• Title/Summary/Keyword: Drainage duration

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Required Time for Isotopic and Ko Consolidation of Marine Clay in Triaxial Cell (삼축셀에서 해성점토의 등방 및 Ko 압밀소요 시간)

  • Lee, Kyeong-Jun;Jung, Du-Hwoe;Im, Jong-Chul
    • Journal of the Korean Geotechnical Society
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    • v.23 no.8
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    • pp.137-147
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    • 2007
  • Isotropic (instant loading) and Ko (gradual increase loading) consolidation tests were conducted in triaxial test equipment using cylindrical sample (5.0 cm in diameter and 10.0 cm in height) on two marine clay deposits. The duration of primary consolidation was estimated by two curve fitting methods using measured strain. A differential equation of consolidation for drainage in the radial and vertical direction was solved by the implicit finite difference scheme. The results of two curve fitting methods were compared with the numerical solutions to evaluate the appropriate axial loading rate of Ko consolidation and the primary consolidation periods. In addition, primary consolidation periods of the samples with a diameter of 35 mm and a height of 70 mm were calculated. The relation of radial and vertical consolidation coefficients is also presented.

Safety of Perioperative Maintenance of Antiplatelet Agents in Elderly Patients Undergoing Lung Cancer Surgery

  • Hee Ju Hong;Ji Hyeon Park;Samina Park;In Kyu Park;Chang Hyun Kang;Young Tae Kim
    • Journal of Chest Surgery
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    • v.57 no.4
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    • pp.342-350
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    • 2024
  • Background: The maintenance of antiplatelet therapy increases the risk of bleeding during lung cancer surgery. Conversely, the perioperative interruption of antiplatelet therapy may result in serious thrombotic complications. This study aimed to investigate the safety of continuing antiplatelet therapy in the context of lung cancer surgery. Methods: We retrospectively reviewed a cohort of 498 elderly patients who underwent surgery for lung cancer. These patients were categorized into 2 groups: group N, which did not receive antiplatelet therapy, and group A, which did. Group A was subsequently subdivided into group Am, where antiplatelet therapy was maintained, and group Ai, where antiplatelet therapy was interrupted. We compared the incidence of bleeding-related and thrombotic complications across the 3 groups. Results: There were 387 patients in group N and 101 patients in group A (Ai: 70, Am: 31). No significant differences were found in intraoperative blood loss, thoracotomy conversion rates, transfusion requirements, volume of chest tube drainage, or reoperation rates for bleeding control between groups N and A or between groups Am and Ai. The duration of hospital stay was longer for group A compared to group N (7 days vs. 6 days, p=0.005), but there was no significant difference between groups Ai and Am. The incidence of cardiovascular or cerebrovascular complications did not differ significantly between groups Ai and Am. However, group Ai included a severe case of in-hospital ST-elevation myocardial infarction. Conclusion: The maintenance of antiplatelet therapy was found to be safe in terms of perioperative bleeding and thrombotic complications in elderly lung cancer surgery patients.

Research Trends in Non-Pharmacological Interventions for Physical Rehabilitation after Breast Cancer Treatment: A scoping review (유방암 치료 후 신체 재활을 위한 비약물적 중재의 연구 동향 : 주제범위 문헌고찰)

  • Jeong-Woo Lee;Tae-Hwa Seo
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.3
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    • pp.101-120
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    • 2024
  • Purpose : This study aimed to carry out a scoping review to investigate the research trends in non-pharmacological interventions for physical rehabilitation following breast cancer treatment. Methods : A scoping review was conducted according to the five steps outlined by Arksey and O'Malley and PRISMA-ScR. We searched three domestic databases (ScienceOn, Riss, KCI) and two international databases (PubMed, Cochrane Central) between January 2014 and April 2024. The keywords used were 'breast cancer surgery', 'breast cancer treatment', 'breast cancer lymphedema', 'intervention', 'management', 'therapy', 'disorder', and 'dysfunction'. Results : In terms of publication, the number of studies in the past five years has increased compared to the previous five years, with most studies focusing on patients aged 41 to 60 and who underwent surgical treatment for breast cancer. A total of 43 different types of non-pharmacological interventions were applied: 21 single interventions and 22 combination interventions. Among the intervention methods, complete decongestive treatment (CDT), resistance training, and manual lymphatic drainage were the most frequently utilized. The most common duration of intervention turned out to be 4~5 weeks and more than 8 weeks, with frequencies of 2~3 sessions per week and more than 4 sessions per week. The most frequently used dependent variables included range of motion (ROM) and disabilities of the arm, shoulder and hand (DASH) for the function and disorder of the upper limb category; arm circumference or volume and bio-impedance for the lymphedema category; visual analogue scale (VAS) and numerical rating scale (NRS) for the pain category; and the European organization for research and treatment of cancer quality of life questionnaire breast cancer module (EORTC QLQ) and functional assessment of cancer therapy-breast (FACT-B) for the quality of life category. Conclusion : The findings of this scoping review provide valuable mapping data for non-pharmacological interventions for physical rehabilitation following breast cancer treatment. We recommend further research, particularly systematic reviews and meta-analyses, to build upon these findings.

A Case Study on the Method to Improve on the Structure of Oil Tank (유류탱크 수명과 구조 개선 방안에 대한 사례연구)

  • Yoon, Tae Gook;Lee, Song
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.10 no.2
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    • pp.185-190
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    • 2006
  • This study carried out an evaluation of an oil tank that was defective in structure. This paper is divided into two sections which are analysis for the working process and suggestion for improving on the structure of the oil tank. As stated above, it has three major factors as to an improvement, such as the life cycle of structure (especially physical life cycle), and the many factors related to the duration years of the oil tank and analysis result. Based on this study, the improvement of oil tank was established. For example, the ground investigation needs before design and construction of oil tank, and constructing the oil tank by retaining wall type tank is good for maintenance. Also, it is important that the system for drainage is related to maintenance.

The Comparison of Video Assisted Thoracic Surgery (VATS) with 10 mm Thoracoscopy to 2 mm Thoracoscopy for Primary Spontaneous Pneumothorax (원발성 자연 기흉에서 10 mm와 2 mm 비디오 흉강경 수술의 비교)

  • Hwang Jin-Wook;Jo Won-Min;Min Byoung-Ju;Son Ho-Sung;Lee In-Sung;Shin Jae-Seung
    • Journal of Chest Surgery
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    • v.38 no.9 s.254
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    • pp.627-632
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    • 2005
  • Background: The video-assisted thoracic surgery (VATS) with 2 mm thoracoscopy in primary spontaneous pneumothorax (PSP) was known to be unreliable in its accuracy and recurrence rate. We compared 10 mm VATS with 2 mm VATS in the results of operation. Material and Method: From Sept. 1998 to Dec. 2002, 176 cases (10 mm VATS; 73 cases, 2 mm VATS; 103 cases) of PSP were treated by VATS blob resection at Korea University Ansan Hospital. 10 mm thoracoscope, 5 mm port, and 5 mm instruments were used in 10 mm VATS group, and 2 mm thoracoscope, 2 mm ports and 2 mm instruments used in 2 mn VATS group. In the two groups, staples were inserted through 11.5 mm port for chest tube. Result: The mean follow-up duration was 20,8$\pm$16.1 months in 10 mm VATS group, and 13.9 $\pm$8.2 months in 2 mm VATS. The most common indication of operation was a recurrent pneumothorax ($34\%$) in 10 mm VATS and patient's desire ($40\%$) in 2 mm VATS, respectively. The operation time, number of staples used in operation, postoperative chest tube keeping days, postoperative total amount of drainage, and postoperative hospitalization days were statistically lower in 2 mm VATS. Other significant variables affecting the operation time in linear regression analysis were the number of staples that used in operation, the presence of pleural adhesion, and type of pleurodesis and thoracoscope used in operation. However, $R^2$ values were lower than 0.1. The postoperative recurrence rate was $2.7\%$ in 10 mm VATS and $2.9\%$ in 2 mm VATS. It was not significant statistically. Recurrent cases developed within 1 year in both groups but the difference was statistically insignificant. Conclusion: Although there were differences in follow-up duration between two groups, the operation time, number of staples that used in operation, postoperative chest tube keeping days, postoperative total amount of drainage, and postoperative hospitalization days were statistically lower in 2 mm VATS. And in 2 mm VATS, there were no technical difficulties during operation and no differences in recurrence rate from 10 mm VATS. As a result, we suggest that 2 mm VATS can be used in the treatment of PSP.

The Effects of Additional Tetracycline Pleurodesis during Thoracoscopic Procedures for Treating Primary Spontaneous Pneumothorax (일차성 자연 기흉의 흉강경 수술 시 추가로 시행한 Textracycline 흉막 유착술의 효용)

  • Lee, Hyeon-Woong;Lee, Jae-Ik;Kim, Keun-Woo;Park, Kook-Yang;Park, Chul-Hyun;Hyun, Sung-Youl;Jeon, Yang-Bin;Choi, Chang-Hyu
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.729-735
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    • 2008
  • Background: This study was performed to evaluate the safety and efficacy of performing additional tetracycline pleurodesis during the thoracoscopic treatment of primary spontaneous pneumothorax. Material and Method: Between March 2004 and December 2007, 91 cases of primary spontaneous pneumothorax were treated by video-assisted thoracoscopic surgery. The thoracoscopic procedures included resection of the blebs and mechanical pleurodesis by scrubbing the parietal pleura. For 27 cases (Tetracycline group, group I), 20 mg/kg tetracycline was instilled into the pleural space through a trocar before closing the chest. The control group (group II) consisted of 64 cases of primary spontaneous pneumothorax for which the same thoracoscopic procedures alone were performed during the same study period. Result: There was no significant difference between the two groups in terms of the demographic data, the operative findings and the operation time. The percentage of cases that needed intravenous analgesics and the duration of intravenous analgesics were comparable in both groups. There was no significant difference in the duration of air leaks and complications between the two groups. The patients treated with tetracycline pleurodesis had a longer period of postoperative chest drainage (4.2 days vs 3.5 days, respectively, p=0.03) and hospitalization (5.0 days vs 4.0 days, respectively, p=0.006). During the follow up period, the ipsilateral recurrence rate was much lower for the patients who were treated with tetracycline pleurodesis (0% vs 10.9%, respectively, p=0.099), and freedom from recurrence tended to be more favorable for group I (p=0.077), although this was not statistically significant. Conclusion: Additional tetracycline pleurodesis during thoracoscopic treatment for primary spontaneous pneumothorax caused prolongation of chest drainage and a prolonged hospital stay. However, further investigations are needed because tetracycline pleurodesis can be performed safely without serious complications and it showed a distinct tendency to reduce the rate of recurrence.

The Predictors of Effectiveness on Urokinase Instillation Therapy into Loculated Pleural Effusion. (소방이 형성된 흉막질환에서 유로키나제 주입치료의 예후인자)

  • Song, Kee-San;Bang, Jei-So;Kwak, Seung-Min;Cho, Chul-Ho;Park, Chan-Sup
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.621-628
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    • 1997
  • Background : As the pleural inflammation progresses, exudative pleural fluid becomes loculated rapidly with pleural thickening. Complete drainage is important to prevent pleural fibrosis, entrapment and depression of lung function. Intrapleural urokinase instillation therapy has been advocated as a method to facilitate drainage of gelatinous pleural fluid and to allow enzymatic debriment of pleural surface. This study was designed to investigate the predictors of effectiveness of intrapleural urokinase in the treatment of loculated pleural effusion. Method : Thirty-five patients received a single radiographically guided pig-tail catheter ranging in size from 10 to 12 French. Twenty-two patients had tuberculous pleural effusions, and 13 had non-tuberculous postpneumonic empyemas. A total of 240,000 units of urokinase was dissolved in 240 ml of normal saline and the aliquots of 80mL was instilled into the pleural cavity via pig-tail catheter per every 8hr. Effectiveness of intrapleural urokinase instillation therapy was assessed by biochemical markers, ultrasonography, and technical details. A greater than 50% improvement on follow-up chest radiographs was defined as success group. Result : Twenty-seven of 35 (77.1%) patients had successful outcome to urokinase instillation therapy. Duration of symptoms before admission was shorter in success group ($11.8{\pm}6.9day$) than in failure group ($26.62{\pm}16.5day$) (P<0.05). Amount of drained fluid during urokinase therapy was larger in success group ($917.1{\pm}392.7ml$) than in failure group ($613.8{\pm}259.7ml$) (P<0.05). Pleural fluid glucose was higher in success group ($89.7{\pm}35.9mg/dl$) than in failure group ($41.2{\pm}47.1mg/dl$) (P<0.05). Pleural fluid LDH was lower in success group ($878.4{\pm}654.3IU/L$) than in failure group ($2711.1{\pm}973.1IU/L$) (P<0.05). Honeycomb septated pattern on chest ultrasonography was observed in six of eight failure group, but none of success group (P<0.05). Conclusion : Longer duration of symptoms before admission, smaller amount of drained fluid during urokinase therapy, lower glucose value, higher LDH value in pleural fluid examination, and honeycomb septation pattern on chest ultrasonograph were predictors for failure group of intrapleural urokinase instillation therapy.

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Interaction Between TCP and MAC-layer to Improve TCP Flow Performance over WLANs (유무선랜 환경에서 TCP Flow의 성능향상을 위한 MAC 계층과 TCP 계층의 연동기법)

  • Kim, Jae-Hoon;Chung, Kwang-Sue
    • Journal of KIISE:Information Networking
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    • v.35 no.2
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    • pp.99-111
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    • 2008
  • In recent years, the needs for WLANs(Wireless Local Area Networks) technology which can access to Internet anywhere have been dramatically increased particularly in SOHO(Small Office Home Office) and Hot Spot. However, unlike wired networks, there are some unique characteristics of wireless networks. These characteristics include the burst packet losses due to unreliable wireless channel. Note that burst packet losses, which occur when the distance between the wireless station and the AP(Access Point) increase or when obstacles move temporarily between the station and AP, are very frequent in 802.11 networks. Conversely, due to burst packet losses, the performance of 802.11 networks are not always as sufficient as the current application require, particularly when they use TCP at the transport layer. The high packet loss rate over wireless links can trigger unnecessary execution of TCP congestion control algorithm, resulting in performance degradation. In order to overcome the limitations of WLANs environment, MAC-layer LDA(Loss Differentiation Algorithm)has been proposed. MAC-layer LDA prevents TCP's timeout by increasing CRD(Consecutive Retry Duration) higher than burst packet loss duration. However, in the wireless channel with high packet loss rate, MAC-layer LDA does not work well because of two reason: (a) If the CRD is lower than burst packet loss duration due to the limited increase of retry limit, end-to-end performance is degraded. (b) energy of mobile device and bandwidth utilization in the wireless link are wasted unnecessarily by Reducing the drainage speed of the network buffer due to the increase of CRD. In this paper, we propose a new retransmission module based on Cross-layer approach, called BLD(Burst Loss Detection) module, to solve the limitation of previous link layer retransmission schemes. BLD module's algorithm is retransmission mechanism at IEEE 802.11 networks and performs retransmission based on the interaction between retransmission mechanisms of the MAC layer and TCP. From the simulation by using ns-2(Network Simulator), we could see more improved TCP throughput and energy efficiency with the proposed scheme than previous mechanisms.

Correlations between the Stream Morphological Characteristics and the Hydraulic Geometry Characteristics for the Basin (유역(流域)의 하천형태학적(河川形態學的) 특성(特性)과 수리기하학적(水理幾何學的) 특성(特性)과의 상관성(相關性))

  • Ahn, Sang Jin;Yoon, Yong Nam;Kang, Kwan Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.2 no.1
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    • pp.1-17
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    • 1982
  • The stream morphological characteristics of a river basin has a close correlation with the hydrological and hydraulic characteristics of the basin. In this study the correlations of flow duration and Hydraulic geometry with the stream morphological characteristics as well as the correlation between flow duration and hydraulic geometry were analyzed bases on the data for the Geum River basin. The purpose of this study was to provide the necessary informations for water utilization projects at ungauged locations along the river course. First of all, the stream morphological characteristics was analyzed based on the Horton's three laws on the morphology of a stream that is, the law of stream number, the law of average stream length and the law of average stream slope. As is the case for majority of the rivers it was found that the Geum River basin was well developed according to the Horton's laws. High correlations were also found between the basin characteristics and the channel characteristics. The flow duration curves obtained with the daily stream flow data of 10~90% frequency of occurences at the five stage gauging stations in the Geum River could, in general, be expressed as an exponential functional relationship. The concept of proportional stream ordering system was employed to describe continuously the longitudinal variation of the stream morphological characteristics, and the mathematical model was formulated for the discharge-frequency-proportional stream order relationship. With the morphological characteristics as a common parameter the relationships with flow duration, drainage area were established in mathematical expressions, respectively.

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A Case Study to Estimate the Greenhouse-Gas Mitigation Potential on Conventional Rice Production System

  • Ryu, Jong-Hee;Lee, Jong-Sik;Kim, Kye-Hoon;Kim, Gun-Yeob;Choi, Eun-Jung
    • Korean Journal of Soil Science and Fertilizer
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    • v.46 no.6
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    • pp.502-509
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    • 2013
  • To estimate greenhouse gas (GHG) emission, we established inventory of conventional rice cultivation from farmers in Gunsan and Iksan, Jeonbuk province in 2011~2012. This study was to calculate carbon footprint and to analyse the major factor of GHGs. We carried out a sensitivity analysis using the analyzed main factors of GHGs and estimated the mitigation potential of GHGs. Also we tried to suggest agricultural methods to reduce GHGs that farmers of this case study can apply. Carbon footprint of rice production unit of 1 kg was 2.21 kg $CO_2.-eq.kg^{-1}$. Although amount of $CO_2$ emissions is largest among GHGs, methane had the highest contribution of carbon footprint on rice production system after methane was converted to carbon dioxide equivalent ($CO_2$-eq.) multiplied by the global warming potential (GWP). Source of $CO_2$ in the cultivation of rice farming is incomplete combustion of fossil fuels used by agricultural machinery. Most of the $CH_4$ emitted during rice cultivation and major factor of $CH_4$ emission is flooded paddy field in anaerobic condition. Most of the $N_2O$ emitted from rice cultivation process and major sources of $N_2O$ emission is application of fertilizer such as compound fertilizer, urea, orgainc fertilizer, etc. As a result of sensitivity analysis due to the variation in energy consumption, diesel had the highest sensitivity among the energies inputs. If diesel consumption is reduced by 10%, it could be estimated that $CO_2$ potential reduction is about 2.5%. When application rate of compound fertilizer reduces by 10%, the potential reduction is calculated to be approximately 1% for $CO_2$ and approximately 1.8% for $N_2O$. When drainage duration is decreased until 10 days, methane emissions is reduced by approximately 4.5%. That is to say drainage days, tillage, and reducing diesel consumption were the main sources having the largest effect of GHG reduction due to changing amount of inputs. Accordingly, proposed methods to decrease GHG emissions were no-tillage, midsummer drainage, etc.