Purpose: This study was done to identify the time interval to pressure ulcer and to determine the optimal time interval for position change depending on pressure ulcer risk in patients using foam mattress in intensive care units. Methods: The Braden scale score, occurrence of pressure ulcers and position change intervals were assessed with 56 patients admitted to an intensive care unit from April to November, 2011. The time to pressure ulcer occurrence by Braden scale risk group was analyzed with Kaplan-Meier survival analysis and log rank test. Then, the optimal time interval for position change was calculated with ROC curve. Results: The median time to pressure ulcer occurrence was 5 hours at mild or moderate risk, 3.5 hours at high risk and 3 hours at very high risk on the Braden scale. The optimal time interval for position change was 3 hours at mild and moderate risk, 2 hours at high and very high risk of Braden scale. Conclusion: When foam mattresses are used a slight extension of the time interval for position change can be considered for the patients with mild or moderate pressure ulcer risk but not for patients with high or very high pressure ulcer risk by Braden scale.
Research results for the pressure drop variance depending on operation conditions such as change of inlet concentration, pulse interval, and face velocity, etc., in a pulse air jet-type bag filter show that while at $3kg/cm^2$ whose pulse pressure is low, it is good to make an pulse interval longer in order to form the first layer, it may not be applicable to industry because of a rapid increase in pressure. In addition, the change of inlet concentration contributes more to the increase of pressure drop than the pulse interval does. In order to reduce operation costs by minimizing filter drag of a filter bag at pulse pressure $5kg/cm^2$, the dust concentration should be minimized, and when the inlet dust loading is a lower concentration, the pulse interval in the operation should be less than 70 sec, but when inlet dust loading is a higher concentration, the pulse interval should be below 30 sec. In particular, in the case that inlet dust loading is a higher concentration, a high-pressure distribution is observed regardless of pulse pressure. This is because dust is accumulated continuously in the filter bag and makes it thicker as filtration time increases, and thus the pulse interval should be set to below 30 sec. If the equipment is operated at 1m/min of face velocity, while pressure drop is low, the bag filter becomes larger and thus, its economics are very low due to a large initial investment. Therefore, a face velocity of around 1.5 m/min is considered to be the optimal operation condition. At 1.5 m/min considered to be the most economical face velocity, if the pulse interval increases, since the amount of variation in filter drag is large, depending on the amount of inlet dust loading, the operation may be possible at a lower concentration when the pulse interval is 70 sec. However, for a higher concentration, either face velocity or pulse interval should be reduced.
In this study, pressure drop was measured in the pulse jet bag filter without venturi on which 16 numbers of filter bags (Ø$140{\times}850{\ell}$) are installed according to operation condition(filtration velocity, inlet dust concentration, pulse pressure, and pulse interval) using coke dust from steel mill. The obtained 180 pressure drop test data were used to predict pressure drop with multiple regression model so that pressure drop data can be used for effective operation condition and as basic data for economical design. The prediction results showed that when filtration velocity was increased by 1%, pressure drop was increased by 2.2% which indicated that filtration velocity among operation condition was attributed on the pressure drop the most. Pressure was dropped by 1.53% when pulse pressure was increased by 1% which also confirmed that pulse pressure was the major factor affecting on the pressure drop next to filtration velocity. Meanwhile, pressure drops were found increased by 0.3% and 0.37%, respectively when inlet dust concentration and pulse interval were increased by 1% implying that the effects of inlet dust concentration and pulse interval were less as compared with those changes of filtration velocity and pulse pressure. Therefore, the larger effect on the pressure drop the pulse jet bag filter was found in the order of filtration velocity($V_f$), pulse pressure($P_p$), inlet dust concentration($C_i$), pulse interval($P_i$). Also, the prediction result of filtration velocity, inlet dust concentration, pulse pressure, and pulse interval which showed the largest effect on the pressure drop indicated that stable operation can be executed with filtration velocity less than 1.5 m/min and inlet dust concentration less than $4g/m^3$. However, it was regarded that pulse pressure and pulse interval need to be adjusted when inlet dust concentration is higher than $4g/m^3$. When filtration velocity and pulse pressure were examined, operation was possible regardless of changes in pulse pressure if filtration velocity was at 1.5 m/min. If filtration velocity was increased to 2 m/min. operation would be possible only when pulse pressure was set at higher than $5.8kgf/cm^2$. Also, the prediction result of pressure drop with filtration velocity and pulse interval showed that operation with pulse interval less than 50 sec. should be carried out under filtration velocity at 1.5 m/min. While, pulse interval should be set at lower than 11 sec. if filtration velocity was set at 2 m/min. Under the conditions of filtration velocity lower than 1 m/min and high pulse pressure higher than $7kgf/cm^2$, though pressure drop would be less, in this case, economic feasibility would be low due to increased in installation and operation cost since scale of dust collection equipment becomes larger and life of filtration bag becomes shortened due to high pulse pressure.
The change of pressure drop according to the change in the inlet concentration, pulse interval, and injection distance of pulse air jet type bag filters, and the effect of venturi installation are as follows. The pressure drop with the range of 30 to $50mmH_2O$ varies according to the injection distance with 30, 50, 70, 90sec and the inlet concentration of venture built-in fabric filters. For the lower concentration of 0.5g/㎥ and 1g/㎥, the pressure $drop(\DeltaP)$ was stable 60 to 90minutes after operation. For the higher concentration of 3g/㎥, as $\DeltaP$ continues to go up, pulse interval should be set shorter than 30 seconds. The pressure drop with the injection distance of 1l0mm, when inlet dust concentration is 0.5g/㎥ or 1g/㎥, is 1.3 to 2 lower than with the injection distance of 50, 160, and 220mm, which means that the inflow amount of the secondary air by the instant acceleration is large. The injection distance of 2g/㎥ and 3g/㎥ has the similar pressure distribution. The higher inlet concentration is, the more important pulse interval is than injection distance. The pressure drop has proved to be larger when inlet concentration is lower and injection distance closer, on condition that the venturi is installed. The change in the pressure drop was smallest when injection distance was 50mm, followed by 220mm, 160mm, and 110mm.
A numerical study has been performed on the flow past a two-staged orifice in a rectangular duct. The flow field including the recirculation region behind the orifice was investigated and the pressure drop was calculated. Water was used as a working fluid and the flow was treated as the turbulent flow, of which the Raynolds number was 6000. The main parameters for the pressure drop and the recirculation region were the orifice's inclined angle against the duct, the interval between two orifices, the shape of the orifice's hole having the same area, and the change of the hole position at the same interval. The variation of the flow field was investigated with each parameter. Consequently, it was found that the most dominant parameter influencing the drop of the pressure was the change of the hole position at the same interval between orifices. Especially when the interval between orifices was narrow and the relative position the holes was changed, its effect to the flow field was shown most drastically as a result of this study. The SIMPLER algorithm with FLUENT code was employed to analyze the flow field.
Ahn, Song-Vogue;Kim, Hyeon-Chang;Hur, Nam-Wook;Ha, Kyoung-Soo;Jang, Hoo-Sun;Kim, Jin-Bae;Suh, Il
Journal of Preventive Medicine and Public Health
/
v.39
no.6
/
pp.455-461
/
2006
Objectives : Prolongation of the heart rate-corrected QT (QTc) interval has been reported to be associated with cardiovascular morbidity and mortality. However, few studies have examined the relationship between the QTc interval and cardiovascular risk factors in young healthy people, The aim of this study was to examine the associations between the QTc interval and cardiovascular risk factors in young healthy adults. Methods : This study was performed as part of the Kangwha study, which started in 1986, and is an on-going follow-up study on blood pressure and related cardiovascular risk factors. In follow-up examinations during 2005, cardiovascular risk factors, including anthropometrics, blood pressure, blood chemistry and carotid ultrasonography, were measured, and questionnaires on health behaviors completed by 127 men and 149 women aged 25 years. The QTc interval was measured on the resting 12-lead electrocardiogram using an automatic analysis program. Results : The mean QTc interval was significantly longer in women $(419{\pm}17ms)$ than in men $(405{\pm}17ms)$ (p<0.001). A significant positive correlation was found between the QTc interval and waist-hip ratio (p=0.030) in men. Women showed a positive correlation between the QTc interval and systolic blood pressure (p=0.017). On a multiple regression analysis, the QTc interval was positively associated with the waist-hip ratio in men (p=0.012) and with the systolic blood pressure (p=0.020) in women. Conclusions : In young healthy Korean adults, the QTc interval was independently associated with the waist-hip ratio in men and with the systolic blood pressure in women.
Journal of The Korean Society of Agricultural Engineers
/
v.60
no.1
/
pp.1-10
/
2018
This study analyzed pore water pressure, seepage and leakage quantity, height of seepage and critical hydraulic gradient in order to suggest the seepage characteristics of agricultural reservoir embankment considering filter interval. The seepage characteristics of a deteriorated reservoir embankments were conducted according to the horizontal filter intervals range using three- dimensional finite element analysis. The wider the horizontal filter interval, the higher the pore water pressure increased, and the pore water pressure ratio in the center of the core has a greater effect than the base part. The seepage and leakage quantity appeared largely in the two-dimensional analysis conditions (case 1), where the filter was constructed totally in the longitudinal direction of the embankment, the wider the horizontal filter interval was gradually reduced. The reasonable filter intervals to yield efficient seepage characteristics were within 30 m for the pore water pressure of the core and the height of the seepage line. The stability of the filter installation was able to evaluate the stability of the piping by the critical hydraulic gradient method. The deteriorated reservoir with no filters or decreased functionality can significantly reduce the possibility of piping by simply installing a filter on the downstream slope. In the future, the deteriorated reservoir embankment should be checked for the reservoir remodeling because the core and filter functions have been lost or decreased significantly. In the case of a new installation, the seepage characteristic behavior due to the core and filter changes should be applied to the field after obtaining a reasonable horizontal filter interval that satisfies the safety factor by a three-dimensional analysis.
Blood pressure (BP) is an important vital signal for determining the health of an individual subject. Although estimation of mean arterial blood pressure is possible using oscillometric blood pressure techniques, there are no established techniques in the literature for obtaining confidence interval (CI) for systolic blood pressure (SBP) and diastolic blood pressure (DBP) estimates obtained from such BP measurements. This paper proposes a nonparametric bootstrap technique to obtain CI with a small number of the BP measurements. The proposed algorithm uses pseudo measurements employing nonparametric bootstrap technique to derive the pseudo maximum amplitudes (PMA) and the pseudo envelopes (PE). The SBP and DBP are then derived using the new relationships between PMA and PE and the CIs for such estimates. Application of the proposed method on an experimental dataset of 85 patients with five sets of measurements for each patient has yielded a smaller Cl than the conventional student t-method.
In this study, the optimal method for injection of neutralizer to restraint the leakage of acid drainage in embankment structure composed of pyrite rocks is proposed. Finite Element Analysis was performed to examine the seepage effect caused by injection of neutralizer into the embankment structure. The diameter of the neutralizer injection hole was selected as 50cm, the interval space of injection ranged from 1m to 4m and the injecting pressure ranged from 100kPa to 220 kPa were applied for the numerical analysis. According to the analysis results, the saturation time of the whole embankment structure was shown to be fast at a relatively low injecting pressure in the case of injecting interval space of 1.0m and injecting pressure of 130kPa and in the case of injecting interval space of 2.0m and injecting pressure of 160kPa. When the interval space of injection for saturation of whole embankment structure is selected as 3m, various injection pressures can be applied from 130kPa to 190kPa, and the saturation time of whole embankment is similar regardless of the injection pressure. Therefore, the optimal method for injection of neutralizer considering economic efficiency was selected as injecting interval space of 3.0m and injection pressure of 130kPa.
Gait initiation is a transitional process from the balanced upright standing to the beginning of steady-state walking. Dysbalanced gait initiation often causes stroke patients to fall. The net center of pressure, measured by two triaxial force plates from twenty healthy subjects and two stroke patients, was investigated to assess asymmetry of gait initiation in hemiparetic subjects. The time interval and distance of the net center of pressure(CoP) moved from the initiation point to the toe off(S1) and from the toe off to the initial contact(S2) were calculated during gait initiation of normal and stroke patients. When the patient with right hemiplegia(A) initiated his gait with right foot, the time interval and the distance of the net CoP in S1 and S2 were smaller than that of normal subjects' values. However, he initiated the gait with left foot(unaffected side) the time interval and the distance of net CoP in S1 were larger than normative values. Differently, the patient with left hemiplegia(B) has shown that larger time interval and distance in S1 and smaller time interval and distance in S2 in both sides. His asymmetry(with which side the gait initiated) was not significant. It is too early to conclude that these results could be general characteristics of the stroke patients because the variations were large and moreover, the level of motor recovery of the patients was different. However, it is expected that these trials could help to set up the strategy of the therapy for the rehabilitation or prevention of fall in stroke patients.
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