An 80 year-old male with a medical history of angiosarcoma of the scalp visited the Emergency Department complaining of dyspnea, and the chest X-ray revealed pneumothorax. He has undergone scalp resection and radiotherapy three years ago due to angiosarcoma. Due to a persistent air leak, he underwent wedge resection of the lung and was pathologically diagnosed with metastatic angiosarcoma to the lung. He underwent radiotherapy following the lung resection, but he died from his disease at 15 month following surgery due to further aggravation of the lung metastasis. Angiosarcoma is a highly malignant tumor and it frequently occurs on the scalp and face in elderly patients. Angiosarcoma frequently metastasizes to the lung and it may cause pneumothorax as a consequence of a ruptured cavitary lesion. We report here on a case of pneumothorax that was caused by lung metastasis in an elderly patient with a history of angiosarcoma of the scalp.
Lee Kang Kyoo;Lim Chunil;Chang Sei Kyung;Moon Sun Rock;Jeong Dong Hyeok
Progress in Medical Physics
/
v.16
no.2
/
pp.53-61
/
2005
The quality factors for cylindrical ionization chambers for kV X-rays were determined by Monte Carlo calculation and measurement. In this study, the X-rays of 60-300 kV beam (lSO-4037) installed in KFDA and specified in energy spectra and beam qualities, and the chambers of PTW N23333 and N30001 were investigated. In calculations, the $R_{\mu}\;and\;R_{Q,Q_{0}}$ in IAEA dosimetry protocols were determined from the air kerma and the cavity dose obtained by theoretical and Monte Carlo calculations. It is shown that the N30001 chamber has a flat response of $\pm1.7\%$ in $110\~300kV$ region, while the response range of two chambers were shown to $\pm3\~4\%$ in $80\~250kV$ region. From this work we have discussed dosimetry protocol for the kV X-rays and we have found that the estimation of energy dependency is more important to apply dosimetry protocol for kV X-rays.
This study investigated the effect of noise and reverberation on subjective measure of speech transmission performance for elderly person with hearing loss in residential space through listening test. Floor impact, road traffic, airborne, and drainage noise were employed as the residential noise, and several impulse responses were obtained through room acoustical computer simulation for an apartment building. Sound sources for the listening test consisted of residential noises and speech sounds for boh the young (the original sound) and the aged (the sound filtered out by filters with frequency responses of hearing loss of 65 years elderly person). In the listening test, subjects evaluated speech intelligibility and listening difficulty for the presented word ($L_{Aeq}$ 55 dB) at three noise levels ($L_{Aeq}$ 30, 40, 50 dB) and three reverberation times (0.5, 1.0, 1.5 s). Results showed that the residential space with noise level lower than equal to 50 dB ($L_{i,Fmax,AW}$) for jumping noise and 40 dB ($L_{Aeq}$) for road traffic, airborne, and drainage noise had speech intelligibility of 90 % and over and listening difficulty of 30 % and below. Speech intelligibility and listening difficulty for the aged sound source was shown to be 0 % ~ 5 % lower and 2 % ~ 20 % higher than those for the young sound source, respectively.
This paper describes a three-dimensional ground penetrating radar (GPR) survey carried out around a levee of the Ara River in Saitama, Japan, where deformation of the ground was observed after heavy rainfall associated with the typhoon of September 2007. The high-density 3D GPR survey was conducted as a series of closely adjacent four directional sets of 2D surveys at an area surrounding vertical cracks on the paved road caused by deformations induced by heavy rain. The survey directions of the 2D surveys were 0, 90, 45, and -45 degrees with respect to the paved road and the intervals between lines were less than 0.5 m. The 3D subsurface structure was accurately imaged by the result of data processing using Kirchhoff-type 3D migration. As a result, locations and vertical continuities of the heavy rainfall induced cracks in the paved road were clearly imaged. This will be a great help in considering the generation mechanisms of the cracks. Moreover, the current risk of a secondary disaster was found to be low, as no air-filled cavities were detected by the 3D GPR survey.
Park, Jung-Wook;Ryu, Dongwoo;Park, Dohyun;Choi, Byung-Hee;Synn, Joong-Ho;Sunwoo, Choon
Tunnel and Underground Space
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v.23
no.3
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pp.241-259
/
2013
A packed bed thermal energy storage (TES) consisting of solid storage medium of rock or concrete through which the heat transfer fluid is circulated is considered as an attractive alternative for high temperature sensible heat storage, because of the economical viability and chemical stability of storage medium and the simplicity of operation. This study introduces the technologies of packed bed thermal energy storage, and presents a numerical model to analyze the thermal energy balance and the performance efficiency of the storage system. In this model, one dimensional transient heat transfer problem in the storage tank is solved using finite difference method, and temperature distribution in a storage tank and thermal energy loss from the tank wall can be calculated during the repeated thermal charging and discharging modes. In this study, a high temperature thermal energy storage connected with AA-CAES (advanced adiabatic compressed air energy storage) was modeled and analyzed for the temperature and the energy balance in the storage tank. Rock cavern type TES and above-ground type TES were both simulated and their results were compared in terms of the discharging efficiency and heat loss ratio.
Journal of Korean Tunnelling and Underground Space Association
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v.22
no.3
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pp.261-275
/
2020
When excavating a small cross-section tunnel in a fault fracture zone using the shield TBM method, there is a high possibility of excessive convergence and collapse. Appropriate ground reinforcement is required to minimize construction cost loss and trouble due to a fault fracture zone. In this study, the optimal reinforcement area was suggested and the surrounding ground behavior was investigated through numerical analysis using MIDAS GTS NX (Ver. 280). For the parameters, the width of the fault fracture zone, the existence of fault gouge, and the groundwater level and depth of cover were applied. As a result, when there is not fault gouge, the convergence and ground settlement are satisfied the standard when applying ground reinforcement by up to 0.5D. And, due to the high permeability coefficient, it is judged that it is necessary to apply 0.5D reinforcement. There is a fault gouge, it was possible to secure stability when applying ground reinforcement between the entire fault fracture zone from the top of the tunnel to 0.5D. And, because the groundwater discharge occurred within the standard value due to the fault gouge, reinforcement was unnecessary.
Journal of the Korean Society of Hazard Mitigation
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v.11
no.3
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pp.83-89
/
2011
A series of full-scale testing was conducted to examine the effect of stairwell pressurization on the pressure differential between the stairwell and the auxiliary room and between the auxiliary room and the residence. Also, flow velocity profiles at open doors were measured. The building tested was a condominium that had twenty floors above the ground and two floors underground. For pressurization of the stairs, a blower was used to supply air into the stairwell at one location underground. Thirteen different cases were tested, and test variables included the number of floors with open doors and the flow rate of the air supply. When the doors on the first floor were open, the pressure differential between the stairwell and the auxiliary room was distributed almost uniformly except for locations near the first floor. When the flow rate was in the range of 180~270 CMM and the doors of one floor were open, the flow velocity could satisfy the requirement of fire safety standards and the stairwell pressure was positive at all levels. However, the minimum pressure requirement (10 Pa) could not always be satisfied. When doors on two floors were open, the flow velocity requirement could be satisfied by increasing the flow rate, but it was found impractical to satisfy the minimum pressure requirement without causing excessive pressure differential in the area near the blower.
Sang-Hwan Kim;Soo-Jin Lee;Jung-Nam Kwon;Dong-gyun Yoo;Yong-Woo Kim;Kwang-Eun Cho
Journal of Korean Tunnelling and Underground Space Association
/
v.25
no.4
/
pp.285-303
/
2023
Interest in building underground spaces is increasing for the creation of downtown infrastructure and efficient space utilization. A representative method of utilizing underground space is a tunnel, and in addition to road tunnels, the construction of utility tunnels such as power conduits and utility conduits is gradually increasing. The current basic tunnel construction method can be divided into NATM (New Austrian Tunnelling Method) and TBM (Tunnel Boring Machine). The NATM is a reliable method, but it is accompanied by vibration and noise due to blasting. In the case of the TBM excavation method, there are disadvantages in terms of construction period and construction cost, but it is possible to improve economic feasibility by introducing appropriate complementary methods. In this study, a blasting method was develop using the NATM after TBM pre-excavation using the protective shield method. This is a method that compensates for the disadvantages of each tunnel construction method, and is expected to reduce construction costs, blasting vibration, and noise. In order to review the performance of the developed method, an experiment was conducted to evaluate the performance of explosion-proof tube to which a protective shield scale model was applied, and the impact of blasting vibration of the protective shield method was analyzed.
Pulmonary aspergillosis usually results from the colonization of the existing lung lesions by chronic pulmonary diseases, such as tuberculosis. Most cases of pulmonary aspergilloma have been treated surgically for many years because it is a potentially life-threatening disease causing massive hemoptysis. Here we reviewed our results from the last 10 years. Material and Method: We reviewed 31 cases surgically treated from Aug. 1992 to Jul. 2002. retrospectively. This investigation is designed to illustrate the peak age incidence, sex ratio, chief complaints, preoperative study, anatomic location of operative site, postoperative pathologic finding and postoperative complications. Result: The peak age Incidence laid in the 3rd and 4th decade of 20 cases (64.5%). The most common complaint was hemoptysis in 27 cases (87.1%). The 31 cases had a history of treatment with anti-tuberculous drugs under impression of pulmonary tuberculosis. The 19 cases (61.3%) showed the so-called “Air-meniscus sign” on the preoperative chest X-ray. In the 31 cases (100%) on the chest computed tomography. as a preoperative diagnostic modality, positivity was shown in 37.9%, 83.3% was shown on the fungus culture of sputum for Aspergillus, serum immunodiffusion test for A. fumigatus, respectively. The anatomical location of aspergilloma was mainly in the upper lobe in 19 cases (61.3%) and the majority of cases were managed by lobectomy. The postoperative pathologic findings showed that 31 cases (100%) were combined with tuberculosis. The postoperative complications include empyema, prolonged air leakage, remained dead space, postoperative bleeding and these numbers of cases is 3 cases (9.7%), 2 cases (6.45%), 2 cases (6.45%), 1 case (3.23%), respectively. one case was died postoperatively due to massive beeding, and asphyxia. Conclusion: Compared with the previous study, there is no significant difference in results. Preoperative chest computed tomography and immunodiffusion test were more commonly available and showed high positivity. Operations often became technically difficult because of pleural space obliteration, indurated hilar structures, and poor expansion of the remaining lung, which were more prominent in the patients with complex aspergillosis. In such cases, medical treatments and interventional procedures like bronchial artery embolization are preferred. However, cavernostomy is also recommanded with few additional morbidity because of its relatively less invassiveness. Early surgical intervention is the recommended management for patients with simple aspergilloma considering the Row surgical mortality and morbidity in recent days.
According to 1944 Chicago Convention aircraft are classified into public aircraft(or state aircraft) and private aircraft(or civil aircraft). However even if public aircraft owned by government are used as commercial flights, those are classified into private aircraft. But as far as space activities are concerned in the 1967 Outer Space Treaty, those are related to all activities and all space objects, thus there being no differentiation between the public spacecraft and private spacecraft. As for the institutions of air law there are ICAO, IATA, ECAC, AFCAC, ACAC, LACAC in the world. However in the field of space law there is no International Civil Space Organization like ICAO. There is only COPUOS in the United Nations. The particular institutions such as INTELSAT, INMARSAT, ITU, WIPO, ESA, ARABSAT would be helpful to space law field. In the near future there is a need to establish International Civil Space Organization to cover problems rising from all space activities. According to article 1 of the 1944 Chicago Convention the contracting States recognize that every State has complete and exclusive sovereignty over the airspace above its territory. It means that absolute airspace sovereignty is recognized by not only the treaty law and but also customary law which regulates non-contracting States to the treaty. However as for the space law in the article n of the 1967 Space Treaty outer space, including the moon and other celestial bodies, is not subject to national appropriation by claim of sovereignty, by means of use or occupation, or by any other means. It creates res extra commercium like the legal status of high seas in the law of the sea. However the 1979 Moon Agreement proclaimed Common Heritage of Mankind as far as the legal status of the outer space is concerned which is like the legal status of deep sea-bed in the 1982 United Nations Law of the Sea. As far as the liabilities of air transport system are concerned there are two kinds. One is the liabilities to passenger on board aircraft and the other is the liabilities to the third person or thing on the ground by the aircraft. The former is regulated by the Warsaw System, the latter by the Rome Convention. As for the liabilities of space law the 1972 Liability Convention applies. The Rome Convention and 1972 Liability Convention stipulate absolute liability. In the field of space transportation there would be new liability system to regulate the space passengers on board spacecraft like Warsaw System in the air transportation.
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