• Journal of Trauma and Injury
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• 제33권4호
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• pp.260-263
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• 2020

Necrotizing fasciitis is an infection of the subcutaneous tissue that results in destruction of the fascia and is disproportionately common in patients with chronic liver disease or diabetes. Necrotizing fasciitis of the head and neck is rare, but has a high fatality rate. A 50-year-old man with a past medical history of diabetes reported a chief complaint of a wound in the posterior neck due to trauma. The wound had grown and was accompanied by pus and redness, and the patient had a fever. When the patient was referred to department of plastic & reconstructive surgery, the sternocleidomastoid muscle, semispinalis capitis muscle, splenius capitis muscle, and trapezius muscles were exposed, and the size of the defect was about 25×20 cm. Dead tissue resection was performed before negative-pressure wound therapy, followed by a split-thickness skin graft (STSG). After a 2-week course of aseptic dressing post-STSG, the patient recovered completely. No postoperative complications were observed for 1 year. Necrotizing fasciitis is a life-threatening, rapidly spreading infection, requiring early diagnosis and active surgical treatment. In addition, broad-spectrum antibiotics are required due to the variety of types of causative bacteria. Broad necrotizing fasciitis of the posterior neck is rare, but can quickly progress into a life-threatening stage.

• Archives of Plastic Surgery
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• 제36권6호
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• pp.714-719
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• 2009

Purpose: Recurrent ischial pressure sore is troublesome for adequate soft tissue coverage, because usually its pocket has a very large deep space and adjacent donor tissue have been scarred in the previous surgery. However, the conventional reconstructive methods are very difficult to overcome them. Modified gluteus maximus myocutaneous V - Y advancement flap from buttock can be successfully used in these circumstances. Methods: From February 2007 to October 2008, modified gluteus maximus myocutaneous V - Y advancement flaps were perfomed in 10 paraplegic patients with recurrent ischial pressure sore. The myocutaneous flap based on the inferior gluteal artery was designed in V - shaped pattern toward the superolateral aspect of buttock and was elevated from adjacent tissue. Furthermore, when additional muscular bulk was required to obliterate dead space, the flap dissection was extended to the inferolateral aspect which can included the adequate amount of the gluteal muscle. After the advanced flap was located in sore pocket, donor defect was repaired primarily. Results: The patients' mean age was 46.9 and the average follow - up period was 12.4 months. The immediate postoperative course was uneventful. But, two patients were treated through readvancement of previous flap due to wound dehiscence or recurrence after 6 months. The long - term results were satisfied in proper soft tissue bulk and low recurrence rate. Conclusions: The modified gluteus maximus myocutaneous V - Y advancement flap may be a reliable method in reconstruction of recurrent ischial pressure sore, which were surrounded by scarred tissue because of its repetitive surgeries and were required to provide sufficient volume of soft tissue to fill the large pocket.

• International journal of advanced smart convergence
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• 제10권2호
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• pp.145-150
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• 2021

Patients with Pressure injuries (PIs) may have pain and discomfort, which results in poorer patient outcomes and additional cost for treatment. This study was a part of larger research project that aimed at prediction modeling using a big data. The purpose of this study were to describe the characteristics of patients with PI in critical care; and to explore comorbidity and diagnostic and interventive procedures that have been done for patients in critical care. This is a secondary data analysis. Data were retrieved from a large clinical database, MIMIC-III Clinical database. The number of unique patients with PI was 2,286 in total. Approximately 60% were male and 68.4% were White. Among the patients, 9.9% were dead. In term of discharge disposition, 56.2% (33.9% Home, 22.3% Home Health Care) where as 32.3% were transferred to another institutions. The rest of them were hospice (0.8%), left against medical advice (0.7%), and others (0.2%). The top three most frequently co-existing kinds of diseases were Hypertension, not otherwise specified (NOS), congestive heart failure NOS, and Acute kidney failure NOS. The number of patients with PI who have one or more procedures was 2,169 (94.9%). The number of unique procedures was 981. The top three most frequent procedures were 'Venous catheterization, not elsewhere classified,' and 'Enteral infusion of concentrated nutritional substances.' Patient with a greater number of comorbid conditions were likely to have longer length of ICU stay (r=.452, p<.001). In addition, patient with a greater number of procedures that were performed during the admission were strongly tend to stay longer in hospital (r=.729, p<.001). Therefore, prospective studies focusing on comorbidity; and diagnostic and preventive procedures are needed in the prediction modeling of pressure injury development in ICU patients.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.1-10
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• 2021

본 연구에서는 해상(수상) 교량기초 시공 시 석션압으로 간편하게 설치될 수 있는 원형관 공법을 개발하고자, 실내 모형실험을 통하여 저수심 모래지반에 원형관 관입 시 설치 석션압을 평가하였다. 포화된 사질토의 반복실험을 위해 3개의 진동발생기를 활용한 진동다짐 토조 시스템을 구축하였고, 지반강도 확인을 위하여 소형 콘관입 장비를 활용하였다. 진동다짐 토조 시스템은 내부의 모래지반에 반복적으로 진동을 가하여 효율적으로 균질한 모래지반을 확보할 수 있었다. 다양한 지름과 두께를 가지는 원형관 모형체를 제작하고, 다양한 수심조건에 대하여 석션관입 실험을 수행하였다. 실험을 통한 석션압 분석결과 원형관의 관입깊이가 커짐에 따라 석션압은 커지고 지름이 클수록 원형관을 관입시키는데 필요한 석션압은 작아지는 것을 확인하였다. 특히, 수위가 낮을수록 석션관입을 위해 원형관 내부에서 끌어 올려야 하는 수두가 커지는 반면, 높아진 수두에 의한 물의 무게는 원형관의 전체 자중을 증가시켜 관입에 필요한 석션압은 작아짐을 알 수 있었다. 따라서, 저수심 조건에서 석션압을 이용하여 원형관을 설치할 경우 수심의 영향을 고려하여 설계 석션압을 결정해야 할 것으로 판단된다.

• 한국환경과학회지
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• 제2권4호
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• pp.317-324
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• 1993

Effluent recycling effect on UASB reactor performances is known as an important operational factor. In the present study, the possibility of intermittent recycle in UASB process for saving the power consumption was examined at different organic loading and various operational modes in recycle time period. The organic removal efficiencies of the reactors operated with the intermittent effluent recycle were considerably higher compared to those without the effluent recycle. In the intermittent recycle mode, the organic removal efficiencies slightly decreased as the non-recycle time period in the operational mode increased. Proper ratio of recycle and non-recycle time period in the mode seemed to be required to prevent the produced biogas from accumulation in the sludge bed, which caused dead zone in the reactor and sludge loss when the gas was escaped from the bed at the certain pressure.

• 오토저널
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• 제7권3호
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• pp.64-73
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• 1985

In order to control ignition advance angle, this system is designed with Z-80 CPU, CTC (counter Timer Circuit), PIO(Parallel Input Output), A/D Converter and Memory, etc. Serial pulses from speed sensor and analog voltage from pressure sensor are converted to digital data. In order to reduce the error of ignition advance angle output, the reference of ignition advance angle output is set 56.25 before TDC(Top Dead Center). The table of ignition advance angle and program which have a main routine and subroutines are written into ROM ( 1 K-byte). The experimental result of this system is correspondent to the theoretical values of proposed ignition advance angle table. This system can be utilized to any other type of 4 cylinder vehicles for advance angle control by changing software.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2007년도 추계학술대회논문집
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• pp.943-946
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• 2007

The vibration and noise characteristic of the Axial-gap motor for an air conditioner were analyzed. Experimental Modal Analysis was performed to understand the vibration characteristic of the motor. The noise of motor was measured in a dead room. Finite Element Method was performed to find the vibration characteristic of the motor by using ABAQUS program.

• 대한기계학회논문집A
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• 제27권1호
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• pp.88-93
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• 2003

The aim of this paper is to investigate the friction characteristics of piston assembly, which composed of ring pack and piston skirt. The friction force of piston assembly was measured by using the movable liner in the single cylinder engine, and the various parameters were tested. The friction force was suddenly increased at the expansion stroke due to higher cylinder pressure. The viscous friction was dominant at the mid stroke, but the boundary friction was dominant at the top and bottom dead centers. Through the experiment, we could validate previous theoretical study, and confirm that th e radial clearance and ring tension were very effective to reduce friction loss of piston assembly.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2006년도 추계학술대회 논문집
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• pp.646-658
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• 2006

In this paper, the details of electric traction voltages which are widely used for metro and mainline trains are presented. The problems encountered in catenaries, pressure of the pantograph pan, catenary contact cross sectional area, materials etc are well covered. Catenary height from the rail for main line, bridges, sheds etc is discussed. The catenary running details and switching of one catenary to another are explained. The dead zones in 3 phase grid as well as in DC are presented here. The pantograph structure, blades, shoes etc. for AC/DC EMUs are dealt. The schematic diagram for electrification systems used for railways are given and explained with typical electrical parameters of Indian Railways.

• 한국연소학회:학술대회논문집
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• 한국연소학회 2013년도 제46회 KOSCO SYMPOSIUM 초록집
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• pp.29-31
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• 2013

In this study, the characteristics of particulate matters (PM) from diesel and biodiesel fuel combustion was experimentally investigated. The experiment was performed in a single cylinder common-rail compression ignition engine. The fuels were injected at -5 CAD (Crank angle degree) ATDC (After top dead center) with 80 MPa injection pressure. Size distribution of PM was measured by scanning mobility particle sizer (SMPS) and morphology of PM was studied by transmission electron microscopy (TEM). PM from biodiesel shows lower emission level and smaller primary particles.