• Title/Summary/Keyword: drainage method

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THE HEALING OF MANDIBULAR FRACTURE WITHOUT INTERMAXILLARY FIXATION IN A LONG-TERM DISABLED BED PATIENT: REPORT OF A CASE (장기간 침대요양 장애환자에서 악간고정술 없이 치유된 하악 골절: 증례보고)

  • Yoo, Jae-Ha;Choi, Byung-Ho;Lee, Chun-Ui;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.38-43
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    • 2011
  • Treatment of the mandibular fracture consists of reduction and fixation. Primary wire & Arch bar are perhaps the ideal method for intermaxillary fixation. But, daily feeding, swallowing, speech, and in some instances, respiration is difficult to maintain during the period of intermaxillary fixation, owing to muscle weakness, emotional disorder and poor oral hygiene in a position of the long-term bed disabled patient with multiple injuries. Therefore, Intermaxillary fixation is not applied in the disabled bed patient, the alternative methods must be obtained. In the case of the mandibular fracture, because of the absence of weight bearing, osseous union may eventually occur even without immobilization if the patient is maintained without wound infection on a controlled soft diet. For the purpose of the prevention of the wound infection, the establishment of an drainage on the oral lacerated wound is necessary for the removal of the hematoma & seroma in the fracture site. This is the report of a case that was managed conservatively without the intermaxillary fixation in the long-term disabled bed patient with a mandibular compound fracture.

Influence of Progressive Consolidation on Consolidation Behavior of Normally Consolidated Clayey Soil with Vertical Drains (연직배수재가 설치된 정규압밀 점성토 지반의 점진적 압밀이 차후 압밀거동에 미치는 영향)

  • Yune Chan-Young;Chung Choong-Ki
    • Journal of the Korean Geotechnical Society
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    • v.21 no.6
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    • pp.5-18
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    • 2005
  • In this study, the influence of progressive consolidation from the drainage boundary on the subsequent process of consolidation was investigated. Analytical theory and numerical program f3r consolidation of clayey soil were developed based on finite difference method, in which spatial variation of permeability and volume compressibility were implemented. And model ground with normally consolidated clayey soils and a vertical drain at its center were simulated. Various types of soils with different relations between coefficient of volume compressibility and permeability and void ratio were applied. Also numerical simulations based on the properties of the normally consolidated clay at Nakdong River basin and reconstituted kaolinite soil were performed to recognize its practical impact. Consequently, it is found out that retardation of consolidation induced by progressive consolidation is very important to understand consolidation behavior on field conditions and its effect is remarkable at the initial state of consolidation, and increases with plasticity index and applied load.

Pulmonary Lobectomy Combined with Pulmonary Arterioplasty by Complete Video-assisted Thoracic Surgery in Patients with Lung Cancer

  • Yu, Da-Ping;Han, Yi;Zhao, Qiu-Yue;Liu, Zhi-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6061-6064
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    • 2013
  • Objective: To explore the feasibility of pulmonary lobectomy combined with pulmonary arterioplasty by complete video-assisted thoracic surgery (VATS) in patients with lung cancer, and summarize its surgical methods. Materials and Methods: Twenty-one patients with lung cancer in Beijing Chest Hospital Affiliated to Capital Medical University from Feb., 2010 to Jun., 2013 were selected, males and females accounting for 15 and 6 cases, respectively. Ten underwent right upper lobectomy, 5 right lower lobectomy, 4 left upper lobectomy (in which left upper sleeve lobectomy was conducted for 2) and 2 left lower lobectomy. At the same time, local resection of pulmonary arterioplasty was performed for 12 patients, and sleeve resection of pulmonary arterioplasty for 9. Results: Twenty-one patients recovered well after surgery. Thoracic drainage tube was maintained for 3-8 days, with an average of 4.9 days, and hospital stays were 8-15 days, with an average of 11 days. There were no deaths in the perioperative period, and the complications like pulmonary embolism, bronchopleural fistula, chest infection and pulmonary atelectasis did not occur after surgery. Conclusions: Performance of pulmonary lobectomy and pulmonary arterioplasty together by complete VATS is a safe and effective surgical method, which can expand the indications of patients with lung cancer undergoing thoracoscopic pulmonary lobectomy, and make more patients profit from such minimally invasive treatment.

A Study on Improvement of Distribution Facility in Wholesale Agricultural Products Market

  • Gal, Won-Mo;Kwon, Ki-Tae;Lee, Woo-Sik;Choi, Eun-Mee;Kwon, Lee-Seung;Seong, Seung-Hwan;Kwon, Woo-Taeg
    • Journal of Distribution Science
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    • v.16 no.2
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    • pp.53-65
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    • 2018
  • Purpose - The purpose of this study is to investigate the effect of gamma - irradiation on the effluent from food distribution in the large agricultural and marine products market. This study will contribute to the distribution process as well as the agricultural and fishery distribution facilities. Research design, data, and methodology - In order to reduce the odor, the smell was examined in the anaerobic digestion process by irradiating gamma rays to the wastewater of mixed food discharged from a large restaurant. An odor determination panel list was constructed to determine if the odor was present in the air dilution drainage and the odor concentration was analyzed by instrumental analysis. Results - It was confirmed that the sulfur content increased gradually from 3 months. Ammonia decreased from 33.57ppm at the initial measurement to 4.12 ppm at the end of the experiment. Methane production was highest at 100kGy when exposed to gamma rays of 0-200kGy at pH 12. In other words, it is considered that gamma irradiation doses are most effective at 100kGy and are suitable for large capacity wastewater treatment facilities in terms of economic feasibility. Conclusions - In pre-treatment of compound food wastewater, gamma irradiation is most cost effective when examined at 100kGy. The economic efficiency of the pre-treatment method by gamma irradiation is much higher than the wastewater treatment in the large-scale agricultural and marine products distribution market.

Hydraulic & Hydrologic Design Criteria for an Emergency Drainage of Reservoir (II) (댐 비상방류 설계기준 선정을 위한 수리수문학적 검토(II))

  • Yi, Jaeeung;Son, Kwangik;Kang, Min Suk
    • Journal of Korea Water Resources Association
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    • v.48 no.3
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    • pp.159-167
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    • 2015
  • Low-level outlets are necessary to empty reservoir storage in case of emergency such as abrupt storage level rise due to storm, dam body inspection as well as initial reservoir storage filling. However, the Korean standard for low-level outlet should be complemented. In this study, the HEC-ResSim model is utilized to simulate and calculate the capacity of the outlets and the days of release in order to evacuate reservoir storage safely. Three cases are analyzed according to its capacity. As a large dam with more than $1,000{\times}106m^3$ total capacity, Soyanggang Dam is selected and as a medium dam between $100{\times}106m^3$ and $1,000{\times}106m^3$ total capacity, Habcheon Dam is selected. Finally as a small dam with a total capacity less than $100{\times}106m^3$, Daegok Dam is selected. The size of low-level outlet and days of storage evacuation is estimated and the applicability of the analysis method is studied.

Flood Damage Assessment According to the Scenarios Coupled with GIS Data (GIS 자료와 연계한 시나리오별 홍수피해액 분석)

  • Lee, Geun-Sang;Park, Jin-Hyeg
    • Journal of Korean Society for Geospatial Information Science
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    • v.19 no.4
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    • pp.71-80
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    • 2011
  • A simple and an improved methods for the assessment of flood damage were used in previous studies, and the Multi-Dimensional Flood Damage Assessment (MD-FDA) has been applied since 2004 in Korea. This study evaluated flood damage of dam downstream using considering MD-FDA method based on GIS data. Firstly, flood water level with FLDWAV (Flood Wave routing) model was input into cross section layer based on enforcement drainage algorithm, water depth grid data were created through spatial calculation with DEM data. The value of asset of building and agricultural land according to local government was evaluated using building layer from digital map and agricultural land map from landcover map. Also, itemized flood damage was calculated by unit price to building shape, evaluated value of housewares to urban type, unit cost to crop, tangible and inventory asset of company connected with building, agricultural land, flooding depth layer. Flood damage in rainfall frequency of 200 year showed 1.19, 1.30 and 1.96 times to flood damage in rainfall frequency of 100 year, 50 year and 10 year respectively by flood damage analysis.

Comparative Evaluation between Administrative and Watershed Boundary in Carbon Sequestration Monitoring - Towards UN-REDD for Mt. Geum-gang of North Korea - (탄소 저장량 감시에서 배수구역과 행정구역의 비교 평가 - 금강산에 대한 UN-REDD 대응 차원에서 -)

  • Kim, Jun-Woo;Um, Jung-Sup
    • Journal of Environmental Impact Assessment
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    • v.22 no.5
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    • pp.439-454
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    • 2013
  • UN-REDD (United Nations programme on Reducing Emissions from Deforestation and forest Degradation) is currently being emerged as one of important mechanism to reduce carbon dioxide in relation to the deforestation. Although administrative boundary has already gained world-wide recognition as a typical method of monitoring unit in the process of GHG (Greenhouse Gas) reduction project, this approach did not provide a realistic evidence in the carbon sequestering monitoring in terms of UN-REDD; the meaningful comparison of land use patterns among watershed boundaries, interpretation for distribution trends of carbon density, calculation of opportunity cost, leakage management, etc. This research proposes a comparative evaluation framework in a more objective and quantitative way for carbon sequestering monitoring between administrative and watershed boundary approaches. Mt. Geumgang of North Korea was selected as a survey objective and an exhaustive and realistic comparison of carbon sequestration between the two approaches was conducted, based on change detection using TM satellite images. It was possible for drainage boundary approach to identify more detailed area-wide patterns of carbon distribution than traditional administrative one, such as estimations of state and trends, including historical trends, of land use / land cover and carbon density in the Mt. Geumgang. The distinctive changing trends in terms of carbon sequestration were specifically identified over the watershed boundary from 4.0% to 34.8% while less than 1% difference was observed in the administrative boundaries, which were resulting in almost 21-22%. It is anticipated that this research output could be used as a valuable reference to support more scientific and objective decision-making in introducing watershed boundary as carbon sequestering monitoring unit.

Synthesis of modified polyacrylamides and their applications for the retention system of papermaking (변성 폴리아크릴 아미드의 합성 및 제지공정의 보류시스템에 응용)

  • Son, Dong-Jin;Yoon, Ji-Hyun;Choi, Eun-Jeong;Kim, Bong-Yong
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2009.04a
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    • pp.23-28
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    • 2009
  • The purpose of this study was to improve not only wet-end performances but also paper characteristics by the modification of various factors like molecular design and ionic characteristics of polyacrylamides First of all physical characteristics were observed after modify molecular design of the cationic polyacrylamides to linear, branched and cross-linked. In addition it was found analysis method to confirm branch degree of cationic polyacrylamides to combine ionic titration characteristics and spectroscopic behavior, After application of these structure modified polyacrylamides to the multiple retention systems with inorganic microparticles, it was found adjusting of branch degree of polyacrylamides was very important to optimize wet-end improvement. Second, After polymerization of amphoteric polyacrylamide to have both of cationic and anionic functional group in the polymer, we observed not only physical characteristics but also wet-end improvement to apply recycled pulp and found that the improvement of solution stability to prevent hydrolysis and increase of ash retention dramatically to compare traditional cationic polyacrylamide retention aid, Finally, After polymerization of anionic polyacrylamide, we observed not only wet-end improvement but also paper characteristics to apply preflocculation of PCC and it was found the improvements of flocculation efficiency, retention, ash retention, optical properties of the paper and bursting strength to compare traditional preflocculant of cationic polyacrylamide.

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Surgical management ofuniventricular heart (단일심실증의 수술요법)

  • No, Jun-Ryang;Kim, Eung-Jung
    • Journal of Chest Surgery
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    • v.19 no.4
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    • pp.618-626
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    • 1986
  • Univentricular heart is a rare congenital cardiac anomaly in which the atrial chambers are connected to only one ventricular chamber and it consists of a diverse group of cardiac malformation characterized by both AV valves or a common AV valve opening into the same ventricle, or the presence of only a solitary AV valve. In spite of recent development in cardiac surgery, corrective operations for univentricular heart still have high mortality and complication rate. Twenty eight patients underwent corrective operation for univentricular heart at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital from February 1979 to July 1986. Of the 28 patients, 7 patients were operated on by ventricular septation and 21 patients by modified Fontan operation. Of the 28 patients, 19 patients were male and 9 patients female and ages ranged from 5 months to 18 years old with the average age of 7.3 years. There were 2 mortalities in 7 patients operated on by septation with the mortality rate of 28.6% and 5 complications, 3 complete AV block, 1 low cardiac output and 1 arrhythmia. All survived patients are being followed up without specific problem till now. There were 10 mortalities in 21 patients operated on by modified Fontan operation with the mortality rate of 47.6% and 10 complications, 2 low cardiac output, 2 respiratory failure necessitating tracheostomy, 2 persistent cyanosis, 2 arrhythmia, 1 missing of left AV valve in situs inversus patient due to misdiagnosis and one rupture of closed right AV valve. Incremental risk factors for operative mortality are young age less than 5 years old, anomalous pulmonary and systemic venous drainage and atrial septation procedure. In 11 survived patients, 9 patients show good follow-up results but one patient complains of persistent cyanosis and another one patient is suffered from CHF. In our series, results of corrective operation for univentricular heart shows continuing improvement but still high mortality and complication rate. So there must be continuing improvement in surgical result by selection of patient, by adequate decision making for timing and method of operation and by improving operative methods.

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Comparative Analysis between Early Minithoracotomy and Conventional Treatment for Empyema (농흉치료에 대한 조기 Minithoracotomy 와 흉관삽관술의 비교연구)

  • 임종수
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1101-1105
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    • 1989
  • Fifty one patients with empyema thoracic were managed at the Kyung Hee University Medical Center during 5 years between December, 1982, and December, 1987. The patients were classified into two groups; group A [early minithoracotomy-9 patients] and group B[conventional chest tube insertion-42 patients]. Each group was retrospectively analyzed to compare the results in terms of leukocyte count change, body temperature change, duration of hospitalization, elapsed time to chest tube removal and the need for subsequent decortication and tube change. There was no statistical difference between two groups in terms of etiology, age and sex. l. In the group A, mean preoperative leukocyte count [19,300/mme] decreased to 8,688/mme postoperatively. In the group B, leukocyte count changed from 16,985/mme to 14,433/mme. Their differences were significant [P< 0.05]. 2. In the group A, mean preoperative body temperature [38.5] decreased to 36.7. In the group B, body temperature changed from 38.1oC to 37.5 oC. Their differences were significant [P < 0.05]. 3. Mean duration of Hospitalization; 18.2 days [group A], 30.2 days [group B]. Their differences were significant [P < 0.01]. 4. Mean elapsing time for chest tube removal; 15.2 days [group A], 28.5 days [group B]. Their differences were significant [P < 0.01]. 5. There was no need for subsequent decortication and chest tube change in the group A. There were 22 cases [52.3 %] for subsequent decortication and 12 cases [28.6 %] for chest tube change in the group B. Early minithoracotomy in treating empyema thoracis resulted in a shorter hospital stay and a shorter period of tube drainage than conventional method.

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