• 제목/요약/키워드: Pressure drainage

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THE CONTROL METHOD OF CONTINUOUS GINGIVAL BLEEDING IN A DISABLED PATIENT WITH BLEEDING DISORDER : REPORT OF A CASE (출혈성 장애환자에서 지속적인 치은출혈시 지혈법 : 증례보고)

  • Son, Jeong-Seog;Oh, Ji-Hyeon;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.31-37
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    • 2014
  • The general local cause of gingival bleeding is the vessel engorgement and erosion by odontogenic infection. Abnormal gingival bleeding is also associated with systemic causes. Bleeding disorders in which continuous gingival bleeding is encountered include the followings : vascular abnormalities, platelet disorders, hypoprothrombinemia and other coagulation defects. There are classic methods for gingival bleeding control, such as, direct pressure, electrocoagulation, suture, crushing and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the conventional methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency condition. This is a case report of continuous gingival bleeding control by primary endodontic drainage & suture in a disabled patient with systemic bleeding disorders.

A Case Study on the Application of Gravel Pile in Soft Ground (Gravel Pile에 의한 연약지반 개량 시험시공 사례연구)

  • 천병식;고용일;여유현;김백영;최현석
    • Proceedings of the Korean Geotechical Society Conference
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    • 2000.03b
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    • pp.223-230
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    • 2000
  • Sand drain as a vertical drainage is widely used in soft ground improvement. Recently, sand, the principal source of sand drain, is running out. The in-situ tests were carried out to utilize gravel as a substitute for sand. In-situ tests area was divided into two areas by material used. One is Sand Drain(SD) and Sand Compaction Pile(SCP) area, the other is Gravel Drain(GD) and Gravel Compaction Pile(GCP) area. Both areas were monitored to obtain the information on settlement, pore water pressure and bearing capacity by measuring instruments for stage loading caused by embankment. The results of measurements were analyzed, The clogging effect was checked at various depth in gravel column after the test. According to the test results, the settlement was found to be smaller in gravel drain than in sand drain. The increase in bearing capacity by gravel pile explains the result. The clogging effect was not found in gravel column. It is assumed that gravel is relatively acceptable as a drainage material. Gravel is considered to be a better material than sand for bearing capacity, and it is found that bearing capacity is larger when gravel is used as a gravel compaction pile than as a gravel drain.

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Slowly Recovering Isolated Bilateral Abducens Nerve Palsy after Embolization of Ruptured Anterior Communicating Artery Aneurysm

  • Jeon, Jin Sue;Lee, Sang Hyung;Son, Young-Je;Chung, Young Seob
    • Journal of Korean Neurosurgical Society
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    • v.53 no.2
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    • pp.112-114
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    • 2013
  • Bilateral abducens nerve palsy related to ruptured aneurysm of the anterior communicating artery (ACoA) has only been reported in four patients. Three cases were treated by surgical clipping. No report has described the clinical course of the isolated bilateral abducens nerve palsy following ruptured ACoA aneurysm obliterated with coil. A 32-year-old man was transferred to our institution after three days of diplopia, dizziness and headache after the onset of a 5-minute generalized tonic-clonic seizure. Computed tomographic angiography revealed an aneurysm of the ACoA. Magnetic resonance imaging showed focal intraventricular hemorrhage without brain stem abnormalities including infarction or space-occupying lesion. Endovascular coil embolization was conducted to obliterate an aneurysmal sac followed by lumbar cerebrospinal fluid (CSF) drainage. Bilateral paresis of abducens nerve completely recovered 9 weeks after ictus. In conclusion, isolated bilateral abducens nerve palsy associated with ruptured ACoA aneurysm may be resolved successfully by coil embolization and lumbar CSF drainage without directly relieving cerebrospinal fluid pressure by opening Lillequist's membrane and prepontine cistern.

HYSTERETIC MODELING ON THE CONVECTIVE TRANSPORT OF ORGANIC SOLVENT IN AN UNSATURATED SOIL ZONE

  • Lee, Kun-Sang
    • Environmental Engineering Research
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    • v.11 no.5
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    • pp.241-249
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    • 2006
  • A mathematical model is described for the prediction of convective upward transport of an organic solvent driven by evaporation at the surface, which is known as the major transport mechanism in the in-situ photolysis of a soil contaminated with 2,3,7,8-tetrachlorodibenzo-p-dioxin(TCDD). A finite-element model was proposed to incorporate the effects of multiphase flow on the distribution of each fluid, gravity as a driving force, and the use of hysteretic models for more accurate description of k-S-p relations. Extensive numerical calculations were performed to study fluid flow through three types of soils under different water table conditions. Predictions of relative permeability-saturation-pressure (k-S-p) relations and fluids distribution for an illustrative soil indicate that hysteresis effects may be quite substantial. This result emphasizes the need to use hysteretic models in performing flow simulations including reversals of flow paths. Results of additional calculations accounting for hysteresis on the one-dimensional unsaturated soil columns show that gravity affects significantly on the flow of each fluid during gravity drainage, solvent injection, and evaporation, especially for highly permeable soils. The rate and duration of solvent injection also have a profound influence on the fluid saturation profile and the amount of evaporated solvent. Key factors influencing water drainage and solvent evaporation in soils also include hydraulic conductivity and water table configuration.

Evaluation of Filter Capacity for Sea Dyke Slope Filter Layer by In-situ Rainfall Test (현장 강우재현시험을 통한 방조제 사면필터층의 필터성능분석)

  • Oh, Young-In;Kim, Seo-Ryong;Yoo, Jeon-Yong;Kim, Hyun-Tae
    • Proceedings of the Korean Geotechical Society Conference
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    • 2006.03a
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    • pp.828-837
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    • 2006
  • Geotextiles consist of three major types of geosynthetic material (woven, non-woven and composite) and the functions of geotextiles are separation, reinforcement, filtration, drainage and as a moisture barrier. Although the many research scholar and engineer developed and established the design criteria and construction methodology, sustainable research still needed for optimum design methodology to the complicate field conditions. In this study, in-situ rainfall test performed to develop suitable filter system for sea dyke upper slope filter layer. In-situ rainfall test conducted for seven different filter system and measured the infiltration flux and pore pressure at various filter layer. Based on the test results, the double layered geotextile filter and sand transition system is most suitable for sea dyke upper filter layer because which system is effective for drainage of infiltration flow and minimize the deformation of sea dyke cover stone.

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Usefulness of an Additional Mattress Suture for the Extracranial Drainage Catheter

  • Eom, Dong Woong;Kim, Jung Soo;Jeon, Kyoung Dong;Kim, Hoon;Choi, Byeong Sam
    • Journal of Korean Neurosurgical Society
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    • v.54 no.5
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    • pp.444-447
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    • 2013
  • In most intracranial surgery cases, a drain catheter is inserted to prevent the collection of the wound hematoma or seroma. A drain catheter is also inserted to drain the hematoma or the cerebrospinal fluid. The drain catheter itself does not cause complications; but many complications occur during its removal, such as hematoma, seroma, air collection and pseudomeningocele formation. To prevent these complications, neurosurgeons perform a suture on the catheter to remove the site. In this study, an additional horizontal mattress suture and an anchoring suture to the drainage catheter are proposed. This method maintains negative pressure in the catheter insertion site during the catheter removal, compresses the catheter tunnel site and attaches the external wounds strongly. The technique is easy and safe to perform, and does not require an additional suture to remove the catheter.

Extensive Tension Pneumocephalus Caused by Spinal Tapping in a Patient with Basal Skull Fracture and Pneumothorax

  • Lee, Seung-Hwan;Koh, Jun-Seok;Bang, Jae-Seung;Kim, Myung-Chun
    • Journal of Korean Neurosurgical Society
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    • v.45 no.5
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    • pp.318-321
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    • 2009
  • Tension pneumocephalus may follow a cerebrospinal fluid(CSF) leak communicating with extensive extradural air. However, it rarely occurs after diagnostic lumbar puncture, and its treatment and pathophysiology are uncertain. Tension pneumocephalus can develop even after diagnostic lumbar puncture in a special condition. This extremely rare condition and underlying pathophysiology will be presented and discussed. The authors report the case of a 44-year-old man with a basal skull fracture accompanied by pneumothorax necessitating chest tube suction drainage, who underwent an uneventful lumbar tapping that was complicated by postprocedural tension pneumocephalus resulting in an altered mental status. The patient was managed by burr hole trephination and saline infusion following chest tube disengagement. He recovered well with no neurologic deficits after the operation, and a follow-up computed tomography (CT) scan demonstrated that the pneumocephalus had completely resolved. Tension pneumocephalus is a rare but serious complication of lumbar puncture in patients with basal skull fractures accompanied by pneumothorax, which requires continuous chest tube drainage. Thus, when there is a need for lumbar tapping in these patients, it should be performed after the negative pressure is disengaged.

Winter to replace the hydraulic test and pneumatic test comparative analysis of study on the optimal pressure (동절기 수압시험을 대체하는 공기압시험의 적정압력 비교분석에 관한 연구)

  • Kwoun, Young-Hee;Hwang, Dong-Hwan;Kim, Tae-Gil;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.16 no.2
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    • pp.211-216
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    • 2014
  • Using a high-rise building water piping after hydrostatic test of the reliability of the leak to be completed if the pressure is maintained until the leak is not commercially available considered. Due to the nature of high-rise buildings and the construction period will take several years from the lower levels of use of the water supply and fire fighting water pipe construction is in progress, the order of which I do most of the first pipe to the construction and more than three years. So kind of riser pipe is complete, install the valve in the basement by installing an automatic pump to maintain a constant pressure after hydrostatic test and after each floor plumbing piping is complete, the progress of the hydrostatic test without undergoing a separate branch pipe the valve is opened automatically when the number of the pressing pressure of the structure. I kind of do and keep working pressure of pipe until the completion of the construction work to keep the damage to human error when it is intended to prepare. In winter, the frost protection and an alternative to drainage water pipe is damaged or deformed, even if unaware of the finishing work to the building, the use of the damage caused by a leak in a after construction of finish work to be expected. Alternative to reduce this damage if the pressure test without fear of freezing to help maintain long-term commercial pressures may be considered.

Finite element analysis for the difference of displacement behavior developed from suction drain method and vertical drain method (Suction 연직배수 공법과 PDB 공법의 변위거동 차이에 대한 유한 요소 해석)

  • Kim, Ki-Nyeon;Ahan, Dong-Wook;Han, Sang-Jae;Jung, Seung-Yong;Kim, Soo-Sam
    • Proceedings of the Korean Geotechical Society Conference
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    • 2006.03a
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    • pp.1165-1172
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    • 2006
  • In this study, an aspect of settlement, developed from different ground improvement method like suction drain method using vacuum pressure and vertical drain method using overburden pressure, was compared each other. In order to analyze settlement tendency of each method exactly, the finite element analysis program was used. The analyses of vertical settlement and lateral displacement for suction drain method and vertical drain method were conducted independently during the solving stage. The initial condition of drainage zone was fixed with 25m depth and 21m width. After the program analyses, the settlement condition had a different tendency with the ground improvement method. Especially, in the results of vertical drain method, the disparity of settlement between the middle of improved zone and unimproved zone. In the case of suction drain method, however, the difference of settlement was smaller than that of vertical drain method.

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Stress-Pore Pressure Coupled Finite Element Modeling of NATM Tunneling (NATM 터널의 응력-간극수압 연계 유한요소모델링)

  • Yoo, Chung-Sik;Kim, Sun-Bin
    • Journal of the Korean Geotechnical Society
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    • v.22 no.10
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    • pp.5-20
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    • 2006
  • This paper concerns the finite element (FE) modeling approach for NATM tunneling in water bearing ground within the framework of stress-pore pressure coupled analysis. Fundamental interaction mechanism of ground and groundwater lowering was first examined and a number of influencing factors on the results of coupled FE analysis were identified. A parametric study was then conducted on the influencing factors such as soil-water characteristics, location of hydraulic boundary conditions, the way of modeling drainage flow, among others. The results indicate that the soil-water characteristics play the most important role in the tunneling-induced settlement characteristics. Based on the results, modeling guidelines were suggested for stress-pore pressure coupled finite element modeling of NATM tunneling.