• Title/Summary/Keyword: diffuse fields

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Pneumocystis Pneumonia after Kidney Transplantation in Children

  • Hwang, Soojin;Jung, Jiwon;Lee, Joo Hoon;Park, Young Seo
    • Childhood Kidney Diseases
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    • v.24 no.1
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    • pp.47-52
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    • 2020
  • Pneumocystis pneumonia (PCP) is a rare disease in healthy people but a potentially fatal opportunistic infection by Pneumocystis jirovecii in immunocompromised patients with organ transplantation. We present three cases of PCP after kidney transplantation in pediatric patients. First case was a 4-year-old boy diagnosed with Denys-Drash syndrome and received living-donor kidney transplantation from his mother at age of 1. Second case was a 19-year-old male, with polycystic kidney disease, who received kidney transplantation from his mother at the age of 18. Third case was a 19-year-old female with chronic kidney disease of unknown etiology, who received kidney transplantation from her father at age of 15. These three patients who were on immunosuppressive therapy and completed of routine PCP prophylaxis for 6 months had presented with cough and dyspnea more than 1 year after transplantation. Chest x-ray all showed diffuse haziness of both lung fields, and bronchoalveolar lavage from bronchoscopy revealed Pneumocystisjirovecii infection. All patients showed clinical resolution with intravenous trimethoprim-sulfamethoxazole (TMP-SMX) therapy for at least 3 weeks and had continued secondary prophylaxis for another 6-12 months. This report suggests that clinicians should have suspicion for the possibilities of opportunistic infection such as PCP after kidney transplantation in children.

A Case of Pulmonary Injuny Induced by Accidental Exposure to High Level of Nitrogen Dioxide ($NO_2$) (고농도의 이산화질소($NO_2$)흡입으로 유발된 급성 폐손상 1례)

  • Chang Jin Hyuck;Kim Do Youn;Kim Young;Chang Yoon Soo;Kim Hyung Jung;Ahn Chul Min;Kim Sung Kyu;Kim Tae Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.1
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    • pp.40-44
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    • 2005
  • Nitrogen dioxide ($NO_2$), which produced during the process of silage, metal etching, explosives, rocket fuels, welding, and by-product of burning of fossil fuels, is one of major components of air pollutant. Accidental exposure of high level of $NO_2$ produces cough, dyspnea, pulmonary edema which may be delayed $4\~12$ hours and, in $2\~6$weeks, bronchiolitis obliterans. We experienced a case of acute pulmonary injuny induced by industrial exposure to high level of $NO_2$ during repair of $NO_2$ pipeline in a refinery. A 55-year-old man experienced nausea and severe dyspnea in 6 hours after $NO_2$ inhalation. Initial blood gas examination revealed severe hypoxemia accompanying increased alveolar-arterial O2 difference. Radiological examination showed diffuse ground glass opacities in both lung fields. Clinical symptoms and laboratory findings, including radiological study and pulmonary function test were improved with conservative treatment using inhaled oxygen and bronchodilator. and there was no evidence of bronchial fibrosis and bronchiolitis obliterance in chest high resolution computed tomography performed 6 weeks after exposure. Here, we report a case of $NO_2$ induced acute pulmonary injuny with a brief review of the relevant literature.

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Massive pulmonary hemorrhage in enterovirus 71-infected hand, foot, and mouth disease

  • Lee, Dong Seong;Lee, Young Il;Ahn, Jeong Bae;Kim, Mi Jin;Kim, Jae Hyun;Kim, Nam Hee;Hwang, Jong Hee;Kim, Dong Wook;Lee, Chong Guk;Song, Tae Won
    • Clinical and Experimental Pediatrics
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    • v.58 no.3
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    • pp.112-115
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    • 2015
  • Hand, foot, and mouth disease (HFMD) is an acute, mostly self-limiting infection. Patients usually recover without any sequelae. However, a few cases are life threatening, especially those caused by enterovirus 71 (EV71). A 12-month-old boy was admitted to a primary hospital with high fever and vesicular lesions of the mouth, hands, and feet. After 3 days, he experienced 3 seizure episodes and was referred to our hospital. On admission, he was conscious and his chest radiograph was normal. However, 6 hours later, he suddenly lost consciousness and had developed a massive pulmonary hemorrhage that continued until his death. He experienced several more intermittent seizures, and diffuse infiltration of both lung fields was observed on chest radiography. Intravenous immunoglobulin, dexamethasone, cefotaxime, leukocyte-depleted red blood cells, fresh frozen plasma, inotropics, vitamin K, and endotracheal epinephrine were administered. The patient died 9 hours after intubation, within 3 days from fever onset. EV71 subgenotype C4a was isolated retrospectively from serum and nasopharyngeal swab by real-time reverse transcription-polymerase chain reaction. Here, we report a fatal case of EV71-associated HFMD with sudden-onset massive pulmonary hemorrhage and suspected encephalitis.

Research on Knowledge Map using Electronic Cultural Atlas (전자문화지도를 활용한 지식지도에 관한 연구)

  • Kang, Ji-Hoon;Moon, Sang-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.6
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    • pp.1381-1387
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    • 2014
  • According to continuous development of information technology, it is needed to make convergence of other disciplines such as humanities and area studies. Among convergence fields related to information technology and humanities/area studies, electronic cultural atlas represents various digitalized cultural information on electronic map using spatial data such as points, lines, and polygons through time, spatial, and subject axises. Knowledge map is to represent special academic information based on electronic cultural atlas. In details, knowledge map can provide integrated information sharing and spread because academic information associated with electronic cultural atlas and data related to per subjects, regions, and period become organically connected. Therefore, knowledge map may be utilized to promote scholastic research and diffuse research result. In this paper, we describe basic concept and composition of knowledge map and propose design method to construct knowledge map.

FUV observation of the comet C/2001 Q4 (NEAT) with FIMS

  • Lim, Yeo-Myeong;Min, Kyoung Wook;Feldman, Paul D.;Han, Wonyong;Edelstein, Jerry
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.107.1-107.1
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    • 2012
  • We present the results of far-ultraviolet (FUV) observations of comet C/2001 Q4 (NEAT) obtained with Far-ultraviolet Imaging Spectrograph (FIMS) on board the Korean microsatellite STSAT-1, which operated at an altitude of 700 km in a sun-synchronous orbit. FIMS is a dual-channel imaging spectrograph (S channel 900-1150 ${\AA}$, L channel 1350-1750 ${\AA}$, ${\lambda}/{\Delta}{\lambda}$ ~ 550) with large image fields of view (S: $4^{\circ}.0{\times}4^{\prime}.6$, L: $7^{\circ}.5{\times}4^{\prime}.3$, angular resolution 5'-10') optimized for the observation of diffuse emission of astrophysical radiation. Comet C/2001 Q4 (NEAT) was observed with a scanning survey mode when it was located around the perihelion between 8 and 15 May 2004. Several important emission lines were detected including S I (1425, 1474 ${\AA}$), C I (1561, 1657 ${\AA}$) and several emission lines of CO $A^1{\Pi}-X^1{\Sigma}^+$ system in the L channel. Production rates of the notable molecules, such as C I, S I and CO, were estimated from the photon fluxes of these spectral lines and compared with previous observations. We compare the flux and the production rates in the radius of $3{\times}10^5$ km with $20{\times}10^5$ km from the central coma. We obtained L-channel image which have map size $5^{\circ}{\times}5^{\circ}$ The image was constructed for the wavelength band of L-channel (1350 - 1710 ${\AA}$. We also present the radial profiles of S I, C I, CO obtained from the spectral images of the central coma. The radial profiles of $2{\times}10^6$ km region are compared with the Haser model.

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An Experimental Study on the Three Dimensional Turbulent Flow Characteristics of Swirl Burner for Gas Furnace (가스난방기용 스월버너의 3차원 난류유동 특성에 관한 실험적 연구)

  • Kim, Jang-Gwon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.25 no.2
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    • pp.225-234
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    • 2001
  • This paper represents the vector fields, three dimensional mean velocities, the turbulent intensities, the turbulent kinetic energy, and the Reynolds shear stresses in the X-Y plane of gas swirl burner with a cone type baffle plate measured by using X-probe from hot-wire anemometer system. This experiment is carried out at flow rates 350 and 450ℓ/min respectively, which are equivalent to the combustion air flow rate necessary for heat release 15,000 kcal/hr in gas furnace, in the test section of subsonic wind tunnel. The vector plot shows that the maximum axial mean velocity component exists in the narrow slits situated radially on the edge of gas swirl burner, for that reason, there is some entrainment phenomena of ambient air in the outer region of burner. Moreover, mean velocities in the initial region are largely distributed near the outer region of burner at Y/R≒0.97, but they diffuse and develop into the center flow region of burner according to the increase of axial distance. The turbulent intensities and the turbulent kinetic energy due to large inclination of mean velocity and swirl effect show that the maximum value in the initial region of burner is formed in the narrow slits situated radially on the edge of gas swirl burner and large values are mainly formed in the entire region of burner after X/R=2.4358, hence, the combustion reaction is anticipated to occur actively near this region. And the Reynolds shear stresses are also largely distributed from slite to vanes of gas swirl burner in the intial region, but their values largely disappear after X/R=3.2052.

Lipiodol-induced pneumonitis following transarterial chemoembolization for ruptured hepatocellular carcinoma (파열 간암의 간동맥 항암 화학색전술 후 발생한 유도 폐렴)

  • Kim, Haewon;Kim, Yong Hoon;Yoon, Hong Jin;Lee, Kwang Hoon;Joo, Seung Moon;Byun, Min Kwang;Lee, Jung Il;Lee, Kwan Sik;Kim, Ja Kyung
    • Journal of Yeungnam Medical Science
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    • v.31 no.2
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    • pp.117-121
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    • 2014
  • Transarterial chemoembolization (TACE) is a widely accepted nonsurgical modality used for the treatment of multinodular hepatocellular carcinoma (HCC). The careful selection of the candidate is important due to the risk of developing various side effects. Fever, nausea, abdominal pain, and liver enzyme elevation are commonly known side effects of TACE. Hepatic failure, ischemic cholecystitis, and cerebral embolism are also reported, although their incidence might be low. Pulmonary complication after TACE is rare, and the reported cases of lipiodol pneumonitis are even rarer. A 53-year-old man was treated with TACE for ruptured HCC associated with hepatitis B virus infection. On day 19 after the procedure, the patient complained of dyspnea and dry cough. Chest computed tomography showed diffuse ground glass opacities in the whole-lung fields, suggesting lipiodol-induced pneumonitis. After 2 weeks of conservative management, the clinical symptoms and radiologic abnormalities improved. Reported herein is the aforementioned case of lipiodol-induced pnemonitis after TACE, with literature review.

CFD/RELAP5 coupling analysis of the ISP No. 43 boron dilution experiment

  • Ye, Linrong;Yu, Hao;Wang, Mingjun;Wang, Qianglong;Tian, Wenxi;Qiu, Suizheng;Su, G.H.
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.97-109
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    • 2022
  • Multi-dimensional coupling analysis is a research hot spot in nuclear reactor thermal hydraulic study and both the full-scale system transient response and local key three-dimensional thermal hydraulic phenomenon could be obtained simultaneously, which can achieve the balance between efficiency and accuracy in the numerical simulation of nuclear reactor. A one-dimensional to three-dimensional (1D-3D) coupling platform for the nuclear reactor multi-dimensional analysis is developed by XJTU-NuTheL (Nuclear Thermal-hydraulic Laboratory at Xi'an Jiaotong University) based on the CFD code Fluent and system code RELAP5 through the Dynamic Link Library (DLL) technology and Fluent user-defined functions (UDF). In this paper, the International Standard Problem (ISP) No. 43 is selected as the benchmark and the rapid boron dilution transient in the nuclear reactor is studied with the coupling code. The code validation is conducted first and the numerical simulation results show good agreement with the experimental data. The three-dimensional flow and temperature fields in the downcomer are analyzed in detail during the transient scenarios. The strong reverse flow is observed beneath the inlet cold leg, causing the de-borated water slug to mainly diffuse in the circumferential direction. The deviations between the experimental data and the transients predicted by the coupling code are also discussed.

Simulataneous X-ray Diffraction Measurements of the Antiferroelectric-ferroelectric Phase Transition of PLZT under Electric Field (전장하에서 PLZTd의 반강유전-강유전 상전이의 동시적 X-선 회절 측정)

  • 고태경;조동수;강현구
    • Journal of the Korean Ceramic Society
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    • v.33 no.11
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    • pp.1292-1300
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    • 1996
  • In-site X-ray diffraction measurements under electric field up to 20kV/ cm were carried out on PLZT (x/70/30) with x=7.5, 8.0, 8.5, and 10.5 All of PLZT belonged to cubic phases. At x=7.5, 8.0 and 8.5 PLZT behaved as an antiferroelectric under low electric fields up to 4-8 kV/cm. PLZT became ferroelectric at the higher electric fields. The high-temperature measurements on the dielectric constants of PLZT with x=7.5, 8.0 and 8.5 showed that they were similar to relaxor ferroelectrics and underwent a diffuse phase transition from antiferroelectrics to paraelectrics at 50-7$0^{\circ}C$. Their P-E hysteresis curves confirmed that they were antifer-roelectrics. The broad distribution of Curie points suggests that there is a significant disorder of cations and vacances in the crystal structure of those PLZT due to La-substitution. The variation of the lattice strain of PLZT(10.5/70/30) with electic field was very small and did not show any hysteresis confirming that it was paraelectric. The degree of the electric-induced strain variation decreased as La doping increased. In PLZT(7.5/70/30) the intensity of 110 reflection changes sensitively by applying electric field. Some domains with polarization parallel to [110] appeared to be developed in the field-induced ferroelectric phase of the PLZT.

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A Case of Sj$\ddot{o}$gren's Syndrome with Interstitial Lung Disease and Multiple Cystic Lung Disease (간질성 및 다낭성 폐질환이 동반된 쇼그렌 증후군 1례)

  • Jang, Dai-Yong;Shin, Byung-Chul;Jung, Ki-Young;Kim, Jong-O;Yang, Jong-Tae;Joo, Yoo-Chul;Lee, Seung-Il
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.6
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    • pp.597-602
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    • 2001
  • A 47-years-old woman presented with a 2-month history of a dry mouth and dry cough. The patient had been taking medication for Sj$\ddot{o}$gren's syndrome for approximately 7 years. The chest radiography showed multiple cystic lesions and a hazy density in both lower lung fields. The HRCT showed a diffuse ground glass like appearance and multiple variable sized cystic lesions in both lung fields. After medication, the symptoms were aggravated. Bronchoscopy was preformed with a transbronchial lung biopsy. The biopsies showed an infiltration of lymphocytes, neutrophils, monocytes and histiocytes through the interstitial space of the alveola and a widening of the alveolar septa. However, the histological findings of the cysts were not obtained. Sj$\ddot{o}$gren's syndrome is a slowly progressive inflammatory autoimmune disease, which is characterized by lymphocyte mediated destruction of the exocrine glands, with pulmonary involvement in approximately 19-65%, High-resolution CT is a sensitive technique for assessing the pulmonary involvement in patients with Sj$\ddot{o}$gren's syndrome. Although a lung biopsy is not always necessary for establishing a diagnosis of an interstitial lung disease in Sj$\ddot{o}$gren's syndrome. A lung biopsy may reveal a wide spectrum of changes ranging from a mild inflammatory response to end stage fibrosis with honeycombing. Because of the predominantly peribronchiolar inflammatory infiltration and inspissated secretions the cysts were suspected to have been formed by the ball-valve phenomen. However, no definite evidence was obtained.

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