• Tuberculosis and Respiratory Diseases
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• v.85 no.4
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• pp.332-340
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• 2022

Background: Cardiac dysfunction patients have long been considered at high risk of reintubation. However, it is based on past studies in which only conventional oxygen therapy was applied after extubation. We investigated association between cardiac dysfunction and reintubation rate in situation where high-flow nasal cannula (HFNC) was widely used during post-extubation period. Methods: We conducted a retrospective observational cohort study of patients treated with HFNC after planned extubation in medical intensive care unit of single tertiary center. Patients were divided into normal function group (ejection fraction [EF] ≥45%) and cardiac dysfunction group (EF <45%). The primary outcome was reintubation rate within 72 hours following extubation. Results: Of 270 patients, 35 (13%) had cardiac dysfunction. Baseline characteristics were similar in both groups. There were no differences in the changes in vital signs between the two groups during the first 12 hours after extubation except diastolic blood pressure. The reintubation rates were 20% and 17% for cardiac dysfunction group and normal function group, respectively (p=0.637). In a multivariate Cox regression analysis, cardiac dysfunction was not associated with an increased risk of reintubation within 72 hours following extubation (hazard ratio, 1.56; p=0.292). Conclusion: Cardiac dysfunction was not associated with increased reintubation rate within 72 hours when HFNC is immediately applied after planned extubation.

• Solar Energy
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• v.19 no.4
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• pp.21-31
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• 1999

This paper presents a quasi-three-dimensional calculation method considered a spanwise mixing effect in a diagonal flow impeller. The effect of this spanwise mixing caused by spanwise distribution of blade loading is evaluated by a secondary flow theory. In order to verify the validity of this method, it is applied to the analysis of a diagonal flow fan designed under a vortex type of constant circumferential velocity and that of a free vortex. The comparison of the calculated result with experimental data shows a good agreement except the regions near the casing where the flow field is affected by the tip leakage flow.

• Journal of Power System Engineering
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• v.21 no.3
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• pp.45-50
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• 2017

This paper presents the Coefficient of performance(COP) and mass flow ratio of cascade refrigeration system with respect to refrigerants appling to high temperature cycle. The operating parameters considered in this study include degree of superheating and subcooling, compressor efficiency, evaporating temperature, condensing temperature and internal heat exchanger effectiveness in high temperature cycle. The result of this study is as follows : The COP of cascade system increases with increasing degree of superheating and subcooling, compressor efficiency and internal heat exchanger effectiveness except increasing condensing temperature. The mass flow ratio of low and high temperature cycle increases with increasing evaporating temperature and condensing temperature, but decreases with increasing internal heat exchanger effectiveness, degree of superheating and subcooling. Also, the mass flow ratio has no correlation with compressor efficiency at high temperature cycle.

• Journal of Hydrogen and New Energy
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• v.26 no.5
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• pp.463-468
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• 2015

This study describes the effect of upstream curved pipe on internal flow characteristics ball valve. Continuity and three-dimensional Reynolds-averaged Navier-Stokes equation have been used as governing equations for the numerical analysis. The upstream curved pipe - ball valve model was assumed that it is used for Alaska pipeline project which was planned to provide reliable transportation of natural gas from ANS to Alaska-Yukon border. Therefore the characteristics of pipe and operating condition of pipeline were from report of Alaska pipeline project. The three curvature and three location of upstream curved pipe were analyzed. The results shows that there are typical flow patterns at ball valve and the upstream curved pipe makes some differences to the internal flow of ball valve.

• Journal of Ocean Engineering and Technology
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• v.29 no.5
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• pp.331-341
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• 2015

A degasser is a separation unit used in drilling to separate gas from the drilling mud. The degasser used in offshore drilling was developed at an early stage of drilling. Since its development, the design of the degasser’s internal structure has been optimized, with many limitations due to the restrictions of experimental and computational performance measurement methods. Despite the recent development of CFD technology for multiphase flow analysis, CFD has only been used in a limited way for degasser internal flow analysis and design optimization. In this study, a design optimization procedure for a degasser’s internal structure design was proposed, and CFD analyses of three types of internal structural designs were performed to evaluate the separation performance. The CFD result for each design type was used for the design optimization and, as the result, an optimized design is proposed.

• 한국전산유체공학회:학술대회논문집
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• 2011.05a
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• pp.535-542
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• 2011

To utilizing CFX V12.0.l, internal flow characteristics of denture high-speed air turbine hand-piece unit was identified, in order to analyze the performance of the torque values were compared. In order to find out the difference of torque by mash values, under steady condition, performed grid convergence test. It compared theoretical torque with torque through flow analysis. To describe the motion of turbine blade was used to immerged solid method. Depending on the location of the turbine blade were calculated from five case. Maximum and minimum values of turbine blades was analyzed. To analyze the performance of the torque values were compared with speed of turbine blade.

• Proceedings of the KSME Conference
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• 2005.11a
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• pp.61.2-61.2
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• 2005

• 한국전산유체공학회:학술대회논문집
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• 2008.03a
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• pp.297-301
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• 2008

The flight vehicles have cavities such as wheel wells and bomb bays. The flow around a cavity is characterized as unsteady flow because of the formation and dissipation of vortices due to the interaction between the freestream shear layer and cavity internal flow, the generation of shock and expansion waves. Resonance phenomena can damage the structures around the cavity and negatively affect aerodynamic performance and stability. The flow field is observed to oscillate in the "shear layer mode" with low aspect ratio. In the present study, numerical analysis was performed for cavity flows by the unsteady compressible three dimensional Reynolds-Averaged Navier-Stokes (RANS) equations with Wilcox's $\kappa$-$\omega$ turbulence model. The flow field is observed to oscillate in the shear layer mode" with large aspect ratio. Based on the SPL(Sound Pressure Level) analysis of the pressure variation at the cavity trailing edge, the dominant frequency was analyzed and compared with the results of Rossiter's formul. The aero-acoustic wave analyzed with CPD(Correlation of Pressure Distribution).

• 한국전산유체공학회:학술대회논문집
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• 2008.10a
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• pp.297-301
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• 2008

The flight vehicles have cavities such as wheel wells and bomb bays. The flow around a cavity is characterized as unsteady flow because of the formation and dissipation of vortices due to the interaction between the freestream shear layer and cavity internal flow, the generation of shock and expansion waves. Resonance phenomena can damage the structures around the cavity and negatively affect aerodynamic performance and stability. The flow field is observed to oscillate in the "shear layer mode" with low aspect ratio. In the present study, numerical analysis was performed for cavity flows by the unsteady compressible three dimensional Reynolds-Averaged Navier-Stokes (RANS) equations with Wilcox's ${\kappa}-{\varepsilon}$ turbulence model. The flow field is observed to oscillate in the "shear layer mode" with large aspect ratio. Based on the SPL(Sound Pressure Level) analysis of the pressure variation at the cavity trailing edge, the dominant frequency was analyzed and compared with the results of Rossiter's formul. The aero-acoustic wave analyzed with CPD(Correlation of Pressure Distribution).

• Journal of Korean Neurosurgical Society
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• v.62 no.2
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• pp.201-208
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• 2019

Objective : In patients with internal carotid artery (ICA) occlusion, collateral middle cerebral artery (MCA) flow has a protective role against ischemia. However, some of these patients may experience initial major neurological deficits and major worsening on following days. Thus, we investigated the safety and efficacy of endovascular treatment (EVT) for ICA occlusion with collateral MCA flow by comparing clinical outcomes of medical treatment versus EVT. Methods : The inclusion criteria were as follows : 1) acute ischemic stroke with ICA occlusion and presence of collateral MCA flow on transfemoral cerebral angiography (TFCA) and 2) hospital arrival within 12 hours from symptom onset. The treatment strategy was made by the attending physician based on the patient's clinical status and results of TFCA. Results : Eighty-one patients were included (30 medical treatment, 51 EVT). The EVT group revealed a high incidence of intracranial ICA occlusion, longer ipsilesional MCA contrast filling time, and a similar rate of favorable clinical outcome despite a higher mean baseline the National Institutes of Health Stroke Scale (NIHSS) score. By binary logistic regression analysis, intravenous recombinant tissue plasminogen activator and EVT were independent predictors of favorable clinical outcome. In subgroup analysis based on stroke etiology, the non-atherosclerotic group showed a higher baseline NIHSS score, higher incidence of EVT, and a higher rate of distal embolization during EVT in comparison with the atherosclerotic group. Conclusion : In patients with ICA occlusion and collateral MCA flow, decisions regarding treatment strategy based on TFCA can help achieve favorable clinical outcomes. EVT strategy with respect to etiology of ICA occlusion might help achieve better angiographic outcomes.