• Korean Journal of Hydrosciences
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• 제5권
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• pp.33-43
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• 1994

This study is to determine the critical duration of design rainfall and to utilize it for the design of detention pond with pump station. To examine the effect of the duration and temporal distribytion of the design rainfall, Huff's quartile method is used for the 9 cases of durations (ranges from 20 to 240 minutes) with ten years return period, and the ILLUDAS model is used for runoff analysis. The storage ratio, which is the ratio of maximum storage amounts to total runoff volume, is introduced to determine the criticalduration of design rainfall. The duration which maximizes the storage ratio is adopted as the critical duration. This study is applied to 18 urban drainage watercheds with pump station in Seoul, of which the range of watershed area is 0.24~12.70$km^2$. The result of simulation shows that the duration which maximizes storage ratio is 30 and 60 minutes on the whole. It is also shown that the storage ratios of 2nd - and 3rd-quartile pattern are larger than those of 1st- and 4th-quartile pattern of temporal distribution. A simplified empirical formula for Seoul area is suggested by the regression analysis between the maximum storage ratio and the peak ratio. This formula can be utilized for the preliminary design and planning of detention pond with pump station.

• Journal of Chest Surgery
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• 제13권4호
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• pp.475-485
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• 1980

For the past 5 year 6 months from January 1975 to June 1980, 176 patients with empyema have been treated in Chonnam University Hospital. They were 134 males and 42 females ranging from ] 8 days to 69 years of age. [mean age: 26.1 years] The duration of illness prior to treatment was relatively shorter in pediatric group than in adult group, that is, the duration of less than 1 month was 89.5% in pediatric group and 38.0% in adult group. In bacteria study there were Staphylococcus 26.1%, Streptococcus 17.6%, E. coil 10.8%, Pseudomonas 10.8%, Diplococcus pneumoniae 5.7% and Candidia. And 4 children and 3 adults had infections of two species of bacteria. The underlying pathologic lesions were pyogenic pneumonia 34.7%, tuberculosis 29.5%, paragonimiasis 15.3%, trauma 9.7% and postoperative state. The over-all mortality rate was 1.7% [3 patients]. The causes of death were sepsis In 1 child and sepsis secondary to esophageal fistula in 2 adults. Adequate drainage and obliteration of the pleural space seems to be the most important aspect of treatment and can frequently be achieved by initial tube drainage in acute empyema, especially in the pediatric group. The chronic thick walled or loculated cavities required open window therapy, decortication, resection therapy and sterilization. Modified Eloesser`s operation and 0.3-0.5% potadine irrigation brought good result in the patients who had general weakness, marked pulmonary parenchymal destruction due to pyothorax, and pyothorax with severe bronchopleural fistula.

• Journal of Chest Surgery
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• 제25권6호
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• pp.637-644
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• 1992

The incidence of thoracic empyema has been reduced with the advent of antimicrobial agents. But, there are remained many significant problems in the management of thoracic empyema because of the empyema associated with bronchopleural fistula, other complications, This is a clinical analysis of 76 cases of thoracic empyema who had been treated from August 1975 to July 1991 in the Chest Surgery Department, Chung-Ang University Hospital. This report dealed with the incidence, etiology and symptoms, duration of hospital stay, therapeutic methods and review of literatures in the aspect of thoracic empyema, The results were as follows: 1. Predominance of male [3 : 1] and right side [1.5 : 1] were recorded. 2. The main symptom was the chest pain [55%], dyspnea[36%], fever[33%], cough [23%] and others. 3, The most common predisposing causatic diseases were pulmonary tuberculosis[33%] and pneumonia[31%], but also uncertain cases were 15%.4. Searching for the causatic organisms, there were not-identified[49%], streptoccocci [17%], staphylococci[12%], mixed infection[12%], AFB bacilli[7%]. 5. The range of hospital stay was from 6 to 146 days and the average duration was 29.4 days, 6. The results were good as the methods of closed thoracostomy[52%], decortication [23%], thoracentesis[15%], rib resection and drainage[4%], open drainage[4%], pleuropneumonectomy [4%]. 7. The serious complications or mortality didn`t developed.

• Journal of Chest Surgery
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• 제28권12호
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• pp.1132-1138
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• 1995

From 1991 to 1994, we experienced 24 cases of neonatal pneumothorax who were admitted to the Neonatal Intensive Care Unit[NICU , Chosun University Hospital. The Following results were obtained.1 The incidence of neonatal pneumothorax was 0.70%, and there were 8 spontaneous pneumothoraces and 16 secondary pneumothoraces. 2 The clinical manifestation of neonatal pneumothorax was as followed. Male infant was dominant[M:F=2:1 , the onset was within 24 hours in the majority[83% , and the right side[62% was more frequent than the left side. The gestation duration and birth weight show no correlation with underlying neonatal pneumothorax. The pulmonary diseases were meconium aspiration syndrome and hyaline membrane disease, and the incidence of those was 58%. Meconium aspiration syndrome occurred earlier than hyaline membrane disease. Symptoms and signs were tachypnea[46% , cyanosis[21% , irritability[13% , chest retraction[8% and apnea[8% .3 The treatments performed were oxygen therapy[17% , thoracentesis[4% and closed thoracostomy with underwater seal drainage[79% . The Mean duration of air leakage was 11.7 hours, and the mean drainage time was 4.35$\pm$1.3day. 4 The overall hospital mortality was 33%, and the rate of complication was 46%. The complications were metabolic acidosis, atelectasis, pleural effusion, pulmonary hemorrhage and pneumonia. We concluded that the prognosis was related to the underlying pulmonary disease.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2015년도 학술발표회
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• pp.94-94
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• 2015

기후변화와 변동으로 인한 기상이변이 갈수록 심각해지고 발생 빈도도 잦아짐에 따라 현재의 배수관련 사회기반시설(Drainage Infrastructure)이 이런 문제에 대처할 준비가 잘되어 있는지에 대해 의문점이 제기되고 있다. 현재의 배수관련 사회기반시설의 설계는 이른바 정상성(stationarity)이라는 가정 하에 강우의 강도(Intensity), 지속기간(Duration), 빈도(Frequency)의 관계를 나타내는 I-D-F 곡선을 주로 이용하기 때문에 기후변화로 인한 극치사상(extremes)의 유의한 변화를 나타낼 수가 없다는 한계점을 가지고 있다. 그러나 기후변화는 극한기후(climatic extremes)의 특성을 비정상성(nonstationarity)이라 일컫는 개념으로 바꾸고 있기 때문에 배수관련 기반구조 설계(Drainage Infrastructuredesign)의 기본 가정의 하나인 강우 통계 매개변수의 정상성은 기후변화의 시대에는 더는 유효하지 않을 수 있다. 본 논문에서는 이러한 비정상성을 고려하여 조건부 GEV 분포를 이용하여 지속시간별 확률강우량 과비정상성 I-D-F 곡선식을 유도하였다. 또한, 분포형 홍수유출모형인 S-RAT(Spatial Runoff Assessment Tool)을 이용하여 강우강도의 증가가 설계 최대유량(design peak flows)에 미치는 영향을 분석하였다. 분석결과 지속기간별 차이는 있었지만 고빈도로 갈수록 전반적으로 현행 I-D-F 곡선이 실질적으로 극한강수를 과소평가하고 있으며 정상성 I-D-F 곡선 작성 방법이 기후변화의 배수관련 기반구조물의 능력설계에 적합지 않을 수도 있음을 제시하였다.

• Archives of Plastic Surgery
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• 제39권5호
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• pp.509-513
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• 2012

Background The extended latissimus dorsi flap is important for breast reconstruction. Unfortunately, donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. Although using fibrin sealant in the donor site reduces the rate of seroma formation, donor site seroma remains a troublesome complication. The purpose of this study was to analyze the effectiveness of the combination of quilting sutures and fibrin sealant in the latissimus dorsi donor site for the prevention of seroma. Methods Forty-six patients who underwent breast reconstruction with extended latissimus flap were enrolled in the study. The patients received either fibrin sealant (group 1, n=25) or a combination of fibrin sealant and quilting sutures (group 2, n=21) in the extended latissimus dorsi donor site. Outcome measures were obtained from the incidence, volume of postoperative seroma, total drainage amount, indwelling period of drainage, and duration of hospital stay. Results The incidence of seroma was 76% in group 1 and 42.9% in group 2 (P=0.022). We also found significant reductions in seroma volume (P=0.043), total drainage amount (P=0.002), indwelling period of drainage (P=0.01), and frequency of aspiration (P=0.043). The quilting sutures did not affect the rate of drainage, tube reinsertion, or hospital stay. Conclusions The use of quilting sutures combined with fibrin sealant on the latissimus dorsi flap donor site is helpful for reducing the overall seroma volume, frequency of aspiration, and total drainage amount.

• 한국수자원학회논문집
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• 제40권8호
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• pp.643-654
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• 2007

본 연구에서는 도로나 도시유역에서와 같은 소유역의 배수시스템에서 적정량의 설계 규모를 결정하기 위해 지속시간 10분 이하의 강우강도-지속시간-재현기간 관계를 유도할 수 있는 방안을 제시하고 검토하였다. 본 연구에서 제시하는 방법은 모포마 분포에 근거한 것이며, 그 적용성을 서울지점 자료에 대한 적용을 통해 확인하였다 본 연구의 결과를 정리하면 다음과 같다. (1) 1분단위 강우자료를 이용하여 빈도해석을 수행한 결과 기존 건설교통부 (2000)에 의해 제시된 강우강도식은 분단위로 외삽할 수 없음을 확인하였다. (2) 60분 집성자료를 모포마 분포에 적용하여 추정한 지속시간별 분단위 연최대치 강우계열은 관측된 분단위 연최대치 강우계열의 특성을 적절히 설명할 수 있는 것으로 파악되었다. (3) 60분 집성자료와 시단위 강우자료를 이용하여 모포마 분포에 적용한 IDF 관계의 차이는 미미한 것으로 나타났다.

• Journal of Korean Neurosurgical Society
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• 제37권2호
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• pp.96-100
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• 2005

Objective: The brain computed tomography(CT) is an important tool throughout the clinical course of chronic subdural hematoma(CSDH). In CT findings, the density of CSDH is different in each case. We analyze management options and results according to the density of CSDH. Methods: Seventy one patients with CSDH, who had been managed in our institute from August 2001 to December 2003, were reviewed retrospectively. The authors divided the patients into six groups according to the density of hematoma; Group A-hypodense rather than the brain parenchyma, group B-isodense, group C-hyperdense, group D-mixed with hypodense and hyperdense, group E-mixed with isodense and hypodense and group F-mixed with isodense and hypersdense. In each group, the operation method, the duration of the indwelling catheter and prognosis were analyzed. Results: The patients who showed mixed density were 39 and, those who showed single density were 32. All the patients underwent burr hole drainage for the primary choice. There was only two cases that needed additional craniotomy. The average duration of indwelling catheter was $5.40{\pm}1.91$ days. Statistically the duration was not different in each group(p-value<0.05, $x^2$ test). Three cases recurred, one in group C, another in group D, and the last in group E. It had no statistical significance due to low incidence of recurrence. Conclusion: We conclude that burr hole drainage is an acceptable primary treatment option for CSDH even though the density of hematoma is different in every single case.

• Journal of Chest Surgery
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• 제53권1호
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• pp.16-21
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• 2020

Background: Patients undergoing cardiac surgery require postoperative chest drainage. However, the drain is difficult to keep in place in children with congenital heart disease. Since 2015, at Kyungpook National University Hospital, the chest tube is removed on postoperative day 1 in patients who have undergone simple congenital cardiac surgery (i.e., closure of an atrial or ventricular septal defect). In this study, we evaluated the relationship between the duration of drain placement and the likelihood of pericardial effusion after congenital cardiac surgery. Methods: The medical records of patients who underwent closure of an atrial or ventricular septal defect at our hospital between January 2014 and December 2016 were reviewed. In total, 162 patients who received follow-up echocardiography and had information available on postoperative pericardial effusion after the repair procedure were enrolled. Results: Echocardiography was performed at a median of 5 days (range, 4 to 6 days) postoperatively before discharge from the hospital. Pericardial effusion occurred in 21 patients (13.0%), of whom only 3 (1.9%) had moderate or greater pericardial effusion, regardless of the drain duration. All patients improved during outpatient follow-up without invasive management. No patient had severe complications because of pericardial effusion. The duration of drain placement did not affect the incidence of postoperative pericardial effusion (p=0.069). Operative survival was 100%. Conclusion: Based on our study, we recommend removing the drain as soon as its role is complete, generally on postoperative day 1, because early removal does not increase the incidence of pericardial effusion in patients undergoing simple congenital cardiac surgery.

• 가정간호학회지
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• 제21권2호
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• pp.110-119
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• 2014

Purpose: The objectives of this study were to identify interventions and to analyze the characteristics of headaches among hospitalized patients with subarachnoid hemorrhage with moderate or severe headaches. Methods: A retrospective review of the electronic medical records of 210 patients who received treatment for subarachnoid hemorrhage was conducted. Data collection was done using a structured headache record sheet. Data analysis was carried out using the PASW 18.0 version program. Results: There were significant differences in number and duration of headaches of headaches according to the presence of vasospasm, increased intracranial pressure, extraventricular drainage, use of hypertonic solution, and hospitalization period (p<0.05). Patients with vasospasm and extraventricular drainage experienced the most severe headache for a duration of 3 to 7 days. Other patients experienced the most severe headache for around 1-2 days. Conclusion: Hospitalized patients with subarachnoid hemorrhage who had vasospasms experienced more headaches and the duration of these headaches were longer. In particular, the assessment and interventions for headaches should increase and be carried out actively during this time because the intensity of these headaches is severe and lasts for 3-7 days. Additionally, we emphasize the need for regular administration of analgesics in order to promote patients' well-being. On the basis of the results of this study,we suggest that evidence-based interventions for the care of headaches among hospitalized patients with subarachnoid hemorrhage should be developed.