• Title/Summary/Keyword: burns

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Cutaneous mucormycosis of the lower extremity leading amputation in two diabetic patients

  • Coerdt, Kathleen M.;Zolper, Elizabeth G.;Starr, Amy G.;Fan, Kenneth L.;Attinger, Christopher E.;Evans, Karen K.
    • Archives of Plastic Surgery
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    • v.48 no.2
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    • pp.231-236
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    • 2021
  • Mucormycosis is an invasive, rapidly progressive, life-threatening fungal infection, with a propensity for diabetic, immunosuppressed, and trauma patients. The classic rhinocerebral variation is most common in diabetic patients. While the cutaneous form is usually caused by direct inoculation in immunocompetent patients. Cutaneous mucormycosis manifests in soft tissue and risks involvement of underlying structures. Tibial osteomyelitis can also occur secondary to cutaneous mucormycosis but is rare. Limb salvage is typically successful after lower extremity cutaneous mucormycosis even when the bone is involved. Herein, we report two cases of lower extremity cutaneous mucormycosis in diabetic patients that presented as acute worsening of chronic pretibial ulcers. Despite aggressive antifungal therapy and surgical debridement, both ultimately required amputation. Such aggressive presentation has not been reported in the absence of major penetrating trauma, recent surgery, or burns.

Effect of Antibacterial Film Containing Silver Ions on MRI (은(Ag)이온이 함유된 항균필름이 MRI에 미치는 영향)

  • Shin, Byeong Geun;Kim, Seong Hu;Ahn, Seong Min
    • Journal of radiological science and technology
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    • v.44 no.3
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    • pp.219-224
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    • 2021
  • The purpose of these experiments is often to scan infected patients with MRI. Therefore, it is to investigate whether the antibacterial film containing silver ions, which is a non-magnetic substance, affects magnetic resonance imaging. In this experiment, the ACR phantom was used, not the patient. The ACR phantom was wrapped in an antibacterial film and the SNR, CNR, sagittal localization image, and geometrical accuracy were compared before and after. The experiment was performed 10 times and the averaged values were compared. There were no significant differences in the results of all experiments. The FDA recommends removing metal and antibacterial film masks during MRI scans. The reason is that there was one case of injury with facial burns. When I touched the antibacterial film to check the fever during the 2 hour experiment, I did not feel any particular fever. In light of the experimental results, it would be helpful to use an antibacterial film when testing an infected patient. The reason is that there isn't a difference before and after the experiment of SNR, CNR, and sagittal localization images.

Disc Displacement Control of the Emergency Shut-Down Valve for LNG Bunkering (LNG 벙커링용 비상차단 밸브 디스크 변위 제어에 관한 연구)

  • Yoon, Jin Ho;Park, Ju Yeon;Jang, Ji Seong
    • Journal of Drive and Control
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    • v.18 no.4
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    • pp.28-34
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    • 2021
  • Among the currently available types of fuel, LNG emits a relatively small amount of nitrogen oxide and carbon dioxide when it burns in the engine. However, since LNG is a flammable material, leakage during bunkering can lead to accidents, such as fires. Therefore, it is necessary to install a remote operation emergency shut-down (ESD) valve to block the flow and leakage of LNG in an emergency situation that occurs during bunkering. The ESD valve uses a hydraulic driving device consisting of a hydraulic control valve and a hydraulic motor to control globe valve disc displacement, which regulates the flow path for LNG transfer. At this time, there are various nonlinearities in hydraulic driving devices; hence, it is necessary to design a controller with robust control performance against these uncertainties. In this study, modeling of the ESD valve was carried out, and a sliding mode controller to control the displacement of the globe valve disc was designed. As a result, it was confirmed that the designed control performance could be achieved by overcoming nonlinearity characteristics using the designed controller.

Analysing NOx and soot formations of an annular chamber with various types of biofuels

  • Joanne Zi Fen, Lim;Nurul Musfirah, Mazlan
    • Advances in aircraft and spacecraft science
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    • v.9 no.6
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    • pp.537-551
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    • 2022
  • The rapid decrease of fossil fuel resources and increase of environmental pollution caused by aviation industries have become a severe issue which leads to an increase in the greenhouse effect. The use of biofuel becomes an option to alleviate issues related to unrenewable resources. This study presents a computational simulation of the biofuel combustion characteristics of various alternative fuels in an annular combustion chamber designed for training aircraft. The biofuels used in this study are Sorghum Oil Methyl Ester (SOME), Spirulina Platensis Algae (SPA) and Camelina Hydrotreated Esters and Fatty Acids (CHEFA). Meanwhile, Jet-A is used as a baseline fuel. The fuel properties and combustion characteristics are being investigated and analysed. The results are presented in terms of temperature and pressure profiles in addition to the formation of NOx and soot generated from the combustion chamber. Results obtained show that CHEFA fuel is the most recommended biofuel among all four tested fuels as it is being found that it burns with 37.6% lower temperature, 15.2% lower pressure, 89.5% lower NOx emission and 8.1% lower soot emission compared with the baseline fuel in same combustion chamber geometry with same initial parameters.

Reconstruction of Multiple Digital Defects by Temporary Syndactylization Using a Lateral Arm Free Flap

  • Sae Hwi Ki;Jin Myung Yoon;Tae Jun Park;M. Seung Suk Choi;Min Ki Hong
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.745-749
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    • 2022
  • Background Soft tissue defects of the multiple finger present challenges to reconstruction surgeons. Here, we introduce the use of a lateral arm free flap and syndactylization for the coverage of multiple finger soft tissue defects. Methods This retrospective study was conducted based on reviews of the medical records of 13 patients with multiple soft tissue defects of fingers (n = 33) that underwent temporary syndactylization with a microvascular lateral arm flap for temporary syndactylization from January 2010 to December 2020. Surgical and functional outcomes, times of flap division, complications, and demographic data were analyzed. Results Middle fingers were most frequently affected, followed by ring and index fingers. Mean patient age was 43.58 years. The 13 patients had suffered 10 traumas, 2 thermal burns, and 1 scar contracture. Release of temporary syndactyly was performed 3 to 9 weeks after syndactylization. All flaps survived, but partial necrosis occurred in one patient, who required a local transposition flap after syndactylization release. The mean follow-up was 15.8 months. Conclusion Coverage of multiple finger defects by temporary syndactylization using a free lateral arm flap with subsequent division offers an alternative treatment option.

Improved Metal Object Detection Circuits for Wireless Charging System of Electric Vehicles

  • Sunhee Kim
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.17 no.8
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    • pp.2209-2221
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    • 2023
  • As the supply of electric vehicles increases, research on wireless charging methods for convenience has been increasing. Because the electric vehicle wireless transmission device is installed on the ground and the electric vehicle battery is installed on the floor of the vehicle, the transmission and reception antennas are approximately 15-30 cm away, and thus strong magnetic fields are exposed during wireless charging. When a metallic foreign object is placed in the magnetic field area, an eddy current is induced to the metallic foreign object, and heat is generated, creating danger of fire and burns. Therefore, this study proposes a method to detect metallic foreign objects in the magnetic field area of a wireless electric vehicle charging system. An active detection-only coil array was used, and an LC resonance circuit was constructed for the frequency of the supply power signal. When a metallic foreign object is inserted into the charging zone, the characteristics of the resonance circuit are broken, and the magnitude and phase of the voltage signal at both ends of the capacitor are changed. It was confirmed that the proposed method has about 1.5 times more change than the method of comparing the voltage magnitude at one node.

Repeated Postoperative Adhesive Small Bowel Obstruction Treated with Daeseunggi-tang and Acupuncture Treatment in Elderly: A Case Report

  • Hyun-sik Seo;Sul-Ki Kim;Chang-Gue Son
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.37 no.1
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    • pp.19-24
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    • 2023
  • Postoperative adhesive small bowel obstruction (ASBO) is an intractable disorder which sometimes leads to adhesiolysis or small bowel resection. These therapeutic reoperations, however, also have many limitations including complications. An 80-year-old female, who had undergone 4-abdominal surgeries, visited the hospital with continuous vomiting. Based on her clinical symptoms and history, multiple air-fluid levels and distention of the small bowel in an abdominal X-ray, we diagnosed her with postoperative incomplete ASBO. We conducted acupuncture and an herbal medicine enema to stimulate bowel movement and relieve pain. The patient came in complaining of abdominal pain and vomited more than 10 times on hospital day 0 stopping on hospital day 4. Comparing hospital day 0 with hospital day 4, the abdominal pain decreased from a numerical rating scale (NRS) 10 to 4. There were no side effects such as redness or burns during the treatment process. This study presented an acupuncture-based treatment will be helpful for clinicians managing cases of ASBO with poor performance in elderly individuals.

Ray Bradbury's Fahrenheit 451 and Society of Controlled Knowledge (레이 브래드베리의 『화씨 451』과 지식 통제 사회)

  • Hwang, Eunju
    • Journal of English Language & Literature
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    • v.58 no.4
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    • pp.589-609
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    • 2012
  • This research compares a future society described in Ray Bradbury's Fahrenheit 451 (1953) to modern technopoly. The main protagonist of the novel, Guy Montag, is a fireman who burns books in a future society which does not allow people to read or own books. The future society which controls the expansion of knowledge is similar to technopoly which Neil Postman defines as a culture where people passively react to overflow of information. Bradbury compares Montag to several characters, such as his wife Mildred and Captain Beatty. With this comparison, Bradbury lets his readers look back themselves who live in a sea of information without being aware of the domination of technopoly. This research suggests that the reason people do not know that knowledge is controlled and limited is because they do not distinguish between knowledge and information. They misunderstand widely available information is knowledge as characters in Fahrenheit 451 feel stuffed with information. Since the 1990s, scholars and writers such as Neil Postman and Nicholas Carr have expressed problems with the excess of information, however Bradbury already predicted through Fahrenheit 451 in 1953 that the development of technology does not mean a higher level of knowledge. This research suggests what modern human beings have lost in vast amount of information rather than what they have gained.

Treatment of Third Degree Burn due to Low-Temperature Contact Burn on Acquired Immune Deficiency Syndrome (AIDS) Patient: Low-Temperature Burn on AIDS Patient (후천성면역결핍증후군 환자에서의 저온 접촉 화상에 의한 삼도 화상의 치료)

  • Hong, Seok Won;Choi, Hwan Jun;Kim, Jun Hyuk;Lee, Da Woon
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.21-24
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    • 2019
  • Incidence of low-temperature contact burn by use of an electric pad is increased recently, especially in depressed sensory. Acquired immune deficiency syndrome patient using antiretroviral agent suffered with sensory depression as side effect. There are many limitations in wounds treatment of these patients. These patients are vulnerable to infection due to their weak immunity, so it is necessary to keep them in a state of isolation when a wound occurs. We report a case of a third degree burn by electric pad with a surface area of approximately 5% of the body surface of a patient who underwent a sensory depression, which is a side effect of antiretroviral drugs used for treatment in patients with AIDS. In this regard, we report the case with literature review, which is safely recovered using negative-pressure wound therapy and split-thickness skin graft.

Peroneal Artery Perforator Free Flap on the Palm and Removal of Back Foreign Body in High Voltage Electrical Burn Patient: A Case Report (고압전기화상 환자에서 손바닥에 비골동맥천공지유리피판수술과 등의 이물질제거수술: 증례 보고)

  • Jung, Sung Won;Lee, Seung Je
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.58-65
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    • 2019
  • Wound caused by high-tension electrical burns is difficult to manage because the wound is deep and complex. The wound is progressively necrotic due to microvascular injury resulting in deep tissue exposure. So, coverage of the wound at the entry point and the exit point is cumbersome, often requiring flap coverage. We experienced a case of one patient for peroneal artery perforator free flap coverage on the palm of the right hand of the entry point of electrical burn. The left foot wound of electrical exit point was covered by full thickness skin graft. Also a small wound was on the left side of the lower back was the exit point of electrical burn. The lower back wound was healed and recurred repeatedly after burn. On postburn day 6 month, through the radiologic exam, metal shadow was identified in the left gluteus muscle forming chronic sinus. We explored the wound of sinus and a foreign body was identified in the sac as multi braid wires thin as hair. According to the patient's past history, we suspected that the back wound was caused by electrical burn injury through the wires.