• 한국의료질향상학회지
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• 제14권1호
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• pp.55-59
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• 2008

Background : The purpose of inner cannula is to protect the upper air way and permit air to pass freely, in addition, to provide endotracheal suction, artificial respiration and to maintain adequate oxygen saturation. The tube needs to be sterilized for maintenance and cleanness of air way and for prevention of bronchospasm. However, it has been reported that there is no guideline for sterilization and many hospitals conduct their own sterilization methods, for example, once a day(13's general hospital), three times a day(The Catholic University of Korea ST Mary's hospital) or even no cleansing. Consequently, the QI team of our hospital suggested the SOP(standard operating procedure) of sterilization and evaluate cost and time effect in nursing. Method : 1) Benchmarking of 13's neurosurgery department of general hospital in Seoul 2) Investigation of test records of sputum culture from patients with intubation for tracheotomy 3) Check of results of O2 Sat. monitoring to confirm of maintaining opened air way Result : 1) Improvement of process: decrease of excess sterilization of inner cannula (from 3 times a day to once a day) 2) Cost effects: saving over 10 million won per one year 3) Providing better nursing: time effects (30 min a day) permit to conduct more nursing activities Conclusion : It can get Cost and time effects in nursing with improved sterilization method of inner cannula. It needs to do research on improvement of the monthly exchange protocol of outer cannula and provide supporting data for the proper exchange schedule. The result of additional microorganism detection from patients with new process needs to be evaluated further more.

• Journal of Chest Surgery
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• 제19권1호
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• pp.18-24
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• 1986

The mean perfusion pressure produced by 20 different design and size of disposable aortic perfusion cannulas [size range: 18F to 20F] at flow rates of 1 to 5 L/min was compared. A roller pump with perfusion tubing 10mm in inner diameter was used with a mixture of 0.9% normal saline and 100% glycerin [mixing ratio of 6.72:13.28] to make the viscosity as normal blood in 20oC as the test solution. Line pressure in these cannulas at a flow rate of 3L/min ranged from 13.2$\pm$4.47 to 157$\pm$1 34 mmHg in a case of absence of resistance, and from 11.4$\pm$1.14 to 227.2$\pm$4.47 mmHg in a case of presence of resistances 14 cannulas had gradients of less than 100Hg at a flow rate of 3L/min and 9 cannulas less than 100mmHg at 4L/min. The following results were obtained from this experimental study: .1] A wide range of line pressure was observed in disposable aortic perfusion cannulas currently in clinical use; 2] Some cannulas currently used for cardiopulmonary bypass in adults generated excessive line pressure; 3] Both the material and design affect function, with some designs safer than others. Cardiac surgeons should base the choice of aortic perfusion cannula on the best performance and safest design available to avoid cannula-related problems during operation.

• Asian-Australasian Journal of Animal Sciences
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• 제20권1호
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• pp.70-74
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• 2007

An in vitro study was carried out to investigate the differences in rumen microbes and fiber degradation capacity between sheep and goats. Three local male sheep and three Inner Mongolia male cashmere goats (aged 1.5 to 2 years; weight 25.0 to 32.0 kg) were each fitted with a permanent rumen cannula used to provide rumen fluid. Cycloheximide was used to eliminate rumen anaerobic fungi. The results showed that the quantities of fungal zoospores in the culture fluid of the control group were significantly greater in the sheep than in the goats; however, bacteria and protozoa counts were significantly higher in goats than in sheep. The digestibility of straw dry matter did not differ significantly between the two species before elimination of fungi, but tended to be higher for sheep (55.4%) than for goats (53.3%). The results also indicated that bacteria counts increased significantly after elimination of anaerobic fungi; however, the digestibility of straw dry matter significantly decreased by 12.1% and 8.6% for sheep and goats respectively. This indicated that the anaerobic fungi of the rumen played an important role in degradation of fiber.

• Asian-Australasian Journal of Animal Sciences
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• 제15권1호
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• pp.38-44
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• 2002

Nine crossbred castrated lambs fitted with rumen and duodenum cannula and fed a diet of hay and concentrate formulated with ground corn and soybean meal as main ingredients were used to assess the duodenal ideal amino acid pattern. Three synthetic amino acid mixtures with different profile of essential amino acids were duodenally infused in order to get three different amino acid patterns flowing into the duodenum. The mixtures were designed to have similar amino acid profile as rumen microbial protein (Pm), casein (Pc) and modified muscle amino acid (Pmm). Results showed a lower urine nitrogen excretion (p=0.05), a higher nitrogen retention (p=0.04) and bodyweight gain with treatment Pmm. The modified muscle amino acid pattern also promoted a lower ratio of Gly to other amino acids in plasma (Gly/OAA) and a higher RNA and RNA/DNA concentration in the liver of the sheep. Meanwhile, the urea concentration in plasma was reduced and the insulin concentration was increased with Pmm treatment. No differences in glucose and growth hormone concentration in plasma were found among three treatments. All results obtained indicate that the modified muscle amino acid pattern (Lys 100%, Met+Cys 39%, Thr 76%, His 41%, Arg 72%, Leu 158%, Ile 81%, Val 105%, Phe 81% and Trp 13%) was the best for growing sheep.

• 한국임상수의학회지
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• 제39권6호
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• pp.319-325
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• 2022

Two-port laparoscopic ovariectomy (Lap-OVE) has been performed in small dogs, using 3-mm and 5-mm portal sites, and is associated with reduced surgical stress and postoperative pain. However, extension of the incision is often needed to extract the ovaries. In this study, we aimed to minimize invasiveness by using smaller-sized cannulas as well as a novel technique for ovary extraction. Lap-OVE was performed on six, healthy female dogs (range, 3 to 7.2 kg) using two 3-mm midline portals. The middle finger of a size M nitrile glove was cut at its base and sterilized preoperatively. The ovary was suspended at the body wall using a 1-0 blue nylon needle, and the ovarian pedicle and ligaments were transected using a 3-mm bipolar forceps. To facilitate the glove passing through the 3.9-mm port, it was turned inside out to expose the smooth inner surface, before being inserted into the abdominal cavity with an applicator. Both ovaries were placed inside, and the mouth of the glove was exteriorized through the port with a laparoscopic grasping forceps. The ovaries were morcellated inside the glove, using Adison-Brown tissue forceps and iris scissors, which enabled safe extraction without incision enlargement. Median incision lengths were 4.3 mm (3.5-mm cranial cannula) and 4.8 mm (3.9-mm caudal cannula). An advantage of this procedure was that there was no need for skin sutures. In conclusion, using our novel technique, sutureless Lap-OVE was possible in small dogs using two 3-mm portal sites without additional incision.

• Tribology and Lubricants
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• 제37권6호
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• pp.253-260
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• 2021

Metal pipes are used in a wide range of applications, from plumbing systems of large construction sites to small devices such as medical tools. When a liquid is enforced to flow through a metal pipe, a higher flow rate is beneficial for higher efficiency. Using high pressures can enhance the flow rate yet can be harmful for medical applications. Thus, we consider an optimal geometrical design to increase the flow rate in medical devices. In this study, we focus on cannulas, which are widely used small metal pipes for surgical procedures, such as liposuction. We characterize the internal flow rate driven by a negative pressure and explore its dependence on the key design parameters. We quantitatively analyze the suction characteristics for each design variable by conducting computational fluid dynamics simulations. In addition, we build a suction performance measurement system which enables the translational motion of cannulas with pre-programmed velocity for experimental validation. The inner diameter, section geometry, and hole configuration are the design factors to be evaluated. The effect of the inner diameter dominates over that of section geometry and hole configuration. In addition, the circular tube shape provides the maximum flow rate among the elliptical geometries. Once the flow rate exceeds a critical value, the rate becomes independent of the number and width of the suction holes. Finally, we introduce a slippery liquid-infused nanoporous surface (SLIPS) coating using nanoparticles and hydrophobic lubricants that effectively improves the flow rate and antifouling property of cannulas without altering the geometrical design parameter.

• 대한정형외과스포츠의학회지
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• 제1권2호
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• pp.118-123
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• 2002

목적: 저자들은반월상연골후내각부에사용되던기존의inside-out 의수술수기를변형하여수직봉합이가능하면서충분한고정력을얻을수있는수술수기를보고하는바이다. 수술수기: 관절경을전외측도달법으로위치시키고봉합용갈고리를전내측도달법으로위치시켜봉합용갈고리를돌려서내측반월상연골후내각부에파열된부분의내측의대퇴골쪽표면에서경골쪽표면으로통과시킨다. 갈고리내로PDS $\#0$을통과시킨후봉합용갈고리를빼내고전내측도달법입구로PDS$\#0$의양끝을뽑아낸다. 전내측도달법입구에관절경을위치시킨후전외측도달법입구로Zone specific cannula를통과시켜반월상연골파열면의경골면에위치시키고저자가고안한Looped Needle을통과시킨 후 경골면의PDS $\#0$을Looped Needle의loop 사이를통과시킨후관절밖으로빼낸다.대퇴골면의PDS $\#0$도같은방법으로관절밖으로빼낸다. 2개의PDS 봉합사가나온입구근처에약1cm가량의incision 을넣고PDS 봉합사사이에연부조직이끼지않음을확인하고결찰을시행한다. 고찰: 변형된inside-out 봉합술은기존의inside-out 봉합술에비해수술시간의지연이있을수있으나, 수직봉합을할수있고견고한고정력을얻을수있으며해부학적인정복으로파열부위의접촉면을증가시켜후내각반월상연골의파열을봉합하는우수한방법으로판단되어보고하는바이다.