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Non-occlusive Mesenteric Ischemia (NOMI) Secondary to Traumatic Hemorrhagic Shock: Case Report (외상성 출혈성 쇼크 환자에서 발생한 비 폐쇄성 장간막 허혈)

  • Lim, Kyoung Hoon;Jung, Hee Kyung;Cho, Jayun;Lee, Sang Cjeol;Park, Jinyoung
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.204-207
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    • 2014
  • Non-occlusive mesenteric ischemia (NOMI) encompasses all forms of mesenteric ischemia with patent mesenteric arteries. NOMI is commonly caused by decreased cardiac output resulting in hypoperfusion of peripheral mesenteric arteries. We report a case of NOMI secondary to hemorrhagic shock and rhabdomyolysis due to trauma. A 42-year-old man presented to our trauma center following a pedestrian trauma. On arrival, he was drowsy and in a state of hemorrhagic shock. He was found to have multiple fractures, both lung contusion and urethral rupture. An initial physical examination and abdominal computed tomography (CT) scan revealed no evidence of intra-abdominal injury. High doses of catecholamine were administered for initial 3 days due to unstable vital sign. On day 25 of hospitalization, follow-up abdominal CT scan demonstrated that short segment of small bowel loop was dilated and bowel wall was not enhanced. During exploratory laparotomy, necrosis of the terminal ileum with intact mesentery was detected and ileocecectomy was performed. His postoperative course was uneventful and is under rehabilitation.

Blunt Cardiac Injuries That Require Operative Management: A Single-Center 7-Year Experience

  • Lee, Seung Hwan;Jang, Myung Jin;Jeon, Yang Bin
    • Journal of Trauma and Injury
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    • v.34 no.4
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    • pp.242-247
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    • 2021
  • Purpose: Blunt cardiac injuries (BCI) have a wide clinical spectrum, ranging from asymptomatic myocardial contusion to cardiac rupture and death. BCIs rarely require surgical intervention, but can be rapidly fatal, requiring prompt evaluation and surgical treatment in some cases. The aim of this study was to identify potential factors associated with in-hospital mortality after surgery in patients with BCI. Methods: The medical records of 15 patients who had undergone emergency cardiac surgery for BCI between January 2014 and August 2020 were retrospectively reviewed. We included trauma patients older than 18 years admitted to Regional Trauma Center, Gachon University Gil Medical Center during the study period. Clinical and laboratory variables were compared between survivors and non-survivors. Results: Non-survivors showed a significantly higher Injury Severity Score (p=0.001) and Abbreviated Injury Scale in the chest region (p=0.001) than survivors. American Association for the Surgery of Trauma-Organ Injury Scale Grade V injuries were significantly more common in non-survivors than in survivors (p=0.031). Non-survivors had significantly more preoperative packed red blood cell (PRBC) transfusions (p=0.019) and were significantly more likely to experience preoperative cardiac arrest (p=0.001) than survivors. Initial pH (p=0.010), lactate (p=0.026), and base excess (BE; p=0.026) levels showed significant differences between the two groups. Conclusions: Initial pH, lactate, BE, ventricular injury, the amount of preoperative PRBC transfusions, and preoperative cardiac arrest were potential predictors of in-hospital mortality.

Effect of Initial Textures on the Plane Strain Stretching (판재의 초기집합조직이 평면변형률 스트레칭 변형에 미치는 영향)

  • Bae, Seok-Yong;Lee, Yong-Sin
    • Transactions of Materials Processing
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    • v.7 no.5
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    • pp.459-464
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    • 1998
  • Effect of the several initial textures such as random texture, rolling texture and cube texture, on the plane strain stretching was studied by interpretation of the finite element method. The calculation of yield locus indicated that the sheet oriented in the cube texture exhibits easy yielding on uniaxial stress state whereas the sheet having either a random or the rolling texture exhibits easy yielding on shear deformation. Upon stretching tests, the thickness strain at the center region contacting the punch was identical regardless of the initial textures while the dependence of the thickness strain on the initial texture was found in the other regions. In general punch loads required or the sheet with an initial cube texture was as expected from calculated yield locus, lower than those for the others.

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Propagation Speed Characteristics of Premixed Methane-Air Flame in a Combustion Chamber with Model of Engine Cylinder (엔진실린더 모형 연소실내의 메탄-공기 예혼합기의 화염전파속도 특성)

  • 전충환
    • Journal of Advanced Marine Engineering and Technology
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    • v.22 no.2
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    • pp.225-231
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    • 1998
  • Flame propagation speed characteristics of methante-air mixtures were experimentally investigated in combustion chamber modelled engine. Flame propagation process was known as a funtion of equivalence ratio initial pressure and initial temperature. Ion probe and schlieren photograph were applied to measure the local flame speed and flame radius in quiescent mixtures. Pressure was also measured to make sure of the reproducibility and to apply combustion analysis. Burning velocity was calculated from the flame propagation speed and combustion analysis. Flames were developed faster with higher initial pressure and initial temperature but showed maximum propagation speed at equivalence ratio 1.1 regardless of initial pressure and temperature. Local flame speed was maximum values at near midpoint between center and wall.

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Infinite element for the scaled boundary analysis of initial valued non-homogeneous elastic half space (초기치를 갖는 비동질무한영역의 해석을 위한 비례경계무한요소법)

  • Lee, Gye-Hee;Deeks, Andrew J.
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2007.04a
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    • pp.259-264
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    • 2007
  • In this paper, to analyze the initial valued non-homogeneous elastic half space by the scaled boundary analysis, the infinite element approach was introduced. The free surface of the initial valued non-homogeneous elastic half space was mode1ed as a circumferential direction of boundary scaled boundary coordinate. The infinite element was used to represent the infinite length of the free surface. The initial value of material property(elastic modulus) was considered by the combination of the position of the sealing center and the power function of the radial direction. By use of the mapping type infinite element, the consistent e1ements formulation could be available. The performance and the feasibility of proposed approach are examined by two numerical examples.

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Apple Quality as Affected by the Precooling Rate and $O_2$ Pulldown Rate in Controlled Atmosphere Storage

  • Mahajan, P.V.;Goswami, T.K.
    • Agricultural and Biosystems Engineering
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    • v.3 no.1
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    • pp.10-17
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    • 2002
  • Quality attributes of apple are greatly affected by the cooling rate and environmental conditions during storage. Studies were conducted to evaluate the effect of cooling rate on different quality attributes of apple. The effect of $O_2$ pulldown rate of the CA chamber on the quality of apple was also determined. Two methods were used viz. conventional CA procedure and rapid CA procedure. Apples stored by medium and slow cooling methods lost its flesh firmness significantly from an initial level of 4.55 kg to 2.83 kg and 2.27 kg, respectively on 35 days after storage whereas, in rapid cooling, the firmness level changed from 4.55 kg to 3.20 kg on 35 days after storage. At the end of 35 days of storage, titratable acidity decreased insignificantly from an initial value of 0.24l% to 0.239% in the case of rapid CA whereas in the case of conventional CA it dropped significantly to 0.215% from its initial level. The initial flesh firmness of 4.55 kg also changed significantly to 4.05 kg on 35 days after storage in conventional CA whereas in rapid CA it changed to 4.36 kg, which was found to be non-significant at 5% level of significance. Total soluble solids increased from an initial level of $12.43^{\circ}$Bx to $12.60^{\circ}C.$ Bx on 35 days after storage in rapid CA whereas it increased to $13.07^{\circ}$ Bx in conventional CA. Ascorbic acid content of apple juice decreased insignificantly from 6.67 mg/100 mL to 5.87 mg/100 mL on 35 days after storage in rapid CA whereas in conventional CA, it decreased significantly to 5.27 mg/100 mL from its initial level.

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Measurement Time-Delay Compensation and Initial Attitude Determination of Electro-Optical Tracking System Using Augmented Kalman Filter (Augmented 칼만 필터를 이용한 전자광학 추적 장비의 측정치 시간지연 보상과 초기 자세 결정)

  • Son, Jae Hoon;Choi, Woo Jin;Kim, Sung-Su;Oh, Sang Heon;Lee, Sang Jeong;Hwang, Dong-Hwan
    • Journal of Korea Multimedia Society
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    • v.24 no.12
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    • pp.1589-1597
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    • 2021
  • Due to the low output rate and time delay of vehicle's navigation results, the electro-optical tracking system(EOTS) cannot estimate accurate target positions. If an inertial measurement unit(IMU) is additionally mounted into the EOTS and inertial navigation system(INS) is constructed, the high navigation output rate can be obtained. And the time-delay can be compensated by using the augmented Kalman filter. An accurate initial attitude is required in order to have accurate navigation outputs. In this paper, an attitude determination algorithm is proposed using the augmented Kalman filter in order to compensate measurement delay of the EOTS and have accurate initial attitude. The proposed initial attitude determination algorithm consists of an augmented Kalman filter, an INS, and an integrated Kalman filter. The augmented Kalman filter compensates the time-delay of the vehicle's navigation results and the integrated Kalman filter estimates the navigation error of the INS. In order to evaluate performance of the proposed algorithm, vehicle's navigation outputs and IMU measurements were generated using sensors' model-based measurement generator and initial attitude estimation errors of the proposed algorithm and the conventional algorithm without the augmented Kalman filter were compared for the generated measurements. The evaluation results show that the proposed algorithm has better accuracy.

The Failure of Initial Treatment for TNM Stage I & II Squamous Cell Carcinomas of the Oral Cavity (조기(TNM Stage I & II) 구강 편평세포암종의 초치료 실패)

  • Lee Hyun-Seok;Jeong Han-Sin;Kim Tae-Wook;Son Young-Ik;Baek Chung-Hwan
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.26-31
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    • 2005
  • Backgrounds and Objectives: Squamous cell carcinomas of the oral cavity(SCOC) in TNM stage I & II have relatively high chance to be cured compared to those in the advanced stage, but sometimes result in the treatment failure with poor prognosis. There have been few reports on the patterns of failure and the clinical courses for SCOC in stage I & II after the failure of initial treatment. This study is directed at identifying the clinical outcomes of stage I & II SCOC and the salvage rate after initial treatment and suggesting an optimal level of treatment by analyzing the patterns of failure. Material and Methods: The medical records of 36 patients with SCOC, initially diagnosed between 1995 and 2001 as TNM stage I & II were reviewed retrospectively. The patterns of failure, salvage treatment, clinical courses, and the survival of these subjects were analyzed. The minimum follow-up period of no-evidence of disease(NED) was 12 months with an average of 32.2 months. Results: Overall rate of the treatment failure in SCOC of stage I & II was 41. 7%(15/36 cases). Most of the treatment failure in the subjects with stage I tumors occurred in regional lymph node. Local failure was the most frequent form of failure in the subjects with stage II tumors after wide excision of primary tumor with elective neck dissection and/or radiation therapy. No significant correlation was noted between the safety margin and the local failure. Elective neck dissections in stage I & II SCOC had a tendency to reduce regional failure (p=0.055). The salvage rates at 24 months were 85.7% in stage I, and 37.5% in stage II. The 3-year survival rate after the failure of initial treatment was 55.0%. Conclusion: SCOC of stage I & II after the failure of initial treatment showed poor prognosis despite of the salvage treatments. This study implies that the elective neck dissections for regional lymph node should be required for SCOC of stage I & II to reduce the treatment failure.

The role of mass transfer layer on the tribological characteristics of silver-coated surfaces

  • Yang, Seung-Ho;Kong, Ho-Sung;Yoon, Eui-Sung;Kim, Dae-Eun
    • Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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    • 2002.10b
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    • pp.153-154
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    • 2002
  • Wear map of silver coatings on AISI 52100 has been constructed to delineate the wear transition behavior with the change in operating conditions in various environments. Three main regimes were clearly identified: (i) elastic/plastic deformation of silver coating without failure. (ii) mild wear regime after initial failure of silver coating and (iii) severe wear regime. In the mild wear regime, the contact surfaces were covered with transfer layers of agglomerated wear particles. The transfer layer acted as a protective layer and resulted in low friction even after the initial failure of the coated films, whose characteristics were strongly dependent on both the operating and environmental conditions. Also, the existence of the critical sliding speed, above which no transfer layer was able to form, was discussed in the work.

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Hydrodynamic interaction between two cylinders in planar shear flow of viscoelastic fluid

  • Jung, Hyun-Wook;Daejin Won;Kim, Chongyoup
    • Korea-Australia Rheology Journal
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    • v.14 no.4
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    • pp.203-207
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    • 2002
  • Particle-particle interaction is of great importance in the study of suspension rheology. In this research we have investigated the hydrodynamic interaction between two identical cylinders in viscoelastic fluids numerically as a model problem for the study of viscoelastic suspension. We confine two neutrally buoyant cylinders between two parallel plates and impose a shear flow. We determine the migration velocity of two cylinders. The result shows that cylinders move toward or away from each other depending upon the initial distance between them and that there is an equilibrium distance between two cylinders in viscoelastic fluids regardless of the initial distance. In the case of Newtonian fluid, there is no relative movement as expected. The results partly explain the chaining phenomena of spherical particles in shear flows of viscoelastic fluids.