• Journal of Environmental Science International
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• v.18 no.7
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• pp.755-765
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• 2009

Some sections of the exhaust system to determine the shape of the duct is to suffer the difficulties by space constraints to install new equipment of the environment post-treatment for existing operation of the power plants. In this paper the large duct in flue gas desulfurization equipments of the 500MW coal-fired power plant on the current operation is numerically analyzed from induced draft fan exit to booster up fan inlet section which is in the narrow space of the exhaust system with four times bending and is connected to emergency duct to bypass the exhaust gas on the emergency operation. The procedure and method using computational fluid dynamics are proposed to maintain the stability of the guide vane with the uniform flow and a minimum pressure loss of exhaust gas in the case of normal and emergency operation between the direction of the flow of exhaust gas duct at different.

• Journal of Trauma and Injury
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• v.30 no.4
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• pp.231-234
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• 2017

Extrahepatic bile duct injury is commonly associated with hepatic, duodenal, or pancreatic injuries, and isolated extrahepatic bile duct injury is rare. We report a patient who presented with an isolated extrahepatic bile duct injury after blunt trauma. A 50-year-old man was referred to our hospital after having suffered a fall down injury. His laboratory findings showed hyperbiliribinemia with elevated aspartate aminotransferase and alanine aminotransferase level. Initial abdominal computed tomography (CT) showed a mild degree of hemoperitoneum without evidence of abdominal solid organ injury. On the 3rd day of hospitalization, the patient complained of dyspnea and severe abdominal discomfort. Follow-up abdominal CT showed no significant interval change. Owing to the patient's condition, Emergency laparotomy revealed a large amount of bile-containing fluid collection and about 1 cm in size laceration on the left lateral side of the common hepatic duct. Primary repair of the injured bile duct with T-tube insertion was performed On postoperative day (POD) 30, endoscopic retrograde cholangiopancreatography showed minimal bile leakage and endoscopic sphincteroplasty and endoscopic retrograde biliary drainage were performed. On POD 61, the T-tube was removed and the patient was discharged.

• International Journal of Air-Conditioning and Refrigeration
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• v.11 no.2
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• pp.51-60
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• 2003

In the nuclear power plant, emergency core coolant system (ECCS) is furnished at reactor coolant system (RCS) in order to cool down high temperature water in case of emergency. However, in this coolant system, thermal stratification phenomenon can occur due to coolant leaking in the check valve. The thermal stratification produces excessive thermal stresses at the pipe wall so as to yield thermal fatigue crack (TFC) accident. In the present study, effects of turbulence penetration on the thermal stratification into T-branches with square cross-section in the modeled ECCS are analysed numerically. Standard k-$\varepsilon$ model is employed to calculate the Reynolds stresses in momentum equations. Results show that the length and strength of thermal stratification are primarily affected by the leak flow rate of coolant and the Reynolds number of duct. Turbulence penetration into the T-branch of ECCS shows two counteracting effects on the thermal stratification. Heat transport by turbulence penetration from main duct to leaking flow region may enhance thermal stratification while the turbulent diffusion may weaken it.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.15 no.3
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• pp.239-245
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• 2003

In the nuclear power plant, emergency core coolant system (ECCS) is furnished at reactor coolant system (RCS) in order to cool down high temperature water in case of emergency. However, in this coolant system, thermal stratification phenomenon can occur due to coolant leaking in the check valve. The thermal stratification produces excessive thermal stresses at the pipe wall so as to yield thermal fatigue crack (TFC) accident. In the present study, effects of turbulence penetration on the thermal stratification into T-branches with square cross-section in the modeled ECCS are analysed numerically. $textsc{k}$-$\varepsilon$ model is employed to calculate the Reynolds stresses in momentum equations. Results show that the length and strength of thermal stratification are primarily affected by the leak flow rate of coolant and the Reynolds number of the main flow in the duct. Turbulence penetration into the T-branch of ECCS shows two counteracting effects on the thermal stratification. Heat transport by turbulence penetration from the main duct to leaking flow region may enhance thermal stratification while the turbulent diffusion may weaken it.

• Journal of Trauma and Injury
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• v.29 no.3
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• pp.93-97
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• 2016

Hepatic duct confluence injury, which is developed by blunt abdominal trauma, is rare. Conventionally, bile duct injury was treated by surgical intervention. In recent decades, however, there had been an increase in radiologic or endoscopic intervention to treat bile duct injury. In a hemodynamically stable patient, endoscopic intervention is considered as the first-line treatment for bile duct injury. A 40 year-old man was transferred to the emergency department of ${\bigcirc}{\bigcirc}$ trauma center after multiple blunt injuries. Contrast-enhanced abdominal computed tomography performed in another hospital showed a liver laceration with active arterial bleeding, fracture of the sacrum and left inferior pubic ramus, and intraperitoneal bladder rupture. The patient presented with hemorrhagic shock because of intra-peritoneal hemorrhage. After resuscitation, angiographic intervention was performed. After angiographic embolization of the liver laceration, emergency laparotomy was performed to repair the bladder injury. However, there was no evidence of bile duct injury on initial laparotomy. On post-trauma day (PTD) 4, the color of intra-abdominal drainage of the patient changed to a greenish hue; bile leakage was revealed on magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography (ERCP). Bile leakage was detected near the hepatic duct confluence; therefore, a biliary stent was placed into the left hepatic duct. On PTD 37, contrast leakage was still detected but both hepatic ducts were delineated on the second ERCP. Stents were placed into the right and left hepatic ducts. On PTD 71, a third ERCP revealed no contrast leakage; therefore, all stents were removed after 2 weeks (PTD 85). ERCP and biliary stenting could be effective treatment options for hemodynamically stable patients after blunt trauma.

• Journal of Trauma and Injury
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• v.29 no.2
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• pp.51-55
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• 2016

Isolated injury to the pancreas after abdominal trauma is uncommon, and a delay in diagnosis and treatment can increase the morbidity and mortality. Therapeutic decisions with respect to pancreatic trauma are usually made based on the site of injury and the status of the pancreatic ductal system. In this report, we describe the surgical management of pancreatic head transection as an isolated injury following blunt abdominal trauma. A 55-year-old man presented with epigastric pain that radiated to the back. Abdominal computed tomography revealed a hematoma in the pancreatic head and upstream dilatation of the main pancreatic duct. Endoscopic retrograde cholangiopancreatography showed complete disruption of and contrast leakage from the main pancreatic duct in the pancreatic head region with a nonenhanced upstream duct. Emergency pancreaticoduodenectomy was successfully performed, and the patient was discharged on postoperative day 9 without any complications.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.282-285
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• 2018

The objective is to review a case of pneumoparotitis and to discuss how knowledge of this unique presentation is important when making differential diagnoses in emergency medicine. A patient with recurrent subcutaneous emphysema of the head and neck is reviewed. Stenson's duct demonstrated purulent discharge. Physical examination revealed palpable crepitance of the head and neck. Fiberoptic laryngoscopy and barium esophagram were normal. Computed tomography demonstrated left pneumoparotitis and subcutaneous emphysema from the scalp to the clavicles. This is an unusual presentation of pneumoparotitis and malingering. Emergency physicians should be aware of pneumoparotitis and its presentation when creating a differential diagnosis for pneumomediastinum, which includes more life-threatening diagnoses such as airway or esophageal injuries.

• Korean Journal of Radiology
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• v.21 no.8
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• pp.955-966
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• 2020

Ultrasound (US) is an attractive diagnostic approach to identify both common and uncommon nipple pathologies, such as duct ectasia, nipple abscess, nipple leiomyoma, nipple adenoma, fibroepithelial polyp, ductal carcinoma in situ (restricted to nipple), invasive carcinoma, and Paget's disease. US is the reliable first-line imaging technique to assess nipple pathologies. It is useful to identify and characterize nipple lesions. Additionally, we have presented the mammography and MRI outcomes correlated with histopathologic features for the relevant cases.

• Fire Science and Engineering
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• v.24 no.2
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• pp.97-105
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• 2010

The smoke control systems using pressure differentials are already well known as the most reliable method to prevent the smoke infiltration into the emergency stairs or safe spaces. However, it is true that many problems are domestically pointed out due to the insufficient understanding and technology on the smoke control systems using pressure differentials. In this regard, this work analyzed the effect of major factors for smoke control system using pressure differentials such as a duct area, opening area of air supply damper, improvement on open vestibules, stack effect and location of air supply. In conclusion, adequate pressure differentials can not be maintained in small duct because the smaller duct area have the large friction loss. Especially, It is confirmed that the major factor for deterioration of smoke control system performance is stack effect that makes pressure differentials smaller in the lower floors.

• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.26 no.4
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• pp.333-338
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• 2022

Backgrounds/Aims: Bile duct stones (BDS) can be managed either prior to laparoscopic cholecystectomy (LC) using endoscopic retrograde cholangiopancreatography (ERCP) or with laparoscopic bile duct exploration (LBDE) at the time of LC. The latter is underutilised. The aim of this study was to use the dataset of the previously performed CholeS study to investigate LBDE hospital volumes, LBDE-to-LC rates, and LBDE outcomes. Methods: Data from 166 United Kingdom/Republic of Ireland hospitals were used to study the utilisation of LBDE in LC patients. Results: Of 8,820 LCs performed, 932 patients (10.6%) underwent preoperative ERCP and 256 patients (2.9%) underwent LBDE. Of the 256 patients who underwent LBDE, 73 patients (28.5%) had undergone prior ERCP and 112 patients (43.8%) had undergone prior magnetic resonance cholangiopancreatography. Fifteen (9.0%) of the 166 included hospitals performed less than five LBDEs in the two-month study period. LBDEs were mainly performed by upper gastrointestinal surgeons (84.4%) and colorectal surgeons (10.0%). Eighty-seven percent of the LBDEs were performed by consultants and 13.0% were performed by trainees. The laparoscopic-to-open conversion rate was 12.5%. The median operation time was 111 minutes (range: 75-155 minutes). Median hospital stay was 6 days (range: 4-11 days) for emergency LBDEs and 1 day (range: 1-4 days) for elective LBDEs. Overall morbidity was 21.5%. Bile leak rate was 5.3%. Thirty-day readmission and mortality rates were 12.1% and 0.4%, respectively. Conclusions: The single-stage approach to managing BDS was underutilised. An additional prospective study with a longer study period is needed to verify this finding.