• 제목/요약/키워드: pressure injury

검색결과 472건 처리시간 0.024초

급수배관시스템의 수충격 진동제어를 위한 실험적 연구 (An Experimental Study on Vibration Control of Water Hammering in Water Pipe System)

  • 이장현;이효행;권병하;오진우
    • 대한설비공학회:학술대회논문집
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    • 대한설비공학회 2008년도 하계학술발표대회 논문집
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    • pp.453-458
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    • 2008
  • Pump of high lift use to development of a technological level according as a building grow big. Water-Hammer to increase by valve of fast to closing agreeably to pipe laying to accept electronic valve, because by a damage of piping-system and the devil knows injury of vibration. Water-Hammer take a low effect to various method for solve. A New type manufacture develop and testing of pipe line to same to axis use to accumulator for water-Hammer to low effect and liner control of pressure. Impact-pressure of absorption ability and confirmation to decrease of vibration level through to preexistence manufactures and comparative test. Water-hammer and pipe vibration make low of piping system.

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Fermented ginseng, GBCK25, ameliorates hemodynamic function on experimentally induced myocardial injury

  • Aravinthan, Adithan;Antonisamy, Paulrayer;Kim, Bumseok;Kim, Nam Soo;Shin, Dong Gyu;Seo, Jeong Hun;Kim, Jong-Hoon
    • Journal of Ginseng Research
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    • 제40권4호
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    • pp.462-465
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    • 2016
  • In the present study, we investigated whether treatment with GBCK25 facilitated the recovery of hemodynamic parameters, left ventricle systolic pressure, left ventricular developed pressure, and electrocardiographic changes. GBCK25 significantly prevented the decrease in hemodynamic parameters and ameliorated the electrocardiographic abnormality. These results indicate that GBCK25 has distinct cardioprotective effects in rat heart.

심낭압진이 동반된 관통성 및 비관통성 심장외상 - 7례 보고 및 임상분- (Penetrating and Nonpenetrating Cardiac Injuries Combined with Cardiac Tamponade. - Report of seven cases and Clinical analysis -)

  • 이만복
    • Journal of Chest Surgery
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    • 제22권4호
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    • pp.698-704
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    • 1989
  • We experienced the seven cases of penetrating and non-penetrating cardiac injuries combined with cardiac tamponade from June 1986 to June 1989 at Seoul and Chun-An Hospital of SOONCHUNHYANG medical college. The results were as follows. l. In sex distribution, 7 cases were male. In age distribution, The fourth decades occupied about 58 % of all cases. 2. In mode of injury, 4 cases were stab wounds, 1 case penetration by metallic fragment, 2 cases blunt chest trauma. 3. We routinely checked the CVP with subclavian vein catheterization in case of suspicious cardiac tamponade. Significant increments were showed in 4 cases. 4. Becks triad [low blood pressure, raised central venous pressure, distant heart sound] were recorded in 43 % of the cases with proven tamponades. 5. The sites of injury included RV in 4 cases, LV in 1 case, RA in 1 case and branch of RCA in 1 case. The RV injuries were the most common. 6. Coronary artery damage occurred in 2 cases. LADA was severed in 1 case combined with RV rupture and branch of RCA was torn 1 case. 7. Pericardiocentesis was performed 1 case at another hospital before referring to our hospital. We have never used the procedure because we think that it is potentially dangerous with no clear benefit. 8. Subxyphoid pericardial window was performed in 2 cases of severe cardiac tamponade. We have employed this method to stabilize the patients who had systolic hypotension. 9. Surgical approaches were performed with median sternotomy in 3 cases, thoracotomy in 4 cases. 10. We undertook the simple closure in 6 penetrating cardiac wounds. The removal of impacted metallic fragment was performed under the cardiopulmonary bypass. Simple ligation was performed in 2 cases of coronary artery severance 11. One patient with no sign of life was urgently intubated and undertaken an emergency room thoracotomy on the stretch car without antiseptic preparation. The cardiorrhaphy in 6 cases were performed in the operating theater 12. One patient undertaken emergency room thoracotomy did not survive due to refractory hypovolemic shock. But the remaining 6 patients recovered.

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유한요소 모델을 이용한 인간 뇌의 미만성 부상에 대한 해석 (Analysis of the Diffuse Axonal Injury of the Human Brain using Finite Element Model)

  • 김영은;남대훈
    • 대한의용생체공학회:의공학회지
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    • 제19권6호
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    • pp.603-609
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    • 1998
  • 가속도 변화에 따른 뇌의 미만성 부상을 해석하기 위하여 성인 및 2세, 6세아의 머리 부분에 대한 유한 요소 모델을 개발하였다. 외력은 최대값이 200g인 삼각형 형태의 가속도를 가하였으며, 가속도의 방향, 지속시간에 따른 변화를 해석하였다. 가속도 변화에 따라 발생되는 뇌내의 전단력 분포는 뇌간, 뇌교 및 중뇌등 신경조직이 밀집된 곳에서 크게 발생되어 이곳에서 미만형 부상이 발생할 확률이 높음을 알 수 있었으며, 특히 6세아 모델의 경우 뇌간에서의 최대 전단력이 굴전 형태의 회전가속도 받았을 때 가장 크게 나타나는 결과를 보여 개발된 모델이 임상결과와 일치함을 보여주고 있었다. 가속도 지속 시간이 길어짐에 따라 뇌내에 발생되는 압력 및 최대 전단력의 크기가 증대되고 있었으며, 유아모델의 경우 성인모델에 비하여 가속도 방향과 관계없이 낮은 압력이 발생하였지만 발생압력이 감소하지 않고 지속되는 현상을 보이고 있었다. 그리고 각 가속도에 의한 미만성 부상을 예방하기 위한 안전지수로는 현재 탑승자의 안전 설계에 활용되고 있는 HIC보다는 최대 전단응력이 더 적절한 부상 예측인자임을 알 수 있었다.

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흰쥐의 염증반응에 대한 CW-501027과 CW-501029의 억제효과 (The Inhibitory Effect of CW-501027 and CW-501029 on the Anti-inflammatory Action in Rats)

  • 정지훈;심재호;양성준;민영실;송현주;우재광;김용성;조영래;손의동
    • 약학회지
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    • 제48권6호
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    • pp.317-322
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    • 2004
  • The use of nonsteroidal anti-inflammatory drugs (NSAIDs) is limited by their ability to induce gastrointestinal injury. It has been shown that nitric oxide (NO), similar to pro staglandins (PGs), appears to play an important role in gastric mucosal defence. We hypothesized that NSAIDs contained NO group would be less acutely toxic to the gastric mucosa, but would not interfere with their ability to suppress inflammatory process in rats. We have compared the ulcerogenic and anti-inflammatory effect of CW-501029 (NO-NSAIDs), CW-501027 (NSAIDs) and indomethacin. Both did not change mean blood pressure and heart rates, indicating that they had no side effect on cardiovascular system. We found that CW-501029 increased nitrite/nitrate levels without changing of blood pressure and heart rates. We suggest that it may help gastric mucosal blood flow, the which helps reducing the discomfort in astrointestinal system. Carrageenan-induced PGE2 increase was reduced in a similar tendency when compared CW-501027 or CW-501027 with control in back exudate of rats, but CW-501029 less reduced PGE2 than CW-502027 or indomethacin in gastric tissues. CW-501027 or CW-501029 reduced platelet aggregation. From these results we suggest that CW-501029 may improve the side effect by reduction of short-term gastric injury and less inhibition of PGs synthesis.

Angiotensin II $AT_1$ 수용체 길항제인 SK-1080의 적출심장에 대한 허혈후 재관류시의 작용 및 혈소판응집과 혈액응고에 대한 효과 (Effects of the AngiotensinII $AT_1$ Receptor Antagonist SK-1080 on Ischemia/reperfusion in Isolated Rat Hearts and on Platelet Aggregation and Coagulation in Human Blood)

  • 우수경;최상수;이병호;권광일
    • 약학회지
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    • 제44권6호
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    • pp.558-565
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    • 2000
  • SK-1080 is one of the newly developed orally active nonpeptide angiotensinII $AT_1-receptor$ antagonist that selectively acts at $AT_1$ receptor with high affinity. The cardiac effect on ischemia/reperfusion injury of SK-1080 was compared with those of losartan, a prototype of this class, in isolated rat hearts. Isolated perfused rat heart was pretreated with drug for 10 min and then subjected to global ischemia for 30 min followed by reperfusion with- or without drug for 30 min. The possible additive effect of SK-1080 on the platelet aggregation and coagulation in human blood was also studied. We investigated whether SK-1080 effects the platelet aggregation induced by ADP, a platelet agonist partially dependent on $thromboxaneA_2$. The clotting times in the prothrombin time (PT) and activated partial thromboplastin time (APTT) were also examined in human plasma in vitro as coagulation screening test. SK-1080 improved reperfusion function (LVDP, left ventricular developed pressure; PRP, rate-pressure product) in a dose-dependent manner. SK-1080 reduced ADP-induced platelet aggregation compared with vehicle but less than losartan, and did not affect clotting times.

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지연성 외상성 뇌실질내 출혈 환자의 치료를 결정하는 임상적, 영상학적 예후인자에 대한 평가 (Assessment of the Clinical and the Radiological Prognostic Factors that Determine the Management of a Delayed, Traumatic, Intraparenchymal Hemorrhage (DTIPH))

  • 류제일;김충현;김재민;정진환
    • Journal of Trauma and Injury
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    • 제28권4호
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    • pp.223-231
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    • 2015
  • Purpose: Delayed, traumatic, intraparenchymal hemorrhage (DTIPH) is a well-known contributing factor to secondary brain damage that evokes severe brain edema and intracranial hypertension. Once it has occurred, it adversely affects the patient's outcome. The aim of this study was to evaluate the prognosis factors for DTIPH by comparing clinical, radiological and hematologic results between two groups of patients according to whether surgical treatment was given or not. Methods: The author investigated 26 patients who suffered DTIPH during the recent consecutive five-year period. The 26 patients were divided according to their having undergone either a decompressive craniectomy (n=20) or continuous conservative treatment (n=6). A retrospective investigation was done by reviewing their admission records and radiological findings. Results: This incidence of DTIPH was 6.6% among the total number of patients admitted with head injuries. The clinical outcome of DTIPH was favorable in 9 of the 26 patients (34.6%) whereas it was unfavorable in 17 patients (65.4%). The patients with coagulopathy had an unexceptionally high rate of mortality. Among the variables, whether the patient had undergone a decompressive craniectomy, the patient's preoperative clinical status, and the degree of midline shift had significant correlations with the ultimate outcome. Conclusion: In patients with DTIPH, proper evaluation of preoperative clinical grading and radiological findings can hamper deleterious secondary events because it can lead to a swift and proper decompressive craniectomy to reduce the intracranial pressure. Surgical decompression should be carefully selected, paying attention to the patient's accompanying injury and hematology results, especially thrombocytopenia, in order to improve the patient's neurologic outcomes.

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MCT(medium-chain triglyceride) 및 LCT(long-chain triglyceride) 유제가 백서에서 허혈/재관류 심장기능손상 및 혈소판응집능에 미치는 영향 (Effect of MCT (medium-chain triglyceride) and LCT (long-chain triglyceride) on Myocardial Ischemia/Reperfusion Injury and Platelet Aggregation in Rat)

  • 이수환;정이숙;홍정;김민화;이희주;백은주;왕희정;김명욱;문창현
    • Biomolecules & Therapeutics
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    • 제6권4호
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    • pp.358-363
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    • 1998
  • Intravenous lipid emulsion is used extensively as a major component of parenteral nutrition for patients in the surgical intensive care unit. Abnormal cardiovascular function related to lipid infusion has been reported although conflicting results exist. In the present study, we investigated the effects of intravenous emulsions of long-chain triglyceride (LCT) and medium-chain triglyceride (MCT) on myocardial ischemia/ reperfusion injury and on platelet aggregation in rat. There was no difference between LCT and MCT considering the effects on left ventricular developed pressure (LVDP) and coronary flow rate (CFR) before and after ischemia/reperfusion in isolated rat heart. On the other hand, a difference was found between LCT and MCT with regard to their effects on heart rate (HR) and end diastolic pressure (EDP) after ischemia/reperfusion. After ischemia/reperfusion, HR was significantly (P<0.05) reduced and EDP significantly (P<0.05) inc.eased by LCT (18$\pm$2.0% and 42.8$\pm$8.9%, respectively), but not by MCT Ex vivo platelet aggregation induced by collagen was reduced by LCT infusion, but not by MCT These findings suggest that MCT may have slightly more favorable effect than LCT on the myocardial function after ischemia/reperfusion in rat.

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모바일 폰의 반복 사용 시 압력방식에 따라 엄지손가락에 발생하는 힘과 피로에 대한 비교평가 (A Comparative Evaluation about Force and Fatigue on Thumb according to Input Type for Repetitive Use of Mobile Phone)

  • 김철민;박정홍;김광훈;손권
    • 대한의용생체공학회:의공학회지
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    • 제32권4호
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    • pp.312-318
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    • 2011
  • The purpose of study was to evaluate effects for repetitive use of thumb according to two different input types (button and touch) of mobile phones. A total of eight young and healthy subjects (6 males and 2 females: $24.63{\pm}8.04$ years) volunteered, and force measurement on thumb using film type pressure sensor was carried out for an hour. Before the experiment De Quervain's syndrome test were performed to check the left and right muscles related with thumb motion and after measuring the pressing force fatigue feeling survey achieved. For a statistical analysis, 1-to-5 ranking scale was used to score the fatigue feeling. From the result of pressure measurement, forces acting on thumb in button type were 3.36 times (the right thumb) and 3.16 times (the left thumb) for the touch type. And the result of survey, fatigue by using the button type of mobile phone was largely triggered than by using touch type. The abductor pollicis brevis and the flexor pollicis brevis were found as common part of fatigue for repetitively using thumb during texting messages. In the further study, some quantitative fatigue comparisons for various input motions are required to analyze repetitive strain injury syndrome.

폐 침윤을 동반한 급성 중증 환자의 기관지 폐포 세척액에서 측정한 Pre-B-Cell Colony-Enhancing Factor의 임상적 유용성 (Clinical Utility of Pre-B-Cell Colony-Enhancing Factor in Bronchoalveolar Lavage Fluid of Acute Critical Ill Patients with Lung Infiltrates)

  • 이광하;홍상범
    • Tuberculosis and Respiratory Diseases
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    • 제67권5호
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    • pp.402-408
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    • 2009
  • Background: Pre-B-cell colony enhancing factor (PBEF) has been suggested as a novel biomarker in sepsis and acute lung injury. We measured the PBEF in bronchoalveolar lavage (BAL) fluid of acute critically ill patients with lung infiltrates in order to evaluate the clinical utility of measuring PBEF in BAL fluid. Methods: BAL fluid was collected by bronchoscope from 185 adult patients with lung infiltrates. An enzyme-linked immunosorbent assay was then performed on the collected fluids to measure the PBEF. Results: Mean patient age was 59.9 ${\pm}$14.5 years and 63.8% of patients were males. The mean concentration of PBEF in BAL fluid was 17.5 ${\pm}$88.3 ng/mL, and patients with more than 9 ng/mL of PBEF concentration (n=26, 14.1%) had higher Acute Physiology and Chronic Health Evaluation (APACHE) II and Sequential Organ Failure Assessment (SOFA) scores on the BAL exam day. However, there were no significant differences in clinical characteristics between survivors and non-survivors. In patients with leukocytosis (n=93) seen on the BAL exam day, the linear regression analysis revealed a significant, positive relationship between PBEF and APACHE II ($r^2$=0.06), SOFA score ($r^2$=0.08), Clinical Pulmonary Infection Score ($r^2$=0.05), and plateau pressure in patients on ventilators ($r^2$=0.07) (p<0.05, respectively). In addition, multivariate regression analysis with PBEF as a dependent variable showed that the plateau pressure ($r^2$=0.177, p<0.05) was correlated positively with PBEF. Conclusion: The PBEF level in the BAL fluid may be a useful, new biomarker for predicting the severity of illness and ventilator-induced lung injury in critically ill patients with lung infiltates and leukocytosis.