• Journal of the Korean GEO-environmental Society
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• v.8 no.5
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• pp.31-38
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• 2007

The practical design method on sandmat uses a drain length, rate of consolidation settlement and permeability of sand as a major design factors. And, on the basis of this design process, it has been installed beneath the embankment with same thickness. However, the possibility the underestimation on the thickness of sandmat and the delayed drain have been pointed out by several authors caused by a differential settlement at the center and the end of embankment. In this study, therefore, the effect of the differential settlement on the thickness of sandmat and delayed drain through the numerical analysis of embankment was analyzed. As a result, a substantial sandmat thickness becomes small and the possibility of the delayed drain can be certified because of the development of differential settlement at the center and ends of embankment. As a countermeasure to overcome this problem, the applicability of the mound type sandmat was also investigated by the numerical method. It can be concluded that it maintains the designated substantial sandmat thickness throughout consolidation process, and is useful method to maintain the drain capacity. Especially, the mound type sandmat is effective method for a construction site where can cause a differential settlement such as embankment. Furthermore, it has to be designed on the basis of the accurate prediction of consolidation settlement as well as rate of consolidation settlement, drain length and permeability of sand.

• Journal of Industrial Technology
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• v.29 no.A
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• pp.127-134
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• 2009

In this paper, an numerical approach is performed to investigate the effects of smear zone, occurred by penetrating vertical drains, on consolidation behavior of soft clay deposits. Such a numerical analysis is applied to the field condition to confirm its applicability. Parametric numerical analyses is carried out to study influencing factors such as permeability in smear zone, boundary of smear zone and discharge capacity of vertical drains on the consolidation of soil. As results of analyses, for the given conditions of soil, degree of consolidation is getting faster with increase of permeability of vertical drain. Degree of consolidation is delayed with decrease of permeability of smear zone. As the ratio of drain width to smear zone increases, the degree of consolidation decreases. Proposed values of influencing factors by previous researchers is found to be reliable from results of numerical analyses with Cam-clay model.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.28 no.5C
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• pp.313-320
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• 2008

The discharge capacity testing apparatus using penetration method, being able to simulate in laboratory the condition of embedding plastic board drains in field, was developed to investigate consolidation characteristics of ground and to figure out discharge capacity of drains. The developed apparatus with a mandrel and penetrating device was designed to insert PBD into the ground prepared by previously applied pressure, being different from the conventional testing method that the drain was installed and the ground material was poured subsequently. Discharge capacity tests with the conventional apparatus as well as the newly developed one were performed to assess the applicability of the latter. As a result of tests, the conventional method showed delayed consolidation due to overall disturbance of ground and local deformation of drain caused by inhomogeneity of ground. Therefore discharge capacity of drain with the conventional apparatus was measured more or less larger than the expected values whereas discharge capacity with new one could be measured similar to the actual value in field.

• Magazine of the Korean Society of Agricultural Engineers
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• v.42 no.4
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• pp.115-123
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• 2000

This study compared the degree of consolidation by hyperbolic, curve fitting , Asaoka's and methods using values measured with a theoretical curve in consideration of smear effect and well resistance. The degree of consolidation by the Hyperboilc method was underestimated than the degree of consolidation by Curve fitting. Asaoka's , and Monden's methods. The typical range of the coefficient of horizontal consolidation was Ch=(2-3)Cv in the case considering smear effect and well resistance, and Ch =(0.5-2.1) Cv in the case disregarding smear effect and well resistance. The degree of consolidation obtained by ground settlement monitoring was nearly the same value when the coefficient of smear zone permeability by back analysis was shown to be half that of in-situ and the diameter of the smear zone was shown to be double that of mandrel. By increasing the diameter reduction ratio of the drain, the time of consolidation was delayed. The effect of well resistance showed that the case of a small coefficient of permeability was much more than in the case of a large coefficient of permeability . It was recommended that when designing diameter reduction of a drain, well resistance should be considered.

• Journal of Chest Surgery
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• v.15 no.2
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• pp.218-221
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• 1982

Delayed cardiac tamponade in an uncommon and frequently fatal complication after open-heart surgery. We had been experienced two cases of delayed cardiac tamponade as a complication of open-heart surgery and treated successfully by reinsertion of pericardial drain through subxiphoid route. First case was 60 years old female patient and underwent MVR under impression of MSi + Ti Second case was 19 years old male patient and underwent total correction of T.O.F.with Blalock shunt [Lt]. Both cases had Initial symptoms, which were epigastric pain, chest tightness, dropped blood pressure, and increased pulse rate and respiratory rate, mimic as low cardiac output syndrome after open-heart surgery. Roentgenogram of the chest showed a rapid increased cardiothoracic ratio. It is important to realize the presence of late cardiac tamponade for proper diagnosis of complication after open-heart surgery.

• Proceedings of the Korean Geotechical Society Conference
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• 2009.03a
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• pp.720-728
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• 2009

This thesis is results of numerical analyses about test results of discharge capacity apparatus using penetration method. Applicability of numerical approach with FEM technique, using Cam-clay model, was confirmed by analyzing the results of standard consolidation test before analyzing test results of discharge capacity apparatus using penetration method. Thus, input parameters for the model was convinced to be appropriate. For numerical analyses about test results of discharge capacity apparatus using penetration method, identical initial and loading conditions during tests were applied to simulate test results correctly. Effects of ground disturbance resulted from installment of vertical drains on the behaviors of consolidation were also simulated. Applicability of numerical approach was investigated by comparing test results with numerical ones. As results of them, both of consolidation settlement were found to be in good agreements so that its applicability was confirmed. As results of numerical estimation, degree of consolidation with the condition of considering smear zone was found to be delayed, compared with results without smear zone. On the other hands, parametric numerical analyses of changing parameters related to smear zone such as permeability and size of smear zone and permeability of vertical drain were also carried out.

• Korean Journal of Radiology
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• v.24 no.5
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• pp.444-453
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• 2023

Objective: Meningeal lymphatic vessels are predominantly located in the parasagittal dural space (PSD); these vessels drain interstitial fluids out of the brain and contribute to the glymphatic system. We aimed to investigate the ability of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in assessing the dynamic changes in the meningeal lymphatic vessels in PSD. Materials and Methods: Eighteen participants (26-71 years; male:female, 10:8), without neurological or psychiatric diseases, were prospectively enrolled and underwent DCE-MRI. Three regions of interests (ROIs) were placed on the PSD, superior sagittal sinus (SSS), and cortical vein. Early and delayed enhancement patterns and six kinetic curve-derived parameters were obtained and compared between the three ROIs. Moreover, the participants were grouped into the young (< 65 years; n = 9) or older (≥ 65 years; n = 9) groups. Enhancement patterns and kinetic curve-derived parameters in the PSD were compared between the two groups. Results: The PSD showed different enhancement patterns than the SSS and cortical veins (P < 0.001 and P < 0.001, respectively) in the early and delayed phases. The PSD showed slow early enhancement and a delayed wash-out pattern. The six kinetic curve-derived parameters of PSD was significantly different than that of the SSS and cortical vein. The PSD washout rate of older participants was significantly lower (median, 0.09; interquartile range [IQR], 0.01-0.15) than that of younger participants (median, 0.32; IQR, 0.07-0.45) (P = 0.040). Conclusion: This study shows that the dynamic changes of meningeal lymphatic vessels in PSD can be assessed with DCE-MRI, and the results are different from those of the venous structures. Our finding that delayed wash-out was more pronounced in the PSD of older participants suggests that aging may disturb the meningeal lymphatic drainage.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.14 no.5
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• pp.1243-1251
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• 1994

The implicit finite difference program was developed to evaluate the relationship between time and consolidation ratio within the zone of vertical drain effective radius. In the evaluation, the excess pore water pressure was considered to dissipate in two directions, namely, vertical and radial flow direction. To calculate subsoil stress increments in the soil due to multi-step embanking, the foundation soil was assumed to be an isotropic and homogeneous elastic medium and the initial excess pore water pressure was estimated by using Skempton's parameters whose condition is plane strain and elastic phase of pore pressure response within the soft ground. Regarding to the settlement estimation, immediate and primary consolidation settlements were calculated. The secondary or delayed consolidation settlement was not considered. Numerically calculated excess pore water pressure and settlements were similar to the measured data in situ. Thus, this method can be used to predict the time-consolidation ratio of each layer treated by vertical drain method.

• Journal of Korean Neurosurgical Society
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• v.43 no.6
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• pp.281-287
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• 2008

Objective : Cerebral vasospasm still remains a major cause of the morbidity and mortality, despite the developments in treatment of aneurysmal subarachnoid hemorrhage. The authors measured the utility and benefits of external lumbar cerebrospinal fluid (CSF) drainage to prevent the clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage in this randomized study. Methods : Between January 2004 and March 2006, 280 patients with aneurysmal subarachnoid hemorrhage were treated at our institution. Among them, 107 patients met our study criteria. The treatment group consisted of 47 patients who underwent lumbar CSF drainage during vasospasm risk period (about for 14 days after SAH), whereas the control group consisted of 60 patients who received the management according to conventional protocol without lumbar CSF drainage. We created our new modified Fisher grade on the basis of initial brain computed tomography (CT) scan at admission. The authors established five outcome criteria as follows : 1) clinical vasospasm; 2) GOS score at 1-month to 6-month follow-up; 3) shunt procedures for hydrocephalus; 4) the duration of stay in the ICU and total hospital stay; 5) mortality rate. Results : The incidence of clinical vasospasm in the lumbar drain group showed 23.4% compared with 63.3% of individuals in the control group. Moreover, the risk of death in the lumbar drain group showed 2.1 % compared with 15% of individuals in the control group. Within individual modified Fisher grade, there were similar favorable results. Also, lumbar drain group had twice more patients than the control group in good GOS score of 5. However, there were no statistical significances in mean hospital stay and shunt procedures between the two groups. IVH was an important factor for delayed hydrocephalus regardless of lumbar drain. Conclusion : Lumbar CSF drainage remains to playa prominent role to prevent clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage. Also, this technique shows favorable effects on numerous neurological outcomes and prognosis. The results of this study warrant clinical trials after endovascular treatment in patients with aneurysmal SAH.

• Journal of Chest Surgery
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• v.56 no.3
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• pp.206-212
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• 2023

Background: Delayed sternal closure (DSC) is a useful option for patients with intractable bleeding and hemodynamic instability due to prolonged cardiopulmonary bypass and a preoperative bleeding tendency. Vacuum-assisted closure (VAC) has been widely used for sternal wound problems, but only rarely for DSC, and its efficacy for mediastinal drainage immediately after cardiac surgery has not been well established. Therefore, we evaluated the usefulness of DSC using VAC in adult cardiac surgery. Methods: We analyzed 33 patients who underwent DSC using VAC from January 2017 to July 2022. After packing sterile gauze around the heart surface and great vessels, VAC was applied directly without sternal self-retaining retractors and mediastinal drain tubes. Results: Twenty-one patients (63.6%) underwent emergency surgery for conditions including type A acute aortic dissection (n=13), and 8 patients (24.2%) received postoperative extracorporeal membrane oxygenation support. Intractable bleeding (n=25) was the most common reason for an open sternum. The median duration of open sternum was 2 days (interquartile range [25th-75th pertentiles], 2-3.25 days) and 9 patients underwent VAC application more than once. The overall in-hospital mortality rate was 27.3%. Superficial wound problems occurred in 10 patients (30.3%), and there were no deep sternal wound infections. Conclusion: For patients with an open sternum, VAC alone, which is effective for mediastinal drainage and cardiac decompression, had an acceptable superficial wound infection rate and no deep sternal wound infections. In adult cardiac surgery, DSC using VAC may be useful in patients with intractable bleeding or unstable hemodynamics with myocardial edema.