Lee, H. C.;Seok, K. W.;Jon, C. W.;Lee, J.;Lee, Y. S.;Kim, S. H.
Journal of Biomedical Engineering Research
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v.17
no.3
/
pp.337-346
/
1996
The patency of small size vascular grafts is poor, and the blood flow characteristics in the artery graft anastomosis are suspected as one of the important factors influencing intimal hyperplasia. Disturbed flow patterns caused by sixte and compliance mismatch generate unfavorable flow environment which promotes intimal thickening. Tapered vascular yuts are suggested in order to reduce sudden expansion near the anastomosis. The photochromic flow visualization method is used to measure the flout fields in the end-to-end anastomosis model under the carotid and femoral artery flow wave form. The results show that flow disturbance near the anastomosis is diminished in the tapered grafts comparing to the tubular graft. As the divergent ang1e decreases, we can reduce the low and oscillatory wall shear stress zone which is prone to intimal hyperplasia. The flow wave form effects the wall shear rate dis- tribution significantly. The steep deceleration and back flow in the femoral flow wAve form cause low mean wall shear rate and high oscillatory shear index.
Journal of Korean Society of Coastal and Ocean Engineers
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v.19
no.1
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pp.38-44
/
2007
Using the mathematical model suggested by Bennet et al.(1992), the reflection and transmission coefficients by a circular pile breakwater has been investigated in the framework of potential theory. Flow separation due to sudden contraction and expansion is generated and is the main cause of significant energy loss. Therefore, evaluation of exact energy loss coefficient is critical to enhance the reliability of mathematical model. To obtain the energy loss coefficient, 2-dimensional turbulent flow is analyzed using the FLUENT commercial code. The energy loss coefficient can be obtained from the pressure difference between upstream and downstream. Energy loss coefficient is the function of porosity and the relation equation between them is suggested throughout the curve fitting processing. To validated the suggested relation, comparison between the analytical results and the experimental results is made for four different porosities with good agreement.
Wang, Jessica S.;Louw, Ryan P. Ter;DeFazio, Michael V.;McGrail, Kevin M.;Evans, Karen K.
Archives of Plastic Surgery
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v.46
no.4
/
pp.365-370
/
2019
The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs in the setting of large craniectomy defects, resulting from trauma, infection, and/or oncologic extirpation. Cranioplasty has been shown to reverse these symptoms by normalizing cerebral hemodynamics and metabolism. However, successful reconstruction may be difficult in patients with complex and/or hostile calvarial defects. We present the case of a 48-year-old male with a large cranial bone defect, who failed autologous cranioplasty secondary to infection, and developed rapid neurologic deterioration leading to a near-vegetative state. Following debridement and antibiotic therapy, delayed cranioplasty was accomplished using a polyetheretherketone (PEEK) implant with free chimeric latissimus dorsi/serratus anterior myocutaneous flap transfer for vascularized resurfacing. Significant improvements in cognition and motor skill were noted in the early postoperative period. At 6-month follow-up, the patient had regained the ability to speak, ambulate and self-feed-correlating with evidence of cerebral/ventricular re-expansion on computed tomography. Based on our findings, we advocate delayed alloplastic implantation with total vascularized soft tissue coverage as a viable alternative for reconstructing extensive, hostile calvarial defects in patients with the syndrome of the trephined.
Mt. Umyeon is a low-altitude mountain near a residential area, and the actual forest area is not large due to the fact that development for use as a living green space is being completed and in progress across the mountain, so the buffering action for landslides was weak. The unit was located at the top of Mt. Umyeon, and there were reports of contents related to the military unit in some accident areas. Some experts suggested that the landslide that started on the cut side of the unit could be one of the causes of the landslide at Mt. Umyeon. It is presumed that there was a sudden collapse of trees that had fallen due to erosion inside the valley. In the case of the Umyeon landslide, localized torrential rain is the biggest cause, but the fact that it suffered a lot of damage is the result of no preemptive measures. In particular, it can be said that the damage was caused by the concentration of residential and commercial facilities due to the unplanned urban expansion without prior review of the feng shui geography of settlement areas. The important lesson we have learned is that we should recognize nature as living things and live in harmony and coexistence between humans and nature through understanding and cooperation. Adapting to changes in the environment can survive, but if it doesn't, it will be slaughtered. As such, geography influences changes in feng shui. Changes in feng shui have a profound effect on not only humans but also the natural ecosystem.
Spontaneous pneumothorax is the sudden collapse of a lung usually caused by air leakage from a subvisceral pleural blob. Responses to closed thoracostomy,thoracentesls and simple observation are usually prompt and effective. But in some cases, these are unsucceful and open thoracotomy is indicated. A clinical evaluation was performed on 242 cases(236 patients) of open thoracotomy in spontaneous pneumoth rax who were admitted and treated at department of Thoracic and Cardiovascular Surgery. Masan Samsung General Hospital during the past 9 years from January 1988 to December 1996. The results were as follows 1. The sex ratio was male predominance(M:F=11.7:1) 2. The most common age group were 2nd, 3rd decades(2nd=29.3%, 3rd=30.2%). 3. The most common chief complaints were chest pain and dyspnea(chest pain=41.7%. dryspnea= 36.8). 4. The etiologic factors of spontaneous pneumothorax were primary spontaneous pneumothorax(86.4%), tuberculosis(9.1%), COPD(3.7%) and pleuritis(0.8%). 5. The site of spontaneous pneumothorax was 52.1% in right, 45.4% in left and 2.5% in both. 6. The common indications of open thoracotomy were recurrence(44.2%), persistent air leakage(31.8%) and inadequate expansion(15.7%). 7. The operative procedures were bullectomy or mechanical pleurodesis through posterolateral thoracotomy or median sternotomy. 8. The most frequent location of bulla or blob were apical segme t oi RUL(35.1%) and apicoposterior segment of LUL(41.3 %). 9. The number of bulla or blob were mainly 1 to 5(88%), and there were no significant differences among operation indications. 10. The size of bulla or bleb were mainly below 5cm(81%)and small bulla($\leq$1cm) were predominant in recurrence group but large bulla(>5cm)were predominant in persistent air leakage and inadequate expansion group. 11. The pleural adhesion was seen in 54.5%.(Recurrence group 64.1%,Persistent air leakage group 51.9%,Inadequate expansion group 47.4%).
Drug-related crime has increased in spite of visible results of Uribe government's hard-line policies on drug eradication and illegally armed organizations which were pursued under U.S. support, without the accompaniment of quantity change in drug cultivation and trade. Military disputes of left-right illegally armed communities surrounding illegal crop cultivation rights were rather intensified, and the number of refugees was increased through enforced displaced people. The 2005 refugee registration committee RUPD reports that 3,316,862 people, 7.3% of total population, were refugees. In particular, the number of refugees presented a large increase rate of 624% when compared to the past year due to enforced displaced people. Main discharge areas of enforced displaced people are connected with drug crime and activities of illegally armed organizations, and are places of increased armed disputes in the process of occupied territory expansion of illegally armed communities and militia. Undiscriminated attacks were executed on farmers in the process of occupation of illegal crop cultivation sites by illegally armed organization and militia to emit enforced displaced people, who moved to border areas by crossing national borders. Enforced displaced people were restricted to certain areas before the appearance of Uribe administration. However, enforced displaced people not only presented quantitative expansion, but also showed tendency of nationwide expansion after national security policy was pursued. With the closing of the Amazon area, previously the main route of drug trade, activity base of illegally armed organizations was moved to the Pacific region, and Panama border area experienced refugee increase due to the new policy of enforced displaced people. This study aims to understand the actual condition and cause for the increase in refugees in Colombia based on border areas of Venezuela, which is the nation of highest dispersion of Columbian refugees, Panama, which has appeared as a new destination for refugees after the 90s, and Ecuador, which has experienced sudden refugee increase in 2000.
In Jungian psychology, creation myths regard as the story of unconscious and preconscious processes(projection of archaic identity) which describe not necessary the origin of our cosmos, but the origin of man's conscious awareness of the world. Therefore projections have nothing to do with matter itself but experience of one's own unconscious. Jung emphasizes importance to understand projection in individual's conscious experience rather than in philosophical doctrine. The purpose of this thesis is to explore unconscious process of creation myths with egg symbolism in clinical cases to present universal feature of Cosmic/alchemical egg. Psychologically, creation myths retold when human mind needs new order. Depending on the attitude of ego, it can be sudden expansion of consciousness or contamination of ego by unconscious. In this study, 'chaos(messa confusa)' in creation myths as archaic identity, experience of uroboros or infant, and nigredo state in alchemy. 'Separation of primordial parents' as beginning of consciousness refers to separatio operation in alchemical process. 'Light' as attainment of consciousness. Discussion of psychological meaning of egg starts with amplification which include the concept of cosmic/alchemical/philosophical egg. Egg symbolism in this study refers to emergence of egg, tapas/brooding of egg, and separation of egg. Emergence of egg as a state of preconscious totality, psychic wholeness conceived as the thing which came before the rise of ego consciousness. Discussion of conceptssuch as Shiva bindu, hiranyagharba, germ of gold, Tathāgatagarbha follows. 'Tapas/brooding of egg' as concentration of all psychic energy into one point for self reflection. Discussion includes The I Ching Hexagram 61, image of brooding egg identified with inner truth, Wonhyo's concept of jikwansasang, and Gnostic idea of Ennoia, introverted act of thinking, as well as the concept of 'Night Sea Journey'. 'Separation or hatching of egg' regarded as the idea of sudden illumination, Phanes, the shining God, and "sun-point," in alchemy. Birth of fledgling as birth of new personality. As a conclusion, psychological meaning of cosmic egg/creation myths is the story of separating from 'Not-I'(unconscious, object, undifferentiated) to 'I'(ego, subject, differentiated) which shares the same meaning as individuation process.
Ku, Garam;Lee, Songjune;Kim, Kuksu;Cheong, Cheolung
The Journal of the Acoustical Society of Korea
/
v.36
no.5
/
pp.314-320
/
2017
A pressure relief valve is generally used to prevent piping systems from being broken due to high pressure gas flows. However, the sudden pressure drop caused by the pressure relief valve produces high acoustic energy which propagates in the form of compressible acoustic waves in the pipe and sometimes causes severe vibration of the pipe structure, thereby resulting in its failure. In this study, internal aerodynamic noise due to valve flow is estimated for a simple contraction-expansion pipe by combining the LES (Large-Eddy Simulation) technique with the wavenumber-frequency analysis, which allows the decomposition of fluctuating pressure into incompressible hydrodynamic pressure and compressible acoustic pressure. In order to increase the convergence, the steady Reynolds-Averaged Navier-Stokes equations are numerically solved. And then, for the unsteady flow analysis with high accuracy, the unsteady LES is performed with the steady result as the initial value. The wavenumber-frequency analysis is finally performed using the unsteady flow simulation results. The wavenumber-frequency analysis is shown to separate the compressible pressure fluctuation in the flow field from the incompressible one. This result can provide the accurate information for the source causing so-called acoustic-induced-vibration of a piping system.
Kim Jae-Hun;Kim Kyung-Chan;Lee Dae-Young;Kim Hee-Jeong
Journal of Astronomy and Space Sciences
/
v.23
no.3
/
pp.217-226
/
2006
We report three sawtooth oscillation events observed at geosynchronous orbit where we find quasi-periodic (every 2-3 hours) sudden flux increases followed by slow flux decreases at the energy levels of ${\sim}50-400keV$. For these three sawtooth events, we have examined variations of the outer boundary of the outer radiation belt. In order to determine L values of the outer boundary, we have used data of relativistic electron flux observed by the SAMPEX satellite. We find that the outer boundary of the outer radiation belt oscillates periodically being consistent with sawtooth oscillation phases. Specifically, the outer boundary of the outer radiation belt expands (namely, the boundary L value increases) following the sawtooth particle flux enhancement of each tooth, and then contracts (namely, the boundary L value decreases) while the sawtooth flux decreases gradually until the next flux enhancement. On the other hand, it is repeatedly seen that the asymmetry of the magnetic field intensity between dayside and nightside decreases (increases) due to the dipolarization (the stretching) on the nightside as the sawtooth flux increases (decreases). This implies that the periodic magnetic field variations during the sawtooth oscillations are likely responsible for the expansion-contraction oscillations of the outer boundary of the outer radiation belt.
Journal of the Korea Academia-Industrial cooperation Society
/
v.19
no.4
/
pp.203-210
/
2018
The UK is famous for being the first country in Europe to adopt the policies of marketisation regarding social welfare. Numerous other countries, including social democratic countries, have followed suit, and South Korea has also adopted the marketisation of care through the introduction of long-term care insurance. The aim of this study is to examine recent reforms concerning adult social care market in the UK, and to determine policy recommendations to further develop the Korean long-term care insurance market. Findings show that the UK has actively regulated and managed the care market. In particular, after the sudden bankruptcy of nursing homes, the CQC systematically analyzes the risks of bankruptcy of big service providers in terms of financial conditions and quality of services according to the six steps detailed in the Care Act 2014. If some service providers experience high levels of risk, the CQC reports results to local authorities in order to manage the risk of bankruptcy of these service providers. Such reforms in the UK suggest a number of policy measures for South Korea in which the problems of long-term care market are prevalent, including increased system management, introduction of a new inspection system, the expansion of public-based inspection organizations, and disclosure of information by the National Health Insurance Corporation.
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