• Title/Summary/Keyword: penetrating

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Successful Treatment of a Traumatic Hepatic Arterioportal Fistula: A Case Report (간열상에 발생한 외상성 간동맥문맥 단락의 치료 1예)

  • Mun, Yun Su;Kwon, Oh Sang;Lee, Jang Young;Park, Gyeong Nam;Han, Hyun Young;Lee, Min Koo
    • Journal of Trauma and Injury
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    • v.26 no.1
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    • pp.22-25
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    • 2013
  • Severe blunt abdominal trauma frequently involves the liver. The development of nonsurgical treatment of liver trauma has led to more frequent appearance of unusual complications. A hepatic arterioportal fistula (APF) is a rare complication of liver trauma. We present a case of traumatic APF in a patient with liver trauma. A 31-year-old male visited our emergency department with pain in the right upper abdomen following a traffic accident. Initial physical exam and abdominal computed tomography (CT) revealed liver laceration with hemoperitoneum. An abdominal CT obtained on day 11 revealed early opacification of the right portal vein on the arterial phase. After we had come to suspect an APF of the liver, its presence was confirmed on angiography. It was subsequently managed by using transcatheter coil embolization. In patients with portal hypertension and no evidence or history of cirrhosis, one should consider an APF as a potential etiology if history of liver biopsy or penetrating trauma exists. In a patient with liver trauma, serial abdominal CT is important for early detection and treatment of an APF.

Use of Cationic PAM as a Surface Sizing Additive to Improve Paper Properties

  • Seo, Man-Seok;Lee, Hak-Lae;Youn, Hye-Jung
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2006.06b
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    • pp.245-250
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    • 2006
  • This study was focused on the use of cationic PAM (Polyacrylamide) as a surface sizing additive to improve the surface sizing properties of paper. Effects of the ionic property, viscosity and charge density of PAM on bending stiffness of surface sized papers were investigated. Use of cationic PAM as a surface sizing additive improved bending stiffness while addition of anionic PAM did not show any effect. Increase of starch holdout with the addition of cationic PAM was attributed as a prime reason of stiffness increase. Viscosity of PAM was one of the most important factors affecting surface sizing due to its influence on the interaction between cationic PAM and oxidized starch solution. Greater improvement of bending stiffness of paper was obtained when high charged PAM was used as an additive. The order of addition was found to have significant influence on the effect of additives since it influences the formation of network structure among starch, cationic PAM, and SA (styrene acrylic acid copolymer). Investigation on the penetration of starch solution was carried out with CLSM (Confocal Laser Scanning Microscopy), and it was shown that the addition of cationic PAM to oxidized starch solution made starch molecules stay on the paper surface rather than penetrating into the paper structure because of the electrostatic interaction between negatively charged fibers and positively charged cationic PAM.

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A Study on the Preparation of Solvent Type Low Foaming Scouring Agents (용제형 저기포성 정련제의 제조에 관한 연구)

  • Park, Eun-Kyung;Park, Hong-Soo;Kim, Young-Keun
    • Applied Chemistry for Engineering
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    • v.4 no.2
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    • pp.358-364
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    • 1993
  • Low foaming scouring agents(SLFS) were prepared by blending of 2-ethylhexylaminoethyl sulfate, Na-dioctyl sulfosuccinate, Newpol PP-2000, MJU-100, ethylene glycol and organic solvent. As the results of several tests, SLFS-2 showed good scouring effect, penetrating ability, emulsifiability and anti-alkaline property, and showed not much water pollution. The foaming power of SLFS-2 measured by Ross & Mites method was 8mm foam height immediately after foaming. And the foaming power of SLFS-2 measured by Ross & Clark method were less than 300mm foam height at $30^{\circ}C$, and 15mm at $80^{\circ}C$. As a result, SLFS-2 was proved as a good low foaming scouring agent.

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Application of GPR Technology for Detecting Bedrock under Conductive Overburden and Geological Survey (전도성 충적지반의 지질 및 하부 기반암 조사를 위한 지하레이다(GPR)의 적용)

  • 윤운상;배성호;김병철;김학수
    • Tunnel and Underground Space
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    • v.5 no.2
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    • pp.114-122
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    • 1995
  • The principle and applications of GPR(Ground Penetrating Radear) are familiar to engineering geologists and geophsicists as very attractive technique for continuous high resolution images of the subsurface. However, the main limitation of GPR is obviously related to presence of clayey or silty conductive soils, resulting in complete attenuation of radar signals. This difficulty gives hesitation for the exploration of the deeper targets for example detecting bedrock, particularly in Korean situation that most regions have conductive overburden. In order to prove usefulness of geological survey with GPR in that situation, the technique was tried to investigate depth of bedrock under thick conductive overburden and the other geolocgical informations for the constructionof foundation in the Dongbu apartment site, Kimhae. The reflection patterns on the processed GPR sections are well correlated with the geotechnical units-bedrock, alluvium, landfill unit and their internal layer-boundaries of boring data before GPR survey, except upper contact of bedrock. The isopach maps of the geotechnical units for the 3-D interpretations are made from GPR sections. The maps provided useful geological information that bedrock was distributed as plain and valley with 22~27m depth under alluvium unit (this depth is 5~8 m deeper than drill log) and sedimentary layers subsided and bended along growth fault with NNE strike/15$^{\circ}$SE dip in alluvium unit.

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Peripheral Arterial Injuries in Pediatric Age Group

  • Ammar, Ahmed AbdulRaouf
    • Journal of Trauma and Injury
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    • v.29 no.2
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    • pp.37-42
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    • 2016
  • Purpose: Arterial injury in children is a challenging problem for its special characteristics. It is rare even during warfare. This review described a personal experience in the management and outcome of acute pediatric arterial injuries of extremities. Methods: Thirty-six children below age of 13 years were studied during period from 2004 through 2014 in Iraq. Results: Male patients were 27 (75%) and female were 9 (25%). Seven to twelve years old was the most affected age group. The incidence of iatrogenic injuries was greater in infants and toddlers while penetrating injuries were the most common in older children. Upper limbs arteries were affected in 17 (47.2%) and lower limb in 19 (52.8%) patients. Hard signs were the commonest mode of presentation (83.3%). Lateral wall tear and complete transection were the most frequent types of arterial injury (36.1% and 27.8% respectively). The most frequent procedures performed were end-to-end anastomosis and lateral arteriorrhaphy. Surgical outcome was good. In 27 cases distal pulsations were regained. Seven cases had impalpable distal pulses but still viable limbs. Limb length discrepancy was detected in one case. One case was complicated with limb loss. No death was recorded. Conclusion: Arterial injuries in children are age related. The proper treatment of arterial injuries in children requires high index of suspicion, early operative intervention and continuous postoperative follow-up throughout years of active growth. Angiogram has a limited role as a diagnostic tool in acute arterial injuries.

Clinical analysis of gunshot wound of the chest (흉부총상에 대한 임상적 고찰)

  • Kim, Jong-Ho;Kim, Yong-Jin;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.15 no.4
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    • pp.422-427
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    • 1982
  • A clinical analysis of 82 cases who were sustained the penetrating gun-shot wound in the chest by 8 bullets was done during 4~ year-period from January 1978 to August 1982 in the department of thoracic surgery, CA FGH. Among 82 cases, 61 cases [74.4%] of them were brought to the Hospital by ambulance, 21 cases [25.6%] were by Helicopter and 76 cases [92.7%] of them were admitted within 4 hours after wounding. Thirty eight [46.3%] patients were treated by closed thoracotomy only, 19 cases [23.2%]by open thoracotomy, 18 cases [22.0%] by primary closure with debridement, and 7 cases [8.5%] by vascular surgery. Causes of open thoracotomy were due to massive intrapleural bleeding in 16 cases, rupture of diaphragm in 2 Gases, and heart injury in one case. Among 25 cases of surgical complications, wound infection was most common in 16 cases [53.5%] and recurrent pneumothorax in 3 cases [10%], empyema in 3 cases [10%], and BPF in one case [3.3%]. Hospital mortality was seen in 6 cases due to hypovolemic shock and respiratory insufficiency in 4 cases, spinal shock in 2 cases due to spinal injury.

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Development of Travelling Cone-Penetrometer (주행형(走行型) Cone-Penetrometer 개발(開發)에 관(關)한 연구(硏究))

  • Lee, K.M.;Song, J.G.;Chang, D.C.;Chung, S.W.
    • Journal of Biosystems Engineering
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    • v.12 no.3
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    • pp.1-6
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    • 1987
  • The objective of this study is to develop a soil hardness tester which can estimate tillage resistance with tae travelling cone-penetrometer. For the study, a series of tests was performed using the cone penetrating in the horizontal direction. Based on the tests above, soil hardness was represented by travelling cone-index vs depth of cone penetration, travelling speed and moisture contents of the soil Resistance characteristics obtained from the experiments were compared with those by a vertical cone-penetrometer and the Yamanaka's soil hardness tester. Following conclusions were made from the study. 1. 8 to 9 peaks per one meter were detected in the resistance curve of cone penetration regardless of the travelling speed of cone-penetrometer when it penetrated the soil in the horizontal direction. This phenomenon seemed to be a similar one noticed in shearing pitch of plowing. 2. Cone index increased as travelling speed increased from 0.08m/sec to 0.5m/sec. 3. Linear relationship was found between the cone indices measured by the travelling coe-penetrometer and Yamanaka's hardness tester. 4. Increasing rate of the cone indices measured by vertical cone-penetrometer decreased as the depth of soil increased while the cone indices by the travelling cone-pentrometer increased linearly.

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Warm Sensation of Left lower Extremity as a Complication of Left Stellate Ganglion Block (좌측성상교감신경절차단후(左側星狀交感神經節遮斷後)에 합병증(合倂症)으로 온 좌측하지온감(左側下肢溫感))

  • Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.1 no.1
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    • pp.125-128
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    • 1988
  • A case of the left stellate ganglion block (SGB) with a warm serration of the left lower extremity in a 25-year-old male soldier is presented. During the Korean War, this patient received a penetrating gun shot wound from the right knee through the left abdominal wall, left upper arm and left thumb. He was evacuated to the a marine corps surgical hospital where amputation of the left thumb and an end-to-end anatomosis of the left brachial artery were performed. After surgery, left ulnar and median nerve paralysis and causalgia developed and about 9 months later an upper thoracic ganglionectomy was proposed at the Chin-Hae Navel Hospital. Before the ganglionectomy a stellate ganglion block for diagnostic and prognostic purposes was requested by the surgeon. This block was performed by the supraclavicular anterior approach using 10 ml of 2% procaine. The effect of the block including Horner's syndrome was confirmed 5 minute later in this patient. This patient returned to the ward by walking unassisted 10 minutes after the block, and complained of a warm sensation in the left lower extremity 20 minutes later as well as the left upper arm. This warm sensation in the lower extremity following ipsilateral stellate ganglion block indicates that the local anesthetics solution injected tinto the neck spread down to lumbar sympathetic ganalgion along the fascial membrane of the sympathetic chain as a consequence of the 10 minutes walk.

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A Study of Three Dimensional Flow Characteristics near the Porous Wall (다공성 방풍벽의 3차원 유동특성)

  • Kim, Sung-Hoon;Kim, Il-Hyun;Chang, Young-Bae
    • Journal of Energy Engineering
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    • v.28 no.4
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    • pp.19-28
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    • 2019
  • A study has been done on the three dimensional turbulent flow characteristic near the porous wall. The porous holes are considered by penetrating the wall in regular arrangement, and porosity is controlled by diameter of holes. Flow characteristics near the three dimensional porous wall are compared with field test results and self-generated experimental results. FLUENT is employed for computational analysis on the effect of three dimensional porosity with flow and pressure characteristics. As a result, drag coefficient is defined and compared for three dimensional effect. The drag coefficient is mostly a function of porosity, whereas the effect of Reynolds number is minimal, and its correlation is presented in terms of three dimensional porosity.

A Study on the Safety Evaluation of Bridge Footings using GPR (GPR 시험을 이용한 교량기초의 안전성 조사방법에 관한 연구)

  • Kim, Yong-Gon;Paik, Shin-Won
    • Journal of the Korean Society of Safety
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    • v.21 no.1 s.73
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    • pp.105-113
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    • 2006
  • The footing of a bridge is a very essential part that support the whole load induced by the bridge itself and the traffic as well. However, once a bridge is built, the footing is buried under soil so the footing is invisible from outside. Therefore, the safety or condition of the footing is very difficult to estimate. Not only the length of the imbedded part of the footings but also the type of footings are unknown once the design record is gone. Some nondestructive techniques can be used to evaluate invisible part of the footings but the results have not been successful yet. Using GPR (Ground Penetrating Radar), which has been used for the nondestructive evaluation in military purposes, the condition assessment of the footings have been successfully conducted in this research. The field evaluation and laboratory tests have been conducted to find effective factors in the condition assessment of the footings. The equipment and basic theory of the GPR has been presented. The field test results show that the GPR can be successfully used for the safety evaluation of the footings. More test results and field data are needed for more precise evaluation of the footings.