We performed serial pulmonary function test and arterial blood gas analysis at preoperative period and postoperative 1st week in 337 patients who underwent pulmonary resection from May 1988 to April 1992 at Dept. of Thoracic and Cardiovascular Surgery, Seoul adventist hospital. Follow-up study for PFT and ABGA were possible in 30 % of the patients at postoperative 3rd or 4th month. In patient who underwent pneumonectomy, VC was decreased from 57.7% to 46.1%, FVC was decreased from 53.5 % to 41.2 % and MBC also decreased from 68.1% to 49.6 % at postoperative 1st week. But ABGA revealed that POa-, was increased from 87.2 mmHg to 92.7 mmHg, and PCO2 was decreased from 43.2 mmHg to 35.9 mmHg at postoperative 1st week. In patients who underwent lobectomy, VC was decreased from 78.1% to 68.30 %, FVC was decreased from 72.5% to 55.3% and MBC was decreased from 73.5% to 68% at postoperative 1st week.But, ABGA revealed that PO2 was increased from 95.2 mmHg to 97.9 mmHg and PCO2 was decreased from 42.3 mmHg to 39.0 mmHg at postoperative 1st week. The pulmonary function recovered at postoperative 3rd or 4th month and its ratio to preoperative value was 90% in lobectomy cases, but in pneumonectomy cases VC and MBC were recovered 20% and 15 % above the preoperative values. We concluded that resection of atelectasis, destructed lung, open negative and open positive cavity in the pulmonary tuberculosis were beni~t to improve ventilation-perfusion ratio,and pulmonary function was recovered nearly to preoperative level at postoperative 3rd or 4th month.
The Chungung-dong 5-storied pagoda (Treasure No. 12) in the nnm, Korea was studied on the basis of petrological weathering and deterioration diagnosis. Frontal part of the pagoda is looked out on the N30$^{\circ}$W. Constitution rocks of this pagoda show augen gneiss and biotite granite. Host rock of the pagoda was highly exfoliation and discoloration, therefore most rock-forming minerals were altered to the clay minerals due to the mineralogical and chemical weathering. Open cavity and rock surface occur partly green and black patchs because of contamination by algae, lichen and moss, and the lower part of the pagoda is transition to the some weeds. This biological problems are need for cleaning and chemical treatments. For the structural stability, the pagoda is rebuilt without open gap between the each rock materials. All iron plates eliminate from the difference gap of the rock materials, and properly conservation treatments need to be repaired petro-filler for stone cultural properties and water curtain for the humidity attenuation of the ground.
Selected Papers of The Society of Naval Architects of Korea
/
v.1
no.1
/
pp.76-90
/
1993
A new propeller series is developed using the newly developed blade section (KH 18 section) which has better cavitation characteristics and higher lift-drag ratio at wade angle-of-attack range than a conventional section. The radial patch distribution of the new series propellers is variable stance they were designed adaptively to a typical wake distribution. Basic geometric particulars of the series propellers. such as chord length, thickness, skew and rake distributions, are determined on the basis of recent full scale propeller geometric data. The series is developed for propellers having 4 blades, and blade area ratios of 0.3, 0.45, 0.6 and 0.75. Mean pitch ratios are varied as 0.5, 0.6, 0.7, 0.95 and 1.1 for each blade area ratio. The new propeller series consists of 20 propellers and is named as the KD(KRISO-DAEWOO)-propeller series. Propeller open-water tests are performed at the towing tank, and cavitation observation tests and fluctuating pressure tests are carried out at the cavitation tunnel of KRISO. $B_{p}-\delta$ curves, which can be used to select the optimum propeller diameter at the preliminary design stage, are derived from a regression analysis of the propeller open-water test results. The KD-cavitation chart is derived from the cavitation observation test results by choosing the local maximum lift coefficient and the local cavitation number as parameters. The cavity extent predicted by the KD-cavitation chart would be more accurate compared to that by an existing cavitation charts, such as the Burrll's cavitation chart, since the former is derived from the cavitation observation test results in a typical ship's wake, while the lather is derived from the test results in a uniform flow.
Background: The curative treatment of choice for empyema is decortication of the pleura. The risks of this treatment however are increased for the patient with reduced pulmonary function, complicated calcification or septic shock. In the past, open window thoracostomy was a final stage treatment for chronic empyema. Relatively safe treatment of empyema could be achieved in difficult cases with a closure of the open window after open drainage and use of a myocutaneous flap (one stage or staged). Material and Method: A retrospective study of the cause, progression and final outcome of empyema patients who received open window thoracostomy was performed. 21 patients were followed from 1995 to 2004 in the department of Thoracic and Cardiovascular Surgery in the College of Medicine, Pusan National University. Result: The average age of the patients was $57.5{\pm}15.5$ years (range $25{\sim}78$ years), of whom 16 (76.2%) were men and five (23.8%) were women. Pulmonary function test results showed an average FEV1 of $1.58{\pm}0.49 L$. The type of empyema was tuberculous empyema in 13 cases (61.9%), aspergillosis in three cases (14.3%), parapneumonic empyema in three cases (14.3%) and post-resectional empyema in two cases (10%). Bronchopulmonary fistula was seen in 14 cases. Eight cases were complicated by severe calcification of the pleura. For the four cases of bronchopulmonary fistula, the patients' serratus anterior muscle was covered in their first operation. The average number of ribs resected was $4{\pm}1$. Closure of the open window thoracostomy was performed in 12 cases. The average time to closure after open drainage was $10.22{\pm}3.11$ months and the average defect of the empyemal cavity before the final operation was $330{\pm}110 cc$. Among the 12 cases, there were two cases of spontaneous closure. In two cases closure was only achieved by using the reserved skin fold during the first surgery. Of the remaining eight cases, in seven we used the myocutaneous flap (four cases of lattisimus dorsi muscle and three cases of pectoralis major muscle), and in one case we used soft tissue. As regards complications of the closure, tissue necrosis occurred in one case, which led to failed closure, and there was one case of abdominal hernia in the rectus abdominis muscle flap. One patient died within 30 days of the surgery and one patient died of metastatic cancer. Conclusion: A staged operation with a final closure using open window thoracostomy, which consists of open drainage, transposition of the muscle and a myocutaneous flap, can be a safe and effective option for the chronic empyema patient who is difficult to cure with traditional surgical methods.
The West Stone Pagoda at Gameunsaji Temple Site constructed in the 7th century is mainly composed of dark grey dacitic tuff bearing small numerous dioritic xenoliths. These xenoliths resulted in small holes due to differential weathering process from the host rocks. Physical strength of the pagoda was decreased due to weathering and damage caused by petrological, biological and coastal environmental factors. The southeastern part of the pagoda was extremely deteriorated that the rock surface showed exfoliation, fracture, open cavity, granular decomposition of minerals and salt crystallization by seawater spray from the eastern coast. The stone blocks were intersected by numerous cracks and contaminated by subsequent material such as cement mortar and iron plates. Also, the pagoda was colonized by algae, fungi, lichen and bryophytes on the roof rock surface and the gaps between the blocks. As a result of ultrasonic test, the rock materials fell under Highly Weathered Grade (HW) or Completely Weathered Grade (CW). Thus, conservational intervention is essentially required to prevent further weakening of the rock materials.
Journal of the Society of Naval Architects of Korea
/
v.43
no.3
s.147
/
pp.294-303
/
2006
A surface piercing propeller (SPP) in tunnel has been proposed recently as a new propulsion system for a high speed air cavity ship. The purpose of the present study is to investigate the characteristics of the SPP in tunnel through a series of model tests. A model propulsion system is placed on a dummy body made of Acrylics. The tunnel is divided into two regions by a guide vane extending from the inlet to the center of the propeller shaft. Air has been supplied from an air nozzle placed at the bottom of the dummy body and the changes in propeller performances caused by the air flow are investigated. The measurements are done for open water and in-tunnel conditions, both for fully and partially submerged propeller. The influence of the guide vane configurations on the propeller performance is also studied. The experiments are performed at the variable pressure circulation water channel of Inha University
Recurrent posterior shoulder instability is a debilitating condition that is relatively uncommon, but its diagnosis in young adults is increasing in frequency. Several predisposing factors for this condition have been identified, such as the presence of an abnormal joint surface orientation, an osteochondral fracture of the humeral head or glenoid cavity, and a postero-inferior capsuloligamentary deficit, but their relative importance remains poorly understood. Whilst, conservative treatment is effective in cases of hyperlaxity or in the absence of bone abnormality, failure of conservative treatment means that open or arthroscopic surgery is required. In general, soft-tissue reconstructions are carried out in cases of capsulolabral lesions in which bone anatomy is normal, whereas bone grafts have been required in cases where posterior bony Bankart lesions, glenoid defects, or posterior glenoid dysplasia are present. However, a consensus on the exact management of posterior shoulder instability is yet to be reached, and published studies are few with weak evidence. In our study, we report the reconstruction of the glenoid using iliac bone graft in a patient suffering recurrent posterior shoulder instability with severe glenoid bone defect.
Proceedings of the Korean Society of Precision Engineering Conference
/
1991.11a
/
pp.80-86
/
1991
In this study an the development of the heat flux sensor with thermocouple, the heat-treated adhesive type film nickel gauge(Ni-Gauge) for measuring temperature was used. and this Ni-Gauge is not only comparable for platinum gauge(Pt-Gauge) in linearity, but also economically cheap. And from this viewpoint. numerical analysis is essential to investigate charateristics of sensor, since this analysis is capable of simulating precise boudary condition and practical conditions and so on. By the way. there are many types of heat flux sensor. of which adhesive type flux sensor is common, in the study this type of heat flux sensor was chogen. and analysis of the sensor is considered as a kind of open cavity figure. performed by SIMPLER algorithm. As a result. through temperature distributial of the sensor by numerical analysis in steady and unsteady state, the dracteristics of the acdhesive type heat flux sensor(lst heat flux sensor) acooodinge to heat flux, that is, outvoltage, sensitivity. and responsibilty could be evaluated. in addition, time of improved heat flux sensor(2nd heat flux sensor) could be predicted fran the reflectian of proper operating temperature(l50 $^{\circ}C$)of theNi-Gauge.
A Clinical analysis of 64 patients of thoracic empyema was done who received surgical intervention at Dept. of Thoracic Surgery of the Chosun University Hospital in the period of 3 years from September 1976 to October 1979. Following was the results: 1. Seven cases [10.9%] were under the age of 15 years, 16 cases [25%] was between 15-30 years and 41 cases [64.1%] was above the age of 30 years. A proportion of children and adult was 1:8. 2. Male and female ratio was 3:1. Right and left side pleural cavity ratio was 2.4:1. 3. Predisposing factors were pneumonia [35.9%] and pulmonary tuberculosis [28.1%]. 4. Most frequently encountered symptoms were dyspnea, cough, chest pain and fever in order. 5. Etiologic organisms were confirmed in 39 cases [86.7%] which requested in 45 cases. Staphylococcal infections were 11 cases and streptococcal, pneumococcal pseudomonas infection was infected in order. 6. Pneumothorax was associated with empyema on 21 cases [32.8%]; among those 13 cases [61.9%] were tuberculous in nature. 7. Sensitivity test was revealed that Minocin was most very sensitive drug, and next Erythromycin, Gentamycin and Penbrex in order. But most resistant drugs were Penicillin, Kanamycin, Streptomycin and Tetracycline in order. 8. Treatments were combined with antibiotics therapy and several surgical procedures for empyema. 26 cases [40.6%] were treated with closed thoracotomy drainage, 17 cases [26.6%] with open thoracotomy tube drainage and 9 cases decortication and 9 cases thoracoplasty. 9. 2 death cases occurred in 64 cases of thoracic empyema, and 79.7% cases were discharged with recovery and improvement.
Acoustic characteristics of a sound absorbing material can be identified, if the characteristic impedance and propagation constants are known, which have generally been determined experimentally. One easy method determining these two essential parameters is to measure the one dimensional wave characteristics in the impedance tube. In th udy, the effects of backing conditions on the impedance tube measurement have been examined using several pairs of generally used end conditions. The results showed that the measured values are similar for most pairs of end conditions: however, it was observed that the measured characteristic impedance for different thickness did not agree well for some pairs. In this work, the multi termination method, using three or more known backing con ns, was suggested to reduce such random errors, which are mostly caused by the test procedure. Employing three terminations as a set, comprised of a rigid end, an end with porous material, and an end with a backing cavity, it was demonstrated that improved measured results could be obtained for an open cell PU foam varying widely with three different thicknesses.
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