• Journal of Trauma and Injury
• /
• 제29권3호
• /
• pp.93-97
• /
• 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.

• International Journal of Fluid Machinery and Systems
• /
• 제6권2호
• /
• pp.56-74
• /
• 2013

Stall stagnations in the system of axial-flow compressors and ducts occur in transition from deep surge conditions to decayed or converged stall conditions. The present study is concerned with the boundaries between the deep surges and the stagnation stalls on the basis of analytical results by a code on surge transients analysis and simulation. The fundamental acoustical-geometrical stagnation boundaries were made clear from examinations of the results on a variety of duct configurations coupled with a nine-stage compressor and a single stage fan. The boundary was found to be formed by three parts, i.e., B- and A-boundaries, and an intermediate zone. The B-boundary occurs for the suction-duct having a length of about a quarter of the wave-length of the first resonance in the case of very short and fat plenum-type delivery duct. On the other hand, the A-boundary occurs for the long and narrow duct-type delivery flow-path having a length about a fifth of the wavelength and relatively small sectional area in the case of short and narrow suction ducts. In addition to this, the reduced surge-cycle frequencies with respect to the duct lengths are observed to have respective limiting values at the stagnation boundaries. The reduced frequency for the B-boundary is related with a limiting value of the Greitzer's B parameter. The tendency and the characteristic features of the related flow behaviors in the neighborhood of the boundaries were also made clearer.

• 한국기계가공학회지
• /
• 제17권2호
• /
• pp.37-46
• /
• 2018

Present research is to evaluate and improve the sealing performance of the duct cap assembly for the ice dispensers through structural analysis. The nonlinear contact problems to check the sealing performance were analyzed using ANSYS software. The results of the analyses related to the sealing performance: the displacement distribution, the contact condition between the cap-silicon and the case, and the pressure distribution on the contact surface, were examined and discussed. Based on the results of the existing design of the duct cap assembly, two cases of the design modifications to improve the sealing performance were introduced. By examining the results of the two cases, a final design improvement plan was proposed and analyzed. It is shown that the sealing performance of the proposed final design is much more favorable than the existing design. The method of structural analysis and design improvement of the duct cap assembly presented in this paper will help improve the sealing performance of the ice dispenser duct caps.

• 한국소음진동공학회논문집
• /
• 제24권3호
• /
• pp.219-226
• /
• 2014

A bus duct system for wind tower is introduced. A marine cable has been widely used in wind tower or various offshore structures. However, as the electric load capacity is increases, large number of cable lines must be used to cover the huge amount of electric capacities. Therefore, the installation of the cable lines becomes very difficult due to the heavy weight and volume of the cables. On the other hand, by using a single bus duct system line, the power capacity amount of 16 cables can be delivered with significantly compacted form. However, unlike flexible cables, the bus duct is relatively stiff which could generate the resonance phenomenon in the operating condition of the wind tower. In this study, the vibration characteristics of the bus duct are investigated and its long-term reliability during the life time of the wind tower is verified.

• 대한방사선기술학회지:방사선기술과학
• /
• 제20권1호
• /
• pp.43-49
• /
• 1997

Purpose of this paper is to extend help for clinical application in balloon cholangiography on patients who have undergone endoscopic sphincterotomy, impacted stones of intrahepatic duct, and missed bile duct because of other diseases in operating endoscopic retrograde cholangiopancreatography. This study was done for the patients who had clinical signs of biliary diseases from January to December In 1996. We studied 45 patients who had endoscopic sphincterotomy, re-examination after interventional treatment of the endoscopic retrograde cholangiopancreatography, and uncertain diagnosis due to common bile duct and intrahepatic duct those are not filled with contrast media. Balloon cholangiography was performed in case of uncertain diagnosis while operating endoscopic retrograde cholangiopancreatography. First of all, we insert balloon catheter Into the working channel of treatment jejunofiberscope and remove treatment Jejunofiberscope after ballooning, and lastly take biliary tract X-ray after Injection and changing position of patient. The results of this study were as follows. (1) In classification of diseases, stones of gall bladder, those of common bile duct, and those of intrahepatic duct were 30 cases, fistula was 1 case. (2) In total cases of 45, only diagnosis were 25 cases, interventional treatment were 20 cases. (3) In case of interventional treatment, endoscopic sphincterotomy and endoscopic nasobiliary drainage, and stone removal were about the same, 7, 7, 6 respectively. Balloon cholangiography will be useful to prevent patients from having repeated and unnecessary studies for the cases above explained. It is considered that this study will be useful for clinical application in terms of reducing medical expenses, pain while examination, and consultation hours.

• 설비공학논문집
• /
• 제9권1호
• /
• pp.14-22
• /
• 1997

The position of propeller fan from duct inlet is one of basic parameters for the design of propeller fan. To investigate the effect of its position on fan characteristics, the inlet flow fields and relative flow angles were measured by a 5-hole pitot tube. The experimental results indicate that the ratio of radial flow introduced from propeller circumference to total inlet flow increases with the increase of propeller distance from duct inlet. When fan operates without duct, the total flow rate and the radial flow ratio are higher than those of any other positions of propeller relative to duct inlet. The radial flow ratio decreases as a flow coefficient and the propeller distance decrease. Therefore the front flow fields can be adjusted in some extent by varying the propeller distance according to a fan loading. The inlet flow angles are decreasing a little as a rotational speed and the propeller distance decrease. In the present case it was judged that the deviation angle of outlet flow became negative owing to a flow separation near a trailing edge.

• The Korean Journal of Physiology
• /
• 제11권2호
• /
• pp.51-56
• /
• 1977

In Nembutal anesthetized cats, the sobmaxillary duct was cannulated with polyethylene tube, and effects of stimulation of the chorda tympani and cervical sympathetics on, the submaxillary secretion and intraluminal pressure of the submaxillary duct were observed. The stimulation of tile chorda tympani elicited a profuse salivary secretion. The stimulation of the cervical sympathetics evoked only a scanty flow, and on repeated stimulation of the nerve salivary flow response gradually diminished and finally the flow ceased. In this state the salivary flow by the sympathetic stimulation was resumed after the stimulation of the chorda tympani. Atropine abolished these responses to nerve stimulation. Intraluminal pressure of the submaxillary duct was abruptly increased and remained on a plateau during the stimulation of the chorda tympani, whereas sympathetic stimulation elicited moderate increase of the intraluminal pressure which did not remain in spite of continued stimulation. These results suggest that scanty salivary flow induced by cervical sympathetic stimulation is not real secretion but simple elimination of the saliva already present in the duct due to contraction of the contractile elements known to exist in the duct wall.

• 대한의용생체공학회:의공학회지
• /
• 제17권4호
• /
• pp.515-524
• /
• 1996

The flow characteristics of developing unsteady laminar flow in a square-sectional $180^{\circ}$ curved duct are experimentally investigated by using laser doppler velocimerty (LDV) system with data acquisition and processing system of rotating machinery resolver(RMR) and PHASE software. The major flow characteristics of developing laminar pulsating flows are presented by mean velocity profilel velocity distribution of secondary flow, wall shear stress distributions, entrance lengths according to dimensionless angular frequency($\omega^+$), velocity amplitude ratio($A^1$), and time-averaged Dean number($De_ta$). The velocity profiles and wall shear stress distribution of laminar pulsating flow with dimensionlessangular frequency show the flow characteristics of the quasi-steady laminar flow in a curved duct. The developing region of laminar pulsatile flows in a square-sectional $180^{\circ}$ curved duct is extended to the curved duct angle of approximately $120^{\circ}$ under the present experimental condition.

• 대한기계학회논문집B
• /
• 제32권6호
• /
• pp.471-478
• /
• 2008

Detached Eddy Simulation (DES) is performed for developing turbulent flow of the $270^{\circ}$ curved duct at a Reynolds number of 56,690. The curvature ratio on the basis of a centric radius $R_c$ and a duct height H is 3.357. Turbulence models adopted are k-$\omega$ model for Reynolds Average Navier-Stokes (RANS) equation Simulation and Shear Stress Transport (SST) model for DES. DES is used as the hybrid computation technique combined with RANS-SST and Large Eddy Simulation (LES). Predicted results are compared with measured results including the distributions of Reynolds stresses and the flow characteristics on the symmetric plane of curved duct are presented. Judging from the comparison between the predicted and the measured results, the DES approach is applicable to calculate the developing turbulent flow in a $270^{\circ}$ curved duct.

• 치과방사선
• /
• 제21권2호
• /
• pp.183-197
• /
• 1991

After single fraction of 2, 5, 10 Gy irradiation on submandibular gland of 40 male rats, weighing 150gm, respectively, these animal were sacrificed two hours after 0.1㎎/g bromodeoxyuridine (Sigma) peritoneal injection in 1, 3, 7, 15 hours, 1, 3, 7 days after irradiation. And excised submandibular gland were fixed in Carnoy's and Bouin's solution for 2 hours. Paraffin sections were stained with H&E, and PAS for the observation of the change of salivary gland tissue, and with Feulgen for the study of the DNA distribution, and immunohistochemically stained with anti-bromodeoxyuridine (Sanbyo Co.) for detection of DNA synthetic cells in order to study the distribution of DNA synthetic cells of salivary gland tissue and endothelium after irradiation in 5 different sites of 6 slides on X 200 high power field. The results were as followings. 1. In PAS staining 3 days after 5Gy irradiation, decreased mucine secretion of serous cells were found, and 7 days after l0Gy irradiation, decreased mucine secretion of mucous cells were found. 2. In histopathologic features, degeneration of serous cells were found in 3 days after 2 Gy irradiation and there was little change in mucous cells and excretory duct cells. 3. In Feugen staining, 3 days after 2 Gy, 5 Gy irradiation, more high percentage of DNA synthetic cells were found in intercalated duct cells, striated duct cells and excretory duct cells than in BrdU staining. 4. In immunohistochemical features, DNA synethsis of serous cells and granular convoluted tubular cells abruptly decreased in early period after irradiation and showed no recovery in 7 days after irradiation but there was an increase in DNA synthesis of intercalated duct cells, striated duct cells and excretory duct cells, which have less S-phase cells comparatively, in 7 days after 2 Gy, 5 Gy irradiation. 5. In immunohistochemical features, the DNA synthesis of endothelial cells was continuously decreased after irradiation but showed slight increase in 7 days after 2 Gy and S Gy irradiation.