• Archives of Plastic Surgery
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• 제44권1호
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• pp.42-47
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• 2017

Background Skin erosion is a dire complication of implantable cardiac pacemakers and defibrillators. Classical treatments involve removal of the entire generator and lead systems, however, these may result in fatal complications. In this study, we present our experience with a simplified salvage technique for exposed implantable cardiac electronic devices (ICEDs) without removing the implanted device, in an attempt to reduce the risks and complication rates associated with this condition. Methods The records of 10 patients who experienced direct ICED exposure between January 2012 and December 2015 were retrospectively reviewed. The following surgical procedure was performed in all patients: removal of skin erosion and capsule, creation of a new pocket at least 1.0-1.5 cm inferior to its original position, migration of the ICED to the new pocket, and insertion of closed-suction drainage. Patients with gross local sepsis or septicemia were excluded from this study. Results Seven patients had cardiac pacemakers and the other 3 had implantable cardiac defibrillators. The time from primary ICED placement to exposure ranged from 0.3 to 151 months (mean, 29 months. Postoperative follow-up in this series ranged from 8 to 31 months (mean follow-up, 22 months). Among the 10 patients, none presented with any signs of overt infection or cutaneous lesions, except 1 patient with hematoma on postoperative day 5. The hematoma was successfully treated by surgical removal and repositioning of the closed-suction drainage. Conclusions Based on our experience, salvage of exposed ICEDs is possible without removing the device in selected patients.

• Journal of Environmental Science International
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• 제19권11호
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• pp.1315-1322
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• 2010

A membrane bioreactor (MBR) was designed using polyvinylidene fluoride(PVDF)-type hollow fiber membrane modules with a treatment capacity of 10 ton/day. A pilot plant was installed in a sewage treatment plant and was operated with an intermittent aeration method which avoids any concentration gradient of suspended solids (SS) in the MBR. For continuous operation, the pilot plant was first tested with influent (mixed liquor suspended solid:MLSS of 1000-2000 mg/L) of aeration tanks in the sewage treatment plant. The MBR was pre-treated with washing water, 10% ethanol solution, 5% NaOCl solution and finally washing water, one after another. To demonstrate the effect of the MBR on sewage treatment, compared with conventional activated sludge processes, we investigated the relationships among permeate amount (LMH), change in operation conditions, influent MLSS level and sludge production. It was found that the optimum aeration rate and suction pressure were $0.3\;m^3$/min and 30~31 cmHg, respectively. Under stable conditions in aeration, suction pressure, influent flow rate and drainage, the SS removal efficiency was more than 99.99% even when the MLSS loading rate changes. Compared with conventional activated sludge processes, the MBR was more effective in cost reduction by 27% based on permeate amount and by 51.5% on sludge production.

• KSCE Journal of Civil and Environmental Engineering Research
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• 제31권1D호
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• pp.73-82
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• 2011

Generally, an unsaturated condition was not considered to predict the long-term strength and drainage behaviors on compacted road foundations. However, it is logical way to consider the unsaturated condition and hysteresis behavior on road foundations like subbase and subgrade. For more quantitative analysis, rational experimental approach requires proper laboratory tool and material model, and hydraulic properties of pavement geomaterials under unsaturated conditions. In this study, therefore, laboratory data from the soil-water characteristic curve tests were used to predict suction and unsaturated permeability on pavement foundations and the results were analyzed based on the nonlinear fitting model considered. In addition to that, the unsaturated moisture capacity of each material is discussed.

• Journal of the Korean Geotechnical Society
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• 제23권11호
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• pp.39-48
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• 2007

The soil-water characteristic curve(SWCC) is a useful tool in the prediction of the engineering behavior of unsaturated soils. Several equations are available in the literature to mathematically represent the experimental behavior of the SWCC. Some equations are based on the assumption that the shape of curve is dependent upon pore-size distribution. Other equations assume that SWCC can be estimated from the grain size distribution and the physical properties of soils. This study evaluated the suitability of using two different SWCC equations for defining the relationship between water content and matric suction. Various parameters that influence the SWCC behavior are also briefly discussed.

• Journal of Korean Neurosurgical Society
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• 제45권5호
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• pp.318-321
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• 2009

Tension pneumocephalus may follow a cerebrospinal fluid(CSF) leak communicating with extensive extradural air. However, it rarely occurs after diagnostic lumbar puncture, and its treatment and pathophysiology are uncertain. Tension pneumocephalus can develop even after diagnostic lumbar puncture in a special condition. This extremely rare condition and underlying pathophysiology will be presented and discussed. The authors report the case of a 44-year-old man with a basal skull fracture accompanied by pneumothorax necessitating chest tube suction drainage, who underwent an uneventful lumbar tapping that was complicated by postprocedural tension pneumocephalus resulting in an altered mental status. The patient was managed by burr hole trephination and saline infusion following chest tube disengagement. He recovered well with no neurologic deficits after the operation, and a follow-up computed tomography (CT) scan demonstrated that the pneumocephalus had completely resolved. Tension pneumocephalus is a rare but serious complication of lumbar puncture in patients with basal skull fractures accompanied by pneumothorax, which requires continuous chest tube drainage. Thus, when there is a need for lumbar tapping in these patients, it should be performed after the negative pressure is disengaged.

• Journal of Chest Surgery
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• 제45권2호
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• pp.134-137
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• 2012

A 75-year-old man who was diagnosed as having a fluid-filled giant bulla was treated with a modified Brompton technique due to his poor performance status. Percutaneous drainage, suction, and talc sclerotherapy through a Foley catheter can be good treatment options for patients with conditions that are too poor to allow surgical intervention, especially if there is adhesion between a giant bulla and parietal pleura. Talc can also be used safely when mixed with normal saline as a sclerosant.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권2호
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• pp.202-207
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• 1995

Chylous fistula is a rare complication occurring after radical neck dissection. Previous reports on neck dissection described an incidence of about 1% to 2%. We report a case of chylous fistula that occurred after radical neck dissection for squamous cell carcinoma of left lower gingiva and mandible in a 52-year-old man. We successfully managed the fistula by the following conservative measures : bed rest with head elevation, continuation of closed suction drainage, and dietary management to decrease the rate of chyle formation.

• Journal of Korean Foot and Ankle Society
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• 제21권3호
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• pp.113-116
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• 2017

Synovial fistula of the ankle joint is an uncommon complication from an ankle sprain. This may likely result in an unhealed wound around the ankle joint due to continuous leakage of joint fluid. However, in the event of an open wound on the lower leg, and not on the joint, it may be difficult to consider synovial fistula as a cause of the open wound. We experienced an interesting case with an unhealed open wound on the lower leg due to a synovial fistula of the ankle joint following an ankle sprain. We obtained good results after a treatment using a self-produced suction drainage device on the unhealed open wound.

• Magazine of the Korean Society of Agricultural Engineers
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• 제13권1호
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• pp.2158-2161
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• 1971

Although underdrainage has been studied for a long time, it is the third attempt in korea to execute, using P. V. C.(plastic) suction pipes in the low and wet fields. First, three execution plots and three control plots were set, then the drainage method and volume, soil temperature, growth and yield of crops, and under ground water level in the execution plot have been examined. These experiments have conducted with No-ngnim No 6(rice), and Palgweng (rice) which are the recommended varieties. And the above experiments have been executed for seven months between January and July. 1970. The experimenntal method adopted and the results obtained through the exeperiments are as follows:

• Magazine of the Korean Society of Agricultural Engineers
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• 제12권2호
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• pp.1960-1964
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• 1970

Underdrainage has been studied by using PVC suction pipes in the low and wet Paddy field: Fist, three test plot and three control plots were set and drainage methods and Soil tempratures in the test plots have been examined. The experiment was conducted making use of the 'NONG-RIM No, 4'(Wheat) 'DOWON' (rice barley), a recommended variety. Test period was from September, to December, 1969. The experimental methodsand results obtained through this experimontation are as follows: 1) Ground water level in the test plot goes down by 34 cm. 2) In sprouting, control plot is earlier than test plot by three days. 3) The rate of sprouting is equal.