• Journal of Chest Surgery
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• 제19권4호
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• pp.695-698
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• 1986

Only five instances of chylopericardium following cardiac surgery have been reported in the literature previously. We encounted this complication in a patient who was operated on for secundum atrial septal defect. The patient readmitted one month after discharge because of large amount of chylous pericardial effusion. Conservative treatment of pericardiostomy drainage and parenteral hyperalimentation was continued for 3 weeks without improvement. Partial pericardiectomy and pericardiopleural window was done with success and no recurrence of chylopericardium was observed upto 3 months after surgery. We think this is the first case report of chylopericardium after open heart surgery in Korea.

• 한국습지학회지
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• 제13권3호
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• pp.623-631
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• 2011

최근 기후변화에 따른 전지구적인 지구온난화는 대형 태풍의 발생, 집중호우의 증가 등 기존의 기후 특성을 변화시키고 있다. 이로 말미암아 자연재해의 강도가 강해지고 있고, 인명과 재산피해가 대규모화되고 있다. 따라서 본 연구에서는 기후변화로 인한 자연재해에 대비하기 위하여 미래 기후변화를 예측하고 도심지에 미치는 영향을 파악하고자 하였으며, 대상지역으로는 배수 관거의 용량 초과로 인해 상습적으로 침수가 발생하는 인천광역시 계양구 일대를 선정하였다. 먼저, 기후변화 시나리오 및 기후모형들을 검토하여 적정 기후시나리오와 기후모형을 선정하고, 수집한 강우자료를 시간단위로 축소한 뒤 미래 기후변화의 영향으로 인해 발생할 수 있는 확률강우량을 구하였다. 미래 증가하는 확률강우량을 XP-SWMM모형에 적용해 도시배수시스템의 홍수유출량을 산정 하였는데, 대상지역에 월류가 발생할 것으로 예상되었다. 따라서 이에 대한 적절한 대책 마련이 필요할 것으로 사료된다.

• 한국수자원학회논문집
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• 제40권4호
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• pp.313-324
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• 2007

비정형격자 기반의 수치해석모형을 이용하여 지하공간침수해석모형을 개발하였다. 본 모형은 지하공간의 흐름 특성을 link-node 시스템에 의해 해석하고, 계단 및 벽구조물 등의 지하공간 구조물 배치 영향을 고려한 침수해석을 수행할 수 있다. 흐름은 두가지로 구분하며, 하나는 두 개의 인접한 격자가 지하공간에서의 지하철 노선에 해당되어 수로형 흐름을 나타내는 경우이고, 다른 하나는 지하공간에서의 지하철 노선 이외의 지점 및 지하상가 등으로 물이 확산되는 위어형 흐름인 경우이다. ArcGIS 시스템의 Visual Basic Application을 이용하여 Dual-Drainage 침수해석 모형과 지하공간침수해석 모형이 통합하였다. 개발된 통합모형은 홍수관계기관이 침수 발생이 예상되는 지점에서 홍수피해 방지를 위해 배수시스템의 용량에 대한 재설계 흑은 확장 등과 같은 대책을 수립하는데 도움을 줄 수 있고, 침수위험지도작성 및 홍수경감대책을 수립하는데 이용될 수 있다.

• 한국수자원학회논문집
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• 제53권6호
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• pp.451-461
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• 2020

급격한 도시화로 인한 도시홍수가 최근 들어 자주 발생하고 있다. 본 연구에서는 도시홍수를 방어하기 위해 국내최초로 건설중인 신월 빗물저류배수시설을 대상으로 수리모형실험을 실시하였다. 총 55가지 시나리오에 대한 실험을 실시하였는데 그 중 19가지 시나리오에서 월류가 발생하였다. 또한 월류가 발생한 시나리오에 대한 비디오 분석결과, 불규칙 단파가 이동하면서 시설 내 압축공기를 배기시키는 과정에 월류가 발생하는 것으로 분석되었다. 본 연구 결과를 바탕으로 향후 연속강우에 대한 신월 빗물저류배수시설에 대한 안정적 운영을 위해서 완전배수 또는 만관상태를 유지하는 것이 유리할 것으로 판단되고 유입유량의 크기, 월류, 불규칙 단파간의 상관관계에 대한 추가 연구가 필요할 것으로 판단된다.

• 한국안전학회지
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• 제33권4호
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• pp.119-126
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• 2018

In recent years, as flood damage caused by heavy rains increased, the great-depth tunnel using urban underground space is emerging as a countermeasure of urban inundation. The great-depth tunnel is used to reduce urban inundation by using the underground space. The drainage efficiency of great-depth tunnel depends on the intake design, which leads to increase discharge into the underground space. The spiral intake and the tangential intake are commonly used for the inlet facility. The spiral intake creates a vortex flow along the drop shaft and reduces an energy of the flow by the wall friction. In the tangential intake, flow simply falls down into the drop shaft, and the design is simple to construct compared to the spiral intake. In the case of the spiral intake, the water level at the drop shaft entrance is risen due to the chocking induced by the flowrate increase. The drainage efficiency of the tangential intake decreases because the flow is not sufficiently accelerated under low flow conditions. Therefore, to compensate disadvantages of the previously suggested intake design, the multi-stage intake was developed which can stably withdraw water even under a low flow rate below the design flow rate. The hydraulic characteristics in the multi-stage intake were analyzed by changing the flow rate to compare the drainage performance according to the intake design. From the measurements, the drainage efficiency was improved in both the low and high flow rate conditions when the multi-stage inlet was employed.

• Annals of Coloproctology
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• 제34권6호
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• pp.317-321
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• 2018

Purpose: We evaluate the role of transanal tube drainage (TD) as a conservative treatment for patients with anastomotic leakage (AL). Methods: Patients treated for AL who had undergone a low or an ultralow anterior resection with colorectal or coloanal anastomosis for the treatment of rectal cancer between January 2013 and January 2017 were enrolled in this study. The data were collected prospectively and analyzed retrospectively. The primary outcomes were the diagnosis and the management of AL. Results: Two hundred thirteen consecutive patients, 122 males and 91 females, were included. The mean age was $66.91{\pm}11.15years$, and the median body mass index was $24kg/m^2$ (range, $20-35kg/m^2$). The median tumor distance from the anal verge was 8 cm (range, 4-12 cm). Ninety-three patients (44%) received neoadjuvant therapy for nodal disease and/or locally advanced rectal cancer. Only 13 patients (6%) developed AL. Six patients developed subclinical AL as they had a defunctioning ileostomy at the time of the initial procedure. They were treated conservatively with TD under endoscopic guidance in the endoscopy unit and received intravenous antibiotics. Six weeks after discharge, these 6 patients underwent follow-up flexible sigmoidoscopy which showed a completely healed anastomotic defect with no residual stenosis. Seven patients developed a clinically significant AL and required reoperation with pelvic abscess drainage and Hartmann colostomy formation. Conclusion: These results suggest that TD for management of patients with AL is safe, cheap, and effective. Salvaging the anastomosis will help decrease the need for Hartmann colostomy formation. Proper patient selection is important.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2005년도 지반공학 공동 학술발표회
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• pp.174-187
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• 2005

Recently, because of environment, cost, supply and demand factors, though applying sea-sand as horizontal drains is getting difficult that usage of Gravel has been growing in large size of construction sites, Study on engineering properties and behavior characteristics of Gravel stratum is not thoroughgoing enough. We have applied Gravel Mat as the horizontal drains in O O construction site. We also conducted several field tests such as Material property test, Geosynthetics damage test with Repeated load, Discharge capacity test performed by inflow of upper soil and In-situ PBD Penetration test to review the application of Gravel Mat. Test results show that Gravel Mat is not only advantageous in Trafficability and Water drainage by Consolidation due to its great Internal friction angle and Permeability, but also easy to penetrate with Mandrel and has great discharge capacity and guarantee of the stability against geosynthetics damage at the same time. With these benefits Gravel Mat shows great application in fields.

• 환경위생공학
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• 제23권4호
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• pp.65-71
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• 2008

To drive efficiently total water pollution load management, needs to calculate the exact load emissions, pollution load allocation and implementation evaluation in each unit area of watershed and accurate and regular flow of data. For these reasons, the Nakdong River TMDL Research Center has produced directly or indirectly in the average interval of eight days (30 times or more / year) 41 points for unit area of the total water pollution load management and 8-point of municipal requirement for a total of 49 branches as a flow data in 2004 from August. This acquired the survey flow is evidence of trends and changes each point in the Nakdong River based on time, such as 10 years based on average design flow available to the foundation of the summit as the major water policy is to be utilized. This study was performed on actual discharge measuring data and introduced performance results each drainage basin of Nakdong River from 2004 to 2008 over the total of past five years.

• Environmental Engineering Research
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• 제15권2호
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• pp.123-126
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• 2010

Modeling non-point pollution across multiple scales has become an important environmental issue. As a more representative and practical approach in quantifying and qualifying surface water, a modular neural network (MNN) was implemented in this study. Two different site-scales ($1.5\;{\times}\;10^5$ and $1.62\;{\times}\;10^6\;m^2$) with the same plants, soils, and paddy field management practices, were selected. Hydrologic data (rainfall, irrigation and surface discharge) and water quality data (time-series nutrient loadings) were continuously monitored and then used for the verification of MNN performance. Correlation coefficients (R) for the results predicted from the networks versus measured values were within the range of 0.41 to 0.95. The small block could be extrapolated to the large field for the rainfall-surface drainage process. Nutrient prediction produced less favorable results due to the complex phenomena of nutrients in the drainage water. However, the feasibility of using MNN to generate improved prediction accuracy was demonstrated if more hydrologic and environmental data are provided. The study findings confirmed the estimation accuracy of the upscaling from a small-segment block to large-scale paddy field, thereby contributing to the establishment of water quality management for sustainable agriculture.

• 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.