• 제목/요약/키워드: Initial Shock

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요로감염과 관련된 중증 패혈증 및 패혈성 쇼크의 치료 (Treatment of severe sepsis and septic shock associated with urogenital tract infection)

  • 황규빈;허정식;김영주;박경기;김성대;유현욱
    • Journal of Medicine and Life Science
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    • 제17권3호
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    • pp.80-85
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    • 2020
  • Urinary tract infections are among the most common infectious diseases and are the major causes of mortality and morbidity. These diseases result in many severe hospitalizations each year. Severe sepsis and septic shock are common and life-threatening medical conditions, and large cases are associated with urinary tract infection. The medical term "severe sepsis" is defined as sepsis complicated by hypotension, organ dysfunction, and tissue hypoperfusion, whereas "septic shock" is defined as sepsis complicated either by hypotension that is refractory to fluid resuscitation or by hyperlacteremia. A recent multicenter-study in Korea reported that the rate of in-hospital mortality associated with severe sepsis and septic shock was > 34%. Among the causative diseases, urogenital tract infection showed a high correlation. Moreover, it is very important that clinicians detect severe sepsis and septic shock early and treat them properly. The principles of initial treatment include provision of sufficient hemodynamic resuscitation and early administration of appropriate antibiotic therapy to mitigate uncontrolled infection. Initial resuscitation includes the use of vasopressors and intravenous fluids, and it is a key to achieve the target of initial resuscitation. Supportive care in the intensive care unit, such as glucose control, stress ulcer prophylaxis, blood transfusion, deep vein thrombosis prophylaxis, and renal replacement therapy, is also significant. We have summarized the key components in the treatment of severe sepsis and septic shock in patients with urinary tract infection. Urologists should be aware that appropriate early treatment is necessary to prevent fatal outcomes in these patients.

연속발사 충격에 강인한 SDINS 신속 초기정렬기법 설계 (Design of SDINS Rapid Initial Alignment Technique Robust to the Pyro-shock in Multi-Launch Rocket System)

  • 이형섭;한경준;이상우;유명종
    • 전기학회논문지
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    • 제65권6호
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    • pp.1038-1044
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    • 2016
  • In this paper, a SDINS(Strapdown Inertial Navigation System) rapid initial alignment technique robust to the pyro-shock in multi-launch rocket system is proposed. The proposed method consists of three steps. Firth, transfer alignment is performed to estimate misalignment between MINS(Master INS) and SINS(Slave INS), and the estimated misalignment is written in the memory when transfer alignment is completed. Next, the pre-filtering process is performed to get rid of the acceleration error induced by launcher vibration. Finally, the horizontal alignment is performed to compensate misalignment variation caused by pyro-shock. We verified the performance of the proposed alignment method comparing with the conventional transfer alignment method. The simulation shows that the proposed initial alignment technique improves alignment performance.

관출구로부터 방출되는 약한 충격파에 관한 3 차원 수치해석 (3-Dimensional Computations of the Weak Shock Wave Discharged from the Exit of Duct)

  • 권용훈;신현동;김희동;이동훈
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 춘계학술대회
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    • pp.1742-1747
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    • 2003
  • When a shock wave is discharged from the exit of a duct, complicated flow is formed near the duct exit. The flow field is much more complicated under the ground effects or any other objects near the exit of a duct, such as the circumstance near the exit of the high-speed railway tunnel. The resulting flow is essentially three-dimensional unsteady with the effects of strong compressibility. In the current study, three-dimensional flow fields of the weak shock wave which is discharged from the exit of a duct are numerically investigated using a CFD method. Computations are performed for the weak shock wave in the range below 1.5. The results obtained show that the directivity and magnitude of the weak shock discharged strongly depend upon the Mach number of initial shock wave and are significantly influenced by the ground effects.

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보조동력장치 엔진 Base의 피로수명 예측 및 충격파손에 관한 연구 (A Study on Prediction of Fatigue Life and Shock Fracture for the Engine Base of Auxiliary Power Unit for Tracked Vehicle)

  • 이상범;정경택;신재호;장환영;서정세
    • 한국정밀공학회지
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    • 제25권4호
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    • pp.86-92
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    • 2008
  • This paper is to investigate the behavior of linear static structure stress, the fatigue and experimental shock fracture far engine base in the Auxiliary Power Unit to resolve its restricted electrical power problem. The shock fracture test was experimentally made under MIL standard criteria. The numerical results by finite element method had a good agreement with those from the shock test. The design data of predicting the fracture at the initial crack and the damage behavior of structure with shock and vibration load in the battle field can be obtained from shock test. In the functional shock test, the crack at the side parts of the engine base was found at peak acceleration of 40g.

충격파관 장치설계를 위한 유동현상의 해석(1)-계산치와 실험치의 비교- (An Analysis of Flow Phenomena in Shock Tube System Design(I)-Comparison of Experimental and Computation Result-)

  • 정진도;수곡행부
    • 대한기계학회논문집
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    • 제18권5호
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    • pp.1218-1226
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    • 1994
  • The shock tube is a useful device for investigating shock phenomena, spray combustion, unsteady gas dynamics, etc. Therefore, it is necessary to analyze exactly the flow phenomena in shock tube. In this study, the mechanics of its reflected shock zone has been investigated by using of the one-dimensional gas dynamic theory in order to estimate the transition from initial reflection of shock wave region. Calulation for four kinds of reflected shock tube temperature (i.e. (a) 1388 K (b) 1276 K (c) 1168 K (d) 1073 K) corresponding to the experimental conditions have been carried out sumarized as follows. (1) The qualitative tendency is almost the same as in that conditions in region of reflected wave region. (2) High temperature period (reflected shock wave temperature) $T_{5}$, exists 0-2.65 ms. (3) Transition period from temperature of reflection shock wave is far longer than the calculated one. This principally attributed to the fact that the contact surface is accelerated, also, due to the release of energy by viscoity effect. This apparatus can advance the ignition process of a spray in a ideal condition that involved neither atomization nor turbulent mixing process, where, using a shock tube, a column of droplets freely from atomizer was ignited behind a reflected shock.

Three-Dimensional Computations of the Impulsive Wave Discharged from a Duct

  • Lee Young-Ki;Kweon Yong-Hun;Kim Heuy-Dong;Setoguchi Toshiaki
    • Journal of Mechanical Science and Technology
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    • 제19권2호
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    • pp.605-617
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    • 2005
  • A sudden discharge of mass flow from the exit of a duct can generate an impulsive wave, generally leading to undesirable noise and vibration problems. The present study develops an understanding of unsteady flow physics with regard to the impulsive wave discharged from a duct, using a numerical method. A second order total variation diminishing scheme is employed to solve three-dimensional, unsteady, compressible Euler equations. Computations are performed for several exit conditions with and without ground and wall effects under a change in the Mach number of an initial shock wave from 1.1 to 1.5. The results obtained show that the directivity and magnitude of the impulsive wave discharged from the duct are significantly influenced by the initial shock Mach number and by the presence of the ground and walls.

수치해석기법을 이용한 초기 인장잔류응력에 대한 레이저 충격 피닝 효과 분석 (Analysis of the Effects of Laser Shock Peening under Initial Tensile Residual Stress Using Numerical Analysis Method)

  • 김주희;이종우;유삼현
    • 한국군사과학기술학회지
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    • 제20권5호
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    • pp.608-619
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    • 2017
  • In this paper, the effects of parameters related to the residual stress induced due to laser shock peening process to determine mitigation of the initial tensile residual stresses are discussed, such as the maximum pressure, pressure pulse duration, laser spot size and number of laser shots. In order to estimate the influence of the initial tensile residual stresses, which is generated by welding in 35CD4 50HRC steel alloy, the initial condition option was employed in the finite element code. It is found that $2{\times}HEL$ maximum pressure and a certain range of the pressure pulse duration time can produce maximum mitigation effects near the surface and depth, regardless of the magnitudes of tensile residual stess. But plastically affected depth increase with increasing maximum pressure and pressure pulse duration time. For the laser spot size, maximum compressive residual stresses have almost constant values. But LSP is more effective with increasing the magnitudes of tensile residual stress. For the multiple LSP, magnitudes of compressive residual stresses and plastically affected depths are found to increase with increasing number of laser shots, but the effect is less pronounced for more laser shots. And to conclude, even though the initial tensile residual stresses such as weld residual stress field are existed, LSP is enough to make the surface and depth reinforcement effects.

한국 표준형 원전의 POSRV 하부 배관 유동해석 (Flow Analysis of POSRV Subsystem of Standard Korean Nuclear Reactor)

  • 권순범;김인구;안형준;이동은;백승철;이병은
    • 대한기계학회논문집B
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    • 제27권10호
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    • pp.1464-1471
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    • 2003
  • In order to investigate the flows with shock wave in branch, 108$^{\circ}$ elbow and T-junction of the IRWST system of standard Korean nuclear reactor, detail time dependent behaviors of unsteady flow with shock wave, vortex and so on are obtained by numerical method using compressible three-dimensional Navier-Stokes equations. At first, the complex flow including the incident and reflected shock waves, vortex and expansion waves which are generated at the corner of T-junction is calculated by the commercial code of FLUENT6 and is compared with the experimental result to obtain the validation of numerical method. Then the flow fields in above mentioned units are analyzed by numerical method of [mite volume method. In numerical analysis, the distributions of flow properties with the moving of shock wave and the forces acting on the wall of each unit which can be used to calculate the size of supporting structure in future are calculated specially. It is found that the initial shock wave of normal type is re-established its type from an oblique one having the same strength of the initial shock wave at the 4 times hydraulic diameters of downstream from the branch point of each unit. Finally, it is turned out that the maximum force acting on the pipe wall becomes in order of the T-junction, 108$^{\circ}$ elbow and branch in magnitude, respectively.

반복적 Cumulant 모멘트 방법에 의한 Boltzmann 방정식의 해법과 충격파구조에 관한 연구 (Iterative Cumulant Moment Method for solution of Boltzmann Equation and its Application to Shock Wave Structure)

  • 오영기
    • 대한화학회지
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    • 제42권4호
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    • pp.398-410
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    • 1998
  • Boltzmann 방정식의 비선형 해법으로서 cumulant 모멘트 방법을 연구하였으며, Maxwell 분자모형 단원자분자 기체계의 정상충격파 문제에 대하여 적용하였다. 모멘트 방정식의 해는 Maxwell-Ikenberry-Truesdell(MIT) 반복법을 사용하였다. 원래의 MIT 반복법은 초기값을 평형분포함수로부터 구하지만, 본 연구에서는 반복계산의 초기값을 Mott-Smith의 두방식(bimodal)함수로부터 구하였다. 모멘트 계산은 2차 반복단계까지 수행하였으며, 강한 충격파에 대한 밀도, 온도, stress, heat flux 등의 윤곽과 충격파의 두께, 그리고 마하수 1.4 미만의 약한 충격파의 두께를 계산하였다. 1차 반복계산에서 충격파 윤곽에 대한 간단한 형태의 해석적 표현을 얻었으며, 이로부터 도출한 약한 충격파 두께에 대한 극한법칙은 Navier-Stokes 이론과 정확히 일치한다. 2차 반복계산에 의한 결과는 강한 충격파의 윤곽곡선 및 충격파 두께가 Monte Carlo 문헌값과 정량적으로 일치함을 보인다.

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An Edge Profile Adaptive Bi-directional Diffusion Interpolation

  • ;손광훈
    • 방송공학회논문지
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    • 제16권3호
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    • pp.501-509
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    • 2011
  • In this paper, we propose an edge profile adaptive bi-directional diffusion interpolation method which consists of shock filter and level set. In recent years many interpolation methods have been proposed but all methods have some degrees of artifacts such as blurring and jaggies. To solve these problems, we adaptively apply shock filter and level set method where shock filter enhances edge along the normal direction and level set method removes jaggies artifact along the tangent direction. After the initial interpolation, weights of shock filter and level set are locally adjusted according to the edge profile. By adaptive coupling shock filter with level set method, the proposed method can remove jaggies artifact and enhance the edge. Experimental results show that the average PSNR and MSSIM of our method are increased, and contour smoothness and edge sharpness are also improved.