• Title/Summary/Keyword: Stroke volume

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Influence of a Pre- and Postconditioning Treadmill Exercise on Intracerebral Hemorrhage-induced Apoptotic Neuronal Cell Death in Rats

  • Ko, Il-Gyu;Shin, Mal-Soon;Sim, Young-Je;Kim, Chang-Ju;Lee, Sam-Jun
    • Korean Journal of Exercise Nutrition
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    • v.13 no.2
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    • pp.115-122
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    • 2009
  • Intracerebral hemorrhage (ICH) is a common cause of stroke, and it occurs mainly in the striatum, thalamus, cerebellum, and pons. Physical exercise is known to ameliorate neurologic impairment induced by various brain insults. In the present study, the influence of pre-and post-conditioning of treadmill exercise on spatial learning ability, the lesion volume, and apoptotic neuronal cell death in the striatum following ICH in rats was investigated. ICH in the striatum was induced by injection of collagenase using strereotaxic instrument. The rats in the pre-exercise group were scheduled to run on a treadmill before ICH induction for 2 consecutive weeks. The rats in the post-exercise group were scheduled to run on a treadmill after ICH induction for 2 weeks. The rats in the pre-exercise and post-exercise group were scheduled to run on a preconditioning treadmill exercise 2 weeks before ICH induction until postconditioning treadmill exercise 2 weeks after ICH induction, except the day of surgery. For this study, radial arm maze task, Nissl staining, terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay, and immunohistochemistry for caspase-3 were performed. Our date showed that treadmill exercise suppressed the ICH-induced apoptotic neuronal cell death and decreased lesion volume in the stratum. Treadmill exercise also alleviated the ICH-induced impairment of spatial learning ability. Preconditioning treadmill exercise before the ICH insult and postconditioning treadmill exercise after the ICH insult showed similar effectiveness on the recovery of ICH. In this study, however, preconditioning exercise before the ICH insult and postconditioning exercise after the ICH insult showed the most potent effectiveness on the recovery of ICH.

Silent Embolic Infarction after Neuroform Atlas Stent-Assisted Coiling of Unruptured Intracranial Aneurysms

  • Seungho Shin;Lee Hwangbo;Tae-Hong Lee;Jun Kyeung Ko
    • Journal of Korean Neurosurgical Society
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    • v.67 no.1
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    • pp.42-49
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    • 2024
  • Objective : There is still controversy regarding whether neck remodeling stent affects the occurrence of silent embolic infarction (SEI) after aneurysm coiling. Thus, the aim of the present study is to investigate the incidence of SEI after stent-assisted coiling (SAC) using Neuroform Atlas Stent (NAS) and possible risk factors. This study also includes a comparison with simple coiling group during the same period to estimate the impact of NAS on the occurrence of SEI. Methods : This study included a total of 96 unruptured intracranial aneurysms in 96 patients treated with SAC using NAS. Correlations of demographic data, aneurysm characteristics, and angiographic parameters with properties of SEI were analyzed. The incidence and characteristics of SEI were investigated in 28 patients who underwent simple coiling during the same period, and the results were compared with the SAC group. Results : In the diffusion-weighted imaging obtained on the 1st day after SAC, a total of 106 SEI lesions were observed in 48 (50%) of 96 patients. Of these 48 patients, 38 (79.2%) had 1-3 lesions. Of 106 lesions, 74 (69.8%) had a diameter less than 3 mm. SEI occurred more frequently in older patients (≥60 years, p=0.013). The volume of SEI was found to be significantly increased in older age (≥60 years, p=0.032), hypertension (p=0.036), and aneurysm size ≥5 mm (p=0.047). The incidence and mean volume of SEI in the SAC group (n=96) were similar to those of the simple coiling group (n=28) during the same period. Conclusion : SEIs are common after NAS-assisted coiling. Their incidence in SAC was comparable to that in simple coiling. They occurred more frequently at an older age. Therefore, the use of NAS in the treatment of unruptured intracranial aneurysm does not seem to be associated with an increased risk of thromboembolic events if antiplatelet premedication has been performed well.

Piston Crevice Hydrocarbon Oxidation During Expansion Process in an SI Engine

  • Kyoungdoug Min;Kim, Sejun
    • Journal of Mechanical Science and Technology
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    • v.17 no.6
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    • pp.888-895
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    • 2003
  • Combustion chamber crevices in SI engines are identified as the largest contributors to the engine-out hydrocarbon emissions. The largest crevice is the piston ring-pack crevice. A numerical simulation method was developed, which would allow to predict and understand the oxidation process of piston crevice hydrocarbons. A computational mesh with a moving grid to represent the piston motion was built and a 4-step oxidation model involving seven species was used. The sixteen coefficients in the rate expressions of 4-step oxidation model are optimized based on the results from a study on the detailed chemical kinetic mechanism of oxidation in the engine combustion chamber. Propane was used as the fuel in order to eliminate oil layer absorption and the liquid fuel effect. Initial conditions of the burned gas temperature and in-cylinder pressure were obtained from the 2-zone cycle simulation model. And the simulation was carried out from the end of combustion to the exhaust valve opening for various engine speeds, loads, equivalence ratios and crevice volumes. The total hydrocarbon (THC) oxidation in the crevice during the expansion stroke was 54.9% at 1500 rpm and 0.4 bar (warmed-up condition). The oxidation rate increased at high loads, high swirl ratios, and near stoichiometric conditions. As the crevice volume increased, the amount of unburned HC left at EVO (Exhaust Valve Opening) increased slightly.

A Chancteristic of Thermal Efficiency in Order to High Expansion Realization with a Retard of Intake Valve Closing Time in the Low Speed Diesel Engine (저속 디젤기관에서 흡기밸브 닫힘시기 지연시 고팽창 실현을 위한 열효율 특성)

  • Jang Tae-Ik
    • Journal of Advanced Marine Engineering and Technology
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    • v.30 no.1
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    • pp.42-49
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    • 2006
  • In this research. the diesel cycle was thermodynamically interpreted to evaluate the possibility of high efficiency by converting diesel engines to the high expansion diesel cycle, and general cycle features were analyzed after comparing these two cycles. Based on these analyses. an experimental single cylinder a long stroke with high expansion-diesel engine. of which S/B ratio was more than 3, was manufactured. After evaluating the base engine through basic experiments, a diesel engine was converted into the high expansion diesel engine by establish VCR device and VVT system Accordingly, the high expansion diesel cycle can be implemented when the quantity of intake air is compensated by supercharge and the effective compression ratio is maintained at its initial level through the reduction of the clearance volume. In this case, heat efficiency increased by $5.0\%$ at the same expansion-compression ratio when the apparent compression ratio was 20 and the fuel cut off ratio was 2. As explained above, when the atkinson cycle was used for diesel cycle, heat efficiency was improved. In order to realize high expansion through retarding the intake value closing time, the engine needs to be equipped with variable valve timing equipment, variable compression ratio equipment and supercharged pressure equipment. Then a high expansion diesel cycle engine is realized.

Cardiorespiratory Regulations in the Japanese Amberjack (Seriola quinqueradiata) Exposed to Acute Hypoxia (저산소환경이 방어(Seriola quinqueradiata) 순환계의 산소운반 기능에 미치는 영향)

  • LEE Kyoung Seon;ISHIMATSU Atsushi;JEON Joong Kyun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.38 no.2
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    • pp.106-111
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    • 2005
  • We studied the cardio-respiratory properties in the Japanese amberjack (Seriola quinqueradiata) during acute hypoxia exposure. Fish were exposed to three levels of hypoxia (80, 60 or 50 mmHg) for 60 min at $25^{\circ}C$. Cardiovascular parameters (cardiac output; Q, heart rate; HR, stroke volume; SV, blood pressure; $P_{DA}$) changed little from pre-exposure values during both 80 and 60 mmHg of hypoxia. During 50 mmHg of hypoxia, the fish showed a bradycardia which significantly affected Q, whereas no change in SV. $P_{DA}$ increased transiently. Arterial oxygen partial pressure ($PaO_2$) immediately reduced along with a decrease of the water oxygen partial pressure ($P_WO_2$). Arterial $O_2$ content ($CaO_2$) decreased significantly only after 60 min of 50 mmHg of hypoxia. Arterial pH (pHa) and hematocrit value (Hct) did not change significantly. Comparing the effects of different levels of hypoxia, oxygen delivery to the tissues ($Q\;{\times}\;CaO_2$) should be maintained a constant over a broad range of $P_WO_2$, however, severely depressed below 50 mmHg of hypoxia.

Measurement of cardiac output during treadmill exercise by impedance cardiography with a new ensemble average (새로운 앙상블 평균법에 의한 임피던스 심장기록법의 트래드밀 운동 중의 심박출량 측정)

  • Kim, Deok-W.;Song, Chul-G.;Oh, In-S.;Hwang, Soo-K.;Kim, Won-K.
    • Proceedings of the KOSOMBE Conference
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    • v.1990 no.05
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    • pp.7-8
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    • 1990
  • In this study, a new ensemble average technique was developed to measure cardiac output during treadmill exercise. Each dZ/dt peak (C point) was used as a starting point for ensemble averaging, instead of conventionally used R wave of ECG in order to prevent the peak dZ/dt waveform from blurring. In ease of using R wave as a reference, time interval from R wave to the peak of dZ/dt varies for each heart beat. Stroke volume, heart rate, and cardiac output of five male were successfully measured with Balke protocol using the new ensemble average technique.

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Design of A Pendulum Type Motor-Driven Blood Pump for Artificial Heart

  • Chang, Jun-K.;Jung, Dae-Y.;Kim, Jong-W.;Min, Byoung-G.;Han, Dong-C.
    • Proceedings of the KOSOMBE Conference
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    • v.1990 no.05
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    • pp.1-6
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    • 1990
  • A new version of moving actuator electromechanical total artificial heart was designed to improve total efficiency, durability, and fitting inside thoracic cavity. As compared with our present type of the rolling cylinder actuator, this new model has a pendulum-type actuator with reciprocating motion around the fixed circular path, connected through the gear mechanisms to the motor. By using this mechanism, the efficiency and durability could be improved by replacing sliding mechanism with rolling contact elements. Also, the height of the pump could be decreased from 9cm to 7cm with static stroke volume 65cc. With these improvements, we have implanted this new pump in human size animal (less than 70Kg weight).

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Validation of Major Nursing Diagnosis-Outcome-Intervention(NANDA-NOC-NIC) Linkage for Adult Surgery Patients of Post Anesthetic Care Unit (회복실 성인 수술환자의 주요 간호진단, 간호결과 및 간호중재 연계검증)

  • Cho, Eun Jaung;Kim, Nam Cho
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.141-151
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    • 2008
  • Purpose: This study aimed at applying a standardized nursing process to adult surgery patients of post anesthetic care unit, and examining the validity of linkages in the measuring index of nursing outcome by which nursing outcome was applied. Method: The subjects were 184 surgery adult patients admitted at the post anesthetic care unit of Y university hospital. This study was used the measured tool developed by Choi et al.(2004) and by Lee (2004) who had already verified a validity based on Johnson and Bulechek's study(2001). Results: The nursing diagnosis of an acute pain, an urinary retention, a nausea, a decreased cardiac output, an ineffective airway clearance and an ineffective airway clearance were used in taking care for patients. The related factors according to the main nursing diagnosis were as the following: an injurious physical factor in an acute pain, reflex are inhibition in an urinary retention, post surgical anesthesia in a nausea, stroke volume change in a decreased cardiac output, secretory stasis in an ineffective airway clearance, pain in an ineffective breathing pattern. Conclusion: The study results could be facilitated in nursing process application for nurses at post anesthetic care unit. Also this study would provide basic data to develop a computerized program for the improvement of nursing process application.

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Effects of Ambient Conditions on the Atomization of Direct Injection Injector (분위기 조건이 직접분사식 인젝터의 미립화에 미치는 영향)

  • Lee, J.S.
    • Journal of ILASS-Korea
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    • v.6 no.1
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    • pp.25-34
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    • 2001
  • Several efforts to meet the exhaust gas regulation have been undertaken by many researchers in recent years. Main researches are on development of design techniques of intake port and combustion chamber, atomisation of fuel and precise control of air-fuel ratio, post-treatment of exhaust gas and so on. Engine technology is changed from PFI to GDI to correspond with exhaust gas regulation. GDI technique makes it possible to preserve lean air-fuel ratio and control accurate air-fuel ratio. Nevertheless, It is not cleared that information of spray characteristics and atomization process are very dependent on fluctuation of pressure and change of temperature in intake stroke. In this study, a constant volume combustion chamber is manufactured to investigate various fluctuations of in-cylinder pressure for injection duration. It is taken photographs of injection process of conventional GDI injector using PMAS. Then, it was verified experimently that ambient conditions as temperature and pressure of combustion chamber have effects on process of spray growth and atomization of fuel.

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Estrogen Attenuates the Pressor Response Mediated by the Group III Mechanoreflex (폐경전후 여성의 Group III 기계적 수용기 자극 시 운동승압반사의 비교)

  • Park, Seung-Ae;Kim, Jong-Kyung
    • Journal of Korean Academy of Nursing
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    • v.41 no.2
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    • pp.191-196
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    • 2011
  • Purpose: We investigated the effects of group III mechanoreceptors to cardiovascular responses in both pre-menopausal woman and post-menopausal woman during passive ankle dorsiflexion (PAD). Methods: Twenty healthy volunteers (10 post-menopausal women and 10 pre-menopausal women) were recruited for this study. Stroke volume (SV), heart rate (HR), cardiac output (CO), and total vascular conductances (TVC) were measured continuously throughout the experiment. To stimulate the group III mechanoreceptors, PAD was performed for one minute. Results: The results showed that mean arterial pressure (MAP) mediated by the mechanoreflex activation was significantly increased in both groups. However, this pressor response was significantly higher in post-menopausal women. This reflex significantly increased both SV and CO in pre-menopausal women, while there were no differences in post-menopausal women. There was no difference in HR in either group. The mechanoreflex significantly decreased TVC in post-menopausal woman, while there was no difference in pre-menopausal woman. Conclusion: The results indicate that the excessive pressor response mediated by the mechanoreflex occurs due to overactivity of group III mechanorecptors and the mechanism is produced mainly via peripheral vasoconstriction in post-menopausal women.