• Title/Summary/Keyword: system closure

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Colon Perforation in Hyperimmunoglobulin E Syndrome - A Case Report - (Hyperimmunoglobulin E 증후군에서의 결장천공 - 증례보고 -)

  • Oh, Jung-Tak;Kim, In-Gyu;Han, Seok-Joo;Kim, Ho-Guen;Hwang, Eui-Ho
    • Advances in pediatric surgery
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    • v.2 no.2
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    • pp.151-155
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    • 1996
  • Hyperimmunoglobulin E syndrome is a relatively rare primary immunodeficiency syndrome characterized by recurrent infection, abscess formation and marked elevation of serum IgE level. The common infectious organism is Staphylococcus aureus and recurrent infection indicates some defects in the immunologic system. Although the infection can affect various organs, gastrointestinal tract involvement is rare and only one case of colon perforation has been previously reproted. Herein we report another one case of colon perforation which ocurred in an 8-year-old girl with hyper immunoglobulin E syndrome. The patient was admitted to the hospital due to an abscess on right neck. The diagnosis of hyper immunoglobulin E syndrome was made because she had eczematoid dermatitis on the face, pneumatocele on left upper lung field and markedly elevated serum IgE level(>15,000 IU/ml) with a past histories of frequent scalp abscesses and otitis media. Abdominal pain developed on the 13th day of admission and abdominal plain X-ray revealed free air. An exploratory laparatomy was performed and two free perforations of the transverse colon were noted. Segmental resection and double barrel colostomy were performed. Colostomy closure was done 4 month later and she had no gastrointestinal problem during a follow up period of 15 months.

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Analysis of Spray Combustion for the Performance Prediction of Liquid Rocket Combustor (3차원 분무연소장 해석에 의한 액체추진기관 연소실 성능예측에 대한 연구)

  • 황용석;윤웅섭
    • Journal of the Korean Society of Propulsion Engineers
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    • v.3 no.3
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    • pp.31-39
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    • 1999
  • In this paper, numerical experiment is attempted to analyze and compare the combustion efficiency of the burning sprays due to OFO, FOF triplet / FOOF split doublet injectors. Preconditioned Wavier-Stokes equation system with low Reynolds number $\kappa$-$\varepsilon$ model for turbulence closure, is LU-SGS time-integrated. Spray processes are modeled by DSF analysis with experimentally determined injection characteristics. n-heptane/air global reaction model approximates the combustion for simplicity, and the influence of turbulence on the chemical reaction is included using eddy dissipation model. The results showed the FOF triplet injector of highest combustion efficiency, whereas the OFO type of poet performance. It was also observed that the droplet mean diameter and the average gas temperature due to the mixing efficiency, are the representative parameters for the performance design of combustion.

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Various Application of Distraction Osteogenesis in Cleft Lip and Palate related Deformities (구순구개열과 관련된 상악골 변형의 치료를 위한 골신장술의 다양한 적용예)

  • Yi Ho;Baek Seung-Hak;Lee Jong-Ho;Choi Jin-Young
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.1
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    • pp.11-22
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    • 2005
  • There ate anteroposterior$\cdot$vertical maxillary underdevelopment, transverse maxillary deficiency and wide cleft alveolus$\cdot$oroanual fistula among cleft lip ant palate related maxillary deformities. For treatment of these deformities, ones have used conventional treatment methods, there were often unsatisfactory results to patients and operators both. Since llizarov introduced effective technique of bone lengthening and augmentation for a variety of limb defotmities, application of distraction osteogenesis on maxillofacial area has been used to solve those disadvantages of conventional methods. Authors introduced following three cases about use of distraction osteogenesis. The first case is the application of RED(rigid external distraction) II system for the treatment of the anteroposterior$\cdot$vertical maxillary hypoplasia after several times of surgery and end of development in bilateral cleft lip and palate patient. The second case is the application of the USPD(unilateral segmental palatal distraction) for the resolution of the unilateral posterior crossbite and transverse dental arch asymmetry after alveolorraphy in growing unilateral cleft lip and palate patient. The third case is the application of transport distraction osteogenesis far closure of the wide clef alveolus and oroantral fistula in growing bilateral cleft lip and palate patient. There were satisfactory results in these cases. Particularly, in comparison with the decreases of relapse rates, the reduction of the hospitalization time and post-operative discomfort owing to minimal surgical intervention.

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Computation of Turbulent Flow around a Ship Model with Free-Surface (자유표면을 포함한 선체주위 난류유동 해석)

  • Jung-Joong Kim;Hyoung-Tae Kim
    • Journal of the Society of Naval Architects of Korea
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    • v.38 no.1
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    • pp.1-8
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    • 2001
  • The computations of the turbulent flow around the ship models with the free-surface effects were carried out. Incompressible Reynolds-Averaged Navier-Stokes equations were solved by using an explicit finite-difference method with the nonstaggered grid system. The method employed second-order finite differences for the spatial discretization and a four-stage Runge-Kutta scheme for the temporal integration. For the turbulence closure, a modified Baldwin-Lomax model was exploited. The location of the free surface was determined by solving the equation of the kinematic free-surface condition using the Lax-Wendroff scheme and a free-surface conforming grid was generated at each time step so that one of the grid boundary surfaces always coincides with the free surface. An inviscid approximation of the dynamic free-surface boundary condition was applied as the boundary conditions for the velocity and pressure on the free surface. To validate the computational method developed in the present study, the computations were carried out for beth Wigley and Series 60 $C_B=0.6$ ship model and the computational results showed good agreements with the experimental data.

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The Comparison of Aerodynamic Measures in Korean Stop Consonants based on Phonation Types (한국어 파열음의 발성 유형에 따른 공기역학 측정치 비교)

  • Choi, Seong Hee;Choi, Chul-Hee
    • Phonetics and Speech Sciences
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    • v.6 no.4
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    • pp.195-203
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    • 2014
  • The aim of this study was to investigate the effects of phonation types ([+/- aspirated], [+/- fortis]) on aerodynamic measures with Korean bilabial stops. Sixty-three healthy young adults (30 males, 33 females) participated to evaluate the VOEF (Voicing Efficiency) tasks with bilabial stop consonants /$p^h$/, /p/, /p'/ using Phonatory Aerodynamic System (PAS) Model 6600 (Kay PENTAX Corp, Lincoln Park, NJ). All VOEF measures were significantly influenced by phonation types except RANP(pitch range)(p <.01). For sound pressure, maximum SPL, mean SPL, and Mean SPL during Voicing have been shown to be significantly greatest in fortis stop /p'/ than aspirated /$p^h$/ and lenis stop /p/ (p<.001). On the other hand, mean pitch after lenis stop was significantly lower than after aspirated and fortis stops (p<.001). Peak expiratory airflow, Target airflow, and FVC (Expiratory volume) were significantly lowest in fortis stop /p'/ which might be associated with higher aerodynamic resistance while peak air pressure and mean peak air pressure during closure were significantly lower in lenis stop /p/. Additionally, AEFF (Aerodynamic efficiency) was significantly higher in fortis stop /p'/ than lenis stop /p/ as well as aspirated stop /$p^h$/ (p<.001). Thus, sound pressure, airflow parameters, and aerodynamic resistance made crucial roles in distinguishing fortis /p'/ from lenis stop /p/ and aspirated. Additionally, pitch and subglottal air pressure parameters were important aerodynamic characteristics in distinguishing lenis /p/ from fortis /p'/ and aspirated /$p^h$/. Therefore, accurate aspirated /p/ stop consonant should be elicited when collecting the airflow, intraoral pressure related data with patients with voice disorders in order to enhance the reliability and relevance or validity of aerodynamic measures using PAS.

Numerical Analysis of Tip Vortex and Cavitation of Elliptic Hydrofoil with NACA 662-415 Cross Section (NACA 662-415 단면을 가지는 타원형 수중익의 날개 끝 보오텍스 및 캐비테이션 수치해석)

  • Park, Il-Ryong;Kim, Je-in;Seol, Han-Sin;Kim, Ki-Sup;Ahn, Jong-Woo
    • Journal of Ocean Engineering and Technology
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    • v.32 no.4
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    • pp.244-252
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    • 2018
  • This paper provides quantification of the effects of the turbulence model and grid refinement on the analysis of tip vortex flows by using the RANS(Reynolds averaged Navier-Stokes) method. Numerical simulations of the tip vortex flows of the NACA $66_2$-415 elliptic hydrofoil were conducted, and two turbulence models for RANS closure were tested, i.e., the Realizable $k-{\varepsilon}$ model and the Reynolds stress transport model. Numerical results were compared with available experimental data, and it was shown that the data for the Reynolds stress transport model that were computed on the finest grid system had better agreement in reproducing the development and propagation of the tip vortex. The Realizable $k-{\varepsilon}$ model overestimated the turbulence level in the vortex core and showed a diffusive behavior of the tip vortex. The tip vortex cavitation on the hydrofoil and its trajectory also showed good agreement between the current numerical results that were obtained using the Reynolds stress transport model and the results observed in the experiment.

Unsteady Flow with Cavitation in Viscoelastic Pipes

  • Soares, Alexandre K.;Covas, Didia I.C.;Ramos, Helena M.;Reis, Luisa Fernanda R.
    • International Journal of Fluid Machinery and Systems
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    • v.2 no.4
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    • pp.269-277
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    • 2009
  • The current paper focuses on the analysis of transient cavitating flow in pressurised polyethylene pipes, which are characterized by viscoelastic rheological behaviour. A hydraulic transient solver that describes fluid transients in plastic pipes has been developed. This solver incorporates the description of dynamic effects related to the energy dissipation (unsteady friction), the rheological mechanical behaviour of the viscoelastic pipe and the cavitating pipe flow. The Discrete Vapour Cavity Model (DVCM) and the Discrete Gas Cavity Model (DGCM) have been used to describe transient cavitating flow. Such models assume that discrete air cavities are formed in fixed sections of the pipeline and consider a constant wave speed in pipe reaches between these cavities. The cavity dimension (and pressure) is allowed to grow and collapse according to the mass conservation principle. An extensive experimental programme has been carried out in an experimental set-up composed of high-density polyethylene (HDPE) pipes, assembled at Instituto Superior T$\acute{e}$cnico of Lisbon, Portugal. The experimental facility is composed of a single pipeline with a total length of 203 m and inner diameter of 44 mm. The creep function of HDPE pipes was determined by using an inverse model based on transient pressure data collected during experimental runs without cavitating flow. Transient tests were carried out by the fast closure of the ball valves located at downstream end of the pipeline for the non-cavitating flow and at upstream for the cavitating flow. Once the rheological behaviour of HDPE pipes were known, computational simulations have been run in order to describe the hydraulic behaviour of the system for the cavitating pipe flow. The calibrated transient solver is capable of accurately describing the attenuation, dispersion and shape of observed transient pressures. The effects related to the viscoelasticity of HDPE pipes and to the occurrence of vapour pressures during the transient event are discussed.

A Case Report of Bilateral Congenital Lacrimal Sac Fistula with Cleft Ear Lobe (갈라진 귓볼과 동반된 양측성 선천성 누낭 피부누공의 경험례)

  • Lee, Han Jung;Choi, Hwan Jun;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.197-200
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    • 2008
  • Purpose: A congenital lacrimal sac fistula is unusual and consists of a dimple opening below the medial canthal tendon that leads to the lacrimal sac. This anlage ducts occur when the lacrimal anlage cells proliferate and canalize rather than involute. And, the anomaly is usually not associated with any systemic abnormalities. Also congenital cleft of the earlobes is rarely seen among congenital ear anomalies. Therefore, we report rare case with symptomatic bilateral lacrimal fistula with the ear cleft. Methods: A 4-year-old boy was admitted with aggravated chronic maxillary sinusitis, recurrent chronic dacryocystitis, and epiphora. He had two minor anomalies including bilateral lacrimal fistula originated in lacrimal tear sac and unilateral transverse ear cleft. The patient had been operated with fistulectomy and perioperative antibiotics. A small vertical ellipse is made around the opening with sharp dissection. The tract is excised using the probe as the guide. Another probe is placed through the lower canaliculus to prevent the damage. A suture ligature of 6-0 Maxon is placed around the deepest point of the tract, which is then excised. Additional sutures are placed in the tissues to form a tight closure to prevent reestablishment of the fistula. The skin is closed with 6-0 Black Silk. Results: The patient recovered well without any complications such as infection, epiphora, and obstruction of lacrimal sac. Conclusion: Our case illustrates bilateral lacrimal anlage ducts in a patient with unilateral congenital ear cleft. We recommend careful evaluation of lacrimal system in these patients, especially bilateral case and other congenital anomalies. Finally, we recommend excision of the ducts when epiphora, infection, or chronic skin irritation occur.

Thoracoscopic Aortic Valve Replacement assisted with AESOP (Automated Endoscope System for Optimal Positioning) 3000 (AESOP 3000을 이용한 흉강경적 대동맥 판막 치환술)

  • Shin Hong Ju;Kim Hee Jung;Choo Suk Jung;Song Hyun;Chung Cheol Hyun;Song Meong Gun;Lee Jae Won
    • Journal of Chest Surgery
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    • v.38 no.7 s.252
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    • pp.507-509
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    • 2005
  • Open heart surgery via right thoracotomy can be accomplished in atrial septal defects, and mitral valve diseases. Recently, thoracoscopic atrial septal defect closure, mitral valve repair, Maze operation, and minimal invasive direct coronary artery bypass (MIDCAB) are accomplished with AESOP 3000. However, there is no report of thoracoscopic aortic valve replacement in Korea. We report a successful thoracospic aortic valve replacement assisted with AESOP 3000 in a 31-year-old female patient.

A Study on Disclosure & Utilizing Plan for Closed National R&D Reports Information (비공개 국가연구개발보고서 정보의 공개 및 활성화 방안 연구)

  • Choi, Kwang-Nam;Yoon, Chong-Min
    • Journal of the Korean Society for Library and Information Science
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    • v.45 no.1
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    • pp.233-254
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    • 2011
  • According to the current legislation in Korea, some of national R&D reports cannot be disclosed or registered, when they need external security or the interested parties require them to be classified for a certain period of time. Therefore, there are some effects on the collection and circulation of information about R&D reports. Since those closed national R&D reports are the important outcomes from national R&D projects, they should be properly open, circulated and used by the public, when the reasons for closing those reports are removed. This study examines the present condition of the closure system of national R&D reports, and proposes a plan for collecting and utilizing the closed national R&D reports at the national level.