• Journal of Chest Surgery
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• v.34 no.2
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• pp.194-197
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• 2001

부식성 물질에 의한 양성 식도 협착 환자에서 식도 확장술이 일반적으로 사용되는 술식이나 협착부위가 잔존하여 연하곤란이 발생하므로 식도 재건술이 이용된다. 식도재건술은 대용 식도로 위관, 대장관, 소장관이 이용하여 광범위한 박리, 여러 부위의 절개, 문합부 대용 식도 위치에 따른 문제점 및 협착된 식도를 잔존시킴으로 식도암 발생가능성이 있으며 식도 재건술후 식도 기능의 문제점이 많다. 이에 시고 기능에 이상을 초래하지 않으면서 합병증이 적고 수술하기 쉬운 방법이 요구된다. 저자는 식도 근층만을 절개하고 점막하층을 박리한 후 협착부 점막만 절제하고 점막 단단 문합함으로 좋은 결과를 얻었기에 증례와 더불어 수술 방법을 소개하고자 한다.

• The Journal of Korean Medicine
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• v.24 no.3
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• pp.192-198
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• 2003

Diarrhea is defined as increased volume and frequency of stools, increased liquidity and decreased consistency of stools. Enteral nutrition is suited to the patient in a state of normal gastro-intestinal function but insufficient oral nutrition due to neurologic injury. Of many problems raised by enteral nutrition, diarrhea is the most common complication and raises severe clinical problems such as dehydration, disproportion of electrolytes, metabolic acidosis, bed sores, etc. We report two cases of diarrhea due to enteral nutrition treated with Dolichos lablab L. preparation added to herb-med prescription in stroke patients. After this treatment, the frequency of diarrhea decreased and general condition improved.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.880-880
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• 2012

수위-유량자료는 수문모형의 적용 등과 같은 다양한 수자원분야에서 기초적인 관측자료로서 이용되고 있다. 하지만 겨울철 결빙에 따른 수위계의 오작동과 제한된 실측 수위자료에 따른 수위 자료의 보정과 획득에 어려움을 겪고 있다. 본 연구에서는 수자원 분야에서 다양하게 적용된 바 있는 인공신경망 기법과 누적결빙온도일 (AFDD; Accumulated Freezing Degree Days) 개념을 이용하여 오산천 유역의 탑동수위관측점의 결빙기 수위자료를 보정하였다. 연구결과 보정된 수위자료는 강우량과 방류량 등의 영향을 비교적 잘 반영하는 것으로 나타났으며 향후 지속적인 연구를 통해 인공신경망을 이용한 수위 보정 결과를 검정할 수 있어야 할 것이다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.11 no.2
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• pp.116-121
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• 2008

Purpose: Cricopharyngeal incoordination is a rare cause of swallowing difficulties in newborns and infants; it is characterized by delayed pharyngeal contractions related to cricopharyngeal relaxation. Dysphagia and repeated aspiration are common findings despite normal sucking. We conducted this study to assess the clinical features of cricopharyngeal incoordination in newborns and infants. Methods: An analysis of the clinical data from 17 patients with cricopharyngeal incoordination who were admitted to the Department of Pediatrics, Pusan National University Hospital, between 2000 and 2006 was conducted retrospectively. The diagnosis of cricopharyngeal incoordination was established by the clinical characteristics and the videofluoroscopic swallowing studies. Results: The male to female ratio was 1:1.1 (males 8, females 9) the age range 1 to 60 days. The body weight of 11 patients (64.7%) was less than the $10^{th}$ percentile at diagnosis. Six patients (35.3%) were born prematurely. The associated anomalies or diseases were chromosomal anomaly (2 cases), congenital heart disease (3 cases), and laryngomalacia, hypoxic brain damage or neonatal seizures (1 case each). The chief complaints of patients were recurrent aspiration pneumonia (10 cases), feeding difficulty (9 cases), dyspnea (4 cases), and chocking (4 cases). The severity of aspiration on the videoesophagogram or esophagogram was mild in 12 cases. The correlation between the severity of aspiration and the duration of tube feeding after the diagnosis was significant (p<0.05). Conclusion: Cricopharyngeal incoordination should be considered in the differential diagnosis of newborns and infants, without known risk factors associated with swallowing dysfunction, when they present with unexplained respiratory problems. Although the prognosis of cricopharyngeal incoordination is good, early diagnosis and tube feeding are recommended to prevent the complications associated with this disorder.

• Journal of the Korean Association of Geographic Information Studies
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• v.11 no.1
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• pp.20-30
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• 2008

This study is to analyse the hydrological behavior of agricultural reservoir using SWAT model. For the upsteam watershed of Gongdo water level gauge station in Anseongcheon watershed, the streamflows at 2 reservoir (Gosam and Geumgwang) locations and Gongdo station were simulated with reservoir inclusion and exclusion. The daily water surface area and storage have been calculated considering the stage-storage curve function of the reservoir. Afterwards, the reservoir operation module in SWAT was modified from original module in SWAT for daily reservoir discharge simulated by water balance equation. Model validation results were Nash-Sutcliffe model efficiency coefficients value of 0.55, root mean square error value of 2.33 mm/day. On the other hand, the simulation results of two reservoir exclusion were Nash-Sutcliffe model efficiency coefficients value of 0.37, root mean square error value of 2.91 mm/day. The difference of Nash-Sutcliffe model efficiency coefficients between the simulation results of two reservoir inclusion and exclusion at Gongdo station was 0.18. This is caused by the storage and release operation of agricultural reservoirs for the runoff occurred at 2 reservoir watersheds.

• Journal of the Korean earth science society
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• v.32 no.7
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• pp.719-731
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• 2011

Based on the ICE-3G and ICE-5G ice models, we predicted the velocities of crustal uplift caused by Glacial Isostatic Adjustment (GIA) at 39 tide gauge sites operated by Korea Hydrographic and Oceanographic Administration (KHOA). We also divided the Korean peninsula in the ranges of $32-38.5^{\circ}N$ and $124-132^{\circ}E$ in $0.5^{\circ}{\times}0.5^{\circ}$ grids, and computed the GIA velocities at each grid point. We found that the average uplift rates due to GIA in South Korea were 0.33 and 1.21 mm/yr for ICE-3G and ICE-5G, respectively. Because the GIA rates were relatively high at ~1 mm/yr when the updated ice model ICE-5G was used, we concluded that the GIA effect cannot be neglected when we compute the absolute sea level (ASL) rates around the Korean peninsula. In this study, we corrected the ICE-5G GIA velocities from the relative sea level rates provided by KHOA and we computed the ASL rates at 13 tide gauge stations. As a result, we found that the average ASL velocity around the Korean peninsula was 5.04 mm/yr. However, the ASL rates near Jeju island were abnormally higher than the other areas and the average was 8.84 mm/yr.

• Journal of Chest Surgery
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• v.29 no.8
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• pp.861-866
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• 1996

Surgical angioplasty of isolated stenosis of the left main coronary artery(LMCA) restores a more physiologic flow to the myocardium, allows percutdneous transluminal coronary angioplasty (PTCA) of distal coronary stenoses at a later stage, and is a less time consuming and convenient procedure than the conventional coronary artery bypass grafting(CABG) . Between Jul. 1994 and Dec. 1995, 7 surgical angioplasty had been performed. LMCA stenoses involved ostium in 2 patients, middle third in 3, and dis- tal third in 2. In 2 patients, the origin of left anterior descending coronary artery was involved in conjunction with LMCA. T e additional coronary artery stenoses were found in 2 cases. One patient was emergently operated after coronary angiography following his cardiac arrest. LMCA was approached anteriorly in all patients. The pulmonary artery was transected in 3 patients for a better exposure. The onlay patch consisted or autologous or bovine pericardium. There was no postoperative myocardial infarction or mortality. Left ventricular functions were well preserved in all patients. Postoperative coronary angiography revealed widely patent LMCA in 5 cases, and mild narrowing of distal anastomotic sites in 2 cases. Provided that well defined indications are followed correctly, surgical angioplasty can be a safe alternative to conventional CABG.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.29 no.2
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• pp.123-131
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• 2011

Characteristics of sea surface temperature(SST) difference around Gwang-Yang steel Mill where can affect marine ecosystem in Gwang-Yang bay using 25 collected Landsat-7 ETM+ thermal infrared band data from 2000 to 2010. To analyze accuracy of SST from the Landsat-7 ETM+ thermal infrared image， satellite-induced SST was verfied by compared Yeo-Su tide station and Landsat thermal image. As a result, SST from Landsat-7 ETM+ is $1.22^{\circ}C$ lower than sea temperature from Yeo-Su tide station and correlation coefficient resulted in above 0.991 which means that correlation coefficient between Landsat image temperature and field sea temperature is relatively high. Five regions were selected to analyze sea surface temperature between near Gwang-Yang steel mill and the open sea and analyzed timeseries of sea surface temperature seasonally and regionally. Moreover, the additional analysis has been carried out by comparing the averaged temperatures of Gwang-Yang and Soon-Cheon bays using the dataset over a year.

• Journal of the Korean Society of Radiology
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• v.4 no.3
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• pp.19-25
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• 2010

Dysphagia is common and serious problems in post-stroke patients. The post-stroke dysphagia with aspiration is associated with dehydration, malnutrition, pneumonia, sepsis and death. Up to date, gag reflex and choking history used to decide the aspiration in clinical. The purpose of this study was to evaluate the aspiration and to choice the proper meal formation using by video fluoroscpic swallowing study(VFSS) with post-stroke dysphagia patients. 58 post-stroke patients and ten normal person participated to perform the VFSS with liquid type, puding, yoplait, rice mixed with barium(Ba). Two rehabilitation medicine doctors and a radiological technologist analysed the phase(oral, pharyngeal, esophageal phase)with video film, and checked the pharyngeal transition time(PTT). 38 patients showed abnormality in pharyngeal phase, 13 patients in oral and pharyngeal phase, 3 patients in oral phase, and 2 patients in pharyngeal and esophageal phase. 43 patients(65.2%) occured the aspiration, but 23 of 43 patients improved by the chin tuck position. Aspiration occured 34 patients in liquid type, 2patients in rice gruel and nothing in boiled rice. After VFSS, 13 of 23 patients change the intaking pathway from nasogastric tube(NGT) to oral, On the contrary with 3 of 42 patients from oral to NGT. Consequently VFSS is clearly effective to evaluate the aspiration with post-stroke dysphagia patients.

• Journal of Korea Water Resources Association
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• v.38 no.6 s.155
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• pp.495-504
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• 2005

The objective of this study is to estimate the impacts of land cover change on the runoff behavior using Hydrologic Simulation Program-Fortran (HSPF) model and Landsat images. Land cover maps were prepared using three every ten years from 1980 to 2000 of the upper watershed ($258\;km^2$) of Gyeongan stream. Hydrologic parameters of HSPF were calibrated using observed data (1999 - 2000) and validated using observed data (2001, 2003) at Gyeongan gauge station. The simulation results showed that runoff volume and peak rate increased as $15.0\;km^2$ forest areas decreased and $19.3\;km^2$ urban areas increased for 20 years land use changes. The runoff volume showed a higher rate of increase in wet year (2003, 1709.4 mm) than in dry year (2001, 871.2 mm). The peak runoff increased $13.3\;\%$ in normal year (2000, 1257.3 mm) because the year has the highest rain intensity (241.3 mm/hr) among the test years. The runoff volume of a dry season and a wet season (May - September) in normal year 2000 increased $4.4\;\%$ and decreased $8.1\;\%$, respectively.