• Journal of Chest Surgery
• /
• v.14 no.3
• /
• pp.228-234
• /
• 1981

Measurement of cardiac output by thermodilution method is easy to perform and can be repeated at very short intervals and offers a number of theoretical and practical advantages. The purpose of this paper is to reevaluate the accuracy and reproducibility of the thermodilution cardiac output by comparing the results with those obtained by the direct Fick technique. From January through April 1981 [4 months], 26 simultaneous cardiac output measurements were made using thermodilution and direct Fick methods in 12 patients in the intensive care unit of Severance Hospital following open heart surgery. The average age of the patients was $34.8{\pm}12.0$ [SD] years [range; 17-57 years]. For cardiac output determination by thermodilution technique [$CO_TD$], a Swan-Ganz Thermodilution Catheter, Model 93A-131-7F [Edwards Laboratories], a Cardiac Output Computer, Model 9520A, and Strip Chart Recorder, Model 9810 [Edwards Laboratories] were used. For the determination of cardiac output by direct Fick principle [$CO_Fick$], a Van Slyke Manometric Apparatus [Thomas] for the measurements of arteriovenous oxygen content difference and a Collin`s Respirometer with Kymograph for the measurement of oxygen consumption were used. The correlation between the simultaneously measured $CO_TD$ and $CO_Fick$ was found to be $CO_Fick$ = 0.95.$CO_TD$ + 0.1073, [r= 0.9777, P < 0.001 ]. For 26 double or triple determinations of $CO_TD$, the values ranged from 1.77 L/min to 6.66 L/min, with a reproducibility of 2.18%. The maximum difference of $CO_TD$ for $CO_Fick$ was between +11.99% and -12,99% [$Mean{\pm}SD$ = $6.07{\pm}3.97$%]. Measurement of cardiac output by thermodilution method provides a simple, rapid, reproducible and highly accurate method for multiple cardiac output measurements suitable for use at the bedside. Comparison of Cardiac Output Determination by Direct Fick and Thermodilution Method in Man.

• Ocean Systems Engineering
• /
• v.8 no.1
• /
• pp.1-20
• /
• 2018

The target area of the proposed study, Mamaia beach, is a narrow stretch of sand barrier island that sits between the Siutghiol Lake and the Black Sea. In the northern part of the bay, is located the Midia Port, where between 1966 and 1971 a long extension of 5 km of the offshore was built. Because of this extension, the natural flow of sediments has been significantly changed. Thus, the southern part of the Mamaia Bay had less sand nourishment which meant that the coast was eroding and to prevent it a protection of six dikes was built. After approximately forty years of coastal erosion, the south of the Mamaia Bay had in 2016 a new protection scheme, which includes first of all the beach nourishment and a new dike structure (groins scheme for protection) to protect it. From this perspective, the objective of the proposed study is to evaluate the effectiveness of the old Master plan against the new one by modeling the outcome of the two scenarios and to perform a comparison with a third one, in which the protection dikes do not exist and only the artificial nourishment has been done. In order to assess the wave processes and the current patterns along the shoreline, a complex computational framework has been applied in the target area. This joins the SWAN spectral phase averaged model with the 1D surf model. Furthermore, new UAV technology was also used to map out, chart and validate the numerical model outputs within the target zone for a better evaluation of the trends expected in the shoreline dynamics.

• Journal of Chest Surgery
• /
• v.32 no.5
• /
• pp.422-427
• /
• 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.

• Journal of Korean Society of Coastal and Ocean Engineers
• /
• v.31 no.3
• /
• pp.115-128
• /
• 2019

In this study, a probabilistic model for the estimation of yearly workable wave condition period for offshore operations is developed. In doing so, we first hindcast the significant wave heights and peak periods off the Ulsan every hour from 2003.1.1 to 2017.12.31 based on the meteorological data by JMA (Japan Meterological Agency) and NOAA (National Oceanic and Atmospheric Administration), and SWAN. Then, we proceed to derive the long term significant wave height distribution from the simulated time series using a least square method. It was shown that the agreements are more remarkable in the distribution in line with the Modified Glukhovskiy Distribution than in the three parameters Weibull distribution which has been preferred in the literature. In an effort to develop a more comprehensive probabilistic model for the estimation of yearly workable wave condition period for offshore operations, wave height distribution over the 15 years with individual waves occurring within the unit simulation period (1 hour) being fully taken into account is also derived based on the Borgman Convolution Integral. It is shown that the coefficients of the Modified Glukhovskiy distribution are $A_p=15.92$, $H_p=4.374m$, ${\kappa}_p=1.824$, and the yearly workable wave condition period for offshore work is estimated to be 319 days when a threshold wave height for offshore work is $H_S=1.5m$. In search of a way to validate the probabilistic model derived in this study, we also carry out the wave by wave analysis of the entire time series of numerically simulated significant wave heights over the 15 years to collect every duration periods of waves the height of which are surpassing the threshold height which has been reported to be $H_S=1.5m$ in the field practice in South Korea. It turns out that the average duration period is 45.5 days from 2003 to 2017, which is very close to 46 days from the probabilistic model derived in this study.

• The Korean Journal of Pharmacology
• /
• v.31 no.2
• /
• pp.251-259
• /
• 1995

Pharmacokinetics and pharmacodynamics of metoprolol, a selective beta-l blocker, were examined for 360 minutes after intravenous bolus administration of metoprolol to 6 dogs. Plasma concentration and excreted amount in the urine metoprolol were measured by liquid chromatography with fluorescence detection. PR interval and heart rate were measured by ECG monitoring. Blood pressure was monitored through intraarterial catheter in femoral artery and cardiac output by thermodilution method using Swan-Ganz catheter. To analyze the effect site concentration-response relationship, plasma concentration and pharmacological effects were simultaneously fitted to a two pharmacokinetic compartment linked to pharmacodynamic model with NONLIN program. Results are as follows. 1) The plasma concentration of metoprolol after intrvenous injection decreased biexponentially. The terminal half-life estimated was $1.33{\pm}0.40$ hours and the volume of distribution at steady state (Vdss) and the total body clearance were $1.04{\pm}0.4\;L/kg,\;6.55{\pm}2.21\;L/hr$, respectively. The central compartment volume of distribution and peripheral compartment volume of distribution were $0.35{\pm}0.14L/kg\;and\;0.69{\pm}0.34L/kg$. The renal clearance and intercompartment clearance were $0.53{\pm}0.25\;L/min\;and\;0.35{\pm}0.19\;L/min$. 2) Simulated biophase concentration-response curve shows hyperbolic relationship and the estimated concentration-effect relationship was best explained by Emax model when the prolongation of PR interval and the reduction of the heart rate were used as pharmacodynamic parameters. Emax and EC50 were estimated to be $26.3{\pm}4.7\;msec\;and\;88.8{\pm}82.3\;g/ml$ for PR interval, and $48.7{\pm}18.8\;beats/min\;and\;113.5{\pm}78.7\;ng/ml$ for heart rate, respectively. 3) The changes of cardiac output-effect site concentration relationship was best fitted by a linear model and the slope of the relationship was $0.005{\pm}0.003$. Diastolic blood pressure-effect site concentration relationship was also explained by the linear model and the slope of the relationship was $0.038{\pm}0.034$.

• Journal of Korean Society of Coastal and Ocean Engineers
• /
• v.29 no.4
• /
• pp.180-188
• /
• 2017

Recently, as the strength of winds and waves increases due to the climate change, abnormal waves such as swells have been also increased, which results in the increase of downtime events of loading/unloading in a harbour. To reduce the downtime events, breakwaters were constructed in a harbour to improve the tranquility. However, it is also important and useful for efficient port operation by predicting accurately and also quickly the downtime events when the harbour operation is in a limiting condition. In this study, numerical simulations were carried out to calculate the wave conditions based on the forecasted wind data in offshore area/outside harbour and also the long-term observation was carried out to obtain the wave data in a harbour. A forecasting method was designed using an auto-regressive (AR) and artificial neural networks (ANN) models in order to establish the relationship between the wave conditions calculated by wave model (SWAN) in offshore area and observed ones in a harbour. To evaluate the applicability of the proposed method, this method was applied to predict wave heights in a harbour and to forecast the downtime events in Pohang New Harbour with highly complex topography were compared. From the verification study, it was observed that the ANN model was more accurate than the AR model.

• The Korean Journal of Nuclear Medicine
• /
• v.18 no.1
• /
• pp.45-53
• /
• 1984

The purpose of this study is to observe the changes of pulmonary capillary permeability and various hemodynamic parameters before and after Positive End-Expiratory Pressure(PEEP) in Adult Respiratory Distress Syndrome (ARDS). Using a canine oleic acid induced ARDS model, we measured the pulmonary capillary permeability with a slope of lung: heart radioactivity ratio, hemodynamic parameters with Swan-Ganz catheter and blood gas tensions. 1) In normal and ARDS dogs, the PEEP didn't significantly influence the slope of lung: heart radioactivity ratio. But in ARDS group the slope index was increased compaired with that of control group (p<0.05). 2) Also in ARDS group, $PaO_2$ was significantly decreased, and $PaCO_2,\;PvCO_2$, MPAP, $AaDO_2$, Qs/Qt were significantly increased compared with those of control group (p<0.05). 3) In normal dogs, the PEEP didn't influence blood pH or gas tension, $AaDO_2$, Qs/Qt, or hemodynamics. 4) In ARDS dogs, however, the PEEP significantly increased $PaO_2$ and decreased $AaDO_2$, Qs/Qt (p<0.05).

• Journal of the Korean Society of Safety
• /
• v.31 no.2
• /
• pp.70-75
• /
• 2016

Recently, coastal erosion has been widely in progress and the erosion level becomes also serious in the world wide, espeically in East Sea in Korea. Since it would threaten the life, economics and security risk, it is necessary to much comprehend the reason why coastal erosion has occurred according to the geographical characteristics. Meanwhile, analysis about hydrodynamics of the solitary wave such as tunami in swash zone is needed for the best management practice of coastal erosion. Solitary wave is nonlinear wave and can be reproduced in the laboratoy scale by openning suddenly a sluice gate with water head difference, of which methodology was found in the literature, since it could be simply determined by a significant wave height. Thus, in this sutdy the generation of solitary wave was experimentalized using the sluice gate. Experimental conditions were classified by angles of a beach slope, a water level in a beach slope and a difference of water level between in a headtank and a channel bed. Two kinds of dimensionless analyses based from experimental results in this study were presented; the first analysis indicates nondimensionalization between the wave height and the water level in a beach slope in order to investigate characteristics of solitary wave approaching the beach. The second shows the other nondimensionalization between dynamic pressure and static pressure on a beach slope to investigate the relationship between wave breaking and wave pressure. Under the same conditions as laboratory experiments, the numerical results computed with a SWAN model embedded in FLOW 3D were compared in terms of wave height, and pressure on the beach slope, which shows good agreement with each other. Overall results from this study could provide fundamental hydraulic data for the reliabile verification of numerical simulation results about coastal erosion in swash zone caused by solitary waves.

• Journal of Korean Society of Coastal and Ocean Engineers
• /
• v.22 no.2
• /
• pp.126-132
• /
• 2010

An approach to calculating expected damage of breakwater assisted by artificial neural network was developed. Wave height in front of a breakwater was predicted by a trained artificial neural network with inputs of wave height in deep ocean and tidal level. Prediction results by the neural network can be comparable to that by professional numerical model for wave transformation. Using the wave prediction neural network, it was very easy and fast to obtain a number of significant waves at breakwater and finally analysis time for expected damage can be shortened. In addition, the effect of considering tidal level in the calculation of expected damage was revealed by comparing the expected damages with and without tidal variation. Therefore, it was pointed out that tidal variation should be considered to improve prediction accuracy.

• Proceedings of the Korea Air Pollution Research Association Conference
• /
• 2002.11a
• /
• pp.343-343
• /
• 2002

This study examines the influence of long-range transport of dust particles and air pollutants on both local/regional DMS oxidation chemistry and the distribution of sulfur compounds at Jeju Island (33.17$^{\circ}$ N. 126.10$^{\circ}$ E) during the Asian dust-storm(ADS) period in April 2001. The atmospheric concentrations of these sulfur species were measured at a ground station on Jeju Island. Korea as Part of the ACE-Asia intensive operation. Three ADS events were observed during the periods of 10-12, 13-14. and 25-26 April. respectively. The concentrations of DMS and CS$_2$ were higher during the ADS period than during the non-Asian-dust-storm (NADS) period. Conversely. a difference in SO$_2$ levels during the ADS period was not distinguishable from those during the NADS period. The diurnal variation pattern of DMS observed was largely different from that in the remote marine boundary layer. DMS loss by NO$_3$ in the atmospheric boundary layer was dominant due to significantly high NOx levels influenced by the long-range transport of pollutants from East Asia to Jeju Island The DMS maximum during the ADS period was observed in the late afternoon. The oceanic fluxes of DMS during the ADS and NADS periods were estimated to be 5.7$\pm$2.3 and 2.9 (+2.8/-1.5) mole m$^{-2}$ day$^{-1}$ . respectively. The contribution of oxidized DMS to SO$_2$ levels at Jeju Island during the study period was found to be insignificant.