• Title/Summary/Keyword: Large bore

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Effectiveness of Anchoring with Balloon Guide Catheter and Stent Retriever in Difficult Mechanical Thrombectomy for Large Vessel Occlusion

  • Yi, Ho Jun;Kim, Bum-Tae;Shin, Dong-Sung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.514-522
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    • 2022
  • Objective : A distal navigation of a large bore aspiration catheter during mechanical thrombectomy (MT) is important. However, delivering a large bore aspiration catheter is difficult to a tortuous or atherosclerotic artery. We report the experience of anchoring with balloon guide catheter (BGC) and stent retriever to facilitate the passage of an aspiration catheter in MT. Methods : When navigating an aspiration catheter failed with a conventional co-axial microcatheter delivery, an anchoring technique was used. Two types of anchoring technique were applied to facilitate distal navigation of a large bore aspiration catheter during MT. First, a passage of aspiration catheter was attempted with a proximal BGC anchoring technique. If this technique also failed, another anchoring technique with distal stent retriever was tried. Consecutive patients who underwent MT with an anchoring technique were identified. Details of procedure, radiologic outcomes, and safety variables were evaluated. Results : A total of 67 patients underwent MT with an anchoring technique. Initial trial of aspiration catheter passage with proximal BGC anchoring technique was successful for 35 patients (52.2%) and the second trial with distal stent retriever anchoring was successful for 32 patients (47.8%). Overall, navigation of a large bore aspiration catheter was successful for all patients (100%) without any procedure related complications. Conclusion : Our study showed the usefulness of anchoring technique with proximal BGC and distal stent retriever during MT, especially in those with an unfavorable anatomical structure. This technique could be an alternative option for delivering an of aspiration catheter to a distal location.

A Study on the Stabilization of Gun Barrel by Viscoelastic Damping Material (점탄성 감쇠재료를 이용한 포신 잔류진동의 조기 안정화 방안연구)

  • 임재희;백판구;이재영;정백기
    • Journal of KSNVE
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    • v.9 no.4
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    • pp.714-719
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    • 1999
  • Because the residual vibration of a gun barrel acts negatively on the firing of a large calibers gun, the fast stabilization of theresidual vibration is indispensible to the precise and successive firing. In this study, the residual vibrations of a gun barrel carrying a bore evacuator and a muzzle brake are investigated by the experimental method. The influence of the eigenfrequencies and the mode shapes of gun barrel on the fast stabilization of the residual vibration is studied for the various masses of bore evacuator and muzzle brake, the possition of bore evacutor. Also the relationships between the funcamental frequencies and the settling times of the gun barrel are investigated for the various parameters. The experiments to reduce the residual vibration using the viscoelastic damping treatment gives the best result among the various treatments for the reduction of residual vibration of the system.

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Dynamic Deformation Analysis of Cylinder Bore considering Forced Vibration (강제 진동을 고려한 실린더 보어의 동적 변형 해석)

  • 윤성호;조덕형
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.5
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    • pp.174-181
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    • 2002
  • Dynamic deformation of the cylinder bore during actual engine operation has an important effect on the combustion gas sealing, oil consumption, friction and so on. The dynamic analysis using the finite element method is performed to investigate the dynamic deformation of the cylinder bore subjected to forced vibration under excitation of the combustion gas pressure. However, this analysis requires large computer memory and tremendous solving time. The pseudo-static analysis can be an alternative to the dynamic analysis at the expense of accuracy. Dynamic analysis and static analysis results are presented for both closed-deck block and open-deck block that are respectively combined with the cylinder block, cylinder head, transmission, and oil pan.

Development of large bore superconducting magnet for wastewater treatment application

  • Liu, Huiming;Xu, Dong;Shen, Fuzhi;Zhang, Hengcheng;Li, Laifeng
    • Progress in Superconductivity and Cryogenics
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    • v.19 no.1
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    • pp.13-16
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    • 2017
  • Water issue, especially water pollution, is a serious issue of 21st century. Being an significant technique for securing water resources, superconducting magnetic separation wastewater system was indispensable. A large bore conduction-cooled magnet was custom-tailored for wastewater treatment. The superconducting magnet has been designed, fabricated and tested. The superconducting magnet was composed of NbTi solenoid coils with an effective horizontal warm bore of 400 mm and a maximum central field of 2.56T. The superconducting magnet system was cooled by a two-stage 1.5W 4K GM cryocooler. The NbTi solenoid coils were wound around an aluminum former that is thermally connected to the second stage cold head of the cryocooler through a conductive copper link. The temperature distribution along the conductive link was measured during the cool-down process as well as at steady state. The magnet was cooled down to 4.8K in approximately 65 hours. The test of the magnetic field and quench analysis has been performed to verify the safe operation for the magnet system. Experimental results show that the superconducting magnet reached the designed magnetic performance.

Comparative Study for the Efficacy of Small Bore Catheter in the Patients with Iatrogenic Pneumothorax

  • Noh, Tae-Ook;Ryu, Kyoung-Min
    • Journal of Chest Surgery
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    • v.44 no.6
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    • pp.418-422
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    • 2011
  • Background: It has recently become most general to use the small bore catheter to perform closed thoracostomy in treating iatrogenic pneumothorax. This study was performed for analysis of the efficacy of treatment methods by using small bore catheter such as 7 F (French) central venous catheter, 10 F trocar catheter, 12 F pigtail catheter and for analysis of the appropriateness of each procedure. Materials and Methods: From March 2007 to February 2010, Retrospective review of 105 patients with iatrogenic pneumothorax, who underwent closed thoracostomy by using small bore catheter, was performed. We analyzed the total success rate for all procedures as well as the individual success rate for each procedure, and analyzed the cause of failure, additional treatment method for failure, influential factors of treatment outcome, and complications. Results: The most common causes of iatrogenic pneumothorax were presented as percutaneous needle aspiration(PCNA) in 48 cases (45.7%), and central venous catheterization in 26 cases (24.8%). The mean interval to thoracostomy after the procedure was measured as 5.2 hours (1~34 hours). Total success rate of thoracostomy was 78.1%. The success rate was not significantly difference by tube type, with 7 F central venous catheter as 80%, 10 F trocar catheter as 81.6%, and 12 F pigtail catheter as 71%. Twenty one out of 23 patients that had failed with small bore catheter treatment added large bore conventional thoracostomy, and another 2 patients received surgery. The causes for treatment failure were presented as continuous air leakage in 12 cases (52.2%) and tube malfunction in 7 cases (30%). The causes for failure did not present significant differences by tube type. Statistically significant factors affecting treatment performance were not discovered. Conclusion: Closed thoracostomy with small bore catheter proved to be effective for iatrogenic pneumothorax. The success rate was not difference for each type. However, it is important to select the appropriate catheter by considering the patient status, pneumothorax aspect, and medical personnel in the cardiothoracic surgery department of the relevant hospital.

Characteristics of the Quench Current of Superconducting Coils with Large Bore (대구경 초전도 코일의 ?치 전류 특성)

  • 조전욱;배준한;김해종;심기덕;성기철
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.53 no.6
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    • pp.368-371
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    • 2004
  • The quench current characteristics of the superconducting solenoids with large diameter were experimentally investigated. Three solenoids with inside diameter of 450mm were fabricated with different tensions and different types of epoxy applications. The quench current of each solenoid was measured according to the various ramping rates of current. The highest quench current was obtained in the solenoid impregnated with epoxy after winding with tension of 20 percents of the yield strength of the superconducting wire. It was found that the quench currents were almost independent of the ramp rate of current. From the results, although the training effect in the solenoid appeared with epoxy impregnation, the quench current of solenoid impregnated with epoxy was higher than that without epoxy impregnated The test results are presented and discussed.

Characteristics of Water Level and Velocity Changes due to the Propagation of Bore (단파의 전파에 따른 수위 및 유속변화의 특성에 관한 연구)

  • Lee, Kwang Ho;Kim, Do Sam;Yeh, Harry
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.5B
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    • pp.575-589
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    • 2008
  • In the present work, we investigate the hydrodynamic behavior of a turbulent bore, such as tsunami bore and tidal bore, generated by the removal of a gate with water impounded on one side. The bore generation system is similar to that used in a general dam-break problem. In order to the numerical simulation of the formation and propagation of a bore, we consider the incompressible flows of two immiscible fluids, liquid and gas, governed by the Navier-Stokes equations. The interface tracking between two fluids is achieved by the volume-of-fluid (VOF) technique and the M-type cubic interpolated propagation (MCIP) scheme is used to solve the Navier-Stokes equations. The MCIP method is a low diffusive and stable scheme and is generally extended the original one-dimensional CIP to higher dimensions, using a fractional step technique. Further, large eddy simulation (LES) closure scheme, a cost-effective approach to turbulence simulation, is used to predict the evolution of quantities associated with turbulence. In order to verify the applicability of the developed numerical model to the bore simulation, laboratory experiments are performed in a wave tank. Comparisons are made between the numerical results by the present model and the experimental data and good agreement is achieved.

Technology Based on Wall-Thinning Prediction and Numerical Analysis Techniques for Wall-Thinning Analysis of Small-Bore Carbon Steel Piping (감육예측 및 수치해석 기법을 활용한 소구경 탄소강배관 감육영향 분석에 관한 연구)

  • Lee, Dae-Young;Hwang, Kyeong-Mo;Jin, Tae-Eun;Park, Won;Oh, Dong-Hoon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.34 no.4
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    • pp.429-435
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    • 2010
  • In approximately fifty utilities, including KHNP (Korea Hydro & Nuclear Power), CHECWORKS is used as a tool for predicting and managing the wall thinning of carbon steel piping; this wall thinning is caused by flow-accelerated corrosion (FAC). It is known that CHECWORKS is only applicable to predict the wall thinning of piping with large bores. When dealing with small-bore steel piping, FAC engineers measure the thickness of the susceptible area that is selected on the basis of the experience and judgment of the engineer. This paper proposes the application of CHECWORKS for the management of wall thinning of small-bore piping. Four small-bore pipelines of a domestic nuclear power plant were analyzed from the viewpoints of FAC and fluid dynamics by using CHECWORKS and FLUENT code. Depending on the engineer's skill, CHECWORKS can also be used for the management of wall thinning of small-bore piping.

Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists

  • Porcel, Jose M.
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.2
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    • pp.106-115
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    • 2018
  • Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (${\leq}14F$) are generally recommended as the first-line therapy for spontaneous pneumothorax in non-ventilated patients and pleural effusions in general, with the possible exception of hemothoraces and malignant effusions (for which an immediate pleurodesis is planned). Large-bore chest drains may be useful for very large air leaks, as well as post-ineffective trial with small-bore drains. Chest tube insertion should be guided by imaging, either bedside ultrasonography or, less commonly, computed tomography. The so-called trocar technique must be avoided. Instead, blunt dissection (for tubes >24F) or the Seldinger technique should be used. All chest tubes are connected to a drainage system device: flutter valve, underwater seal, electronic systems or, for indwelling pleural catheters (IPC), vacuum bottles. The classic, three-bottle drainage system requires either (external) wall suction or gravity ("water seal") drainage (the former not being routinely recommended unless the latter is not effective). The optimal timing for tube removal is still a matter of controversy; however, the use of digital drainage systems facilitates informed and prudent decision-making in that area. A drain-clamping test before tube withdrawal is generally not advocated. Pain, drain blockage and accidental dislodgment are common complications of small-bore drains; the most dreaded complications include organ injury, hemothorax, infections, and re-expansion pulmonary edema. IPC represent a first-line palliative therapy of malignant pleural effusions in many centers. The optimal frequency of drainage, for IPC, has not been formally agreed upon or otherwise officially established.

An experimental study on the influence of undular bore on the hydraulic stability at Shinwol rainwater storage and drainage system (불규칙 단파가 신월저류배수시설의 수리적 안정성에 미치는 영향에 대한 실험 연구)

  • Oh, Jun Oh
    • Journal of Korea Water Resources Association
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    • v.52 no.5
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    • pp.313-323
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    • 2019
  • Deep Tunnel system is a large-scale urban flood control facility installed underground in order to reinforce the lack of drainage systems in developed cities. In a structure like a deep tunnel system, the undular bore generated in the downstream causes a problem in the hydraulic stability of the tunnel. In this study, to investigate the influence of the undular bore on the hydraulic stability at the "Shinwol rainwater storage and drainage system", under construction for the first time in the country, a hydraulic model experiment was conducted on various flooding inflow scenarios. As a result of the hydraulic model experiment carried out in this study, the undular bore generated downstream is trapped in the pipe while moving to upstream, pushes the compressed air. It is judged that overflow occurred by choking the vertical drop shaft in the process when this compressed air is being exhaust through the upstream vertical drop shaft and blocking flood inflow. In addition, the analysis of velocity of undular bore shows that the undular bore transfers energy, and at this time, the pressure rose in the pipe and the velocity increment occurred of the undular bore. Further studies are needed to predict the size and velocity of undular bore, which plays an important role in the hydraulic stability of the tunnel in the deep tunnel system.