• Title/Summary/Keyword: Complete removal

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Surgical Results of Intramedullary Spinal Cord Ependymomas in Adults : Retrospective Analysis of 51 Cases

  • Son, Young-Je;Chung, Chun-Kee;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.164-168
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    • 2006
  • Objective : The goal of treatment for spinal cord ependymoma is complete removal without postoperative neurological deficit. The authors analyzed the surgical results and factors influencing the postoperative prognosis. Methods : Fifty-one cases of primary spinal cord ependymoma, surgically treated between 1979 and 2003, were retrospectively analyzed. The mean follow-up period was 44 months. Results : Gross total removal was achieved in 42 patients and incomplete removal in nine. The proportion of complete surgical removals was influenced by tumor location and histology. Disease progression was observed in five cases [9.8%], the mean progression free interval after surgical removal was 48 months and the 5-year progression free rate was 68%. Disease progression was found in none of the 42 cases who underwent complete removal, and in 5 of 9 cases who hadincomplete removal group [P<0.001]. Statistically significant disease-progression factors by multivariate analysis were the surgical extent of removal [P=0.012]. preoperative functional status [P=0.032] the presence of intratumoral cysts [P=0.007] and postoperative radiation therapy [P=0042]. Of those patients who underwent incomplete removal, radiation therapy was found to significantly improve the clinical result [P=0042]. Conclusion : In the surgical treatment of spinal cord ependymoma, preoperative functional status, the presence of intratumoral cysts, the extent of removal, and postoperative radiation therapy were found to be significant prognostic factors of postoperative outcome.

Simulation and transient analyses of a complete passive heat removal system in a downward cooling pool-type material testing reactor against a complete station blackout and long-term natural convection mode using the RELAP5/3.2 code

  • Hedayat, Afshin
    • Nuclear Engineering and Technology
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    • v.49 no.5
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    • pp.953-967
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    • 2017
  • In this paper, a complete station blackout (SBO) or complete loss of electrical power supplies is simulated and analyzed in a downward cooling 5-MW pool-type Material Testing Reactor (MTR). The scenario is traced in the absence of active cooling systems and operators. The code nodalization is successfully benchmarked against experimental data of the reactor's operating parameters. The passive heat removal system includes downward water cooling after pump breakdown by the force of gravity (where the coolant streams down to the unfilled portion of the holdup tank), safety flapper opening, flow reversal from a downward to an upward cooling direction, and then the upward free convection heat removal throughout the flapper safety valve, lower plenum, and fuel assemblies. Both short-term and long-term natural core cooling conditions are simulated and investigated using the RELAP5 code. Short-term analyses focus on the safety flapper valve operation and flow reversal mode. Long-term analyses include simulation of both complete SBO and long-term operation of the free convection mode. Results are promising for pool-type MTRs because this allows operators to investigate RELAP code abilities for MTR thermal-hydraulic simulations without any oscillation; moreover, the Tehran Research Reactor is conservatively safe against the complete SBO and long-term free convection operation.

Intramedullary Subependymoma of the Thoracic Spinal Cord

  • Jang, Woo-Youl;Lee, Jung-Kil;Kim, Jae-Hyoo;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • v.39 no.5
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    • pp.385-388
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    • 2006
  • An Intramedullary subependymoma of the spinal cord is a rare tumor with only 43 reported cases in the literature. Most of them are reported to be localized within the cervical spinal cord. We report a rare case of a thoracic spine intramedullary subependymoma in a 37-year-old female who presented with back pain and radiating leg pain. Subtotal resection and post-operative radiotherapy were performed. Subependymomas developing in the spinal cord are benign with a low proliferative potential. Complete resection of the tumor appears to be the optimal method for a complete cure. However aggressive surgery may cause severe neurological deficit. Therefore, if severe neurological deficits are expected after complete removal, a partial removal and postoperative radiation therapy is an alternative method for treatment in selected cases. A large-scale randomized study is mandatory to clarify the effectiveness of radiotherapy and to establish the recurrence rate and prognosis with respect to the surgical removal of these tumors.

A Study on the Recycling of Metals and Removal of Organics By Electrochemical Treatment of Mixed Waste Water of Surface Finishing Industry (표면처리 공정에서 발생하는 혼합 폐수의 전기화학적 처리에 의한 중금속의 재활용 및 유기물의 제거에 관한 연구)

  • 김영석;이중배
    • Journal of the Korean institute of surface engineering
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    • v.36 no.2
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    • pp.184-193
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    • 2003
  • Cyclic sweep voltametry was performed to investigate the electrochemical behavior of heavy metal ions and the organic additives in surface finishing process. And electrolysis using parallel plate electrode electrolyzer was carried out to simulate the treatment of real waste water. Results showed that more than 99 percent of Cu was recovered and selective recovery of Cu in mixed waste water was possible, but the possibility of economical recovery of Ni and Cr were very low due to the evolution of hydrogen gas. Electrochemical oxidation of cyanide and organic additives on anode showed very excellent removal rate. The complete removal of several hundred ppm of cynide was possible within several tens minutes and organics within 2 or 3 hours. Even in case of concentrate waste water, the complete removal of COD by using NaCl and air stirring seemed to be possible.

Renal Cell Carcinoma Extending into IVC: 2 surgical cases (하공정맥에 종양혈전을 동반한 신세포암 -수술 치험 2례-)

  • 박형주
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.390-395
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    • 1990
  • Renal cell carcinoma frequently extends into the vena cava and occasionally, even into the right atrium. We experienced 2 cases of renal cell carcinoma extending into the inferior vena cava by radical nephrectomy and complete removal of thrombi in the cava by joint approach with urologic surgeons. In the literature, improvement of survival by complete removal of tumor thrombi in the vena cava was documented and joint approach of cardiovascular surgeons and urologic surgeons result in appropriate surgical approach.

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A Comparison Study on the Simultaneous Organic, Nitrogen and Phosphorus Removal in Sequencing Batch Reactor and Sequencing Batch Biofilm Reactor (연속 회분식 반응기와 연속 회분식 생물막 반응기의 유기물, 질소 및 인의 동시 제거에 관한 비교 연구)

  • Park Young-Seek;Kim Dong-Seog
    • Journal of Environmental Health Sciences
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    • v.31 no.2 s.83
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    • pp.152-159
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    • 2005
  • Laboratory scale experiments were conducted to study the applicability, and to compare the performance of two types of sequencing batch reactor (SBR)systems, a conventional SBR and sequencing batch biofilm reactor (SBBR) on the biological nitrogen and phosphorus removal. The nitrification rate in SaR was higher than that in SBBR both in high influent TOC concentration. The denitrification was completed at the first non-aeration period in SBR, however, the additional non-aeration period should be installed or the first aeration period should be extended more in order to complete the nitrogen removal in SBBR. The time at the first aeration period was more needed as about 4-5 h in order to uptake all the released $PO_4^{3-}\;-P$ at the first non-aeration period. SBBR needed more operation time, especially the first aeration time, than SBR at the high influent TOC concentration in order to complete nitrogen and phosphorus removal.

Effective Treatment System for the Leachate from a Small-Scale Municipal Waste Landfill (소규모 쓰레기 매립장 침출수의 효율적인 처리 방안에 관한 연구)

  • Cho Young-Ha;Kwon Jae Hyun
    • Journal of Environmental Health Sciences
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    • v.28 no.1
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    • pp.51-65
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    • 2002
  • This study was carried out to apply some basic physical and chemical treatment options including Fenton's oxidation, and to evaluate the performances and the characteristics of organic and nitrogen removal using lab-scale biological treatment system such as complete-mixing activated sludge and sequencing batch reactor(SBR) processes for the treatment of leachate from a municipal waste landfill in Gyeongnam province. The results were as follows: Chemical coagulation experiments using aluminium sulfate, ferrous sulfate and ferric chloride resulted in leachate CO $D_{Cr}$ removal of 32%, 23% and 21 % with optimum reaction dose ranges of 10,000~15,000 mg/$\ell$, 1,000 mg/$\ell$ and 500~2,000 mg/$\ell$, respectively. Fenton's oxidation required the optimum conditions including pH 3.5, 6 hours of reaction time, and hydrogen peroxide and ferrous sulfate concentrations of 2,000 ~ 3,000 mg/$\ell$ each with 1:1 weight ratio to remove more than 50% of COD in the leachate containing CO $D_{Cr}$ between 2,000 ~ 3,000 mg/$\ell$. Air-stripping achieved to remove more than 97% of N $H_3$-N in the leachate in spite of requiring high cost of chemicals and extensive stripping time, and, however, zeolite treatment removing 94% of N $H_3$-N showed high selectivity to N $H^{+}$ ion and much faster removal rate than air-stripping. The result from lab-scale experiment using a complete-mixing activated sludge process showed that biological treatability tended to increase more or less as HRT increased or F/M ratio decreased, and, however, COD removal efficiency was very poor by showing only 36% at HRT of 29 days. While COD removal was achieved more during Fenton's oxidation as compared to alum treatment for the landfill leachate, the ratio of BOD/COD after Fenton's oxidation considerably increased, and the consecutive activated sludge process significantly reduced organic strength to remove 50% of CO $D_{Cr}$ and 95% of BO $D_{5}$ . The SBR process was generally more capable of removing organics and nitrogen in the leachate than complete-mixing activated sludge process to achieve 74% removal of influent CO $D_{Cr}$ , 98% of BO $D_{5}$ and especially 99% of N $H_3$-N. However, organic removal rates of the SBR processes pre-treated with air-stripping and with zeolite were not much different with those without pre-treatment, and the SBR process treated with powdered activated carbon showed a little higher rate of CO $D_{Cr}$ removal than the process without any treatment. In conclusion, the biological treatment process using SBR proved to be the most applicable for the treatment of organic contents and nitrogen simultaneously and effectively in the landfill leachate.e.

Characteristics of Hydrogen-sulfide(H2S) removal by a Biofilter with Organic Materials, Peat and Rock wool (유기담체인 Peat 및 Rock wool을 사용한 바이오필터에 의한 황화수소(H2S)의 제거특성)

  • Kim, Nam-jin
    • Journal of the Korea Organic Resources Recycling Association
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    • v.9 no.3
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    • pp.136-144
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    • 2001
  • Two organic materials, peat and rock wool were used for removal of $H_2S$ by a biofilter inoculated with night soil sludge. By gradually increasing the inlet load of $H_2S$, the complete removal capacity, which was defined as the inlet load of $H_2S$ that was complete removed, and the maximum removal capacity of $H_2S$, which was the value when the removal capacity leveled off for organic materials, were estimated. Both values for Rock wool are larger than peat, based on a unit dry weight of material. By using kinetic analysis, the maximum removal rate of $H_2S$, $V_m$, and the saturation constant, $K_s$, were determined for all packing materials and the values of $V_m$ for rock wool was found to be larger. By using the kinetic parameters, the removal rates for $H_2S$ were compared both packing materials, and rock wool showed better performance for the removal of $H_2S$ in the inlet concentration range of 0~200ppm.

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Successful removal of permanent spinal cord stimulators in patients with complex regional pain syndrome after complete relief of pain

  • Lee, Su Jung;Yoo, Yeong Min;You, Jun A;Shin, Sang Wook;Kim, Tae Kyun;Abdi, Salahadin;Kim, Kyung Hoon
    • The Korean Journal of Pain
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    • v.32 no.1
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    • pp.47-50
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    • 2019
  • Background: It is uncommon for patients who have received a permanent implant to remove the spinal cord stimulator (SCS) after discontinuation of medication in complex regional pain syndrome (CRPS) due to their completely painless state. This study evaluated CRPS patients who successfully removed their SCSs. Methods: This 10-year retrospective study was performed on patients who had received the permanent implantation of an SCS and had removed it 6 months after discontinuation of stimulation, while halting all medications for neuropathic pain. Age, sex, duration of implantation, site and type of CRPS, and their return to work were compared between the removal and non-removal groups. Results: Five (12.5%, M/F = 4/1) of 40 patients (M/F = 33/7) successfully removed the permanent implant. The mean age was younger in the removal group ($27.2{\pm}6.4$ vs. $43.5{\pm}10.7$ years, P < 0.01). The mean duration of implantation in the removal group was $34.4{\pm}18.2$ months. Two of 15 patients (13.3%) and 3 of 25 patients (12%) who had upper and lower extremity pain, respectively, had removed the implant. The implants could be removed in 5 of 27 patients (18.5%) with CRPS type 1 (P < 0.01). All 5 patients (100%) who removed their SCS returned to work, while only 5 of 35 (14.3%) in the non-removal group did (P < 0.01). Conclusions: Even though this study had limited data, younger patients with CRPS type 1 could remove their SCSs within a 5-year period and return to work with complete pain relief.

A comparative study of dyeing wastewater treatment capability for Aerobic Packed/Fluidized-Bed and Moving Media Complete Mixing Activated Sludge system (염색폐수 처리성능에 대한 호기성 고정 및 유동층 생물막공법과 회전매체를 가진 완전혼합 활성슬러지 공법의 비교연구)

  • 김홍태;김규창
    • Journal of Environmental Science International
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    • v.8 no.4
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    • pp.525-532
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    • 1999
  • This study was conducted to evaluate capability of dyeing wastewater treatment for 3 type reactors. These reactors were Packed Bed Reactor(PBR), Fluidized Bed reactor(FBR) and Moving Media Complete Mixing Activated Sludge reactor(MMCMAS). Experiments of PBR and FBR were performed by various packing ratios and organic loading rates, experiments of MMCMAS were performed by various organic loading rates. In order to obtain ${SBOD}_5$ removal efficiencies of more than 90%, the F/Mv ratios of PBR, FBR, MMCMAS were 0.11 kgBOD/kgMLVSS$\cdot$d, 0.12 kgBOD/kgMLVSS$\cdot$d, and 0.37 kgBOD/kgMLSS$\cdot$d, respectively. So MMCMAS system which has more active microorganisms showed better capability of organic removal and also stronger dynamic and shock loadings than those of PBR and FBR. In PBR and FBR, the media packing ratio of 20% showed better performance of organic matters removal effciencies than 10% and 30%, but sludge production rate at media packing ratio of 30% was relatively lower than that of 10% and 20%. When more than 90% organic matters removal efficiency was obtained, the ratios of attached biomass to total biomass at PBR, FBR, MMCMAS were 89~99%, 87~98%, and 54~80%, respectively. The ratio of attached biomass to total biomass was low in MMCMAS. This was formation of thin biofilm due to shear force between rotaing disc and water. The average sludge production rates(kgVSS/kgBODrem.) of PBR, FBR and MMCMAS were 0.20, 0.29 and 0.54, respectively.

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