• Title/Summary/Keyword: Operation layer

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Giant Neurofibroma on Both Buttocks (양측 엉덩이의 거대 신경섬유종)

  • Kim, Ji Hoon;Burm, Jin Sik;Kim, Yang Woo;Kang, So Ra;Kim, Hyoung Kyoung
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.512-515
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    • 2009
  • Purpose: Neurofibromatosis(NF) is an autosomal - dominant systemic disease. Up to fifty percent of patients with NF are reported to have concomitant vascular abnormalities. In the resection of a larger NF, the risk of uncontrolled hemorrhage is much higher due to the difficulty of hemostasis of large vessels within the tumor. We ligated the base of the giant NF with a simple loop - shaped ligation before removal of the giant NF in both buttocks. And then we could successfully reduce the amount of hemorrhage during the operation. Methods: A 46 - year - old female patient presented for giant masses of both gluteal area, which has been growing slowly for the last ten years. Each mass was about $30{\times}20cm$ in size. After designing the elliptical resection margin, we tightened the tumor base by using continuous loop - shaped suture ligation(weaving the thread up and down in a loop - shaped pattern, leaving a space of 2 cm between each loop) with a straight needle and prolene 2 - 0. After skin incision, we proceeded the dissection toward the central and inferior side of the mass obliquely while we avoided breaking large vascular sinuses. We resected the tumor in a wedged - shape. Subcutaneous tissue was sutured layer by layer and skin was closed by vertical mattress and interrupted suture. The loop - shaped ligation of the base was removed and compressive dressing was done with gauzes and elastic bandages. Results: Postoperative complications such as infection, hemorrhage, hematoma, and dehiscense did not occur. Perioperatively the patient was sufficiently transfused with five units of blood and two units of fresh frozen plasma. During the subsequent 1 year follow - up, the functional and cosmetic result was excellent. Conclusion: A continuous loop - shaped suture ligation procedure along the base of the giant NF effectively reduced the amount of hemorrhage during the operation, made dissection and ligation of vessels easily and quickly, and shorten the operating time and postoperative recovery time.

Experimental Study of the Anastomosis with Suture vs Non-suture Techinique (미세 혈관 접합술에서 봉합적 수기와 비봉합적 수기의 실험적 비교 연구)

  • Chung, Duke-Whan;Han, Chung-Soo;Yoo, Myung-Chul;Nam, Gi-Un;Sun, Seung-Deok
    • Archives of Reconstructive Microsurgery
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    • v.3 no.1
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    • pp.45-53
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    • 1994
  • Suture microvascular anastomosis is time-consuming and tedious and demands long and continuous training. Techinique of anastomosis of microvessel was presented interrupted suture and continuous suture. Recently the unilink instrument system is created as a fast and simple method to achieve high patency rates without long and continuous training in the anastomosis of small vessels. The author experimentally studied the femoral artery of 20 mice(0.5-1.0mm, av. 0.7mm), the femoral vein of 20 mice(0.8-1.6mm, av. 1.2mm) after anastomosis with interrupted suture in 20 cases and continuous sutre in 20 cases. For the unilink apparatus we used the carotid arteries of 15 cases in 14 rabbits(1.0-1.6mm, av. 1.3mm) and facial veins of 12 cases in 14 rabbits(0.9mm-2.2mm, av. 1.5mm). A total of 27 arterial and venous anastomoses were performed. We examined the postoperative patency at immediate, 2 weeks, and 8 weeks. The results were as followings, 1. In the arterial anastomosis the rate of patency was 90%(18/20) in interrupted suture, 90%(18/20) in continuous suture and 93%(13/15) in unilink apparatus. In the venous anastomosis the rate of patency was 90%(18/20) in interrupted suture, 80%(16/20) in continuous suture and 100%(9/9) in unilink apparatus. 2. The mean time for completion of the arterial anastomosis were 12.2 minutes in interrupted suture group, 10.3 minutes in continouous suture group and 8.5 minutes in unillnk apparatus group. The mean time for completion of the venous anastomosis were 13.6 minutes in interrupted suture group, 11.0 minutes in continuous suture group and 6.2 minutes in unilink apparatus group. 3. At the histological examination of suture group, hyperplastic reaction of middle layer and subintimal hyperplasia were observed. In unilink apparatus group, the endothelium layer was continued and the thickness of vessel wall was decreased due to moderate atrophy of the media and mild degree of nonspecific chronic inflammation were seen around the unilink apparatus. 4. No significants was noticied in foreign body reaction among the interrupted, continuous and unilink apparatus group. 5. A case of the arterial anastomosis was released with acting out at 15 minutes after operation. 6. The important factors in the technical problems were accurate apposition of the cut vessel edges in suture group and the proper selection of the ring size and optimal fitting between two rings in unilink apparatus group. Even though the outer diamater of vessel in suture group was different from that in unilink apparatus group the unilink method provides a very safe, fast, and simple way to perform microvascular anastomoses especially in anastomosis of vein. But howerver suture was needed in vessels below 1 mm outer diamater. In that situation continuous suture was benefit than the interrupted suture in operation time.

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Characteristics of Flux Decline in Microfiltration Capillary Membrane of Bentonite Colloidal Suspensions (정밀여과 모세관 막을 이용한 벤토나이트 콜로이드 현탁액의 투과유속 감소특성)

  • Nam Suk-Tae;Han Myeong-Jin
    • Membrane Journal
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    • v.15 no.1
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    • pp.52-61
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    • 2005
  • Permeate flux decline in a microfiltration was analyzed by measuring the permeability of bentonite colloidal solution through polyethylene capillary membranes. The flux decline with time was due to the growth of cake layer on the membrane surface and to the pore blocking by particles. As the time approaches to steady state, the permeate flux is almost controlled by the cake filtration model. Faster flux decline at high trans-membrane pressure was attributed to the formation of denser packed cake layer and pore blocking. The ratio of permeate flux to the initial permeate flux, J/J₁, decreased with increasing the trans-membrane pressure, from 45% for 0.5 kg/sub f//㎠ to 38% for 2.0 kg/sub f//㎠. In comparing the ratio of each fouling component to the total fouling for the 0.5 kg/sub f//㎠ TMP condition, complete blocking was 23.4%, standard blocking was about 14.6% and cake filtration was 62.0%, respectively. Permeate flux through the membrane increases with cross flow velocity, and the effect of the variation of velocity is more significant at 1.0 kg/sub f//㎠ rather than at 2.0 kg/sub f//㎠ of the operation pressure. Permeate flux for the membrane having the average pore diameter of 0.34 ㎛ was higher than that for the membrane of 0.24 ㎛ pore size, with the higher flux with the low concentration of feed. On the operation using the membrane of 0.34 ㎛ pore, the pore blocking in the low concentration of 200 ppm is negligible relative to the pore blocking in the 1000 ppm feed.

Effect of SUS316L Bipolar Plate Corrosion on Contact Resistance and PEMFC Performance (SUS316L 분리판 부식에 의한 접촉저항 및 고분자전해질 연료전지 성능에 미치는 영향)

  • Kim, Junseob;Kim, Junbom
    • Applied Chemistry for Engineering
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    • v.32 no.6
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    • pp.664-670
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    • 2021
  • Stainless steel was applied as bipolar plate (BP) of polymer electrolyte membrane fuel cell (PEMFC) due to high mechanical strength, electrical conductivity, and good machinability. However, stainless steel was corroded and increased contact resistance resulting PEMFC performance decrease. Although the corrosion resistance could be improved by surface treatment such as noble metal coating, there is a disadvantage of cost increase. The stainless steel corrosion behavior and passive layer influence on PEMFC performance should be studied to improve durability and economics of metal bipolar plate. In this study, SUS316L bipolar plate of 25 cm2 active area was manufactured, and experiments were conducted for corrosion behavior at an anode and cathode. The influence of SUS316L BP corrosion on fuel cell performance was measured using the polarization curve, impedance, and contact resistance. The metal ion concentration in drained water was analyzed during fuel cell operation with SUS316L BP. It was confirmed that the corrosion occurs more severely at the anode than at the cathode for SUS316L BP. The contact resistance was increased due to the passivation of SUS316L during fuel cell operation, and metal ions continuously dissolved even after the passive layer formation.

Evaluation of Smoke Control Performance of Ventilation System Using by Hot Smoke Test (Hot Smoke Test를 이용한 주차장 환기설비의 제연 성능평가)

  • Joung, Suckhwan
    • Journal of Korean Society of Disaster and Security
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    • v.12 no.2
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    • pp.47-56
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    • 2019
  • Recently, in order to overcome the difficulty of entering a fire source due to the occurrence of a large amount of smoke in the event of a fire in a parking lot, it has used that a method of discharge smoke using air supply, exhaust fans and jet fans installed for ventilation of parking lots. In this study, the variation of flow in the smoke layer was observed using CCTV under two conditions, in which only the air supply fan operates and the manned fan operates together, and the temperature around the plume was compared to Albert eq. to assess its suitability as a parking lot ventilation performance evaluation method. As a result, it was found that the smoke layer could be disturbed if the Jet Fan was operated at the same time, which could lead to the possibility of an initial evacuation disturbance. However, the additional operation of the Jet Fan has been confirmed by the observation CCTV that the emission performance is improved, which is believed to help conduct the suppression operation. The temperature around the plume was measured and compared to Alpert eq, and was analyzed to be about $2^{\circ}C$ lower at the center axis of the plume and $9.0^{\circ}C$ higher at 8 m in the direction of the discharge of smoke. The results of temperature measurements around the plume were lower than the maximum temperature expected in AS 4391 and did not exceed the expected temperature risk caused by the experiment. As with these results, the temperature risk from the progression of hot smoke tests is foreseeable, so it will be available as one of the general evaluation methods for assessing smoke control performance in a parking lot without relevant criteria.

Effect of Cross-flow Velocity and TMP on Membrane Fouling in Thermophilic Anaerobic Membrane Bioreactor Treating Food Waste Leachate (음식물 침출수를 처리하는 막결합 고온혐기성 소화시스템에서 교차여과와 막간압력이 파울링에 미치는 영향)

  • Kim, Young-O;Jun, Duk-Woo;Yoon, Seong-Kyu;Chang, Chung-Hee;Bae, Jae-Ho;Yoo, Kwan-Sun;Kim, Jeong-Hwan
    • Membrane Journal
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    • v.21 no.4
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    • pp.360-366
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    • 2011
  • The effect of cross-flow velocity and transmembrane pressure (TMP) on membrane fouling was observed from pilot-scale operation of thermophilic anaerobic membrane bioreactor (AnMBR) treating food waste leachate. It was found that fouling rate was reduced significantly as cross-flow velocity increased at constant TMP mode of operation while this effectiveness was more pronounced at lower TMP. Higher TMP resulted in less permeable fouling layer possibly due to compressibility of foulant material on membrane surface. Particle sizes of membrane concentrate ranged from 10 to $100{\mu}m$, implying that shear-induced diffusion enhance back transport of these particle sizes away from the membrane effectively. From the continuous operation of AnMBR, it was confirmed that shear rate played an important role in the reduction of membrane fouling. Membrane autopsy works at the end of operation of AnMBR showed clearly that both organic and inorganic fouling were significant on membrane surface. Surface shear by cross-flow velocity was expected to be less effective to remove irreversible fouling which can be mainly caused by the adsorption of organic colloidal materials into membrane pores.

Analysis on Pool Temperature Variation along Pool Water Management System Operation in Research Reactor (연구용원자로에서 수조수관리계통 운전에 따른 수조수 온도 해석)

  • Choi, Jungwoon;Lee, Sunil;Park, Ki-Jung;Seo, KyoungWoo
    • Transactions of the KSME C: Technology and Education
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    • v.5 no.2
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    • pp.135-143
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    • 2017
  • The domestic unique research reactor, HANARO (Hi-flux Advanced Neutron Application ReactOr), has been constructed with the open-pool, the core is submerged in, for the multi-purpose neutron application. The reactor has a primary cooling system to remove the fission heat from the core and its connected fluidic systems. Since the works are required at the reactor pool top as a characteristic of the research reactor, the radiation shall be minimized with the operation of the hot water layer system to avoid unnecessary radiation exposure on the workers during work at the pool top. Moreover, the pool water management system is connected to the reactor pool to maintain the pool temperature below $50^{\circ}C$ to minimize the uprising radioactive gas or impurity from the colder pool bottom. For the efficient flow rate of the PWMS, the thermal capacity of heat exchanger is selected with 260 kW in the normal operation condition. In this paper, the modeling is formulated to figure out whether or not each pool temperature maintains below the temperature limit and the calculation results show that the designed PWMS heat exchanger has enough capacity with the design margin regardless of the reactor operation mode.

The Performance of the Combined Operation of Sprinkler and Smoke Curtain for Smoke Control in the Sloped Stairway Corridor (경사통로로 전파되는 연기에 대한 스프링클러와 제연커텐의 통합제연성능)

  • Jeon, Heung-Kyun;Choi, Young-Sang;Choo, Hong-Lok
    • Fire Science and Engineering
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    • v.20 no.4 s.64
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    • pp.1-12
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    • 2006
  • In this study, CFD computer simulations by FDS are carried out in order to confirm the performance of the combined operation of both sprinkler system and smoke curtain of 0.54 m depth installed for cooling and blocking the smoke which propagates beneath the sloped ceiling of a stairway corridor of which dimensions are 17.92 m long, 4.00 m wide, and 6.12 m high. It is shown that the response time of sprinklers decreases with fire size and it increases more about 1.1 second in case without smoke curtain than in case with smoke curtain, that the time of smoke transport from the fire source to the stairway outlet decreases considerably with fire size, and that the delay effect of smoke transport is not related to the sprinkler system, whether it is operated or not. This study shows that the combined operation of both sprinkler system and smoke curtain is very effective in smoke cooling, but it is a little for effect on smoke blockage. Although the hazard of skin burn due to radiative heat flux from hot smoke layer is decreased by spray cooling effect, the hazard of smoke suffocation and the weakening of visibility is increased by smoke downdrag and the turbulence of smoke-air mixing due to water spray. These conditions may result in preventing occupants from going out of the stairway during evacuation.

Application of CE-QUAL-W2 [v3.2] to Andong Reservoir: Part II: Simulations of Chlorophyll a and Total Phosphorus Dynamics

  • Ram, Bhattarai Prasid;Kim, Yoon-Hee;Kim, Bom-Chul;Heo, Woo-Myung
    • Korean Journal of Ecology and Environment
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    • v.41 no.4
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    • pp.472-484
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    • 2008
  • The calibrated Andong Reservoir hydro-dynamic module (PART I) of the 2-dimensional hydrodynamic and water quality model, CE-QUAL-W2 [v3.2], was applied to examine the dynamics of total phosphorus, and chlorophyll $\alpha$ concentration within Andong Reservoir. The modeling effort was supported with the data collected in the field for a five year period. In general, the model achieved a good accuracy throughout the calibration period for both chlorophyll ${\alpha}$ and total phosphorus concentration. The greatest deviation in algal concentration occurred on $10^{th}$ October, starting at the layer just beneath the surface layer and extending up to the depth of 35 m. This deviation is principally attributed to the effect of temperature on the algal growth rate. Also, on the same date, the model over-predicts hypolimnion and epilimnion total phosphorus concentration but under-predicts the high concentrated plume in the metalimnion. The large amount of upwelling of finer suspended solid particles, and re-suspension of the sediments laden with phosphorus, are thought to have caused high concentration in the epilimnion and hypolimnion, respectively. Nevertheless, the model well reproduced the seasonal dynamics of both chlorophyll a and total phosphorus concentration. Also, the model tracked the interflow of high phosphorus concentration plume brought by the turbid discharge during the Asian summer monsoon season. Two different hypothetical discharge scenarios (discharge from epilimnetic, and hypolimnetic layers) were analyzed to understand the response of total phosphorus interflow plume on the basis of differential discharge gate location. The simulated results showed that the hypolimnetic discharge gate operation ($103{\sim}113\;m$) was the most effective reservoir structural control method in quickly discharging the total phosphorus plume (decrease of in-reservoir concentration by 219% than present level).

Study on the Characteristics of ALD HfO2 Thin Film by using the High Pressure H2 Annealing (고압의 HfO2 가스 열처리에 따른 원자층 증착 H2 박막의 특성 연구)

  • Ahn, Seung-Joon;Park, Chul-Geun;Ahn, Seong-Joon
    • Journal of the Korean Magnetics Society
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    • v.15 no.5
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    • pp.287-291
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    • 2005
  • We have investigated and tried to improve the characteristics of the thin $HfO_2$ layer deposited by ALD for fabricating a MOSFET device where the $HfO_2$ film worked as the gate dielectric. The substrate of MOSFET device is p-type (100) silicon wafer over which the $HfO_2$ dielectric layer with thickness of $5\~6\;nm$ has been deposited. Then the $HfO_2$ film was annealed with $1\~20\;atm\;H_2$ gas and subsequently aluminum electrodes was made so that the active area was $5{\times}10^{-5}\;cm^2$. We have found out that the drain current and transconductance increased by $5\~10\%$ when the $H_2$ gas pressure was 20 atm, which significantly contributed to the reliable operation of the high-density MOSFET devices.