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Acceleration of Integra Incorporation in Reconstruction of Burn Scar Contracture with The Vacuum-Assisted Closure(VAC) (Integra®를 이용한 화상 반흔 구축 재건에 있어 Vacuum-Assisted Closure(VAC)의 유용성)

  • Oh, Suk Joon;Jeon, Man Kyung;Ko, Sung Hoon
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.432-436
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    • 2009
  • Purpose: Negative pressure therapy has been used in various conditions to promote wound healing. It has also been used to secure a skin graft by improving microcirculation and improving tight adhesion between the graft and the recipient bed. To reduce post burn scar contracture and improve aesthetical result, many types of dermal substitutes have been invented and used widely. The goal of this study was evaluate usefulness of the VAC (Kinetic concepts Inc., San Antonio, TX) in improving the take rate and time to incorporation of Integra$^{(R)}$ in reconstruction of burn scar contracture. Methods: A retrospective study was performed from October, 2006 to December, 2008. The VAC was utilized for 11 patients. The average patient's age was 19.7 years (range 5 - 27) and average surface area was $785cm^2$ (range 24 - 1600). The burn scars were excised deep into normal subcutaneous tissue to achieve complete release of the scar, Integra$^{(R)}$ was sutured in place with skin staple와 Steri - strip$^{(R)}$. Then slit incisions were made on silicone sheet only with No.11 blade for effective drainage. The VAC was used as a bolster dressing over Integra$^{(R)}$. Negative - Pressure ranging from 100 to 125 mm Hg was applied to black polyurethane foam sponge trimmed to the appropriate wound size. An occlusive seal over the black polyurethane foam sponge was maintained by a combination of the occlusive dressing, OP - site$^{(R)}$. The VAC dressing changes were performed every 3 or 4 days until adequate incorporation was obtained. The neodermis appeared slightly yellow to orange color. When the Integra$^{(R)}$ deemed clinically incorporated, The VAC was removed and take was estimated with visual inspection. Very thin STSG(0.006 ~ 0.008 inches) was performed after silicone sheet removal. Result: The mean time for clinically assessed incorporation of Integra$^{(R)}$ was 10.00 days (range 9 - 12). The mean dressing change was 3.5 times until take was obtained. In All patients, Integra$^{(R)}$ had successful incorporation in tissue without serious complications. Conclusion: Integra$^{(R)}$ in combination with Vacuum - Assisted Closure(VAC) may be incorporated earlier than conventional dressing method.

Environment of Deposition and Characters of Surface Sediments in the Nearshore off Byun-San Peninsula, Korea (변산반도 연근해 표층 퇴적물의 특성과 퇴적환경)

  • Oh, Jae-Kyung;Choi, Kyu-Hong
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.4 no.2
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    • pp.107-116
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    • 1999
  • To study the characters of surface sediment and to describe the seasonal depositional environment as a result of sedimentation process off Byun-San Peninsula, a total 61 samples of surface sediment (32 samples in summer; 29 samples in winter) were collected and analysed. A digitized depth data from sea chart and echosounding profiles along five trans-sections were helpful for understanding the morphological factors. The types classified by the characters of surface sediment are type I (sand, S), type II (silty sand, zS), and type ill (sandy silt, sZ). Mean grain size varies from 2.11 to 7.81 ${\Phi}$. The positive-skewness shows the typical tide-dominated environment. The sediment type of the northwestern stations is medium sand and the sorting value is 0.5~1.4 ${\Phi}$ of well/moderately sorted. Meanwhile, other stations are composed of muddy sands and sandy muds transported from rivers and offshore. These sediment types toward inshore change gradually from silty sand to sandy silt. According to the C/M diagram, there are three major transport modes of sediment: bed load (Mode A), graded suspension (Mode B), and suspension (Mode C), correlating with north-eastern sandy area, middle part of silty-sand area, and southern sandy-silt area, respectively. The result of Principal Component Analysis shows also similar pattern of sediment types. In result, sediment texture of type III tends to be finer and more poorly-sorted than that of type II and sediment facies are correlateed with sedimentation process.

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An Experimental Study on Tip Velocity and Downstream Recirculation Zone of Single Groyne Conditions (단일 횡수제 조건에 따른 선단부 유속과 재순환 영역에 대한 실험 연구)

  • Kang, Joon-Gu;Yeo, Hong-Koo;Kim, Sung-Jung
    • Journal of Korea Water Resources Association
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    • v.38 no.2
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    • pp.143-153
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    • 2005
  • Recently, the concern of groynes that provide us with various ecological environment and improvement of scenary near river as well as hydraulic improvement has greatly increased for naturalized river and ecological river restoration. However there is no adequate design guidelines in Korea. Furthermore there is lack of research for installation of groynes in Korea. Thus, in this study, we have conducted hydraulic modeling test for kinds of groyne and changes of permeability and made a study of the analysis for installation factor of groyne. Experimental conditions were the fixed bed model for flow pattern of groyne tip and separation length about changes of groyne length and permeability. The Experiments were conducted to measure velocity and drift angle at groyne tip. The main study kas measured the groyne tip velocity for a factor of scour and drift angle for velocity increase at center of channel. We have suggested the equation about groyne tip velocity rate(tip velocity/ approach velocity) and area rate(groyne area/ flow area). And In recirculation zone of groyne downstream, To study the basic data of groyne about installation interval has analyzed the change of separation length and incidence angle. We have suggested the equation about separation length rate(separation length/ groyne length), changes of permeability and installation angle.

Characteristics of Sediment Transport due to the Construction of Jetty at the Heoya-River Mouth, Ulsan (울산 회야강 하구 도류제 건설에 따른 표사이동 특성)

  • Lee, Seong-Dae;Kim, Bong-Ik
    • Journal of Wetlands Research
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    • v.16 no.4
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    • pp.477-486
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    • 2014
  • Integrated sand control including sediment discharge from hinterland rivers is necessary to maintain coastal sand resources over a long term. In this regard, the following subjects should be considered; efficient ways to transfer discharged sand from a river to the neighboring coast, measures to improve storage efficiency of the discharged sand at the river delta and/or river terrace, measures to prevent the sand resources from being discharged into the deep sea during flooding. From the 1997 to January 2004, the jetty of 156 m length was constructed the Heoya-river mouth to protect the blockade of river mouth. Several tests were carried out to investigate the characteristics of sediment transport and morphological change due to the construction of the jetty at the Heoya-river mouth. Firstly, The sand discharge from Heoya river is quantified by one-dimensional numerical analysis assuming the mixed sand of three different particle diameters. Also the numerical mode system, which predicts the sea bed changes obtained from the Bailard's energy model(1981), was combined with the wave, wave-induced currents and sediment transport models. Then, to understand the changes to the blockade of the river mouth, several aerial photographs were compared, which showed that the changes were significant.

COMPARISON OF DIFFUSION COEFFICIENTS AND ACTIVATION ENERGIES FOR AG DIFFUSION IN SILICON CARBIDE

  • KIM, BONG GOO;YEO, SUNGHWAN;LEE, YOUNG WOO;CHO, MOON SUNG
    • Nuclear Engineering and Technology
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    • v.47 no.5
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    • pp.608-616
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    • 2015
  • The migration of silver (Ag) in silicon carbide (SiC) and $^{110m}Ag$ through SiC of irradiated tristructural isotropic (TRISO) fuel has been studied for the past three to four decades. However, there is no satisfactory explanation for the transport mechanism of Ag in SiC. In this work, the diffusion coefficients of Ag measured and/or estimated in previous studies were reviewed, and then pre-exponential factors and activation energies from the previous experiments were evaluated using Arrhenius equation. The activation energy is $247.4kJ{\cdot}mol^{-1}$ from Ag paste experiments between two SiC layers produced using fluidized-bed chemical vapor deposition (FBCVD), $125.3kJ{\cdot}mol^{-1}$ from integral release experiments (annealing of irradiated TRISO fuel), $121.8kJ{\cdot}mol^{-1}$ from fractional Ag release during irradiation of TRISO fuel in high flux reactor (HFR), and $274.8kJ{\cdot}mol^{-1}$ from Ag ion implantation experiments, respectively. The activation energy from ion implantation experiments is greater than that from Ag paste, fractional release and integral release, and the activation energy from Ag paste experiments is approximately two times greater than that from integral release experiments and fractional Ag release during the irradiation of TRISO fuel in HFR. The pre-exponential factors are also very different depending on the experimental methods and estimation. From a comparison of the pre-exponential factors and activation energies, it can be analogized that the diffusion mechanism of Ag using ion implantation experiment is different from other experiments, such as a Ag paste experiment, integral release experiments, and heating experiments after irradiating TRISO fuel in HFR. However, the results of this work do not support the long held assumption that Ag release from FBCVD-SiC, used for the coating layer in TRISO fuel, is dominated by grain boundary diffusion. In order to understand in detail the transport mechanism of Ag through the coating layer, FBCVD-SiC in TRISO fuel, a microstructural change caused by neutron irradiation during operation has to be fully considered.

A study of the impacts of medical institution information on daily medical expenses and medical expense reduction rate in convergence age (융복합시대에 의료기관 정보가 일당진료비와 삭감율에 미치는 영향에 관한 연구)

  • Yang, Yu-Jeong;Lee, Hye-Seung
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.259-268
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    • 2015
  • This research grasped the difference of between the daily medical expenses and the medical expenses reduction rate also the cause of change. In the centre, it was conducted in order to offer the necessary basic data to a recuperation pay management solution's establishment. This research surveyed across the country's urban region 50-general hospital's the infective enteritis disease for a year. Then it was conducted the average daily medical expenses and the average medical expenses reduction rate as a distinguishable survey that is a hospitalization and an outpatient the result is followed. The inpatient daily medical expenses correlated with the total number of medical institution personnel, and the outpatient daily medical expenses correlated with the number of beds.. Inpatient medical expense reduction rate was correlated with number of beds and the total number of medical institution personnel. The interaction between medical institution information and daily medical expenses was found to have a positive (+) effect on the total number of medical institution personnel, as well as the numbers of inpatients vs. outpatient. This research about the medical expense reduction rate and daily medical expense help medical institution's efficient, rational decision making and it will be an important basis of a priority recuperation pay's policy.

A Proposal on Evacuation Safety in Medical Welfare Facilities for the Elderly: Targeting the Goyang City (노인의료복지시설의 피난안전에 대한 제언: 고양시를 대상으로)

  • Jeong, Keesin
    • Fire Science and Engineering
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    • v.34 no.4
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    • pp.52-58
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    • 2020
  • The number of medical welfare facilities caring for the elderly with paralysis and dementia has been increasing rapidly because of the change in the way of supporting the elderly, stemming from an increase in the number of the elderly and working couples. These medical welfare facilities are usually installed all over the city and are gradually becoming high-rise. Few inmates are capable of making their own decisions in case of fire at night and when there are no escape routes such as ramps for evacuation, leading to massive casualties. This study aimed to identify problems in evacuation in the medical welfare facilities for the elderly in Goyang city. This city has the largest number of medical welfare facilities for the elderly per unit area. The following strategies could aid in better evacuation: secure ramps or bed escape elevators; the bedrooms of the inmates should have one-hour fire resistance; the stairs should have the structure of an enclosed stairway; the necessary apparatus for evacuation, such as an escape chute, should be installed; and, to conclude, a business agreement with neighboring agencies to help inmates escape during the fire. The state should implement necessary measures to protect the lives and property of the people. Rapid implementation of this proposal is necessary for the evacuation safety of an increasing number of medical welfare facilities for the elderly.

Performance Comparison of Spray-dried Mn-based Oxygen Carriers Prepared with γ-Al2O3, α-Al2O3, and MgAl2O4 as Raw Support Materials

  • Baek, Jeom-In;Kim, Ui-Sik;Jo, Hyungeun;Eom, Tae Hyoung;Lee, Joong Beom;Ryu, Ho-Jung
    • KEPCO Journal on Electric Power and Energy
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    • v.2 no.2
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    • pp.285-291
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    • 2016
  • In chemical-looping combustion, pure oxygen is transferred to fuel by solid particles called as oxygen carrier. Chemical-looping combustion process usually utilizes a circulating fluidized-bed process for fuel combustion and regeneration of the reduced oxygen carrier. The performance of an oxygen carrier varies with the active metal oxide and the raw support materials used. In this work, spraydried Mn-based oxygen carriers were prepared with different raw support materials and their physical properties and oxygen transfer performance were investigated to determine that the raw support materials used are suitable for spray-dried manganese oxide oxygen carrier. Oxygen carriers composed of 70 wt% $Mn_3O_4$ and 30 wt% support were produced using spray dryer. Two different types of $Al_2O_3$, ${\gamma}-Al_2O_3$ and ${\alpha}-Al_2O_3$, and $MgAl_2O_4$ were applied as starting raw support materials. The oxygen carrier prepared from ${\gamma}-Al_2O_3$ showed high mechanical strength stronger than commercial fluidization catalytic cracking catalyst at calcination temperatures below $1100^{\circ}C$, while the ones prepared from ${\alpha}-Al_2O_3$ and $MgAl_2O_4$ required higher calcination temperatures. Oxygen transfer capacity of the oxygen carrier prepared from ${\gamma}-Al_2O_3$ was less than 3 wt%. In comparison, oxygen carriers prepared from ${\alpha}-Al_2O_3$ and $MgAl_2O_4$ showed higher oxygen transfer capacity, around 3.4 and 4.4 wt%, respectively. Among the prepared Mn-based oxygen carriers, the one made from $MgAl_2O_4$ showed superior oxygen transfer performance in the chemical-looping combustion of $CH_4$, $H_2$, and CO. However, it required a high calcination temperature of $1400^{\circ}C$ to obtain strong mechnical strength. Therefore, further study to develop new support compositions is required to lower the calcination temperature without decline in the oxygen transfer performance.

A Study on the Optimum Design of Horizontal Collectors in Floodplain Filtration (홍수터여과에서 집수관의 최적설계 연구)

  • Pi, Seong-Min;Kim, Seung-Hyun
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.6
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    • pp.430-437
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    • 2012
  • In order to obtain information on the design parameters of the horizontal laterals in floodplain filtration, laboratory-scale sand-box experiments were performed where the head distributions on the laterals and the groundwater profiles were measured according to the change in parameters including lateral diameter, hydraulic conductivity of the sand, water level at the well and raw-water supply rate. Measured data were analyzed using a numerical code in order to identify the discharge intensity distribution along the laterals. It was observed from the result that the lowering of the water level at the well had minimal adverse effect on the performance of the floodplain filtration. Results also elucidated that the low conveyance of the laterals to transmit the filtrate was compensated and supplemented by a natural augmentation in horizontal conveyance through the aquifer when the raw-water supply rate exceeded the adequate recovery rate. With this mechanism, the water quality is expected to improve further since the travel distance through the aquifer is amplified. Based on these findings it can be suggested that the diameter of the lateral used in the floodplain filtration may be smaller than those in riverbank/bed filtration. It was also found that the ratio between the head loss occurring in a lateral and the total head loss in the floodplain filtration was proportional to the exit velocities of the laterals, which may be used to design and/or evaluate the lateral in floodplain filtration.

Study on Electrical Resistivity Pattern of Soil Moisture Content with Model Experiments (토양의 함수율에 따른 전기비저항 반응 모형 실험 연구)

  • Ji, Yoonsoo;Oh, Seokhoon;Lee, Heui Soon
    • Geophysics and Geophysical Exploration
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    • v.16 no.2
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    • pp.79-90
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    • 2013
  • Geophysical investigation in non-destructive testing is economically less expensive than boring testing and providing geotechnical information over wide-area. But, it provides only limited geotechnical information, which is hardly used to the design. Accordingly, we performed electrical resistivity experiments on large scale of soil model to analyze the correlation between electrical resistivity response and soil water contents. The soils used in the experiments were the Jumunjin standard sand and weathered granite soil. Each soil particle size distribution and coefficient of uniformity of experimental material obtained in the experiments were maintained in a state of the homogeneous. The specifications of the model used in this study is $160{\times}100{\times}50$(cm) of acrylic, and each soil was maintained at the height 30 cm. The water content were measured using the 5TE sensors (water contents sensors) which is installed 7 ~ 8 cm apart vertically by plugging to floor. The results of the resistivity behavior pattern for Jumunjin standard sand was found to be sensitive to the water content, while the weathered granite soil was showing lower resistivity over the time, and there was no significant change in behavior pattern observed. So, it results that the Jumunjin standard sand's particle current conduction was better than the weathered granite soil's particle through contact with the distilled water. This lab test was also compared with the result of a test bed site composed of similar weathered soil. It was confirmed that these experiments were underlying research of non-destructive investigation techniques to improve the accuracy to estimate the geotechnical parameter.