• 제목/요약/키워드: 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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    • 제65권4호
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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.

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

  • 임재희;백판구;이재영;정백기
    • 소음진동
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    • 제9권4호
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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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강제 진동을 고려한 실린더 보어의 동적 변형 해석 (Dynamic Deformation Analysis of Cylinder Bore considering Forced Vibration)

  • 윤성호;조덕형
    • 한국자동차공학회논문집
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    • 제10권5호
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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
    • 한국초전도ㆍ저온공학회논문지
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    • 제19권1호
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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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    • 제44권6호
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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.

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

  • 조전욱;배준한;김해종;심기덕;성기철
    • 대한전기학회논문지:전기기기및에너지변환시스템부문B
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    • 제53권6호
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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.

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

  • 이광호;김도삼
    • 대한토목학회논문집
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    • 제28권5B호
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    • pp.575-589
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    • 2008
  • 본 연구는 지진해일단파(tsunami bore) 혹은 조석단파(tidal bore)와 같은 단파의 동수역학적인 거동특성을 검토할 목적으로, 댐파괴류에서 단파의 형성과 동일한 방법, 즉 수조의 한쪽 끝단에 있는 고수위의 저수조(貯水槽) 게이트를 순간적으로 제거하는 방법으로 단파를 발생시킨다. 이러한 단파의 형성과 전파에 관한 수치시뮬레이션에 이상유(二相流)모델에 기초한 Navier-Stokes식을 적용하며, 이 때 비압축성 및 비혼합성의 액체와 기체흐름을 각각 고려한다. 기체와 액체의 접면을 VOF법으로 추적하고, Navier-Stokes방정식을 수치적으로 풀기 위하여 MCIP법을 적용한다. 1차원인 CIP법을 분할스텝기법을 사용하여 고차원으로 확장한 MCIP법은 수치확산이 매우 작고, 또한 안정된 스킴으로 알려져 있다. 게다가, 난류를 시뮬레이션하기 위하여 그의 유용성이 잘 알려져 있는 LES모델을 사용한다. 단파의 형성과 전파에 관한 수치해석결과를 검증하기 위하여 수리실험을 수행하였으며, 시간경과에 따른 수위변동과 평균유속변동에 대한 수치해석결과 및 실험결과를 비교하여 매우 양호한 상호대응관계를 확인할 수 있었다.

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

  • 이대영;황경모;진태은;박원;오동훈
    • 대한기계학회논문집B
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    • 제34권4호
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    • pp.429-435
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    • 2010
  • 국내를 포함한 전 세계 50여개 원전의 발전사업자는 유동가속부식에 의한 탄소강 배관 감육을 관리하기 위하여 CHECWORKS 프로그램을 이용하고 있다. CHECWORKS 프로그램은 대구경 배관에만 적용 가능한 것으로 알려져 있기 때문에 소구경 배관에 대해서는 현장 배관감육 관리 담당자의 경험과 판단에 따라 배관을 관리하고 있다. 이에 따라 본 논문에서는 국내 원전 소구경 배관 4개 라인그룹에 대하여 CHECWORKS 프로그램과 FLUENT 코드를 이용하여 유동가속부식과 유동 특성을 분석하였다. 그 결과 현장 배관감육 관리 담당자의 기술력에 따라 CHEC- WORKS 프로그램도 소구경 배관 감육 관리에 이용할 수 있는 것으로 나타났다.

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

  • Porcel, Jose M.
    • Tuberculosis and Respiratory Diseases
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    • 제81권2호
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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.

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

  • 오준오
    • 한국수자원학회논문집
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    • 제52권5호
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    • pp.313-323
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    • 2019
  • 대심도 터널은 기 개발된 도시의 부족한 배수관망 능력을 보강하기 위하여 지하에 설치하는 대규모 도시홍수 배제 시설물로 역 사이펀 관로 형태를 하고 있는 시설물이다. 대심도 터널과 같은 구조에서는 하류에서 발생한 불규칙 단파에 의하여 터널의 수리적 안정성에 문제가 발생한다. 본 연구에서는 국내 최초로 건설 중인 '신월 빗물저류배수시설'의 수리적 안정성에 불규칙 단파가 미치는 영향을 알아보기 위하여 다양한 홍수유입 시나리오에 대하여 수리모형실험을 실시하였다. 본 연구에서 수행한 수리모형실험 결과 하류에서 발생한 불규칙 단파가 상류로 이동하면서 관 내 포집되어 압축상태인 공기덩어리를 밀어내는데, 이 공기덩어리가 상류 수직유입구를 통하여 급배기 되는 과정에 수직유입구를 질식시키고 홍수유입을 차단하여 월류가 발생하는 것으로 판단된다. 또한 불규칙 단파의 이동속도를 분석한 결과 불규칙 단파가 이동하면서 에너지를 전달하고 이때 관 내 압력 상승 및 불규칙 단파의 속도 증가분이 발생하는 것으로 판단된다. 대심도 터널의 수리적 안정성에 중요한 역할을 하는 불규칙 단파의 크기 및 속도 예측을 위한 추가 연구가 필요할 것으로 판단된다.