• 제목/요약/키워드: residual circulation

검색결과 94건 처리시간 0.032초

Combined Endovascular and Microsurgical Procedures as Complementary Approaches in the Treatment of a Single Intracranial Aneurysm

  • Lim, Yong-Cheol;Shin, Yong-Sam;Chung, Joon-Ho
    • Journal of Korean Neurosurgical Society
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    • 제43권1호
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    • pp.21-25
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    • 2008
  • Objective : Both endovascular coil embolization and microsurgical clipping are now firmly established as treatment options for the management of cerebral aneurysms. Moreover, they are sometimes used as complementary approaches each other. This study retrospectively analyzed our experience with endovascular and microsurgical procedures as complementary approaches in treating a single aneurysm. Methods : Nineteen patients with intracranial aneurysm were managed with both endovascular and microsurgical treatments. All of the aneurysms were located in the anterior circulation. Eighteen patients presented with SAH, and 14 aneurysms had diameters of less than 10 mm, and five had diameters of 10-25 mm. Results : Thirteen of the 19 patients were initially treated with endovascular coil embolization, followed by microsurgical management. Of the 13 patients, 9 patients had intraprocedural complications during coil embolization (intraprocedural rupture, coil protrusion, coil migration), rebleeding with regrowth of aneurysm in two patients, residual sac in one patient, and coil compaction in one patient. Six patients who had undergone microsurgical clipping were followed by coil embolization because of a residual aneurysm sac in four patients, and regrowth in two patients. Conclusion : In intracranial aneurysms involving procedural endovascular complications or incomplete coil embolization and failed microsurgical clipping, because of anatomical and/or technical difficulties, the combined and complementary therapy with endovascular coiling and microsurgical clipping are valuable in providing the best outcome.

수입식품 및 국내식품중의 아플라톡신 함유량 조사연구 (A Study on the Aflatoxin B1 Contents in Domestic and Import Foods)

  • 윤미혜;김국주;김종화;조규홍;김세진
    • 환경위생공학
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    • 제13권2호
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    • pp.115-120
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    • 1998
  • This Study was performed to investigate the contents of aflatoxin $B_{1}$ in cereal, pulse, nuts and these products of domestic and import. These results were as follows. 1. Average concentration(in ${\mu}g/kg$) of aflatoxin $B_{1}$ in domestic foods were 2.6 in cereal, 3.9 in pulse, 4.2 in nuts and 1.4 grain products. The contents of aflatoxin B$_{1}$ in pulse and nuts were much higher than those of cereal and grain products. But their values were still within $10{\mu}g/kg$ the maximum residual level of aflatoxin $B_{1}$ for food of Korea. 2. Average contents of aflatoxin $B_{1}$ in import foods were 4.8, 5.4, 6.0, $3.8{\mu}g/kg$ for cereal pulse , nuts and popcorn & peanuts butter, respectively. And these values were found to be below the maximum residual level ($10{\mu}g/kg$) of aflatoxin $B_{1}$ for food of Korea. 3. The concentration of aflatoxin $B_{1}$ in 2 samples of domestic and 9 samples of import foods were over the tolerance limit for aflatoxin $B_{1}$ in food of Korea. Therefore, the hygienic managements of the foods should be required during storage and circulation at market.

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Development of the Korea Ocean Prediction System

  • Suk, Moon-Sik;Chang, Kyung-Il;Nam, Soo-Yong;Park, Sung-Hyea
    • Ocean and Polar Research
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    • 제23권2호
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    • pp.181-188
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    • 2001
  • We describe here the Korea ocean prediction system that closely resembles operational numerical weather prediction systems. This prediction system will be served for real-time forecasts. The core of the system is a three-dimensional primitive equation numerical circulation model, based on ${\sigma}$-coordinate. Remotely sensed multi-channel sea surface temperature (MCSST) is imposed at the surface. Residual subsurface temperature is assimilated through the relationship between vertical temperature structure function and residual of sea surface height (RSSH) using an optimal interpolation scheme. A unified grid system, named as [K-E-Y], that covers the entire seas around Korea is used. We present and compare hindcasting results during 1990-1999 from a model forced by MCSST without incorporating RSSH data assimilation and the one with both MCSST and RSSH assimilated. The data assimilation is applied only in the East Sea, hence the comparison focuses principally on the mesoscale features prevalent in the East Sea. It is shown that the model with the data assimilation exhibits considerable skill in simulating both the permanent and transient mesoscale features in the East Sea.

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잔열 제거용 40 I/min급 환단면 선형유도전자펌프의 설계 (Design of ALIP with Flowrate of 40 I/min for the Removal of Residual Heat)

  • 김희령;남호윤;김용균;최병해;김종만;황종선
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1998년도 추계학술대회 논문집 학회본부A
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    • pp.13-15
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    • 1998
  • EM(Electro Magnetic) pump is used for the purpose of transporting liquid sodium coolant with electrical conductivity in the LMR(Liquid Metal Reactor). In the present study. pilot EM pump has been designed by using of equivalent circuit method which is commonly employed to analyze linear induction machines for the test of removal of residual heat. The length and diameter of the pump have fixed values of 840 mm and 101.6 mm each by taking account of geometrical size of circulation loop for the installation of EM pump. Flowrate versus developing pressure is related from Laithwaite's standard design formula and the characteristic analyses of developing force and efficiency are carried out according to change of input frequency. From the characteristic curve, input frequency of 13 Hz is determined as the design frequency. On the other hand, The annular air gap size of 6.05 mm is selected not to bring about too much hydraulic loss. Resultantly design analysis makes pump have the electrical input of 604 VA and the hydrodynamical capacity of 1.3 bars and 40 l/min.

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개심술시 Activated Clotting Time 을 이용한 Heparin 및 Protamine 양 조절에 관한 임상적 관찰 (Monitoring of Heparin and Protamine Therapy by Activated Clotting Time During Open-Heart Surgery)

  • 김춘동;이성행
    • Journal of Chest Surgery
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    • 제13권4호
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    • pp.346-355
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    • 1980
  • It has been proposed that wide individual variation in response to heparin be not considered in the conventional set protocol for the control of heparin and protamine during extracorporeal circulation. In this paper, two protocol of heparin and protamine therapy were compared to assess the role of the Activated Clotting Time [ACT] in relation to heparin, protamine, and postoperative blood loss and transfusion. The study groups consisted of the 31 patients [adults 15 and children 16] anticoagulated with the conventional heparin protocol and the 31 patients [adults 15 and children 16] anticoagulated with ACT protocol during extracorporeal circulation. In the conventional heparin protocol, two mg of heparin per kg was administered initially with an additional 0.75 mg of heparin per kg every 30 minutes of extracorporeal circulation, and reversal was accomplished with protamine in a dose of 1.5 times the total milligram of heparin. In the ACT protocol, two mg of heparin per kg was administered initially with an additional dose of heparin enough to reach an ACT of 480 seconds [within safe zone 300 to 600 seconds] from the patient`s dose response curve every 1 hour of extracorporeal circulation, and reversal was done with protamine in a dose of 1.3 times the milligram of the residual heparin. The results were summarized as follows. After a dose of 2 mg per kg of heparin, the patient`s ACT varied from 240 to 600 seconds in adults and from 240 t~ 660 seconds in children. In the ACT group the total amount of heparin administered was markedly reduced when compared to the conventional group, and less protamine was required to neutralize heparin. The dose of heparin administered decreased from 7.07 [SE 0.42] mg/kg of the conventional group to 4.92 [SE 0.32] mg/k8 of the ACT group in adults and from 10.17 [SE 1.15] mg/kg to 5.23 [SE 0.24] mg/kg in children, which represent 30.4% and 48.6% decrease respectively. The dose of protamine administered for reversal decreased from 10.6 [SE 0.63] mg/kg of the conventional group to 3.35 [SE 0.35] mg/kg of the ACT group in adults and from 15.7 [SE 1.70] mg/kg to 3.26 [SE 0.27] mg/kg in children, which represent 68.4% and 79.2% respectively. The ratio of protamine to heparin administered in the conventional group was 1.50:1 in adults and 1.54:1 in children, but in the ACT group 0.68:1 in adults and 0.62:1 in children. Postoperative blood loss and transfusion revealed no statistically significant difference between the two groups. Although six patients in the conventional group and one in the ACT group needed re-exploration for continuous hemorrhage, no case of generalized oozing was encountered, and in each case a definite bleeding site was identified. Author would like emphasizing the value of the ACT protocol in controlling heparin and protamine administration during extracorporeal circulation.

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낙동강 하구역의 홍수기 방류에 의한 수로별 유속 잔차 및 염분 분포 (Spatial and Temporal Variability of Residual Current and Salinity Distribution according to Freshwater Discharge during Monsoon in Nakdong River Estuary)

  • 송진일;윤병일;김종욱;임채욱;우승범
    • 한국해안·해양공학회논문집
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    • 제26권3호
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    • pp.184-195
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    • 2014
  • 낙동강 하구역은 하구둑이 건설된 이후, 담수는 갑문 개폐에 의해서 인위적으로 방출되고 해수유입은 하구둑에 의해 억제되어왔다. 이로 인해 인위적인 수문 개방에 의한 해수와 담수의 수렴 및 혼합은 낙동강 하구역의 해수순환에 큰 영향을 미치는 것으로 나타났다. 홍수기 방류 중 낙동강 하구역의 수로별 유동 환경과 하구 흐름 특성을 조사하기 위해 유속 및 염분 관측을 수행하였다. 분석 결과 지형적 특징 및 방류의 영향에 의해 수로별 유속 및 염분 분포 특징이 상이하게 나타났다. 낙동강 하구역의 홍수기 방류에 의한 영향은 각 수로별 잔차유속 및 염분 수직분포에 다르게 작용하며, 지형적 특징은 염분침투 범위에 영향을 미침으로써 상대적으로 고염의 물이 정체되는 구간이 존재한다.

Angiographic Follow-up Result of Cerebral Aneurysms Treated with Coils Covered with Polyglycolic-Polylactic Acid Copolymer

  • Kim, In-Cheol;Chun, Young-Il;Park, Cheol-Wan;Park, Chan-Woo;Lee, Uhn
    • Journal of Korean Neurosurgical Society
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    • 제39권4호
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    • pp.286-291
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    • 2006
  • Objective : We evaluate the effect of the copolymer-coated coils on immediate occlusion of the aneurysm, preventing rupture, and decreasing compaction or re-growth. Methods : Thirty-five aneurysms treated between September 2003 and December 2004 using Matrix detachable coil were reviewed. Study population consisted of 12 men and 23 women ranging in age from 34 to 75 years[mean, 55.1 years]. Twenty-two aneurysms were ruptured and 23 aneurysms were located in the anterior circulation. Follow-up angiography was obtained in 16 patients after 6 months from the procedure. Results : Initial complete occlusion was achieved in 17 aneurysms[48.6%], and the others remained as a residual neck in 8 aneurysms[22.8%] and residual sac in 10 aneurysms[28.6%]. Among these incompletely occluded aneurysms, 7 aneurysms were performed follow-up angiography. And 6 of them converted into complete occlusion. In the other hands, among 17 aneurysms achieved complete occlusion initially, 9 aneurysms were performed follow-up angiography. Recurrence due to coil compaction occurred in one aneurysm and the others maintained complete occlusion. There was one mortality case due to thromboembolic complication. Conclusion : In spite of difficulty in achieving complete occlusion with Matrix coil system, there is no rupture or re-rupture during follow-up period. Follow-up angiography shows many conversions of residual sac into complete occlusion. Embolization using Matrix coil system is safe and effective, but the effects of PGLA copolymer need further investigation.

반폐쇄하구에서의 유동 및 성충구조에 관한 시뮬레이션 (Numerical Simulation in relation with Coastal Current and Stratification of Water at the Semi-enclosed Estuary)

  • 이우철;이중우;박동진
    • 한국항해항만학회지
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    • 제28권6호
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    • pp.565-572
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    • 2004
  • 전차륜느 연안역에서 큰 스케일에서의 물질수송에 대한 관점에서 보면 조류보다 더 중요한 역할을 한다. 이러한 잔차류의 주된 성분은 조석 잔차류이며, 취송류, 밀도류 등도 이 흐름을 변동시키는 중요한 인자들이다. 이러한 연안역의 흐름의 특성을 규명하기 위해서는 3차원 유동모델의 적용이 필수적이다. 본 연구는 하천으로부터 담수유입에 의한 연안수역의 성층화 구조를 다루는데 초점을 두었으며, 이를 위해 3차원 밀도류모델을 적용하여 울산만의 유동을 재현하고, 담수유입에 의한 성층화 구조를 규명하였다. 그 결과 울산만과 같이 담수유입이 존재하는 반폐쇄 하구에서는 표층에서는 만외로 유출하고, 저층에서는 만내로 유입하는 흐름이 발생하였다. 또한 만내방향으로의 바람이 존재하는 경우에는 표층에서는 만내로 유입하는 흐름이, 저층에서는 이에 대한 보상류로 만외로 유출하는 흐름이 발생하는 것을 알 수 있었다. 이러한 해수유동결과는 해양목장 조성을 위한 인공어초투하, 연안표사 제어를 위한 잠제건설, 해저산맥 조성 등으로 인한 연직방향으로의 용승현상에 대한 규명이나 심층수 활용을 위한 기초연구에 적용이 가능할 것으로 사료된다.

Changes of Blood Flow Characteristics due to Catheter Obstruction during the Coronary Angioplasty

  • Suh, Sang-Ho;Roh, Hyung-Woon;Kwon, Hyuck-Moon;Lee, Byoung-Kwon
    • International Journal of Vascular Biomedical Engineering
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    • 제2권1호
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    • pp.25-30
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    • 2004
  • Catheters are used to measure translesional pressure gradients in the stenosed coronary arteries. Uses of catheters during coronary angioplasty cause flow obstructions. A narrowed flow cross section with catheter effectively introduced a tighter stenosis than the enlarged residual stenoses after balloon angiplasty. Catheters in blood vessels cause pressure gradient rise and blood flow drop during the measurements. In this study, three dimensional computer simulations are conducted to investigate the flow blockage effects due to the catheter obstructions during the coronary angioplasty. The computer simulation models are generated by the data, which are measured by coronary angiogram, and the blood is treated as non-Newtonian fluid. The velocity, pressure, and wall shear stress variations are observed for the estimate of damages of blood vessel. This study is also extended to investigate the effects of stenotic vessel size, and shape and catheter size and location.

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고속 소형 어선의 기본선행 개발 (Hull form development of the high speed small fishing boat)

  • 이귀주;좌순원
    • 수산해양기술연구
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    • 제44권1호
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    • pp.68-74
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    • 2008
  • This study is concerned with the development of the basic planing hull form of small fishing boat in 25 knots high speed. A series of model test to determine the optimum performance hull form of actual fishing boat with 10 gross tonnage was carried out for 5 models made available planing hull form in the circulation water channel. Model test was performed with the resistance test to study the hydrodynamic characteristics of model ships and the sinkage and trim measurement to investigate the stability of model ships and also the wave pattern observation to analyze the effectiveness of model ships. As the result, the planing hull form of P-4 with deep V type bow can be derived as the best hull form with good performance especially in ship's resistance efficiency showing less residual resistance and sinkage and trim and the spray effect, etc..