• Title/Summary/Keyword: Tidal volume

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The Effects of Tidal Volume on Minimal Occlusion Pressure of Endotracheal Tube Cuff in Patients with Same Peak Inspiratory pressure (동일한 최고 흡기압(Peak inspiratory pressure)에서 기관 내관 풍선(Endotracheal tube cuff)의 최소 밀폐압(Minimal occlusion pressure)에 대한 상시량의 영향)

  • Sohn, Jang Won;Kim, Tae Hyung;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.434-438
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    • 2004
  • Background : An excessive endotracheal cuff pressure can cause tracheal injury, and insufficient cuff pressure may not generate an effective cuff seal. The peak inspiratory pressure influences the minimal occlusion pressure of the endotracheal tube cuff. However, the relationship between the minimal occlusion pressure and the tidal volume has not been investigated. This study was conducted to estimate the relationship between the tidal volume and the minimal occlusion pressure of the cuff. Methods : Ten mechanically ventilated patients were included. The minimal occlusion pressure of the cuff was measured using a pressure gauge. The basal tidal volume was increased and decreased as much as 10% whilst maintaining the same peak inspiratory pressure. The, minimal occlusion pressures were then measured in the high and low tidal volume state, respectively. Results : The peak inspiratory pressure was $32.6{\pm}4.72cmH_2O$ and the minimal occlusion pressure was $19.0{\pm}2.26$ mmHg in the basal ventilator setting. There was a significant relationship between the peak inspiratory pressure and the minimal occlusion pressure(r=0.77, p<0.01). The minimal occlusion pressure of the cuff was increased to $20.3{\pm}2.4$ mmHg in the high tidal volume state(p<0.05), and decreased to $16.8{\pm}3.01$ mmHg in the low tidal volume state (p<0.001). Conclusion : The minimal occlusion pressure of the cuff can be influenced by changes in the tidal volume as well as by the peak inspiratory pressure.

Simulation study for Bag-Valve-Mask application guideline on pathologic pulmonary condition (모형폐의 물리적 특성 변화에 따른 Bag-Valve-Mask의 사용방법 연구)

  • Choi, Hae-Kyung;Jung, Hyung-Keon
    • The Korean Journal of Emergency Medical Services
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    • v.17 no.3
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    • pp.21-28
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    • 2013
  • Purpose: The purpose of this study is to get basic user guidelines of safe and efficient bag-valve-mask application on patients having abnormal pathophysiological pulmonary conditions. Methods: This study was performed by pre-qualified 35 EMS junior and senior students. Participants were instructed to compress ambulatory bag randomly about half, one-third, one-fourth within different airway resistance and pulmonary compliance. Resultant tidal volume and pulmonary wedge pressures on RespiTranier monitor were analysed in relation to pulmonary physiologic index. Results: At least over half compression of bag guaranteed minimal tidal volume regardless of pulmonary conditions. There was no increase of pulmonary wedge pressure above the level of barotrauma on half compression at any pulmonary conditions. Conclusion: Assisted ventilation with ambulatory bag on patients with pathological pulmonary conditions should be over half compressed regardless of respiratory disease entity.

Flow-Guider Applied to Controlling Current in a Bay (도류제에 의한 항만내 조류제어 연구)

  • 양찬규;홍기용
    • Journal of Ocean Engineering and Technology
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    • v.11 no.4
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    • pp.141-151
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    • 1997
  • This paper deals with a numerical study of flow-guider applied to controlling current in a bay. Two dimensional numerical model for tidal currents based on the depth averaged equation is developed and standard k-.epsilon. model is adopted to determine the turbulence diffusion. Equations are described in a generalized coordinate system to be implemented by non-staggered grid system and discretized by using finite volume method. Unsteady flow is simulated by fully implicit scheme. Hybrid scheme and central differencing are used to compute the convective terms and source terms, respectively. The tidal current in a rectangular bay is simulated and it gives satisfactory results. The realistic and distinct models of a large structure placed in bay are also exemplified with or without flow-guiders. The simulation results show that the flow-guider gives the residual tidal current in the bay by the different flux with respect to the direction of tidal current.

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A Study on the Sea Water Flow in Danghang Bay (당항만의 해수유동에 관한 연구)

  • Kim, Chang-Je;Kim, Mi-Kum;Son, Chang-Bae;Kang, Sung-Jin
    • Journal of Navigation and Port Research
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    • v.26 no.2
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    • pp.227-233
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    • 2002
  • Recently, the water pollution of coastal sea area including harbor, bay and inland sea has been very serious and it causes u\\various environmental impacts. In this study, water flow system of Danghnag Bay, which has the narrow and long topographical characteristics with the narrow bay mouth and its flow is influenced principally by the tidal current, is investigated experimentally and numerically. In order to understand the tidal system of Danghang Bay, harmonic analysis is performed based on measured tidal range and flow velocity. In addition, numerical model for tidal exchange is developed considering conditions of Danghang Bay. Calculated results show good agreement with measurement. Lastly, based on the proposed numerical model, exchange ratio of seawater volume in Danghang Bay is predicted.

Tidal Exchange Of Sea Water In Gamag Bay (가막만의 해수교환)

  • Lee, Myeong-Cheol;Chang, Sun-duck
    • 한국해양학회지
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    • v.17 no.1
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    • pp.12-18
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    • 1982
  • Tidal exchanges of sea water are studied by using drogue experiments and tidal current measurement data in Gamag Bay which has two channels. At the spring tide, the volume of tidal transport in the bay was estimated to be 46∼52% of the total volume of sea water in Gamag Bay, 7.1 10$\^$8/㎥. The tidal transport through the wide channel occupies 87% of the total tide transport of the bay. Residual current was deduced to flow north-northeastward at the rate of 3.254 10$\^$5/㎥ per tidal cycle. the tidal exchange of the sea water during the flood flow was estimated to be approximately 26% of the tidal transport, while that during the ebb flow was 41%. The tidal exchange through the wide channel during the flood flow occupies 77% of total tidal exchange of the bay through both channels, whereas that during the ebb flow does 88%. The diffusion coefficient of 2.08∼ 2.30 10$\^$7/$\textrm{cm}^2$/sec at the narrow channel was greater than that at the wide channel which was 1.2∼2.8 10$\^$6/$\textrm{cm}^2$/sec.

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Impact of the coastal structures on the water circulation near Gusipo coast, Yellow Sea, Korea (서해 구시포 해안에서 해수유동에 미치는 구조물의 영향)

  • Kim, Cha-Kyum;Park, Il Heum
    • Journal of Korea Water Resources Association
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    • v.55 no.11
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    • pp.865-875
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    • 2022
  • Field measurements and numerical simulations using EFDC model were performed to quantify the changes of water circulation near Gusipo coast located in the Yellow Sea of Korea to estimate the impact of the construction of the coastal structures (jetty, groin, Gusipo port and bridge). The model predicted tide and tidal currents agreed reasonably well with the measurements. The maximum currents during spring tide near the Gusipo Beach (GB) have the range of 20~40 cm/sec whereas those off the GB range from 60 to 80 cm/sec. The typical patterns of tidal current show parallel with the local isobath. Tidal currents flow northeastward during the flood tide whereas the currents during the ebb tide flow southwestward. The current speeds at shielded waters after the construction of coastal structures strongly decreased as compared with those before the construction. The tidal volume due to the construction of coastal structures was estimated using the depth averaged velocity for 24 hours of spring tide. Tidal volume after construction of coastal structures was compared with initial state (before construction). Tidal volume at present state (after construction of jetty, groin, Gusipo port and bridge) decreased by 28.4% as compared with that of the initial state. The volume after construction of jetty and groin decreased by 21.3%, and the volume after construction of Gusipo port and bridge decreased by 9.8%.

Estimation on the Future Traffic Volumes and Analysis on Information Value of Tidal Current Signal in Incheon (인천항의 장래 교통량 추정 및 조류신호의 정보가치 분석)

  • Kim, Jung-Hoon;Kim, Se-Won;Gug, Seung-Gi
    • Journal of Navigation and Port Research
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    • v.31 no.6
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    • pp.455-462
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    • 2007
  • This paper estimated the future traffic volume incoming and outgoing in Incheon port, and analyzed the value of information serviced by tidal current signal operation center in Incheon. The cargo traffic in 2020 will increase twice as much as in 2005 according to the national ports basis plan. The maritime traffic will increase greatly consequently. Also, MOMAF has operated tidal current signal operation center to prevent marine accidents caused by current influence on vessels navigating through Incheon. However the quantitative effect is not known because there is no analysis about its value. Therefore the value of information serviced by tidal current signal operation center in Incheon was calculated with contingent valuation method(CVM), and the information value was analyzed considering future traffic in this study. Thus, the annual information value was calculated at about $170{\sim}280$ million won, considered traffic volume using the information of tidal current directly in 2020 since 2006.

Comparative Study for dry-wet Treatment Effect in a Tidal Hydrodynamic Simulation (조석수동역학 모의에서 조간대 침수-노출 고려효과 비교연구)

  • 서승원;김정훈
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.15 no.2
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    • pp.97-107
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    • 2003
  • In order to evaluate the effect of dry-wet treatment on well developed tidal flats along the complex coastal line in the western part of Korean Peninsula, we adopted a finite element tidal hydrodynamic simulation model, ADCIRC incorporating newly suggested dry-wet option and applied it to Chonbuk coastal area and Keum river estuary. Model comparison with observed current data by RMS error in the Chonbuk area shows very good agreement within 1cm/sec of tidal velocity difference and 3% of error to maximum tidal currents. However there is not seen any significant advantages in dry-wet treatment. For the tidal volume tests in the Keum river estuary, the differences are satisfied within 5% nevertheless of dry-wet treatment but in a near cross section it marks over 20%. However both results are almost same in tidal residual tests. Thus it can be concluded that dry-wet option is not always necessary in the simulation of long-term dispersion analysis.

A comparison of ventilation effects using bag-valve-mask assist device (백-밸브-마스크 보조장치를 이용한 환기효과 비교)

  • EunYoung, Seo;ByoungGil, Yoon;GaEun, Kim;YougSeok, Kim
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.37-46
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    • 2022
  • Purpose: TThe experiment was designed to compare the efficiency of ventilation between conventional BVM ventilation and a newly devised A-BVM ventilation method with Tidal volume, total ventilation rate, average Ventilation speed, and average Ventilation volume. Methods: 40 Paramedical students who agreed to participate in the study were analyzed. Values were measured using IMB PASS after 2 minutes of Brayden Pro manikin with BVM and A-BVM ventilation. The difference in general characteristics was assessed by t-test and ANOVA and the difference in ventilation methods was analyzed by IBM SPSS. Results: A significant difference was found between the two ventilation methods in terms of tidal volume (t=-11.203, p<.001), ventilation time (t=-3.834, p<.001), and optimum ventilation probability (t=10.770, p<.001). A-BVM ventilation method, rather than BVM ventilation method, showed a value close to the appropriate amount recommended by Korean Advanced Life Support (500~600mL) in tidal volume, and higher in optimum ventilation probability. Conclusion: We could identify the a better mode of ventilation. Further studies on the efficacy of existing BVM ventilation methods as compared to device augmented BVM ventilation methods should be carried out to ensure that adequate ventilation is available to patients in clinical practice.

Detection of the morphologic change on tidal flat using intertidal DEMs

  • Lee, Yoon-Kyung;Ryu, Joo-Hyung;Eom, Jin-Ah;Kwak, Joon-Young;Won, Joong-Sun
    • Proceedings of the KSRS Conference
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    • v.1
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    • pp.247-249
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    • 2006
  • The objective of this study is to detect a inter-tidal topographic change in a decade. Waterline extraction is a one of widely used method to generate digital elevation model (DEM) of tidal flat using multi-temporal optical data. This method has been well known that it is possible to construct detailed topographic relief of tidal flat using waterlines In this study, we generated two sets of tidal flat DEM for the southern Ganghwado. The DEMs showed that the Yeongjongdo northern tidal flat is relatively high elevation with steep gradients. The Ganghwado southern tidal flat is relatively low elevation and gentle gradients. To detect the morphologic change of tidal flat during a decade, we compared between early 1990's DEM and early 2000's DEM. Erosion during a decade is dominant at the west of southern Ganghwado tidal flat, while sedimentation is dominant at the wide channel between the southern Ganghwado and Yeongjongdo tidal flats. This area has been commonly affected by high current and sedimentation energy. Although we are not able to verify the accuracy of the changes in topography and absolute volume of sediments, this result shows that DEM using waterline extraction method is an effective tool for long term topographic change estimation.

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