The diagnosis of the main complications resulting from lipoabdominoplasty has not yet been standardized. Infrared thermal imaging has been used to assess possible complications, such as necrosis and changes in micro- and macro-circulation, based on perforator mapping techniques, among others. The objective of this study was to present two clinical cases involving thermal imaging monitoring of the healing process of lipoabdominoplasty in the immediate postoperative evaluation and its preliminary results. Infrared thermography was performed 24 hours after the operation and on postoperative days 5, 25, and 27. In clinical case 1, it was found that the delta-R (∆TR)-defined as the difference in minimum temperature between the highest and lowest points in the SA3 region (caution suction area) following the classification established by Matarasso-was 0.4℃ at 24 hours after surgery and decreased to 0.1℃ on a postoperative day 5. There were no complications in this case. In contrast, in clinical case 2, the ∆TR was 1.7℃ at 24 hours after surgery (upon hospital discharge) and remained high, at 2.2℃, on postoperative day 5. A higher ∆TR was found in the second patient, who developed necrosis of the surgical wound. The ∆TR thermal index may be a new tool for predicting possible complications, complementing the clinical evaluation and therapeutic decision-making.
Internal ring beams are primary components of new ring-stiffened cooling towers. In this study, numerical simulation of the internal flow field of a cooling tower with three ring beams under wind-thermal coupling effect is performed. The studied cooling tower is a 220-m super-large hyperbolic indirect natural draft cooling tower that is under construction in China and will be the World's highest cooling tower, the influence of peripheral radiators in operating cooling tower is also considered. Based on the simulation, the three-dimensional effect and distribution pattern of the wind loads on inner surface of the cooling tower is summarized, the average wind pressure distributions on the inner surface before and after the addition of the ring beams are analyzed, and the influence pattern of ring beams on the internal pressure coefficient value is derived. The action mechanisms behind the air flows inside the tower are compared. In addition, the effects of internal ring beams on temperature field characteristics, turbulence kinetic energy distribution, and wind resistance are analyzed. Finally, the internal pressure coefficients are suggested for ring-stiffened cooling towers under wind-thermal coupling effect. The study shows that the influence of internal stiffening ring beams on the internal pressure and flow of cooling towers should not be ignored, and the wind-thermal coupling effect should also be considered in the numerical simulation of cooling tower flow fields. The primary conclusions presented in this paper offer references for determining the internal suction of such ring-stiffened cooling towers.
Taehyun, Kim;Chan-Hee, Park;Changsoo, Lee;Jin-Seop, Kim
Tunnel and Underground Space
/
v.32
no.6
/
pp.518-529
/
2022
In Task C of the DECOVALEX-2023 project, nine institutes from six nations are developing their numerical codes to simulate thermo-hydro-mechanical coupled behavior for the FE experiment performed at Mont Terri underground rock laboratory, Switzerland. Currently, Step 1 for comparing the simulation results to field data is the ongoing stage, and we used the OGS-FLAC simulator for a series of numerical simulations. As a result, temperature increase depending on the heating hysteresis was well simulated, and saturation variation in the bentonite depending on phase change was observed. However, due to the suction overestimation, relative humidity and temperature change in the bentonite and the pressure variation in the Opalinus clay showed a difference compared to the field data. From the observation, it is confirmed that the effect of the bentonite capillary pressure is dominant to the flow analysis in the disposal system. We further plan to draw improved results considering tunnel support material and accurate initial water pressure distribution. Additionally, the thermal, hydrological, and mechanical anisotropy of the Opalinus clay was well simulated. From the simulation results, we confirmed the applicability of the OGS-FLAC simulator in the disposal system analysis.
To manufacture a good organic fertilizer through rapid composting process, cow dung was mixed with bulking materials such as rice straws, shredded bark, wood chips, and saw dust. The mixing ratio of the cow dung and bulking material was two to one on volume basis and moisture content was adjusted to 60 to 70 percent, C/N ratio 25 to 30 and aeration forced with suction during the aerated pile fermentation. Aerated pile was established outdoors and curing pile was in vinylhouse and the experiment was conducted for 3 years from '88 to '90. After pilling, temperature in aerated pile was reached to the maximum level at 7 to 9 days and the temperatures of cow dung + shredded bark, cow dung + wood chips, and cow dung + rice straws were higher than that of cow dung, and cow dung + saw dust. Total carbon, and C/N ratio in aerated pile fermentation period were increased in the middle stage and then they were decreased with the process of days, and nutrient contents in curing pile period had the same tendency as in the aerated pile.
The goal of this study is to review and define the role of nurses' who are engaged in Korea Oriental medical treatments in oriental medical hospitals. We think this study can contribute to the development of 'Korea Oriental medical science & nursing science' and 'Public health care'. A large portion of nurses's role in Korea Oriental Medicine(KOM. 한방/한의학) is assistance to doctors treatment. But besides of these role, we think there are many things that are riskless for nurses to do alone. But in present situation, few nurses in KOM. have enough knowledge to treat these medical treatments alone. So we believe this study will provide a way for nurses to participate more actively in KOM. public health care. With the goal of this study, we checked all medical treatments that have been practiced in oriental medical hospitals, and classified these treatments with some groups. And we organized a inquiry. At this inquiry, we ask 'What is the adequate role of nurses in Korea Oriental medical treatment? & What kind of treatment can nurses do?' We got 58 responses from nationwide 121 hospitals. From these response, more than half of them said nurses can do following medical treatment in the oriental medical hospital: 1. starting and ending part of following treatments; External treatments by instrument, by hydrotheraphy, by herb, by suction, moxibustion, Manipulative therapies on soft structure, Living and mind-body therapies. 2. pulling out Acupuncture. 3. boiling herb, judgement on dosing temperature, assisting in dosing, 4. assisting Diet, 5. operating from Living and mind-body therapies. 6. leading Physical training However, these results are coming out from present situation. So, after well-oriented instructions for nurses, this study will be need to carry out again. From this study, we suggest a desirable curriculum for students who study 'Korea Oriental Nursing Science.' That is to say, at basic course students take 4 subject for 6 credits. And at as an expert course, it should be dividend into Clinical Nursing Specialist in KOM., Self-care Nursing Specialist, Regimen Nursing Specialist and take 17 credits per each course.
In diffusion process exhaust line during semiconductor manufacturing process, In order to improve the transportation efficiency in the piping by removing "The reaction by-product, $ZrO_2$ and The unreacted material, TEMAZ, TMA, $O_3$, etc" and "Powder being deposited", the piping temperature was raised to $80^{\circ}C$ or more by using the heater jacket, and the bellows at the rear end of the vacuum pump ruptured. So conducted a case study and try to prevent the similar accidents from occurring through case studies. The causes of the accident were analyzed as follows: the inflow of outside air due to the generation of a gap on the suction side of the vacuum pump and heating the pipe with the heater jacket resulted in the overpressure in the pipe due to the volumetric expansion of the gas generated by decomposition of the unreacted TEMAZ, It can be assumed that the most vulnerable bellows of the piping has been ruptured. In order to prevent such accidents, This study is aimed to identify the cause of pipeline rupture accident and to establish safety measures for the prevention of similar accidents by evaluating physical hazards of TEMAZ, which is assumed to be the cause of pipe rupture accident.
This study was done to determine direct and in-direct nursing time in nursing units in hospital to ap-plied computer system and expect that those results contribute to measure efficiency of nursing practice and planning of nursing manpower. The design for study was a descriptive study. The study results are as follows. 1. Patients admitted to the Internal Medicine and General Surgery units were grouped into four. Group Ⅰ, 32.9% of the total patients, consisted patients whose condition was considered minor Group Ⅱ, 26.1%, was of those whose condition was considered moderate, Group Ⅲ, 41. 8%, moderate severe and Group Ⅳ, 29.2% the most severe. 2. Nursing intervention times by care type were as follows four minutes spent for suction eight minutes, for simple position change, ten minutes, for sheet change, seven minutes for a hot or cool compress, six minutes for dressing change, four minutes for Ⅰ.M. injection, six minutes for patient health education and five minutes for body temperature check. 3. Direct care time by patient group revealed the following : Group Ⅰ rquired 191.4 minutes, Group Ⅱ required 331.1 minutes, Group Ⅲ rquired 499.4 minutes, and Group Ⅳ rquired 1328.0 minutes. 4. The ratio of time for adequate nursing care and direct care time in the Internal Medicine and Goneral Surgery units was 67.4%-83.4% and 94.7%-99.3% in the Intensie Care Unit. 5. Average daily direct care time per patient was 5.5 hours in the Internal Medicine unit and 11.5 hours in the Intensive Care Unit. 6. Time spent in indirect care was 48.3 minutes for computer recording,34.8 minutes for giving and receiving patient information for shift duty, 28.0 minutes for eating and resting time, 26.6 minutes for transfering and identifying patients, 25.6 minutes for identifying Doctor's order, 23.9 minutes for recording vital signs. 7. Time spent in indirect care was 282.2 minutes by head nurses (charge nurses), 258.7 minutes by nurses and 261.6 minutes by nurse aids. 8. The average nurse's workload was 9.3 hours and daily indirect nursing time required 46.3%-50. 5% of above mentioned workload time. .9. The average daily indirect care time per patient was expected to be 57.7 minutes in the Internal Medicine unit and 3.3 hours in the Intensive Care Unit.
Journal of the Korean Society of Marine Environment & Safety
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v.25
no.7
/
pp.953-960
/
2019
The Miller cycle is a diesel engine that has been developed in recent years that it can reduce NOx and improve fuel consumption by reducing the compression ratio through intake valve closing (IVC) time control. The Miller cycle can be divided into the early Miller method of closing the intake valve before the bottom dead center (BDC) and the late Miller method of closing the intake valve after the BDC. At low speeds, the late Miller method is advantageous as it can increase the volumetric efficiency; while at medium and high speeds, the early Miller method is advantageous because of the high internal temperature reduction effect due to the expansion of the intake air during the piston lowering from IVC to BDC. Therefore, in consideration of the ef ects of the early and late Miller methods, it is necessary to adopt the most suitable Miller method for the operating conditions. In this study, a two-stage turbo charge system was applied to four-stroke engines and the process of enhancing the Miller effect through a reduction of the intake and exhaust valve overlap as well as the valve change adjustment mechanism were considered. As a result, the ef ects of fuel consumption and Tmax reduction were confirmed by adopting the Miller cycle with a two-stage supercharge, a reduction of valve overlap, and an increase of suction valve lift.
Journal of the Korean Society of Food Science and Nutrition
/
v.31
no.3
/
pp.433-437
/
2002
Human milk is normally contaminated with various microorganisms, which seem to produce no ill effects. A contamination of hand-expressed and pump-expressed human milk is a major concern in the collection of storage milk. In this study we compared milks collected by two methods, hand expression and suction breast pump, to quantify differences in the degree of bacterial contamination. Thirty-one samples had been manually expressed. The mean of total bacterial counts was 10,600 CFU/mL (range: 360 ∼59,200 CFU/mL) and coliform counts was 43 CFU/mL (range: 20 ∼ 1,060 CFU/mL) in these samples. Whereas in the 118 breast pump-expressed samples, the mean of total bacterial counts was 20,200 CFU/mL (range: 240 ∼ 492,000 CFU/mL) and coliform counts was 158 CFU/mL (range: 4∼10,600 CFU/mL). There was no bacterial growth when the samples were incubated for 10 days at 4$\^{C}$. We also compared total bacterial growth in colostrum and in matured human milk for 24 hr at 20$\^{C}$ and 30$\^{C}$. Although bacterial growth had not shown for 24 hr at 20$\^{C}$, but shown slight growth in colostrum and rapidly increase in matured human milk for 24 hr at 30$\^{C}$. The coliform bacteria in all samples, particulary in formula milk, had grown at 20$\^{C}$ and 30$\^{C}$.
A.M. Abd-Alla;Esraa N. Thabet;S.M.M.El-Kabeir;H. A. Hosham;Shimaa E. Waheed
Advances in nano research
/
v.16
no.4
/
pp.325-340
/
2024
There are several novel uses for dispersing many nanoparticles into a conventional fluid, including dynamic sealing, damping, heat dissipation, microfluidics, and more. Therefore, melting heat and mass transfer characteristics of a 3-D MHD Hybrid Nanofluid flow over a rotating disc with presenting dufour and soret effects are assessed numerically in this study. In this instance, we investigated both ferric sulfate and molybdenum disulfide as nanoparticles suspended within base fluid water. The governing partial differential equations are transformed into linked higher-order non-linear ordinary differential equations by the local similarity transformation. The collection of these deduced equations is then resolved using a Chebyshev spectral collocation-based algorithm built into the Mathematica software. To demonstrate how different instances of hybrid/ nanofluid are impacted by changes in temperature, velocity, and the distribution of nanoparticle concentration, examples of graphical and numerical data are given. For many values of the material parameters, the computational findings are shown. Simulations conducted for different physical parameters in the model show that adding hybrid nanoparticle to the fluid mixture increases heat transfer in comparison to simple nanofluids. It has been identified that hybrid nanoparticles, as opposed to single-type nanoparticles, need to be taken into consideration to create an effective thermal system. Furthermore, porosity lowers the velocities of simple and hybrid nanofluids in both cases. Additionally, results show that the drag force from skin friction causes the nanoparticle fluid to travel more slowly than the hybrid nanoparticle fluid. The findings also demonstrate that suction factors like magnetic and porosity parameters, as well as nanoparticles, raise the skin friction coefficient. Furthermore, It indicates that the outcomes from different flow scenarios correlate and are in strong agreement with the findings from the published literature. Bar chart depictions are altered by changes in flow rates. Moreover, the results confirm doctors' views to prescribe hybrid nanoparticle and particle nanoparticle contents for achalasia patients and also those who suffer from esophageal stricture and tumors. The results of this study can also be applied to the energy generated by the melting disc surface, which has a variety of industrial uses. These include, but are not limited to, the preparation of semiconductor materials, the solidification of magma, the melting of permafrost, and the refreezing of frozen land.
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