• Korean Journal of Psychosomatic Medicine
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• v.23 no.1
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• pp.66-69
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• 2015

In addition to classical triad such as gait disturbance, urinary incontinence and dementia, parkinsonian extrapyramidal motor signs and neuropsychiatric symptoms can be observed in patients with normal pressure hydrocephalus (NPH). In our case, a 46 year old female patient showed extrapyramidal symptoms such as bradykinesia, rigidity and neuropsychiatric symptoms such as agitation, anxiety, restlessness and regressed behavior beside two(gait disturbance & urinary incontinence) symptoms of three classical triad. It was difficult to diagnose this patient as NPH from the beginning because of her relatively young age and previous psychiatric mediation history for controlling advanced anxiety and affective disorder. Antiparkinsonian agents and discontinuation of psychiatric medications did not work for this patient. Patient's brain computed tomographic finding showed enlarged ventricles. We suspected NPH and did empirical drainage of 30mL CSF. Finally, patient's pyramidal and neuropsychiatric symptoms as well as two of three classical triad of NPH were improved dramatically within several days. It is important to consider NPH as one of the differential diagnosis in patient with parkinsonian symptoms and various neuropsychiatric symptoms who did not respond to usual clinical management especially in case of ventricular enlargement in neuroimaging because of its treatable property by CSF shunt operation.

• Journal of Korean Tunnelling and Underground Space Association
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• v.11 no.2
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• pp.131-140
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• 2009

It has been repeatedly reported that a drainage system of a drained tunnel is deteriorated. And consequently the water pressure on the lining increases with time. However, little research on the watertight tunnel was found in the literatures. According to field measurements, leakage of the undrained tunnel has increased with time, which is completely opposite to the behavior of the drained tunnel. It is evident that the hydraulic deterioration of the tunnel lining changes the water pressure on the lining and the amount of leakage, thus the design coneept in terms of groundwater is not maintained tightly throughout the life time of the tunnel. The Segment lining is generally constructed as watertight. However, it is frequently reported that the leakage in the segment tunnel increases with time. It is also reported that the leakage is generally concentrated at the joints of the segments. In this study structural and hydraulic interaetion of the segment lining due to the hydraulic deterioration of the segments and the joints is investigated using the numerical modeling method. An electric utility tunnel below groundwater table is considered for the analyses. The effects of hydraulic deterioration of the segment lining are identified in terms of ground loading, water pressure and lining behavior. A remedial grouting measure for leakage is also numerically simulated, and its appropriateness is evaluated.

• Journal of Chest Surgery
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• v.39 no.8 s.265
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• pp.579-587
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• 2006

Background: Preoperative risk analysis for Fontan candidates is still less than optimal in that patients with apparently low risks may have poor surgical outcome; prolonged pleural drainage, protein losing enteropathy, pulmonary thromboembolism and death. We hypothesized that low pulmonary vascular compliance (PVC) is a risk factor for prolonged pleural effusion drainage after the Fontan operation. Material and Method: A retrospective review of 96 consecutive patients who underwent the Extracardiac Fontan procedures (median age: 3.9 years) was performed. Fontan risk score (FRS) was calculated from 12 categorized preoperative anatomic and physiologic variables. PVC $(mm^2/m^2{\cdot}mmHg)$ was defined as pulmonary artery index $(mm^2/m^2)$ divided by total pulmonary resistance $(W.U{\cdot}/m^2)$ and pulmonary blood flow $(L/min/m^2)$ based on the electrical circuit analogue of the pulmonary circulation. Chest tube indwelling time was log-transformed (log indwelling time, LIT) to fit normal distribution, and the relationship between preoperative predictors and LIT was analyzed by multiple linear regression. Result: Preoperative PVC, chest tube indwelling time and LIT ranged from 6 to 94.8 $mm^2/mmHg/m^2$ (median: 24.8), 3 to 268 days (median: 20 days), and 1.1 to 5.6 (mean: 2.9, standard deviation: 0.8), respectively. FRS, PVC, cardiopulmonary bypass time (CPB) and central venous pressure at postoperative 12 hours were correlated with LIT by univariable analyses. By multiple linear regression, PVC (p=0.0018) and CPB (p=0.0024) independently predicted LIT, explaining 21.7% of the variation. The regression equation was LIT=2.74-0.0158 PVC+0.00658 CPB. Conclusion: Low pulmonary vascular compliance is an important risk factor for prolonged pleural effusion drainage after the extracardiac Fontan procedure.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.11
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• pp.4535-4538
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• 2014

Objective: To explore the value of porous titanium alloy plates for chest wall reconstruction after resection of chest wall tumors. Materials and Methods: A total of 8 patients with chest wall tumors admitted in our hospital from Jan. 2006 to Jan. 2009 were selected and underwent tumor resection, then chest wall repair and reconstruction with porous titanium alloy plates for massive chest wall defects. Results: All patients completed surgery successfully with tumor resection-induced chest wall defects being $6.5{\times}7cm{\sim}12{\times}15.5$ cm in size. Two weeks after chest wall reconstruction, only 1 patient had subcutaneous fluidify which healed itself after pressure bandaging following fluid drainage. Postoperative pathological reports showed 2 patients with costicartilage tumors, 1 with squamous cell carcinoma of lung, 1 with lung adeno-carcinoma, 1 with malignant lymphoma of chest wall, 2 with chest wall metastasis of breast cancers and 1 with chest wall neurofibrosarcoma. All patients had more than 2~5 years of follow-up, during which time 1 patient with breast cancer had surgical treatment due to local recurrence after 7 months and none had chest wall reconstruction associated complications. The mean survival time of patients with malignant tumors was ($37.3{\pm}5.67$) months. Conclusions: Porous titanium alloy plates are safe and effective in the chest wall reconstruction after resection of chest tumors.

• Journal of Korean Society on Water Environment
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• v.35 no.6
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• pp.567-573
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• 2019

DABF(Dissolve Air Flotation with Ball Filter) is developed as the DAF with the addition of a fiber ball at the lower part of the DAF. The DABF with a capacity of 4,500 ㎥/h was constructed at Gijang SWRO plant in Busan. Since the ball filter has high filtration rate, the loading rate of DABF was designed from 20 to 42 ㎥/h/㎡. When one DABF basin is in the back washing mode, the loading rate of other two DABF basins is increased to 42 ㎥/h/㎡. Turbidity at the BF outlet in DABF is <2 NTU at turbidity of 5-10 NTU at the BF inlet. If there is no algae bloom and turbidity is low in raw seawater, only BF in DABF is operated and meets <2 NTU at the BF outlet. Even if BF is operated at high hydraulic loading rates, no significant differential pressure increases and reduction in the turbidity removal rate is minimal in a day. Thus, DABF is the pre-treatment technology that provides stable water quality even with BF onlyoperation without DAF operation. Compared with the DAF, DABF requires additional facilities such as valves, piping, and drainage systems for backwashing the BF. But in terms of footprint and operating costs, DABF has more advantages than DAF. With DABF application, the load of the downstream filtration equipment is decreased so that the capacity of the filtration equipment can be reduced. Also, if the downstream filtration equipment is to be maintained the same regardless of DABF, the operating cost of DABF is less than DAF.

• Journal of the Korean GEO-environmental Society
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• v.2 no.3
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• pp.57-69
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• 2001

Sand pile is widely used as a ground improvement method. Although the primary purpose of constructing sand pile is accelerating consolidation, composite ground effect also can be gained by constructing sand pile. This study was accomplished to understand composite ground effect on the ground improved by sand piles which were applied as vertical drainage material when area replacement ratio was small relatively. For determining bearing capacities of origin ground and sand piles and analysing interaction between embankment and origin ground, bearing tests and earth pressure monitoring are performed. From the results, it turned out that the contribution of sand pile as a load bearing mechanism is not substantial. However, the bearing capacity of sand pile was increased to sixty percentages when compared with origin ground. The increasement of bearing capacity could be caused the change of consolidation characteristics during the process of consolidation by overburden load. Therefore, the composite ground effects depending on stiffness increasement of sand pile would be estimated as a factor decreasing consolidation settlement.

• Journal of the Korean GEO-environmental Society
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• v.2 no.4
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• pp.63-72
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• 2001

As construction cases on soft ground are increasing, the necessity of ground improvement is also increasing. Granular pile is one of the methods for soft clay and for loose sandy soil. In our country, SCP(Sand Compaction Pile) method using sand material has been mainly used to improve soft ground, but Granular pile with crushed-stone was not used much. However, alternative material such that crushed-stone is needed to substitute for sand due to the environmental and economical problems. In this study, staged load test and consolidation test were performed in the laboratory to observe the behavior of soft ground improved by Granular pile. In order to evaluate the characteristics such as bearing capacity, drainage, and settlement, sand and crushed-stone were applied as each pile material. The test results show that crushed-stone has higher bearing capacity and less settlement than those of sand under similar pore water pressure condition. Therefore, crushed-stone is determined to be appropriate as substitute for sand.

• Geotechnical Engineering
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• v.14 no.3
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• pp.123-134
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• 1998

To analyse the stability of a slope composed of waste material produced in a closed lead mine, numerical modeling has been carried out in two dimension using FLAC, finite difference program. The research was focused on the effect of the earthquake as well as a rise of water table upon slope stability. The numerical results have shown that the slope would not be safe against earthquake event and that the increase of pore pressure due to a rise of water table up to the ground level may result in a failure of the slope. On the basis of numerical analyses and site investigation, two sorts of measures have been taken. In short term, removal of a part of materials deposited on the top of the pile is required to increase immediately safety factor of the slope even a little. In ling term, it is necessary to repair drainage facilities and dam which covers waste material so that the slope is prevented from failure in a radical manner. It has been confirmed by numerical analyses that an improvenment of the stability can be in a great extent expected after such measures have been performed.

• Journal of the Korean Geotechnical Society
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• v.35 no.11
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• pp.63-74
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• 2019

Numerical liquefaction model and response history analysis procedure are verified based on dynamic centrifuge test results. The test was a part of the Liquefaction Experiments Analysis Project (LEAP). The model ground was formed inside of rigid box by using the submerged Ottawa F65 sand with a relative density of 55% and 5° of surface inclination. A tapered sinusoidal wave with a frequency of 1 Hz was applied to the base of the model box. Numerical analyses were performed by two dimensional finite difference method in prototype scale. The soil is modeled to show hysteretic behavior before shear failure, and Mohr-Coulomb model is applied for shear failure criterion. Byrne's liquefaction model was applied to track the changes in pore pressure due to cyclic loading after static equilibrium. In order to find an appropriate flow condition for the liquefaction analysis, numerical analyses were performed both in drained and undrained condition. The numerical analyses performed under the undrained condition showed good agreement with the centrifuge test results.

• Archives of Plastic Surgery
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• v.37 no.2
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• pp.182-186
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• 2010

Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.