• 한국지반환경공학회 논문집
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• 제11권9호
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• pp.55-60
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• 2010

필터형 배수재와 진공압을 이용하여 고함수비 점성토의 고화처리와 사면이나 터널의 수평배수를 촉진하여 지반을 안정화하는 공법을 개발하기 위하여 실내모형 시험을 수행하였다. 모형토조는 직경 1.5m, 높이 50cm로 제작하였으며, 토조하부는 사전압밀을 위한 배수구 및 개폐장치, 간극수압계를 설치하였고, 상부에는 침하계를 설치하여 시간별 침하를 계측할 수 있도록 제작하였다. 모형지반은 카오리나이트와 벤토나이트를 9:1의 비율로 130%의 함수비 상태에서 혼합 교반하여 박층으로 다져가면서 조성하였으며, 토조 중심부에 필터형 배수재를 설치하고 상부 캡에 호스를 연결하여 0.8MPa의 진공압을 가한 다음 1시간 간격으로 침하를 측정하였다. 실험종료 후 위치별로 함수비를 측정하고 불교란 시료의 삼축압축시험을 수행하여 지반의 강도증가 효과를 검증하였다. 11일 경과 후 침하는 최대 35mm, 함수비는 최대 38% 감소하였으며, 강도는 5~8배정도 증가하는 것으로 나타났다.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.432-436
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• 2009

Purpose: Negative pressure therapy has been used in various conditions to promote wound healing. It has also been used to secure a skin graft by improving microcirculation and improving tight adhesion between the graft and the recipient bed. To reduce post burn scar contracture and improve aesthetical result, many types of dermal substitutes have been invented and used widely. The goal of this study was evaluate usefulness of the VAC (Kinetic concepts Inc., San Antonio, TX) in improving the take rate and time to incorporation of Integra$^{(R)}$ in reconstruction of burn scar contracture. Methods: A retrospective study was performed from October, 2006 to December, 2008. The VAC was utilized for 11 patients. The average patient's age was 19.7 years (range 5 - 27) and average surface area was $785cm^2$ (range 24 - 1600). The burn scars were excised deep into normal subcutaneous tissue to achieve complete release of the scar, Integra$^{(R)}$ was sutured in place with skin staple와 Steri - strip$^{(R)}$. Then slit incisions were made on silicone sheet only with No.11 blade for effective drainage. The VAC was used as a bolster dressing over Integra$^{(R)}$. Negative - Pressure ranging from 100 to 125 mm Hg was applied to black polyurethane foam sponge trimmed to the appropriate wound size. An occlusive seal over the black polyurethane foam sponge was maintained by a combination of the occlusive dressing, OP - site$^{(R)}$. The VAC dressing changes were performed every 3 or 4 days until adequate incorporation was obtained. The neodermis appeared slightly yellow to orange color. When the Integra$^{(R)}$ deemed clinically incorporated, The VAC was removed and take was estimated with visual inspection. Very thin STSG(0.006 ~ 0.008 inches) was performed after silicone sheet removal. Result: The mean time for clinically assessed incorporation of Integra$^{(R)}$ was 10.00 days (range 9 - 12). The mean dressing change was 3.5 times until take was obtained. In All patients, Integra$^{(R)}$ had successful incorporation in tissue without serious complications. Conclusion: Integra$^{(R)}$ in combination with Vacuum - Assisted Closure(VAC) may be incorporated earlier than conventional dressing method.

• Archives of Plastic Surgery
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• 제37권2호
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• pp.182-186
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• 2010

Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

• Corrosion Science and Technology
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• 제7권6호
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• pp.350-361
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• 2008

Canada's oil sands contain one of the largest reserves of oil in the world. According to recent estimates, there are nearly 180 billion barrels of oil in the Canadian oil sands trapped in a complex mixture of sand, water and clay. More than 40 companies have been currently operating or developing oil sands facilities since the first production in 1967. The process of oil sands upgrading is similar with down stream refinery, but the corrosion environment in upgrading refinery is often more severe than in the refinery because of high chlorides, mineral contents, carbonic acid, heavy viscosity and fouling, higher naphthenic acid [$NA-R(CH_{2})nCOOH$], and greater sulfur contents. Naphthenic acid corrosion (NAC) which is one of the most critical corrosion issues in up & downstream refinery plants was observed for the first time in 1920's in refinery distillation processes of Rumania, Azerbaizan (Baku), Venezuela, and California. As a first API report, the 11th annual meeting stated sources and mechanism of NAC in early 1930's. API has been developing the risk base standards, such as API RP580, 571, and Publication 581 which are based on the worst NAC damage in the world since 2000. Nevertheless not only the NAC phenomena and control in Canadian sands oil process are not much widely known but also there are still no engineering guidances for the Canadian sands oil in API standards. This paper will give NAC phenomina and materials selection guidance against NA environment in Canadian oil sands upgrading processes.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2010년도 춘계 학술발표회
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• pp.595-598
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• 2010

Many economical and efficient methods such as sand drain method(SD), plastic board drain(PBD), sand compaction pile, vacuum consolidation method, etc., have been used for soft grounds. The case of sand compaction pile has an effect on accelerating consolidation and increasing bearing capacity by penetration at regular intervals under soft grounds for reducing the drainage path. But, this method has caused not only the nature damage by extracting the sands indiscreetly but also the economical problem for importing the sands because it needs so much sand to make the sand compaction pile. Thus, this study choosed the bottom ash which has similar engineering characteristics with sand. It was performed that clogging test and large direct shear test changing the bottom ash replacement ratio in soft ground for studying strength characteristics of soft ground using bottom ash compaction pile. As a result of the test, the internal friction angle was largely increased and the cohesion was decreased as the replacement ratio increased.

• 대한두개안면성형외과학회지
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• 제25권3호
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• pp.141-144
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• 2024

A 76-year-old woman, initially thought to have a simple abscess on her right upper eyelid, presented to our department of plastic and reconstructive surgery. Enhanced three-dimensional facial computed tomography (CT) revealed an abscess on the right upper lid, with a pyomucocele present in the right frontal sinus, accompanied by bone erosion in the superior wall of the right orbit. Based on the results of the CT scan, we diagnosed an atypical Pott's puffy tumor (PPT) with an abscess on the upper lid originating from the frontal sinusitis. First, surgical incision and drainage were performed in our department, and a percutaneous vacuum drain was placed. To provide a more definitive treatment, endoscopic sinus surgery (ESS) was subsequently performed by otorhinolaryngologists. The patient was discharged without any complications 5 days after ESS. At a 1-year follow-up, no recurrence or notable neurological symptoms were observed. In the case we observed, the patient presented with an upper eyelid abscess and cellulitis, indicating possible orbital involvement. For such patients, a CT scan is necessary. Given the possibility of PPT, it is critical to perform a comprehensive differential diagnosis rather than defaulting to a straightforward approach involving abscess treatment.

• 대한토목학회논문집
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• 제28권6C호
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• pp.321-329
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• 2008

본 연구에서는 전통적인 압밀촉진공법의 단점을 보완하기 위한 방법으로 석션보드드레인 공법을 제안하고, 본 공법의 개량특성을 파악하기 위해, 배수재 종류 및 단계 진공압 조건에 따른 일련의 Column 실험을 실시하였다. 이때 실험 간 발생되는 침하량과 실험 종료 후 발생된 함수비 저감효과 및 강도증진효과를 파악하고, 개량 기간에 따른 압밀도를 파악하여 각 조건에 따른 최적의 석션보드드레인 공법 영향인자를 산정하고자 하였다. 각 배수재(포켓식 성곽형, 코일형, 하모니카 형, 원형 및 열융착식 성곽형배수재) 종류에 따른 개량 효과를 파악하기 위한 실험 결과, Core 형상(원형, 판형)과 필터의 Core 부착 여부(포켓식, 열융착식)에 의해 열융착식 성곽형 배수재와 포켓식 원형배수재의 배수효율이 다른 배수재의 경우 보다 좋게 나타났다. 단계석션압 조건 실험의 경우 최종 단계석션압인 $-0.8\;kg/cm^2$으로의 기간이 짧을수록 개량도가 크게 나타났다. 또한 각 석션압 단계 별 압밀도-적용기간 곡선 상의 변곡점을 이용하여 압밀효과를 극대화 시킬 수 있는 적용기간을 산정할 수 있었다.

• Journal of Gastric Cancer
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• 제24권1호
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• pp.108-121
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• 2024

Anastomotic leaks and fistulas are significant complications of gastric surgery that potentially lead to increased postoperative morbidity and mortality. Surgical intervention is reserved for cases with severe symptoms or hemodynamic instability; however, surgery carries a higher risk of complications. With advancements in endoscopic treatment options, endoscopic approaches have emerged as the primary choice for managing these complications. Endoscopic clipping is a traditional method comprising 2 main categories: through-the-scope clips and over-the-scope clips. Through-the-scope clips are user friendly and adaptable to various clinical scenarios, whereas over-the-scope clips can close larger defects. Another promising approach is endoscopic stent insertion, which has shown a high success rate for leak closure, although vigilant monitoring is required to monitor stent migration. Infection control is essential in post-surgical leakage cases, and endoscopic internal drainage provides a relatively safe and noninvasive means to manage fluids, contributing to infection control and wound healing promotion. Endoscopic suturing offers full-thickness wound closure, but requires additional training and endoscopic versatility. As a promising tool, endoscopic vacuum therapy potentially surpasses stent therapy by draining inflammatory materials and closing defects. Furthermore, the use of tissue sealants, such as fibrin glue and cyanoacrylate, has been reported to be effective in selected situations. The choice of endoscopic device should be tailored to individual cases and specific patient conditions, with careful consideration of the nature of the defect. Further extensive studies involving larger patient populations are required to provide more robust evidence on the efficacy of endoscopic approach in managing post-gastric anastomotic leaks.