• Title/Summary/Keyword: central drainage

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Post Laparoscopic Cholecystectomy Biloma in a Child Managed by Endoscopic Retrograde Cholangio-Pancreatography and Stenting: A Case Report

  • Tiwari, Charu;Makhija, Om Prakash;Makhija, Deepa;Jayaswal, Shalika;Shah, Hemanshi
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.4
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    • pp.281-285
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    • 2016
  • Laparoscopic cholecystectomy, though an uncommon surgical procedure in paediatric age group is still associated with a higher risk of post-operative bile duct injuries when compared with the open procedure. Small leaks from extra hepatic biliary apparatus usually lead to the formation of a localized sub-hepatic bile collection, also known as biloma. Such leaks are rare complication after laparoscopic cholecystectomy, especially in paediatric age group. Minor bile leaks can usually be managed non-surgically by percutaneous drainage combined with endoscopic retrograde cholangio-pancreatography (ERCP). However, surgical exploration is required in cases not responding to non-operative management. If not managed on time, such injuries can lead to severe hepatic damage. We describe a case of an eight-year-old girl who presented with biloma formation after laparoscopic cholecystectomy who was managed by ERCP.

Analytical Model of Salt Budget in the Upper Indian River Lagoon, Florida USA

  • Kim, Young-Taeg
    • Ocean and Polar Research
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    • v.26 no.1
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    • pp.33-42
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    • 2004
  • Effect of freshwater discharge on the long-term salt balance in the Northern and Central Indian River Lagoon (IRL) is successfully simulated by a new analytical solution to a water balance-based one-dimensional salt conservation equation. Sensitivity tests show that the salinity levels drop abruptly even during the dry season (November to May) due to the high surface runoff discharge caused by tropical storms, depressions, and passage of cold fronts. Increasing surface runoff and direct precipitation has risen by ten times, lowering the salinity level down to 12psu in the Northern Central zone, and to 17 psu in the Northern zone. However, the salinity level in the Southern Central zone has decreased to 25 psu. High sensitivity of the Northern Central zone to freshwater discharge can be partially explained by a rapid urbanization in this zone. During the dry season, less sensitivity of the Southern Central zone to the increased surface runoff is attributed to the proximity of the zone to the Sebastian Inlet and a strong diffusion condition possibly resulting from the seawater intrusion to the surficial aquifer at the Vero Beach. During the wet season, however, the whole study area is highly sensitive to freshwater discharge due to the weak diffusion conditions. High sensitivity of the IRL to the given diffusion conditions guarantees that the fresh-water release occurs during strong wind conditions, achieving both flood control in the drainage basin and a proper salinity regime in the IRL.

A Study on the Composition Principle of the Gyeongbokgung Drainage Facility - Focused on the review of Gyeongbokgung excavation survey - (경복궁(景福宮) 배수시설(排水施設)의 조성원리(造成原理)에 관한 연구 - 경복궁 발굴조사 자료에 대한 검토를 중심으로 -)

  • Kim, Tae Min;Nam, Ho Hyun
    • Korean Journal of Heritage: History & Science
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    • v.51 no.4
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    • pp.120-145
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    • 2018
  • This study intended to examine the drainage facility of Gyeongbokgung Palace based on the traces of the relic found during the excavation survey. Historical records indicate that various efforts have been made for smooth drainage facility for the palace since the foundation of the Joseon Dynasty. Although there are no drawings showing the image of early appearance of Gyeongbokgung Palace during the foundation, it is possible to estimate it through the drawings prepared after the King Yeongjo's reign. The image of the palace after reconstruction can be seen through the "Bukgwoldohyeong" and other relevant documents. At this present, since the survey intends to determine the image of Gyeongbokgung Palace during the reign of King Gojong based on the standard restoration plan of the Cultural Heritage Administration, this study also focused on the drainage facility of Gyeongbokgung Palace during King Gojong's reign, particularly on the collecting wells and culverts of six areas including "Chimjeon Hall", "Taewonjeon Hall", "Geoncheongung Hall", "Sojubang Hall", "Hamhwadang - Jipgyeongdang - Yeonghundang Hall", and "Heungbokjeon Hall". Gyeongbokgung Palace is divided into various zones composed of the central halls and surrounding corridors, and the drains also primarily start from each hall and later join the central drain of the zone. The central drain then leads to the "Eo-gu(御溝)" and the water led to the "Eo-gu" is finally discharged through the water gate. It appears that this series of processes were basically devised to coordinate artificial drain with the natural drain using the natural geographical features of the palace. Research showed that the collecting well where the draining begin was installed in the area where a large amount of household sewage was generated but mostly in the corners where corridors met or corridors and wall met. This appears to be an arrangement to handle the water falling from the roof and household sewage. Also, "Ju(廚)" was installed mainly at the end of the corridor to handle household sewage. The installation of these drainage facilities shows the possibility that the drainage of Gyeongbokgung was very compact under a series of plans.

Effect of reaction temperature and time on the formation of calcite precipitation of recycled concrete aggregate (RCA) for drainage applications

  • Boo Hyun Nam;Jinwoo An;Toni Curate
    • Geomechanics and Engineering
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    • v.33 no.1
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    • pp.65-75
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    • 2023
  • Recycled concrete aggregate (RCA) is widely used as a construction material in road construction, concrete structures, embankments, etc. However, it has been reported that calcite (CaCO3) precipitation from RCA can be a cause of clogging when used in drainage applications. An accelerated calcite precipitation (ACP) procedure has been devised to evaluate the long-term geochemical performance of RCA in subsurface drainage systems. While the ACP procedure was useful for the French Drain application, there remained opportunities for improvement. In this study, key factors that control the formation of calcite precipitation were quantitatively evaluated, and the results were used to improve the current prototype ACP method. A laboratory parametric study was carried out by investigating the effects of reaction temperature and time on the formation of calcite precipitation of RCA, with determining an optimum reaction temperature and time which maximizes calcite precipitation. The improved ACP procedure was then applied to RCA samples that were graded for Type I Underdrain application, to compare the calcite precipitation. Two key findings are (1) that calcite precipitation can be maximized with the optimum heating temperature (75℃) and time (17 hours), and (2) the potential for calcite precipitation from RCA is not as significant as for limestone. With the improved ACP procedure, the total amount of calcite precipitation from RCAs within the life cycle of a drain system can be determined when RCAs from different sources are used as pipe backfill materials in a drain system.

Bilateral Chronic Subdural Hematoma Contaminated with Klebsiella Pneumoniae : An Unusual Case

  • Bakar, Bulent;Sungur, Cem;Tekkok, Ismail Hakki
    • Journal of Korean Neurosurgical Society
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    • v.45 no.6
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    • pp.397-400
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    • 2009
  • This article presents the case of a bilateral chronic subdural hematoma which was contaminated with Klebsiella pneumoniae and resulted in a life-threatening central nervous system infection. After repeated of bilateral burr-hole drainage, the patient became hyperpyrexic and drowsy. Suppuration within the subdural space was suspected and then the patient underwent bilateral fronto-temporo-parietal craniotomies, and pus was evacuated. Its cultures revealed Klebsiella pneumoniae. Intravenous meropenem was given for 6 weeks. He recovered completely. Microorganisms like Klebsiella pneumoniae may directly infect the subdural space with iatrogenic contamination.

A Study on Landforms related to Geology in the vicinity of Uro Cave (우로굴 주변의 지질과 지형경관)

  • 김주환
    • Journal of the Speleological Society of Korea
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    • no.62
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    • pp.1-9
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    • 2004
  • The main purpose of this paper is to clarify the relationship between the development of the Uro cave and the characteristics of the landform development. The mountain systems of the study area are north-western part. central part and south-eastern part. The third order streams are developed, and the bifurcation ratios are 7.0 and 4.0. The drainage density and the networks of the streams are not well developed in this area. The rocks of this area are sedimentary rocks, metamorphic rocks and Igneous rocks. The soils are lithosol, and red-brownish soils.

Reset of Cultivation Zones of Green Manure Crops under Paddy Field in South Korea: Focused on Minimum Temperature and Drainage Class (국내 주요 녹비작물 논재배 적지 재설정: 1월 평균 최저기온 및 배수등급을 기준으로)

  • Kim, Min-Tae;Kim, Kwang Seop;Park, Ki Do;Ryu, Jin-Hee;Choi, Jong-Seo;Ku, Ja-Hwan;Kim, Suk-Jin;Lee, Choon-Woo;Lee, Kyungdo;Kang, Hang-Won
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.60 no.1
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    • pp.91-96
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    • 2015
  • Stable production of green manure crop is one of the critical factor for successful implementation of environmental-friendly agriculture in South Korea. Most green manure crops including hairy vetch cultivated in South Korea must be passed cold winter season. This study was conducted to establishment of cultivation zones on green manure crops under paddy field in South Korea using on minimum temperature and drainage class. In order to build the spatial distribution map, hairy vetch, triticale, barley, rye, and clover as green manure crop were selected and mean of daily minimum temperature and drainage class in paddy field were considered as limiting factor for stable growth of green manure crop. And cultivation zone on green manure crops was divided into two categories; 'Availability area' and 'Safety area'. Low limit temperature on green manure crops in this study was the following. Temperature on 'Availability area' was $-10^{\circ}C$, $-8^{\circ}C$, $-6^{\circ}C$, and $-20^{\circ}C$ for hairy vetch (including triticale), barley, clover, and rye respectively. And temperature on 'Safety area' was lower $-2^{\circ}C$ compared to that of 'Availability area' exception rye which was the same degree. Rye was expected to safely cultivated the almost whole paddy field (99.71%) of South Korea. 'Safety area' among the whole paddy field for hairy vetch, barley, and clover were 86.58, 53.06, and 15.76% respectively. The spatial distribution map of green manure crops reestablished in this study could be used the policy and agricultural management for environmental-friendly agriculture using green manure crops in South Korea.

Mediastinitis after Central Venous Catheterization (중심정맥관 삽입후 발생한 종격동염-1례 보고)

  • Keum, Dong Yoon;Park, Nam Hee;Lee, Kee Tae
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.1
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    • pp.64-67
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    • 2005
  • We report here on an uncommon case of mediastinitis that occurred after central venous catheterization. A patient with colon and jejunal cancer complained high fever, right shoulder pain, chest pain, and limited motion of the affected shoulder just 6 days after central venous catheterization. Bacterial culture of the blood, shoulder abscess, and catheter puncture site revealed methicillin-resistent staphylococcus aureus. Right upper mediastinal widening on chest film also suggested mediatinitis. Mediastiotomy and pus drainage was performed along with adequate antibiotics therapy. In this case, it seems that initially formed bacteria from the puncture site migrated to the mediastinum through the tissue plane to start the mediastinitis. Careful dressing of puncture site and correct handling of catheter is important to prevent this serious complication.

Interventional Treatment of Chemical Pleuritis and Hemothorax Caused by Iatrogenic Internal Jugular Vein Perforation after Central Venous Port System Implantation: A Case Report (중심정맥포트 삽입 후 의인성 속목정맥 천공에 의한 화학적 늑막염과 혈흉의 중재적 치료: 증례 보고)

  • Do Woo Kim;Young Hwan Kim;Ung Rae Kang
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1459-1465
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    • 2020
  • The perforation of the intrathoracic internal jugular vein during the placement of an implantable central venous chemoport is a rare complication that is manifested by hemothorax or hemorrhagic shock. Furthermore, inappropriate instillation of a chemotherapeutic agent in the chemoport can cause chemical pleuritis, and the diagnosis of these complications prior to the instillation of chemotherapeutic agents and open thoracic surgery is mandatory. We report a patient with chemical pleuritis and hemothorax following an inappropriate instillation of a chemotherapeutic agent, through the perforated right internal jugular vein after placement of an implantable central venous chemoport. Treatment by embolization using coils and N-butyl cyanoacrylate, after percutaneous drainage, was successful.

Surgery of Parasplenial Arteriovenous Malformation with Preservation of Vision - A Case Report - (부뇌량팽대 동정맥 기형의 수술에서 시야의 보존 - 증례보고 -)

  • Joo, Jin Yang;Ahn, Jung Yong
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.815-821
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    • 2000
  • Parasplenial arteriovenous malformations(AVMs) are rare vascular malformations which have distinct clinical and anatomical features. They are situated at the confluence of the hippocampus, isthmus of the cingulate gyrus and the gyrus occipitotemporalis medialis. These lesions are anterior to the calcarine sulcus and their apex extends towards the medial surface of the trigonum. Posterolaterally, these lesions are in close proximity to the visual cortex and optic radiation. The objectives in the surgery of parasplenial AVMs are complete resection of the lesions and preservation of vision. These objectives must be achieved with comprehensive understanding of the following anatomical features :1) the deep central location of the lesions within eloquent brain tissue ; 2) the lack of cortical representation of the AVMs that requires retraction of visual cortex ; 3) deep arterial supply ; 4) deep venous drainage ; 5) juxtaposition to the choroid plexus with which arterial supply and venous drainage are shared. A 16-year-old female student presented with intraventricular hemorrhage from a right parasplenial-subtrigonal AVM. The lesion, fed by posterior cerebral artery and drained into the vein of Galen, was successfully treated by the inter-hemispheric parietooccipital approach. To avoid visual field defect a small incision was made on precuneus anterior to the calcarine sulcus. In this report, the authors describe a surgical approach with special consideration on preservation of visual field.

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