• Title/Summary/Keyword: Head Loss

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Clinical Features of Fracture versus Concussion of the Temporal Bone after Head Trauma

  • Kong, Tae Hoon;Lee, Jae Woo;Park, Yoon Ah;Seo, Young Joon
    • Korean Journal of Audiology
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    • v.23 no.2
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    • pp.96-102
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    • 2019
  • Background and Objectives: Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. Subjects and Methods: We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed. Results: Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery. Conclusions: Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.

Multicenter, Open-Labeled, Observational Clinical Trial to Investigate the Efficacy and Safety of Oral Administration of Megace Suspension in Patients with Head and Neck Cancer During Radiotherapy (방사선 치료 중인 두경부 종양 환자를 대상으로 메게이스 내복 현탁액 경구투여 후 유효성 및 안전성에 관한 다기관, 공개, 관측연구)

  • Kim, Se-Heon;Kim, Min-Sik;Kim, Young-Mo;Kim, Hyun-Su;Nam, Soon-Yuhl;Rho, Young-Soo;Park, Young-Hak;Baek, Chung-Hwan;Bong, Jung-Pyo;Lee, Kang-Dae;Lee, Yong-Seop;Jung, Kwang-Yoon;Chung, Sung-Min;Chung, Pil-Sang;Joo, Young-Hoon;Chu, Hyung-Ro;Choi, Eun-Chang;Tae, Kyung;Hong, Ki-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.57-63
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    • 2008
  • Background and Purpose:Nausea, vomiting and weight loss are common problems that are encountered in the course of cancer patient treatment who are receiving radiotherapy. In this study, we are aiming to analyze the effect of megestrol acetate on quality of life of head and neck cancer patients receiving radiotherapy, resulting from improvement of weight loss, appetite and nutritional status via multicenter, open-labeled, observational clinical trial. Material and Methods:A total of 270 patients from 10 medical institutes who are receiving radiotherapy or who have completed radiotherapy within 3 months, between February 2007 and February 2008, were selected as candidates for the study. Megestrol acetate suspension(megace) was given to the subjectives once a week for 4 weeks with the amount of 20ml(megestrol 800mg). Measurement of weight and questionnaire surveys were carried out three times: at the start of the study, 4 weeks after the start of the medication, and 4 weeks after the end of the medication, respectively. Results:The group who has received megace had a total number of 199, and control group was 70. The group who have received megace showed mean weight loss of 1kg in 8 weeks, compared with the weight loss of 5.5kg in control group, which showed that the medication was effective in reducing the amount of weight loss(P=0.027). The group who received megace had a tendency to report a reduced rate of decrease in the score of appetite, nausea and vomiting, and QOL score, but it did not have statistical significance(P>0.05). Conclusion:Megestrol acetate have reduced the degree of weight loss significantly, and it has a tendency to reduce the rate of decrease in appetite, aggravation of nausea and vomiting, and quality of life.

A Case of Granulomatosis with Polyangiitis with IgG4-Related Disease Expressed by Facial Paralysis and Hearing Loss (안면 마비와 난청으로 진단된 면역글로불린 G4 연관질환 동반 육아종성 다발 혈관염 1예)

  • Kim, Hyung-sik;Doo, Jeon Gang;Yeo, Seung Geun;Kim, Sang Hoon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.240-244
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    • 2018
  • Granulomatosis with polyangiitis (GPA) and Immunoglobulin (Ig) $G_4$-related disease ($IgG_4$-RD) are rare diseases and early diagnosis and proper management are imperative to prevent multi-organ damage. The authors present a case of a 60 years old woman who had facial paralysis and hearing loss. Lt intact canal wall tympanomastoidectomy, Lt facial nerve decompression and ossiculoplasty with partial ossicular replacement prosthesis (PORP) was done. During operation, middle ear tissue was biopsied and GPA with $IgG_4$-RD was diagnosed. After methyl prednisolone (MPD) pulse therapy and azathioprine therapy, the severity of paralysis was improved. We present this case because common otologic symptoms like facial palsy and hearing loss could be initial symptoms of rare systemic disease.

A study on the friction head loss in flat aluminum micro multi tubes with nonazeotropic refrigerant mixtures R-410A (비공비 혼합냉매 R-410A를 적용한 납작한 알루미늄 마이크로 멀티 튜브에서의 마찰손실에 관한 연구)

  • Lee, Jeong-Kun;Min, Kyung-Ho
    • Design & Manufacturing
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    • v.13 no.2
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    • pp.37-43
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    • 2019
  • This study conducted a research as to condensation heat transfer friction loss headby using three types of flat micro multi-channel tubes with different processing of micro-fin and number of channels inside the pipes and different sizes of appearances. In addition, identical studies were conducted by using smoothing circular tubes with 5mm external diameter to study heat enhancement factor and pressure drop penalty factor. 1) The friction head loss showed an increase as the vapor quality and mass flux increased. In case of saturation temperature, it shows an increase as it gets lower. These factors are the reason occurring as the lower the saturation temperature is, the higher the density of refrigerant vapor gets. The influence of heat flux is similar as the dryness is low, but as it gets higher, it lowers in heat flux, and as the high temperature of high heat flux, it is a factor that occurs as the density gets lower. 2) RMS error of the in case of friction head loss, it showed to be predicted as 0.45~0.67 by Chisholm, Friedel, Lockhart and Martinelli. 3) As forfriction head loss penalty factor, the smaller the aspect ratio is, the larger the penalty factor gets, and as for the effect of micro-fin, the penalty factor increased because it decreases to the gas fluid the way groove for the refrigerant's flow.

A Case of Sensorineural Hearing Loss and Vertigo during Epidural Nerve Block (경막외 신경차단술 시행 중 발생한 감각신경성난청과 어지럼 1예)

  • Lee, Byeong Min;Noh, Jin hong;Ahn, Seong Ki;Park, Hyun Woo
    • Research in Vestibular Science
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    • v.17 no.4
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    • pp.170-174
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    • 2018
  • Epidural anesthesia has significantly advanced in neuraxial anesthesia and analgesia. It is used for surgical anaesthesia and treatment of chronic pain. Hearing loss during or after epidural anesthesia is rare, and it is known to occur by the change of the intracranial pressure. Cerebrospinal fluid is connected with perilymph in the cochlear and vestibule that is important to hearing and balance. If the intracranial pressure is abruptly transferred to the inner ear, perilymph can be leak, that called perilymphatic fistula, dizziness, and hearing loss can occur suddenly. We report a 65-year-old woman who presented with acute onset dizziness and hearing loss during the epidural nerve block for back pain, wherein we speculated a possibility of perilymphatic fistula as the mechanism of hearing loss and dizziness. The mechanism of dizziness and hearing loss was suspected with perilymphatic fistula.

Evaluation of Head Loss within In-Line Mixer for Water Treatment using CFD Technique (CFD모사 기법을 이용한 관내 혼화장치내 수두손실 발생 특성 평가)

  • Hwang, Young-Jin;Lim, Sung-Eun;Kim, Seong-Su;Park, No-Suk;Wang, Chang-Keun
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.1
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    • pp.107-112
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    • 2009
  • This study was conducted for verification and systematization of estimation method about the headloss using CFD(Computational Fluid Dynamics). Head loss which happens between the inlet and outlet of in-line mixer can be a major factor for the design and construction. Also, this Case studies about the sensitivity related to the velocity in the piping system. As result, program's default calculation function was used to get each side's total pressure and the differential of each total pressure could be defined as head loss from in-line mixer. In the case of adopting pipe surface friction factor and geometry loss, Calculation residual can be much more reduced. It was found that residual of value between CFD method and field test ranged about 3 through 18 precent.

An Analysis of Attenuation Effect of Pressure Head Using an Air Chamber

  • Lee, Jae-Soo;Yoon, Yong-Nam;Kim, Joong-Hoon
    • Korean Journal of Hydrosciences
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    • v.7
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    • pp.77-86
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    • 1996
  • An air chamber is design to keep the pressure from exceeding a predetermined value, or to prevent low pressures and colum separation. Therefore, it can be used to protect against rapid transients in a pipe system following abrupt pump stoppage. In this research, an air chmber was applied to a hypthetical pipe system to analyze attenuation effect of pressure head for different air volumes, locations, chamber areas, coefficients of orifice loss and pollytropic exponents. With an increase of air volume, the maximum pressure head at pump site is decreased and the minimum pressure head is imcreased. For different locations and areas of the chamber, the attenuation effects do not show much difference. Also, as the orifice loss coefficient increases, the maximum pressure head is decreased. For different polytropic exponents, isothermal process shows lower maximum pressure head than that of the adiabatic process.

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Genetic Hearing Loss and Gene Therapy

  • Carpena, Nathanial T;Lee, Min Young
    • Genomics & Informatics
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    • v.16 no.4
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    • pp.20.1-20.20
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    • 2018
  • Genetic hearing loss crosses almost all the categories of hearing loss which includes the following: conductive, sensory, and neural; syndromic and nonsyndromic; congenital, progressive, and adult onset; high-frequency, low-frequency, or mixed frequency; mild or profound; and recessive, dominant, or sex-linked. Genes play a role in almost half of all cases of hearing loss but effective treatment options are very limited. Genetic hearing loss is considered to be extremely genetically heterogeneous. The advancements in genomics have been instrumental to the identification of more than 6,000 causative variants in more than 150 genes causing hearing loss. Identification of genes for hearing impairment provides an increased insight into the normal development and function of cells in the auditory system. These defective genes will ultimately be important therapeutic targets. However, the auditory system is extremely complex which requires tremendous advances in gene therapy including gene vectors, routes of administration, and therapeutic approaches. This review summarizes and discusses recent advances in elucidating the genomics of genetic hearing loss and technologies aimed at developing a gene therapy that may become a treatment option for in the near future.

An Experimental Study for Estimation of Head Loss Coefficients at Surcharged Combining Junction Manholes (과부하 합류맨홀에서의 손실계수 산정을 위한 실험적 연구)

  • Kim, Jung-Soo;Choi, Hyun-Soo;Yoon, Sei-Eui
    • Journal of Korea Water Resources Association
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    • v.43 no.5
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    • pp.445-453
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    • 2010
  • Energy loss at manholes, often exceeding friction loss of pipes under surcharged flow, is considered as one of the major causes of inundation in urban area. Therefore, it is necessary to analyze head losses at manholes, especially in case of surcharged flow. Hydraulic experimental apparatus which can change the manhole shape (square, circular) were installed for this study. In the experiments, two inflows ($Q_1,\;Q_2$) were varied from 0 to $4{\ell}$/sec and 15 combinations were tested in total. The flow ratios $Q_2/Q_3$ were varied from 0 to 1 for a total flow $Q_3$ ($Q_3=Q_1+Q_3$) of 2, 3, and $4{\ell}$/sec, respectively. The variation of head losses were strongly influenced by the lateral inflow because the head loss coefficient increases as the flow ratio $Q_2/Q_3$ increases. There was no significant difference of head loss between square manhole and circular one, and also no large variation of head loss as discharges change. The relation equations between K and $Q_2/Q_3$ were suggested in this paper.

Development of the Seepage Flow Monitoring Method by the Hydraulic Head Loss Rate (수두손실률에 의한 침투류 감시기법 개발)

  • Eam, Sung-Hoon;Kang, Byung-Yoon;Kim, Ki-Wan;Koo, Ja-Ho;Kang, Shin-Ik;Cha, Hung-Youn;Jung, Jae-Hyun;Cho, Jun-Ho;Kim, Ki-Soo
    • Journal of the Korean Geotechnical Society
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    • v.26 no.5
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    • pp.37-48
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    • 2010
  • In this study, the seepage flow monitoring method by the hydraulic head loss rate was developed for the purpose of application to offshore construction site enclosed by cofferdams in which seepage force varies periodically. The amount of the hydraulic head loss rate newly defined in this graph was in a range between 0 and 1. The zero of the rate means the existence of flow with no seepage resistance. The 1 of the rate means no seepage flow through the ground. The closer to 1 the coefficient of determinant in the hydraulic head loss graph is, the more the ground through which seepage water flows is stable. The closer to 0 the coefficient of determinant in the hydraulic head loss graph is, the more the ground through which seepage water flows was unstable and the higher the possibilities of existence of empty space or of occurrence of piping on the seepage flow pass in the ground is. The hydraulic head loss graph makes it possible to monitor sensitively the situation of seepage flow state, and the graph helps to understand easily the seepage flow state at the specific section on the whole cofferdam.