• Title/Summary/Keyword: 측방류

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Aortic Arch Aneurysm Repair using a Prosthetic Graft with a Pre-mounted Distal Stent (Frozen Elephant Trunk) (원위부에 스텐트가 포함된 인조혈관 (Frozen Elephant Trunk)을 이용한 대동맥궁 동맥류 수술)

  • Chang, Hyoung-Woo;Chung, Eui-Suk;Choi, Jin-Ho;Lim, Cheong;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • v.42 no.3
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    • pp.375-379
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    • 2009
  • Difficulty in exposing anastomotic sites is a frequently encountered problem during surgical repair of a distal aortic arch aneurysm via median sternotomy or lateral thoracotomy. Endovascular repair has th limitation that it usually requires surgical rerouting of some of the brachiocephalic branches in order to get sufficient length for proximal fixation of the stent-graft. To take advantage of each approach, we fixed the distal end of the prosthetic graft by means of a pre-mounted metallic stent instead of performing conventional surgical anastomosis during the repair of distal arch aneurysms with using median sternotomy and hypothermic circulatory arrest. We report here on our experience with such 3 patients.

The Study for Radio Protection According to a Possible Danger of Exposure During dental X-ray Examination (치과 방사선 검사 시 노출 위험성에 따른 피폭선량 방어연구)

  • Lim, Cheong-Hwan;Kim, Seung-Chul;Jung, Hong-Ryang;Hong, Dong-Hee;You, In-Gyu;Jeong, Cheon-Soo
    • Journal of the Korean Society of Radiology
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    • v.5 no.5
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    • pp.237-244
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    • 2011
  • Generally, X-ray examinations for dentistry use low energy radiation. It explains that the radiations are mainly absorbed to a human body because of the weak permeability. We made up some counterplans for decrease in radiation exposure, when guardians and radiologists are overexposed owing to unavoidable circumstances. The equipments for the test are GX-770 and CRANEX TOME CEPH which are used for various exams. Besides we measured the radiations in the projection room and in the control room using model 2026c and 20X6-1800. According to the test, the measurement value in the control room was low dose below $20{\mu}R$, the maximum dose in the projection room was $702.8{\mu}R$ and the measurement value of back dose was higher than lateral one. As the result, if we use a shielding door, it's effective for radioprotection and when we didn't prepare protectors, we should secure appropriate distance and be situated at the side area($90{\sim}135^{\circ}$) on the basis of centeral radiation. That way will provide valuable aid for radioprotection.

Method for Flood Runoff Analysis of Main Channel Connected with Interior Floodplain : I. Application for Analysis of Inundation Area in Interior Floodplain (제내지와 하도를 연계한 하천유역의 홍수유출해석: I. 제내지 침수해석에의 적용)

  • Jang, Su Hyung;Yoon, Jae Young;Yoon, Yong Nam;Kim, Won Seok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.1B
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    • pp.79-88
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    • 2006
  • In this study, a methodology is developed for flood runoff analysis considering the interaction between interior floodplain and channel. Riparian lowland is modeled as storage areas by HEC-RAS and is connected with main channel through gravity drainage structure and pumping stations. As a result, we were able to compute the difference between runoff into the interior floodplain and delayed runoff to main channel from interior floodplain. This allowed us to compute the storage change in the interior floodplain and corresponding inundation areas. Furthermore, the levee is modeled as a lateral structure and the flood from the main channel to interior floodplain is modeled by installing a weir on top of it. In addition, levee breach is also modeled so that flooding from main channel to interior floodplain can be considered. Computed flooding depth in the storage areas are compared with elevation to identify the inundated areas and flood maps can then be produced for a desired time or for the extent of flooding given a flooding depth. Output from this modeling effort can provide many useful information for flood planning such as flow depth in main channel, flooding depth and area in interior floodplain. The method was applied to Sapgyo river basin and the comparison with observed flood events showed that it can reproduce the observation fairly well, hence proving the utility of the method.

The Holocene tidal sedimentary changes in Mosan Bay Estuary, Korea (홀로세 충남 모산만 하구역내 간석지의 퇴적과정)

  • Shin, Young Ho
    • Journal of The Geomorphological Association of Korea
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    • v.18 no.3
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    • pp.37-51
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    • 2011
  • Geomorphic changes and sedimentary changes are investigated by sediment analysis from estuarine tidal flat, Mosan Bay Estuary, which is a tide-dominated and rias estuary. Sediments separatedly deposited during the early Holocene and the late Holocene. There are unconformities between the early Holocene sediment unit and the late Holocene sediment unit. Developments of these unconformities were related with fluctuated sea level change during the mid Holocene. Three deposit zones are spatially classified, which are named "intermittent tide channel deposit zone"(A1, B1, D3), "flood-dominated deposit zone"(A3, B3, C1, C3), and "fluvial sediment deposit zone"(A2, B2). This classification is explained by three main effects; laterally restricted migration of a tidal channel, diffract flood effect and settling lag effect, and fluvial induced reworking. These effects are deserved as main factors which have formed estuarine geomorphology in tidedominated and rias estuary. This study suggests research directions in reconstructing estuarine geomorphic and sedimentary change in west coast of Korea. Furthermore, it gives useful data for making a "land-ocean interaction" model for west coast of Korea.

A Study on Installation Experiment of Pedestrian Facility Using Agent-based Pedestrian Simulation Model (행위자기반(agent-based) 보행 시뮬레이션 모델을 이용한 보행시설 설치 실험에 관한 연구)

  • Lee, Shin-Hae;Lee, Seung-Jae
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.8 no.3
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    • pp.131-138
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    • 2009
  • The purpose of this paper is the development of an agent-based pedestrian simulation model. The simulation model is based on the Cellular Automata theory. The model consists of four components: initialization, pedestrian generation, lateral movement, and front movement components. We have applied this model for experiment about pedestrian facility. In particular, we have experimented how the installation of fence is effective to resolve conflict pedestrian movements in different directions. We have found that the installation of the fence as a pedestrian facility can divide conflict moving pedestrians effectively. We have also found that the effect of the fence is bigger in slightly congested pedestrian flows than in severely congested pedestrian flows.

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Runoff Characteristics of a Small Catchment in Eoseungsaeng-oreum, Jeju Island (제주도 스코리아콘의 유출 특성 - 어승생오름 소유역을 사례로 -)

  • KIM, Taeho;AN, Junggi
    • Journal of The Geomorphological Association of Korea
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    • v.15 no.2
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    • pp.55-65
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    • 2008
  • In order to examine the runoff characteristics of scoria cones in Jeju Island, hydrological observations were conducted in the experimental basin (5.1 ha) of Eoseungsaeng-oreum which has been predominantly covered with Carpinus laxiflora and Quercus serrata. Although runoff has continuously occurred during the observed period, the baseflow gradually increased from April and decreased from October. The peak flow approximately corresponded to every rainfall events except for the rainfall events which has slight total precipitation and no previous precipitation. The experimental basin shows flash runoff response and short lag time; the mean lag time is 35.8 minutes. Although the runoff ratio of quick flow is proportional to total precipitation, the increasing rate is low and the maximum runoff ratio is 24.7%. In addition, the runoff ratio is less than 1% in 68.3% of the rainfall events, suggesting that the portion of quick flow to total precipitation is low. The rainfall events with relatively long event time demonstrated a secondary peak generated by translatory flow. The runoff characteristics seem to be related to local impermeable beds in the experimental basin.

Analysis of flood damages in paddy field by motorized gate (전동식 수문 설치 전·후의 농경지 침수 피해 분석)

  • Seung Wook Lee;Da Ye Kim;Seung Jin Maeng;Sung Chul Seo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.357-357
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    • 2023
  • 2017년 7월 16일 집중호우로 인해 무심천 상류에 위치한 충청북도 청주시 상당구 남일면 고은리 655번지의 농경지 침수 피해가 발생하였다. 대상지역의 우안 제방에는 기존에 수동식 수문이 설치되어 있었으나 내구연한이 지나고 부식되어 수년전에 망실되었으며, 2017년 7월 홍수 이후 유사한 규모의 홍수가 발생 할 경우 대상지역은 홍수피해를 겪을 수밖에 없는 상황에 처해 있다. 이에 따라 홍수방어 시설인 전동식 수문을 설치하여 설치 전·후의 침수 피해를 분석하였다. 본 연구에서는 청주 수위관측소의 2017년 7월 15~16일 수위자료를 수집하여 수위-유량관계곡선식(Rating Curve)을 적용한 시간당 유량자료를 산정하였으며, 수문설치 지점인 고은리 655번지를 시점으로 하류 약 15.871km에 위치한 흥덕교까지 HEC-RAS 모형을 이용하여 홍수분석을 수행하였다. 무심천 우안 제방 내 수문이 설치되기 전과 후에 따른 대상지역의 제내지 침수구역 범위를 산정하여 비교 분석하였다. 측점은 96개의 횡단면으로 구성하였으며, 부정류 해석을 위한 경계조건으로 상류단 유입량, 측방 유입량 및 하류단 수위를 적용하였다. 홍수분석 결과 단면별 최대수위는 EL.41.92m~EL.66.29m의 범위를 나타내고 있으며, 적용 홍수에 따른 최대 유속은 3.17 m/s로나타났다. 수문설치 지점의 하천 횡단에서 발생하는 최고 수위는 EL.66.29m로 산정되었으며, EL.66.29m를 기준으로 전동식 수문이 설치되기 전과 후의 침수범위를 분석하였다. 설치 전 홍수분석 결과 제내지 침수구역의 면적은 141,309.3m2로 분석되었다. 전동식 수문을 설치함에 따라 대상지역의 제내지 침수 피해를 겪지 않은 것으로 분석되었다. 향후 전동식 수문과 IoT기술을 접목하여 지자체의 재난관리 시스템과 연동할 수 있다면, 유사한 침수피해를 최소화 하는데 기여할 것으로 판단된다.

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The Influence of the Characteristics of Drainage Basin on Depositional Processes of the Alluvial Fan: An Example from the Cretaceous Duwon Formation in Goheung Area (유역분지 특성에 따른 충적선상지의 퇴적작용: 고흥군 백악기 두원층의 예)

  • Lee, Kyung Jin;Park, Seung-Ik;Lee, Hyojong;Gihm, Yong Sik
    • Economic and Environmental Geology
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    • v.54 no.4
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    • pp.441-456
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    • 2021
  • The Cretaceous Duwon Formation was studied on the basis of sedimentologic analysis in order to unravel geologic conditions for the development of the streamflow-dominated alluvial fan under arid to semi-arid climatic conditions. The Duwon Formation unconformably overlies the Paleoproterozoic gneiss (basement). Based on the sedimentologic analysis, the Duwon Formation is interpreted to have been deposited in gravelly braided stream (FA-1) near the basement, laterally transitional to sandy braided stream (FA-2) and floodplain environments (FA-3) with distance (< 7 km) from the basement. Lateral changes in sedimentary facies and the well development of calcrete nodules in FA-3, together with radial paleocurrent directions measured in FA-1, are suggestive of the deposition of the Duwon Formation in streamflow-dominated alluvial fan under arid to semi-arid climatic conditions. Recent analysis of detrital zircon chronology suggests that sediments of the Duwon Formation were derived from the southwestern part of the Korean peninsula, including the western part of Yeongnam Massif and the southwestern part of Okcheon Belt. This implies the alluvial fan where the Duwon Formation accumulated had the large drainage basin. Because the large drainage basin can supply the significant amounts of water and temporarily store the sediments within the basin, watery floodwater carried sediments to the alluvial fan rather than the debris flows. Furthermore, the drainage basin largely composed of coarse-grained metamorphic and igneous rocks produced sand-grade sediments, preventing evolution of floodwater into debris flows. We suggest that combined effects of the large drainage basin and its coarse-grained metamorphic and igneous rocks provided favorable conditions for the development of streamflow-dominated alluvial fan, despite arid to semi-arid climatic conditions during sedimentation.

Giant Coronary Artery Aneurysm Presenting as a Calcified Mediastinal Mass a, Coronary Artery Fistula - A case report - (종격동 종양으로 오인된 거대관상동맥류와 관상동맥루 - 치험 1례 -)

  • Yoon, You-Sang;Lee, Cheol-Joo;Choi, Ho;Kang, Jun-Kyu;Choi, Jin-Wook;Kim, Hyung-Tae
    • Journal of Chest Surgery
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    • v.34 no.10
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    • pp.787-791
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    • 2001
  • Coronary artery aneurysm is a rare disorder. It is defined as abnormal dilatation of coronary artery with diameter exceeding 1.5 times the adjacent normal segments. The incidence of coronary aneurysm is 2.6% in Caucasians and 0.25% in Asians. Over half of the former were associated with atherosclerotic coronary artery disease. However, 70 percents of the latter were nonobstructive coronary artery aneurysms. Coronary artery fistula is a rare disorder. It has been identified in only 0.2% of routine cardiac angiographic studies conducted over a 10-year period. The clinical spectrums are various, asymtomatic, asymptomatic murmur, dyspnea on exertion, fatigue, and congestive heart failure. The right coronary artery (56%) and left coronary artery(36%) are mainly involved in the origin site of congenital coronary artery fistula. The draining site of fistula are right ventricle(39%), right atrium(33%), and pulmonary artery(20%) and so on. This 54 years-old woman had intermittent chest tightness and an abnormal mediastinal shadow on chest roentgenogram and chest C-T examination, which was diagnosed as a mediastinal mass such as teratoma. We performed the operation under left anterolateral thoracotomy for mass excision. However, we knew the mass had the pulsating arterial blood flow through a fine needle puncture of the mass and that it was attached to the left ventricle. We believed the excision of mass on beating heart would be very dangerous. Therefore, we closed the wound without excising the mass. After several days, we performed an echocardiography and coronary angiography, We knew it was cardiac tumor. Incidentally, the patient had a tortuous coronary fistula from the right coronary artery to pulmonary trunk. Using cardiopulmonary bypass with moderate systemic hypothermia, the mass was resected and the fistula was clipped with surgical clips. Pathology of the specimen was a giant coronary arterial aneurysm.

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Prevalence of Temporomandibular Joint Dysfunction and Malocclusion in 10 - 12 year Old Children (10-12세 아동의 측두하악장애와 부정교합의 유병율에 관한 연구)

  • Lee, Nam-Ki;Choi, Dong-Soon;Lee, Hye-Mi;Cha, Bong-Kuen
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.1
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    • pp.29-40
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    • 2008
  • The purpose of this study was to evaluate the prevalence of symptoms and signs of temporomandibular joint dysfunction (TMD) and malocclusion in 10-12 year old children and to determine if a relationship exists between symptoms and signs of TMD and malocclusion. The subjects were composed of 465 school children (233 boys and 232 girls). Each subject was evaluated with simplified questionnaire and clinical examination to measure symptoms and signs of TMD and malocclusion. The results showed an elevated prevalence of headache (34.6%), which were more frequent in girls than boys. The most common cardinal sign of TMD was clicking (32.9%), which increased with age. TMJ lateral tenderness was present in 18.1% of the subjects and had a tendency to increase with age. Masseter muscle tenderness was found to be sensitive in 15.1%of the subjects and had a tendency to increase with age. Restriction of mandibular mobilitywas present in 30.3% of the subjects and had a tendency to increase with age. There was no significant difference in the prevalence of TMD signs between sex. The occlusal status showed Class I malocclusion in 73.3%, Class III in 12.9%,Class II division 1 in 11%, Class II division 2 in 2.8%. There was no significant difference in malocclusion traits between sex. There was statistically significant relationship between TMD signs and symptoms and class II division 1 and Class III malocclusion(p<0.05). The results indicate that the prevalence of TMD symptoms and signs in children is high, and the evaluation of TMD in children seems to be important.