• Tuberculosis and Respiratory Diseases
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• v.70 no.1
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• pp.63-68
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• 2011

Multiple symmetrical lipomatosis (MSL), also called Madelung's disease, is a rare disorder of unknown etiology and characterized by abnormal accumulation of large subcutaneous fatty masses in neck, shoulder, and upper trunk. MSL has known to predominantly affect middle-aged men with a history of alcoholism. Although the clinical course of MSL is considered to be slowly progressive, in advanced stage, fatty masses in the neck may compress the upper aerodigestive tract, resulting in dyspnea and dysphagia. The treatment of MSL is surgical resection, but radical excision is very difficult and recurrence after surgery is frequent. We report the case of 55-year-old man with long lasting MSL, which caused severe airway obstruction. This patient was admitted with progressive dyspnea and massive accumulation of fat around the vocal cord that was detected on a neck CT scan. This abnormal fatty infiltration in supraglottic region caused upper airway obstruction.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.29 no.1
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• pp.35-53
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• 2020

The treatment of fractured teeth in the upper anterior area has various causes and clinical symptoms at different ages. Most patients come to the clinic in emergency state, so if you're treating them with accurate diagnosis criteria, You'll get aesthetic and functionally satisfying results. I'm going to take a look at the treatment of the upper anterior tooth, which is more sensitive than other parts, with the case I've treated before. The case I treated cannot be the answer, but I hope it will be of any help if youencounter similar symptoms in your clinical trial.

• Journal of Trauma and Injury
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• v.36 no.1
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• pp.60-64
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• 2023

Upper extremity vascular injuries occurring with acute compartment syndrome are very challenging to manage in an emergency context in resource-poor settings. The need to always recognize the likelihood of coexisting compartment syndrome guides surgeons to perform concomitant fasciotomy to ensure a better outcome. We managed three vascular injuries in the upper extremities in two patients with concomitant imminent compartment syndrome observed intraoperatively. The first injury was complete brachial artery disruption following blunt trauma, while the second and third injuries were radial and ulnar artery transection caused by sharp glass cuts. Both patients were treated with vascular repair and fasciotomy. Secondary wound coverage was applied with split-thickness skin grafting, and the outcomes were satisfactory. Concomitant fasciotomy potentially improves the outcomes of vascular repair in emergency vascular surgery and should be considered for all injuries with the potential for acute compartment syndrome.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.32 no.5B
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• pp.257-269
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• 2007

This paper proposes a novel method to perform a quantitative analysis of message complexity and applies this method in comparing the message complexity among the mobile ad hoc network (MANET) address autoconfiguration protocols (AAPs). To obtain the upper bound of the message complexity of the protocols, the O-notation of a MANET group of N nodes has been applied. The message complexity of the single node joining case in Strong DAD, Weak DAD with proactive routing protocols (WDP), Weak DAD with on-demand routing protocols (WDO), and MANETconf has been derived as n(mO(N)+O(t)), n(O(N)+O(t)), n(O(N)+2O(t)), and nO((t+1)N)+O(N)+O(2) respectively. In order to verify the bounds, analytical simulations that quantify the message complexity of the address autoconfiguration process based on the different coflict probabilities are conducted.

• Journal of Chest Surgery
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• v.16 no.3
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• pp.331-336
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• 1983

Cor triatriatum is a rare congenital malformation of the heart, in which a septum stretches in a transverse or oblique plane through the left atrium, thus separating it into two compartments. The upper one connects with the pulmonary veins, and the lower one connects with the left ventricle. Due to the rarity of, and great difficulty in-diagnosing, cor trlatrlatum, data On the surgery of this disease are of necessity very limited and so accurate pre-operative diagnosis was very difficult to make. `We experienced a case of the cyanotic congenital heart disease which was diagnosed as a large atrlal septal defect with streaming venous blood from inferior vena cava to left atrium through atrial septal defect in August, 1982. We found that there were transverse septum in the left atrium through atrlal septal defect, the pulmonary venous drainage were located in the upper chamber of the left atrium, and the lower chamber was connected with the left atrial appendage, mitral valve and `left ventricle. But our case had not any opening in this transverse septum and the right atrium was connected with the upper chamber of the left atrium through the upper part of the atrlal septal defect, and was communicated with the lower chamber of the left atrium through the lower part of the atrlal septal defect. We excised the transverse septum and repair this atrial septal defect with Woven Dacron patch accompanying with the drainage of coronary sinus to right atrium. The post-operative course was not eventful and he was discharged with good result on the post-operative 8th day, and has been in good .condition up to now for longer than 10 months.

• Journal of the Semiconductor & Display Technology
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• v.18 no.4
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• pp.1-5
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• 2019

This study has been focused on properties of surface technology for large diameter upper electrode using in high density plasma process as like semi-conductor manufacturing process. The experimental studies have been carried out to get mirror surface for upper electrode. For a formation of high surface quality upper electrode, single crystal silicon upper electrode has been mechanical and chemical machining worked. Mechanical machining work of the upper electrode is carried out with varying mesh type using diamond wheel. In case of chemical machining work, upper electrode surface roughness was observed to be strongly dependent upon the etchant. The different surface roughness characteristics were observed according to etchant. The machining result of the surface roughness and surface morphology have been analyzed by use of surface roughness tester, laser microscope and ICP-MS.

• Journal of the Korean Operations Research and Management Science Society
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• v.8 no.1
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• pp.19-26
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• 1983

This paper deals with the problem of locating facilities with upper and lower capacity bounds in a single level physical distribution system at minimum total costs. Several known schemes for location problems with upper capacity bounds only are successfully extended to our case and then implemented into our branch ana bound solution procedure. Computational experiments with twelve test problems suggest the effectiveness of our approach by showing that only a small amount of additional computation is required for our problem as compared to that for the problems with upper capacity bounds.

• Journal of Navigation and Port Research
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• v.48 no.4
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• pp.274-283
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• 2024

Climate change is currently one of the most pressing environmental issues, primarily caused by carbon emissions from fossil fuel usage. As a result, alternative fuels that effectively reduce carbon emissions are garnering more attention. Among these alternatives, hydrogen has numerous advantages, such as its ability for large-scale storage and transport. However, it is crucial to prioritize safety measures, particularly in facilities that handle hydrogen, due to its highly flammable and fast-spreading nature. This study aims to compare and analyze the placement of supply and exhaust vents to efficiently release hydrogen in the event of a leak in an enclosed space. The experiments involved six different scenarios, each with various combinations of supply and exhaust vents. To ensure the experimental process's safety, helium, which shares similar physical properties with hydrogen, was used to analyze the internal oxygen concentration during ventilation system operations. The results revealed that among the six scenarios, Case 2, which employed a lower side supply vent and an upper side exhaust vent, exhibited the shortest ventilation time of 4 minutes and 30 seconds. Additionally, the decrease rate in oxygen concentration was examined in the upper, middle, and lower areas. Ventilation utilizing an upper surface supply vent and two exhaust vents on the upper surface and upper side (Case 6), showed lower oxygen concentration values in the upper area, while Case 2 yielded lower values in the middle and lower areas. Therefore, it is crucial to select an appropriate supply and exhaust vent configuration considering the space's characteristics and usage environment.

• Archives of Reconstructive Microsurgery
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• v.15 no.2
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• pp.70-76
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• 2006

This study investigated the clinical application of anterolateral thigh (ALT) perforator flap in reconstruction of soft tissue defect of lower extremity. There were twenty-one patients who had been taken soft tissue reconstruction with anterolateral thigh perforator flap. There were 19 males and 2 females between 3 and 65 years (mean, 36 years). This study included 4 cases of pedatric case of under 10-year-old. All cases were a cutaneous flap. Flap size averaged $160\;cm^2\;(20{\sim}450\;cm^2)$. 19 cases were musculocutaneous perforator flaps and 2 were septocutaneous perforator. T-shaped pedicle were used to reconstruct and to preserve major artery of lower extremity in 2 cases. 19 cases flaps survived completely and 2 cases flap were marginal necrosis partially. There was venous congestion in one case of type of reverse island flap but that was improved after salvage procedure with leech. While the donor sites were closed directly in 5cases, 16 cases underwent skin graft. ALT flap is suitable for coverage of defects in lower extremity where have various condition and reliable in children as in adult.

• The Korean Journal of Pain
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• v.19 no.1
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• pp.119-122
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• 2006

Upper thoracic back pain can be musculoskeletal in origin or it could be visceral referred pain, which may be indicative of a serious medical condition. We experienced a case of a 55-years-old female patient who complained of upper thoracic back pain for 1 month, which started 10 days after a traffic accident. She described the pain as being a dull, constant nagging sensation with an intensity of 4/10 on the visual analogue scale. Her pain did not subside after trigger point injection of the rhomboid and trapezius muscles. She reported intermittent palpitation, which indicated that the cardiovascular or pulmonary systems were involved. She was diagnosed with pulmonary thromboembolism by the imaging studies. Refractory upper thoracic back pain should be investigated to rule out this treatable, but potentially fatal condition.