• Title/Summary/Keyword: pulsatile

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The Effects of Wall Elasticity on Wall Shear Rate of a Divergent Tube (Vascular Graft) (벽 탄성도가 확장관(인조혈관) 벽 전단변형률에 미치는 영향)

  • Rhee, Kye-Han;Lee, Sang-Man
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.23 no.6 s.165
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    • pp.912-921
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    • 1999
  • Shear stress acting on the arterial wall by blood flow is an important hemodynamic factor influencing blocking of blood vessel by thickening of an arterial wall. In order to study the effects of wall elasticity on the wall shear rate distribution in an artery-divergent graft anastomosis, a rigid and a elastic model are manufactured. These models are placed in a pulsatile flow loop, which can generate the desired flow waveform. Flow visualization method using a photochromic dye is used to measure the wall shear rate distribution. The accuracy of measuring technique is verified by comparing the measured wall shear rate in the straight portion of a model with the theoretical solution. Measured wall shear rates depend on the wall elasticity and flow waveform. The mean and maximum shear rate in the elastic model are lower than those in rigid model, and the decreases are more significant near the end of a divergent tube. The reduction of mean and maximum of wall shear rate in an elastic model are up to 17 percent.

Pregnancy Recognition Signaling for Establishment and Maintenance of Pregnancy

  • Bazer, Fuller W.
    • Korean Journal of Animal Reproduction
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    • v.23 no.4
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    • pp.365-369
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    • 1999
  • Interferon tau (IFN$\tau$), the pregnancy recognition signal in ruminants, suppresses transcription of the estrogen receptor (ER) gene in the endometrial luminal (LE) and superficial glandular epithelium (sGE) to prevent oxytocin receptor (OTR) expression and pulsatile release of luteolytic prostaglandin $F_{2{\alpha}}$ (PGF), Interferon regulatory factors one (IRF-l) and two (IRF-2) are transcription factors induced by IFN$\tau$ that activate and silence gene expression, respectively. Available results suggest that IFN$\tau$ acts directly on LE and sGE during pregnancy to induce sequentially IRF-l and then IRF-2 gene expression to silence transcription of ER and OTR genes, block the luteolytic mechanism to maintenance a functional corpus luteum (CL) and, signal maternal recognition of pregnancy. The theory for maternal recognition of pregnancy in pigs is that the uterine endometrium of cyclic gilts secretes PGF in an endocrine direction, toward the uterine vasculature for transport to the CL to exert its luteolytic effect. However, in pregnant pigs, estrogens secreted by the conceptuses are responsible, perhaps in concert with effects of prolactin and calcium, for exocrine secretion of PGF into the uterine lumen where it is sequestered to exert biological effects and / or be metabolized to prevent luteolysis.

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Prolonged Cardiopulmonary Resuscitation in a Cardiac Arrest Patient with Aconitine Intoxication (장시간 심폐소생술을 요한 초오중독에 의한 심정지 1례)

  • Hwang, In-Woo;Jeong, Tae-O;Lee, Jae-Baek;Jin, Youn-Ho
    • Journal of The Korean Society of Clinical Toxicology
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    • v.5 no.1
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    • pp.67-70
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    • 2007
  • Aconitum is an extremely dangerous plant that contains various toxic diterpenoid alkaloids, primarily concentrated in the roots. We report a case of acute intoxication of a 60-year-old man admitted to our emergency department after ingestion of a large amount of homemade aconitine decoction. At presentation about one hour after intake, the patient was unconscious and electrocardiographic analysis showed a ventricular tachycardia/fibrillation. Several times defibrillation was applied and antiarrhythmic agents were administered, but the patient still exhibited a refractory ventricular fibrillation and failed to return to spontaneous circulation. Sustained cardiopulmonary resuscitation finally produced a pulsatile cardiac rhythm at two hours after intake. The patient was discharged from our hospital on day 8. The authors stress that clinicians must be aware of the possible occurrence of life-threatening ventricular arrhythmia in cases of aconitine intoxication and be prepared to persist with prolonged CPR as necessary.

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The Study on Treatment of Obesity by Oriental Medicine Music Therapy (비만의 3가지 병기(病機)에 따른 한방음악치료의 적용에 관한 소고(小考))

  • Lee, Seung-Hyun;Kim, Yeon-Sue;Kim, Yeo-Jin
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.2
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    • pp.15-23
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    • 2008
  • The purpose of this study is to introduce oriental medicine music therapy related to the treatment of obesity. Obesity is caused by deficiency of the spleen, retention of phlegm, stagnation of liver Gi. According to the patients' state, the musical instruments should be chosen. In case of deficiency of the spleen, retention of phlegm, and stagnation of liver Gi, the obese patients beat pulsatile instruments to Earth-Gi rhythm, Fire-Gi rhythm, and Wood-Gi rhythm respectively. In addition to beating the musical instrument to the Five Phases rhythm, an oral sound therapy, relieving constraint therapy, and dispersing therapy can be performed. This study describes the theory of oriental medicine music therapy that has a good possibility as a new method of oriental medical treatment. It is necessary to study in measuring the effects after oriental medicine music therapy from now on.

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Development of a Sleep-driving Accident Prevention System based on pulse

  • Bae, Seung-Woo;Seo, Jung-Hwa
    • Korean Journal of Artificial Intelligence
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    • v.6 no.1
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    • pp.11-15
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    • 2018
  • The purpose of this study is to develop a pulsatile drowsiness detection system that can compensate the limitations of existing camera - based or breathing pressure sensor based Drowsiness driving prevention systems. A heart rate sensor mounted on the driver's finger and an alarm system that sounds when drowsiness is detected. The heart rate sensor was used to measure pulse changes in the wrist, and an alarm system based on the Arduino, which works in conjunction with the laptop, generates an audible alarm in the event of drowsiness. In this paper, we assume that the pulse rate of the drowsy state is 60 ~ 65 times / minute, which is the middle between the awake state and the sleep state. As a result of the experiment, the alarm sounded when the driver's pulse rate was in the drowsy pulse rate range. Based on these experiments, the drowsiness detection system was able to detect the drowsiness of the driver successfully in real time. A more effective drowsiness prevention system can be developed in the future by incorporating the results of the present study on a pulse-based drowsiness prevention system in an existing drowsiness prevention system.

Flow Visualization in Realistic Arterial Bypass Graft Model

  • Singh, Megha;Shin, Se-Hyun
    • International Journal of Vascular Biomedical Engineering
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    • v.3 no.1
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    • pp.1-5
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    • 2005
  • Background: Coronary atherosclerosis artery disease is the leading cause of morbidity and mortality. Coronary artery bypass grafting (CABG) which utilizes the saphenous vein graft, has helped in alleviating the suffering of these patients. Newer techniques are being developed to improve upon the techniques. Still there is significant number of failures, leading to re-grafting or re-vascularization. Some studies have helped in identifying the high and low shear stress regions. Further studies based on their realistic models are required. Material, methods and results: we developed the realistic model of fully blocked right coronary with bypass graft placed at angle of $5^0$ with curvature similar to that of artery. Pulsatile flow of birefringent solution through this model by polarized light was visualized. The images of complete flow field in the model were recorded and analyzed. Regions of high flow disturbances which are prone to further changes are identified. Existence of recirculation in the blocked coronary may initiate new blood-tissue interactions deleterious to bypass graft. Conclusion: Our study shows that by selecting the procedure to place bypass graft at minimum angle with curvature similar to that of artery and smooth sutures may improve the life span of the graft. This study also identified that coronary blocked regions contributing by recirculation flow at the proximal and distal regions of bypass which may require further studies.

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Asymmetric flows of non-Newtonian fluids in symmetric stenosed artery

  • Hun Jung;Park, Jong-Wook;Park, Chan-Guk
    • Korea-Australia Rheology Journal
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    • v.16 no.2
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    • pp.101-108
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    • 2004
  • The hemodynamics behavior of the blood flow is influenced by the presence of the arterial stenosis. If the stenosis is present in an artery, normal blood flow is disturbed. In the present study, the characteristics of pulsatile flow in the blood vessel with stenosis are investigated by the finite volume method. For the validation of numerical model, the computation results are compared with the experimental ones of Ojha et al. in the case of 45% stenosis with a trapezoidal profile. Comparisons between the measured and the computed velocity profiles are favorable to our solutions. Finally, the effects of stenosis severity and wall shear stress are discussed in the present computational analysis. It can be seen, where the non-dimensional peak velocity is displayed for all the stenosis models at a given severity of stenosis, that it is exponentially increased. Although the stenosis and the boundary conditions are all symmetric, the asymmetric flow can be detected in the more than 57% stenosis. The instability by a three-dimensional symmetry-breaking leads to the asymmetric separation and the intense swirling motion downstream of the stenosis.

A Numerical Analysis on the Curved Bileaflet Mechanical Heart Valve (MHV): Leaflet Motion and Blood Flow in an Elastic Blood Vessel

  • Bang, Jin-Seok;Choi, Choeng-Ryul;Kim, Chang-Nyung
    • Journal of Mechanical Science and Technology
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    • v.19 no.9
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    • pp.1761-1772
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    • 2005
  • In blood flow passing through the mechanical heart valve (MHV) and elastic blood vessel, hemolysis and platelet activation causing thrombus formation can be seen owing to the shear stress in the blood. Also, fracture and deformation of leaflets can be observed depending on the shape and material properties of the leaflets which is opened and closed in a cycle. Hence, comprehensive study is needed on the hemodynamics which is associated with the motion of leaflet and elastic blood vessel in terms of fluid-structure interaction. In this paper, a numerical analysis has been performed for a three-dimensional pulsatile blood flow associated with the elastic blood vessel and curved bileaflet for multiple cycles in light of fluid-structure interaction. From this analysis fluttering phenomenon and rebound of the leaflet have been observed and recirculation and regurgitation have been found in the flow fields of the blood. Also, the pressure distribution and the radial displacement of the elastic blood vessel have been obtained. The motion of the leaflet and flow fields of the blood have shown similar tendency compared with the previous experiments carried out in other studies. The present study can contribute to the design methodology for the curved bileaflet mechanical heart valve. Furthermore, the proposed fluid-structure interaction method will be effectively used in various fields where the interaction between fluid flow and structure are involved.

A Structural Analysis on the Leaflet Motion Induced by the Blood Flow for Design of a Bileaflet Mechanical Heart Valve Prosthesis

  • Kwon, Young-Joo;Kim, Chang-Nyung;Lee, Jae-Won
    • Journal of Mechanical Science and Technology
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    • v.17 no.9
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    • pp.1316-1323
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    • 2003
  • This paper presents a structural analysis on the rigid and deformed motion of the leaflet induced by the blood flow required in the design of a bileaflet mechanical heart valve (MHV) prosthesis. In the study on the design and the mechanical characteristics of a bileaflet mechanical heart valve, the fluid mechanics analysis on the blood flow passing through leaflets, the kinetodynamics analysis on the rigid body motion of the leaflet induced by the pulsatile blood flow, and the structural mechanics analysis on the deformed motion of the leaflet are required sequentially and simultaneously. Fluid forces computed in the previous hemodynamics analysis on the blood flow are used in the kinetodynamics analysis on the rigid body motion of the leaflet. Thereafter, the structural mechanics analysis on the deformed motion of the leaflet follows to predict the structural strength variation of the leaflet as the leaflet thickness changes. Analysis results show that structural deformations and stresses increase as the fluid pressure increases and the leaflet thickness decreases. Analysis results also show that the leaflet becomes structurally weaker and weaker as the leaflet thickness becomes smaller than 0.6 mm.

Changes of Hemodynamic Characteristics during Angulated Stenting in the Stenosed Coronary (관상동맥 협착부에 각이진 스텐트 시술시 혈류역학적 특성변화)

  • Suh Sang-Ho;Cho Min-Tae;Kwon Hyuck-Moon;Lee Byung-Kwon
    • Proceedings of the KSME Conference
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    • 2002.08a
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    • pp.717-720
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    • 2002
  • The present study is to evaluate the performances of flow velocity and wall shear stress in the stenosed coronary artery using human in vivo hemodynamic Parameters and computer simulation. Initial and follow-up coronary angiographics in the patients with angulated coronary stenosis are performed. Follow-up coronary angiogram demonstrated significant difference in the percent of diameter in the stenosed coronary between two groups ($Group\;1:\;40.3{\%},\;Group\;2:\;25.5{\%}$). Flow-velocity wave obtained from in vivo intracoronary Doppler ultrasound data is used for the boundary condition for the computer simulation. Spatial and temporal variations of flow velocity vector and recirculation area are drawn throughout the selected segment of coronary models. The WSS of pre- and post-intracoronary stenting are calculated from three-dimensional computer simulation. Then negative shear stresses area on 3D simulation we noted on the inner wall of the post-stenotic area before stenting. The negative WSS is disappeared after stenting. High spatial and temporal WSS before stenting fell into within physiologic WSS after stenting. This finding was prominent in Model 2. The present study suggest that hemodynamic forces exerted by pulsatile coronary circulation termed WSS might affect on the evolution of atherosclerosis within the angulated vascular curvature. The local recirculation area which has low or negative WSS, might lead to progression of atherosclerosis.

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