• 한국윤활학회:학술대회논문집
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• 한국윤활학회 2002년도 proceedings of the second asia international conference on tribology
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• pp.463-464
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• 2002

• Tribology and Lubricants
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• 제19권1호
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• pp.36-42
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• 2003

Nowadays the importance of equipment reliability and efficiency is increasing and the concept of Total Fluid Management is introduced to make production cost down and improve equipment reliability. In this paper, basic survey on the current status of lubricants application and equipment maintenance is made. Lubrication point of the factory was 233 and 60 percent of the point was lubricated by hydraulic oils. Lubricants used at 87 points were different from those of original equipment manufacturers' recommendation. And 40 percent of the points are heavily contaminated. Exchange of oils, use of filter, computerization and so on were recommended. And introduction of Total Fluid Management concept is required.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제1권3호
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• pp.193-204
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• 2012

본 논문에서는 PMIPv6를 기반으로 하는 LC-$GM^2$라는 저비용의 글로벌 이동성관리 아키텍처와 프로토콜 절차를 제안한다. LC-$GM^2$의 구성은 여러PMIPv6 의 로컬 도메인과 계층적 구조로 코어 네트워크로 연결되어 있다. LC-$GM^2$에서 이동성 관리는 도메인 내에서의 모바일 노드(MN)의 이동은 PMIPv6의 이동성관리 방법으로 수행되며 도메인간으로 이동할 때는 홈 네트워크 모바일 액세스 게이트웨이(MAG)가 이동 네트워크의 지역 모바일 앵커(LMA)에 직접 프록시 바인딩 업데이트(PBU)를 수행하여 코어 네트워크(CN)의 게이트웨이를 통한 패킷 전송을 수행하는 네트워크 엔티티 관점으로 수행된다. 분석 모델로 유체 흐름 이동성 모델을 기반으로 위치 업데이트 비용, 패킷 전달 및 총 비용 함수의 다양한 시스템 매개변수의 영향 이용하여 계층적 모바일 IPv6(HMIPv6) 이동성관리 프로토콜과 GPMIP 아키텍처와 비교 분석한다. 수학적 분석의 결과는 다른 글로벌 이동성관리 기법들 간의 비용 분석의 결과를 통하여 제안된 글로벌 이동성관리 기법(LC-$GM^2$)이 전체적인 비용측면에서 상당히 우수하다는 것을 보여준다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권4호
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• pp.356-365
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• 2020

Purpose: There have been many efforts to develop generalizable severity markers in children with acute pancreatitis (AP). Expert opinion panels have developed consensus guidelines on management but it is unclear if these are sufficient or valid. Our study aims to assess the effect of clinical and laboratory variables, in addition to treatment modality on hospital length of stay (LOS) as a proxy variable for severity in pediatric patients admitted with AP. Methods: We conducted a retrospective chart review of patients between ages of 0-18 years, who were admitted with AP at 2 institutions between 2013-2018, John R. Oishei Children's Hospital (Buffalo, NY, USA) and Medical University of South Carolina Children's Hospital (Charleston, SC, USA). We constructed three linear regression models to analyze the effect of clinical signs of organ dysfunction, laboratory markers and fluid intake on hospital LOS. Results: Ninety-two patients were included in the study. The mean age was 12 years (range, 7.6-17.4 years), 55% were females, and median LOS was 3 days. The most frequent cause of AP was idiopathic. Our study showed that elevated blood urea nitrogen (BUN) on admission (p<0.005), tachycardia that lasted for ≥48 hours (p<0.001) and need for fluid resuscitation were associated with increase LOS. Total daily fluid intake above maintenance did not have a significant effect on the primary outcome (p=0.49). Conclusion: Elevated serum BUN on admission, persistent tachycardia and need for fluid resuscitation were associated with increase LOS in pediatric AP. Daily total fluid intake above recommended maintenance did not reduce LOS.

• International Journal of Fluid Machinery and Systems
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• 제2권2호
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• pp.172-178
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• 2009

This paper reports on an investigation (using RSM with commercial CFD software) of the performance characteristics of the impeller in a centrifugal pump. Geometric parameters of vane plane development were defined with the meridional shape and frontal view of the impeller. The parameters are focused on the blade-angle distributions through the impeller in a fixed meridional geometry. For screening, a $2^k$ factorial design has been used to identify the important design parameters. The objective functions are defined as the total head rise and the total efficiency at the design flow-rate. From the $2^k$ factorial design results, it is found that the incidence angles and the exit blade angle are the most important parameters influencing the performance of the pump.

• Neurospine
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• 제15권4호
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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.

• 한국간담췌외과학회지
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• 제28권1호
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• pp.80-91
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• 2024

Backgrounds/Aims: Optimal intravenous fluid management during the perioperative period for patients undergoing pancreaticoduodenectomy (PD) within the framework of enhanced recovery after surgery (ERAS) is unclear. Studies have indicated that excessive total body salt and water can contribute to the development of oedema, leading to increased morbidity and extended hospital stays. This study aimed to assess the effects of an intravenous therapy regimen during postoperative day (POD) 0 to 2 in PD patients within ERAS. Methods: A retrospective interventional cohort study was conducted, and it involved all PD patients before and after implementation of ERAS (2009-2017). In the ERAS group, a targeted maintenance fluid regimen of 20 mL/kg/day with a sodium requirement of 0.5 mmoL/kg/day was administered. Outcome measures included the mmol of sodium and chloride administered, length of stay, and morbidity (postoperative pancreatic fistula, POPF; acute kidney injury, AKI; ileus). Results: The study included 169 patients, with a mean age of 64 ± 11.3 years. Following implementation of the intravenous fluid therapy protocol, there was a significant reduction in chloride and sodium loading. However, in the multivariable analysis, chloride administered (mmoL/kg) did not independently influence the length of stay; or rates of POPF, ileus, or AKI (p > 0.05). Conclusions: The findings suggested that a postoperative intravenous fluid therapy regimen did not significantly impact morbidity. Notably, there was a trend towards reduced length of stay within an increasingly comorbid patient cohort. This targeted fluid regimen appears to be safe for PD patients within the ERAS program. Further prospective research is needed to explore this area.

• Asian Pacific Journal of Cancer Prevention
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• 제14권2호
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• pp.1027-1030
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• 2013

Background: Peritoneal washing cytology (PWC) that shows the microscopic intra-peritoneal spread of gynaecologic cancers is not used in staging but is known as prognostic factor and effective in planning the intensity of the therapy. False negative or false positive results clearly affect the ability to make the best decision for therapy. In this study we assessed levels of tumour markers, carcinoembryonic antigen (CEA), cancer antigen 125 (CA-125) and carbohydrate antigen (CA19-9), in peritoneal washing fluid to establish any possible contribution to the peritoneal washing cytology in patients operated for gynaecologic cancer. Materials and Methods: Preoperative tumour markers were studied in serum of blood samples obtained from the patients for preoperative evaluation of a gynaecologic operation. In the same group peritoneal tumour markers were studied in the washing fluid obtained for intraoperative cytological evaluation. Results: This study included a total of 94 patients, 62 with malignant and 32 with benign histopathology. The sensitivity of the cytological examination was found to be 21% with a specificity of 100%. When evaluated with CEA the sensitivity of the cytological examination has increased to 37%. Conclusions: In addition to examination of PWC, the level of CEA, a tumour marker, in peritoneal washing fluid can make a diagnostic contribution. Determining the level of CEA in peritoneal washing fluid will be useful in the management of gynaecologic cancers.

• 동의생리병리학회지
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• 제22권2호
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• pp.481-486
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• 2008

Hiccup is one of common symptoms clinically and caused by various etiologies. We have tried researching the effect of herbal medicines(Taeumjowi-tang) to treat a Taeumin patient with severe hiccup, who is presumed cerebral vascular disease, and evaluated hiccup's a time in a minute and hiccup's total time in a day. The symptoms, not only the patient's hiccup, also his general condition including the dysphagia and right side hemiparesisis, are improved considerably. The constitutional treatment with Taeumin herbal medicines(Taeumjowi-tang) may have an effect on the management of hiccup by control of Qi and Fluid Metabolism.

• 공업화학
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• 제24권3호
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• pp.274-278
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• 2013

자동변속기유(ATF)는 자동차의 자가변속 또는 자동변속에 사용되는 동력전달 유체로서 최근 자동차사에서는 무점검 무교환 또는 80000~100000 km를 주행한 뒤, 교체하도록 권장하고 있다. 하지만 한국석유관리원의 설문조사에 의하면 많은 운전자들이 50000 km 이하에서 자동변속기유를 교환하고 있으며, 이는 차량유지비의 증가 및 폐유에 의한 환경오염으로까지 발전될 수 있다. 본 연구에서는 신유와 실제 차량 주행 후 회수된 사용유(50000 km, 100000 km)에 대한 대표적 물성으로서 인화점, 동점도, 저온점도특성, 전산가, 윤활성 등에 대해 분석하였다. 분석결과 기포성을 제외한 모든 물성이 신유규격에 적합하였으며, 50000 km와 100000 km 주행 후 회수된 자동변속기유의 물성차이는 크지 않았다. 따라서 자동차사에서 권장하고 있는 교환주기(80000 km 이상)에서 자동변속기유를 교환하여도 큰 문제가 없을 것이라 판단되며, 이로 인해 비용절감 및 환경오염 방지에 기여할 수 있을 것이라 사료된다.