• Journal of Korean Neurosurgical Society
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• v.64 no.2
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• pp.261-270
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• 2021

Objective : Decompressive craniectomy (DC) can partially remove the unyielding skull vault and make affordable space for the expansion of swelling brain contents. The objective of this study was to compare clinical outcome according to DC surface area (DC area) and side. Methods : A total of 324 patients underwent different surgical methods (unilateral DC, 212 cases and bilateral DC, 112 cases) were included in this retrospective analysis. Their mean age was 53.4±16.6 years (median, 54 years). Neurological outcome (Glasgow outcome scale), ventricular intracranial pressure (ICP), and midline shift change (preoperative minus postoperative) were compared according to surgical methods and total DC area, DC surface removal rate (DC%) and side. Results : DC surgery was effective for ICP decrease (32.3±16.7 mmHg vs. 19.2±13.4 mmHg, p<0.001) and midline shift change (12.5±7.6 mm vs. 7.8±6.9 mm, p<0.001). The bilateral DC group showed larger total DC area (125.1±27.8 ㎠ for unilateral vs. 198.2±43.0 ㎠ for bilateral, p<0.001). Clinical outcomes were nonsignificant according to surgical side (favorable outcome, p=0.173 and mortality, p=0.470), significantly better when total DC area was over 160 ㎠ and DC% was 46% (p=0.020 and p=0.037, respectively). Conclusion : DC surgery is effective in decrease the elevated ICP, decrease the midline shift and improve the clinical outcome in massive brain swelling patient. Total DC area and removal rate was larger in bilateral DC than unilateral DC but clinical outcome was not influenced by DC side. DC area more than 160 ㎠ and DC surface removal rate more than 46% were more important than DC side.

• Environmental Engineering Research
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• v.11 no.5
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• pp.285-291
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• 2006

Biofiltration is a simple, effective, economically viable and the most widely used gas treatment technique for treating malodors at low concentrations and high flow rates. This paper reports the performance of two lab scale immobilized cell biofilters operated in continuous mode for hydrogen sulfide ($H_2S$) and ammonia ($NH_3$) removal. The removal efficiency (RE, %) and the elimination capacity (EC, $g/m^3{\cdot}hr$) profiles were monitored by subjecting the biofilters to different loading rates of $H_2S$ (0.3 to $8\;g/m^3{\cdot}hr$) and $NH_3$ (0.3 to $4.5\;g/m^3{\cdot}hr$). The removal efficiencies were greater than 99% when inlet loading rate to the biofilters were upto $6\;gH_2S/m^3{\cdot}hr$ and $4\;gNH_3/m^3{\cdot}hr$ respectively. The performance of the biofilters were also ascertained by conducting shock loading studies at a loading rate of $10\;gH_2S/m^3{\cdot}hr$ and $6\;gNH_3/m^3{\cdot}hr$. The results from this study show high removal efficiency, good recuperating potential and stability of the immobilized microbial consortia to transient shock loads.

• Journal of Korean Society of Environmental Engineers
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• v.31 no.10
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• pp.831-838
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• 2009

In order to evaluate a removal characteristic of diclofenac, ibuprofen and naproxen by oxidizing agents, $Cl_2,\;O_3$ and $O_3/H_2O_2$ are used as oxidants in this study. In case of that $Cl_2$ is used for oxidizing pharmaceuticals, ibuprofen is not removed entirely at $Cl_2$ dose range of 0.5~5.0 mg/L for 60 minutes, however, removal tendency of diclofenac and naproxen are so obviously at $Cl_2$ dose higher than 0.5 mg/L. In addition, as $Cl_2$ dose and contact time are increased, the removal rate of diclofenac and naproxen is enhanced. When $O_3$ is used as oxidizing agent, ibuprofen is not eliminated at $O_3$ dose range of 0.2~5.0 mg/L. On the contrary, 72~100% of diclofenac and 49~100% of naproxen are removed at $O_3$ dose of 0.2~5.0 mg/L. From experiments using $O_3/H_2O_2$ as an oxidant, we can find that $O_3/H_2O_2$ is much more effective than $O_3$ only for removal of diclofenac and naproxen. Moreover, the efficiency is raised according to increase of $H_2O_2$ dose, however, experiments using $O_3/H_2O_2$ show that oxidation of pharmaceuticals is less effective as $H_2O_2$ to $O_3$ ratio increased to above approximately 1.0. On reaction rate constant and half-life of diclofenac, ibuprofen and naproxen depending on $Cl_2$, $O_3$ and $O_3/H_2O_2$ dose, an oxidation of pharmaceuticals by $Cl_2$ and $O_3$ particularly has a comparatively high reaction rate constant and short half-life comparing $O_3/H_2O_2$. From above results, we can fine that diclofenac and naproxen can be easily eliminated in oxidation processes.

• Journal of Korean Society of Water and Wastewater
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• v.25 no.6
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• pp.907-915
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• 2011

In this study, the SBR and MLE process was performed for a removal of the RO retentate and the nitrogen removal efficiency was evaluated. The inflow-rate of two processes was set a 10 L/day. The SBR process was operated a two cycle as HRT per one cycle was 12hr and the HRT of the anoxic and aerobic tank was respectively 7.5 hr and 16.5 hr. The methanol was injected for an effective denitrificaion owing to a low C/N ratio of the RO retentate. The two processes were effectively performed for nitrogen removal, but the average removal efficiency of the SBR process was about 94.93% better performance than the MLE process. Therefore, the SBR process demonstrated a good performance more than the MLE process for nitrogen removal of the RO retentate. The kinetic of SNR and SDNR was observed respectively 0.051 kg $NH_{3}-N/kg\;MLVSS{\cdot}dayg$ and 0.287 kg ${NO_3}^--N/kg\;MLVSS{\cdot}day$, which will be useful to design for the wastewater treatment system with a RO retentate.

• Journal of Korean Society on Water Environment
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• v.22 no.1
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• pp.83-90
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• 2006

Performance and operation of BAC in ozone-BAC advanced water treatment process were investigated using the pilot scale test plant built in D water purification plant. The performance was evaluated by the removal efficiencies of DOC, BDOC, ammonia nitrogen and THMs. The effect of EBCT on DOC removal was experimented for an effective operating condition, and the amount of attached biofilm was analyzed in various water temperatures and position of BAC. Two removal mechanisms, adsorption and biological decomposition by attached biofilm, were predominant to decrease the concentration of various contaminants. DOC was removed 40%, and the removal rate was decreased in winter time due to the lowered activity of attached biofilm. BDOC was effectively removed. THMs and ammonia nitrogen were mainly removed not in ozonation process but in BAC. Water temperature deeply influenced in removal efficiency of ammonia nitrogen. The amount of attached biofilm depended on water temperature and height of packed activated carbon column. Considering DOC removal efficiency and design EBCT of commercial BAC plant, the proper EBCT was 12.5 minutes.

• Environmental Engineering Research
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• v.17 no.2
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• pp.111-116
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• 2012

This study investigates the complete removal of nitrate and the recovery of valuable ammonium salt by the combination of nanoscale zero-valent iron (NZVI) and a membrane contactor system. The NZVI used for the experiments was prepared by chemical reduction without a stabilizing agent. The main end-product of nitrate reduction by NZVI was ammonia, and the solution pH was stably maintained around 10.5. Effective removal of ammonia was possible with the polytetrafluoroethylene membrane contactor system in all tested conditions. Among the various operation parameters including influent pH, concentration, temperature, and contact time, contact time and solution pH showed significant effects on the ammonia removal mechanism. Also, the osmotic distillation phenomena that deteriorate the mass transfer efficiency could be minimized by pre-heating the influent wastewater. The ammonia removal rate could be maximized by optimizing operation conditions and changing the membrane configuration. The combination of NZVI and the membrane contactor system could be a solution for nitrate removal and the recovery of valuable products.

• Journal of Korean Society of Water and Wastewater
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• v.24 no.1
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• pp.5-14
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• 2010

A pilot-scale biological aerated filter (BAF) was operated with an anaerobic, anoxic and oxic zone at $23{\pm}1^{\circ}C$. The influent sCOD and total nitrogen concentrations in the feedwater were approximately 250 mg/L and 35 mg N/L, respectively. sCOD removal at optimum hydraulic retention time (HRT) of 3 hours with recirculation rates of 100, 200 and 300% in the column was more than 96%. Total nitrogen removal was consistently above 80% for 4 and 6 hours HRT at 300% recirculation. For 3 hours HRT and 300% recirculation, total nitrogen removal was approximately 79%. Based on fitting results, the kinetic parameter values on nitrification and denitrification show that as recirculation rates increased, the rate of ammonia and nitrate transformation increased. The ammonium loading rates for maximum ammonium removed were 0.15 and 0.19 kg $NH_3$-N/$m^3$-day for 100% and 200% recirculation, respectively. The experimental results demonstrated that the BAF can be operated at an HRT of 3 hours with 200 - 300% recirculation rates with more than 96 % removal of sCOD and ammonium, and at least 75% removal of total nitrogen.

• Journal of environmental and Sanitary engineering
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• v.12 no.3
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• pp.9-17
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• 1997

This research aims to remove nitrogen in the piggery wastewater by combined process with upflow anaerobic sludge blanket (UASB) and biofilm process. For the effective denitrification. anaerobic and anoxic reactors were connected to a reactor. The effluent of aerobix reactor was recycled equally with influent in the upper filter of anaerobic reactor for denitrification and outlet of UBF reactor was connected to the settling tank with $1.5{\;}{\ell}$ capacity and the settling sludge was repeatedly recycled to UASB zone. The organic loading rate of total reactor was operated from 0.4 to $3.1kgCOD/m^{3}/d$ and it was observed that the removal rate of TCOD was 80 to 95 percentage. Ammonia nitrogen was removed over 90 percentage in the less volumetric loading rate than $0.1{\;}kgN/m^{3}/d$. But because of non-limitation of organic materials, it was reduced to 70 percentage in the more volumetric loading rate than $0.6{\;}kgN/m^{3}/d$. But denitrification rate was observed 100 percentage in the all of loading rate. This is caused by the maintenance of optimum temperature, sufficient carbon source, and competition of electron acceptors. The results of COD mass balance at the $1.21{\;}kgCOD/m^{3}/d$ was observed with the 71.7% percentage of influent COD. It was revealed that the most part of organic materials was removed in the aerobic and the anaerobic reactor because 38.4 percentage was conversed into $CH_{4}$ gas and 11 percentage was removed in the aerobic reactor with cell synthesis and metabolism. Besides, 5.7% organics was used to denitrification reaction and 3.7% organics related to sulfate reduction.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.1
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• pp.27-44
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• 2002

The main purpose of this study was to identify the effect of hand massage on pain and anxiety related to chest tube removal in patients with a lobectomy. The research design of this study was a nonequivalent control group non-synchronized design. Of the twenty nine adult subjects, fourteen were assigned to the experimental group and fifteen to the control group. The data were obtained over 3 months from a medical center in Seoul. The instruments used to assess trait state anxiety was the Spielberger Trait-State anxiety Inventory. For pain and psychological anxiety. The Visual Analogue Scale was used. Hiko analogue sphygmo-manometer(2001) was used to check blood pressure and pulse rate as indicators of physiological anxiety Subjects in the experimental group received hand massage for 5 minutes just before chest tube was removed, and subjects assigned to the control group did not receive hand massage. Data were analysed with $x^2$-test and Mann-Whitney U test using the SPSSWIN 10.0 program. The results of the study are as follows : 1. Hypothesis 1: 'there will be a significant difference between two groups in the level of pain after chest tube removal' was supported (u = 23.00, p < 0.001). 2. Hypothesis 2: 'there will be a significant difference between the two groups in the level of psychological anxiety after chest tube removal' was supported (u = 3.00, p < 0.001). 3. Hypothesis 3: 'there will be a significant difference between the two groups in physiological anxiety(systolic, diastolic blood pressure and pulse rate) after chest tube removal' was supported(u =55.50, p = 0.01 ; u = 41.50, p = 0.01 ; u = 20.50, p < 0.001, relatively). The findings of this study indicate that hand massage is effective for pain and anxiety related to chest tube removal in patients with lobectomy. Therefore, hand massage is recommended as an effective nursing intervention for relieving pain and anxiety in patients undergoing chest tube removal. Further research is needed to identify the proper duration and timing to achieve the optimal effect of hand massage. A larger subject population is required to apply the current findings to the general population. Further research is also needed to assess the effects of hand massage in other patient subsets. Finally, it would be interesting to see if the effects of hand massaging would be attenuated when performed by a non-medical specialist.

• Journal of the Korean Society of Marine Environment & Safety
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• v.3 no.2
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• pp.77-84
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• 1997

For the effective treatment of shipboard sewage continuously, a non-diaphragm electrolytic treatment device using DSA type insoluble electrode, Ti/IrO2, anode and H-C metal cathode, was studied. The most effective electrolytic conditions were obtained when cell clearance, 6mm, pH 5-6 and the concentration of seawater, more than 20% as batch test results. The COD removal rate was varied in logarithmic function, showed as C=Coe-KE and the required current was E = A/QCo [A.min/mgCOD]. When the COD removal effeciency was more than 90%, the electrolytic reaction constant was 0.02.