• Title/Summary/Keyword: S-Duct

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Isolated Common Hepatic Duct Injury after Blunt Abdominal Trauma

  • Park, Yun Chul;Jo, Young Goun;Kang, Wu Seong;Park, Eun Kyu;Kim, Hee Jun;Kim, Jung Chul
    • 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.

A better facial contour accomplished by parotid duct preserving superficial parotidectomy

  • Park, Jun Ho;Choi, Chang Yong;Wee, Syeo Young;Lee, Young Man
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.75-78
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    • 2018
  • Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark. After dissecting the branches of the facial nerve and parotid duct, main parotid duct was preserved but only small fine ductules from the superficial lobe were ligated. Parotid gland was excised from its anterior aspect with about 1 cm of normal parotid tissue margin. The patient was followed up for 6 years to evaluate postoperative parotid gland function and the computed tomography (CT) was taken. Patient was satisfied with no significant complication such as sunken changes in facial contour, facial nerve function. As far as we know, it is the first study to compare long-term soft tissue contours of soft tissue of duct preserving superficial parotidectomy with duct sacrificing superficial parotidectomy by means of CT findings.

Enlarge duct length optimization for suddenly expanded flows

  • Pathan, Khizar A.;Dabeer, Prakash S.;Khan, Sher A.
    • Advances in aircraft and spacecraft science
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    • v.7 no.3
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    • pp.203-214
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    • 2020
  • In many applications like the aircraft or the rockets/missiles, the flow from a nozzle needs to be expanded suddenly in an enlarged duct of larger diameter. The enlarged duct is provided after the nozzle to maximize the thrust created by the flow from the nozzle. When the fluid is suddenly expanded in an enlarged duct, the base pressure is generally lower than the atmospheric pressure, which results in base drag. The objective of this research work is to optimize the length to diameter (L/D) ratio of the enlarged duct using the CFD analysis in the flow field from the supersonic nozzle. The flow from the nozzle drained in an enlarged duct, the thrust, and the base pressure are studied. The Mach numbers for the study were 1.5, 2.0 and 2.5. The nozzle pressure ratios (NPR) of the study were 2, 5 and 8. The L/D ratios of the study were 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10. Based on the results, it is concluded that the L/D ratio should be increased to an optimum value to reattach the flow to an enlarged duct and to increase the thrust. The supersonic suddenly expanded flow field is wave dominant, and the results cannot be generalized. The optimized L/D ratios for various combinations of flow and geometrical parameters are given in the conclusion section.

2 Cases of Suprahyoid thyroglossal duct cyst with recurrent submental swelling (반복적인 악하부 부종을 동반한 설골상부 갑상설관낭 2예)

  • Kim, Tae-Hun;Park, Young-Min;Cho, Jae-Gu;Woo, Jeong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.34 no.2
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    • pp.47-51
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    • 2018
  • Thyroglossal duct cyst is most common type of congenital cervical tumor. The suprahyoid thyroglossal duct cyst is a subtype of thyroglossal duct cyst and has different clinical characteristics. This subtype shows recurrent submental swelling and no tumor movement during swallowing or tongue protrusion. Because of these clinical differences, it is important to consider the possibility of thyroglossal duct cyst of in diagnosis and surgery of submental tumor. Recently, we have experienced two cases of suprahyoid type thyroglossal duct cyst with submental swelling and treated successfully by Sistrunk's operation.

Pluralism in Duct Tape Fashion (덕트 테이프 패션에 표현된 다원주의)

  • Lee, Bong-Duk;Yang, Sook-Hi
    • Fashion & Textile Research Journal
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    • v.2 no.4
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    • pp.317-324
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    • 2000
  • Pluralistic and diverse values exist in the realm of post modernism society. In this context, one particular outlook does not have the same meaning across the whole society. The creation and sharing of a new meaning do not necessarily need the consent of every member of the society. There have been a few attempts to delve into the relationship between sociocultural phenomenon and fashion trends in the pluralistic cultures. However, there has been little research on the theoretical framework in order to analyze a pluralistic phenomenon itself. The purpose of this study is to provide the theoretical paradigms to analyze and interpret various pluralistic phenomena in postmodernism fashion. Theories developed by Gilles Deleuze have been utilized to analyze and interpret the duct tape fashion which is in vogue among the young generation in the USA. The analysis based on the paradigm of Gilles indicates that the duct tape fashion shows pluralistic features of as in the other postmodern cultural activities.

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Removal of a Submandibular Duct Calculus with ′SNU Sialoop′ : Technical Report (′SNU Sialoop′를 이용한 악하선 주도관 타석의 제거)

  • Choi Hang-Moon;Lee Sun-Bok;Heo Min-Suk;Lee Sam-Sun;Choi Soon-Chul;Park Tae-Won
    • Imaging Science in Dentistry
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    • v.30 no.4
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    • pp.255-257
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    • 2000
  • Manufacturing method and technical procedure of 'SNU Sialoop', which was a new device designed for removal of sialolith, were introduced. Two cases about removal of Wharton's duct sialolith using SNU Sialoop were presented.

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A Case of Stevens-Johnson Syndrome Plus Vanishing Bile Duct Syndrome Associated with Ibuprofen Use (Stevens-Johnson Syndrome 환아에서 발생한 Ibuprofen과 연관된 Vanishing Bile Duct Syndrome 1례)

  • Choi, Jee Yee;Kim, Su Young;Byun, Soon Ok;Park, Jae Hong
    • Clinical and Experimental Pediatrics
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    • v.45 no.9
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    • pp.1146-1149
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    • 2002
  • Acute vanishing bile syndrome is a cause of progressive cholestasis. It is most often drug or toxin related. It's pathogenesis is unknown. Stevens-Johnson syndorme is a well-recognized immune complex-mediated hypersensitivity reaction. It is induced by drug or infection. It has classic systemic, mucosal, and dermatologic manifestations. We report a case of a 14 years old female suffering from Stevens-Johnson syndrome plus vanishing bile duct syndrome associated with ibuprofen use. We report the case with a brief review of its related literature.

A Study of the Impulse Wave Discharged from a Perforated Pipe (다공관으로부터 방출되는 펄스파에 관한 연구)

  • Shin Hyun Dong;Kweon Yong Hun;Kim Heuy Dong
    • 한국가시화정보학회:학술대회논문집
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    • 2003.11a
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    • pp.95-98
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    • 2003
  • When a shock wave discharges from an open end of a duct, an impulse wave is generated outside the duct, causing serious noise and vibration problems. The magnitude of the impulse wave can be reduced by installing of a perforated duct. In the current study, the characteristics of the impulse wave discharged from the exit of a perforated duct are numerically investigated. A TVD (total variation diminishing) scheme is used to solve the unsteady, axisymmetric, compressible Euler equations. In computations, the porosity of a perforated pipe $(\sigma)$ and the Mach number of incident shock wave $(M_s)$ are varied in the range of $\sigma=0\~19\%\;and\;M_s=1.01\~1.50$, respectively. The results show that the directivity and magnitude of impulse wave strongly depend upon the Mach number of incident shock wave and the porosity of the perforated pipe. The present CFD results are in close agreement with experimental results.

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NUMERICAL SIMULATION ON A VOLUTE OF STRAIGHT CONICAL DUCT TYPE BY MULTI-BLOCK GRID (다중 블록 격자를 이용한 원뿔 직관 모양의 벌류트 유동의 수치해석)

  • Bae, H.;Kang, H.G.;Yoon, J.S.;Park, K.C.;Chang, K.S.
    • Journal of computational fluids engineering
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    • v.11 no.1 s.32
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    • pp.1-7
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    • 2006
  • Numerical investigation of a centrifugal compressor volute having a modified straight conical duct hill been made. Three-dimensional Reynolds-Averaged Navier-Stokes equations with $k-{\varepsilon}$ turbulence equation are solved To avoid coordinate singularity at the central axis of the duct, multi-block H-type grid is generated on the circular cross-sections of the volute and stretched toward the solid wall boundary. We obtained numerical results with three different mass flow rates at the volute inlet, namely, with the inlet conditions that give small, medium and large mass flow rates at the outlet of the conical duct. Agreement with the experimental results is observed.

Prediction of Sound Field Inside Duct with Moving Medium by using one Dimensional Green's function (평균 유동을 고려한 1차원 그린 함수를 이용한 덕트 내부의 음장 예측 방법)

  • Jeon, Jong-Hoon;Kim, Yang-Hann
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2005.11a
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    • pp.915-918
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    • 2005
  • Acoustic holography uses Kirchhoff·Helmholtz integral equation and Green's function which satisfies Dirichlet boundary condition Applications of acoustic holography have been taken to the sound field neglecting the effect of flow. The uniform flow, however, changes sound field and the governing equation, Green's function and so on. Thus the conventional method of acoustic holography should be changed. In this research, one possibility to apply acoustic holography to the sound field with uniform flow is introduced through checking for the plane wave in a duct. Change of Green's function due to uniform flow and one method to derive modified form of Kirchhoff·Heimholtz integral is suggested for 1-dimensional sound field. Derivation results show that using Green's function satisfying Dirichlet boundary condition, we can predict sound pressure in a duct using boundary value.

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