• 제목/요약/키워드: Delayed Appearance

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분류층 석탄 가스화기 반응 유동장 변수 전산해석 연구 (PARAMETRIC NUMERICAL STUDY OF THE REACTING FLOW FIELD OF A COAL SLURRY ENTRAINED GASIFIER)

  • 송우영;김혜숙;신미수;장동순;이재구
    • 한국전산유체공학회지
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    • 제19권3호
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    • pp.44-51
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    • 2014
  • Considering the importance of the detailed resolution of the reacting flow field inside a gasifier, the objective of this study lies on to investigate the effect of important variables to influence on the reacting flow and thereby to clarify the physical feature occurring inside the gasifier using a comprehensive gasifier computer program. Thus, in this study the gasification process of a 1.0 ton/day gasifier are numerically modeled using the Fluent code. And parametric investigation has been made in terms of swirl intensity and aspect ratio of the gasifier. Doing this, special attention is given on the detailed change of the reacting flow field inside a gasifier especially with the change of this kind of design and operation parameters. Based on this study, a number of useful conclusions can be drawn in the view of flow pattern inside gasifier together with the consequence of the gasification process caused by the change of the flow pattern. Especially, swirl effect gives rise to a feature of a central delayed recirculation zone, which is different from the typical strong central recirculation appeared near the inlet nozzle. The delayed feature of central recirculation appearance could be explained by the increased axial momentum due to the substantial amount of the presence of the coal slurry occupying over the entire gasifier in gasification process. Further, the changes of flow pattern are explained in detail with the gasifier aspect ratio. In general, the results obtained are physically acceptable in parametric study.

쇄골두개 이형성증 환아의 증례보고 (CLEIDOCRANIAL DYSPLASIA : A CASE REPORT)

  • 김태완;김영진
    • 대한장애인치과학회지
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    • 제3권2호
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    • pp.91-96
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    • 2007
  • 치과의사는 쇄골두개 이형성증의 특징에 대해 잘 알고 있어야 한다. 쇄골두개 이형성증 환자는 신체 및 정신적으로 특별한 이상을 보이지 않기 때문에, 영구치교환시기를 한참 지나 다수치아에서의 유치만기잔존 및 영구치의 미 맹출을 주소로 치과에 내원하게 되는 경우가 많은 것이 사실이다. 이런 의심이 들 때는 정확한 진단을 위해 반드시 다양한 방사선사진을 촬영해 보아야 하겠다. 또한 긴 치료기간으로 인해 환자의 협조와 여러 분야에 있어서 전문가들의 협력이 반드시 필요할 것이다.

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Osteocutaneous flaps for head and neck reconstruction: A focused evaluation of donor site morbidity and patient reported outcome measures in different reconstruction options

  • Kearns, Marie;Ermogenous, Panagiotis;Myers, Simon;Ghanem, Ali Mahmoud
    • Archives of Plastic Surgery
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    • 제45권6호
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    • pp.495-503
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    • 2018
  • With significant improvements in success rates for free flap reconstruction of the head and neck, attention has turned to donor site morbidity associated with osteocutaneous free flaps. In this review, we address the morbidity associated with harvest of the four most commonly used osteocutaneous flaps; the free fibula flap, the scapula flap, the iliac crest flap and the radial forearm flap. A comprehensive literature search was performed to identify articles relevant to donor site morbidity for these flaps. We assessed morbidity in terms of incidence of delayed healing, chronic pain, aesthetic outcomes, site specific complications and patient satisfaction/quality of life. Weighted means were calculated when sufficient studies were available for review. The radial forearm and free fibula flaps are associated with high rates of delayed healing of approximately 20% compared to the scapular (<10%) and iliac flaps (5%). The radial forearm flap has higher rates of chronic pain (16.7%) and dissatisfaction with scar appearance (33%). For the majority of these patients harvest of one of these four osteocutaneous does not limit daily function at long-term follow-up. The scapular osteocutaneous flap is associated with the lowest relative morbidity and should be strongly considered when the recipient defect allows. The radial forearm is associated with higher morbidity in terms of scarring, fractures, chronic pain and wrist function and should not be considered as first choice when other flap options are available.

실험실 규모 크립토스포리디움의 불활성화 실험을 통한 오존 고도정수처리 정수장에서 소독 효과 예측 (Prediction of Cryptosporidium parvum Inactivation in Advanced Ozone Drinking Water Treatment with Lab Scale Experiments)

  • 조민;정현미;김이호;손진식;박상정;윤제용
    • 한국물환경학회지
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    • 제21권1호
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    • pp.7-13
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    • 2005
  • With the appearance of pathogenic microorganisms, which were resistant to free chlorine, the significant attention to the necessity of powerful alternative disinfection methods such as ozone, chlorine dioxide, LTV irradiation to inactivating pathogens has been increased in water treatment. Among these alternative disinfection methods, ozone is well known as strong biocidal method and the usage of ozone is also increasing in Korea. However, in Korea, there has been no report on the quantitative study of Cryptosporidium parvum with ozone and its evaluation in advanced drinking water treatments. This study reports on the methodology for predicting the ozone inactivation of Cryptosporidium parvum by ozone disinfection in advanced drinking water treatment. The method is based on the fact that a specific inactivation level of microorganisms is achieved at a unique value of ozone exposures, independent of ozone dose and type of water, and quantitatively described by a delayed Chick-Watson model. The required values ${\bar{C}}T$ for 2 log inactivation of Cryptosporidium parvum was $6.0mg/L{\cdot}min$ and $15.5mg/L{\cdot}min$ at $20^{\circ}C$ and $5^{\circ}C$, respectively. From this obtained Cryptosporidium parvum inactivation curves and calculated ${\bar{C}}T$ values of advanced drinking water treatment water in Korea with FIA (Flow injection alaysis), we can predict that water treatment plant can achieve a 1.1~1.8 log inactivation and 0~0.4 log inactivation at $20^{\circ}C$ and $5^{\circ}C$, respectively. This methodology will be useful for drinking water treatment plants which intend to evaluate the disinfection efficiencies of their ozonation process without full scale test and direct experiments with Cryptosporidium parvum.

두경부 전양낭성암종에서 원격전이와 관련된 임상적, 병리학적 예측 인자 (Clinicopathologic Predictors and Impact of Distant Metastasis from Adenoid Cystic Carcinoma of the Head and Neck)

  • 김정훈;성명훈;권택균;이상준;김광현
    • 대한두경부종양학회지
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    • 제18권2호
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    • pp.157-162
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    • 2002
  • Background and Objectives: Adenoid cystic carcinoma (ACC) is a unique tumor characterized by frequent and delayed distant metastasis (DM) with uncommon regional lymph node metastasis. We evaluated the factors affecting DM of ACC and survival after appearance of DM. Materials and Methods: Medical records, radiographs and pathologic slides were reviewed for 94 patients from 1979 through 2001. Results: DM of ACC occurred in 46 patients, and developed more frequently in patients with tumors of the solid histologic subtype than in patients with tubular or cribriform subtypes. DM occurred less frequently in the sinonasal tract, and development of DM was not affected by tumor stage. Disease-specific 5- and 10-year survival rates were 88% and 72% for patients without DM, respectively and 76% and 48% for those with DM(p=0.02). Regarding the site of DM and its impact on outcomes, 30 patients had lung metastasis alone, 5 patients bone metastasis alone and 6 patients developed both lung and bone metastasis. Median survivals after appearance of DM among patients with isolated lung metastases and those with bone metastases with or without lung involvement were 54 and 21 months, respectively (p=0.04). Conclusions: Development of DM in ACC is predicted by solid histologic subtype, and major salivary gland or oral/pharyngeal rather than sinonasal primary site. Those patients with bone involvement with our without lung metastases had worse outcomes than those with pulmonary metastasis only.

Fusarium moniliforme의 Strain 별(別) 육묘상(育苗床)과 본답(本畓)에서 병(病) 발생(發生)과 피해(被害) 해석(解析)에 관한 시험(試驗) (Pathogenicity in Nursery Box and Symptom Appearance and Yield Damage in Paddy Field by Each Strain of Fusarium moniliforme)

  • 성재모;양성석;이은종
    • 한국균학회지
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    • 제12권2호
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    • pp.65-73
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    • 1984
  • Fusarium moniforme의 4가지 Strain중 Strain IV가 가장 병원성(病原性)이 강(强)하면서 유묘(幼苗)를 도장시키면서 고사(枯死)시키었다. 이병주(罹病株)는 Strain에 관계없이 밀양 23호와 남풍벼는 mesocotyl를 형성하였으나 삼남벼와 진주벼는 mesocotyl를 형성하지 않았다. Mesocotyl를 형성하는 밀양 23호와 남풍벼는 포장에서 건전화(健全化)되었으나 mesocotyl를 형성하지 않는 삼남벼와 진주벼는 대부분 고사(枯死)하였다. 이병(罹病)된 부위(部位)에서 병원균(病原菌)을 분리(分離)한 결과(結果)가 Strain IV가 가장많이 분리(分離)되었으며 분리부위(分離部位)는 벼전체에서 분리(分離)되었다. 키다리병출현(病出現)은 Strain IV에 이병(罹病)된것이 가장많이 본답(本畓)에서 키다리증상(症狀)을 보였으며 주당(株當)분얼수와 수량도 Strain IV에 이병(罹病)된 것은 상당히 감소 되는 경향이었다.

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Differences in the panoramic appearance of cleft alveolus patients with or without a cleft palate

  • Takeshi Fujii;Chiaki Kuwada;Yoshitaka Kise;Motoki Fukuda;Mizuho Mori;Masako Nishiyama;Michihito Nozawa;Munetaka Naitoh;Yoshiko Ariji;Eiichiro Ariji
    • Imaging Science in Dentistry
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    • 제54권1호
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    • pp.25-31
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    • 2024
  • Purpose: The purpose of this study was to clarify the panoramic image differences of cleft alveolus patients with or without a cleft palate, with emphases on the visibility of the line formed by the junction between the nasal septum and nasal floor(the upper line) and the appearances of the maxillary lateral incisor. Materials and Methods: Panoramic radiographs of 238 patients with cleft alveolus were analyzed for the visibility of the upper line, including clear, obscure or invisible, and the appearances of the maxillary lateral incisor, regarding congenital absence, incomplete growth, delayed eruption and medial inclination. Differences in the distribution ratio of these visibility and appearances were verified between the patients with and without a cleft palate using the chi-square test. Results: There was a significant difference in the visibility distribution of the upper line between the patients with and without a cleft palate (p<0.05). In most of the patients with a cleft palate, the upper line was not observed. In the unilateral cleft alveolus patients, the medial inclination of the maxillary lateral incisor was more frequently observed in patients with a cleft palate than in patients without a cleft palate. Conclusion: Two differences were identified in panoramic appearances. The first was the disappearance (invisible appearance) of the upper line in patients with a cleft palate, and the second was a change in the medial inclination on the affected side maxillary lateral incisor in unilateral cleft alveolus patients with a cleft palate.

쇄골두개 이형성증 환아의 구강내 증상과 치료 전략 (ORAL MENIFESTATION AND TREATMENT STRATEGIES IN CLEIDOCRANIAL DYSPLASIA)

  • 박희숙;김영진;김현정;남순현
    • 대한소아치과학회지
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    • 제36권3호
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    • pp.456-463
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    • 2009
  • 쇄골두개 이형성증(Cleidocranial Dysplasia)은 안면, 두개골, 쇄골의 비정상적인 성장을 보이는 증후군으로 상염색체 우성으로 유전되거나 유전적 요인 없이 돌연변이에 의해 야기된다. 쇄골두개 이형성증의 일반적 소견은 두개 봉합과 천문의 지연 폐쇄, 편측이나 양측성으로 쇄골의 형성 장애, 상대적으로 커진 이마에 의해 상악골이 함몰된 것처럼 보이는 안면 형태가 특징적이다. 구강내 소견으로는 유치의 만기 잔존, 그로 인한 영구치의 맹출 지연을 보이며 방사선 사진 상에서 매복된 다수의 과잉치가 존재한다. 쇄골두개 이형성증은 정신적 및 신체적으로 특별한 이상을 나타내지 않아 진단이 늦어지는 경우가 많아 영구치의 미맹출로 인하여 저작 및 심리적인 문제가 초래되는 경우가 많다. 따라서 조기 진단을 통해 적절한 시기에 유치 발치 및 과잉치 제거 후 교정적 처치로 영구치의 맹출을 유도하여 저작 기능의 회복뿐 아니라 환자의 안모도 개선시켜야 한다. 본 증례는 영구치 맹출 장애와 전치부 반대교합을 주소로 내원하여 쇄골두개 이형성증으로 진단받은 환아들의 구강내 증상과 치아 맹출 유도법을 통하여 치아를 맹출시킬 수 있었기에 보고하는 바이다.

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Efficacy and Safety of Neurokinin-1 Receptor Antagonists for Prevention of Chemotherapy-Induced Nausea and Vomiting: Systematic Review and Meta-analysis of Randomized Controlled Trials

  • Yuan, Dong-Mei;Li, Qian;Zhang, Qin;Xiao, Xin-Wu;Yao, Yan-Wen;Zhang, Yan;Lv, Yan-Ling;Liu, Hong-Bin;Lv, Tang-Feng;Song, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.1661-1675
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    • 2016
  • Objectives: Can addition of neurokinin-1 receptor antagonists (NK1-RAs) be considered as an ideal strategy for the prevention of chemotherapy-induced nausea and vomiting (CINV)? Researchers differ on this question. Materials and Methods: Electronic databases were searched for randomized control trials (RCTs) that evaluated the effectiveness and safety of NK1-RAs in preventing CINV. The primary end point was complete response (CR) in the acute, delayed, and overall phases after chemotherapy. Subgroup analyses evaluated the types of NK1-RAs, routines of administration, types of malignancies, regimens used in combination with NK1-RAs, and age of patients included in the studies. The incidences of different types of adverse events were also extracted to estimate the safety of NK1-RAs. Results: A total of 38 RCTs involving 13,923 patients were identified. The CR rate of patients receiving NK-RAs was significantly higher than patients in the control groups during overall phase (70.8% vs 56.0%, P<0.001), acute phase (85.1% vs 79.6%, P<0.001), and delayed phase (71.4% vs 58.2%, P<0.001). There were three studies including patients of children or adolescents, the CR rate was also significantly higher in the treatment group (overall phase: OR=2.807, P<0.001; acute phase: OR=2.863, P =0.012; delayed phase: OR=2.417, P<0.001). For all the other outcomes, patients in the NK1-RAs groups showed improvements compared to the control groups (incidence of nausea: 45.2% vs 45.9%, P<0.001; occurrence of vomiting: 22.6% vs 38.9%, P<0.001; usage of rescue drugs: 23.5% vs 34.1%, P<0.001). The pooled side effects from NK1-RAs did not significantly differ from previous reports and the toxicity rates in patients less than eighteen years old also did not diff between the two groups (P=0.497). However, we found that constipation and insomnia were more common in the patients of control groups, whereas diarrhea and hiccups were more frequently detected in patients receiving NK1-RAs. Conclusions: NK1-RAs improved the CR rate of CINV. They are effective for both adults and children. The use of NK1-RAs might be associated with the appearance of diarrhea and hiccups, while decreasing the possibility of constipation and insomnia.

Inverted C-V 피판을 이용한 반흔 배꼽의 재건 치험례 (Reconstruction of Scarred Umbilicus Using an Inverted C-V Flap: A Case Report)

  • 홍윤기;조종제
    • Archives of Plastic Surgery
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    • 제34권5호
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    • pp.653-655
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    • 2007
  • Purpose: The umbilicus is an important aesthetic component of the abdomen. Its absence is both cosmetically and psychologically distressing to the patient. Umbilical reconstruction should always be aimed at creating an umbilicus of sufficient depth and good morphology with less scarring. The C-V flap developed for nipple reconstruction was used in an inverted fashion in case of umbilical reconstruction. The aim of this article is to report our experience of scarred umbilical reconstruction using inverted C-V flap. Methods: A 22-year-old woman presented with contracted scar tissue in the umbilical region because she had undergone surgical correction of an umbilical hernia at 5 year of age. Pedicle of the inverted C-V flap was based cephalically. For enhancing depth of the umbilicus, three anchoring sutures to linea alba were done at both lateral and caudal aspects of the umbilical tube. Primary closures were done at donor sites of the V flaps and bolster sutures were done in the caudal direction of the inverted umbilical tube. Results: The patient was satisfied with the appearance of umbilicus. Major complications such as dehiscence, infection, and delayed healing did not occur. Conclusion: The inverted C-V flap is easy and simple technique, and it can produce a satisfactory reconstruction of umbilical structure.