Pulmonary gangrene is a rare complication of severe pulmonary infection in which a pulmonary segment or lobe is sloughed. It is a part of a spectrum of disease in which lung tissue is devitalized(such as necrotizing pneumonia, pulmonary abscess), but apart from them, pulmonary gangrene has more extensive area of necrosis and thrombosis of large vessels plays a prominent role in the pathogenesis. We experienced a case of pulmonary gangrene in 71 year old female obstructive pneumonia patient with non-small cell lung carcinoma. She complained high fever, chill and despite treatment with antibiotics, pneumonia progressed to empyema. At that time chest radiograph showed a large cavity including sloughed lung tissue, freely moving to dependent position at both lateral decubitus view. RML and RLL were resected and compression of pulmonary vessels by enlarged lymph nodes was observed. Defervescence was obtained immediate postoperative period and the patient was discharged after infection control with antibiotics, chest tube drainage. The perivascular lymph nodes dissected during lobectomy were proved to be reactive hyperplasias. We speculated that the carcinoma caused obstructive pneumonia, in turn, resulted in reactive hyperplasia of the draining lymph nodes surrounding the large vessels and finally the lung tissues supplied by them necrotized and sloughed.
Nowadays, there are increasing demands of golf courses and it is necessary to make more golf courses than the present. To do this, we need to improve the environmental problems with the regional inhabitants, and it is said that the first thing to be considered in developing any golf course in Korea is to preserve the environment. In this context, the purpose of this study is to set forth several design factors to lessen the negative impacts which are accompanied with the development of golf courses. 1. The present conditions of golf courses in Korea Many new golf courses have come into being, particularly since the late 1980s, and now, in the year of 1997, over one hundred of golf courses are doing their business, yet the number of golf course is still less than required. So far, over a half of them have been made in the vicinity of Seoul on account of various reasons, and this has adversely affected on our natural environment. This unreasonable development of golf courses has caused serious water pollution, landslides and the other problems. Also, the topography of Korea is not good for golf courses. Although the demands of golf courses are increasing, the suitable sites for them are very limited, and therefore it is sometimes unavoidable to make golf courses on steep hills. Consequently, in designing golf courses in Korea, the most important thing is the balance between natural environment and artificial environment. 2.Eco-friendly golf course design factors 1) The concept of eco-friendly golf courses Ecologically sustainable and sound golf courses which are made by eco-friendly approaches 2)Basic conditions of eco-friendly golf courses (1)The most suitable sites (2) Conservation of existing ground as much as possible (3)Proper use of agricultural chemicals which have great impacts on the environment (4) Reasonable use of fertilizers (5) Developing a specialized fertilizer only for grass (6) Adaptation of organic agriculture (7) Improvement of grass sorts (8) Establishing reservoirs for purifying the water from golf courses 3) Eco-friendly golf courses (1) Location-Enough area /Gentle slope/Winding ground/Including lakes or streams /Not crossing wind's main direction Facing south or southeast /Suitable soIl for grass /Good drainage /Low level of underground water (2)Course layout and design -Consideration about existing contours as much as possible -Adaptation of Scotish design trend -Various holes' configuration -Consideration toward surrounding landscapes -Reducing grass areas -Giving buffer zones -Adapting computer methods in the process of site analysis and design (3) Eco-friendly considerations in constructing and managing golf courses -Protection of wildlife -Reuse of existing forests and preservation of topsoil -Renovation of old-fashioned courses -Reducing grass areas -Purification of water -Standization of management -Strict regulations against chemicals -Recycling organic materials -Through separation of the water inside golf courses and out of bounds -Getting proper construction works done in a due time 4.Eco-friendly considerations from a viewpoint of cultural environment 1) Well-matched landscape design and events planning 2) Implement of identifications and awarding systerns 3)Acknowledgement of superintendents' qualitications in the maintenance of golf courses 4)Increasing public golf courses and keeping good relationships with the neighbors near golf courses Key words: Pro-environmental development, Golf course.
Skahill, Brian E.;Choi, Woo-Hee;Kim, Min-Hwan;Kim, Sung-Kyun;Johnson, Lynn E.
Journal of Korea Water Resources Association
/
v.36
no.2
/
pp.285-300
/
2003
An event-based, kinematic, infiltration-excess, and distributed rainfall-runoff model using weather radar and Geographic Information System(GIS) was developed to acknowledge and account lot the spatial variability and uncertainty of several parameters relevant to storm surface runoff and surface flow The developed model is compatible with raster GIS and spatially and temporally varied rainfall data. To calibrate the model, Monte Carlo simulation and a likelihood measure are utilized; allowing for a range of possible system responses from the calibrated model. Using rain gauge adjusted radar-rainfall estimates, the developed model was applied and evaluated to a limited number of historical events for the Ralston Creek and Goldsmith Gulch basins within the Denver Urban Drainage and Flood Control District (UDFCD) that contain mixed land use classifications. While based on a limited number of Monte Carlo simulations and considered flood events, Nash and Sutcliffe efficiency score ranges of -0.19∼0.95 / -0.75∼0.81 were obtained from the calibrated models for the Ralston Creek and Goldsmith Gulch basins, based on a comparison of observed and simulated hydrographs. For the Ralston Creek and Goldsmith Gulch basins, Nash and Sutcliffe efficiency scores of 0.88/0.10, 0.14/0.71, and 0.99/0.95 for runoff volume, peak discharge, and time to peak, respectively, were obtained from the model.
Song, Jung Hun;Song, Inhong;Kim, Jin Taek;Kang, Moon Seong
Journal of Korea Water Resources Association
/
v.48
no.6
/
pp.425-438
/
2015
The objective of this study was to evaluate simulation of agricultural water supply considering yearly variation of irrigation efficiency. The water supply data of the Idong reservoir from 2001 through 2009 was collected and used for this study. Total 6 parameters including irrigation efficiency (Es), drainage outlet height, and infiltration, were used for sensitivity analysis, calibration, and validation. Among the parameters, the Es appeared to be the most sensitivity parameter. The Es was calibrated on a yearly basis considering sensitivity and time-varying characteristic, while other parameters were set to fixed values. The statistics of percent bias (PBLAS), Nash-Sutcliffe efficiency (NSE), and root means square error to the standard deviation of measured data (RSR) for a monthly step were 2.7%, 0.93, and 0.26 for the calibration, and 3.9%, 0.89, and 0.32 for the validation, correspondently. The results showed a good agreement with the observations. This implies that the modeling only with appropriate parameter values, apart from modeling approaches, can simulate the real supply operation reasonably well. However, the simulations with uncalibrated parameters from previous studies produced poor results. Thus, it is important to use calibrated values, and especially, we suggest the Es's yearly calibration for simulating agricultural water supply.
Park, Hyunjin;Yang, Jungsuk;Han, Jaemoon;Kim, Dongkyun
Journal of Korea Water Resources Association
/
v.48
no.9
/
pp.729-741
/
2015
This study examined the applicability of MBLRP (Modified Bartlett-Lewis Rectangular Pulse) rainfall generation model for an urban flood simulation which is a type of Poisson cluster rainfall generation model. This study constructed XP-SWMM model for Namgajwa area of Hongjecheon basin, which is a two-dimensional pipe network-surface flood simulation program and computed a flood discharge and a flooded area with input data of synthetic rainfall time series of 200 years that were generated by the MBLRP model. This study compared the data of flood with synthetic rainfall and flood with corresponding values which were based on design rainfall. The results showed that the flooded area computed with MBLRP model was somewhat smaller than the corresponding values on the basis of the design. A degree of underestimation was from 8% (5 year) to 34% (200 year) and the degree of underestimation increased as a return period increased. This study is meaningful in that it proposes methodology that enables quantifiability of uncertain variables which are related to a flooding through Monte Carlo analysis of urban flooding simulation and applicability and limitations thereof.
Bays and caps represent the physical characteristics of Naepo area in Korea. And reclamation of tidal land presents a clue toward the understanding of regional identities and landscape changes in this area. Reclamation of tidal land in the Garorim bay that is representative of the physical geographies of Naepo area had trended toward 'the diffusion of salt ponds' during Joseon dynasty. Hereafter the Japanese imperialism, the reclamation had tumed to 'the reclamation of arable lands' by drainage. But, at the same time the land use of salt pond that had been the most appropriate strategy of adaptation for the ecological environments of this area has showed a sort of the geographical long-term durability. And the great landlords that had emerged during Japanese imperialism were the Yeom-han(鹽漢, laborers who engaged in salt production) in former times. They as a new local elites have played a leading role in the reclamation of tidal land and the making of regional landscape.
Kim, Kwang-Ho;Kim, Hyun-Tae;Kim, Jung-Taek;Sun, Kyung
Journal of Chest Surgery
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v.31
no.5
/
pp.509-512
/
1998
Although posterolateral thoracotomy(PLT) has been a standard thoracic incision in resection surgery of the lung for surgeons to achieve a good surgical field, there remains concern about severing a group of thoracic muscles remains. Muscle-sparing vertical thoracotomy (MVT) is an alternative to PLT, which gives cosmetic result and may preserve motion of the shoulder girdle as well as respiratory function of the patient in the early postoperative period. However, surgeons tend not to perfer it because of limited surgical field from the vertical wound made on the lateral thoracic wall. The purpose of this study is to compare the surgical outcomes of PLT versus MVT. We retrospectively reviewed 29 patients(15 who had PLT and 14 who had MVT, organized into those two groups) who had undergone lung resection surgery in our institute. There were no clinical differences between the two groups in terms of operation time, estimated amount of blood loss during the operation, amount of chest drainage on the first and the second postoperative day, duration of chest tube placement, incidence and amount of transfusion, and postoperative complications. We conclude that, from our limited experience, MVT can be applied to lung resection surgery as safely as PLT and that it may have a beneficial role for the patient with compromised lung function in addition to cosmetic effect.
From March 1985 to June 1997, 451 patients of spontaneous pneumothorax treated at Kangbuk Samsung Hospital were reviewed retrospectively. Most of the patients were male (male to female ratio, 8.2:1). The mean age of the primary spontaneous pneumothorax (PSP) was 26.8 years, and that of secondary spontaneous pneumothorax(SSP) was 53.1 years. 330 out of 451 patients(73%) were PSP. The causes of the SSP were mostly pulmonary tuberculosis and COPD: 87 patients(72%), and 24 patients(19.2%), respectively. All the patient were treated by one of the following modalities: 1)rest and oxygen therapy in 42 patients, 2) closed thoracostomy in 208 patients, 3) thoracotomy in 156 patients, 4) VATS bullectomy in 45 patients. The mean duration of postoperative chest tube drainage was as following: thoracotomy 8.3 days, VATS bullectomy 4.7 days. For recent 3 consecutive years, VATS bullectomy has become the more frequently applied operative procedure than thoracotomy in the treatment of surgically indicated PSP, from 33% in 1994 to 78% in 1996. With the minimally invasive thoracoscopic surgery being more prevalent, VATS bullectomy will be able to be the 1st choice of treatment not only for the recurrent pneumothoracies but also for the some selected cases of the 1st episode pneumothoracies. To verify this approach as clinically acceptable one in terms of cost-effectiveness, recurrence rate, etc, a large scale of multi-institutional clinical study will be needed in a sooner time.
Population congestion and increasing porosity caused by urbanization and increasing rainfall intensity are the main reasons for urban inundation damage. In order to reduce the damage to urban flooding, it is necessary to take a inundation analysis model that can be considered the topographic impact (i.e., building and road) and simulate the detailed inundation areas. In this study, Grid based Inundation Analysis Model (GIAM) is developed using a two-dimensional shallow water equations. The study area is Gangnam basin, with a surface area of $7.4km^2$, which includes 5 drainage areas such as Nonhyun, Yeoksam, Seocho 1, 2, and 3. EPA SWMM5 is used for simulating the overflows at each manhole. GIAM model is constructed to allow for simulating a inundation area with 6 m grid size. The inundation analysis is conducted in two heavy rainfall events (Sep. 21, 2010 and July 27, 2011) for the model evaluation. The accuracy of the simulated inundation area is calculated 0.61 and 0.57 at POD index using the historical flooded area report. The developed model will be used as a tool for analyzing the flood prone areas based on rainfall scenario, and a tool for predicting the detailed inundation area in the real-time.
In this study, using the RCP scenario for Hyoja Drainage subbasin of Cheonggyecheon, we analyzed the change with the Historical and Future rainfall calculated from five GCMs models. As a result of analyzing the average rainfall by each GCMs model, the future rainfall increased by 35.30 to 208.65 mm from the historical rainfall. Future rainfall increased 1.73~16.84% than historical rainfall. In addition, the applicability of LID element technologies such as porous pavement, infiltration trench and green roof was analyzed using the SWMM model. And the applied weight and runoff for each LID element technology are analyzed. As a result of the analysis, although there was a difference for each GCMs model, the runoff increased by 2.58 to 28.78%. However, when single porous pavement and Infiltration trench were applied, Future rainfall decreased by 3.48% and 2.74%, 8.04% and 7.16% in INM-CM4 and MRI-CGCM3 models, respectively. Also, when the two types of LID element technologies were combined, the rainfall decreased by 2.74% and 2.89%, 7.16% and 7.31%, respectively. This is less than or similar to the historical rainfall runoff. As a result of applying the LID elemental technology, it was found that applying a green roof area of about 1/3 of the urban area is the most effective to secure the lag time of runoff. Moreover, when applying the LID method to the old downtown area, it is desirable to consider the priority order in the order of economic cost, maintenance, and cityscape.
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