Kim, Ji Hoon;Burm, Jin Sik;Kim, Yang Woo;Kang, So Ra;Kim, Hyoung Kyoung
Archives of Plastic Surgery
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v.36
no.4
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pp.512-515
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2009
Purpose: Neurofibromatosis(NF) is an autosomal - dominant systemic disease. Up to fifty percent of patients with NF are reported to have concomitant vascular abnormalities. In the resection of a larger NF, the risk of uncontrolled hemorrhage is much higher due to the difficulty of hemostasis of large vessels within the tumor. We ligated the base of the giant NF with a simple loop - shaped ligation before removal of the giant NF in both buttocks. And then we could successfully reduce the amount of hemorrhage during the operation. Methods: A 46 - year - old female patient presented for giant masses of both gluteal area, which has been growing slowly for the last ten years. Each mass was about $30{\times}20cm$ in size. After designing the elliptical resection margin, we tightened the tumor base by using continuous loop - shaped suture ligation(weaving the thread up and down in a loop - shaped pattern, leaving a space of 2 cm between each loop) with a straight needle and prolene 2 - 0. After skin incision, we proceeded the dissection toward the central and inferior side of the mass obliquely while we avoided breaking large vascular sinuses. We resected the tumor in a wedged - shape. Subcutaneous tissue was sutured layer by layer and skin was closed by vertical mattress and interrupted suture. The loop - shaped ligation of the base was removed and compressive dressing was done with gauzes and elastic bandages. Results: Postoperative complications such as infection, hemorrhage, hematoma, and dehiscense did not occur. Perioperatively the patient was sufficiently transfused with five units of blood and two units of fresh frozen plasma. During the subsequent 1 year follow - up, the functional and cosmetic result was excellent. Conclusion: A continuous loop - shaped suture ligation procedure along the base of the giant NF effectively reduced the amount of hemorrhage during the operation, made dissection and ligation of vessels easily and quickly, and shorten the operating time and postoperative recovery time.
Growth hadit and demograph in a mature population of polygonatum and polygonatum humile in kanghwa island were studied for two growing seasons. Shoots of two species emerged early spring from the growing apices of the underdground rhizomes which had persisted for up to 1~5 year.after flowering, the ramets produced two rhizome buds at the shoot base. Bacause of the apical dominance in the rhizome system, a new rhizome was developed from only one bud, an actual bud,and the other latent buds were suppressed sothat remained dormant. The latent dud produced a new rhizome only when the actual dud was severed by the herbivores or by the physical obstacles. Therefore, the ramet number is not increased by the new rhizome from the latent bud. however, new ramets dould sometimes grow from latent buds which had been produced more than a year ago. Production of these ramets was main means increasing the ramet numbew and widening the potential zone of exploitation. Changes in size class of each ramet were noyiceable after a tear in small size-classes. Small ramets replaced themselves with larger-sized ramet, while large ramets with similar-sized or smallar-sized ramets. ramet numbers were average 0.82and 1.14 times of those fromthe previous year inp. involucratum and p. humile, though there was between-site variation. Almost all the ramets in the quadrats were alive during the growing season. when the entire rhizome systems were excavater next spring, there were many rhizomesegments without shoots, especially in p. involucratum. therefore, the drcrease of ramet number in p. involucratum in probably due to the climatic factors of winter.
Three cases of traumatic diaphragmatic hernia were repaired in this department from June 1967 to Nov.1968. The first case, a 14 year old girl, was diagnosed as diaphragmatic hernia during the operation of the diffuse peritonitis from jejunaI perforation 3 days after the traffic accident at local clinic and she was transfered to this hospital after the closure of the perforated jejunum. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture at the posterolateral portion of the left diaphragm was repaired with two layer sutures by transthoracic approach. The second case. a 26 year old man. was diagnosed immediately after the traffic accident at local clinic and transfered to this hospital 24 hours later. Herniated and distended stomach, transverse colon and jejunum were repositioned and the large diaphragmatic rupture, about 9 cm in length, from the posterolateral portion to the base of the pericardium was directly repaired with two layer sutures. The third case, a 26 year old man, who had a history of stab wound at left lower lateral chest two years ago,was admitted with the sudden onset of abdominal pain and vomiting. The diaphragmatic hernia was confirmed with barium enema. The herniated stomach and transverse colon through the defect, about 3.5 cm in diameter, at anterolateral portion of the left diaphragm, were repositioned and the defect was repaired with two layer sutures. All of the cases recovered uneventfully.
The purpose of this study is to estimate the economic valuation of rural waste disposal facilities that are one of the rural environmental improvement projects using contingent valuation method(CVM) in Gyongsangbuk-do, Korea. This study surveyed 1,089 households about the WTP(Willing To Pay) of rural waste disposal facilities policy in Gyongsangbuk-do and it was composed with city level and town level. The overall results show that the respondents well accepted the contingent market and would be willing to pay(WTP) a significant amount for the proposed policy program of rural waste disposal facilities. The values estimated for the rural waste disposal facilities are as follows : 1. The maximum WTP was \10,466 in City level and it was \9,104 in town level by per year. 2. The mean WTP was \9,257 in City revel and it was \8,636 in town lever by per year. 3. Total economic benefits for the household amounted to \7,989,046,270 per year. This result can be used to useful base data fir the policy programs of rural waste disposal facilities.
TRINH, Quoc Trung;NGUYEN, Anh Phong;NGUYEN, Hoang Anh;NGO, Phu Thanh
The Journal of Asian Finance, Economics and Business
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v.7
no.7
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pp.15-25
/
2020
This empirical research aims to identify the relationship between fiscal and financial macroeconomic fundamentals and the volatility of government bonds' borrowing cost in an emerging country - Vietnam. The study covers the period from July 2006 to December 2019 and it is based on a sample of 1-year, 3-year, and 5-year government bonds, which represent short-term, medium-term and long-term sovereign bonds in Vietnam, respectively. The Generalized AutoRegressive Conditional Heteroskedasticity (GARCH) model and its derivatives such as EGARCH and TGARCH are applied on monthly dataset to examine and suggest a significant effect of fiscal and financial determinants of bond yield volatility. The findings of this study indicate that the variation of Vietnam government bond yields is in compliance with the theories of term structure of interest rate. The results also show that a proportion of the variation in the yields on Vietnam government bonds is attributed to the interest rate itself in the previous period, base rate, foreign interest rate, return of the stock market, fiscal deficit, public debt, and current account balance. Our results could be helpful in the macroeconomic policy formulation for policy-makers and in the investment practice for investors regarding the prediction of bond yield volatility.
The Journal of the Korean bone and joint tumor society
/
v.10
no.1
/
pp.45-49
/
2004
Chondroblastoma is a benign chondroid-forming tumor usually originating in the epiphysis. The base of metatarsal bone contains neither an epiphysis nor a secondary ossification center and so is the rare site of chondroblastoma. Here, we present a case of chondroblastoma of the base of fifth metatarsal bone in 34-year-old man. Histologically, the osteoclast-like giant cells were abundant enough to simulate a giant cell tumor. And the chondroid intercellular matrix was intermixed but scanty. However, the background mononuclear cells showed irregular and indented nuclei with longitudinal clefts and positive immunoreactivity for S-100 protein, as the evidence of chondroblasts.
Five cases of traumatic diaphragmatic hernia were repaired in the Department of Thoracic Surgery, Seoul National University Hospital, during the period from 1967 to 1974. The first case, a 14-year aid girl, was diagnosed as diaphragmatic hernia during laparotomy because of jejunal perforation 3 days after traffic accident. Herniated stomach, transverse colon, spleen and left lobe of the liver were repositioned and the diaphragmatic rupture on left posterolateral portion was repaired with two layers of nonabsorbable sutures by transthoracic approach. The second case, a 26-year old man,was diagnosed immediately after traffic accident at a local clinic and transferred to this hospital 24 hours later. Herniated stomach, transverse colon and jejunum were repositioned amd diaphragmatic rupture,about 9 cm in length,from the posterolat.edge to the base of pericardium was sutured in two layers. The third case, a 26-year old man who had stab wound on the left lower lateral chest two years ago,was admitted with sudden abdominal pain and vomiting. Upper gastrointestinal series with barium meal revealed diaphragmatic hernia. The herniated stomach and transverse colon through the defect,about 3.5cm in diameter, at anterolateral portion on the left side,were repositioned and repaired with two layers of nonabsorbable sutures. The forth case, a 26-year old man, sustained blunt trauma to the chest by a roller and was transferred to the emergency room complaining of dyspnea 40 minutes after the accident. The diaphragmatic rupture extended from left midaxillary line to contralateral anterior axillary line,about 20cm long, at anterior portion of diaphragm, which was repaired with two layers, of nonabsorbable sutures. The fifth case, a 4-year old girl, had two separate diaphragmatic ruptures on both sides, which were caused by traffic accident. Immediate upper gastrointestinal series after injury showed herniated stomach, colon and spleen into left Chest cavity. Another small rupture with anterior edge of right lobe of the liver in chest cavity was noted. These were repaired with non-absorbable sutures via thoracotomy.
In Principle, the distriction should be understood between projections and forecasts. When the author or user of a projection is willing to describe it as indicating the most likely population at a give date, then he has made a forecast Population change since 1 960 has been reviewed briefly in order to forecast the population of Korea in the year 2,000 which is a leading factor in long term national development plan for which Korea Institute for Population and Health (KIPH) has been participated since 1983. The author of this paper introduced the population forecast prepared for the long term national development plan and an attempt of comparisons with other forecasts such as D.P. Smith's, T. Frejka's, Economic Planning Board's (EPB), UN's and S.B. Lee's was made. Those six forecasts of Korean future population in year 2,000 varried from 48.5 million to 50.0 million due to the base population and assumption of fertility and mortality however the range of total population size is not large enough. Taking four forecasts such as KIPH, EPB, UN, and Lee based on 1980 population census results and latest data of fertility and mortality, KIPH and UN forecast are close in total population size even though there was a slight difference in fertility and mortality assumptions. The smallest size of total population was shown by S.B. Lee (see Table 13) although the difference between KIPH and Lee was approximately one million which is two percent of total population in year 2,000. As a summary of conclusion the author pointed out that one can take anyone of forecasts prepared by different body because size and proportion wise of the Korean population until early I 990s can not be different much and new population projections must be provided by using 1985 population census data and other latest fertility and mortality information coflected by Korea Institute for Population and Health and Economic Planning Board in forth comming year.
This study was carried out to provide surface bearing capacity reinforcement of forest road by sub-base facilities based on a soft ground use of geosynthetics to prevent the damage of the road surface passing heavy logging trucks and to pass smoothly heavy truck against growing timber harvesting. The analysis of the road surface bearing capacity as progressing time and the increase of the number of passage of heavy logging trucks were conducted experimental section of forest road on the soft ground in the Forest Technology and Management Research Center. As a result, it was found that the road surface bearing capacity were stabilized at CBR of 15% or more, the effect of reinforcement by type of geosynthetics showed no significant difference after the lapse of about 1 year. After reaching the passage of 300 times for the heavy logging trucks on the sub-base construction section, the settlements was stabilized below the allowable standard of 50 mm, road surface bearing capacity also improved to more than CBR 20% and there was no significant difference in the thickness of the sub-base. However, in the section where the sub-base is not constructed, it is found that the lack of surface bearing capacity with the settlements more than the allowable standard is not possible to pass the heavy logging trucks. Therefore, in order to reinforce the road surface bearing capacity of the soft ground for the passage of the heavy logging trucks, it is necessary to construct a sub-base of at least 0.2 m when using geosynthetics.
In this study, we analyzed five-year(2011~2015) data for D high school in Seoul area to analyze energy consumption characteristics in high school. The results are summarized as follows. (1) In the result of comparison analysis about 2015 energy consumption by usage, based on primary energy, 18% of energy was consumed in cafeteria, and 82% was consumed in main building. In the case of main building, base and constant load excepting hot water supply in restroom took 40%, heating including freeze protection took 20%, hot water supply in restroom took 14%, and cooling took 8% in order. (2) In the 2015 total energy consumption in D high school based on primary energy, heating energy takes 28%. The range and limit of energy savings coming from the reinforcement of insulation and window performance could be estimated. (3) To introduce new & renewable energy system in high school, electricity-based system is suitable than heat-based system because usage of electric energy is larger than that of heat energy in high school. (4) Five-year energy consumption unit according to heating degree-day showed a linearly increasing trend, and the coefficient of determination(R2) was 0.9763, which means high correlation.
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