• Title/Summary/Keyword: Drainage Tool

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The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Treatment of Traumatic Pancreas Injury (외상성 췌장 손상에서 내시경적 담췌관 조영술의 역할)

  • Jeong, Min-Young;Kim, Young-Hwan;Kyoung, Kyu-Hyouck;Lee, Sung-Koo;Hong, Suk-Kyung
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.136-142
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    • 2011
  • Purpose: Blunt pancreatic injury has a high mortality rate, especially if adequate management is delayed. Although many guidelines exist for diagnosis and treatment, there is no consensus to date. Therefore, we analyzed the role of endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and therapeutic tool for the treatment of traumatic pancreatic injury. Methods: We retrospectively reviewed the electronic medical records (EMR) database at Asan Medical Center (Seoul, South Korea) to identify all patients diagnosed with trauma to the pancreas between June 2003 and December 2010. Clinical and operative findings, CT (computed tomography) images, and ERCP findings were assessed. Results: A total of 40 patients were evaluated in this study. Of these, 14 patients underwent diagnostic ERCP, and 26 did not. Of the 14 patients who underwent diagnostic ERCP, 5 were found to have normal pancreatic ducts, thereby preventing a needless laparotomy in these patients. Of the patients diagnosed with ductal injury, four were treated with endoscopic intervention, and four underwent an exploratory laparotomy. The remaining patient was treated with radiologic intervention (percutaneous drainage) to manage pancreatic pseudocyst formation. Conclusion: Our findings suggest that ERCP is a beneficial diagnostic and therapeutic modality for the treatment of traumatic pancreatic injury.

Analysis of Sediment Reduction with VFS and Diversion Channel with Enhancements in SWAT Landuse-Subbasin Overland Flow and VFS Modules

  • Park, Youn-Shik;Kim, Jong-Gun;Kim, Nam-Won;Engel, Bernie;Lim, Kyoung-Jae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.752-757
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    • 2009
  • In the last decade, many methods such as greet chamber, reservoir, or debris barrier, have been utilized to manage and prevent muddy water problem. The Vegetative Filter Strip (VFS) has been thought to be one of the most effective methods to trap sediment effectively. The VFS are usually installed at the edge of agricultural areas adjacent to stream or drainage ditches, and it has been shown that the VFS effectively removes pollutants transported with upland runoff. But, if the VFS is installed without any scientific analysis of rainfall-runoff characteristics, soil erosion, and sediment analysis, it may not reduce the sediment as much as expected. Although Soil and Water Assessment Tool (SWAT) model has been used worldwide for many hydrologic and Non-Point Source Pollution (NPSP) analysis at a watershed scale. but it has many limitations in simulating the VFS. Because it considers only 'filter strip width' when the model estimates sediment trapping efficiency, and does not consider the routing of sediment with overland flow option which is expected to maximize the sediment trapping efficiency from upper agricultural subbasin to lower spatially-explicit filter strip. Therefore, the SWAT overland flow option between landuse-subbasins with sediment routing capability was enhanced with modifications in SWAT watershed configuration and SWAT engine. The enhanced SWAT can simulate the sediment trapping efficiency of the VFS in the similar way as the desktop VFSMOD-w system does. Also it now can simulate the effects of overland flow from upper subbasin to reflect the increased runoff volume at the receiving subbasin, which is what is occurring at the field if no diversion channel is installed. In this study, the enhanced SWAT model was applied to small watershed located at Jaun-ri in South Korea to simulate diversion channel and spatially-explicit VFS. It was found that approximately sediment can be reduced by 31%, 65%, 68%, with diversion channel, the VFS, and the VFS with diversion channel, respectively.

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Optimum Configuration of Gutters for Glasshouses Using ANSYS and ADAMS (ANSYS/ADAMS를 이용한 유리온실 최적의 Gutter 형태 설계)

  • Kim, Jin-Soo;Ouk, Sokunthearith;Lim, Su-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.1-7
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    • 2015
  • A gutter is generally a fixed beneath the edge of a roof to carry off rainwater, or a narrow trough that collects rainwater from the roof of a building to diverts it from the structure, typically into a drain. Reasonable designs reduce the mass of the gutters (~ 16.9%), make it faster and easier to assemble, and gives it consistent strength and integrity (about 10%). New gutter systems are presented according to the results of structural analyses performed by ANSYS and ADAMS/Durability Hot Spots. In addition, the CATIA program can improve the precision of the 3D system simulations. The design of a gutter system installations also needs to comply with the specific rainfall intensities and adequate overflow provisions needs to be provided to prevent water from sides of the roofs during heavy rainfall periods. The principle outcome of this work is a computational design tool that can be used to improve the gutter performance considering a variety of factors (gutter geometry, drainage and rainfall intensity). A good gutter design must satisfy many criteria, including durability, low cost, and ease of repair and cleaning.

Prediction of Water Quality in Haenam Estuary Reservoir Using Multiple Box Model (I) -Development and Application of Water Quality Subroutines- (Multiple Box 수질모형에 의한 해남호 수질예측 (I) - 수질부 모형의 개발과 적용 -)

  • 신승수;권순국
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.32 no.3
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    • pp.116-129
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    • 1990
  • A rational management of water resources in estuary reservoirs necessiates the prediction of water quality. In this study, a multiple box model for the water quality prediction was developed as a tool for the purpose of examining an adequate way to improve and maintain the water quality. Some submodels that are suitable for simulating the mixing behavior of pollutant materials in a lake were considered in this model. The model was appiled for predicting water qualities of Haenam Esturay Reservoir. The result from this study can be summarized as follows : 1.A water quality simulation model that can predict the 10-day mean value of water qualities was developed by adding some submodels that simulate the concentrations of chlorophyll-a, BOD, T-P and T-N to the existing Multiple Box Model representing the mixing and circulating of materials by the hydarulic action. 2.As input data for the model developed, the climatic data including precipitation, solar radiation, temperature, cloudness, wind speed and relative humidity, and the water buget records including the pumping discharge and the releasing discharge by drainage gate were ollected. The hydrologic data for the inflow discharge from the watershed was obtained by simulation with the aid of USDAUL-74/SNUA watershed model. Also the water quality data were measured at streams and the reservoir. 3.As a result of calibration and verification test by using four comonents of water quality such as Chlorophyll-a, BOD, T-P and T-N, it was found that the correlation coefficeints between the observed and the simulated water qualities showed greater than 0.6, therefore the capability of the model to simulate the water quality was proved. 4.The result based on the model application showed that the water quality of the Haenam Estuary Reservoir varies seasonally with the harmonic trend, however the water quality is good in winter and get worse in summer. Also it may be concluded that the current grarde of water quality in the Heanam Esutary Reservoir is ranked as grade 4 suitable only for the agricultutal use.

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Effects of Fiber Wall Thickness on Paper Properties Using CLSM (CLSM을 이용한 고해과정 중 섬유벽 두께 변화의 종이 특성 영향 분석)

  • 김서환;박종문;김철환
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.31 no.1
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    • pp.39-45
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    • 1999
  • Refining in papermaking plays an important role in changing fiber properties as well as paper properties. The major effects of refining on pulp fibers are internal and external fibrillation, fiber shortening, and fines formation. Many workers showed that internal fibrillation of the primary refining effects was most influential in improving paper properties. In particular, refining produces separation of fiber walls into several lamellae, thus causing fiber wall swelling with water penetration. This leads to the increase of fiber flexibility and of fiber-to-fiber contact during drying. If the fibers are very flexible, they will be drawn into close contact with each other by the force of surface tension as the water is removed during the drainage process and drying stages. In order to study the effect of fiber wall delamination on paper properties, cross-sectional image of fibers in a natural condition had to be generated without distortion. Finally, it was well recognized that confocal laser scanning microscope (CLSM) could be one of the most efficient tool for creating and quantifying fiber wall delamination in combination with image analysis technique. In this study, the CLSM could be used not only to observe morphological features of transverse views of swollen fibers refined under low and high intensity, but also to investigate the sequence of fiber wall delamination and fiber wall breakage. From the CLSM images, increasing the specific energy or refining decreased the degree of fiber collapse, fiber cross-sectional area, fiber wall thickness and lumen area. High intensity refining produced more external fibrillation.

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Formulation of Fully Coupled THM Behavior in Unsaturated Soil (불포화지반에 대한 열-수리-역학 거동의 수식화)

  • Shin, Ho-Sung
    • Journal of the Korean Geotechnical Society
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    • v.27 no.3
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    • pp.75-83
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    • 2011
  • Emerging issues related with fully coupled Thermo-Hydro-Mechanical (THM) behavior of unsaturated soil demand the development of a numerical tool in diverse geo-mechanical and geo-environmental areas. This paper presents general governing equations for coupled THM processes in unsaturated porous media. Coupled partial differential equations are derived from three mass balances equations (solid, water, and air), energy balance equation, and force equilibrium equation. With Galerkin formulation and time integration of these governing equations, finite element code is developed to find nonlinear solution of four main variables (displacement-u, gas pressure-$P_g$), liquid pressure-$P_1$), and temperature-T) using Newton's iterative scheme. Three cases of numerical simulations are conducted and discussed: one-dimensional drainage experiments (u-$P_g-P_1$), thermal consolidation (u-$P_1$-T), and effect of pile on surrounding soil due to surface temperature variation (u-$P_1$-T).

Acalculous Cholecystitis Following Multiple Trauma with Fractures (골절을 동반한 다발성 외상 환자에서 발생한 비결석성 담낭염)

  • Kim, Ki Hoon;Kyung, Kyu Hyouk;Kim, Jin Su;Kim, Kwan U;Kim, Woon-Won;Kim, Ji Wan
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.203-208
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    • 2012
  • Purpose: The purpose of this study is to investigate the incidence of acalculous cholecystitis after multiple trauma with fractures and to analyze the characteristics of cholecystitis. Methods: We performed a retrospective study of multiple trauma patients with fractures between April 2010 and April 2012. Sixty- nine patients were identified, and the average age was 46.8(range: 15-74) years. Data were collected regarding associated injury, injury severity score (ISS), the diagnosis time after trauma, diagnostic tool, and management Results: There were three cases(4.3%) of cholecystitis among the 69 cases, and cholecystitis was diagnosed an average of 20.7(range: 8-33) days after injury. Two patients complained of abdominal pain at diagnosis, but the other patient who had undergone surgery for small bowel perforation at the time of the injury had no abdominal pain. All three patients had abnormal liver function tests (LFTs) at diagnosis. The cholecystitis was confirmed with ultrasonography or computed tomography, and all cases were acalculous cholecystitis. At first, percutaneous transhepatic gallbladder drainage was performed; then, laparoscopic cholecystectomy (LC) was tried an average of 12(range: 11-13) days later. An laparoscopic cholecystectomy was successfully done in only one case, the other cases being converted to an open cholecystectomy due to severe inflammation. Conclusion: The incidence of acaculous cholecystitis was 4.3% after multiple trauma with fractures. We should consider cholecystitis in patients with abdominal pain, fever and elevated LFTs after multiple trauma.

Development of a Decision Making Model for Efficient Rehabilitation of Sewer System (효율적인 하수관거 개량을 위한 의사결정모형의 개발)

  • Lee, Jung-Ho;Jun, Hwan-Don;Joo, Jin-Gul;Kim, Joong-Hoon
    • Journal of Korea Water Resources Association
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    • v.41 no.2
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    • pp.127-135
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    • 2008
  • The objective of sewer rehabilitation is to improve its function while eliminating inflow/infiltration (I/I) and insufficient carrying capacity (ICC). Such rehabilitation efforts, however, have not been particularly successful due to a lack of sewer data and unsystematic field practices. The present study aimed to solve these problems by developing a decision making model consisting of two models: the rehabilitation weighting model (RWM) and the rehabilitation priority model (RPM). In RWM, the I/I of each pipe in a drainage district is estimated according to various defects, with each defect given an individual weighting factor using an analytic hierarchy process (AHP). RPM determines the optimal rehabilitation priority (ORP) using a genetic algorithm (GA). The developed models can be used to overcome the problems associated with unsystematic practices and, in practice, as a decision making tool for urban sewer system rehabilitation.

Determination of the Improvement Priority in a Small River Using GRID Analysis Technology of GSIS (GSIS의 그리드 분석 기법에 의한 소하천 정비 우선순위 결정)

  • 양인태;최영재;오명진
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.18 no.3
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    • pp.233-240
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    • 2000
  • A small rivers take advantage of not only a site of superb scenic beauty, a play space, a rest place but also a momentous waters reservoir, a drainage on territory residents. Likewise, part of the most massed a life space to a region dwellers shall be extremely in harmony with coexistence space in that every kind plant, animal over again a human being and so on. For improvement planning of small river, various way and model are presented. But, it's want of ability for small rivers of a adaption many-side and throwing in a lot of financial resources. Because the improvement planning of small river was designed all small river in a county, the priority must be preprocessed. Now, the counties prioritized for improvement planning of small river are a few, and acquisition and manipulation of the data are time-consuming. Geo-Spatial Information System (GSIS) is specifically designed to manage and analyze spatial data. It will be to offer the benefit to the determination of the improvement priority in a small river. The purpose of this study is to offer priority for improvement planning of small river using GSIS. For this purpose, it was developed using Arc/Info software and AML was used as a developing tool.

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Estimation of Ungauged Watershed Streamflow using Downstream Discharge Data -In the Case of Kumho River Watershed- (하류 유량자료를 이용한 상류 유역의 미계측 유출량 추정 - 금호강 유역을 대상으로 -)

  • Jung, Young-Hun;Park, Jong-Yoon;Kim, Seong-Joon;Kim, Chi-Young;Jung, Sung-Won
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.878-878
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    • 2012
  • 도시개발에 따른 인구증가와 강수의 계절적 편중 등으로 인하여 우리나라의 수자원량은 부족한 실정이다. 따라서 이러한 수자원을 효율적으로 이용하기 위해서는 유역의 가용 수자원량의 파악과 이에 따른 최적배분이 필요하다. 이러한 하천유량은 우량이나 수위와 같이 연속관측이 어렵기 때문에 관측치가 한정되어 있는 것이 일반적이며 자연하천에서 실시간으로 유량자료를 생산하는 것은 많은 인력과 장비, 경비가 필요하게 된다. 따라서 본 연구에서는 유량자료의 생산에 있어서 시간과 비용의 경제성 등을 고려하고 좀 더 효율적인 방법을 찾기 위하여 낙동강 유역의 제 1지류인 금호강 유역 내에 위치한 동촌 수위관측소의 유량자료를 이용하여 상류에 위치한 금호 단포교 지점을 미계측 유역이라 가정한 후 유량추정방법에 따른 적용성 검토를 위해 강우-유출모형인 SWAT(Soil and Water Assessment Tool)과 유역면적만을 활용하는 비유량법(Drainage-area ratio method), 유출에 영향을 주는 지형인자를 이용하는 지역회귀방법(Regional regression method)을 적용하여 그 타당성을 비교하였다. 모의된 결과, 동촌 금호 단포교 지점의 연간 상하류 유량비교에서 유량반전은 없었으며 비유량법의 유량추정에서는 높은 상관성을 보였으나 2008년과 2009년의 가뭄으로 인하여 강우-유출모형의 유량추정에서는 낮은 상관성을 보여주었다. 지역회귀방법에서는 수위관측소별 유황자료를 종속변수로 유역면적, 유역평균경사, 유로연장을 독립변수로 하는 회귀식을 산정하여 비교하였으나 본 연구에서는 사용된 자료수가 적고 수리구조물을 이용한 회귀수량 등으로 인하여 갈수량이 실측유량과는 다소 차이가 발생하였다. 미계측 유역의 유량추정시에는 자료의 축척기간과 연도별로 안정된 호우사상, 유역의 적절한 배분에 따라 결과치가 좌우되며 본 연구에서 사용된 유량추정은 관측 자료를 기초로 한 간접적인 방법들이였다. 결과적으로 금호강 유역의 동촌 지점을 이용하여 유량추정방법들을 적용해본 결과 비유량법과 강우-유출모형을 사용하는 것이 적정하였으나 관측 자료의 축적기간이 길고 상하류 간의 유량이 안정된 유역에서는 지역회귀방법의 적용으로도 안정된 유량을 산정할 것이라고 판단된다.

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