현 시점에서 가장 시급한 문제로 대두되어지고 있는 실정이다. 본 연구에서는 그린홈 보급확대를 위한 건물용 연료전지의 보조기기인 블로워의 가격저감을 위한 연구의 일환으로 블로워의 안전성능 평가방법을 개발하여 보조기기의 가격저감 및 안전성을 확보하고자 한다. 1kW급 건물용 연료전지시스템의 여러 블로워 중 도시가스용 연료승압 블로워, 선택산화 공기 블로워, 버너 공기 블로워 및 캐소드 공기 블로워의 안전성능 평가방법을 제시함으로서, 국내 블로워 제조사의 설계방향을 제시하고 연료전지시스템의 안전성을 확인하고자 한다. 특히, 내구성, 기밀, 가혹조건시험 및 소음, 진동, 습도, 온도와 같은 내주위환경시험 등의 평가결과를 제조사에 feedback하여 안전성능 개선에 이바지하고자 한다.

  • PDF

간기능장애를 동반한 임신악조(姙娠惡阻)환자의 치험 1례(例)에 대한 임상보고 (A Case Report of Complaining of Disturbed Liver Function in Hyperemesis Gravidarium)

  • 유영기;배상진;김형준;이동녕
    • 대한한방부인과학회지
    • /
    • 제19권4호
    • /
    • pp.279-286
    • /
    • 2006
  • Purpose : The purpose of this study is to report the effect of oriental treatments to hyperemesis gravidarum in disturbed liver function. Methods : Hyperemesis gravidarum is a severe and intractable form of nausea and vomiting in pregnancy. It is a diagnosis of exclusion and may result in weight loss; nutritional deficiencies; and abnormalities in fluids, electrolyte levels, and acid-base balance. The peak incidence is at 4, 8-16 weeks of pregnancy. Interestingly, nausea and vomiting of pregnancy is generally associated with a lower rate of miscarriage. However disturbed diver dunction with Hyperemesis gravidarium is rare very and dangerous. Traditionally, oriental medical therapy has been used to patients with hyperemesis gravidarum and showed effective result. We treated 1 patient who had hyperemesis gravidarum in disturbed diver dunction at Se-Myung university Oriental Hospital in affiliation by Herbal medication, acupuncture and moxa therapy and got good result from them. Results : As a result, symptoms are remarkably alleviated and liver function test are improved. Conclusion : Therefore we would like to report that it is effective to cure the hyperemesis gravidarum in disturbed liver function through the herb-medication and acupuncture treatment.

  • PDF