• Title/Summary/Keyword: fluid balance

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Hypernatremia and hyponatremia (고나트륨혈증과 저나트륨혈증)

  • Kim, Dong Un
    • Clinical and Experimental Pediatrics
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    • v.49 no.5
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    • pp.463-469
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    • 2006
  • Sodium is the major cation of the extracellular fluid and the primary determinant of extracellular osmolality. Therefore, hypernatremia causes water movement out of cells, while hyponatremia causes water movement into cells, resulting in cellular shrinkage and cellular swelling, respectively. Serious central nervous system symptoms may complicate both conditions. Since hypernatremia and hyponatremia are accompanied by abnormalities in water balance, it is essential to understand the mechanisms regulating extracellular osmolality and volume as well as the pathophysiology of hypernatremia and hyponatremia, in order to manage both conditions with swiftness and safety.

A Study on the Degree of Need of Human Structure and Function Knowledge in Clinical Nurses (기초간호자연과학의 인체구조와 기능 내용별 필요도에 대한 연구)

  • Choe, Myoung-Ae;Byun, Young-Soon;Seo, Young-Sook;Hwang, Ae-Ran;Kim, Hee-Seung;Hong, Hae-Sook;Park, Mi-Jung;Choi, Smi;Lee, Kyung-Sook;Seo, Wha-Sook;Shin, Gi-Soo
    • Journal of Korean Biological Nursing Science
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    • v.1 no.1
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    • pp.1-24
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    • 1999
  • The purpose of this study was to define the content of requisite human structure and function knowledge needed for clinical knowledge of nursing practice. Subjects of human structure and function were divided into 10 units, and each unit was further divided into 21 subunits, resulting in a total of 90 items. Contents of knowledge of human structure and function were constructed from syllabus of basic nursing subjects in 4 college of nursing, and textbooks published by nurse scholars prepared with basic nursing sciences. The degree of need of 90 items was measured with a 4 point scale. The subjects of this study were college graduated 136 nurses from seven university hospitals in Seoul and three university hospitals located in Chonnam Province, Kyungbook Province, and Inchon. They have been working at internal medicine ward, surgical ward, intensive care unit, obstetrics and gynecology ward, pediatrics ward, opthalmology ward, ear, nose, and throat ward, emergency room, rehabilitation ward, cancer ward, hospice ward, and their working period was mostly under 5 years. The results were as follows: 1. The highest scored items of human structure and function knowledge necessary for nursing practice were electrolyte balance, blood clotting mechanism and anticoagulation mechanism, hematopoietic function, body fluid balance, function of plasma, and anatomical terminology in the order of importance. The lowest scored items of human structure and function knowledge necessary for nursing practice was sexual factors of genetic mutation. 2. The highest order of need according to unit was membrane transport in the living unit, anatomical terminology in movement and exercise unit, mechanism of hormone function in regulation and integration unit, component and function of blood in oxygenation function unit, structure and function of digestive system in digestive and energy metabolism unit, temperature regulation in temperature regulation unit electrolyte balance in body fluid and electrolyte unit, concept of immunity in body resistance unit, and genetics terminology in genetics unit. The highest order of importance according to subunit was membrane transportation in cell subunit, classification of tissues in tissue unit, function of skin and skin in skin subunit, anatomical derivatives of the skeleton subunit, classification of joints in joint subunit, an effect of exercise on muscles in muscle subunit, function of brain in nervous system subunit, special sense in sensory subunit mechanism of hormone function in endocrine subunit, structure and function of female reproductive system in reproductive system unit, structure and function of blood in blood unit, structure of heart, electrical and mechanical function in cardiovascular system unit, structure of respiratory system in respiratory system subunit, structure and function of digestive system in digestive system subunit, hormonal regulation of metabolism in nutrition and metabolism subunit, function of kidney in urologic system subunit, electolyte balance in body fluid, electolyte and acid-base balance subunit. 3. The common content of human structure and function knowledge need for all clinical areas in nursing was structure and function of blood, hematopoietic function, function of plasm, coagulation mechanism and anticoagulation mechanism, body fluid, electrolyte balance, and acid-base balance. However, the degree of need of each human structure and function knowledge was different depending on clinical areas. 4. Significant differences in human structure and function knowledge necessary for nursing practice such as skin and derivatives of the skin, growth and development of bone, classification of joint, classification of muscle, structure of muscle, function of muscle, function of spinal cord, peripheral nerve, structure and function of pancrease, component and function of blood, function of plasma, structure and function of blood, hemodynamics, respiratory dynamics, gas transport, regulation of respiration, chemical digestion of foods, absorption of foods, characteristics of nutrients, metabolism and hormonal regulation, body energy balance were demonstrated according to the duration of work. 5. Significant differences in human structure and function knowledge necessary for nursing practice such as classification of tissue, classification of muscles, function of muscles, muscle metabolism, classification of skeletal muscles, classification of nervous system, neurotransmitters, mechanism of hormone function, pituitary and pituitary hormone, structure and function of male reproductive organ, structure and function of female reproductive organ, component and function of blood, function of plasma, coagulation mechanism and anticoagulation mechanism, gas exchange, gas transport, regulation of respiration, characteristics of nutrients, energy balance, function of kidney, concept of immunity, classification and function of immunity were shown according to the work area. Based on these findings, all the 90 items constructed by Korean Academic Society of Basic Nursing Science should be included as contents of human structure and function knowledge.

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Prediction of Deformation of an Oil-fence by using Fluid$\cdot$Structure Interaction Method (유체$\cdot$구조물 상호 작용 기법을 이용한 오일 펜스의 변형 예측)

  • Kim T. G.;Kim W.;Hur N.
    • Journal of computational fluids engineering
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    • v.5 no.3
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    • pp.16-22
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    • 2000
  • In the present study a method of computing fluid-structure interaction is presented to simulate the deformation shape of an oil fence which is used to contain or to divert the split oil in sea water. The computation is performed by taking into account of the force and moment balance in each computational element of the oil fence. The forces and moments acting on each element of the structure is computed from the flow analysis, which in turn is used to predict deformed shape of the structure until the procedure converges. The flexibility of the oil fence was also considered in the analysis. It is shown from the present study that the predicted deformed shapes agree quite well with the available experiment data.

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A Research on the ORyungJinAekByeol(五륭津液別) of the Young Chu(靈樞) (靈樞${\cdot}$五륭津液別에 대한 硏究)

  • Jeong, Jong-Guk;Sin, Yeong-Il
    • Journal of Korean Medical classics
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    • v.13 no.2 s.17
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    • pp.155-155
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    • 2000
  • Body fluid(津液) is a general term for normal mucus in human body, including saliva, gastric juice, intestinal juice and articular fluid in joints as well as tear, running nose, sweat, etc.. The formation of Body fluid goes through two phases. First phase is digestion of food at stomach, and then evaporation and classification of energy at Triple warmer(三焦). More technically speaking, Body fluid is divided into the Jin(津) & the Aek(液). Aek is a very mild and water-like fluid, runs deep into the internal organs. Jin is a thick and sticky liquid, running shallow under the skin or in the joints of limbs. Major roles of body fluid over the body are to moisturize the internal organs, flesh, skin, etc., to soften the joints, to fill the bone marrow, and to balance Yin and Yang. This article deals with the role of body fluid and how to differentiate them, the liquid metabolism in the human body, and the formation and change of sweat, urine, tear, spit, bone marrow, etc.. The imbalance of Yin and Yang and disturbance of Triple warmer's evaporation lead into lumbago, leg weakness and edema is also explained here.

A Research on the ORyungJinAekByeol of the Young Chu(靈樞) (영추(靈樞).오륭진액별에 대한 연구(硏究))

  • Sin, Yeong-Il;Jeong, Jong-Guk
    • Journal of Korean Medical classics
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    • v.13 no.2 s.17
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    • pp.156-171
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    • 2000
  • Body fluid(津液) is a general term for normal mucus in human body, including saliva, gastric juice, intestinal juice and articular fluid in joints as well as tear, running nose, sweat, etc.. The formation of Body fluid goes through two phases. First phase is digestion of food at stomach, and then evaporation and classification of energy at Triple warmer(三焦). More technically speaking, Body fluid is divided into the Jin(津) & the Aek(液). Aek is a very mild and water-like fluid, runs deep into the internal organs. Jin is a thick and sticky liquid, running shallow under the skin or in the joints of limbs. Major roles of body fluid over the body are to moisturize the internal organs, flesh, skin, etc., to soften the joints, to fill the bone marrow, and to balance Yin and Yang. This article deals with the role of body fluid and how to differentiate them, the liquid metabolism in the human body, and the formation and change of sweat, urine, tear, spit, bone marrow, etc.. The imbalance of Yin and Yang and disturbance of Triple warmer's evaporation lead into lumbago, leg weakness and edema is also explained here.

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The Development of a Heat Balance Evaluation Program for the Main Steam Line of LNG Carrier (LNG선 주증기계통의 열평형산전용 전산프로그램 개발)

  • 최순호
    • Journal of Advanced Marine Engineering and Technology
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    • v.22 no.6
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    • pp.854-861
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    • 1998
  • The demand of LNG as a cheap and clean energy which does not cause an environmental problem has sharply been increased in Korea. In general LNG is stored in a cargo tank specially designed as a liquid state below $-162^{\circ}C$. The main engine of a LNG carrier is generally a steam boiler because LNG is a highly flammable fluid with the possibility of explosion. The main engine of a cargo ship has to be capable of the propulsion load and various auxiliary loads for the safe navigation since it is the primary energy source. Therefore the evaluation of a main boiler's energy capacity is a key design point in the planning of LNG carrier's construction. This research is to develop the computational program for the analysis of steam boiler Heat balance for LNG carrier.

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Nurses' Perception and Practice of Fluid Intake and Output Measurement (간호사의 수분 섭취배설량 측정에 대한 인식도와 수행도)

  • Kang, Nam-Yi;Ahn, Sukhee
    • Journal of muscle and joint health
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    • v.23 no.2
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    • pp.84-94
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    • 2016
  • Purpose: This research aimed to identify levels of nurses' perception and practice of fluid intake and output (I & O) measurement and to explore the relationship between perception and practice of it. Methods: Using a cross-sectional survey design, 195 nurses who practiced fluid I & O measurement were recruited from a general hospital. Nurses who agreed to participate in this study completed a structured study questionnaire to assess their levels of perception and practice of fluid I & O measurement. Results: A level of perception of I & O measurement was high (3.46 points out of 5), and scores for 3 subdomains of I & O (importance, accuracy, and efficacy) were evenly high. The level of practice of I & O was fairly high (3.76 points out of 5). Perception and practice of I & O were highly correlated (r=.73, p<.001). Conclusion: Nurses seem to have higher levels of perception and do practice fluid I & O measurement correctly. In order to have reliable and valid I & O measures, nurses need to have continuous education on I & O measurement based on clinical guideline to utilize it as an invaluable clinical instrument.

A Study on Dynamic Characteristics of Hydraulic Motor Brake System with Counter Balance Valve (카운터 밸런스 밸브를 내장한 유압 모터 브레이크 시스템의 동특성)

  • Yun, So-Nam;Lee, Ill-Yeong
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.29 no.3
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    • pp.214-219
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    • 1993
  • Counter balance valve is used as one part of hydraulic motor brake system. The function of this valve is to protect over-run or free falling of inertia load. But occasionally the brake system with counter balance valve makes some undesirable problems such as pressure surges or vibrations. These problems may hurt system safety and driver's conformability. Nevertheless, studies on dynamic characteristics of hydraulic system including counter balance valve are very rare, so further accumulation of research results are required. In this study, for the purpose of easy estimation about dynamic characteristics of hydraulic system including counter balance valve, precise formulation describing fluid dynamics and valve dynamics under various boundary conditions were made. The equations obtained in the preceding process include some parameters that must be got experimentally. Flow coefficients of valve and choke are the most significant ones among the parameters. So these parameters are obtained experimentally in this study, and experimental equations obtained from the experimental data were used for numerical calculation. The equations were analysed by numerical integration using Runge-Kutta method, because the equations contain various nonlinear terms. From the numerical analysis, it was verified that the dynamic response of counter balance valve and pressure variation at each elements can be estimated very easily. So the analysing method developed in this study enabled very easy estimating the relation between the performances of counter balance valve and various physical parameters related to the valve. Conclusively, it is said that the results obtained in this study can be used very usefully to develop a new type counter balance valve or to apply the valve to actual hydraulic system for various industrial equipments.

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A Study on Fluid Intake Measurements (수분 섭취량 측정법에 관한 연구)

  • Lee, Chang Kwan;Kim, Yu Kyung;Seo, Myung Hwa;Lee, Kyung Mee;Lee, Ju Eun
    • Korean Journal of Adult Nursing
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    • v.25 no.5
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    • pp.567-573
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    • 2013
  • Purpose: The purpose of this study was to compared two methods for measuring fluid intake and to assess the most effective method. Methods: Data from 44 hospitalized patients with chronic kidney disease was analyzed. Two methods were used. The liquid method is to measure the daily intake of water in the form of pure water or some other beverage and IV fluid, the liquid-solid method is to measure the daily intake of water which enters by the oral route and IV fluid. Results: The daily intake of fluid was 1483.10mL and 2245.99mL respectively. The fluid output was 1883.72 mL. The Intra-Class Correlation (ICC) between the liquid method and the liquid-solid method and fluid output was 0.64 and 0.69, respectively. The correlation between differences of fluid in two methods and body weight change was r=.47 (p<.001) and r=.56 (p<.001), respectively. Conclusion: The results of this study suggest that there are no difference between the two measuring methods as to reflecting the most close value to fluid output. And the difference between intake and output by two methods is correlated with body weight change. Therefore, it can be suggested that the either method could be useful as patients' fluid intake measurement.

Reduction of the Axial Force of Water Pump Using CFD (전산유체역학을 이용한 워터펌프 축력 저감)

  • Jo, Sok-Hyun;Shin, Dong-Sung
    • Transactions of the Korean Society of Automotive Engineers
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    • v.20 no.3
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    • pp.83-87
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    • 2012
  • Computational Fluid Dynamics (CFD) method has been used to investigate the axial force of automotive water pump. As the excessive axial force can make some unexpected problems like impeller interference and coolant leakage we have focused on finding the cause of axial force and its reduction in this paper. First, we have tested the closed type water pump with and without balance hole by the calculation methods. By examining the pressure contour around the impeller, we have found that the axial force arises not only from the pressure difference around shroud but also from the pressure difference around hub. So we have tested two impellers - one is normal open type impeller and the other is open type impeller with modified hub. The results show that the axial force reduction is about 150~200N for normal one and 700N@3000RPM for modified impeller. And the hydraulic efficiency which is important in aspect of engine fuel efficiency is reduced about 6.5% for normal one but increased 4%@3000RPM for modified impeller.