• 제목/요약/키워드: Membrane insertion

검색결과 75건 처리시간 0.03초

Outcomes of Urgent Interhospital Transportation for Extracorporeal Membrane Oxygenation Patients

  • Jun Tae, Yang;Hyoung Soo, Kim;Kun Il, Kim;Ho Hyun, Ko;Jung Hyun, Lim;Hong Kyu, Lee;Yong Joon, Ra
    • Journal of Chest Surgery
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    • 제55권6호
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    • pp.452-461
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    • 2022
  • Background: Extracorporeal membrane oxygenation (ECMO) can be used in patients with refractory cardiogenic shock or respiratory failure. In South Korea, the need for transporting ECMO patients is increasing. Nonetheless, information on urgent transportation and its outcomes is scant. Methods: In this retrospective review of 5 years of experience in ECMO transportation at a single center, the clinical outcomes of transported patients were compared with those of in-hospital patients. The effects of transportation and the relationship between insertion-departure time and survival were also analyzed. Results: There were 323 cases of in-hospital ECMO (in-hospital group) and 29 cases transferred to Hallym University Sacred Heart Hospital without adverse events (mobile group). The median transportation time was 95 minutes (interquartile range [IQR], 36.5-119.5 minutes), whereas the median transportation distance was 115 km (IQR, 15-115 km). Transportation itself was not an independent risk factor for 28-day mortality (odds ratio [OR], 0.818; IQR, 0.381-1.755; p=0.605), long-term mortality (OR, 1.099; IQR, 0.680-1.777; p=0.700), and failure of ECMO weaning (OR, 1.003; IQR, 0.467-2.152; p=0.995) or survival to discharge (OR, 0.732; IQR, 0.337-1.586; p=0.429). After adjustment for covariates, no significant difference in the ECMO insertion-departure time was found between the survival and mortality groups (p=0.435). Conclusion: The outcomes of urgent transportation, with active involvement of the ECMO center before ECMO insertion and adherence to the transport protocol, were comparable to those of in-hospital ECMO patients.

저전압 고주파 MEMS 스위치 (Low Actuation Voltage RF MEMS Switch)

  • 서용교;최영식
    • 한국정보통신학회논문지
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    • 제7권5호
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    • pp.1038-1043
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    • 2003
  • Capacitive-coupled 구조의 RF MEMS 스위치를 설계하여 제작하였으며, 특성을 측정하였다. 낮은 구동 전압은 membrane과 신호선 사이의 간격을 작게 만들어 구현하였다. 제작된 스위치의 구동 전압은 최저 11V이며, 2GHz에서 측정한 고주파 특성은 삽입 손실이 0.2dB이고 절연 특성은 40dB이다.

브래그 반사층 구조와 멤브레인 구조의 체적 탄성파 공진기 필터의 이론적 분석 (Theoretical Analysis of FBARs Filters with Bragg Reflector Layers and Membrane Layer)

  • 조문기;윤영섭
    • 대한전자공학회논문지SD
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    • 제39권4호
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    • pp.41-54
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    • 2002
  • 본 논문에서는 등가회로를 이용하여 브래그 반사층형 FBAR (Film Bulk Acoustic Wave Resonator) 와 membrane 형 FBAR 그리고 상 하부 전극이 공기와 접하는 이상적인 FBAR 의 특성을 서로 비교함으로서 브래그 반사층과 membrane 이 공진 특성에 미치는 영향을 분석하였다. 압전층으로는 ZnO, membrane 층과 낮은 음향적인 임피던스 반사층은 SiO₂, 높은 음향적인 임피던스 반사층으로는 W, 전극층으로는 Al를 가정하였고 각 층은 탄성파 전달 손실을 가정하였다. 1-port 의 등가회로를 ABCD 파라미터를 추출할 수 있는 단순화된 등가회로로 변환하여 ABCD 파라미터를 추출하여 입력임피던스를 계산하였다. 필터 설계에서는 구하여진 파라미터를 산란행렬로 변환하여 필터의 대역폭 및 삽입손실을 구하였다. 전극층, 반사층, membrane 층의 두께 변화에 의한 공진주파수의 변화는 membrane 층과 전극 바로 아래의 반사층의 두께 변화가 가장 큰 영향을 미친다는 결과를 확인하였다. 반사층 구조에서 반사층수에 따른 공진특성과 K/sub eff/와 electrical Q 의 변화에서는 반사층수가 K/sub eff/ 에는 거의 영향을 미치지 않지만 electrical Q 는 층수가 증가할수록 증가하다가 7층 이상에서 포화되었다. 또한 FBAR의 electrical Q 는 membrane 층과 반사층의 mechanical Q 에 의존함을 알 수 있었다. Ladder 필터와 SCF(Stacked Crystal Filters) 모두 공진기의 수가 증가할수록 삽입손실과 out-of-band rejection 이 증가하였고 층수가 증가할수록 삽입손실은 감소하지만 대역폭에는 거의 변화가 없었다. membrane형의 ladder 필터와 SCF 는 불효 공진 특성으로 인한 불효응답특성이 나타났다. 또한 ladder 필터는 보다 우수한 대역폭의 skirt-selectivity 특성을 나타내었으며 SCF 는 대역폭의 삽입손실 측면에서 더 우수하였다.

Thermopile sensor with SOI-based floating membrane and its output circuit

  • 이성준;이윤희;서상희;김태윤;김철주;주병권
    • 센서학회지
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    • 제11권5호
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    • pp.294-300
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    • 2002
  • In this study, we fabricated thermopile infrared sensor with floating membrane structure. Floating membrane was formed by SOI(Silicon On Insulator) structure. In SOI structure, silicon dioxide layer between top silicon layer and bottom silicon substrate was etched by HF solution, then membrane was floated over substrate. After membrane was floated, thermopile pattern was formed on membrane. By insertion of SOI technology, we could obtain thermal isolation structure easily and passivation process for sensor pattern protection was not required during fabrication process. Then, the amplifier circuit for thermopile sensor was fabricated by using $1.5{\mu}m$ CMOS process. The voltage gain of fabricated amplifier was about two hundred.

Stress Analysis Using Finite Element Modeling of a Novel RF Microelectromechanical System Shunt Switch Designed on Quartz Substrate for Low-voltage Applications

  • Singh, Tejinder;Khaira, Navjot K.;Sengar, Jitendra S.
    • Transactions on Electrical and Electronic Materials
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    • 제14권5호
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    • pp.225-230
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    • 2013
  • This paper presents a novel shunt radio frequency microelectromechanical system switch on a quartz substrate with stiff ribs around the membrane. The buckling effects in the switch membrane and stiction problem are the primary concerns with RF MEMS switches. These effects can be reduced by the proposed design approach due to the stiffness of the ribs around the membrane. A lower mass of the beam and a reduction in the squeeze film damping is achieved due to the slots and holes in the membrane, which further aid in attaining high switching speeds. The proposed switch is optimized to operate in the k-band, which results in a high isolation of -40 dB and low insertion loss of -0.047 dB at 21 GHz, with a low actuation voltage of only 14.6 V needed for the operation the switch. The membrane does not bend with this membrane design approach. Finite element modeling is used to analyze the stress and pull-in voltage.

Lithium Insertion Behavior of Nanoscopic Co3O4 Prepared with Avian Egg Membrane as a Template

  • Christy, Maria;Jisha, M.R;Kim, Ae-Rhan;Nahm, Kee-Suk;Yoo, Dong-Jin;Suh, E.K.;Kumari, T. Sri Devi;Kumar, T. Prem;Stephan, A. Manuel
    • Bulletin of the Korean Chemical Society
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    • 제32권4호
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    • pp.1204-1208
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    • 2011
  • Nanoscopic $Co_3O_4$ particles were prepared using avian egg membrane as a template at $800^{\circ}C$. The prepared materials were subjected to XRD, SEM, TEM and Raman spectroscopic studies. Cyclic voltammetry study shows a single step oxidation and reduction process. Electrochemical lithium insertion behavior of the materials was examined in coin cells of the 2032 configuration. The material showed a discharge capacity 600mAh/g even after 20 cycles.

기체크로마토그래프-질량분석기의 실리콘 분리막 인터페이스의 유용성 연구 (Feasibility study of membrane interface for gas chromatograph-mass spectrometry)

  • 강길선;이동수;이화심;박창준
    • 분석과학
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    • 제21권6호
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    • pp.495-501
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    • 2008
  • GC-MS 의 기존 인터페이스와 새로운 인터페이스의 차이점과 유용성을 판단하기 위하여 Agilent 5973 GC-MS의 capillary direct interface를 떼어내고 GC와 질량분석기 사이에 실리콘 membrane을 장착하여 membrane interface GC-MS의 분석 유용성을 조사하였다. 최대 $4.7m{\ell}/min$ 까지 헬륨 운반기체유량을 올릴 때 질량분석기의 진공도는 거의 영향을 받지 않으며, 피이크끌림 현상이 줄어들고 머무른시간이 줄어드는 빠른 분석을 보였다. Membrane 의 두께를 $127{\mu}m$에서 $75{\mu}m$으로 줄일 때 분리능이 향상 되며, membrane interface의 온도를 올릴 때 분리능과 감도가 향상되었다. 그러나 membrane interface GCMS는 질량/전하 비 73, 147에서 바탕이온이 발생하는 것과 기존의 capillary direct insertion interface보다 낮은 감도와 peak tailing에 의한 낮은 분리능의 문제점을 갖는다.

Improved modeling of non-hepatic cellular uptake and degradation of low density lipoprotein

  • 임광희;이은주
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2002년도 생물공학의 동향 (X)
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    • pp.524-527
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    • 2002
  • 인간 fibroblasts의 receptor를 통한 LDL의 섭취와 분해에 대하여 보다 개선되어진 수학적/동역학적 모델을 제시하였다. 관련된 동역학적 모델의 hierarchy를 통하여 세포 멤브레인 표면으로 recycle되는 receptor의 선택적 insertion 정도를 나타내는 파라미터, ${\alpha}$를 가지는 모델을 제안하였다. 여러 가지의 LDL 농도의 미디움과 여러 가지의 실험조건에서 모델예측을 수행하였는데, Brown과 Goldstein의 많은 실험데이터에 잘 일치하였다.

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Analysis of the Effect of Renal Replacement Therapy: In the Prolonged Extracorporeal Membrane Oxygenation Patients

  • Park, Hyun-Seok;Cho, Seong-Joon;Ryu, Se-Min;Park, Sung-Min;Kim, Ki-Hwan;Lim, Sun-Hye;Shin, Hee Kon
    • Journal of Chest Surgery
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    • 제47권4호
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    • pp.373-377
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    • 2014
  • Background: This paper aimed to verify the effects of renal replacement therapy on changing the levels of serum creatinine for different veno-arterial and veno-venous configurations in prolonged extracorporeal membrane oxygenation (ECMO) patients. Methods: The subjects were chosen 71 patients who had undergone more than 1,440 minutes (24 hours) of the therapy from among 117 patients who had undergone ECMO insertion between January 2008 and December 2012. The patients were separated into the veno-arterial configuration group I (51 patients) and the veno-venous configuration group II (20 patients). The difference in the level of serum creatinine (${\Delta}Cr$) between before or just after ECMO insertion ($Cr_I$) and the level when the pump time was between 2,880 and 4,320 minutes ($Cr_F$) was checked (${\Delta}Cr=Cr_F-Cr_I$), and the average ${\Delta}Cr$ for each group was compared using a Student t-test at the confidence interval (CI) of 95%. Results: The change in the level of serum creatinine was an increase of 0.341 mg/dL (${\sigma}$=0.9202) for group I and a decrease of 0.120 mg/dL (${\sigma}$=1.5292) for group II. The change was significantly high for group I (p=0.011, CI=95%). Meanwhile, within group I, when renal replacement therapy was not done, there was a significant increase in the level of serum creatinine (p=0.009, CI=95%). Conclusion: For ECMO insertion patients whose pump time was more than 1,440 minutes, there was a significant change in the level of serum creatinine when renal replacement therapy was not done, for the veno-arterial configuration of group I.

상악동막의 천공 시 처치의 방법 (Techniques for Reparation of Perforations of the Maxillary Sinus Membrane: Article Review)

  • 임형섭;김수관;김학균;문성용;오지수;전우진;윤대웅;양석진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권3호
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    • pp.281-285
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    • 2011
  • Sinus floor elevation is a predictable and standard procedure for the treatment of the posterior maxilla before insertion of dental implants. Although overall complication rates are low, complications can occur including sinus membrane perforation, infection of sinus, swelling and hemorrhage. The most common complication is membrane perforation. Recently, various techniques and materials for repair of perforation to the sinus membrane have been proposed. The purpose of this article is to report on various techniques and materials that can be used for repair of perforations to the sinus membrane. The search protocol used was the following electronic database: Pubmed, with a time limit from 1998 to 2009. The key words such as 'sinus lift', 'sinus augmentation', 'sinus floor elevation', 'sinus graft', 'sinus perforation', 'repair of sinus perforation' and 'repair of sinus membrane' were used, alone and in combination, when searching the database. Various techniques have been proposed to manage of perforation of sinus membranes. These include that the use of collagen membranes, demineralized freeze-dried human lamellar bone sheets, processed human allografts, lamella bone, buccal fat pads and suturing. Implant success rate ranges from 69.9% to 98.9%.