• Journal of Trauma and Injury
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• 제33권2호
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• pp.81-87
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• 2020

Purpose: Chronic subdural hematoma (CSDH) is a common disease in elderly patients and is usually treated by burr-hole drainage. However, the optimal surgical technique for treating CSDH has not been determined. In this study, we analyzed outcomes and recurrence rates after burr-hole drainage with or without irrigation in patients with CSDH. Methods: Eighty-two CSDH patients treated with burr-hole drainage at Wonju Severance Christian Hospital from March 2015 to June 2016 were enrolled in this study. The subjects were divided into three groups based on the surgical technique performed as follows: single burr-hole drainage without irrigation (group A, n=47), single burr-hole drainage with irrigation (group B, n=14), or double burr-hole drainage with irrigation (group C, n=21). These three groups were compared with respect to clinical and radiological factors and the recurrence rate, and independent factors predicting recurrence were sought. Results: After burr-hole drainage, CSDH recurred in 15 (18.3%) of the 82 patients, and six patients (7.3%) required reoperation. More specifically, recurrence was observed in 12 patients (25.5%) in group A, one (7.1%) in group B, and two (9.5%) in group C. The number of burr-holes did not significantly affect recurrence (odds ratio [OR]=0.38; 95% confidence interval [CI]: 0.60-2.38), but irrigation had a significant effect (OR=0.20; 95% CI: 0.04-0.97). Conclusions: This study shows that irrigation during burr-hole surgery in CSDH patients significantly reduced the risk of recurrence, regardless of the number of burr-holes used. We therefore recommend the use of active irrigation during burr-hole drainage surgery in CSDH patients.

• 한국관개배수논문집
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• 제16권2호
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• pp.43-50
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• 2009

• 한국관개배수논문집
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• 제13권2호
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• pp.274-282
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• 2006

The objective of this study was to develop a hydrologic simulation model to predict daily streamflow from a small agricultural watershed considering irrigation return flow. The proposed IREFLOW(Irrigation REturn FLOW) model consists of hillslope runoff model, irrigation scheme drainage model, and irrigation return flow model, and simulates daily streamflow from an irrigated watershed. Two small watersheds were selected for monitoring of hydrological components and evaluating the model application. The relative error (RE) between observed and simulated daily streamflow were 2.9% and 6.4%, respectively, on two small agricultural watersheds (Baran and Gicheon) for the calibration period. The values of RE in daliy streamflow for the validation period were 6.0% for the Baran watershed, and 2.8% for the Gicheon watershed.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2005년도 학술발표회(2)
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• pp.1411-1412
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• 2005

• 한국유기농업학회지
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• 제21권4호
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• pp.501-522
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• 2013

This study has performed comparative analysis on benefit indicators in agricultural irrigation and drainage project cases between Korea and Japan. The irrigation and drainage project with publicity should do economic analysis of direct benefit factors as well as indirect benefit factors. However, traditional economic evaluations are used that benefit factors are lack of consistency and focused on direct benefits. Therefore, the purpose of this study was to develop indicators for the economic evaluation of irrigation and drainage projects. We conducted a case study between Korea and Japan. The resulting benefit factors was divided into direct factors and indirect factors. The direct benefit factors were increase in income, cost savings. The indirect benefit factors were protection of property due to flooding, agricultural promotion, aesthetic improvement. The implications of this study are that the indicators of economic analysis can be evaluated and easily applied. Moreover, these indicators could promote the feasibility of economic analysis.

• 한국농공학회지
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• 제43권6호
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• pp.163-173
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• 2001

This study describes the characteristics of concentrations of pollutants such as total nitrogen(T-N), total phosphorous(T-P), and chemical oxygen demand(COD) at paddy areas during 2-year irrigation periods. The most common order in average concentrations of T-P and COD is podded water > irrigation(or drainage) water > percolated water. Most of pollutants concentrations in drainage water are lower than those in irrigation water after early July due to large uptake of pollutants by rice crop and denitrification. The exponential L (load)-Q(discharge) equations for classified irrigation periods are significant at 0.001 level for irrigation and drainage waters. For drainage water, the concentrations of T-N and COD slightly decrease with discharge, while the T-P concentrations slightly increase with discharge.

• 한국관개배수논문집
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• 제13권2호
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• pp.353-357
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• 2006

• 한국농공학회:학술대회논문집
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• 한국농공학회 2000년도 학술발표회 발표논문집
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• pp.162-168
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• 2000

A two-dimensional numerical model based on a finite volume method was formulated to solve the shallow water equations and applied for evaluating irrigation and drainage characteristics at large-sized paddy fields. Manning roughness coefficient was calibrated using the observed inundating depths at drainage tests and used for validating the model with the results from irrigation and drainage test. The simulated results were in good agreement with the observed inundating depths.

• Journal of Korean Neurosurgical Society
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• 제46권3호
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• pp.210-214
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• 2009

Objective : Several surgical procedures have been reported for the treatment of chronic subdural hematoma (CSDH). We compared the results of treatments for CSDH obtained from one burr-hole craniostomy with closed system drainage with or without irrigation, two burr-hole craniostomy with closed system drainage with irrigation, and small craniotomy with irrigation and closed-system drainage. Methods : Eighty-seven patients with CSDH underwent surgery at our institution from January 2004 to December 2008. Our patients were classified into three groups according to the operative procedure; group I, one burr-hole craniostomy with closed system drainage with or without irrigation (n=25), group II, two burr-hole craniostomy with closed system drainage with irrigation (n=32), and group III, small craniotomy with irrigation and closed-system drainage (n=30). Results : Age distribution, male and female ratio, Markwalder's grade on admission and at the time of discharge, size of hematoma before and after surgery, duration of operation, Hounsfield unit of hematoma before and after surgery, duration of hospital treatment, complication rate, and revision rate were categories that we compared between groups. Duration of operation and hospitalization were only two categories which were different. But, when comparing burr hole craniostomy group (group I and group II) with small craniotomy group (group III), duration of post-operative hospital treatment, complication and recurrence rate were statistically lower in small craniotomy group, even though operation time was longer. Conclusion : Such results indicate that small craniotomy with irrigation and closed-system drainage can be considered as one of the treatment options in patients with CSDH.

• 한국관개배수논문집
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• 제13권2호
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• pp.323-329
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• 2006