• Title/Summary/Keyword: Bladder Pressure

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The Development of a Cuff for the Accuracy Enhancement of the Sphygmomanometer

  • Kim, Won-Ki;Shin, Ki-Young;Mun, Joung-Hwan
    • International Journal of Precision Engineering and Manufacturing
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    • v.7 no.2
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    • pp.30-35
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    • 2006
  • The purpose of this study is to develop a new cuff to improve the accuracy of blood pressure measurement, and to evaluate the performance of the developed system. We added a small bladder to the normal cuff, which we refer to as the double bladder system. The system that we developed for blood pressure measurement was based on the oscillometric method using a double bladder. This system was developed in order to reduce the oscillation noise and to amplify the signal of pure blood pressure. An oscillometric signal database based on the developed system was evaluated according to the ANSI/AAMI/SP10-1992 standard. The correlation coefficients between the cuff of the double bladder and the normal cuff were 0.98 for systolic pressure and 0.94 for diastolic pressure. The mean differences and the standard deviations between the average blood pressure obtained from a mercury manometer and that obtained from an automated sphygmomanometer were -0.7mmHg and 4.9mmHg for systolic, and -1.4mmHg and 5.4mmHg for diastolic pressure. We conclude that the proposed double bladder-based cuff system improves the accuracy of oscillometric blood pressure measurement. The developed system reduces the range of error by about $44{\sim}62%$ for systolic pressure and about $6{\sim}21%$ for diastolic pressure compared to the most recently developed, commercially available sphygmomanometers.

A Study on the Curing Bladder Shaping of Tire by Finite Element Method Using Contact Element (접촉요소를 이용한 유한요소법에 의한 타이어 가류브레더 팽창거동에 관한 연구)

  • Kim, Hang-Woo;Hwang, Gab-Woon;Cho, Kyu-Zong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.3
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    • pp.378-384
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    • 1997
  • In curing process of tire, contact and slip occurs between green tire and curing bladder. The curing process is a critical step in the manufacture of tires. In this investigation, curing bladder shaping is examined using a finite element method. Specifically, a finite element model between the inner part of green tire and the outer part of curing bladder is generated using contact element and curing bladder is generated using incompressible element. Numerical analysis are performed on two different bladder types, different overall outer diameters of curing bladder and different heights of curing bladder. Numerical results show that contact pressure is increased by using toroidal type of curing bladder, increasing overall diameter and increasing height of curing bladder. To obtain natural equilibrium carcass line, there is a requirement in increasing contact pressure of the section between side and bead.

Air Pressure Regulation in Air Bladders of Ascophyllum nodosum(Fucales, Phaeophyceae)

  • Brackenbury, Angela M.;Kang, Eun-Ju;Garbary, David J.
    • ALGAE
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    • v.21 no.2
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    • pp.245-251
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    • 2006
  • Diurnal and age-related changes in air pressure were measured in air bladders of Ascophyllum nodosum from the Atlantic coast of Nova Scotia. Exterior and interior bladder volumes vary significantly with 4 and 6 y bladders being about 40% larger than 2 y bladders (p < 0.01). Freshly collected bladders yielded a mean pressure of 40.8 ± 6.5 cm H2O. Overnight (20 h) dark treatment at 15°C generated pressure reductions by 80% in 2 y bladders but only by about 30% in 4 and 6 y bladders. Furthermore, in 2 y bladders 8 out of 11 bladders were reduced to atmospheric pressure. Pressure losses were inversely related to pressure recovery after 2.5 h in natural daylight, but after 5 h in daylight there was no significant difference in pressure within the age groups. Even under 25% of full illumination, bladders inflated to full pressure after 5 h. The results show that differences in bladder age and bladder wall thickness have roles in diurnal patterns of bladder inflation and deflation. These results confirm that bladder inflation is based on photosynthetic O2 production and not on partial pressures of O2 in the surrounding medium as was suggested for Sargassum. Chemical analyses of fluid recovered after the interior of bladders were washed with saline showed no evidence for the occurrence of surfactant that might be responsible for maintaining the air-liquid interface.

The Development of a Cuff for the Accuracy Enhancement of Sphygmomanometer (전자 혈압계의 정확도 향상을 위한 가압대 개발)

  • Kim Won Ki;Shin Ki Young;Mun Joung Hwan
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.5 s.170
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    • pp.181-188
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    • 2005
  • The purpose of this study is to develop the new cuff improving the accuracy of blood pressure measurement, and to evaluate the performance of the developed system. We added a small bladder to the normal cuff which is called the double bladder system. The developed system for blood pressure measurement was based on the oscillometric method using a double bladder. This system was developed in order to reduce the oscillation noise and to amplify the signal of pure blood pressure An oscillometric signal database based on the developed system were evaluated following the standard ANSI/AAMI/SP10-1992. The correlation coefficients between cuff of double bladder and normal cuff were 0.98 for systolic and 0.94 for diastolic. Mean differences and the standard deviations between average blood pressure of mercury sphygmomanometer and automated sphygmomanometer were -0.7mmHg and 4.9mmHg for systolic, and -1.4mmHg and 5.4mmHg for diatolic, respectively. We conclude that the proposed double bladder based cuff system improves the accuracy of the oscillometric blood pressure measurement. The developed system reduces the error range about $44\~62\%$ for systolic and about $6\~21\%$ for diastolic compared to the recently developed commercially available sphygmomanometers.

Study for portable bladder function monitoring system (휴대용 방광기능 검사 장치에 대한 연구)

  • Kim, K.S.;Lee, S.O.;Lee, G.S.;Lee, T.H.;Kim, G.H.;Kim, H.J.;Jang, C.H.;Yoon, S.I.;Kim, C.H.;Chae, H.C.;Song, C.G.
    • Proceedings of the KIEE Conference
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    • 2005.10b
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    • pp.379-381
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    • 2005
  • Urodynamics describes a collection of tests designed to evaluate lower urinary tract function and can be performed using retrograde filling of the bladder within a room. In this study, we designed and calibrated the potable urodynamics monitoring system using DSP chip (TMS320VC33, Texas InstrumentTM, U.S.) and obtained signals of bladder(Pves) and bladder neck pressure(Pneck) and EMG using calibration kit (DPT9022K0122, MedtronicsTM, U.s,). This system monitor spontaneous urination during daily life and can make patients more comportable.

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A Non-Invasive Ultrasonic Urinary Bladder Internal Pressure Monitoring Technique: Its Theoretical Foundation and Feasibility Test (비침습적 초음파 방광 내압 측정 기술: 이론적 기초 및 실현 가능성 평가)

  • Choi, Min Joo;Kang, Gwan Suk;Lee, Kang Il
    • Journal of the Korean Society for Nondestructive Testing
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    • v.32 no.5
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    • pp.526-539
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    • 2012
  • A new approach was proposed in this article, named, a non-invasive ultrasonic method to monitor the urinary bladder internal pressure which can resolve the shortcomings of the existing methods. The proposed method makes use of acoustic cavitation. It is based on a physical phenomenon that an extracorporeal high intensity focused ultrasonic pulse generates bubbles inside the urinary bladder and the dynamic properties of the bubbles are related to the urinary bladder internal pressure. The article presents the theoretical foundation for the proposed technique and verifies its feasibility with preliminary experimental data. The suggested ultrasonic urinary bladder internal pressure monitoring method is non-invasive and can be used any time regardless of sex and age, so that it will be of a great benefit to the diagnosis and therapy of urination related diseases.

Urethral Pressure Measurement as a Tool for the Urodynamic Diagnosis of Detrusor Sphincter Dyssynergia

  • Corona, Lauren E.;Cameron, Anne P.;Clemens, J. Quentin;Qin, Yongmei;Stoffel, John T.
    • International Neurourology Journal
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    • v.22 no.4
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    • pp.268-274
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    • 2018
  • Purpose: To describe a technique for urodynamic diagnosis of detrusor sphincter dyssynergia (DSD) using urethral pressure measurements and examine potential associations between urethral pressure and bladder physiology among patients with DSD. Methods: Multiple sclerosis (MS) and spinal cord injured (SCI) patients with known DSD diagnosed on videourodynamics (via electromyography or voiding cystourethrography) were retrospectively identified. Data from SCI and MS patients with detrusor overactivity (DO) without DSD were abstracted as control group. Urodynamics tracings were reviewed and urethral pressure DSD was defined based on comparison of DSD and control groups. Results: Seventy-two patients with DSD were identified. Sixty-two (86%) had >20 cm $H_2O$ urethral pressure amplitude during detrusor contraction. By comparison, 5 of 23 (22%) of control group had amplitude of >20 cm $H_2O$ during episode of DO. Mean duration of urethral pressure DSD episode was 66 seconds (range, 10-500 seconds) and mean urethral pressure amplitude was 73 cm $H_2O$ (range, 1-256 cm $H_2O$). Longer (>30 seconds) DSD episodes were significantly associated with male sex (81% vs. 50%, P=0.013) and higher bladder capacity (389 mL vs. 219 mL, P=0.0004). Urethral pressure amplitude measurements during DSD were not associated with significant urodynamic variables or neurologic pathology. Conclusions: Urethral pressure amplitude of >20 cm $H_2O$ during detrusor contraction occurred in 86% of patients with known DSD. Longer DSD episodes were associated with larger bladder capacity. Further studies exploring the relationship between urethral pressure measurements and bladder physiology could phenotype DSD as a measurable variable rather than a categorical observation.

Development of Internal Pressure Maintenance Equipment with Multi-layer Construction Bladder (다층구조 블래더를 이용한 내압제한장치 개발)

  • Baek, Nak-Gon;You, Gyong-Won;Jang, Ki-Won;Jun, Pil-Sun;Ha, Byoung-Geun;Lee, Beom-Cheol
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2009.05a
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    • pp.335-337
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    • 2009
  • Internal Pressure Maintenance Equipment absorbs internal pressure variation for it's storage has developed. The bladder ; main item of Internal Pressure Maintenance Equipment, has developed with multi-layer to prevent a penetration and to improve durability. And durability test and environment test was carried out to verify the performance in the condition that could be happened in storage or operation.

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Urinary bladder rupture during voiding cystourethrography

  • Lee, Kyong-Ok;Park, Se-Jin;Shin, Jae-Il;Lee, Suk-Young;Kim, Kee-Hyuck
    • Clinical and Experimental Pediatrics
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    • v.55 no.5
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    • pp.181-184
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    • 2012
  • Voiding cystourethrography (VCUG) is a commonly performed diagnostic procedure for the evaluation of vesicoureteral reflux with urinary tract infection or congenital renal diseases in children. The procedure is relatively simple and cost-effective, and complications are very rare. The iatrogenic complication of VCUG range from discomfort, urinary tract infection to bacteremia, as well as bladder rupture. Bladder rupture is a rare complication of VCUG, and only a few cases were reported. Bladder rupture among healthy children during VCUG is an especially uncommon event. Bladder rupture associated with VCUG is usually more common in chronically unused bladders like chronic renal failure. Presented is a case of bladder rupture that occurred during a VCUG in a healthy 9-month-old infant, due to instilled action of dye by high pressure. This injury completely healed after 7 days of operation, and it was confirmed with a postoperative cystography. The patient's bladder volume, underlying disease, velocity of the contrast media instilled, catheter size, and styles of instillation are important factors to prevent bladder rupture during VCUG. Management of bladder rupture should be individualized, but the majority of infants are treated with the operation. In conclusion, bladder rupture is a rare complication, however, delicate attention is needed in order to prevent more dire situations.

Sacral Block with Phenol in Hyperreflexic Bladder Patient (과반사성 방광 환자에서 페놀에 의한 천골신경 차단)

  • Lee, Won-Hyung;Shin, Hyo-Cheul;Yoon, Kun-Joong
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.357-362
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    • 1995
  • Percutaneous/intrathecal chemical neurolysis of sacral nerve with 12% phenol was performed on 13 cases of hyperreflexic bladder to augment bladder capacity and to reduce bladder pressure. Urodynamic evaluations were done before and after chemical neurolysis. Mean bladder capacity increased significantly after chemical neurolysis (from 171.4 ml to 375 ml). No significant changes in bowel or injection sites were noted. The result suggests that the chemolysis of sacral nerve was available modality for hyperreflexic bladder patients, who did not respond to anticholinergic medication, before decide the more aggressive alternatives such as augmentation cystoplasty or urinary diversion.

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