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Biomedical subjects

Hyung Kook Kim

Publications and source records attributed to Hyung Kook Kim.

4 recordsLinked to original sources

Estimating left ventricular contractility using inspiratory-hold maneuvers.

OBJECTIVE: To compare estimates of left ventricular (LV) end-systolic elastance created by inferior vena caval (IVC) occlusion with those by apneic continuous positive airway pressure (CPAP). DESIGN AND SETTING: Prospective interventional study in a university large animal research laboratory. SUBJECTS: Sixteen intact, pentobarbital-anesthetized mongrel male dogs. INTERVENTIONS: Insertion of LV conductance and pressure catheters, then during apnea sequentially performed IVC occlusion and CPAP of 5, 10, and 15 mmHg for 10 s, each interspersed by positive-pressure breathing. In the final 11 dogs runs were repeated during both esmolol (2 mg min-1) and dobutamine (5 microg kg-1 min-1) infusions. MEASUREMENTS: LV pressure-volume relationships during apneic baseline and then as LV end-diastolic volume decreased by each maneuver to calculate LV end-systolic elastance and preload-recruitable stroke work as measures of contractility. RESULTS: End-systolic elastance estimated at 5 mmHg CPAP levels and IVC occlusions were similar while 10 and 15 mmHg CPAP gave different values. However, end-systolic elastance was lower during esmolol infusion and higher during dobutamine for all CPAP and IVC occlusion maneuvers. Preload-recruitable stroke work measures were similar across maneuvers. With increasing CPAP the LV filling and end-systolic elastance were progressively shifted upward and to the left, with volume on the x-axis, consistent with an unaccounted for increase in intrathoracic pressure. CONCLUSIONS: The use of 5 mmHg CPAP-induced preload-reduction allows estimation of LV end-systolic elastance and preload-recruitable stroke work in intact dogs. Increasing CPAP to more than 10 mmHg creates estimates of LV contractility that are different but covary with IVC occlusion-derived values.

Animals↗

The glass transition temperatures of sugar mixtures.

We measured the glass transition temperatures of mono-, di-, and trisaccharide mixtures using differential scanning calorimeter (DSC) and analyzed these temperatures using the Gordon-Taylor equation. We found that the glass transition temperatures of monosaccharide-monosaccharide and disaccharide-disaccharide mixtures could be described by the conventional Gordon-Taylor equation. However, the glass transition temperatures of monosaccharide-disaccharide and monosaccharide-trisaccharide mixtures deviated from the conventional Gordon-Taylor equation and the amount of deviation in the monosaccharide-trisaccharide mixtures was larger than those in the monosaccharide-disaccharide mixtures. From these results, we conclude that the size and shape of the sugars play an important role in the glass transition temperature of the mixtures.

Disaccharides↗

Ability of pulse contour and esophageal Doppler to estimate rapid changes in stroke volume.

OBJECTIVE: Two technologies to acquire beat-to-beat stroke volume values exist, pulse contour analysis and esophageal Doppler monitoring. Pulse contour analysis assumes fixed aortic impedance. Esophageal Doppler assumes a constant proportional descending aortic flow and diameter. These assumptions may not be correct as arterial tone or myocardial contractility vary. We tested these relationships in the setting of rapidly changing stroke volumes and different cardiovascular states over a period of 10-15 cardiac cycles. DESIGN AND SETTING: In a university research facility we compared beat-to-beat changes in stroke volume as measure by aortic root flow probe or conductance catheter to pulse contour analysis and stroke distance as measured by esophageal Doppler. SUBJECTS: Five purpose-bred research hounds. INTERVENTIONS: To obtain a wide range of rapidly changing stroke volumes measurements were made during transient inferior vena cava occlusion. Data were gathered under baseline conditions and during norepinephrine, nitroprusside, and dobutamine infusions. MEASUREMENTS AND RESULTS: The pulse contour stroke volumes and esophageal Doppler stroke distance paralleled flow probe stroke volumes under all conditions (R(2)=0.89 for all measures). However, the absolute changes and proportional changes and the absolute values for both surrogate measures differed from absolute stroke volumes. Bland-Altman analysis showed no consistent bias or degree of precision across all animals under any given cardiovascular state. CONCLUSIONS: Both pulse contour stroke volumes and esophageal Doppler derived stroke distance estimates yield significant correlations with aortic root flow probe. However, the absolute values, absolute changes, or proportional changes may not reflect actual stroke volumes as cardiovascular state varies, making their use in estimating absolute changes in stroke volume potentially inaccurate.

Animals↗

Jamming transition in a highly dense granular system under vertical vibration.

The dynamics of the jamming transition in a three-dimensional granular system under vertical vibration is studied using diffusing-wave spectroscopy. When the maximum acceleration of the external vibration is large, the granular system behaves like a fluid, with the dynamic correlation function G (t) relaxing rapidly. As the acceleration of vibration approaches the gravitational acceleration g , the relaxation of G (t) slows down dramatically, and eventually stops. Thus the system undergoes a phase transition and behaves like a solid. Near the transition point, we find that the structural relaxation shows a stretched exponential behavior. This behavior is analogous to the behavior of supercooled liquids close to the glass transition.

Journal Article↗