• Title/Summary/Keyword: Maximum pressure recovery

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Abdominal Hypertension after Abdominal Plication in Postbariatric Patients: The Consequence in the Postoperative Recovery

  • Martin Morales-Olivera;Erik Hanson-Viana;Armando Rodriguez-Segura;Marco A. Rendon-Medina
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.535-540
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    • 2023
  • Background Abdominoplasty with abdominal plication increases intra-abdominal pressure (IAP) and has been previously associated with limited diaphragmatic excursion and respiratory dysfunctions. Many factors found in abdominoplasties and among postbariatric patients predispose them to a higher occurrence. This study aims to evaluate the impact of abdominal plication among postbariatric patients, assess whether the plication increases their IAP, and analyze how these IAP correlate to their postoperative outcome. Methods This prospective study was performed on all patients who underwent circumferential Fleur-De-Lis abdominoplasty. For this intended study, the IAP was measured by an intravesical minimally invasive approach in three stages: after the initiation of general anesthesia, after a 10-cm abdominal wall plication and skin closure, and 24 hours after the procedure. Results We included 46 patients, of which 41 were female and 5 were male. Before the bariatric procedure, these patients had an average maximum weight of 121.4 kg and an average maximum body mass index of 45.78 kg/m2; 7 were grade I obese patients, 10 were grade II, and 29 were grade III. Only three patients were operated on with a gastric sleeve and 43 with gastric bypass. We presented six patients with transitory intra-abdominal hypertension in the first 24 hours, all of them from the grade I obesity group, the highest presented was 14.3 mm Hg. We presented 15% (7/46) of complication rates, which were only four seroma and five dehiscence; two patients presented both seroma and wound dehiscence. Conclusion Performing a 10-cm abdominal wall plication or greater represents a higher risk for intra-abdominal hypertension, slower general recovery, and possibly higher complication rate in patients who presented a lower degree of obesity (grade I) at the moment of the bariatric surgery.

Effect of ischemic preconditioning on left ventricular function after cardiac arrest in isoated rat heart (적출 쥐 심장에서 허혈성 전조건화가 심정지후 좌심실 기능에 미치는 영향)

  • 조대윤
    • Journal of Chest Surgery
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    • v.27 no.7
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    • pp.563-570
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    • 1994
  • Effect of ischemic preconditioning on left ventricular function after cardiac arrest in isolated rat heart.Ischemic preconditioning reduces infarct size caused by sustained ischemia. However, the effects of preconditioning on post ischemic cardiac function are not well-known. The objective of the present study was to determine whether preconditioning would improve the recovery of left ventricular functions after cardiac arrest in isolated rat heart model.Isolated rat hearts were allowed to equilibrate for 20 minutes and were then subjected to either 5 minutes of global, normothermic transient ischemia [Group 2 and 4] or not [Group 3]. A stabilization period of perfusion lasting 5 minutes after the termination of transient ischemia was followed by a standard global, normothermic 20 minute-ischemia and 35-minute reperfusion challenge [Group 3 and 4]. These following results were odtained.1. The recovery of left ventricular developed pressures showed no significant differences between Group 3 and Group 4 at 50 [P>0.3] and 85 minute [P>0.2].2. Heart rates showed no significant differences throughout all the course of experiment and between groups [P>0.5].3. The recovery of left ventricular maximum dP/dt showed no significant differences between Group 3 and Group 4 at 50 [P>0.1] and 85 minute [P>0.2].4. The recovery of pressure-rate products showed no significant differences between Group3 and Group 4 at 50 [P>0.5] and 85 minute [P>0.1].These results suggest that ischemic preconditioning does not provide significant benefit for the postischemic left ventricular functions in isolated rat hearts.

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Coupled solid and fluid mechanics simulation for estimating optimum injection pressure during reservoir CO2-EOR

  • Elyasi, Ayub;Goshtasbi, Kamran;Hashemolhosseini, Hamid;Barati, Sharif
    • Structural Engineering and Mechanics
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    • v.59 no.1
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    • pp.37-57
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    • 2016
  • Reservoir geomechanics can play an important role in hydrocarbon recovery mechanism. In $CO_2$-EOR process, reservoir geomechanics analysis is concerned with the simultaneous study of fluid flow and the mechanical response of the reservoir under $CO_2$ injection. Accurate prediction of geomechanical effects during $CO_2$ injection will assist in modeling the Carbon dioxide recovery process and making a better design of process and production equipment. This paper deals with the implementation of a program (FORTRAN 90 interface code), which was developed to couple conventional reservoir (ECLIPSE) and geomechanical (ABAQUS) simulators, using a partial coupling algorithm. A geomechanics reservoir partially coupled approach is presented that allows to iteratively take the impact of geomechanics into account in the fluid flow calculations and therefore performs a better prediction of the process. The proposed approach is illustrated on a realistic field case. The reservoir geomechanics coupled models show that in the case of lower maximum bottom hole injection pressure, the cumulative oil production is more than other scenarios. Moreover at the high injection pressures, the production rates will not change with the injection bottom hole pressure variations. Also the FEM analysis of the reservoir showed that at $CO_2$ injection pressure of 11000 Psi the plastic strain has been occurred in the some parts of the reservoir and the related stress path show a critical behavior.

A Study on the Safety Improvement of the High Temperature Ceramic Heat Recovery System (고온 세라믹 폐열회수장치의 안전성 향상 연구)

  • Park, Yong-Hwan;Kang, Young-Goo;Kim, Hong
    • Journal of the Korean Society of Safety
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    • v.11 no.4
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    • pp.107-114
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    • 1996
  • A study to Improve the safety of the ceramic heat exchanger In the high temperature heat recovery system was performed in terms of air flow passes. The numerical and finite element analyses on the heat transfer and thermal stresses in the ceramic core related with air passes were carried out. The results showed that the stresses in the ceramic core induced by the thermal expansion are large enough to cause failure of the brittle ceramic core. The imployment of triple-pass air flow for the same ceramic core could increase the efficiency and effectively release approximately 20% of the maximum thermal stressess, thus improving the safety of the ceramic heat exchanger. The use of triple-pass, however, is limited by the amount of air flow due to the increase of pressure drop.

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Effects of Modifiers on the Supercritical $CO_2$ Extraction of Licorice (Glycyrrhiza glabra) and the Morphology of Licorice Tissue

  • Kim, Hyun-Seok;Lim, Gio-Bin;Kim, Byung-Yong
    • Food Science and Biotechnology
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    • v.14 no.1
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    • pp.6-10
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    • 2005
  • Optimal extraction conditions such as pressures, temperatures, and modifiers on glycyrrhizin extraction from licorice were investigated using supercritical $CO_2\;(SC-CO_2)$ at 3 mL/min flow rate. Morphology of licorice tissue, after glycyrrhizin extraction, was examined by SEM, and absolute density ($g/cm^3$) measurement and glycyrrhizin content were determined by HPLC. Pure $SC-CO_2$ had no effect on glycyrrhizin extraction, but recovery of glycyrrhizin ($32.66{\pm}0.77%$) was enhanced when water was used as modifier. The highest recovery was $97.22{\pm}2.17%$ when 70% (v/v) aqueous methanol was added to 15% (v/v) $SC-CO_2$ at 50 MPa and $60^{\circ}C$. Under optimal extraction conditions, 30 MPa pressure and $60^{\circ}C$ heating temperature, glycyrrhizin recovery reached maximum ($102.67{\pm}1.13%$) within 60 min. Licorice tissue was severely damaged by excessive swelling, and absolute density of licorice residues was highest when aqueous methanol was used as a modifier.

Enhanced Oil Recovery (EOR) Technology Coupled with Underground Carbon Dioxide Sequestration (CO2 지하저장과 연계한 원유회수증진 기술)

  • Kim, Hyung-Mok;Bae, Wi-Sup
    • Tunnel and Underground Space
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    • v.23 no.1
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    • pp.1-12
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    • 2013
  • Enhanced oil recovery (EOR) technology coupled with underground carbon dioxide sequestration is introduced. $CO_2$ can be injected into an oil reservoir in order to enhance oil production rate and $CO_2$ EOR can be turned into CCS in a long term sense. Coupling $CO_2$ EOR with CCS may secure a large scale and consistent $CO_2$ source for EOR, and the $CO_2$ EOR can bring an additional economic benefit for CCS, since the benefit from enhanced oil production by $CO_2$ EOR will compensate costs for CCS implementation. In this paper, we introduced the characteristics of $CO_2$ EOR technology and its market prospect, and reviewed the Weyburn $CO_2$ EOR project which is the first large-scale $CO_2$ EOR case utilizing an anthropogenic $CO_2$ source. We also introduced geotechnical elements for a successful and economical implementation of $CO_2$ EOR with CCS and they were a miscroseismic monitoring during and after injection of $CO_2$, and determination of minimum miscible pressure (MMP) and maximum injection pressure (MIP) of $CO_2$.

Adiabatic wall temperature distribution on a plate as under-expanded ratio and impinging angle (과소팽창비와 경사각에 따른 평판에서의 단열벽면온도분포)

  • Sun Yu Man;Cho Hyung Hee;Hwang Ki Young;Bae Ju Chan;Lee Jang Woo
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2004.10a
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    • pp.113-118
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    • 2004
  • Experiments are conducted to get basic information of under-expanded impinging jet in the near field. Experimental parameters are impinging angle and under-expanded ratio. As the under-expanded ratio increases, the maximum surface pressure decreases and the reducing effect of recovery factor increases. As the impinging angle decreases, the peak of surface pressure is displaced slightly from the geometric center of the plate to the upward region and the cooling region is expanded in the downward region, whereas it is contracted in the upward region.

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Study on Myocardial Protective Effect of L-arginine (L-Arginine의 흰쥐 적출심근보호 효과에 관한 연구)

  • 이인성;이헌재
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1076-1080
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    • 1996
  • The results about the myocardial protection of recta of the nitric oxide precursor L-arginine upon reperrusion injury after ischemia are diverse. These diversities may be model dependent. Experiments were designed and performed to investigate myocardial protection effects according to the concentration of L-arginine. The Isolated rat hearts were subjected in a 30 minutes oi normothermic ischemia and reperfused for 30 minutes with reperfusate containing 0, 1, 2, 3, 4 moil L-arginine. After 30 minutes of reperfusion, group with 1 and 2 mM/L L-arginine showed a trend of better recovery in left ventricular systolic function(left ventricular developed pressure, positive maximum dpfdt), diastolic function(negative maximum dpfdt) and coronary flow compared to control group(reperfusate no L-arginine). Recovery was impaired with a higher concentration, and at 4 moil L-arginine r covery was worse than control(p (0, 05). These results suggest that optimal concentration of L-arginine Is Important or the recovery of myocardial and endothelial function after ischemia and reperfusion.

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Effect of Temperature and Pressure on the Oil Expression of Perilla Seed (온도와 압력이 들깨종자의 압착착유에 미치는 영향)

  • Min, Young-Kyoo;Jeong, Heon-Sang
    • Korean Journal of Food Science and Technology
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    • v.25 no.1
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    • pp.28-32
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    • 1993
  • In order to elucidate the temperature and pressure effect on the oil expression of perilla seed, recovery of expressed oil (REO) and volumetric strain of both roasted and unroasted perilla seeds were observed at different temperature, pressure and for different periods of press. In this experiment, moisture content of perilla seed was adjusted to 2.5% and temperature used were 30, 40, 50 and $60^{\circ}C$. Pressure applied were 10, 30, 50 and 70 MPa, and periods of press were 5, 7, 9 and 11 min. As temperature and pressure were increased or periods of press was lengthened, REO and volumetric strain of pressed cake were increased. Maximum REO of unroasted perilla seeds were found to be 85.59% and those of roasted perilla seeds be 85.30%, at 70 MPa, $60^{\circ}C$, and for 11 min. Viscosity of expressed oil were exponentially dependent on temperature and REO were increased as viscosity was decreased. From statistical analysis between effects of expression factors and REO and volumetric strain of pressed cake, importance of their effects was decreased in the order of pressure, temperature, $temperature{\times}pressure$ and periods of press. The multiple regression equation between REO(Y) and temperature (T), pressure (P), and periods of press (D) were as follows; $Y=7.95+36.85P+1.12T^2-0.55TP-5.08P^2\;r^2=0.97$ for unroasted perilla seed (p<0.01), $Y=4.50T+39.23P+0.83T^2-1.71P-5.07P^2\;r^2=0.99$ for roasted perilla seed (p<0.01).

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Changes in Physiological Responses by the Pressure of Non-Elastic Corset (비신축성 코르셋의 의복압으로 인한 생리적 반응의 변화)

  • Na, Young-Joo;Kim, Yang-Hee
    • Fashion & Textile Research Journal
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    • v.13 no.6
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    • pp.943-951
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    • 2011
  • The purpose of this study is to analyze the physiological effects of non-elastic corset on women's health and pain through measuring the clothing pressure, subjective pressure sensation, blood velocity and metabolism. 5 women in their twenties were picked as our subjects, their average size being 85cm at bust girth, 69 cm at waist girth. With the subjects each wearing a corset, we are testing in artificial environment with a treadmill according to the planned exercise procedures. The average pressure of the corset is 0.938 kPa (maximum 3.006 kPa at 45 degree front bowing), which is 10.2 times higher than the control group, averaging from 9.3 times higher at resting, 11.4 times at walking, 11.1 times at running. The effect of corset pressure on the physiological responses of the body is increased more when exercise than when resting. Clothing pressure increased in the order of the postures: sitting > standing with 45 degree bowing > standing. They experienced a high level of tighten discomfort of 5.6 in the scale of 1.0 to 7.0 due to the high pressure of the corset when resting, after intense exercise the level increased to 6.0, while without corset the level increased 1.7 to 2.2. With corset on, the blood circulation did not increase even though when the body exercised and blood flow became unbalanced making great gaps between both at the right and left finger tips. Perspiration of chest and back decreased 37.3% when wearing corset; 27.5% at resting, 56.7% at walking, 25.8% at running, and 39.0% at recovery. With corset on oxygen consume and metabolism increased 9.0%, 7.9%, respectively, which means the corset makes the body uncomfortable. Lung volume exchange VE decreased almost 4.1~7.3% with corset on and $VCO_2/VO_2$, RER and total volume in lung, VT also decreased too, which means the digestion of stomach and lung function are inhibited due to the high corset pressure.