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The Effect of External PEEP on Work of Breathing in Patients with Auto-PEEP (Auto-PEEP이 존재하는 환자에서 호흡 일에 대한 External PEEP의 효과)

  • Chin, Jae-Yong;Lim, Chae-Man;Koh, Youn-Suck;Park, Pyung-Whan;Choi, Jong-Moo;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.201-209
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    • 1996
  • Background : Auto-PEEP which develops when expiratory lung emptying is not finished until the beginning of next inspiration is frequently found in patients on mechanical ventilation. Its presence imposes increased risk of barotrauma and hypotension, as well as increased work of breathing (WOB) by adding inspiratory threshold load and/or adversely affecting to inspiratory trigger sensitivity. The aim of this study is to evaluate the relationship of auto-PEEP with WOB and to evaluate the effect of PEEP applied by ventilator (external PEEP) on WOB in patients with auto-PEEP. Method : 15 patients, who required mechanical ventilation for management of acute respiratory failure, were studied. First, the differences in WOB and other indices of respiratory mechanics were examined between 7 patients with auto-PEEP and 8 patients without auto-PEEP. Then, we applied the 3 cm $H_2O$ of external PEEP to patients with auto-PEEP and evaluated its effects on lung mechanics as well as WOB. Indices of respiratory mechanics including tidal volume ($V_T$), repiratory rate, minute ventilation ($V_E$), peak inspiratory flow rate (PIFR), peak expiratory flow rate (PEFR), peak inspiratory pressure (PIP), $T_I/T_{TOT}$, auto-PEEP, dynamic compliance of lung (Cdyn), expiratory airway resistance (RAWe), mean airway resistance (RAWm), $p_{0.1}$, work of breathing performed by patient (WOB), and pressure-time product (PTP) were obtained by CP-100 Pulmonary Monitor (Bicore, USA). The values were expressed as mean $\pm$ SEM (standard error of mean). Results : 1) Comparison of WOB and other indices of respiratory mechanics in patients with and without auto-PEEP : There was significant increase in WOB ($l.71{\pm}0.24$ vs $0.50{\pm}0.19\;J/L$, p=0.007), PTP ($317{\pm}70$ vs $98{\pm}36\;cm$ $H_2O{\cdot}sec/min$, p=0.023), RAWe ($35.6{\pm}5.7$ vs $18.2{\pm}2.3\;cm$ H2O/L/sec, p=0.023), RAWm ($28.8{\pm}2.5$ vs $11.9{\pm}2.0cm$ H2O/L/sec, p=0.001) and $P_{0.1}$ ($6.2{\pm}1.0$ vs 2.9+0.6 cm H2O, p=0.021) in patients with auto-PEEP compared to patients without auto-PEEP. The differences of other indices including $V_T$, PEFR, $V_E$ and $T_I/T_{TOT}$ showed no significance. 2) Effect of 3 cm $H_2O$ external PEEP on respiratory mechanics in patients with auto-PEEP : When 3 cm $H_2O$ of external PEEP was applied, there were significant decrease in WOB ($1.71{\pm}0.24$ vs $1.20{\pm}0.21\;J/L$, p=0.021) and PTP ($317{\pm}70$ vs $231{\pm}55\;cm$ $H_2O{\cdot}sec/min$, p=0.038). RAWm showed a tendency to decrease ($28.8{\pm}2.5$ vs $23.9{\pm}2.1\;cm$ $H_2O$, p=0.051). But PIP was increased with application of 3 cm $H_2O$ of external PEEP ($16{\pm}2$ vs $22{\pm}3\;cm$ $H_2O$, p=0.008). $V_T$, $V_E$, PEFR, $T_I/T_{TOT}$ and Cdyn did not change significantly. Conclusion : The presence of auto-PEEP in mechanically ventilated patients was accompanied with increased WOB performed by patient, and this WOB was decreased by 3 cm $H_2O$ of externally applied PEEP. But, with 3 cm $H_2O$ of external PEEP, increased PIP was noted, implying the importance of close monitoring of the airway pressure during application of external PEEP.

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Investigation of Characteristics of Rip Current at Haeundae Beach based on Observation Analysis and Numerical Experiments (관측자료 분석과 수치모의에 의한 해운대 이안류 발생 특성 연구)

  • Yoon, Sung Bum;Kwon, Seok Jae;Bae, Jae Soek;Choi, Junwoo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.4B
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    • pp.243-251
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    • 2012
  • To investigate the characteristics of rip current occurring at Haeundae beach, observations obtained from a buoy and a CCTV were analyzed and numerical experiments were conducted. During observed rip-current events, the CCTV images showed that a couple of wave-trains, which are close to regular waves with slightly different directions, propagated to the beach, and wavelet analyses of data from the buoy showed very narrow-banded spectra with a peak frequency. From the evidences, it was inferred that a known mechanism of generating rip current due to the nodal line area of honeycomb-patterned wave crest was one of the significant factors of rip current occurrences of Haeundae beach. The mechanism has been explained by the following: When two wave-trains with slightly different directions propagate to a beach, wave crests of the incident wave-trains form honeycomb pattern due to nonlinear interaction. The nodal lines of honeycomb pattern are developed in the cross-shore direction. And longshore currents flow toward the nodal line area which has very low wave energy. Consequently their mass flux is expelled through the area toward the sea direction. To confirm the generation, numerical experiments were performed using a nonlinear Boussinesq equation model. In the cases with two incident wave-trains with slightly different directions and with a monochromatic wave propagating over a submerged shoal, it was seen that the honeycomb pattern of wave crests was well developed, and thus rip currents were evolved along the nodal lines.

A Study on the Runoff Characteristics and Water Quality Management of Seung-Gi Stream Area (승기천 유역의 오염물 유출특성 및 수질관리방안 연구)

  • Seo, Hyung-Joon;Chung, Sang-Won;Park, Mi-Ok;Lee, Byung-Ryul
    • Clean Technology
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    • v.7 no.4
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    • pp.251-263
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    • 2001
  • This study was conducted to provide a basic information for recovery plan of Seung-Gi Stream which is a major stream of Incheon metropolitan area. Source and characteristics of pollutants were analyzed and studied. Samples were taken 10 rounds in 5 sections in Seung-Gi stream. Annual pollutants loads and sectional characteristics of pollutants loads were investigated regarding flow rate, pH, DO, SS, $BOD_5$, $COD_{Cr}$, T-P, TKN and concentrations of Zn, Cd, Cu, Cr atoms which enter into Seung-Gi stream during rainy and dry season respectively. As one came close to the Nam-Dong Industrial Complex, sectional discharge loads were heavy and water quality was failed to meet the standard by "Environmental Standard of River Quality". As a result, heavy load of pollutants in Seung-Gi stream was considered to influence negatively the sea water quality of Incheon. Solution plans to solve problems are as follows. First, circulation of treated water at Seung-Gi WWTP(Wastewater Treatment Plant) and retreated water by URC(ultra rapid coagulation) process treat with that. Second, sewage and wastewater is gathered, make it disposed. After then, we circulate treated water. If solution plans be applied, we can predict water quality. Then we could grope for how make to recovery role of Seung-Gi stream as stream.

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CPFD Simulation of Bubble Flow in a Bubbling Fluidized Bed with Shroud Nozzle Distributor and Vertical Internal (CPFD 시뮬레이션을 통한 Shroud 노즐 및 수직 구조물이 설치된 기포 유동층 반응기 내에서의 기포 흐름 해석)

  • Lim, Jong Hun;Bae, Keon;Shin, Jea Ho;Lee, Dong Ho;Han, Joo Hee;Lee, Dong Hyun
    • 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.

Strength and failure characteristics of the rock-coal combined body with single joint in coal

  • Yin, Da W.;Chen, Shao J.;Chen, Bing;Liu, Xing Q.;Ma, Hong F.
    • Geomechanics and Engineering
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    • v.15 no.5
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    • pp.1113-1124
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    • 2018
  • Geological dynamic hazards during deep coal mining are caused by the failure of a composite system consisting of the rock and coal layers, whereas the joint in coal affects the stability of the composite system. In this paper, the compression test simulations for the rock-coal combined body with single joint in coal were conducted using $PFC^{2D}$ software and especially the effects of joint length and joint angle on strength and failure characteristics in a rock-coal combined body were analyzed. The joint length and joint angle exhibit a deterioration effect on the strength and affect the failure modes. The deterioration effect of joint length of L on the strength can be neglected with a tiny variation at ${\alpha}$ of $0^{\circ}$ or $90^{\circ}$ between the loading direction and joint direction. While, the deterioration effect of L on strength are relatively large at ${\alpha}$ between $30^{\circ}$ and $60^{\circ}$. And the peak stress and peak strain decrease with the increase of L. Additionally, the deterioration effect of ${\alpha}$ on the strength becomes larger with the increase of L. With the increase of ${\alpha}$, the peak stress and peak strain first decrease and then increase, presenting "V-shaped" curves. And the peak stress and peak strain at ${\alpha}$ of $45^{\circ}$ are the smallest. Moreover, the failure mainly occurs within the coal and no apparent failure is observed for rock. At ${\alpha}$ between $30^{\circ}$ and $60^{\circ}$, the secondary shear cracks generated in or close to the joint tips, cause the structural instability failure of the combined body. Therefore, their failure models present as a shear failure along partial joint plane direction and partially cutting across the coal body or a shear failure along the joint plane direction. However, at ${\alpha}$ of $60^{\circ}$ and L of 10 mm, the "V-shaped" shear cracks cutting across the coal body cause its final failure. While crack nucleations at ${\alpha}$ of $0^{\circ}$ or $90^{\circ}$ are randomly distributed in the coal, the failure mode shows a V-shaped shear failure cutting across the coal body.

Numerical Study of the Optimization of Combustion and Emission Characteristics of Air-Staged Combustion in a Pulverized Coal-Fired Boiler (석탄 화력 보일러의 공기 다단공급방식을 통한 연소 및 배기 배출물 특성 최적화에 관한 수치해석 연구)

  • Yoon, Min-Ji;Lee, Byoung-Hwa;Song, Ju-Hun;Kim, Gyu-Bo;Chang, Young-June;Jeon, Chung-Hwan
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.34 no.6
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    • pp.587-597
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    • 2010
  • Air-staged combustion is known to be one of the techniques of NOx reduction. The objective of this study is to determine the optimal ratio of air flow distributed for CCOFA and SOFA; at this optimal ratio, the combustion and exhaust emission characteristics of a pulverized coal-fired boiler are maintained at a satisfactory level. A numerical investigation was performed at various airflow ratios of 16.7/83.3%, 25/75%, 50/50%, 75/25%, and 83.3/16.7%. An inert gas was considered as a substitute for air to isolate the effects of the cooling process and chemical reaction on NOx reduction; during NOx reduction in air-staged combustion, both the effects typically occur simultaneously. The results of our study show that the optimum condition, under which the maximum NOx reduction and highest boiler efficiency can be obtained, corresponds to the equal splitting of the over-fire air between CCOFA and SOFA.

Status of Sediment Dynamics in Lake Takkobu of the Kushiro Mire, Japan, Associated with Forestry and Agricultural Development in the Watershed (산림과 농업 개발로 인한 쿠시로습원 타호부호수의 최근 토사동태)

  • Ahn, Young-Sang
    • Korean Journal of Soil Science and Fertilizer
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    • v.43 no.5
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    • pp.755-763
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    • 2010
  • Fine sediment loadings from agricultural watersheds have led to habitat degradation in Lake Takkobu, northern Japan. Fifteen lake sediment core samples were obtained and analyzed to develop a chronology using physical sediment characters, $^{137}Cs$, and tephra. The reconstructed sedimentation rates over the past ca 300 years suggested that sedimentation rates increased drastically after land use development. With a natural sedimentation rate of 0.1-1.1 mm $year^{-1}$ until 1898, lake sedimentation accelerated to 0.6-12.8 mm $year^{-1}$ after 1898. The sedimentation rates after land use change, such as forestry, river engineering works, and agricultural development, were about 6-12 times higher than that under natural conditions, leading to accelerated lake shallowing over the last ca 100 years. Sedimentation rates between 1898 and 1963 differed with location in the lake because of spatial variation in the sediment flux from the contributing rivers and their watersheds. The sedimentation rate in the southern zone between 1898 and 1963 was significantly higher than that in the middle and northern zones, reflecting active sediment production associated with forestry for charcoal production and canal construction for transportation in the southern watersheds and wetlands. The sedimentation rate after 1963 did not vary among the three zones, because decreasing sedimentation was found in most of the southern sites whereas an increasing trend was observed in the middle and northern sites. This result can be explained by shallowing of lake-bottom morphology with sedimentation and the resultant reduction of sediment retention capacity in the southern zone. Moreover, the sedimentation rate at sampling sites close to river mouths increased by 5-32 times compared with natural rates before 1898. The Kushiro River, into which Lake Takkobu drains under regular flow conditions, further contributed to an increased sedimentation rate, because water from the Kushiro River flows back into Lake Takkobu during floods.

Determination of Effective Rainfall and Design Hydrograph in Small River Catchment (중소하천유역에 있어서 유효강우량 및 설계수문곡선의 결정에 관한 연구 - 특히 SCS 방법을 중심으로 -)

  • 김상인;이순택
    • Water for future
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    • v.15 no.3
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    • pp.49-55
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    • 1982
  • The purpose of this study is to examine the methods of estimation, comparing U.S. SCS method and $\Phi$-index with effective rainfall. And also comparision was made among SCS method, Chow method and Mockus method as to the peak discharge of design storm hydrograph by small river basin. Hydrological data of the Shin river basin which was used in this study and the results of study are as follow; 1) As a result of applying the SCS method to determine the effective rainfall out of total rainfall, it turned out that the everage CN of the basin as obtained by the analysis of hydrologic soil-cover complex was varied as follows; AMC-I was 27.9%, AMC-II 16.4%, AMC-III 8.1% less than the value given by SC method using discharge measurement. 2) The comparision of effective rainfall by the ungaged SCS method with that of gauged $\Phi$-index method showed that the $\Phi$-index method showed that the $\Phi$-index method gives large value by 4.7% to those given by hydrograph. The result of analysis by the SCS method resulted in great difference from discharge measurement. 3) The comparision of SCS method, Chow method, and Mockus method showed that dimensionless hydrograph of SCS method and Chow method were close to the peak discharge of the gauged unit hydrograph, while the other methods gave far different results. 4) Attempts were made, for a better adaptation to the Shin river basin, to introduce lag time formula constant of dimensionless hydrograph of the SCS method by using the peak discharge of the gauged flow hydrograph.

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Numerical Analysis for Bed Changes due to Sediment Transport Capacity Formulas and Sediment Transport Modes at the Upstream Approached Channel of the Nakdong River Estuary Barrage (낙동강하구둑 상류 접근수로에서의 유사량 공식 및 유사 이송형태에 따른 하상변동 수치모의에 관한 연구)

  • Ji, Un;Yeo, Woon-Kwang;Han, Seung-Won
    • Journal of Korea Water Resources Association
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    • v.43 no.6
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    • pp.543-557
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    • 2010
  • The effects of the selection for sediment transport equations and advection-diffusion equations according to different sediment transport modes on the modeling results of bed changes were analyzed using the CCHE2D and compared with field data in this paper. The most suitable sediment transport equation and sediment transport mode for advection-diffusion equation were suggested for the upstream approached channel of the Nakdong River Estuary Barrage. The bed changes simulated by the Engelund and Hansen formula were very small in the modeling case for the low and high flow discharges compared with the case of the Ackers and White formula. Also, the numerical modeling with the actual hydraulic event in 2002 presents that the bed change result with the bed load transport type for advection-diffusion equation was close to the field measurement more than the suspended load type.

The Role of the Electroglottography on the Laryngeal Articulation of Speech (전기 Glottography(EGG)를 이용한 후두구음역학적 특성)

  • 홍기환;박병암;양윤수;서수영;김현기
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.1
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    • pp.18-26
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    • 1997
  • There are two types of phonetic study, acoustic and physiologic, for differentiating the three manner categories of Korean stop consonants. On the physiologic studies, there are endoscopic, electromyographic(EMG), electroglottographic(EGG) and aerodynamic studies. In this study, I tried to investigate general features of Korean stops using EGG study for the open quotient of vocal fold and baseline shift during speech, and aerodynamic characteristics for e subglottal air pressure, air flow and glottal resistance at consonants. On the aerodynamic study, the glottalized and aspirated stops may be characterized by e increasing subglottal pressure comparing with lenis stop at consonants. The airflow is largest in the aspirated stops followed by lenis stops and glottalized. The glottal airway resistance (GAR) showed highest in the glottalized followed by the lenis, but lowest in e aspirated during e production of consonants, and showed highest in e aspirated, but low in the glottalized and lenis during the production of vowel. The glottal resistance at consonant showed significant difference among consonants and significant interaction between subject and types of consonant. The glottal resistance at vowel showed significant difference among consonants, and e interaction occured between subject and types of consonant. The electroglottography(EGG) has been used for investigating e functioning of e vocal folds during its vibration. The EGG should be related to the patterns of the vocal fold vibration during phonation in characterizing the temporal patterns of each vibratory cycle. The purpose of this study is to investigate the dynamic change of EGG waveforms during continuous speech. The dynamic changes of EGG waveforms fir the three-way distinction of Korean stops were characterized that the aspirated stop appears to be characterized by largest open quotient and smallest glottal contact area of the vocal folds in e initial portion of vocal fold vibration ; the lenis stop by moderate open quotient and glottal contact area ; but the glottalized stop by smallest open quotient and largest glottal contact area. There may be close relationship between the OQ(open quotient) in the initial voice onset and the glottal width at the time of consonant production, the larger glottal width just before vocal fold vibration results in the smaller OQ of the vocal fold vibration in the initial voice onset. The EGG changes of baseline shift during continuous speech production were characterized by the different patterns for the three types of Korean consonants. The small and less stiffness change of baseline shift was found for the lenis and the glottalized, and the largest and stiffest change was found for the aspirated. On the baseline shift for the initial voice onset, they showed so similar patterns with for the consonant production, larger changed in the aspirated. for the lenis and the glottalized during the initial voice onset, three subjects showed individual difference each other. I suggest at s characteristics were strongly related with articulatory activity of vocal tract for the production of consonant, especially for the aspirated stop. The suspecting factors to affect EGG waveforms are glottal width, vertical laryngeal movement and the intrapharyngeal pressure to neighboring tissue during connected spech. So the EGG may be an useful method to describe laryngeal activity to classify pulsing conditions of the larynx during speech production, and EGG research can be controls for monitoring the vocal tract articulation, although above factors to affect EGG would have played such a potentially role on vocal fold vibratory behavior obtained using consonant production.

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