• 제목/요약/키워드: Fluid Management

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A Case of Hemolytic Uremic Syndrome Complicated by Pneumococcal Necrotizing Pneumonia (폐구균에 의한 괴사성 폐렴 후 합병한 비전형적 용혈성 요독 증후군 1례)

  • Cho, Eun Young;Choe, Young June;Lee, Sun Hee;Cho, Hee Yeon;Lee, Jina;Choi, Eun Hwa;Ha, Il Soo;Cheong, Hae Il;Lee, Hoan Jong;Choi, Yong
    • Pediatric Infection and Vaccine
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    • v.15 no.2
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    • pp.206-211
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    • 2008
  • Streptococcus pneumoniae is a common cause of acute otitis media, sinusitis, pneumonia, and the invasive bacterial infections in children. Rarely, S. pneumoniae is an uncommon cause of hemolytic-uremic syndrome (HUS). We report a 33 month-old girl who presented with pneumonia, and subsequently developed HUS. Her pulmonary infection was complicated by necrotizing pneumonia and acute respiratory distress syndrome. Cultures from blood and pleural fluid grew S. pneumoniae, serotype 19A. She was treated with antibiotics, dialysis and mechanical ventilatory support. She was discharged with normal renal function after 2 months of management. She remained healthy without renal complications at the 5 year follow-up visit.

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Well Log Analysis using Intelligent Reservoir Characterization (지능형 저류층 특성화 기법을 이용한 물리검층 자료 해석)

  • Lim Song-Se
    • Geophysics and Geophysical Exploration
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    • v.7 no.2
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    • pp.109-116
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    • 2004
  • Petroleum reservoir characterization is a process for quantitatively describing various reservoir properties in spatial variability using all the available field data. Porosity and permeability are the two fundamental reservoir properties which relate to the amount of fluid contained in a reservoir and its ability to flow. These properties have a significant impact on petroleum fields operations and reservoir management. In un-cored intervals and well of heterogeneous formation, porosity and permeability estimation from conventional well logs has a difficult and complex problem to solve by conventional statistical methods. This paper suggests an intelligent technique using fuzzy logic and neural network to determine reservoir properties from well logs. Fuzzy curve analysis based on fuzzy logics is used for selecting the best related well logs with core porosity and permeability data. Neural network is used as a nonlinear regression method to develop transformation between the selected well logs and core analysis data. The intelligent technique is demonstrated with an application to the well data in offshore Korea. The results show that this technique can make more accurate and reliable properties estimation compared with previously used methods. The intelligent technique can be utilized a powerful tool for reservoir characterization from well logs in oil and natural gas development projects.

Development of the Automated Ultrasonic Testing System for Inspection of the flaw in the Socket Weldment (소켓 용접부 결함 검사용 초음파 자동 검사 장비 개발)

  • Lee, Jeong-Ki;Park, Moon-Ho;Park, Ki-Sung;Lee, Jae-Ho;Lim, Sung-Jin
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.3
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    • pp.275-281
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    • 2004
  • Socket weldment used to change the flow direction of fluid nay have flaws such as lack of fusion and cracks. Liquid penetrant testing or Radiography testing have been applied as NDT methods for flaw detection of the socket weldment. But it is difficult to detect the flaw inside of the socket weldment with these methods. In order to inspect the flaws inside the socket weldment, a ultrasonic testing method is established and a ultrasonic transducer and automated ultrasonic testing system are developed for the inspection. The automated ultrasonic testing system is based on the portable personal computer and operated by the program based Windows 98 or 2000. The system has a pulser/receiver, 100MHz high speed A/D board, and basic functions of ultrasonic flaw detector using the program. For the automated testing, motion controller board of ISA interface type is developed to control the 4-axis scanner and a real time iC-scan image of the automated testing is displayed on the monitor. A flaws with the size of less than 1mm in depth are evaluated smaller than its actual site in the testing, but the flaws larger than 1mm appear larger than its actual size on the contrary. This tendency is shown to be increasing as the flaw size increases. h reliable and objective testing results are obtained with the developed system, so that it is expected that it can contribute to safety management and detection of repair position of pipe lines of nuclear power plants and chemical plants.

Panperitonitis with Advanced Gastric Cancer - Based on Seminar of Korean Family Medicine Palliative Medicine Research Group - (진행된 위암 환자에게 발생한 범복막염 치료의 완화의학적 접근 - 대한가정의학회 완화의학연구회 세미나를 기초로 하여 -)

  • Jung, Yun-Joo;Kim, Dae-Kyun;Choi, Youn-Seon;Korean Palliative Medicine Research Group, Korean Palliative Medicine Research Group;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.9 no.1
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    • pp.35-39
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    • 2006
  • A 77-year-old female presented panperitonitis due to advanced gastric ranter during palliative care. In the case of panperitonitis following obstruction or perforation, surgical treatment is vital to avoid fatal sepsis and dehydration. However, the risk of surgery and the residual life of a patient must be carefully considered because of high mortality and complication rate in those patients with advanced disease due to the poor condition. The therapeutic value of aggressive hydration, nasogastric tube insertion, and the use of antibiotics is also questionable. Palliative surgery was not performed on this case, and she passed away peacefully in the presence of family after 4 days of palliative medical care. Here is the appropriate management for this kind of patients we would like to recommend through review of relevant references and long discussions. Firstly, we need to predict survival time using clinical variables. Secondly, considering patient status and risk of surgery, non surgical palliative care such as pain control, transient nasogastric tube insertion, and parenteral hydration is recommended. Minimal use of fluid is desirable to minimize complications such as edema and dyspnea if massive hydration in the beginning of treatment is not proved to be effective. Even though started earlier in the course of disease, discontinuation of antibiotics could be discussed with patients and their caregiver if patient status is not improved.

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A Study on Wind Distribution of Mountain Area by Spot Measurements and Simulations (실측 및 해석을 통한 단순 산악지형의 바람장 분포 연구)

  • Kimg, Eung-Sik;Lee, Byung-Doo;Cho, Min-Tae;Kim, Jang-Whan
    • Fire Science and Engineering
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    • v.28 no.6
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    • pp.13-21
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    • 2014
  • Forest fire has a number of variables and since the effects of wind fields are bigger than any other variables, it is essential to know wind direction and velocity for the forest fire extinguishing techniques and the prediction of fire spread. With regards to the local area that has a high chance of forest fire, the data from meteorological observatory in the area is used for the estimation of wind velocity. It is relatively easy to obtain automatic weather station (AWS) data which are available for the whole nation. There is a chance that the data from the weather station may be different with the actual data at the mountain areas. In this study simply shaped hills (Sae-byeol hill of Jeju Island and port Ma-geum in An-myeon Island in the sea side) were selected as the experimental locations to minimize the distortion of the wind field by the adjacent geographic features. Spot measurements and analysis of computational fluid dynamics (CFD) for the given geographic features were conducted to examine and compare their consistency. As a conclusion It is possible to predict wind patterns in these simple locations.

Two Cases of Invasive Pseudomonas aeruginosa Infection that Developed in the Apparently Immunocompetent Infants (면역 기능의 이상이 발견되지 않은 영아에서의 침습성 녹농균 감염증 2례)

  • Kang, Min Jae;Kim, So Hee;Kim, Nam Hee;Lee, Jin-A;Eun, Byung Wook;Choi, Eun Hwa;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.13 no.2
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    • pp.180-185
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    • 2006
  • Invasive Pseudomonas infections most often occur in the immunocompromised patients and are associated with high mortality rate. Rarely this disease may develop in healthy infants and children. We report two cases of invasive Pseudomonas aeruginosa infections that were diagnosed in otherwise healthy infants. The first case was a previously healthy 5-month-old infant with ecthyma gangrenosum and septicemia. She presented with fever, swelling of left periorbital area and multiple erythronodular skin lesions. Each skin lesion formed a black eschar surrounded by an erythematous areola over time. Cultures of blood, urine and discharge from skin lesions grew P. aeruginosa. On the day of visit, she showed pancytopenia which was normalized after 10 days. The patient responded well to the management with ceftazidime and tobramycin. The other case was a previously healthy 9-month-old infant with community-acquired pneumonia. He was referred from an outside hospital with fever and cough. Chest x-ray revealed pneumonic infiltrations on both lower lungs with pleural effusion on the right side. Cultures of blood and pleural fluid grew P. aeruginosa. Chest CT performed on the ninth day demonstrated pneumatoceles, lung abscess and necrosis of lung parenchyma. He was managed with ceftazidime and amikacin for 50 days. No residual pulmonary complications were noted during the three month follow-up. Laboratory results to evaluate immunologic defects of phagocytic cells, complement components and T- and B-lymphocytes were all within normal range in both patients. It should be kept in mind that Pseudomonas can be, though uncommon, a cause of community-acquired invasive infections in the previously healthy infants.

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MANAGEMENT OF DENTIGEROUS CYST AND ERUPTION GUIDANCE OF INVOLVED TEETH USING OBTURATOR (Obturator를 이용한 함치성 낭종의 처치 및 이환된 치아의 맹출 유도)

  • Im, Chul-Seung;Lim, Kwang-Ho;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.669-676
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    • 1999
  • The dentigerous cysts originate through alteration of the reduced enamel epithelium after amelogenesis is completed, with accumulation of fluid between the layers of the enamel epithelium, or between this epithelium and the tooth crown. Next to the radicular cyst, they are the second most common type of odontogenic cyst. They occur over a wide age range with a peak frequency in the 2nd to 3rd decade. A substantial majority involve the mandibular third molars, followed in order of frequency by the maxillary permanent canines, mandibular second premolars, and maxillary third molars. With regard to the treatment of these cysts, the marsupialization procedure with obturator is recommended during the age when the eruptive force of the teeth is still strong. It can be effective when preservation of the displaced teeth is desirable. We treated the dentigerous cyst by marsupialization with obturator and guided the eruption of involved teeth to normal position. And we got the results as follows : 1. Severely dislocated teeth associated with dentigerous cyst erupted into proper position. 2. The enamel hypoplasia and the root deformity were observed some cases. 3. The bone expansion and defect were healed without infection and recurrence.

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Nursing Activities Identified through Pediatric Nursing Simulation (간호활동을 중심으로 한 아동간호시뮬레이션 실습 분석)

  • Shin, Hyun-Sook;Shim, Ka-Ka;Lee, Yu-Na
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.111-119
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    • 2013
  • Purpose: This research was a descriptive study of nursing activities observed in nursing simulation during a senior nursing student practicum. Content and frequencies of nursing activities during the simulation practice were identified. Methods: Thirty-six episodes of pediatric nursing simulation were videotaped. Both verbalizations and descriptions of nonverbal behaviors were recorded from the videotapes. The data were coded and analyzed. The coded nursing activities were evaluated for frequency and purpose of interaction. Results: Average time per simulation episodes was 27 minutes and ranged from 3.30 to 32.54 minutes. Nursing activities in these simulation episodes included nursing assessments such as vital sign measurement, associated symptom assessment, and check of patient condition, nursing interventions such as medication, tepid water massage, fluid therapy, provision of oxygen, suctioning, hyperglycemia and hypoglycemia management, communication such as parent education, procedure guidance, and communication among providers. Activities in assessment were most frequent, and among them, vital sign measurement and check of patient condition were more frequent than others. Conclusion: Students showed enhanced nursing activities such as more frequent nursing assessment, communication and interventions in their simulation experience. Therefore simulation experience can be considered as one strategies to provide nursing students with better and more intense practicum experience.

Development and Validation of Inner Environment Prediction Model for Glass Greenhouse using CFD (CFD를 이용한 유리온실 내부 환경 예측 모델 개발 및 검증)

  • Jeong, In Seon;Lee, Chung Geon;Cho, La Hoon;Park, Sun Yong;Kim, Min Jun;Kim, Seok Jun;Kim, Dae Hyun
    • Journal of Bio-Environment Control
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    • v.29 no.3
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    • pp.285-292
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    • 2020
  • Because the inner environment of greenhouse has a direct impact on crop production, many studies have been performed to develop technologies for controlling the environment in the greenhouse. However, it is difficult to apply the technology developed to all greenhouses because those studies were conducted through empirical experiments in specific greenhouses. It takes a lot of time and cost to develop the models that can be applicable to all greenhouse in real situation. Therefore studies are underway to solve this problem using computer-based simulation techniques. In this study, a model was developed to predict the inner environment of glass greenhouse using CFD simulation method. The developed model was validated using primary and secondary heating experiment and daytime greenhouse inner temperature data. As a result of comparing the measured and predicted value, the mean temperature and uniformity were 2.62℃ and 2.92%p higher in the predicted value, respectively. R2 was 0.9628, confirming that the measured and the predicted values showed similar tendency. In the future, the model needs to improve by applying the shape of the greenhouse and the position of the inner heat exchanger for efficient thermal energy management of the greenhouse.

Development of recipe for promoting consumption of Haetsun sprouts and their nutrient evaluation (햇순나물의 소비확대를 위한 조리기술 개발 및 영양성 평가)

  • Jang, Hye-Lim;Kim, Na-Hyung;Im, Hee-Jin;Park, Chu-Ja;Woo, Sang-Cheul;Yoon, Kyung-Young
    • Food Science and Preservation
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    • v.21 no.5
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    • pp.710-717
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    • 2014
  • This study was designed to develop dish recipes using Heatsun sprouts to improve the sprouts' utilization and consumption. We created four kinds of dishes with Heatsun sprouts, including Acanthopanacis cortex, Kalopanax pictus, Aralia elata, and Cedrela sinensis, and analyzed their sensory properties and nutrients. In the sensory evaluation, the overall preference for all the dishes was scored higher than 3.0, Unnaumsun-dakgoginaengchae had the highest score (4.48) among the dishes. Unnamusun-dakgoginaengchae contained higher values of protein; vitamin A, E, and B6; and folic acid than the recommended dietary allowances (RDAs). The recipe for Dureupgokgammuchim was created to reduce the bitterness and the astringent taste of Aralia elata, and it was rich in vitamin C, E, and B6, as well as in folic acid and iron. Ogapisunkkonchijolim was cooked to reduce the fishy smell of a saury with the addition of Acanthopanacis cortex. It contained 1.5 times the protein RDAs, and high levels of antioxidant vitamins, including vitamin A, C, and E. Chamjugmandu was made by the mixing tofu and various vegetables without adding meat. It had the highest calorie count among the dishes, and its vitamin A, C, and E contents were higher than the corresponding RDAs.