• International Journal of Fluid Machinery and Systems
• /
• v.6 no.2
• /
• pp.105-112
• /
• 2013

The application of contra-rotating rotors for higher specific speed pump has been proposed in our studies, which is in principle effective for reducing the rotational speed and/or the pump size under the same specification of conventional axial flow pump. In the previous experiments of our prototype, the cavitation inception at the tip region of the rear rotor rather than that of the front rotor and the strong potential interaction from the suction surface of the rear rotor blade to the pressure surface of the front one were observed, indicating the possibility to further improve the pump performance by optimizing rotational speed combination between the two rotors. The present research aims at the design of rear rotor with lower rotational speed. Considering the fact that the incoming flow velocity defects at the tip region of the rear rotor, an integrated inflow model of 'forced vortex' and 'free vortex' is employed. The variation of maximum camber location from hub to tip as well as other related considerations are also taken into account for further performance improvement. The ideas cited above are separately or comprehensively applied in the design of three types of rear rotor, which are subsequently simulated in ANSYS CFX to evaluate the related pump performance and therefore the whole low speed design idea. Finally, the experimental validation is carried out on one type to offer further proofs for the availability of the whole design method.

• Research in Community and Public Health Nursing
• /
• v.19 no.2
• /
• pp.157-166
• /
• 2008

This study was conducted with whole home care nurses nationwide to provide secondary analyzed data to understand on their usage of medical equipments and their need of them for a month. This study found that treatments given by home care nurses were nelaton catheterization, bladder washing/urethral washing, newborn care, exchange and care for nasogastric tube and suction in that order of frequency. Second, instruments and equipments used for home care were reported to be stethoscope, patient monitor, blood pressure measuring equipment, air flotation mattresses, beds for patients, mattresses, suctioning device sets, enteral feeding equipment and dressing set in that oder of frequency. Moreover, need assessment of medical instruments and equipments showed renal dialysis was most needed and patient monitor, blood pressure measuring equipment, enteral feeding equipment, solution and other supplies for renal dialysis and beds for patient were necessary in that order. In conclusion, the results of this study investigating special treatments and medical instruments and equipments used for home care patients and analyzing patients' need, were expected to be useful for expansion of application of long-term care insurance for the elderly and health insurance as well as for quality control of home care and development of medial instruments and equipments used at home.

• Journal of the Korean association of regional geographers
• /
• v.9 no.4
• /
• pp.534-545
• /
• 2003

The main purpose of this paper is to describe the granitic regolith and frost creep phenomena in Daegwanryung area in order to demonstrate the relationship of the weathered materials and the surrounding surface, in order to point out that the characteristics of this particular complex of granitic regolith most closely resemble those of soil frost creep phenomena formed elsewhere under periglacial conditions. For this study, the writer has clarified their structure and its associated milieux, with a group of methods and techniques, field survey, micro-morphological analysis, granulometry of weathered materials etc. Such facies of granitic regolith in situ with silty heterometric materials and micas are prone to be deformed by cryo-suction as well as deep freezing. It was probably formed by cryogenic activity, or frost creep in the periglacial climate of a very cold and humid condition.

• Journal of Chest Surgery
• /
• v.28 no.6
• /
• pp.542-548
• /
• 1995

The goal of this study is to develop an effective control system for cardiac output regulation based upon the preload and afterload conditions without any transducers and compliance chambers in the moving actuator type total artificial heart. Motor current waveforms during the actuator movement are used as an input to the automatic control algorithm. While the current waveform analysis is performed, the stroke length and velocity of the actuator are gradually increased up to the maximum pump output level. If the diastolic filling rate of either right or left pump begins to exceed the venous return, atrial collapse will occur. Since the diastolic suction acts as a load to the motor, this critical condition can be detected by analyzing the motor current waveforms. Every time this detection criterion is met, the control algorithm decreases the stroke velocity and length of the actuator step by step just below the critical detection level. Then, they start to increase. In this way the maximum pump output under given venous return can be achieved. Additionally the control algorithm provides some degree of afterload sensitivity. If the aortic pressure is detected to exceed 120 mmHg, the stroke length and velocity decrease in the same way as the response to the preload. Left-right pump output balance is maintained by proper adjustment of the asymmetry of the stroke angle. In the mock circulatory test, this control system worked well and there was a considerable range of stroke volume difference with adjustment of the asymmetry value. Two ovine experiments were performed. It was confirmed that the required cardiac output regulation according to the venous return could be achieved with adequate detection of diastolic function, at least in the in vivo short-term survival cases[2-3 days . We conclude that this control algorithm is a promising method to regulate cardiac output in the moving actuator type total artificial heart.

• Advances in pediatric surgery
• /
• v.1 no.1
• /
• pp.68-72
• /
• 1995

Segmental dilatation of the colon is a very rare disease entity of unknown etiology and may mimic Hirschsprung's disease. It is characterized by dilatation of a segment of the colon of variable length with obstruction due to lack of peristalsis in a normally innervated intestine. Recently authors experienced a case of segmental dilatation of the sigmoid colon in a 6 month-old male, who presented with severe constipation, abdominal distention, and abdominal mass since 2 months of age. Down's syndrome and congenital nystagmus were associated. Barium enema demonstrated focal dilatation of the sigmoid colon, but the rectum and descending colon proximal t o the affected colon were of normal caliber. Rectal suction biopsy with acetylcholinesterase staining was normal and anorectal manometry showed normal rectosphincteric reflex. At operation, there was a massively dilated and hypertrophied sigmoid colon with increased tortuous serosal vessels, measuring 15 cm in length and 10 cm in width. Teniae coli were identifiable in the affected segment. Frozen section biopsies at the proximal, affected, and distal colon showed ganglion cells. Descending loop colostomy was constructed initially and segmental resection and end to end colocolostomy were carried out 3 months later. Final histologic examination showed 1) normal colonic mucosa with ganglion cells, 2) prominent submucosal fibrosis and marked muscular hypertrophy, 3) unremarkable acetylcholinesterase activity and immunohistochemical findings against S-100 protein. On 8 months follow-up, he has been doing well and moves bowels 1-2 times daily.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.7 no.1
• /
• pp.1-5
• /
• 2007

Background: It is well known that nasotracheal intubation is comfort for patient compared to oral intubation. We sometimes delay extubation when it is thought that the patient can not maintain airway, or there may be other emergency associated with airway. And we sometimes experience complaint of discomfort of nasotracheal tube. But, we could not find any report on degree of discomfort of delayed nasotracheal intubation. Methods: Eighteen patients in whom extubation of nasotraceal tube was delayed after operation because of difficulties of airway mamagement were selected. We surveyed the discomfort of nasotracheal tube with 0 to 10 visual analogue scale (VAS) and compared with the pain of operation site (VAS). Result: The VAS of nasotracheal intubation was $6.7{\pm}3.4$, and VAS of the primary operation site was $3.5{\pm}2.4$, and VAS of flap harvest site was $5.5{\pm}2.7$. 10 of the patients complained of nasotracheal suction extremely and 6 patients complained of respiratory difficulties. Conclusions: Nasotracheal intubation was discomfort and there must be intervention.

• Transactions of the Korean Society of Mechanical Engineers
• /
• v.12 no.3
• /
• pp.520-527
• /
• 1988

Liquid ejectors are widely used as marine pumps, inducer stage for the boiler feed water pump, boiler recirculating pump, cooling water recirculating pump in boiling water type nuclear reactor and a deep well pump, because of their high working confidence and simplicity. Furthermore, it requires only a modest net positive suction head for cavitation-free operation and it can be installed in remote location from mechanical power source. It is not easy to presume the friction losses, because it is complicately affected by area ratio, flowrate ratio, nozzle spacing, throat length, shape of liquid ejector and so on. Therefore, the optimization of liquid ejector design is still dependent, to a large extent, on the experimental results and empirical procedures. On the design of the liquid ejector, the area ratio and the nondimensional throat length are the most important design factors among the mentioned above. In this experiment, the effects of the area ratio and the nondimensional throat length to ejector efficiency are carried out systematically by the combination of 4 kinds of motive nozzle and 2 kinds of throat length. In this paper, the present experimental results are compared with the calculated ones by the previous computer aided design program based on one dimensional flow equation. And also, an empirical equation for the working limit of liquid ejector is reported.

• Archives of Plastic Surgery
• /
• v.35 no.2
• /
• pp.169-173
• /
• 2008

Purpose: Sacrococcygeal pilonidal sinus is a chronic inflammatory disease that mostly affects young people, which warrants surgical intervention. Although many surgical methods have been suggested, an optimal surgical method remains controversial because of high recurrence rates and postoperative complications. The objective of this study is to evaluate the results of wide excision and coverage with fasciocutaneous advancement flap for the treatment of sacrococcygeal pilonidal sinus, and to assess the usefulness of this method Methods: From May 1995 to October 2006, the authors treated 19 patients with the use of coverage with fasciocutaneous flap after wide excision. The results were evaluated regarding recurrence rates, complications, and the change in sensitivity of the gluteal region after surgery. The follow-up period was 7 to 142 months (mean, 76 months). All patients were male. Results: Postoperative complications were wound infection at the suction drain insertion site and skin necrosis around the suture margin in one case, respectively. During the follow up period, only one recurrence (5.3%) was seen in fifth postoperative month, which was successfully treated by the same operative procedure. There was no other complications such as seroma, hematoma, wound dehiscence and flap loss. Extensive scarring and anatomic distortion did not occur in the reconstructed area. In addition, sensitivity of the gluteal region did not diminish. The aesthetic results were satisfactory for all patients as well. Conclusion: The authors advocate that fasciocutaneous flap closure be a good alternative method to cover defects after the excision of sacrococcygeal pilonidal sinus.

• Journal of Chest Surgery
• /
• v.30 no.4
• /
• pp.453-456
• /
• 1997

Acquired tracheoesophageal fistula is a rare but serious condition which is usually a result of prolonged intubation or tracheostomy statc, and is difficult to treat. A fifty-seven year old woman who was in a state of prolonged intubation and tracheostomy following a traf%c accident, presented with recurrent aspirati n. A tracheoesophageal fistula was demonstrated ) cm above the carina by csophagogram. We confirmed a subglottic web and tracheoesophageal fistula by bronchoscopic examination. Fistulectomy was performed with collor incision and partial sternotomy. The esophagus was repaired by two-layer interrupted suture using 4-0 Vicr)1, and the trachea was repaired by single layer suture using a 4-0 PDS. The sternohyoid muscle was interposed between the trachea and the esophagus. A T-tube was inserted through the previous tracheostomy site for easy tracheal suction and maintenance of the tun:on. The T-tube was removed on the 14th postoperative day, and the patient recovered well without any complications.

• Archives of Plastic Surgery
• /
• v.35 no.4
• /
• pp.393-399
• /
• 2008

Purpose: Chronic infected wounds sustained over 4 weeks with exposed tendon or bone are difficult challenges to plastic surgeons. Vacuum assisted closure (VAC) device has been well used for the management of chronic wounds diminishing wound edema, reducing bacterial colonization, promoting formation of granulation tissue and local blood flow by negative pressure to wounds. But Commercial ready-made VAC device might have some difficulties to use because of its high expenses and heavy weight. So we modified traditional VAC device with silver dressing materials as topical therapeutic agents for control of superimposed bacterial wound infection such as MRSA, MRSE and peudomonas. Methods: We designed the modified VAC device using wall suction, 400 cc Hemovac and combined slow release silver dressing materials. We compared 5 consecutive patients' data treated by commercial ready-made VAC device(Group A) with 11 consecutive patients' data treated by modified VAC device combined with silver dressing materials(group B) from September 2004 to June 2007. Granulation tissue growth, wound discharge, wound culture and wound dressing expenses were compared between the two groups. Results: In comparison of results, no statistical differences were identified in reducing rate of wound size between group A and B. Wound discharge was significantly decreased in both groups. Modified VAC device with silver dressing materials showed advantages of convenience, cost effectiveness and bacterial reversion. Conclusion: In combination of modified VAC device and silver dressing materials, our results demonstrated the usefulness of managing chronic open wounds superimposed bacterial infection, cost effectiveness compared with traditional VAC device and improvement of patient mobility.