• Title/Summary/Keyword: secondary fluid

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Pneumatosis Cystoides Intestinales and Portomesenteric Venous Gas following Anticholinesterase Pesticide Poisoning (항콜린에스테라아제 살충제 음독 후 발생한 창자벽공기낭증과 문맥장간막정맥가스 1례)

  • Lee, Suk Hee;Lee, Kyung-Woo;Jung, Jin Hee
    • Journal of The Korean Society of Clinical Toxicology
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    • v.15 no.1
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    • pp.56-59
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    • 2017
  • Pneumatosis cystoides intestinalis and portomesenteric venous gas are uncommon radiological findings, but are found commonly in cases of bowel ischemia, or as a result of various non-ischemic conditions. A 72-year-old man visited an emergency center with altered mental status 2 hours after ingestion of an unknown pesticide. On physical examination, he showed the characteristic hydrocarbon or garlic-like odor, miotic pupils with no response to light, rhinorrhea, shallow respiration, bronchorrhea, and sweating over his face, chest and abdomen. Laboratory results revealed decreased serum cholinesterase, as well as elevated amylase and lipase level. We made the clinical diagnosis of organophosphate poisoning in this patient based on the clinical features, duration of symptoms and signs, and level of serum cholinesterase. Activated charcoal, fluid, and antidotes were administered after gastric lavage. A computerized tomography scan of the abdomen with intravenous contrast showed acute pancreatitis, poor enhancement of the small bowel, pneumatosis cystoides intestinalis, portomesenteric venous gas and ascites. Emergent laparotomy could not be performed because of his poor physical condition and refusal of treatment by his family. The possible mechanisms were believed to be direct intestinal mucosal damage by pancreatic enzymes and secondary mucosal disruption due to bowel ischemia caused by shock and the use of inotropics. Physicians should be warned about the possibility of pneumatosis cystoides intestinalis and portomesenteric venous gas as a complication of pancreatitis following anticholinesterase poisoning.

Analysis of HFC-245fa organic Rankine cycle for geothermal power generation (지열 발전을 위한 HFC-245fa 유기 랭킨 사이클의 성능해석)

  • Baik, Young-Jin;Kim, Min-Sung;Chang, Ki-Chang;Yoon, Hyung-Kee;Lee, Young-Soo;Ra, Ho-Sang
    • Journal of the Korean Society for Geothermal and Hydrothermal Energy
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    • v.5 no.1
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    • pp.1-6
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    • 2009
  • In this study, an ORC (Organic Rankine Cycle) is investigated for a low-temperature geothermal power generation by a simulation method. A steady-state simulation model is developed to analyze cycle's performance. The model contains a turbine, a pump, an expansion valve and heat exchangers. The turbine and pump are modelled by an isentropic efficiency. Simulations were carried out for the given heat source and sink inlet temperatures, and given flow rate that is based on the typical power plant thermal-capacitance-rate ratio. HFC-245fa is considered as a working fluid of the cycle. Simulation results, at the given secondary working fluids conditions, show that even though the power can be presented by both the evaporating temperature and the turbine inlet superheat, it depends on the evaporating temperature primarily.

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Descending Necrotizing Mediastinitis Secondary to Peritonsillar Abscess -A Case Report- (편도주위농양에 합병된 하행 괴사성 종격동염 -치험 1례-)

  • 최필조;이용훈;우종수;이기남;손춘희;박헌수;이인규
    • Journal of Chest Surgery
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    • v.32 no.7
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    • pp.686-689
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    • 1999
  • Descending necrotizing mediastinitis(DNM) is a rare complication of the oropharyngeal and cervical infection. Descending necrotizing mediastinitis requires an early and aggressive surgical approach to reduce the high morbidity and mortality associated with this disease. A 39-year-old man complained of odynophagia, neck swelling, and disturbance of swallowing with dyspnea. CT scans of the neck suggested a peritonsillar abscess and retropharyngeal and peripharyngeal abscess. He underwent cervical drainage. He remained febrile and complained of severe both pain in both shoulders. On postoperative day 5, a follow-up CT scan confirmed a mediastinal abscess. Reexploration of the neck and right thoracotomy for debridement and drainage of the mediastinal abscess were performed.. A large amount of pus was drained from the anterior and posterior mediastinum and its necrotic tissue was debrided. The patient's condition and radiologic findings gradually improved. Cultures of the drain fluid revealed Klebsiella pneumoniae. He was discharged on the 85th hospital day. In our experience, both transcervical drainage and aggressive mediastinal exploration via thoracotomy can lead to an improvement in the survival of the patient with descending necrotizing mediastinitis. CT scanning is useful for early diagnosis of mediastinitis and for follow up.

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Development of Force Measuring Device in Learning Wind Tunnel Used for Transportation Technology Class (수송 기술에 적합한 학습용 풍동의 힘 측정 장치 개발)

  • Choi, Jun-Seop;Lee, Sung-Gu
    • 대한공업교육학회지
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    • v.32 no.1
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    • pp.117-133
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    • 2007
  • The purpose of this study was to develop the force measuring device of learning wind tunnel, teaching-learning materials in order to enhance understanding of flight principle and give interest about aviation technology in secondary school. The content of this study was consisted of the development and experiment of force measuring device for learning wind tunnel. The main results of this study were as follows: This device developed here is simple structure applying lever principle instead of the comparatively expensive load cell used in engineering college or a aviation research institute and so on. Measurement of lift and drag as well as the comparison experiment of a fluid resistance is possible with only one device developed here. The lift coefficient with angle of attack has shown the same tendency in both of theoretical and experimental values. And the stall phenomenon was found under the larger angle of attack of experimental rather than expected theoretical values. The drag coefficient with angle of attack has shown the same tendency in both of theoretical and experimental values. And drag coefficient the rate of increasement of the experimental values increased more gently than its theoretical values.

Effects of Building-roof Cooling on Scalar Dispersion in Urban Street Canyons (도시 협곡에서 건물 지붕 냉각이 스칼라 물질 확산에 미치는 영향)

  • Park, Soo-Jin;Kim, Jae-Jin
    • Atmosphere
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    • v.24 no.3
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    • pp.331-341
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    • 2014
  • In this study, the effects of building-roof cooling on scalar dispersion in three-dimensional street canyons are investigated using a computational fluid dynamics (CFD) model. For this, surface temperature of building roof is systematically changed and non-reactive pollutants are released from street bottom in urban street canyons with the aspect ratio of 1. The characteristics of flow, air temperature, and non-reactive pollutant dispersion in the control experiment are analyzed first. Then, the effects of building-roof cooling are investigated by comparing the results with those in the control experiment. In the control experiment, a portal vortex which is a secondary flow induced by ambient air flow is formed in each street canyon. Averaged air temperature is higher inside the street canyon than in both sides of the street canyon, because warmer air is coming into the street canyon from the roof level. However, air temperature near the street bottom is lower inside the street canyon due to the inflow of cooler air from both sides of the street canyon. As building-roof temperature decreases, wind speed at the roof level increases and portal vortex becomes intensified (that is, downdraft, reverse flow, and updraft becomes stronger). Building-roof cooling contributes to the reduction of average concentration of the non-reactive pollutants and average air temperature in the street canyon. The results imply that building-roof cooling has positive effects on improvement of thermal environment and air quality in urban areas.

Urosepsis and postrenal acute renal failure in a neonate following circumcision with Plastibell device

  • Kalyanaraman, Meena;McQueen, Derrick;Sykes, Joseph;Phatak, Tej;Malik, Farhaan;Raghava, Preethi S.
    • Clinical and Experimental Pediatrics
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    • v.58 no.4
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    • pp.154-157
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    • 2015
  • Plastibell is one of the three most common devices used for neonatal circumcision in the United States, with a complication rate as low as 1.8%. The Plastibell circumcision device is commonly used under local anesthesia for religious circumcision in male neonates, because of cosmetic reasons and ease of use. Occasionally, instead of falling off, the device may get buried under the skin along the shaft of the penis, thereby obstructing the normal flow of urine. Furthermore, the foreskin of neonates is highly vascularized, and hence, hemorrhage and infection are possible when the skin is cut. Necrosis of penile skin, followed by urethral obstruction and renal failure, is a serious surgical mishap requiring immediate corrective surgery and medical attention. We report a case of fulminant urosepsis, acute renal failure, and pyelonephritis in a 4-day-old male neonate secondary to impaction of a Plastibell circumcision device. Immediate medical management was initiated with fluid resuscitation and mechanical ventilation; thereby correcting life threatening complications. Pediatricians and Emergency Department physicians should be cognizant of the complications from Plastibell circumcision device in order to institute appropriate and timely management in neonates.

Wind direction field under the influence of topography: part II: CFD investigations

  • Li, S.W.;Hu, Z.Z.;Tse, K.T.;Weerasuriya, A.U.
    • Wind and Structures
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    • v.22 no.4
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    • pp.477-501
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    • 2016
  • Though hilly topography influences both wind speeds and directions aloft, only the influence on wind speeds, i.e. the speed-up effect, has been thoroughly investigated. Due to the importance of a model showing the spatial variations of wind directions above hilly terrains, it is worthwhile to systematically assess the applicability and limitations of the model describing the influence of hilly topographies on wind directions. Based on wind-tunnel test results, a model, which describes the horizontal and vertical variations of the wind directions separately, has been proposed in a companion paper. CFD (Computational Fluid Dynamics) techniques were employed in the present paper to evaluate the applicability of the proposed model. From the investigation, it has been found that the model is acceptable for describing the vertical variation of wind directions by a shallow hill whose primary-to-secondary axis ratio (aspect ratio) is larger than 1. When the overall hill slope exceeds $20^{\circ}$, the proposed model should be used with caution. When the aspect ratio is less than 1, the proposed model is less accurate in predicting the spatial variation of wind directions in the wake zone in a separated flow. In addition, it has been found that local slope of a hill has significant impact on the applicability of the proposed model. Specifically, the proposed model is only applicable when local slope of a hill varies gradually from 0 (at the hill foot) to the maximum value (at the mid-slope point) and then to 0 (at the hill top).

A Case of Pleural Endometriosis Presented as Right Sided Hemothorax in a Patient Who Underwent Kidney Transplantation (신장이식 후 우측 혈흉으로 발현한 흉막자궁내막증 1예)

  • Shin, Eun-Hye;Shin, Bo-Mi;Ha, Yeon-Jung;Jang, Il-Young;Jung, Ji-Won;Cho, Hyung-Jin;Park, Su-Kil
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.145-148
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    • 2013
  • Thoracic endometriosis is an uncommon disease that has four main forms: catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules. Since the growth of endometrial tissue depends on the presence of estrogen, thoracic endometriosis usually occurs in menstruating women between 25 and 35 years of age. Menstrual disturbances are common in women with chronic kidney disease (CKD). However, they could be reversed after kidney transplantation. Therefore, previously asymptomatic endometriosis may become symptomatic after kidney transplantation. A 49-year-old woman with CKD underwent kidney transplantation. A month later, she experienced dyspnea, and hemothorax in her right hemithorax. However, there was no evidence of infectious diseases and malignancy in thoracentesis, pleural biopsy, and computed chest tomography (CT). The serum and pleural fluid levels of his carbohydrate antigen 125 were elevated. Hemothorax secondary to pleural endometriosis was suspected. We tried hormonal therapy, and the hemothorax disappeared. At the sixth-month follow-up, there was no recurrence of hemothorax.

The Extraction of Metal Contaminants using Supercritical CO2 (초임계이산화탄소를 이용한 방사성 금속이온 추출)

  • Ju, Minsu;Kim, Jung-Hoon;Kang, Se-Sik
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.660-667
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    • 2016
  • Conventional decontamination methods utilize water-based systems, which generate high amounts of secondary wastes. Herein, we describe an environmentally benign decontamination method using liquid and supercritical $CO_2$. The use of $CO_2$ as a solvent affords effective waste reduction by its ability to be recycled, thereby leaving be hind only the contaminants upon its evaporation. In this study, a $CO_2$ solution process was assessed using t-salen(t-butylsalen), DC18C6 (dicyclohexano-18Crown6), 8-HQN(8-hydroxyquinoline), NEt4PFOSA(perfluoro-1-octanesulfonic acid tetra-ethyl ammonium salt), and NEt4PFOA(pentadecafluorooctanoic acid ammonium salt) to extract spiked radioactive contaminants(Nb,Zr,Co,Sr) from an inert sample matrix, namely filter paper. With the static extraction method, Sr was extracted with a maximum extraction rate of 97%, and Nb was extracted with a maximum extraction rate of 75%. Additionally, we were also able to extract Co and Zr with maximum extract ion ratesof 73% and 64%, respectively.

Verification of SPACE Code with MSGTR-PAFS Accident Experiment (증기발생기 전열관 다중파단-피동보조급수냉각계통 사고 실험 기반 안전해석코드 SPACE 검증)

  • Nam, Kyung Ho;Kim, Tae Woo
    • Journal of the Korean Society of Safety
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    • v.35 no.4
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    • pp.84-91
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    • 2020
  • The Korean nuclear industry developed the SPACE (Safety and Performance Analysis Code for nuclear power plants) code and this code adpots two-phase flows, two-fluid, three-field models which are comprised of gas, continuous liquid and droplet fields and has a capability to simulate three-dimensional model. According to the revised law by the Nuclear Safety and Security Commission (NSSC) in Korea, the multiple failure accidents that must be considered for accident management plan of nuclear power plant was determined based on the lessons learned from the Fukushima accident. Generally, to improve the reliability of the calculation results of a safety analysis code, verification work for separate and integral effect experiments is required. In this reason, the goal of this work is to verify calculation capability of SPACE code for multiple failure accident. For this purpose, it was selected the experiment which was conducted to simulate a Multiple Steam Generator Tube Rupture(MSGTR) accident with Passive Auxiliary Feedwater System(PAFS) operation by Korea Atomic Energy Research Institute (KAERI) and focused that the comparison between the experiment results and code calculation results to verify the performance of the SPACE code. The MSGR accident has a unique feature of the penetration of the barrier between the Reactor Coolant System (RCS) and the secondary system resulting from multiple failure of steam generator U-tubes. The PAFS is one of the advanced safety features with passive cooling system to replace a conventional active auxiliary feedwater system. This system is passively capable of condensing steam generated in steam generator and feeding the condensed water to the steam generator by gravity. As the results of overall system transient response using SPACE code showed similar trends with the experimental results such as the system pressure, mass flow rate, and collapsed water level in component. In conclusion, it could be concluded that the SPACE code has sufficient capability to simulate a MSGTR accident.