• The Journal of Internal Korean Medicine
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• v.42 no.2
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• pp.122-130
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• 2021

The purpose of this study is to report the effect of Korean medicine treatment on a pressure sore in a stroke patient. An 86-year-old female patient diagnosed with spontaneous intracerebral hemorrhage in the right basal ganglia had symptoms of left hemiparesis, dysphagia, and a 4.5-cm-by-2.5-cm left trochanteric pressure sore. Clinical outcomes were measured using the National Pressure Ulcer Advisory Panel (NPUAP) pressure injury stages, the Agency for Health Care Policy and Research (AHCPR) pressure ulcer stages, and the Braden scales. Treatment with Korean medicine, including acupuncture, herbal medicine, and dressing therapy, significantly improved the trochanteric pressure sore, as reflected by a NPUAP stage change from III to I, an AHCPR stage change from III to I, and a Braden scale change from 13 to 18. These findings suggest that Korean medicine treatment may be effective to treat pressure sores in stroke patients.

• Journal of Korean Neurosurgical Society
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• v.30 no.2
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• pp.144-149
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• 2001

Objective : Spinal nerve root compression occurs commonly in conditions, such as herniated nucleus pulposus, spinal stenosis, intervertebral foraminal stenosis, and trauma. However, the pathophysiolosy of the symptoms and signs related to spinal nerve root compression is poorly understood. The purpose of the present study was to assess and compare the changes of various pressures of intervertebral foraminal pressure before and after decompression. Method : After laminetomy without foraminotomy was performed, pressure sensor tip of Camino parenchymal type was located at the middle-central portion of the intervertebral foramen and anterior portion of nerve root for the foraminal pressure before decompression of the intervertebral foramen. After laminectomy with foraminotomy, the same method was used for the foraminal pressure after decompression. The authors studied 40 consecutive patients (57 disc spaces) with severe constant root pain to the lower leg, pain unrelived by bed rest, and minimal tension signs, diagnosed by MRI. Results : In patients with intervertebral foraminal stenosis, the intraforaminal pressure was decreased from $86{\pm}2.23mmHg$ to $17.1{\pm}1.51mmHg$ and in patients without stenosis, from $55.9{\pm}1.08mmHg$ to $11.9{\pm}1.25mmHg$. All patients below 20mmHg after decompression showed good outcome, but 4 cases who showed poor outcome had foraminal stenosis, posterolateral type of the herniated disc, and above 30mmHg of foraminal pressure after decompression. Conclusion : These findings suggest that if the foraminal pressure falls below 20mmHg after decompression, good outcome can be anticipated. Central type of the herniated disc shows better outcome compared to the posterolateral type.

• Transactions of the Korean hydrogen and new energy society
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• v.17 no.1
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• pp.8-20
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• 2006

For large scale separation hydrogen from different mixing ratio(60/40 and 80/20 vol.%) of hydrogen and methane $1Nm^3/hr$ and $4Nm^3/hr$ 2bed-6step pressure swing adsorption(PSA) process was used, respectively. The effects of the feed gas pressure, adsorption time, the feed flow rate and the P/F(purge to feed) ratio on the process performance were evaluated. In the $1Nm^3/hr$ PSA results, 11 atm adsorption pressure and 0.10 P/F ratio might be optimal values to obtain more than 75 % recovery and 99 % purity hydrogen in these processing. The optimum feed flowrate was 22 LPM and 17 LPM in the ratio 60/40 and 80/20, respectively. In the $4Nm^3/hr$ PSA results, 10 atm adsorption pressure might be simulated values to obtain more than 80 % recovery and 99 % purity hydrogen in these processing.

• Archives of Plastic Surgery
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• v.32 no.4
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• pp.543-546
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• 2005

Pulmonary embolism is a one of the major cause of postoperative death. Surgery predisposes patients to pulmonary embolism, even as late as one month after the operation. The accurate detection of pulmonary embolism remains difficult, and the differential diagnosis is extensive. The prevention of pulmonary embolism is thus of paramount importance. We report a case of pulmonary embolism after coverage of pressure sore on the left ischium on the 8th day after operation. The patient was 60 years old, a severe smoker, in the high quantity of body mass index and had hypertension. The risk factors are 60 years of age or older who were in the highest quantity of body mass index. Heavy cigarette smoking and high blood pressure are also identified as risk factors. Plastic surgeons should keep the probability of pulmonary embolism development after operation in mind. When taking history, the risk factors should be checked certainly. The immobilization may explain the probability of pulmonary embolism development. Therefore absolute bed rest or positional maintenance should be avoided. Until recently, low molecular weight heparin has been used for preoperative prophylaxis. Plastic surgeons should be concerned in low molecular weight heparin for prophylaxis of the pulmonary embolism and study the indications and effectiveness in liposuction or abdominoplasty.

• Magazine of the Korean Society of Agricultural Engineers
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• v.38 no.1
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• pp.79-89
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• 1996

It is expected that the soil hehaviours in the seahed subjected to cyclic wave loads are much different from that on the ground Cyclic shear stresses developed below the ocean bed as a result of a passing wave train may progressively build up pore pressure in certain soils. Such build-up pore pressure may be developed dynamic behaviour such as liquefaction and significant deformation of the seabed. Currently available analytical and testing methods for the seabed subjected to cyclic wave loads are not general. The purpose of the study are to provide a test method in laboratory and to analyse the mechanism of wave-induced stresses and liquefactions potentials of the unsaturated silty marine sand. It is showed that the test set-up made especially for this study delivers exactly oscillatory wave pressures of the form of sine function. Laboratory test results defining the cyclic shear strength of the unsaturated porous medium that is homogenously sedimented. It is understood that the pore water pressure due to induced-waves is not accumulated as the wave number increases but reveals periodical change on the still water surface. The magnitude of the pore water pressure tends to be attenuated radically with a certain time lag under the action of both high and low waves as depth increases.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2009.05a
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• pp.49-52
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• 2009

The response times of monopropellant thrusters at a pulse mode were investigated experimentally as design parameters and feed pressure conditions. Five different model thrusters as injection direction/uniformity, aspect ratio of reactor, volumes of manifold and chamber were designed. As a results, two parameters, aspect ratio and manifold volume, were directly related to response characteristics. Additionally, chugging instability at reaction chamber was observed when pressure drop across the catalyst bed was increased due to high aspect ratio or when low pressure was built at reaction chamber.

• International Journal of Advanced Culture Technology
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• v.6 no.3
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• pp.211-215
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• 2018

Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.

• Geomechanics and Engineering
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• v.18 no.3
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• pp.267-275
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• 2019

Tabriz is a large Iranian city and the capital of the East Azerbaijan province. The bed rock of this city is mainly consisted of marl layers. Marl layers have some outcrops in the northern and eastern parts of city that mainly belong to the Baghmisheh formation. Based on their colors, these marls are classified into three types: yellow, green, and gray marls. The city is developing toward its eastern side wherein various civil projects are under construction including tunnels, underground excavation, and high-rise building. In this regard, the swelling behavior assessment of these marls is of critical importance. Also, in lightweight structures with foundation pressure less than swelling pressure, several problems such as walls cracking and jamming of door and windows may occur. In the present study, physical properties and swelling behavior of Baghmisheh marls are investigated. According to the X-ray diffractometer (XRD) results, the marls are mainly composed of Illite, Kaolinite, Montmorillonite, and Chloride minerals. Type and content of clay minerals and initial void ratio have a decisive role in swelling behavior of these marls. The swelling potential of these marls was investigated using one-dimensional odometer apparatus under stress level up to 10 kPa. The results showed that yellow marls have high swelling potential and expansibility compared to the other marls. In addition, green and gray marls showed intermediate and low swelling potential and swelling pressure, respectively.

• Korean Chemical Engineering Research
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• v.54 no.5
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• pp.678-686
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• 2016

The effect of internal and shroud nozzle distributor to bubbling fluidized beds which has the size of $0.3m-ID{\times}2.4m-high$ column was modeled by CPFD (Computational Particle-Fluid Dynamics). Metal-grade silicon particles (MG-Si) were used as bed materials which have $d_p=149{\mu}m$, ${\rho}_p=2,325kg/m^3$ and $U_{mf}=0.02m/s$. Total bed inventory and static bed height were 75 kg and 0.8 m, respectively. Effect of vertical internal on the bubble rising velocity was investigated. Bubbles were split by internal when the axial position of the internal from the distributor, z = 0.45 m. Bed pressure drop and axial solid holdup were not affected by internal. However, in the case that axial distance of internal from distributor was too close to jet penetration length, bubbles were not separated and bypassed internal, and faster than without internal or z = 0.45 m.

• Membrane Journal
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• v.28 no.4
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• pp.252-259
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• 2018

An acidic, real metal-plating wastewater was treated by a fluidized bed membrane reactor introduced with granular activated carbon (GAC) as fluidized media. With GAC fluidization, there was no increase in suction pressure with time at each flux set-point applied. At neutral solution pH, much less fouling rate was observed than acidic pH under GAC fluidization. Higher solution pH resulted in the increase in particle size in metal-finishing wastewater, thus producing a less dense cake structure on membrane. More than 95% of chemical oxygen demand was observed from the fluidized bed membrane reactor under GAC fluidization. Total suspended solid concentration in membrane permeate was near zero. At the raw wastewater pH, no removal of copper and chromium by the fluidized bed membrane reactor was observed. As the pH was increased to 7.0, removal efficiency of copper and chromium was increased considerably to 99 and 94%, respectively. Regardless of solution pH tested, more than 95% of cyanide was removed possibly due to the strong adsorption of organic-cyanide complex on GAC in fluidized bed membrane reactor.