• Journal of Dental Rehabilitation and Applied Science
• /
• v.37 no.3
• /
• pp.171-176
• /
• 2021

Pneumomediastinum is a very rare and potentially catastrophic complication of dental procedures. Its common causes are tooth extraction, endodontic treatment, and subgingival curettage using handpieces and high-pressure air/water syringes. We present a case of massive pneumomediastinum with subcutaneous emphysema in a 61-year-old female who underwent bone grafting into the maxilla for pretreatment of dental implantation using a syringe. The patient suffered from abrupt severe odynophagia and loss of consciousness. The patient transferred to emergency department and images work-up revealed a pneumomediastinum and subcutaneous emphysema on the entire face and neck. We performed conservative treatments including prophylactic antibiotics, oxygen inhalation, and fasting meals, and then discharge after 7 days uneventfully. The patient's syncope might be resulting from hypotension and pain shock induced by pneumomediastinum with a sudden chest compression. The pneumomediastinum could be resulting from concurrent perforation and massive air infiltration into the maxillary sinus during bone grafting. We suggest that pneumomediastinum needs prompt diagnosis and management because of the risk of airway obstruction when a patient present syncope in the dental room.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.7
• /
• pp.36-44
• /
• 2019

Swallowing impairment is a frequent complication following stroke. The characteristics of swallowing impairment with stork patient can facilitate identification of individuals at risk of dysphagia would be of great helpful. The present study examined oropharyngeal swallowing impairment with subacute stroke patients using the Modified Barium Swallowing Impairment Profile(MBSImP). The 49 consecutive patients with the supratentorial stroke met inclusion criteria for the present study. A retrospective review was performed of patients who underwent the videofluoroscopic swallowing study(VFSS). Of Stroke patients, 95.9% exhibited abnormal function of lip closure. 98% and 57.1 % shown abnormal tongue function and lingual motion, respectively. Oral residue was present in 51% and delayed pharyngeal response was present in 89.9%. In addition, abnormal laryngeal and hyoid excursion was seen in 42.9% and 87.8%, respectively. Abnormal function of soft palate elevation was present in 18.4% and abnormal epiglottic movement was seen in 4.1%. 30.6% of 30.6% of these patients exhibited abnormal laryngeal closure. All of the stroke patients(100%) in this study exhibited abnormal pharyngeal stripping wave and pharyngoesophageal segment opening. Abnormal tongue base retraction and oral reside were present 91.8%, respectively. The results suggest that stroke patient is more likely to exhibit reduced swallowing functions including lip closure, tongue control, initiation of pharyngeal swallow, anterior hyoid motion, tongue base retraction, pharyngeal residue and pharyngoesophageal contraction. Therefore, these data could provide valid and precise information regarding physiological evidence to delineate symptoms of dysphagia in this stroke cohort. Future studies should explore the bolus effect in the swallowing impairment.

• Tunnel and Underground Space
• /
• v.32 no.2
• /
• pp.107-119
• /
• 2022

Excavation-Disturbed Zone (EDZ) is an important design factor in constructing final disposal facilities for spent nuclear fuel, since EDZ affects mechanical stability including a spacing between disposal holes, and the hydraulic properties within EDZ plays a significant role in estimating in-flow rate of groundwater as well as a subsequent corrosion rate of a canister. Thus, it is highly required to characterize in-situ EDZ with precision and control the EDZ occurrence while excavating disposal facilities and constructing relevant underground research facilities. In this report, we not only reviewed EDZ-related researches carried out in the ONKALO facility of Finland but also examined appropriate methods for field inspection and quality control of EDZ occurrence. From the review, GPR can be the most efficient method for in-situ characterization of EDZ since it does not demand drilling a borehole that may disturb a surrounding environment of caverns. And the EDZ occurrence was dominant at a cavern floor and it ranged from 0 to 70 cm. These can provide useful information in developing necessary EDZ-related regulations for domestic disposal facilities.

• Journal of the Daesoon Academy of Sciences
• /
• v.22
• /
• pp.87-131
• /
• 2014

한국은 백 년 이래로 군사적 침략과 경제적 대변혁을 맞았으며, 또한 종교와 문화적 측면에서 전통의 중흥기와 서학의 유입에 대한 문제를 경험하게 되었다. 이런 점에서 한국의 역사적 경험은 주변 국가의 국민들이 배울 만한 의미가 있다고 생각된다. 이와 연관하여 대순진리회가 역사를 계승하고 창신을 이루어나가는 측면의 문제는 정리해볼 만한 가치가 있다. 대순진리회의 종지는 '음양합덕, 신인조화, 해원상생, 도통진경'이다. 특히 대순진리회는 해원상생 사상으로 조화정신을 집중적으로 잘 나타내고 있다. 대순진리회의 해원은 고대 단주로부터의 원을 푸는 것에서 시작되며, 인류가 근본적으로 여러 세대에 걸친 원한을 풀어야만 행복하고 안락한 시대에 진입할 수 있다는 역사관을 보여주고 있다. 대순진리회가 해원을 푸는 방책으로 제시하는 상생은 당시의 갑오동학혁명이나 역사상 많은 종교에서 원한을 해결하는 방법과 구별되는 것이다. 과거에 있어서는 상극의 방법으로 원한을 해결하여 왔으나, 상극의 방식은 오히려 새로운 원한을 더욱 만들어 낼 수 있기 때문에, 현대에 있어 원한을 제거할 수 있는 방법은 악을 선으로써 대하는 것이라고 한다. 증산 성사 및 그 후학들은 사회의 질서를 새롭게 세우는 문제와 전통사회에서 인간 간의 조화를 방해하고 원한을 용인하는 구습을 개조하고 원을 소멸하는 문제에 주의를 기울였다. 이러한 변혁은 평등의 관념을 나타내고 있다. 증산께서는 전 세계적인 관점에서 민족과 국가 그리고 종교 간의 조화를 실현해야 할 것을 강조하셨다. 당시 동아시아 국가는 매우 폐쇄적인 상황에서 서양 국가의 침략을 받던 시기였는데, 증산 성사께서 미래의 세계는 마땅히 화합을 이루고 서로의 장점을 배우는 세계가 될 것임을 예견하셨다는 것은 그의 위대함을 보여주는 대목이다. 증산의 후천개벽사상 역시 조화의 정신을 나타내고 있다. 후천개벽사상은 전통적 참위를 현대적으로 개조한 것으로 민중을 적극적으로 인도하기 위한 것이다. 다음으로, 증산께서는 각 종교에 대해 관용적인 태도를 표하셨고, 또한 매우 진지한 태도로 타 종교로부터 자신이 주창하는 사상과 관련한 자원을 흡수하셨다. 동양의 전통적인 유불선 삼교를 가장 중요한 종교와 문화형태로 인정하시고, 그 삼교의 내용을 두로 포용하셨으며, 심지어 예수교와 서양문화까지 모두 아우르는 태도를 보여주셨다. 서양의 문화 역시 증산께서 추구하시는 신세계의 한 부분이었기 때문이다. 이러한 사실은 증산께서 당시 세계의 역사적 방향에 대해 통찰하고 있었고 이 통찰 속에서 종교 간의 관계가 조화롭게 되어야 함을 주창했음을 말해 준다. 대순사상에는 민간 무교의 내용 역시 풍부하게 들어있다. 부뚜막신, 사명, 아표신, 마장군, 백의군왕, 황천신 등 민간에서 유행했던 다양한 신령숭배의 내용을 흡수했을 뿐만 아니라, 주문과 부를 태우는 법술로 신명과 관련된 내용을 표현하고 있으며, 칠성과 관우의 신앙까지 수용하고 있다. 또한 증산 성사는 동학과 같은 신종교까지 받아들이셨다. 증산께서는 동학혁명의 비참한 최후를 완화시켰던 위대한 역사적 공적을 이루셨으며, 신종교 운동의 사회적 형태를 변화시켰을 뿐 아니라, 서로 다른 내력을 지닌 교도들간의 관계를 조화롭게 하였다. 이로 볼 때 결국 증산께서 주창한 대순사상은 사람들 간의 충돌과 모순을 소멸시키고, 조화와 상생의 사회 환경을 창조하고자 하는 것이었다고 할 수 있다.

• Journal of Environmental Impact Assessment
• /
• v.25 no.5
• /
• pp.345-356
• /
• 2016

In this study, auto-calibration method for water quality model was compared and analyzed using QUAL2Kw, which can estimate the optimum parameters through the integration of genetic algorithm and QUAL2K. The QUAL2Kw was applied to the Sum River which is greatly affected by the pollution loads of Wonju city. Two auto-calibration methods were examined: single parameter application for the whole river reach and separate parameter application for each reach of multiple reaches. The analysis about CV(RMSE) and fitness of the GA show that the separate parameter auto-calibration method is better than the single parameter method in the degree of precision. Thus the separate parameter auto-calibration method is applied to the water quality modelling of this study. The calibrated QUAL2Kw was used for the three scenarios for the water quality management of the Sum River, and the water quality impact on the river was analyzed. In scenario 1, which improve the effluent water quality of Wonju WWTP, BOD and TP concentrations of the Sum River 4-1 station which is representative one of Mid-Watershed, are decreased 17.7% and 29.1%, respectively. And immediately after joining the Wonjucheon, BOD and TP concentrations are decreased 50.4% and 40.5%, respectively. In scenario 2, Wonju water supply intake is closed and multi-regional water supply, which come from other watershed except the Sum River, is provided. The Sum River water quality in scenario 2 is slightly improved as the flow of the river is increased. Immediately after joining the Wonjucheon, BOD and TP concentrations are decreased 0.18mg/L and 0.0063mg/L, respectively. In scenario 3, the water quality management alternatives of scenario 1 and 2 are planned simultaneously, the Sum River water quality is slightly more improved than scenario 1. Water quality prediction of the three scenarios indicates that effluent water quality improvement of Wonju WWTP is the most efficient alternative in water quality management of the Sum River. Particularly the Sum River water quality immediately after joining the Wonjucheon is greatly improved. When Wonju water supply intake is closed and multi-regional water supply is provided, the Sum River water quality is slightly improved.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
• /
• v.2 no.2
• /
• pp.53-68
• /
• 1997

Lake Shihwa, artificially constructed since 1988, shows a typical two-layered system depending on strong haline density stratification. Sill of the water gate at 6 m depth greatly restricts physical mixing with outer seawater and circulation in the lake, and contributes to the enhancement of anoxic environment in the deeper layer. With this enclosed physical environment, Lake Shihwa receives enormous amounts of organics, ammonia, and other pollutants from the neighboring municipal and industrial complexes through six major streams, thus developing biogeochemical differentiation of anoxic to suboxic environment in the high saline bottom water and highly eutrophicated brackish surface water. This study investigated vertical structures, biogeochemical behaviors and processes of various organic and inorganic compounds around oxic-anoxic interface. Nitrite and nitrate rapidly decreased below the pycnocline where about $1{\times}10^8$ tons of hypoxic bottom water exist. In this bottom layer, ammonium ranged from 75 to 360 ${\mu}M$ mainly resulting from deamination of dissolved organic nitrogen and ammonification of precipitated organic particles. Despite large amounts of surface water discharge and dilution by outer seawater inflow about $3{\times}10^8$ tons from April to August, 1996, bottom layer did not show any improvement of water quality and maintained highly reduced environment. The main reason seems to be imbalance between ineffectiveness of dilution due to shallow depth and large surface area, overloaded POC influx from the eutrophicated surface biological activity, and poor replenishment of oxygen in this artificial lake system. Therefore, as long as current salinity dependent two-layered system maintains with its physical limitations, any improvement of water quality cannot be foreseen in Lake Shihwa.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
• /
• v.8 no.4
• /
• pp.392-400
• /
• 2003

We used an oxygen microelectrode to measure the vertical profiles of oxygen concentration in sediments located near point sources of organic matter. The measurements were carried out between 13th and 17th May, 2003, in semi-closed bay and coastal sediments in the central part of the South Sea. The measured oxygen penetration depths were extremely shallow and ranged from 1.30 to 3.80 mm. This suggested that the oxidation and reduction reactions in the early diagenesis should be studied at the mm depth scale. In order to estimate the oxygen consumption rate, we applied the one-dimension diffusion-reaction model to vertical profiles of oxygen near the sediment/water interface. Oxygen consumption rates were estimated to be between 10.8 and 27.6 mmol O$_2$ m$\^$-2/ day$\^$-1/(average: 19.1 mmol O$_2$ m$\^$-2/ day$\^$-1/). These rates showed a positive correlation with the organic carbon of the sediments. The corresponding benthic organic carbon oxidation rates calculated using an modified Redfield ratio (170/110) at the sediment/water interface were in the range of 89.5-228.1 mg C m$\^$-2/ day$\^$-1/(average: 158.0 mg C m$\^$-2/ day$\^$-1/). We suggest that these results are maximum values at the presents situation in the bay because the sampling sites were located near point sources of organic materials. This study will need to be carried out at many coastal sites and throughout the seasons to allow an understanding of the mechanisms of eutrophication e.g. the spatial distribution of oxygen consumption within the oxic zone and hypoxic conditions in the coastal sea.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
• /
• v.18 no.4
• /
• pp.195-205
• /
• 2013

Excessive input of organic matters from fish cage farming has been considered as one of the major factors disturbing benthic ecosystem, especially in semi-enclosed coastal waters. Recently offshore aquaculture in the vicinity of Jeju-do has been introduced to minimize that kind of negative impact. This study was conducted to investigate the ecological impacts of offshore aquaculture on the macrobenthic polychaete communities. A total of ten sampling works were carried out for 28 months, spanning from 10 days after starting giving feed to 3 months after stopping giving feed. During the study period, mean current velocity was quite strong with the range of 50 cm/s to 70 cm/s. TOC of surface sediment was constantly low. Significant changes in polychaete community were detected just three months after starting giving feed, which were the increase of the number of species and density at all stations. Up to 18 months after the start of farming, the amount of feed provided played an important role in the fluctuation of the number of species and density, especially at 0 m and 10 m stations. After reducing the amount of feed provided, dominance of some opportunistic species within 10 m distance from fish cages still lasted to the end of aquaculture. However, opportunistic species disappeared 3 months after the end of farming, which indicated the sign of recovery from the disturbance. From these results, the amount of food input and the period of cultivation were critical factors disturbing polychaete community and ensuing changes in this offshore and oligotrophic waters as well. In addition, study on the changes of polychaete community structure before and after fish farming showed more detailed changes in benthic ecological state than geochemical approach did.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.28 no.2
• /
• pp.201-211
• /
• 2022

At the center of the Noryang waterway, the Gwangyang bay area (including the Yeosu Strait) is located at the west, and the Jinju bay area (including Gangjin bay and Sacheon bay) is located at the east. Freshwater from several rivers is flowing into the study area. In particula,r the event of flood, great quantities freshwater flow from Seomjingang (Seomjin river) into the Gwangyang bay area and from Gahwacheon (discharge from Namgang Dam) into the Jinju bay. The Gwangyang and Jinju bay are connected to the Noryang waterway. In addition, freshwater from Seomjingang and Gahwacheon also affect through the Noryang waterway. In this study, we elucidated the characteristics of the tidal exchange rate and residence time for dry season and flood season on 50 frequency, considering freshwater from 51 rivers, including Seomjingang and Gahwacheon, using a particle tracking method. We conducted additional experiments to determine the effect of freshwater from Seomjingang and Gahwacheon during flooding. In both the dry season and flood season, the result showed that the particles released from the Gwangyang bay moved to the Jinju bay through the Noryang waterway. However, comparatively small amount of particles moved from the Jinju bay to the Gwangyang bay. Each experimental case, the sea exchange rate was 44.40~67.21% in the Gwangyang bay and 50.37~73.10% in the Jinju bay, and the average residence time was 7.07~15.36days in the Gwangyang bay and 6.45~12.75days in the Jinju bay. Consequently the sea exchange rate increased and the residence time decreased during flooding. A calculation of cross-section water flux over 30 days for 7 internal and 5 external areas, indicated that the main essential flow direction of the water flux was the river outflow water from Seomjingang flow through the Yeosu strait to the outer sea and from Gahwacheon flow through Sacheon bay, Jinju bay and the Daebang waterway to the outer sea.

• Korean Journal of Soil Science and Fertilizer
• /
• v.43 no.3
• /
• pp.315-321
• /
• 2010

Greenhouse soil cultivated with excessive compost and chemical fertilizer has been an issue to deteriorate soil and water quality in the environment. The objective of this study was to evaluate the nutrient outflow by desalting method, flooding soil surface, after vegetable cropping in greenhouse soils. Field experiment from July to September 2008, was conducted to quantify greenhouse locations, i.e. alluvial plain and local valley. The changes of desalinization in both locations were higher as the amounts of irrigated and drained water were increased. Particularly, the ratio of desalinization in alluvial plain was much higher (66.7%) than the one in local valley (45.6%). However, $NH_4$-N contents of local valley soil during the flooding were higher than in those of alluvial plain. This was caused by high total nitrogen and organic matter in local valley soil than those in alluvial plain soil. With comparing to the input and output loads of T-N and T-P in greenhouses with local valley and alluvial plain soils, the output loads of nutrients were larger than the input loads of nutrients. This result showed that the flooding soil surface can be a good treatment to desalinize greenhouse soils. However, this conclusion remained that the flooding water containing high N and P concentrations might cause the secondary effect on the quality of streams and groundwater since excessive nutrient concentrations can be the main cause of eutrophication problem in aquatic environment.