• Journal of Korean Neurosurgical Society
• /
• v.30 no.9
• /
• pp.1140-1143
• /
• 2001

The mortality of patients with brain abscess has decreased significaltly. This has been attributed to improved diagnostic imaging, the evolution of neurosurgical techniques and understanding of intracranial pressure pathophysiology, greater critical care understanding, and newer antibiotics. However, the mortality associated with intraventricular rupture of brain abscess remained consistently high at or above 80% once identified. A case of intraventicular rupture of thalamic abscess with good quality of survival is presented based on aggressive 4-component therapeutic plan used. The four components are 1) extraventricular drainage for 6 weeks, 2) lavage of the ventricular system using closed irrigation system, 3) intravenous antibiotics, 4) intraventricular gentamicin and vancomycin, twice and once daily, respectively.

• Journal of Chest Surgery
• /
• v.5 no.1
• /
• pp.57-60
• /
• 1972

Esopkageal rupture is one of the rarest disease. Mackler described that esophageal rupture was differentiated from esophageal perforation, the perforation is produced by esophagoscopy, and continuous erosion, such as esophagitis,gastric reflux, hiatal hernia and malignant neoplasm of the esophagus, the rupture is occurred by severe vomiting, cough and strong positive pressure into the esophageal lumen. Since,at first Boerhaave reported the esophageal rupture due to severe vomiting in 1742, several case reports of esophageal rupture have been in the literatures. Authors reported a case of the esophageal rupture due to explosion of gasoline in 50 year old female. The rupture occurred a longitudinal rent on the left posterolateral aspect of lower one third of esophagus and accompanied wlth second degree burn on the entire face and neck. The treatment consists of immediate thoracotomy in order to drainage of pyothorax and gastrostomy for nutritional problem, but patient expired because of septicemia probably due to uncontrollable empyema of thorax on 45th admitted day.

• Journal of Chest Surgery
• /
• v.46 no.5
• /
• pp.383-387
• /
• 2013

Vacuum-assisted closure therapy is an alternative method for a massive subcutaneous emphysema treatment. It is easily applicable and shows rapid effectiveness in massive subcutaneous emphysema, intractable with chest tube drainage.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2009.03a
• /
• pp.396-404
• /
• 2009

This paper presents the results of numerical investigation on support mechanism of geogrid-encased stone columns for use in soft ground. A number of cases were analyzed using a axial- and 3D stress-pore pressure coupled model that can effectively model construction sequence and drainage as well as reinforcing effects of geogrid-encased stone columns. The results indicated that the geogrid encasement tends to significantly improve the load carrying of a stone column. Also revealed was that such a confinement effect depends on encasement length and stiffness of geogrid. It is also shown that there exist critical encasement length and stiffness of geogrid for a given condition.

• Proceedings of the KSR Conference
• /
• 2002.05a
• /
• pp.289-294
• /
• 2002

Sand Compaction Pile (SCP) method, which uses sand material, is frequently used in Korea. However, the use of sand for SCP faces environmental and economical problems with the shortage of its resources. Therefore, it is necessary to substitute other materials for compaction piles. One of the alternatives is using gravel in lieu of sand. Granular Pile, constituted with sand and crushed-stone, is one of the methods to improve soft clay and loose sandy ground. In this study, modeled pile load tests are performed in test cell. The observations are made on the consolidation and the variation of water table of three different grounds, original, sand pile installed, and granular pile installed ground. In addition, engineering characteristics such as bearing capacity, settlement and drainage are investigated. The test results show that Gravel Compaction Pile (GCP) is more efficient for increasing bearing capacity and reducing settlement than SCP and had similar pore water pressure dissipation to sand. Therefore, the results show that GCP can be a good substitution for SCP.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.8 no.5
• /
• pp.1166-1172
• /
• 2007

Drainage pipeline system repaired by trenchless technology using liners can be defined between partial and entire collapse. The liners in the partial collapse pipeline are subjected to only uniform groundwater pressure on the surface. This research evaluates practical and useful cured-in-placed pipe (CIPP) design equations based on experimental results and finite element analysis results. Also, stability evaluation of pipe liner system with edge treatment is performed using finite element analysis. The CIPP equation should be used to design liner pipe system.

• Journal of the Korean Society for Industrial and Applied Mathematics
• /
• v.5 no.2
• /
• pp.71-99
• /
• 2001

The model and analytical method for solving the problem of coupled fluid flow in the reservoir/well system is presented. The 3-D drainage area is composed of three connected media: the tubing, the annuli as a super conducting collector, and the reservoir itself. To couple these three types of fluid flows a non-overlapping Dirichlet-Neumann domain decomposition method is developed. The method allows us to apply an analytical hybrid simulator for accurate evaluation of the impact of main geometrical and hydrodynamic parameters of the 3-D system on the pressure drop along the horizontal well and its production index.

• Proceedings of the Korean Geotechical Society Conference
• /
• 2000.02a
• /
• pp.32-41
• /
• 2000

Sand drain as a vertical drainage is widely used in soft ground improvement Recently, sand, the principal source of sand drain, is running out. The laboratory model tests were carried out to utilize gravel as a substitute for sand. Though which the characteristics of gravel are compared to those of sand for engineering purpose. Two cylindrical containers for the model test were filled with marine clayey soil from the west coast of Korea with a column in the center, one with sand, the other with gravel. Vibrating wire type piezometers were installed at the distance of 1.0D, 1.5D and 2.0D from the center of the column. The characteristics of consolidation were studied with data obtained from the measuring instrument place on the surface of the container. The parameter study was performed on the marine clayey soil before and after the test in order to verify the effectiveness of the improvement. The clogging effect was checked at various depth in gravel column after the test. In-situ tests area was divided into two areas by material used. One is Sand Drain(SD) and Sand Compaction Pile(SCP) area, the other is Gravel Drain(GD) and Gravel Compaction Pile(GCP) area. Both areas were monitored to obtain the information on settlement, pore water pressure and bearing capacity by measuring instruments for stage loading caused by embankment. The results of measurements were analyzed. According to the test results, the settlement was found to be smaller in gravel drain than in sand drain. The increase in bearing capacity by gravel pile explains the result. The clogging effect was not found in gravel column. It is assumed that gravel is relatively acceptable as a drainage material. Gravel is considered to be a better material than sand for bearing capacity, and it is found that bearing capacity is larger when gravel is used as a gravel compaction pile than as a gravel drain.

• Journal of Korean Neurosurgical Society
• /
• v.41 no.2
• /
• pp.100-104
• /
• 2007

Objective : Despite the widespread use of preoperative ventriculostomy in aneurysmal subarachnoid hemorrhage [SAH], there is no general consensus regarding the risk of bleeding associated with its use before aneurysm repair. This study was conducted to define the efficacy and rebleeding risk of ventriculostomy in aneurysmal SAH. Methods : The authors reviewed 339 consecutive patients with aneurysmal SAH who were treated at our hospital between January 1998 and December 2004. Results : Preoperative ventriculostomy was performed on 73 patients for acute hydrocephalus after aneurysmal SAH. The Hunt-Hess[H-H] grades of patients who underwent ventriculostomy were higher. Out of the 73 patients who underwent preoperative ventriculostomy, 58 [79%] demonstrated immediate clinical improvement after ventriculostomy. Of those same 73 patients 22 [30%] suffered aneurysmal rebleeding, whereas only 11 [4%] of the 266 patients who did not undergo ventriculostomy showed preoperative aneurysm rebleeding. The causes of rebleeding in the 22 patients who underwent ventriculostomy before surgery were related to the ventriculostomy procedure itself, subsequent cerebrospinal fluid [CSF] drainage, angiography and patient care procedures, such as endotracheal suction and nursing care. The mean time interval between SAH and surgery in the patients who underwent ventriculostomy was not statistically different from those who did not receive preoperative ventriculostomies [44.66 compared with 42.13 hours; p=0.73]. Conclusion : The preoperative ventriculostomy improved patients' clinical condition but increased the risk of rebleeding after aneurysmal SAH. When necessary, however, rapid change in transmural pressure during ventriculostomy must be avoided, careful management during ventricular drainage is needed, and surgery should be performed as soon as possible to prevent or reduce the incidence of rebleeding.

• Journal of Chest Surgery
• /
• v.30 no.2
• /
• pp.236-240
• /
• 1997

The management of neonate with long gap atresia without a fistula(type A) is complex and controversial. Various esophageal reconstruction include use of native esophagus or replacement with colon, stomach and small bowel. A severe premature male, at 28 weeks gestation weighing 1.2kg, was born with type A esophageal atresia in Chonnam University Hospital. Initial treatment consisted of gastrostomy under the local anesthesia and suctioning of proximal pouch, and than underwent delayed esophageal end to end anastomosis. A minimal leakage and mediastinitis ocurred postoperatively, but was treated by adequate drainage and negative suction from the leakage site through the gastrostomy. The patient was discharged in good general condition and normal weight of 5.4kg after 4 months after the surgery.