• 제목/요약/키워드: Internal discharge

검색결과 652건 처리시간 0.031초

말기 암 환자에서 완화적 진정 증례 토론 (Palliative Sedation for Terminal Cancer Patient)

  • 김도연
    • Journal of Hospice and Palliative Care
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    • 제11권2호
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    • pp.106-110
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    • 2008
  • 완화적 진정은 임종이 임박한 불응성 증상을 가진 환자들에게 고려될 수 있는 치료이지만 부적절한 진정으로 인한 윤리적인 문제가 쟁점이 된다. 본 증례는 수차례항암화학요법과 완화적 방사선 치료에도 불구하고 진행되는 다발성 뼈 전이를 동반한 전이성 위암을 가진 50세 남자에게 완화적 진정을 시행했던 예를 권고안에 비추어 후향적 검토하였다. 환자는 표준적인 통증경감치료에 불응성으로 판단되었고 환자의 의사결정능력 부족으로 환자보호자에게 완화적 진정에 대한 치료 목적 및 예견되는 부작용을 설명한 후 midazolam으로 완화적 진정을 시작하였다. 본 증례에 통하여 완화적 진정의 적응, 완화적 진정의 시작 전 의사 결정, 완화적 진정 시작, 완화적 진정 시작 후의 돌봄에 대한 토의를 하였고 국내실정을 반영한 권고안 마련을 제의하는 바이다.

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바이오필터와 황-석회석을 이용한 단일흐름 공정에서의 질산화와 탈질 연구 (A Study on Nitrification and Denitrification in Biofilter & Sulfur- Limestone Single Stream Process)

  • 김태규
    • 한국환경보건학회지
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    • 제32권5호
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    • pp.469-477
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    • 2006
  • When denitrification was connected with a single stream process by using biofilter and sulfur-limestone, it was found that such connection enabled highly efficient nitrification without special unit operation of microorganisms or injection of external carbon sources which is being shown in general biological treatment processes. It was observed that in the trickling filter bed, decomposition of organic substances and highly efficient nitrification by both the forced pressure feed trickling and the air fan were simultaneously done. In the denitrification tank where sulfur-limestone was mixed at a certain ratio, limestone was used by autotrophic microorganisms as a source of supply for alkalinity, and nitrate $NO_{3}^{-}$-N was denitrified into nitrogen gas. And in the sulfur-limestone autotrophic denitrification, $NO_{3}^{-}-N\;or\;NO_{2}^{-}-N$ was denitrified as a sulfur compound in reduction state was oxidized into a final output of $SO_{4}^{-2}$. The mean concentration of the discharge water was 8.6 mg/l for T-N and 0.8 mg/l for T-P, respectively, and their mean treatment efficiency was 79.2% and 80.8%, respectively. Implementing highly efficient denitrification without injection of an external organic carbon source or internal return, it is concluded that the proposed process is suitable for a sewerage in a small village with the merits of low power consumption and easy maintenance.

노즐분공내 유체충돌이 있는 디젤노즐의 유동 및 분무특성 연구 (Characterization of the internal flow and fuel spray from an impinging flow nozzle)

  • 하성업;김흥열;구자예;류구영
    • 대한기계학회논문집B
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    • 제21권12호
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    • pp.1635-1646
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    • 1997
  • The nozzle length to diameter ratio of real diesel nozzles is about 2-8 which is not long enough for a fully developed and stabilized flow. The characteristics of the flow such as turbulence at the nozzle exit which affect the development of the spray can be enhanced by impinging the flow inside nozzle. The flow details inside the impinging nozzles have been investigated both experimentally and numerically. The mean velocities, the fluctuating velocities, and discharge coefficients in the impinging inlet nozzles, round inlet nozzle, and sharp inlet nozzle were obtained at various Reynolds number. The developing feature of the external spray were photographed by still camera and the droplet sizes and velocities were also measured by laser Doppler technique. The spray angle was greater and the droplet sizes near the spray axis were smaller with the impinging flow inside nozzle.

Characteristics of Insulation Diagnosis and Failure in Gas Turbine Generator Stator Windings

  • Kim, Hee-Dong
    • Journal of Electrical Engineering and Technology
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    • 제9권1호
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    • pp.280-285
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    • 2014
  • In order to evaluate the insulation deterioration in the stator windings of five gas turbine generators(137 MVA, 13.8 kV) which has been operated for more than 13 years, diagnostic test and AC dielectric breakdown test were performed at phases A, B and C. These tests included measurements of AC current, dissipation factor, partial discharge (PD) magnitude and capacitance. ${\Delta}I$ and ${\Delta}tan{\delta}$ in all three phases (A, B and C) of No. 1 generator stator windings showed that they were in good condition but PD magnitude indicated marginally serviceable and bad level to the insulation condition. Overall analysis of the results suggested that the generator stator windings were indicated serious insulation deterioration and patterns of the PD in all three phases were analyzed to be internal, slot and spark discharges. After the diagnostic test, an AC overvoltage test was performed by gradually increasing the voltage applied to the generator stator windings until electrical insulation failure occurred, in order to determine the breakdown voltage. The breakdown voltage at phases A, B and C of No. 1 generator stator windings failed at 28.0 kV, 17.9 kV, and 21.3 kV, respectively. The breakdown voltage was lower than that expected for good-quality windings (28.6 kV) in a 13.8kV class generator. In the AC dielectric breakdown and diagnostic tests, there was a strong correlation between the breakdown voltage and the voltage at which charging current increases abruptly ($P_{i1}$, $P_{i2}$).

연비개선 및 소음저감을 위한 지로터 최적설계 (타원 1-타원형 인벌루트-타원2) (Optimal Design of Gerotor (Ellipse1-Elliptical Involute-Ellipse2 Combined Lobe Shape) for Improving Fuel Efficiency and Reducing Noise)

  • 곽효서;이승환;김철
    • 한국정밀공학회지
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    • 제33권11호
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    • pp.927-935
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    • 2016
  • A gerotor is suitable for miniature manufacturing because it has a high discharge per cycle and a simple structure, while also being widely used as lubrication oil of engines and the hydraulic source of automatic transmission. In the automobile industry, it has been necessary to continuously improve the flow rate and noise of internal gear pumps for better fuel efficiency through optimal gerotor design. In this study, to obtain an optimal gerotor with an ellipse-elliptical involute-ellipse combined lobe shape, an automatic program was developed for calculating performance parameters and drawing a gerotor profile. An oil pump was assembled with the optimal gerotor together with the port used at the actual field and CFD analysis was performed on this assembly using Ansys-CFX. A performance test for the oil pump was carried out and showed good agreement with the results obtained from the theoretical analysis and the CFD analysis.

저수지 주변 식물의 침수시 수질 영향 (Assessment of Water Quality Impact of Submerged Lakeside Macrophyte)

  • 이요상;박종근
    • 환경영향평가
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    • 제14권5호
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    • pp.255-262
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    • 2005
  • In summer and early autumn, eutrophication occurs occasionally in many reservoirs. Lakeside macrophyte which is one of internal pollutants effects on water quality when it is submerged during water surface is rising after rainy season. This study include examination of pollutant load, species of plant, community structure and productivity of macrophyte in unit area at lakeside. The result of this research will be used as a guideline of water quality management on reservoir through assessing water quality effect of submerged plant. The areal distribution, composition of species and submerged area of macrophyte changes according to rainfall pattern every year, so it is difficult to calculate nutrient load annually from submerged macrophyte. In this study, the nutrient load from submerged macrophyte assess from Daecheong and Juam reservoir in 2001. TN and TP load of submerged macrophyte shows 0.043% and 0.069%, respectively, of annual discharge load on Daecheong watershed. At lake Juam, TN and TP shows 0.64% and 1.28% load, respectively. The reason that nutrient load of lake Juam is greater than that of lake Daecheong is that macrophyte distribution area of lake Juam is 5 times greater than that of lake Daecheong. Total nutrient load of lake Daecheong is 3 times greater than that of lake Juam.

말 결막염에 대한 침 치료 1례 (Acupuncture Treatment in a Case with Equine Conjunctivitis)

  • 김덕환;유건주;최석화
    • 한국임상수의학회지
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    • 제23권2호
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    • pp.180-182
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    • 2006
  • 아일랜드 고르트주에서 사육중인 5살, 수컷, 아랍종말이 결막염으로 진단되었다. BL01, BL02 및 ST01에 자침 및 덱사메타손 수침(2회/주)을 적용하였고, 동시에 상초 영역에 안침을 실시하였다. 본 환축은 3회 침 치료 후, 눈물, 안 분비물 및 충혈이 소실되었다. 본 환축은 침 치료에 양호한 치료반응을 보인 말 결막염의 증례이었다.

살모넬라균에 의한 파열된 하행흉부대동맥류의 치험 -1례 보고- (Ruptured Aneurysm of Descending Thoracic Aorta due to Salmonella Arteritis 1 Case Report)

  • 조창욱;김정철
    • Journal of Chest Surgery
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    • 제30권1호
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    • pp.103-107
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    • 1997
  • A very rare case of mycotic aneurysm in the descending thoracic aorta due to salmonellosis was treated in our hospital The patient was a 62 year-old male who 48 days before the operation was admitted to the depart,cent of internal medicine complaining of fever. nausla. vomiting, and loose stool. He was treated for 35 days and discharged. Three days after discharge, however, the patient was readmitted to the hospital comE긴ainin프 of $\ulcorner$i포ht uppe$\ulcorner$ 킥uadrant abdominal pain. Fever developed on the third hospiti린 day, and on the eighth hospital day, the patient complAined of back pain and epigastric pale. A simple chest x-ray showed evidence of hemothorax in the left plueral space, and therefore, computed tomography of the chest was done. The patient was diagnosed as a ruptured mycotic aneurysm of the descending thoracic aorta, and was transferred to our Department of Thoracic and CArdiovascular Surgery. The aneurysm and infected tissues was widely debrided, and the site was then patched with a Dacron graft. Salmonella choleraesuis was identified in the blood and aneurysm cultures, and antibiotics were administered for weeks according to the sensitivity of the organism. The patient experienced no complication thereafter and for the last three months since the operation, he has been leading a healthy and normal social life.

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적외선 윈도우 냉각장치 유로 설계 (A Flow Channel Design on IR Window Cooling Device)

  • 박연정
    • 한국항공우주학회지
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    • 제39권6호
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    • pp.559-566
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    • 2011
  • 본 연구에서는 적외선 윈도우의 냉각을 위해 포펫 밸브와 방사형 오리피스로 구성된 냉각장치 유로를 설계하였다. 필요한 냉각제의 양은 운용조건에 따라 달라지므로 포펫 행정거리에 따른 유동장의 유량과 윈도우 전후단 압력 변화를 유동해석을 통해 예측하고 실험을 통해 이를 확인하였다. 설계된 포펫과 방사형 오리피스 유로는 윈도우 냉각에 필요한 유량을 공급하며 윈도우 구조 강도를 만족하도록 내부 압력을 낮추고 적외선 이미지 신호의 왜곡이 없도록 아음속으로 유지하여 요구 조건을 충족시켰다. 실험으로 측정된 유량을 이용하여 윈도우에서의 송출계수와 2차원 해석결과 사이의 보정계수를 확인하였으며 이를 냉각장치의 유량제어에 사용하였다.

척수손상환자에서 보행 기능 평가도구인 WISCI II의 타당도와 신뢰도 (Validity and Reliability on the Walking Index for Spinal Cord Injury in the walking assessment of the SCI patient)

  • 이형수;정찬주;양회송;신영일
    • The Journal of Korean Physical Therapy
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    • 제16권3호
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    • pp.142-151
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    • 2004
  • The purpose of this study was to determine the validity and the reliability of the WISCI II to ascertain its value in the walking function evaluation of spinal cord injury patient. The WISCI II consists of 20 variables with a total valus ranging from 6 to 20 score. A group of 23 spinal cord injury patient were included in this study. To determine the validity, kappa statistics between the WISCI II and SCIM II were measured. The result of this study are as follows: 1) In the validity study, the kappa statistics between the WISCI II and SCIM II were 0.79 and 0.84 for an initial total score and a discharge total score respectively, indicating a reasonable agreement between the two test. 2) In the reliability study, the Cronbach's alpha coefficient was 0.83 and 0.95 for total score indicating a good internal consistency. The finding suggest that the WISCI II demonstrated an acceptable validity and reliabilit for the evaluation of walking function capacity of spinal cord injury patient in clinical practice.

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