• Title/Summary/Keyword: vessel pressure

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Emergency bleeding control in a mentally retarded patient with active oral and maxillofacial bleeding injuries: report of a case (구강악안면 손상 후 과도한 출혈을 보인 정신지체 응급환자에서 신속지혈 예: 증례보고)

  • Mo, Dong-Yup;Yoo, Jae-Ha;Choi, Byung-Ho;Sul, Sung-Han;Kim, Ha-Rang;Lee, Chun-Ui
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.303-308
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    • 2010
  • Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal and gastric aspiration and hypovolemic shock. Therefore, the rapid and correct bleeding control is very important for saving lives in the emergency room. Despite the conventional bleeding control methods of wiring (jaw fracture, wound suture and direct pressure), continuous bleeding can occur due to the presence of various bleeding disorders. There are five main causes for excessive bleeding disorders in the clinical phase; (1) vascular wall alteration (infection, scurvy etc.), (2) disorders of platelet function (3) thrombocytopenic purpura (4) inherited disorders of coagulation, and (5) acquired disorders of coagulation (liver disease, anticoagulant drug etc.). In particular, infections can alter the structure and function of the vascular wall to a point at which the patient may have a clinical bleeding problem due to vessel engorgement and erosion. Wound infection is a frequent cause of postoperative active bleeding. To prevent postoperative bleeding, early infection control using a wound suture with proper drainage establishment is very important, particularly in the active bleeding sites in a contaminated emergency room. This is a case report of a rational bleeding control method by rapid wiring, wound suture with drainage of a rubber strip & iodoform gauze and wet gauze packing, in a 26-year-old male cerebral palsy patient with active oral and maxillofacial bleeding injuries caused by a traffic accident.

Sensitivity Analysis of Finite Element Parameters for Estimating Residual Stress of J-Groove Weld in RPV CRDM Penetration Nozzle (원자로 CRDM 관통노즐 J-Groove 용접부 잔류응력 예측을 위한 유한요소 변수 민감도 해석)

  • Bae, Hong-Yeol;Kim, Ju-Hee;Kim, Yun-Jae;Oh, Chang-Young;Kim, Ji-Soo;Lee, Sung-Ho;Lee, Kyoung-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.36 no.10
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    • pp.1115-1130
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    • 2012
  • In nuclear power plants, the reactor pressure vessel (RPV) upper head control rod drive mechanism (CRDM) penetration nozzles are fabricated using J-groove weld geometry. Recently, the incidences of cracking in Alloy 600 CRDM nozzles and their associated welds have increased significantly. The cracking mechanism has been attributed to primary water stress corrosion cracking (PWSCC), and it has been shown to be driven by welding residual stresses and operational stresses in the weld region. The weld-induced residual stress is the main factor contributing to crack growth. Therefore, an exact estimation of the residual stress is important for ensuring reliable operation. This study presents the residual stress computation performed for an RPV CRDM penetration nozzle in Korea. Based on two and three dimensional finite element analyses, the effect of welding variables on the residual stress variation is estimated for sensitivity analysis.

Clinical Study of the Floating-Sinking Pulse Quantification Analysis on Ages, Left/Right, and Palpation Positions (20/60대 여성을 중심으로 살펴본 좌우 촌관척 부/침맥 정량화 임상연구)

  • Kim, Jae-Uk;Kim, Sung-Hun;Jeon, Young-Ju;Ryu, Hyun-Hee;Lee, Yu-Jung;Lee, Hae-Jung;Kim, Jong-Yoel
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1193-1198
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    • 2009
  • Pulse diagnosis is a central diagnosis method used in traditional Oriental medicine. To standardize and modernize the pulse diagnosis method, it is essential to develop an instrument-based reinterpretation of the clinically used pulse images in terms of the physical quantities such as the strength, period, width, length, and depth of the pulse. As a step towards such standardization, we conducted a clinical study on the floating/sinking pulses based on an automated palpation instrument (3D-MAC, Daeyo Medi, Korea) for 213 female subjects in their 20s and 174 female subjects in their 60s. The floating/sinking pulses are the two representative pulse images depending only on the depth of the pulse, and can be conveniently scaled by the coefficient of the floating-sinking pulse ($C_{fs}{\in}(0,1)$), which represents how strong one should apply the hold-down pressure to obtain the maximal pulse strength. As a result, primarily we found that it tends to appear more floating-like pulse ($C_{fs}{\rightarrow}0$) at Gwan and more sinking-like pulse ($C_{fs}{\rightarrow}1$) at Cheek, at both age groups and at both wrists. This result is consistent with a previous study on the geometrical structure of the blood vessel by an ultrasonograph. Second, the pulse tends to be more sinking-like in the age group of 60s than 20s. Finally, the pulses at the right palpation positions were found to be more sinking-like than the left, at both age groups.

The Development of the Anchor Dragging Risk Assessment Program (선박 주묘 위험성 판별 프로그램 개발에 관한 연구)

  • Kim, Joo-Sung;Park, Jun-Mo;Jung, Chang-Hyun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.6
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    • pp.646-653
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    • 2018
  • Marine accidents caused by dragging anchors occur constantly due to enlargement of ships' size and unusual weather conditions. Nevertheless, vessel operators rely on their experience because the calculations of actual holding power and external forces are complex and inconvenient. The purpose of this study was to propose a program for the anchor dragging risk assessment in order to provide crew and VTSO with the information to determine easily the danger of dragging and take appropriate action. The input data in this program were composed of the ship's basic particulars, anchoring condition, and external environment etc. on calculating for the wind pressure, frictional force, drift force, and holding power. Three dragging anchor accidents were applied to the program's data input at the time of the day, then the result was assessed by 'warning', which was verified with a high confidence. As a result, the risk of dragging anchors can be predicted in advance through this program. In further studies, it is necessary to simplify the input data and improve user convenience through automatic input from various equipment.

Hazard Distance from Hydrogen Accidents (수소가스사고의 피해범위)

  • Jo, Young-Do
    • Journal of the Korean Institute of Gas
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    • v.16 no.1
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    • pp.15-21
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    • 2012
  • An analysis was completed of the hazards distance of hydrogen accidents such as jet release, jet fire, and vapor cloud explosion(VCE) of hydrogen gas, and simplified equations have been proposed to predict the hazard distances to set up safety distance by the gas dispersion, fire, and explosion following hydrogen gas release. For a small release rate of hydrogen gas, such as from a pine-hole, the hazard distance from jet dispersion is longer than that from jet fire. The hazard distance is directly proportional to the pressure raised to a half power and to the diameter of hole and up to several tens meters. For a large release rate, such as from full bore rupture of a pipeline or a large hole of storage vessel, the hazard distance from a large jet fire is longer than that from unconfined vapor cloud explosion. The hazard distance from the fire may be up to several hundred meters. Hydrogen filling station in urban area is difficult to compliance with the safety distance criterion, if the accident scenario of large hydrogen gas release is basis for setting up the safety distance, which is minimum separation distance between the station and building. Therefore, the accident of large hydrogen gas release must be prevented by using safety devices and the safety distance may be set based on the small release rate of hydrogen gas. But if there are any possibility of large release, populated building, such as school, hospital etc, should be separated several hundred meters.

Effect of fuel injection timing on the combustion and NOx emission characteristics in a single cylinder diesel engine applied with diesel fuel for naval vessel and biodiesel (함정용 디젤 연료와 바이오디젤 연료를 적용한 단기통 디젤엔진에서 연료분사시기가 연소 및 질소산화물 배출특성에 미치는 영향)

  • Lee, Hyungmin
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.6
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    • pp.681-687
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    • 2014
  • The objective of this work presented here was focused on analysis of in-cylinder combustion characteristic, engine performance, and nitrogen oxides emission characteristic from marine gas oil for propulsion diesel engine of naval vessels and biodiesel with fuel injection timing in a single cylinder diesel engine. In addition, combustion process was analyzed with a high speed camera of marine gas oil and biodiesel fuel. Retarding the fuel injection timing from $BTDC25^{\circ}CA$ to $BTDC5^{\circ}CA$, in cylinder peak combustion pressure was gradually decreased, however, engine torque showed a tendency to increase. The highest nitrogen oxides level was measured at $BTDC15^{\circ}CA$, they were reduced at retarded and advanced condition on the basis of $BTDC15^{\circ}CA$. Comparing with combustion process of marine gas oil and biodiesel fuel at $BTDC5^{\circ}CA$, self-ignition timing of biodiesel fuel included oxygen content was faster than marine gas oil, however, a cautious observation indicates a slightly higher flame intensity for marin gas oil than biodiesel as a diffusion flame is developing.

Experimental Study of SBLOCA Simulation of Safety-Injection Line Break with Single Train Passive Safety System of SMART-ITL (SMART-ITL 1 계열 피동안전계통을 이용한 안전주입배관 파단 소형냉각재상실사고 모의에 대한 실험적 연구)

  • Ryu, Sung Uk;Bae, Hwang;Ryu, Hyo Bong;Byun, Sun Joon;Kim, Woo Shik;Shin, Yong-Cheol;Yi, Sung-Jae;Park, Hyun-Sik
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.40 no.3
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    • pp.165-172
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    • 2016
  • An experimental study of the thermal-hydraulic characteristics of passive safety systems (PSSs) was conducted using a system-integrated modular advanced reactor-integral test loop (SMART-ITL). The present passive safety injection system for the SMART-ITL consists of one train with the core makeup tank (CMT), the safety injection tank, and the automatic depressurization system. The objective of this study is to investigate the injection effect of the PSS on the small-break loss-of-coolant accident (SBLOCA) scenario for a 0.4 inch line break in the safety-injection system (SIS). The steady-state condition was maintained for 746 seconds before the break. When the major parameters of the target value and test results were compared, most of the thermal-hydraulic parameters agreed closely with each other. The water level of the reactor pressure vessel (RPV) was maintained higher than that of the fuel assembly plate during the transient, for the present CMT and safety injection tank (SIT) flow rate conditions. It can be seen that the capability of an emergency core cooling system is sufficient during the transient with SMART passive SISs.

Comparison of Diagnostic Accuracy for Detecting Coronary Artery Disease of Dipyridamole $^{99m}Tc$-MIBI Myocardial SPECT and It's Defect Map between Men and Women (디피리다몰 부하 $^{99m}Tc$-MIBI 심근 SPECT 극성결손지도를 이용한 관동맥질환 진단의 남녀 비교)

  • Bae, Sang-Kyun;Lee, Dong-Soo;Oh, Byung-Hee;Chung, June-Key;Lee, Myoung-Mook;Park, Young-Bae;Lee, Myung-Chul;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.1
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    • pp.59-64
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    • 1993
  • To evaluate the usefulness and differences in diagnosing coronary artery disease (CAD) between men and women of intravenous dipyridamole $^{99m}Tc$-MIBI myocardial SPECT, we obtained $^{99m}Tc$-MIBI myocardial SPECT and compared with the findings of coronary angiographies. Ninety eight male and 37 female patients who underwent dipyridamole $^{99m}Tc$-MIBI myocardial imaging within one month of cardiac catheterization were studied. Scans were considered abnormal if perfusion defect was detected and the defect size was more than 12% for left anterior descending artery (LAD) and circumflex (LCX) and 8% for right coronary artery (RCA) territories. Lesions${\geqq}$50% luminal diameter narrowing were considered significant CAD. Overall sensitivity for detection of CAD was 94.3% in men and 96.4% in women; specificity was 70% in men and 52.6% in women (P=not significant, ns). Vessel-matched sensitivity was 75.3% in men and 72.7% in women (P=ns): specificity was 84.6% in men and 67.9% in women (P < 0.025). For individual coronary artery, the sensitivity in men and women was 87.7%, 81.8% for LAD; 78%, 83.3% for RCA and 52.2%, 46.7% for LCX (P=ns): the specificity was 80%, 40% for LAD (P<0.01), 82.5%, 68.4% for RCA, 88.9%, 86.4% for LCX (P=ns). The hemodynamic parameter after intravenous dipyridamole in men and women were significantly changed; the heart rate was increased and systolic, diastolic blood pressure was decreased. Adverse effects were reported in 58.8% of men and 72.7% in women (P=ns). The incidence of chest pain and headache were higher in women. There was no significant difference in the incidences of nausea, abdominal pain, dizziness, facial flushing, dyspnea. In conclusion, dipyridamole $^{99m}Tc$-MIBI myocardial SPECT is a safe, noninvasive test for evaluation of CAD. There was no gender difference to detect CAD, but more false-positive rate in women especially in the territory of LAD.

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Effect of the Visually Handicapped's Participation in an Aerobic Exercise Program on Cardiorespiratory Function and Arterial Pulse Wave (유산소 운동프로그램 참여가 시각장애인의 호흡순환기능 및 동맥파속도에 미치는 영향)

  • Kim, Won-Hyun;Kim, Seung-Suk
    • Journal of Digital Convergence
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    • v.11 no.3
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    • pp.337-344
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    • 2013
  • This research has been conducted to determine the effect that the visually handicapped's participation in an aerobic exercise program has on cardiorespiratory function and arterial pulse wave. The subjects of this research were 20 people who have a 1st degree visual impairment. They recognized the purpose of this research and agreed to take part in it. After receiving agreements from their guardians, we divided them into an exercise group of 10 and a comparison group of 10 at random. The exercise group conducted a 50-70%HRmax treadmill exercise for 60 minutes a day, five times a week, for 12 weeks, including warm up and warm down exercises. We then conducted a two-way repeated ANOVA, which regards the period of exercise and the two groups as independent variables. The follow-up verification for exercise periods according to each group was carried out with a paired t-test. The statistical significance level was p<.05. The following are the results of this research. First, the weight and body fat of the experiment group after exercise show a meaningful reduction compared to before the exercise program (p<.05).Second, the VO2max, HRmax, and VEmax of the experiment group after exercise show a meaningful increase compared to before the exercise program (p<.05). Third, the arterial pulse wave of the experiment group after exercise display a meaningful increase compared to before the exercise program (p<.05). Fourth, the systolic blood pressure of the experiment group after exercise does not show a meaningful reduction compared to before the exercise program (p>.05). These results prove that the visually handicapped's participation in an aerobic exercise program is effective in the improvement of their cardiorespiratory function, bloodstream circulation function and blood vessel function.

A Study on the Applicability of Ultrasonic to Improve Quality of Fuel Blended in Vessels (선내 제조된 혼합연료 품질 개선을 위한 초음파 적용 가능성에 관한 연구)

  • Choi, Jung-Sik;Ju, Hae-Ji;Han, Won-Heui
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.1
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    • pp.98-103
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    • 2017
  • In this study, contributes to improving the state of this problem using cavitation by ultrasonic energy to reduce fuel costs, which take up a considerable part of ship operation costs, by making the use of on-board blended fuel oil more stable. An experiment simulating on-board blending methods was completed. Fuel (M.G.O & MF-180) was mixed at a volume ratio of 0.25:0.75 and, 0.75:0.25, and the effect of ultrasonic energy on blended fuel oil was examined after applying ultrasonic energy to blended fuel oil using an ultrasonic treatment unit. With the results, we confirmed the blending problem reported by vessels and residual carbon was reduced by up to 28.4%. In addition, based on the results for reduction of residual carbon content and dispersion stability, it was confirmed that the collapse pressure of the cavity due to the ultrasonic energy was effective to atomization of fuel particle and the temporary availability of mixed fuel containing a heavy fuel increased.