• The Korean Journal of Pain
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• v.2 no.1
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• pp.66-71
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• 1989

It has been standard practice in many institutions to use a combination of a light general anesthesia and an epidural block for lower abdominal and pelvic surgery. This combination of a balanced anesthesia can provide various benefits to the patient such as less bleeding in the surgical field, the use of a lower concentration of general anesthetics, less muscle relaxant, and post operative pain management. However, there are several problems associated with hemodynamics such as bradycardia and hypotension etc. In order to block the pain of the high surgical area with a lumbar epidural puncture postoperatively, a large volume of local anesthetic is required and consequently an extensive blockade of sympathetic, sensory and motor functions can occur causing motor weakness, numbness and postural hypotension. Therefore, the patient is unable to have early ambulation postoperatively. In this study, thoracic epidural catheterization was undertaken to locate the tip of the catheter exactly at the surgical level for upper abdominal surgery, and was followed by general anesthesia. Twenty-one patients scheduled for upper abdominal surgery were selected. Fifteen of them had hepatobiliary operations and the remaining 6 had gastrectomies. Thoracic epidural punctures were performed mostly at T9-T10 (57.1%) and T8-T9. Neuromuscular blocking agents were not used in half of the cases and the, mean doses of relaxant were $3.5{\pm}1.0mg$ in gastrectomies, and $2.7{\pm}0.9mg$ in cases of hepatobiliary operation. Epidural morphine was injected 1 hour before the end of the operation for postoperative pain control. Eight patients did not require additional analgesics and the mean dose of epidural morphine was $2.2{\pm}0.9mg$, and 13 cases were given 0.125% epidural bupivacaine when patients complained of pain. Their initial doses of epidural morphine were $1.9{\pm}0.4mg$ and the mean duration of bupivacaine was 6 hours 20 minutes${\pm}40$ minutes. In conclusion. thoracic epidural analgesia is valuable to reduce postoperative pain in patients with upper abdominal surgery, However, it is not easy to maintain this balanced anesthesia with high epidural analgesia-and light general anesthesia for upper abdominal surgery because of marked hemodynamic changes. Therefore, further practice will be required.

• Journal of the korean academy of Pediatric Dentistry
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• v.42 no.2
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• pp.188-196
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• 2015

Endodontic management of an immature permanent tooth with dens invaginatus poses a challenge to efficient treatment planning for the clinicians. Because it is difficult to shape, disinfect, and seal the canal space effectively, teeth with complex root canal structures often require particularly extensive and thorough treatment approaches. The purpose of this case report was to share clinical insight from the results of short-term follow-ups after regenerative endodontic treatment with a dens invaginatus. Two immature maxillary lateral incisors with Oehlers type I and III dens invaginatus and infected necrotic pulp were treated using regenerative endodontic procedures. For the type III dens invaginatus case, an unusual approach toward redesigning the complex internal structure was taken, in order to have sufficient infection control and sealing. Cone-beam computed tomography (CBCT) and a surgical operating microscope were used to aid visualization and treatment. As a result, regenerative endodontic treatment appears to be effective for managing immature permanent teeth with complex dens invaginatus, and can lead not only to clinical and radiographic resolution, but also increased thickness of the dentinal walls.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.40
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• pp.27.1-27.8
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• 2018

Purpose: Various complications occur when a maxillofacial fracture is malunionized or improperly resolved. Malocclusion is the most common complication, followed by facial deformity, temporomandibular joint disorder (TMD), and neurological symptoms. The purpose of this study was to evaluate the dental treatment of postoperative complications after maxillofacial fracture. Materials and methods: In this study, nine patients with a postoperative complication after maxillofacial fracture who had been performed the initial operation from other units and were referred to the authors' department had been included. Of the nine patients, six had mandibular fractures, one had maxillary fractures, one had maxillary and mandibular complex fractures, and one had multiple facial fractures. All the patients had tooth fractures, dislocations, displacements, and alveolar bone fractures at the time of trauma, but complications occurred because none of the patients underwent preoperative and postoperative dental treatment. Malocclusion and TMD are the most common complications, followed by dental problems (pulp necrosis, tooth extrusion, osteomyelitis, etc.) due to improper treatment of teeth and alveolar bone injuries. The patients were referred to the department of dentistry to undergo treatment for the complications. One of the nine patients underwent orthognathic surgery for a severe open bite. Another patient underwent bone reconstruction using an iliac bone graft and vestibuloplasty with extensive bone loss. The other patients, who complained of moderate occlusal abnormalities and TMDs such as mouth-opening limitation, underwent occlusal treatment by prosthodontic repair and temporomandibular joint treatment instead of surgery. Results: One patient who underwent orthognathic surgery had complete loss of open bite and TMD after surgery. One patient who underwent reconstruction using an iliac bone graft had a good healing process. Other patients were treated with splint, injection, and physical therapy for mouth-opening limitation and temporomandibular joint pain. After treatment, the TMDs were resolved, but the remaining occlusal abnormalities were resolved with prosthetic restoration. Conclusions: Considering the severity of malocclusion and TMJ symptom and the feasibillity of reoperation, nonsurgical methods such as orthodontic and prosthodontic treatments and splint therapy can be used to manage the dental and TMD complication after the trauma surgery. However, reoperation needs to be strongly considered for severe malocclusion and TMD problem.

• Journal of Environmental Science International
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• v.21 no.3
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• pp.289-296
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• 2012

The purpose of this study was to identify the irrigation intervals and the amount of suitable growing substrate needed to achieve the desired shallow-extensive green roof system during a dry summer in Korea. In terms of treatment, three types (SL, $P_6P_2L_2$, $P_4P_4L_2$) with varying soil mixture ratios and two types (15 cm, 25 cm) with varying soil depths were created. The results have been analyzed after measuring growth and soil water contents. The difference of growth by treatment was significant in terms of green coverage, height, leaf width and photosynthesis. In measurement of chlorophyll content, no difference was detected when measured against soil depth. According to the growth measurement of Zoysia japonica with respect to differing soil mixture ratios in the 15 cm-deep treatment, a statistical difference was detected at the 0.05 significance level in photosynthesis. In case of green coverage, height, chlorophyll content and leaf width, no statistical significance was observed. In case of the 25 cm-deep treatment, a statistical significance was observed in height and photosynthesis. In terms of green coverage, chlorophyll content and leaf width, no statistical significance was detected. In comparisons of soil moisture tension and soil water contents, the irrigation interval and amount were 8 days and 14.9 L in the SL (15 cm) treatment, respectively. The irrigation interval showed for 10 days a 1.3-fold increase, and the irrigation amount was 27.4 L 1.8-fold more than SL (25 cm), respectively. For $P_6P_2L_2$ (15 cm) treatment, the irrigation interval and amount were 12 days and 20.7 L, respectively. However, an irrigation interval under $P_6P_2L_2$ (25 cm) was for 15 days 1.3 times longer than $P_6P_2L_2$ (15 cm), and an irrigation amount of 40 L was 1.9 times more than that under $P_6P_2L_2$ (15 cm). In $P_4P_4L_2$ (15 cm) treatment, it was indicated that the irrigation interval was 15 days, and the irrigation amount was 19.2 L. It was not needed to irrigate for 16 days under $P_4P_4L_2$ (25 cm) treatment during the dry summer and the longest no-rain periods. The irrigation interval and amount under $P_4P_4L_2$ were 1.8-fold and 1.3-fold, respectively, more than SL treatment as affected by soil mixture ratio. Comparatively $P_4P_4L_2$ had more 1.3-fold and 0.9-fold in irrigation interval and amount more than $P_6P_2L_2$. Therefore, it can be noted that different soil depth and soil mixture ratios had a significant effect on the irrigation interval and amount.

• Journal of Environmental Policy
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• v.4 no.1
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• pp.1-19
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• 2005

On January 1, 2005, the Special Act on Metropolitan Air Quality Improvement, known as the Blue Sky 21 Program, entered into force. This Special Act is aimed at reducing the annual average concentrations of $PM_{10}$ and $NO_2$ to $40{\mu}g/m^3$ and 22ppb, respectively, from their current levels of $76{\mu}g/m^3$ and 36ppb, within the next 10 years. While the main focus of the Act is to reduce $PM_{10}$ and $NO_2$ emissions, the government also anticipates that these reductions would lessen high ozone occurrences and improve visibility. However, reducing local PM emissions would not decrease $PM_{10}$ concentrations as much as expected since other significant sources, such as continental inflow and/or secondary formation from photochemical reactions, exist. This is corroborated by the fact that $PM_{10}$ in the greater Seoul Metropolitan area during the ozone season is mostly in the form of $PM_{2.5}$, which is secondarily formed on a regional scale. Furthermore, many modeling results indicate so-called '$NO_x$ disbenefits,' referring to the fostering of an increase in ozone concentrations from a decrease in $NO_x$ emissions, over an extensive area. In this paper, the current status of air quality in the Seoul Metropolitan area is reviewed, and several other issues, including the effect of long-range transport, photochemical characteristics, and tasks for successful implementation of the Special Act are discussed.

• Journal of the Korean Institute of Landscape Architecture
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• v.45 no.6
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• pp.40-49
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• 2017

The purpose of the research is to analyze the recent cases of green space planning and planting design in Beijing, one of the cities having the worst particulate matters (PM) pollution. This study comprehensively reviewed Chinese academic literature addressing green space planning to reduce PM pollution. In addition, we conducted field observations and interviews with public officials from Beijing Municipal Bureau of Landscape Design in charge of planning and management of green spaces in Beijing. After the extensive review of literature we derived tree planting principles to mitigate the impact of PM from urban road system, residential area, and industrial district. Using the principles we evaluated the three recent cases of planting design to mitigate PM: Beijing Fuxing Road, Fu Run Residential Area and Beijing Beiqi Multipurpose Vehicle Factory. We conclude that green space planning and trees planting are not effective in mitigating negative impact of PM pollution because of inadequate selection of trees and inconsiderate planting composition. We proposed to replace the tree species with the ones capable of reducing the spread of PM, and reorganize planting compositions that consider the directions and characteristics of urban wind flow. This study suggests desirable types of tree species and planting compositions for road, residential and industrial districts, and we expect that it provides helpful guidelines for making planting design and species selection to mitigate the impact of PM in urban landscape.

• Journal of KIISE:Databases
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• v.30 no.5
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• pp.451-463
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• 2003

Recently, there have been various research efforts to develop strategies for accelerating OLAP operations on huge amounts of spatio-temporal data. Most of the work is based on multi-tree structures which consist of a single R-tree variant for spatial dimension and numerous B-trees for temporal dimension. The multi~tree based frameworks, however, are hardly applicable to spatio-temporal OLAP in practice, due mainly to high management cost and low query efficiency. To overcome the limitations of such multi-tree based frameworks, we propose a new approach called Hilbert Cube(H-Cube), which employs fractals in order to impose a total-order on cells. In addition, the H-Cube takes advantage of the traditional Prefix-sum approach to improve Query efficiency significantly. The H-Cube partitions an embedding space into a set of cells which are clustered on disk by Hilbert ordering, and then composes a cube by arranging the grid cells in a chronological order. The H-Cube refines cells adaptively to handle regional data skew, which may change its locations over time. The H-Cube is an adaptive, total-ordered and prefix-summed cube for spatio-temporal data warehouses. Our approach focuses on indexing dynamic point objects in static spatial dimensions. Through the extensive performance studies, we observed that The H-Cube consumed at most 20% of the space required by multi-tree based frameworks, and achieved higher query performance compared with multi-tree structures.

• Magazine of the Korean Society of Agricultural Engineers
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• v.21 no.2
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• pp.28-36
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• 1979

One of most important problems in the Monsoon Asia today is the production of rice paddy to meet the needs of the ever increasing population. Diversemeans are being employed to meet this demand, both by increasing productivity of existing farm land and by bringing further areas into cultivation. The primary step in either field is to ensure that there is sufficient moisture in the soil to suit the paddy, and at the same this means that excess moisture has to be drained off the land, while in others irrigat ion has to be employed to bring sufficient water to an area. In view of the fact that the project comprises a huge amount of earthwork, it can be carried out by extensive use of construction machinery in order to shorten the period. As farm ditch has a comparatively small section with shallow cutting depth, inaddition, there is lack of access road in the field, the excavation equipment with bulldozer or tracter-shovel (backhoe) type are not applicable because there are mostly adapted for the excavation of deep and wide section. Mini-backhoe with its bucket width not larger than 0. 3m, and width of blade not larger than 1. 00m seems to be more adaptable. About 80% of excavation of ditch section will be done by the machinery while the other 20% of excavation together with the finishing of the section are supposed to be done by man-power. The embankment of ditch section can be compacted by the crawler of backhoe when it is moving along the ditch for excavation. However, Lowland paddy field in the Monsoon Asia are made particulary in rain season, therefore, heavy machinery is not easy excavation for ditch. It is very important to know exact ground support power of the working site and select machines with corresponding ground pressure. Ground support power is variable subject to quality and water content of soil and therefore selection of machines should be made duly considering ground condition of the site at the time of construction works. Farm ditches dug and compacted by mannual labar are of poor quality and subject to destruction after one or two years of operation. On the other hand, excavation and compaction by bulldozer is not practical for ditches. Backboe is suitable for slope land, but this is required cycle time of bucket excavation and dumped out. If a small-scale farm ditch trencher adaptable to lowland paddy field is invented, such a machine could greatly accelerate the massive construction work envisaged in many countries and thus significantly speed up the most difficult part of irrigation development and management in Monsoon Asia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.3
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• pp.896-905
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• 2010

The sensor networks can be used attractively for various application areas. Time synchronization is important for any Ubiquitous Sensor Networks (USN) systems. USN makes extensive use of synchronized time in many contexts for data fusion. However existing time synchronization protocols are available only for homogeneous sensor nodes of USN. It needs to be extended or redesigned in order to apply to the USN with heterogeneous sensor nodes. Because heterogeneous sensor nodes have different clock sources with the SinkNode of USN, it is impossible to be synchronized global time. In addition, energy efficiency is one of the most significant factors to influence the design of sensor networks, as sensor nodes are limited in power, computational capacity, and memory. In this paper, we propose specific time synchronization based on master-slave topology for the global time synchronization of USN with heterogeneous sensor nodes. The time synchronization master nodes are always able to be synchronized with the SinkNode. Then time synchronization master nodes enable time synchronization slave nodes to be synchronized sleep periods. The proposed master-slave time synchronization for heterogeneous sensor nodes of USN is also helpful for power saving by maintaining maximum sleep time.

• Journal of Korean Society of Transportation
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• v.19 no.1
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• pp.29-52
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• 2001

The purpose of this paper is to pursue a case study of urban land use and transportation linkage policies based on a British city of Cardiff, Wales. To this end, the paper combines a review and synthesis of available land use and transportation planning sources, and a series of interviews with planners and a extensive survey of planning policy documents to assess the effectiveness of policy instruments in the city context. Considerable emphasis is placed on the analysis of the British land use and transportation planning in terms of the Policy guidance notes 11, 12 and 13 as well as the local transport policy guidance. The paper highlights the fact that the Cardiff unitary development plan and the local transport plan form a policy framework of integrating land use and transportation planning process, employing travel demand management schemes and implementing the various strategy components on the overall aim of achieving and maintaining a sustainable city.