• 제목/요약/키워드: surface protection

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Direct Relationship between Angiographic Characteristics of Carotid Atherosclerotic Plaque and Filling Defect in the Cerebral Protection Filters : Based on the Conventional Angiography

  • Choi, Jae-Hyung;Park, Hyun-Seok;Kim, Dae-Hyun;Cha, Jae-Kwan;Huh, Jae-Taeck;Kang, Myongjin
    • Journal of Korean Neurosurgical Society
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    • v.54 no.2
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    • pp.93-99
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    • 2013
  • Objective : Neurologic complications during carotid artery stenting (CAS) are usually associated with distal embolic event. These embolic incident during CAS are highly associated with the carotid plaque instability. The current study was undertaken to identify the angiographic characteristics of carotid plaque vulnerability, which was represented as filling defect in the cerebral protection filters during CAS. Methods : A total of 107 patients underwent CAS with use of a distal protection filter. Angiographic carotid plaque surface morphology was classified as smooth, irregular, and ulcerated. To determine predictable factors of filling defect in the protection filters, 11 variables were retrospectively analyzed which might influence filling defect in the protection filters during CAS. Results : Filling defects during CAS were presented in the 33 cerebral protection filters. In multivariate analysis, angiographic ulceration [odds ratio (OR), 6.60; 95% confidence interval (CI) : 2.24, 19.4; p=0.001], higher stenosis degree (OR, 1.06; 95% CI : 1.00, 1.12; p=0.039), and coexistent thrombus (OR, 7.58; 95% CI : 1.69, 34.05; p=0.08) were highly associated with filling defect in the cerebral protection devices during CAS. Among several variables, angiographic surface ulceration was the only significant factor associated with flow stagnation during CAS (OR, 4.11; 95% CI : 1.33, 12.72; p=0.014). Conclusion : Plaque surface morphology on carotid angiography can be a highly sensitive marker of plaque instability during CAS. The independent risk factors for filling defect in the filter devices during CAS were plaque ulceration, stenosis degree, and coexistent thrombus.

Designation and Management of Water Source Protection Areas for Indirect Intakes

  • Choi, Ji-Yong;Hwang, Dae-Ho
    • Environmental Engineering Research
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    • v.15 no.4
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    • pp.231-237
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    • 2010
  • With increased chemical and economic development activities in upstream areas, the amounts of pollutants released have increased, and as such, so has the need for positive management of water supply source areas. Although more than 90% of the water supply sources in Korea depend on direct intake from surface water, the interest in indirect intake, such as riverbank filtration water, has recently risen, with some local governments currently undertaking indirect intake. Even in cases of indirect intake, water supply source protection zones need to be assigned for the comprehensive control of pollutants. To establish water quality protection zones for indirect intake, the scope of the protection zones needed to reflect the hydrological features of the water-bearing deposits of each site. Water source protection areas were estimated and presented as the 1st (within a 100 m radius from an intake well) and 2nd (within a 2 km radius from an intake well) zones. The 1st zone was more sensitive; hence, the installation of various facilities should be prohibited, and the area should be regarded as off-limits. For the 2nd zone, appropriate management should prohibit and restrict activities already present in the water source protection zone.