• Journal of Korean Neurosurgical Society
• /
• 제46권4호
• /
• pp.370-377
• /
• 2009

Objective : There is no definite adjustment protocol for patients shunted with programmable valves. Therefore, we attempted to find an appropriate method to adjust the valve, initial valve-opening pressure, adjustment scale, adjustment time interval, and final valve-opening pressure of a programmable valve. Methods : Seventy patients with hydrocephalus of various etiologies were shunted with programmable shunting devices (Micro Valve with $RICKHAM^{(R)}$ Reservoir). The most common initial diseases were subarachnoid hemorrhage (SAH) and head trauma. Sixty-six patients had a communicating type of hydrocephalus, and 4 had an obstructive type of hydrocephalus. Fifty-one patients had normal pressure-type hydrocephalus and 19 patients had high pressure-type hydrocephalus. We set the initial valve pressure to $10-30\;mmH_2O$, which is lower than the preoperative lumbar tapping pressure or the intraoperative ventricular tapping pressure, conducted brain computerized tomographic (CT) scans every 2 to 3 weeks, correlated results with clinical symptoms, and reset valve-opening pressures. Results : Initial valve-opening pressures varied from 30 to $180\;mmH_2O$ (mean, $102{\pm}27.5\;mmH_2O$). In high pressure-type hydrocephalus patients, we have set the initial valve-opening pressure from 100 to $180\;mmH_2O$. We decreased the valve-opening pressure $20-30\;mmH_2O$ at every 2- or 3-week interval, until hydrocephalus-related symptoms improved and the size of the ventricle was normalized. There were 154 adjustments in 81 operations (mean, 1.9 times). In 19 high pressure-type patients, final valve-opening pressures were $30-160\;mmH_2O$, and 16 (84%) patients' symptoms had nearly improved completely. However, in 51 normal pressure-type patients, only 31 (61%) had improved. Surprisingly, in 22 of the 31 normal pressure-type improved patients, final valve-opening pressures were $30\;mmH_2O$ (16 patients) and $40\;mmH_2O$ (6 patients). Furthermore, when final valve-opening pressures were adjusted to $30\;mmH_2O$, 14 patients symptom was improved just at the point. There were 18 (22%) major complications : 7 subdural hygroma, 6 shunt obstructions, and 5 shunt infections. Conclusion : In normal pressure-type hydrocephalus, most patients improved when the final valve-opening pressure was $30\;mmH_2O$. We suggest that all normal pressure-type hydrocephalus patients be shunted with programmable valves, and their initial valve-opening pressures set to $10-30\;mmH_2O$ below their preoperative cerebrospinal fluid (CSF) pressures. If final valve-opening pressures are lowered in 20 or $30\;mmH_2O$ scale at 2- or 3-week intervals, reaching a final pressure of $30\;mmH_2O$, we believe that there is a low risk of overdrainage syndromes.

• Journal of Korean Neurosurgical Society
• /
• 제48권3호
• /
• pp.251-258
• /
• 2010

Objective : Despite rapid evolution of shunt devices, the complication rates remain high. The most common causes are turning from obstruction, infection, and overdrainage into mainly underdrainage. We investigated the incidence of complications in a consecutive series of hydrocephalic patients. Methods : From January 2002 to December 2009, 111 patients underwent ventriculoperitoneal (VP) shunting at our hospital. We documented shunt failures and complications according to valve type, primary disease, and number of revisions. Results : Overall shunt survival time was 268 weeks. Mean survival time of gravity-assisted valve (GAV) was 222 weeks versus 286 weeks for other shunts. Survival time of programmable valves (264 weeks) was longer than that of pressure-controlled valves (186 weeks). The most common cause for shunt revision was underdrainage (13 valves). The revision rate due to underdrainage in patients with GAV (7 of 10 patients) was higher than that for other valve types. Of 7 patients requiring revision for GAV underdrainage, 6 patients were bedridden. The overall infection rate was 3.6%, which was lower than reported series. Seven patients demonstrating overdrainage had cranial defects when operations were performed (41%), and overdrainage was improved in 5 patients after cranioplasty. Conclusion : Although none of the differences was statistically significant, some of the observations were especially notable. If a candidate for VP shunting is bedridden, GAV may not be indicated because it could lead to underdrainage. Careful procedure and perioperative management can reduce infection rate. Cranioplasty performed prior to VP shunting may be beneficial.

• 대한전기학회:학술대회논문집
• /
• 대한전기학회 2006년 학술대회 논문집 정보 및 제어부문
• /
• pp.288-290
• /
• 2006

This paper presents the real-time water tank wireless control in a ship using duplex RF modules and PLC(Programmable logic Controller). The purpose of this paper is developing HMI(Human Machine Interface) for automation equipments. The system can low a cost because long wires are no more used. Analog signals of the water gauge and flow meter are changed to discrete signals by the micro-processor. The PLC checks the volume of water and runs On or Off of the valve and pump. Duplex RF modules send and receive data between the water tank and control room. Everywhere the Internet is used, operators are able to check the status of the system by the web-server.

• Computers and Concrete
• /
• 제24권5호
• /
• pp.437-444
• /
• 2019

PLC and its expansion module, electric ball valve and cooling pipe, electric heating steel plate and various components of the system, which is used to control test and process data. By automatically adjusting the opening of the valve, the system makes the top temperature and cooling speed develop along the ideal temperature diachronic curve. Moreover, the system enables the temperature difference between inside and surface of test block limited in a given range by automatically controlling the surface board heating. The method of physical simulation test by sandbox with built-in cooling water pipe and heating rod is adopted. On the premise of a given standard value, the operation of the system is checked under different working conditions. Further, an extension of this system is proposed, which enables its application to obtain some thermal parameters when cooperating with numerical simulation.

• 한국공작기계학회논문집
• /
• 제17권2호
• /
• pp.90-96
• /
• 2008

A pneumatic system was proposed to evaluate displacement accuracy of the pneumatic actuator without external load and to analyze capability of integration of the proposed valve system. The proposed pneumatic system consisted of a combination of pneumatic valves, two proximity sensors, and a programmable logic controller(PLC). The position controller is based on the PLC controller connected with the proximity sensors. Displacement accuracy of the pneumatic cylinder stroke was tested by varying air pressures of the supply and discharge-side and strokes of the pneumatic cylinder. The displacement accuracy of the pneumatic cylinder stroke increased as the supply and discharge side of air pressure increased at the stroke length of 133mm. Also the displacement accuracy increased as the stroke length increased with a fixed supply and discharge side of air pressure of the pneumatic cylinder as 3.5 and $4.5kg/cm^2$, respectively. The most accurate displacement of the pneumatic cylinder(i.e., standard deviation of 0.01 mm) was obtained at the supply and discharge side of air pressure of 4.0 and $5.0kg/cm^2$, respectively, and strokes of 170 and 190 mm among arbitrarily selected supply and discharge side air pressures and strokes.

• Journal of Korean Neurosurgical Society
• /
• 제60권1호
• /
• pp.1-7
• /
• 2017

Objective : The diagnosis of shunt malfunction can be challenging since neuroimaging results are not always correlated with clinical outcomes. The purpose of this study was to evaluate the efficacy of a simple, minimally invasive cerebrospinal fluid (CSF) lumbar tapping test that predicts shunt under-drainage in hydrocephalus patients. Methods : We retrospectively reviewed the clinical and radiological features of 48 patients who underwent routine CSF lumbar tapping after ventriculoperitoneal shunt (VPS) operation using a programmable shunting device. We compared shunt valve opening pressure and CSF lumbar tapping pressure to check under-drainage. Results : The mean pressure difference between valve opening pressure and CSF lumbar tapping pressure of all patients were $2.21{\pm}24.57mmH_2O$. The frequency of CSF lumbar tapping was $2.06{\pm}1.26times$. Eighty five times lumbar tapping of 41 patients showed that their VPS function was normal which was consistent with clinical improvement and decreased ventricle size on computed tomography scan. The mean pressure difference in these patients was $-3.69{\pm}19.20mmH_2O$. The mean frequency of CSF lumbar tapping was $2.07{\pm}1.25times$. Fourteen cases of 10 patients revealed suspected VPS malfunction which were consistent with radiological results and clinical symptoms, defined as changes in ventricle size and no clinical improvement. The mean pressure difference was $38.07{\pm}23.58mmH_2O$. The mean frequency of CSF lumbar tapping was $1.44{\pm}1.01times$. Pressure difference greater than $35mmH_2O$ was shown in 2.35% of the normal VPS function group (2 of 85) whereas it was shown in 64.29% of the suspected VPS malfunction group (9 of 14). The difference was statistically significant (p=0.000001). Among 10 patients with under-drainage, 5 patients underwent shunt revision. The causes of the shunt malfunction included 3 cases of proximal occlusion and 2 cases of distal obstruction and valve malfunction. Conclusion : Under-drainage of CSF should be suspected if CSF lumbar tapping pressure is $35mmH_2O$ higher than the valve opening pressure and shunt malfunction evaluation or adjustment of the valve opening pressure should be made.

• 한국식품과학회지
• /
• 제20권6호
• /
• pp.845-849
• /
• 1988

저장실, 저장상자, 공기분배장치 등을 포함한 실험실 규모의 저장실을 설계, 제작하였다. 과실류를 수용할 수 있는 저장상자(1.7 l)는 투명아크릴을 재질로 일정 공기가 계속해서 순환되도록 하고 저장실은 $0{\sim}30^{\circ}C$ 범위내에서 ${\pm}0.5^{\circ}C$의 정확도로 온도제어가 가능하였다. 저장상자로 유입되는 공기는 공기분배 장치를 통하여 예냉과 공기압의 균일화가 이루어지도록 하였고 Solenoid valve를 사용한 저장상자 선택장치를 제작하였다. 이와 같은 저장시설의 환경제어와 계측을 전담할 수 있는 마이크로프로셰서 시스템을 8 bit 마이크로프로쎄서와 기억장치, 그리고 입출력장치 등의 IC chip을 이용하여 설계 제작하였다. 동 시스템을 활용하기 위하여 저장환경의 제어를 위한 소프트웨어를 개발하고 운영프로그램을 ROM화 할 수 있었다. 제작된 저장 자동제어장치 시스템을 이용 밀감류 저장에 적용하여 저장시설의 운영 및 온도의 자료수집을 성공적으로 수행할 수 있었다.

• 한국실천공학교육학회논문지
• /
• 제4권2호
• /
• pp.7-12
• /
• 2012

본 연구에서는 실제의 자동 폐수 정화시스템을 교육용으로 설계한다. 이 시스템은 필터조, 폭기조, 반응조 및 자외선 살균조 등 전체 4개의 부분으로 구성하고, PLC, DC모터, 솔레노이드 밸브, 분사기, 프로펠러, 프로파일, 스위치, 센서 등을 사용하여 구현한다. 또한 이 시스템은 대학 교육으로부터 습득한 전공 지식을 토대로 설계 및 제작되어진다. 폐수처리 시설을 간단하게나마 실제로 구현해 봄으로써 학생들은 창의력과 적응성을 키울 수 있을 뿐만 아니라, 이 연구를 통하여 습득한 기술들이 필요 시에 관련 산업에 적용되어 질 수 있다.

• 대한조선학회논문집
• /
• 제49권6호
• /
• pp.447-460
• /
• 2012

In this study, the shutdown system of the fuel gas supply system is designed based on the Safety Integrity Level of IEC 61508 and IEC 61511. First of all, the individual risk($10^{-4}$/year) and the risk matrix which are the risk acceptance criteria are set up for the qualitative risk assessment such as the HAZOP study. The natural gas leakage at the gas supply pipe is identified as the highest risk among the hazards identified through the HAZOP study and as a safety instrumented function the shutdown function for leakage was defined. SIL 2 and PFD($2.5{\cdot}10^{-3}$) for the shutdown function are determined by the layer of protection analysis(LOPA). The shutdown system(SIS) carrying out the shutdown function(SIF) is verified and designed according to qualitative and quantitative requirements of IEC 61508 and IEC 61511. As a result of SIL verification and SIS conceptual design, the shutdown system is composed of two gas detectors voted 1oo2, one programmable logic solver, and two shutdown valve voted 1oo2.