• 제목/요약/키워드: Fluid Management

검색결과 517건 처리시간 0.029초

The Surgical Treatment of Three Young Chronic Subdural Hematoma Patients with Different Causes

  • Hou, Kun;Li, Chen G.;Zhang, Yang;Zhu, Bo X.
    • Journal of Korean Neurosurgical Society
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    • 제55권4호
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    • pp.218-221
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    • 2014
  • Chronic subdural hematoma (CSDH), which rarely happens in the young, is thought to be a disease of the elderly. Whereas unspecific symptoms and insidious onset in juveniles and young adults, as a result of its relative low morbidity, CSDH is usually neglected even undertreated in the young. Through the three cases and review of the current literature on this subject, we tried to illustrate the clinical and etiopathological characteristics of this entity and find out the most appropriate treatment strategy. We report three young CSDH patients with different but similar symptoms. The present histories, tests and examinations revealed different predisposing factors accounting for the genesis of CSDH. Their preoperative symptoms were all resolved with burr hole and drainage operation. Juveniles and young adults suffering from CSDH differ from that of their elderly counterparts in their clinical and etiopathological characteristics. Although trauma is the most important risk factor in young and old CSDH patients, some other predisposing factors may exist. Burr hole and drainage surgery could resolve the problem most of the time. But further tests and examinations even specific management should be made in some cases.

쓰나미 파형이 수중식생의 에너지소산에 미치는 영향 (Effects of Tsunami Waveform on Energy Dissipation of Aquatic Vegetation)

  • 이우동;박종률;전호성;허동수
    • 한국해양공학회지
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    • 제31권2호
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    • pp.121-129
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    • 2017
  • The present study numerically investigated the influence of the waveform distribution on the tsunami-vegetation interaction using a non-reflected wave generation system for various tsunami waveforms in a two-dimensional numerical wave tank. First, it was possible to determine the wave attenuation mechanism due to the tsunami-vegetation interaction from the spatial waveform, flow field, vorticity field, and wave height distribution. The combination of fluid resistance in the vegetation and a large gap and creates a vortex according to the flow velocity difference in and out of the vegetation zone. Thus, the energy of a tsunami was increasingly reduced, resulting in a gradual reduction in wave height. Compared to existing approximation theories, the double volumetric ratio of the waveform increased the reflection coefficient of the tsunami-vegetation interaction by 34%, while decreasing the transfer coefficient and energy attenuation coefficient by 25% and 13%, respectively. Therefore, the hydraulic characteristics of a tsunami is highly likely to be underestimated if the solitary wave of the approximation theory is applied for the tsunami.

Endoscopic Management of Pancreaticopleural Fistula in a Child with Hereditary Pancreatitis

  • Lee, Dahye;Lee, Eun Joo;Kim, Ju Whi;Moon, Jin Soo;Kim, Yong-Tae;Ko, Jae Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제22권6호
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    • pp.601-607
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    • 2019
  • Pancreaticopleural fistula (PPF) a fistulous connection between the pancreas and pleural space due to prolonged chronic pancreatitis (CP). PPF is a very rare complication which presents in 0.4% of chronic pancreatitis cases, especially among children. We report a case involving a 3-year-old boy who presented with pleural effusion caused by a PPF, a complication of hereditary pancreatitis, which was, for the first time in Korea, successfully managed with endoscopic treatment. Chest radiography and computed tomography showed massive pleural effusion. Percutaneous catheter drainage was performed. High amylase levels were observed in the pleural fluid and serum, suggesting PPF. The patient was managed with bowel rest and octreotide infusion. Endoscopic retrograde cholangiopancreatography revealed CP, and pleural effusion was successfully managed with stent placement. PRSS1 genetic screening revealed R122H mutation.

만성 거짓 장폐쇄로 진단한 상세불명의 복통 환자 증례 보고 (A Case Report on Chronic Intestinal Pseudo-obstruction Presenting as Unspecified Abdominal Pain in an Adult)

  • 하유빈;장한솔;신길조
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.1094-1101
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    • 2021
  • Objectives: This study examined a case of chronic intestinal pseudo-obstruction (CIPO) in an adult with unspecified abdominal pain.Methods: The patient was treated with herbal medicine, acupuncture, and moxa. Treatment progress was evaluated by follow-up monitoring of the intensity, frequency, and duration (in hours) of abdominal pain and body weight. Results: The average abdominal pain level on the Numerical Rating Scale (NRS) and its incidence decreased. The duration of pain was 15 hours maximum and 2.5 hours minimum. The body weight repeatedly increased and decreased but increased overall. Despite no remarkable findings from X-rays, air-fluid levels and coil-shaped folds of the small bowel were observed. Conclusions: Korean medical treatment based on a dialectic effectively relieved chronic abdominal pain and suspected CIPO-a disease that requires continuous management and therapeutic intervention.

Comorbidity Analysis on ICU Big Data

  • Hyun, Sookyung;Newton, Cheryl
    • International Journal of Advanced Culture Technology
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    • 제7권2호
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    • pp.13-18
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    • 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.

적층형 디지털송수신모듈의 방열특성 분석 (Analysis on Heat Dissipation Characteristics of a Tile-Type Digital Transmitter/Receiver Module)

  • 윤기철;김상운;허재훈;곽노진;김찬홍
    • 한국군사과학기술학회지
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    • 제22권2호
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    • pp.249-254
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    • 2019
  • A Digital Transmitter/Receiver Module(DTRM), which is an essential part in active phased-array radar systems, generates a high heat density, and needs to be properly cooled for stable operation. A tile-type DTRM that is a stacking structure of multi-layer components was modeled with simplification and heat dissipation characteristics of the DTRM model were studied using computational fluid dynamics(CFD) simulations. Most of the heat was dissipated by the heat conduction through the cold plate, but the heat transfer by the forced convection on top of the DTRM also was found to play an important role in the thermal management. Under the given conjugated heat transfer environment, the DTRM was confirmed to secure a stable operating temperature range.

고효율 회전 집광형 하이브리드 태양광 LED 가로등 모듈 시스템 연구 (A study of high-efficiency rotating condensing hybrid solar LED street light module system)

  • 민경호;전용한
    • Design & Manufacturing
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    • 제15권3호
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    • pp.50-55
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    • 2021
  • Solar power generation, which is one of the methods of using solar energy, has a high possibility of practical implementation compared to other renewable energy power generation, and it has the characteristic that it can generate as much power as needed in necessary places. In addition, maintenance is easy, unmanned operation is possible, and power management can be performed more efficiently if operated in a hybrid method with existing electric energy. Therefore, in this study, numerical analysis using a computer program was performed to analyze the efficient operation and performance improvement of solar energy of the rotating condensing type solar LED street lamp. As a result, the two-axis tracking type could obtain 15.23 % more electricity per year than the fixed type, and additional auxiliary power generation was required for the fixed type by 19 % per year than the tracking type. As a result of computational fluid dynamics(CFD) simulation for PV module surface temperature prediction, the The surface temperature of the Photovoltaics(PV) module incident surface was predicted to be about 10℃ higher than that of the fixed type.

Effect of Water Adulteration on the Rheology and Antibacterial Activities of Honey

  • ANIDIOBU, Vincent Okechukwu
    • 식품보건융합연구
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    • 제8권5호
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    • pp.11-20
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    • 2022
  • Honey was diluted with different percentages of water and was analysed rheologically at room temperature of 27℃. The rheological profiles of pure and impure honey samples were measured at low shear rates (0.01-4.16s-1). This work developed a structural kinetic model, which correlated well with the rheological data. The new model was used to categorise honey samples using their average molecular weights as one of the distinctive properties. Also, the kinetics order in the new model predicts the number of active components in the "honey" undergoing deformation. Honey produced third order kinetics to depict the monomers, oligomers and water content in honey. Pure honey exhibits peculiar non-Newtonian rheological behaviour. The behaviour of water is Newtonian. Dilution of honey with different percentages of water turns the resulting fluid Newtonian from 10% dilution with water. This study analysed the antibacterial activities of honey and serially adulterated samples against Staphylococcus aureus and Pseudomonas aeruginosa. The antibacterial analyses of honey were conducted using Kirby Bauer's well diffusion method. The results indicated that pure honey exhibited a zone of inhibition against both organisms. Also, the diameter of the zone of inhibition decreased with increasing dilution of honey, suggesting a correlation with the rheological method.

Fast MRI in Acute Ischemic Stroke: Applications of MRI Acceleration Techniques for MR-Based Comprehensive Stroke Imaging

  • You, Sung-Hye;Kim, Byungjun;Kim, Bo Kyu;Park, Sang Eun
    • Investigative Magnetic Resonance Imaging
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    • 제25권2호
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    • pp.81-92
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    • 2021
  • The role of neuroimaging in patients with acute ischemic stroke has been gradually increasing. The ultimate goal of stroke imaging is to make a streamlined imaging workflow for safe and efficient treatment based on optimized patient selection. In the era of multimodal comprehensive imaging in strokes, imaging based on computed tomography (CT) has been preferred for use in acute ischemic stroke, because, despite the unique strengths of magnetic resonance imaging (MRI), MRI has a longer scan duration than does CT-based imaging. However, recent improvements, such as multicoil technology and novel MRI acceleration techniques, including parallel imaging, simultaneous multi-section imaging, and compressed sensing, highlight the potential of comprehensive MR-based imaging for strokes. In this review, we discuss the role of stroke imaging in acute ischemic stroke management, as well as the strengths and limitations of MR-based imaging. Given these concepts, we review the current MR acceleration techniques that could be applied to stroke imaging and provide an overview of the previous research on each essential sequence: diffusion-weighted imaging, gradient-echo, fluid-attenuated inversion recovery, contrast-enhanced MR angiography, and MR perfusion imaging.

딥러닝 기반 장애물 인식을 위한 가상환경 및 데이터베이스 구축 (Development of Virtual Simulator and Database for Deep Learning-based Object Detection)

  • 이재인;곽기성;김경수;강원율;신대영;황성호
    • 드라이브 ㆍ 컨트롤
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    • 제18권4호
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    • pp.9-18
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    • 2021
  • This study proposes a method for creating learning datasets to recognize obstacles using deep learning algorithms in automated construction machinery or an autonomous vehicle. Recently, many researchers and engineers have developed various recognition algorithms based on deep learning following an increase in computing power. In particular, the image classification technology and image segmentation technology represent deep learning recognition algorithms. They are used to identify obstacles that interfere with the driving situation of an autonomous vehicle. Therefore, various organizations and companies have started distributing open datasets, but there is a remote possibility that they will perfectly match the user's desired environment. In this study, we created an interface of the virtual simulator such that users can easily create their desired training dataset. In addition, the customized dataset was further advanced by using the RDBMS system, and the recognition rate was improved.