A seven-year-old, castrated male Basset hound weighing 21.1 kg was presented for investigation of anorexia, lethargy, weight loss, melena and vomiting for 4 months. In laboratory findings, microcytic hypochromic anemia was identified, and other results were within a normal reference range. On the plain radiographs, soft tissue opacity was increased in the descending duodenal region; and on the contrast radiographs, ulcerative changes were identified in the entire segment of descending duodenum. Ultrasonographic findings included increased duodenal wall thickness and duodenal wall layering was lost. Endoscopy revealed irregular mucosal surface and luminal narrowing of the descending duodenum. There was concentrically thickened descending duodenum on the computed tomography. And the wall of the descending duodenum showed heterogenous enhancement after contrast agent injection. On histopathological findings, both chronic inflammation with mucosal proliferation and neoplastic changes with multiple small glandslike structures invading into the submucosa were identified. Based on these findings, presented case was diagnosed as an annular form duodenal adenocarcinoma. After 13 months of supportive medical treatment, the patient was expired. The purpose of this case report was to describe the duodenal adenocarcinoma in a dog.
Background : We assessed the accuracy of staging in evaluation of bronchial invasion, thus found the role of CT in patients who underwent resective surgery in primary lung cancer. Materials and Methods : Authors retrospectively analized the preoperative CT scans of 156 patients receiving pneumonectomy(n = 95) and lobectomy(n = 61). Among lobectomy patients, 7 patients subsequently performed pneumonectomy because of positive resection margin of bronchus in frozen biopsy. We also retrospectively analized CT scans of non-operated 60 patients who performed sufficient bronchoscopic biopsy. Bronchial wall thickness more than 3mm, irregular wall thickening and reduction of diameter by CT were defined as bronchial invasion. The pathologic examination of resection margin were positive in 20, stump recurrence occurred in 6 of the operated group, and the pathologic examination of biopsy of bronchial wall were positive in 34 of the non operated group, and these were an regarded as bronchial invasion. Results : The CT assessment of bronchial invasion revealed low sensitivity (11.5%), low positive predictability(38%), but high specificity(96%) and relatively high accuracy (84%) in the operated group and higher sensitivity (62%), higher positive predictability(95%) in non-operated group. Conclusion : In lung cancer patients who underwent operation, CT showed very low sensitivity and positive predictability in evaluation of bronchial invasion. Because the usefulness of CT in evaluation of bronchial invasion is limited, therefore aggressive fiberoptic bronchoscopic biopsy is thought to be necessary before surgical attempt.
Kim, Min-Choul;Shon, Byung-Hyun;Lee, Jae-Jeong;Park, Hung-Suck
Journal of the Korea Academia-Industrial cooperation Society
/
v.22
no.6
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pp.460-468
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2021
This study investigated the enhanced combustion efficiency of an "air-cooled combustion system" with single F.D. fan, and performed a numerical analysis for the operation and design conditions to increase the combustion efficiency. The combustion efficiency in an actual combustor was compared before and after the structure modification. Numerical analysis for application of a single fan revealed the difficulty of forming a turbulence for circular combustion conditions. This is because the supply ratio of combustion air supplied into 2 flow paths becomes irregular in the combustion furnace due to a change in friction force and pressure in each flow path. Subsequently, two methods of supplying air into the combustion furnace were analyzed numerically to obtain the optimal combustion conditions of an air-cooled combustion system. The first method involved injecting the preheated combustion air after a 180~360 degree rotation from the outer wall, whereas in the second method, the combustion air was injected into the combustion furnace in a tangential direction after primary heat exchange outside the combustion furnace, by applying a rotatable vane structure in the combustion furnace. Results reveal that application of a single F.D. fan to the air injection into a rotatable combustion furnace is desirable for optimization of the combustion conditions for applying a duct structure having a dual cooling wall for the cooling of the outer wall of the combustion furnace, and for maintaining perfect mixing in the combustion furnace. We therefore confirmed enhanced combustion efficiency by comparing the actual combustion efficiency before and after structure modification.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.33
no.4
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pp.340-349
/
2007
Free flap transplantation with microvascular anastomosis has been successfully performed by development of surgical technique, materials and postoperative monitoring equipments of flap. But success rate of microvascular anastomosis is influenced by various factors, and failure rate is about 5-10%. The most influential factor for success rate is surgical technique and other factors that influence failure of microvascular anastomosis are ischemic time of free flap, thrombus formation of anastomosis region and vascular spasm. In this study, vascular patency and thrombus formation in experimental micro-venous anastomosis, and endothelial repair were observed with histologic analysis, scanning electron microscopy, transmission electron microscopic examination. The results were obtained as follows: 1. In vascular patency test in 30 minute and 7 days after micro-venous anastomosis with heparin irrigation, all of 12 anastomosis site were good vascular patency. 2. In thrombus formation in 2 weeks group(Experimental I), 2 site of 6 cases were observed thrombus, and in 4 weeks group(Experimental II), 1 site of 6 cases were observed thrombus. 3. In histologic examination, normal vein(Control Group) showed continued internal elastic lamina, well formed thick smooth muscle layer and connective tissue. The group of 2 weeks after microvenous anastomosis(Experimental I) showd locally recovered internal lamina, discontinued internal lamina, disorganized smooth muscle cells and granulation tissue around suture silk. In the group of 4 weeks after micro-venous anastomosis(Experimental II), anastomosis site showed almostly continued internal lamina, disorganized smooth muscle cells and cicartrized tissue around suture silk. 4. In scanning electron microscope examination in 2 weeks(Experimental I) after micro-venous anastomosis, mesh fibrin formation showed near to endothelial cells, and in 4 weeks after micro-venous anastomosis(EXperimental II), numerous blood cells and fibrin mesh formation was seen associated with irregular endothelial cell arrangement. 5. In transmission electron microscope examination in 2 weeks after micro-venous anastomosis(Experimental I), irregular arrangement of smooth muscle cells was seen adjacent to collagenized tissue around suture silk. In 4 weeks after micro-venous anastomosis(Experimental II), denuded venous wall composed of relatively well arranged smooth muscle cells was covered by endothelial cells, but fibroblast cells and foreign body giant cells near to suture silk was remained. From the results obtained in this study, results of good vascular patiency and anti-thrombotic effect of heparin were obtained as a local irrigation solution, and repair of venous endothelial cell was observed in 2 weeks after micro-venous anastomosis.
Design of a vegetation type sound barrier was presented as a noise barrier on the boundary of neighborhood facilities including schools, and apartments. The suggested noise barrier is made of unit blocks that are to be formed by stacking over the wall structure containing the plant and soils in the blocks. The advantage of the vegetation noise barrier is to acquire not only sound absorptive effects of plants and soils, but also sound diffusive effect caused by the irregular surface of the barrier which could eventually mitigate the noise. First, the optimum size of the units to obtain the highest noise reduction was investigated using 1/10 scaled model experiment, and sound attenuation experiments were carried out using a 1/2 mock-up model which is 2 m high and 5 m long. Total 1,137 unit blocks were made of synthetic woods with the size of $10{\times}10{\times}9cm$. These unit blocks were installed on the both side of the 1/2 mock-up steel framed noise barrier. As a result, it was revealed that the block typed vegetation noise barrier has 7 dB higher insertion loss in comparison with the general plane noise barrier. Also, it was found that the appropriate size of unit blocks is $20{\times}20cm$ which has large effect of sound insertion loss.
Acanthamoeba sap., free-living amoebae inhabited in moist soil, pond, freshwater, sewage, atmosphere and swimming pool, may be causative protozoa of the fatal primary amoebic meningoence-phalitis in experimental animals and humans. In this study, Acar,thamoeba spry. , including Acan. thamoeba sp. YM-4 (isolated strain from Korea) had been compared by the two-dimensional electrophoresis and hybridoma technique as well as the difference of morphological characteristics. Trophozoite of Acenthamoeba sp. YM-4 is usually uninucleate and show the hyaline filamentous projections (acanthopoda) . No aagellate stage observed. Cysts have two walls, the outer wall is nearly circular, but inner wall is oval or some irregular. As results of SDS-PAGE for Iysate of Acanthamoeba sp. VM-4, 16 major protein fractions are similiar to those of A. cuzbertsoni, but different to A. royreba and A. polyphaga. Findings of two-dimensional electrophoretic patterns of Acanthamceba sp. YM-4 are almost same to those of A. culberssoni, The isotope of monoclonal antibodies produced from McAY 6, McAY 7, McAY 8, McAY 13 and McAY 16 clones were IgGl, and McAY 10 and McAY 11 clones were IsM. As results of the cross-reactivity among various amoebae using ELISA with monoclonal antibodies, McAY 7 monoclonal antibody (molecular weight 43 kDa by EITB) was only reacted with Acanthamoeba sp. YM-4, but McAY 6 and McAY 10 monoclonal antibodies were reacted to A. cuzbertsoni as well as Acanthamoeba sp. YM-4.
To investigate diagnostic imaging of cystitis and to apply it to the small animal practice, ultrasonogram of urinary bladder with moderate distension(4ml/kg) and with complete distension(9ml/kg) to evaluate the irregularity and thickness of bladder, radiography and histopathological examination were performed after experimental cystitis induction. On double contrast cystography, mucosal membrane of the urinary bladder was smooth and thickening urinary bladder wall was not found before cystitis induction. At 3rd day post induction(PI), mucosal irregularity was noted at the cranioventral region of the urinary bladder. Thickening of the urinary bladder wall and filling defect was observed as well. Cystographic findings of 7, 10, 15, 21 day PI were similar to that of 3rd day PI. On ultrasonographic findings of the mural thickness in induction group, it was ascertain that the mural thickness with moderate distention was more thickened than with complete distention at transverse scan. Ultrasonographic findings at longitudinal scan were similar to those of transverse scan. On ultrasonographic findings of mucosal irregularity in induction group, from PI to 7 day PI, mucosal irregularity with moderate distention was more irregular than mucosal irregularity with complete distention. At 10 day PI, there was similarity between moderate distention and complete distention. On histopathologic examination of a section of urinary bladder taken 3 day PI, the mucosal and submucosa were infiltrated by a mixture of thick inflammatory exudate which was composed of neutrophil, plasma protein, bacterial colony and necrotic cells. Congestion, hemorrhage and edema were also observed in the submucosa. At 7th day PI, the mucosal change was similar to that of 3rd day PI, but neovascularization and fibroplasia were observed in the submucosa. At 15th and 21th day PI, mild hyperplasia of mucosal epithelium was observed in the mucosa. Deposition of collagen, neovascularization and severe diffuse infiltration of lymphocyte were observed. These results suggest that ultrasonographic examination with moderate distention is considered to be a more simple, rapid, noninvasive, sensitive and useful diagnostic method than other diagnostic methods for the diagnosis of the cystitis and the differential diagnosis of urinary tract infection.
Mucinous adenocarcinoma occurs in 1.6-25.4% of patients with colorectal cancer. We report a case of a 27-year-old man with negative findings on initial colonoscopic biopsy, but finally diagnosed with mucinous adenocarcinoma of the colon. After undergoing an abdominal CT due to persistent abdominal pain, he was transferred to our hospital. The abdominal CT showed a diffuse and irregular wall thickening in the distal transverse colon. Due to the edema and stenosis of colonic wall, it was difficult to insert the colonoscope into the proximal region; a biopsy revealed chronic colitis with lymphofollicular hyperplasia. Transverse colectomy and lymph node dissection were performed. The diagnosis was mucinous adenocarcinoma of approximately 20×4.5 cm. Compared to adenocarcinoma, mucinous adenocarcinoma is found in a younger population with an advanced stage and is less responsive to palliative chemotherapy. Therefore, recalcitrant abdominal pain even in young people warrants early detection through appropriate examinations such as abdominal CT and colonoscopy.
The lead-zinc-silver-iron deposits from the Janggun mine are of hydrothermal-metasomatic origin, characterized by the marked hydrothermal alteration of the wallrocks, such as hydrothermal manganese enrichment of carbonate rocks, silicification, chloritization, sericitization, montmorillonitization and argillic alteration. The ore deposits have been emplaced within the Janggun Limestone of Cambro-Ordovician age at the immediate contacts with apophyses injected from the Chunyang Granite plutons of Late Jurrasic age. They have been structurally controlled by fractures in the carbonate rocks and the irregular intrusive contacts of granitic rocks, and are closely associated with hypogene manganese carbonate deposits. In the mine nine seperate orebodies are being mined. On the basis of the petrological study, hydrothermal alteration zone of this mine may be divided into the following four zones from wallrock to orebody. (I) Primary calcite and dolomite zone${\rightarrow}$(II) dolomitic limestone zone${\rightarrow}$(III) dolomitic zone${\rightarrow}$(IV) rhodochrosite zone${\rightarrow}$ orebody. There was not recongnized Mn and Fe elements in the primary calcite and dolomite zone. But, in the dolomitic limestone and dolomite zone, calcite and dolomite were subjected to weak hydrothermal manganese enrichment and the grade of the manganese enrichment increase oreward. By means of electron probe microanalysis, it was found that manganoan dolomite occured between primary dolomite grains, cross the cleavage of the primary dolomite and around the dolomite grains. Above these result supports that the Janggun manganese carbonate deposits are of hydrothermal metasomatic origin.
Lee, Han Seon;Lee, Kyung Bo;Hwang, Kyung Ran;Cho, Chang Seok
Earthquakes and Structures
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v.5
no.6
/
pp.703-731
/
2013
In order to verify the applicability of buckling restrained braces (BRB's) and fiber reinforced polymer (FRP) sheets to the seismic strengthening of a low-rise RC building having the irregularities of a soft/weak story and torsion at the ground story, a series of earthquake simulation tests were conducted on a 1:5 scale RC building model before, and after, the strengthening, and these test results are compared and analyzed, to check the effectiveness of the strengthening. Based on the investigations, the following conclusions are made: (1) The BRB's revealed significant slips at the joint with the existing RC beam, up-lifts of columns from RC foundations and displacements due to the flexibility of foundations, and final failure due to the buckling and fracture of base joint angles. The lateral stiffness appeared to be, thereby, as low as one seventh of the intended value, which led to a large yield displacement and, therefore, the BRB's could not dissipate seismic input energy as desired within the range of anticipated displacements. (2) Although the strengthened model did not behave as desired, great enhancement in earthquake resistance was achieved through an approximate 50% increase in the lateral resistance of the wall, due to the axial constraint by the peripheral BRB frames. Finally, (3) whereas in the original model, base torsion was resisted by both the inner core walls and the peripheral frames, the strengthened model resisted most of the base torsion with the peripheral frames, after yielding of the inner core walls, and represented dual values of torsion stiffness, depending on the yielding of core walls.
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