• 제목/요약/키워드: Cavity Wall

검색결과 546건 처리시간 0.024초

흉부의 심한 방사선 괴사 환부에 대한 미세 수술적 재건 (Microsurgical Reconstruction of Severe Radionecrotic Wounds Following Mastectomy)

  • 안희창
    • Archives of Reconstructive Microsurgery
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    • 제7권2호
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    • pp.114-121
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    • 1998
  • The purpose of this study is to investigate the appropriate management of severe radionecrotic wounds of the anterior chest wall associated with infection of the soft tissues and ribs and exposure of vital structures(heart and lung), and present our strategies for reconstruction of these complicated patients. 9 patients have undergone radical debridement and immediate microsurgical reconstruction for severe radionecrotic wounds of the anterior chest wall over last 7 years. All patients had extensive osteomyelitis of the ribs or sternum, and chronic infection or cutaneous fistulae. 2 patients had pericardial effusions due to longstanding inflammation, and 6 patients had pleural effusions. 2 patients had ipsilateral lung collapse. 10 free flaps were performed for coverage of the huge defects. One patient required 2 free flaps to control the inflammation. 8 free TRAM flaps were used for coverage of the defects and in addition, the rectus abdominis muscle was packed into any deep cavity. 1 patients underwent latissimus dorsi muscle free flap because of previous abdominal surgery. After extensive debridement of the infected, radionecrotic wounds, all 10 free flaps were successful. All the extensive radionecrotic defects of the anterior chest wall were completely healed. Free flaps successfully covered the exposed vital structures of the heart and lungs. Patients with severe radionecrotic defects of the anterior chest wall after ablative breast cancer surgery and radiotherapy were successfully treated by radical debridement and immediate free flap surgery. The TRAM flap together with the rectus muscle is the treatment of choice for these huge defects. The latissimus dorsi muscle flap was the second choice in patients with previous abdominal surgery. The recipient vessel should be carefully selected because of possible radiation damage and inflammation.

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복벽결손을 동반한 동복자견의 신경관결손 (Neural Tube Defects with Abdominal Wall Defects in Sibling Dogs)

  • 조성진;김옥진
    • 한국임상수의학회지
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    • 제26권5호
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    • pp.467-471
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    • 2009
  • This report describes Neural Tube Defects (NTDs) with Abdominal Wall Defects (AWDs) on the sibling of Yorkshire terriers. The NTDs and AWDs are rare serious congenital defects. The NTDs are neurulation abnormality that results from to failed transformation of the neurual tube by the incomplete closure of the embryonic neural plate. These dysraphic states range form mild to severe according to developmental malformation that include fusion defects of skull (crania bifida; CB) and fusion defects of vertebrae (spina bifida; SB). The AWDs are genetic defects that results from to failed formation of abdominal wall and cavity. These dysraphic states are omphalocele and gastroschisis. The 12-month dam was delivered by caesarian section and 4 littermate had obvious malformations. One male dead stillbirth fetus (L1) was revealed the extruded abdominal viscera, omphalocele. One female fetus (L2) was died within 1 hour after birth with defects of abdominal muscle upper umbilicus, gastroschisis. 3rd fetus (L3) was died within 36 hours after parturition and revealed a copious dermal and vertebral defects on the midline thorax, upper SB asperta. 4th fetus (L4) is still growing well now at 6 months but at the 2 week age, appears hairy nevus on the frontal cranium and dorsal thoracic portion. The radiograph of L1 and L2 are shown decrease bony density of calvarium and L3 was shown defect of spinose processes of the T9-T13. On our knowledge, this is first report of the SB and CB in Yorkshire terrier. And also sibling of NTDs with AWDs that has not previously been reported in the dog.

CO2레이저 조사가 치아경조직에 미치는 영향에 관한 EPMA분석 및 주사전자현미경적 연구 (A STUDY OF CO2 LASER IRRADIATED DENTAL HARD TISSUES USING ELECTRON PROBE MICROANALYZER AND SCANNING ELECTRON MICROSCOPE)

  • 장계봉;이정석;이찬영;이승종
    • Restorative Dentistry and Endodontics
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    • 제12권1호
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    • pp.51-64
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    • 1986
  • The purpose of this study is to obtain the data of prestep in cavity preparation by observing changed conditions of laser irradiated dental hard tissues. The forty five extracted caries free human molars were divided into three groups and each group into five subgroups. A $CO_2$ laser irradiation was performed each subgroup of group I for one second with output power of 5 W, 10 Wand 20 W. On group II, laser irradiation was done ten times for 0.1 second duration using same power ratings as group I. On group III, laser irradiation was done 0.1 second, 0.2 second and 0.4 second with output power of 50 W. We investigated mineral contents and crater wall of obtained specimens, i.e., laser irradiated teeth, using computer controlled electron probe microanalyzer and scanning electron microscope. The following results were obtained: 1. Both calcium and phosphorus contents in laser irradiated enamel crater wall were increased, and magnesium content was decreased, but these trends were not statistically significant. 2. In laser irradiated dentin, change of mineral content was more significant. 3. In laser irradiated enamel and dentin, there were no significant differences on mineral content change due to irradiation condition and energy density. 4. In scanning electron microscopic study, enamel rods of the crater wall were fused and clefts were observed in parallel with the direction of enamel rod for all groups. 5. In laser irradiated dentin, irregular fusion and clefts were observed. In irradiated teeth with high power and short duration, the locally formed narrow crater wall was observed.

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Applying Fire Risk Analysis to Develop Fire-safe Modular Walls: Guidance to Material Selection, Design Approach and Construction Method

  • Lim, Seokho;Chung, Joonsoo;Kim, Mihyun Esther
    • Architectural research
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    • 제24권2호
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    • pp.21-27
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    • 2022
  • For the past decade, South Korea had experienced catastrophic building fires, which resulted in consider-ably high number of casualties. This motivated research to develop fire-safe wall assemblies. In this study Fire Risk Analysis (FRA) is conducted as part of the project designing phase to ensure fire safety of the final product. Traditional approach was to consider fire performance at the end of the designing stage, when PASS/FAIL fire test results are required to be submitted to the Authority Having Jurisdiction (AHJ). By applying a fire risk analysis to guide the designing phase, overall fire safety of a wall assembly can be achieved more systematically as conducting FRA allows designers to clearly identify elements that are more vulnerable to fire and simply replace them with other practical options. Severity of fire risk is determined by considering the fire hazards of a wall assembly such as the exterior layer, insulation, vertical connectivity, and external ignition sources (e.g., photovoltaic panels). Frequency of fire risk is assessed based on the factors affecting fire likelihood, which are air cavity and fire-stopping applied in the design, and random design changes occurring during on-site construction. Fire risk matrix is proposed based on these fire risk factors and efforts to reduce the fire risk level associated with the wall assembly are given by systematically assessing the fire risk factors identified from fire risk analysis. Current study demonstrates how fire risk analysis can be applied to develop fire-safe walls by reducing the relevant fire risks- both severity and frequency.

폐암 수술환자에서 흉강경수술의 적용 (Clinical Application for Video-Thoracoscopy in Lung Cancer Surgery Patients)

  • 김광호;한재열;윤용한;백완기;이응석;김형진
    • Journal of Chest Surgery
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    • 제35권5호
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    • pp.392-396
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    • 2002
  • 배경: 폐암환자의 정확한 병기 판단을 위한 비디오흉강경수술은 흉강내를 직시하며 병변의 의심이 있는 부위의 생김을 실시할 수 있으므로 기존의 방법에 덧붙여 절재술 여부를 결정하는데 중요한 역할을 할 것으로 생각된다. 본 조사의 목적은 폐절제술 전 비디오흉강경수술의 역할을 평가하기 위하여 실시하였다. 대상 및 방법: 흉부전산화단층촬영술등과 종격동경으로 평가를 실시하여 절제술을 하려는 폐암환자에서 개흉전 비디오흉강경술을 실시하였다. 총 37예에서 흉강경수술을 실시하였으며 흉강경수술전 병기는 TNM병기로 1병기 18예, II병기 7예, III병기가 12예였다. 결과: 37예 중 15예는 흉강내 유착, 횡격막 또는 흉벽의 종양침범과 폐문부 종괴의 거대로 인하여 종격동에 접근이 어려워 흉강경수술이 용이치 않아 실시할 수 없었으며 이들 예에서는 전제술 후 병리조직학적으로 6예에서 종격동림프절에 암 전이가 확인되었다. 흉강경수술을 실시한 22예 중 2예는 흉강경수술 전 병기평가에선 N0이었으나 N2로 확인되어 개흉하지 않았고 20예에서는 흉강경수술상 종격동림프절에 천이가 확인되지 않아 절제를 실시하였다. 그러나 이중 5예에서 절제술 후 병리조직학적으로 N2로 확인되었다. 결론: 이상의 결과를 보아 흉막강내의 유착, 흉벽과 횡격막에 종양침범이나 거대종괴등으로 인하여 흉강경을 통한 흉강내 관찰이 어려워 흉강경술을 진행할 수 없는 예들이 많이 있으므로 비디오흉강경술의 적용에 신중을 기하여 할 것이나, 흉강경을 통한 관찰과 생검으로 적은 예들에서지만 불필요한 개흉을 피하는데 도움이 되었다.

지반내 입자거동 및 흐름을 고려한 수압작용 모델링 (Fluid Injection Simulation Considering Distinct Element Behavior and Fluid Flow into the Ground)

  • 전제성;김기영
    • 한국지반공학회논문집
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    • 제24권2호
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    • pp.67-75
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    • 2008
  • 개별요소방법은 재료의 미시적 거동 및 불연속적 거동과 관련하여 지반공학 분야에서 그 활용이 증가하고 있으나, 기존 개별요소 방법들은 입자형태의 재료들간 상호작용을 위주로 연구되었으며, 이는 지반공학 분야에 개별요소 방법을 제한적으로 적용하는 주요 원인이 되었다. 최근 기존 개별요소 방법에 흙, 암반 및 투수성 매질에서의 물 흐름을 고려한 수리연동 기법의 적용연구(Kawaguchi et al., 2003; Shimizu, 2004)가 진행되고 있다. 본 연구에서는 기존 개별요소방법에 수리연동 기법을 적용하여 수압조건별 지반의 공동생성 및 확장에 대한 수치해석을 실시하였다. 직사각형 해석요소에 입자크기와 초기 간극률 조건에 대한 개별요소 및 경계면 생성 후, 서보 제어방법을 통한 경계면 응력조건을 구현하였다. 수리거동의 고려는 연속방정식과 Navier-Stokes 방정식을 이용하여 압력과 속도를 구한 후, 입자와 유수간의 상호작용을 풀어가는 방식(Tsuji, 1993)으로 수행하였다. 구속압 조건($0.1MP{\alpha},\;0.5MP{\alpha}$)에 대하여 해석모델 중앙지점에 7단계로 증가되는 수평방향 유속을 재하하고, 재하지점 인근의 개별요소 이동 및 지점별 유량, 유속, 압력, 경계면 응력변화 등을 분석하였으며, 해석조건에 따라 개별요소와 수리 영향의 상호거동을 통한 공동생성 및 확장, 한계압력 발생 등을 확인하였다.

Effects of Electrohydrodynamic Flow and Turbulent Diffusion on Collection Efficiency of an Electrostatic Precipitator with Cavity Walls

  • 박석주;박영옥;김상수
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2001년도 춘계학술대회논문집D
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    • pp.97-103
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    • 2001
  • The effects of the electrohydrodynamic (EHD) flow and turbulent diffusion on the collection efficiency of a model ESP composed of the plates with a cavity were studied through numerical computation. The electric field and ion space charge density were calculated by the Poisson equation of the electrical potential and the current continuity equation. The EHD flow field was solved by the continuity and momentum equations of the gas phase including the electrical body force induced by the movement of ions under the electric field. The RNG $k-{\varepsilon}$ model was used to analyze the turbulent flow. The particle concentration distribution was calculated from the convective diffusion equation of the particle phase. As the ion space charge increased, the particulate collection efficiency increased because the electrical potential increased over the entire domain in the ESP. The collection efficiency decreased and then increased, i.e. had a minimum value, as the EHD circulating flow became stronger when the electrical migration velocity of the charged particle was low. However, the collection efficiency decreased with the stronger EHD flow when the electrical migration of the particle was higher relatively. The collection efficiency of the model ESP increased as the turbulent diffusivity of the particle increased when the electrical migration velocity of the particle was low. However, the collection efficiency decreased for increasing the turbulent diffusivity when the electrical migration of the particle was higher relatively.

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국내 일부 지역산 올챙이와 개구리의 Fibricola seoulensis 유충에 의한 감염상 (A Study on the Infection Statue of Tadpoles and Frogs by the Metacercariae of Fibricola seoulensis in Korea)

  • 홍성태;이순형
    • Parasites, Hosts and Diseases
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    • 제23권1호
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    • pp.72-78
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    • 1985
  • A total of 220 tadpoles was captured in 6 areas and total 117 frogs, Rana nigromacuzata, were collected in 11 areas in Korea. They were examined for their infection status by the metacercariae of Fibricola seoulensis by peptic digestion technique and by histological observation with hematoBylineosin staining. This study was carried out from August, 1983 to September, 1984. Followings are the results. 1. The tadpoles of R. nigromaculata were positive for the metacercariae from 3.3% to 100% by area. The number of metacercariae per infected tadpole ranged from 1 to 584, and the mean number Per tadpole ranged from 7.6 to 221 by area. 2. The metacercariae from 16 tadpoles were counted by the body portion. A great majority of the metacercariae was collected from abdominal cavity, 98.3% of 484 counted larvae. And 6(1.2%) larvae were from proximal tail and 2(0.4%) from trunk. 3. Histological sections of tadpoles showed many metacercariae in abdominal cavity but none in other parts. The larvae were free in the spaces among intestinal loops or around primitive liver. A few larvae were in duct-like tissues near trunk wall. There was little infiltration of inaammatory cells. 4. The metacercarial infection rates of frogs ranged from 0% to 100% by area. The larval burden was 1 to 470 by infected frogs, and mean number ranged from 1 to 175.6 by area. By above results, it is suggested that the cercariae of F. seoulensis may infect R. nigromaculata already in the stage of tadpole. Almost all of the metacercariae were concentrated in abdominal cavity of tadpoles. According to the infection status of frogs, this nuke is prevalent almost nationwidely in rice paddies in Korea.

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비강 T/NK 세포형 림프종 1례 (A Case of Nasal T/NK-cell Lymphoma)

  • 이정복;전인상;임호준;오영하;김지혜
    • Clinical and Experimental Pediatrics
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    • 제46권12호
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    • pp.1266-1270
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    • 2003
  • 저자들은 비강내 종괴로 내원한 14세 환아에서 종괴 생검 및 면역 표현형 검사로 비강 T/NK 세포형 림프종으로 진단하고 치료 중인 1례를 보고하는 바이다.

건물 외피에 적용된 복층창의 열팽창 파손에 대한 민감도 분석 연구 (The Sensitivity Analysis of Thermal Expansion Breakage of Multi-layer Glazing in Building Envelope)

  • 윤종호;김승철;임경업;오명환
    • KIEAE Journal
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    • 제14권6호
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    • pp.93-97
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    • 2014
  • Curtain wall system of office buildings has recently become very common in Korea. As the multi-layer curtain glazing is exposed to outdoor environment, it is very subjected to direct environmental impact. Consequently, breakage and cracks of glazing due to heat expansion is frequently observed. This study explores various causes and aspects for destruction of multi-layer glazing. A sensitivity analysis was performed on the basis that thermal changes causes damage to the multi-layer glazing. Air temperature in air cavity within the multi-layer glazing was examined to find its effect on multi-layer glazing breakage. Analysis showed high deflection to depth ratio of 1:1.8 and that higher the aspect ratio, smaller is the deflection. Allowable pressure showed that the weakest value is for aspect ratio of 1:2.9. Sensitivity analysis by the area of the glazing showed that as area of glazing becomes higher, allowable pressure and deflection-depth ratio becomes smaller. For allowable pressure and allowable deflection-depth within air cavity, the glazing breakage occurred at least $107^{\circ}C$. The results from glazing breakage by thermal factor shows that it is hard to break the glazing with only an increase in air cavity temperature in multi-layer glazing applied in buildings.