• 제목/요약/키워드: Multiple Shock

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Postcardiotomy Mechanical Circulatory Support in Congenital Heart Diseases (소아개심술 후 시행한 순환보조장치의 임상적 고찰)

  • 권오춘;이영탁
    • Journal of Chest Surgery
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    • v.33 no.5
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    • pp.385-390
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    • 2000
  • Background: To review the experience that used both ventricular assist device(VAD) and extracorporeal membrane oxygenation(ECMO) for children with congential heart disease requiring postcardiotomy mechanical circulatory support. Material and Method: Between March 1993 and May 1995, we applied mechanical assist device using centrifugal pump to the 16 patients who failed to be weaned from cardiopulmonary bypass(n=15) or had been in cardiogenic shock in intensive care unit(n=1). The diagnosis were all congenital heart diseases and the ages of patients ranged from 20 days to 10 years (mean age=2.5$\pm$3.5 years). Result: The methods of mechanical circulatory support were LVAD(n=13), BVAD (n=1), and ECMO(n=2). The mean assist times were 54.0$\pm$23.7 hours. Post-assist complications were in orders: bleeding, acute renal failure, ventricular failure, respiratory failure, infection, and neurologic complication. It was possible for 9 patients(56.3%) to be weaned from assist device and 5 patients(31.3%) were discharged from hospital. There was no statistical significant between hospital discharged group and undischarged group by age, body weight, cardiopulmonary bypass time, and assist time. Conclusion: The ventricular assist device is an effective modality in salvaging the patient who failed to be weaned from cardiopulmonary bypass, but multiple factors must be considered for improving the results of mechanical circulatory support ; such as patient selection, optimal time of starting the assist device, and prevention and management of the complications.

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Rotor High-Speed Noise Prediction with a Combined CFD-Kirchhoff Method (CFD와 Kirchhoff 방법의 결합을 이용한 로터의 고속 충격소음 해석)

  • 이수갑;윤태석
    • Journal of KSNVE
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    • v.6 no.5
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    • pp.607-616
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    • 1996
  • A combined computational fluid dynamics(CFD)-Kirchhoff method is presented for predicting high-speed impulsive noise generated by a hovering blade. Two types of Kirchhoff integral formula are used; one for the classical linear Kirchhoff formulation and the other for the nonlinear Kirchhoff formulation. An Euler finite difference solver is solved first to obtain the flow field close to the blade, and then this flow field is used as an input to a Kirchhoff formulation to predict the acoustic far-field. These formulas are used at Mach numbers of 0.90 and 0.95 to investigate the effectiveness of the linear and nonlinear Kirchhoff formulas for delocalized flow. During these calculiations, the retarded time equation is also carefully examined, in particular, for the cases of the control surface located outside of the sonic cylinder, where multiple roots are obtained. Predicted results of acoustic far-field pressure with the linear Kirchhoff formulation agree well with experimental data when the control surface is at the certain location(R=1.46), but the correlation is getting worse before or after this specific location of the control surface due to the delocalized nonlinear aerodynamic flow field. Calculations based on the nonlinear Kirchhoff equation using a linear sonic cylinder as a control surface show a reasonable agreement with experimental data in negative amplitudes for both tip Mach numbers of 0.90 and 0.95, except some computational integration problems over a shock. This concliudes that a nonlinear formulation is necessary if the control surface is close to the blade and the flow is delocalized.

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Genomic Organization of Heat Shock Protein Genes of Silkworm Bombyx mori

  • Velu, Dhanikachalam;Ponnuvel, Kangayam M.;Qadri, Sayed M. Hussaini
    • International Journal of Industrial Entomology and Biomaterials
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    • v.15 no.2
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    • pp.123-130
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    • 2007
  • The Hsp 20.8 and Hsp 90 cDNA sequence retrieved from NCBI database and consists of 764 bp and 2582 bp lengths respectively. The corresponding cDNA homologus sequences were BLAST searched in Bombyx mori genomic DNA database and two genomic contigs viz., BAAB01120347 and AADK01011786 showed maximum homology. In B. mori Hsp 20.8 and Hsp 90 is encoded by single gene without intron. Specific primers were used to amplify the Hsp 20.8 gene and Hsp 90 variable region from genomic DNA by using the PCR. Obtained products were 216 bp in Hsp 20.8 and 437 bp in Hsp 90. There was no variation found in the six silkworm races PCR products size of contrasting response to thermal tolerance. The comparison of the sequenced nucleotide variations through multiple sequence alignment analysis of Hsp 90 variable region products of three races not showed any differences respect to their thermotolerance and formed the clusters among the voltinism. The comparison of aminoacid sequences of B. mori Hsps with dipteran and other insect taxa revealed high percentage of identity growing with phylogenetic relatedness of species. The conserved domains of B. mori Hsps predicted, in which the Hsp 20.8 possesses ${\alpha}-crystallin$ domain and Hsp 90 holds HATPase and Hsp 90 domains.

Numerical Simulation of Supersonic Inlet Flow (초음속 흡입구 유동의 수치모사)

  • Kwak, Ein-Keun;Yoo, Il-Yong;Lee, Seung-Soo;Jung, Suk-Young
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2009.05a
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    • pp.133-137
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    • 2009
  • Numerical simulations of flows in an axisymmetric supersonic inlet with bleed regions were performed. For the simulations, the existing code which solves the RANS(Reynolds Averaged Navier-Stokes) equations and 2-equation turbulence model equations was transformed to axisymmetric form and bleed boundary condition was applied to the code. In this paper, the modified code was validated by comparing the results against an experimental data and other computational results for flow on a bump and over an oblique shock with bleed region. Using the code, numerical simulations were performed for the flow in the inlet with multiple bleed regions.

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Emotional Response of ICU Patients' Family toward Physical Restraints (중환자실 환자의 억제대 적용에 대한 가족의 정서적 반응)

  • Kang, Jiyeon;Lee, Eun-Nam;Park, Eun Young;Lee, Youngock;Lee, Mi Mi
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.148-156
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    • 2013
  • Purpose: The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). Methods: The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". Results: The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. Conclusion: Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.

GAS-DYNAMICAL FRICTION OF A PERTURBER MOVING ON A CIRCULAR ORBIT

  • Kim, Hyo-Sun;Kim, Woong-Tae
    • Journal of The Korean Astronomical Society
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    • v.40 no.4
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    • pp.179-182
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    • 2007
  • Dynamical friction plays an important role in reducing angular momenta of objects in orbital motions. While astronomical objects usually follow curvilinear orbits, most previous studies focused on the linear-trajectory cases. Here, we present the gravitational wake due to, and dynamical friction on, a perturber moving on a circular orbit in a uniform gaseous medium using a semi-analytic method. The circular orbit causes the density wakes to bend along the orbit into asymmetric configurations, resulting in the drag forces in both opposite (azimuthal) and lateral (radial) directions to the perturber motion, although the latter does not contribute to the orbital decay much. For a subsonic perturber, the bending of a wake is only modest and the resulting drag force in the opposite direction is remarkably similar to the linear-trajectory counterpart. On the other hand, a supersonic perturber is able to overtake its own wake, possibly multiple times, creating a high-density trailing tail. Despite the dramatic changes in the wake morphologies, the azimuthal drag force is in surprisingly good agreement with the formulae of Ostriker for the linear-trajectory cases, provided $V_pt=2R_p,\;where\;V_p\;and\;R_p$ are the velocity and orbital radius of the perturber, respectively.

Synthesis of 2',4'-Dimethoxychalcone Derivatives and Evaluation of Their Antitumor Activities Against Non-small Cell Lung Cancer (2',4'-Dimethoxychalcone 유도체 합성 및 비소폐암세포주에서 항암 활성평가)

  • Choi, Myeong A;Jeong, Ju Hui;Oh, Yong Jin;Lee, Young Sook;Seo, Young Ho
    • YAKHAK HOEJI
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    • v.60 no.3
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    • pp.135-140
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    • 2016
  • Heat shock protein 90 (Hsp90) is a ubiquitous molecular chaperone, which is associated with stabilization of many oncogenic proteins for cancer cell survival. Hsp90 is overexpressed 2-10 fold higher in cancer cells than normal cells. Due to its potential to simultaneously disable multiple signaling pathway, Hsp90 has been identified as a validated target for cancer therapy. Accordingly, we designed and synthesized 2',4'-dimethoxychalcone derivatives to inhibit Hsp90 chaperone function. Among 2',4'-dimethoxychalcone derivatives, we found that compound 1g disrupted Hsp90 chaperoning function and impaired the growth of cancer cells. These findings indicated that 1g could serve a potential lead compound to target Hsp90 in cancer chemotherapy.

Acute pancreatitis in hand, foot and mouth disease caused by Coxsackievirus A16: case report

  • Park, Byungsung;Kwon, Hyuckjin;Lee, Kwanseop;Kang, Minjae
    • Clinical and Experimental Pediatrics
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    • v.60 no.10
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    • pp.333-336
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    • 2017
  • Coxsackievirus A16 (CA16), which primarily causes hand, foot, and mouth disease (HFMD), is associated with complications, such as encephalitis, acute flaccid paralysis, myocarditis, pericarditis, and shock. However, no case of pancreatitis associated with CA16 has been reported in children. We report a case of CA16-associated acute pancreatitis in a 3-year-old girl with HFMD. She was admitted because of poor oral intake and high fever for 1 day. Maculopapular rashes on both hands and feet and multiple vesicles on the soft palate were observed on physical examination. She was treated conservatively with intravenous fluids. On the fourth hospital day, she had severe abdominal pain and vomiting. The serum levels of amylase and lipase were remarkably elevated (amylase, 1,902 IU/L; reference range, 28-100 IU/L; lipase, >1,500 IU/L; reference range, 13-60 IU/L), and ultrasonography showed diffuse swelling of the pancreas with a small amount of ascites. The real-time reverse transcription polymerase chain reaction result from a stool sample was positive for CA16. CA16 can cause acute pancreatitis, and should be considered in the differential diagnosis of abdominal pain in children with HFMD.

Penetrating Chest Injuries Caused by the Sideview Mirror of the Patient's Car - Report of 2 cases - (자동차의 사이드미러가 흉강에 박힌 채로 내원한 흉부관통상 - 2례 보고 -)

  • Kim, Soo Sung
    • Journal of Trauma and Injury
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    • v.20 no.1
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    • pp.47-51
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    • 2007
  • Penetrating chest trauma caused by the components of one's own car is rare in motor vehicle accidents. We experienced two cases of penetrating chest injury caused by the sideview mirror of the patient's vehicle. One was a 25-year-old man. The sideview mirror penetrated the left chest, went through the diaphragm, and ruptured the spleen. He was in shock upon arrival at the emergency room. An emergency thoracotomy and laparotomy were done. The ruptured spleen was resected, the lung and the diaphragm were debrided and repaired, and the chest wall was reconstructed. The other patient was a 57-year-old male, who was transported to our emergency room with the sideview mirror of his truck stuck into his right chest wall as the result of an accident. He also had a right Bennet's fracture and an open fracture of the right tibia. Air had been sucked into the right pleural cavity through the wound. Multiple rib fractures and lung lacerations had also occurred. Removal of the sideview mirror, repair of the lacerated lung, and reconstruction of chest wall were done immediately. Both patients recovered without complication and were discharged.

Study of Supersonic Flame Acceleration within AN-based High Explosive Containing Various Gap Materials (다양한 틈새 물질을 포함하는 AN계열 화약의 초음속 화염 전파 특성 연구)

  • Lee, Jinwook;Yoh, Jai-Ick
    • Journal of the Korean Society of Propulsion Engineers
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    • v.17 no.4
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    • pp.32-42
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    • 2013
  • We study the gap effect on detonating high explosives using numerical simulation. The characteristic acoustic impedance theory is applied to understand the reflection and transmission phenomena associated with gap test of high explosives and solid propellants. A block of charge with embedded multiple gaps is detonated at one end to understand the ensuing detonation propagation through pores and non uniformity of the tested material. A high-order multimaterial simulation provides a meaningful insight into how material interface dynamics affect the ignition response of energetic materials under a shock loading.