• Title/Summary/Keyword: Diaphragm Wall

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Sarcocystosis among Wild Captive and Zoo Animals in Malaysia

  • Latif, Baha;Vellayan, Subramaniam;Omar, Effat;Abdullah, Suliman;Desa, Noryatimah Mat
    • Parasites, Hosts and Diseases
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    • v.48 no.3
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    • pp.213-217
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    • 2010
  • Sarcocystis sp. infection was investigated in 20 necropsied captive wild mammals and 20 birds in 2 petting zoos in Malaysia. The gross post-mortem lesions in mammals showed marbling of the liver with uniform congestion of the intestine, and for birds, there was atrophy of the sternal muscles with hemorrhage and edema of the lungs in 2 birds. Naked eye examination was used for detection of macroscopic sarcocysts, and muscle squash for microscopic type. Only microscopically visible cysts were detected in 8 animals and species identification was not possible. Histological examination of the sections of infected skeletal muscles showed more than 5 sarcocysts in each specimen. No leukocytic infiltration was seen in affected organs. The shape of the cysts was elongated or Circular, and the mean size reached $254{\times}24.5{\mu}m$ and the thickness of the wall up to $2.5{\mu}m$. Two stages were recognized in the cysts, the peripheral metrocytes and large numbers of crescent shaped merozoites. Out of 40 animals examined, 3 mammals and 5 birds were positive (20%). The infection rate was 15% and 25% in mammals and birds, respectively. Regarding the organs, the infection rate was 50% in the skeletal muscles followed by tongue and heart (37.5%), diaphragm (25%), and esophagus (12.5%). Further ultrastructural studies are required to identify the species of Sarcocystis that infect captive wild animals and their possible role in zoonosis.

Congenital Cystic Adenomatoid Malformation Associated with Extralobar Pulmonary Sequestration -1 case report- (외엽형 폐격리증을 동반한 선천성 낭종성 선종양 기형 -1례 보고-)

  • Jeon, Sang-Hyeop;Kim, Byeong-Jun;Lee, Hyeong-Ryeol
    • Journal of Chest Surgery
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    • v.29 no.2
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    • pp.223-226
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    • 1996
  • Pulmonary sequestration and congenital cystic adenomatoid malformation are two infrequent congenital pulmonary diseases and the combination of these two entities is rare. We had experienced a 3 week old male patient with a pulmonary mass, who had been sufyerring from tachypnea and chest wall retraction after birth. The pulmonary mass was suspected as a congenital cystic adenomat id malformation by chest CT. And therefore, we performed urgent operation via standard thoracotomy incision. Upon a thoracotomy, there was an extrapleural mass with anomalous blood supply near the posterior diaphragm and multiple cystic lesions in right lower lobe. The two anomalous arteries arising from the thoracic aorta and one vein draining into the azygos vein were ligated. and then the extrapleural mass was removed and a right lower lobectomy was performed. Final histologic diagnosis was congenital cystic adenomatoid malformation associated with extralobar pulmonary sequestration. The patient was discharged without any problem.

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Image Quality and Radiation Dose of High-Pitch Dual-Source Spiral Cardiothoracic Computed Tomography in Young Children with Congenital Heart Disease: Comparison of Non-Electrocardiography Synchronization and Prospective Electrocardiography Triggering

  • Goo, Hyun Woo
    • Korean Journal of Radiology
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    • v.19 no.6
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    • pp.1031-1041
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    • 2018
  • Objective: To compare image quality and radiation dose of high-pitch dual-source spiral cardiothoracic computed tomography (CT) between non-electrocardiography (ECG)-synchronized and prospectively ECG-triggered data acquisitions in young children with congenital heart disease. Materials and Methods: Eighty-six children (${\leq}3$ years) with congenital heart disease who underwent high-pitch dual-source spiral cardiothoracic CT were included in this retrospective study. They were divided into two groups (n = 43 for each; group 1 with non-ECG-synchronization and group 2 with prospective ECG triggering). Patient-related parameters, radiation dose, and image quality were compared between the two groups. Results: There were no significant differences in patient-related parameters including age, cross-sectional area, body density, and water-equivalent area between the two groups (p > 0.05). Regarding radiation dose parameters, only volume CT dose index values were significantly different between group 1 ($1.13{\pm}0.09mGy$) and group 2 ($1.07{\pm}0.12mGy$, p < 0.02). Among image quality parameters, significantly higher image noise ($3.8{\pm}0.7$ Hounsfield units [HU] vs. $3.3{\pm}0.6HU$, p < 0.001), significantly lower signal-to-noise ratio ($105.0{\pm}28.9$ vs. $134.1{\pm}44.4$, p = 0.001) and contrast-to-noise ratio ($84.5{\pm}27.2$ vs. $110.1{\pm}43.2$, p = 0.002), and significantly less diaphragm motion artifacts ($3.8{\pm}0.5$ vs. $3.7{\pm}0.4$, p < 0.04) were found in group 1 compared with group 2. Image quality grades of cardiac structures, coronary arteries, ascending aorta, pulmonary trunk, lung markings, and chest wall showed no significant difference between groups (p > 0.05). Conclusion: In high-pitch dual-source spiral pediatric cardiothoracic CT, additional ECG triggering does not substantially reduce motion artifacts in young children with congenital heart disease.

A parametric study of settlement and load transfer mechanism of piled raft due to adjacent excavation using 3D finite element analysis

  • Karira, Hemu;Kumar, Aneel;Hussain Ali, Tauha;Mangnejo, Dildar Ali;Mangi, Naeem
    • Geomechanics and Engineering
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    • v.30 no.2
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    • pp.169-185
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    • 2022
  • The urbanization and increasing rate of population demands effective means of transportation system (basement and tunnels) as well as high-rise building (resting on piled foundation) for accommodation. Therefore, it unavoidable to construct basements (i.e., excavation) nearby piled foundation. Since the basement excavation inevitably induces soil movement and stress changes in the ground, it may cause differential settlements to nearby piled raft foundation. To understand settlement and load transfer mechanism in the piled raft due to excavation-induced stress release, numerical parametric studies are carried out in this study. The effects of excavation depths (i.e., formation level) relative to piled raft were investigated by simulating the excavation near the pile shaft (i.e., He/Lp=0.67), next to (He/Lp=1.00) and below the pile toe (He/Lp=1.33). In addition, effects of sand density and raft fixity condition were investigated. The computed results have revealed that the induced settlement, tilting, pile lateral movement and load transfer mechanism in the piled raft depends upon the embedded depth of the diaphragm wall. Additional settlement of the piled raft due to excavation can be account for apparent loss of load carrying capacity of the piled raft (ALPC). The highest apparent loss of piled raft capacity ALPC (on the account of induced piled raft settlement) of 50% was calculated in in case of He/Lp = 1.33. Furthermore, the induced settlement decreased with increasing the relative density from 30% to 90%. On the contrary, the tilting of the raft increases in denser ground. The larger bending moment and lateral force was induced at the piled heads in fixed and pinned raft condition.

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

  • 김광호;한재열;윤용한;백완기;이응석;김형진
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.392-396
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    • 2002
  • Background: Video-thoracoscopy is known to be an useful method to provide accurate pre-resectional staging in patients with lung cancer in addition to the conventional radiologic studies and mediastinoscopy, for the pleural cavity is inspected directly and biopsy specimens call be obtained. This study is undertaken to evaluate how video-thoracoscopy can be used in deciding pre-resectional stage Material and Method: Video-thoracoscopy was performed in patients with lung cancer who were scheduled for surgical resection based on the radiologic staging and mediastinoscopic biopsy. 37 patients were included in this study. Pre-thoracoscopically 18 cases were in TNM stage 1, 7 in stage 2, and 12 in stage 3. Result: In 15 of 37 cases, video-thoracoscopy could not be performed effectively due to heavy adhesions in the pleural cavity, diaphragmatic and chest wall invasion of tumor and bulky tumor mass es. Mediastinal lymph nodes were positive postresectionally in 6 of these 15 cases. In 22 cases, video-thoracoscopy was performed as usual. Positive mediastinal lymph nodes were identified in 2 cases and exploratory thoracotomy was prevented. Surgical resection were carried out in remaining 20 cases and 5 cases among them had positive mediastinal lymph nodes. Conclusion: We believe that it is difficult to perform pre-thoracotorny video-thoracoscopy for all lung cancer patients for there were many cases that thoracoscory could not be undertaken doe to heavy adhesions in the pleural cavity, tumor involvement of the chest wall and/or diaphragm and bulky tumor mass. However we think it is helpful in preventing unnecessary exploratory thoracotomy for some patients with lung cancer whom pre-thoracotomy video-thoracoscopy was carried out.

Teratological Evaluation of Azinphos-Methyl in Rat Fetuses (Azinphos-methyl이 랫트 태아에 미치는 기형학적 연구)

  • Cho, Myung-Haing;Lee, Chang-Eop;Lee, Yong-Soon
    • Toxicological Research
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    • v.4 no.1
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    • pp.55-84
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    • 1988
  • This study was carried out to investigate the teratological potential of azinphos-methyl in the rat fetuses and to establish the nature of the effects on organogenesis and intrauterine development. The Sprague-Dawley female rats (180-210g) without previous litter were used in this study. Azinphos-methyl dosages of 0.094mg/kg, 0.4mg/kg, 1.5mg/kg were selected based on the acute intragastric $LD_{50}$ of 15mg/kg in the rat. Azinphos-methyl in water (Treatment Group), non-treatment control (Negative Control), water control (Sham Control), were administered by oral route and aqueous solution of acetyl salicylic acid (Positive Control) was administered by gavage at rate of 10 ml/kg of body weight from day 6 through 15. The results obtained were summarized as follows. 1. Decreased body weight of dams was observed in animals treated with aspirin and azinphos-methyl 1.5 mg/kg from day 7 through 14. (P<0.01) 2. There was an apparent decrement in the absolute liver weight in the azinphos-methyl 1.5 mg/kg treated group (P<0.05). However, the absolute and relative kidney weight in aspirin group (P<0.05, P<0.01) and the absolute and relative ovary weight in aspirin, azinphos-methyl treatment groups (P<0.01, P<0.05) were increased. 3. Decreased protein contents of dam's liver was observed in the aspirin and high dose azinphos-methyl treated group of animals (P<0.01). 4. The number of male-female ratio per dam increased in azinphos-methyl 1.5 mg/kg group but there was an apparent decrement in the body weight of fetuses in aspirin and high dose azinphos-methyl group (P<0.01, P<0.05). Total immature and resorbed fetuses were increased in aspirin group and the number of dead fetuses were also increased in azinphos-methyl 1.5mg/kg treated group of animals. (P<0.01, P<0.05). 5. In soft tissue defects, diaphragmatic hernia in diaphragm, anophthalmia, enlarged olfactory bulb, hydrocephalus, absence of third and lateral ventricle in skull, hydronephrosis in kidney, atrophy of left ventricle wall, enlarged apex in heart were observed. Especially, defects of diaphragm, heart and eye ball showed peak incidences in the high dose azinphosmethyl and aspirin group. (P<0.01). 6. Variations in the ossification patterns of skull, sternebrae, tail, forelimbs and hindlimbs showed peak incidences in the aspirin and high dose azinphos-methyl group. (P<0.01). 7. In the developmental indices of offspring, the mortality of aspirin and azinphos-methyl 1.5mg/kg treated group was higher than that of negative control. And, there was an apparent decrement in the body weight of fetuses (P<0.01) and considerable differences were obtained in pivoting, development of fur, auditory function, vision, quadrupled muscle development and testes descent in aspirin and azinphos-methyl 1.5mg/kg group. (P<0.01).

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Multi-institutional analysis of T3 subtypes and adjuvant radiotherapy effects in resected T3N0 non-small cell lung cancer patients

  • Choi, Yunseon;Lee, Ik Jae;Lee, Chang Young;Cho, Jae Ho;Choi, Won Hoon;Yoon, Hong In;Lee, Yun-Han;Lee, Chang Geol;Keum, Ki Chang;Chung, Kyung Young;Haam, Seok Jin;Paik, Hyo Chae;Lee, Kang Kyoo;Moon, Sun Rock;Lee, Jong-Young;Park, Kyung-Ran;Kim, Young Suk
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.75-82
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    • 2015
  • Purpose: We evaluated the prognostic significance of T3 subtypes and the role of adjuvant radiotherapy in patients with resected the American Joint Committee on Cancer stage IIB T3N0M0 non-small cell lung cancer (NSCLC). Materials and Methods: T3N0 NSCLC patients who underwent resection from January 1990 to October 2009 (n = 102) were enrolled and categorized into 6 subgroups according to the extent of invasion: parietal pleura chest wall invasion, mediastinal pleural invasion, diaphragm invasion, separated tumor nodules in the same lobe, endobronchial tumor <2 cm distal to the carina, and tumor-associated collapse. Results: The median overall survival (OS) and disease-free survival (DFS) were 55.3 months and 51.2 months, respectively. In postoperative T3N0M0 patients, the tumor size was a significant prognostic factor for survival (OS, p = 0.035 and DFS, p = 0.035, respectively). Patients with endobronchial tumors within 2 cm of the carina also showed better OS and DFS than those in the other T3 subtypes (p = 0.018 and p = 0.016, respectively). However, adjuvant radiotherapy did not cause any improvement in survival (OS, p = 0.518 and DFS, p = 0.463, respectively). Only patients with mediastinal pleural invasion (n = 25) demonstrated improved OS and DFS after adjuvant radiotherapy (n = 18) (p = 0.012 and p = 0.040, respectively). Conclusion: The T3N0 NSCLC subtype that showed the most favorable prognosis is the one with endobronchial tumors within 2 cm of the carina. Adjuvant radiotherapy is not effective in improving survival outcome in resected T3N0 NSCLC.

Interaction Analysis between Tapered Sectional Launching Nose and Superstructure Section of ILM Concrete Bridge (변단면 압출추진코와 ILM 교량 상부단면의 상호작용 해석)

  • Lee Hwan-Woo;Jung Du-Hwoe;Ahn Tae-Wook
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.19 no.2 s.72
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    • pp.139-150
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    • 2006
  • ILM(incremental launching method) bridge is one of the prestressed concrete bridge construction methods widely adopted owing to its effectiveness for the quality control. The sections of the launched superstructure pass every position of the bridge spans. This launching process causes the bridge sections to be experienced in the quite different stress states with the stress state occurred after construction completely. Due to the self weight of sections, particularly, the superstructure sections(deck) experience maximum positive and negative moment as well as maximum shear force during launching process. To minimize the temporarily caused sectional forces, launching nose is generally used in the construction method. Therefore, the magnitude of this sectional forces should be checked for the safety of super structure in construction and it is dependent on the structural characteristics of launching nose. In this study, the simplified formulas to analyze the sectional force occurred by the nose-deck interaction in ILM construction are developed. The considering parameters are the span length ratio, stiffness ratio and weight ratio between the launching nose and the super structure. In particular, the developed formulas can consider the tapered sectional shape of launching nose and the diaphragm wall in the superstructure. Additionally, the sensitivity analysis is performed to analyze the effects of nose-deck interaction according to the design parameters.

Behavior of C-Shaped Beam to Square Hollow Section Column Connection in Modular Frame (모듈러 골조의 각형강관 기둥과 C형강 보 접합부의 거동 평가)

  • Lee, Sang Sup;Park, Keum Sung;Hong, Sung Yub;Bae, Kyu Woong
    • Journal of Korean Society of Steel Construction
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    • v.27 no.5
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    • pp.471-481
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    • 2015
  • Modular building is a prefabricated construction system for building where factory-produced pre-engineered modular units are delivered to site and assembled as substantial elements of a building. There are two basic kinds of modular structures. One is a load-bearing wall structure designed to transfer the load through longitudinal walls. The other is a frame structure composed of columns and beams. For frame structure, square hollow section is often used as a column member and channel as a beam member in modular unit. Lower and upper modules are fasten with bolts via a pre-installed access hole in the SHS column. However, the access holes can weaken the panel zone that would affect the behavior of beam to column connection. The 5 specimens of beam to column connections with parameters of access hole, column thickness and diaphragm were made and this paper describes the test results.

Development of Analytical Model to Predict the Inelastic Moment Capacity of Reinforced Concrete and Masonry Shear Wall (전단벽 구조물의 모멘트 저항능력에 관한 비탄성 해석모델개발)

  • 홍원기;이호범;변근주
    • Magazine of the Korea Concrete Institute
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    • v.5 no.4
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    • pp.123-134
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    • 1993
  • A rapid progress has been made over last decade in the state-of-the-art earthquake structura1 engineering towards a better understanding of both the earthqauke ground motion and structural response. These efforts seek to ensure that there will be no serious injury or loss of life in the event of earthquake, and that structures can be built at minimum cost. The design of structures in general, concrete structures in particular, to resist strong ground input motions is not a simple matter, and analytical models for such structures must be developed from a design perspective that accounts for the complexities of the structural responses. The primary obj ective of earthquake structural engineering research is to ensure the safety of structures by understanding and improving a design methodology. Ideally, this would require the development of an analytical model related to a design methodology that ensures a ductile performance. For the accurate assessment of the adequacy of analytically developed model, experiments conducted to study the inplane inelastic cyclic behavior of structures should verify the analytical approach. The fundamental goal of this paper is to present and demonstrate experimentally verified analytical methods that provide the adequate degree of safety and confidience in the behavior of reinforced concrete structural components. This study further attempts to extend the developed modeling techruque for use by practicing structural engineers for both the analysis and design.Plication of the relaxed diaphragm through left thoracotomy was done and result was excellent as seen on Fig. 5. Cause of eventration of the left hemidiaphragm was due to paralysis of the left phrenic nerve which was tested during thoracotomy.