• 제목/요약/키워드: Bar stabilization

검색결과 30건 처리시간 0.026초

Nuss Procedure for Surgical Stabilization of Anterior Flail Chest with Mechanical Ventilation Weaning Failure: A Case Report

  • Kim, Donghee;Yoon, Seung Keun;Lee, Geun Dong;Kim, Dong Kwan
    • Journal of Chest Surgery
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    • 제55권2호
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    • pp.183-187
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    • 2022
  • Flail chest is a critical medical condition in which multiple segmentally fractured adjacent ribs cause paradoxical movement of the thoracic cage in patients with severe blunt trauma injury. Surgical stabilization is considered essential in patients who require mechanical ventilation. However, there is no consensus on which surgical procedure to choose among the various available techniques or when to perform surgery. We report the case of a patient with traumatic anterior flail chest due to bilateral multiple fractures of the ribs requiring surgical stabilization in whom weaning from mechanical ventilation had failed. The Nuss procedure using double bars with the bridge technique was performed for chest wall stabilization. The patient was weaned from mechanical ventilation on postoperative day 44 and she underwent bar removal on postoperative day 71. After extensive rehabilitation for multiple trauma, she was discharged successfully. The patient currently shows no recurrence of chest wall depression in outpatient follow-up.

A Case of Thoracic Vertebral Chondroblastoma, Treated with 3-D Image Guided Resection and Reconstruction

  • Lee, Yoon-Ho;Shin, Dong-Ah;Kim, Keung-Nyun;Yoon, Do-Heum
    • Journal of Korean Neurosurgical Society
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    • 제37권2호
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    • pp.154-156
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    • 2005
  • We present a case of chondroblastoma in the thoracic vertebra. A 40-year-old patient with upper back pain and lower extremity weakness was admitted to our clinic. On neurological examination, the patient exhibited lower extremity spastic paraparesis. Magnetic resonance imaging revealed a mass infiltrating the 7th thoracic vertebra and its adjacent structures with concomitant compression of the epidural space. After right upper lung tuberculoma was resected through the transthoracic approach, T7 total corpectomy was done with anterior stabilization using a MESH cage and T7 rib bone graft. Two weeks after the first operation, remained part of vertebra was removed and posterior stabilization was performed using a pedicle screw fixation and cross linkage bar with the assistance of the navigation system. The final pathologic diagnosis of the vertebral lesion was benign chondroblastoma.

The study on stabilization of Retinol-Nanoemulsion using Skin Lipid Matrix(SLM)

  • Cho, Joo Hyun;Lim, Choon Bong;Chai, Hee Gil;Eom, Sang Yong;Kim, Jong Heon;Ji, Hong Geun
    • 대한화장품학회:학술대회논문집
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    • 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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    • pp.61-72
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    • 2003
  • In cosmetic area, retinol is prominent ingredient for anti-wrinkle but unstable against light, heat, oxygen and so on. Therefore the stabilization of retinol is required. Here, we capsulated doubly retinol in the SLM(Skin Lipid Matrix) that makes three dimensional lamellar structure similar to skin, after formation of primary liposome (retinol-nanoemulsion). First, we make primary liposome from retinol / hydrogenated lecithin / polysorbate20 / caprylic & capric triglyceride / ethanol / and so on, and the mean diameter to 70 nm, using microfluidizer passed three times at 800 Bar, repeatedly. Then we produce DC-liposome (doubly capsulated-liposome) that was encapsulated primary liposome with SLM made of hydrogenated phosphatidyl choline / caprylic & capric triglyceride / 1, 3-butylene glycol / ceramide3 / cholesterol /etc. We measured for color stability against light and heat with chromameter. As a result of this experiment, we observed DC-liposome was more than from 1.5 to 3 times as stable as general liposome. Livability of retinol has improved from 2 to 6 times when we analyzed it by HPLC. Also, penetration effect of DC-liposome has improved.

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누두흉의 외과적 치료Metal bar 를 이용한 수술 1례 치험 (Surgical Correction of Funnel Chest by using Sulamaa`s metal strut)

  • 손동섭
    • Journal of Chest Surgery
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    • 제18권3호
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    • pp.492-496
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    • 1985
  • Two cases of surgical correction of funnel chest using metal struts were presented. The main procedures of the method were transverse submammary incision, subperichondrial resection of the deformed costal cartilages, division of the xiphisternal joint, wedge osteotomy of the sternum, freeing of the posterior surface of the sternum and stabilization by means of 2 metal struts. The struts were removed postoperative 3 and 6 months by a small incision under the local anesthesia. The results in both patients were satisfactory. This method of correction is simple, easy to perform and free of any operative risks.

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석탄가스 난류선회유동 예혼합부상화염의 안정성 해석 (Numerical Study on the Stabilization of Turbulent Swirling Lifted Premixed Syngas Flames)

  • 강성모;이정원;김용모
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2008년도 춘계학술대회 논문집
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    • pp.349-352
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    • 2008
  • This study has numerically modeled the combustion processes of the turbulent swirling premixed lifted syngas flames in the low-swirl burner (LSB). In these turbulent swirling premixed flames, the four tangentially-injected air jets induce the turbulent swirling flow which plays the crucial role of stabilizing the turbulent lifted flames. In the present approach, the turbulence-chemistry interaction is represented by the level-set based flamelet model. Numerical results indicate clearly that the present level-set based flamelet approach has realistically simulated the structure and stabilization mechanism of the turbulent swirling premixed lifted flames in the low-swirl burner. Computations are made for the wide range of the syngas chemical composition and the dilution level at two pressure conditions (1.0, 5.0 bar). Numerical results indicate that the lifted height in the LSB is increased by decreasing the H2 percentage and increasing the dilution level at the given equivalence ratio. It is also found that the flashback is occurred for the hydrogen composition higher than 80% at the equivalence ratio, 0.8. However, at the syngas composition range in the IGCC system, the stable lean-premixed lifted flames are formed at the low-swirl burner.

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프리피스톤 수소기관의 연소안정화 및 성능향상에 관한 연구 (A Study on the Combustion Stabilization and Performance Improvement in the Free-piston Hydrogen Fueled Engine)

  • 노기철;윤재성;김강문;박상욱;이종태
    • 한국수소및신에너지학회논문집
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    • 제17권2호
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    • pp.227-233
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    • 2006
  • A free-piston hydrogen fueled engine is considered as one of the next power systems which is able to obtain high efficiency and low emission, simultaneously. In this study, in order to ensure the possibility as the next generation power system, the combustion characteristics and the performance of the free-piston hydrogen fueled engine are analyzed by using the linear RICEM for the change of injection pressure and equivalence ratio. As the results, in-cylinder maximum pressure is shown at injection pressure $P_{inj}$=6bar. Backfire phenomenon is not observed under experimental condition and knock occurs over ${\Phi}=0.8$. The thermal efficiency is the highest at injection pressure, $P_{inj}$=6bar and equivalence ratio, ${\Phi}=0.7$, respectively.

해역별 최적 해빈 안정화 공법 선정 Platform 개발을 위한 기초연구 II - 양빈 된 해빈 침식률 산정을 위한 물리기반 해빈 지형모형 개발을 중심으로 (Preliminary Study on the Development of a Platform for the Optimization of Beach Stabilization Measures against Beach Erosion II - Centering on the Development of Physics-Based Morphology Model for the Estimation of an Erosion Rate of Nourished Beach)

  • 조용준
    • 한국해안·해양공학회논문집
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    • 제31권5호
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    • pp.320-333
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    • 2019
  • 양빈이 수행된 해빈의 침식률 산정을 위한 물리기반 해빈 지형모형이 제시되었다. 동수역학 모형은 OpenFOAM에 기반 한 tool box인 IHFOAM으로 구성되며, Morphology 모형은 부유사를 대상으로 한 이송확산방정식, 소류사 이송을 포함한 표사 수지 개념으로부터 유도된 Exner 식으로 구성하였다. 표사 이송여부, 부유사 농도저면 경계치, 소류사 이송률 산출과정에는 Shields Diagram, 삼차원 수치 모의된 유동계 정보로부터 직접 산출된 저면 전단응력이 활용된다. 본 논문에서 제시된 지형 모형을 검증하기 위해, 경사가 1/6인 단조 해안에서의 천수과정, 쇄파과정, 이에 따른 저면 변화를 수치 모의하였다. 모의결과 비선형 천수과정에서 예상되는 왜곡되고 왜도된 저면전단응력이 비교적 정확히 모의되었다. 또한 전빈에서 진행되는 쇄파로 인해 부유되고 침식된 표사가 up-rush에 의해 후빈으로 이동되어 형성되는 swash bar와 up-rush 정점에서 방향을 바꾸어 먼 바다 방향으로 진행되는 back-wash에 의해 쓸려간 표사가 수심증가에 따라 back-wash 흐름 강도가 약해지면서 퇴적하여 형성되는 breaker bar가 성공적으로 모의되는 것을 확인할 수 있었다.

Experimental evaluation of the active tension bolt

  • Kim, Sang-Hwan;Song, Ki-Il;Park, Jae-Hyun
    • Geomechanics and Engineering
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    • 제11권2호
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    • pp.177-195
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    • 2016
  • To secure the stability of geotechnical infrastructures and minimize failures during the construction process, a number of support systems have been introduced in the last several decades. In particular, stabilization methods using steel bars have been widely used in the field of geotechnical engineering. Rock bolt system is representative support system using steel bars. Pre-stressing has been applied to enhance reinforcement performance but can be released because of the failure of head or anchor sections. To overcome this deficiency, this paper proposes an innovative support system that can actively reinforce the weak ground along the whole structural element by introducing an active tension bolt containing a spring unit to the middle of the steel bar to increase its reinforcement capacity. In addition, the paper presents the support mechanism of the active tension bolt based on a theoretical study and employs an experimental study to validate the performance of the proposed active tension bolt based on a down-scaled model. To examine the feasibility of the active tension unit in a pillar, the paper considers a pullout test and a small-scale experimental model. The experimental results suggest the active tension bolt to be an effective support system for pillar reinforcement.

모형 가스터빈 연소기에서의 스월수와 혼합길이에 따른 화염구조와 NOx배출에 관한 실험적 연구 (The Study on Flame Structure and NOx Emissions by Swirl Numbers and Fuel-Air Mixing Length in a Dump Combustor Gas Turbine)

  • 최도욱;김규보;전충환;송주헌;장영준
    • 대한기계학회논문집B
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    • 제33권11호
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    • pp.849-857
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    • 2009
  • The experimental study was performed to investigate the effects of partial premixing, varying the equivalence ratio, mixing degree, swirl intensity, mixing length on the characteristics of flame structure and NOx emission. Experiments were conducted in a dump combustor at 1 bar using methane as fuel. Inlet air temperature was 570K. OH chemiluminescence images were acquired with an ICCD camera. As a result of the experimental investigation of characteristics of flame and NOx emission in partial premixed combustor, we can conclude the results as below. With the increase of swirl number, The flame length decreases and the flame width increases and it helps flame stabilization. It means that lean flammability limit is extended. With the increase of mixing of fuel-air length ratio, Flame goes to be stabilized and NOx emission and $OH^{\ast}$ intensity decrease. Through the comparison of preceding results, It is possible that the exhausted NOx emission from a gas turbine combustor will be able to predict through the $OH^{\ast}$ intensity.

Application of epoxy putty external skeletal fixator for stabilization of tarsocrural arthrodesis in small dogs and cats

  • Moon, Je-Sung;Lee, June-Sub;Han, Hyun-Jung
    • 대한수의학회지
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    • 제60권4호
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    • pp.187-194
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    • 2020
  • Two small-breed dogs and two cats, with an average body weight of 4.88 kg (range: 4.3-5.5 kg), suffered hindlimb lameness due to luxation with or without fractures of the tarsocrural joint. These patients underwent tarsocrural arthrodesis with epoxy putty external skeletal fixator. The animals' skins were incised minimally, and the articular cartilage of the tarsocrural joint was removed, followed by autogenous cancellous bone grafting. Epoxy putty and positive Centerface®, pins with diameters 1.2 mm and 2.0 mm, were used for connecting bar and as a full pin fixation, respectively. All the patients regained the ability to bear weight on the affected limb within 3-7 days and resumed a normal gait within 9-15 weeks. The external skeletal fixator frame was removed within 13-17 weeks without major complications. Tarsocrural arthrodesis using epoxy putty external skeletal fixator resulted in excellent outcomes without severe postoperative complications in this study. Epoxy putty external skeletal fixator can be a valuable surgical option for tarsocrural arthrodesis in patients weighing less than 5.5 kg.