• Journal of Chest Surgery
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• v.46 no.5
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• pp.340-345
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• 2013

Background: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses its cosmetic results. Methods: Thirty-three patients (7 males, 26 females) with atrial septal defect were admitted to the Cardiovascular Surgery Clinic of Cukurova University from December 2005 until January 2010. The patients' ages ranged from 3 to 22. Patients who underwent vertical axillary minithracotomy were assigned to group I, and those undergoing conventional sternotomy, to group II. Group I and group II were compared with regard to the preoperative, perioperative and postoperative variables. Group I included 12 females and 4 males with an average age of $16.5{\pm}9.7$. Group II comprised 14 female and 3 male patients with an average age of $18.5{\pm}9.8$ showing similar features and pathologies. The cases were in Class I-II according to the New York Heart Association (NYHA) Classification, and patients with other cardiac and systemic problems were not included in the study. The ratio of the systemic blood flow to the pulmonary blood flow (Qp/Qs) was $1.8{\pm}0.2$. The average pulmonary artery pressure was $35{\pm}10$ mmHg. Following the diagnosis, performing elective surgery was planned. Results: No significant difference was detected in the average time of the patients' extraportal circulation, cross-clamp and surgery (p>0.05). In the early postoperative period of the cases, the duration of mechanical ventilator support, the drainage volume in the first 24 hours, and the hospitalization time in the intensive care unit were similar (p>0.05). Postoperative pains were evaluated together with narcotic analgesics taken intravenously or orally. While 7 cases (43.7%) in group I needed postoperative analgesics, 12 cases (70.6%) in group II needed them. No mortality or major morbidity has occurred in the patients. The incision style and sizes in all of the patients undergoing RVAM were preserved as they were at the beginning. Furthermore, the patients of group I were mobilized more quickly than the patients of group II. The patients of group I were quite pleased with the psychological and cosmetic results. No residual defects have been found in the early postoperative period and after the end of the follow-up periods. All of the patients achieved functional capacity per NYHA. No deformation of breast growth has been detected during 18 months of follow-up for the group I patients, who underwent RVAM. Conclusion: To conclude, the repair of atrial septal defect by RVAM, apart from the limited working zone for the surgeon in these pathologies as compared to sternotomymay be considered in terms of the outcomes, and early and late complications. And this has accounted for less need of analgesics and better cosmetic results in recent years.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.20 no.4
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• pp.43-61
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• 2017

The wetlands are facing environmental changes such as desiccation that occurs with the passage of time and reduced ecosystem services from wetlands in the city. In order to maintain the ecosystem services provided by wetlands in urban areas, a system thinking about the trade-off phenomenon of ecosystem services occurring as the wetlands undergo environmental changes is needed. Therefore, the purpose of this study is to develop strategies for wetland design using system thinking approach to enhance the resilience of ecosystem services degraded by the desiccation of wetlands and other disturbances. The objectives of this study include the system boundary and variables. Second, analyzing the dynamics of wetland design strategy. Third, it analyzes the trade-off phenomenon of ecosystem services in terms of the hydrology, hydric soil, and plants strategies to mitigate these effects. Fourth, wetland basic design to improve the resilience of ecosystem services. A wetland in Abuk-Mountain Neighborhood Park, Miryang-si, Gyeongsangnam-do, has been selected as a case study. Causal loop diagrams(CLDs) are used to analyze feedback in the wetland regime. In summary, hydrology, hydric soil, and plants is suggested as system boundaries to design plan. Design strategies for the wetland focused on robustness, redundancy, rapidity, and resourcefulness as a result of CLD analysis are first proposed in order to effectively maintain the wetland regime over the long term. Secondly, in a section related to hydrology, the CLD results show the trade-offs between provisioning-cultural services and regulating services. In order to control these services, a "water cycling system" has been implemented due to its strength in terms of robustness. The CLDs for hydric soil showed the trade-offs between regulating services and supporting services. An "installation of storm drainage for maintaining water levels" was selected due to the strength offered in terms of redundancy and rapidity. The CLDs for plants showed the trade-offs between provisioning - cultural services and regulating services. In order to control the strategic points, the "planting of indigenous vegetation" was suggested given the strength in terms of redundancy. In this study, a wetland design method is proposed that can improve the resilience of wetland ecosystem services by analyzing the dynamics overtime. The results of this research can theoretically be applied to help restore ecosystem services in wetlands using ecological landscape design. In addition, this study will contribute to reducing maintenance costs by improving wetland resilience.

• Economic and Environmental Geology
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• v.35 no.2
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• pp.137-147
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• 2002

Natural geological and environmental processes reflect to element abundances in geological materials on the surface. This study aims to elucidate a possibility of geostatistical application to differentiate geochemical anomalies affected by anthropogenic and geogenic factors. A regional geochemical map was produced using 'inverse distance weight interpolation' method for analytical results of stream sediments «150 11m) which were collected from 2,290 first- to second-order streams over the whole Gyeonggi Province. The Jurassic granitic batholith in the southeastern province was selected as a target for the geostatistical examination. Factor analysis was conducted using 22 elements for stream sediments from 445 drainage basins over the granitic body. Co, Cr, Sc, MgO, Fe$_{2}$O$_{3}$, V, and Ni were grouped with high correlation coefficients and the depletion of the components may reflect the whole-rock chemistry of the granite. Regression analysis was done using Co, Cr, and Sc as dependent variables and other six components as independent variables, and the results were drawn as maps. The maps acquired generally show quite similar distribution patterns with those of concentrations of each variable. The similarity in the spatial patterns between the two maps indicates that the application of regression statistics can be valid for the interpretation of regional geochemical data. However, some components show local discrepancies which may be influenced by secondary factors regardless of the basement lithology. The regression analysis may be effective in extracting local geochemical anomalies which may reflect rather anthropogenic pollutions than geogenic influences.

• Journal of the Korean Geosynthetics Society
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• v.12 no.3
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• pp.65-73
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• 2013

The information of cut slope in Mt. Jang area, Busan is investigated in order to construct the Slope Management System in Urban Area. The slope inspection sheet is made to record the characteristics for cut slopes, and that is capable to be inputted slope information systematically. The cut slopes in Mt. Jang area are consisting of 69 slopes. Most of the cut slopes are constructed in cutting slope and retaining wall (CR). The cut slopes located in housing facilities are 46 slopes, and the slopes located in school facilities are 12 slopes. The traverse of cut slopes is mainly ranged from 50 m to 150 m, and the height is mainly ranged from 10 m to 20 m. The slopes combined with soil and rock are mostly distributed. The retaining wall was installed in the toe part of cut slope in order to increase the slope stability, and the additional reinforcement methods including the anchor, drainage, preventing rock fall, shotcrete and vegetation were installed at the toe part of cut slopes.

• Journal of the korean academy of Pediatric Dentistry
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• v.38 no.4
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• pp.413-420
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• 2011

Garre's osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre's osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre's osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre's osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre's osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.

• Journal of Chest Surgery
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• v.31 no.1
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• pp.40-45
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• 1998

Recently, video-assisted thoracoscopic surgery for mediastinal lesions has been considered a new effective therapeutic method. From March, 1992 to April, 1997, 33 cases of video assisted thoracoscopic surgery for mediastinal lesions were performed. Gender distribution was 16 males and 17 females. Average age was 42 years old(ranged from 14 to 69). The locations of lesions were anterior mediastinum in 14 cases, middle mediastinum in 5 cases, posterior mediastinum in 11 cases, and superior mediastinum in 3 cases. These included 9 neurilemmomas, 5 benign cystic teratoma, 4 pericardial cysts, 2 ganglioneuroma, 2 thymus, 2 thymic cyst, 1 thymoma, 2 esophageal leiomyomas, 1 dermoid cyst, 1 lipoma, 1 malignant lymphoma, 1 bronchogenic cyst, 1 pericardial effusion, and 1 Boerhaave's disease with empyema. Working window was needed in 6 cases. We converted to open thoracotomy in 6 cases. Reasons of convertion to open thoracotomy were large sized mass(1), severe adhesion(3), and difficult location to approach(2). The average operation time was 116min($\pm$56 min). The average chest tube drainage time was 4.7days. The average hospital stay was 8.7 days. Operative complications were atelectasis(2), empyema with mediastinitis(1), recurrent laryngeal nerve palsy(1), and plenic nerve palsy(1). In conclusion, VATS for mediastinal lesions were performed with shorter operation time and hospital stay, and lesser complications and pain than those of conventional thoracotomy.

• Journal of The Korean Society of Agricultural Engineers
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• v.62 no.4
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• pp.1-12
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• 2020

The extreme 2017 spring drought affected a large portion of South Korea in the Southern Gyeonggi-do and Chungcheongnam-do districts. This drought event was one of the climatologically driest spring seasons over the 1961-2016 period of record. It was characterized by exceptionally low reservoir water levels, with the average water level being 36% lower over most of western South Korea. In this study, we consider drought response methods to alleviate the shortage of agricultural water in times of drought. It could be to store water from a stream into a reservoir. There is a cyclical method for reusing water supplied from a reservoir into streams through drainage. We intended to present a decision-making plan for water supply based on the calculation of the quantity of water supply and leakage. We compared the rainfall-runoff equation with the TANK model, which is a long-term run-off model. Estimations of reservoir inflow during non-irrigation seasons applied to the Madun, Daesa, and Pungjeon reservoirs. We applied the run-off flow to the last 30 years of rainfall data to estimate reservoir storage. We calculated the available water in the river during the non-irrigation season. The daily average inflow from 2003 to 2018 was calculated from October to April. Simulation results show that an average of 67,000 tons of water is obtained during the non-irrigation season. The report shows that about 53,000 tons of water are available except during the winter season from December to February. The Madun Reservoir began in early October with a 10 percent storage rate. In the starting ratio, a simulated rate of 4 K, 6 K, and 8 K tons is predicted to be 44%, 50%, and 60%. We can estimate the amount of water needed and the timing of water pump operations during the non-irrigation season that focuses on fresh water reservoirs and improve decision making for efficient water supplies.

• Journal of Korean Society of Environmental Engineers
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• v.22 no.4
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• pp.689-698
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• 2000

The quality of stormwater runoff has been a major concern in water quality preservation. Characteristics of heavy metals and conventional pollutants in surface runoff from industrial complex, during the first flush, were not completely understood, Generally, separated sewer system is known for their water quality with untreated wastewater during storm events. In this study, the quality and characteristics of surface runoff from the industrial complex were investigated. The target area in the industrial complex catchment was divided 4 sub-areas, and the quality of stormwater runoff from the selected drainage areas was investigated using a grab sampling method. The petro-chemical industry and the junkyard discharged relatively high concentration of conventional pollutants, such as BOD, COD, SS, and TN through the first flush runoff samples. On the other hand, a higher level of heavy metals was found in the first flush runoff from the metal-mechanical industry and the scrap storage yard. For metals, Fe, Zn and Cu were the most prevalent species found in the first flush runoff from all sites for every surface runoff samples, while Pb, As, Cd, Cr and Ni were the least prevalent species and Hg was not found in any sample at any site. These results suggest that the nature of pollutants in surface runoff from the industrial complex was related to the type of industry, and the concentration of pollutants was determinated by the degree of exposed pollutant sources and the characteristic of rainfall events at the sites.

• Journal of the Korean Society of Hazard Mitigation
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• v.6 no.4 s.23
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• pp.37-47
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• 2006

Urban development results in increased runoff volume and flowrates and shortening in time of concentration, which may cause frequent flooding downstream. Flow retardation structures to limit adverse downstream effects of urban storm runoff are used. There are various types of flow retardation measures include detention basins, retention basins, and infiltration basins. In basic planning phase, a number of planning models of detention ponds which decide storage volume by putting main variables were used to design detention ponds. The characteristics of hydrological parameters $\alpha,\;\gamma$ which are used in planning models of detention pond were analyzed. In this study, detention ponds data of Disaster Impact Assessment report at 22 sites were analyzed in order to investigate correlation between characteristic of urban drainage basin parameter and characteristics of detention pond parameter due to urbanization effects. The results showed that storage volume was influenced by peak discharge ratio $\alpha$ more than runoff coefficient ratio $\beta$ and peak discharge ratio $\alpha$ was influenced by runoff coefficient ratio $\beta$ less than regional parameter n. Storage ratio was mainly influenced by duration of design rainfall in the case of trapezoidal inflow hydrograph such as Donahue et al. method.

• Magazine of the Korean Society of Agricultural Engineers
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• v.8 no.1
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• pp.1011-1034
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• 1966

This thesis is the final report which has long been studied by the author to obtain the design basis for various hydrological constructions with the specific system suitable to the natural environmental conditions in Korea. This report is divided into two parts: one is to estimate runoff volume from watersheds and the other to estimate the peak discharge for a single storm. According to the result of observed runoff record from watersheds, it is known that Kajiyama formula is useful instrument in estimating runoff volume from watersheds in this country. But it has been found that this formula shows us 20-30% less than the actual flow. Therefore, when wihed to bring a better result, the watershed characteristics coefficient in this formula, that is, f-value, should be corrected to 0.5-0.8. As for the method to estimate peak discharge from drainage basin, the author proposes to classify it in two ways; one is small size watershed and the other large size watershed. The maximum -flood discharge rate $Q_p$ and time to peak Pt obtained from the observed record on the small size watershed are compared by various methods and formulas which are based upon the modern hydrological knowledge. But it was fou.d that it. was not a satisfied result. Therefore, the author proposes. tocomputate $Q_p$, to present 4.0-5.0% for the total runoff volume ${\Sigma}Q$.${\Sigma}Q$ is computed under the assumption of 30mm 103s in watershed per day and to change the theoritical total flow volume to one hour dura tion total flow rate when design daily storm is given. Time to peak Pt is derived from three parameters which are u,w,k. These are computed by relationship between total runoff volume (ha-m unit)and $Q_p$. (C.M.S. unit). Finally, the author checked out these results obtained from 51 hydrographs and got a satisfied result. Therefore the author suggested the model of design dimensionless unit-hydrograph. And the author believes that this model will be much available at none runoff record river site. In the large size watersheds in Korea when the maximum discharge occurs, the effective rainfall is two consequtive stormy days. So the loss in watershed was assutned as 6Omm/2days,and the author proposed 3-hour-daration hydrograph flow distribution percentage. This distribution percentage will be sure to form the hydrograph coordinate.