• Journal of Chest Surgery
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• v.30 no.7
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• pp.713-718
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• 1997

Fracture of the sternum has been considered as a serious injury and also associated with major complications such as myocardial, major thoracic vascular, and spinal injury. Retrospective datas from blunt trauma victims admitted to our hospital were analyzed to determine significance of sternal fractures and possible associated injures. 101 sternal fractures by blunt trauma were admitted from january, 1986 to december, 1995. Frequency was about 3.51 olo of the nonpenetrating chest trauma. The ratio of male to female was 1.82 versus 1. Most common cause in the stemal fracture was high decelerating injury(73 cases). Most common fracture site was sternal body(75 cases). Average days of adm ssion were 26 days. Abnormal ECG findings were sinus bradycardia(Teases), complete or incomplete RBBB(6 cases), sinus tachycardia(4 cases), specific S-T change(3 cases), 1st degree A-V block(2 cases), LVH(1 case), PVC(1 case), and Low voltage(1 case). CPK-MB was increased about 32.Lolo of sternal fractures. Except of expired 2 patients, patients were treated with conservative treatment(94 cases) and open reductions & steel wire fixations(5 cases). Complication after operation was wound infection(1 case). Causes of death were 1 hypovolemia and 1 acute respiratory distress syndrome. In conclusion, although sternal fracture is less frequent, and mostly treats with conservative treatment, it shoed be carefully observed because of critical associated injuries.

• Journal of Veterinary Clinics
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• v.34 no.2
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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.

• Journal of Ocean Engineering and Technology
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• v.32 no.1
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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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• v.42 no.1
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• pp.100-103
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• 2009

Traumatic rupture of the thoracic aorta is the second most common cause of death from motor vehicle accidents after head injury. About 85% of these patients do not survive to reach the hospital. The most common mechanism for this is deceleration injury, as occurs in a high speed motor vehicle accident. The aortic isthmus is the site of disruption for about 95% of all blunt thoracic aortic injuries. Another mechanism is crush injury which causes compression of the aorta between the displaced sternal body or manubrium and the thoracic vertebral column. These forces tear the inner layer of the aortic wall at an unusual location. We report here on a case of aortic arch dissection where the injury clearly occurred due to a crush injury and not because of deceleration. The surgical repair was delayed for 10 days after administering intensive medical therapy. The ascending aorta and aortic arch were replaced with an artificial graft with the patient under circulatory arrest and cerebral protection.

• Journal of computational fluids engineering
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• v.19 no.3
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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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• v.26 no.8
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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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• 2000.05a
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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.

• Journal of the Korea Institute of Military Science and Technology
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• v.4 no.2
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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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• 1995.10a
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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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• v.32 no.1
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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.