• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.28 no.2
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• pp.115-124
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• 2024

To compare the outcomes of low central venous pressure (CVP) to standard CVP during laparoscopic liver resection. The study design was a systematic review following the PRISMA statement standards. The available literature was searched to identify all studies comparing low CVP with standard CVP in patients undergoing laparoscopic liver resection. The outcomes included intraoperative blood loss (primary outcome), need for blood transfusion, mean arterial pressure, operative time, Pringle time, and total complications. Random-effects modelling was applied for analyses. Type I and type II errors were assessed by trial sequential analysis (TSA). A total of 8 studies including 682 patients were included (low CVP group, 342; standard CVP group, 340). Low CVP reduced intraoperative blood loss during laparoscopic liver resection (mean difference [MD], -193.49 mL; 95% confidence interval [CI], -339.86 to -47.12; p = 0.01). However, low CVP did not have any effect on blood transfusion requirement (odds ratio [OR], 0.54; 95% CI, 0.28-1.03; p = 0.06), mean arterial pressure (MD, -1.55 mm Hg; 95% CI, -3.85-0.75; p = 0.19), Pringle time (MD, -0.99 minutes; 95% CI, -5.82-3.84; p = 0.69), operative time (MD, -16.38 minutes; 95% CI, -36.68-3.39; p = 0.11), or total complications (OR, 1.92; 95% CI, 0.97-3.80; p = 0.06). TSA suggested that the meta-analysis for the primary outcome was not subject to type I or II errors. Low CVP may reduce intraoperative blood loss during laparoscopic liver resection (moderate certainty); however, this may not translate into shorter operative time, shorter Pringle time, or less need for blood transfusion. Randomized controlled trials with larger sample sizes will provide more robust evidence.

• Tribology and Lubricants
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• v.21 no.6
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• pp.249-255
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• 2005

In this paper, the friction characteristic of engine bearings has been analyzed in terms of a friction loss power, a minimum film thickness and an oil film pressure. This analysis has been focused on the fuel economy improvement with a low viscosity engine oil such as SAE 0W-40, which is used for a friction loss reduction and increased for a Diesel fuel economy. The friction loss power, the minimum oil film thickness and oil film pressure distribution for plain bearings of a Diesel engine are analyzed using an AVL's EXCITE program with a conventional engine oils of SAE 5W-40 and 10W-40, and a low viscosity engine oil of SAE 0W-40. The computed results indicate that a viscosity of engine oils is closely related to the friction loss power and the decreased minimum film thickness in which is a key parameter of a load carrying capacity of an oil film pressure distribution. When the low viscosity engine oil is supplied to engine bearings, it does not affect to the formation of a minimum oil film thickness. But the friction loss power has been significantly affected by low viscosity engine oil at a low operating temperature of 0. Based on the FEM computed results, the low viscosity engine oil at a low temperature range will be an important factor for an improvement of the fuel economy improvement.

• Journal of the Korean Society of Propulsion Engineers
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• v.14 no.5
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• pp.8-14
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• 2010

For the development of a liquid rocket engine, hot-firing tests of a regeneratively cooled thrust chamber were performed at chamber pressures of approximately 30 and 60 bars. In the paper, pressure fluctuation data, which were obtained from the dynamic pressure transducers installed in propellant manifolds and combustion chamber, were analyzed. Compared to the data at chamber pressure of 60 bar, the results at chamber pressure of 30 bar showed low-frequency oscillations around 150 Hz in the combustion chamber. The low-frequency waves in the combustion chamber were coupled with those in the manifolds. However, the RMS values of the chamber pressure fluctuations at chamber pressure of 30 bar were only 0.8% of the chamber pressures. Thus, it can be inferred that the thrust chamber operates in the stability boundary even at low chamber pressure.

• Journal of the Korean Society of Safety
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• v.28 no.1
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• pp.88-94
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• 2013

The purpose of this study is to find out the difference of foot pressure according to the firefighter's work postures for providing the basic information to prevent Musculoskeletal disorders. This study was conducted by 9 male firefighters. Work postures were selected for rescuee handling, fire hose and hydraulic rescue equipment work postures. These were divided into 3 position, "High", "Middle" and the postures of taking out and letting down hydraulic rescue equipment were analyzed as starting point and end point respectively. Foot Pressure was used to analyze contact area, peak pressure, and maximum force in terms of work postures, and compared between fire hose and hydraulic rescue equipment work postures. The results of foot pressure are as follows. According to the results of rescuee handling work postures, one person handling posture showed wide contact area and foot pressure showed the highest at right foot. Accoridng to the (High), (Middle), (Low) postures of fire hose, the results didn't show the difference among the contact area, peak pressure and maximum force. As the results of hydraulic rescue equipment work postures, (Low) postures showed the highest in terms of the right foot of contact area, peak pressure and maximum force and (High) postures showed the highest in left foot. The increase of foot pressure lead to be inconvenience of low extremity and muscle fatigue for maintaining postural control cause pain. Thus, it is necessary to design insole-equipped working shoe for reduce the impulse and effect of foot during the rescuee handling work which standing out as foot pressure.

• Korean Journal of Applied Biomechanics
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• v.17 no.3
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• pp.173-180
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• 2007

The purpose of study was to compare plantar pressure during walking wearing the curved rear balance and normal shoes. Twelve university students(height: $177.2{\pm}4.6cm$, weight: $68.4{\pm}5.8kg$, age: $26.2{\pm}1.6yrs.$) who have no known musculoskeletal disorders were recruited as the subjects. Plantar foot pressures were evaluated using the Tekscan's pressure measurement systems while subjects walked upright position wearing the curved rear balance and normal shoes in random order at a speed of 1.3 m/s. The contacting dimension, the mean plantar pressure, and the peak plantar pressure were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). As a result, the curved rear balanced shoes showed as large as 38 up to 50 % of area at the rear side of feet than the normal shoes when measuring the contact area with upright position. In the distribution of average pressure, the curved rear balanced shoes displayed fairly low pressure compared to other normal shoes in general except for one area, which is M2, and especially, the measured pressures at the both rear (M1) and middle (M5) side of feet were low and statically significant. The contact area of the curved rear balanced shoes when walking was significantly larger at the rear (M1) and fore (M6, M7) side of feet. When considering pressure distribution at walking, low pressure was detected at the rear side of feet with the curved rear balanced shoes and at the fore side of feet for other normal shoes. The results showed that the contacting dimension of the curved rear balance shoes that acts between shoes and feet was higher than the corresponding value for the normal shoes in general; therefore it would reduce the pressure to the feet by allowing the each sole of the foot on the ground evenly.

• Environmental Engineering Research
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• v.21 no.2
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• pp.109-120
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• 2016

Conventional treatment techniques cannot meet the stringent modern water quality regulations emanating from the need to provide high quality drinking water. Therefore, a number of studies have suggested low pressure membrane filtration as a worthwhile alternative. However, a major constraint to the extensive use of this technology in low and middle income countries is the high operating and maintenance costs caused by the inherent predisposition to membrane fouling. Notwithstanding, pretreatment of feed water using techniques such as coagulation, adsorption, oxidation and bio-filtration is believed to control fouling. In this review paper, the existing scientific knowledge on membrane fouling and pretreatment techniques for controlling fouling in low pressure membranes is analyzed with the aim of providing new and valuable insights into such techniques, as well as unveiling crucial issues noteworthy for further studies. Among the techniques reviewed, coagulation was observed to be the most cost-effective and will remain the most dominant in the coming years. Although oxidants and magnetic ion exchange resins can also control fouling, the propensity of oxidants to form health treating precursors and the high economic implications of magnetic ion exchange resins will hinder their adoption in developing countries.

• Journal of Acupuncture Research
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• v.33 no.4
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• pp.33-38
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• 2016

Objectives : To identify potential correlation between patients' expectations and clinical outcome in a randomized control study of acupuncture. Methods : In a clinical trial of acupuncture for hypertension, 60 participants with pre and mild hypertension were randomized into an acupuncture group and a control group. After randomization, all participants were asked to rate their expectation for the intervention on a scale of 0 to 10. To analyze the effect of expectation on clinical outcome, change of blood pressure was compared between high and low expectation groups. Results : There was no significant difference of baseline blood pressure between low expectation group and high expectation group. Proportion of acupuncture group and control group was also not different between low and high expectation groups (p = 0.638). The change of systolic blood pressure was -1.55 mmHg in low expectation group and -3.07 mmHg in high expectation group, and it was not significantly different (p = 0.54). There was no significant difference in the change of diastolic blood pressure between two groups (p = 0.58), with -3.24 mmHg in low expectation group and -2.34 mmHg in high expectation group. Conclusion : In this study, the expectation of intervention (including acupuncture treatment) was not associated with the effect of intervention.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.24 no.7
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• pp.569-574
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• 2014

In order to investigate low frequency swishing noise of wind turbines, acoustic source model using a singularity in circular motion is introduced to derive analytic solution of Lowson acoustic analogy in time domain. Results in time and frequency domains computed by the solution show apparent modulation of amplitude and frequency. The solution indicates that time histories of acoustic pressure at receiver points varied significantly according to receiver's directional location, even when the retarded time distributions are similar. However, the corresponding time-averaged spectra of sound pressure at the receiver locations where the retarded time distributions are almost same are not significantly different. It can be inferred from these results that the time-averaged sound pressure spectra which cannot take into account the detailed difference in the time-variation of wind turbine noise may not represent the sound quality of wind turbines due to its swishing. Finally, as an introduction of procedure to quantify low frequency swishing noise level, relative variation of overall sound pressure level is obtained using tonal low frequency noise model.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.3
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• pp.348-355
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• 2011

Purpose: This study was done to examine the effects of heat therapy on low back pain, blood pressure and pulse rate after percutaneous coronary intervention. Method: The participants in this study were 40 patients who were admitted after having percutaneous coronary intervention. The experimental group, 20 patients, had heat therapy and the control group, 20 patients, maintained a supine position for 12 hours after the intervention. Back pain (VAS), blood pressure and pulse rate were measured just after removal of the sheath, and at 2-hour intervals up to 6 hours. Data were analyzed using SPSS 15.0. Results: The experimental group had significantly lower VAS for low back pain (F=23.44, p=.001). However no significant differences were found between two groups for blood pressure and pulse rate. Conclusion: The findings indicate that heat therapy is effective in reducing low back pain in patients who have had percutaneous coronary intervention. Therefore, heat therapy could be used as nursing intervention percutaneous coronary intervention.

• 유체기계공업학회:학술대회논문집
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• 2006.08a
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• pp.249-252
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• 2006

We conducted the experiment to analyze characteristics of micro-nozzle using different cold gas under two different nozzle expansion ratios in low vacuum condition. We measured thrust and chamber pressure and mass flow rate under low vacuum condition, and then compared them with those in ambient pressure.