• Title/Summary/Keyword: Leak Diagnosis

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Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

  • Aparna Ganesan;Nehal C. Singh;Naren P. Khatri;Charanjeet Singh Madaan;Savreek Kaur;Amanjot Kaur
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.1
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    • pp.3-12
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    • 2024
  • Chyle leaks are uncommon complications after head and neck surgeries. Although uncommon, such a complication is noteworthy mention due to its perplexing diagnosis and management strategies. This scoping review aims to highlight and emphasize the diagnosis and management options proposed in the literature. A comprehensive search was performed in PubMed, Google Scholar, Cochrane Library, and Scopus databases and identified 617 articles that were reduced to 40 studies and reports after applying the eligibility criteria. Although numerous treatment options ranging from simple, conservative measures to invasive surgical procedures have been mentioned for low-output, high-output, and massive leaks, there is no concrete evidence on the best method. Thus, a combination of management options must be customized by case for optimum results.

A Case of Esophageal Foreign Body by Mercury Button Battery (단추형 수은전지에 의한 식도이물 1례)

  • 이진춘;김창수;박형진;노환중
    • Korean Journal of Bronchoesophagology
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    • v.5 no.1
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    • pp.73-77
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    • 1999
  • The risk of foreign body by small button-disc battery in children has been increasing because the batteries are widely used in electronic device and plaything and easily contact with children. Foreign body of mercury type button-disc battery, when lodged in the esophagus, leak a caustic solution which causes a rapid necrosis of esophageal mucosa. So it should be removed immediately when the radiologic diagnosis is made. We experienced a case of esophageal foreign body by mercuric disc battery in a 14-month-old male. This case will be discussed with literature review.

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Iris Lacuna Extraction using Watershed (Watershed를 이용한 홍채 열공 추출)

  • 박현선;한일호;김회율
    • Proceedings of the IEEK Conference
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    • 2002.06d
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    • pp.53-56
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    • 2002
  • In this paper, we propose the method of iris lacuna extraction using watershed transform. Lacuna is salient feature of iris. It has three dimensional structure formed by leak of pigmentation and loss of fiber tissues. Lacuna can be used for iris recognition system, and generally used in health diagnosis and character analysis with its shape and position. The main idea of the proposed method is applying the watershed transform to radial gray scale profile of iris image. The result shows that the lacuna can be extracted automatically from eye image.

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Photodynamic Diagnosis and Therapy for Peritoneal Carcinomatosis from Gastrointestinal Cancers: Status, Opportunities, and Challenges

  • Kim, Hyoung-Il;Wilson, Brian C.
    • Journal of Gastric Cancer
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    • v.20 no.4
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    • pp.355-375
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    • 2020
  • Selective accumulation of a photosensitizer and the subsequent response in only the light-irradiated target are advantages of photodynamic diagnosis and therapy. The limited depth of the therapeutic effect is a positive characteristic when treating surface malignancies, such as peritoneal carcinomatosis. For photodynamic diagnosis (PDD), adjunctive use of aminolevulinic acid- protoporphyrin IX-guided fluorescence imaging detects cancer nodules, which would have been missed during assessment using white light visualization only. Furthermore, since few side effects have been reported, this has the potential to become a vital component of diagnostic laparoscopy. A variety of photosensitizers have been examined for photodynamic therapy (PDT), and treatment protocols are heterogeneous in terms of photosensitizer type and dose, photosensitizer-light time interval, and light source wavelength, dose, and dose rate. Although several studies have suggested that PDT has favorable effects in peritoneal carcinomatosis, clinical trials in more homogenous patient groups are required to identify the true benefits. In addition, major complications, such as bowel perforation and capillary leak syndrome, need to be reduced. In the long term, PDD and PDT are likely to be successful therapeutic options for patients with peritoneal carcinomatosis, with several options to optimize the photosensitizer and light delivery parameters to improve safety and efficacy.

A Study on the Leakage Evaluation for Power Plant Valve Using Infrared Thermography Method (적외선열화상에 의한 발전용 밸브 누설명가 연구)

  • Lee, Sang-Guk
    • Journal of the Korean Society for Nondestructive Testing
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    • v.30 no.2
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    • pp.110-115
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    • 2010
  • This study was conducted to estimate the feasibility using thermal image measurement that is applicable to internal leak diagnosis for the power plant valve. Abnormal heating of valve surface associated with high temperature steam f10w toward valve outlet side in the condition of low temperature is a primary indicator of leakage problems in high temperature and pressure valves. Thermal imaging enables to see the invisible thermal radiation that may portend impending damage before their condition becomes critical. When steam flow in valve outlet side in the condition of low temperature is converted into heat transmitted through the valve body due to the internal leakage in valve. The existence of abnormally increasable leakage rate in the valve will result in abnormally high levels of heat to be generated that can be quickly identified with a thermal image avoiding energy loss or damage of valve component. From the experimental results, it was suggested that the thermal image measurement could be an effective way to precisely diagnose and evaluate internal leak situation of valve.

Video-Assisted Thoracic Surgery(vats):A Review of 42 Cases (비디오 흉강경을 이용한 흉부수술(VATS) -42례 경험-)

  • 백희종
    • Journal of Chest Surgery
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    • v.27 no.3
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    • pp.221-225
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    • 1994
  • Video-assisted thoracic surgery[VATS] has recently evolved as an alternative to thoracotomy for several thoracic disorders. Between March 1993 and September 1993, 42 patients underwent VATS at Gil General Hospital. They were diagnosed as spontaneous pneumothorax in 34[81.0%], mediastinal mass in 5, congenital lobar emphysema in 1, traumatic hemothorax in 1, and sarcoidosis in 1. For pneumothorax, wedge resection of bullae or blebs was done in 18 patients, wedge resection and limited parietal pleulectomy in 13, and only pleulectomy in 2. And excision for mediastinal mass in 5, hematoma evacuation for chronic hemothorax in 1, biopsies of mediastinal lymph node and lung for confirming sarcoidosis in 1, and lobectomy of left upper lobe for congenital lobar emphysema in the child of 12 years. The period of chest tube drainage and postoperative hospitalization averaged 3.8 days [range, 1 to 11 days] and 5.9 days [range, 2 to 18 days]. Three complications occurred in 3 patients with pneumothorax [7.1%, 2 recurrent pneumothorax and 1 postoperative bleeding], and the conversion to open thoracotomy was done in 1 due to massive air leak. The causes of postoperative air leak were speculated and the techniques for saving expensive Endo-GIA staplers are described in this paper. VATS is safe and offers the benefits of reduced postoperative pain and rapid recovery. Our experience indicates a markedly expanded role for VATS in the diagnosis and treatment of various thoracic diseases.

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Model-based and wavelet-based fault detection and diagnosis for biomedical and manufacturing applications: Leading Towards Better Quality of Life

  • Kao, Imin;Li, Xiaolin;Tsai, Chia-Hung Dylan
    • Smart Structures and Systems
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    • v.5 no.2
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    • pp.153-171
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    • 2009
  • In this paper, the analytical fault detection and diagnosis (FDD) is presented using model-based and signal-based methodology with wavelet analysis on signals obtained from sensors and sensor networks. In the model-based FDD, we present the modeling of contact interface found in soft materials, including the biomedical contacts. Fingerprint analysis and signal-based FDD are also presented with an experimental framework consisting of a mechanical pneumatic system typically found in manufacturing automation. This diagnosis system focuses on the signal-based approach which employs multi-resolution wavelet decomposition of various sensor signals such as pressure, flow rate, etc., to determine leak configuration. Pattern recognition technique and analytical vectorized maps are developed to diagnose an unknown leakage based on the established FDD information using the affine mapping. Experimental studies and analysis are presented to illustrate the FDD methodology. Both model-based and wavelet-based FDD applied in contact interface and manufacturing automation have implication towards better quality of life by applying theory and practice to understand how effective diagnosis can be made using intelligent FDD. As an illustration, a model-based contact surface technology an benefit the diabetes with the detection of abnormal contact patterns that may result in ulceration if not detected and treated in time, thus, improving the quality of life of the patients. Ultimately, effective diagnosis using FDD with wavelet analysis, whether it is employed in biomedical applications or manufacturing automation, can have impacts on improving our quality of life.

Operative Lung Biopsy in Patients with Findings of Diffuse Infiltrative Lung on Chest X-ray (흉부 단순 촬영상 전반적 폐 침윤을 보이는 환자에서 시행한 수술적 폐 생검)

  • Jin, Ung;Yoon, Jeong-Seob;Kim, Chi-Kyung;Kwack, Moon-Seob
    • Korean Journal of Bronchoesophagology
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    • v.6 no.2
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    • pp.159-163
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    • 2000
  • The patient with findings of diffuse infiltrative lung on chest X-ray has various causes; therefore, the prognosis is different and the treatment should be changed according to the cause. We are trying to identify the meaning of operative lung biopsy and to 11nd a more accurate and effective procedure. We reviewed 46 medical records of patients with the findings of diffuse infiltrative lung on chest X-ray who had undergone operative lung biopsy or biopsies for 8 years. The open lung biopsy were done in 22 cases(47.8%) and thoracoscopic lung biopsy in 24 cases(52.2%). There is no significant difference in the rate of diagnosis(p=0.452) and the incidence of complications(p=0.155) between these groups. The number of cases with more than two biopsies are 9(19.6%) and that of one biopsy are 37(80.4%). There are no statistical difference in the rate of diagnosis(p=0.928) and the incidence of complications(p=0.125). The postoperative complications occurred in 8 cases,7 cases of air leak more than 7 days and 1 case of respiratory insufficiency. In the diagnosis and treatment of the patients with findings of infiltrative lung on chest X-ray, the operative lung biopsy is the very necessary course, and shows satisfactory rate of diagnosis with negligible complications.

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Proposal on the Standard Water Leakage Diagnosis Manual of Leakage Type in Underground Structures Housing -Focused on Maintenance Plan - (공동주택 지하구조물 표준 누수 진단 매뉴얼 제안 - 유지관리 계획을 중심으로 -)

  • Kim, Soo Yeon;Lee, Jung Hun;Song, Je Young;Jang, Duk Bae;Oh, Sang Keun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2017.11a
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    • pp.221-222
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    • 2017
  • An analysis of the current water leak status of understand structure (underground parking lots, staircases, plumbing systems, water reservoirs, etc.) of multi-family housing in South Korea shows that water leaks are found from cracks in all areas of the underground structure caused by the degradation environment (water pressure by underground water, humidity, temperature, earth pressure, soil behaviour and vibration, etc.), which result in various problems, including mold, malodour, debonding of finishing materials, exfoliation, breakout, water leaks in electrical boxes, efflorescence, sedimentation of calcium hydroxide, decoloration, rusting, damages and pollution among others. Therefore, this study aims to analyse the current status of water leaks in underground structure and use the results as the basic data for developing a standard guideline for water leaks and maintenance by parts of the underground structure of multi-family housing.

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A Development of the Balloon Pressure Analysis System for the Diagnosis of Esophageal Ruptures (풍선 확장술에서 식도파열의 진단을 위한 압력분석 시스템의 구성)

  • Shin, D.I.;Song, H.Y.;Huh, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.428-431
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    • 1997
  • This study is the basic research on esophageal balloon dialation with automatic detection of the pressure change in the balloon and analysis using personal computer. In conventional method, the esophageal stricture is cured by surgically. Recently, balloon dialation method has been proposed and is popularized. In balloon dialation, detecting esophageal rupture is very important. When using radiological investigation, the leak of contrast medium is very dangerous. In proposed method, the detection of esopageal rupture can be peformed by detecting and analyze the pressure change of dialation balloon. Experimental system is composed of balloon catheter, pressure pump, pressure sensor, A/D converter and PC.

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