• Title/Summary/Keyword: Fluid Management

Search Result 513, Processing Time 0.028 seconds

The Usefulness of Ultrasound Diagnosis of Acute Tendon Injury in Hand (급성 건 손상 환자에서 초음파의 유용성)

  • Choi, Chang Yong;Lee, Han Jeong;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
    • /
    • v.35 no.6
    • /
    • pp.729-734
    • /
    • 2008
  • Purpose: The evaluation and management of a completely transected tendon of the hand is relatively clear. In most cases, the integrity is assessed by physical examination(eg, broken normal cascade, motion loss) but occasionally, It happens in troubles. because of pain, limited patient cooperation(eg, child, unconscious patient), and other associated injuries(eg, fractures, foreign bodies). Methods: From september 2006 to August 2007, 28 patients were evaluated with real time ultrasonography preoperatively and postoperatively. Twenty eight patients with injured tendon were evaluated using an HDI 5000 Sono CT(Philips Medical Systems, Bothell, WA) machine with a high resolution, 7.5MHz hockey stick linear probe. Dynamic evaluation was performed in real time. Results: Surgery was performed after the ultrasonographic evaluation. Sonographic diagnosis and intraoperative findings were correlated. Ultrasonographic findings show tendon discontinuity, gaps, and fluid collection. Conclusion: We conclude that ultrasonography is helpful in evaluating and managing acute tendon injury. Especially, in cases of completely lacerated tendon, ultrasonography can identify the location of the proximal tendon stump and partial lacerated tendon, ultrasonographic diagnostic tool can decrease misdiagnosis.

A study on the improvement of the accuracy of fishing trawlers maneuverability estimation at the design stage (설계단계에서의 트롤어선 조종성능 추정 정확성 향상에 대한 연구)

  • KIM, Su-Hyung;LEE, Chun-Ki;LEE, Min-Gyu
    • Journal of the Korean Society of Fisheries and Ocean Technology
    • /
    • v.56 no.4
    • /
    • pp.374-383
    • /
    • 2020
  • At ship design stage, the maneuverability is generally estimated based on the empirical formula or the computational fluid dynamic (CFD), which is one of the numerical simulation methods. Using the hydrodynamic derivatives derived through these methods can quantitatively estimate the maneuverability of target vessels and evaluate indirect maneuverability. Nevertheless, research on estimating maneuverability is insufficient for ships not subject to IMO maneuverability standard, especially fishing vessels, and even at the design stage, the empirical formula developed for merchant ships is applied without modification. An estimation error may occur due to the empirical formula derived from the regression analysis results of a model test if the empirical formula developed for merchant ships with different hull shapes is applied to fishing vessels without any modification. In this study, the modified empirical formula that can more accurately estimate the fishing vessel's maneuverability was derived by including the hull shape parameter of target fishing trawlers in the regression analysis process that derives Kijima et al. (1990) formula. As a result, the modified empirical formula showed an average estimation error of 6%, and the result improved the average error of 49% of Kijima et al. (1990) formula developed for merchant ships.

The effect of Reynolds numbers on the steady state aerodynamic force coefficients of the Stonecutters Bridge deck section

  • Hui, M.C.H.;Zhou, Z.Y.;Chen, A.R.;Xiang, H.F.
    • Wind and Structures
    • /
    • v.11 no.3
    • /
    • pp.179-192
    • /
    • 2008
  • In a wind tunnel experiment employing a reduced scale model, Reynolds number (Re) can hardly be respected. Its effects on the aerodynamics of closed-box bridge decks have been the subject of research in recent years. Stonecutters Bridge in Hong Kong is a cable-stayed bridge having an unprecedented central span of 1018m. The issue of Re sensitivity was raised early in the design phase of the deck of Stonecutters Bridge. The objective of this study is to summarise the results of various wind tunnel experiments in order to demonstrate the effect of Re on the steady state aerodynamic force coefficients. The results may provide an insight on the choice of scale for section model experiments in bridge design projects. Computational Fluid Dynamics (CFD) analysis of forces on bridge deck section was also carried out to see how CFD results are compared with experimental results.

Preliminary Surgical Results of Open Sella Method with Intentionally Staged Transsphenoidal Approach for Patients with Giant Pituitary Adenomas

  • Kim, Young-Zoon;Song, Yeung-Jin;Kim, Hyung-Dong
    • Journal of Korean Neurosurgical Society
    • /
    • v.37 no.1
    • /
    • pp.16-19
    • /
    • 2005
  • Objective: This study is designed to evaluate the clinical outcome, the safety and the effectiveness of the open sella methods(OSM) with intentionally staged transsphenoidal approach(TSA) for giant pituitary adenomas(GPA). Methods: Eight patients with GPA were managed by the OSM with intentionally staged TSA. There were 5 nonfunctioning adenomas, 2 prolactin-secreting adenomas, and 1 growth hormone-secreting adenoma. Among them, 6 patients underwent two times of TSA, one patient underwent three times of TSA, and the other patient underwent two times of TSA followed by radiation therapy. The mean time interval between staged operations was 3.9 months except for one case. Results: Seven out of the eight patients with GPA treated with the OSM with intentionally staged TSA showed that the tumors were completely removed on magnetic resonance imaging and that they were free from headache and visual problem suffered previously. Only one patient experienced severe complications including panhypo-pituitarism, cerebrospinal fluid rhinorrhea and permanent diabetes insipidus. Conclusion: With the surgical treatment for 8 cases of GPA, which extended to the suprasellar and parasellar area, we suggest that the OSM with intentionally staged TSA is a safe and effective method in management for GPA.

Numerical Analysis of Stress Regimes in and around Inactive and Active Fault Zones (비활성 그리고 활성 단층지역 내부와 주변에서의 응력장에 대한 수치적 분석)

  • Jeong, Woo-Chang;Song, Jai-Woo
    • Journal of the Korean Society of Hazard Mitigation
    • /
    • v.1 no.1 s.1
    • /
    • pp.117-125
    • /
    • 2001
  • This paper presented the analysis of stress regimes in and around inactive and active fault zones. The stress regime in the vicinity of an existing inactive fault zone is dependent on the orientation of the fault with respect to the current stress field and the contrast between the elastic properties of the faulted rock and those of the surrounding rock. In the analysis of stress regimes around an active fault zone, if the yielding stress is exceeded during loading, the localized shearing in a fault zone will result in weakness with mean stresses in the fault becoming lower than those in the surrounding rock. It can be expected that such stress gradients will induce fluid flow towards the faults zone.

  • PDF

Traumatic Rupture of a Hepatic Hemangioma (간혈관종의 외상성 파열)

  • Sung, Ji Eun;Park, Sang Jun;Nam, Chang Woo;Hwang, Jae Chol;Kim, Young Min
    • Journal of Trauma and Injury
    • /
    • v.26 no.3
    • /
    • pp.252-254
    • /
    • 2013
  • A hepatic hemangioma is the most frequent benign liver tumor. Once rupture occurs, the bleeding can barely be controlled by using conservative management or endovascular treatment. We report a case of traumatic hepatic hemangioma rupture. A 60-year-old man was referred to our hospital under cardiopulmonary cerebral resuscitation (CPCR). CPCR was continued for 16 minutes after his admission to the emergency room (ER). Computed tomography (CT) showed fluid accumulation in the peritoneal cavity with active contrast extravasation in the left lateral segment of the liver. Percutaneous transarterial embolization and massive transfusion were carried out. Embolization did not stop the bleeding, we decided on an exploration and then resected the lateral segment of the liver to control the bleeding. The specimen showed a ruptured hemangioma in the liver segment.

Development of a Framework for Improving Efficiency of Ship Vibration Analysis (선박 전선 진동해석 효율성 향상을 위한 프레임워크 개발)

  • Cho, Dae-Seung;Kim, Jin-Hyeong;Choi, Tae-Muk;Kim, Kyung-Soo;Choi, Sung-Won;Jung, Tae-Seok;Lee, Do-Kyung;Seok, Ho-Il
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
    • /
    • 2011.04a
    • /
    • pp.779-784
    • /
    • 2011
  • Free and forced vibration analysis of the global ship structure using the 3-dimensional finite element(FE) method requires not only the specialized knowledge such as ship structure interacted with fluid, damping and various excitations due to propulsion system but also time-consuming manual tasks in FE modeling, analysis and response evaluation. As a result, the quality of the vibration analysis highly depends on engineer's expertise and experience. In this study, a framework system to improve the efficiency of global ship vibration analysis is introduced. The system promising the utilization of MSC/Patran and MSC/Nastran consists of various modules to support data management, FE modeling of ship structure and loading, input deck generation for free and forced vibration analysis, data extraction and evaluation of analysis results, and databases for FE models of marine diesel engines and vibration criteria. The system may be useful for pursuing standardization of uncertain analysis factors as well as reducing time, cost and human dependency in ship vibration analysis.

  • PDF

An Experiment on Thermosyphon Boiling in Uniformly Heated Vertical Tube and Asymmetrically Heated Vertical Channel

  • Kwak, Ho-Young;Jeon, Jin-Seok;Na, Jung-Hee;Park, Hong-Chul
    • Journal of Mechanical Science and Technology
    • /
    • v.15 no.1
    • /
    • pp.98-107
    • /
    • 2001
  • Continuing efforts to achieve increased circuit performance in electronic package have resulted in higher power density at chip and module level. As a result, the thermal management of electronic package has been important in maintaining or improving the reliability of the component. An experimental investigation of thermosyphonic boiling in vertical tube and channel made by two parallel rectangular plates was carried out in this study for possible application of the direct immersion cooling. Fluorinert FC-72 as a working fluid was used in this experiment. Asymmetric heated channel of open periphery with gap size of 1, 2, 4 and 26mm and uniformly heated vertical tubes with diameter of 9, 15 and 20mm were boiled at saturated condition. The boiling curves from tested surfaces exhibited the boiling hysteresis. It was also found that the gap size is not a significant parameter for the thermosyphonic boiling heat transfer with this Fluorinert. Rather pool boiling characteristics appeared for larger gap size and tube diameter. The heat transfer coefficients measured were also compared with the calculation results by Chens correlation.

  • PDF

PIV measurement of oscillatory flow in a micro-channel as a bronchiole model

  • LEE Won-je;KAWAHASHI Massaki;HIRAHARA Hiroyuki
    • 한국가시화정보학회:학술대회논문집
    • /
    • 2004.12a
    • /
    • pp.125-134
    • /
    • 2004
  • The improvement of artificial respiration method has brought about the decrease in mortality of pulmonary diseases patients. Various respiratory curative methods, inclusive of HFOV (High Frequency Oscillatory Ventilation), have been developed for more effectual and less harmful management of acute respiratory failure. However, the mechanism of gas transfer and diffusion in a bronchiole has not yet been clarified in detail. As a first approach to the problem, we measured oscillatory flows in a Y-shaped micro-channels as bronchiole model by micro Particle Image Velocimetry(micro PIV). In order to establish the fundamental technique of PIV measurements on oscillatory air flow in a micro-channel, we used about 500-nm-diameter incense smoke particles, a diode laser, a high speed camera including an objective lens, and a HFOV, which is effective technique for medical care of pulmonary disease patients, especially, infants. The bronchiole model size is that parent tube is $500\{mu}m$ width and $500\{mu}m$ depth, and daughter tubes are $450\{mu}m$ width and $500\{mu}m$ depth. From this study made on the phenomenon of fluid in micro size bronchus branch of a lung, we succeeded to get time series velocity distribution in a micro scale bronchial mode. The experimental results of velocity distribution changing with time obtained by micro PIV can give fundamental knowledge on oscillatory airflow in micro-channel.

  • PDF

Causes and surgical management of postthoracotomy empyema (개흉술후 발생한 농흉의 유인 및 외과적 치료)

  • Go, Yeong-Sang;Kim, Gong-Su
    • Journal of Chest Surgery
    • /
    • v.26 no.10
    • /
    • pp.769-774
    • /
    • 1993
  • Thoracic empyema is defined as purulent pleural effusion or effusion with positive bacteriology. Recently, the empyema has markedly decreased by developement of antibiotics, but empyemas following thoracotomy were occasionaly reported. During the period of January, 1985 to May,1991, 18 patients with postthoracotomy empyema have been treated in the Department of Thoracic and Cardiovascular Surgery of Chonbuk National University Hospital.There were 17 males and 1 female ranged from 18 years to 67 years of age. The underlying diseases of empyema were tuberculosis [50%], lung cancer [33.3%], esophageal cancer [11.1%],and aspergillosis with tuberculosis[5.6%]. In surgical procedures causing the empyema, there were lobectomy[38.9%], pneumonectomy[22.2%], decortication[16.7%], decortication & lobectomy[11.1%], and esophagectomy [11.1%]. Etiologic organisms in the pleural fluid were Pseudomonas [27.7%], S.aureus [16.7%], mixed infection [16.7%], K.pneumonia [5.6%], M.tuberculosis [5.6%], and no isolation [27.7%]. In 6 cases with BPF, completion pneumonectomy was performed in 1 case, and open thoracostomy in 5 cases. In 12 cases without BPF, closed thoracostomy was performed in 1 case, decortication in 2 cases, decortication & open thoracostomy in 2 cases, and open thoracostomy in 7 cases. In 6 cases with BPF, the fistulas were closed in 4 cases at follow up, the other 2 cases died from pulmonary insufficiency after completion pneumonectomy and open thoracostomy,respectively. In 12 cases without BPF, the empyema cavities were filled with expanded lungs and granulation tissues, except 1 case died from sepsis.

  • PDF