• Title/Summary/Keyword: Diversion

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Surgical Management of the Benign Esophageal Diseases (양성식도질환(良性食道疾患)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Park, Joo Chul;Rho, Joon Ryang;Kim, Chong Whan;Suh, Kyung Phill;Lee, Yung-Kyoon
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.298-310
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    • 1976
  • A clinical analysis was performed on 118 cases of the benign esophageal diseases experienced at Department of Thoracic Surgery, Seoul National University Hospital during 20 year period from 1957 to 1976. Of 118 cases of the benign esophageal diseases, there were 84 patients of esophagenal stenosis, 14 of esophageal perforation, 8 of esophageal atresia, 7 of achalasia, 2 of hiatal hernia, 2 of esophageal foreign body and one of esophageal diverticulum. Fifty-one patients were male and sixty-seven were female, and ages ranged from one day to sixty-four years with peak incidence in the age group of 20 to 29 years. All but one of the esophageal stenosis were caused by corrosive esophagitis and ages ranged from three to sixty-four years with peak incidence in third decade. Main symptoms of the esophageal stenosis were dysphagia, weight loss and chest pain in order and mostly began between one month and one year after ingestion of corrosive agents. Corrosive esophageal stenosis developed most frequently in middle one-third of the esophagus and about one-forth of them were diffuse. Operations were performed on 72 patients of esophageal stenosis of whom 26 patients had esophagocologastrostomy, 21 gastrostomy, 20 esophagogastrostomy, 4 esophagojejunogastrostomy and 2 pharyngogastrostomy. There were 5 deaths in the postoperative period, an operative mortality of 6.9 percent, and 20 patients had one or two complications; eight were anastomotic leaks, 6 gangrenes of replaced loop, 4 wound abscesses and others. The causes of the esophageal perforation were traumatic in 7 cases, caustics in 4 and spontaneous in 3, and the most frequent site of the perforation was lower one-third of the esophagus. Frequent symptoms of the esophageal perforation were pain, fever, dysphagia and dyspnea, and preoperatively there were mediastinitis in 8 cases, empyema in 7, lung abscess in 3 and others. All 14 patients of the esophageal perforation underwent operation: primary closure in 7 cases, drainage in 4, esophagogastrostomy in 2 and 'esophageal diversion in one. There were 4 postoperative deaths and 11 postoperative complications occurred in 7 patients. The duration of symptoms in achalasia was between 3 months and 25 years, with an average duration of 6. 2 years. Frequent symptoms of the achlasia esophagi were dysphagia, regurgitation, pain and weight loss in order. All 7 patients of achlasia underwent modified Heller's operation where 2 patients had complications, restenosis in one and esophageal perforation in another. All 8 patients of congenital esophageal atresia had distal tracheoesophageal fistula and were admitted within 5 days of life, but there were pneumonic consolidation on chest X-ray in patients. Five patients underwent one staged operation with the result of 2 deaths and one anastomotic leak.

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A Cause Analysis on the Reduction of Stream Flow for the Cheongdocheon (청도천의 건천화 원인분석)

  • Lee, Sang-Ho;Park, Jong-Pyo;Lee, Jung-Min;Cho, Hyo-Seob
    • Journal of Korea Water Resources Association
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    • v.36 no.6
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    • pp.1069-1082
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    • 2003
  • The Cheongdocheon has the reaches under reduction of stream flow. We analysed the cause of the reduction. We investigated the current status of facilities for agricultural water use. We also compared the discharge measurements with the results from the continuous simulation of watershed runoff The satellite image was a tool to find some reaches of stream flow reduction under doubt. Agricultural reservoirs block up the stream and water does not flow over the reservoirs except by storm. They also discharge water through diversion channels and the water diverted does not flow through the natural stream. Farmers directly take water from the stream by weirs. The infiltration gallery of water below the stream ground makes the reach dryness perfect in Kamakchon. These are causes of the stream flow reduction. The discharge measurements are less than the simulation results of watershed runoff, and we guess that the reaches investigated have dried. We found the reaches of stream flow reduction that were under doubt from some KOMPSAT satellite images with the resolution of 6.6 m. Then, we confirmed the reduction of stream flow by a field investigation. All the above reaches have infiltration galleries of water below the stream ground. The research results are a case study on the cause analysis on the reduction of stream flow. One can obtain the KOMPSAT image for a low price and can get prior information to find the doubtful reach of stream flow reduction.

Problems of Water Use and Estimation of Water Right in North Han River Shared by North and South Korea (I) -Analysis of Diversion Impacts on Downstream Area by Imnam Dam (남북공유하천 북한강의 물이용 문제점 및 수리권 추정 (I) -임남댐 유역변경에 의한 하류 영향 분석)

  • Ahn, Jong-Seo;Jung, Kwan-Sue;Lee, Gwang-Man
    • Journal of Korea Water Resources Association
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    • v.44 no.4
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    • pp.305-314
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    • 2011
  • Imnam Dam construction and inter-basin water transfer use by North Korea have caused several problems including water resources management aspects in the downstream reach of North Han River. Therefore, cooperative works between North and South Korea are required to make a reasonable management situation of the shared river for water quantity and quality. However, efforts by the North and the South has done not enough to achieve equitable water use in the shared river. This study analyzes main impacts caused by Imnam Dam in key sectors for reviewing water use right regarded as the most important decision-making criterion in international rivers. As the results, water deficit by Imnam Dam is calculated at 379 million $m^3$/year when river drought year for water assessment is set in 1978 in the Han River basin. Additionally hydropower production is decreased by 234 GWh/year in exclusive hydropower generation dams. In respective of water quality, BOD concentration is increased by 0.065 ppm at Sambongli in North Han River. Finally it is identified that unequitable water use based on the absolute territorial sovereignty by North Korea in North Han River has directly and indirectly affected severe impacts to South Korea as the downstream user.

An investigational study about the needs for exercise of adult inpatients (성인 입원화자의 운동 욕구에 관한 조사연구)

  • Choe, Myoung-Ae;Choi, S.Mi;Lim, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.203-215
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    • 1994
  • The purpose of this study was to investigate the needs for exercise of adult inpatients and ultimately to provide basic data for planning nursing intervention of patients who need exercise. The tool used for this study was a structured questionnaire which consisted of 42 items. The test items were classified into seven factors. The seven factors of the needs for exercise were need for achievement, need for activity, need for affiliation, need for autonomy, need for catharsis, need for homeostasis, and need for exhibition. Subjects of this study were 127 patients in two general hospitals in Seoul, and one general hospital in Chun Ann City. The needs of exercise were identified and the data were analyzed by gender, age, occupation, education level, monthly income, size of patient room, patient group who requires exercise and the other patient group who requires bed rest, using one-way ANOVA and Scheffe test as post-hoc. The findings of this study were as follows ; 1) Among the needs for exercise of adult patients, the highest level of the needs was the need for homeostasis. The next highest was the need for achievement, then need for activity, need for catharsis, need for autonomy, need for affiliation, and the lowest was the need for exhibition. 2) Maintaining physical fitness stood first in the need for homeostasis, relieving psychological and physical powerlessness in the need for activity, mood diversion in the need for catharsis, happiness of the family in the need for affiliation, maintaining the balanced body figure in the need for exhibition, practicing planned life in the need for achievement, and improving the ability to overcome the crisis in the need for autonomy. 3) Male patients exhibited the higher level of the needs than female patients in all factors except the need for exhibition and homeostasis. 4) There was no statistical difference in the needs between age, occupation, monthly income, and the size of patient room. 5) The need for achievement was high as the level of education goes higher. 6) The patients who performed regular exercise before admission had higher needs for activity, achievement, and autonomy, compared with the patients who did not perform the regular exercise before admission. 7) There was no statistical difference in the needs between patient group who requires exercise and the other patient group who requires bed rest. The need for homeostasis was the highest in both groups. The results from this study suggest that the need for exercise of adult inpatients should be assessed before planning exercise intervention.

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The Impact of Bilateral Free Trade Agreements on International Trade Volume of Bulk Shipment at the Port of Korea: Focusing on Korea's FTA with Singapore, India, and United States (한·단일국가 FTA체결에 따른 우리나라 벌크물동량 영향분석 : 싱가포르, 인도, 미국을 중심으로)

  • Lee, Kyong-Han;Choi, Nayoung-Hwan
    • Journal of Navigation and Port Research
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    • v.40 no.6
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    • pp.485-494
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    • 2016
  • The primary purpose of this study is to analyze the impact and determinants of bilateral Free Trade Agreements on international total bulk shipment trade volume at the port of Korea using the Panel Gravity Model. The model estimates the aggregated panel data of exports and imports (excluding transshipment) as a dependent variable during the period from 1996 to 2015. GDP, GDP per capita, distances between bilateral countries, and FTA dummies are included as independent variables. And the economic integration of FTAs including ASEAN+3 and NAFTA3 countries were used as dummy variables. Study results show that GDP and GDP per capita have positive impacts on bulk shipment trade volume at the port of Korea. In addition, Korea's bilateral FTAs with Singapore, India and the United States have positive effects on total bulk trade volume in Korea. This is the so called trade creation effect. On the other hand, ASEAN+3 and NAFTA have negative effects on the total bulk trade. This is the so called trade diversion effect. Also, the distance between Korea and its trade partners has a negative impact. These findings provide insights for: further academic research, site operators who work in related trade and maritime sectors, and policy makers engaged in port and maritime operations. The results can be used to develop strategies for maximizing bulk port throughput.

Prediction of Water Level at Downstream Site by Using Water Level Data at Upstream Gaging Station (상류 수위관측소 자료를 활용한 하류 지점 수위 예측)

  • Hong, Won Pyo;Song, Chang Geun
    • Journal of the Korean Society of Safety
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    • v.35 no.2
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    • pp.28-33
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    • 2020
  • Recently, the overseas construction market has been actively promoted for about 10 years, and overseas dam construction has been continuously performed. For the economic and safe construction of the dam, it is important to prepare the main dam construction plan considering the design frequency of the diversion tunnel and the cofferdam. In this respect, the prediction of river level during the rainy season is significant. Since most of the overseas dam construction sites are located in areas with poor infrastructure, the most efficient and economic method to predict the water level in dam construction is to use the upstream water level. In this study, a linear regression model, which is one of the simplest statistical methods, was proposed and examined to predict the downstream level from the upstream level. The Pyeongchang River basin, which has the characteristics of the upper stream (mountain stream), was selected as the target site and the observed water level in Pyeongchang and Panwoon gaging station were used. A regression equation was developed using the water level data set from August 22th to 27th, 2017, and its applicability was tested using the water level data set from August 28th to September 1st, 2018. The dependent variable was selected as the "level difference between two stations," and the independent variable was selected as "the level of water level in Pyeongchang station two hours ago" and the "water level change rate in Pyeongchang station (m/hr)". In addition, the accuracy of the developed equation was checked by using the regression statistics of Root Mean Square Error (RMSE), Adjusted Coefficient of Determination (ACD), and Nach Sutcliffe efficiency Coefficient (NSEC). As a result, the statistical value of the linear regression model was very high, so the downstream water level prediction using the upstream water level was examined in a highly reliable way. In addition, the results of the application of the water level change rate (m/hr) to the regression equation show that although the increase of the statistical value is not large, it is effective to reduce the water level error in the rapid level rise section. Accordingly, this is a significant advantage in estimating the evacuation water level during main dam construction to secure safety in construction site.

A Study on the Institutional System for Efficient-Sustainable Recycling of Construction Wastes (지속가능한 건설폐기물 재활용 활성화제도 개선에 관한 연구)

  • Park, Chan-Hyuk;Chung, Jae-Chun
    • Journal of the Korea Organic Resources Recycling Association
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    • v.12 no.1
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    • pp.94-103
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    • 2004
  • The generation of construction waste has increased continuously in the recent years, becoming an important social issue. In this paper, the generation and treatment of construction waste in Korea was reviewed and a comparative analysis was performed between Korea and developed countries to suggest some efficient recycling strategies. The generation of construction waste has increased 4 times from 10 million ton/yr in 1996 to 40.3 million ton/yr in 2002. Of the construction waste generated in 2002, concrete debris waste occupied 60.4%. Approximately 14.5% of the construction waste is landfilled, 2,0% incinerated and 83.4% recycled, then the recycling rate might be relatively high. However, there is room for increasing landfill diversion. It is somewhat important to strenghten incentives for the outstanding recycling business. It is also needed to improve the recycled aggregate quality standard and impurity content standard. It is desirable to toughen the facility standard for the recycling aggregate business and the quality standard for the intermediate treatment business. Also, market for the intermediate product of the recycled aggregate should be activated. Finally, more recycling-oriented regulations governing the construction waste has to be developed with the efficient public education program.

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Effect of Food Waste Mixing on Hydrogen Gas Production in Anaerobic Digestion of Brown Water from Urine Diversion Toilet (소변분리변기오수(Brown water)의 혐기성 처리 시 음식물 쓰레기 혼합에 따른 수소생산 특성)

  • Seong, Chung-Yeol;Yoon, Cho-Hee;Seo, Gyu-Tae
    • Journal of Korean Society of Environmental Engineers
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    • v.36 no.12
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    • pp.865-872
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    • 2014
  • The study was conducted to evaluate the effect of addition of food waste in brown water for anaerobic hydrogen production. Batch experiment was carried out to determine appropriate food waste to brown water mixing ratio. Maximum hydrogen yield of $6.92mmol\;H_2/g\;COD_{removed}$ was obtained at 70% food waste and 30% brown water. Semi-pilot scale reactor was operated based on result of batch experiment. Semi-pilot reactor operated, mixing 70% food waste and 30% brown water showed significant increment in butyric acid concentration. B/P (Butyric to propionic acid ratio) which is considered as governing factor for hydrogen production was found high (52.64). Maximum hydrogen yield of $25.03mmol\;H_2/g\;COD_{removed}$ was obtained. Result of this study concluded that mixing of food waste to brown water at appropriate ratio assists in enhanced hydrogen fermentation.

Determining Uses and Gratifications for the Mobile Games (이용 충족관점에서의 모바일게임 플레이어 유형과 특성 분석에 관한 연구)

  • Han, Kwang-Hyun;Lee, Han-Chul;Kim, Tae-Ung
    • Information Systems Review
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    • v.9 no.2
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    • pp.15-39
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    • 2007
  • Mobile games have emerged as the most innovative entertainment technology, adding new revenue streams, taking advantage of the potential of wireless applications and service offerings. Mobile games, like any other types of computer game, offer a unique value for users in providing an exciting digital experience in virtual worlds. In this paper, we attempt to investigate the demographic factors which play critical roles in determining the level of playing times; classify mobile gamers based on their motives for playing games; and empirically test differences in their demographic factors and mobile game usage. Statistical results show that significant differences in playing times exist, depending upon their age, gender, mobile device, mobile phone usage, mobile game experiences, and preferred games genres. Applying Factor analysis, we have identified Escape, Social interaction, Challenge and Competition, Fantasy, Diversion and Relaxation, Ease of Accessibility as key motivators for playing mobile games. Additional cluster analysis shows that the categorization of gamers, according to their usage habits and the key motivators for playing, can be made as follows: Multi-gamers, Communication-focused gamers and Mobile active-gamers. Further correlation of these grouping with socio-economic data shows the significant differences in gaming habits and patterns of mobile phone use.

A Study of Symptom of Health and Fatigue-regulation Behavior in Middle-aged Women (중년여성의 건강증상호소와 피로조절행위)

  • Park, Chai-Soon;Oh, Jeong-Ah;Yeoum, Soon-Gyo
    • Women's Health Nursing
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    • v.7 no.4
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    • pp.447-460
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    • 2001
  • The purpose of this study were to identify a relationship between symptom of health and fatigue-regulation behavior in middle-aged women. The subjects were 241 women living in Seoul and near the city, ranging in ages of 30-59(mean= 42.1 years) being interviewed during the month of Oct. to Dec., 2000. The following questionnaires were utilized in this study: a self reported symptom of health and a fatigue-regulation behavior scale originated from Kwon(1997). The analysis for the data was done by SAS program, t-test, ANOVA, and Pearson correlation. The results of this study were as follows 1. Total mean scores of health status were shown 29.1, physical symptom 17.9 and psychological symptom 11.2. According to symptom of body system were higher in muscular-skeletal sympom 5.5, neurologic symptom 3.5, and digestive symptom 2.7. 2. The mean scores of symptom of health were significantly different in duraion of marriage, status of menstruation, perceived fatigue, perceived cause of fatigue, perceived help of family, hours of sleep. Physical symptom was significantly different in years of educational, status of menstruation, perceived fatigue, perceived cause of fatigue, perceived help of family, hours of sleep. Psychological symptom was significantly different in parity, whether or not having past illness, perceived fatigue. 3. The neurologic symptom was significantly different in years of education, status of menstruation, perceived fatigue, time to rest The respiratory symptom was significantly different in years of education, status of menstruation and hours of physical exercise. The muscular-skeletal symptom was significantly different duration of marriage, status of menstruation, BMI. perceived fatigue, perceived cause of fatigue, perceived help of family. The cardiovascular symptom was significantly different in whether or not having religion, number of children, duration of marriage, number of pregnancy & abortion, parity, status of menstruation, BMI. The digestive symptom was significantly different in whether or not having religion and the number of children. The urologic symptom was significantly different in whether or not having job, type of family, status of menstruation, BMI, perceived fatigue, perceived cause of fatigue, perceived help of family. The score of fatigue was significantly different in number of pregnancy. 4. There were significantly positive relationships in the area of symptom on health, especially fatigue was significantly positive relationships in score of symptom of health, physical symptom and psychological symptom. 5. They choose fatigue-regulation behavior physical rest, method of diversion, management of stress, enough sleep, and psychological rest in order. In the near future, it is required that further studies investigate socio-environmental factors related to symptoms of health and develop programs motivating fatigue-regulation behaviors actively.

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