• Journal of Chest Surgery
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• v.24 no.6
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• pp.570-578
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• 1991

The spontaneous pneumothorax is the sudden collapse of the lung usually by air leakage from the ruptured sub-pleural bleb and has high recurrence rate. For prevention against recurrence, many drugs such as tetracycline, talcum powder, quinacrine, etc. have been used but the effects are not satisfactory. We reduced the recurrence rate successfully by the fibrin glue instillation through the chest tube. From the January 1989 to September 1990, we have managed 65 patients of spontaneous pneumothorax with closed thoracostomy and fibrin glue[fibrinogen 1gm/50ml with approtinin 3, 000kIU /ml, thrombin 5, 000IU /ml in 3% each 10ml] instillation through the chest tube. And we compared the results with those of 106 patients of spontaneous pneumothorax who were managed only by the closed thoracostomy from January 1985 to December 1988. Only the patients who visited our hospital with recurrence were considered as the recurred cases but the others were considered as not recurred. And the removal of chest tubes usually done 3 days after cessation of air leakage or 2 days after fibrin glue instillation Statistical analysis was done by X2-test. The results were as followings: 1. The recurrence rate of fibrin glue instillation group was lower than that of non-instillation group[1st attack: 15.1% versus 27.6% p<0, 05, the 2nd attack: 33.3% versus 73.7% p<0.01, the total 18.5% versus 35.8% p<0.01]. 2. The mean duration of chest tube drainage in the fibrin glue instillation group was shorter than non-instillation group[4.24$\pm$1.36 days versus 4.48$\pm$1.73 days p<0.05]. 3. The mean duration of hospitalization was shorter in the instillation group [8.12$\pm$3.5 days versus 10.8$\pm$3.8 days p<0.05] The complications were transient mild fever, chest pain, pleural effusion in 46 cases of 65 patients, but those didn`t make any problem. We concluded that the fibrin glue is effective in the reduction of recurrence rate, obliteration of air leakage and duration of hospitalization.

• Journal of Chest Surgery
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• v.50 no.3
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• pp.184-189
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• 2017

Background: The benefits of video-assisted thoracoscopic surgery (VATS) have been demonstrated over the past decades; as a result, VATS has become the gold-standard treatment for primary spontaneous pneumothorax (PSP). Due to improvements in surgical technique and equipment, single-port VATS (s-VATS) is emerging as an alternative approach to conventional three-port VATS (t-VATS). The aim of this study was to evaluate s-VATS as a treatment for PSP by comparing operative outcomes and recurrence rates for s-VATS versus t-VATS. Methods: Between March 2013 and December 2015, VATS for PSP was performed in 146 patients in Kyungpook National University Hospital. We retrospectively reviewed the medical records of these patients. Results: The mean follow-up duration was $13.4{\pm}6.5$ months in the s-VATS group and $28.7{\pm}3.9$ months in the t-VATS group. Operative time (p<0.001), the number of staples used for the operation (p=0.001), duration of drainage (p=0.001), and duration of the postoperative stay (p<0.001) were significantly lower in the s-VATS group than in the t-VATS group. There was no difference in the overall recurrence-free survival rate between the s-VATS and t-VATS groups. Conclusion: No significant differences in operative outcomes and recurrence rates were found between s-VATS and t-VATS for PSP. Therefore, we cautiously suggest that s-VATS may be an appropriate alternative to t-VATS in the treatment of PSP.

• Journal of the Korean Society of Hazard Mitigation
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• v.7 no.4
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• pp.67-74
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• 2007

Rational method has been widely used to calculate peak runoff drainage design or small watershed because of simplicity and convenience. Runoff coefficient(C) is the most important parameter in the rational method which varies according to rainfall intensity, return period, rainfall duration time and soil characteristics. In practice, constant which is value of C in rational formula has been used from the table, originally based on ASCE. These table value does not consider the upper conditions of the depending factors, hence peak runoff calculation could be in correct. Therefore to calculate C in this paper we have devised an improved formula, considering relationship with rainfall duration, return period and CN of NRCS method. This formula is considered to be more reliable and helpful to the hydrologists and engineers to predict correct peak runoff.

• Journal of the Korean Society of Hazard Mitigation
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• v.8 no.3
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• pp.123-128
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• 2008

This study inquired into changes of turbidity of a river depending on the rainfall characteristics of each month through investigating the water quantity and turbidity of Jawoonchun drainage basin in the upper reaches of Soyangho (lake) for the year of 2005. It could be seen from the study that high turbidity occurred during the period from May to August due to rainfall intensity and rainfall duration. On the other hand, it could be confirmed that turbidity was constantly low after September because of early cleansing effect of rainfall. Next, the influence of controlling factors of turbidity was looked into. For May and June, it was 89% rainfall intensity among the controlling factors, for July and August, it was 67% rainfall intensity and 32% rainfall duration that was confirmed to have influence over the occurrence of turbidity. In addition, regression analysis was carried out about the controlling factors that had influence over the occurrence of turbidity and regression equation was suggested.

• Journal of Chest Surgery
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• v.56 no.1
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• pp.16-22
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• 2023

Background: Postoperative air leaks after pulmonary resection prolong the duration of chest drainage and the length of hospital stay. One of the many treatment options is bedside pleurodesis using various agents. This study evaluated the feasibility of an early intervention to stop postoperative air leaks with either autologous blood or a 50% glucose solution. Methods: We retrospectively reviewed 323 patients who underwent bedside pleurodesis between January 2017 and March 2022. Sixty-four patients received autologous blood patch pleurodesis, and 36 were treated with a 50% glucose solution after pulmonary resection. The primary endpoints were the total postoperative tube indwelling time, post-pleurodesis tube indwelling time, and hospital stay. A propensity score-matched analysis was performed. Results: In the autologous blood patch pleurodesis and 50% glucose solution groups, the mean initiation timing of postoperative pleurodesis were 2.06±1.62 and 3.28±1.56 days, the mean duration of the tube indwelling time after surgery was 6.58±3.02 and 6.42±4.92 days, and the mean duration of the tube indwelling time after pleurodesis, it was 4.53±3.10 and 3.11±4.80 days, respectively. In addition, the total length of hospital stay was 9.11±5.42 and 7.83±4.75 days in the autologous blood patch pleurodesis and 50% glucose solution groups, respectively. Conclusion: Early postoperative air leak cessation with autologous blood patch pleurodesis or 50% glucose solution pleurodesis is a feasible procedure with acceptable outcomes that effectively shortens the hospital stay.

• Journal of the Korean Institute of Landscape Architecture
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• v.36 no.4
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• pp.111-119
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• 2008

The runoff coefficient for a block paved area is determined with regional rainfall distribution. The Rational Method is a basic equation of a drainage system design and is a function of runoff coefficient, rainfall intensity and area. A runoff coefficient is the ratio of rainfall intensity and runoff. The rainfall intensity which is a function of the return period and rainfall duration differs by region. Therefore the runoff coefficient varies regionally even though there is the same return period and rainfall duration. The ratio of rainfall intensity and rainfall duration is decided by the loss of rainfall. The constant infiltration capacity of Horton's equation is adopted to determine the loss of rainfall. As time passed, the joint of the block paved area through which the infiltration occurs is covered by pollution material, sandy dust, pollen and is hardened by foot pressure, so the constant infiltration capacity may decrease. Six different sites were selected to verify the assumption of the constant infiltration capacity decrease and 10 year return period. 10, 20, and 30 minute rainfall duration were applied to calculate rainfall intensity. The results indicate that the Horton's constant infiltration capacity decreases over time and the minimum constant infiltration capacity is selected to compute runoff coefficients. The runoff coefficients varied by region ranging from $0.94{\sim}0.84$ for 10 minute of rainfall duration.

• Land and Housing Review
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• v.8 no.3
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• pp.189-200
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• 2017

The work breakdown structure and the precedence relations by work activity are very important because they are the basic data for estimating the construction duration in the construction work. However, there is no standard to accurately estimate the construction duration since the size of the school facilities construction is smaller than the general construction work. Therefore, some schools are unable to open in March or September and the delay of the construction duration can cause damage to the students. To solve this problem, this study developed a work breakdown structure of school facilities construction work and analyzed the precedence relations by work activities. The work breakdown structure of the school facilities construction is composed of three steps. The operations corresponding to level 1 and level 2 are as follows. (1) 2 preparatory work categories; preparation period and temporary construction. (2) 17 architectural work categories; temporary construction, foundation & pile work, reinforced concrete work, steel roof work, brick work, plaster work, tile work, stone work, waterproof construction, wood work, interior construction, floor work, metal work, roof work, windows construction, glazing work and paint construction. (3) 7 mechanic and fire work categories; outside trunk line work, plumbing work, air-conditioning equipment work, machine room work, city gas plumbing work, sanitation facilities and inspection & test working. (4) 4 civil work categories; wastewater work, drainage work, pavement work and other work. (5) 1 landscaping work categories; planting work. The work breakdown structure was derived from interviews with experts based on the milestones and detailed statements of existing school facilities. The analysis of precedence relations by school facilities work activity utilized PDM(Precedence Diagramming Method)which does not need a dummy and the relations were applied using FS(Finish to Start), FF(Finish to Finish), SS(Start to Start), SF(Start to Finish). The analysis of this study shows that if one work activity is delayed, the entire construction duration may be delayed because the majority of the works are FS relations. Therefore, it is necessary to use the Lag at the appropriate time to estimate the standard construction duration of the school facility construction. Lag is a term used only in the PDM method and it is used to define the relationship between the predecessor and the successor in creating the network milestone. And it means the delay time applied to the two work activities. The results of this study can reasonably estimate the standard construction duration of school facilities and it will contribute to the quality of the school facilities construction.

• Korean Journal of Soil Science and Fertilizer
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• v.44 no.5
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• pp.702-708
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• 2011

There are considerable areas of wet paddy fields in Korea that requires improvement of its drainage system. In poorly drained sloping paddy fields, upland crops can be damaged by either rainfall or capillary rise of the water table caused by percolating water beneath the upper fields during summertime rainy season. The purpose of this study is to evaluate excess water stress of soybean yield by drainage systems. Four drainage methods namely open ditch, vinyl barrier, pipe drainage and tube bundle were installed within 1-m position at the lower edge of the upper paddy fields. Stress Day Index (SDI) approach was developed to quantify the the cumulative effect of stress imposed on a soybean yield throughout the growing season. SDI was determined from a stress day factor (SD) and a crop susceptibility factor (CS). The stress day factor is a measure degree and duration of stress of the ($SEW_{30}$). The crop susceptibility factor (CS) depends of a given excess water on crop stage. The results showed that SDI used to represent the moisture stress index was most low on the pipe drainage 64.75 compared with the open ditch 355.4, vinyl barrier 271.55 and tube bundle 171.55. Soybean grain yield increased continuously with the rate of 3% in Vinyl Barrier, 32% in Pipe Drainage and 16% in Tube Bundle.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.39 no.6
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• pp.713-723
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• 2019

Due to the climate change and various rainfall pattern, it is difficult to estimate a rainfall criterion which cause inundation for urban drainage districts. It is necessary to examine the result of inundation analysis by considering the detailed topography of the watershed, drainage system, and various rainfall scenarios. In this study, various rainfall scenarios were considered with the probabilistic rainfall and Huff's time distribution method in order to identify the rainfall characteristics affecting the inundation of the Hyoja drainage basin. Flood analysis was performed with SWMM and two-dimensional inundation analysis model and the parameters of SWMM were optimized with flood trace map and GA (Genetic Algorithm). By linking SWMM and two-dimensional flood analysis model, the fitness ratio between the existing flood trace and simulated inundation map turned out to be 73.6 %. The occurrence of inundation according to each rainfall scenario was identified, and the rainfall criterion could be estimated through the logistic regression method. By reflecting the results of one/two dimensional flood analysis, and AWS/ASOS data during 2010~2018, the rainfall criteria for inundation occurrence were estimated as 72.04 mm, 146.83 mm, 203.06 mm in 1, 2 and 3 hr of rainfall duration repectively. The rainfall criterion could be re-estimated through input of continuously observed rainfall data. The methodology presented in this study is expected to provide a quantitative rainfall criterion for urban drainage area, and the basic data for flood warning and evacuation plan.

• Journal of Chest Surgery
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• v.3 no.1
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• pp.17-20
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• 1970

Six cases of broncho-pleural fistula due to complicated liver abscess were experienced at the department of chest surgery, Seoul National University Hospital from October 1967 to March 1970. Amebic liver abscess was the primary cause in the 5 cases and the remaining one case was due to pyogenic liver abscess. Involved lung was right side in all case. The clinical manifestation was fever,chill,cough, sputum, dyspnea, chest pain, hemoptysis and shoulder pain. The methods of the treatment employed were closed thoracotomy [1], thoracotomy & drainage [2],decortication [1],and right lower lobectomy[3]. The average duration of the post-operative course was 19.6 days. There was no operative mortality.