• Journal of the Korean GEO-environmental Society
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• v.11 no.9
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• pp.55-60
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• 2010

This study are carried out to an lab model tests to develop a construction method that solidifies high-water content cohesive soil by using filter type drain and vacuum pressure, and that stabilizes the ground by accelerating horizontal drain at incline or in tunnel. The calibration chamber was designed within length of 1.5m and height of 50cm, and a drainage hole for preconsolidation, a switchgear and a piezometer were installed at the bottom part of the chamber. Also, a settlement gage was installed at the top part so that it can measure the settlement by time. The calibration ground basis was made in a form of thin layer from kaolinite and bentonite in 9:1 ratio stirred at 130% water content condition. A filter type drain was installed at chamber center and a vacuum pressure of 0.8MPa was applied through a hose linked to the cap at the top part, then, the settlement was measured in every 1 hour interval. After experiment, the moisture contents were measured by position, then, verified the increase of solidity of the ground through a triaxial compression test on undisturbed profile. After 11 days from the effective date, it was observed that the settlement decreased by maximum 35mm and the water content ratio was reduced by 38% at most while the solidity of the ground increased by 5~8 times greater than before preconsolidation.

• Archives of Plastic Surgery
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• v.36 no.4
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• pp.432-436
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• 2009

Purpose: Negative pressure therapy has been used in various conditions to promote wound healing. It has also been used to secure a skin graft by improving microcirculation and improving tight adhesion between the graft and the recipient bed. To reduce post burn scar contracture and improve aesthetical result, many types of dermal substitutes have been invented and used widely. The goal of this study was evaluate usefulness of the VAC (Kinetic concepts Inc., San Antonio, TX) in improving the take rate and time to incorporation of Integra$^{(R)}$ in reconstruction of burn scar contracture. Methods: A retrospective study was performed from October, 2006 to December, 2008. The VAC was utilized for 11 patients. The average patient's age was 19.7 years (range 5 - 27) and average surface area was $785cm^2$ (range 24 - 1600). The burn scars were excised deep into normal subcutaneous tissue to achieve complete release of the scar, Integra$^{(R)}$ was sutured in place with skin staple와 Steri - strip$^{(R)}$. Then slit incisions were made on silicone sheet only with No.11 blade for effective drainage. The VAC was used as a bolster dressing over Integra$^{(R)}$. Negative - Pressure ranging from 100 to 125 mm Hg was applied to black polyurethane foam sponge trimmed to the appropriate wound size. An occlusive seal over the black polyurethane foam sponge was maintained by a combination of the occlusive dressing, OP - site$^{(R)}$. The VAC dressing changes were performed every 3 or 4 days until adequate incorporation was obtained. The neodermis appeared slightly yellow to orange color. When the Integra$^{(R)}$ deemed clinically incorporated, The VAC was removed and take was estimated with visual inspection. Very thin STSG(0.006 ~ 0.008 inches) was performed after silicone sheet removal. Result: The mean time for clinically assessed incorporation of Integra$^{(R)}$ was 10.00 days (range 9 - 12). The mean dressing change was 3.5 times until take was obtained. In All patients, Integra$^{(R)}$ had successful incorporation in tissue without serious complications. Conclusion: Integra$^{(R)}$ in combination with Vacuum - Assisted Closure(VAC) may be incorporated earlier than conventional dressing method.

• Archives of Plastic Surgery
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• v.37 no.2
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• pp.182-186
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• 2010

Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

• Corrosion Science and Technology
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• v.7 no.6
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• pp.350-361
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• 2008

Canada's oil sands contain one of the largest reserves of oil in the world. According to recent estimates, there are nearly 180 billion barrels of oil in the Canadian oil sands trapped in a complex mixture of sand, water and clay. More than 40 companies have been currently operating or developing oil sands facilities since the first production in 1967. The process of oil sands upgrading is similar with down stream refinery, but the corrosion environment in upgrading refinery is often more severe than in the refinery because of high chlorides, mineral contents, carbonic acid, heavy viscosity and fouling, higher naphthenic acid [$NA-R(CH_{2})nCOOH$], and greater sulfur contents. Naphthenic acid corrosion (NAC) which is one of the most critical corrosion issues in up & downstream refinery plants was observed for the first time in 1920's in refinery distillation processes of Rumania, Azerbaizan (Baku), Venezuela, and California. As a first API report, the 11th annual meeting stated sources and mechanism of NAC in early 1930's. API has been developing the risk base standards, such as API RP580, 571, and Publication 581 which are based on the worst NAC damage in the world since 2000. Nevertheless not only the NAC phenomena and control in Canadian sands oil process are not much widely known but also there are still no engineering guidances for the Canadian sands oil in API standards. This paper will give NAC phenomina and materials selection guidance against NA environment in Canadian oil sands upgrading processes.

• Proceedings of the Korean Geotechical Society Conference
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• 2010.03a
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• pp.595-598
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• 2010

Many economical and efficient methods such as sand drain method(SD), plastic board drain(PBD), sand compaction pile, vacuum consolidation method, etc., have been used for soft grounds. The case of sand compaction pile has an effect on accelerating consolidation and increasing bearing capacity by penetration at regular intervals under soft grounds for reducing the drainage path. But, this method has caused not only the nature damage by extracting the sands indiscreetly but also the economical problem for importing the sands because it needs so much sand to make the sand compaction pile. Thus, this study choosed the bottom ash which has similar engineering characteristics with sand. It was performed that clogging test and large direct shear test changing the bottom ash replacement ratio in soft ground for studying strength characteristics of soft ground using bottom ash compaction pile. As a result of the test, the internal friction angle was largely increased and the cohesion was decreased as the replacement ratio increased.

• Archives of Craniofacial Surgery
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• v.25 no.3
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• pp.141-144
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• 2024

A 76-year-old woman, initially thought to have a simple abscess on her right upper eyelid, presented to our department of plastic and reconstructive surgery. Enhanced three-dimensional facial computed tomography (CT) revealed an abscess on the right upper lid, with a pyomucocele present in the right frontal sinus, accompanied by bone erosion in the superior wall of the right orbit. Based on the results of the CT scan, we diagnosed an atypical Pott's puffy tumor (PPT) with an abscess on the upper lid originating from the frontal sinusitis. First, surgical incision and drainage were performed in our department, and a percutaneous vacuum drain was placed. To provide a more definitive treatment, endoscopic sinus surgery (ESS) was subsequently performed by otorhinolaryngologists. The patient was discharged without any complications 5 days after ESS. At a 1-year follow-up, no recurrence or notable neurological symptoms were observed. In the case we observed, the patient presented with an upper eyelid abscess and cellulitis, indicating possible orbital involvement. For such patients, a CT scan is necessary. Given the possibility of PPT, it is critical to perform a comprehensive differential diagnosis rather than defaulting to a straightforward approach involving abscess treatment.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.28 no.6C
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• pp.321-329
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• 2008

In this study, a series of column test as a way in order to make up for the weakness point of the conventional acceleration method were conducted to both propose the suction board drain method and grapes the specific improvement character of this method as a result of a sort of plastic drain board and a phase of vacuum pressure conditions. On this occasion, the study focused on computing the effective factors of the fittest Suction board drain method affected by each condition through confirming the settlement generated during the test, the water content reduction and stress increase effect occurred arising from the test, and the ratio of consolidation related to the improvement period. In accordance with the shape of core and that whether the core is attached to the filter(pocket or adhesion), the castle type of adhesion and the column type of pocket are more efficient than the others as a consequence of the test to find out the improvement effect depending on each drainage such as a castle type, coil type, harmonica type, column type of pocket and a castle of the adhesion. In case of the step suction pressure, the shorter the period of $-0.8\;kg/cm^2$ as a final step of the suction pressure is, the better the improvement is. In addition, the correlation between degree of consolidation per each suction pressure level and duration of application was drawn as a curve and the point of inflection on this curve was provided to determine the duration period to maximize the consolidation.

• Journal of Gastric Cancer
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• v.24 no.1
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• pp.108-121
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• 2024

Anastomotic leaks and fistulas are significant complications of gastric surgery that potentially lead to increased postoperative morbidity and mortality. Surgical intervention is reserved for cases with severe symptoms or hemodynamic instability; however, surgery carries a higher risk of complications. With advancements in endoscopic treatment options, endoscopic approaches have emerged as the primary choice for managing these complications. Endoscopic clipping is a traditional method comprising 2 main categories: through-the-scope clips and over-the-scope clips. Through-the-scope clips are user friendly and adaptable to various clinical scenarios, whereas over-the-scope clips can close larger defects. Another promising approach is endoscopic stent insertion, which has shown a high success rate for leak closure, although vigilant monitoring is required to monitor stent migration. Infection control is essential in post-surgical leakage cases, and endoscopic internal drainage provides a relatively safe and noninvasive means to manage fluids, contributing to infection control and wound healing promotion. Endoscopic suturing offers full-thickness wound closure, but requires additional training and endoscopic versatility. As a promising tool, endoscopic vacuum therapy potentially surpasses stent therapy by draining inflammatory materials and closing defects. Furthermore, the use of tissue sealants, such as fibrin glue and cyanoacrylate, has been reported to be effective in selected situations. The choice of endoscopic device should be tailored to individual cases and specific patient conditions, with careful consideration of the nature of the defect. Further extensive studies involving larger patient populations are required to provide more robust evidence on the efficacy of endoscopic approach in managing post-gastric anastomotic leaks.