• Journal of Chest Surgery
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• v.32 no.7
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• pp.686-689
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• 1999

Descending necrotizing mediastinitis(DNM) is a rare complication of the oropharyngeal and cervical infection. Descending necrotizing mediastinitis requires an early and aggressive surgical approach to reduce the high morbidity and mortality associated with this disease. A 39-year-old man complained of odynophagia, neck swelling, and disturbance of swallowing with dyspnea. CT scans of the neck suggested a peritonsillar abscess and retropharyngeal and peripharyngeal abscess. He underwent cervical drainage. He remained febrile and complained of severe both pain in both shoulders. On postoperative day 5, a follow-up CT scan confirmed a mediastinal abscess. Reexploration of the neck and right thoracotomy for debridement and drainage of the mediastinal abscess were performed.. A large amount of pus was drained from the anterior and posterior mediastinum and its necrotic tissue was debrided. The patient's condition and radiologic findings gradually improved. Cultures of the drain fluid revealed Klebsiella pneumoniae. He was discharged on the 85th hospital day. In our experience, both transcervical drainage and aggressive mediastinal exploration via thoracotomy can lead to an improvement in the survival of the patient with descending necrotizing mediastinitis. CT scanning is useful for early diagnosis of mediastinitis and for follow up.

• 대한공업교육학회지
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• v.32 no.1
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• pp.117-133
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• 2007

The purpose of this study was to develop the force measuring device of learning wind tunnel, teaching-learning materials in order to enhance understanding of flight principle and give interest about aviation technology in secondary school. The content of this study was consisted of the development and experiment of force measuring device for learning wind tunnel. The main results of this study were as follows: This device developed here is simple structure applying lever principle instead of the comparatively expensive load cell used in engineering college or a aviation research institute and so on. Measurement of lift and drag as well as the comparison experiment of a fluid resistance is possible with only one device developed here. The lift coefficient with angle of attack has shown the same tendency in both of theoretical and experimental values. And the stall phenomenon was found under the larger angle of attack of experimental rather than expected theoretical values. The drag coefficient with angle of attack has shown the same tendency in both of theoretical and experimental values. And drag coefficient the rate of increasement of the experimental values increased more gently than its theoretical values.

• Atmosphere
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• v.24 no.3
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• pp.331-341
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• 2014

In this study, the effects of building-roof cooling on scalar dispersion in three-dimensional street canyons are investigated using a computational fluid dynamics (CFD) model. For this, surface temperature of building roof is systematically changed and non-reactive pollutants are released from street bottom in urban street canyons with the aspect ratio of 1. The characteristics of flow, air temperature, and non-reactive pollutant dispersion in the control experiment are analyzed first. Then, the effects of building-roof cooling are investigated by comparing the results with those in the control experiment. In the control experiment, a portal vortex which is a secondary flow induced by ambient air flow is formed in each street canyon. Averaged air temperature is higher inside the street canyon than in both sides of the street canyon, because warmer air is coming into the street canyon from the roof level. However, air temperature near the street bottom is lower inside the street canyon due to the inflow of cooler air from both sides of the street canyon. As building-roof temperature decreases, wind speed at the roof level increases and portal vortex becomes intensified (that is, downdraft, reverse flow, and updraft becomes stronger). Building-roof cooling contributes to the reduction of average concentration of the non-reactive pollutants and average air temperature in the street canyon. The results imply that building-roof cooling has positive effects on improvement of thermal environment and air quality in urban areas.

• Clinical and Experimental Pediatrics
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• v.58 no.4
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• pp.154-157
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• 2015

Plastibell is one of the three most common devices used for neonatal circumcision in the United States, with a complication rate as low as 1.8%. The Plastibell circumcision device is commonly used under local anesthesia for religious circumcision in male neonates, because of cosmetic reasons and ease of use. Occasionally, instead of falling off, the device may get buried under the skin along the shaft of the penis, thereby obstructing the normal flow of urine. Furthermore, the foreskin of neonates is highly vascularized, and hence, hemorrhage and infection are possible when the skin is cut. Necrosis of penile skin, followed by urethral obstruction and renal failure, is a serious surgical mishap requiring immediate corrective surgery and medical attention. We report a case of fulminant urosepsis, acute renal failure, and pyelonephritis in a 4-day-old male neonate secondary to impaction of a Plastibell circumcision device. Immediate medical management was initiated with fluid resuscitation and mechanical ventilation; thereby correcting life threatening complications. Pediatricians and Emergency Department physicians should be cognizant of the complications from Plastibell circumcision device in order to institute appropriate and timely management in neonates.

• Wind and Structures
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• v.22 no.4
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• pp.477-501
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• 2016

Though hilly topography influences both wind speeds and directions aloft, only the influence on wind speeds, i.e. the speed-up effect, has been thoroughly investigated. Due to the importance of a model showing the spatial variations of wind directions above hilly terrains, it is worthwhile to systematically assess the applicability and limitations of the model describing the influence of hilly topographies on wind directions. Based on wind-tunnel test results, a model, which describes the horizontal and vertical variations of the wind directions separately, has been proposed in a companion paper. CFD (Computational Fluid Dynamics) techniques were employed in the present paper to evaluate the applicability of the proposed model. From the investigation, it has been found that the model is acceptable for describing the vertical variation of wind directions by a shallow hill whose primary-to-secondary axis ratio (aspect ratio) is larger than 1. When the overall hill slope exceeds $20^{\circ}$, the proposed model should be used with caution. When the aspect ratio is less than 1, the proposed model is less accurate in predicting the spatial variation of wind directions in the wake zone in a separated flow. In addition, it has been found that local slope of a hill has significant impact on the applicability of the proposed model. Specifically, the proposed model is only applicable when local slope of a hill varies gradually from 0 (at the hill foot) to the maximum value (at the mid-slope point) and then to 0 (at the hill top).

• Journal of Yeungnam Medical Science
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• v.30 no.2
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• pp.145-148
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• 2013

Thoracic endometriosis is an uncommon disease that has four main forms: catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules. Since the growth of endometrial tissue depends on the presence of estrogen, thoracic endometriosis usually occurs in menstruating women between 25 and 35 years of age. Menstrual disturbances are common in women with chronic kidney disease (CKD). However, they could be reversed after kidney transplantation. Therefore, previously asymptomatic endometriosis may become symptomatic after kidney transplantation. A 49-year-old woman with CKD underwent kidney transplantation. A month later, she experienced dyspnea, and hemothorax in her right hemithorax. However, there was no evidence of infectious diseases and malignancy in thoracentesis, pleural biopsy, and computed chest tomography (CT). The serum and pleural fluid levels of his carbohydrate antigen 125 were elevated. Hemothorax secondary to pleural endometriosis was suspected. We tried hormonal therapy, and the hemothorax disappeared. At the sixth-month follow-up, there was no recurrence of hemothorax.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.660-667
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• 2016

Conventional decontamination methods utilize water-based systems, which generate high amounts of secondary wastes. Herein, we describe an environmentally benign decontamination method using liquid and supercritical $CO_2$. The use of $CO_2$ as a solvent affords effective waste reduction by its ability to be recycled, thereby leaving be hind only the contaminants upon its evaporation. In this study, a $CO_2$ solution process was assessed using t-salen(t-butylsalen), DC18C6 (dicyclohexano-18Crown6), 8-HQN(8-hydroxyquinoline), NEt4PFOSA(perfluoro-1-octanesulfonic acid tetra-ethyl ammonium salt), and NEt4PFOA(pentadecafluorooctanoic acid ammonium salt) to extract spiked radioactive contaminants(Nb,Zr,Co,Sr) from an inert sample matrix, namely filter paper. With the static extraction method, Sr was extracted with a maximum extraction rate of 97%, and Nb was extracted with a maximum extraction rate of 75%. Additionally, we were also able to extract Co and Zr with maximum extract ion ratesof 73% and 64%, respectively.

• Journal of the Korean Society of Safety
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• v.35 no.4
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• pp.84-91
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• 2020

The Korean nuclear industry developed the SPACE (Safety and Performance Analysis Code for nuclear power plants) code and this code adpots two-phase flows, two-fluid, three-field models which are comprised of gas, continuous liquid and droplet fields and has a capability to simulate three-dimensional model. According to the revised law by the Nuclear Safety and Security Commission (NSSC) in Korea, the multiple failure accidents that must be considered for accident management plan of nuclear power plant was determined based on the lessons learned from the Fukushima accident. Generally, to improve the reliability of the calculation results of a safety analysis code, verification work for separate and integral effect experiments is required. In this reason, the goal of this work is to verify calculation capability of SPACE code for multiple failure accident. For this purpose, it was selected the experiment which was conducted to simulate a Multiple Steam Generator Tube Rupture(MSGTR) accident with Passive Auxiliary Feedwater System(PAFS) operation by Korea Atomic Energy Research Institute (KAERI) and focused that the comparison between the experiment results and code calculation results to verify the performance of the SPACE code. The MSGR accident has a unique feature of the penetration of the barrier between the Reactor Coolant System (RCS) and the secondary system resulting from multiple failure of steam generator U-tubes. The PAFS is one of the advanced safety features with passive cooling system to replace a conventional active auxiliary feedwater system. This system is passively capable of condensing steam generated in steam generator and feeding the condensed water to the steam generator by gravity. As the results of overall system transient response using SPACE code showed similar trends with the experimental results such as the system pressure, mass flow rate, and collapsed water level in component. In conclusion, it could be concluded that the SPACE code has sufficient capability to simulate a MSGTR accident.

• The Korean Journal of Physiology and Pharmacology
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• v.7 no.2
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• pp.97-101
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• 2003

The salivary glands produce 1.5L of fluid per day. As in other exocrine organs, the general mechanism in the salivary glands is that water movement occurs secondary to osmotic driving forces created by active salt transport. Therefore, high water permeability in the salivary glands is expected to have a variety of aquaporin (AQP), a water channel. Although some AQPs have been known to be present in the salivary glands, roles of parasympathetic nerve in AQP expression have not yet been examined. This study was designed to examine the changes of AQPs and extracellular signal-regulated kinase (ERK) in the submandibular glands after parasympathetic denervation. Right chorda-lingual nerve was cut, and each right (experiment) and left (control) submandibular gland was excised at 1, 3, 7, 14, 30 days after denervation. The denervated right submandibular glands were resulted in weight loss and morphologic changes, including cell loss and atrophy, as the time elapsed after parasympathetic denervation increased, whereas there were no histologic alteration in control side. AQP5 which is known to reside in apical membrane and secretory caraliculi of the submandibular acini were gradually underexpressed according, as the time after denervation increased. Expression of AQP4 in submandibular ductal epithelium was down-regulated after denervation. Besides, AQP3 and 8, which is known to be present in basolateral membrane of the glandular acini, were gradually underexpressed after denervation, similar to the pattern of other types. Expression of ERK, a mitogen-activated protein kinase, was downregulated after parasympathetic denervation in the submandibular gland. These results suggest that parasympathetic nervous system regulates the expression of AQPs in salivary glands, and is in part mediated by ERK pathway.

• Transactions of the Korean hydrogen and new energy society
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• v.23 no.6
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• pp.588-597
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• 2012

In the present study, the dispersion characteristics of hydrogen leakage from a Fuel Cell Vehicle (FCV) were analyzed by numerical simulation in order to assess the risk of a hydrogen leakage incident in a long road tunnel. In order to implement the worst case of hydrogen leakage, the FCV was located at the center of a tunnel, and hydrogen was completely discharged within 63 seconds. The Leakage velocity of hydrogen was adopted sub-sonic speed because that the assumption of the blockage effect of secondary device inside a vehicle. The temporal and spatial evaluation of the hydrogen concentration as well as the flammable region in a road tunnel was reported according to change of ventilation operating conditions. The hydrogen was blended by supply air form a ventilation fan, however, the hydrogen was discharged to outside in the exhaust air. It is observed that the efficiency way to eliminate of hydrogen is supply air operating condition under the hazardous hydrogen leaking incident. The present numerical analysis can be provided useful information of ventilation under the hydrogen leaking situation.