• Title/Summary/Keyword: penetrating

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Clinical Analysis of Traumatic Diaphragmatic Rupture (외상성 횡격막 파열에 대한 임상적 고찰)

  • 권영무;신현종
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.517-523
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    • 1997
  • The records of 14 patients with traumatic diaphragmatic rupture seen at Dongguk University Hospital from February 1992 through December 1995 were reviewed. Ten patients were male and four were female(M:F=2.5:1). The age distribution ranged from 17 to 73 years with the mean age of 41.7 years. The 14 patients included 12 who had blunt trauma(traffic accident 11, crushing injury 1) and 2 with penetrating diaphragmatic rupture(stab wound 2). Of those 12 blunt trauma, 7 patients(58.3%) were left sided and 5(41.7%) involved the right hemidiaphragm. The diagnosis was made preoperatively in 8 patients (57.1%) and during surgery in 6(42.9%). All right-sided injuries were repaired through a thoracotomy and left-sided defects were corrected through a laparotomy in 6, laparotomy and thoracotomy in 1. There were 2(14.3%) operative deaths that were caused by myocardial infarction and the sequelae of combined injuries.

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Development of Ring Light for Shadowless Shooting for Medical Purpose (의료용 무영 촬영을 위한 링라이트 개발)

  • Cheon, Min-Woo;Cho, Kyung-Jae;Park, Yong-Pil
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.23 no.9
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    • pp.708-713
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    • 2010
  • In this research a ring light was developed so that a partial shadowless shooting for the patient's affected area at the medical treatment room and surgical operation room using high luminance light emitting diode (LED) for which attention is being paid as new lighting parts for medical purpose. LED which was applied to the development used high luminance three color LED for full color for which various color materialization and the adjustment of radiation intensity are possible and we can get white light in order to emphasize the delicate expression for generic tone of shooting object, strong highlight, simple shadow and three dimensional effect at the time of close-up shadowless shooting of the affected area. And at the time of design of ring light, the characteristics of LED and the loss of light at the time of penetrating light diffusion PC were considered so that intensity of illumination for over 150 lx can be obtained. The result of measurement of the intensity of illumination of the ring light that was developed revealed that maximum intensity of illumination of 225.7 lx was obtained, while smoke index was measured to be maximum 78 Ra in the case of Red(50%) Green(100%) and Blue LED(60%). We could confirm that response speed was also very fast as 1.72 ms.

The Financial Support of Regional Bank for SMEs and Regional Financial Policy (지방은행의 지역중소벤처기업지원과 지역금융정책)

  • Ryu, Duk Wi
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.4
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    • pp.37-47
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    • 2013
  • This study investigates regional financial markets and proposes some policy measures for boosting up the regional financial system. Financial supports for start-ups, small and medium sized enterprises(SMEs) in early stage growth have been constrained due to expanded financial gaps among regions during financial restructuring period. The bank consolidation through M&A is associated with widening financial gaps between Seoul area and others, and between regions where regional banks survives or not. Loans to small firms are associated with relationship lending techniques that may be better supported by smaller regional banks. The loan rate to SMEs in locals where regional banks are activated has tended to be 10%point higher than the locals where regional banks closed, and also drive the greater contribution for preventing local capital outflow and promoting local capital investment by local penetrating strategy. Government should develop regional financial policies to boost up regional financial system, and expand the business area of regional financial institutions for supporting start-ups and SMEs.

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EFFECTS OF CONVERGENT ANGLE OF NOZZLE CONTRACTION ON HIGH-SPEED OPTICAL FIBER COATING FLOW (노즐 축소부 수렴각이 고속 광섬유 피복유동에 미치는 영향)

  • Park, S.;Kim, K.;Kwak, H.S.
    • Journal of computational fluids engineering
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    • v.21 no.4
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    • pp.11-18
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    • 2016
  • A numerical study is conducted on the optical fiber coating flow in a primary coating nozzle consisting of three major parts: a resin chamber, a contraction and a coating die of small diameter. The flow is driven by the optical fiber penetrating the center of the nozzle at a high speed. The axisymmetric two-dimensional flow and heat transfer induced by viscous heating are examined based on the laminar flow assumption. Numerical experiments are performed with varying the convergent angle of nozzle contraction and the optical fiber drawing speed. The numerical results show that for high drawing speed greater than 30 m/s, there is a transition in the essential flow features depending on the convergent angle. For a large convergent angle greater than $30^{\circ}$, unfavorable multicellular flow structures are monitored, which could be associated with wall boundary-layer separation. In the regime of small convergent angle, as the angle increases, the highest resin temperature at the exit of die and the coating thickness decrease but the sensitivity of coating thickness on drawing speed and the maximum shear strain of resin on the optical fiber increase. The effects of the convergent angle are discussed in view of compromise searching for an appropriate angle for high-speed optical fiber coating.

Clinical Features and Extraintestinal Manifestations of Crohn Disease in Children

  • Lee, Young Ah;Chun, Peter;Hwang, Eun Ha;Mun, Sang Wook;Lee, Yeoun Joo;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.236-242
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    • 2016
  • Purpose: The aim of this study was to investigate the clinical features and extraintestinal manifestations (EIMs) of Crohn disease (CD) in Korean pediatric patients. Methods: The medical records of 73 children diagnosed with CD were retrospectively reviewed. Data regarding baseline demographic and clinical characteristics, including CD phenotype at diagnosis based on the Montreal classification, and clinical features and course of EIMs were investigated. Results: Fifty-two (71.2%) of the patients were males. The mean age of the patients was 12.5 years. The mean follow-up period was 3.4 years. The disease location was ileal in 3 (4.1%) of the patients, colonic in 13 (17.8%), ileocolonic in 56 (76.7%). The clinical behavior was inflammatory in 62 (84.9%) of the patients, stricturing in 8 (11.0%), and penetrating in 3 (4.1%). Perianal abscesses or fistulas were found in 37 (50.7%) of the patients. EIMs observed during the study period were anal skin tag in 25 patients (34.2%), hypertransaminasemia in 20 (27.4%), peripheral arthritis in 2 (2.7%), erythema nodosum in 2 (2.7%), vulvitis in 1 (1.4%), uveitis in 1 (1.4%), and pulmonary thromboembolism in 1 (1.4%). Conclusion: Perianal diseases and manifestations were present in more than half of Korean pediatric CD patients at diagnosis. Inspection of the anus should be mandatory in Korean children with suspicious CD, as perianal fistulas, abscesses, and anal skin tags may be the first clue to the diagnosis of CD.

Characteristics of Reducing the Water-drainage Noise of Toilet-bowl According to the Composition of Water Drainage Piping Materials of the Bathrooms of Apartment Housing (공동주택 욕실 배수배관 자재 구성에 따른 양변기 배수소음 저감 특성)

  • Jeong, A-Yeong;Kim, Kyoung-woo;Shin, Hye-kyung;Yang, Kwan-seop
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.27 no.1
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    • pp.114-120
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    • 2017
  • Water supply and drainage noise in the bathroom is recognized as one of the main noises, along with the floor-impact sounds, in apartment housings. Recently, to solve such noise issues, a new construction method of installing the piping on the slab has been adopted. rather than the traditional method of penetrating the piping through the slab between the upper and the lower bathrooms. However, this new method has limitations due to high costs and constructional difficulties. Therefore, this study was conducted to develop noise reducing piping and elbows, where the noise can be reduced simply by replacing the existing pipings. The noise level was measured in a laboratory by installing the horizontal drainage piping (three types) and the elbows (three types) developed in this study. The results showed that the horizontal pipings reduced the noise level in LAmax by 0.3 dB(A)~1.0 dB(A), as compared to the existing pipings (VG2), indicating an insignificant noise reduction effect. The elbow reduced the noise level in LAmax by 5.5 dB(A) ~ 11.5 dB(A), as compared to the existing elbow (DRF elbow), with the result of reducing the noise level at all frequencies evenly. Consequently, it was shown that using the elbows is more effective in reducing the water-drainage noise from the toilet than using the horizontal pipings.

FAST Reappraisal: Cross-sectional Study (혈역학적으로 안정된 복부둔상환자에서 FAST의 유용성 평가)

  • Ha, Sang Hyun;Hong, Chong Kun;Lee, Jun Ho;Hwang, Seong Youn;Choi, Seong Hee
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.67-71
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    • 2012
  • Purpose: Focused Assessment with Sonography for Trauma (FAST) provides an important initial screening examination in adult trauma patients. However, due to its low sensitivity, FAST is not a replacement for computed tomography (CT) in hemodynamically stable trauma patients. The aim of this study was to determine the test characteristics of FAST in adult, hemodynamically stable, blunt abdominal trauma patients by using a critical action as a reference standard. Methods: The medical records for FAST examination at a single hospital from January 2009 to February 2011 were retrospectively reviewed. The inclusion criterion was isolated, hemodynamically stable, blunt abdominal trauma. Hemodynamically unstable patients or patients with penetrating injuries were excluded. The reference standard was the presence of a critical action, which was defined as one of the following: 1) operative intervention for a finding discovered on CT, 2) interventional radiology for bleeding, 3) transfusion of 2 or more packed RBCs, or 4) death at the emergency department. Results: There were 230 patients who met the inclusion criterion. There were 20 true positive, 206 true negative, 0 false positive, and 4 false negative results. The sensitivity and the specificity were 83% and 100%, respectively. Conclusion: Despite its low sensitivity for detecting any abnormal finding discovered on CT, negative FAST could aid to exclude critical action in hemodynamically stable, blunt abdominal trauma patients.

Thoracoscopy in Management of Chest Trauma: Our Three-year Jeju Experience

  • Lee, Sung Hyun;Yie, Kilsoo;Lee, Jong Hyun;Kang, Jae Gul;Lee, Min Koo;Kwon, Oh Sang;Chon, Soon-Ho
    • Journal of Trauma and Injury
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    • v.30 no.2
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    • pp.33-40
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    • 2017
  • Purpose: The role for minimally invasive surgery in chest trauma is vague, one that recently is more frequently performed, and one attractive option to be considered. Thoracoscopic surgery may improve morbidity, mortality, hasten recovery and shorten hospital stay. Methods: A total of 31 patients underwent video assisted thoracoscopic surgery for the treatment of blunt and penetrating chest trauma from June 9th, 2013 to March 21st, 2016 in Jeju, South Korea. Results: Twenty-three patients were males and eight patients were females. Their ages ranged from 23 to 81 years. The cause of injury was due to traffic accident in 17 patients, fall down in 5 patients, bicycle accident in 2 patients, battery in 2 patients, crushing injury in 2 patients, and slip down, kicked by horse, and stab wound in one patient each. Video assisted thoracoscopic exploration was performed in the 18 patients with flail chest or greater than 3 displaced ribs. The thoracoscopic procedures done were hematoma evacuation in 13 patients, partial rib fragment excision in 9 patients, lung suture in 5 patients, bleeding control (ligation or electrocautery) in 3 patients with massive hemothorax, diaphragmatic repair in two patients, wedge resection in two patients and decortication in 1 patient. There was only one patient with conversion to open thoracotomy. Conclusion: There is a broad range of procedures that can be done by thoracoscopic surgery and a painful thoracotomy incision can be avoided. Thoracoscopic surgery can be done safely and swiftly in the trauma patient.

Analysing Relationships between Transportation and Communications Industries Based on Input-Output Table (산업연관표를 이용한 교통과 통신산업의 상호연관성 분석)

  • Chang, Yu-Kyoung;Choo, Sang-Ho
    • Journal of Korean Society of Transportation
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    • v.30 no.4
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    • pp.33-42
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    • 2012
  • Recent development and penetrating expansion in ICT(Information and Communication Technology) has brought considerable improvements in transportation services. However, there is a controversial debate whether transportation and communications behave as substitutes or as complements to one another. On this subject, recent studies considered those two industries as services, but transportation and communications are broadly put for intermediary goods into other industries. Hence, it is essential to examine this issue from understanding their relationships to each other with respect to manufacturing and services. In this study, input-output tables of benchmark years from 1980 to 2005 have been analysed to explore the relationships between transportation and communications using Spearman's correlation analysis. The results show that both industries had complementary roles over the period, but, to some extent, changed into substitution roles in some categories.

Effects of Extranasal Molding after Primary Cleft Lip Nasal Repair: Photogrammetric Analysis (구순열비교정술 후 외비주형술(Extranasal molding): 비주길이의 사진계측학적 분석)

  • Han, Ki Hwan;Paik, Dae Hyang;Son, Hyung Bin;Kim, Jun Hyung;Son, Dae Gu
    • Archives of Plastic Surgery
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    • v.33 no.5
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    • pp.563-569
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    • 2006
  • Purpose: In the correction of cleft lip, there have been various methods to minimize recurrence of the nasal deformity after primary nasal surgery. After cheiloplasty and primary nasal surgery, we tried to elongate the columella of the cleft side, to stretch the vestibular lining of cleft side, and to elevate the alar cartilage of the cleft side with a molding prong. Methods: We had fifteen cleft lip patients; 12 unilateral cases(6.3-8.2 months), and 3 bilateral cases(3 - 7.5 months). Immediately after primary repair of the cleft lip, the toboggan shaped molding prong was located to deep inside of vestibular web of the cleft side. It was persistently suspended by a silicone tube which was connected to the prong and the frontal scalp. The results were analyzed with $Photoshop^{(R)}$ photogrammetrically for 6 - 48 months with on average of 20.6 months. We measured the proportion index of columellar length-interalar distance for three times(preoperation, immediate postoperation, and postoperation) on the nasal base views. Results: In unilateral, the index had a significant increase statistically between preoperation(10.73) and immediate postoperation(23.96). It is supposed that columellar length was reconstructed to 105.80% of normal side. But, it was decreased to maintain 87.7% of normal side in postoperation(20.54). The results were similar in bilateral. The linear scars by suture penetrating nose skin were not discernable. Conclusion: In summary, placement of the molding prong could elongate the reconstructed columella with some relapse postoperatively.