• Title/Summary/Keyword: primary fluid

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Tuberculous Pleurisy : Clinical Characteristics of Primary and Reactivation Disease (결핵성 흉막염에서 초감염 결핵과 재발성 결핵의 임상 양상)

  • Hong, Koo Hyun;Lim, Sang Soo;Shin, Jae Min;Park, Jae Seuk
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.6
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    • pp.526-532
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    • 2006
  • Backgroud: Traditionally, tuberculous pleurisy has been known to largely develop as primary tuberculosis. However, as the incidence of tuberculosis decrease, recent studies have shown reactivation tuberculosis has become the main cause of tuberculous pleurisy. Methods: 141 cases of tuberculous pleurisy, between January 2003 and February 2006, at the Dankook university hospital. were retrospectively studied. The patients were divided into primary and reactivation tuberculosis. based on the history and radiological characteristics, and the clinical, radiological characteristics at the time of diagnosis and residual pleural thickening after 6 month of chemotherapy were compared between the two groups. Results: 1. Of the 141 tuberculous pleurisy cases, in 135 it was possible to differentiate between primary and reactivation tuberculosis. 2. Of the 135 tuberculous pleurisy cases, 38 (28%) showed a primary tuberculosis pattern, and 98 (72%) showed a reactivation tuberculosis pattern. 3. There were no significant differences between primary and reactivation tuberculosis in relation to age, sex, duration of symptom, amount of pleural effusion, pleural fluid WBC, lymphocyte count, and level of protein, LDH and ADA at the time of diagnosis 4. 124 patients were followed for 6 months after diagnosis of tuberculous pleurisy, and there was no significant difference in the residual pleural thickening between primary and reactivation tuberculosis. Conclusion: In South Korea, a reactivation disease is currently a more common cause of tuberculous pleurisy than a primary disease. There was no difference in the clinical characteristics between primary and reactivation tuberculosis.

Intravenous Fluid Selection for Unruptured Intracranial Aneurysm Clipping : Balanced Crystalloid versus Normal Saline

  • Kang, Jian;Song, Young Joo;Jeon, Sujeong;Lee, Junghwa;Lee, Eunsook;Lee, Ju-Yeun;Lee, Euni;Bang, Jae Seung;Lee, Si Un;Han, Moon-Ku;Oh, Chang Wan;Kim, Tackeun
    • Journal of Korean Neurosurgical Society
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    • v.64 no.4
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    • pp.534-542
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    • 2021
  • Objective : While balanced crystalloid (BC) could be a relevant fluid regimen with buffer system compared with normal saline (NS), there have been no studies on the optimal fluid for surgery of an unruptured intracranial aneurysm (UIA). This study aimed to compare the effects of fluid regimens between NS and BC on the metabolic and clinical outcomes of patients who underwent surgery for UIA. Methods : This study was designed as a propensity score matched retrospective comparative study and included adult patients who underwent UIA clipping. Patient groups were categorized as NS and BC groups based on the types of pre-operative fluid and the amount of fluid administered during surgery. The primary outcomes were defined as electrolyte imbalance and acidosis immediately after surgery. The secondary outcomes were the length of stay in the intensive care unit (ICU) and duration from the end of the operation to extubation. Results : A total of 586 patients were enrolled in this study, with each of 293 patients assigned to the NS and BC groups, respectively. Immediately after surgery, serum chloride levels were significantly higher in the NS group. Compared to the NS group, the BC group had lower incidence rates of acidemia (6.5% vs. 11.6%, p=0.043) and metabolic acidosis (0.7% vs. 4.4%, p=0.007). As compared to NS group, BC group had significantly shorter duration from the end of the operation to extubation (250±824 vs. 122±372 minutes, p=0.016) and length of stay in ICU (1.37±1.11 vs. 1.12±0.61 days, p=0.001). Throughout multivariable analysis, use of BC was found to be significant factor for favorable post-operative results. Conclusion : This study showed that the patients who received BC during UIA clipping had lower incidence of metabolic acidosis, earlier extubation and shorter ICU stay compared to those who received NS. Therefore, using BC as a peri-operative fluid can be recommended for patients who undergo surgery for UIA.

The evaluation of performance and flow characteristics due to the length of throat and diffuser for ship's ejector (선박용 Ejector의 직관부와 디퓨저 길이 변화에 따른 성능비교 및 유동특성에 관한 연구)

  • Lee, Young-Ho;Kim, Mun-Oh;Kim, Chang-Goo;Kim, You-Taek
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.1
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    • pp.31-38
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    • 2014
  • Ejector is a simple device which can transport a low-pressure secondary flow by using a high-pressure primary flow. The efficiency of the ejector system is relatively very low, compared to other fluid transport devices driven mainly by the forces acting on the normal direction. However, its major advantage is a simple structure with no moving parts, and it transports a large amount of fluid with a small driving energy. In this study, the performance of side-type liquid ejector commonly used in ships; is analyzed by using experimental and CFD methods under steady and incompressible flow condition by varying the length of the throat and diffuser, the flow pattern and suction phenomenon were studied in detail.

Preparation and Characterization of Lysozyme Nanoparticles using Solution Enhanced Dispersion by Supercritical Fluid (SEDS) Process (용액분산촉진 초임계 공정을 이용한 라이소자임 나노 입자의 제조 및 그 특성)

  • Kim, Dong-Hyun;Park, Hee-Jun;Kang, Sun-Ho;Jun, Seoung-Wook;Kim, Min-Soo;Lee, Si-Beum;Park, Jeong-Sook;Hwang, Sung-Joo
    • Journal of Pharmaceutical Investigation
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    • v.35 no.2
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    • pp.89-94
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    • 2005
  • The micron or nano-sized lysozyme as a model protein drug was prepared using solution enhanced dispersion by supercritical fluid (SEDS) process at various conditions (e.g., solvent, temperature and pressure) to investigate the feasibility of pulmonary protein drug delivery. The lysozyme particles prepared were characterized by laser diffraction particle size analyzer, scanning electron microscopy (SEM) and powder X-ray diffractometry (PXRD). The biological activity of lysozyme particles after/before SEDS process was also examined. Lysozyme was precipitated as spherical particles. The precipitated particles consisted of 100 - 200 nm particles. Particle size showed the precipitates to be agglomerates with primary particles of size $1\;-\;5 \;{\mu}m$. The biological activity varied between 38 and 98% depending on the experimental conditions. There was no significant difference between untreated lysozyme and lysozyme after SEDS process in PXRD analysis. Therefore, the SEDS process could be a novel method to prepare micron or nano-sized lysozyme particles, with minimal loss of biological activity, for the pulmonary delivery of protein drug.

STUDY ON THE PERFORMANCE OF THE SHAPE OF THE AIR-LIQUID EJECTOR DIFFUSER (기체-액체 이젝터의 디퓨저 형상에 대한 연구)

  • Jang, Jin-Woo;Sin, Won-Hyeop;Park, Young-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6412-6418
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    • 2014
  • This paper performed a numerical study of an air-liquid ejector. An ejector is a fluid-transportation device that spouts high-pressure fluid from driving pipes using the kinetic energy of the spouted fluid and increases the pressure through the exchange of momentum with the surrounding gases of the lower pressure. The air-liquid ejector was investigated through steady three-dimensional multiphase CFD analysis using commercial software ANSYS-CFX 14.0. Water as the primary fluid is driven through the driving nozzle and air is ejected as the second gas instead of ozone in real applications. The difference in performance according to the shape of the diffuser of the ejector was examined. The results provide deep insight into the influence of various factors on the performance of the air-liquid ejector. The proposed numerical model will be very helpful for further design optimization of the air-liquid ejectors.

Fabrication of Nono-Size Crystalline $TiO_2$ Powders for Photocatalyst Using (초임계 유체를 이용한 광촉매용 나노크기의 결정질 $TiO_2$ 분말 제조)

  • Lim, Dae-Young;Kim, Jong-Ock;Kim, Taik-Nam;Lee, Chae-Hyun;Park, Won-Kyu
    • The Journal of Engineering Research
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    • v.3 no.1
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    • pp.207-213
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    • 1998
  • In order to fabricate ideal powders, new processing is necessary in which the solute atoms in solution rapidly move to mix each other to the degree of molecular level, the viscosity of solution should be low not to effect the moving of solute atoms, and the powders could be directly obtained as crystalline. Supercritical fluid is defined as condensed gas state up to its critical pressure and temperature. In this paper, supercritical fluid methods were studied as a new ceramic processing of powder preparation. The crystalline anatase powders of $TiO_2$ which are useful for photocatalyst materials were fabricated by hydrolysis of titanium(IV) ethoxide using water which was ethanol as a supercritical fluid.

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Computation of a Turbulent Natural Convection in a Rectangular Cavity with the Low-Reynolds-Number Differential Stress and Flux Model

  • Choi, Seok-Ki;Kim, Eui-Kwang;Wi, Myung-Hwan;Kim, Seong-O
    • Journal of Mechanical Science and Technology
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    • v.18 no.10
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    • pp.1782-1798
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    • 2004
  • A numerical study of a natural convection in a rectangular cavity with the low-Reynolds-number differential stress and flux model is presented. The primary emphasis of the study is placed on the investigation of the accuracy and numerical stability of the low-Reynolds-number differential stress and flux model for a natural convection problem. The turbulence model considered in the study is that developed by Peeters and Henkes (1992) and further refined by Dol and Hanjalic (2001), and this model is applied to the prediction of a natural convection in a rectangular cavity together with the two-layer model, the shear stress transport model and the time-scale bound ν$^2$- f model, all with an algebraic heat flux model. The computed results are compared with the experimental data commonly used for the validation of the turbulence models. It is shown that the low-Reynolds-number differential stress and flux model predicts well the mean velocity and temperature, the vertical velocity fluctuation, the Reynolds shear stress, the horizontal turbulent heat flux, the local Nusselt number and the wall shear stress, but slightly under-predicts the vertical turbulent heat flux. The performance of the ν$^2$- f model is comparable to that of the low-Reynolds-number differential stress and flux model except for the over-prediction of the horizontal turbulent heat flux. The two-layer model predicts poorly the mean vertical velocity component and under-predicts the wall shear stress and the local Nusselt number. The shear stress transport model predicts well the mean velocity, but the general performance of the shear stress transport model is nearly the same as that of the two-layer model, under-predicting the local Nusselt number and the turbulent quantities.

A Study on the Development of Superheater Using High-Frequency Resonant Inverter for Induction Heating (유도가열용 고주파 공진형 인버터를 이용한 과열증기 발생장치 개발에 관한 연구)

  • 신대철;권혁민;김기환;김용주
    • The Transactions of the Korean Institute of Power Electronics
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    • v.9 no.2
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    • pp.119-125
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    • 2004
  • This paper is described the indirect induction heated boiler system and induction heated hot air producer using the voltage-fed series resonant high-frequency inverter which can operate in the frequency range from 20〔KHz〕 to 50〔KHz〕. A specially designed Induction heater, which is composed of laminated stainless assembly with many tiny holes and interconnected spot welding points between stainless plates, is inserted into the ceramic type vessel with external working coil. This working coil is connected to the resonant inverter. In the induction heater, it's primary heating section creates low-pressure saturated steam and secondary heating section generates heat distribution evaporating fluid from the turbulence fluid which is flowing through the vessel. The operating performances of this unique appliance in next generation and its effectiveness are evaluated and discussed from the practical point of view.

FLUID-STRUCTURE INTERACTION IN A U-TUBE WITH SURFACE ROUGHNESS AND PRESSURE DROP

  • Gim, Gyun-Ho;Chang, Se-Myoung;Lee, Sinyoung;Jang, Gangwon
    • Nuclear Engineering and Technology
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    • v.46 no.5
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    • pp.633-640
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    • 2014
  • In this research, the surface roughness affecting the pressure drop in a pipe used as the steam generator of a PWR was studied. Based on the CFD (Computational Fluid Dynamics) technique using a commercial code named ANSYS-FLUENT, a straight pipe was modeled to obtain the Darcy frictional coefficient, changed with a range of various surface roughness ratios as well as Reynolds numbers. The result is validated by the comparison with a Moody chart to set the appropriate size of grids at the wall for the correct consideration of surface roughness. The pressure drop in a full-scale U-shaped pipe is measured with the same code, correlated with the surface roughness ratio. In the next stage, we studied a reduced scale model of a U-shaped heat pipe with experiment and analysis of the investigation into fluid-structure interaction (FSI). The material of the pipe was cut from the real heat pipe of a material named Inconel 690 alloy, now used in steam generators. The accelerations at the fixed stations on the outer surface of the pipe model are measured in the series of time history, and Fourier transformed to the frequency domain. The natural frequency of three leading modes were traced from the FFT data, and compared with the result of a numerical analysis for unsteady, incompressible flow. The corresponding mode shapes and maximum displacement are obtained numerically from the FSI simulation with the coupling of the commercial codes, ANSYS-FLUENT and TRANSIENT_STRUCTURAL. The primary frequencies for the model system consist of three parts: structural vibration, BPF(blade pass frequency) of pump, and fluid-structure interaction.

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery

  • Ropper, Alexander E.;Huang, Kevin T.;Ho, Allen L.;Wong, Judith M.;Nalbach, Stephen V.;Chi, John H.
    • Neurospine
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    • v.15 no.4
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    • pp.338-347
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    • 2018
  • Objective: Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic cancer treatment. In this case series, we discuss our experience with the management of intraoperative durotomies and wound closure strategies for this complex surgical patient population. Methods: We reviewed our recent single-center experience with spine surgery for primarily extradural tumors, with attention to intraoperative durotomy occurrence and postoperative wound-related complications. Results: A total of 105 patients underwent tumor resection and spinal reconstruction with instrumented fusion for a multitude of pathologies. Twelve of the 105 patients (11.4%) reviewed had intraoperative durotomies. Of these, 3 underwent reoperation for a delayed complication, including 1 epidural hematoma, 1 retained drain, and 1 wound infection. Of the 93 uncomplicated index operations, there were a total of 9 reoperations: 2 for epidural hematoma, 3 for wound infection, 2 for wound dehiscence, and 2 for recurrent primary disease. One patient was readmitted for a delayed spinal fluid leak. The average length of stay for patients with and without intraoperative durotomy was 7.3 and 5.9 days, respectively, with a nonsignificant trend for an increased length of stay in the durotomy cases (p=0.098). Conclusion: Surgery for extradural tumor resections can be complicated by CSF leaks due to the proximity of the tumor to the dura. When encountered, a variety of strategies may be employed to minimize subsequent morbidity.