• Title/Summary/Keyword: diversion

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Operative Correction of Total Left Anomalous Pulmonary Venous Return - A Report of one case - (좌측 총폐정맥 환류이상의 수술 교정 - 1례 보고 -)

  • 류한영
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.962-967
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    • 1990
  • The anomalous pulmonary venous return of the entire left lung was an extremely rare congenital anomaly. The reported surgical experience with correction of this disorder was limited. The 3-year-old female patient underwent an operation upon the unilateral total anomalous pulmonary venous return from the left lung, in which the left superior pulmonary vein drained into innominate vein and the left inferior pulmonary vein into the coronary sinus, in Yeungnam University Hospital. The symptoms were nonspecific except frequent upper respiratory infection. Cyanosis was not seen. On auscultatory findings, a grade 2/6 systolic ejection murmur was audible over left second intercostal space of left sternal border and second heart sound had an increased pulmonary component which was widely splitted. The electrocardiogram demonstrated a right ventricular hypertrophy and right axis deviation and chest X-ray showed slightly increased pulmonary vascularity and bulged pulmonary conus. The echocardiogram demonstrated increased right atrial, ventricular, and pulmonary arterial dimension, and also secundum atrial septal defect and enlarged coronary sinus. The cardiac catheterization confirmed the left-to-right with a Qp/Qs of 2.0: 1 and oxygen step-up was seen in pulmonary artery, right ventricle, right atrium, and left innominate vein, and the catheter was not been introduced into the left pulmonary vein. A median sternotomy incision was done. Left superior pulmonary vein was drained to the innominate vein through anomalous vertical vein and the left inferior pulmonary vein drained to right atrium through the coronary sinus. The diversion of the left inferior pulmonary vein to posterior wall of left atrium was done after division in the proximity of coronary sinus. The anomalous vertical vein was diverted to base of left atrial auricle and then a atrial septal defect was sutured directly. The postoperative course was uneventful and she was discharged on the eleventh postoperative day. In the postoperative follow-up-2 months, she has been well without specific problems.

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Conjunctive Management Considering Stream-Aquifer Systems for Drought Season (지표수 지하수 연계운영에 의한 갈수기 지표수-수자원관리)

  • Cha, Kee-Uk;Kim, Woo-Gu;Shin, Young-Rho
    • Proceedings of the Korea Water Resources Association Conference
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    • 2008.05a
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    • pp.389-394
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    • 2008
  • The purpose of this research was to develop a methodology to determine whether conjunctive surface water and groundwater management could significantly reduce deficits in a river basin with a relatively limited alluvial aquifer. The Geum River basin is one of major river basins in South Korea. The upper region of the Geum River basin is typical of many river basins in Korea where the shape of river basin is narrow with small alluvial aquifer depths from 10m to 20m and where most of the groundwater pumped comes quickly from the steamflow. The basin has two surface reservoirs, Daecheong and Yongdam. The most recent reservoir, Yongdam, provides water to a trans-basin diversion, and therefore reduces the water resources available in the Geum River basin. After the completion of Yongdam reservoir, the reduced water supply in the Geum basin resulted in increasing conflicts between downstream water needs and required instream flows, particularly during the low flow season. Historically, the operation of groundwater pumping has had limited control and is administered separately from surface water diversions. Given the limited size of the alluvial aquifer, it is apparent that groundwater pumping is essentially taking its water from the stream. Therefore, the operation of the surface water withdrawals and groundwater pumping must be considered together. The major component of the conjunction water management in this study is a goal-programmin g based optimization model that simultaneously considers surface water withdrawals, groundwater pumping and instream flow requirements. A 10-day time step is used in the model. The interactions between groundwater pumping and the stream are handled through the use of response and lag coefficients. The impacts of pumping on streamflow are considered for multiple time periods. The model is formulated as a linear goal-programming problem that is solved with the commercial LINGO optimization software package.

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Dimensions of Experiential Value: Is it the same across Retail Channels?

  • Jin, Byoung-Ho;Lee, Yong-Ki;Kwon, Soon-Hong
    • Journal of Global Scholars of Marketing Science
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    • v.17 no.4
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    • pp.223-245
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    • 2007
  • Purpose: While empirical importance of dimensionality of perceived value is widely accepted, our understanding of experiential value dimensions in other retail channels and other cultures has not been explicitly tested. This study attempted to determine if the dimensions of experiential value scale (EVS) by Mathwick, Malhotra, and Rigdon (2001) identified in US catalog and Internet contexts could be applied in other international markets (South Korea) and in other retail channels (department store versus Internet shopping mall). Methodology/Approach: Two data sets, one from 220 department store shoppers and the other from 359 Internet shopping mall shoppers, were analyzed. Findings: Confirmatory factor analysis confirmed four different EVS dimensions by retail channels. Overall, entertainment and intrinsic enjoyment values were found to be more important in department store while economic and efficiency value dimensions were interpreted critical in Internet shopping mall context. Visual appeal aspect constitutes distinct value dimension in two channels. Practical Implications: One separate dimension of time efficiency in Internet shopping mall suggests that more efficient web design and functions that can save time and promote convenience are needed to better accommodate their customers. Internet has heavily relied on traditional attributes, such as factual information, price comparability, and brand name reliance. However, this study suggests that Internet shopping mall retailer should offer visual diversion and stimulation just as brick and mortar shopping malls do. Originality /Value of Paper: Although the research findings must be viewed as tentative because the results are from one country, they provide a rich basis for further understanding the dimensions of experiential value in other international markets and other retail channels. Category: Research Paper

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A Study on Degree of Importance in Nursing Activities for the Quality of Nursing (질적간호 제공을 위한 간호업무 중요도에 관한 조사연구)

  • 홍춘실;김종임
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.19-27
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    • 1984
  • This study was carried out for the purpose of investigating the degree of importance in nursing activities for the quality of nursing, and was conducted with 72 nurses and 69 patients in Chungnam National University Hospital from January to April, 1984. The results are as follows; 1. The mean importants score in physical care activities of the patients (2.58) is higher than that of the nurses (2.48). There is not significant difference for the mean important score in physical care activities between the patients and nurses (t=0.637, df=139, p>0.05). 2. The mean important score in psychological aspects of activities of the patients (2.94) is higher than that of the nurses (2.44). There is a significant difference for the mean important score in psychological aspects of activities between the patients and nurses (t=2.338, df= 139, p<0.05). 3. The mean important score in observation, recording and implementing medical care activities of the nurses (2.98) is higher than that of the patients (2.79) There is not significant difference for the mean important score in observation, recording and Implementing medical care activities between the patients and nurses (t=1.329, df=139, p> 0.05) 4. The mean important score in nursing management activities of the nurses (2.63) is higher than that of the patients (2.57). There is not significant difference for the mean important score in nursing management activities between the patients and nurses (t=1.329, df=139, p>0.05). 5. A number of items in nursing activities considered most important by nurses (Mean important score of 3.0 or above) were 12 items. The most importants item was“shift and exchange of information concerning patient”. 6. A number of items in nursing activities considered most important by patients (mean important score of 3.0 or above) were 14 items. The most important item was“Explain about diagnostic test ahead of time”. 7. A number of items in nursing activities considered least important by nurses and patients(Mean important score less than 1.9) were 5 items and 2 items, respectively. The least important item by nurses was“plan some diversion or recreation for patient”, and the least important item by patients was“Give a bed shampoo”.

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Management Strategies to Conserve Soil and Water Qualities in the Sloping Uplands in Korea (한국의 경사지 밭의 토양 및 물의 보전 관리 전략)

  • Yang, Jae-E.;Ryu, Jin-Hee;Kim, Si-Joo;Chung, Doug-Young
    • Korean Journal of Agricultural Science
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    • v.37 no.3
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    • pp.435-449
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    • 2010
  • Soils in the sloping uplands in Korea are subject to intensive land use with high input of agrochemicals and are vulnerable to soil erosion. Development of the environmentally sound land management strategy is essential for a sustainable production system in the sloping upland. This report addresses the status of upland agriculture and the best management practices for the uplands toward the sustainable agriculture. More than 60% of Korean lands are forest and only 21% are cultivating paddy and upland. Uplands are about 7% of the total lands and about 62% of the uplands are in the slopes higher than 7%. Due to the site-specificity of the upland, many managerial and environmental problems are occurring, such as severe erosion, shallow surface soils with rocky fragments, and loadings of non-point source (NPS) contaminants into the watershed. Based on the field trials, most of the sloping uplands were classified as Suitability Class III-V and the major limiting factor was slope and rock fragments. Due to this, soils were over-applied with N fertilizer, even though N rate was the recommendation. This resulted in decreases in yield, degradation of soil quality and increases in N loading to the leachate. Various case studies drew management practices toward sustainable production systems. The suggested BMP on the managerial, vegetative, and structural options were to practice buffer strips along the edges of fields and streams, winter cover crop, contour and mulching farming, detention weir, diversion drains, grassed waterway, and slope arrangement. With these options, conservation effects such as reductions in raindrop impact, flow velocity, runoff and sediment loss, and rill and gully erosion were observed. The proper management practice is a key element of the conservation of the soil and water in the sloping upland.

Literature Review on the Stress Management Programs throughout Life - span: By foreign research for 1993-1996 (생애주기에 따른 스트레스 관리 프로그램에 대한 고찰 -1993년부터 1996년까지의 외국문헌을 중심으로-)

  • Yun, Soon-Nyoung;Choi, Jeang-Sook;Lee, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.178-196
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    • 1997
  • The purpose of this study is to identify the kind, the frequency, and the type of Stress Management Program(SMPs) throughout life-span used foreign, recent research. The period of this study was from July 1 to Dec. 10, 1997. The data were collected through Medline using two concepts: stress management programs and life-span. The number of these research were 106 and thirty-one experimental researches that were tested the effectiveness of SMPs throughout life span were selected. The data were analysed by the kind, frequency, and life-span. The results were as follows: 1. The kind and frequency of SMP : The total number of the kind of SMP were twenty-two. The most used SMP was relaxation therapy, 22 out of 31. The second biofeedback was 10, the third, cognitive behavior program was 9, the fourth, nutrition and diet, and education were 7. The others were coping skill(4), cognitive therapy(4), breathing(4), imagery(3), autogenic training(3), sleep and rest(2), meditation(2), information(2), desensitization(2), hypnosis(2), behavior therapy(1), time management (1), visualization(I), yoga(I), diversion(1), and problem solving skill. 2. Throughout life-span: Most SMPs were applied to adolescents, young adults, and middle-adults. Other subjects could not be found under the schooler. 3. The type of SMPs : 28(90.3%) out of 31 research used combined-SMP : two-combined SMP, 5: three-combined SMP, twelve: four-combined SMP, seven: five-combined SMP. 4. Afterward, further study such as meta-analysis are needed in order to identify effective ness of the SMPs.

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Differences in psychological effects of nail-care service according to consumer's self-esteem (소비자의 자아존중감에 따른 네일 서비스의 심리적 효과의 차이)

  • Seo, Kyung Ja;Kim, Mi Young
    • The Research Journal of the Costume Culture
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    • v.26 no.4
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    • pp.519-530
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    • 2018
  • Nail-care services are growing rapidly. If causes for the increase in nail-care service consumption is diversion or self-satisfaction, we can speculate that consumers perform self-care through nail-care services. Nail-care-service consumption should be allowed to increase because of the positive psychological effects such as improving mood or alleviating depressed emotions. Moreover, the psychological effects of nail-care services differ according to consumers' tendencies. Therefore, this study divides the types of consumers, to investigate whether there is a difference in the psychological effects of nail-care services depending on the types. This study used the questionnaire survey method. Results of the study revealed that the sub-factors of self-esteem, extracted as two factors, were "personal self-esteem" and "social self-esteem". Consumers were classified according to the sub-factors of self-esteem into four groups. There were differences in the psychological effects of nail-care services according to these four groups. It was found that all groups had psychological effects above the average value. This result indicates that only the degrees of psychological effects differ in accordance with the types of self-esteem, and that psychological effects generally play a large role in all types. Since psychological effects were positive for everyone regardless of their self-esteem, utilizing nail-care services considerably reduces the depression and anxiety of modern people. Nail-care services expected to become the basis of the nail therapy field.

The Development of Traffic Accident Severity Evaluation Models for Elderly Drivers (고령운전자 교통안전성 평가모형 개발)

  • Kim, Tae-Ho;Lee, Ki-Young;Choi, Yoon-Hwan;Park, Je-Jin
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.8 no.2
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    • pp.118-127
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    • 2009
  • This study tries to develop model in order to assess personal factors of senior traffic accidents that are widely recognized as one of the social problems. For the current practice. it gathers data (Simulation & Questionnaire Survey) of KOTSA and conducts Poisson and Negative Binomial Regression Analysis to develop traffic accident severity model. The results show that elderly drivers' accidents are mainly affected by attentiveness selection, velocity prediction ability and attentiveness distribution ability in a positive(+) way. Second, non-senior drivers' accidents are also positively(+) influenced by attentiveness selection, velocity prediction, distance perception, attentiveness distribution ability and attentiveness diversion ability. Therefore, influencing factors of senior and non-senior drivers to vehicle accidents are different. This eventually poses a indication that preliminary education for car accident prevention should be implemented based up[n the distinction between senior drivers and non-senior drivers.

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Management Measures for the Control of Agricultural Reservoirs in Han River Watershed (한강수계 농업용저수지 관리방안)

  • Kim, Ho-Sub;Kong, Dong-Soo;Jung, Dong-Il;Hwang, Soon-Jin
    • Journal of Korean Society on Water Environment
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    • v.25 no.3
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    • pp.386-393
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    • 2009
  • This study was carried out to assess water quality and to introduce the management measures for water quality improvement with the collected data from 87 agricultural reservoirs in Han river watershed. According to the water quality criteria (WQC) for lake based on the COD, TP, TN and chl.a concentration, 18, 16, 4 and 19 of 87 reservoirs exceed class IV, respectively. Based on the trophic state index (TSI) with chl.a concentration, 51 of selected reservoirs appeared to be eutrophic. Phosphorus was limiting nutrient on algal growth in 58 reservoirs. TP, chl.a and COD concentration in 23 of 49 agricultural reservoirs with chl.a concentration ${\geq}25{\mu}g/L$ and eutrophic exceed class IV by WQC. Also, the mean depth in 21 of 23 reservoirs was below 5m. Our results suggest that advanced wastewater treatment and crop land control in watershed of reservoirs with TP concentration ${\geq}0.1mg/L$ would be a effective tool to improve water quality. Dredging would to be effective measure in reservoirs with mean depth < 5 m and relatively old age. In reservoirs with chl.a concentration ${\geq}50{\mu}g/L$, application of technique such dissolved air flotation (DAF) and P inactivation be effective to improve water quality by removing particulate matters in water column. The management measure to control inflow such as sedimentation basin, Pre-dam and diversion would to be application in reservoirs with shallow depth, while large watershed and surface area.

Urinothorax following Blunt Renal Trauma -One case report - (신장의 둔상에 의한 요흉 - 1예 보고-)

  • Kim Dae Hyun;Youn Hyo Chul;Yi In Ho;Kim Soo-Cheol;Cho Kyu Seok;Park Joo Chul;Kim Bum Shik
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.803-805
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    • 2005
  • Urinothorax occurs when urine leakes into thoracic cavity and it was first reported by Correie in 1968. The mechanism of its occurrence is an accumulation of urine in thoracic cavity by retroperitoneal urinoma formed by urinary tract obstruction or trauma. Retroperitoneal inflammation, malignant neoplasm, kidney transplantation, and kidney biopsy can also induce urinothorax. The diagnosis of urinothorax may be delayed due to its rare incidence rate, but if diagnosis is confirmed the treatment is possible by urinary diversion. We report our experience of a case of urinothorax associated with retroperitoneal urinoma followed by blunt renal trauma with review of literatures.