• Journal of Korean Neurosurgical Society
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• 제41권4호
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• pp.236-240
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• 2007

Objective : The aim of this study is to analyze on the external ventricular drainage [EVD] related ventriculitis, especially on their risk factors, management, and prevention. Methods : From January 2003 to December 2005, a total of 174 EVD catheters were placed in 112 patients at our institution. Of these patients, EVD-related ventriculitis were developed in 15 cases. Clinical variables such as age, sex, prior clinical diagnosis, placement of EVD insertion, duration of EVD, total numbers of EVD per person, and outcome were analyzed in theses cases to verify the risk factors, causative agents and outcomes. Results : Fifteen cases of EVD related ventriculitis were noted presenting infection incidence of 13.39 % per patient and 8.62% per procedure. Of these, five patients died from sepsis, seven patients were recovered from infection but neurological complications remained and three patients were recovered without any complications. Microbes were obtained from cerebrospinal fluid only in six patients. Acinetobactoer baumanii was the most common pathogen in our study [4 cases]. Among the various risk factors, only the prior clinical diagnosis showed the statistical significance. Patients who underwent decompressive craniectomy after severe brain trauma showed unfavorable outcome because of possible contaminative environment compared with other cases. Conclusion : EVD is considered as a safe procedure with good control of intracranial pressure if meticulous care is provided for EVD procedure and maintenance. With regards to risk factors and prevention, the higher incidence and unfavorable outcome was seen especially in patients with severe head trauma. Thus, special attention is required in these clinical settings.

• 한국방재학회 논문집
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• 제8권3호
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• pp.117-122
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• 2008

사람들은 수로 또는 하천에서 취수를 목적으로 하천을 횡단하는 보와 같은 수중 구조물을 설치하여 물을 임시 저류시켜 사용하는 방법을 이용하고 있으나, 구조물에 의하여 하천의 흐름이 정체되어 수질사고 및 홍수 등의 부작용이 발생하기도 한다. 본 연구에서는 다양한 가동보 중 저층수 배출식 공압식 가동보를 실험수로에 설치하여 가동보 설치각도 변화에 따른 흐름 영향을 분석하였으며, 저층수 배출을 위해 설치해 놓은 저층수 유입구에 따라 변화하는 흐름특성을 분석하였다. 분석 결과 보 설치 각도에 따라 저층수 배출장치로만 물을 배제시킬 경우 설치각도의 증가에 따라 유량은 점차 증가하며, 저층수 유입구의 유무 따른 흐름특성 변화는 유속의 경우 최대 21.9배 증가한 것을 확인할 수 있으며, 수위변화에는 크게 영향을 미치지 않는 것으로 나타났으나, 보 상류 부분에서 국부적으로 평균 이상의 수위 감소를 나타내고 있다.

• 한국지반공학회지:지반
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• 제14권5호
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• pp.181-190
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• 1998

구의 일차원 압축거동을 잘 표현할 수 있는 확장멱함수 모형을 이용하여 비선형 압밀속도 모형을 개발하고, 비선형 유한요소 프로그램을 개발하여 침하량과 압밀속도를 계산하였다. 양산-물금 지구 4개 지점의 표준압밀시험 결과를 이용하여 확장적함수의 매개변수를 구하고, 압밀속도와 침하량을 계산한 결과를 비선형 압밀해석 프로그램인 CONSOL의 결과와 비교하였다. 본 모형에 의한 침하량과 압밀속도는 CONSOL의 결과와 잘 일치하고 있다. 본 모형과 CONSOL은 각의 압축성의 변화를 고려하고 있기 때문에 Terzaghi 압밀이론에 비해 빠른 압밀속도를 얻을 수 있었다. 본 모형에 의해 구해진 압밀곡선은 Terzaghi 압밀곡선과 CONSOL 결과의 중간형태를 띄고 있다. 유효응력의 증가속도가 빠른 배수경계 부근에서의 압밀곡선은 두 개의 포물선으로 구성되어 있으며 두 곡선의 교점, 즉 변곡점은 그 지점의 유효응력이 선행압밀하중에 다다를 때 나타난다. CONSOrt과 Terzaghi 압밀이론에서는 하중 크기에 상관없이 압밀곡선의 거동이 동일한 양상을 보이고 있지만 본 모형의 압밀곡선은 선행압밀하중보다 큰 하중에서만 변곡점이 발생된다. 이것은 본 모형이 하중 크기의 영향을 구현할 수 있다는 것을 보여주고 있다.

• 한국환경복원기술학회지
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• 제15권4호
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• pp.97-109
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• 2012

In this study this writer carried out survey and analysis on paving materials of children's playground for 40 apartment buildings with each of such apartment containing 100 households or more and which were built within last 15 years in Jeonju. As a result of analysis of such questionnaires this author could draw following conclusion. In the second half of 1990s pavement materials which were used mainly were sand and during first half of 2000s they were mixture of sand and rubber block and around 2010 they were rubber block or rubber chip pavements. Such change seemed to be a result of consideration of convenience for management and safety rather than in deference to diversity of children's outing places. Survey on the current status of pavement materials revealed need for directives by the main entity for management and their firm resolve for its implementation. And there was need for their coping with problems such as pressure of treading or lack of it or poor condition of drainage in case of sand and phenomena of pitting or dipping down, discoloring and poor drainage in case of rubber chips and rubber blocks and loosening of gaps between rubber blocks etc. Result of analysing status of usage disclosed that 50.4% of the respondents to questionnaires stated that they had experience of accidents. With regard to cause of such accident it was found that 47.5% of accidents were attributable to play facilities and 19.5% were due to paving (floor) materials thus it was disclosed that not only play facilities but also pavement materials had impact on safety for the children. Result of analysing level of satisfaction with pavement materials showed that pavement by rubber chips and blocks had higher level of satisfaction which was reflection of fear on cleanness of sand. In terms of preference rubber chip and rubber block pavements were highest and the next one was sand. Reason for such preference was based on concern with safety.

• 가정간호학회지
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• 제21권2호
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• pp.110-119
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• 2014

Purpose: The objectives of this study were to identify interventions and to analyze the characteristics of headaches among hospitalized patients with subarachnoid hemorrhage with moderate or severe headaches. Methods: A retrospective review of the electronic medical records of 210 patients who received treatment for subarachnoid hemorrhage was conducted. Data collection was done using a structured headache record sheet. Data analysis was carried out using the PASW 18.0 version program. Results: There were significant differences in number and duration of headaches of headaches according to the presence of vasospasm, increased intracranial pressure, extraventricular drainage, use of hypertonic solution, and hospitalization period (p<0.05). Patients with vasospasm and extraventricular drainage experienced the most severe headache for a duration of 3 to 7 days. Other patients experienced the most severe headache for around 1-2 days. Conclusion: Hospitalized patients with subarachnoid hemorrhage who had vasospasms experienced more headaches and the duration of these headaches were longer. In particular, the assessment and interventions for headaches should increase and be carried out actively during this time because the intensity of these headaches is severe and lasts for 3-7 days. Additionally, we emphasize the need for regular administration of analgesics in order to promote patients' well-being. On the basis of the results of this study,we suggest that evidence-based interventions for the care of headaches among hospitalized patients with subarachnoid hemorrhage should be developed.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.383-389
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• 2002

This is a retrospective study on emergency patients with active oral bleeding. The study was based on a series of 135 patients treated as emergency patients at Wonju Christian Hospital, from Jan. 1, 1997, to Dec. 31, 2001. The postoperative bleeding was the most frequent cause of active oral bleeding in emergency room and bleeding from trauma and medically compromised (bleeding disorders) patients were next in order of frequency. In the injury of maxillofacial vessels, peak incidence was occurred in the inferior alveolar vessel (42.9%), followed by the submucosal vessel of lip & cheek, the superior alveolar vessel, and sublingual vessels. The most common disease of bleeding disorders was vascular wall alteration (infection, etc), followed by liver disease, thrombocytopenic purpura, anti-coagulation drugs in order. In the characteristics of dental diseases on bleeding disorders, periodontal disease and alveolar osteitis (osteomyelitis) were more common. The hemostasis was most obtained by use of wound suture, simple pressure dressing, drainage for infection control and primary interdental wiring of fracture. In the complication group, the infrequent incidence was showed in vomiting, hypovolemic shock, syncope, recurred bleeding & aspiration pneumonia. In the uncontrolled oral bleeding, the injured vessels were suspected as skull base & ethmoidal vessels. In this study, authors found that the close cooperation between the dentistry (Oral and maxillofacial surgery) and the medicine (emergency & internal medicine) was the most important for early proper control of active oral bleeding. And then post-operative wound closure, drainage for infection control and previous systemic evaluation of bleeding disorders were critical for the prevention of postoperative bleeding in the local dental clinic.

• 펄프종이기술
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• 제44권4호
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• pp.85-90
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• 2012

Wet pressing process has great influence not only on the paper properties but also on the efficiency of total manufacturing process including energy efficiency. The slow drainage propensity of old corrugated container(OCC) might require more complicated control of wet pressing process. In this study, the change in press efficiency and in structure of wet sheet by the various condition of laboratory roll press simulator were evaluated to provide background information about wet pressing of OCC. The higher pressure and the slower machine speed resulted in higher efficiency of wet pressing but the change trends of dryness depending on the wet press pressure and machine speed were shown differently according to OCC treatment. The effects of water contents of felt on the wet press efficiency and sheet structure were also investigated. The higher contents of water in felt resulted in less removal of water generally and the crushed structure of wet sheet were appeared especially at higher pressure.

• Archives of Plastic Surgery
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• 제36권3호
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• pp.351-355
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• 2009

Purpose: Cervical necrotizing fasciitis tends to involve the deep soft tissues and spread caudally to the anterior chest and mediastinum, often resulting in major complications and death. It may rapidly spread into the thorax along fascial planes, and the associated diagnostic delay results in this descending necrotizing mediastinitis. So, aggressive multidisciplinary therapy with surgical drainage is mandatory. We present a very rare case of descending necrotizing mediastinitis with literature review. Methods: A 53 years old male visited our department 7 days after trauma in neck. His premorbid conditions and risk factors of necrotizing fasciitis were concealed hepatoma, trauma history, chronic liver disease, and nutrition deficit. Computed tomographic scans of the head and neck region were performed in this patient : signs of necrotizing fasciitis, were seen in the platysma, sternocleidomastoid, trapezius muscle and strap muscles of the neck. Fluid accumulations involved multiple neck spaces and mediastinum. At the time, he diagnosed as necrotizing fasciitis on his neck and anterior chest. 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 and achieving additional 3 pieces drainage tubes 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, abscess drainage with the VAC system, and then split thickness skin graft. The postoperative course was uneventful. Conclusion: The refined technique using the VAC system can provide a means of simple and effective management for the descending necrotizing mediastinitis, with better cosmetic and functional results. Finally, the VAC system has been adopted as the standard treatment for deep cervical and mediastinal wound infections as a result of the excellent clinical outcome.

• Journal of Korean Neurosurgical Society
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• 제29권6호
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• pp.748-753
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• 2000

Objectives : A 10-year retrospective clinical study was undertaken to determine the differences between two groups according to age at presentation(group A, under 50 ; B, over 50). Methods : We analyzed 468 cases with chronic subdural hematoma admitted to the department of neurosurgery in our hospital from January 1987 to December 1996. The patients were divided into two groups according to age at presentation(group A, under 50 ; B, over 50). Results : 1) The number of group A was 126 cases(26.9%) and that of group B was 342 cases(73.1%), respectively. Males were more frequently involved than females in each group. 2) There noted a history of head trauma in 88.9% of group A and 92.4% of group B. Forty-nine patients(38.9%) of group A and 103 cases(30.1%) of group B revealed a history of alcoholism. 3) Group A patients presented with symptoms of increased intracranial pressure such as headache(75.% ), nausea and vomiting(68.0%). However, Group B patients had more frequent mental changes(84.0%) and focal neurological deficits such as hemiparesis(76.5%). 4) Onset of symptom and its duration was shorter in group A than group B. 5) Six patients among 441 cases(1.4%) treated with burr hole drainage and two patients of 27 cases(5.4%) with craniotomy died, and all of these were group B patients. The two cases among six patients with burr hole drainage developed huge intracerebral hemorrhage and brain stem hemorrhage, respectively. Conclusion : In treating patients with chronic subdural hematoma, distinguishing between two age groups is quite helpful to determine treatment strategies.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권4호
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• pp.303-308
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• 2010

Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal and gastric aspiration and hypovolemic shock. Therefore, the rapid and correct bleeding control is very important for saving lives in the emergency room. Despite the conventional bleeding control methods of wiring (jaw fracture, wound suture and direct pressure), continuous bleeding can occur due to the presence of various bleeding disorders. There are five main causes for excessive bleeding disorders in the clinical phase; (1) vascular wall alteration (infection, scurvy etc.), (2) disorders of platelet function (3) thrombocytopenic purpura (4) inherited disorders of coagulation, and (5) acquired disorders of coagulation (liver disease, anticoagulant drug etc.). In particular, infections can alter the structure and function of the vascular wall to a point at which the patient may have a clinical bleeding problem due to vessel engorgement and erosion. Wound infection is a frequent cause of postoperative active bleeding. To prevent postoperative bleeding, early infection control using a wound suture with proper drainage establishment is very important, particularly in the active bleeding sites in a contaminated emergency room. This is a case report of a rational bleeding control method by rapid wiring, wound suture with drainage of a rubber strip & iodoform gauze and wet gauze packing, in a 26-year-old male cerebral palsy patient with active oral and maxillofacial bleeding injuries caused by a traffic accident.