• Title/Summary/Keyword: Closure Phase

Search Result 91, Processing Time 0.036 seconds

BLEEDING CONTROL BY THE CIRCUMFERENTIAL SUTURE & DRAINAGE ON ACTIVE BLEEDING INCISION & DRAINAGE SITE OF TEMPORAL SPACE ABSCESS DUE TO ADVANCED ODONTOGENIC INFECTION IN A MULTIPLE MEDICALLY COMPROMISED DISABLED PATIENT : REPORT OF A CASE (다발성 전신질환 장애환자에서 진행성 치성감염에 의한 측두간극농양 절개 배농시 창상주위 봉합과 배농술에 의한 과도한 출혈조절 : 증례보고)

  • Son, Jeong-Seog;Oh, Ji-Hyeon;Yoo, Jae-Ha
    • The Journal of Korea Assosiation for Disability and Oral Health
    • /
    • v.9 no.1
    • /
    • pp.30-35
    • /
    • 2013
  • The four principles of treatment of odontogenic infection are as follows : (1) removal of the cause, (2) establishment of drainage, (3) institution of antibiotic therapy, and (4) provision of supportive care, including proper rest and nutrition. A separate incision is required to establish drainage, especially in the case of extensive fascial space infections. There are four principle causes for active bleeding in the immediate incision & drainage phase; (1) vascular wall alteration (infection, scurvy, chemicals), (2) disorder of platelet function, (3) thrombocytopenic purpuras, (4) disorders of coagulation (liver disease, anticoagulation drug). If the hemorrhage from incision & drainage site is aggressive, the site must be packed with proper wet gauze and wound closure & drainage dressing are applied. The specific causes of bleeding may be associated with hypoxia, changes in the pH of blood & chemical changes affecting vascular contractility and blood clotting. This is a case report of bleeding control by the circumferential suture & drainage on active bleeding incision & drainage site of temporal space abscess due to advanced odontogenic infection in a multiple medically compromised disabled patient.

Numerical Analysis of Non-Cavitating and Cavitating Performance of a SVA Potsdam Propeller (SVA Potsdam 프로펠러 단독 및 캐비테이션 성능 수치해석)

  • Kim, Je-In;Park, Il-Ryong;Kim, Ki-Sup;Ahn, Jong-Woo
    • Journal of the Society of Naval Architects of Korea
    • /
    • v.54 no.3
    • /
    • pp.215-226
    • /
    • 2017
  • This paper presents numerical results of the performance of a marin propeller in cavitating and non-cavitating flow conditions. The geometry and experimental validation data of the propeller are provided in Potsdam Propeller Test Case(PPTC) in the framework of the second International Symposium on Marine Propulsors 2011(SMP'11) workshop. The PPTC includes open water tests, velocity field measurements and cavitation tests. The present numerical analysis was carried out by using the Reynolds averaged Navier-Stokes(RANS) method on a wall-resolved grid ensuring a y+=1, where the SST k-${\omega}$ model was mainly used for turbulence closure. The influence of the turbulence model was investigated in the prediction of the wake field under a non-cavitating flow condition. The propeller tip vortex flows in both cavitating and non-cavitating conditions were captured through adaptation of additional grids. For the cavitation flows at three operation points, Schnerr-Sauer's cavitation model was used with a Volume-Of Fluid(VOF) approach to capture the two-phase flows. The present numerical results for the propeller wake and cavitation predictions including the open water performance showed a qualitatively reasonable agreement with the model test results.

BLEEDING CONTROL BY CONTINUOUS WOUND DRAINAGE OF ACTIVE BLEEDING SITES OF TEETH EXTRACTION WOUND IN A PATIENT WITH ADVANCED LIVER CIRRHOSIS : REPORT OF A CASE (중증 간경변증 환자에서 발치창 과도 출혈부의 지속적 배농술을 통한 지혈 : 증례보고)

  • Mo, Dong-Yub;Yoo, Jae-Ha;Choi, Byung-Ho;Kim, Ha-Rang;Lee, Chun-Ui;Ryu, Mi-Heon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.35 no.6
    • /
    • pp.431-436
    • /
    • 2009
  • There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding control by continuous rubber strip & iodoform gauze drainage (without gelfoam packing) of active bleeding infection sites of three teeth extraction wounds in a 46-years-old female patient with advanced liver cirrhosis.

In Vivo Wound Healing Activity of Crocodile (Crocodylus siamensis) Hemoglobin and Evaluation of Antibacterial and Antioxidant Properties of Hemoglobin and Hemoglobin Hydrolysate

  • Pakdeesuwan, Anawat;Araki, Tomohiro;Daduang, Sakda;Payoungkiattikun, Wisarut;Jangpromma, Nisachon;Klaynongsruang, Sompong
    • Journal of Microbiology and Biotechnology
    • /
    • v.27 no.1
    • /
    • pp.26-35
    • /
    • 2017
  • The hydrolysis of proteins constitutes an invaluable tool, granting access to a variety of peptide fragments with potentially interesting biological properties. Therefore, a hemoglobin (Hb) hydrolysate of Crocodylus siamensis was generated by digestion under acidic conditions. The antibacterial and antioxidant activities of the Hb hydrolysate were assessed in comparison with intact Hb. A disc diffusion assay revealed that the Hb hydrolysate exhibited antibacterial activity against eight strains of gram-positive bacteria and showed a higher efficacy than intact Hb. Moreover, the antioxidant activity of intact Hb and its hydrolysate was evaluated using ABTS and DPPH radical scavenging assays. The Hb hydrolysate exhibited free radical scavenging rates of 6-32%, whereas intact Hb showed a slightly higher activity. In addition, non-toxicity to human erythrocytes was observed after treatment with quantities of Hb hydrolysate up to $10{\mu}g$. Moreover, active fragmented Hb (P3) was obtained after purifying the Hb hydrolysate by reversed-phase HPLC. Scanning electron microscopy demonstrated the induction of bacterial cell membrane abnormalities after exposure to P3. Antibacterial and antioxidant activities play crucial roles for supporting the wound healing activity. Consequently, an in vivo mice excisional skin wound healing assay was carried out to investigate the effects of intact Hb treatment on wound healing in more detail. The results clearly demonstrate that intact Hb is capable of promoting 75% wound closure within 6 days. These findings imply that intact Hb of C. siamensis and its acid hydrolysate may serve as valuable precursors for food supplementary products benefitting human health.

Numerical Simulation of Wave Deformation due to a Submerged Structure with a Second-order VOF Method (2차 정확도 VOF기법을 활용한 수중구조물에 의한 파랑변화 예측)

  • Ha, Tae-Min;Cho, Yong-Sik
    • Journal of the Korean Society of Hazard Mitigation
    • /
    • v.10 no.1
    • /
    • pp.111-117
    • /
    • 2010
  • A three-dimensional numerical model is employed to investigate wave deformation due to a submerged structure. The three-dimensional numerical model solves the spatially averaged Navier-Stokes equations for two-phase flows. The LES(large-eddy-simulation) approach is adopted to model the turbulence effect by using the Smagorinsky SGS(sub-grid scale) closure model. The two-step projection method is employed in the numerical solutions, aided by the Bi-CGSTAB technique to solve the pressure Poisson equation for the filtered pressure field. The second-order accurate VOF(volume-of-fluid) method is used to track the distorted and broken free surface. A simple linear wave is generated on a constant depth and compared with analytical solutions. The model is then applied to study wave deformation due to a submerged structure and the predicted results are compared with available laboratory measurements.

Characteristics of allergic pollens and the recent increase of sensitization rate to weed pollen in childhood in Korea (알레르기 화분의 특성과 최근 소아에서 잡초류 화분의 감작률 증가)

  • Oh, Jae-Won
    • Clinical and Experimental Pediatrics
    • /
    • v.51 no.4
    • /
    • pp.355-361
    • /
    • 2008
  • Pollen is very important causing factor for allergy such as allergic rhinitis, allergic conjunctivitis, and asthma, and pollen allergy has a remarkable clinical impact all over Korea. The main pollination period covers about half the year, from spring to autumn, and the distribution of airborne pollen taxa of allergological interest is related to pollen season dynamics. Korean academy of pediatric allergy and respiratory diseases (KAPARD) has evaluated the pollen characteristics and nationwide pollen count for over 10 years since 1997. Airborne particles carrying allergens were collected daily from nationwide 8 stations (Seoul, Guri, Cheongju, Daegu, Kwangju, Busan, Kangneung, and Jeju) by using 7 days-Burkard sampler (Burkard Manufacturing Co Ltd, Hertfordshire, UK) in South Korea (July 1, 1997-June 30, 2007). They were counted and recorded along with the meteorological factors daily. Tree pollen is a major airborne allergen in spring, grass is most common in summer, and weed pollen is major pollen in autumn in Korea. There has two peak seasons for pollen allergy, as summer and autumn. There is some evidence suggesting that the prevalence of allergic diseases in Korea has been on the increase in the past decade. However, recent findings of the phase I and II studies of the international Study of Asthma and Allergies in Childhood (ISAAC) study showed the absence of increases or little changes in prevalence of asthma symptoms and diagnosis rates in Korea, whereas the prevalence of allergic rhinitis and atopic dermatitis were increased. We reported the evidence that sensitization rate to weed pollen has been increased yearly since 1997 in childhood. Climate change and air pollution must be the major causing factors for the increase of pollen counts and sensitization rate to pollen. Climate change makes the plants earlier pollination and persisting pollination longer. In conclusion, data on pollen count and structure in the last few years, the pathogenetic role of pollen and the interaction between pollen and air pollutants with climate change gave new insights into the mechanism of respiratory allergic diseases in Korea.

LARGE-SCALE VERSUS EDDY EFFECTS CONTROLLING THE INTERANNUAL VARIATION OF MIXED LAYER TEMPERATURE OVER THE NINO3 REGION

  • Kim, Seung-Bum;Lee, Tong;Fukumori, Ichiro
    • Proceedings of the KSRS Conference
    • /
    • v.1
    • /
    • pp.21-24
    • /
    • 2006
  • Processes controlling the interannual variation of mixed layer temperature (MLT) averaged over the NINO3 domain ($150-90^{\circ}W$, $5^{\circ}N-5^{\circ}S$) are studied using an ocean data assimilation product that covers the period of 1993 to 2003. Advective tendencies are estimated here as the temperature fluxes through the domain's boundaries, with the boundary temperature referenced to the domain-averaged temperature to remove the dependence on temperature scale. The overall balance is such that surface heat flux opposes the MLT change but horizontal advection and subsurface processes assist the change. The zonal advective tendency is caused primarily by large-scale advection of warm-pool water through the western boundary of the domain. The meridional advective tendency is contributed mostly by Ekman current advecting large-scale temperature anomalies though the southern boundary of the domain. Unlike many previous studies, we explicitly evaluate the subsurface processes that consist of vertical mixing and entrainment. In particular, a rigorous method to estimate entrainment allows an exact budget closure. The vertical mixing across the mixed layer (ML) base has a contribution in phase with the MLT change. The entrainment tendency due to temporal change in ML depth is negligible comparing to other subsurface processes. The entrainment tendency by vertical advection across the ML base is dominated by large-scale changes in wind-driven upwelling and temperature of upwelling water. Tropical instability waves (TIWs) result in smaller-scale vertical advection that warms the domain during La Ni? cooling events. When the advective tendencies are evaluated by spatially averaging the conventional local advective tendencies of temperature, the apparent effects of currents with spatial scales smaller than the domain (such as TIWs) become very important as they redistribute heat within the NINO3 domain. However, such internal redistribution of heat does not represent external processes that control the domain-averaged MLT.

  • PDF

Unsteady RANS Analysis of the Hydrodynamic Response for a Ship with Forward Speed in Regular Wave (규칙파중 전진하는 선박의 유체역학적 응답에 대한 비정상 수치해석)

  • Park, Il-Ryong;Kim, Kwang-Soo;Kim, Jin;Van, Suak-Ho
    • Journal of the Society of Naval Architects of Korea
    • /
    • v.45 no.1
    • /
    • pp.29-41
    • /
    • 2008
  • The present paper provides a CFD analysis of diffraction problem for a ship with forward speed using an unsteady RANS simulation method, a WAVIS code. The WAVIS viscous solver adopting a finite volume method has second order accuracy in time and field discretizaions for the RANS equations. A two phase level-set method and a realizable ${\kappa}-{\varepsilon}$ turbulence model are adopted to compute the free surface and to meet the turbulence closure, respectively. To validate the capability of the present numerical methods for the simulation of an unsteady progressive regular wave, computations are performed for three grid sets with refinement ratio of ${\sqrt{2}}$. The main simulation is performed for a DTMB5512 model with a forward speed in a regular head sea condition. Validation of the present numerical method is carried out by comparing the present CFD results with available unsteady experimental data published in the 2005 Tokyo CFD Workshop: resistance, heave force, pitch moment, unsteady free surface elevations and velocity fields.

Structured DEVS Formalism: A Structural Modelling Method of Discrete Event Systems (Structured DEVS Formalism: 이산사건 시스템의 구조적 모델링 기법)

  • Song, Hae-Sang
    • Journal of the Korea Society for Simulation
    • /
    • v.21 no.2
    • /
    • pp.19-30
    • /
    • 2012
  • In recent decades, it has been known that the Discrete Event System Specification, or DEVS, formalism provides sound semantics to design a modular and hierarchical model of a discrete event system. In spite of this benefit, practitioners have difficulties in applying the semantics to real-world systems modeling because DEVS needs to specify a large size of sets of events and/or states in an unstructured form. To resolve the difficulties, this paper proposes an extension of the DEVS formalism, called the Structured DEVS formalism, with an associated graphical representation, called the DEVS diagram, by means of structural representation of such sets based on closure property of set theory. The proposed formalism is proved to be equivalent to the original DEVS formalism in their model specification, yet the new formalism specifies sets in a structured form with a concept of phases, variables and ports. A simplified example of the structured DEVS with the DEVS diagram shows the effectiveness of the proposed formalism which can be easily implemented in an objected-oriented simulation environment.

Comparative study of prediction methods of power increase and propulsive performances in regular head short waves of KVLCC2 using CFD

  • Lee, Cheol-Min;Seo, Jin-Hyeok;Yu, Jin-Won;Choi, Jung-Eun;Lee, Inwon
    • International Journal of Naval Architecture and Ocean Engineering
    • /
    • v.11 no.2
    • /
    • pp.883-898
    • /
    • 2019
  • This paper employs computational tools to predict power increase (or speed loss) and propulsion performances in waves of KVLCC2. Two-phase unsteady Reynolds averaged Navier-Stokes equations have been solved using finite volume method; and a realizable k-ε model has been applied for the turbulent closure. The free-surface is obtained by solving a VOF equation. Sliding mesh method is applied to simulate the flow around an operating propeller. Towing and self-propulsion computations in calm water are carried out to obtain the towing force, propeller rotating speed, thrust and torque at the self-propulsion point. Towing computations in waves are performed to obtain the added resistance. The regular short head waves of λ/LPP = 0.6 with 4 wave steepness of H/λ = 0.007, 0.017, 0.023 and 0.033 are taken into account. Four methods to predict speed-power relationship in waves are discussed; Taylor expansion, direct powering, load variation, resistance and thrust identity methods. In the load variation method, the revised ITTC-78 method based on the 'thrust identity' is utilized to predict propulsive performances in full scale. The propulsion performances in waves including propeller rotating speed, thrust, torque, thrust deduction and wake fraction, propeller advance coefficient, hull, propeller open water, relative rotative and propulsive efficiencies, and delivered power are investigated.