• 한국임상수의학회지
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• 제34권2호
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• pp.98-102
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• 2017

A 7-year-old, intact, female Siberian husky presented with vomiting and diarrhea after a fight with a dog with which it lived. The bitch was diagnosed with pyometra and severe dehydration. The patient received IV fluid therapy for 2 day pre- and post-operatively. Four days post-surgery, the patient had a decreased level of consciousness and suffered a tonic-clonic generalized seizure. On magnetic resonance imaging and histopathological findings, a diagnosis of laminar cortical necrosis caused by fluid overload was made. This case provides important information on the potential for fluid overload in a dehydrated patient giving rise to critical condition and death.

• International Journal of Fluid Machinery and Systems
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• 제2권4호
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• pp.315-323
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• 2009

Pressure oscillations triggered by the unstable interaction of dynamic flow features of the hydraulic turbine with the hydraulic plant system - including the electrical design - can at times reach significant levels and could lead to damage of plant components or could reduce component lifetime significantly. Such a problem can arise for overload as well as for part load operation of the turbine. This paper discusses an approach to analyze the overload high pressure oscillation problem using computational fluid dynamic (CFD) modeling of the hydraulic machine combined with a network modeling technique of the hydraulic system. The key factor in this analysis is the determination of the overload vortex rope volume occurring within the turbine under the runner which is acting as an active element in the system. Two different modeling techniques to compute the flow field downstream of the runner will be presented in this paper. As a first approach, single phase flow simulations are used to evaluate the vortex rope volume before moving to more sophisticated modeling which incorporates two phase flow calculations employing cavitation modeling. The influence of these different modeling strategies on the simulated plant behavior will be discussed.

• Childhood Kidney Diseases
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• 제15권2호
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• pp.107-115
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• 2011

소아에서 급성 신손상의 흔한 원인들로는 신허혈, 신독성 약물들, 그리고 패혈증 등이 있으며, 신대체요법 시작시의 저혈압, 신대체 요법 동안 승압제의 사용, 그리고 신대체 요법 시작시의 수액 과부하 정도가 환자의 생존(소아 중환자실 퇴원)에 영향을 미치는 요인들로 알려져 있다. 지속적 신대체 요법의 빠른 시작은 급성 신손상을 가진 환자들에게서 사망률과 예후에 나쁜 영향을 미치는 수액 과부하를 감소시키는 것으로 보고되었다. 이에 저자들은 소아 환자에게서 지속적 신대체 요법의 실제 처방과 급성 신손상, 수액 과부하, 그리고 지속적 신대체 요법간의 연관성 및 치료결과를 살펴보고자 한다. 결론적으로, 급성 신손상을 가진 소아의 치료에 있어서 과도한 수액 과부하가 발생하기 전에 빠른 지속적 신대체 요법의 시작이 필요하다고 제시하는 바이다.

• 동서간호학연구지
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• 제15권1호
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• pp.18-25
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• 2009

Purpose: The study was investigated to identify the relationship between nursing workload and aseptic technique performance by clinical nurses, and to decrease the incidence rate of nosocomial infection. Methods: Participants (N=283) were recruited in B city from April to June 2007. The data were collected by a structured questionnaire and analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results: Nursing workload was rated 9.85 out of a total score of 15. The level of aseptic technique performance as the basis for insertion of a Foley catheter was 42.72 out of a total score of 50, and as basis for insertion of intravenous catheter for fluid therapy was 40.11 out of a total score of 55. There was not a significant relationship between aseptic technique performance and nursing workload. There was a significant positive relationship between the aseptic technique performance in insertion of Foley catheter and that of intravenous catheter for fluid therapy (r=.279, p<.001). Conclusions: Attention to asepsis by nurses is crucial in nosocomial infection-related clinical nursing skills.

• 한국조명전기설비학회:학술대회논문집
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• 한국조명전기설비학회 2006년도 춘계학술대회 논문집
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• pp.49-53
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• 2006

In this paper the thermal aging characteristics of transformer fluid were considered. First, the temperature rise characteristic in transformer winding was discussed. The temperatures were rapidly increased immediately with applying load and then the temperature was followed the exponential temperature rise model. Next, Capacitance and leakage current characteristics of the transformer fluid were measured during the over-loading operation. The capacitance of vegetable fluid and leakage current were evidently increased wit aging time. So the simple methods could be applied to diagnosis of the transformer aging

• 한국유체기계학회 논문집
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• 제20권2호
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• pp.17-25
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• 2017

Prediction of performance and operating characteristics of a state-of-the-art ultra-supercritical (USC) steam turbine is an important issue in many ways. Theoretical and empirical correlation equations, developed a few decades ago, have been widely used in commercial programs for a prediction of performance. To improve of these correlation equations and apply them to the high pressure turbine of a USC steam turbine, computational fluid dynamic analysis was carried out and correlation equations to calculate efficiency variation of each stage were made. Both fluid dynamic characteristic and thermodynamic performance was analyzed for the development of the correlation equations. In particular, the impact of flow addition through an overload valve (OLV) between stages was examined throughly. The trend of pressure drop due to the flow mixing by the OLV flow addition was analyzed and an efficiency correlation equation considering the OLV flow was also made.

• 대한조선학회논문집
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• 제58권3호
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• pp.158-166
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• 2021

In this paper, a numerical analysis technique using a body force model is investigated to estimate the available net thrust of multi-pod-driven ice-breaking vessels under bollard pull and overload conditions. To employ the body force model in present flow simulations, drag and thrust components acting on the pod unit are calculated by using Propeller Open Water (POW) test data. The available net thrusts according to the direction of operation are evaluated in both bollard pull and overload conditions under deep water. The simulation results are compared with the model test data. The available net thrusts, calculated by the present analysis for ahead operating modes at 3~6 knots which are typical speeds of the target vessel in arctic field, are agreed well with the model test results. It is also found that the present result for astern operating mode appears approximately 6 % larger than the model test result. In addition, the available net thrusts are calculated under the both operating conditions accompanied by shallow water effects, and the main cause of the difference is studied. Based on the result of the present study, it is confirmed that the body force model can be applied to the performance evaluation of multi-pod propulsion system and the main engine selection in early design stage of the vessel.

• 한국유체기계학회 논문집
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• 제17권5호
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• pp.72-77
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• 2014

Because of overload working condition of sintering cooler, the cooler fan often suffers the break or damage of rotor blade and fixing shaft. Therefore, internal flow characteristics of a steelworks sintering cooler fan by the duct shape of the cooler fan outlet, such as duct outlet opening ratio, duct height and dividing wall shape on the duct outlet flow pattern are examined in detail. The results show that relatively short duct wall height and attachment of dividing wall shape improves flow patterns considerably.

• Childhood Kidney Diseases
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• 제11권2호
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• pp.247-254
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• 2007

목 적 : 세계적으로 급성 신부전을 가진 소아중환자의 경우 신대체요법으로서 CRRT가 우선적으로 적용되고 있는데 국내에서 CRRT에 대한 치료 결과나 이에 미치는 예후인자에 대한 연구가 드문 설정이다. 이에 저자들은 CRRT를 시행 받은 소아 환자군을 대상으로 치료결과와 예후인자를 알아보기 위해 본 연구를 시행하였다. 방 법 : 2003년 1월부터 2006년 12월까지 세브란스 어린이병원 소아과에서 CRRT를 시행 받은 소아 중환자 32명을 대상으로 하여 환자들이 입상적 특징과 생존율, 그리고 이에 미치는 예후인자를 생존군과 사망군으로 나누어 비교하였다. 결 과 : 총 32명의 평균 나이는 7.5세로 범위는 생후 4일에서 16살까지였고 평균 몸무게는 25.8kg로 최소 3.2kg 최고 63kg였다. 기저 질환 중 조혈모세포이식과 악성종양 환자군이 가장 많았고, 이 군에서 생존율이 가장 낮았다. 전체 생존자는 11명으로 생존율은 34.4%였고 예후인자에 대한 연구에서 CRRT 시작시 PRISM III 점수($9.8{\pm}5.3$ vs. $26.7{\pm}7.6$, P<0.0001), 승압제 사용 수 ($2.1{\pm}1.2$ vs. $3.0{\pm}1.0$, P=0.038)와 수분 저류 정도 (%FO, $5.2{\pm}6.0$ vs. $15.0{\pm}8.9$, P=0.002)가 사망군보다 생존군에서 의미 있게 낮았다. 또 다중 회귀분석을 통해 높은 수분 저류만이 독립적 위험인자임을 확인하였다. 결 론 : 저자는 이 연구를 통해 소아 급성 신부전 환자에서 생존율이 환자의 중증도와 체내 수분 저류와 연관성이 높다는 것을 확인하였고, 환자의 전신상태가 보다 좋을 때 특히 수분 저류가 시작되기 전에 CRRT를 빨리 시작하는 것이 생존율을 높일 수 있다는 결론을 얻을 수 있었다.

• 대한간호학회지
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• 제26권3호
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• pp.688-696
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• 1996

The purpose of this study was to investigate the fluid balance of the patients who were either on soft fluid diet or total parenteral nutrition. We studied 19 patients with neurologic disorders and 22 patients with oromaxillary surgery who were admitted to either D university hospital in Choognam or S general hospital in Seoul between May and November 1995. The mean age for the patients who had oromaxillary surgery was 24 years and their average hospital stay was 9 days. The mean age of the patients with neurologic disorders was 54 years and they were bedridden for average of 71 days. For the maxillary bone surgery patients we did not limit the range of their activities in the ward during data collection period. The patients with neurological disorders were bedridden and did not move around the ward. They were all either on soft fluid diet, or total parenteral nutrition. The findings of this study are as follows ; 1) The difference of the triceps skinfold thickness between the baseline and the final measurement was 0.4cm for neurologic patient group and 0.5cm for oromaxillary surgery patient group. The difference was not statistically significant in each group. 2) In the oromaxillary surgery patient group, the daily intake of fluid in the form of pure water, other beverages, fluid diet as well as IV fluid was 4581m1 while urine output was 2979ml. The difference between fluid intake and output was statistically significant, indicating that fluid intake was far more than urine output. In neurologic patient group, the daily intake of fluid including water from fluid diet and IV fluid was 2701m1 whereas urine output was 2253m1 and they were statistically significant. 3) For a more accurate assessment we adjusted the fluid balance based on weight changes during data collection period. In the oromaxillary surgery patient group. the difference between fluid intake and output was 1238m1 after weight changes being adjusted. The difference was statistically significant, suggesting fluid overload in this patient group. In neurologic patient group, the difference between fluid intake and output considering weight changes was 124ml. The difference was not statistically significant, suggesting that the fluid intake and output was well balanced in this patient group.