• Journal of Chest Surgery
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• 제30권7호
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• pp.713-718
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• 1997

흉부 외상은 경우에 따라서 심근 손상, 대혈관 손상, 척추 손상 등의 심각한 합병 손상을 일으킬 수 있기 때문에 신속한 진단과 적절한 처치를 해야 한다. 이에 순천향 대학교 의과대학 흉부외과학교실에서는 1986 년 1월부터 1995년 12월까지 흉골 골절로 입원, 치료 받았던 101명의 환자를 대상으로 후향적 조사를 하였 다. 흉골골비관통성 흉부 손상 환자 2877명중 3.51%였으며, 남녀비는 1.82 : 1 로 남자에서 많았다. 손상원인은 차량에 의한 추돌사고가 73례로 가장 많았으며, 골절 부위는 흉골 체부 골절이 75례로 가장 많았다. 평균 재 원일수는 26일 이었으며 9주 이상 장기 치료받은 9명을 제외하면 18일이었다. 심전도상 이상소견은 동성 서 맥 7례, 완전 혹은 불완전 우각차단 6례, 동성 빈맥 4례, 의미있는 5-T분절 이상 3례, 1도 차단 2례, 좌심실 비대, 심실 조기 수축, 심전도 저전압이 각 1레씩 있었으며 CPK-b%분획상 비 정상적 증가 소견을 보인 경 우는 32.1%였다. 치료중 사망한 2명을 제외한 99명중 94명이 보존적 치료를 받았고, 5명이 흉골 고정술을 시 행받았다. 수술후의 합병증은 창상감염이 1례 있었다. 입원 치료중 2명이 사망하였는\ulcorner, 원인은 저혈량성 쇼 크, 급성 호흡 부전이 각각 1명이었다. 이상의 결과로 보아 흉골 골절은 그 빈도가 많지 않고 심한 합병증이 유발되는 경우도 적으며, 대부분의 경우 보존적 치료로 회복된다고는 하지만 소홀히 했을 경우 생명에 치명적인 영향을 줄 수 있으므로 보다 더 신속하고 정확한 진단이 이루어져야 하겠다.

• 한국임상수의학회지
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• 제34권2호
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• pp.108-111
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• 2017

A 4-year-old, weighing 7.6 kg, castrated male, Pug presented with ingestion of gastric cavity foreign body. Physical examination revealed panting, retching and hyper-salivation. Blood chemistry and complete blood cell count were normal, but hypophosphatemia was observed. An abdominal radiograph revealed the foreign body (FB), round shape and 2 cm length, at the pyloric region of stomach. A thoracic radiograph revealed an incidental metal FB, 3.5 cm length, at the cranial portion of the diaphragm. An upper gastrointestinal endoscopy was performed to remove the FB in the stomach and then a peach-pit was removed. However the metal FB was not found in the esophagus therefore a lateral thoracotomy was performed. A right lateral thoracotomy through the $7^{th}$ intercostal space was accomplished to expose the right caudal lung lobe. After open the thoracic cavity, foreign body was not observed by gross evaluation and caudal lung lobe was attached to the diaphragm. The FB was identified inside the lung lobe and surrounded by granulation tissue. The metal FB (sewing needle) was removed with blunt dissection and incised lung lobe was sutured using absorbable suture material PDS 4-0 with interrupted suture. A thoracotomy tube was inserted into the thoracic cavity during surgery. Patient's respiration became stable after surgery. A chest tube was removed 3 days after surgery. No complications were noted and the dog was discharged 4 days after surgery. In small animal, foreign body ingestion is a common reason for emergency. After ingestion of the FB, perforation through the esophagus and migration to inside the lung lobe is not common in small animals. In this case, thoracic metal FB was identified incidentally and removal of a thoracic FB with thoracotomy was performed successfully.

• 한국해양공학회지
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• 제32권1호
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• pp.36-42
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• 2018

Unlike a slender body, vortices are shed off alternately in the wake of a blunt body. In the case of liquid flows, when the pressure falls below the vapor pressure, cavitation occurs in the vortex core and affects the formation of the vortex street. This phenomenon is of major importance in many practical cases because the alternate shedding of vortices creates imbalanced forces on the body. Hence, it is very important to determine the shedding frequency of cavitating vortices. In this paper, the unsteady cavitating flow around a two-dimensional wedge-shaped submerged body was simulated using the commercial code STAR-CCM+. A numerical investigation of the structure of cavitating vortices was performed for a model with an apex angle of $20^{\circ}C$. The results were validated by comparing them with experimental measurements carried out at a cavitation tunnel of Chungnam National University (CNU-CT). It was found that the shedding frequency of the vortex increased by up to 18%, which was strongly affected by the development of cavitation.

• Journal of Chest Surgery
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• 제42권1호
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• pp.100-103
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• 2009

흉부 대동맥의 외상성 파열은 두부 손상 다음으로 흔한 교통사고의 사망원인으로 약 85%의 환자가 병원 도착 전에 사망한다. 가장 흔한 기전은 고속의 차량이 충돌 등으로 인한 급작스런 감속에 의해 발생되며 대동맥 협부가 전체 대동맥 손상의 95%에 해당된다. 또 다른 기전으로는 흉부 압박 손상에 의해 골절되어 전위된 흉골병과 흉부 척추 사이에 대동맥이 끼이면서 나타날 수 있는데 이로 인해 흔하지 않은 위치의 대동맥벽의 내막이 파열된다. 저자들은 감속사고가 아닌 흉부 압박에 의해 대동맥궁이 파열되어 박리된 증례에 대해 집중적인 내과 치료 후에 지연 수술로 완전 순환정지 하에 뇌보호를 시행하면서 상행 대동맥의 일부와 대동맥궁을 인조혈관으로 치환하였기에 보고하는 바이다.

• 한국전산유체공학회지
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• 제19권3호
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• pp.85-90
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• 2014

The purpose of this study is to develop a new Meshless Method to solve 2-D compressible flow problems numerically. This paper includes a revised Least Square method that improves robustness compared with its original version by removing excessive numerical oscillation which occurs when points are randomly distributed. Numerical analyses of hypersonic flow over a blunt body were carried out using the method, then robustness, accuracy and convergence of their results were compared with those obtained from the original method.

• Journal of Chest Surgery
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• 제26권8호
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• pp.661-663
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• 1993

We have experienced 6 cases of esophageal perforation from September, 1988 to June, 1993, in the department of Thoracic and Cardiovascular Surgery, Chungang Univesity Hospital and obtained the following results. The number of male patients was 5, and female 1.The causes of esophageal perforations were spontaneous, post-emetic in 2 cases, spur of cervical spine in 1 case, foreign body in 1 case, surgical trauma in 1 case and blunt trauma in 1 case. Perforation developed in cervical esophagus in I case,and others in distal third of the esophagus. One case needed only conservative treatment, and others needed surgical intervention minor or major. There were 2 mortality cases, and 2 cases healed satisfactorily without complication, 2 cases had complications that needed reoperations.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2000년도 춘계 학술대회논문집
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• pp.166-171
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• 2000

A two-dimensional/axisymmetric CSCM upwind flux difference splitting Wavier-Stokes method has been developed to study the finite rate chemically react-ing invisicd and viscous hypersonic flows over blunt-body. A upwind method was chosen due to its robustness in capturing the strong bow shock waves. For the nonequilibrium chemically reacting air, NS-I species conservation equations were strongly coupled with flowfield equations through convection and species production terms. The nonequilibrium wall pressure and heat transfer rate distributions along the vehicle were compared with those from equilibrium and perfect gas calculations. The nonequilibrium species distribution shows the reduced concentrations of O and N species when compared with equilibrium species distribution. The solutions resolved strong bow shock waves md heat transfer rate very accurately when compared with central difference schemes.

• 한국군사과학기술학회지
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• 제4권2호
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• pp.202-214
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• 2001

In this paper the upwind flux difference splitting Navier-Stokes method has been applied to study quasi one-dimensional nozzle flow and axisymmetric sphere-cone($5^{\circ}$) flow for the perfect gas, the equilibrium and the nonequilibrium chemically reacting hypersonic flow. The effective gamma(${ \tilde{\gamma}}$), enthalpy to internal energy ratio was used to couple chemistry with the fluid mechanics for equilibrium chemically reacting air. The influences of the various altitude(30km, 50km) at Mach number(15.0, 20.0) were investigated. The equilibrium shock position was located farthest downstream when compared with those of perfect gas in a quasi one-dimensional nozzle. The equilibrium shock thickness over the blunt body region was much thinner than that of perfect gas shock.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 1995년도 추계 학술대회논문집
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• pp.37-42
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• 1995

In the present study, an improved version of 4-equation low-Reynolds-number 4-equation model is proposed. The equations of the temperature variance ($k_{\theta}$) and its dissipation rate(${\varepsilon}_{\theta}$) are solved, in concert with the equations of the turbulent kinetic energy(k) and its dissipation rate(${\varepsilon}$). In the present model, the near-wall effect and the non-equilibrium effect are fully taken into consideration. The validation of the model is then applied to the turbulent flow behind a backward-facing step and the flow over a blunt body. The predicted results of the present model are compared and evaluated with the relevant experiments.

• Journal of Advanced Marine Engineering and Technology
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• 제32권1호
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• pp.110-118
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• 2008

It is essential for the valid design of a marine flow-control valve to exactly know its flow characteristics. The present study has numerically investigated the flow characteristics inside a marine throttle-type globe valve using a kind of commercial CFD code, CFX10.0, with an adoption of the SST (Shear-Stress Transport) turbulence model. To validate the numerical approach, the flow coefficients are compared with the experimental ones. Results show that the globe valve is effective in the control of flow rate according to the opening ratio in case of the forward-direction flow, whereas it is effective in the flow shutoff in case of the reverse-direction flow. Around the inlet of the valve, a recirculation region is formed due to the blunt body shape, the turbulence intensity becomes strengthened and then an abrupt pressure loss occurs.