• Title/Summary/Keyword: 폐색

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Pulmonary Infarction due to Chronic Pulmonary Thromboembolism -Surgical Experience of One Case- (폐경색이 발생한 만성 폐색전증 -수술적 치험 1예-)

  • Kim Min-Ho;Seo Yeon-Ho
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.403-406
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    • 2006
  • Infarction of the lung usually results from pulmonary arterial obstruction. Pulmonary infarcts often become infected from bronchial contamination and may become lung abscesses, empyema, or bronchopleural fistula causing sepsis. Diagnosis is important for intensive therapy, since infection is prone to spread. Resection of the infarcted lung should be considered early in an attempt to control infection. A sixty-seven-year-old man was hospitalized with dyspnea. A computed tomographic scan of the chest showed left lower lobe infiltration and mild pleural effusion with pleural thickening. There was a thrombus in the left pulmonary artery leading from the lower lobe to the upper lobe artery. At operation, the left lower lobe was found to have complete hemorrhagic infarction. The left lower lobectomy was performed. The remaining thrombus was removed after the left main pulmonary arteriotomy. He has been followed up for 15 months and has done well with no recurrence of thrombus and infarction of the lung.

Occlusion Processing in Simulation using Improved Object Contour Extraction Algorithm by Neighboring edge Search and MER (이웃 에지 탐색에 의한 개선된 객체 윤곽선 추출 알고리즘과 MER을 이용한 모의훈련에서의 폐색처리)

  • Cha, Jeong-Hee;Kim, Gye-Young;Choi, Hyung-Il
    • Journal of the Korean Institute of Intelligent Systems
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    • v.18 no.2
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    • pp.206-211
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    • 2008
  • Trainee can enhance his perception of and interaction with the real world by displayed virtual objects in simulation using image processing technology. Therefore, it is essential for realistic simulation to determine the occlusion areas of the virtual object produces after registering real image and virtual object exactly. In this paper, we proposed the new method to solve occlusions which happens during virtual target moves according to the simulated route on real image using improved object contour extraction by neighboring edge search and picking algorithm. After we acquire the detailed contour of complex objects by proposed contour extraction algorithm, we extract the three dimensional information of the position happening occlusion by using MER for performance improvement. In the experiment, we compared proposed method with existed method and preyed the effectiveness in the environment which a partial occlusions happens.

Analysis of Operational Issues for ICT-based On-Board Train Control System (ICT 기반 차상제어시스템 개발에 따른 운영 이슈 분석)

  • Kim, Young-Hoon;Choi, Won-Suk
    • Journal of the Korean Society for Railway
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    • v.14 no.6
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    • pp.575-583
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    • 2011
  • In order to minimize the maintenance cost at local lines, Information & Communication Technology based onboard train control system is being developed. Unlike the central traffic control based fixed block system, this system use a moving block method and railway driver direct control switch and railway crossing. The purpose of this paper is to analyze the concerned main operational issues are as follows: the preparation of train operation, drivability, the role of driver and controller, block system and cost. We defined the role of driver and driver's input data for train service, and we designed the business process of driver using UML tool. We considered the aspect of drivability, DMI is needed to support the braking moment for the driver and driver training simulator. We designed the driver business process for control of switch and railway crossing. We analyzed the fixed block system and moving block system to confirm the difference with the existing operational method. The cost analysis structure is also needed for the operation cost comparison.

Influence Factors on the Degree of Soil Plugging for Open-Ended Piles (개단말뚝의 폐색효과 영향인자 분석)

  • Jeong, Sang-Seom;Ko, Jun-Young
    • Journal of the Korean Geotechnical Society
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    • v.32 no.5
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    • pp.27-36
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    • 2016
  • This paper presents the investigation of the major influence factors on the degree of soil plugging for open-ended piles based on the Coupled Eulerian-Lagrangian (CEL) numerical technique. The main objective of this study was to investigate the effect of soil plugging on the response of piles in various conditions. Through comparison of the results of field load tests, the CEL methodology was found to be in good agreement with the general trend observed by in situ measurement. Additionally, the parametric studies were performed by controlling the soil conditions, soil elastic moduli, end-bearing conditions and multi layers. It was found that the degree of soil plugging for sand layers was greater than that of clay layers. Also, the degree of soil plugging increased with an increase in both the soil stiffness and length of pile embedded in the bearing layer.

A Starting Characteristics Study of the Scramjet Engine Test Facility with a Mach 5.0 Nozzle (마하 5.0 노즐을 장착한 스크램제트 엔진 시험설비의 시동 특성 연구)

  • Lee, Yang-Ji;Yang, In-Young;Yang, Soo-Seok
    • Journal of the Korean Society of Propulsion Engineers
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    • v.17 no.4
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    • pp.63-72
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    • 2013
  • A Mach 5 nozzle and a diffuser of the Scramjet Engine Test Facility (SETF) were made for a hydrocarbon-fueled scramjet engine. SETF, attached with a diffuser guide, started with a model of 60% blockage, though the model engine could not start by over expansion of the facility nozzle. The model was moved into the nozzle to escape the shock generated from the nozzle exit, both SETF and the engine could start. The pitot rake experiments (blockage of 2.3%) were done for measuring the core flow in the test section. From the pitot experiments, the core flow was expanded by an under expansion. It means that the core flow in the test section was related with a model blockage. SETF and the engine with a blockage of 33% work normally. From a series of experiments, SETF started with a normal shock efficiency of 58%, regardless of a blockage ratio.

Visible Height Based Occlusion Area Detection in True Orthophoto Generation (엄밀 정사영상 제작을 위한 가시고도 기반의 폐색영역 탐지)

  • Youn, Junhee;Kim, Gi Hong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.3D
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    • pp.417-422
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    • 2008
  • With standard orthorectification algorithms, one can produce unacceptable structure duplication in the orthophoto due to the double projection. Because of the abrupt height differences, such structure duplication is a frequently occurred phenomenon in the dense urban area which includes multi-history buildings. Therefore, occlusion area detection especially for the urban area is a critical issue in generation of true orthophoto. This paper deals with occlusion area detection with visible height based approach from aerial imagery and LiDAR. In order to accomplish this, a grid format DSM is produced from the point clouds of LiDAR. Next, visible height based algorithm is proposed to detect the occlusion area for each camera exposure station with DSM. Finally, generation of true orthophoto is presented with DSM and previously produced occlusion maps. The proposed algorithms are applied in the Purdue campus, Indiana, USA.

Fabrication of implant-associated obturator after extraction of abutment teeth: a case report (지대치 발거 후 임플란트 연관 상악 폐색장치 제작 증례보고)

  • Ki-Yeol Jang;Gyeong-Je Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.229-236
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    • 2023
  • Maxillary bone defects may follow surgical treatment of benign and malignant tumors, trauma, and infection. Palatal defects often lead to problems with swallowing and pronunciation from the leakage of air into the nasal cavity and sinus. Obturators have been commonly used to solve these problems, but long-term use of the device may cause irritation of the oral mucosa or damage to the abutment teeth. Utilizing implants in the edentulous area for the fabrication of the obturators has gained attention. This case report describes a patient, who had undergone partial resection of the maxilla due to adenocarcinoma, in need of a new obturator after losing abutment teeth after long-term use of the previous obturator. Implants were placed in strategic locations, and an implant-retained maxillary obturator was fabricated, showing satisfactory results in the rehabilitation of multiple aspects, including palatal defect, masticatory function, swallowing, pronunciation, and aesthetics.

Meconium Obstruction in Very Low Birth Weight Infants (극소저출생체중아에서 태변에 의한 장폐색에 관한 연구)

  • Hong, Ki-Bae;Seong, In-Chang;Lee, Kun-Song;Chang, Young-Pyo;Song, Hee-Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.1
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    • pp.52-58
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    • 2011
  • Purpose: Mecnoium obstruction in very low birth weight infants (VLBWI), which delays enteral feeding and is one of the major causes of bowel obstruction, can be diagnosed and treated with hyperosmolar water-soluble contrast enema. The purpose of this study was to observe the clinical findings of meconium obstruction, the improvement of small bowel obstruction after contrast enema, and the complications related to the enema. Methods: Hypersolmolar water-soluble contrast enemas were performed in 14 VLBWIs with meconium obstruction. Clinical findings, radiologic findings, feeding intolerance, effectiveness, and complications of enemas were observed. Also, clinical findings related to meconium obstruction were compared with 18 VLBWIs without meconium obstruction. Results: 1) Fourteen VLBWIs with meconium obstruction had significantly lower 5 minutes Apgar scores than 18 VLBWIs without meconium obstruction (p<0.05). Moreover, the day of last meconium passing, and the day of the first trial and full enteral feeding were delayed significantly. 2) A total of 18 enemas were performed in the 14 infants. The contrast medium passed the ileocecal valve and reached the terminal ileus in 12 enemas. Of the 12 enemas, 11 were successful, but 1 infant underwent an ileotomy, even though the contrast medium reached the terminal ileum. 3) Intestinal obstruction was not relieved in three of five infants, in whom the contrast medium failed to pass the ileocecal valve. Obstruction was relieved after repeated enemas in which the contrast medium reached the terminal ileum. 4) No complications associated with water-soluble contrast enemas were observed. Conclusion: Hyperosmolar water-soluble contrast enema is considered to be safe and therapeutic for meconium obstruction in VLBWIs.

Assessment of Two Clinical Prediction Models for a Pulmonary Embolism in Patients with a Suspected Pulmonary Embolism (폐색전증이 의심된 환자에서 두 가지 폐색전증 진단 예측 모형의 평가)

  • Park, Jae Seok;Choi, Won-Il;Min, Bo Ram;Park, Jie Hae;Chae, Jin Nyeong;Jeon, Young June;Yu, Ho Jung;Kim, Ji-Young;Kim, Gyoung-Ju;Ko, Sung-Min
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.4
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    • pp.266-271
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    • 2008
  • Background: Estimation of the probability of a patient having an acute pulmonary embolism (PE) for patients with a suspected PE are well established in North America and Europe. However, an assessment of the prediction rules for a PE has not been clearly defined in Korea. The aim of this study is to assess the prediction rules for patients with a suspected PE in Korea. Methods: We performed a retrospective study of 210 inpatients or patients that visited the emergency ward with a suspected PE where computed tomography pulmonary angiography was performed at a single institution between January 2005 and March 2007. Simplified Wells rules and revised Geneva rules were used to estimate the clinical probability of a PE based on information from medical records. Results: Of the 210 patients with a suspected PE, 49 (19.5%) patients had an actual diagnosis of a PE. The proportion of patients classified by Wells rules and the Geneva rules had a low probability of 1% and 21%, an intermediate probability of 62.5% and 76.2%, and a high probability of 33.8% and 2.8%, respectively. The prevalence of PE patients with a low, intermediate and high probability categorized by the Wells rules and Geneva rules was 100% and 4.5% in the low range, 18.2% and 22.5% in the intermediate range, and 19.7% and 50% in the high range, respectively. Receiver operating characteristic curve analysis showed that the revised Geneva rules had a higher accuracy than the Wells rules in terms of detecting PE. Concordance between the two prediction rules was poor ($\kappa$ coefficient=0.06). Conclusion: In the present study, the two prediction rules had a different predictive accuracy for pulmonary embolisms. Applying the revised Geneva rules to inpatients and emergency ward patients suspected of having PE may allow a more effective diagnostic process than the use of the Wells rules.

Intraaneurysmal Blood Flow Changes for the Different Coil Locations (코일 위치에 따른 동맥류 내부 혈류유동의 변화)

  • 이계한;정우원
    • Journal of Biomedical Engineering Research
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    • v.25 no.4
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    • pp.295-300
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    • 2004
  • Coil embolization technique has been used recently to treat cerebral aneurysms. When a giant or a multilobular aneurysm are treated by roils, filling an aneurysm sac completely with coils is difficult and partial blocking of an aneurysm sac is inevitable. Blood flow characteristics, which nay affect the embolization process of an aneurysm sac, are changed by the locations of coils for the Partially blocked aneurysms. Blood flow fields are also influenced by the geometry of a parent vessel. In order to suggest the coil locations effective for aneurysm embolization, the blood flow fields of lateral aneurysm models were analyzed for the different coil locations and parent vessel geometries. Three dimensional pulsatile flow fields are analyzed by numerical methods considering non-Newtonian viscosity characteristics of blood. Flow rate into the aneurysm sac (inflow rate) and wall shear stress, which are suspected as flow dynamic factors influencing aneurysm embolization, are also calculated. Inflow rates were smaller and the low wall shear stress zones were larger in the neck blocked models compared to the dome blocked models. Smaller inflow and larger low wall shear stress zones in the distal neck blocked model imply that the distal neck should be the effective coil locations for aneurysm embolization.