• Journal of Chest Surgery
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• v.32 no.6
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• pp.588-590
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• 1999

It is now generalized to perform cardiac surgery in the patients with end-stage renal disease. The growing number of patients with chronic renal failure wake us up to the need to prepare for proper management. There are not only the prevalence of coronary artery disease, but also a great amount of valve dysfunction exist in this group. Peritoneal dialysis may be one of the obstacles for cardiopulmonary bypass but it is not a great hindrance in cardiac surgery with careful preparation and well organized perioperative care. The author has performed mitral valve replacement in a 33-year-old anuric female patient with chronic renal failure and severe mitral insufficiency. Preoperatively, the patient was kept in adequate fluid and electrolyte balance using peritoneal dialysis. Peritoneal dialysis continued and regulated according to the laboratory data in this patient during and after the surgery. She recovered well showing an uneventful course and was discharged on postoperative 1 th day.

• Korean Chemical Engineering Research
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• v.48 no.4
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• pp.462-469
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• 2010

Gas-liquid 2 phase processes are usually used in chemical, biochemical, environmental engineering and food process. For optimizing these processes, understanding bubble's precise movement and shape are needed. Bubble's movement and shape are effected by liquid's properties-viscosity, surface tension and bubble's properties-size, velocity. This paper deals with experimental data of bubble's movement and shape in high viscous silicone oil. Also, drag coefficient and deformation factor given by other researcher's papers and books are used to predicting and comparing bubble's terminal velocity, drag coefficient, deformation factor and shape with experimental value. Experimental data show that bubble moves faster when it moves in lower viscous silicone oil and it's drag coefficient is bigger when it moves in high viscous silicone oil. Bubble's shape is close to sphere when moving in high viscous silicone. Formulas proposed by Batchelor expect most accurate prediction for bubble's velocity and drag coefficient. Bubble's 2D shape predicted by Batchelor's energy balance, drag coefficient and deformation factor show excellent agreement with experimental bubble's 2D shape.

• Journal of Yeungnam Medical Science
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• v.1 no.1
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• pp.13-23
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• 1984

Acute renal failure refers to a rapid reduction in renal function that usually occurs in an individual with no known previous renal disease. Development of a complication of acue renal failure in critically ill surgical patients is not unusual, and it causes high morbidity and mortality. Acute renal failure can be divided as Pre-renal (functional), Renal (organic), and Post-renal (obstructive) azotemia according to their etiologies. Early recognition and proper correction of pre-renal conditions are utter most important to prevent an organic damage of kidney. These measures include correction of dehydration, treatment of sepsis, and institution of shock therapy. Prolonged exposure to ischemia or nephrotoxin may lead a kidney to permanent parenchymal damage. A differential diagnosis between functional and organic acute renal failure may not be simple in many clinical settings. Renal functional parameters, such as $FENa^+$ or renal failure index, are may be of help in these situations for the differential diagnosis. Provocative test utilyzing mannitol, loop diuretics and renovascular dilators after restoration of renal circulation will give further benefits for diagnosis or for prevention of functional failure from leading to organic renal failure. Converting enzyme blocker, dopamine, calcium channel blocker, and propranolol are also reported to have some degree of renal protection from bioenergetic renal insults. Once diagnosis of acute tubular necrosis has been made, all measures should be utilized to maintain the patient until renal tubular regeneration occurs. Careful regulation of fluid, electrolyte, and acid-base balance is primary goal. Hyperkalemia over 6.5 mEq/l is a medical emergency and it should be corrected immediately. Various dosing schedules for medicines excreting through kidney have been suggested but none was proved safe and accurate. Therefore blood level of specific medicines better be checked before each dose, especially digoxin and Aminoglycosides. Indication for application of ultrafiltration hemofilter or dialysis may be made by individual base.

• Asian-Australasian Journal of Animal Sciences
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• v.28 no.3
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• pp.343-350
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• 2015

Cocoa pod is among the by-products of cocoa (Theobroma cacao) plantations. The aim of this study was to apply a number of treatments in order to improve nutritional quality of cocoa pod for feeding of ruminants. Cocoa pod was subjected to different treatments, i.e. C (cocoa pod without any treatment or control), CAm (cocoa pod+1.5% urea), CMo (cocoa pod+3% molasses), CRu (cocoa pod+3% rumen content) and CPh (cocoa pod+3% molasses+Phanerochaete chrysosporium inoculum). Analysis of proximate and Van Soest's fiber fraction were performed on the respective treatments. The pods were then subjected to an in vitro digestibility evaluation by incubation in rumen fluid-buffer medium, employing a randomized complete block design (n = 3 replicates). Further, an in vivo evaluation of the pods (35% inclusion level in total mixed ration) was conducted by feeding to young Holstein steers (average body weight of $145{\pm}3.6kg$) with a $5{\times}5$ latin square design arrangement (n = 5 replicates). Each experimental period lasted for 30 d; the first 20 d was for feed adaptation, the next 3 d was for sampling of rumen liquid, and the last 7 d was for measurements of digestibility and N balance. Results revealed that lignin content was reduced significantly when cocoa pod was treated with urea, molasses, rumen content or P. chrysosporium (p<0.01) with the following order of effectiveness: CPh>CAm>CRu>CMo. Among all treatments, CAm and CPh treatments significantly improved the in vitro dry matter and organic matter digestibility (p<0.05) of cocoa pod. Average daily gain of steers receiving CAm or CPh treatment was significantly higher than that of control (p<0.01) with an increase of 105% and 92%, respectively. Such higher daily gain was concomitant with higher N retention and proportion of N retention to N intake in CAm and CPh treatments than those of control (p<0.05). It can be concluded from this study that treatment with either urea or P. chrysosporium is effective in improving the nutritive value of cocoa pod.

• Journal of the Korean Solar Energy Society
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• v.32 no.3
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• pp.170-177
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• 2012

To apply the nanofluids into the general vapor compression cycle, basically have to know the thermal properties including thermal conductivity and dynamic viscosity. And needs to show the dispersion characteristics for various nanofluids and concentrations. So, firstly this study showed experimentally the thermal properties for various concentration (0.1%~0.7%, as mass balance) and temperature($20^{\circ}C{\sim}40^{\circ}C$) on $Al_2O_3$, $TiO_2$, and CuO nanofluids using base fluid as POE oil that has used in the scroll compressor for various refrigeration system. From the results, the dynamic viscosity of nanofluids was considerably changed from the base POE oil. And, the dispersion characteristics of various nanofluids using the simple methods like as analyzing the RGB value or measuring the sinking height of nanofluids were showed experimentally. Through the results, the dispersion characteristics of $Al_2O_3$ nanofluid was better than those of $TiO_2$, and CuO nanofluids not considering the real refrigeration cycle rurming conditions.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.3
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• pp.427-436
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• 2003

Purpose: The purpose of this study was to identify nurses' perceptions of the importance of concrete items as a basis for nursing practice. A total of 179 concrete items for basic nursing, which clinical nurses must know in order to practice appropriately, were identified. Method: The participants in this study were 225 nurses who had worked for two to five years in university hospitals. The nurses were asked to rate the importance of the 179 items (in 39 middle range categories) on a 5 point scale. Result: The mean age of the nurses was 26 and about 54% were university graduates. Of the 39 middle range categories those rated as the top ten were transfusion (4.682), IV injection (4.492), po medication (4.476), surgery (4.469), infection control (4.438), IM injection (4.413), safety (4.388), oxygenation (4.376), diagnostic test (4.366), and fluid & electrolyte balance (4.359). The categories that had the lowest scores were sexuality (3.449), conceptual nursing (3.465), spirituality (3.527) and personal hygiene (3.548). Conclusion: The results of this study show that most nurses evaluate items which they use frequently in their practice as important.

• Aerospace Engineering and Technology
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• v.12 no.2
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• pp.108-117
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• 2013

The oxidizer shutoff valve of a gas generator controls the mass flow rate of the propellant of a rocket engine using pilot pressure and spring the force of the valve. The developing oxidizer shutoff valve can be shut off if the pilot pressure is removed from the actuator. Therefore, force balancing is necessary to analyze the characteristics of the forces with respect to the opening and closing of the valve in order to evaluate its performance. In light of this, the valve has been designed to adjust the control pressure required to open the poppet and to determine the working fluid pressure at which the valve starts to close. Under cryogenic flow test as a tests level of C.R.T(Control Random Test), the chattering phenomena occurred due to much leakage of a metal seat section. The pressure for chattering of the oxidizer valve is predicted at about 11 bar using force balancing analysis.

• Journal of Advanced Marine Engineering and Technology
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• v.41 no.4
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• pp.316-322
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• 2017

The primary objective of the current study is to develop outstanding hull form on resistance performance by using numerical analysis code. Model tests were conducted to assess the resistance performance of the developed hull form. The investigation of an existing vessel was performed for validating the actual ship design based on the drawing. The operating displacement and speed were mainly confirmed through investigation of the existing vessel. The resistance performance of the existing vessel was analyzed using numerical code. The developed vessel was derived through studies on wave improvement of the bow shoulder, the balance of displacement distribution, the modification of the frame shape, and the size and shape change of the center skeg. Based on the results of a computational fluid dynamics analysis, the resistance performance of the developed vessel showed an improvement of 15% over the existing vessel at a speed of 11 knots. Resistance tests were conducted to evaluate the performance of the existing vessel and the developed vessel in the towing tank. Finally, the effective horsepower of the developed vessel showed an improvement of 17% over the existing vessel.

• Journal of Korean Neurosurgical Society
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• v.56 no.1
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• pp.28-33
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• 2014

Objective : Postoperative delirium is a common complication in the elderly after surgery but few papers have reported after spinal surgery. We analyzed various risk factors for postoperative delirium after spine surgery. Methods : Between May 2012 and September 2013, 70 patients over 60 years of age were examined. The patients were divided into two groups : Group A with delirium and Group B without delirium. Cognitive function was examined with the Mini-Mental State Examination-Korea (MMSE-K), Clinical Dementia Rating (CDR) and Global Deterioration Scale (GDS). Information was also obtained on the patients' education level, underlying diseases, duration of hospital stay and laboratory findings. Intraoperative assessment included Bispectral index (BIS), type of surgery or anesthesia, blood pressure, fluid balance, estimated blood loss and duration of surgery. Results : Postoperative delirium developed in 17 patients. The preoperative scores for the MMSE, CDR, and GDS in Group A were $19.1{\pm}5.4$, $0.9{\pm}0.6$, and $3.3{\pm}1.1$. These were significantly lower than those of Group B ($25.6{\pm}3.4$, $0.5{\pm}0.2$, and $2.1{\pm}0.7$) (p<0.05). BIS was lower in Group A ($30.2{\pm}6.8$ compared to $35.4{\pm}5.6$ in group B) (p<0.05). The number of BIS <40 were $5.1{\pm}3.1$ times in Group A, $2.5{\pm}2.2$ times in Group B (p<0.01). In addition, longer operation time and longer hospital stay were risk factors. Conclusion : Precise analysis of risk factors for postoperative delirium seems to be more important in spinal surgery because the surgery is not usually expected to have an effect on brain function. Although no risk factors specific to spinal surgery were identified, the BIS may represent a valuable new intraoperative predictor of the risk of delirium.

• Proceedings of the Korean Vacuum Society Conference
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• 2010.08a
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• pp.74-74
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• 2010

The aqua-plasma is the non-thermal plasma in electrical conductive electrolyte by generates the vapor film layer on the immersed metal electrode surface. This plasma can generate the hydroxyl radical by dissociate the water molecule with the plasma electron. To develop the plasma discharge device for high efficiency in the hydroxyl radical generation, proper model for estimation of plasma power is necessary. In this work, the 1-D spherical model was developed, considering temperature dependence material constants. The relation between the plasma power and hydroxyl generation was also studied by the comparison between the optical emission intensity from the hydroxyl radical using monochromator and estimated plasma power. First, the thickness of vapor layer thickness was estimated using the Navier-Stokes fluid equation in order to calculate the discharge E-field inside vapor layer. Using the E-field magnitude and power balance on the plasma generation, it was possible to estimate the plasma power. The plasma power was assumed to uniformly fill the vapor layer and the temperature of vapor layer was fixed in the boiling temperature of electrolyte, 375K. In the experiment, the aqua-plasma was discharged in the saline by applied the voltage on the bipolar electrode. The range of applied voltage was 234 to 280V-rms in the frequency of 380 kHz. Two type electrodes were produced with two ${\Phi}0.2$ tungsten. The plasma power was estimated from the V-I signal from the two high voltage probes and current probe. The estimated plasma power agreed with the profile of emission intensity when the plasma discharged between the metal electrode and vapor layer surface. However, when the plasma discharged between the metal electrodes, the increasing rate of emission intensity was lower than the increase of plasma power. It implies that the surface reaction is more sufficient rather than the volume reaction in the radical generation, due to the high density of water molecule in the liquid.