• Title/Summary/Keyword: Mean Pressure Control

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Development and Application of an Early Exercise Program for Open Heart Surgery Patients (개심술 환자를 위한 조기 운동프로그램의 개발 및 적용에 관한 연구)

  • Ha, Yi-Kyung;Jung, Yoen-Yi
    • Journal of Korean Critical Care Nursing
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    • v.4 no.1
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    • pp.65-73
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    • 2011
  • Purpose: This study was to develop and evaluate stability and effects of an early exercise program for patients with open heart surgery. Methods: The subjects of this study were 30 patients who had either a coronary bypass surgery or a valvular heart surgery at a tertiary hospital in Seoul. The data was collected by observation and measurement from October 1, 2004 to November 15, 2004. Results: The early exercise program developed for this study consisted of range of motion exercise and walking. Intensity of walking was 1~3 METs and increased progressively to daily target distance. During exercise, the subjects were monitored heart rate, blood pressure and RPE (Rating of Perceived Exertion). The mean FIM (Functional Independent Measurements) score of subjects was significantly improved after the early exercise program. However, several complaints such as dizziness or pain were also reported. Most complaints were associated with chest tube and RPE. Conclusion: The early exercise program can help to recover patients' physical activities after surgery, and can be applied to most patients. Patients' RPE, dizziness and pain was possible limitations, therefore, active pain control and prevention of accidents for patients would be needed.

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Renal Action of SKP-450, $K^+$Channel Opener, in Dog ( $K^+$ Channel 개방제인 SKP-450의 신장작용)

  • 고석태;김미형
    • Biomolecules & Therapeutics
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    • v.8 no.1
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    • pp.44-52
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    • 2000
  • SKP-450 which is $K^{+}$ channel opener, When given into duodenum, exhibited the decline of urine flow accompanied with the decrease of glomerular filtration rates (GFR), renal plasma flow (RPF), N $a^{+}$ and $K^{+}$ excreated in the urine ( $E_{Na}$ , $E_{K}$) and the increase of $K^{+}$N $a^{+}$ratios, and then appeared the significant fall of mean arterial pressure (MAP) and unchanged of reabsorption rates of N $a^{+}$, $K^{+}$ in renal tubules ( $R_{Na}$ , $R_{K}$). SKP- 450 injected into the vein elicited the decline of urine flow along with the reduction of $E_{Na}$ , $E_{K}$, and the increase of $R_{Na}$ , $R_{K}$ and $K^{+}$M $a^{+}$ ratios. SKP-450 administered into a renal artery produced diuretic action along with the increase of $E_{Na}$ , $E_{K}$ and the decrease of $R_{Na}$ , $R_{K}$ in experimental kidney, whereas produced the same aspect to intravenous SKP-450 in the control kidney. Above results suggest that SKP-450 possess both diuretic action in the kidney and central antidiuretic action in dog.tic action in dog.tion in dog.

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Renal Action of BRL 34915, a $K^+$ Channel Opener, in Dog ($K^+$ Channel 개방제인 BRL 34915의 신장작용)

  • 고석태;최홍석
    • YAKHAK HOEJI
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    • v.44 no.3
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    • pp.205-212
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    • 2000
  • The effect of BRL 34915, a $K^{+}$ channe$Na^{+}$l opener, on renal function was investigated in anesthetized dog. BRL 34915, when given into the vein, elicited the decrease of urine volume accompanied with the reduction of renal plasma flow (RPF), osmolar clearance ($C_{osm}$) and amounts of sodium excreted into urine ($E_{na}$), whereas reabsorption rate of sodium in renal tubules ($R_{na}$), ratio of $K^{+}$ against $Na^{+}$ in urine ($K^{+}$ /$Na^{+}$) were elevated significantly with a partial fall of mean arterial pressure (MAP). BRL 34915 injected into a renal artery produced the diuretic action along with the increase in RPF $C_{osm}$, $E_{na}$ and amounts of potassium excreted in urine ($E_{k}$), and the decrease in $R_{na}$, reabsorption rate of potassium in renal tubules ($R_{k}$), free water clearance ($C_{H20}$) and $K^{+}/Na^{+}$ ratio in only ipsilateral kidney, however changes of the renal function were not observed in control kidney. BRL 34915 given into carotid artery exhibited the same aspect as changes of renal function induced by intravenous BRL 34915. These results suggest that BRL 34915 has dual effects, renally acting diuretic and centrally acting antidiuretic action.n.

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The Power of Living in the Present Moment among Patients with Diabetes

  • Thearmtanachok, Kanchana
    • Asian Journal for Public Opinion Research
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    • v.2 no.2
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    • pp.121-139
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    • 2015
  • "Living in the present moment," a Buddhist concept, was applied in this research. This concept urges the patients to cling neither to the past nor the future as well as being mindful of their body, feelings, mind, and mental qualities. The purpose of the study was to develop a "living in the present moment" model and to evaluate the power of "living in the present moment" in terms of physical and mental results. The study used non-participatory action research with quasi-experimental research design that included 3 camps composed of 6 main activities. The percentages, SD, and paired t-test statistics were used to analyze and compare 17 purposively selected diabetic patients from Pak Thong Chai Hospital before and after they attended the 3 camps. The patients improved significantly in terms of waistline, body weight, body mass index (BMI) and blood pressure (SBP and DBP). The mean of fasting plasma glucose (FPG) level was also changed considerably. The results revealed that the treatment helped the patients to gain self-awareness and self-realization (Yonisomanasikara), as well as knowledge and increased support from friends (Kalyanamitta). They also let go of their attachment to their physical and mental oppressions. This helped the patients to relieve their daily pain, fatigue, insomnia, and diabetes-related complications. About 75% of all patients were able to achieve lifestyle modifications. Therefore, implementation of the model should be expanded and utilized in other diabetic centers. The model might also be expanded to pre-diabetes.

Discrete Vortex Simulation of Turbulent Separated and Reattaching Flow With Local Perturbation (국소교란이 있는 난류박리 재부착유동의 이산와류 수치해석)

  • 정용만;성형진
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.18 no.2
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    • pp.479-491
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    • 1994
  • Discrete vortex method was applied for simulating an active control of turbulent leading- edge separation bubble. The leading-edge separation zone was perturbed by a time-dependent sinusoidal perturbation of different frequencies and levels. In order to describe the local sinusoidal perturbation at the separation point, a source pulsation vortex technique was proposed. The present two-dimensional vortex simulations were qualitatively compared with the experimental results for a blunt circular cylinder, where perturbation was introduced along the square-cut leading edge of the cylinder $(Kiya et al.^{(6,7)}).$ It was found that the reattachment length attained a minimum point at low levels of perturbation and two minima at a moderate higher perturbation frequency. The effects of local perturbation on the evolution of leading-edge separation bubble were scrutinized by comparing the perturbed flow with the natural flow. These comparisons were made for the distributions of mean velocity and its velocity fluctuations, intermittency and wall velocity. The motions of instantaneous reattachment in the space-time domain were demonstrated, which were also compared with the experimental findings. In order to investigate the reduction mehanism of reattachment length in the separation bubble, various cross-correlations for velocity and pressure and the relevant convection velocities were evaluated. It was observed that the convection velocity was closely associated with its corresponding pulsationg frequency.

Effect of Cheonmabanhwa-tang on the Cerebral Hemodynamics in Rats (천마반하탕이 뇌혈류역학에 미치는 영향)

  • Yang Gi Ho;Jeong Hyun Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.194-199
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    • 2004
  • Cheonmabanhwa-tang(CBT) has been used in the Oriental Medicine for many centuries as a therapeutic agent for dizziness due to Poong-Dam. This study was designed to investigate whether CBT has a cytotoxicity in vitro, and affects the cerebral hemodynamics [regional cerebral blood flow(rCBF), pial arterial diameter(PAD), and mean arterial blood pressure(MABP)) in normal and cerebral ischemic rats. The changes of rCBF were determinated by laser-doppler f1owmeter(LDF), and the change of PAD was determinated by video-microscopy. The results in normal rats were as follows: CBT had no cytotoxicity in neuronal cells. CBT significantly increased rCBF. MABP and PAD in a dose-dependent manner, respectively. Both rCBF and PAD were significantly and stably increased by CBT(10 mg/kg, i.p.) during the period of cerebral reperfusion. which contrasted with the findings of rapid and marked increase in control group. In conclusion, it is suggested that CBT causes a diverse effect on cerebral hemodynamics thereby has an anti-ischemic action.

Effects of Nelumbinis Rhizomatis Nodus Extract on Cerebral Hemodynamics in Rats (연근 추출물이 뇌혈류역학에 미치는 효과)

  • Lee Keum-Soo;Jeong Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1546-1551
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    • 2005
  • This Study was designed to investigate the effects of Nelumbinis Rhizomatis Nodus (NRN) on the change of cerebral hemodynamics [regional cerebral blood flow (rCBF), pial arterial diameter (PAD) and mean arterial blood pressure (MABP)] in normal and cerebral ischemic rats. And, this study was designed to investigate the inhibition of lactate dehydrogenase activity in neuronal cells The results were as follows NRN significantly increased rCBF and PAD in a dose-dependent manner, and NRN increased MABP in a dose-dependent manner. This results suggested that NRN significantly increased rCBF by dilating PAD. Both rCBF and PAD were significantly and stably increased by NRN (10 mg/kg, i.p.) during the period of cerebral reperfusion, which contrasted with the findings of rapid and marked increase in control group. NRN significantly inhibited lactate dehydrogenase activity in neuronal cells. This results suggested that NRN prevented the neuronal death. It is suggested that NRN had an anti-ischemic effect through the improvement of cerebral hemodynamics and inhibitive effect on the brain damage.

Effects of Two-Stage Injection on Combustion and Exhaust Emission Characteristics in a HCCI Engine (2단분사법에 따른 예혼합압축착화엔진의 연소 및 배기특성)

  • Kook, Sang-Hoon;Park, Cheol-Woong;Choi, Wook;Bae, Choong-Sik
    • Transactions of the Korean Society of Automotive Engineers
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    • v.12 no.5
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    • pp.32-39
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    • 2004
  • HCCI (Homogeneous Charge Compression Ignition) combustion has a great advantage in reducing NOx (Nitrogen Oxides) and PM (Particulate Matter) by lowering the combustion temperature due to spontaneous ignitions at multiple sites in a very lean combustible mixture. However, it is difficult to make a diesel-fuelled HCCI possible because of a poor vaporability of the fuel. To resolve this problem, the two-stage injection strategy was introduced to promote the ignition of the extremely early injected fuel. The compression ratio and air-fuel ratio were found to affect not only the ignition, but also control the combustion phase without a need for the intake-heating or EGR (Exhaust Gas Recirculation). The ignition timing could be controlled even at a higher compression ratio with increased IMEP (Indicated Mean Effective Pressure). The NOx (Nitrogen Oxides) emission level could be reduced by more than 90 % compared with that in a conventional DI (Direct Injection) diesel combustion mode, but the increase of PM and HC (Hydrocarbon) emissions due to over-penetration of spray still needs to be resolved.

Effect of Nitrogen and Carbon Dioxide on DME Homogeneous Charge Compression Ignition Engine (DME 예혼합 압축착화 엔진에서 질소와 이산화탄소의 영향)

  • Jang, Jin-Young;Bae, Choong-Sik
    • Transactions of the Korean Society of Automotive Engineers
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    • v.16 no.5
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    • pp.171-178
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    • 2008
  • The combustion and exhaust emission characteristics were investigated in an DME fueled HCCI engine. Carbon dioxide, nitrogen and mixed gas, which was composed of carbon dioxide and nitrogen, were used as control parameters of combustion and exhaust emission. As the oxygen concentration in induction air, which was occurred by carbon dioxide, nitrogen and mixed gas, was reduced, the start of auto-ignition was retarded and the burn duration was extended due to obstruction of combustion and reduction of combustion temperature. Due to these fact, indicated mean effective pressure was increased and indicated combustion efficiency was decreased by carbon dioxide, nitrogen and mixed gas. In case of exhaust emission, hydrocarbon and carbon monoxide was increased by reduction of oxygen concentration in induction air. Especially, partial burning was appeared at lower than about 18% of oxygen concentration by supplying carbon dioxide. However it was overcome by intake air heating.

Impact of SAPHIR Data Assimilation in the KIAPS Global Numerical Weather Prediction System (KIAPS 전지구 수치예보모델 시스템에서 SAPHIR 자료동화 효과)

  • Lee, Sihye;Chun, Hyoung-Wook;Song, Hyo-Jong
    • Atmosphere
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    • v.28 no.2
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    • pp.141-151
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    • 2018
  • The KIAPS global model and data assimilation system were extended to assimilate brightness temperature from the Sondeur $Atmosph{\acute{e}}rique$ du Profil $d^{\prime}Humidit{\acute{e}}$ Intertropicale par $Radiom{\acute{e}}trie$ (SAPHIR) passive microwave water vapor sounder on board the Megha-Tropiques satellite. Quality control procedures were developed to assess the SAPHIR data quality for assimilating clear-sky observations over the ocean, and to characterize observation biases and errors. In the global cycle, additional assimilation of SAPHIR observation shows globally significant benefits for 1.5% reduction of the humidity root-mean-square difference (RMSD) against European Centre for Medium-Range Weather Forecasts (ECMWF) Integrated Forecast System (IFS) analysis. The positive forecast impacts for the humidity and temperature in the experiment assimilating SAPHIR were predominant at later lead times between 96- and 168-hour. Even though its spatial coverage is confined to lower latitudes of $30^{\circ}S-30^{\circ}N$ and the observable variable is humidity, the assimilation of SAPHIR has a positive impact on the other variables over the mid-latitude domain. Verification showed a 3% reduction of the humidity RMSD with assimilating SAPHIR, and moreover temperature, zonal wind and surface pressure RMSDs were reduced up to 3%, 5% and 7% near the tropical and mid-latitude regions, respectively.