• Journal of Chest Surgery
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• 제41권3호
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• pp.313-319
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• 2008

Background: The Cox maze-III procedure is considered as the most effective surgical treatment for atrial fibrillation. Because this procedure takes a long time and it complicates the concomitant cardiac surgery, some surgeons perform a left atrial maze procedure or pulmonary vein isolation only to reduce the operation time. This study was performed to evaluate how the modified procedures, with using cut-and-sew techniques, can influence the treatment of atrial fibrillation. Material and Method: Between Feb 1999 and June 2005, 40 patients (17 males and 23 females) with organic heart disease and atrial fibrillation underwent the Cox maze-III procedure (23), the left atrial maze procedure (10) or pulmonary vein isolation (7). The cut-an-sew technique was used to ablate the atrial wall, but cryoablation was used instead of the cut-and-sew technique for the coronary sinus and the inferior wall between the pulmonary vein and the mitral annulus. Result: After a mean follow-up period of $50.0{\pm}21.6$ months, all (100%) of the 23 patients who underwent the Cox maze-III procedure had regular sinus or atrial rhythm conversion, and 7(70%) of 10 with a left atrial maze procedure and 4(57.1%) of 7 with pulmonary vein isolation had regular sinus or atrial rhythm conversion (p=0.002). Conclusion: To obtain a high conversion rate from atrial fibrillation to a regular sinus rhythm or a regular atrial rhythm, the standard Cox maze-III procedure should be performed in both atria. The limited modified procedures like the left atrial maze procedure or pulmonary vein isolation may reduce the cure rate of atrial fibrillation.

• KSCE Journal of Civil and Environmental Engineering Research
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• 제33권6호
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• pp.2255-2265
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• 2013

This study presents the width function-based Clark model. To this end, rescaled width function with distinction between hillslope and channel velocity is used as time-area curve and then it is routed through linear storage within the framework of not finite difference scheme used in original Clark model but analytical expression of linear storage routing. There are three parameters focused in this study: storage coefficient, hillslope velocity and channel velocity. SCE-UA, one of the popular global optimization methods, is applied to estimate them. The shapes of resulting IUHs from this study are evaluated in terms of the three statistical moments of hydrologic response functions: mean, variance and the third moment about the center of IUH. The correlation coefficients to the three statistical moments simulated in this study against these of observed hydrographs were estimated at 0.995 for the mean, 0.993 for the variance and 0.983 for the third moment about the center of IUH. The shape of resulting IUHs from this study give rise to satisfactory simulation results in terms of the mean and variance. But the third moment about the center of IUH tend to be overestimated. Clark model proposed in this study is superior to the one only taking into account mean and variance of IUH with respect to skewness, peak discharge and peak time of runoff hydrograph. From this result it is confirmed that the method suggested in this study is useful tool to reflect the heterogeneity of drainage path and hydrodynamic parameters. The variation of statistical moments of IUH are mainly influenced by storage coefficient and in turn the effect of channel velocity is greater than the one of hillslope velocity. Therefore storage coefficient and channel velocity are the crucial factors in shaping the form of IUH and should be considered carefully to apply Clark model proposed in this study.

• Journal of Korean Society of Forest Science
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• 제48권1호
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• pp.51-58
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• 1980

Translocation of $^{14}C$-labelled photosynthate from needles to terminal buds of Pinus elliottii was studied to understand a pattern of mobilization of photosynthate to buds during the period of female strobilus initiation. Current-year shoots of 20-year-old trees were exposed in 1ate July and late August to $50{\mu}$ Ci of $^{14}CO_2$ for 90 minutes, and harvested 1 day and 7 days after the exposure to analyze distribution of $^{14}C$ in ethanol-soluble and ethanol-insoluble fractions. Over 85% of total radioactivity of bud tissue one day after the exposure and 55% total activity seven days after the exposure remained in the ethanol-soluble fraction. The amount of $^{14}C$ translocation into female-producing buds in late August was significantly less than into vegetative and male-producing buds both one day and seven days after the exposure. When the ethanol­soluble fraction was further fractionated into hexane-soluble, amino acid, sugar, and organic acid fractions, radioactivity in the female-producing buds in late August was about a third of that in male-producing buds in all the fractions. This indicated that the male-producing buds required in late August but not in late July mobilization of large amount of photosynthate for developing male strobilus primordia. Fema1e-producing buds, on the other hand, did not mobilize as much photosynthate as male-producing buds in late August when female strobilus primordia are believed to be initiated. It is suggested that initiation of the female strobilus primordia is associated with temporary reduction in the metabolic activity of the terminal buds in slash pine.

• Journal of Chest Surgery
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• 제43권6호
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• pp.687-693
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• 2010

Background: It is controversial whether the presence of bullae on the contralateral lung on HRCT plays a role in occurrence of contralateral primary spontaneous pneumothorax. We analyzed the significance of bullae on the contralateral lung and the risk factors associated with contralateral occurrence of primary spontaneous pneumothorax. Material and Method: Three hundred ninety four patients who were undergone Video-Assisted Thoracoscopic Surgery for primary spontaneous pneumothorax between January 2004 and December 2009 were reviewed. The clinical features, HRCT and treatment of these patients were analyzed retrospectively. Result: Twenty eight of 394 patients had contralateral occurrence (7.10%). The average time was $13.06{\pm}9.79$ months. A presence of contralateral bullae of lung on HRCT may not seem to be significant for occurrence of contralateral primary spontaneous pneumothorax (p=0.059). But bullae numbers were much more in contralateral pneumothorax patients (p=0.011). Younger than 20, being underweight (Body Mass Index < $18.5 kg/m^2$) are independent risk factors for contralateral occurrence (odds ratio, 5.075 (1.679~5.339), 2.366 (1.048~5.339) respectively). Conclusion: The presence of bullae on the contralateral lung on HRCT was not significantly influenced the occurrence of contralateral primary spontaneous pneumothorax. However, age, body mass index, and the number of bullae were significant factors for the contralateral pneumothorax. We suggest that those high risk patients may require special attentions and general supportive care to prevent occurrence of contralateral primary spontaneous pneumothorax during the follow-up.

• Journal of Korean Tunnelling and Underground Space Association
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• 제19권1호
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• pp.95-107
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• 2017

In this study, a preliminary study was undertaken for development of a tunnel incident automatic detection system based on a machine learning algorithm which is to detect a number of incidents taking place in tunnel in real time and also to be able to identify the type of incident. Two road sites where CCTVs are operating have been selected and a part of CCTV images are treated to produce sets of training data. The data sets are composed of position and time information of moving objects on CCTV screen which are extracted by initially detecting and tracking of incoming objects into CCTV screen by using a conventional image processing technique available in this study. And the data sets are matched with 6 categories of events such as lane change, stoping, etc which are also involved in the training data sets. The training data are learnt by a resilience neural network where two hidden layers are applied and 9 architectural models are set up for parametric studies, from which the architectural model, 300(first hidden layer)-150(second hidden layer) is found to be optimum in highest accuracy with respect to training data as well as testing data not used for training. From this study, it was shown that the highly variable and complex traffic and incident features could be well identified without any definition of feature regulation by using a concept of machine learning. In addition, detection capability and accuracy of the machine learning based system will be automatically enhanced as much as big data of CCTV images in tunnel becomes rich.

• Journal of The Korean Society of Grassland and Forage Science
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• 제19권1호
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• pp.49-56
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• 1999

With ${15}^N$ labeling under split roots system of winter rye (Secale cereale L.) and forage rape (Brassica napus L.) grown at $5^{\circ}C$ and $25^{\circ}C$, the N flows were respectively quantified to investigate the transport of newly absorbed nitrate-N in whole plant level at low temperature. Comparing with $25^{\circ}C$ culture condition, the total absorbed nitrate-N content at $5^{\circ}C$ decreased to 59.3% and 27.1% in winter rye and forage rape during 9 days. About 2.5% and 7.6 % of nitrate-N were transported into roots, respectively, in winter rye and in forage rape at $25^{\circ}C$. These proportions increased at $5^{\circ}C$ to 3.8% and 10.9%, respectively. Total N contents transferred by xylem in winter rye grown and forage rape grown at $25^{\circ}C$ during were 55.9 and 54.4 mg N/plant, respectively. xylem flows at $5^{\circ}C$ were 60.4% and 28.8% lower than at $25^{\circ}C$ for winter rye and forage rape. These valves represented that averagely 96.8 % and 90.8% of total absorbed nitrate-N were transferred to leaves in winter rye and forage rape during 9 days. Phloem flows were the smallest among other N flows and were much less influenced by temperature treatment for two species examined. About 2.5% and 0.5% of absorbed N were recycled into roots by phloem transport at $25^{\circ}C$, respectively, for winter rye and forage rape. These proportions increased to 5.2% and 0.9% at $5^{\circ}C$.

• Tuberculosis and Respiratory Diseases
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• 제60권5호
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• pp.516-522
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• 2006

Background : In contrast to tuberculous pleurisy, tuberculous empyema is a chronic active infectious disease of the pleural cavity that is frequently accompanied by cavitary or advanced pulmonary lesions. The condition requires long-term anti-tuberculous medication with external drainage. The clinical features and treatment outcome of tuberculous empyema are unclear despite the high prevalence of tuberculosis in Korea. Methods : From January 1991 through April 2004, 17 patients diagnosed with tuberculous empyema in Kyungpook National University Hospital were enrolled in this study. Their medical records and chest radiographs were reviewed. Results : Twelve patients(71%) had a history of tuberculosis and six of the 12 patients were under current anti-tuberculous medication. Productive cough, fever, and dyspnea were the main complaints. There was no predominance between the right and left lungs. Nine patients(53%) had far-advanced pulmonary tuberculosis, two(12%) had a cavitary lesion, and seven(41%) had a pyopneumothorax on the chest radiograph. All eight cases in whom the data of pleural fluid WBC differential count was available showed polymorphonuclear leukocyte predominance. Eight patients(47%) had other bacterial infections as well. The overall rates of a positive sputum AFB smear and culture for M. tuberculosis were 71% and 64%, respectively. The positive AFB smear and culture rates for M. tuberculosis from the pleural fluid were 33% and 36%, respectively. Twelve of the 16 patients(75%) were treated successfully. Three underwent additional surgical intervention. Two patients (12%) died during treatment. Conclusion : Tuberculous empyema is frequently accompanied by advanced pulmonary lesions, and polymorphonuclear leukocytes are predominant in the pleural fluid. Other accompanying bacterial infections in the pleural cavity are also common in tuberculous empyema patients. Therefore, tuberculous empyema should be considered in differential diagnosis of patients with polymorphonuclear leukocyte-predominant pleural effusion. In addition, more active effort will be needed to achieve a bacteriological diagnosis in the pleural fluid.

• KOREAN JOURNAL OF CROP SCIENCE
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• 제40권2호
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• pp.185-194
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• 1995

The prevention of excessive use of nitrogen fertilizer get an attention in Korea not only for minimizing $NO_3^-$ contamination of groundwater but also for establishment of environmental friendly sustainable agriculture. In order to find out the dynamics of $NO_3^-$ in barley rhizosphere and its suitability for nitrogen fertilization strategies and for environmental control, the accumulation of $NO_3^-$ in 3 layer, 0~30cm, 30~60cm, 60~90cm of soil profile has been detected in winter barley pro-duction system. It showed the recommended N fertilization rate for winter barley cause the $NO_3^-$ contamination of groundwater through $NO_3^-$ leaching during winter. The $NO_3^-$ content of 0~90cm soil depth have directly reflected the amount of basal N fertilization in the early spring, but not 0~30cm and 0~60cm soil depth. The contents of $NO_3^-$ measured to 0~30cm, 0~60cm soil depth were not significanly correlated with yield but the contents of $NO_3^-$ measured to 90cm soil depth was highly correlated with yield. Nitrogen fertilizer requirement could be estimated accurately by soil test and it provides field specific N rate recommendation for spring N application to winter barley. It was concluded that $N_{min}$ method could be applied to korean climatic and soil condition for optimal fertilizer application rate.

• Journal of Soil and Groundwater Environment
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• 제10권6호
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• pp.20-31
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• 2005

Three dimensional Monte-Carlo simulations of non-ergodic transport of a lion-reactive solute plume by steady-state groundwater flow under a uniform mean velocity in isotropic heterogeneous aquifers were conducted. The log-normally distributed hydraulic conductivity, K(x), is modeled as a random field. Significant efforts are made to reduce tile simulation uncertainties. Ensemble averages of the second spatial moments of the plume and plume centroid variances were simulated with 1600 Monte Carlo runs for three variances of log K, ${\sigma}_Y^2=0.09,\;0.23$, and 0.46, and three dimensionless lengths of line plume sources normal to the mean velocity. The simulated second spatial moment and the plume centroid variance in longitudinal direction fit well to the first order theoretical results while the simulated transverse moments are generally larger than the first order results. The first order theoretical results significantly underestimated the simulated dimensionless transverse moments for the aquifers of large ${\sigma}_Y^2$ and large dimensionless time. The ergodic condition for the second spatial moments is far from reaching in all cases simulated, and transport In transverse directions may reach ergodic condition much slower than that in longitudinal direction. The evolution of the contaminant transported in a heterogeneous aquifer is not affected by the shape of the initial plume but affected mainly by the degree of the heterogeneity and the size of the initial plume.

• Tuberculosis and Respiratory Diseases
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• 제44권5호
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• pp.975-991
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• 1997

Background : Many patients with isoniazid and rifampin-resistant pulmonary tuberculosis have organisms that are also resistant to other first-line drugs. Despite of aggressive retreatment chemotherapy, the results are often unsuccessful, with a failure rate approaching 40%. Recently, there has been a revival of resectional surgery for the treatment of multidrug-resistant pulmonary tuberculosis. Methods : A retrospective analyses of the case records and radiographic findings were done. Between January 1991 and December 1995, 14 human immunodeficiency virus (HIV)-seronegative patients with multidrug-resistant pulmonary tuberculosis were selected for resection to supplement chemotherapy. All patients had organisms resistant to many of the first-line drugs, including both isoniazid and rifampin. Results : Despite of aggressive therapy for median duration of 9.5 months, 12 of the 14 patients (86%) were still sputum smear and/or culture positive at the time of surgery. The disease was generally extensive. Although main lesions of the disease including thick-walled cavities were localized in one lung, lesser amounts of contralateral disease were demonstrated in 10 of 14 (71%). Types of surgery performed were pneumonectomy including extrapleural pneumonectomy in six patients, lobectomy or lobectomy plus in six patients, and segmentectomy in two patients. The resected lung appeared to have poor function ; preoperative perfusion lung scan showed only 4.8% of the total perfusion to the resected portion of the lung. There were no operative deaths. Two patients had major postoperative complications including empyema with bronchopleural fistula and prolonged air leak, respectively. Of the 14 patients, 13 (93%) remained sputum-culture-negative for M. tuberculosis for a median duration of 23 months and one remained continuously sputum smear and culture positive for M. tuberculosis. Conclusion : On the basis of comparison with historical controls, adjunctive resectional surgery appears to play a significant beneficial role in the management of patients with multidrug-resistant pulmonary tuberculosis if the disease is localized and there are adequate reserve in pulmonary function.