• Journal of Chest Surgery
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• v.36 no.12
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• pp.904-910
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• 2003

Thoracoscopic bullectomy (VATS-B) is now the preferred treatment for spontaneous pneumothorax despite of higher recurrence rate than open thoracotomy. Several methods have been used to prevent this problem. The effectiveness of staple line reinforcement (SLR) in VATA-B using endostaplers was assessed by clinical and experimental study. Meterial and Method: In experimental study, canine lungs were harvested immediately (group I N=5) and 48 hours (group II N=5) after stapling. The pressures at which initial air leaks occurred were measured. In clinical study from February 1997 to March 1999, 106 procedures in 104 patients undergoing VATS-B for spontaneous pneumothorax were classified into two groups according to the presence of SLR and were compared. Result: The average pressure of the initial air leakage was significantly higher in SLR than that of staples alone (18$\pm$1.6 vs 48$\pm$3 mm Hg in group I; 23.8$\pm$1.9 vs 54$\pm$4.6 mm Hg in group II, p<0.001). In the clinical data, there were significant differences seen in the duration of drainage, the total length of endostaplers used, and the duration of the postoperative hospital stay between patients with staple alone and patients with SLR (4.4$\pm$1.4 vs 3.1$\pm$1.1 days in duration of drainage, 92.3$\pm$28.1 vs 71.1$\pm$30.6 mm in total length of endostaplers used, 5.9$\pm$1.9 vs 4.6$\pm$1.7 days in postoperative hospital stays, p<0.001). Conclusion: SLR was effective for preventing prolonged air leakage and responsible for shorter hospital stays after VATS-B for the treatment of spontaneous pneumothorax.

• Journal of the Korean Geotechnical Society
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• v.28 no.3
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• pp.15-23
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• 2012

An internal friction angle, which is one of strength parameters of granular soils, can be obtained from direct shear tests or triaxial tests. The result of traixial tests can be influenced by various experimental conditions such as confining pressure, shearing rate, specimen diameter and height, and end constraint. In this study, undrained and drained shearing behaviors of Nakdong River sand were investigated for loose (Dr = 40%) and dense (Dr = 80%) specimens with 5, 7, and 10 cm in diameter. Friction angles such as undrained total stress friction angle, undrained effective stress friction angle, and drained friction angle obtained from Mohr's stress circle slightly increased and then decreased as a diameter of a specimen increased from 5, 7 to 10 cm, regardless of relative densities. The difference between friction angles caused by different specimen size was at maximum 4.5 degrees for undrained total stress friction angle of dense specimen. In most cases, there was little difference between friction angles of large and small specimens, which was less than 2 degrees. The difference between an effective friction angle from undrained tests and a drained friction angle from drained tests was at maximum 7 degrees for loose samples but negligible for dense samples.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.30 no.1
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• pp.34-42
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• 2004

The appropriate care to the dental emergency patients is much important in the aspect of community dental service. To attain such a purpose, the sacred duty of the training of oral and maxillofacial surgeons is required. So, a retrospective study on the characteristics of dental injuries and diseases in emergency care unit will be very meaningful. This study was carried by reviewing the charts and radiographic films of 3,394 patients, treated for dental emergency at Wonju Christian Hospital, Republic of Korea, from January 1, 1993 to December 31, 2002. All patients were classified to 6 groups including trauma, toothache, infection, hemorrhage, TMJ disorder and the others. The clinical characteristics of diseases and treatment modalities according to each group were analyzed. The trauma (73.9%) was the most frequent cause in dental emergency patients, and acute toothache, odontogenic infection, oral hemorrhage, and TMJ disorder were next in order. Gender prediction was male (68%), there were many patients on May and December in the monthly frequency, and the most frequent age group was from 0 to 9 years. In the trauma group, male (68.6%) was predominant, and soft tissue injuries and primary closures were the most frequent type of injury and treatment. In jaw fractures, traffic accidents were the most cause and the weakest site was mandibular symphysis area, and mandibular angle, condyle, and body area were next in order. In the acute toothache group, the cause was dental pulpitis mostly and treatment for that was drug administration mainly. Buccal space abscess in infection group had the largest incidence (24.5%), and common treatments were incision and drainage and medications. In the hemorrhage group, a major cause was postoperative bleeding (60.3%) and hemostasis was obtained by pressure dressing, curettage and suture. For the TMJ disorder group, the peak incidence (63.8%) was shown in the post-traumatic myofascial pain dysfunction syndrome and its primary care was medication such as analgesics and sedatives. In the other group, the various specific symptoms were complained due to acute sialadenitis, trigeminal neuralgia, acute stomatitis, chemical burn, terminal stage neuritis of head and neck cancer, and foreign body aspiration. In conclusion, for the rapid and proper care of the emergency dental diseases, well-trained education should be presented to the intern and resident course of oral and maxillofacial surgery. And it is demanded that oral and maxillofacial surgeons must be prepared in knowledge and skill for such emergency care.

• Journal of the Korean Institute of Landscape Architecture
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• v.36 no.4
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• pp.111-119
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• 2008

The runoff coefficient for a block paved area is determined with regional rainfall distribution. The Rational Method is a basic equation of a drainage system design and is a function of runoff coefficient, rainfall intensity and area. A runoff coefficient is the ratio of rainfall intensity and runoff. The rainfall intensity which is a function of the return period and rainfall duration differs by region. Therefore the runoff coefficient varies regionally even though there is the same return period and rainfall duration. The ratio of rainfall intensity and rainfall duration is decided by the loss of rainfall. The constant infiltration capacity of Horton's equation is adopted to determine the loss of rainfall. As time passed, the joint of the block paved area through which the infiltration occurs is covered by pollution material, sandy dust, pollen and is hardened by foot pressure, so the constant infiltration capacity may decrease. Six different sites were selected to verify the assumption of the constant infiltration capacity decrease and 10 year return period. 10, 20, and 30 minute rainfall duration were applied to calculate rainfall intensity. The results indicate that the Horton's constant infiltration capacity decreases over time and the minimum constant infiltration capacity is selected to compute runoff coefficients. The runoff coefficients varied by region ranging from $0.94{\sim}0.84$ for 10 minute of rainfall duration.

• Journal of Korea Water Resources Association
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• v.38 no.7 s.156
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• pp.537-544
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• 2005

For the proper management of high pressurized gas storage caverns, analysis of groundwater flow field and inflow quantity according to the groundwater head, gas storage pressure and water curtain head should be performed. The finite element method has been widely used for the groundwater flow analysis surrounding underground storage cavern because it can reflect the exact shape of cavern. But the various simulations according to the change of design factors such as the width of water curtain, shape of cavern etc. are not easy when elements were set up. To overcome these limitations, two dimensional groundwater flow model is established based on the boundary element method which compute the unknown variable by using only the boundary shape and condition. For the exact computation of drainage rate into cavern, the model test is performed by using the exact solution and pre-developed finite element model. The test result shows that the model could be used as an alternative to finite element model when various flow simulations are needed to determine the optimizing cavern shape and arrangement of water curtain holes and so forth.

• Geomechanics and Engineering
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• v.8 no.1
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• pp.81-95
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• 2015

The permeability behavior of Ariake clays has been investigated by constant rate of strain (CRS) consolidation tests with vertical or radial drainage. Three types of Ariake clays, namely undisturbed Ariake clay samples from the Saga plain, Japan (aged Ariake clay), clay deposit in shallow seabed of the Ariake Sea (young Ariake clay) and reconstituted Ariake clay samples using the soil sampled from the Saga plain, were tested. The test results indicate that the deduced permeability in the horizontal direction ($k_h$) is generally larger than that in the vertical direction ($k_v$). Under odometer condition, the permeability ratio ($k_h/k_v$) increases with the vertical strain. It is also found that the development of the permeability anisotropy is influenced by the inter-particle bonds and clay content of the sample. The aged Ariake clay has stronger initial inter-particle bonds than the young and reconstituted Ariake clays, resulting in slower increase of $k_h/k_v$ with the vertical strain. The young Ariake clay has higher clay content than the reconstituted Ariake clay, resulting in higher values of $k_h/k_v$. The microstructure of the samples before and after the consolidation test has been examined qualitatively by scanning electron microscopy (SEM) image and semi-quantitatively by mercury intrusion porosimetry (MIP) tests. The SEM images indicate that there are more cut edges of platy clay particles on a vertical plane (with respect to the deposition direction) and there are more faces of platy clay particles on a horizontal plane. This tendency increases with the increase of one-dimensional (1D) deformation. MIP test results show that using a sample with a larger vertical surface area has a larger cumulative intruded pore volume, i.e., mercury can be intruded into the sample more easily from the horizontal direction (vertical plane) under the same pressure. Therefore, the permeability anisotropy of Ariake clays is the result of the anisotropic microstructure of the clay samples.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7121-7126
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• 2013

Aim: To examine lymph nodes obtained after lipolysis and liposuction of subcutaneous fat of the inguinal region of female vulvar cancer patients to explore the feasibility of clinical application. Methods: The field of operation was on the basis of the range of the conventional resection of inguinal lymph nodes. We injected lipolysis liquid fanwise, started liposuction after 15-20 minutes; then the subcutaneous fatty tissue was sucked out clearly by suction tube. We selected the first puncture holes located on 2-3 cm part below anterior superior spine, the others respectively being located 3cm and 6cm below the first for puncturing into the skin, imbedding a trocar to intorduce $CO_2$ gas and the specular body, and excise the lymph nodes by ultrasonic scalpel. The surgical field chamber was set with negative pressure drainage and was pressured with a soft saline bag after surgery. Results: A lacuna emerged from subcutaneous of the inguinal region after lipolysis and liposuction, with a wide fascia easily exposed at the bottom where lymph nodes could be readily excised. The number of lymph nodes of ten patients excised within the inguinal region on each side was 4-18. The excised average number of lymph nodes was 11 when we had mature technology. Conclusion: Most of adipose tissue was removed after lipolysis and liposuction of subcutaneous tissue of inguinal region, so that the included lymph nodes were exposed and easy to excise by endoscope. This surgery avoided the large incision of regular surgery of inguinal region, the results indicating that this approach is feasible and safe for used as an alternative technology.

• Korean Journal of Soil Science and Fertilizer
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• v.4 no.2
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• pp.149-154
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• 1971

To elucidate the effects of calcium carbonate applied under upland and flooded conditions on the changes of soil pH, an incubation study of a soil was carried out. The experiment was conducted under the conditions with and without ground rice straw application. The results of the experiment are summarized as follows: 1. The incubation under the upland moisture condition after the application of calcium carbonate raised soil pH as high as calcium hydroxide did, whereas incubation with calos treatment under the flooded condition showed a low pH. 2. Reduction of a soil brought about by the application of ground rice straw has a significant effect on the rise of soil pH. The high pH of a soil thus brought about or raised by the use of lime is gradually reduced as the accumulation of bicarbonate ions and carbon dioxide increases in the soil solution. It may, however, be possible to keep the high pH of a flooded soil by practicing intermittent drainage or cultivation which reduces the content of bicarbonate and $CO_2$ pressure in soil solution. 3. Carbonate and bicarbonate salts which may be produced in flooded and reduced soil increases the buffering capacity of the soil.

• Journal of Chest Surgery
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• v.46 no.5
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• pp.340-345
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• 2013

Background: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses its cosmetic results. Methods: Thirty-three patients (7 males, 26 females) with atrial septal defect were admitted to the Cardiovascular Surgery Clinic of Cukurova University from December 2005 until January 2010. The patients' ages ranged from 3 to 22. Patients who underwent vertical axillary minithracotomy were assigned to group I, and those undergoing conventional sternotomy, to group II. Group I and group II were compared with regard to the preoperative, perioperative and postoperative variables. Group I included 12 females and 4 males with an average age of $16.5{\pm}9.7$. Group II comprised 14 female and 3 male patients with an average age of $18.5{\pm}9.8$ showing similar features and pathologies. The cases were in Class I-II according to the New York Heart Association (NYHA) Classification, and patients with other cardiac and systemic problems were not included in the study. The ratio of the systemic blood flow to the pulmonary blood flow (Qp/Qs) was $1.8{\pm}0.2$. The average pulmonary artery pressure was $35{\pm}10$ mmHg. Following the diagnosis, performing elective surgery was planned. Results: No significant difference was detected in the average time of the patients' extraportal circulation, cross-clamp and surgery (p>0.05). In the early postoperative period of the cases, the duration of mechanical ventilator support, the drainage volume in the first 24 hours, and the hospitalization time in the intensive care unit were similar (p>0.05). Postoperative pains were evaluated together with narcotic analgesics taken intravenously or orally. While 7 cases (43.7%) in group I needed postoperative analgesics, 12 cases (70.6%) in group II needed them. No mortality or major morbidity has occurred in the patients. The incision style and sizes in all of the patients undergoing RVAM were preserved as they were at the beginning. Furthermore, the patients of group I were mobilized more quickly than the patients of group II. The patients of group I were quite pleased with the psychological and cosmetic results. No residual defects have been found in the early postoperative period and after the end of the follow-up periods. All of the patients achieved functional capacity per NYHA. No deformation of breast growth has been detected during 18 months of follow-up for the group I patients, who underwent RVAM. Conclusion: To conclude, the repair of atrial septal defect by RVAM, apart from the limited working zone for the surgeon in these pathologies as compared to sternotomymay be considered in terms of the outcomes, and early and late complications. And this has accounted for less need of analgesics and better cosmetic results in recent years.

• Journal of the Korean Geosynthetics Society
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• v.12 no.3
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• pp.43-53
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• 2013

In this study, an analysis about the causes of different types of excavation on accidents is required in order to prevent the frequently occurring accidents related to the earth retaining structure and excavation. Also, analysis of influence was performed by using numerical typical soil conditions and construction trend using numerical analysis method. According to the analysis results of 25 accident cases, the main influence factors were found as following: insufficient of soil survey, instability of temporary facility and lack of groundwater treatment, etc. Furthermore, in the numerical analysis result of 22 cases, drainage method was occurred larger settlement than waterproof method in the Inland. In case of applying the earth anchor method, it needs more detailed in the regions, which are discovered soft ground or rock discontinuities. Also, The consolidated clay absolutely needs further consideration of excess hydrostatic pressure.