• Title/Summary/Keyword: Ruptured

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Popliteal Lymphography in a Dog with Chylothorax

  • Bang, Sohyun;Lee, Hanbin;Park, Daehwan;An, Taegeon;Kim, Hyunryung;Yu, Jin;Yoon, Hyunglok;An, Gayeon;Oh, Hyehong;Chang, Jinhwa;Kim, Gonhyung;Chang, Dongwoo
    • Journal of Veterinary Clinics
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    • v.35 no.6
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    • pp.290-293
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    • 2018
  • Signalment: A dog which had been hit by car a month prior and had been experiencing recurrent pleural chyle effusion was referred to Chung-buk National University Animal Medical Center. The clinical signs included tachypnea and salivation. Results: Ultrasound-guided popliteal lymphography was performed. The computed tomography imaging revealed that the thoracic duct was ruptured and the lymph was leaking into the cranial mediastinal region. After this discovery, thoracic duct ligation was performed. The ultrasound-guided popliteal lymphography was repeated after the surgery. The second computed tomography imaging revealed that the thoracic duct rupture was resolved. Clinical relevance: We identified the etiology of chylothorax through the computed tomographic lymphography and imaged specific leakage areas. After surgery, the computed tomography imgaing confirmed the lymphatic flow modification and the treatment was successful.

Biocontrol of Citrus Canker Disease Caused by Xanthomonas citri subsp. citri Using an Endophytic Bacillus thuringiensis

  • Islam, Md. Nurul;Ali, Md. Sarafat;Choi, Seong-Jin;Hyun, Jae-Wook;Baek, Kwang-Hyun
    • The Plant Pathology Journal
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    • v.35 no.5
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    • pp.486-497
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    • 2019
  • Citrus canker is a devastating disease of citrus caused by Xanthomonas citri subsp. citri (Xcc). A total of 134 endophytic bacteria were isolated from various gymnospermic and angiospermic plants. They were screened for their antagonistic activities against three wild-type and six streptomycin-resistant Xcc strains. TbL-22 and TbL-26, both later identified as Bacillus thuringiensis, inhibited all the wild and resistant Xcc strains. TbL-22 exerted the highest antagonistic activity against XccW3 and XccM6 with inhibition zones of $20.64{\pm}0.69$ and $19.91{\pm}0.87mm$, respectively. Similarly ethyl acetate extract of TbL-22 showed highest inhibition zones $15.31{\pm}2.08$ and $19.37{\pm}3.17mm$ against XccW3 and XccM6, respectively. TbL-22 reduced canker incidence on infected leaves by 64.05% relative to positive controls. Scanning electron microscopy revealed that the cell membranes of Xcc treated with ethyl acetate extract of TbL-22 were ruptured, lysed, and swollen. B. thuringiensis TbL-22 can effectively and sustainably controls streptomycin-resistant citrus canker.

Delayed Monocular Blindness after Coil Embolization of Large Paraclinoid Aneurysm

  • Han, Jae-Sung;Kim, Tae-Hun;Oh, Jae-Sang;Yoon, Seok-Mann
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.20 no.4
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    • pp.241-247
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    • 2018
  • Treatment of paraclinoid aneurysms weather by surgery, or endovascular embolization has a risk of visual loss due to optic neuropathy, or diplopia due to cranial nerve palsies. Visual complications occur immediately after the clipping, whereas they can occur variable time after endovascular coiling. Recently, endovascular coiling for paraclinoid aneurysm is regarded as a safe and feasible treatment. But it still has risks of acute thromboembolic complication, or cranial nerve palsies. A 45-year-old woman was referred from local hospital to our hospital due to ruptured large ICA dorsal wall aneurysm. A total of 12 coils (195 cm) were used for obliteration of aneurysm. Postoperative diffusion weighted image showed no abnormal signal intensity lesion and magnetic resonance angiography demonstrated no sign of vasospasm, or vessel narrowing. But, she complained visual problem 23 days after coil embolization. Ophthalmologist confirmed the left optic disc atrophy on fundoscopy. Although steroid was started, but monocular blindness did not recover completely. The endovascular embolization of paraclinoid aneurysm, especially projecting superiorly with large irregular shape, has the risk of progressive visual loss because of the proximity to optic nerve.

Distribution of Fault-related Landforms and Lineaments Along the Ulsan Fault Zone (울산단층대 주변의 단층 지형 및 선구조 분포)

  • Lee, Gwang-Ryul;Park, Chung-Sun;Shin, Jae-Ryul
    • Journal of The Geomorphological Association of Korea
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    • v.25 no.3
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    • pp.89-103
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    • 2018
  • This study presents results of analysis on fault-related landforms and the Quaternary fluvial landforms, which are important evidences for active faulting by identifying surface deformation, around the Ulsan Fault Zone. In addition, this study suggests lineament map and inferred active fault-line map based on analyzing linearity and continuity of these landforms and by compiling location information of existing active faults. We convince that quantitative tectonic-geomorphological analysis are an effective method for active faults tracking, in particular, considering the conditions of relatively low seismicity and surface ruptured-events in the Korean Peninsula compared to plate boundary active areas. However, research on active fault in South Korea is just an infant stage since the 1990s and requires accumulation of research achievements on development and application of various fault analysis techniques, analysing and standardizing linear structures.

Detection of Active Intra-Abdominal Bleeding from Malignant Tumors in Two Dogs Using Contrast-Enhanced Ultrasonography

  • Nam, Jihye;Hwang, Jaewoo;Youn, Hwayoung;Choi, Mincheol;Yoon, Junghee
    • Journal of Veterinary Clinics
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    • v.37 no.6
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    • pp.355-359
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    • 2020
  • Contrast-enhanced ultrasonography (CEUS) has been applied to evaluate parenchymal organs in human and veterinary medicine. However, to our knowledge, there is no report on the identification of active bleeding and the bleeding site in veterinary clinical patients. Herein, we describe the use of CEUS in two cases of abdominal bleeding caused by ruptured lesions with malignant abdominal tumors. One dog had a splenic hemangiosarcoma, which had metastasized to the liver; the other dog had hepatic cell carcinomas in the left hepatic lobe, which were lobectomized, and another nodule was identified in the right hepatic lobe. Immediately after the rupture of these oncogenic lesions was suspected, CEUS was performed to identify the bleeding sites. The active bleeding sites were confirmed by hyperechoic pooling signs in the arterial phase, and extravasation could be observed within the defects showing hypoechoic perfusions in the delayed phase of the CEUS. Microbubbles were also observed in the ascites; thus, CEUS could detect the presence of hemorrhage and accurately identify the bleeding site. Collectively, the study findings suggest the usefulness of CEUS in emergent situations as it enables rapid and noninvasive evaluation of bleeding points in case of active bleeding in dogs.

Updates on the treatment of adhesive capsulitis with hydraulic distension

  • Jang Hyuk, Cho
    • Journal of Yeungnam Medical Science
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    • v.38 no.1
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    • pp.19-26
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    • 2021
  • Adhesive capsulitis of the shoulder joint is a common disease characterized by pain at the insertional area of the deltoid muscle and decreased range of motion. The pathophysiological process involves fibrous inflammation of the capsule and intraarticular adhesion of synovial folds leading to capsular thickening and contracture. Regarding the multidirectional limitation of motion, a limitation in external rotation is especially prominent, which is related to not only global fibrosis but also to a localized tightness of the anterior capsule. Ultrasound and magnetic resonance imaging studies can be applied to rule out other structural lesions in the diagnosis of adhesive capsulitis. Hydraulic distension of the shoulder joint capsule provides pain relief and an immediate improvement in range of motion by directly expanding the capsule along with the infusion of steroids. However, the optimal technique for hydraulic distension is still a matter of controversy, with regards to the infusion volume and rupture of the capsule. By monitoring the real-time pressure-volume profile during hydraulic distension, the largest possible fluid volume can be infused without rupturing the capsule. The improvement in clinical outcomes is shown to be greater in capsule-preserved hydraulic distension than in capsule-ruptured distension. Moreover, repeated distension is possible, which provides additional clinical improvement. Capsule-preserved hydraulic distension with maximal volume is suggested to be an efficacious treatment option for persistent adhesive capsulitis.

Analysis of steam generator tube rupture accidents for the development of mitigation strategies

  • Bang, Jungjin;Choi, Gi Hyeon;Jerng, Dong-Wook;Bae, Sung-Won;Jang, Sunghyon;Ha, Sang Jun
    • Nuclear Engineering and Technology
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    • v.54 no.1
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    • pp.152-161
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    • 2022
  • We analyzed mitigation strategies for steam generator tube rupture (SGTR) accidents using MARS code under both full-power and low-power and shutdown (LPSD) conditions. In general, there are two approaches to mitigating SGTR accidents: supplementing the reactor coolant inventory using safety injection systems and depressurizing the reactor coolant system (RCS) by cooling it down using the intact steam generator. These mitigation strategies were compared from the viewpoint of break flow from the ruptured steam generator tube, the core integrity, and the possibility of the main steam safety valves opening, which is associated with the potential release of radiation. The "cooldown strategy" is recommended for break flow control, whereas the "RCS make-up strategy" is better for RCS inventory control. Under full power, neither mitigation strategy made a significant difference except for on the break flow while, in LPSD modes, the RCS cooldown strategy resulted in lower break and discharge flows, and thus less radiation release. As a result, using the cooldown strategy for an SGTR under LPSD conditions is recommended. These results can be used as a fundamental guide for mitigation strategies for SGTR accidents according to the operational mode.

A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child

  • Mun, In Kwon;Ju, Yeo Rim;Lee, Sang Joon;Woo, Seung Hoon
    • Medical Lasers
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    • v.9 no.1
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    • pp.65-70
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    • 2020
  • Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unexpected complication. We also review the appropriate literature.

Intramuscular epidermal cyst in the masticator space: a case report

  • Sang Woo Han;Jiye Kim;Sug Won Kim;Minseob Eom;Chae Eun Yang
    • Archives of Craniofacial Surgery
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    • v.24 no.4
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    • pp.193-197
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    • 2023
  • An epidermal cyst, also known as an epidermoid cyst or epidermal inclusion cyst, is the most prevalent type of cutaneous cyst. This non-cancerous lesion can appear anywhere on the body, typically presenting as an asymptomatic dermal nodule with a visible central punctum. In the case presented herein, an epidermal cyst with uncommon features was misdiagnosed as a lymphatic malformation based on preoperative magnetic resonance imaging (MRI). A 61-year-old man came to us with a swollen left cheek that had been present for 11 months. The preoperative MRI revealed a 3×3.8×4.6 cm lobulated cystic lesion with thin rim enhancement in the left masticator space. The initial differential diagnosis pointed toward a lymphatic malformation. We proceeded with surgical excision of the lesion via an intraoral approach, and the specimen was sent to the pathology department. The pathological diagnosis revealed a ruptured epidermal cyst, indicating that the initial diagnosis of a lymphatic malformation based on preoperative MRI was incorrect. Epidermal cysts located under the muscle with no visible central punctum are uncommon, but should be considered if a patient presents with facial swelling.

Quadrilateral RAC filled FRP tubes: Compressive behavior, design and finite element models

  • Ming-Xiang Xiong;Xuchi Chen;Fengming Ren
    • Steel and Composite Structures
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    • v.48 no.5
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    • pp.485-498
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    • 2023
  • The need for carbon neutrality in the world strives the construction industry to reduce the use of construction materials. Aiming to this, recycled aggregate concrete (RAC) could be used as it reduces the carbon dioxide emissions. Currently, RAC is mainly used in non-structural members of civil constructions, seldom used in structural members. To broaden its structural use, a new type of composite column, i.e., the square and rectangular RAC filled FRP tubes (CFFTs), has been concerned in this study. The investigation on their axial compressive behavior through physical test and numerical analysis demonstrated that the load-carrying capacity of such column is reduced with the increase of replacement ratio of recycled aggregate and aspect ratio of section but can be improved by the increase of FRP confining stiffness and corner radius, said capacity can be equivalent to their steel reinforced concrete counterparts. At failure, the hoop strain at corner of tube is unexpectedly smaller than that at flat side of the tube although the FRP tube ruptured at its corner first, revealing a premature failure. Besides, a design-oriented stress-strain model of concrete and an analysis-oriented finite element model are proposed to predict the load-strain response of square and rectangular CFFT columns, which facilitates the engineering use of RAC in load-carrying structural members.