• Journal of Korean Academy of Nursing
• /
• v.21 no.3
• /
• pp.268-280
• /
• 1991

The nursing intervention for the prevention of the pulmonary complication and of the function lowering of pulmonary ventilation which emerge with high generation frequency during the nursing of operation patient is necessary for performing the qualitative nursing for operation patient. So, this researcher tried this study so as to obtain the data which can be utilized for the trial of nursing intervention, by grasping the effect that the deep breathing with Incentive Spirometer has on the function of pulmonary ventilation, analysing the factor to have influence on the function of pulmonary ventilation, and applying the effective method of deep breathing to the clinic. By making 42 patients who underwent the operation of upper abdomen after admitting G Hospital in Seoul from Mar. 7, 1991 to Apr.30, 1991 as the object, they were classified into the experiment group that the deep breathing was made with the use of Incentive Spiromenter and the comparison group that the deep breathing exercise was made without the use of Incentive Spirometer. And then, by measuring Tidal Volume and Forced Vital Capacity with Respirometer and $O_2$ Saturation with Pulse Oximeter at preoperation postoperation 24 hours, 72 hours, and 120 hours data were collected. The collected data were analyzed with of, average, standard deviation, x$^2$-test, t-test and ANOVA by SPSS. The result of this study is as follows : 1. As for the hypothesis that the function of pulmonary ventilation at postoperation 24 hours, 72 hours and 120 hours will be better in the experiment group that the deep breathing was made with the use of Incentive Spirometer, in comparison with the comparison group that deep breathing was made without the use of Incentive Spirometer, experiment group and comparison group didn't show the significant difference in Tidal Volume, Foreced Vital Capacity and $O_2$ Saturation at postoperation 24 hours and 72 hours. But experiment group and comparison group showed the significant difference in Tidal Volume at postoperation 120 hours (p＜0.01). So, this hypothesis was supported partially. 2. The variables that there were the significant differences about the function of pulmonary ventilation in experiment group at postoperation 24 hours stastically were smoking existence (p＜0.05), and the variables that there were not significant differences about the function of pulmonary ventilation were distinction of sex, age, anesthetic duration, smoking extent, body weight, surface area of body, existence of narcotic use, regular exercise existence, and past experience existence of respiratory disease. As above result, it appeared that the method of deep breathing with the use of the Incentive Spirometer is more effective for the function recovery of pulmonary ventilation, in comparison with the deep breathing without use of Incentive Spirometer and that smoking existence was the factor to have influence on the function of pulmonary ventilation. In the aspect of clinic, the trial of nursing intervention of deep breathing with use of Incentive Spirometer is expected. And, in the aspect of study, the study through various operative site patients about the effect of Incentive Spirometer use at the clinic will have to be confirmed.

• Journal of Navigation and Port Research
• /
• v.37 no.4
• /
• pp.375-381
• /
• 2013

In order to establish eLoran system it needs the betterment of a receiver and a transmitter, the add of data channel to loran pulse for loran system information and the differential Loran for compensating Loran-c signal. Precise ASF database map is essential if the Loran delivers the high absolute accuracy of navigation demanded at maritime harbor entrance. In this study we developed the ASF mapping method using predicted ASFs compensated by the measured ASFs for maritime in the harbor. Actual ASF is measured by the legacy Loran signal transmitted from Pohang station in the GRI 9930 chain. We measured absolute propagation delay between the Pohang transmitting station and the measurement points by comparing with the cesium clock for the calculation of the ASFs. Monteath model was used for the irregular terrain along the propagation path in the Yeongil Bay. We measured the actual ASFs at the 12 measurement points over the Yeongil Bay. In our ASF-mapping method we estimated that the each offsets between the predicted and the measured ASFs at the 12 spaced points in the Yeongil. We obtained the ASF map by adjusting the predicted ASF results to fit the measured ASFs over Yeungil bay.

• Proceedings of the KOSOMBE Conference
• /
• v.1996 no.05
• /
• pp.315-319
• /
• 1996

We have developed a prototype patient monitoring system including module-based bedside units, interbed network, and central stations. A bedside unit consists of a color monitor and a main CPU unit with peripherals including a module controller. It can also include up to 3 module cases and 21 different modules. In addition to the 3-channel recorder module, six different physiological parameters of ECG, respiration, invasive blood pressure, noninvasive blood pressure, body temperature, and arterial pulse oximetry with plethysmogaph are provided as parameter modules. Modules and a module controller communicate with up to 1Mbps data rate through an intrabed network based on RS-485 and HDLC protocol. Bedside units can display up to 12 channels of waveforms with any related numeric informations simultaneously. At the same time, it communicates with other bedside units and central stations through interbed network based on 10Mbps Ethernet and TCP/IP protocol. Software far bedside units and central stations fully utilizes gaphical user interface techniques and all functions are controlled by a rotate/push button on bedside unit and a mouse on central station. The entire system satisfies the requirements of AAMI and ANSI standards in terms of electrical safety and performances. In order to accommodate more advanced data management capabilities such as 24-hour full disclosure, we are developing a relational database server dedicated to the patient monitoring system. We are also developing a clinical workstation with which physicians can review and examine the data from patients through various kinds of computer networks far diagnosis and report generation. Portable bedside units with LCD display and wired or wireless data communication capability will be developed in the near future. New parameter modules including cardiac output, capnograph, and other gas analysis functions will be added.

• Journal of the Korean Physical Society
• /
• v.80
• /
• pp.698-716
• /
• 2022

Laser plasmas can be produced when high-power laser beams are focused in matter. A focused laser beam of TW(terawatt)-level high power has an extremely strong electric field, so neutral atoms are immediately ionized by the laser electric field, leading to a laser-produced plasma. The laser plasma can be produced by small table-top TW lasers based on the CPA (chirped-pulse amplification) technique, and now they are rather easily available even in university laboratories. In Korea, there are several CPA-based TW (or even petawatt) lasers in a few institutions, and they have been used for diverse laser plasma physics research and applications, including the laser acceleration for electrons and ions, high-power THz (tera-hertz) generation, advanced light sources, high-energy-density plasmas, plasma optics, etc. This paper reviews some of the laser plasma physics research and applications that have been performed in several universities and research institutes.

• Journal of Chest Surgery
• /
• v.37 no.3
• /
• pp.201-209
• /
• 2004

Extracorporeal life support (ECLS) system is a device for respiratory and/or heart failure treatment, and there have been many trials for development and clinical application in the world. Currently, a non-pulsatile blood pump is a standard for ECLS system. Although a pulsatile blood pump is advantageous in physiologic aspects, high pressure generated in the circuits and resultant blood cell trauma remain major concerns which make one reluctant to use a pulsatile blood pump in artificial lung circuits containing a membrane oxygenator. The study was designed to evaluate the hypothesis that placement of a pressure-relieving compliance chamber between a pulsatile pump and a membrane oxygenator might reduce the above mentioned side effects while providing physiologic pulsatile blood flow. The study was performed in a canine model of oleic acid induced acute lung injury (N=16). The animals were divided into three groups according to the type of pump used and the presence of the compliance chamber, In group 1, a non-pulsatile centrifugal pump was used as a control (n=6). In group 2 (n=4), a single-pulsatile pump was used. In group 3 (n=6), a single-pulsatile pump equipped with a compliance chamber was used. The experimental model was a partial bypass between the right atrium and the aorta at a pump flow of 1.8∼2 L/min for 2 hours. The observed parameters were focused on hemodynamic changes, intra-circuit pressure, laboratory studies for blood profile, and the effect on blood cell trauma. In hemodynamics, the pulsatile group II & III generated higher arterial pulse pressure (47$\pm$ 10 and 41 $\pm$ 9 mmHg) than the nonpulsatile group 1 (17 $\pm$ 7 mmHg, p<0.001). The intra-circuit pressure at membrane oxygenator were 222 $\pm$ 8 mmHg in group 1, 739 $\pm$ 35 mmHg in group 2, and 470 $\pm$ 17 mmHg in group 3 (p<0.001). At 2 hour bypass, arterial oxygen partial pressures were significantly higher in the pulsatile group 2 & 3 than in the non-pulsatile group 1 (77 $\pm$ 41 mmHg in group 1, 96 $\pm$ 48 mmHg in group 2, and 97 $\pm$ 25 mmHg in group 3: p<0.05). The levels of plasma free hemoglobin which was an indicator of blood cell trauma were lowest in group 1, highest in group 2, and significantly decreased in group 3 (55.7 $\pm$ 43.3, 162.8 $\pm$ 113.6, 82.5 $\pm$ 25.1 mg%, respectively; p<0.05). Other laboratory findings for blood profile were not different. The above results imply that the pulsatile blood pump is beneficial in oxygenation while deleterious in the aspects to high pressure generation in the circuits and blood cell trauma. However, when a pressure-relieving compliance chamber is applied between the pulsatile pump and a membrane oxygenator, it can significantly reduce the high circuit pressure and result in low blood cell trauma.

• Korean Journal of Ecology and Environment
• /
• v.50 no.1
• /
• pp.29-45
• /
• 2017

This study explored spatiotemporal variability of water quality in correspondence with hydro-meteorological factors in the four stations of Euiam Reservoir located in the upstream region of the North-Han River from May 2012 to December 2015. Seasonal effect was apparent in the variation of water temperature, DO, electric conductivity and TSS during the study period. Stratification in the water column was observed in the near dam site every year and vanished between August and October. Increase of nitrogen nutrients was observed when inflowing discharge was low, while phosphorus increase was distinct both during the early season with increase of inflowing discharge and the period of severe draught persistent. Duration persisting high concentration of Chl-a (>$25mg\;m^{-3}$: the eutrophic status criterion, OECD, 1982) was 1~2 months of the whole year in 2014~2015, while it was almost 4 months in 2013. Water quality of Euiam Reservoir appeared to be affected basically by geomorphology and source of pollutants, such as longitudinally linked instream islands and Aggregate Island, inflowing urban stream, and wastewater treatment plant discharge. While inflowing discharge from the dams upstream and outflow pattern causing water level change seem to largely govern the variability of water quality in this particular system. In the process of spatiotemporal water quality change, factors related to climate (e.g. flood, typhoon, abruptly high rainfall, scorching heat of summer), hydrology (amount of flow and water level) might be attributed to water pulse, dilution, backflow, uptake, and sedimentation. This study showed that change of water quality in Euiam Reservoir was very dynamic and suggested that its effect could be delivered to downstream (Cheongpyeong and Paldang Reservoirs) through year-round discharge for hydropower generation.