• Title/Summary/Keyword: Fluid Management

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Treatment of Mid-trimester Oligohydramnios Using Gami-danggui-san (임신중기(姙娠中期)에 나타난 양수과소증(oligohydramnios)에 가미당귀산(加味當歸散)을 투여하여 효과를 보인 증례보고)

  • Kim, Hyo-Jung;Kim, Eun-Seop;Jin, Dae-Hwan;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.1
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    • pp.85-93
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    • 2019
  • Objectives: The aim of this study was to demonstrate the benefit of Traditional Korean Medicine as an adjuvant therapy in management of mid-trimester oligohydramnios. Methods: It is a case report of a 31 year-old woman hospitalized for oligohydramnios at $24^{+4/7}$weeks of gestation. This patient diagnosed with special oligohydramnios had no abnormal findings such as fetal urinary abnormalities or other anomalies. Also, symptom of PPROM (preterm premature rupture of membrane) was not confirmed. The decoction, Gami-danggui-san (DG) was prescribed for the purpose of reducing unnecessary contraction of uterine muscle during pregnancy and promoting blood circulation and metabolism, thereby improving placental function and contributing to the increase of the fluid. DG decoction was administered twice a day until 19th of June, which was 10 days in total. During the treatment, level of amniotic fluid had been monitored by measuring AFI (amnioti fluid index). Results: After these conventional therapies, the amount of amniotic fluid increased steadily, and eventually reached the optimal level. AFI was found to be 3.2 on the $24^{+4/7}$ weeks, 8 on the $26^{+1/7}$ weeks, 11.5 on the $27^{+0/7}$ weeks of gestation. In the same periods, EFW (expected fetal weight) was also found to be increasing gradually: 545 g, 630, and 760 g. Conclusions: Our report implies the potential of herbal medicine as a effective therapy for oligohydramnios tratment. Further studies are needed to assess the efficacy of TKM herbal medicine and reveal the mechanisms of the decoction.

Compatibility Analysis Through the System of Chief, Deputy, Assistant, and Envoy for Socheongnyong-tang (소청룡탕(小靑龍湯)의 군신좌사(君臣佐使) 배오(配伍) 분석)

  • Kim, Do Hoy;Yoon, Michung;Shin, Soon Shik
    • Herbal Formula Science
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    • v.26 no.4
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    • pp.363-380
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    • 2018
  • Objectives : We analyzed the principle of compatibility of socheongnyong-tang and expanded the range of application in clinical practice. Methods : Socheongnyong-tang was analyzed by the compatibility principle through the system of chief, deputy, assistant, and envoy, but the basic formulas of "Discussion of Cold Damage" and "Synopsis of the Golden Chamber" was used. Results : Socheongnyong-tang treats exterior wind-cold and interior water accumulation. Exterior wind-cold is treated mainly by exterior-releasing herbs constituting mahwang-tang and gyeji-tang in "Discussion of Cold Damage", and interior water accumulation is treated mainly by retained fluid-resolving herbs constituting yeonggamomigangsinha-tang, yeonggamomigagangsinbanhahaengin-tang and yeonggamomigagangsinbanhaengdaehwang-tang in "Synopsis of the Golden Chamber". Depending on the weight of exterior wind-cold and interior water accumulation, the disease condition is classified as a case where exterior wind-cold is heavier than interior water accumulation, a case where exterior wind-cold is lighter than interior water accumulation, and a case where it is equivalent. When exterior wind-cold is heavier than interior water accumulation, chief herbs are Ephedrae Herba and Cinnamomi Ramulus of exterior-releasing herbs series and deputy herbs are Zingiberis Rhizoma and Asari Radix et Rhizoma of retained fluid-resolving herbs series. When exterior wind-cold is equal to the disease condition of interior water accumulation, chief herbs are Ephedrae Herba of exterior-releasing herbs series and Zingiberis Rhizoma of retained fluid-resolving herbs series, and deputy herbs are Cinnamomi Ramulus of the exterior-releasing herbs series and Asari Radix et Rhizoma of retained fluid-resolving herbs series. When exterior wind-cold is lighter than interior water accumulation, chief herbs are Zingiberis Rhizoma and Asari Radix et Rhizoma of retained fluid-resolving herbs series and deputy herbs are Ephedrae Herba and Cinnamomi Ramulus of exterior-releasing herbs series. In any case, assistant herbs are Pinelliae Rhizoma, Paeoniae Radix alba, and Schisandrae Fructus, and envoy herb is Glycyrrhizae Radix preparata. Conclusions : In conclusion, socheongnyong-tang must differently formulate the system of chief, deputy, assistant, and envoy according to the grade of exterior wind-cold and interior water accumulation. These results suggest that socheongnyong-tang can be applied flexibly when applied in clinical practice to enhance the therapeutic effect.

The Study on the Wave Interaction Due to Offshore Structures (파랑과 해안구조물과의 상호작용에 관한 연구)

  • Kim, Sung-Duk;Lee, Ho-Jin;Dho, Hyon-Seung
    • Journal of the Korea Safety Management & Science
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    • v.11 no.4
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    • pp.139-145
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    • 2009
  • The present study is to investigate the effect of wave-structure interaction such as wave oscillation. The theoretical method is based upon the linear diffraction theory obtained by the boundary element method. The water depth and incident wave period in fluid region are assumed to be constant. To investigate the wave interaction due to offshore structures, the numerical program has been developed and the simulation has been carried out by varying the conditions of distance and width of offshore structures. This study can effectively be utilized for safety assessment to various breakwater systems and layout of offshore breakwater in the ocean and coastal field. It can give information for the safety to construct offshore structure and revetment in coastal region.

ATM Traffic Modeling with Markov Renewal Process and Performance Analysis (마코프 재생과정을 이용한 ATM 트랙픽 모델링 및 성능분석)

  • Jeong, Seok-Yun;Hur, Sun
    • Journal of the Korean Operations Research and Management Science Society
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    • v.24 no.3
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    • pp.83-91
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    • 1999
  • In order to build and manage an ATM network effectively under several types of control methods, it is necessary to estimate the performance of the equipments in various viewpoints, especially of ATM multiplexer. As for the method to model the input stream into the ATM multiplexer, many researches have been done to characterize it by, such as, fluid flow, MMPP(Markov Modulated Poisson Process), or MMDP (Markov Modulated Deterministic Process). We introduce an MRP(Markov Renewal Process) to model the input stream which has proper structure to represent the burst traffic with high correlation. In this paper, we build a model for aggregated heterogeneous ON-OFF sources of ATM traffic by MRP. We make discrete time MR/D/1/B queueing system, whose input process is the superposed MRP and present a performance analysis by finding CLP(Cell Loss Probability). A simulation is done to validate our algorithm.

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의미 네트워크 모델을 이용한 탐색 용어 선택 시스템의 설계 및 구현에 관한 연구

  • 이효숙
    • Journal of the Korean Society for information Management
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    • v.5 no.1
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    • pp.131-152
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    • 1988
  • It is purposed in this paper to improve the retrieval cffect~venebs through the use of the seman-- t r knowledge of search terms in a computerbased search system. This study is developed it1 three stages include the experimentation of index terms or1 the probab~listir model, indexing with relational operators, and knowledgebase design. The sl~bject experimerltrd is the specific fklds of Chemical Engineering, ' Fluid Flow' and 'Combustion: As for the system ~rnplementatlon. two kinds of search method a r e done. Orie is to search terms related to one specialty word, the other is to retriele the articles based or1 the gueries.

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A Study on Selecting Method of Cutting Fluid using LCA (전과정평가를 이용한 절삭유 선택방법에 관한 연구)

  • 김종복;한영근
    • Proceedings of the Safety Management and Science Conference
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    • 2000.05a
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    • pp.225-239
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    • 2000
  • The objective of ECMS(Environmentally Conscious Manufacturing Systems) is to consider environmental effects through the entire product life cycle from product development stage to design, manufacturing, supplying, using and disposing stage. Recently, environment-oriented recycling, reusing and manufacturing technologies have been researched actively in every engineering fields. In the field of chemical engineering, HHS(Health Hazard Scores) which classifies and analyzes hazardous materials in production processes has been presented. Metal cutting processes also have a lot of harmful factors, and especially hazardous components in cutting fluids have been known to have a bad effect on workers and working area. However, research works such as HHS have been little accomplished in metal cutting processes. In this research, a environmentally conscious machining process is presented by classifying hazardous components in cutting fluids, by using LCA(Life Cycle Assessments) and HHS method, and by evaluating environmental effects from cutting fluids.

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Extravasation Injury and Pressure Sore in Brain Damage Patient with Stiffness of the Limbs

  • Jung, Kyu Hwa;Choi, Hwan Jun;Kim, Jun Hyuk
    • Archives of Reconstructive Microsurgery
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    • v.23 no.1
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    • pp.36-39
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    • 2014
  • Extravasation injury refers to leakage of corrosive liquids from veins, resulting in tissue damage. The authors report on a case of extravasation injury to the left hand after administration of fluid to the antecubital area in a patient with brain damage. In order to minimize the effects of extravasation injury, rapid diagnosis and management are needed. In patients with stiffness, pressure sores can develop requiring more careful management by the medical staff.

Friction on the Tool-chip Interface Under Liquid Nitrogen Cooling (공구와 칩 사이에서의 Liquid Nitrogen의 마찰 효과)

  • Jun Seong Chan
    • Journal of the Korea Safety Management & Science
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    • v.4 no.2
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    • pp.237-249
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    • 2002
  • A cutting fluid can improve machining quality and tool life by maintaining the tool toughness and by providing a lubrication effect to reduce the friction between the chip and tool interface. Although liquid nitrogen as an environmentally safe coolant has been widely recognized in cryogenic machining, its function as a lubricant is plausible due to its chemical inertness, physical volatility and low viscosity. Since a reduced friction is a direct witness of the lubrication effect from a tribological viewpoint, this paper presents an evaluation of the apparent friction coefficient on the tool-chip interface in cryogenic cutting operations to prove and characterize the lubricity of LN2 in cryogenic machining. The mathematical approaches have been formulated to derive the normal and frictional forces on the tool-chip interface for the oblique cutting tests.

A case study of methanol explosion by metal hydroperoxid (유기 과산화물에 의한 메탄올 폭발 사례 연구)

  • Won You-Jon;Kang Kyong-Sik
    • Journal of the Korea Safety Management & Science
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    • v.7 no.5
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    • pp.119-133
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    • 2005
  • In the June, 1991, there was the explosion in which methanol rectified column as a part of the new surface active agent's manufacturing processes. The type of explosion was estimated as the 'detonation'. The methanol rectified column was ruined, and broken pieces of the column were scattered within 900m. Also, there were victims such as the two deads and thirteen wounded persons. The cause of the explosion was heat explosion by being concentrated locally from 0.1% to several tens% of supply fluid at Metal Hydroperoxide, which was produced by methanol and hydrogen peroxide used as the bleach of surface active agent, during the operation stoppage process of methanol rectified column.

Clinical Applications of Photobiomodulation Therapy in the Management of Breast Cancer-related Lymphedema

  • Min, Junwon;Park, Yoonjoon
    • Medical Lasers
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    • v.10 no.4
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    • pp.189-194
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    • 2021
  • Breast cancer-related lymphedema (BCRL) is characterized by the persistent accumulation of interstitial fluid in the peripheral tissues after treatment for breast cancer. Photobiomodulation (PBM) therapy is widely used as supportive care for patients with BCRL. A search was performed in the PubMed database to find relevant articles published over the last 20 years. Randomized controlled trials that evaluated the efficacy of PBM therapy on BCRL were included. A total of 24 studies were identified through the PubMed database. Seven studies were used for the final analysis, after excluding items that did not meet the duplication and inclusion criteria. Although PBM showed some improvement in reducing arm circumference and the symptoms related to BCRL, the results of the meta-analysis did not show any significant benefit in alleviating lymphedema. Further studies are needed with the recruitment of more participants to evaluate the long-term efficacy and safety of PBM in the management of BCRL.