• 제목/요약/키워드: Fluid Management

검색결과 513건 처리시간 0.029초

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

  • 최창용;이한정;최환준;김미선
    • Archives of Plastic Surgery
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    • 제35권6호
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    • pp.729-734
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    • 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.

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

  • 김수형;이춘기;이민규
    • 수산해양기술연구
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    • 제56권4호
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    • pp.374-383
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    • 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
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    • 제11권3호
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    • pp.179-192
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    • 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
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    • 제37권1호
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    • pp.16-19
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    • 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.

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

  • 정우창;송재우
    • 한국방재학회 논문집
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    • 제1권1호
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    • pp.117-125
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    • 2001
  • 비활성 그리고 황성 단층지역의 내부와 주변에서 발생하는 응력장의 변화에 대한 수치적 분석이 수행되었다. 존재하는 비활성 단층지역 근처에서의 응력장은 단층의 방향과 단층화된 암반과 주위의 비단층화된 암반의 탄성적 특성 사이의 대조에 따라 변화한다. 활성 단층지역 주위의 응력장에 대한 분석에서, 만약 단층지역의 항복응력이 초과된다면, 단층지역 내에서의 국부화된 전단응력은 주위의 비단층화된 암반에서의 평균응력 보다 작게 되는 단층 내에서의 평균응력의 감소를 유발시킨다. 따라서 이러한 응력경사는 단층지역내로 유체의 흐름을 기대할 수 있다.

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간혈관종의 외상성 파열 (Traumatic Rupture of a Hepatic Hemangioma)

  • 성지은;박상준;남창우;황재철;김영민
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.252-254
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    • 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.

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

  • 조대승;김진형;최태묵;김경수;최성원;정태석;이도경;석호일
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2011년도 춘계학술대회 논문집
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    • pp.779-784
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    • 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.

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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
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    • 제15권1호
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    • pp.98-107
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    • 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.

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

  • LEE Won-je;KAWAHASHI Massaki;HIRAHARA Hiroyuki
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2004년도 Proceedings of 2004 Korea-Japan Joint Seminar on Particle Image Velocimetry
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    • pp.125-134
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    • 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.

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

  • 고영상;김공수
    • Journal of Chest Surgery
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    • 제26권10호
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    • pp.769-774
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    • 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.

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