Effects from many different approaches have been made to cure Raynaud's phenomenon, such as a dorsal sympathectomy, topical injection of nitroglycerin, phentolamin and procaine, and oral or parentral administration of various drugs. However, there has been no successful management proven yet. In recent years, it was reported that intra-arterial administration ill normal subjects as well as patients with Raynaud's syndrome has demonstrated a significant rise in blood flow to the lands. We used intermittent stellate ganglion blocks in conjunction with intra-arterial injections of reserpine and procaine in 10 patients suffering from finder necrosis. The stellate ganglion block was performed in a paratracheal approach by injection of 1% lidocaine purposely mixed with adrenaline followed by the administration of reserpine 1 mg and procaine 50 mg through a butterfly needle inserted in the radial or brachial artery. The administration of reserpine and procaine was done only twice at intervals of 1 week because of the development of suspected arteriosclerosis. The stellate ganglion block was carried out once a week for about 3 months, then once a month as needed for 6 to 12 months. As the procedure was carried out and the necrotic tissue sloughed off, oozing appeared and new granulation tissue was observed. 5 out of 10 patients were healed completely and the rest improved considerably but were not followed to the end. We concluded that the intra-arterial administration of reserpine and procaine helped initiate and accelerate increasing blood flow to the hand and the stellate ganglion block continued to help revascularization by dilating the peripheral beds.
Proceedings of the Korea Water Resources Association Conference
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2012.05a
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pp.1-10
/
2012
Throughout much of the world, many ecological problems have arisen in watersheds where a significant portion of stream flows are diverted to support agriculture production. Within endorheic watersheds (watersheds whose terminus is a terminal lake) these problems are magnified due to the cumulative effect that reduced stream flows have on the condition of the lake at the stream's terminus. Within an endorheic watershed, any diversion of stream flows will cause an imbalance in the terminal lake's water balance, causing the lake to transition to a new equilibrium level that has a smaller volume and surface area. However, the total mass of Total Dissolved Solids within the lake will continue to grow; resulting in a significant increase in the lake's TDS concentration over time. The ecological consequences of increased TDS concentrations can be as limited as the intermittent disruption of productive fisheries, or as drastic as a complete collapse of a lake's ecosystem. A watershed where increasing TDS concentrations have reached critical levels is the Walker Lake watershed, located on the eastern slope of the central Sierra Nevada range in Nevada, USA. The watershed has an area of 10,400 sq. km, with average annual headwater flows and stream flow diversions of 376 million $m^3/yr$ and 370 million $m^3/yr$, respectively. These diversions have resulted in the volume of Walker Lake decreasing from 11.1 billion m3 in 1882 to less than 2.0 billion $m^3$ at the present time. The resulting rise in TDS concentration has been from 2,560 mg/l in 1882 to nearly 15,000 mg/l at the current time. Changes in water management practices over the last century, as well as climate change, have contributed to this problem in varying degrees. These changes include the construction of reservoirs in the 1920s, the pumpage of shallow groundwater for irrigation in the 1960s and the implementation of high efficiency agricultural practices in the 1980s. This paper will examine the impacts that each of these actions, along with changes in the region's climate, has had on stream flow in the Walker River, and ultimately the TDS concentration in Walker Lake.
Son, Eun-Joo;Joo, Eunwook;Hwang, Woo Yeon;Kang, Mi Hyun;Choi, Hyun Jin;Yoo, Eun-Hee
Journal of Menopausal Medicine
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v.24
no.3
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pp.163-168
/
2018
Objectives: To investigate the rate of postoperative urinary retention (POUR) and identify the risk factors for this complication in women who underwent transvaginal uterosacral suspension surgery. Methods: A retrospective chart review was conducted for 75 women who underwent transvaginal uterosacral suspension surgery with vaginal hysterectomy, repair of cystocele, and levator myorrhaphy with/without transobturator anti-incontinence surgery. POUR was defined as a need for continuous intermittent catheterization on the third day subsequent to removal of the urethral indwelling catheter. Results: Acute POUR was reported in 18 women (24.0%). Thirty-six of the 75 patients (48.0%) had undergone anti-incontinence surgery. Crude analysis revealed significant association between the following variables and the risk of POUR: hypertension, the lower average flow rate in the pressure-flow study (PFS), greater post-void residual (PVR) urine volume in PFS, and PVR >30% of the total bladder capacity (TBC) in PFS. In the logistic regression analysis, PVR >30% of the TBC in PFS was identified as the only significant predictor of POUR (odds ratio, 15.4; 95% confidence interval, 2.5-90.9; P = 0.003). Conclusions: The PVR >30% of the TBC in PFS was identified as the only predictive factor of acute POUR in women who underwent transvaginal uterosacral suspension surgery.
The Journal of the Convergence on Culture Technology
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v.8
no.3
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pp.493-499
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2022
This paper reports the results of the eruption of a volcano on Jeju Island at a certain rate, and the tumulus formed after the eruption and the basalt that erupted from the middle of Mt. Halla washed up to the sea. We analyzed the speed when basalt underground magma breaks through the neutral zone on the ground with an absolute temperature of about 1000K and explodes at an absolute temperature of 1200K at an altitude of 1950m. The density of combustion gas becomes smaller than the surrounding air due to the plume volcanic eruption, which is the heat flow of the flame column due to buoyancy, and buoyancy is generated and an updraft is formed. Flame pillars are classified as continuous, intermittent, and buoyant flame zones. As the speed of the flame pillar of Mt. Halla (1950m) falls from the highest point it has risen, potential energy is converted into kinetic energy and is caused by the flow of fluid, solving these two equations equal, the volcanic eruption velocity is 87.5 m/s. At this time, the density of magma is inversely proportional to the temperature. Geomunoreum (456m) had an explosion speed of 42.6m/s.
High potassium cardioplegia is a widely accepted procedure to enhance myocardial protection from ischemic injuries associated with open heart surgery. Maintaining optimum osmolarity of the cardioplegic solution is one of the required conditions for an ideal cardioplegic solution Albumin is an frequently added component for maintaining optimum osmolarity of clinically used cardioplegic solutions. But the source of albumin is human blood so that the supply is limited and the cost of manufacturing is relatively high. Recently there are moves to minimized the use of blood product for fear of blood-associated infections or immunological disorders. In this experiment, we substituted mannitol or glucose for albumin added to the cardioplegic solution which has been used at the Wonju Medical College, To determine whether addition of mannitol or glucose instead of albumin in the cardioplegic solution can produce satisfactory myocardial protection during ischemia, three different groups of isolated rat heart perfused by modified Langendorff technique were studied. Wonju Cardioplegic Solution was selected as a standard high potassium[18mEq/L of K+] cardioplegic solution. Three kinds of cardioplegic solution were made by modifying the composition maintaining the same osmolarity[339$\pm$1mOsm/Kg] Isolated rat heart were perfused initially with retrograde nonworking mode and then changed to working mode. After measuring the heart rate, systolic aortic pressure, aortic flow, coronary flow, ischemic arrest by aorta cross clamp and cardioplegia was made maintaining the temperature of water jacket at 10oC. The heart was rewarmed and reperfused after 60min of ischemic arrest with intermittent cardioplegia at the 30min interval. The time to return of heart beat and the time required to get. Regular heart beat were observed after reperfusion. The recovery rate of the functional variables-heart rate, systolic aortic pressure, aortic flow, coronary flow and cardiac output were calculated and compared among the three groups of different cardioplegia-albumin, mannitol, and glucose. The wet weight and dry weight was measured and the water content of the heart as figured out for comparison. The time to return of heart beat was fastest in the albumin group, The functional recovery rates were best in the albumin group also. In the above conditions, albumin was the best additive to the cardioplegic solution compared to the mannitol or glucose.
The function of vertical subsurface flow wetlands can potentially be reduced with time due to clogging and are often assumed to be occurring when ponding and overflow is observed during rainfall. To investigate their clogging potential, three pilot-scale vertical subsurface flow (VSF) wetland systems were constructed employing woodchip, pumice, and volcanic gravel as main media. The systems received stormwater runoff from a highway bridge for seven months, after which the media were taken out and divided into layers to determine the amount and characteristics of the accumulated clogging matters. Findings revealed that the main clogging mechanism was the deposition of suspended solids. This is followed by the growth of biofilm in the media which is more evident in the wetland employing woodchip. Up to more than 30% of the clogging matter were found in the upper 20 cm of the media suggesting that this layer will need replacement once clogging occurs. Moreover, no signs of clogging were observed in all the wetlands during the operation period even though an estimation of at least 2 months without clogging was calculated. This was attributed to the intermittent loading mode of operation that gave way for the decomposition of organic matters during the resting period and potentially restored the pore volume.
A sewage was treated using serially combined vertical and horizontal flow zeolite-filled reed bed. The sewage from the student dormitory of Changwon National University was fed into the reed bed for 10 minutes every 6 hours at the hydraulic load of 314 $L/m^2{\cdot}day$. The reed bed depth was 100cm and the zeolite mixture was filled in the reed bed. The mixture consisted of the same volume of two types of zeolite ; 0.5~1mm and 1~3mm in diameter. pH value decreased in vertical bed, while it increased in horizontal bed. But DO concentration in the effluent of both beds was higher than that in the influent. Average removal efficiencies of the entire treatment system were 99.22% SS, 95.56% BOD, 91.02% $COD_{Cr}$, 87.78% $COD_{Mn}$, 45.87% T-N, 99.88% $NH{_4}^+-N$ and 71.17% T-P. Most of T-N in the effluent was $NO{_3}^--N$. However, the concentration of $NO{_2}^--N$ in the effluent was lower than 0.04 mg/L. All removal efficiencies did not show a remarkable seasonal change.
Fluid muds commonly occur in estuarine environments, but their ancient examples have rarely been studied in terms of depositional characteristics and processes. Cores of estuarine channel deposits of the Early Cretaceous McMurray Formation, Alberta, Canada show various mudstone layers that possess depositional characteristics of high clay-concentration flows. These mudstone layers are examined in detail through microscopic observation of thin sections and classified into three microfacies (<1 to 25 mm thick) on the basis of sedimentary texture and structures. Structureless mudstone (Microfacies 1) consists mainly of clay particles and contains randomly dispersed coarser grains (coarse silt to fine sand). This microfacies is interpreted as being deposited by cohesive mud flows, i.e., fluid muds, which possessed sufficient strength to support suspended coarser grains (quasi-laminar plug flow). Silt-streaked mudstone (Microfacies 2) mainly comprises mudstone with dispersed coarse grains and includes very thin, discontinuous silt streaks of coarse-silt to very-fine-sand grains. The texture similar to Microfacies 1 indicates that Microfacies 2 was also deposited by cohesive fluid muds. The silt streaks are, however, suggestive of the presence of intermittent weak turbulence under the plug (upper transitional plug flow). Heterolithic laminated mudstone (Microfacies 3) is characterized by alternation of relatively thick silt laminae and much thinner clay laminae. It is either parallel-laminated or low-angle cross-laminated, occasionally showing low-amplitude ripple forms. The heterolithic laminae are interpreted as the results of shear sorting in the basal turbulent zone under a cohesive plug. They may represent low-amplitude bed-waves formed under lower transitional plug flows. These three microfacies reflect a range of flow phases of fluid muds, which change with flow velocities and suspended mud concentrations. The results of this study provide important knowledge to recognize fluid-mud deposits in ancient sequences and to better understand depositional processes of mudstones.
Journal of the Korean Society of Environmental Restoration Technology
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v.6
no.3
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pp.29-34
/
2003
This paper describes the effects of sewage amount, temperature, and years in operation on the infiltration rate of a sewage disposal system. The self-purifying sewage disposal system, which is typically used in rural areas, consists of reeds and fine gravel. Water plants are planted on the gravel bed which provides the habitat for microbes. The basic process is that the gravel bed filters incoming sewage. Thus this system requires the smooth flow of sewage through the gravel. However, the efficiency of the disposal system will be lowered if the gravel bed is clogged with sewage sludge. A three year study shows that infiltration rate slows down significantly until the 7th day, depending on the sewage amount and the temperature. After the 7th day, the infiltration rate remains almost constant. In addition, the infiltration rate decreases as the temperature falls. It also decreases as the number of years in operation increase. But there is no significant change in the infiltration rate after the 7th day, independent of the temperature, the sewage amount, and years in operation. In order to take advantage of high infiltration rate, which improves the efficiency of the disposal system in its early stages, having two gravel beds and using them alternatively will be efficient. This operation method is called intermittent load and makes the disposal system last longer. The water plant roots above the gravel bed make the effective filtration possible because they delay accumulation of the sewage sludge and stabilize the filtration ability.
This study was conducted as a restoration research in a mountain stream of hydrologic cycle system, which is a type of microsites purposely changing vegetation. The status of vegetation in the three experimental sites, water purification site, small dammed pole site, and aquatic plant restoration site, and one control site within the area of the mountain forest stream were investigated in three different periods, namely before sites restoration, year of sites restoration, and year after sites restoration. After one year of restoration, number of vegetation was increased in the small dammed pool and control site respectively. Vegetation coverage ratio of Zizania latifolia was increased at the water purification area. The effects of habitats restoration appeared to be good a year after the restoration of the experimental sites, in terms of families and species composition of the introduced vegetation, and stream flow. Therefore, the results of the study strongly suggest that fairly effective ways to restore and reproduce degrading mountain hydroecological habitats are by way of forming pool sites and small dams in intermittent mountain streams and re-vegetating with selected plants.
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