• Title/Summary/Keyword: Reduction failure

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Clinical Features and Factors Affecting Success Rate of Air Reduction for Pediatric Intussusception (공기 정복술을 시행 받은 소아 장중첩증 환자들의 치료 결과 및 성공률에 영향을 미치는 요인)

  • Son, Il-Tae;Jung, Kyu-Whan;Park, Tae-Jin;Kim, Hyun-Young;Park, Kwi-Won;Jung, Sung-Eun
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.108-116
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    • 2010
  • Air reduction is a safe, effective, and fast initial treatment for pediatric intussusception. There is low dose radiation exposure. Factors affecting outcomes of air reduction were analyzed by reviewing the clinical features and results of treatment. A total of 399 out of 485 patients with pediatric intussusceptions were treated at the Seoul National University Children's Hospital from 1996 to 2009. All of the patients received air reduction as the first line of treatment. Clinical features such as gender, age, seasonal variation, symptoms, signs, types, pathologic leading point, and treatment results including success rate, complication, recurrence, NPO time, and duration of hospitalization were reviewed. The Pearson chi-square, student T-, and logistic regression tests were used for statistical analysis. P-value less than 0.05 was considered to be statistically significant. The prevalent clinical features were: male (65.4 %), under one-year of age (40.3 %), ileocolic type (71.9 %), abdominal pain (85.4 %), and accompanying mesentery lymph node enlargement (2.2 %). The overall success rate for air reduction was 78.4 % (313 of 399 patients), and the perforation rate during reduction was 1.5 %. There were 23 recurrent cases over 21.6 months. All were successfully treated with re-do air reduction. Reduction failures had longer overall NPO times (27.067hrs vs. 43.0588hrs; p=0.000) and hospitalization durations (1.738d vs. 6.975d; p=0.000) compared to the successful cases. The factors affecting success rates were fever (p=0.002), abdominal distension (p=0.000), lethargy (p=0.000) and symptom duration (p=0.000) on univariate analysis. Failure rates were higher in patients with symptom durations greater than 24 hours (p=0.023), and lethargy (p=0.003) on multivariate analysis. Air reduction showed high success rates and excellent treatment outcomes as the initial treatment for pediatric intussusception in this study. Symptom duration and lethargy were significantly associated with reduced success rates.

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Bronchial Hyperresponsiveness in Chronic Renal Failure Undergoing Hemodialysis (만성 신부전 환자에서 혈액투석 전후의 기관지 과민반응검사)

  • Hwang, Young-Sil;Shim, Dae-Suk
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.4
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    • pp.548-554
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    • 1995
  • Background: Cardiogenic pulmonary edema increases nonspecific airway responsiveness in humans and animals. Increased extravascular lung water from overt pulmonary edema to subclinical interstitial edema is a common finding in patients with chronic renal failure. Several studies carried out to assess pulmonary function disturbances in this condition have documented a reduction in forced expiratory volume that usually reverses after hemodialysis, suggesting airway edema as the underlying mechanism. This interstitial edema may also lead to nonspecific bronchial hyperresponsiveness. We hypothesized that patients with chronic renal failure may present nonspecific bronchial hyperresponsiveness due to subclinical interstitial pulmonary edema. Methods: We studied 18 chronic renal failure undergoing regular hemodialysis 3 times a week(New York Heart Association Class II) without concomittent disease. These patients were checked pulmonary function test and metacholine provocation test before hemodialysis and same procedure was repeated if responsive, after hemodialysis. Results: 1) 12 out of 18 patients before hemodialysis were reactive in metacholine provocation test(66.7%) before hemodialysis. This airway hyperresponsiveness were decreased after hemodialysis. 2) Pulmonary function was improved after hemodialysis and change in $FEV_1$ was correlated with change in weight(r=-0.62, p<0.01). 3) There was a close correlation between log $PD_{20}$ and $FEF_{25}$, which is one of the variables of the peripheral airways(r=0.58, p<0.05). Conclusion: We speculated interstitial pulmonary edema may play a significant role in bronchial hyperresponsiveness and lung function impaired in patients with chronic renal failure.

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Recovery Trajectory in Tachycardia Induced Heart Failure Model (빈맥을 이용한 심부전 모델에서 회복궤도)

  • 오중환;박승일;원준호;김은기;이종국
    • Journal of Chest Surgery
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    • v.32 no.5
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    • pp.422-427
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    • 1999
  • Background: Tachycardia induced heart failure model would be the model of choice for the dilated cardiomyopathy. This more closely resembles the clinical syndrome and does not require major surgical trauma, myocardial ischemia and pharmacological or toxic depression of cardiac function. When heart failure is progressive, application of new surgical procedures to the faling heart is highly risky. It has been shown that recovery trajectory from heart failure is a new method in decreasing animal mortality. The purpose is to establish the control datas for recovery trajectory in the canine heart failure model. Material and Method: 21 mongrel dogs were studied at 4 stages(baseline, at the heart failure, 4 and 8 weeks after recovery). Heart failure was induced during 4 weeks of continuous rapid pacing using a pacemaker. Eight weeks of trajectory of recovery period was allowed. Indices of left ventricular function and dimension were measured every 2 weeks and the hemodynamics were measured by use of Swan-Ganz catheterization and thermodilution method every 4 weeks. Values were expressed as mean${\pm}$standard deviation. Result: 4(20%) dogs died due to heart failure. Left ventricular end-diastolic volume at the 4 stages were 40.8${\pm}$7.4, 82.1${\pm}$21.1, 59.9${\pm}$7.7 and 46.5${\pm}$6.5ml. Left ventricular end-systolic volume showed the same trend. Ejection fractions were 50.6${\pm}$4.1, 17.5${\pm}$5.8, 36.3${\pm}$7.3, and 41.5${\pm}$2.4%. Blood pressure and heart rate showed no significant changes. Pressures of central vein, right ventricle, pulmonary artery, and pulmonary capillary wedge showed significant increase during the heart failure period, normalizing at the end of recovery period. Stroke volumes were 21.5${\pm}$8.2, 12.3${\pm}$3.5, 17.9${\pm}$4.6, and 15.5${\pm}$3.4ml. Blood norepinephrine level was 133.3${\pm}$60.0pg/dL at the baseline and 479.4${\pm}$327.3pg/dL at the heart failure stage(p=0.008). Conclusion: Development of tachycardia induced heart failure model is of high priority due to ready availability and reasonable amenability to measurements. Recovery trajectory after cessation of tachycardia showed reduction of cardiac dilatation and heart function. Application of new surgical procedures during the recovery period could decrease animal mortality.

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Influence of Water Foxtail on Growth of Rice and Weed in No-Tillage Transplanted Rice (벼 무경운재배시 둑새풀 우점 정도가 벼 생육 및 잡초 발생에 미치는 영향)

  • 강양순;곽태순;송문태
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.41 no.5
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    • pp.619-624
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    • 1996
  • An experiment was carried out to find out the effects of water foxtail on weed control and rice yield as well as on the reduction of nitrogen application in no tillage transplanted paddy field. Paddy field was dominated by water foxtail whose soil covering degree was adjusted from 8 to 6 by treatment of paraquat (70 l /10a of solution diluted by 1, 000 times). Thirty five-day old seedling was mechanically transplanted and reduced nitrogen, 80% of conventional application was applied at the paddy field. The higher failure in seedling stand was observed at higher degree of soil covering by water foxtail. The failure of seedling stand with covering degree of 8(no paraquat) was 37.4%, while that of covering degree of 6(paraquat-treated) was 12.3%. However, the seedling stand failure was completely recovered at covering degree of six at two weeks after transplanting. The mechanical transplanting made water foxtail in the paddy field fall on the ground whose panicle part was recovered from falling sometimes after transplanting and whole plant died with slow scenesence untill the late of June. But the water foxtail affected by paraquat produced the new panicle from uppernode of stem with dead leaves at early of June and it become die slowly untill the early of July. Though several rice field weeds were observed in the order of Echinochloa crusgallis, Cyperus serotinus, Lemma paucicostata during the active tillering stage of rice, the value of weed control due to the dominance of water foxtail was 77~78%. The death and subsequent decay of water foxtail during the active tillering stage of rice induced the soil reduction which again defect the growth of rice root. The more vigerous rice growth was observed in the plot dominated with water foxtails, than control plot. The yields of rice in the water foxtail (degree 6) plot was 629kg per l0a as brown rice, the same as that of control plot. In conclusion, the no-tillage transplanting with control of covering degree of water foxtail (to degree 6) was effective in reduction of input cost such as herbicide and nitrogen fertilizer, as well as weed control without reduction of rice yield.

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A Study on the Tracking Characteristics of Silicone Rubber Degraded by Accelerated UV Exposure (자외선 가속열화에 의한 실리콘 고무의 트래킹 특성 변화에 관한 연구)

  • Kim, Suk-Cheol;Lee, Jun-Ho;Hwang, Bo-Seung;Lee, Dong-Yeong;Han, Min-Gu
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.49 no.5
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    • pp.302-309
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    • 2000
  • The tracking characteristics of silicone rubber degraded by accelerated outdoor exposure employing a weather-o-meter were investigated. The tracking test was performed according to ICE Publ.587 method but the concentration of conductive solution was two times higher than IEC standard in order to accelerate the tracking failure. The number of large effective scintillation and the current of high voltage circuit were measured simultaneously. It was shown that the number of effective scintillation had valuable information of the tracking degradation state of silicone rubber, while the average current between electrodes could not provide information enough for diagnosis. Based upon the experimental results, it could be said that the key factor accelerating tracking failure was not Joule heating by current but pyrolysis by burning of silicone rubber, and that reduction of contact angle was due to chain scission which resulted in the free radicals of low molecules.

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Analytical study of slant end-plate connection subjected to elevated temperatures

  • Zahmatkesh, F.;Osman, M.H.;Talebi, E.;Kueh, A.B.H.
    • Steel and Composite Structures
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    • v.17 no.1
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    • pp.47-67
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    • 2014
  • Due to thermal expansion, the structural behaviour of beams in steel structures subjected to temperature increase will be affected. This may result in the failure of the structural members or connection due to extra internal force in the beam induced by the thermal increase. A method to release some of the thermally generated internal force in the members is to allow for some movements at the end supports of the member. This can be achieved by making the plane of the end-plate of the connection slanted instead of vertical as in conventional design. The present paper discusses the mechanical behaviour of beams with bolted slant end-plate connection under symmetrical gravity loads, subjected to temperature increase. Analyses have been carried out to investigate the reduction in internal force with various angles of slanting, friction factor at the surface of the connection, and allowable temperature increase in the beam. The main conclusion is that higher thermal increase is tolerable when slanting connection is used, which means the risk of failure of structures can be reduced.

Data Compression Method for Reducing Sensor Data Loss and Error in Wireless Sensor Networks (무선센서네트워크에서 센서 데이터 손실과 오류 감소를 위한 데이터 압축 방법)

  • Shin, DongHyun;Kim, Changhwa
    • Journal of Korea Multimedia Society
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    • v.19 no.2
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    • pp.360-374
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    • 2016
  • Since WSNs (Wireless Sensor Networks) applied to their application areas such as smart home, smart factory, environment monitoring, etc., depend on sensor data, the sensor data is the most important among WSN components. The resources of each node consisting of WSN are extremely limited in energy, hardware and so on. Due to these limitation, communication failure probabilities become much higher and the communication failure causes data loss to occur. For this reason, this paper proposes 2MC (Maximum/Minimum Compression) that is a method to compress sensor data by selecting circular queue-based maximum/minimum sensor data values. Our proposed method reduces sensor data losses and value errors when they are recovered. Experimental results of 2MC method show the maximum/minimum 35% reduction efficiency in average sensor data accumulation error rate after the 3 times compression, comparing with CQP (Circular Queue Compression based on Period) after the compressed data recovering.

A Study on Data Pre-filtering Methods for Fault Diagnosis (시스템 결함원인분석을 위한 데이터 로그 전처리 기법 연구)

  • Lee, Yang-Ji;Kim, Duck-Young;Hwang, Min-Soon;Cheong, Young-Soo
    • Korean Journal of Computational Design and Engineering
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    • v.17 no.2
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    • pp.97-110
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    • 2012
  • High performance sensors and modern data logging technology with real-time telemetry facilitate system fault diagnosis in a very precise manner. Fault detection, isolation and identification in fault diagnosis systems are typical steps to analyze the root cause of failures. This systematic failure analysis provides not only useful clues to rectify the abnormal behaviors of a system, but also key information to redesign the current system for retrofit. The main barriers to effective failure analysis are: (i) the gathered data (event) logs are too large in general, and further (ii) they usually contain noise and redundant data that make precise analysis difficult. This paper therefore applies suitable pre-processing techniques to data reduction and feature extraction, and then converts the reduced data log into a new format of event sequence information. Finally the event sequence information is decoded to investigate the correlation between specific event patterns and various system faults. The efficiency of the developed pre-filtering procedure is examined with a terminal box data log of a marine diesel engine.

Maintenance Frequency Optimization of the Steam Turbine Journal Bearings by Condition-based Maintenance (상태기반정비에 의한 증기터빈 저널베어링의 정비주기 최적화)

  • Lee, Hyuk Soon;Chung, Hyuk Jin;Song, Woo Sok
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.7 no.2
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    • pp.7-13
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    • 2011
  • Turbine journal bearings are designed to support the weight of the rotors on a hydrodynamic oil film and to provide dynamic stability to the rotor system. The life time of journal bearings is infinite theoretically because the journal bearings are separated from the shaft journal by oil film. But poor design, assembly, operation and maintenance can cause problems to the journal bearings. The FMEA(Failure Mode and Effects Analysis) results of the journal bearings show that frequent maintenance of the journal bearings can cause failures and reduction of the bearing life. Therefore, the maintenance periods and history of the journal bearings with the bearing FMEA results are reviewed in order to establish the optimized maintenance period of the journal bearing for the nuclear power plants. Consequently it is necessary to maintain a best condition of lubrication system, reject time-based maintenance and perform the condition-based maintenance of journal bearings in order to maintain optimum condition of the journal bearing.

Use of Laryngeal Mask Airway in Sevoflurane Sedation for the Difficult Airway (Sevoflurane 흡입진정에서 어려운 기도관리를 위한 LMA 활용)

  • You, Tae-Min;Doh, Re-Mee;Song, Young-Gyun;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.235-241
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    • 2012
  • Although sevoflurane sedation have the advantage of the reduction of anxiety and pain relief, difficult airway is attributed to increased agitation, tachycardia, desaturation, ventilation difficulty, sedation failure. In the sedation for dental treatment, we should pay more attention to the airway management because dental procedures take place in the mouth of airway unlike any other area. The layngeal mask airway (LMA) has become commonly used device for airway management during anesthesia for relatively short procedures, such as minor oral surgery and dental procedures. It can be inserted without use of a larygoscope and muscle relexants, and insertion is easy to achieve and generally takes less time than endotracheal intubation. The LMA is an excellent barrier against aspiration of saliva, blood within the surgical field but should not be used in patients at risk of aspiration In this study, we reported that after a failure of airway management in inhalation sedation, we performed the short-emergency dental treatment successfully, using a laryngeal mask.