• Tuberculosis and Respiratory Diseases
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• v.44 no.6
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• pp.1326-1331
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• 1997

Background : Weaning is the process of switching a patient from mechanical ventilator to spontaneous breathing. A number of different weaning techniques can be employed. At recent study, conventional spontaneous breathing trial was superior to other techniques, such as intermittent mandatory ventilation(IMV) or pressure support ventilation(PSV). But adequate observation time of the spontaneous breathing trial was not determined. We reported the effectiveness of weaning and extubation following a 60 minutes spontaneous breathing trial with simple oxygen supply through the endotrachial tube. In this study, we tried to shorten the spontaneous breathing time from 60 minutes to 30 minutes. If weaning success was predicted after 30 minutes spontaneous breathing, extubation was done without reconnection with ventilator. Methodes : Subjects consisted of 42 mechanically ventilated patients from August 1994 to July 1995. The weaning trial was done when the patients recovered sufficiently from respiratory failure that originally required ventilatory assistance, the patients became alert and showed stable vital sign, and arterial $O_2$ tension was adequated($PaO_2$ > 55 mmHg) with less than 40% of inspired oxygen fraction. We conducted a careful physical examination when the patients was breathing spontaneously through the endobronchial tube for 30 minutes. We terminated the trial if a patients was any of following signs of distress; cyanosis, diaphoresis, tachypnea(above 30 breaths per minute), and extreme tachycardia. Patients who had none of this features during spontaneous breathing for 30 minutes were extubated promptly. Result : 17 weaning trials of 15 patients were done in 42 mechanically ventilated patients. Successful weaning and extubation was possible in 14 trials of total 17 trials. In this 14 patients, 8 patients were extubated after 30 minutes spontaneous breathing, 3 patients were extubated after 60 minutes spontaneous breathing, and 3 patients needed over 3 hours for extubation from weaning. We found similar overall success rate compared with weaning following a 60 minutes spontaneous breathing trial. Conclusion : From the result of present study, we believe that weaning and extubation from mechanical ventilation following a 30 minutes spontaneous breathing with $O_2$ supply through the endotracheal tube is a simple and effective method.

• Journal of Biosystems Engineering
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• v.33 no.6
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• pp.384-389
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• 2008

Three prototype chestnut harvesters were constructed and evaluated their chestnut collection ability and field efficiency. Air-lock paddle system successfully picked up all loose material, and pick up efficiency was about 56 kg/h. Power required to operate this system was evaluated to be 8.7 kW with an air flow rate of $32.6\;m^3/min$. A radial blade type blower with 0.41 m impeller diameter was considered to be a minimum size for this system. For the auger system, air was sucked into the cylinder as the hinged flat cover began to be opened by the material pushed by the auger, and the empty burrs flew back to the container through the space between auger flights and collected in the bottom of the container. It was considered to add a device to prevent air from flowing back or to use the back flowing air for separation of burrs and nuts inside the container. The venturi system could not pick up chestnuts, as they only carried part way up to the suction hose. Consideration was given to an idea that the venturi could be used as a cleaning and separation mechanism for containers filled with both empty burrs and good nuts. A minimum vacuum of 129 mm wg was required to pick up chestnuts, and the corresponding inlet air velocity was 19.3 m/s. 104 mm of vacuum, which was about 81 % of that required for nuts, was enough to pick up burrs with nuts inside. Also, empty burrs with higher moisture content recorded the same pressure as for the burrs with nuts.

• Tuberculosis and Respiratory Diseases
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• v.62 no.5
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• pp.437-440
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• 2007

Tracheostomy is one of the oldest surgical procedures in medical history. The indications for a tracheostomy include the relief of an upper airway obstruction, long-term mechanical ventilation, and decreased airway resistance to help wean the patient from mechanical ventilator support. Unfortunately, tracheostomy is also associated with a number of problems including, bleeding, infection, pneumothorax, and tracheal stenosis. A pneumothorax is an uncommon complication of a tracheostomy, and can result from direct injury to the pleura or positive pressure ventilation through a dislocation of the tracheostomy tube. We report an uncommon case of a tracheostomy-induced bilateral tension pneumothorax with a review of the literature.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.23 no.8
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• pp.1048-1062
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• 1999

A numerical method and experiments for the aerodynamic design of high performance two-stage axial flow fans was carried out. A vortex ring element method used for the aerodynamic analysis of the propellers was extended to the fan-duct system. Fan Performance and velocity profiles at the fan inlet and outlet are compared with experimental data for the validations of numerical method. Performance test was done based on KS B 6311(testing methods for turbo-fans and blowers). The velocity profile was obtained using a 5-hole pitot tube by the non-nulling method. The two stage axial flow fan configurations for the optimal operation conditions were set by using the experimental results for the single rotating axial flow fan and the single stage axial flow fan. The single rotating axial flow fan showed relatively low efficiency due to the swirl velocities behind rotor exit which produced pressure losses. In contrast, the single stage and the two-stage axial flow fans showed performance improvements due to the swirl velocity reduction by the stator. The peak efficiency of the two stage axial flow fan was improved by 21% and 6%, compared to the single rotating axial flow fan and the single stage axial flow fan, respectively.

• Transactions of the Korean Society of Mechanical Engineers
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• v.16 no.10
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• pp.1979-1989
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• 1992

An experimental study has been performed to investigate the horseshoe vortex system formed around cylindrical obstacles mounted vertically on the surface over which a boundary layer is formed. To measure the mean velocity of the flow field, a five-hole Pitot tube has been used. In addition, surface static pressure measurements and surface flow visualization were also performed. From the five-hole probe measurements, vorticity distribution was deduced numerically and the streamwise velocity distribution was also examined. To consider the effect of the leading-edge shape on the formation of the horseshoe vortex, a qualitative comparison was made between the three-dimensional flows around a circular cylinder and a wedge-type cylinder. The five-hole probe measurements showed a single primary vortex which exists immediately upstream of the obstacles, and endwall flow visualization showed the existence of a corner vortex. As the vortex passes around the obstacle, the vortex strength is reduced and the vortex core moves radially outward. Due to this horseshoe vortex, the fluid momentum is found to decrease along the streamwise direction. Since the horseshoe vortex formed around a wedge-type cylinder has weaker strength and is confined to a narrower region than that around a circular, the possibility that the secondary flow loss due to the horseshoe vortex can be reduced through a change of the leading- edge shape is proposed.

• Journal of the Korean Society of Propulsion Engineers
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• v.3 no.4
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• pp.58-66
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• 1999

The flow characteristics of supersonic ejectors is often subject to compressibility, unsteadiness and shock wave systems. The numerical works carried out thus far have been of one-dimensional analyses or some Computational Fluid Dynamics(CFD) which has been applied to only a very simplified configuration. For the design of effective ejector-pump systems the effects of secondary mass flow on the supersonic ejector flow should be fully understood. In the present work the supersonic ejector-pump flows with a secondary mass flow were simulated using CFD. A fully implicit finite volume scheme was applied to axisymmetric compressible Navier-Stokes equations. The standard two-equation turbulence model was employed to predict turbulent stresses. The results obtained showed that the flow characteristics of constant area mixing tube types were nearly independent of the secondary flow rate, but the flow fields of ejector system with the second-throat were strongly dependent on the secondary flow rate due to the effect of the back pressure near the primary nozzle exit.

• Proceedings of the Korean Society for Rock Mechanics Conference
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• 2006.03a
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• pp.195-203
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• 2006

The crossing construction under railroad have two methods which are cut and cover and trenchless method. first, cut and cover method is an extremely limited method concerning non-running time. Whereas, trenchless method is free from restriction such as train speed and running time, and has the strong points of safe and rapid construction. Front Jacking method, one of the trenchless methods, is frequently applied recently due to its stability during construction and vantage of assuring schedule reliability. The procedure is that after minimizing interlocking friction with structure and earth pressure due to jacking the small steel tube, pulling the precast box manufactured at the field in the ground using PC strand and hydraulic Jack. This method is able to be applied regardless of section size and length of box and condition of ground. And that is also pro-environmental. This paper presents the case of Daejeon E. W. perforate Road Project applied with the Front Jacking method.

• Journal of Veterinary Clinics
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• v.31 no.4
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• pp.350-353
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• 2014

A 13-year-old, castrated male, Shih Tzu dog with a history of acute ataxia was referred to veterinary medical teaching hospital and anesthetized for diagnostic magnetic resonance imaging of cervical intervertebral disk disease. After preanesthetic evaluation including physical examination, blood chemistry, radiography and ultrasound, the patient was premedicated with intravenous butorphanol (0.2 mg/kg). Anesthesia was induced by intravenous propofol (6 mg/kg) and maintained with isoflurane at 1.2 minimal alveolar concentrations. Because the mean arterial pressure (MAP) decreased from 70 to 58 mmHg at 70 minutes after induction, dobutamine was administered by constant rate infusion ($5{\mu}g/kg/min$) to treat hypotension. However MAP did not increase, and heart rate rapidly decreased from 100 to 55 beats per minute (bpm). To treat bradycardia, intravenous glycopyrrolate ($5{\mu}g/kg$) was administered, and heart rate increased to 165 bpm. After extubation of endotracheal tube, the patient showed normal recovery without any problems related to cardiovascular system. Unexpected dobutamine-induced bradycardia was considered as Bezold-Jarisch reflex. It is recommended that clinicians know and prepare the possibility of bradycardia during dobutamine therapy under general anesthesia.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.35 no.1
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• pp.27-32
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• 2007

this paper the acoustic signature from a supersonic nozzle is measured and compared to the result of a program developed for a gas turbine noise prediction. In order to measure the jet Mach Number, the pressure and temperature at the settling chamber was measured along with pressures from a pitot-tube placed near the exit. The results are also compared to the ones obtained with a shadow graph technique. Jet noise produced by an imperfectly expanded jet contains shock associated noise, which consist of broadband noise and screech tone noise. For subsonic condition, the directivity is dominant to the downstream direction due to turbulence mixing noise. For supersonic conditions, however, the directivity is dominant toward upstream direction due to shock associated noise. The comparison with a jet exhaust noise prediction code shows good agreement at supersonic conditions but needs to be improved at subsonic speeds.

• Journal of Chest Surgery
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• v.39 no.1 s.258
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• pp.68-71
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• 2006

We operated on a 41-year-old man using venous bypass shunt for superior vena cava (SVC) syndrome caused by mediastinal fibrosis. The patient had substantially high venous pressure and high risk of postoperative neurologic deficits. The collateral veins were deemed to be interrupted during the surgical reconstruction of SVC. Treatment included resection of the obstructed SVC and innominate vein and reconstruction with an autologous pericardial tube graft. During the operation, venous drainage from upper body was maintained with an extraluminal bypass shunt. The shunt was effective at prompt relief of venous hypertension, eliminating the time constraints, and preventing the postoperative complications.