• Journal of the Korean Orthopaedic Association
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• v.53 no.6
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• pp.513-521
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• 2018

Purpose: The purpose of this study was to assess the effectiveness and complications of an ultrasound-guided axillary brachial plexus block performed by orthopedic surgeons. Materials and Methods: From March to May 2017, an ultrasound-guided axillary brachial plexus block was performed on a total of 103 cases of surgery. A VF13-5 transducer from Siemens Acuson X300 was used. The surgical site was included in the range of the anatomic sensory distribution of the blocked nerve, except for the case where an operation time of more than 2 hours was expected due to multiple injuries and the operation of the upper arm. The procedure was performed by 2 orthopedic surgeons in the same method using 50 ml of solution (20 ml of lidocaine HCl in 2%, 20 ml of ropivacaine in 0.75%, 10 ml of normal saline in 0.9%). The success rate of anesthesia induction during surgery, anesthetic induction time, anatomical range of operation, duration of postoperative analgesia and complications were investigated. Results: The results from the 2 practices were similar. The anesthesia was successful in 100 out of 103 patients (97.1%). In these patients, the average needling time was 5.5 minutes (2.5-13.2 minutes), the average induction time to complete anesthesia was 18.4 minutes (5-40 minutes), and the average duration of postoperative analgesia was 402.8 minutes (141-540 minutes). The post-anesthesia immediate complications were dizziness in 1 case, nausea and vomiting in 4 cases, and peri-oral numbness in 2 cases, but surgery was performed without problems. All these 7 cases with complications recovered on the same day. A total of 3 cases failed with anesthesia, and they were treated by an injection with local anesthesia in the operation room in 2 cases and switched to general anesthesia in 1 case. Conclusion: An ultrasound-guided axillary brachial plexus block, which was performed by orthopedic surgeons allows anesthesia in a brief period and the high success rates of anesthesia for certain surgeries of the elbow and surgeries on forearm, wrist and hand. Therefore, it can reduce the waiting time to the operating room. This technique is a relatively safe procedure and dose selective anesthesia is possible.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2011.11a
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• pp.649-652
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• 2011

A series of hybrid rocket combustion experiments were carried out with PMMA/GOx changing diameter and length of the disk installed at pre-chamber. The disk can generate vortex shedding flow and change flow conditions prior to entering the fuel grain which could also alter the combustion characteristics and pressure oscillations. Isolated dimple-like surface roughness patterns distributed all over the fuel surface, which can be thought of as a realization of the inherent flow instability. It is very likely that the formation of cell structures is originated from the modification of boundary layer characteristics of an entering oxidizer flow caused by a blowing effect mainly taking place near the wall. This coincided with our LES results. It would be a meaningful basis to understand combustion instability of hybrid rocket motor.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.34 no.7
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• pp.79-88
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• 2006

In the present paper, the swirl flow structure and flame characteristics of turbulent premixed combustion in a model gas turbine combustor are investigated using large eddy simulation(LES). A G-equation flamelet model is employed to simulate the unsteady flame behavior. When inlet swirl number is increased, the distinct flow structures, such as the shapes of corner recirculation and center toroidal recirculation zone, are observed and the flame length is shorted gradually. Also, the phenomena of flashback are identified at strong swirl intensity. In order to get the accurate description of unsteady flame behavior, the predictive ability of the acoustic wave in a combustor is primarily evaluated. It is found that the vortex generated near the edge of step plays an important role in the flame fluctuation. Finally it is examined systematically that the flame and heat release fluctuation are coupled strongly to the vortex shedding generated by swirl flow and acoustic wave propagation from the analysis of flame-vortex interaction.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 1998.04a
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• pp.17-17
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• 1998

연소반응을 가지는 후류(wake)는 가스터빈 연소실의 flame holder 등에서 발생한다. 후류유동의 안정성 혹은 불안정성은 이러한 유동에 있어서 많은 영향을 끼치므로 상당히 중요하다. 본 연구는 위와 같이 연소 반응에 의한 밀도구배를 가지는 후류유동에 대하여 불안정성 해석을 수행하였다. 교란에 대한 지배방정식은 Navier-Stokes 방정식에서 점성항을 제외한 Euler 방정식을 고려하였다. 충류유동의 압력은 일정하다고 가정하였다. 교란 방정식을 유도하기 위하여 충류 유동이 평행하여 유동 방향에 수직한 방향의 구배만이 존재한다고 가정하였다. 모든 변수들은 충류 유동의 값과 움직이는 파장의 형태를 가지는 작은 교란의 합으로 생각하여 압력에 대한 교란방정식을 구하며, shooting법과 Newton-Raphson법에 근거를 두는 반복법을 사용하여 풀었다. 불안정성 해석을 수행하는 기본 유동의 속도장 및 온도장은 불안정성 해석을 수행하는 기본 유동의 속도장 및 온도장은 비압축성의 경우 우선 Gaussian Profile 가정함과 동시에 연소반응을 포함하는 유동장을 보다 정확히 구하기 위하여 Navier-Stokes 방정식으로부터 구한 결과를 사용하였다. 연소반응을 포함하는 유동장을 구할 때에는 해석상 편의를 위해 예혼합물질은 이상기체로, 화학반응은 1단계의 비가역반응으로 가정하였으며, 반응열로 인한 부력의 효과는 무시하였다. 위와 같은 유동장을 가지고 불안정성 해석을 수행한 결과 후류유동은 두 개의 변곡점을 가지며 sinuous 모드와 varicose모드의 두 개의 불안정성 모드가 있음을 보였다. 밀도 변화가 있는 경우나 밀도 변화가 없는 경우 모두 sinuous 모드의 가장 불안정한 모드가 varicose 모드의 가장 불안정한 모드보다 더 불안정함을 보여주어 후류 유동은 자유 유동에 가까운 위상 속도를 가지는 sinuous 모드에 의해 지배될 것임을 예측할 수 있다. 연소반응이 완전연소에 가까울수록 그리고 압축성 효과가 클수록 유동내부의 온도가 증가하고 점성 또한 증가하여 후류유동은 안정됨을 알 수 있었다 유동변수들의 contour로부터 유동의 특성을 예측한 결과 baroclinic 항이 dilatational 항보다 상대적으로 크며, 중심선 상하에 생기는 vortex를 더욱 성장시킬 것으로 생각된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.2
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• pp.157-163
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• 2005

Purpose: Dietary protein induced proctocolitis (DPIPC) can be considered as a cause of rectal bleeding or blood streaked stool in otherwise healthy-looking infants in the first several months of life. Failure to appreciate this entity may lead to inappropriate diagnostic or therapeutic intervention. This study aimed to ascertain the clinical features, treatment and prognosis of DPIPC. Methods: We reviewed 13 infants retrospectively, presented with bloody stool in early infancy. They were diagnosed as DPIPC clinically in Pusan National University Hospital from May 2002 to June 2004. Results: Seven males and six females were included. The mean age at onset of bleeding was $96.8{\pm}58.8days$. The mean frequency of hematochezia was $2.6{\pm}2.5$ times a day. Duration from onset of symptom to diagnosis was $35.5{\pm}55.0days$ and duration from onset of symptom to resolution of bleeding was $58.7{\pm}67.0days$. Nine (69.2%) were exclusively breast-fed infants and two (15.4%) were formula-fed infants. All but one infant did not have family history of other allergic diseases. A dietary history of ingestion of cow's milk, nut or shellfish was present in three mothers. Peripheral eosinophil count was normal to slightly elevated (total WBC count $10,555{\pm}3,145/mm^3$, relative eosinophil count $6.3{\pm}3.0%$, absolute eosinophil count $659.0{\pm}532.2/mm^3$). Sigmoidoscopy revealed lymphonodular hyperplasia with surrounding hemorrhagic spots in the rectosigmoid colon in 6 infants. Histopathologic finding of colonic biopsies in 5 infants showed chronic inflammation with lymphoid follicular hyperplasia (5 infants), crypt abscess (3 infants), or mild infiltration of eosinophils (less than 20/high power field) in the lamina propria. Spontaneous resolution of rectal bleeding occurred in all infants without dietary change or medicine. Conclusion: Most infants with DPIPC experience a very benign course and have spontaneous resolution of rectal bleeding without changes in the mother's diet. In the case of strong evidence for DPIPC we suggest deferring further invasive investigation and continuing breast feeding.