• Korean Journal of Adult Nursing
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• v.21 no.2
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• pp.141-154
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• 2009

Purpose: The purpose of this study was to compare the difference of change in oxygen saturation, vital signs and suction time taken for the suctioning during endotracheal suctioning performed with closed suction system and with opened suction system. Methods: Data were collected from 31 adult patients with ventilator treatment who were admitted to a university hospital in Seoul and the collection period was from July 1 to November 15, 2005. Oxygen saturation, heart rate, respiration rate and mean arterial pressure were collected immediately prior to the suctioning intervention, during and 1 and 5 minutes after the suctioning from opened suction system and closed suction system. Results: 1) The difference in oxygen saturation was statistically significant in recovery time for oxygen saturation to return to baseline values after suctioning was significantly rapid on closed suction system (p<.05). 2) The difference in heart rate, respiration rate and mean arterial pressure was statistically insignificant 3) The suction time was shorter in closed suction system. Conclusion: Closed suction system is more efficient, as compared with the open suction system in the ventilator treatment.

• Journal of Korean Academy of Nursing
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• v.23 no.2
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• pp.245-254
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• 1993

The purpose of this study was to identify effective methods to minimize increases in intracranial pressure(IICP ) during endotracheal suction by means of comparing two methods of hyperventilation and oxygen supply before and after endotracheal suction. In order to evaluate the effects of these two methods, the ICP during suctioning and the sustained time of IICP were measured. For hyperventilation, ambu-bagging was done 10 times for 30 seconds with a tidal volume of 800-900m1. For oxygen supply, 100 percent oxygen was supplied for 2 minutes before and after suction. The subjects for this study were 12 neurosurgical patients who had had a subarachnoid bolt inserted for ICP monitoring and they were all on mechanical ventilatory support in a surgical intensive care unit of Seoul National University Hospital from July 1, 1991 to March 31, 1992. In each patient hyperventilation was performed five times and oxygen supply was given five times and intracranial pressures were measured immediately before and every 30 seconds for 15 minutes after suction. For case assignments counterbalancing and repeated measure designs were combined. And so the total number of experiments were sixty for each group. The effects of hyperventilation and oxygen supply on the IICP and the sustained time of IICP after suction were analyzed by t-test. The results of study were as follows 1. There was a significant difference between the two groups in the increased ICP during suction (t=2.49, p=.014). 2. The sustained time of IICP after suctioning in the oxygen supply group was shorter than that in the hyperventilation group(t=2.35, p=.020) In summary, the Increase in the ICP during suction was lower and the time for the ICP to return to the presuction level was shorter in the oxygen supply group as compared to the hyperventilation group. Therefore, oxygen supply can be re commended before and after endotracheal suction.

• Smart Structures and Systems
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• v.7 no.4
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• pp.263-274
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• 2011

A reliability-based slope stability assessment method considering fluctuations in the monitored matric suction was proposed for real-time identification of slope risk. The assessment model was based on the limit equilibrium model for infinite slope failure. The first-order reliability method (FORM) was adopted to calculate the probability of slope failure, and results of the model were compared with Monte-Carlo Simulation (MCS) results to validate the accuracy and efficiency of the model. The analysis shows that a model based on Advanced First-Order Reliability Method (AFORM) generates results that are in relatively good agreement with those of the MCS, using a relatively small number of function calls. The contribution of random variables to the slope reliability index was also examined using sensitivity analysis. The results of sensitivity analysis indicate that the effective cohesion c' is a significant variable at low values of mean matric suction, whereas matric suction ($u_a-u_w$) is the most influential factor at high mean suction values. Finally, the reliability indices of an unsaturated model soil slope, which was monitored by a wireless matric suction measurement system, were illustrated as 2D images using the suggested probabilistic model.

• Journal of The Korean Society of Agricultural Engineers
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• v.54 no.4
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• pp.93-103
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• 2012

A suction-saturation control technique based on flow pump system was developed to investigate hydraulic properties in unsaturated soils. The flow pump system is designed based on the principle of the axis-translation technique and triaxial equipment, and gives the suction-time and suction-saturation curves, the primary relationship needed for interpreting the response of unsaturated soils and link between theory and the material properties in unsaturated soil mechanics. Using the suction-saturation control technique, suction-time relationship and soil-water retention curve (SWRC) during hydraulic hysteresis were investigated with different net confining pressures and porosities. Three types of soils-two sands and a silt were used in this paper. This paper showed the effect of the hysteresis on the SWRC due to different net confining pressures and porosities. This means that a careful decision must be made as to which condition is to be modeled, since the delicate difference of the conditions in physical modeling can cause the different experimental output.

• Geomechanics and Engineering
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• v.18 no.5
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• pp.459-469
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• 2019

It is important to estimate the shear strength of shallow compacted soils as a construction material. A series of constant water content triaxial compression (CWCC) tests under low confining state in this study were performed on compacted geomaterials. For establishing a relationship of the shear strengths between saturated and unsaturated states on compacted geomaterials, the suction stresses were derived by two methods: the conventional suction-measured method and the Suction stress-SWRC Method (SSM). Considering the suction stress as an equivalent confining stress component in the (${\sigma}_{net}$, ${\tau}$) plane, it was found that the peak deviator stress states agree well with the failure line of the saturated state from the triaxial compression test when the SSM is applied to obtain the suction stress. On the other hand, the cavitation phenomenon on the measurement of suction affected the results of the conventional suction-measured method. These results mean that the SSM is distinctly favorable for obtaining the suction value in the CWCC test because the SSM is not restricted by the cavitation phenomenon. It is expected that the application of the SSM would reduce the time required, and the projected cost with the additional equipment such as a pore water measuring device in the CWCC test.

• 유체기계공업학회:학술대회논문집
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• 2006.08a
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• pp.195-198
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• 2006

The possibility of skin friction reduction in laminar channel flow is investigated when the flow is subjected to stationary distributed surface blowing and suction. Blowing and suction provided at the channel walls is steady in time but varies as a sine function along the streamwise direction. The skin friction changes depending on the wavelength and amplitude of the actuation. Especially, the skin friction is reduced below that of fully developed laminar flow as the wavelength decreases and amplitude increases. The optimal wavelength of producing minimum skin friction is $\pi/2{\delta}$, where $\delta$ is the channel half-height It is observed that the distributed blowing and suction induces strong negative Reynolds shear stress in the near-wall region at the end of the suction part.

• Journal of Korean Public Health Nursing
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• v.12 no.2
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• pp.185-200
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• 1998

It has been contributed to public health that the hospital has multiplied in the aspect of number and has been a large size with development of modern medical science, meanwhile the problem of hospital infection is coming out seriously. Respiratory hospital infection among hospital infections develops, very commonly from patients having taken the operation of intubation or tracheostomy, which results from a big factor that the infection developed from medical appliances used for respiration aids, contamination of solution and infection of medical staff. This study is separated into four steps-the time to use normal saline and distillation water for storaging catheter which are the cause of the infection of solution to store distillation water and catheter, not to say the catheter used when the patient who should get tracheostomy operation takes suction. The purpose of this study is to offer the basic data which are needed to check contamination degree as time goes by and nurse intervention and grope for a new nursing intervention. The target of this study is hospitalized 1D an intensive care unit having 700 sickbeds which is located in IKSAN city and it targeted patients before 7 days passed after an operaion of a tracheostormy. Materials collected were analyzed by SPSS PC+ figures program. The result of this study were as follows ; 1. The gradual contamination levels of the normal saline used In suction are showing that colony increase in proportion to the length of time. 2. while colony increases in normal saline with the lapse of time. distillation water mixed with 5cc of potadine did not show any sign of the formation of colony from its preparation until it was used for 8 hours. 3. Such variables as the period of intubation insertion. the length of hospitalization in I.C.U. the age and the level of contamination of normal saline have no inter-relationship. Therefore. as the length of normal saline used In suction. the contamination level increases with the excelleration of the contamination speed. 4. Regarding the number of suction and the contamination level of the normal saline. We can observe correlation contamination level in the 3 step of suction(mean value:13.4) and the saline which was used for one hours(r=0.702. P=0.00l). four hours(r=0.694. P=0.00l). eight hours(r=0.488. P=0.029). Further we can observe contamination in the 4 step of suction (mean value: 17 .8) well as saline used for eight hours; [for one hours (r=0.64l. P=0.002). four hours (r=0.670. P=0.00l). eight hours (r=0.57 4. P=0.008)]. Thesedays clinics use normal saline by changing it. three times a day. however. the timing of saline change and the current suction methoed should be changed given the one hour used normal saline contamination number 79.850. Regarding the number of suction and the contamination lend of the normal saline.

• The Journal of Engineering Geology
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• v.32 no.1
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• pp.127-142
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• 2022

This study explored the fluid transfer characteristics of simultaneous pneumatic blasting, plasma blasting, and vacuum suction (the PPV method), and assessed their effect. Chemical oxidation-an established soil remediation method-was compared as a control. Electrical resistivity surveys found that PPV reduced resistivity by about 1.5-2.5 times compared with the control group, indicating that it increased the diffusion of fluid between the injection and suction wells. Injection and suction tests comparing the injection flow rate, initial suction flow rate time, and suction flow rate showed that the PPV method offered an improvement over the existing method. Slug tests revealed that PPV increased the permeability coefficient by a greater amount than that by the control method. This study qualitatively and quantitatively confirmed that the PPV method clearly improves injection and suction efficiency by accelerating cracks in the ground and improving water permeability compared with the established chemical oxidation method.

• Journal of Korean Academy of Nursing
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• v.33 no.1
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• pp.42-50
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• 2003

Purpose: This study was conducted to investigate the effects of the suction-induced hypoxemia interventions. Method: 30 suction-induced hypoxemia interventions were reviewed for the purpose of meta-analysis. Result: The study showed that both preoxygenation and insufflation were the most frequently examined oxygenation time periods, and hyperoxygenation combined with hyperinflation was the most commonly applied oxygenation method in order to prevent suction-induced hypoxemia. The greatest effect was obtained by providing oxygenation before and after suctioning, whereas negative effect(the contrary results from the study hypotheses) was frequently obtained by applying insufflation only. Applying hyperoxygenation combined with hyperinflation had the greatest effect over that of applying hyperoxygenation only, even though the difference between effect sizes of both methods were statistically significant. Conclusion: The results of meta-analysis showed that the occurrence rate of hypoxemia after suctioning was significantly reduced with the overall interventions for hypoxemia (decreasing 40% of occurrence rate), independent with time periods or methods for providing oxygenation.

• Journal of Korean Biological Nursing Science
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• v.5 no.1
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• pp.45-53
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• 2003

The purpose of this study was to identify the proper changing time of tracheal suction catheter by examining the microorganisms inside after used The samples were the adult and the elderly patients who were in the intensive cane unit of one university hospital in Korea from the early December, 2002 to the end of May 2003. Since the patients needed tracheal suction, sterile catheter including other equipments were used whenever tracheal suction provided, to the experimental group. The sterile catheter with others was provided when the catheter repeatedly used for four hours, to the comparative group. Research was permitted by the head of hospital administration, hospital nursing department; microbiology and intensive care unit. The main results of the study are as follows. 1) The demographic characteristics between the two groups present statistically no difference. 2) Every the experimental group showed various kinds of microorganisms, the numbers of the kinds and carries of the microorganisms were less than those of the comparative group. 3) The mean numbers of the microorganisms between the two groups were significantly different, p < 0.05. This study results strongly emphasize the needs of using sterile catheter whenever a nurse suctions to keep patient's airway open.