• Title/Summary/Keyword: Guide Tube

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Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients (기관내관 순환고정방법이 중환자실 환자의 비계획적 발관 및 구강.안면 피부 통합성에 미치는 효과)

  • Choi, Young-Soon;Chae, Young-Ran
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.116-124
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    • 2012
  • Purpose: The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients in intensive care units. Methods: The research design was a non-equivalent control group with repeated measures design. Participants were 80 patients; 40 participants assigned to each group. ET tube for the experimental participants fixed with rotated method every morning. Unplanned extubation was assessed by bedside nurses using the unplanned extubation report form. Oral mucosa and facial skin integrity were assessed using oral assessment guide and facial skin integrity assessment guide at day 3, 7, 10 and 14. Results: There was no difference in the unplanned extubation rate between the two groups. Oral mucosa impairment scores for the rotated fixation method were significantly lower at day 7 (p=.044), 10 (p=.048) and day 14 (p=.037). Also facial skin integrity impairment scores for the same group were significantly lower at day 7 (p=.010), 10 (p=.003), and 14 (p=.002). Conclusion: Results of the study suggest that the rotated fixation method is effective for these patients, to prevent impairment of oral mucosa and facial skin integrity. Further research is needed to prevent unplanned extubation.

Load Concentration Factor Analysis of Fuel Assembly Guide Thimble (핵연료집합체 안내관의 하중집중계수 해석)

  • Lee Young-Shin;Jeon Sang-Youn
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.3 s.168
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    • pp.93-100
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    • 2005
  • The top and bottom nozzles of PWR fuel assembly are connected by guide thimbles and an instrumentation tube that are connected with spacer grids. The fuel rods are inserted into the each cell of spacer grids. The loads acting on the fuel assembly are transmitted to the guide thimbles through the flow plate of top nozzle The axial loads applied to the fuel assembly are not equally distributed among the guide thimble due to the geometry of the top nozzle flow plate and spacer grid. In this study, the load concentration factors for the $17\times17$ fuel assembly were calculated. The analytical model fur the calculation of the load concentration factor of top nozzle flow plate was developed using ANSYS 5.6. The finite element analyses were performed using the model composed of top nozzle, guide thimble, and spacer grid. And, the analysis results were compared with the test results.

Study on the Tube Reducing Process Subject to Internal Pressure (내압을 받는 튜브 리듀싱에 관한 연구)

  • Lee, Hang-Soo;Yang, Dong-Yol
    • Journal of the Korean Society for Precision Engineering
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    • v.4 no.4
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    • pp.72-83
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    • 1987
  • In axisymmetric tube reducing process for thin sheet metal tubes, the reduction ration of diameter is an important factor in the process design. For very thin sheet metal tubes, tube reducing cannot be successfully employed due to wrinkling of the edge portion of a tube as well as due to buckling of its rest portion. In the present study, thin sheet metal tubes are subjected to internal pressure during the tube reducing process in order to increase the forming limits. Analysis is made for the sound flow deformation in nonsteady tube reducing considering the normal anisotropy. Experiments are carried out for brass tubes. The present study is shown to give an effective guide line in designing the tube reducing process for very thin-walled sheet metal tubes. Hpwever, it is suggested that an analysis for instability should be made to design the process more effectively.

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Estimation of optimal nasotracheal tube depth in adult patients

  • Ji, Sung-Mi
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.307-312
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    • 2017
  • Background: The aim of this study was to estimate the optimal depth of nasotracheal tube placement. Methods: We enrolled 110 patients scheduled to undergo oral and maxillofacial surgery, requiring nasotracheal intubation. After intubation, the depth of tube insertion was measured. The neck circumference and distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch were measured. To estimate optimal tube depth, correlation and regression analyses were performed using clinical and anthropometric parameters. Results: The mean tube depth was $28.9{\pm}1.3cm$ in men (n = 62), and $26.6{\pm}1.5cm$ in women (n = 48). Tube depth significantly correlated with height (r = 0.735, P < 0.001). Distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch correlated with depth of the endotracheal tube (r = 0.363, r = 0.362, and r = 0.546, P < 0.05). The tube depth also correlated with the sum of these distances (r = 0.646, P < 0.001). We devised the following formula for estimating tube depth: $19.856+0.267{\times}sum$ of the three distances ($R^2=0.432$, P < 0.001). Conclusions: The optimal tube depth for nasotracheally intubated adult patients correlated with height and sum of the distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch. The proposed equation would be a useful guide to determine optimal nasotracheal tube placement.

Unwinding Behavior of and Load Prediction for Protective Tube Around Fiber-Optic Cable (보호 튜브의 풀림 거동 및 하중 예측)

  • Kim, Kun Woo;Lee, Jae Wook;Kim, Hyung Ryul;Yoo, Wan Suk
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.3
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    • pp.235-241
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    • 2014
  • As a fiber-optic cable is being unwound, it is protected by a tube that is designed to prevent unwinding problems such as tangling and unintentional cutting. In addition, a guide body is separated from the protective tube if a shear pin breaks when the maximum allowable load is exceeded. Therefore, it is important to analyze and predict the unwinding behavior of the protective tube, as well as the load on the shear pin, to enhance the likelihood of a successful operation when laying cables at extreme depths. In this study, the protective tube and the guide body are modeled with particles and are constrained with a constant-length constraint. The load on the shear pin was verified against experimental data, and the unwinding behavior was predicted from the load prediction results.

Impact of the spatial orientation of the patient's head, metal artifact reduction, and tube current on cone-beam computed tomography artifact expression adjacent to a dental implant: A laboratory study using a simulated surgical guide

  • Matheus Barros-Costa;Julia Ramos Barros-Candido;Matheus Sampaio-Oliveira;Deborah Queiroz Freitas;Alexander Tadeu Sverzut;Matheus L Oliveira
    • Imaging Science in Dentistry
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    • v.54 no.2
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    • pp.191-199
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    • 2024
  • Purpose: The aim of this study was to evaluate image artifacts in the vicinity of dental implants in cone-beam computed tomography (CBCT) scans obtained with different spatial orientations, tube current levels, and metal artifact reduction algorithm (MAR) conditions. Materials and Methods: One dental implant and 2 tubes filled with a radiopaque solution were placed in the posterior region of a mandible using a surgical guide to ensure parallel alignment. CBCT scans were acquired with the mandible in 2 spatial orientations in relation to the X-ray projection plane (standard and modified) at 3 tube current levels: 5, 8, and 11 mA. CBCT scans were repeated without the implant and were reconstructed with and without MAR. The mean voxel and noise values of each tube were obtained and compared using multi-way analysis of variance and the Tukey test(α=0.05). Results: Mean voxel values were significantly higher and noise values were significantly lower in the modified orientation than in the standard orientation (P<0.05). MAR activation and tube current levels did not show significant differences in most cases of the modified spatial orientation and in the absence of the dental implant (P>0.05). Conclusion: Modifying the spatial orientation of the head increased brightness and reduced spatial orientation noise in adjacent regions of a dental implant, with no influence from the tube current level and MAR.

Performance Evaluation of Vertical Wind Power Generation System Structured on the Downtown Buildings Roof (도심 빌딩 옥상에 적용 가능한 풍력발전시스템의 성능 평가 연구)

  • Nah, Chae-Moon;Chung, Kwang-Seop;Kim, Young-Il;Kim, Dong-Hyeok
    • Journal of the Korean Society for Geothermal and Hydrothermal Energy
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    • v.12 no.3
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    • pp.9-16
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    • 2016
  • This study had the purpose on feasibility judgment through performance forecast of wind power generation system using the cross flow vertical type wind power turbine for the situation of domestic small size wind power technology development. Wind power generation system uses the principle of venturi tube that gathers the wind through the first guide vane, and second guide vein changes the angle of the wind simultaneously by playing the role of venturi tube. After this, wind got out from the second guide vane spins the wind power turbine and has the meaning of judging on the aspect of numerical interpretation the feasibility for the small size wind power generation through wind power generation system that comes out from the back.

NUMERICAL STUDY ON FLOW CHARACTERISTIC IN THE HEAT RECOVERY STEAM GENERATOR (배열회수장치의 유동특성에 관한 수치적 연구)

  • Choi, H.K.;Yoo, G.J.;Shin, B.J.;Kim, C.H.
    • Journal of computational fluids engineering
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    • v.15 no.1
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    • pp.17-23
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    • 2010
  • Performance improvements of the heat recovery steam generator(HRSG) can be achieved by improving the flow distribution of exhaust gases for a various type of different equipments. A number of design parameters are systematically investigated and their effects on an index of velocity deviation established. The parameters include the three shape of the transition duct and the wide range of the guide vane angles. The numerical results clearly reveal feature of the flow pattern in the transition duct, velocity deviation and pressure drop at tube bank part.

Drop Time Evaluation for SMART Control Rod Assembly (스마트 제어봉집합체의 낙하시간 평가)

  • Kim, Kyoung-Rean;Jang, Ki-Jong;Park, Jin-Seok;Lee, Won-Jae
    • The KSFM Journal of Fluid Machinery
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    • v.14 no.2
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    • pp.25-28
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    • 2011
  • The control rod assemblies do freely fall into the reactor core by the gravity from the control rod drive mechanism. In order to achieve a rapid shutdown and control the reactor power, it is required to insert control rod assemblies as soon as possible. In this paper, we evaluated the drop time and flow characteristics caused around guide tube for SMART(System-integrated modular advanced reactor) control rod assembly. Numerical analyses are carried out with FLUENT program of computational fluid dynamics. This study results show that the drop time of the control rod assembly in the operating condition of SMART is more 20 percent rapidly than the drop time of the room temperature and ambient atmosphere condition.