• Title/Summary/Keyword: PLS-PM

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The Comparative Study of on Pump CABG during Pulsatile $(T-PLS^{TM})$ and Nonpulsatile $(Bio-pump^{TM})$ Perfusion (관상동맥우회술 시 사용된 박동성펌프$(T-PLS^{TM})$와 비박동성펌프$(Bio-pump^{TM})$의 비교연구)

  • Park Young-Woo;Her Keun;Lim Jae-Ung;Shin Hwa-Kyun;Won Yong-Soon
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.354-358
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    • 2006
  • Background: Pulsatile pumps for extracorporeal circulation have been known to be better for tissue perfusion than non-pulsatile pumps but be detrimental to blood corpuscles. This study is intended to examine the risks and benefits of $T-PLS^{TM}$ through the comparison of clinical effects of $T-PLS^{TM}$ (pulsatile pump) and $Bio-pump^{TM}$ (non-pulsatile pump) used for coronary bypass surgery. Material and Method: The comparison was made on 40 patients who had coronary bypass using $T-PLS^{TM}\;and\;Bio-pump^{TM}$ (20 patients for each) from April 2003 to June 2005. All of the surgeries were operated on pump beating coronary artery bypass graft using cardiopulmonary extra-corporeal circulation. Risk factors before surgery and the condition during surgery and the results were compared. Result: There was no significant difference in age, gender ratio, and risk factors before surgery such as history of diabetes, hypertension, smoking, obstructive pulmonary disease, coronary infarction, and renal failure between the two groups. Surgery duration, hours of heart-lung machine operation, used shunt and grafted coronary branch were little different between the two groups. The two groups had a similar level of systolic arterial pressure, diastolic arterial pressure and mean arterial pressure, but pulse pressure was measured higher in the group with $T-PLS^{TM}\;(46{\pm}15\;mmHg\;in\;T-PLS^{TM}\;vs\;35{\pm}13\;mmHg\;in\;Bio-pump^{TM},\;p<0.05)$. The $T-PLS^{TM}$-operated patients tended to produce more urine volume during surgery, but the difference was not statistically significant $(9.7{\pm}3.9\;cc/min\;in\;T-PLS^{TM}\;vs\;8.9{\pm}3.6\;cc/min\;in\;Bio-pump^{TM},\;p=0.20)$. There was no significant difference in mean duration of respirator usage and 24-hour blood loss after surgery between the two groups. Plasma free Hb was measured lower in the group with $T-PLS^{TM}\;(24.5{\pm}21.7\;mg/dL\;in\;T-PLS^{TM}\;versus\;46.8{\pm}23.0mg/dL\;in\;Bio-pump^{TM},\;p<0.05)$. There was no significant difference in coronary infarction, arrhythmia, renal failure and morbidity rate of cerebrovascular disease. There was a case of death after surgery (death rate of 5%) in the group tested with $T-PLS^{TM}$, but the death rate was not statistically significant. Conclusion: Coronary bypass was operated with $T-PLS^{TM}$ (Pulsatile flow pump) using a heart-lung machine. There was no unexpected event caused by mechanical error during surgery, and the clinical process of the surgery was the same as the surgery for which $Bio-pump^{TM}$ was used. In addition, $T-PLS^{TM}$ used surgery was found to be less detrimental to blood corpuscles than the pulsatile flow has been known to be. Authors of this study could confirm the safety of $T-PLS^{TM}$.

Qualitative correlation between postoperatively increased vertical dimension and mandibular position in skeletal class III using partial-least-square path modeling

  • Kim, Na-Ri;Park, Soo-Byung;Lee, Jihyun;Choi, Youn-Kyung;Shin, Sang Min;Choi, Yong-Seok;Kim, Yong-Il
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.15.1-15.7
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    • 2017
  • Background: This study constructed a partial-least-square path-modeling (PLS-PM) model and found the pathway by which the postsurgical vertical dimension (VD) affects the extent of the final mandibular setback on the B point at the posttreatment stage for the skeletal class III surgery-first approach (SFA). Methods: This study re-analyzed the data from the retrospective study by Lee et al. on 40 patients with skeletal class III bimaxillary SFA. Variables were obtained from cone beam computed tomography (CBCT)-generated cephalograms. Authors investigated all variables at each time point to build a PLS-PM model to verify the effect of the VD on the final setback of the mandible. Results: From PLS-PM, an increase in $VD_{10}$ was found to decrease the absolute value of the final setback amount of the mandible, which reflects the postsurgical physiological responses to both surgery and orthodontic treatment, which, in turn, can be interpreted as an increase in postoperative mandibular changes. Conclusions: To resolve the issue of collinear cephalometric data, the present study adopted PLS-PM to assess the orthodontic treatment. From PLS-PM, it was able to summarize the effect of increased postsurgery occlusal vertical dimension on the increased changeability of the B point position at the posttreatment stage.

A Study of Optimal Model for the Circuit Configuration of Korean Pulsatile Extracorporeal Life Support System (T-PLS) (한국형 박동식 생명구조장치(T-PLS) 순환회로를 위한 최적화 모델 연구)

  • Lim Choon Hak;Son Ho Sung;Lee Jung Joo;Hwang Znuke;Lee Hye Won;Kim Kwang Taik;Sun Kyung
    • Journal of Chest Surgery
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    • v.38 no.10 s.255
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    • pp.661-668
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    • 2005
  • Background: We have hypothesized that, if a low resistant gravity-flow membrane oxygenator is used, then the twin blood sacs of TPLS can be located at downstream of the membrane oxyenator, which may double the pulse rate at a given pump rate and increase the pump output. The purpose of this study was to determine the optimal configuration for the ECLS circuits by using the concept of pulse energy and pump output. Material and Method: Animals were randomly assigned to 2 groups in a total cardiopulmonary bypass model. In the serial group, a conventional membrane oxygenator was located between the twin blood sacs. In the parallel group, the twin blood sacs were placed downstream of the gravity-flow membrane oxygenator. Energy equivalent pressure (EEP) and pump output were collected at pump-setting rates of 30, 40, and 50 BPM. Result: At the given pump-setting rate, the pulse rate was doubled in the parallel group. Percent changes of mean arterial pressure to EEP were $13.0\pm1.7,\; 12.0\pm1.9\;and\;7.6\pm0.9\%$ in the parallel group, and $22.5\pm2.4,\; 23.2\pm1.9,\;and\;21.8\pm1.4\%$ in the serial group at 30, 40, and 50 BPM of pump-setting rates. Pump output was higher in the parallel circuit at 40 and 50 BPM of pump-setting rates $(3.1\pm0.2,\;3.7\pm0.2L/min\;vs.\;2.2\pm0.1\;and\;2.5\pm0.1L/min,\;respectively,\;p=0.01)$. Conclusion: Either parallel or serial circuit configuration of the ECLS generates effective pulsatility. As for the pump out, the parallel circuit configuration provides higher flow than the serial circuit configuration.

Operation experience of 2 GeV PLS magnet power supplies (포항방사광가속기 2GeV 저장링용 전자석전원 장치의 운전경험)

  • Nam, Sang-H.;Jeong, Seong-H.;Han, Sung-H.;Suh, Jae-H.;Ha, Ki-M.;Yoon, Moo-Hyun
    • Proceedings of the KIEE Conference
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    • 1996.07a
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    • pp.559-563
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    • 1996
  • Total 215 magnet power supplies are under operation in Pohang Light Source(PLS). Current, voltage and peak power handling capabilities of DC power supply are in the range of 21 to 643V, 45 to 850A and 0.94 to 531KW, respectively. The DC power supplies can be categoriezed as uni-polar and bipolar power. Typical required stability and ripple of uni-polar power supplies are ${\pm}0.005%$ and ${\pm}0.05%$, respectively. The bipolar power supplies should be maintained within ${\pm}0.05%$ stability and ${\pm}0.5%$ ripple. Precise measurement results show that all power supplies meet or exceed the required specifications. The long term operation reliability to be sufficient for a stable operation of the Pohang Light Source.

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Exploration of Structural Relations on Health Behavior Related to Particulate Matter: Focused on Multi-Dimensional Health Locus of Control, Perceived Susceptibility and Severity, and Health Behavioral Intention (미세먼지 관련 건강행동에 대한 구조적 관계의 탐색: 다차원 건강통제소재, 지각된 취약성과 심각성 및 건강행동의도를 중심으로)

  • Joo, Jihyuk
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.413-421
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    • 2017
  • This study explored relationships between health perception and behavior of Korean relevant to particulate matter(PM) as PM in the atmosphere getting worse. To investigate the relationship in the personal hygiene dimension, we analysed the structural relationships among multi-dimensional health locus of control, perceived susceptibility and severity, and health behavior intention. Except internal among three tendencies of multi-dimensional health locus of control, chance and powerful other had an effect on perceived susceptibility and severity, respectively. Perceived susceptibility and severity also had a positive effect on the intention. Thus, to facilitate PM-related disease prevention, timely and reliable information should be supplied with the solution for lessening damage from PM, and then training for internalizing locus of control should be encouraged through eliminating fear and uncertainty. Finally, we discussed suggestions for future study.

The Impacts of Industrial Characteristics of Cities on Fine Dust Levels (도시의 산업특성이 미세먼지 농도에 미치는 영향)

  • Eum, Jeongin;Kim, Hyungkyoo
    • Journal of Environmental Science International
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    • v.29 no.5
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    • pp.445-455
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    • 2020
  • Fine dust is one of the most critical environmental issues in Korea, and the government recognizes the need to establish customized reduction policies based on regional characteristics. Several studies on air pollutants investigate whether factories affect the distribution of fine dust in a particular region. However, understanding the impact of the entire industry sector requires further investigation. This study identifies the impacts of industrial characteristics on fine dust levels of 141 municipalities across Korea in 2016. A total of 23 variables were used, of which 12 referred to industries and 11 to general characteristics of each city. Due to the high correlation between independent variables, partial least squares (PLS) regression models were used. The analysis identified 14 significant variables for PM10 and 13 for PM2.5. Therefore, the results suggest that local industrial characteristics can significantly influence fine dust levels and provide suggestions for establishing customized reduction policies based on local characteristics.

Multivessel Coronary Revascularization with Composite LITA-RA Y Graft (좌내흉동맥-요골동맥 복합이식편을 이용한 다중혈관 관상동맥우회술)

  • Lee Sub;Ko Mgo-Sung;Park Ki-Sung;Ryu Jae-Kean;Jang Jae-Suk;Kwon Oh-Choon
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.359-365
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    • 2006
  • Background: Arterial grafts have been used to achieve better long-term results for coronary revascularization. Bilateral internal thoracic artery (ITA) grafts have a better results, but it may be not used in some situations such as diabetes and chronic obstructive pulmonary disease (COPD). We evaluated the clinical and angiographic results of composite left internal thoracic artery-radial artery (LITA-RA) Y graft. Material and Method: Between April 2002 and September 2004, 119 patients were enrolled in composite Y graft for coronary bypass surgery. The mean age was $62.6{\pm}8.8$ years old and female was 34.5%. Preoperative cardiac risk factors were as follows: hypertension 43.7%, diabetes 33.6%, smoker 41.2%, and hyperlipidemia 22.7%, There were emergency operation (14), cardiogenic shock (6), left ventricle ejection fraction (LVEF) less than 40% (17), and 17 cases of left main disease. Coronary angiography was done in 35 patients before the hospital discharge. Result: The number of distal anastomoses was $3.1{\pm}0.91$ and three patients (2.52%) died during hospital stay. The off-pump coronary artery bypass (OPCAB) was applied to 79 patients (66.4%). The LITA was anastomosed to left anterior descending system except three cases which was to lateral wall. The radial Y grafts were anastomosed to diagonal branches (4), ramus intermedius (21), obtuse marginal branches (109), posterolateral branches (12), and posterior descending coronary artery (8). Postoperative coronary angiography in 35 patients showed excellent patency rates (LITA 100%, and RA 88.5%; 3 RA grafts which anastomosed to coronary arteries <70% stenosed showed string sign with competitive flow). Conclusion: The LITA-RA Y composite graft provided good early clinical and angiographic results in multivessel coronary revascularization. But it should be cautiously used in selected patients.

KICKER MAGNET MODULATOR IN PLS (포항방사광가속기 킼커 대출력 펄스전원장치)

  • Nam, S.H.;Jeong, S.H.;Han, S.H.;Suh, J.H.;Ha, K.M.
    • Proceedings of the KIEE Conference
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    • 1997.07e
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    • pp.1779-1781
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    • 1997
  • The 2.0 GeV Pohang Light Source (PLS) is consisted of a full energy Linac and a storage ring. Four kicker magnets are installed in the storage ring tunnel to move the stored beam orbit in the storage ring closer to the injected beam from the beam transfer line. The injected beam then falls into the storage ring beam dynamic aperture. A kicker magnet modulator drives all four kicker magnets to maintain field balance and also synchronized kick of the beam. The kicker modulator can handle 2 GeV full energy beam. The kicker magnet modulator is installed in the storage ring tunnel and under stable operation. Specification of the kicker magnet modulator is ${\sim}6.0{\mu}s$ pulse-width, 200 ns flat-top width with ${\pm}0.2%$ regulation, ${\sim}24\;kA$ peak current, and 10 Hz repetition rate. Two thyratron switches (EEV CX-1536AX) are used in the system. In this article, design, and experimental results of the kicker magnet modulator are discussed.

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Effects of Dietary $\omega3$ and $\omega6$ Fatty Acids on the Fatty Acid Composition of RBC and Brain Synaptosomal, Microsomal and mitochondrial Phospholipids and on Behavioral Development of Rats (식이 $\omega3$$\omega6$계 지방산 조성이 제 2세대 쥐의 RBC과 뇌조직 Synaptosome, Microsome 및 Mitochondria의 인지질 및 행동발달에 미치는 영향)

  • 엄영숙
    • Journal of Nutrition and Health
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    • v.29 no.8
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    • pp.849-860
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    • 1996
  • The supply of different fatty acids during the development period has significant effects. This study examined the effects of dietary $\omega$3 and $\omega$6 fatty acid compositions on phospholipids (PLs) of RBC and rat brain subcellular fractions (synaptosome, microsome, mitochondria), and on learning ability of the 2nd generation rat. Rats were fed experimental diets 3-4 wks prior to the conception. Early in the lactation period, the feeding mothers were exchanged. Diets consisted of 10% fat(by weight), which was either safflower oil('S') poor in $\omega$3 fatty acids or computer-searched mixed oil('M') with P/M/S ratio, 1/1.4/1 and $\omega$6/$\omega$3 ratio, 6.1/1. The 'S' and 'M' rats were subdivided further into SS, SM, MS & MM rats according to their lactation stauts. At 3 (weaning) & 9 wks of age, the percentage of total $\omega$3 fatty acids to their lactation status. At 3 (weaning) & 9 wks of age, the percentage of total $\omega$3 fatty acids and the ratios of $\omega$3/$\omega$6 fatty acids in PLs of RBC and brain subcellular fractions in SM and MM groups fed milk from the mixed oil-fed mothers for 2 wks tended to be higher than those in SS and MS groups respectively. In contrast, the concentrations of $\omega$6 fatty acids, especially 22:5$\omega$6 in all fractions, were significantly lower in the SM & MM groups compared to those of the SS & MS groups respectively. In contrast, the concentration of $\omega$6 fatty acids, especially 22:5$\omega$6 in all fractions, were significantly lower in the SM & MM groups compared to those of the SS & MS groups, The values for the DHA$\omega$3/22:5$\omega$6 ratios after the lactation period were markedly higher in the groups (SM & MM) which were reared by mixed oil(MO) fed mothers. In carring out Y-water maze at 9th wk of age, the SM(4.2$\pm$0.5) & MM (5.3$\pm$0.5) groups made significantly less errors compared to the SS(6.2$\pm$0.6, p<0.05 compared with SM) & MM (7.2$\pm$0.5, p<0.05 compared with MM) groups which were lactated by the safflower oilfed mothers. Therefore, by feeding a balanced fatty acid diet from the lactation period up to 9 wks of age as compared with the groups fed $\omega$3 fatty acid-deficient diet regardless of mother's diet given before parturition. The levels of DHA(synaptosome) and 22:5$\omega$3 (mitochondria) were positively correlated not only with these values in RBC but also with visual discriminating ability. The levels of DHA and 22:5$\omega$3 in RBC can, therfore, reflect visual discriminatng ability in the rat.

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Study on the De-Q'ing System for the Output Voltage Stabilization of a 200MW Modulator (200MW MODULATOR의 출력안정화를 위한 DE-Q'ING SYSTEM에 관한 연구)

  • Son, Y.K.;Oh, J.S.;Cho, M.H.;Namkung, W.
    • Proceedings of the KIEE Conference
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    • 1994.07b
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    • pp.1612-1614
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    • 1994
  • Modulators Installed in PLS(Pohang Light Source) Linac are composed of a DC high voltage section, a charging section and a discharging section. PFN is charged by a resonant charging mechanism, and discharged by a switching device through the primary of the pulse transformer connected to a load. Charged PFN voltage must be well regulated to obtain stable output pulse voltage at the load. For this purpose, DCHV is controlled by a SCR controller with feedback signal, and PFN voltage is regulated by a De-Q'ing circuit. The full power operation test shows the pulse voltage regulation within ${\pm}0.13%$ with SCR feedback control alone, and within ${\pm}0.08%$ together with De-Q'ing. This paper describes the design concept and operational characteristics of the De-Q'ing circuit.

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