• Journal of The Korean Dental Society of Anesthesiology
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• v.13 no.3
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• pp.117-120
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• 2013

Background: Desflurane has very short induction time because its physical characteristics. But its pungent odor and tendency to irritate the upper airway make it unsuitable for induction of anesthesia. This study was performed to determine what time is prefer to start the desflurane inhalation. Methods: Forty adults (17-45 years) were enrolled in a randomized, double-blind study. Twenty start desflurane inhalation just after loss of consciousness, and the others received desflurane after intubation. We monitored vital signs, BIS, desflurane concentration, rocuronium injection pain response, and airway irritation signs. Results: The demographic data were not different two groups. Early inhalation group showed more stable cardiovascular response than that of late inhalation group. But rocuronium injection pain response and airway irritation sings were not different between two groups. Conclusions: Early inhalation of desflurane (6 vol%) just after loss of consciousness attenuates cardiovascular responses during intubation.

• Journal of Gastric Cancer
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• v.17 no.2
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• pp.173-179
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• 2017

Purpose: To report our experience of endoscopic botulinum toxin injection in patients who experienced severe delayed gastric emptying after pylorus-preserving gastrectomy (PPG). Materials and Methods: We reviewed the medical records of 6 patients who received the botulinum toxin injection. They presented with severe delayed gastric emptying in the early postoperative period. Endoscopic botulinum toxin was administered as 4 injections of 25-50 IU into each of the 4 quadrants of the prepyloric area. Results: All botulinum toxin injections were successful without any complications, enabling 5 patients to tolerate soft solid diets and one to tolerate a soft fluid diet within 10 days. The endoscopic criteria of 4 patients improved. Symptom recurrence caused 2 patients to undergo repeat injections that were successful. The median follow-up period was 27 months, and all patients could ingest normal regular diets at the last follow-up. Conclusions: Endoscopic botulinum toxin injection is a feasible treatment option for early delayed gastric emptying after PPG.

• Transactions of the Korean Society of Mechanical Engineers
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• v.17 no.9
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• pp.2339-2358
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• 1993

Since the rate and completeness of combustion in direct injection engines were controlled by the characteristics of gas flow fields and sprays, an understanding of those was essential to the design of the direct injection engines. In this study the numerical simulations of injection pressure effects on the characteristics of gas flow fields and sprays were preformed using the spray model that could predict the interactions between gas fields and spray droplets. The governing equations were discretized by the finite volume method and the modified k-.epsilon. model which included the compressibility effects due to the compression/expansion of piston was used. The results of the numerical calculation of the spray characteristics in the quiescent environment were compared with the experimental data. There were good agreements between the results of calculation and the experimental data, except in the early stages of the spray. In the motoring condition, the results showed that a substantial air entrainment into the spray volume was emerged and hence the squish motion was relatively unimportant during the fuel injection periods. It was found that as the injection pressure increased, the evaporation rate of droplets was decreased due to the narrow width of spray and the increased number of droplets impinged on the bottom of the piston bowl.

• Archives of Plastic Surgery
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• v.37 no.3
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• pp.245-249
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• 2010

Purpose: High-pressure injection injury is caused by accidental injection of the high-pressure injection devices in industry. The initial benign appearance of the wound fools patients into delays in an adequate treatment. And it can result in disastrous outcomes such as necrosis and amputation. To avoid the poor prognosis, the injuries require a prompt surgical intervention. The purpose of this article is to recognize the poor outcome of the highpressure injection injury and to introduce an adequate treatment in need. Methods: We have 4 cases of the high-pressure injection injuries in the hand from April, 2005 to March, 2009. Average age is 39 years (30 - 49 years old), 2 cases are the palm of dominant hand, 1 case is the thumb of dominant hand, and 1 case is the palm of non-dominant hand, respectively. We followed up these patients for 20 months on average. In 3 cases, the immediate, aggressive surgical intervention was carried out, but the other one was delayed in early adequate treatment. The wounds were covered by local advancement flap, anterolateral thigh free flap, conservative treatment with antibiotics and dressing. Results: No pathogens after culture were found nor any findings of fracture in imaging study. Conservative treatment, local advancement flap and anterolateral thigh free flap for the open wound resulted in a desirable aesthetic outcome. In a long-term follow up, functional capability of the patient was also satisfactory. Conclusion: Upon initial evaluation, most high-pressure injection injuries present as innocuous wounds with very few symptoms and result in delaying the proper management. And the majority of high-pressure injection injuries will produce significant morbidity to the hand, amputation. And the initial aggressive surgical debridement was needed to prevent the poor outcome. The key to success in treating high-pressure injection injuries of the hand is the prompt aggressive surgical intervention.

• Transactions of the Korean Society of Automotive Engineers
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• v.22 no.4
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• pp.1-9
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• 2014

The vast stores of biomass available in the worldwide have the potential to displace significant amounts of petroleum fuels. Fast pyrolysis of biomass is one of several paths by which we can convert biomass to higher value products. The wood pyrolysis oil (WPO) has been regarded as an alternative fuel for petroleum fuels to be used in diesel engine. However, the use of WPO in a diesel engine requires modifications due to low energy density, high water contents, high acidity, high viscosity, and low cetane number of the WPO. One possible method by which the shortcomings may be circumvented is to co-fire WPO with other petroleum fuels. WPO has poor miscibility with light petroleum fuel oils; the most suitable candidates fuels for direct fuel mixing are methanol or ethanol. Early mixing with methanol or ethanol has the added benefit of significantly improving the storage and handling properties of the WPO. For separate injection co-firing, a WPO-ethanol blended fuel can be fired through diesel pilot injection in a dual-injection dieel engine. In this study, the performance and emission characteristics of a dual-injection diesel engine fuelled with diesel (pilot injection) and WPO-ethanol blend (main injection) were experimentally investigated. Results showed that although stable engine operation was possible with separate injection co-firing, the fuel conversion efficiency was slightly decreased due to high water contents of WPO compare to diesel combustion.

• Transactions of the Korean Society of Automotive Engineers
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• v.12 no.6
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• pp.60-65
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• 2004

Numerical simulations and experiments have been carried out to investigate the effect of fuel injection nozzles on the combustion and NOx formation processes in a medium-speed marine diesel engine. Spray visualization experiment was performed in the constant-volume high-pressure chamber to verify the numerical results on the spray characteristics such as spray angle and spray tip penetration. Time-resolved spray behaviors were captured by high-speed digital camera and analyzed to extract the information on the spray parameters. Spray and combustion phenomena were examined numerically using FIRE code. Wave breakup and Zeldovich models were adopted to describe the atomization characteristics and NOx formation processes. Numerical results were verified with experimental data such as cylinder pressure, heat release rate and NOx emission. Finally, the effects of fuel injection nozzles on the engine performance were investigated numerically to find the optimum nozzle parameters such as fuel injection angle, nozzle hole diameter and number of nozzle holes. From this study, the optimum fuel injection nozzle (nozzle hole diameter, 0.32 mm, number of nozzle holes, 8 and fuel injection angle, $148^{\circ}$) was selected to reduce both the fuel consumption and NOx emission. The reason for this selection could be explained from the highest fuel-air mixing in the early phase of injection due to the longest spray tip penetration and the highest heat release rate after $19^{\circ}$ ATDC due to the increased injection duration.

• Transactions of the Korean Society of Automotive Engineers
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• v.15 no.1
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• pp.193-200
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• 2007

Natural gas is one of the most promising alternatives to gasoline and diesel fuels because of its lower harmful emissions, including $CO_2$, and high thermal efficiency. In particular, natural gas is seen as an alternative fuel for heavy-duty Diesel Engines because of the lower resulting emissions of PM, $CO_2$ and $NO_x$. Almost all CNG vehicles use the PFI-type Engine. However, PFI-type CNG Engines have a lower brake horse power, because of reduced volumetric efficiency and lower burning speed. This is a result of gaseous charge and the time losses increase as compared with the DI-type. This study was conducted to investigate the effect of injection conditions (early injection mode, late injection mode) on the combustion phenomena and performances in the or CNG Engine. A DI Diesel Engine with the same specifications used in a previous study was modified to a DI CNG Engine, and injection pressure was constantly kept at 60bar by a two-stage pressure-reducing type regulator. In this study, excess air ratios were varied from 1.0 to the lean limit, at the load conditions 50% throttle open rate and 1700rpm. The combustion characteristics of the or CNG Engine - such as in-cylinder pressure, indicated thermal efficiency, cycle-by-cycle variation, combustion duration and emissions - were investigated. Through this method, it was possible to verify that the combustion duration, the lean limit and the emissions were improved by control of injection timing and the stratified mixture conditions. And combustion duration is affected by not only excess air ratio, injection timing and position of piston but gas flow condition.

• Journal of Mechanical Science and Technology
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• v.17 no.12
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• pp.2027-2033
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• 2003

The purpose of this study is to investigate the stratification of fuel vapor with different in-cylinder flow, piston cavity and injection timings in an optically accessible engine. Three different piston shapes that are F(Flat), B(Bowl) and R(Re-entrance) types were used. The images of liquid and vapor fuel were captured under the motoring condition using Laser Induced Exciplex Fluorescence technique. As a result, at early injection timing of 270 BTDC, liquid fuel was evaporated faster by tumble flow than swirl flow, where most of fuel vapor were transported by tumble flow to the lower region and both sides of cylinder for the F-type piston. At late injection timing of 90 BTDC, tumble flow appears to be moving the fuel vapor to the intake side of the cylinder, while swirl flow convects the fuel vapor to the exhaust side. The concentration of mixture in the center region was highest in the B-type piston, while fuel vapor was transported to the exhaust side by swirl flow in F and R-type pistons. At the injection timing of 60 BTDC, the R-type piston was better for stratification due to a relatively smaller bowl diameter than the others.

• Archives of Plastic Surgery
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• v.42 no.1
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• pp.68-72
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• 2015

For recent years, use of autologous fat injection has increased significantly in facial contouring surgery. Along with such increase in use, complications like atypical mycoplasma infection have been also on the increasing trend. The authors report two cases of Mycobacterium chelonae infection that occurred after autologous fat injection. Patients were treated as infection that resistant to common antibiotics and results were negative to routine culture and Gram staining. Acid-fast bacillus stain, polymerase chain reaction (PCR) test and mycobacterial cultures were conducted for diagnosis under suspicion of atypical mycoplasma infection. Then, combination antibiotics therapy, surgical treatment, and steroid injection were performed for treatment. Both patients were diagnosed with Mycobacterium chelonae in PCR test. They were positive to mycobacterial cultures. Combination antibiotics therapy was repeated to improvement of symptom. However, they could not be free from side effects such as deformation in facial contour, scar and pigmentation even after full recovery. When chronic wound infections after autologous fat injection, we must suspect atypical or mycobacterial infection and conduct examinations for a early diagnosis and proper antibiotic therapy that is effective to the nontuberculous mycobacteria.

• Journal of ILASS-Korea
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• v.15 no.1
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• pp.1-7
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• 2010

As world attention has focused on global warming and air pollution, high efficiency diesel engines with low $CO_2$ emissions have become more attractive. Premixed diesel engines in particular have the potential to achieve the more homogeneous mixture in the cylinder which results in lower NOx and soot emission. Early studies have shown that the operation conditions such as the EGR, intake conditions, injection conditions and compression ratio are important to reduce emissions in a PCCI (Premixed Charge Compression Ignition) engine. In this study a modified cam was employed to reduce the effective compression ratio. While opening timing of the intake valve was fixed, closing timing of the intake valve was retarded $30^{\circ}$. Although Atkinson cycle with the retarded cam leads to a low in-cylinder pressure in the compression stroke, the engine work can still be increased by advanced injection timing. On that account, we investigated the effects of various injection parameters to reduce emission and fuel consumption; as a result, lower NOx emission levels and almost same levels of fuel consumption and PM compared with those of conventional diesel engine cam timing could be achieved with the LIVC system.