• Title/Summary/Keyword: Ruptured

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Malfunction Analysis when a EFV is Working (과류차단 밸브 작동 시 오작동에 대한 분석)

  • Jeon, Hyung Taek;Park, Sung Jin;Kim, Sung Tae
    • Journal of the Korean Institute of Gas
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    • v.22 no.6
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    • pp.28-33
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    • 2018
  • Currently, the government has been expanding the supply of semi-low-pressure in order to solve the problems of unsupplied area of city gas and to secure the economical efficiency of small supplied area. It is mainly supplied from the central storage tank to each household by buried piping. It is necessary to provide such a shutoff valve that can block the excess flow gas due to pipeline leak or rupture when piping is damaged by other construction. For this study, System CFD code named Flownex has been used and a component corresponding to the actual EFV was developed. We compared Flownex results with experimental data to verify the accuracy of Flownex and confirmed the error rate to be around 2%. In this study, pipeline network modeling was done by selecting the LPG supply pipeline in a village and installed the component of the EFV at each junction. We selected the longest pipeline from the main pipeline and set scenarios so that the excess flow occurs by that the pipeline is ruptured before entering the household. The excess flow occurs by the pipeline rupture and the EFV is closed. At this time, we analyzed backflow effects to the other pipeline by closing EFV.

Stener-Like Lesions in the Metacarpophalangeal Joint of the Fingers (다른 수지의 중수수지 관절에서의 Stener 유사 병변)

  • Lee, Sanglim;Jung, Eui Yub;Lee, Jihae;Jeon, Suk Ha
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.547-551
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    • 2018
  • Three Stener-like lesions of the metacarpophalangeal joint of the fingers and a rupture of the first dorsal interosseous muscle mimicking the lesion in the index finger were observed. Two cases in the little fingers had a true Stener's lesion. In one case in the index finger, the ruptured ligament was retracted and located under the intact sagittal band, which was also observed by preoperative magnetic resonance imaging (MRI). Rupture of the first dorsal interosseous muscle was misdiagnosed preoperatively as a Stener's lesion in the index finger by ultrasonography. MRI should be an essential differential diagnostic exam for collateral ligament ruptures of the metacarpophalangeal joint of the fingers.

Feasibility and efficacy of coil embolization for middle cerebral artery aneurysms

  • Choi, Jae Young;Choi, Chang Hwa;Ko, Jun Kyeung;Lee, Jae Il;Huh, Chae Wook;Lee, Tae Hong
    • Journal of Yeungnam Medical Science
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    • v.36 no.3
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    • pp.208-218
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    • 2019
  • Background: The anatomy of middle cerebral artery (MCA) aneurysms has been noted to be unfavorable for endovascular treatment. The purpose of this study was to assess the feasibility and efficacy of coiling for MCA aneurysms. Methods: From January 2004 to December 2015, 72 MCA aneurysms (38 unruptured and 34 ruptured) in 67 patients were treated with coils. Treatment-related complications, clinical outcomes, and immediate and follow-up angiographic outcomes were retrospectively analyzed. Results: Aneurysms were located at the MCA bifurcation (n=60), 1st segment (M1, n=8), and 2nd segment (M2, n=4). Sixty-nine aneurysms (95.8%) were treated by neck remodeling techniques using multi-catheter (n=44), balloon (n=14), stent (n=8), or combination of these (n=3). Only 3 aneurysms were treated by single-catheter technique. Angiographic results were 66 (91.7%) complete, 5 (6.9%) remnant neck, and 1 (1.4%) incomplete occlusion. Procedural complications included aneurysm rupture (n=1), asymptomatic coil migration to the distal vessel (n=1), and acute thromboembolism (n=10) consisting of 8 asymptomatic and 2 symptomatic events. Treatment-related permanent morbidity and mortality rates were 4.5% and 3.0%, respectively. There was no bleeding on clinical follow-up (mean, 29 months; range, 6-108 months). Follow-up angiographic results (mean, 26 months; range, 6-96 months) in patients included 1 major and 3 minor recanalizations. Conclusion: Coiling of MCA aneurysms could be a technically feasible and clinically effective treatment strategy with acceptable angiographic and clinical outcomes. However, the safety and efficacy of this technique as compared to surgical clipping remains to be ascertained.

Endogenous Proteolytic Systems and Meat Tenderness: Influence of Post-Mortem Storage and Processing

  • Kaur, Lovedeep;Hui, Seah Xin;Morton, James D.;Kaur, Ramandeep;Chian, Feng Ming;Boland, Mike
    • Food Science of Animal Resources
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    • v.41 no.4
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    • pp.589-607
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    • 2021
  • Meat proteolytic systems play a crucial role in meat tenderisation. Understanding the effects of processing technologies and post-mortem storage conditions on these systems is important due to their crucial role in determining the quality characteristics of meat and meat products. It has recently been proposed that tenderisation occurs due to the synergistic action of numerous endogenous proteolytic systems. There is strong evidence suggesting the importance of μ-calpain during the initial post-mortem aging phase, while m-calpain may have a role during long-term aging. The caspase proteolytic system is also a candidate for cell degradation in the initial stages of conversion of muscle to meat. The role of cathepsins, which are found in the lysosomes, in post-mortem aging is controversial. Lysosomes need to be ruptured, through aging, or other forms of processing to release cathepsins into the cytosol for participation in proteolysis. A combination of optimum storage conditions along with suitable processing may accelerate protease activity within meat, which can potentially lead to improved meat tenderness. Processing technologies such as high pressure, ultrasound, and shockwave processing have been reported to disrupt muscle structure, which can facilitate proteolysis and potentially enhance the aging process. This paper reviews the recent literature on the impacts of processing technologies along with post-mortem storage conditions on the activities of endogenous proteases in meat. The information provided in the review may be helpful in selecting optimum post-mortem meat storage and processing conditions to achieve improved muscle tenderness within shorter aging and cooking times.

Overlapping Stents-Assisted Coiling for Vertebral Artery Dissecting Aneurysm : LVIS Stent within Neuroform EZ Stent

  • Liu, Xing-Long;Wang, Bin;Zhao, Lin-Bo;Jia, Zhen-Yu;Shi, Hai-Bin;Liu, Sheng
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.523-530
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    • 2022
  • Objective : To evaluate the safety and efficacy of an overlapped stenting-assisted coiling technique in treating vertebral artery dissecting aneurysm (VADA) via Low-profile Visualized Intraluminal Support (LVIS) stent-within-Neuroform EZ stent. Methods : From January 2017 to June 2019, 18 consecutive patients with VADAs (ruptured : unruptured=5 : 13) were treated with the overlapping stents assisted-coiling technique in our center. The overlapping manner was a Neuroform EZ stent being deployed first, followed by LVIS stents placement using the 'shelf' technique. The patients' clinical characteristics, technical feasibility and safety, and immediate and follow-up angiographic results were retrospectively reviewed. Results : Seventeen (94.4%) procedures were technically successful with an exact deployment of the stents and patent parent or perforator arteries. The immediate angiographies after procedure confirmed Raymond class I, II, and III occlusion of VADAs were in 12 (66.7%), two (11.1%), and four cases (22.2%), respectively. Post-procedural complications developed in one patient (5.6%) with minor brainstem infarctions, which resulted from an in-stent thrombosis during the procedure. Angiographic follow-up at 5.7 months (range 3 to 9 months) demonstrated Raymond class I and II occlusion were in all cases (100%). The modified Rankin Scale scores at 21.3 months (range 15 to 42 months) 0-2 in 17 cases (94.4%) and three in one case (5.6%). Conclusion : Overlapping stents via LVIS stent-within-Neuroform EZ stent combined with coiling is safe and effective for patients with VADA in the midterm results.

Comparative Morphological Study on Parotid and Submandibular Salivary Glands in Ovariectomized Rats

  • Jeong, Moon-Jin;Lee, Myoung-Hwa;Lim, Do-Seon;Jeong, Myeongju;Jeong, Soon-Jeong
    • Journal of dental hygiene science
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    • v.22 no.2
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    • pp.83-89
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    • 2022
  • Background: Estrogen deficiency affects the structure and function of the salivary glands in women, leading to a decrease in salivary secretion and a change in the composition of saliva. Previous studies on changes in the salivary glands that cause estrogen deficiency have reported only partial results for the parotid and submandibular glands, and there are few comparative morphological studies of histological changes between the parotid and submandibular glands in ovariectomized rats (OVX) leading to estrogen deficiency. This study aimed to analyze the histopathological and histochemical changes in the parotid and submandibular salivary glands causing estrogen deficiency by using OVX, and to discuss the mechanism on these changes. Methods: The parotid and submandibular glands from sacrificed control and OVX groups were fixed with cold 4% paraformaldehyde in phosphate buffer (pH 7.2). The tissues were dehydrated using a series of graded ethyl alcohol and embedded in paraffin. For histopathological analysis, sections cut to a thickness of 6 to 7 ㎛ were stained with hematoxylin and eosin (H&E). For histochemical analysis, Periodic acid-Schiff (PAS), Alcian blue (AB, pH 2.5), and PAS+AB (pH 2.5 and pH 1) staining was performed. Results: Histopathological analysis of OVX tissue showed that the parotid and submandibular salivary glands were broadly and clearly separated and divided into lobes. In OVX, acinar and ductal cells with condensed polymorphic or pyknotic nucleus, which are presumed to be characteristic of apoptotic cells, and degenerated cells with lipid deposition in cytoplasmic granules and ruptured membranes were increased. Histochemical analysis of OVX, confirmed an increase in the number and acidification of acinar secretory granules. Conclusion: Histopathological and histochemical changes and the effects of estrogen deficiency are more evident in the submandibular salivary gland than in the parotid gland.

Revision after Instability Surgery (수술 후 재발한 견관절 불안정증의 치료)

  • Kim, Paul Shinil;Jo, Chris Hyunchul
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.374-382
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    • 2020
  • Recurrence is the most common complication after shoulder instability surgery, and the main causes of the postoperative recurrence of instability are trauma, misdiagnosis, and technical errors. The risk factors of recurrence may be classified as patient related, anatomical or technical. Causes of failure should be thoroughly evaluated by meticulous history taking, physical examination, and imaging studies, and followed by proper treatment of pathologic lesions. Nonoperative treatment should be considered initially in cases of recurred instability after shoulder instability surgery, but if this fails, repeated recurrence is prevented by performing appropriate anatomical reconstruction of ruptured Bankart lesions, capsular laxities, glenoid deficiencies and humeral head bone defects.

Long Term Result of Four Cases without a Staged Reconstruction of an Infected Achilles Tendon Following Repair (아킬레스건 봉합술 후 발생한 감염에서 이차적 건 재건을 시행하지 않고 치료한 4예의 장기 추시 결과)

  • Lee, Jaeyoung;Jeong, Changhoon;Jung, Sehoon;Park, Il-Jung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.436-443
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    • 2020
  • The main treatment of infections following the repair of a ruptured Achilles tendon is debridement of the infected tissue and reconstruction of the Achilles tendon after controlling the infection. On the other hand, some studies recently reported excellent clinical results after the debridement of the infected Achilles tendon without a reconstruction of the tendon. This paper reports four cases of a competent result after the debridement of an infected Achilles tendon without reconstructing the tendon with a review of the relevant literature.

Closed Reduction of Irreducible Posterolateral Rotatory Knee Dislocation (단순 견인으로 정복되지 않는 슬관절 후외측 회전 탈구의 비관혈적 정복)

  • Lee, Hwa-Sung;Lee, Sang-Heon;Lee, Se-Won
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.95-100
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    • 2020
  • In general, most knee dislocations are reduced easily by simple traction. In rare cases, closed reduction of the knee dislocation is attempted, but ruptured ligaments or muscles are stuck in the joints and cannot be reduced. The cases of this irreducible knee dislocation have sometimes been reported. The authors encountered a case of irreducible knee posterolateral rotational dislocation that was not reduced by simple traction and report it along with a review of the literature. This case provides an opportunity for clinicians to examine the clinical considerations when experiencing an irreducible knee dislocation.

Effects of antibacterial mouth rinses on multiple oral biofilms model (구강세정제가 다중 구강 바이오필름 모델에 미치는 영향)

  • Soo-Kyung Jun;Young-Suk Choi
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.209-218
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    • 2023
  • Objectives: To confirm the antibacterial effects of each mouth rinse on multiple oral biofilms in vitro. Methods: The antibacterial effects of different mouth rinses were examined by ATP and counted colony forming units (CFU). Preformed oral biofilms on saliva coated hydroxyapatite (sHA) disks were treated with essential oil and saline; then, the multiple oral biofilms were observed by Scanning electron microscope (SEM). RNA sequencing analysis was performed on total RNA isolated from old biofilms of P. intermedia ATCC 49046. Results: In the CFU measured result compared to controls, preformed multiple oral biofilms were reduced from a low of 39.0% to 95.7% (p<0.05). The size of bacterial cells changed after treatment with the essential oil, and some of the cells ruptured into small pieces of cell debris. Gene expression in P. intermedia ATCC 49046 significantly altered in RNA transcribed and protein translated genes after exposure to essential oil. Conclusions: Mouth rinse solutions with different ingredients had different antibacterial effects and may alter surface structure and gene expression as determined by RNA sequencing.