• Journal of Chest Surgery
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• v.35 no.12
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• pp.902-905
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• 2002

Pulmonary resection often leaves a pleural space problem that can cause prolonged air leaks. We describe a patient with lung cancer undergoing a right middle and lower lobectomy complicated by prolonged air leaks. He had a history of pulmonary tuberculosis and COPD. Artificial pneumoperitoneum was made by instillation of air via a small central vein catheter into the left lower quadrant on postoperative day(POD) 21. The air leak ceased on POD 23 and the chest tube was removed on POD 25.

• Journal of Chest Surgery
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• v.39 no.10 s.267
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• pp.770-774
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• 2006

Background: Continuous air leakage through chest tube after lung surgery may increase pt's hospital stay and lead to many complications including empyema etc. Chemical pleurodesis has frequently been used for prevention of air leakage. Therefore, we performed chemical pleurodesis using diluted fibrin glue in patients with continuous air leak-age and observed the effects and efficiency of treatment. Material and Method: From September, 2001 to August, 2005, 16 patients whose continuous air leakage lasted more than 7 days underwent chemical pleurodesis with diluted fibrin glue. The effects of treatment, complications and recurrences were reviewed. Dissolved fibrinogen 1.0 g and aprotinin 500,000 KIU were mixed in a 50 cc syringe (Mixed solution A). And dissolved thrombin 5,000 IU and Calcium chloride 600 mg were mixed in a 50 cc syringe (Mixed solution B). Cefazolin 1.0 g was mixed in a 50 cc syringe (Mixed solution C). Rubber tube was inserted between the chest tube and the collecting bottle. An inserted rubber tube was positioned 60cm above the patient and forming a loop appearance was done. Mixed solutions A, B and C were injected into the highest rubber tube. Results: Continuous air leakages disappeared in all f6 patients at next day. Chest tubes were removed after 3 days in all patients. Complications were chest pain in 12 patients (75%), leukocytosis in 14 patients (88%), fever and chill in 14 patients (88%). All complications were transient and disappeared without specific treatment. Conclusion: Our findings demonstrated that diluted fibrin glue chemical pleurodesis was effective in patients with continuous air leakage lasting more than 7 days. Diluted fibrin glue chemical pleurodesis had good results with acceptable complications. long term follow-up is necessary to evaluate the accurate effects of treatment and recurrence in a large number of patients.

• Journal of Chest Surgery
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• v.32 no.1
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• pp.92-95
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• 1999

The patients with prolonged air leak after lung resection surgery were generally treated by pleurodesis with sclerosing agents such as talc, tetracyclin, doxycyclin, bleomycin, vibramycin, and OK432. However, for the case like dead space resulted by incomplete reexpansion of the remaining lung, chemical pleurodesis has shown to be not as effective as expected. If the patients keep the chest tube for long period of time, the risk of thoracic empyema would increase. Most thoracic surgeons have experienced prolonged airleak which developed after lung resection. Pleurodesis with autoblood was reported as an effective method in treatment of patients with prolonged airleak. The mechanism of blood pleurodesis may be direct obliteration of BPF and reduction of dead space by clot. Therefore we successfully treated the two patients with prolonged airleak using the autoblood plus OK432 or vibramycin.

• Journal of Chest Surgery
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• v.34 no.7
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• pp.578-581
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• 2001

We successfully treated a 59-year-old male with adenocarcinoma in the right lower lobe who had developed a dead space with prolonged air-leak, which continued for 21 days after lower and middle lobectomy, by creating artificial pneumoperitoneum. He had a history of subtotal gastrectomy due to stomach cancer 5 years ago. Artificial pneumoperitoneum was made after introducing a peritoneal dialysis catheter into the right upper quardrant. The chest tube was removed 14 days after creating pneumoperitoneum.

• Journal of the Korean Institute of Gas
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• v.26 no.4
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• pp.27-35
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• 2022

When LPG leaks from the storage tank, the gas try to sink to the ground because LPG is heavier than air. The gas easily creates vapor clouds causing aggressive accidents in no airflow. Therefore, It is important to prevent in advance by analyzing the damaged range caused from LPG leakage and vapor clouds. So, this study analyzed the range of damaged by LPG leakage and vapor clouds with consideration of the cold air flow which is generated by the topographical characteristics and the land use status at night time in the Jeju Hagari. As a result of the cold air flow using KLAM_21, about 2 m/s of cold air was introduced in from the southeast due to the influence of the terrain. The range of damaged by LPG leakage and vapor cloud was analyzed using ALOHA. When the leak hole size is 10 cm at the wind speed of 2 m/s, the range corresponding to LEL 60 % (12,600 ppm) was 61 m which range is expected to influence in nearby residential areas. These results of this study can be used as basic data to prepare preventive measures of accidents caused by vapor cloud. Forward, it is necessary to apply CFD modeling such as FLACS to check the vapor cloud formation due to LPG leakage in a relatively narrow area and to check the cause analysis.

• The tire
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• s.87
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• pp.2-14
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• 1980

• Journal of Radiation Protection and Research
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• v.28 no.4
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• pp.299-309
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• 2003

In an accidental release of radioactive materials to the environment the contaminative influence of animal products due to the inhalation of air and the ingestion of soil of livestock, both of which are dealt with as minor contaminative pathways in most radioecological models but may not be neglected, was investigated with the improvement of the Korean dynamic food chain model DYNACON Although mathematical models for both contaminative pathways have been established for considering all animal products and incorporated into the model, investigation was limited to milk. As a result, it was found that both pathways are influential in the contamination of milk in the case of an accidental release during the non-grazing period of dairy cows. In the case of an accidental release during the non-grazing period, the inhalation of air was more influential than the ingestion of soil in the early days following an accidental release. While, it was the opposite with the lapse of time. If precipitation is encountered during an accidental release, contaminative influence due to the ingestion of soil was greater compared with the cases of no precipitation, in general, because of a stealer deposition of radionuclides onto the ground. Precipitation during an accidental release was a less influential factor in $^{131}I$ (elemental iodine) contamination compared with the $^{137}Cs\;and\;^{90}Sr$ contaminations. In the case of an accidental release during the grazing period of dairy cows, the contaminative influence due to the inhalation of air was negligible.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.2 no.3
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• pp.181-188
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• 2004

The contaminative influence of beef due to the inhalation of air and the ingestion of soil of livestock, both of which are dealt with as minor contaminative pathways in most radioecological models but may not be neglected, was comprehensively investigated with the improvement of the Korean food chain model DYNACON. As the results, it was found that both pathways can not be neglected at all in the contamination of beef in the case of an accidental release during the non-grazing period of livestock. The ingestion of soil was more influential in the contamination of beef than the inhalation of air over most time following an release. If precipitation is encountered during an accidental release, contaminative influence due to the ingestion of soil was far greater compared with the cases of no precipitation. This fact was more distinct for a long-lived radionuclide $^{l37}Cs$ than a short-lived radionuclide $^{131}I$ (elemental iodine). Compared with the results for milk performed prior to this study, the contaminative pathways due to the inhalation of air and the ingestion of soil were more important in beef because of longer biological half-lives. On the other hand, in the case of an accidental release during the grazing period of livestock, radioactive contamination due to the ingestion of pasture was dominant irrespective of the existence of precipitation during an accidental release. It means that contaminative influence due to the inhalation of air and the ingestion of soil is negligible, like the cases of milk.

• Journal of the Korean Arthroscopy Society
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• v.6 no.2
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• pp.126-130
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• 2002

Purpose : To evaluate the diagnostic efficiency of the subacromial bursoscopy with glenohumeral air infusion technique for detection of the full thickness tear which we used to think as a partial thickness tear, because it was hidden by bursal tissue. Materials and methods : We chose 65 cases and divided them into 2 groups. The group I was 18 cases with partial thickness rotator cuff tears on glenohumeral arthroscopic evaluation, and the group 2 was 37 cases with full thickness rotator cuff tears which were repaired. We inflated the glenohumeral Joint with 50-100ml of air and observed air bubble leakage simultaneously on bursoscopy. Results : In group I, we could detect air leakage in 3 cases and found that it was full thickness tear. In group II, 2 cases revealed too much air leakage proved that it was incomplete repair and was in need of additional suture. Conclusion : Air infusion technique is though to be a valuable method in differentiation between the partial and full thickness tear and for evaluation of the security of the repair.

• Journal of Chest Surgery
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• v.34 no.10
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• pp.800-804
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• 2001

The intractable pneumothorax with continuous air leakage, emphysematous lung and high operative risk treated by selective bronchial occlusion has been seldomly reported abroad. The bronchus responsible for air leakage was occluded with such materials as fibrin glue, gelatin sponge and oxidized regenerated cellulose(surgicel). We performed selective bronchial occlusion by flexible fiberoptic bronchoscopy with gelfoam in two cases. There was no complication after the procedure; therefore, we report the treatment for intractable pneumo- thorax by bronchoscopy with gelfoam packing.