Journal of the Korean Association of Oral and Maxillofacial Surgeons
/
v.44
no.5
/
pp.212-219
/
2018
Objectives: The objective of this study was to analyze 11 cases of subcutaneous emphysema associated with dental procedures from a single hospital and discuss approaches for accurate diagnosis and treatment of the condition. Materials and Methods: The medical records of 11 patients who were treated for subcutaneous emphysema related to dental procedures between January 2009 and April 2017 were analyzed retrospectively. Patients with subcutaneous emphysema within the facial area or that spread to the neck and beyond, including the facial region, were assigned to two groups and compared in terms of age, sex, and durations of antibiotic use, hospitalization, and follow-up until improvement. The correlation between location of the origin tooth and range of emphysema spread was analyzed. Results: The average durations of antibiotic use during conservative treatment and follow-up until improvement were 8.55 days (standard deviation [SD], 4.46 days) and 1.82 weeks (SD, 1.19 weeks), respectively. There was no intergroup difference in duration of antibiotic use (P=0.329) or followup (P=0.931). Subcutaneous emphysema was more common after dental procedures involving the maxilla or posterior region than after those involving the mandible or anterior region. There was no significant difference in air distribution according to location of the air orifice (maxilla, mandible, or both; P=0.106). Conclusion: Upon adequate conservative treatment accompanied by prophylactic antibiotic treatment considering the risk of infection, patients showed signs of improvement within a few days or weeks. There was no significant difference in treatment period between patients with subcutaneous emphysema localized to the facial region and those with subcutaneous emphysema spreading to the neck or beyond. These findings need to be confirmed by analysis of additional cases.
Lim, So Yeon;Sim, Yun Su;Lee, Jin Hwa;Kim, Tae-Hun;Ryu, Yon Ju;Chun, Eun Mi;Kim, Yoo Kyung;Lee, Jung Kyong;Sung, Sun Hee;Ahn, Jae Ho;Chang, Jung Hyun
Tuberculosis and Respiratory Diseases
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v.62
no.4
/
pp.318-322
/
2007
Although reports of multiple primary malignant tumors have increased recently, cases of synchronous double primary tumors of lung and liver are rare. A 73-year-old man suffered from chronic cough. His chest x-ray showed segmental atelectasis of the right upper lobe. Bronchoscopy revealed a mass occluding the orifice of the anterior segmental bronchus of the right upper lobe, and a biopsy showed a squamous cell carcinoma. A synchronous hepatic mass was found by ultrasonography. However, F18-FDG-PET showed no evidence of a distant metastasis. The liver biopsy revealed a hepatocellular carcinoma. A right upper lobe lobectomy and a sleeve resection were performed for the lung cancer, and radiofrequency ablation was performed for the hepatocellular carcinoma.
This review will be concentrated on the spray characteristics of bioethanol and its derived fuels such as ethanol-diesel, ethanol-biodiesel in compression ignition (CI) engines. The difficulty in meeting the severe limitations on NOx and PM emissions in CI engines has brought about many methods for the application of ethanol because ethanol diffusion flames in engine produce virtually no soot. The most popular method for the application of ethanol as a fuel in CI engines is the blending of ethanol with diesel. The physical properties of ethanol and its derivatives related to spray characteristics such as viscosity, density and surface tension are discussed. Viscosity and density of e-diesel and e-biodiesel generally are decreased with increase in ethanol content and temperature. More than 22% and 30% of ethanol addition would not satisfied the requirement of viscosity and density in EN 590, respectively. Investigation of neat ethanol sprays in CI engines was conducted by very few researchers. The effect of ambient temperature on liquid phase penetration is a controversial topic due to the opposite result between two studies. More researches are required for the spray characteristics of neat ethanol in CI engines. The ethanol blended fuels in CI engines can be classified into ethanol-diesel blend (e-diesel) and ethanol-biodiesel (e-biodiesel) blend. Even though dodecanol and n-butanol are rarely used, the addition of biodiesel as blend stabilizer is the prevailing method because it has the advantage of increasing the biofuel concentration in diesel fuel. Spray penetration and SMD of e-diesel and e-biodiesel decrease with increase in ethanol concentration, and in ambient pressure. However, spray angle is increased with increase in the ethanol percentage in e-diesel. As the ambient pressure increases, liquid phase penetration was decreased, but spray angle was increased in e-diesel. The increase in ambient temperature showed the slight effect on liquid phase penetration, but spray angle was decreased. A numerical study of micro-explosion concluded that the optimum composition of e-diesel binary mixture for micro-explosion was approximately E50D50, while that of e-biodiesel binary mixture was E30B70 due to the lower volatility of biodiesel. Adding less volatile biodiesel into the ternary mixture of ethanol-biodiesel-diesel can remarkably enhance micro-explosion. Addition of ethanol up to 20% in e-biodiesel showed no effect on spray penetration. However, increase of nozzle orifice diameter results in increase of spray penetration. The more study on liquid phase penetration and SMD in e-diesel and e-biodiesel is required.
Do, Mi Young;Chung, Jae Ho;Kim, Hee Man;Han, Seung Jin;Shim, Jae Min;Hwang, Sang Yon;Park, Moo Suk;Kim, Young Sam;Chang, Joon;Kim, Sung Kyu;Park, Seung Woo;Choe, Kyu Ok;Shin, Dong Hwan;Kim, Se Kyu
Tuberculosis and Respiratory Diseases
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v.56
no.2
/
pp.216-220
/
2004
Because a cavitary pulmonary metastasis is rare, it may not be readily identified. However, various types of cancers can metastasize to the lung in the form of cavities. We report a case of a multiple cavitary metastases to the lung from a cholangiocarcinoma in a 60-year-old man. He complained of generalized weakness and a poor oral intake for 2 months. The plain chest radiography and the chest computed tomography showed multiple small thick-walled cavities and nodules the both lungs. A bronchoscopic examination revealed a focal irregularly elevated surface of the mucosa at the orifice of the superior segment of the right lower lobe and the biopsy demonstrated an infiltrative metastatic adenocarcinoma. The abdomen-pelvis computed tomography showed an ill-marginated and irregularly low-dense area in the right lobe of the liver and a diffuse dilatation of the peripheral intrahepatic bile ducts. The esophagogastroscopy and colonoscopy showed no abnormal findings. It was concluded that the cholangiocarcinoma of the liver metastasized to the lung in the form of cavities. Thereafter, the patient underwent six cycles of the systemic chemotherapy with gemcitabine and cisplatin, and the follow-up imaging studies showed a partial response.
Park, Jong Youn;Kim, Na Ri;Park, Jae Min;Myeong, Jeong In;Cho, Jae Kwon
Korean Journal of Ichthyology
/
v.28
no.1
/
pp.9-18
/
2016
Histological and morphological development of the digestive tract of sevenband grouper were observed from after hatching to 60 days. Fishes were fed with rotifer (Brachionus rotundiformis) and chlorella (Chlorella ellipsoidea) after hatching from 2 to 20 days rotifer and brine shrimp (Artemia salina) in after 20 days rotifer, brine shrimp and semi-dry artificial diet in after 23 days. Histological and morphological development of ten larvae was observed by paraffin embedding method after fixing in 10% neutral buffered formalin. Sevenband grouper RLG showed characteristics of carnivorous fish by average 0.87. Larvae after hatching can't open the mouth and anus digestive tract was observed in a straight line following yolk sac. Larvae was observed feeding activity by opening the mouth and anus. Metamorphosis started 8 days after hatching. Esophagus divided four layer, and goblet cell was observed in esophagus, mid intestine and rectum. Larvae started cannibalism and it was caused by difference of growth. The inside of stomach was differentiated to cardiac orifice, body of stomach, pyloric stomach, and pyloric caeca. Goblet cell was observed all intestine. Gastric gland differentiated after hatching 28 days in stomach. Secretion of gastric juice was found at stomach and mucosal fold pyloric caeca. Even thought the inside of stomach expended and the number of gastric gland increased consistently and goblet cell in intestine and mucosa became longer, histochemical changes follow couldn't be found during transforming juveniles 38 days after hatching.
Jung, Young Bok;Tae, Suk Kee;Yum, Jae Kwang;Koo, Bon Ho
Journal of the Korean Arthroscopy Society
/
v.2
no.2
/
pp.135-140
/
1998
From 1989 to 1994, authors have reconstructed the posterior cruciate ligament(PCL) in 51 knees with an autogenous central one-third of the patellar tendon by transtibial two tunnel technique, but there were not a few cases of unfavorable results. So from January 1995, we have reconstructed the PCL deficient knees by "modified tibial inlay technique" to avoid the grafted tendon abrasion at the posterior opening of the tibial tunnel(killer turn). Purpose of this study was to compare the results of two surgical techniques and what its advantages and disadvantages are. We could follow up 39 cases of transtibial two tunnel techique group(group A) more than one year, average being 23.7 months and 21 cases of modified tibial inlay technique group(group B) more than 12 months, average being 14.7 months. The clinical results were evaluated by the OAK knee scoring system ($M{\ddot{u}}ller$'s criteria) and the posteror stress roentgenography (push view) with Telos stress device compared with the uninjured knees. The arthroscopic second-look findings were also evaluated. In group A : The $M{\ddot{u}}ller$'s knee score was average 80.1 points, the posteror displacement in push view was average 4.4mm at the last follow up. There were 17 cases(44%) of unfavorable results which showed unstable posterior displacement more than 4mm compared with the uninjured knee in push view. Among the 19 cases of arthroscopic second look examinations, nearly normal PCL appearances of the grafted tendons were noted only in 9 cases(47%). In group B : The $M{\ddot{u}}ller$'s knee score was average 86.7 points, the posterior displacemnet in push view was average 3.6mm at the last follow up. There were 5 cases(23.8%) of unfavorable results which showed unstable posterior displacement more than 4mm compared with the uninjured knee in push view but 4 out of 5 cases showed 6mm posterior displacement in push views. Among the 7 cases of arthroscopic second-look examinations, 6 cases(86%) showed nearly normal PCL appearances of the grafted tendons. In modified tibial inlay technique of PCL reconstruction, it was easier to pull out the BPTB and in cases of remained laxed meniscofemoral ligament it was easier to preserve the remained structures than transtibial two tunnel technique. We expect the "modified tibial inlay technique" may solve the problem of grafted patellar tendon abrasion at the posterior orifice of tibial tunnel and may contribute to the successful PCL reconstruction.
In utilization of small size red muscled fishes like mackerel, sardine, and filefish, mechanical dressing is usually required. The removal of dark muscle is also necessary to improve qualify of the product, which could hardly be done by mechanical process. As a method of separating dark muscle, specific gravity method using sugar solution was investigated in this study. And the effects of the level of specific gravity, the size and density of meat particles, and stability of meat particle float on the separation of dark muscle were discussed. From the results, effective specific gravity, in case of sucrose solution, ranged 1.067 to 1.072 for mackerel, 1.062 to 1.070 for sardine, and 1.072 to 1.077 for filefish, respectively. The maximum separation of more than $90\%$ was obtained at specific gravity of 1.075, 1.070, and 1.075 in cases of mackerel, sardine and filefish, respectively. The size of meat particles which were ground with 0.2cm orifice plate was adequate to yield $90\%$ separation or above. The meat particle float in the glucose solution began to precipitate within 5 minutes after separation while 25 minutes in case of sucrose solution. Lipids were also fairly removed by the dark muscle separation process.
Journal of the Korea Academia-Industrial cooperation Society
/
v.20
no.12
/
pp.723-729
/
2019
Turbochargers are an effective device to reduce the fuel consumption. In this study, the mass flow rate of pulsating flow in the twin-scroll turbocharger for the gasoline engine of passenger vehicles was measured. Pulsating flow was achieved using a pulse generator and the mass flow rate of the unsteady pulsating flow was analyzed by comparing it with those of the steady flow. The pulse generator consisted of a rotating upper plate and a fixed lower plate. To measure the mass flow rate of unsteady flow, the orifice flow meter equipped with the difference pressure transducer was used. To analyze the low speed performance of the turbocharger, the measurement was carried out in the speed of turbocharger from 60,000rpm to 100,000rpm. The mass flow parameters of the unsteady pulsating flow showed a large difference compared to those of the steady flow. Those of the unsteady flow showed the hysteresis loop surrounding the mass flow parameters of the steady flow and the maximum variation of the mass flow parameters were 5.0 times those of the steady flow. This phenomenon is the result of the filling and emptying the turbine volute space due to pulsating flow.
Journal of Korean Society of Coastal and Ocean Engineers
/
v.19
no.3
/
pp.194-204
/
2007
A numerical analysis and hydraulic experiments were undertaken to investigate the head loss occurring when a flow passes through vertical perforated walls. The numerical analysis applied continuity, momentum and energy equations to the control volumes that were set near the perforated wall. Non-dimensional equations were then derived to calculate both upstream depth and head loss for the given values of downstream depth and velocity. The hydraulic experiments were performed with several single and triple perforated plates varying their opening ratios and intervals. The numerical results with the single plates were compared with the experimental results, and it was shown that the contraction coefficient of the vertical line jet formed after the perforated plates relies on downstream Froude number as well as opening ratio. Based on the experimental results, empirical formulas were formulated. Finally, the formulas were applied to the triple plates sequentially from downstream side to upstream side, and it was found that in general the predicted values nicely agreed with the experimental results.
Journal of the Korean Society for Marine Environment & Energy
/
v.17
no.3
/
pp.182-188
/
2014
In an oscillating water column (OWC)-type wave energy conversion system, the performance of the OWC chamber depends on the chamber shape, as well as the incident wave direction and pressure drop produced by the turbine. Although the previous studies on OWC chambers have focused on wave absorbing performance in ideal operating conditions, incident waves do not always arrive normally to the OWC chamber in real sea conditions, especially in fixed devices. The present study deals with experiments and numerical calculations to investigate the effects of wave direction on the performance of the OWC chamber. The experiments were carried out in a three-dimensional wave basin for five different wave directions, including the effect of turbine using the corresponding orifice. The wave elevation inside the chamber was measured at the center point under various incident wave conditions. The numerical study was conducted by using a numerical wave tank-based volume-of-fluid model to compare the results with experimental data and to reveal the detailed flows around the chamber.
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