• 제목/요약/키워드: Response position

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급성호흡부전증후군에서 Prone Position의 호흡 및 혈류역학적 효과 (The Respiratory and Hemodynamic Effect of Prone Position in Patients with ARDS)

  • 임채만;고윤석;정복현;이상도;김우성;김동순;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제44권5호
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    • pp.1105-1113
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    • 1997
  • 배 경 : 급성호흡부전증후군에서 배측 폐는 복측 폐에 비해 이환 정도가 심하여 기계호흡시 PEEP 사용에도 폐포 모집이 어려운 것이 알려져 있고 이러한 상태에서 prone position은 이환이 심한 배측 폐의 국소 환기를 향상시키고 동맥혈산소분압의 호전을 가져온다는 보고들이 있으나 아직 prone position 의 호흡생리학적 효과나 혈류역학적 효과가 완전히 정립되지 않았다. 방 법 : 급성폐손상 점수 평균 2.5 이상인 ARDS 환자 23명(남 : 여 =11 : 12, 연령 $62.1{\pm}20.8$세)을 대상으로 먼저 supine position에서 호흡 지표로 동맥혈가스분석, 총호흡기계 정적 탄성과 혈류역학적 지표로 평균 동맥압, 분당 심박수 등을 얻은 뒤 prone position으로 전환하였다. Prone position 5분에 동일한 혈류역학적 지표, 0.5 및 2시간에 호흡 지표를 얻었으며, 2시간까지의 $PaO_2/FIO_2$ 비가 supine position에 비해 20mmHg 이상 증가한 경우를 양성 호흡반응, prone 5분의 평균동맥압이 supine position에 비해 10mmHg이상 증가한 경우를 양성 혈류역학적반응으로 각각 정의하였다. 결과 : 1. 양성 호흡반응 대상 ARDS 환자 중 65%(15/23)가 양성 호흡반응을 보였고 양성 반응자는 비반응자에 비해 연령, 남녀비, ARDS 유발 원인, supine position에서의 $PaO_2/FIO_2$비, Cst, rs 등은 차이가 없었으나 평균동맥압이 더 높고($91.1{\pm}13.1mmHg$ vs. $76.0{\pm}18.7mmHg$, p=0.035), 생존율이 높은 경향을 보였다(9/15 vs. 2/8, p=0.074). 양성 호흡반응자의 supine, prone 0.5 및 2시간의 $PaO_2$는 각각 $69.8{\pm}17.6mmHg$, $83.2{\pm}22.6mmHg$, $96.8{\pm}22.7mmHg$(p<0.001), $PaO_2/FIO_2$비는 각각 $108.1{\pm}40.5mmHg$, $137.3{\pm}60.0mmHg$, $157.7{\pm}50.0mmHg$로 증가하였다(p=0.001). 2. 양성 혈류역학적반응 Prone position시 평균 동맥압이 10mmHg이상 증가한 경우는 22%(5/23)이었고 이 중 2명은 양성 호흡반응이 없는 환자였다. 양성 혈류역학적반응을 보인 환자와 보이지 않은 환자 사이에 기저 평균동맥압($77.1{\pm}11.1mmHg$, $89.8{\pm}16.6mmHg$, p=0.099)이나 supine position 에서의 PEEP 사용 수준 ($7.8{\pm}3.2cm$ $H_2O$, $8.6{\pm}3.5cm$ $H_2O$, p=0.188) 등은 유의한 차이가 없었다. 결 론 : ARDS 환자에서 prone position은 폐산소화지표를 호전시키거나 평균동맥압을 상승시키며 양성 호흡반응 여부는 ARDS 발생 후 조기에 결정되는 것으로 추정되었다.

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High Response and Precision Control of Electronic Throttle Controller Module without Hall Position Sensor for Detecting Rotor Position of BLDCM

  • Lee, Sang-Hun;Ahn, Jin-Woo
    • Journal of international Conference on Electrical Machines and Systems
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    • 제2권1호
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    • pp.97-103
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    • 2013
  • This paper describes the characteristics of Electronic Throttle Controller (ETC) module in BLDC motor without the hall sensor for detecting a rotor position. The proposed ETC control system, which is mainly consisted of a BLDC motor, a throttle plate, a return spring and reduction gear, has a position sensor with an analogue voltage output on the throttle valve instead of BLDC motor for detecting the rotor position. So the additional commutation information is necessarily needed to control the ETC module. For this, the estimation method is applied. In order to improve and obtain the high resolution for the position control, it is generally needed to change the gear ratio of the module or the electrical switching method etc. In this paper, the 3-phase switching between successive commutations is adapted instead of the 2-phase switching that is conventionally used. In addition, the position control with a variable PI gain is applied to improve a dynamic response during a transient period and reduce vibration at a stop in case of matching position reference. The mentioned method can be used to estimate the commutation state and operate the high-precision position control for the ETC module and the high response characteristics. The validity of the proposed method is examined through the experimental results.

The effects of scanning position on evaluation of cerebral atrophy level: assessed by item response theory

  • Mahsin, Md;Zhao, Yinshan
    • Communications for Statistical Applications and Methods
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    • 제23권6호
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    • pp.531-541
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    • 2016
  • Cerebral atrophy affects the brain and is a common feature of patients with mild cognitive impairment or Alzheimer's diseases. It is evaluated by the radiologist or reader based on patient's history, age and the space between the brain and the skull as indicated by magnetic resonance (MR) images. A total of 70 patients were scanned in the supine and prone positions before three radiologist assessed their atrophy level. This study examined the radiologist's assessment of the cerebral atrophy level using a graded response model of item response theory (IRT). A graded response model (GRM) is fitted to our data and then item-fit and person-fit statistics are evaluated to assess the fitted model. Our analysis found that the cerebral atrophy level is better discriminated by readers in the prone position because all item slopes were greater than 2 at this position, versus the supine position where all the slope parameters were less than 1. However, the thresholds are very similar for the first reader and are quite different for the second and third readers because the scanning position affects readers differently as the category threshold estimates vary considerably between the readers..

비선형특성 보상에 의한 공기압 실린더의 위치제어 (A Method of a Nonlinear Position Control of a Pneumatic Cylinder)

  • 장지성
    • 동력기계공학회지
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    • 제4권2호
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    • pp.58-64
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    • 2000
  • A method for the position control of a pneumatic cylinder using a linearized controller is proposed. Pneumatic cylinder has highly nonlinear characteristics and modelling of the system has been difficult. Compliance of the pneumatic cylinder is materially changed according to the operating position. So, in the case that fixed gain controller obtained by a linearized model at a specified position is used, response of the cylinder should be changed according to the operating position. In order to get a designed results regardless of operating positions, a controller for compensation of the nonlinear characteristic with a linearlization compensator is designed and simulation results show that this method is appropriate for the control object.

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위치형퍼지제어기와 속도형퍼지제어기로 구성된 퍼지 가중치 제어기 (Weighted fuzzy controller composed of position type fuzzy controller and velocity type fuzzy controller)

  • 김병수;박준열
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1996년도 한국자동제어학술회의논문집(국내학술편); 포항공과대학교, 포항; 24-26 Oct. 1996
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    • pp.181-183
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    • 1996
  • Generally, While position type fuzzy controller has good performance in transient period, it has uniform steady state error of response. While velocity type fuzzy controller is capable of reducing steady state error of response, it is hard to develop the performance in transient period. In order to have both good performance in transient period and ability to reduce the steady state error of response, weighting fuzzy controller, which is composed of these two fuzzy controllers, is proposed. For the decision of weight to each fuzzy controller, Weighting fuzzy set is established according to the system state variables and applied to each fuzzy controller. The proposed weighted fuzzy controller has the merits of both position type fuzzy controller and velocity type fuzzy controller simultaneously.

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유압 비례 위치제어시스템의 적응 마찰력 보상기 설계에 관한 연구 (A Study on the Adaptive Friction Compensator Design of a Hydraulic Proportional Position Control System)

  • 이명호;박형배
    • 한국공작기계학회논문집
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    • 제12권6호
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    • pp.77-83
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    • 2003
  • This paper deals with a position control problem of a hydraulic proportional position control system using a nonlinear friction compensation control. As nonlinear friction, stiction and coulomb friction forces are considered and modeled as deadzone and external disturbance respectively. In order to compensate this nonlinearities, we designed the controller which is the adaptive friction compensator using discrete time Model Reference Adaptive Control method in this paper. Digital Signal Processing board is employed for data acquisition and manipulation. The experimental results show that response is slow and steady-state error cannot be compensated properly without friction compensation but this compensator is effective to obtain fast response and good steady-state response.

유압 비례 위치제어 시스템의 마찰력 보상기 설계 (Friction Compensator Design of a Hydraulic Proportional Position Control System)

  • 이명호
    • 한국생산제조학회지
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    • 제7권4호
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    • pp.130-135
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    • 1998
  • This paper deals with a position control problem of a hydraulic proportional position control system using a friction compensation control. There are many nonlinearities in hydraulic systems. With only proportional controller, response is slow and steady-state error cannot be compensated properly. Controller designed in this paper achieves fast transient response through the velocity and acceleration feedback and good steady-state response through the friction compensator. A/D and D/A board is employed for data acquisition and manipulation. The experimental results are compared with computer simulation results using Matlab.

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복합재 빔 체결을 위한 체결 홀 위치 최적화 (Optimization of Joint Hole Position Design for Composite Beam Clamping)

  • 조희근
    • 한국기계가공학회지
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    • 제18권2호
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    • pp.14-21
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    • 2019
  • In recent years, the use of composite structures has become commonplace in various fields such as aerospace, architecture, and civil engineering. In this study, A method is proposed to find optimal position of bolt hole for fastening of composite structure. In the case of composites, stress distribution is very complicated, and design optimization based on this phenomenon increases difficulty. In selecting the optimum position of the bolt hole, the response surface method(rsm), which is a method of optimization, was applied. A response surface was created based on design points by multiple finite element analyzes. The position of the bolt hole that minimizes the stress when bolting on the response surface was found. The distribution of the stress at the position of the optimal hole was much lower than that of the initial design. Based on the results of this study, it is possible to increase the design safety factor of the structure by appropriately selecting the position of the bolt hole according to various load types when designing the structure and civil structure.

주파수 응답함수를 이용한 구조물 고유진동수 극대화를 위한 최적 지지점 선정 (Selection of Optimal Supporting Position to Maximize Natural Frequency of the Structure Using Frequency Response Function)

  • 박용화;정완섭;박윤식
    • 소음진동
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    • 제10권4호
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    • pp.648-654
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    • 2000
  • A procedure to determine the realizable optimal positions of rigid supports is suggested to get a maximum fundamental natural frequency. a measured frequency response function based substructure-coupling technique is used to model the supported structure. The optimization procedure carries out the eigenvalue sensitivity analysis with respect to the stiffness of supports. As a result of such stiffness optimization, the optimal rigid-support positions are shown to be determined by choosing the position of the largest stiffness. The optimally determined support conditions are verified to satisfy the eigenvalue limit theorem. To demonstrate the effectiveness of the proposed method, the optimal support positions of a plate model are investigated. Experimental results indicate that the proposed method can effectively find out the optimal support conditions of the structure just based on the measured frequency response functions without any use of numerical model of the structure.

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누적오차 조정계수를 이용한 위치형 퍼지제어기 (Position-type fuzzy controller using the accumulated error scaling factor)

  • 김동하;전해진;최봉열
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.177-177
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    • 2000
  • In this paper, we propose a two-input two-output fuzzy controller to improve the performance of transient response and to eliminate the steady state error. The outputs of this controller are the control input calculated by position-type fuzzy controller and the accumulated error scaling factor. Here, the accumulated error scaling factor is adjusted on-line by fuzzy rules according to the current trend of the controlled process. To show the usefulness of the proposed controller, it is applied to several systems that are difficult to get satisfactory response by conventional PD controllers or PI controllers.

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