• Title/Summary/Keyword: 관통손상

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A Study on the Particle Size of Sand to Prevent Penetration of Subterranean Termite (Reticulitermes speratus kyushuensis) in Wooden Buildings (국내 지중흰개미의 목조건축물 유입 차단을 위한 모래의 적정 입도 연구)

  • Kim, Si Hyun;Kim, Tae Heon;Chung, Yong Jae
    • Journal of Conservation Science
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    • v.38 no.2
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    • pp.80-86
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    • 2022
  • Termites cause massive damage to wooden architectural heritage structures. Chemical treatments have been commonly used to control them. In foreign countries, physical barriers made of sheet and particles impenetrable to termite are being used as an alternative to the chemical method. To study the efficacy of physical barriers, we investigated the appropriate sand particle size that can prevent the penetration of R. speratus kyushuensis. Upon evaluating the barrier properties of sand with particle sizes ranging from 0.85 to 4.00 mm, the penetration of termites was found to be effectively blocked at a particle size range of 1.00 to 2.80 mm. At smaller particle sizes, termites managed to move the sand particles and build an almost linear mud tube to penetrate the sand layer. At larger particle sizes, the termites could penetrate the sand layer by passing through the sand gaps.

Transcatheter Closure of a Residual Shunt after Surgical Repair of Traumatic Ventricular Septal Defect (외상성 심실중격결손 수술 후 잔존하는 심실중격결손에 대한 중재적 심도자술을 이용한 폐쇄)

  • Jeong, Hee Jeong;Lim, Han Hyuk;Yu, Jae Hyun;Lee, Jae Hwan;Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1143-1143
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    • 2005
  • The traumatic ventricular septal defect (VSD) is a rare but potentially life threatening complication of chest wall injury. The traumatic VSD occurs in up to 4.5% of penetrating cardiac trauma. Most of the patients are usually operated on because of heart failure and/or significant left-to-right shunt. The feasibility of surgical repair under cardiopulmonary bypass may be affected by coexisting pulmonary, cerebral or other vascular injuries. Transcatheter closure of VSD is being considered as an alternative therapeutic modality to surgery in order to avoid the potential risk of cardiopulmonary bypass. We report a patient who underwent a successful transcatheter closure of VSD with an $Amplatzer^{(R)}$ VSD occluder. The patient had a residual VSD with significant left-to-right shunt after surgical repair of post-traumatic VSD using cardiopulmonary bypass.

Intracardiac Foreign Body by Penetrating Cardiac Injury (관통성 손상에 의한 심장내 이물 - 수술 치험 1례 -)

  • 정진용
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.929-935
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    • 1990
  • Violence in our society, combined with improving transport system, resulted in increased numbers of patients with cardiac wounds reaching the hospital alive. Most patients with penetrating cardiac injury, rather than blunt injury, present with a syndrome of either hemorrhagic shock or cardiac tamponade. And they should be operated upon as soon as possible. Often the atrioventricular valves and other important cardiac structures are also damaged by the penetrating instruments or missile. Both intracardiac communications and atrioventricular fistulas may result in significant left-to-right shunts accompanied by congestive heart failure, necessitating surgical correction. Usually, retained cardiac foreign bodies, which are almost always bullets or fragments of missiles, may lie within a cardiac chamber or in the myocardium. Emboli of bullets or other missiles from distant sites to the right side of the heart are numerous enough to require attention. Recently we experienced a case with intracardiac foreign body due to penetrating cardiac injury. A 19 year-old man was admitted to our hospital due to penetrating anterior chest wound by iron segment. The roentgenogram of the chest revealed a radio-opaque metallic shadow in left lower chest around the cardiac apex, mild blunting of left costophrenic space, but no cardiomegaly. During operation the foreign body was noted to be present in the cardiac chamber by the portable C-arm fluoroscopy. But during the manipulation it moved into left inferior pulmonary vein from left ventricle by way of left atrium. So we could manage to remove it from left inferior pulmonary vein by direct approach to the vein. It was iron segment, sized 0.lcm x0.6cmx0.5cm, with sharp margins. The patient had an uneventful postoperative recovery except for chylopericardium and was discharged.

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A Clinical Analysis of 20 cases of Diaphragmic Rupture (외상에 의한 횡격막 파열의 임상적 고찰)

  • 이계선;정진악;금동윤;안정태;이재원;신제균
    • Journal of Chest Surgery
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    • v.32 no.4
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    • pp.394-398
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    • 1999
  • Background: According to the changes in the Environmental factors, traumatic diaphragmic rupture is seen in increasing frequency. Many reports described the early diagnostic methods and treatment modalities. In our institution, a study was retrospectively performed to obtain the early diagnostic and treatment methods of diaphragmic ruptures. Material and Method: From January 1994 to April 1998, 20 patients with traumatic rupture of the diaphragm were treated in our institution and We analyzed the patients in preoperative clinical presentations, diagnostic accuracies, associated injuries and postoperative complications. Result: Socially active male patients were affected most. 75% of patients had blunt trauma and 25% had penetrating injury. There were 16 cases of ruptured right diaphragm, 3 cases of left diaphragm and 1 case on both. Preoperative diagnosis were possible in 10 patients (50%) and 6 patients(30%) were diagnosed intraoperatively, but 4 patients (20%) were diagnosed in the late stages. Most common postoperative complication was wound infection, and two died of associated injuries. Conclusion: We conclude that if there is suspicion of diaphragmic rupture after a trauma, careful study and examination is essential and interdepartmental collaboration is very important.

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Ultrasonographic Diagnosis of Retained Wood Foreign Body in the Finger (초음파를 이용하여 진단한 수지 잔존 식물성 이물질 - 증례 보고 -)

  • Kim, Joo Yong;Choi, Jang Seok;Kim, Jung Han;Jeong, Dong Woo
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.20-23
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    • 2011
  • Penetrating injury and retained foreign substances in human body are the main causes of visiting to the emergency room. In hand, foreign substances are caused by trauma. The most common plant pieces, the glass fragments and metal fragments should occur in the order. Especially, it's hard to find fragments of plants and plastic materials because of their radiolucency. And although these fragments are removed, it's difficult to differentiated clearly whether residual foreign bodies are in human hand or not. This study reports the authors' experience in the treatment of a patient from whom he removed a residual tree thorn in the operating room. The thorn was found 4 weeks after the trauma by ultrasonography and then the patients' symptoms were improved.

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Evaluation of Fatigue Crack Growth Rate on the Surface of Steel Members Using COD(Crack Opening Displacement) Measurement (COD(Crack Opening Displacement) 측정에 의한 강재표면의 피로균열진전속도 평가)

  • Kim, Kwang Jin;Kim, In Tae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.2
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    • pp.179-188
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    • 2011
  • Steel structures have been allowed to have fatigue damage tolerance in fact. If it would be assessed whether fatigue crack is growing or not and How fast fatigue crack is propagating, we should make a rational decision on methods and a period of reinforcement in the maintenance. In this study, fatigue crack growth tests on two kinds of through-thickness cracked steel plates and a out-of-plane gusset welded joint were conducted to evaluate fatigue crack growth rate using the COD(Crack Opening Displacement), and COD measurement using strain gauges was examined to offer a practical method. As a result, we proposed a reasonable assessing method for fatigue crack growth rate using the COD and it was experimentally proved practical to estimate the COD through measuring strains.

Clinical Evaluation of Traumatic Diaphragmatic Ruptures (외상성 횡격막 파열에 대한 임상적 고찰)

  • 조재민;김은기;이종국;박승일
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1257-1262
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    • 1996
  • From January 1989 to February 1996, 50 patients with a traumatic diaphragmatic rupture were treated at the Yonsei University Wonju College of Medicine. There were 40 male and 10 female patients. The ages ranged from 2 to 80 years, with peak incidence in third decades. Thirty-nine cases had blunt trauma (traffic accident 29, falls down 7, others 3), and 11 cases had penetrating injuries (stab injury 9, gun shot 1, broken glass 1). The most common symptoms were dyspnea (76%), chest pain (58%), and abdominal pain (52%). In blunt trauma, the rupture was located in the left in 30 cases, right in 9 cases and in penetrating trauma, the rupture was located in the left in 8 cases and in the right in 3 cases. Eighteen cases underwent thoracotomy alone, 29 cases underwent laparotomy only and 3 cases had combined thoracotomy and laparotomy. The postoperative mortality occurred in 6% (3 cases), and the cause of death were septic shock (1), intracranial hemorrhage (1), and respiratory failure (1).

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Penetrating Neck Trauma: A Case of Spinal Cord Injury by Embedded Scissor (척수 손상을 일으킨 경부 가위 관통상)

  • Kim, Seon Hee;Choi, Sun Woo;Park, Sung Jin;Yeo, Kwang Hee;Kim, Chang-Wan;Lee, Sang Bong;Kim, Ho Hyun;Park, Chan-Yong;Kim, Jae Hun;Hwang, Jung Joo;Cho, Hyun Min
    • Journal of Trauma and Injury
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    • v.28 no.2
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    • pp.71-74
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    • 2015
  • Penetrating neck trauma involving spinal cord injury is relatively uncommon, but can be life-threatening. We report a case of 59-year-old female who presented with hypotension after stab injury self-inflicted with a scissor to her neck. Although Open removal of the scissor and control of bleeding were successfully done, penetration of spinal cord resulted in a neurologic impairment.

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A Numerical Study on the Design of Water Mist Lance for Fire Suppression in Container (컨테이너 내부 화재진압을 위한 물분무창 설계에 관한 수치적 연구)

  • Han, Sang-goo;Choi, Jae-hyuk;Lee, Won-Ju
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.7
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    • pp.941-947
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    • 2017
  • Increasing marine transportation of dangerous goods using containers causes fire accidents on ships due to leakage of dangerous materials. In IMO (MSC.93), all vessels that are to be loaded five or more containers on weather deck area after 1 January 2016 are required to have a fire extinguishing system called Water Mist Lance (WML) on board. In this study, numerical analysis is performed to design WML with optimal edge radius of curvature using LS-DYNA. The analysis results for the three models with 10 mm, 15 mm and 20 mm lengths of the edge part showed that the only model with 15 mm length penetrated the wall of the container and did not cause damage to the edge of the WML. In the future, based on the results of this study, we will make a WML of prototype and conduct a performance test. And we will continue to improve the problems.

Anterior Cervical interbody Fusion with Cervical Spine Locking Plate (경추 물림 금속판을 이용한 경추 전방추체간 유합술)

  • Park, Joo-Tae;Ahn, Gil-Young;Lee, Young-Tae;Ahn, Myun-Whan
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.209-219
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    • 1997
  • Objectives: Anterior approach to achieve arthrodesis of the cervical spine has become a widely accepted and often-used approach since its earliest reports by Bailey and Badgley, Smith and Robinson and Cloward. However, anterior interbody fusion in the presence of the posterior instability may be complicated by the bone graft dislodgement, kyphotic defomity or nonunion. As an attemp to prevent this undesirable complication, additional methods such as skeletal traction, halo appratus or even posterior fusion has been utilized. Therefore, The cervical spine locking plate(CSLP) with the anterior intervertebral body bone grafting provide immediate cervical stabilization and widely successful in achieving fusion. Material and methods: This study analysed 14 patients who underwent a single anterior procedure and application of CSLP for the treatment of the cervical spinal disorder. Eleven patients were disc herniations and three patients were traumatic lesion. The average age of the patient was 47 years and the mean follow up periods was 20 months ranging from 13 to 27 months. Results: Ambulation was started 2nd day after the operation with the aid of the Philadelpia orthoses. Bone union was observed 13 cases on average 12 weeks after operation. The one case was nonunion with plate breakage without clinical symptom. Conclusion: Anterior fusion with CSLP are thought to be a safe and valuable method for treating cervical spine disorder.

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