• Clinical Nutrition Research
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• v.13 no.1
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• pp.1-7
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• 2024

Nutritional support in critically ill patients is an essential aspect of treatment. In particular, the benefits of enteral nutrition (EN) are well recognized, and various guidelines recommend early EN within 48 hours in critically ill patients. However, there is still controversy regarding EN in critically ill patients with septic shock requiring vasopressors. Therefore, this case report aims to provide basic data for the safe and effective nutritional support in septic shock patients who require vasopressors. A 62-year-old male patient was admitted to the intensive care unit with a deep neck infection and mediastinitis that progressed to a septic condition. Mechanical ventilation was initiated after intubation due to progression of respiratory acidosis and deterioration of mental status, and severe hypotension required the initiation of norepinephrine. Due to hemodynamic instability, the patient was kept nil per os. Subsequently, trophic feeding was initiated at the time of norepinephrine dose tapering and was gradually increased to achieve 75% of the energy requirement through EN by the 7th day of enteral feeding initiation. Although there were signs of feeding intolerance during the increasing phase of EN, adjusting the rate of EN resolved the issue. This case report demonstrates the gradual progression and adherence to EN in septic shock patient requiring vasopressors, and the progression observed was relatively consistent with existing studies and guidelines. In the future, further case reports and continuous research will be deemed necessary for safe and effective nutritional support in critically ill patients with septic shock requiring vasopressors.

• Journal of Korean Tunnelling and Underground Space Association
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• v.26 no.5
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• pp.489-506
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• 2024

Excavation of tunnels below the groundwater table changes the hydraulic boundary conditions, causing flow towards the excavation face. Inflow into a tunnel is generally influenced by pre-excavation grouting, shotcrete lining, drainage system implementation, and the hydraulic deterioration of the drainage system. From the perspective of continuum theory, the groundwater inflow behavior due to excavation is very similar to the tunnel excavation behavior known as the convergence-confinement method. The groundwater inflow behavior due to tunnel excavation can be explained by the hydraulic convergence, while the behavior of shotcrete lining in limiting inflow can be inferred as hydraulic confinement. This study investigates the hydraulic convergence and confinement behavior using theoretical and numerical methods due to tunnelling. It is confirmed that the hydraulic convergence-confinement is exactly the same as the mechanical convergence-confinement concept. It is identified that the behavior is governed by the tunnel geometry, grout thickness and permeability, as well as the thickness and permeability of the support materials, such as shotcrete.

• Journal of the Korean Vacuum Society
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• v.21 no.5
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• pp.273-278
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• 2012

Over the last decade, the hafnium-based gate dielectric materials have been studied for many application fields. Because these materials had excellent behaviors for suppressing the quantum-mechanical tunneling through the thinner dielectric layer with higher dielectric constant (high-K) than $SiO_2$ gate oxides. Although high-K materials compensated the deterioration of electrical properties for decreasing the thickness of dielectric layer in MOSFET structure, their nano-mechanical properties of $HfO_2$ thin film features were hardly known. Thus, we examined nano-mechanical properties of the Hafnium oxide ($HfO_2$) thin film in order to optimize the gate dielectric layer. The $HfO_2$ thin films were deposited by rf magnetron sputter using hafnium (99.99%) target according to various oxygen gas flows. After deposition, the $HfO_2$ thin films were annealed after annealing at $400^{\circ}C$, $600^{\circ}C$ and $800^{\circ}C$ for 20 min in nitrogen ambient. From the results, the current density of $HfO_2$ thin film for 8 sccm oxygen gas flow became better performance with increasing annealing temperature. The nano-indenter and Weibull distribution were measured by a quantitative calculation of the thin film stress. The $HfO_2$ thin film after annealing at $400^{\circ}C$ had tensile stress. However, the $HfO_2$ thin film with increasing the annealing temperature up to $800^{\circ}C$ had changed compressive stress. This could be due to the nanocrystal of the $HfO_2$ thin film. In particular, the $HfO_2$ thin film after annealing at $400^{\circ}C$ had lower tensile stress, such as 5.35 GPa for the oxygen gas flow of 4 sccm and 5.54 GPa for the oxygen gas flow of 8 sccm. While the $HfO_2$ thin film after annealing at $800^{\circ}C$ had increased the stress value, such as 9.09 GPa for the oxygen gas flow of 4 sccm and 8.17 GPa for the oxygen gas flow of 8 sccm. From these results, the temperature dependence of stress state of $HfO_2$ thin films were understood.

• Journal of Chest Surgery
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• v.31 no.3
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• pp.242-246
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• 1998

From January 1988 to December 1995, 27 patients, 11 men and 16 women, underwent surgical intervention at our institution for prosthetic valve dysfunctions. The mean age was 43.5$\pm$12.2 years. Seventeen(63.0%) patients had the mitral valve replacement, 8(29.6%) the aortic valve, 1(3.7%) the aortic composite graft, and 1(3.7%) the tricuspid valve. Mean follow-up period was 49.5$\pm$30.9 months. In 12 bioprostheses, mean interval between the previous valve replacement and the reoperation was 104.9$\pm$34.9 months. The causes of redo surgery were structural deterioration of the prosthetic valve (12/12, 100%), paravalvular leak (2/12, 16.7%), and prosthetic valve endocarditis(1/12, 8.3%). In 15 mechanical prostheses, the mean interval was 55.2$\pm$43.7 months. The causes of redo surgery were pannus formation (8/15, 53.3%), paravalvular leak(4/15, 26.7%), and valve thrombosis(3/15, 20.0%). Posto- perative complications occurred in 7 patients (25.9%). There was no intraoperative death. But one patient, who received mechanical aortic valve replacement died on the 3rd postoperative day due to low cardiac output and multiorgan failure.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.7
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• pp.56-62
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• 2018

The bus bar is an electrical connection widely used for the power supply of skyscrapers and power distribution and industrial equipment electrical panels in industrial plants. There are various materials to be considered in the design of the bus bar, such as material based on the use environment, the sectional area according to the power capacity, the length of the surface circumference, and the tightening method. Even with a bus bar manufactured to a size of sufficient power capacity in the design, if the actual tightening is incorrect, it may lead to fire due to deterioration. For these reasons, a variety of research on the temperature rise of the electrical contact point has continued. However, the temperature rise of the contacts is a consequence of the result, not a direct cause. In this paper, the influence of contact resistance on the fastening force and the overlapping section of the bus bar are investigated by measuring the change in resistance from building the specimen. A total of eight bus bar specimens were manufactured and measured. Resistance was measured by varying the clamping force and the interval between overlapping sections when the specimens were crossed. We propose a safe power connection model by analyzing the contribution of these factors to the actual contact resistance change.

• Journal of Biomedical Engineering Research
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• v.23 no.2
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• pp.139-145
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• 2002

Bis-GMA, 2.2-bis[p(2-hydroxy-3-methacryloyloxypropokyl)phenyl]Propane, is an essential component as a multifunctional methacrylate prepolymer in the light-curable polymeric dental composite resins. Two hydroxyl groups of the Bis-GMA molecule are considered to induce water sorption of the photocured composite resin in a mouth, resulting in gradual long-term deterioration of aesthetics and mechanical properties of the composite resins. In this study, some additives such as light stabilizer and antioxidant were added to composite resins to promote durability and storage stability of the last product. First of all, color change increased as a light stabilizer. Tinuvin P, was added to the composed resins and color stability was improved as an antioxidant, Irganox 245, was added to ones. In addition, when Tinuvin P and Irganox 245 were added together to the composed resins. the color stability was enhanced and mechanical properties such as diametral tensile strength before and after acceleration tests were also not greatly decreased. Therefore, when 0.5 weight Percent of Tinuvin P and 0.1 weight percent of Irganox 245 were added together to dental composite resins. the durability and color stability were enhanced, and furthermore the storage stability was also improved for the composed resins.

• Journal of the Korea institute for structural maintenance and inspection
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• v.15 no.4
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• pp.193-203
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• 2011

The purpose of this study, looking to which the recycled fine aggregates from waste concrete have a lot of problems as a material for structure purpose, is applying the recycled fine aggregate to Self-Compacting Concrete(In the reminder of this paper, it often referred to as SCC) by using the characteristic which the powder containing the recycled fine aggregates can increase strength and liquidity. In this study, that is, the recycled fine aggregate powder is appropriate for developing high strength(over 40 MPa) and liquidity(JSCE 2 grade), the characteristic of the SCC and it was increased the ratio of mixing the recycled fine aggregates emerging from waste concrete and the normal fine aggregates by 25%, making differential in total 5 levels and applied to SCC. After all, this study was reviewed the physical properties of the fresh concrete, analyzed the mechanical properties and durability of the hardening concrete and tried to ensure the possibility of utilizing the recycled fine aggregates as a material for SCC. As a result, this study reached a conclusion that among the 5-level replacement ratios of the physical, mechanical analysis and the durability characteristics, the normal fine aggregates could be applied up to a replacement ratio of 50% more than the recycled fine aggregates and resulted in a deterioration in performance the replacement ratio larger than 50%. It is judged that the applicability of the real structures should be followed up in order to check the possibility of applying the recycled fine aggregates to real life.

• Journal of Biomedical Engineering Research
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• v.17 no.3
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• pp.327-336
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• 1996

This study was performed to investigate the effec% of immersion in water and thermal cycling on the mechanical peoperties of light cured restorative composite resins. Five commerically available light-cured composite resins(Photo Clearfil A : CA, Lite-Fil A . LF, Clearril Photo Posterior CP, Prisms AP.H.. PA, 2100 : ZH) were unto The specimens of 12 m in diameter and 0.7 m in thickness were made, and an immersion in $37^{\circ}C$ water for 7 days and a thermal cycling of 1000 cycles at 15 second dwell time each in $5^{\circ}C$ and $55^{\circ}C$ baths were performed. Biaxial flexure test was conducted using the ball-on-three-ball method at the crosshead speed of 0.5mm/min. In order to investigate the deterioration of composite resins during the thermal cycling test, Weibull analysis for the biaxial flexure strengths was done. Fracture surfaces and the surfaces before and after the thermal cycling test were examined by SEM. The highest Weibull modulus value of 10.09 after thermal cycling tests which means the lowest strength variation, was observed in the CP group, and the lowest value of 4.47 was obsered in the LF Group. Biaxial flexure strengths and Knoop hardness numbers significantly decreased due to the thermal cycling ($\textit{p}$< 0.01), however, they recovered when specimens were drie4 The highest biaxial flexure strength of 125.65MPa was observed in the ZH group after the thermal cycling test, and the lowest value of 64.86MPa was observed in the CA group. Biaxial flexure strengths of ZH and CP groups were higher than those of PA, CF, and CA groups after thermal cycling test($\textit{p}$< 0.05). Knoop hardness numbers of CP group after the thermal cycling test was the highest(95.47 $\pm$ 7.35kg/$mm^2$) among the samples, while that of CA group was the lowest(30.73 $\pm$ 2.58kg/$mm^2$). Knoop hardness numbers showed the significant differences between the CP group and others after the thermal cycling test(($\textit{p}$< 0.05). Fracture surfaces showed that the composite resin failure developed along the matrix resin and the filler/resin interface region, and the cracks propagated in the conical shape from the maximum tensile stress zone.

• Korean Journal of Materials Research
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• v.11 no.3
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• pp.236-242
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• 2001

HfN/Si$_3$N$_4$and NbN/Si$_3$N$_4$ multilayer coatings were deposited onto a high speed tool steel substrate by reactive sputtering and their mechanical properties were evaluated in terms of the dependence of hardness and adhesion strength on the sputter deposition process parameters. The hardnesses of both HfN/Si$_3$N$_4$and NbN/Si$_3$N$_4$ multiplayer coatings increase up to the flux ratio of 0.4 but nearly do not change after that as the $N_2$/Ar flux ratio in nitride sputter deposition increases. The hardnesses of both multiplayer coatings nearly do not change with annealing at low temperatures but decrease owing to oxidation with annealing at a high temperature like 80$0^{\circ}C$ after depositing the layers by sputtering. Post-annealing at low temperatures increases the adhesion strength of the multilayers. but high temperature annealing is not desirable since it decreases the adhesion strength besides the hardness deterioration.

• Journal of the Korean GEO-environmental Society
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• v.22 no.12
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• pp.33-40
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• 2021

The deterioration of underground facilities, disturbance of the ground due to underground development activities, and changes in ground water can cause ground subsidence accidents in the urban areas. The investigation on the geotechnical and hydraulic factors affecting the ground subsidence accident is very significant to predict the ground subsidence risk in advance. In this study, an analysis DB was constructed through 3D ground modeling to utilize the currently operating geotechnical survey information DB and ground water behavior information for risk prediction. Additionally, using these results, the relationship between the actual ground subsidence occurrence history and ground conditions and ground water level changes was confirmed. Furthermore, the methodology used to visualize the risk of ground subsidence was presented by reconstructing the engineering characteristics of the soil presented according to the Unified Soil Classification System (USCS) in the existing geotechnical survey information into the internal erosion sensitivity of the soil, Based on the result, it was confirmed that the ground in the area where the ground subsidence occurred consists of more than 40% of sand (SM, SC, SP, SW) vulnerable to internal erosion. In addition, the effect of the occurrence frequency of ground subsidence due to the change in ground water level is also confirmed.