• Title/Summary/Keyword: diversion rate

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Various Techniques of Stent-Assisted Coil Embolization of Wide-Necked or Fusiform Middle Cerebral Artery Aneurysms : Initial and Mid-Term Results

  • Won, Yu Sam;Rho, Myung Ho;Kim, Byung Moon;Park, Hee Jin;Kwag, Hyon Ju;Chung, Eun Chul
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.274-280
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    • 2013
  • Objective : To evaluate the feasibility and clinical and angiographic outcomes of stent-assisted embolization for complex middle cerebral artery (MCA) aneurysms. Methods : The records of 23 consecutive patients with 24 MCA aneurysms, who underwent stent-assisted embolization of the aneurysm, were retrospectively evaluated. Results : Fifteen aneurysms were treated with one stent and 8 were treated using more than two stents (5 a stent-within-a-stent, 1 triple stents, and two Y-stent). Angiographically, complete or near complete occlusion was achieved in 15 aneurysms (65.2%), residual neck in five (21.7%), and residual aneurysm in three (13.1%). Five aneurysms demonstrated thrombosis within the stent during the procedure and hospitalization, and were resolved by intraarterial and intravenous Tirofiban injection. Symptomatic thromboembolic complications were developed in five patients and permanent deficits demonstrated in two patients with modified Rankin Scale 1 and 2, respectively. Treatment-related permanent morbidity and mortality rates were 8.3% and 0% with relatively high complication rate. Angiographic follow-up was available in 17 aneurysms at 6-31 months (mean, 13.2 months) and showed stable or improved in 15 (88.2%) and major and minor recurrence in one, respectively. Conclusion : Complex MCA aneurysms could be treated by stent-assisted coiling and showed lower recanalization rate during mid-term follow-up by effective flow diversion due to various stent-assisted techniques. Our results warrant further study with a longer follow-up period in a larger sample.

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.

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.

Iatrogenic Injuries to the Urinary Tract after Abdominal Surgery: 6 cases (복강 수술 후의 의인성 요로계 손상: 6례)

  • Byeon Ye-Eun;Lim Ji-Hey;Lee Sun-Tae;Chae Ho-Cheol;Jung Joo-Hyun;Choi Min-Cheol;Yoon Jung-Hee;Kweon Oh-Kyeong;Kim Wan-Hee
    • Journal of Veterinary Clinics
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    • v.23 no.2
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    • pp.211-217
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    • 2006
  • Six patients (5 dogs, 1 cat) were referred with the complications of urinary tract injuries. Clinical signs were vomiting (4/6), oliguria (2/6) and anuria (3/6). Four females had been spayed, 1 male had cryptorchid orchiectomy and 1 male had been operated for removing calculi in the urethra. Both preoperative and intraoperative investigation were performed and they were confirmed as iatrogenic injuries in the urinary tract during surgery. Depending on the condition of the complications, urethral anastomosis, unilateral nephrectomy, ureteroneocystostomy, colonic urinary diversion, ureterourethral anastomosis, cystostomy and suture of the defect region were performed separately in individual cases. Postoperative observation revealed 50% (3 cases) survival rate of the patients.

Experimental Study on the Inflow and Outflow Structures of Hwasun Flood Control Reservoir (화순 홍수조절지의 유입유출 구조물에 대한 수리모형실험 연구)

  • Lee, Sang-Hwa;Jin, Kwang-Ho;Ryu, Jong-Hyun;Kim, Soo-Geun
    • Journal of Korea Water Resources Association
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    • v.45 no.7
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    • pp.675-684
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    • 2012
  • Recently, a heavy rainfall under climate change causes the flood exceeded river's conveyance. Flood control methods under the limited river width are the increase of embankment, the construction of storage pockets and diversion channel, the dredging of river bed. Hwasun flood control reservoir of washland is designed as the storage pockets and the regulating gate for the control of water level. In this study, the propriety of design was investigated through hydraulic experiments for the circumstances to exclude the constant flood discharge during operation period. In the results, the over flow rate of side weir exceeded the flow of design and indicated to be able to discharge the designed flow in the regulating gate opened 1.1 m. The high velocity 7.1 m/s behind the gate has investigated to reduce under 3.3 m/s by the baffle block.

Discrete element numerical simulation of dynamic strength characteristics of expanded polystyrene particles in lightweight soil

  • Wei Zhou;Tian-shun Hou;Yan Yang;Yu-xin Niu;Ya-sheng Luo;Cheng Yang
    • Geomechanics and Engineering
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    • v.34 no.5
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    • pp.577-595
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    • 2023
  • A dynamic triaxial discrete element numerical model of lightweight soil was established using the discrete element method to study the microscopic mechanism of expanded polystyrene (EPS) particles in the soil under cyclic loading. The microscopic parameters of the discrete element model of the lightweight soil were calibrated depending on the dynamic triaxial test hysteresis curves. Based on the calibration results, the effects of the EPS particles volume ratio and amplitude on the contact force, displacement field, and velocity field of the lightweight soil under different accumulated strains were studied. The results showed that the hysteresis curves of lightweight soil exhibit nonlinearity, hysteresis, and strain accumulation. The strain accumulated in remolded soil is mainly tensile strain, and that in lightweight soil is mainly compressive strain. As the volume ratio of EPS particles increased, the contact force first increased and then decreased, and the displacement and velocity of the particles increased accordingly. With an increase in amplitude, the dynamic stress of the particle system increased, and the accumulation rate of the dynamic strain of the samples also increased. At 5% compressive strain, the contact force of the particles changed significantly and the number of particles deflected in the direction of velocity also increased considerably. These results indicated that the cemented structure of the lightweight soil began to fail at a compressive strain of 5%. Thus, a compressive strain of 5% is more reasonable than the dynamic strength failure standard of lightweight soil.

Analysis of Demand-Supply Status for Improving the Effectiveness of Plans for Supply and Demand of Reginal Patient Beds (지역병상수급계획 실효성 제고를 위한 수요공급 현황 분석)

  • Jeong Min Yang;Jae Hyun Kim
    • Health Policy and Management
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    • v.33 no.4
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    • pp.411-420
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    • 2023
  • Background: The purpose of this study was to analyze the demand and supply status of patient beds by type of medical institution, categorized into 70 clinical privilege, in order to understand the regional bed supply situation. Methods: Utilizing the 70 clinical privilege defined by the Ministry of Health and Welfare, we calculated bed demand and supply quantities from 2019 to 2021 using data from Statistics Korea and the Health Insurance Statistical Yearbook. The bed demand calculation formula was based on the detailed guidelines for the medical sector by the Korea Development Institute and the 3rd edition of bed supply basic policies announced by the Ministry of Health and Welfare. Additionally, to mitigate distorted bed supply situations caused by factors such as regional levels and patient outflows, we classified bed supply types using the population decrease index indicator published by the Ministry of Public Administration and Security. Results: Among the 70 clinical privilege, it was analyzed that a relatively balanced bed supply situation exists overall, irrespective of the type of healthcare institution. However, in medical institutions at or above the level of hospitals, regions with bed supply ratios exceeding 20% compared to demand, particularly in institutions at or above the level of general hospitals, showed a relatively high rate of demand diversion. Conclusion: We have identified the bed supply types in the 70 clinical privilege in South Korea. Based on the results of this study, we emphasize the need for bed supply policies that consider regional characteristics. It is expected that this research can serve as fundamental data for future efforts aimed at managing or rectifying bed supply imbalances on a regional basis.

Prediction of Water Level at Downstream Site by Using Water Level Data at Upstream Gaging Station (상류 수위관측소 자료를 활용한 하류 지점 수위 예측)

  • Hong, Won Pyo;Song, Chang Geun
    • Journal of the Korean Society of Safety
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    • v.35 no.2
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    • pp.28-33
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    • 2020
  • Recently, the overseas construction market has been actively promoted for about 10 years, and overseas dam construction has been continuously performed. For the economic and safe construction of the dam, it is important to prepare the main dam construction plan considering the design frequency of the diversion tunnel and the cofferdam. In this respect, the prediction of river level during the rainy season is significant. Since most of the overseas dam construction sites are located in areas with poor infrastructure, the most efficient and economic method to predict the water level in dam construction is to use the upstream water level. In this study, a linear regression model, which is one of the simplest statistical methods, was proposed and examined to predict the downstream level from the upstream level. The Pyeongchang River basin, which has the characteristics of the upper stream (mountain stream), was selected as the target site and the observed water level in Pyeongchang and Panwoon gaging station were used. A regression equation was developed using the water level data set from August 22th to 27th, 2017, and its applicability was tested using the water level data set from August 28th to September 1st, 2018. The dependent variable was selected as the "level difference between two stations," and the independent variable was selected as "the level of water level in Pyeongchang station two hours ago" and the "water level change rate in Pyeongchang station (m/hr)". In addition, the accuracy of the developed equation was checked by using the regression statistics of Root Mean Square Error (RMSE), Adjusted Coefficient of Determination (ACD), and Nach Sutcliffe efficiency Coefficient (NSEC). As a result, the statistical value of the linear regression model was very high, so the downstream water level prediction using the upstream water level was examined in a highly reliable way. In addition, the results of the application of the water level change rate (m/hr) to the regression equation show that although the increase of the statistical value is not large, it is effective to reduce the water level error in the rapid level rise section. Accordingly, this is a significant advantage in estimating the evacuation water level during main dam construction to secure safety in construction site.

Ecosysteme de I′Etang de Berre (Mediterranee nord-occidentale) : Caracteres Generales Physiques, Chimiques et Biologiques

  • Kim, Ki-Tai
    • Korean Journal of Environmental Biology
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    • v.22 no.2
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    • pp.247-258
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    • 2004
  • Climatological, hydrological and planktonical research studies, measurements of primary production and photosynthetic efficiency from December 1976 to December 1978 have been carried out in two brackish lakes: Lake Etang de Berre and Lake Etang de Vaine located in the French Mediterranean coast, in the region of Carry-le-Rouet located on the north-west Mediterranean near Marseilles, and in fresh water inflows from 4 Rivers (Touloubre, Durance, Arc, Durancole) to Lake Etang de Berre. Physico-chemical parameters were measured for this study: water temperature, salinity, density, pH, alcalinity, dissolved oxygen (% saturation), phosphate, nitrate, nitrite, silicate etc. Diverse biological parameters were also studied: photosynthetic pigments, phaeopigments, specific composition and biomass of phytoplankton, primary pelagic production etc. Climatical factors were studied: air-temperature, solar-radiation, evaporation, direction (including strength) of winds, precipitation and freshwater volume of the four rivers. The changes in Lake ‘Etang de Berre’ ecosystem depend on the quality of the water in the Durance River, and on the effects of seawater near the entrance of the Caronte Canal. The water quality of the lake varies horizontally and vertically as a result of atmospheric phenomena, maritime currents and tides. The distribution of water temperatures is generally heterogeneous. Southeasterly winds and the Northeasterly Mistral wind are important in the origins of circulated and mixed water masses. These winds are both frequent and strong. They have, as a result, a great effect on the water environment of Lake Etang de Berre. In theory, the annual precipitation in this region is well over eight times the water mass of the lake. The water of the Durance River flows into Lake Etang de Berre through the EDF Canal, amounting to 90% of the precipitation. However, reduction of rainfall in dry seasons has a serious effect on the hydrological characteristics of the lake. The temperature in the winter is partially caused by the low temperature of fresh water, particularly that of the Durance River. The hydrological season of fresh and brackish water is about one month ahead of the hydrological season of sea water in its vicinity. The salinity of Lake Etang de Berre runs approximately 3$\textperthousand$, except at lower levels and near the entrance to the Caronte Canal. However, when the volume of the Durance River water is reduced in the summer and fall, the salinity rises to 15$\textperthousand$. In the lake, the ratio of fresh water to sea water is six to one (6:1). The large quantities of seston conveyed by rivers, particularly the Durance diversion, strongly reduce the transparency in the brackish waters. Although the amount of sunshine is also notable, transparency is slight because of the large amount of seston, carried chiefly by Tripton in the fresh water of the Durance River. Therefore, photosynthesis generally occurs only in the surface layer. The transparency progressively increases from freshwater to open seawater, as mineral particles sink to the bottom (about 1.7kg $m^{-2}a^{-1}$ on the average in brackish lakes). The concentration of dissolved oxygen and the rate of oxygen saturation in seawater (Carry-le-Rouet) ranged from 5.0 to 6.0 $m\ell$ㆍ.$1^{-1}$, and from 95 to 105%, respectively. The amount of dissolved oxygen in Etang de Berre oscillated between 2.9 and 268.3%. The monographs of phosphate, nitrate, nitrite and silicate were published as a part of a study on the ecology of phytoplankton in these environments. Horizontal and vertical distributions of these nutriments were studied in detail. The recent diversion of the Durance River into Lake Etang de Berre has effected a fundamental change in this formerly marine environment, which has had a great impact in its plankton populations. A total of 182 taxa were identified, including 111 Bacillariophyceae, 44 Chlorophyceae, and 15 Cyanophyceae. The most abundant species are small freshwater algae, mainly Chlorophyceae. The average density is about $10^{8}$ cells $1^{-1}$ in Lake Etang de Berre, and about double that amount in Lake Etang de Vaine. Differences in phytoplankton abundance and composition at the various stations or at various depths are slight. Cell biovolume V (equivalent to true biomass), plasma volume VP (‘useful’ biomass) and, simultaneously. the cell surface area S and S/V ratio through the measurement of cell dimensions were computed as the parameters of phytoplankton productivity and metabolism. Pigment concentrations are generally very high on account of phytoplankton blooms by Cyanophyceae, Chlorophyceae and Cryptophyceae. On the other hand, in freshwaters and marine waters, pigment concentrations are comparatively low and stable, showing slight annual variation. The variations of ATP concentration were closely related to those of chlorophyll a and phytoplankton blooms only in marine waters. The carbon uptake rates ranged between 38 and 1091 mg$Cm^{-2}d^{-1}$, with an average surface value of 256 mg; water-column carbon-uptake rates ranged between 240 and 2310 mg$Cm^{-2}d^{-1}$, with an average of 810, representing 290 mg$Cm^{-2}$, per year 45 000 tons per year of photosynthetized carbon for the whole lake. Gross photosynthetic production measured by the method of Ryther was studied over a 2-year period. The values obtained from marine water(Carry-le-Rouet) ranged from 23 to 2 337 mg$Cm^{-2}d^{-1}$, with a weighted average of 319, representing about 110 gCm$^{-2}$ per year. The values in brakish water (Etang de Berre) ranged from 14 to 1778 mg$Cm^{-2}d^{-1}$, with a weighted average of 682, representing 250 mg$Cm^{-2}$ per year and 38 400 tons per year of photosynthesized carbon for the whole lake.

Community Structure of Forest Vegetation in Mt. Geumsusan belong to Woraksan National Park (월악산국립공원 금수산 산림식생의 군집구조)

  • Kim, Ho-Jin;Shin, Jae-Kwon;Lee, Cheol-Ho;Yun, Chung-Weon
    • Korean Journal of Environment and Ecology
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    • v.31 no.2
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    • pp.202-219
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    • 2017
  • The purpose of this study was to analyze the community structure of forest vegetation in Mt. Geumsusan belong to Woraksan National Park for providing basic information of ecological management. Data were collected by 41 plots from June to November in 2016 using Z-M phytosociology method, which was analyzed with vegetation types, mean importance value and coincidence method. As the results, the forest vegetation was classified into Quercus mongolica community group including Cornus controversa community, Castanea crenata community(Vegetation unit 3), Quercus variabilis community(Vegetation unit 4) and Q. mongolica community(Vegetation unit 5). C. controversa community was divided into two groups such as Ulmus davidiana var. japonica group(Vegetation unit 1) and Parthenocissus tricuspidata group(Vegetation unit 2). Mean importance percentage of vegetation unit 1 was showing Fraxinus rhynchophylla 14.9%, Morus bombycis 8.7% and Acer pictum subsp. mono 8.3%, that of unit 2 was Larix kaempferi 23.2%, C. controversa 20.1% and P. tricuspidata 6.5%, that of unit 3 was Q. mongolica 15.8%, C. crenata 13.4% and F. rhynchophylla 9.8%, that of unit 4 was Q. mongolica 26.6%, Q. variabilis 20.8% and Pinus densiflora 16.7%, that of unit 5 was Q. mongolica 48.3%, Styrax obassia 7.5%, F. rhynchophylla 5.3% in the order, respectively. Each vegetation unit was classified with dependance on environmental factors as 700m of altitude, $20^{\circ}$ of slope degree, middle slope of topography, 20% of bare rock, 30 taxa of present species, 80% of tree layer coverage rate and 20m of tree layer height. In conclusion, it was preferentially considered that development of peculiar and specific management methods with vegetation unit classified above should be needed for ecological and sustainable forest vegetation management.