• Tuberculosis and Respiratory Diseases
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• v.72 no.1
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• pp.68-71
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• 2012

Untreated massive hemoptysis, especially in patients with tuberculous-destroyed lung, is a serious complication resulting in considerable morbidity and mortality. We report a case of a patient who had active tuberculosis and a destroyed left lung with massive bleeding. He was transferred to our clinic with intubation of a right-sided Robertshaw double lumen tube and right upper lobe collapse likely due to tube malposition that was presented on chest X-ray. Because hemoptysis had persisted after bronchial arterial embolizaton, we replaced the double lumen tube with a conventional endotracheal tube and inserted an endobronchial blocker into the left main bronchus through an endotracheal tube guided by bronchoscopy to prevent aspiration of blood into the right lung. Left pneumonectomy was performed and hemotpysis was ceased. We suggest that the use of an endobronchial blocker followed by surgery may be a safe and effective modality of treatment in patients with persistent bleeding after bronchial arterial embolization.

• Journal of the Korean Society of Safety
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• v.35 no.3
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• pp.43-48
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• 2020

It is considered that most of reusable pipe supports, which are used as formwork support posting at construction sites, do not meet the performance standard. Due to the use of reusable pipe supports that do not meet such performance standard the potential risk of collapse accident is increasing. Therefore, this study identifies the status of compliance with performance standard, and presents the requirements for improving quality control to prevent the collapse of pipe supports reused at the construction site. First, if the female thread of the product with no clearance and new support pin with the diameter of 12mm are replaced at the same time for use, it is considered that the performance will be improved. Second, as the quality performance during use can be improved in the case of larger thickness of inner diameter compared to the case of larger thickness of outer diameter, it is necessary to increase the inner pipe thickness greatly than the current thickness. Based on the results of this study, it is expected that the performance the reusable pipe support (V4) can be improved, if the diameter of the support pin is 12mm, the female thread has a small clearance, and the inner tube thickness is 2.3 ~ 2.7mm. In addition, it is considered that other performance improvement factors included in the study results could be used as important data for improving the performance of reusable pipe support.

• Journal of the Korean association of regional geographers
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• v.13 no.6
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• pp.609-622
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• 2007

This paper examines the lava tubes designated as a natural monument in Jeju Island, and then makes the several suggestions for conserving and managing them. The cave entrances should be scientifically and strictly managed to prevent the deterioration, and to preserve the interior ecosystem, of the lava tubes. The land use and vegetation of the ground surface over the lava tubes should be also systematically managed; the destroyed sand dunes must be recovered for the development of speleothem in the lava tubes, and the plants with deep roots must be removed for the prevention of ceiling collapse. The provincial authorities should manage the ground surface over the lava tubes as a public land to remove the factors threatening the stability of the lava tubes. Since the roads crossing the ground surface are likely to cause the collapse of the lava tubes, new roads bypassing the caves need to be constructed, and warning signs should be also installed at the traverse points. A monitoring system on the cultural properties protection area over the lava tubes could be effectively established by encouraging residents to participate the conservation program of lava tubes. Since the falling blocks from ceilings have been usually observed in the lava tubes, it is urgent to examine their stability. In particular, the dangerous sections must be continuously monitored for taking a quick measure against the collapse. The air environments of lava tubes need to be scientifically analyzed based upon the long-term observations. The lighting equipments must be improved to minimize the green pollution in the lava tubes open to the public. The numbers of visitors should be also controlled to prevent the destruction and contamination of lava tubes caused by a large number of visitors.

• Journal of the Korean Society of Manufacturing Technology Engineers
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• v.22 no.3_1spc
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• pp.573-579
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• 2013

Once-through helically coiled steam generator tubes subjected to external pressure are of interest because of their application to advanced small- and medium-sized integral reactors, in which a primary coolant with a relatively higher pressure flows outside the tubes, while secondary water with a relatively lower pressure flows inside the tubes. Another notable point is that the values of the mean radius to thickness ratio of these steam generator tubes are very small, which means that a thick-walled cylinder is employed for these steam generator tubes. In the present paper, the maximum allowable pressure of helically coiled and thick-walled steam generator tubes with through-wall cracks under external pressure is investigated based on a detailed nonlinear three-dimensional finite element analysis. In terms of the crack orientation, either circumferential or axial through-wall cracks are considered. In particular, in order to quantify the effect of the crack location on the maximum external pressure, these cracks are assumed to be located in the intrados, extrados, and flank of helically coiled cylinders. Moreover, an evaluation is also made of how the maximum external pressure is affected by the ovality, which might be inherently induced during the tube coiling process used to fabricate the helically coiled steam generator tubes.

• Journal of Chest Surgery
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• v.29 no.5
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• pp.581-584
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• 1996

Reexpansion pulmonary edema is a rare complication of the treatment of lung collapse secondary to pneumothordx, pleural effusion, or atelectasis but occasionally life threatening. Generally, reexpansion pulmonary edema is believed to o cur only when a chronically collapsed lung is rapidly reexpanded by evacuation or large amounts of air or fluid. This complication is heralded by tachypnea, unilateral rales, and profuse expectoration of frothy secretion within several hours of reexpansion. Increased dur- ation of pneumothorax and the use o( suction are important factors in the generation of reexpansion pulmonary edema. We had experienced 3 cases of reexpansion pulmonary edema. In the two cases the pneumothorax had been present for several days, and, after insertion of a chest tube, pulmonary edema developed unilaterally but improved with supplemental oxygen. In the third case, massive pleural effusion was present. and, after insertion of a chest tube, pulmonary edema developed unilaterally, followed by cardiac arrest. He died of pulmonary edema inspire of resuscitation.

• Journal of Chest Surgery
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• v.30 no.11
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• pp.1149-1153
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• 1997

Unilateral reexpansion pulmonary edema(RPE) is generally considered a rare complication occurring when a chronically atelectatic lung is rapidly reexpanded by tube thoracostomy or thoracentesis. It can also take place when the lung collapse is of short duration or when the lung is reexpanded without intrapleural sucti n. We experienced a case of RPE following surgical resection in mediastinal thymic cyst A 26 year old female patient suffered from long-standing atelectasis of the right lung due to a huge mediastinal cyst that was misrecognized as tuberculous pleural effusion. Empyema developed after iatrogenic rupture of mediastinal cyst by pig-tailed tube thoracostomy. We successfally managed the ruptured mediastinal thymic cyst, empyema and postoperatively developed RPE following reexpansion of the collapsed lung. The patient was treated with drugs and mechanical ventilation with positive end-expiratory pressure for RPE. The remainder of her hospital course was uneventful.

• Health Policy and Management
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• v.7 no.2
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• pp.46-64
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• 1997

Background & Objectives : Korea is face with the social need for health care technology assessment so that it is urgently needed to found principles and methodology in technology assessment in health care. As a groundwork for health care technology assessment, we tried to prioritize medical technology for assessment. Among medical technologies, procedure is somewhat difficult to assess, compared to drug or equipment. In this study, we aimed at the prioritisation of medical procedure to be assessed, in terms of efficay, safety, and adequacy. Method : For the standardized classification of medical procedure, ICD-9-CM(International Classification of Diseases 9th edition - Clinical Modification) was used. Among the list the procedures coming under otorhinolaringjology and thoracic surgery were selected by three family physicians. The list of procedure was mailed to the board certified surgeons of both disciplines, with the question asking about the necessity for assessment in terms of efficay, safety, and adequacy. Replied questionnaires were analyzed in each procedure. Results : Of 560 otorhinolaryngologist and 480 thoracic surgeon, 114 surgeons replied. Of otorhinolaryngological procedure, incision, excision, and destruction of inner ear : fenestration of inner ear : stapedectomy and its revision were the most urgent technology to assess in the aspect of safety. For adequacy, operations on Eustachian tube: fenestration of inner ear: incision, excision, and destruction of inner ear were highly ranked in necessity, and for efficary, operations on Eustachian tube; external maxillary antrotomy; fenestration of inner ear. Thoracic surgeons replied thoracic procedures, lung transplantation; heart transplantation; implantation of heart assist system [pump] are most important for evaluation in terms of safety; and heart transplantation; Lung transplantation; Implantation of heart assist system [pump] in terms of adequacy, and surgical collapse of lung [Artificia니 pnemothorax or pnuexoperitoeum]; lung transplantation; periarterial sympathectomy in terms of efficacy. As a whole, surgeons regard safety evaluation is more urgent than adequacy or efficary. In addition, otorhinolaryngological surgeons regard evaluation of their procedures more urgent than thoracic surgeons regard theirs. Conclusion : By the questionnaire to board certified physicians, we get some preliminary data for prioritisation of technologies to assess. Through the questionnaire like this, much information would be gathered for technology assessment, especially for medical procedure, if not enough. In the near future, well structured expert opinion gathering research, such as modified Delphi or nominal group technique, should be done succeedingly.

• Steel and Composite Structures
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• v.15 no.3
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• pp.343-355
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• 2013

Shear failure and core concrete crushing at plastic hinge region are the two main failure modes of bridge piers, which can make repair impossible and cause the collapse of bridge. To avoid the two types of failure of pier, a composite pier was proposed, which was formed by embedding high strength concrete filled steel tubular (CFT) column in reinforced concrete (RC) pier. Through cyclic loading tests, the seismic performances of the composite pier were studied. The experimental results show that the CFT column embedded in composite pier can increase the flexural strength, displacement ductility and energy dissipation capacity, and decrease the residual displacement after undergoing large deformation. The analytical analysis is performed to simulate the hysteretic behavior of the composite pier subjected to cyclic loading, and the numerical results agree well with the experimental results. Using the analytical model and time-history analysis method, seismic responses of a continuous girder bridge using composite piers is investigated, and the results show that the bridge using composite piers can resist much stronger earthquake than the bridge using RC piers.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.32 no.11
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• pp.891-896
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• 2008

In the present computational study, simple stenotic artery models using pulsatile flow condition were investigated. A 1 Hz non-reversing sinusoidal velocity for pulsatile flow was imposed at the flow inlet and the corresponding Womersley number based on the vessel radius is 2.75. The simple stenotic geometries have been used that consist of 25%, 50% and 75% semicircular constriction in a cylindrical tube. In this paper, numerical solutions are presented for a first harmonic oscillatory flow using commercial software ADINA 8.4. As stenosis and Reynolds number increase, the maximum wall shear stress(WSS) increases while the minimum WSS decreases. As the stenotic rate increases, the pressure drop at the throat severely decreases to collapse the artery and plaque. It is found that the fluid mechanical disturbances due to the constriction were highly sensitive with rate of stenosis and Reynolds number. When Reynolds number and stenosis increase, the larger recirculation region exists. In this recirculation region the possibility of plaque attachment is increasingly higher. The present results enhance our understanding of the hemodynamics of a stenotic artery.

• Journal of The Korean Digital Architecture Interior Association
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• v.12 no.4
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• pp.67-75
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• 2012

The damage of greenhouse has been increasing due to frequent collapse of frame in greenhouse caused by the heavy snow and strong wind. But, greenhouses are constructed by steel tube members of pipe style and pin connection of them, so these greenhouses are very weak. Therefore, this study was carried out to find the type of member section and structural frame system in stress tolerant greenhouses. The modeling types for analysis were designed in accordance with structural frame configuration and member section in greenhouse. These types of models, which are existing type, diagrid type, symmetric and asymmetric section type of frame member in greenhouse were classified. Displacement analysis varying the vertical and horizontal loads for a series of models was carried out. As a result of this paper, it was verified that the structural frame configuration of diagrid type and asymmetric type of member section is better than existing type in the frame of greenhouses against snow loads and wind loads.