• 한국지반환경공학회 논문집
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• 제8권5호
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• pp.31-38
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• 2007

현재 실무에서 사용되고 있는 샌드매트의 설계법에서는 주로 수평배수층의 배수거리, 침하속도, 투수성 등을 설계 인자로 사용하고 있으며, 현장 시공 시에는 성토체 하부에 동일한 두께로 시공하고 있다. 그러나 하부 연약지반의 변형에 따라 성토 중앙부와 양단에서 부등침하가 발생하게 되어 샌드매트 두께산정에 있어 과소평가될 가능성과 배수지연을 유발할 우려가 있음이 지적되어왔다. 본 연구에서는 연약지반의 변형으로 인해 생기는 부등침하의 발생이 배수지연 및 샌드매트의 두께산정에 어떠한 영향을 미칠 수 있는지 여부를 수치해석을 통해 분석하였다. 해석 결과 부등침하로 인하여 실질 유로두께의 감소를 확인할 수 있었으며, 새로운 위치수두의 차가 발생하여 배수지연 현상을 유발할 가능성이 있음이 확인되었다. 이에 대한 대응책으로 본 연구에서는 사전에 부등침하를 예측하여 성토 중앙부의 샌드매트 두께를 증가시킨 마운드형 샌드매트의 적용성에 대하여 검토하였으며, 압밀의 진행에 따라 변형이 크게 발생하여도 소정의 실질 유로두께를 유지하고 있음을 확인하였다. 특히, 마운드형 샌드매트는 연약지반 성토와 같이 변형의 분포가 위치에 따라 다른 경우의 건설공사에 매우 유효하리라 판단하며, 경제적이고 합리적인 수평배수재로서 적용이 가능할 것으로 판단되었다. 또한, 마운드형 샌드매트의 설계를 위해서는 성토단계별로 압밀속도, 배수거리나 투수성뿐만 아니라 연약지반의 침하특성을 정확하게 예측하는 것이 필수적이라고 사료된다.

• 산업기술연구
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• 제29권A호
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• pp.127-134
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• 2009

In this paper, an numerical approach is performed to investigate the effects of smear zone, occurred by penetrating vertical drains, on consolidation behavior of soft clay deposits. Such a numerical analysis is applied to the field condition to confirm its applicability. Parametric numerical analyses is carried out to study influencing factors such as permeability in smear zone, boundary of smear zone and discharge capacity of vertical drains on the consolidation of soil. As results of analyses, for the given conditions of soil, degree of consolidation is getting faster with increase of permeability of vertical drain. Degree of consolidation is delayed with decrease of permeability of smear zone. As the ratio of drain width to smear zone increases, the degree of consolidation decreases. Proposed values of influencing factors by previous researchers is found to be reliable from results of numerical analyses with Cam-clay model.

• 대한토목학회논문집
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• 제28권5C호
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• pp.313-320
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• 2008

본 연구에서는 Plastic Board Drain(PBD)이 타설된 지반의 압밀거동 특성을 파악하고, 배수재 통수능력을 알아보기 위하여 현장의 타설조건을 실험실에서 모사할 수 있는 관입식 복합 통수능 시험기를 개발하였다. 개발된 시험기는 배수재를 타설하고 교란된 시료를 투기하는 기존 방법과 달리, 예비압밀로 시료를 조성한 후 mandrel과 관입장치를 이용하여 PBD를 지반에 타설하도록 고안하였다. 개발된 관입식 복합 통수능 시험기의 적용성을 평가하기 위하여 기존 복합 통수능 시험을 함께 실시하여 결과를 분석하였다. 실험 결과, 기존 방법은 시료 전체의 교란에 의해 압밀이 지연되는 현상으로 나타났으며, 시료의 불균질성 등에 의해 배수재 변형도 국부적으로 발생하였다. 이로 인하여 기존 시험법에 의한 통수능력은 예상치 보다 다소 크게 산정되는 경향을 보였으며, 관입식 방법에 의해 현장조건과 유사하게 통수능력을 분석할 수 있을 것으로 판단되었다.

• 한국농공학회지
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• 제42권4호
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• pp.115-123
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• 2000

This study compared the degree of consolidation by hyperbolic, curve fitting , Asaoka's and methods using values measured with a theoretical curve in consideration of smear effect and well resistance. The degree of consolidation by the Hyperboilc method was underestimated than the degree of consolidation by Curve fitting. Asaoka's , and Monden's methods. The typical range of the coefficient of horizontal consolidation was Ch=(2-3)Cv in the case considering smear effect and well resistance, and Ch =(0.5-2.1) Cv in the case disregarding smear effect and well resistance. The degree of consolidation obtained by ground settlement monitoring was nearly the same value when the coefficient of smear zone permeability by back analysis was shown to be half that of in-situ and the diameter of the smear zone was shown to be double that of mandrel. By increasing the diameter reduction ratio of the drain, the time of consolidation was delayed. The effect of well resistance showed that the case of a small coefficient of permeability was much more than in the case of a large coefficient of permeability . It was recommended that when designing diameter reduction of a drain, well resistance should be considered.

• Journal of Chest Surgery
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• 제15권2호
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• pp.218-221
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• 1982

Delayed cardiac tamponade in an uncommon and frequently fatal complication after open-heart surgery. We had been experienced two cases of delayed cardiac tamponade as a complication of open-heart surgery and treated successfully by reinsertion of pericardial drain through subxiphoid route. First case was 60 years old female patient and underwent MVR under impression of MSi + Ti Second case was 19 years old male patient and underwent total correction of T.O.F.with Blalock shunt [Lt]. Both cases had Initial symptoms, which were epigastric pain, chest tightness, dropped blood pressure, and increased pulse rate and respiratory rate, mimic as low cardiac output syndrome after open-heart surgery. Roentgenogram of the chest showed a rapid increased cardiothoracic ratio. It is important to realize the presence of late cardiac tamponade for proper diagnosis of complication after open-heart surgery.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 춘계 학술발표회
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• pp.720-728
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• 2009

This thesis is results of numerical analyses about test results of discharge capacity apparatus using penetration method. Applicability of numerical approach with FEM technique, using Cam-clay model, was confirmed by analyzing the results of standard consolidation test before analyzing test results of discharge capacity apparatus using penetration method. Thus, input parameters for the model was convinced to be appropriate. For numerical analyses about test results of discharge capacity apparatus using penetration method, identical initial and loading conditions during tests were applied to simulate test results correctly. Effects of ground disturbance resulted from installment of vertical drains on the behaviors of consolidation were also simulated. Applicability of numerical approach was investigated by comparing test results with numerical ones. As results of them, both of consolidation settlement were found to be in good agreements so that its applicability was confirmed. As results of numerical estimation, degree of consolidation with the condition of considering smear zone was found to be delayed, compared with results without smear zone. On the other hands, parametric numerical analyses of changing parameters related to smear zone such as permeability and size of smear zone and permeability of vertical drain were also carried out.

• Korean Journal of Radiology
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• 제24권5호
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• pp.444-453
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• 2023

Objective: Meningeal lymphatic vessels are predominantly located in the parasagittal dural space (PSD); these vessels drain interstitial fluids out of the brain and contribute to the glymphatic system. We aimed to investigate the ability of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in assessing the dynamic changes in the meningeal lymphatic vessels in PSD. Materials and Methods: Eighteen participants (26-71 years; male:female, 10:8), without neurological or psychiatric diseases, were prospectively enrolled and underwent DCE-MRI. Three regions of interests (ROIs) were placed on the PSD, superior sagittal sinus (SSS), and cortical vein. Early and delayed enhancement patterns and six kinetic curve-derived parameters were obtained and compared between the three ROIs. Moreover, the participants were grouped into the young (< 65 years; n = 9) or older (≥ 65 years; n = 9) groups. Enhancement patterns and kinetic curve-derived parameters in the PSD were compared between the two groups. Results: The PSD showed different enhancement patterns than the SSS and cortical veins (P < 0.001 and P < 0.001, respectively) in the early and delayed phases. The PSD showed slow early enhancement and a delayed wash-out pattern. The six kinetic curve-derived parameters of PSD was significantly different than that of the SSS and cortical vein. The PSD washout rate of older participants was significantly lower (median, 0.09; interquartile range [IQR], 0.01-0.15) than that of younger participants (median, 0.32; IQR, 0.07-0.45) (P = 0.040). Conclusion: This study shows that the dynamic changes of meningeal lymphatic vessels in PSD can be assessed with DCE-MRI, and the results are different from those of the venous structures. Our finding that delayed wash-out was more pronounced in the PSD of older participants suggests that aging may disturb the meningeal lymphatic drainage.

• 대한토목학회논문집
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• 제14권5호
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• pp.1243-1251
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• 1994

연직드레인의 유효반경내에서 시간과 압밀도 관계를 계산하기 위해 음적차분해법이 적용되었으며 계산시 과잉간극수압의 소산은 두 방향으로 수행된다. 다단계 성토에 의한 지중응력 증분을 계산하기 위해, 지표면하의 연약지반은 등방균질 탄성체로서 간주하였고 각 단계 순간성토시 초기 과잉간극수압은 포화된 점성토내에서 평면변형률 조건과 탄성단계의 간극수압 응답 상태에 대한 Skempton의 간극수압계수를 이용해 계산하였다. 침하에 대해서는, 즉시 및 1 차 압밀침하량만 계산하였고, 2차 압밀침하는 고려하지 않았다. 계산된 과잉간극수압과 지표침하량이 경과시간에 대한 현성측성치와 유사한 것으로 판정되었으며, 본 연구에 적용된 계산기법(압밀특성이 다른 다층지반으로 구성된 연약지반내에 연직배수공법을 적용하고 성토가 다단계 순간성토로 이루어질 경우 과잉간극수압 소산과정을 음적 차분해법으로 근사계산)은 각 연약층의 시간-압밀도 관계를 예측하는데 이용가능할 것으로 생각된다.

• Journal of Korean Neurosurgical Society
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• 제43권6호
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• pp.281-287
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• 2008

Objective : Cerebral vasospasm still remains a major cause of the morbidity and mortality, despite the developments in treatment of aneurysmal subarachnoid hemorrhage. The authors measured the utility and benefits of external lumbar cerebrospinal fluid (CSF) drainage to prevent the clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage in this randomized study. Methods : Between January 2004 and March 2006, 280 patients with aneurysmal subarachnoid hemorrhage were treated at our institution. Among them, 107 patients met our study criteria. The treatment group consisted of 47 patients who underwent lumbar CSF drainage during vasospasm risk period (about for 14 days after SAH), whereas the control group consisted of 60 patients who received the management according to conventional protocol without lumbar CSF drainage. We created our new modified Fisher grade on the basis of initial brain computed tomography (CT) scan at admission. The authors established five outcome criteria as follows : 1) clinical vasospasm; 2) GOS score at 1-month to 6-month follow-up; 3) shunt procedures for hydrocephalus; 4) the duration of stay in the ICU and total hospital stay; 5) mortality rate. Results : The incidence of clinical vasospasm in the lumbar drain group showed 23.4% compared with 63.3% of individuals in the control group. Moreover, the risk of death in the lumbar drain group showed 2.1 % compared with 15% of individuals in the control group. Within individual modified Fisher grade, there were similar favorable results. Also, lumbar drain group had twice more patients than the control group in good GOS score of 5. However, there were no statistical significances in mean hospital stay and shunt procedures between the two groups. IVH was an important factor for delayed hydrocephalus regardless of lumbar drain. Conclusion : Lumbar CSF drainage remains to playa prominent role to prevent clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage. Also, this technique shows favorable effects on numerous neurological outcomes and prognosis. The results of this study warrant clinical trials after endovascular treatment in patients with aneurysmal SAH.

• Journal of Chest Surgery
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• 제56권3호
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• pp.206-212
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• 2023

Background: Delayed sternal closure (DSC) is a useful option for patients with intractable bleeding and hemodynamic instability due to prolonged cardiopulmonary bypass and a preoperative bleeding tendency. Vacuum-assisted closure (VAC) has been widely used for sternal wound problems, but only rarely for DSC, and its efficacy for mediastinal drainage immediately after cardiac surgery has not been well established. Therefore, we evaluated the usefulness of DSC using VAC in adult cardiac surgery. Methods: We analyzed 33 patients who underwent DSC using VAC from January 2017 to July 2022. After packing sterile gauze around the heart surface and great vessels, VAC was applied directly without sternal self-retaining retractors and mediastinal drain tubes. Results: Twenty-one patients (63.6%) underwent emergency surgery for conditions including type A acute aortic dissection (n=13), and 8 patients (24.2%) received postoperative extracorporeal membrane oxygenation support. Intractable bleeding (n=25) was the most common reason for an open sternum. The median duration of open sternum was 2 days (interquartile range [25th-75th pertentiles], 2-3.25 days) and 9 patients underwent VAC application more than once. The overall in-hospital mortality rate was 27.3%. Superficial wound problems occurred in 10 patients (30.3%), and there were no deep sternal wound infections. Conclusion: For patients with an open sternum, VAC alone, which is effective for mediastinal drainage and cardiac decompression, had an acceptable superficial wound infection rate and no deep sternal wound infections. In adult cardiac surgery, DSC using VAC may be useful in patients with intractable bleeding or unstable hemodynamics with myocardial edema.