Purpose: The recent advances in microsurgical techniques and their refinement over the past decade have greatly expanded the indications for digital replantations and have enabled us to salvage severed fingers more often. Many studies have reported greater than 80% viability rates in replantation surgery with functional results. However, replantation of multi-level amputations still remain a challenging problem and the decision of whether or not to replant an amputated part is difficult even for an experienced reconstructive surgeon because the ultimate functional result is unpredictable. Methods: Between January of 2002 and May of 2008, we treated 10 multi-level amputated digits of 7 patients. After brachial plexus block, meticulous replantation procedure was performed under microscopic magnification. Postoperatively, hand elevation, heat lamp, drug therapy and hyperbaric oxygen therapy were applied with careful observation of digital circulation. Early rehabilitation protocol was performed for functional improvement. Results: Among the 19 amputated segments of 10 digits, 16 segments survived completely without any complications. Overall survival rate was 84%. Complete necrosis of one finger tip segment and partial necrosis of two distal amputated segments developed and subsequent surgical interventions such as groin flap, local advancement flap and skin graft were performed. The overall result was functionally and aesthetically satisfactory. Conclusion: We experienced successful replantations of multi-level amputated digits. When we encounter a multi-level amputation, the key question is whether or not it is a contraindication to replantation. Despite the demand for skillful microsurgical technique and longer operative time, the authors' results prove it is worth attempting replantations in multi-level amputation because of the superiority in aesthetic and functional results.
Proceedings of the Korea Water Resources Association Conference
/
2012.05a
/
pp.458-458
/
2012
Climate extreme variability is a major cause of disaster such as flood and drought types occurred in Korea and its effects is also more severe damage in last decades which can be danger mature events in the future. The main aim of this study was to assess the effectives of climate change on drought for an agriculture as Nakdong basin in Korea using climate change data in the future from data of General Circulation Models (GCM) of ECHO-G, with the developing countries like Korea, the developed climate scenario of medium-high greenhouse gas emission was proposed of the SRES A2. The Standardized Precipitation Index (SPI) was applied for drought evaluation. The drought index (SPI) applied for sites in catchment and it is evaluated accordingly by current and future precipitation data, specific as determined for data from nine precipitation stations with data covering the period 1980-2009 for current and three periods 2010-2039, 2040-2069 and 2070-2099 for future; time scales of 3month were used for evaluating. The results determined drought duration, magnitude and spatial extent. The drought in catchment act intensively occurred in March, April, May and November and months of drought extreme often appeared annual in May and November; drought frequent is a non-uniform cyclic pattern in an irregular repetitive manner, but results showed drought intensity increasing in future periods. The results indicated also spatial point of view, the SPI analysis showed two of drought extents; local drought acting on one or more one of sites and entire drought as cover all of site in catchment. In addition, the meteorology drought simulation maps of spatial drought representation were carried out with GIS software to generate for some drought extreme years in study area. The method applied in this study are expected to be appropriately applicable to the evaluation of the effects of extreme hydrologic events, the results also provide useful for the drought warning and sustainable water resources management strategies and policy in agriculture basins.
Proceedings of the Korea Water Resources Association Conference
/
2018.05a
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pp.154-154
/
2018
To interpret the climate projections for the future as well as present, recognition of the consequences of the climate internal variability and quantification its uncertainty play a vital role. The Korean Peninsula belongs to the Far East Asian Monsoon region and its rainfall characteristics are very complex from time and space perspective. Its internal variability is expected to be large, but this variability has not been completely investigated to date especially using models of high temporal resolutions. Due to coarse spatial and temporal resolutions of General Circulation Models (GCM) projections, several studies adopted dynamic and statistical downscaling approaches to infer meterological forcing from climate change projections at local spatial scales and fine temporal resolutions. In this study, stochastic downscaling methodology was adopted to downscale daily GCM resolutions to hourly time scale using an hourly weather generator, the Advanced WEather GENerator (AWE-GEN). After extracting factors of change from the GCM realizations, these were applied to the climatic statistics inferred from historical observations to re-evaluate parameters of the weather generator. The re-parameterized generator yields hourly time series which can be considered to be representative of future climate conditions. Further, 30 ensemble members of hourly precipitation were generated for each selected station to quantify uncertainty. Spatial map was generated to visualize as separated zones formed through K-means cluster algorithm which region is more inconsistent as compared to the climatological norm or in which region the probability of occurrence of the extremes event is high. The results showed that the stations located near the coastal regions are more uncertain as compared to inland regions. Such information will be ultimately helpful for planning future adaptation and mitigation measures against extreme events.
This study analyzed all medical institutions located in the Yeongbuk area of Gangwon Province by dividing the use of medical institutions by "including nursing hospitals" and "excluding nursing hospitals" from 2003 to 2017. As a result, high blood pressure, dementia, musculoskeletal diseases, small-scale mechanical diseases, and other diseases were accounted for in the use of hospitalization for the elderly (including nursing hospitals) in the Yeongbuk region. In the case of hospitalization use of the elderly population (excluding nursing hospitals), blood and circulation machine diseases, digestive and urinary system diseases, mental diseases, and other diseases, including high blood pressure, were shown in the order. Therefore, the treatment and health care of the elderly are very important, and the expansion of public health organizations is necessary to establish governance with local medical institutions, organizations, universities, etc. Based on this, health projects should be carried out at a preventive level to maintain a healthy life for senior citizens in Yeongbuk, Gangwon-do.
Accurately simulating the wind field of large-scale region, for instant urban areas, the locations of large span bridges, wind farms and so on, is very difficult, due to the complicated terrains or land surfaces. Currently, the regional wind field can be simulated through the combination of observation data and numerical model using observation-nudging in the Weather Research and Forecasting model (WRF). However, the main drawback of original observation-nudging method in WRF is the effects of observation on the surrounding field is fully mathematical express in terms of temporal and spatial, and it ignores the effects of terrain, wind direction and atmospheric circulation, while these are physically unreasonable for the turbulence. For these reasons, a spatial correlation-based observation-nudging method, which can take account the influence of complicated terrain, is proposed in the paper. The validation and comparation results show that proposed method can obtain more reasonable and accurate result than original observation-nudging method. Finally, the discussion of wind field along bridge span obtained from the simulation with spatial correlation-based observation-nudging method was carried out.
This study identified the characteristics of video contents related to waste cycle in Korean social media. The contents of broadcasting companies were the most popular among production entities, and mainly current affairs contents and educational contents were popular. Among the solutions to recycle wastes, 'Improvement of systems and policies' was predominantly covered in the video as solutions to the waste circulation problems. 'Broadcasting companies', 'local governments', 'non-profit private organizations' and 'central administrative agencies' actively used the social media to deliver solutions and engage consumers. However, very few contents were produced by companies that are socially responsible for waste. The results of this study show the importance of communication-oriented, public-friendly content development in the process of video production related to waste cycle. These are expected to be useful guidelines for decision-making supporting the development and improvement of related systems and policies.
Objectives: Many governments have imposed-and are still imposing-mobility restrictions to contain the coronavirus disease 2019 (COVID-19) pandemic. However, there is no consensus on whether policy-induced reductions of human mobility effectively reduce the effective reproduction number (Rt) of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several studies based on country-restricted data reported conflicting trends in the change of the SARS-CoV-2 Rt following mobility restrictions. The objective of this study was to examine, at the global scale, the existence of regional specificities in the correlations between Rt and human mobility. Methods: We computed the Rt of SARS-CoV-2 using data on worldwide infection cases reported by the Johns Hopkins University, and analyzed the correlation between Rt and mobility indicators from the Google COVID-19 Community Mobility Reports in 125 countries, as well as states/regions within the United States, using the Pearson correlation test, linear modeling, and quadratic modeling. Results: The correlation analysis identified countries where Rt negatively correlated with residential mobility, as expected by policymakers, but also countries where Rt positively correlated with residential mobility and countries with more complex correlation patterns. The correlations between Rt and residential mobility were non-linear in many countries, indicating an optimal level above which increasing residential mobility is counterproductive. Conclusions: Our results indicate that, in order to effectively reduce viral circulation, mobility restriction measures must be tailored by region, considering local cultural determinants and social behaviors. We believe that our results have the potential to guide differential refinement of mobility restriction policies at a country/regional resolution.
KSCE Journal of Civil and Environmental Engineering Research
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v.28
no.2B
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pp.237-248
/
2008
Precipitation variability in Korea is mainly influenced by climate circulation such as sea surface temperature, not a local convection. Therefore, this study investigates relationship between monthly precipitation of 61 station observed by Korea Meteorological Administration and global sea surface temperatures (SSTs). The main components of monthly precipitation in Korea are extracted by a method which consists of the principal analysis combined with the cluster analysis, to examine the correlation between monthly rainfalls and SSTs. The relationships between main components of monthly precipitation and SSTs exists in Pacific Ocean. At the result of Wavelet Transform analysis, The 2-4 year band have a strong wavelet power spectrum and the low frequency. the correlation coefficient between low frequency components of monthly rainfalls and SSTs calculated bigger then correlation coefficient between main components and SSTs. Hence, these results propose a prediction possibility of monthly precipitations using the varition of SSTs.
KSCE Journal of Civil and Environmental Engineering Research
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v.28
no.4B
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pp.421-428
/
2008
For last decades, the rapid coastal erosion process spreading along Korean peninsular has become a nuisance especially for tourism and local economy. Global warming and sea-level rise demand persistently new coastal protection strategies against the conventional methods using armored structures. In a view of this, Kweon et al. (2007) has proposed a new type of horizontal steel plates for an ideal candidate as eco-friendly detached breakwater systems for global warming era. The breakwater is composed of piles and horizontal porous plates that was devised for the optimized blockage effects and wave energy dissipations. This system provides outstanding performances as wave barrier and added advantages such as a rapid installation, an easy relocation, a perfect water circulation for the stagnation of pollutions in sheltered regions. The present experimental study focuses on the performance evaluations of the proposed system in wind wave conditions as a wave dissipator and reflector. The reflection, transmission, and energy dissipation of the random waves has been discussed in detail based on a newly proposed relation between wave steepness and a plate width normalized by wave length that are major factors affecting the wave transmission.
Dong-Yang KANG;Seonghun KIM;Kyunghoon LEE;Yoo-Won LEE
Journal of the Korean Society of Fisheries and Ocean Technology
/
v.59
no.4
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pp.377-386
/
2023
As discarded fishing gear settles or floats on the seabed, it destroys the spawning and habitat of fisheries resources that causes various safety accidents and adverse effects on the environment, such as generating microplastics and causing ship accidents. In order to solve this problem, this study is intended to present an implementation plan for establishing a fishing gear deposit system in order to use it as basic data for establishing policies for fishing gear management in Korea. In order to successfully implement the fishing gear deposit system, the deposit system must be established in the form of fishing gear completed at the production stage. It was found that the marking of the object should be easy, and that determining an appropriate deposit amount to motivate the return of waste fishing gear and establishing a convenient return procedure for returned waste fishing gear were important factors. In addition, transparent management of unreturned deposits and mandatory use of fishing gear subject to the deposit system for fishermen will be necessary. The role of a specialized organization to manage and operate all of these procedures is also very important. It is necessary to establish a new mandatory provision in the Fisheries Act to require fishermen who directly use fishing gear to use fishing gear with a deposit refund mark, and to ensure the implementation of the deposit system by linking it with the evaluation items of government policy projects. Since the main purpose of the deposit system is to collect discarded fishing gear, a support plan will be necessary in accordance with the purchase project for fishing waste salvaged by local governments in 2020.
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