총담관결석의 치료는 내시경역행담췌관조영술을 시행하여 결석을 제거하는 것이 표준적인 방법이며 내시경유두부 괄약근절개술 및 내시경유두부풍선확장술을 시행한 후 바스켓 및 풍선도관, 기계석 쇄석술 등의 여러가지 방법을 사용하여 그 성공률은 90% 이상으로 알려져 있다. 그러나 일부 거대담석이나 담도협착이 동반된 경우 등에서는 담석의 제거에 실패하는 경우가 있다. 본 저자들은 방사선 비투과성 담석에 대해서 일반적인 담석제거를 위한 방법을 사용한 후에도 담석제거에 실패하고 기계적 쇄석술을 시행하던 중 바스켓의 철선이 끊어지면서 담석과 함께 총담관 내에 잔류하게 된 환자에서 체외충격파 쇄석술을 시행하여 담석을 파쇄한 후 담석의 제거에 성공하였던 증례를 문헌고찰과 함께 보고한다.
High-entropy alloys (HEAs) are characterized by having five or more main elements and forming simple solids without forming intermetallic compounds, owing to the high entropy effect. HEAs with these characteristics are being researched as structural materials for extreme environments. Conventional refractory alloys have excellent hightemperature strength and stability; however, problems occur when they are used extensively in a high-temperature environment, leading to reduced fatigue properties due to oxidation or a limited service life. In contrast, refractory entropy alloys, which provide refractory properties to entropy alloys, can address these issues and improve the hightemperature stability of the alloy through phase control when designed based on existing refractory alloy elements. Refractory high-entropy alloys require sufficient milling time while in the process of mechanical alloying because of the brittleness of the added elements. Consequently, the high-energy milling process must be optimized because of the possibility of contamination of the alloyed powder during prolonged milling. In this study, we investigated the hightemperature oxidation behavior of refractory high-entropy alloys while optimizing the milling time.
Percutaneous balloon dilation with or without placement of an external biliary drain is a nonoperative alternative method for treating benign bilioenteric anastomotic strictures. Although this procedure has a high technical success rate, outcomes are less optimal when attempting to dilate refractory tight strictures. For the stricture, cutting balloon can be an option. We present four patients with benign bilioenteric anastomotic strictures refractory to conventional balloon dilation. To the patients, a peripheral cutting balloon over-the-wire system was inflated, following subsequent conventional non-compliant balloon dilation. After the balloon dilation treatment, an external drainage catheter was placed through the stricture site and maintained for up to 30 days. Technical and end-treatment success was achieved in all four patients. In conclusion, the use of cutting balloon dilation may appear to be a safe and effective alternative method of treatment in patients with benign bilioenteric anastomotic strictures refractory to conventional balloon dilation.
An 8-year-old castrated male Maltese dog (patient) was referred to our institute with refractory canine babesiosis. The patient had previously responded to conventional treatment with atovaquone and azithromycin; however, anemia had recurred at six weeks after treatment withdrawal. No effect was observed on the administration of the same medication along with diminazene aceturate. On blood analysis, mild anemia was identified, with the absolute reticulocyte count indicating a markedly regenerative state. On Diff-Quik-stained peripheral blood film examination, the parasitic protozoan Babesia gibsoni was observed, and based on further laboratory examinations, a relapse of babesiosis was confirmed. Based on a previous study of drug-resistant variants of B. gibsoni and therapeutic trials, the treatment was then changed to a combination therapy of clindamycin, doxycycline, and metronidazole. Subsequently, the patient’s condition improved rapidly — B. gibsoni was not detected in the blood film and the PCR analysis for it was negative. This treatment was discontinued at six weeks after treatment initiation; however, at seven weeks after the treatment withdrawal, another relapse of babesiosis was confirmed and treatment was restarted with the same protocol. This treatment was effective again and lasted for 12 weeks. However, anemia recurred again at five weeks after withdrawal of the previous treatment and was corrected by restarting the same treatment protocol. This third treatment continued for 24 weeks and was finally stopped at the request of the client. The patient has reportedly been doing well with no manifestation of clinical signs and symptoms. This case report demonstrates that the clindamycin- doxycycline-metronidazole combination therapy against atovaquone and azithromycin-resistant B. gibsoni may be effective in improving the clinical manifestation of symptoms of canine babesiosis and this therapy may be an alternative treatment strategy.
효과적인 물환경관리계획을 수립하기 위해서는 다양한 기원의 유기물이 난분해성 유기물 농도 증가에 영향을 줄 수 있는지 여부를 파악하는 것이 중요하다. 특히 상당량의 광합성 산물은 식물플랑크톤에 의해 매일 생성되고 있지만, 이들이 수계 내 난분해성 유기물에 기여하는지에 대한 정보는 부족하다. 본 연구에서는 13C 및 15N 추적자 첨가 실험을 통해 조류기원 유기물이 생분해 (60일, 암배양) 및 산화제 (과망간산칼륨) 처리 후 분해되지 않고 잔존하는지 여부를 확인하였다. 생분해 실험 결과 광합성을 통해 생성된 총 유기탄소 (TO13C), 입자성 유기탄소 (PO13C), 입자성 질소 (P15N)는 각각 26%, 20%, 17%가 비 생분해성 유기물로 잔존하였다. 또한 상당량의 PO13C가 과망간산칼륨에 의해 산화되지 않고 잔존하였다 (초기: 12%, 60일 암배양 후: 38%). 이는 미생물에 의해 사용된 후 남아있는 조류 기원 유기물이 난분해성 유기물에 기여할 수 있음을 의미 한다. 또한 미생물에 의해 변형된 조류기원 유기물의 양은 COD 산화율 및 유기물 지표 간 격차에 영향을 줄 것으로 사료된다.
The corrosion resistance of submerged entry nozzle (SEN) materials were investigated for high-class steel manufacturing. Composite samples were fabricated by mixing ZrO2, Al2O3, MgO, mullite, spinel, and carbon. The raw materials were mixed with attrition milling, compacted in a uniaxial pressure of 200MPa and calcined at 1000˚C for 3 h in N2 atmosphere. The bulk density and apparent porosity of the calcined samples were measured by the liquid displacement method in water using Archimedes's principle. The corrosion resistance of the samples were measured by cup test with mold powder at 1550˚C for 2 h. The microstructure and elemental analysis of samples were observed by scanning electron microscopy (SEM), energy dispersive spectrum (EDS), and X-ray diffraction pattern (XRD). The XRD result shows that the starting raw materials were crystalline phase. The microstructure of fabricated specimen was investigated before and after corrosion tests at 1000˚C and 1550˚C for 2h. ZrO2-C composite showed good resistance in the slag corrosion test. Among the composite oxide materials, ZrO2-Al2O3-C and ZrO2-MgO-C showed better resistance than ZrO2-C in the slag corrosion test. The diameter variation index of ZrO2-C refractory was 16.1 at 1000˚C for 2 h. The diameter variation index of the ZrO2-Al2O3-C refractory was larger than that of the ZrO2-C refractory at 1550˚C for 2 h.
본 연구는 압연공정에서 발생하는 폐수 중에 함유되어있는 난분해성 COD 물질을 80μm 두께의 극세사 형태로 제조된 Cu-Zn 금속합금의 산화 작용으로 인하여 발생하는 OH 라디칼을 이용하여 처리하는 방법에 관한 기초 연구이다. OH 라디칼은 유기화합물(RH) 속에 포함된 수소를 수소추출반응(H Abstraction) 또는 탄소와 탄소(C-C)의 불포화 결합에 첨가됨으로써 빠르고 비 선택적인 반응을 수행하는 것으로 알려진 것처럼 난 분해성 유기화합물의 처리에 효과적인 것으로 나타났다. 금속합금 반응 물질은 극세사 형태로 표면적이 넓어서 1회 처리만으로도 수용액의 pH를 평형에 도달하게 하여서 반응 효율성이 높은 것으로 나타났다. COD처리 효율은 중성 pH에 가까운 pH 7, pH 6에서 최고치를 보였으며 산성분위기인 pH 5이하 및 알칼리성 분위기인 pH 8이상에서는 낮은 효율을 보였다. 실제 압연 폐수의 응집 침전을 이용한 COD 처리에서도 redox 반응장치의 유무에 따라 2배 이상의 처리효율의 차이를 보였다.
이상에서 살펴본 바와 같이, 내열재료들은 고밀도를 이용하여 비행하는 물체의 운동에너지를 극대화 시킬 수 있기 때문에 군사적으로 각종 무기체계의 성능 향상에 매우 중요하다. 또한 유도 무기 및 항공기의 경우 고온, 고압 등의 환경에서 운용되기 때문에, 이러한 조건에서 견딜 수 있는 소재 개발이 필수적이다. 따라서 무기 선진국에서는 고밀도 재료인 텅스텐, 몰리브덴, 탄탈륨, 텅스텐-구리 감손우라늄을 활용하기 위한 연구를 활발하게 진행하고 있다. 이중, 텅스
Refractory materials, such as W and Mo, are very useful elements for use in high-temperature applications. But it is not easy to fabricat pure W and Mo with very high density and retaining very fine grain size because of their high melting point. In this paper, a newly developed method named as resistance sintering under ultra high pressure was use to fabricate pure fine-grained W and Mo. The microstructure was analysis by SEM. The sintering mechanism is primary analyzed. Basic physical property of these sintered pure W and Mo, such as hardness, bend strength, are tested.
Driven by the unavailibility of commercial test equipment for tensile and creep testing at temperatures up to 3000°C a measuring system has been developed and constructed at the University of Applied Sciences, Jena. These temperatures are reached with precision by heating samples directly by electric current. Contact-less strain measurements are carried out with image processing software utilizing a CCD camera system. This paper covers results of creep tests which have been conducted on TZM sheet material (thickness 2 mm) in different heat-treatment conditions in the temperature range between 1200°C and 1600°C.
전자빔 증착법을 사용하여 Ti과 Co를 Si(100) 단결정, 다결정 Si 및 SiO2기판에 증착한 후 900˚C에서 20초 급속 열처리하여, Co/Ti 이중박막으로부터의 실리사이드화 반응을 조사하였다. 단결정 시편의 경우 Ti의 두께를 5~6mm로 최소화함으로서 두께가 균일하고 기판과의 계면이 평탄하며 비저항이 낮고 열적 안정성이 높은 CoSi2 에피박막을 형성할 수 있었다. 그러나 다결정 시편에는 두께와 계면이 불균일하고 열적으로도 불안정한 다결정의 CoSi2와 그 위에 두개의 Co-Ti-Si혼합층이 형성되었다. 한편 SiO2 우에 증착된 Co/Ti은 열처리를 하여도 확산하지 않고 그대로 남아 있어서, Co/Ti 이중박막의 SiO2와의 반응성이 미약함을 보여 주었다.
In this study, the silicone-based flame retardant compound is combined in case of fire, the fire-resistance board structure stability and durability, performance, such as the possibility of secure confirmation. For this purpose, a silicon compound ATH, MDH, MC, a flame retardant of ocher made by the weight ratio, the thermal properties of the specimen analysis tests were carried out.
염소-차아염소산 용액을 소성정광에 적용하여 gold와 silver를 효과적으로 용출시키고자 하였다. 염소 : 차아염소산 혼합비율 1.5 : 1, 그리고 NaCl 농도를 1 M으로 적용하였을 때 Au 용출율은 겨우 75%와 81%이였다. 그러나 광액농도를 1%로, 그리고 용출온도를 65℃로 적용하자 Au 용출율이 100%에 도달되었다. 왕수분해 및 염소-차아염소산 용출 고체 잔유물을 XRD분석을 실시한 결과 석영이 관찰되었다. 따라서 석영 속에 함유된 gold는 염소-차아염소산으로 용출시키지 못할 것으로 사료된다. 따라서 석영 속의 gold를 용출시키기 위해서는 더 작은 미립자로 전처리하거나 더 강력한 산화제를 적용해야 할 것이다.