• Title/Summary/Keyword: drainage discharge

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A Case of a Retroperitoneal Cystic Lymphangioma Treated by Percutaneous Catheter Drainage and Sclerotherapy (경피적 도관 배액술과 경화요법으로 치료한 후복막 낭성 림프관종 1예)

  • Kang, Hyun-Sik;Kim, Seung-Hyung;Kim, Bong-Soo;Kang, Ki-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.86-91
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    • 2010
  • Retroperitoneal cystic lymphangiomas are benign, extremely rare tumors. Although surgical resection is the treatment of choice, sclerotherapy should be considered initially. A 9-year-old boy was admitted due do worsening abdominal pain of 4 days duration. Serial complete blood counts revealed a hemoglobin level of 12.8 g/dL on admission to 10.6 g/dL on hospital day 3. An abdominal computed tomography (CT) scan showed a large, lobulated, septated, retroperitoneal cystic mass ($10{\times}9.5{\times}5cm$) in the left anterior pararenal space with intracystic hemorrhage surrounding the inferior mesenteric vein (IMV). Because of the high operative risk, we performed a tubogram of the cystic mass, percutaneous catheter drainage (PCD), and ethanol sclerotherapy. The follow-up abdominal CT scan showed that the cystic mass had decreased in size. He is well without relapse of the retroperitoneal cystic mass for 13 months after discharge. Sclerotherapy with PCD should be considered as initial therapy for patients with retroperitoneal cystic lymphangiomas at high surgical risk.

Assessment for the Possibility of Water-ecosystem Restoration Applying LID Techniques in the Deokjin Park Area, Jeonju City (LID기법을 이용한 전주 덕진공원의 수생태 복원 가능성 평가)

  • Choi, Seung-Hyun;Kim, Seok-Hwi;Kim, Kangjoo
    • Economic and Environmental Geology
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    • v.48 no.6
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    • pp.477-490
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    • 2015
  • In this study, we investigated the restoration possibility of the old streams by enhancing the rainwater infiltration in the watershed of Deokjin Park, Jeonju City. This study was performed by modeling groundwater discharge to the streams under various conditions. We assessed the amount and location of groundwater recharge enhancement to restore the streams and evaluated whether the baseflows of the restored streams are sufficient to keep the water ecosystem of the Deokjin Pond. The results show that the baseflow of the streams can persist for a longer time even during the dry season when the rainwater drainage system is recovered similarly to the those before development using low impact development (LID) techniques. The enhancements of recharge in the headwater area, which is the area around the zoo and Daeji Village in the Deokjin Park watershed, is useful to increase the baseflows of the downstream reaches. Furthermore, spreaded recharge over a widespread area is better to prevent the streams from drying than the intensive recharge at a few sites.

Bronchoscopic Ethanolamine Injection Therapy in Patients with Persistent Air Leak from Chest Tube Drainage

  • Lim, Ah-Leum;Kim, Cheol-Hong;Hwang, Yong-Il;Lee, Chang-Youl;Choi, Jeong-Hee;Shin, Tae-Rim;Park, Yong-Bum;Jang, Seung-Hun;Park, Sang-Myeon;Kim, Dong-Gyu;Lee, Myung-Goo;Hyun, In-Gyu;Jung, Ki-Suck;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.5
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    • pp.441-447
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    • 2012
  • Background: Chest tube drainage (CTD) is an indication for the treatment of pneumothorax, hemothroax and is used after a thoracic surgery. But, in the case of incomplete lung expansion, and/or persistent air leak from CTD, medical or surgical thoracoscopy or, if that is unavailable, limited thoracotomy, should be considered. We evaluate the efficacy of bronchoscopic injection of ethanolamine to control the persistent air leak in patients with CTD. Methods: Patients who had persistent or prolonged air leak from CTD were included, consecutively. We directly injected 1.0 mL solution of 5% ethanolamine oleate into a subsegmental or its distal bronchus, where it is a probable air leakage site, 1 to 21 times using an injection needle through a fiberoptic bronchoscope. Results: A total of 15 patients were enrolled; 14 cases of spontaneous pneumothorax [idiopathic 9, chronic obstructive pulmonary disease (COPD) 3, post-tuberculosis 2] and one case of empyema associated with broncho-pleural fistula. Of these, five were patients with persistent air leak from CTD, just after a surgical therapy, wedge resection with plication for blebs or bullae. With an ethanolamine injection therapy, 12 were successful but three (idiopathic, COPD and post-tuberculosis) failed, and were followed by a surgery (2 cases) or pleurodesis (1 case). Some adverse reactions, such as fever, chest pain and increased radiographic opacities occurred transiently, but resolved without any further events. With success, the time from the procedure to discharge was about 3 days (median). Conclusion: Bronchoscopic ethanolamine injection therapy may be partially useful in controlling air leakage, and reducing the hospital stay in patients with persistent air leak from CTD.

Runoff Analysis for Urban Unit Subbasin Based on its Shape (유역형상을 고려한 도시 단위 소유역의 유출 해석)

  • Hur, Sung-Chul;Park, Sang-Sik;Lee, Jong-Tae
    • Journal of Korea Water Resources Association
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    • v.41 no.5
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    • pp.491-501
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    • 2008
  • In order to describe runoff characteristics of urban drainage area, outflow from subbasins divided by considering topography and flow path, is analyzed through stormwater system. In doing so, concentration time and time-area curve change significantly according to basin shape, and runoff characteristics are changed greatly by these attributes. Therefore, in this development study of FFC2Q model by MLTM, we aim to improve the accuracy in analyzing runoff by adding a module that considers basin shape, giving it an advantage over popular urban hydrology models, such as SWMM and ILLUDAS, that can not account for geometric shape of a basin due to their assumptions of unit subbasin as having a simple rectangular form. For subbasin shapes, symmetry types (rectangular, ellipse, lozenge), divergent types (triangle, trapezoid), and convergent types (inverted triangle, inverted trapezoid) have been analyzed in application of time-area curve for surface runoff analysis. As a result, we found that runoff characteristic can be quite different depending on basin shape. For example, when Gunja basin was represented by lozenge shape, the best results for peak flow discharge and overall shape of runoff hydrograph were achieved in comparison to observed data. Additionally, in case of considering subbasin shape, the number of division of drainage basin did not affect peak flow magnitude and gave stable results close to observed data. However, in case of representing the shape of subbasins by traditional rectangular approximation, the division number had sensitive effects on the analysis results.

The Impact of Monsoon on Seasonal Variability of Basin Morphology and Hydrology (호수 지형 및 수리수문학적 변화에 대한 몬순 영향)

  • An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.33 no.4 s.92
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    • pp.342-349
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    • 2000
  • This paper demonstrates the influence of intensity of the monsoon on morpho-hydrological fluctuations in Taechung Reservoir during 1993${\sim}$1994. During the study, hydrological variables including rainfall, inflow, and discharge volume showed distinct contrast between 1993 and 1994. Interannaul differences in rainfall occurred during the monsoon in July${\sim}$August monsoon and influenced inflow, discharge, and water residence time (WRT). Total inflow in 1993 was four times greater than that of 1994, and summer inflow in 1993 was 8 times greater than summer 1994. Annual Mean WRT was 93.2 d in 1993 vs. 158.6 d in 1994 and the largest differences occurred between monsoons of 1993 and 1994. Morphometric variables reflected the interannual contrasts of hydrology, so that in 1993 surface area, total volume, shoreline development, and mean depth increased consistently from premonsoon to postmonsoon and over this same period in 1994 they decreased. This outcome indicates that the area of shallow littoral zones in 1993 was greater than in 1994. Also, the drainage area to surface area (D/L) at 80 m MSL was 60.7 which was much greater than values in Soyang and Andong reservoirs and natural lakes world-wide. The morpho-hydrodynamic conditions seemed to influence in-reservoir nutrient concentration which is one of the most important factors regulating the eutrophication processes. I believe, under the maximum hydrodynamic fluctuations in Korean waterbodies during the monsoon, applications of mass balance models to man-made lakes for assessments of external loading should be considered because the models can be used under the seasonally stable inflow and water residence time.

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Epidural Abscess Caused by Eikenella corrodens in a Previously Healthy Child

  • Kim, Ye Kyung;Han, Mi Seon;Yang, Song I;Yun, Ki Wook;Han, Doo Hee;Kim, Jae Yoon;Choi, Eun Hwa
    • Pediatric Infection and Vaccine
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    • v.26 no.2
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    • pp.112-117
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    • 2019
  • Eikenella corrodens rarely causes invasive head and neck infections in immunocompetent children. We report a case of epidural abscess caused by E. corrodens in a previously healthy 13-year-old boy who presented with fever, headache, and vomiting. On physical examination upon admission, there was no neck stiffness, but discharge from the right ear was observed. Brain magnetic resonance imaging (MRI) revealed approximately 4.5-cm-sized epidural empyema on the right temporal lobe as well as bilateral ethmoid and sphenoid sinusitis, right mastoiditis, and right otitis media. During treatment with vancomycin and cefotaxime, purulent ear discharge aggravated, and on follow-up brain MRI, the empyema size increased to $5.6{\times}3.4cm$ with interval development of an abscess at the right sphenoid sinus. Burr hole trephination was performed, and foul-smelling pus was aspirated from the epidural abscess near the right temporal lobe. Pus culture yielded E. corrodens. Endoscopic sphenoidotomy was also performed with massive pus drainage, and the same organism was grown. The patient was treated with intravenous cefotaxime for 3 weeks and recovered well with no other complications. Therefore, E. corrodens can cause serious complications in children with untreated sinusitis.

Hydrologic Modeling for Agricultural Reservoir Watersheds Using the COMFARM (COMFARM을 이용한 농업용저수지 유역 수문 모델링)

  • Song, Jung-Hun;Park, Jihoon;Kim, Kyeung;Ryu, Jeong Hoon;Jun, Sang Min;Kim, Jin-Taek;Jang, Taeil;Song, Inhong;Kang, Moon Seong
    • Journal of The Korean Society of Agricultural Engineers
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    • v.58 no.3
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    • pp.71-80
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    • 2016
  • The component-based modeling framework for agricultural water-resources management (COMFARM) is a user-friendly, highly interoperable, lightweight modeling framework that supports the development of watershed-specific domain components. The objective of this study was to evaluate the suitability of the COMFARM for the design and creation of a component-based modeling system of agricultural reservoir watersheds. A case study that focused on a particular modeling system was conducted on a watershed that includes the Daehwa and Dangwol serial irrigation reservoirs. The hydrologic modeling system for the study area was constructed with linkable components, including the modified Tank, an agricultural water supply and drainage model, and a reservoir water balance model. The model parameters were each calibrated for two years, based on observed reservoir water levels. The simulated results were in good agreement with the observed data. In addition, the applicability of the COMFARM was evaluated for regions where reservoir outflows, including not only spillway release but also return flow by irrigation water supply, substantially affect the downstream river discharge. The COMFARM could help to develop effective water-management measures by allowing the construction of a modeling system and evaluation of multiple operational scenarios customized for a specific watershed.

Flood Inundation Analysis using XP-SWMM Model in Urban Area (XP-SWMM 모형을 적용한 도시지역의 침수해석)

  • Lee, Jong-Hyeong;Yeon, Kee-Seuk
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.5
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    • pp.155-161
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    • 2008
  • The flood damage shows different types in natural river watershed and in urban drainage watershed. In recent, increasing of the impervious area gives rise to short concentration time and high peak discharge comparing with natural watershed and it is a cause of urban flood damage. In this paper, we use a XP-SWMM model developed based on EPA-SWMM version for analyzing the inundation area, inundation depth and inundation area considering building effect. The two events(2005.06, 2005.07) has been used for the validation of model. HEC-RAS model has been applied for simulation of changing water level, and the results has been used for calculating area of the inundation. The observed inundation area(21.41 ha) in August, 1998 was in good agreement with the simulated value(23.45 ha) of XPSWMM model. An influence of inundation area considering building effects has been analized by the DTM of XP-SWMM model.

A Study on Carrying Capacity for Floodplain (홍수(洪水)터의 통수능(通水能)에 관한 연구(研究))

  • Ahn, Sang Jin;Lee, Jai Kyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.7 no.1
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    • pp.121-129
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    • 1987
  • The object of this study is the analysis of the factors which have significant effects in the floodplain and distribution pattern of carrying capacity in stream cross-section, which play important roles in the floodplain management. The conclusion are as follows, It has been found that the return period of bankfull discharge is about 1 to 2.5 years in Geum river system and the factors which have most important effects in the floodplain are the $Q_{100}$, the drainage area and the stream length. In Gong ju gauging station which has a recreation area, the carrying capacity is smaller than those of the other self-recording gauging station in Geum river basin. This shows that the complex cross-section of stream plays an important role in the distribution pattern of carrying capacity in floodplain.

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Development and Application of Paddy Storage Estimation Model During Storm Periods (홍수기 논의 저류량 산정모형 개발 및 적용)

  • Kim, Seong-Joon;Kim, Sun-Joo;Yoon, Chun-Gyeong;Kwon, Hyung-Joong;Park, Geun-Ae
    • Journal of Korea Water Resources Association
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    • v.36 no.6
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    • pp.901-910
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    • 2003
  • The hydrologic behavior of paddy field depends largely on the irrigation and levee height management by farmers. The storage and drainage amount of paddy for storm events certainly influences the stream discharge. To understand the paddy storage effect during storm periods, a daily paddy water balance model embedding farmer's water management was developed by using 4 years (1996, 1997, 2001, 2002) field experimental data at 2 locations (Suwon and Yeoju) From the modeling, it was possible to simulate the daily ponding depth of paddy by treating paddy levee height and threshold pending depth indicating irrigation time as 10 days average parameters of the model. The storage amount(306.9 mm to 343.6 mm) showed little deviation to rainfall amount(425.1 mm to 850.8 mm).