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A Case of Congenital Midline Fistula of the Lower Lip (아랫입술에 생긴 선천성 샛길 증례)

  • Choi, Hwan-Jun;Choi, Yim-Don;Choi, Chang-Yong;Kim, Sook;Kim, Yong-Bae
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.73-76
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    • 2011
  • Purpose: Congenital midline upper lip sinus is a rare lesion. There are two postulates that can account for the formation of the upper lip sinus based on two major theories of the development of the face: the fusion theory and the merging theory. However, congenital midline lower lip sinus is very rarely reported and described. We report a case of a congenital midline sinus of the lower lip in a 6-year-old female. Methods: A 6-year-old girl presented with a nipple like swelling on the midline lower lip. Physical examination revealed about $5{\times}5$ mm protruding round mass with a just small opening that was non-tender to palpation. The mass was not associated with any skin changes. It umbilicated at the apex and contains a fistulous tract, discharging clear fluid. Only, simple radiologic finding shows bony spur on the lower one third of mandibular symphsis. Results: A small transverse ellipse is made around the opening and elevated mass with sharpe dissection. The tract is excised using the probe and dye as the guide. The tract was extended to periosteum of the lower one third of the mandible. The tract and involved periosteum were excised en bloc, and removed protrusion of the mandibular bone using diamond burr. Microscopic examination of the resected sinus revealed the fistulous tract itself, consisting of fibrous connective tissue covered with cornified stratified squamous epithelium, was observed in the center of the sample. In 6 months follow-up, This patient had a good result was obtained by the method of fistulectomy alone. Conclusion: Midline cranoifacial fistulas represent rare lesions resulting from abnormal fusion of embryologic structures. Our case report describes the excision of a congenital midline sinus of the lower lip in a 6-year-old female. This case represents the first report of a lower lip sinus presenting in a girl as a mass in the skin of the chin with extension to the midline of the mandible. However, the etiology of this rare congenital sinus remains obscure.

CO2 Separation Performance of PEBAX Mixed Matrix Membrane Using PEI-GO@ZIF-8 as Filler (충진물로 PEI-GO@ZIF-8를 사용한 PEBAX 혼합막의 CO2 분리 성능)

  • Eun Sun Yi;Se Ryeong Hong;Hyun Kyung Lee
    • Membrane Journal
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    • v.33 no.1
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    • pp.23-33
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    • 2023
  • In this study, a mixed matrix membrane was prepared by varying the contents of PEI-GO@ZIF-8 synthesized in PEBAX 2533, and the permeation characteristics of N2 and CO2 were studied. The N2 permeability of the PEBAX/PEIGO@ZIF-8 mixed matrix membrane decreased as the PEI-GO@ZIF-8 content increased, and the CO2 permeability showed different trends depending on the PEI-GO@ZIF-8 content. The CO2 permeability increased in pure PEBAX membrane up to PEBAX/PEI-GO@ZIF-8 0.1 wt%, but decreased at the subsequent content. The PEI-GO@ZIF-8 0.1 wt% mixed matrix membrane had a CO2 permeability of 221.9 Barrer and a CO2/N2 selectivity of 60.0, showing the highest permeation properties with improved CO2 permeability and CO2/N2 selectivity among the prepared mixed matrix membrane and we obtained a result that reached the Robeson upper-bound. This is due to the -COOH, -O-, and -OH functional groups of GO and the amine group bonded to PEI, which interact friendly with CO2, and the effect of ZIF-8, which causes gate-opening for CO2 while the fillers are evenly dispersed in PEBAX.

쌍끌이 중층트롤어법의 연구 ( 1 ) - 모형어구의 망구형상에 관하여 - ( A Study on the Pair Midwater Trawling ( 1 ) - Mouth Performance of the Model Net - )

  • 이병기
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.31 no.1
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    • pp.29-44
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    • 1995
  • A model experiment on the pair midwater trawl net applicable to 800 PS class Korean pair bottom trawlers was carried out in the special-prepared experimental thank. the tank was prepared as a reverse trapezoid shape in its vertical section by digging out flat soil. The dimension of the tank showed the 9.6 W$\times$43.0 L(m) of the upper fringe and the 4.8 W$\times$38.0 L(m) of the bottom with 3.0m in depth. The depth of water was maintained 2.7m during experiment. The model net was prepared based on the Tauti's similarity law of fishing gear in 1/30 scale considering the dimension of the experimental tank. Mouth performance of the model net during towing were determined by the photographs taken in front of the net mouth with the combinations of towing velocity, warp length and distance between paired boats. The results obtained can be summarized as follows: 1. Vertical opening of the model nets A and B was varied in the range of 0.18~0.88 m and 0.21~0.78 m (which can be converted into 5.4~26.4m and 6.3~23.4 m in the full-scale net) respectively, and was varied predominantly by towing speed. Vertical opening (H which is appendixed m for the model net. f for the full-scale net. A and B for the types of the model net) can be expressed as the function of towing velocity$V_t$as in the model net $V_t$ : m/ sec)$H_{mA}$=1.67$e^{-1.65V_t}$ $H_{mB}$=1.15$e^{-1.13V_t}$, in the full-scale net ($V_t$ : k't) $H_{fA}$=50.27$e^-0.37V_t$ $H_{fB}$=34.46$e^{-0.26Vt}$. 2. Horizontal opening of the model nets An and b was varied in the range of 1.03~1.54m and 1.04~1.55 m (which can be converted into 30.9~46.2 m and 31.2~46.5m in the full-scale net) respectively, and was varied predominantly by distance between paired boats. Horizontal opening (W, appendixes are as same as the former) an be expressed as the function of distance between paired boats $D_b$as in the model net $W_{mA}$=0.69+0.09$D_b$ $W{mB}$=0.73+0.09$D_b$, in the full-scale net $W_{fA}$=20.81+0.09$D_b$ $W_{fB}$=22.11+0.09$D_b$ 3. Net opening area of the model net A and B was varied in the range of 0.28~1.04 $m^2$ and 0.33~0.94$m^2$(which can be converted into 252~936$m^2$ and 297~846$m^2$ in the full-scale net) respectively, and was varied predominantly by towing velocity. Net opening area ($S$, appendixes are as same as the former) van be expressed as the function of towing velocity$V_t$ as in the model net $v_t$ : m/sec) $S_{Ma}$=2.01$e^{-1.54V_T}$ $S_{mA}$=1.40$e^{-1.65V_t}$, in the full-scale net ($V_t$ : k't) $S_{fA}$=1.807$e^-0.35V_t$ $S_{fA}$=1.265$e^{-0.24V_t}$. 4. Filtering volume of the model nets A and B was varied in the range of 0.32~0.55 $m^3$ and 0.37~0.55$m^3$(which can be converted into 8.640~14.850 $m^3$ and 9.990~14.850$m3$in the full~scale net) respectively, and was predominantly varied by towing speed. filtering volume of the model net-A showed the maximum at the towing speed 0.69 m/sec(3 k't in the full-scale net), compared with that of the model net B showed at 0.92 m/sec(4 k't in the full-scale net).

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Oral Features in a Child with Noonan Syndrome : A Case Report (누난 증후군 환자의 구강 내 특징 : 증례 보고)

  • Hwang, Inkyung;Lee, Yeonju;Sim, Dohee;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.1
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    • pp.115-122
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    • 2018
  • Noonan syndrome is characterized by distinctive facial features, short stature, and congenital heart disease. It is a congenital genetic disorder with a prevalence of between 1/1,000 and 1/2,500 in both genders. An 11-year-old boy with Noonan syndrome visited the hospital with an ectopically positioned tooth. A pulmonary stenosis was diagnosed and his growth and development were delayed. In many cases of this diseases there is obvious hemostasis, which he was not experiencing. His facial appearance showed characteristic features of Noonan syndrome. The patient showed a dental class II relationship, labioversion of the upper anterior teeth, and a shallow overbite. Radiographic examination revealed that the upper right canine was ectopically positioned, which led to root resorption of the upper right lateral incisor. A lateral cephalometric radiograph revealed a craniofacial pattern that was within normal limits. Surgical opening and button attachment on the impacted upper right canine were performed and traction was applied on the impacted tooth using a removable appliance. This patient was mildly affected by Noonan syndrome and showed some dental problems. However, few studies have reported the oral characteristics of Noonan syndrome despite its high incidence. Thus, this case report describes the oral features and management of Noonan syndrome.

A Study on Effect of Recirculated Exhaust Gas upon Performance and Exhaust Emissions in a Power Plant Boiler with FGR System (FGR 시스템 동력 플랜트 보일러의 성능 및 배기 배출물에 미치는 재순환 배기의 영향에 관한 연구)

  • Bae, Myung-whan;Jung, Kwong-ho;Park, Sung-bum
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.40 no.4
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    • pp.263-273
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    • 2016
  • The effect of recirculated exhaust gas on performance and exhaust emissions with FGR rate are investigated by using a natural circulation, pressurized draft and water tube boiler with FGR system operating at several boiler loads and over fire air damper openings. The purpose of this study is to apply the FGR system to a power plant boiler for reducing $NO_x$ emissions. To activate the combustion, the OFA with 0 to 20% is supplied into the flame. When the suction damper of two stage combustion system installed in the upper side of wind box is opened by handling the lever between $0^{\circ}$ and $90^{\circ}$, also, the combustion air supplied to burner is changed. It is found that the fuel consumption rate per evaporation rate did not show an obvious tendency to increase or decrease with rising the FGR rate, and $NO_x$ emissions at the same OFA damper opening are decreased, as FGR rates are elevated and boiler loads are dropped. While a trace amount of soot is emitted without regard to the operation conditions of boiler load, OFA damper opening and FGR rate, because soot emissions are eliminated by the electrostatic precipitator with a collecting efficiency of 86.7%.

AN EFFECT OF HYALURONIC ACID ON THE TEMPOROMANDIBULAR JOINT ARTHROCENTESIS (악관절강내 천자술시 히알루산(Hyaluronic acid) 사용에 대한 임상적 연구)

  • Yeo, Hwan-Ho;Kwon, Byong-Gon;Kim, Jae-Seung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.4
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    • pp.388-394
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    • 1999
  • To compare the effect of hyaluronate and dexamethasone on the temporomandibular joint arthrocentesis the author investigated 22 temporomandibular joint disorder(TMD) patients with pain and limitation of mouth opening who visited at the Department of Oral and Maxillofacial Surgery. Chosun Dental Hospital and were made a diagnosis as Wilkes stage III or IV of TMJ internal derangement clinically and radiographically. The two groups consisted of 10 patients with injection of sodium hyaluronate 10mg$(Artz^{(R)})$(hyaluronate group) on the upper joint space of the affected temporomandibular joint 5 times at intervals of a week after arthrocentesis, and 12 patients with injection of dexamethasone$(Oradexon^{(R)})$ at a time(dexamethasone group). Maximum mouth opening, pain value and satisfaction value during mastication were assessed on a visual analog scale before arthrocentesis and after 6 months. Then the within-group and between-group differences were evaluated in the obtained data and the clinical success rate of each group was calculated according to our success criteria. The results were as follows. 1. the mean of maximum mouth opening before arthrocentesis and after 6 months in the hyaluronate group were 24.9mm and 39.0mm respectively, and those before arthrocentesis and after 6 months in the dexamethasone group were 25.7mm and 41.3mm respectively. 2. The mean of pain value on a visual analog scale in the hyaluronate group before arthrocentesis and after 6 months were 6.7 and 1.8 respectively, and those in the dexamethasone group before arthrocentesis and after 6 months were 7.0 and 1.8 respectively. 3. The mean of satisfaction value during mastication on a visual analog scale in the hyaluronate group before arthrocentesis and after 6 months were 2.8 and 7.7 respectively, and those in the dexamethasone group before arthrocentesis and after 6 months were 3.1 and 7.8 respectively. 4. There were statistically significant differences between all measurements before arthrocentesis and after 6 months(P<0.001), but no difference between all measurements in the hyaluronate group and those in the dexamethasone group. 5. The over all success rate of the hyaluronate group and the dexamethasone group were 60.0% and 63.6% respectively. In summary, there was significant difference between the effect of hyaluronate and dexamethasone on the temporomandibular joint arthrocentesis but hyaluronate is better than corticosteroid as the injection drug in consideration of the side effect related with repeated injection.

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CCDP Evaluation of the Eire Area of NPPs Using Eire Model CEAST (화재모델 CFAST를 이용한 원전 화재구역의 CCDP평가)

  • Lee Yoon-Hwan;Yang Joon-Eon;Kim Jong-Hoon;Noh Sam-Kyu
    • Fire Science and Engineering
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    • v.18 no.4
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    • pp.64-71
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    • 2004
  • This paper describes the result of the pump room fire analysis of the nuclear power plant using CFAST fire modeling code developed by NIST. The sensitivity studies are performed over the input parameters of CFAST: the constrained or unconstrained fire, Lower Oxygen Limit (LOL), Radiative Fraction (RF), and the opening ratio of the fire doors. According to the results, a pump room fire is the ventilation-controlled fire, so it is adequate that the value of LOL is 10% which is also the default value. It is anlayzed that the Radiative Fraction does not affect the temperature of the upper gas layer. It is appeared that the integrity of the cable located at the upper layer is maintained except for the safety pump at the fire area and the Conditional Core Damage Probability (CCDP) is 9.25E-07. It seems that CCDP result is more realistic and less uncertain than that of Fire Hazard Analysis (FHA).

Spontaneous Submucosal Dissection of the Esophagus -Report of 1 Case- (자발성 점막하 식도 박리의 치료 - 1례 보고 -)

  • 이재영;김명천;김수철;박주철;최수철;이정일
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.329-335
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    • 1998
  • A 55-year-old male was admitted to our hospital complaining of chest discomfort, dysphagia and severe pain on swallowing. Esophageal manometry showed that there was no relaxation of lower esophageal sphincter to swallowing. There was double barrelled esophagus or mucosal stripe appearance on esophagogram. Endoscopy revealed an appearance as if an esophago-tracheal fistula had been made at the level of the upper thoracic esophagus. Also, two slit-like mucosal tears was seen on the lower esophagus. There after, fasting and total parenteral nutrition for several weeks failed to bring about any changes in his symptoms. So, as treatment, primary closure of the upper opening of the false lummen was performed under general anesthesia. Soon after the surgical procedure, the patient's symptoms were improved except for mild dysphagia. He was discharged after oral intake had been juduciously commenced with fluids and soft diet subsequently. During follow-up in out-patient department, he had no specific symptoms including fever or dysphagia and massive dissection of the esophagus was improved on esophagogram. We report the experience of a case of spontaneous submucosal dissection of the esophagus which required conservative and surgical management

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Electrical Resistivity Imaging for Upper Layer of Shield TBM Tunnel Ceiling (쉴드 TBM터널 상부 지반 연약대 전기탐사)

  • Jung, Hyun-Key;Park, Chul-Hwan
    • Proceedings of the Korean Geotechical Society Conference
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    • 2005.03a
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    • pp.401-408
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    • 2005
  • Recently shield TBM tunnellings are being applied to subway construction in Korean cities. Generally these kinds of tunnellings have the problems in the stability of ground such as subsidence because urban subway is constructed in the shallow depth. A sinkhole occurred on the road just above the tunnel during tunneling in Kwangju, so a survey for upper layer of the tunnel was needed. But conventional Ground Probing Radar can't be applicable due to the presence of steel-mesh screen in the shield segment, so no existent geophysical method is applicable in this site. Because the outer surface of each shield segment is electrically insulated, dipole-dipole resistivity method which is popular in engineering site investigation, was tried to this survey for the first time. Specially manufactured flexible ring-type electrodes were installed into the grouting holes at an interval of 2.4 m on the ceiling. The K-Ohm II system which has been developed by KIGAM and tested successfully in many sites, was used in this site. The system consists of 1000Volt-1Ampere constant-current transmitter, optically isolated 24 bit sigma-delta A/D conversion receiver - maximum 12 channel simultaneous measurements, and graphical automatic acquisition software for easy data quality check in real time. Borehole camera logging with circular white LED lighting was also done to investigate the state of the layer. Measured resistivity data lack of some stations due to failing opening lids of holes, shows general high-low trend well. The dipole-dipole resistivity inversion results discriminate (1) one approximately 4 meter diameter cavity (grouted but incompletely hardened, so low resistivity - less than $30{\Omega}m$), (2) weak zone (100-200${\Omega}m$), and (3) hard zone (high resistivity - more than 1000${\Omega}m$) very well for the distance of 320 meters. The 2-D inversion neglects slight absolute 3-D effect, but we can get satisfactory and useful information. Acquired resistivity section and video tapes by borehole camera logging will be reserved and reused if some problem occurs in this site in the future.

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A Numerical Study on the Open Channel Flow with Plane Wall Jet Inlet Boundary Condition (평면벽면분류의 유입경계조건을 가지는 개수로 유동에 관한 수치적 연구)

  • 설광원;이상룡
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.13 no.2
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    • pp.287-298
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    • 1989
  • A numerical work was performed to study the flow behaviors of the open channel type flow with its geometric boundary conditions being similar to that of the Multi-Stage-Flash evaporator with and without a baffle. For the analysis, two-dimensional steady turbulent flow was assumed and the widely known k-.epsilon. turbulence model was usded. SIMPLE algorithm and the power difference scheme were used for the numerical approach. Numerical results generally agree with the previous experimental results though there are some uncertainties at far downstream and near the free surface due to the three dimensionality of the flow and surface waves. Without a baffle, the flow has basically the shape of the submerged plane wall jet with its upper boundary at downstream being sharply curved toward the free surface. For the flow with a baffle, recirculation flow patterns are observed at the upper inlet portion and at the backside of the baffle. For the case without a baffle, it was also confirmed that the ratio between the liquid level and the gate opening height is the most important parameter to determine the flow behavior.