• Title/Summary/Keyword: Pressure Balance

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Comparison of Acute Cardiovascular Effects of Using Heated Tobacco Productsand Cigarette Smoking (가열담배 사용과 연소담배 흡연의 급성 심혈관 효과 검증)

  • Dong Kyu Kim;Maeng Kyu Kim
    • Journal of Life Science
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    • v.34 no.5
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    • pp.320-332
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    • 2024
  • The aims of this study were to compare the differences in hemodynamics between cigarette smoking and using heated tobacco products (HTPs) and to determine the acute effects of using HTPs on cardiac autonomic regulation. Another goal was to examine the acute cardiac autonomic responses when using different tobacco sticks in HTPs. Sixteen healthy male smokers completed an open-label, randomized, crossover trial consisting of non-smoking (NS), cigarette smoking, and the use of two different HTPs (IQOS with HEETS; lil SOLID with Fiit). Sub-trials, which included NS, lil SOLID with Fiit, and lil SOLID with HEET, were performed on eight smokers among the total subjects. Hemodynamic variables, such as systolic blood pressure (SBP) and diastolic blood pressure (DBP), and heart rate variability were measured before, during, and 30 minutes after using each tobacco product. Using HTPs resulted in a significant increase in both SBP and DBP, comparable to smoking cigarettes. Cardiac sympathetic activity significantly increased, and cardiac vagal tone (CVT) significantly decreased after acute exposure to HTP aerosol, similar to the effects of cigarette smoke exposure. Furthermore, differences in the withdrawal of CVT were observed when using different tobacco sticks in the same HTPs. The findings of this study indicate that acute exposure to HTP aerosol increases the hemodynamic burden and disrupts cardiac autonomic balance, similar to exposure to cigarette smoke. Moreover, depending on the type of tobacco stick inserted into the HTP device, acute withdrawal of CVT may have been enhanced.

Effect of Modified Ultrafiltration on the Postoperative State after Pediatric Open Heart Surgery. (소아 개심술에 있어서 변형 초여과법(Modified Ultrafiltration)이 술후 상태에 미치는 영향)

  • 방종경;천종록;김규태
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.456-465
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    • 1998
  • Cardiopulmonary bypass(CPB) in children is associated with the accumulation of body water after cardiac operation, as a consequence of an inflammatory capillary leak. Following work by Elliott in 1991, modified ultrafiltration(MUF) was introduced after bypass as a means of hemoconcentrating patients and a potential way of removing water from the tissues. We have carried out a prospective randomized study of 20 children undergoing open heart surgery, comparing MUF with nonfiltered controls. MUF was carried out for a mean of 18.9 minutes after completion of CPB to a hematocrit of 37.1%(mean). The mean water volulme removed by the ultrafiltration was 38.4 ml/kg and the mean blood volume retransfused from the oxygenator during the ultrafiltration was 32.1 ml/kg. Fluid balance, hemodynamics, hematocrit, osmolarity and dosage of drug treatment were recorded for 4∼12 hours postoperatively. The results were analyzed using Student t-test and ANOVA, comparing controls(n=10) to MUF(n=10). Blood loss(ml/kg/24hr) was 14.5(mean) in MUF versus 13.7 in controls; blood transfused(ml/kg/24hr) 6.6 in MUF versus 15.2 in controls; plasma transfused(ml/kg/24hr) 65.7 in MUF versus 59.6 in controls. There was rise in arterial blood pressure and hematocrit during MUF. Percent rise of systolic blood pressure was 28.8% in MUF versus 18.7% in controls(p=0.366); percent rise of diastolic blood pressure was 28.8% in MUF versus 8.5% in controls(p=0.135); and percent rise of mean blood pressure was 36.2% in MUF versus 8.2% in controls (p=0.086). Percent rise of hematocrit was 40.0% in MUF versus 23.5% in controls(p=0.002). There was no significant difference in the inotropic requirement and the postoperative serum osmolarity between two groups. The number of days on the ventilator, the duration of stay in the intensive care unit, and the postoperative hospital stay were not significantly different between the two groups.

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Satisfaction Evaluation of Diabetic Foot Disease Measurement using AI-based Application (AI기반 에플리케이션을 활용한 당뇨병성 족부질환 측정의 만족도 평가)

  • Hyeun-Woo Choi;Hyo-jin Lee;Min-jeong Kim;Jong-Min Lee;Dong-hyun Kim
    • Journal of the Korean Society of Radiology
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    • v.18 no.4
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    • pp.327-334
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    • 2024
  • The purpose of this study is to develop a customized foot disease analysis and management system for diabetic patients to prevent foot ulcers in diabetic foot disease patients. This system utilizes image analysis technology to measure not only foot pressure, but also ankle deformation, body balance, and foot wounds. Through various data, it is possible to accurately analyze the state of foot deformation, and based on this, the exact state of deformation of the foot of a patient with diabetic foot disease was identified and a customized insole was produced. This study was conducted to examine the satisfaction level of using an application that checks the status of diabetic foot disease wounds and to identify the degenerative status of diabetic foot disease patients and foot disease patients by wearing customized insoles and to survey the satisfaction of wearing insoles. As a result of the study, the knee angle measured for plantar pressure was -0.8 ± 1.3 degrees and ranged from a minimum of -2.4 degrees to a maximum of 1.1 degrees, and there was no significant difference in valgus knee between both lower extremities (p = 0.534). There was a significant difference in tibial angle between both lower extremities (p < 0.001). Ankle angle on the left side was 2.6 ± 2.0 degrees, ranging from a minimum of 0 degrees to a maximum of 6.3 degrees, and on the right, it was 4.5 ± 2.1 degrees, with a distribution of minimum 1.5 degrees to a maximum of 9.1 degrees. There was a significant difference in ankle angle between both lower extremities (p = 0.011). They responded that they felt an average of 4.3 points of satisfaction with the plantar pressure measurement application. Respondents responded that they felt an average of 3.9 points of satisfaction with the use of customized insoles.

Seasonal Variations of Evapotranspiration Observed in a Mixed forest in the Seolmacheon Catchment (설마천 유역의 혼효림에서 관측된 증발산의 계절변화)

  • Kwon, Hyo-Jung;Lee, Jung-Hoon;Lee, Yeon-Kil;Lee, Jin-Won;Jung, Sung-Won;Kim, Joon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.11 no.1
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    • pp.39-47
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    • 2009
  • The importance of securing water resources and their efficient management has attracted more attention recently due to water deficit. In water budget analysis, however, evapotranspiration(${\lambda}E$) has been approximated as the residual in the water balance equation or estimated from empirical equations and assumptions. To minimize the uncertainties in these estimates, it is necessary to directly measure ${\lambda}E$. In this study, using the eddy covariance technique, we have measured ${\lambda}E$ in a mixed forest in the Seolmacheon catchment in Korea from September 2007 to December 2008. During the growing season(May-July), ${\lambda}E$ in this mixed forest averaged about $2.2\;mm\;d^{-1}$, whereas it was on average $0.5\;mm\;d^{-1}$ during the non-growing season in winter. The annual total ${\lambda}E$ in 2008 was $581\;mm\;y^{-1}$, which is about 1/3 of the annual precipitation of 1997 mm. Despite the differences in the amount and frequency of precipitation, the accumulated ${\lambda}E$ during the overlapping period(i.e., September to December) for 2007 and 2008 was both ${\sim}110$ mm, showing virtually no difference. The omega factor, which is a measure of decoupling between forest and the atmosphere, was on average 0.5, indicating that the contributions of equilibrium ${\lambda}E$ and imposed ${\lambda}E$ to the total ${\lambda}E$ were about the same. The results suggest that ${\lambda}E$ in this mixed forest was controlled by various factors such as net radiation, vapor pressure deficit, and canopy conductance. In this study, based on the direct measurements of ${\lambda}E$, we have quantified the relative contribution of ${\lambda}E$ in the water balance of a mixed forest in the Seolmacheon catchment. In combination with runoff data, the information on ${\lambda}E$ would greatly enhance the reliability of water budget analysis in this catchment.

Optimization of Single-stage Mixed Refrigerant LNG Process Considering Inherent Explosion Risks (잠재적 폭발 위험성을 고려한 단단 혼합냉매 LNG 공정의 설계 변수 최적화)

  • Kim, Ik Hyun;Dan, Seungkyu;Cho, Seonghyun;Lee, Gibaek;Yoon, En Sup
    • Korean Chemical Engineering Research
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    • v.52 no.4
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    • pp.467-474
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    • 2014
  • Preliminary design in chemical process furnishes economic feasibility through calculation of both mass balance and energy balance and makes it possible to produce a desired product under the given conditions. Through this design stage, the process possesses unchangeable characteristics, since the materials, reactions, unit configuration, and operating conditions were determined. Unique characteristics could be very economic, but it also implies various potential risk factors as well. Therefore, it becomes extremely important to design process considering both economics and safety by integrating process simulation and quantitative risk analysis during preliminary design stage. The target of this study is LNG liquefaction process. By the simulation using Aspen HYSYS and quantitative risk analysis, the design variables of the process were determined in the way to minimize the inherent explosion risks and operating cost. Instead of the optimization tool of Aspen HYSYS, the optimization was performed by using stochastic optimization algorithm (Covariance Matrix Adaptation-Evolution Strategy, CMA-ES) which was implemented through automation between Aspen HYSYS and Matlab. The research obtained that the important variable to enhance inherent safety was the operation pressure of mixed refrigerant. The inherent risk was able to be reduced about 4~18% by increasing the operating cost about 0.5~10%. As the operating cost increases, the absolute value of risk was decreased as expected, but cost-effectiveness of risk reduction had decreased. Integration of process simulation and quantitative risk analysis made it possible to design inherently safe process, and it is expected to be useful in designing the less risky process since risk factors in the process can be numerically monitored during preliminary process design stage.

EXPERIMENTAL SIMULATION OF A DIRECT VESSEL INJECTION LINE BREAK OF THE APR1400 WITH THE ATLAS

  • Choi, Ki-Yong;Park, Hyun-Sik;Cho, Seok;Kang, Kyoung-Ho;Choi, Nan-Hyun;Kim, Dae-Hun;Park, Choon-Kyung;Kim, Yeon-Sik;Baek, Won-Pil
    • Nuclear Engineering and Technology
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    • v.41 no.5
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    • pp.655-676
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    • 2009
  • The first-ever integral effect test for simulating a guillotine break of a DVI (Direct Vessel Injection) line of the APR1400 was carried out with the ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) from the same prototypic pressure and temperature conditions as those of the APR1400. The major thermal hydraulic behaviors during a DVI line break accident were identified and investigated experimentally. A method for estimating the break flow based on a balance between the change in RCS inventory and the injection flow is proposed to overcome a direct break low measurement deficiency. A post-test calculation was performed with a best-estimate safety analysis code MARS 3.1 to examine its prediction capability and to identify any code deficiencies for the thermal hydraulic phenomena occurring during the DVI line break accidents. On the whole, the prediction of the MARS code shows a good agreement with the measured data. However, the code predicted a higher core level than did the data just before a loop seal clearing occurs, leading to no increase in the peak cladding temperature. The code also produced a more rapid decrease in the downcomer water level than was predicted by the data. These observable disagreements are thought to be caused by uncertainties in predicting countercurrent flow or condensation phenomena in a downcomer region. The present integral effect test data will be used to support the present conservative safety analysis methodology and to develop a new best-estimate safety analysis methodology for DVI line break accidents of the APR1400.

A study on the development of simulation program for the small naturally aspirated four-stroke diesel engine (소형 4행정사이클 무과급 디이젤 기관의 성능 시뮤레이션 전산프로그램의 개발에 관한 연구)

  • 백태주;전효중
    • Journal of Advanced Marine Engineering and Technology
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    • v.8 no.1
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    • pp.17-36
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    • 1984
  • Since 1973, the competition on the development of fuel saving type internal combustion engines has become severe by the two times oil shock, and new type engines are reported every several months. Whenever these new type engines are developed, new designs are required and they will be offered in the market after performing the endurance test for a long time. But the engine market is faced with a heavy burden of finance, as the developing of a new engine requires tremendous expenses. For this reason, the computer simulation method has been lately developed to cope with it. The computer simulation method can be available to perform the reasonable research works by the theoretical analysis before carrying out practical experiments. With these processes, the developing expenses are cut down and the period of development is curtailed. The object of this study is the development of simulation computer program for the small naturally aspirated four-stroke diesel engine which is intended to product by the original design of our country. The process of simulation is firstly investigated for the ideal engine cycle, and secondly for the real engine cycle. In the ideal engine cycle, each step of the cycle is simulated by the energy balance according to the first law of thermodynamics, and then the engine performance is calculated. In the real cycle imulation program, the injection rate, the preparation rate and the combustion rate of fuel and the heat transfer through the wall of combustion chamber are considered. In this case, the injection rate is supposed as constant through the crank angle interval of injection and the combustion rate is calculated by the Whitehouse-Way equation and the heat transfer is calculated by the Annand's equation. The simulated values are compared with measured values of the YANMAR NS90(C) engine and Mitsubishi 4D30 engine, and the following conclusions are drawn. 1. The heat loss by the exhaust gas is well agree with each other in the lower load, but the measured value is greater than the calculated value in the higher load. The maximum error rate is about 15% in the full load. 2. The calculated quantity of heat transfer to the cooling water is greater than the measured value. The maximum error rate is about 11.8%. 3. The mean effective pressure, the fuel consumption, the power and the torque are well agree with each other. The maximum error is occurred in the fuel consumption, and its error rate is about 7%. From the above remarks, it may be concluded that the prediction of the engine performance is possibly by using the developed program, although the program needs to reform by adding the simulation of intake and exhaust process and assumping more reliable mechanical efficiency, volumetric efficiency, preparation rate and combustion rate.

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A Critical Review of Discourses on Commercialization of Korean Press (한국 언론의 상업화 논의에 관한 비판적 검토 -'1933년 상업화론'과 '1960년대 후반 상업화론'의 비교)

  • Lee, Jung-Hoon
    • Korean journal of communication and information
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    • v.62
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    • pp.315-328
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    • 2013
  • With a view to grasping how media commercialization is understood and discussed in the media-related academic community, this study compares and reviews other researches on the commercialization process of Korean press. Full-fledged studies have been rarely performed on the history of commercialization, but similar or related studies have been conducted intermittently: One is the commercialization theory in 1933 and the other is the commercialization theory in the late 1960s. Both of them decided Korean press had been commercialized as a strategical option in the midst of political pressure. It gives a clue leading us to understanding on why Korean press shows partisanship which is pointed as one of social maladies. Korean press acquires less economic benefits if they play in the market than if political parties they support or share the same political interest take power, so they are a commercial press as well as a partially partisan press. In this context, commercialization of Korean press is still underway, and genuine commercialization hitting the balance with politicization may have yet to begin.

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A Study on Advance Rate under the Operating Conditions of EPB Shield TBM Based on TBM Operation Data (현장 굴진자료 분석에 의한 토압식 쉴드 TBM의 운전조건과 굴진속도 연구)

  • An, Man Sun;Lim, Kwang-Su;Kim, Kyong Ju
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.6D
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    • pp.839-848
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    • 2011
  • TBM (Tunnel Boring Machine) tunnel should be carry out with the adopted machine until the end of excavation because of impossibility of replacement or modification of machine. Observation of the face of the tunnel is difficult, especially in EPB(Earth Pressure Balance) shield TBM, predict changes in the ground condition with analyzing data, collected during the excavation, and it should be reflected in construction. Until recently, subjects of studies on TBM are mainly the determination of machine and the development of advance rate prediction model, according to the characteristics of ground which is the target of excavation. However, study focused on the estimation of ground conditions and the improvement in operational methods using excavation data of TBM equipment, the principal of the excavation, has been done not so much. This study examine the variances in advance rate depending on changes in operating conditions and evaluate the optimal operating conditions of adopt machine, using working data obtained from EPB shield TBM project. The result of this study is suggested as follows. First, cutter head RPM and total thrust force are biggest influences on advance rate, Second, it is recommended for proper advance rate that total thrust force is controlled while optimum cutter head RPM is kept, Third, according to the increasing trend of total thrust force, the changes in ground conditions can be predicted, the appropriate operating conditions can be determined.

Open Heart Surgery for Six Cases of the Conegnital Heart Disease (선천성(先天性) 심장병(心臟病)의 개심술(開心術) -6례(例) 수술경험(手術經驗) -)

  • Lee, Sung Haing;Lee, Sung Koo;Han, Sung Sae;Lee, Kihl Rho;Kim, Song Myung;Lee, Kwang Sook;Lee, Chong Kook
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.220-238
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    • 1976
  • Six cases of congenital heart disease were operated on by means of cardiopulmonary bypass between December, 1975 and April, 1976. Two cases of ventricular septal defects (VSD), two cases of VSD, associated with ruptured aneurysm of sinus Valsalva, two cases of atrial septal defects (ASD) and one case of pulmonic stenosis with patent ductus arteriosus were operated. Sarns roller pumps and Bentley Temptrol oxygenators were used for extracorporeal circulation. Pump oxygenator was primed with Ringer's lactate solution, 5% dextrose in water, mannitol, and ACD blood. Flow rate ranged from 2.0 to $2.4L/M^2/min$. Bicarbonate was added to the oxygenator with estimated amount as 15 mEq/L/hr. Venous catheters were introduced into superior and inferior vena cava, and oxygenated blood was returned to the body through aortic cannula inserted into ascending aorta. Moderate hypothermia ($30^{\circ}C$) was induced by core cooling. Aorta was cross clamped for 15 minutes and released for 3 minutes, and repeated clamping when necessary. Atrial and ventricular septal efects were closed by direct sutures. Aneurysms of sinus Valsalva ruptured into the right ventricle were repaired through right ventriculotomy by d:rect closure with Dacron patch reinforcement. Cardiopulmonary bypass time varied from 66 to 209 minutes, and aorta cross clamping time ranged from 13 to 56 minutes. Postoperative bleeding was minimal except one case who needed for evacuation of substernal hematoma. Intra- and postoperative urinary output was satisfactory. Acid-base balance, partial pressure of $O_2$, electrolytes, and hematological changes during intra- and post-perfusion period remained at the acceptable ranges. No mortality was experienced.

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