• 제목/요약/키워드: drainage index

검색결과 199건 처리시간 0.025초

Daily Serum Collection after Acellular Dermal Matrix-Assisted Breast Reconstruction

  • Caputo, Glenda Giorgia;Franchini, Zeno;Maritan, Monia;Pozza, Edoardo Dalla;Vigato, Enrico;Tedeschi, Umberto;Governa, Maurizio
    • Archives of Plastic Surgery
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    • 제42권3호
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    • pp.321-326
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    • 2015
  • Background The acellular dermal matrix (ADM)-assisted breast reconstruction technique is widely known, but discouraging results due to early postoperative complications have been reported. As the literature identifies seroma as the most common issue after breast surgery without identifying its pathogenesis, we aimed to report the trend of postoperative daily serum collection after ADM-assisted breast reconstruction and compare it with data in the literature in order to discover more about this little-known topic. Methods A retrospective study on 28 consecutive patients who received ADM-assisted breast reconstruction between February 2013 and February 2014 was performed. In order to reduce the number of variables that could affect serum production, only one brand of ADM was used and all tissues were handled gently and precisely. The daily drainage volume was recorded per patient during the first four days of hospitalization. Likewise, postoperative complications were noted during routine follow-up. Results In total, five (17.9%) bilateral and 23 (82.1%) unilateral ADM-assisted breast reconstructions (33 implants) were performed. The mean age, body mass index, and length of hospital stay were 53.6 years, $21.3kg/m^2$, and 4.5 days, respectively. One major complication led to implant loss (3.0%), and nine minor complications were successfully treated with ambulatory surgery (27.3%). Serum collection linearly decreased after 24 hours postoperatively. Conclusions Daily drainage decreased following the theoretical decline of acute inflammation. In concordance with the literature, daily serum production may not be related to the use of ADM.

한국재래산양 코눈물관계통의 해부학적 및 방사선학적 연구 (Anatomic and radiographic studies of the lacrimal drainage system in Korean native goat)

  • 서강문;강태천;이흥식;이인세;남치주
    • 대한수의학회지
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    • 제36권1호
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    • pp.23-29
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    • 1996
  • This study was carried out to identify the gross anatomical and radiographic characteristics of the nasolacrimal system of the Korean native goat. The results were as follows : The nasolacrimal system are composed of two lacrimal ducts, two lacrimal, canaliculus, one lacrimal sac and one nasolacrimal duct. The nasolacrimal duct was divided into proximal, middle and distal portion. The nasolacrimal duct took a straight course to be paralleled with nasal bones and opened close to the nostril on the medial surface of the alar fold. The diameter of lacrimal punctum, the length of eyelid margin to lacrimal punctum, the length of canaliculus and the diameter of lacrimal sac were 0.82~0.90mm, 1.06~1.54mm, 5.65~6.30mm and 1.77~2.06mm, respectively. The length of proximal, middle and distal nasolacrimal duct were 36.84~40.00mm, 23.53~24.31mm and 14.55~14.73mm, respectively. The diameter of the orifice of nasolacrimal duct, the length of lateral margin of nostril to orifice of nasolacrimal duct and the length of dorsum to orifice of nasolacrimal duct were 1.29~1.33mm, 12.97~12.53mm and 15.24~16.11mm. The skull index of Korean native goat was not significantly different from the length of nasolacrimal duct.

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천매암 터널 단층물질의 암석.광물학적 및 역학적 특성 (Petro-mineralogical and Mechanical Property of Fault Material in Phyllitic Rock Tunnel)

  • 이경미;이성호;서용석;김창용;김광염
    • 지질공학
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    • 제17권3호
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    • pp.339-350
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    • 2007
  • 암반에 발달하고 있는 단층이나 절리와 같은 불연속면뿐만 아니라 점토의 함량비, 팽창성 점토물질의 협재, 배수특성(drainage) 등은 암반의 붕괴여부를 결정하는 중요한 인자들이다. 특히 점토광물의 성분은 강우에 의한 암반붕괴를 예측할 수 있는 중요한 지표가 될 수 있다. 최근 사면이나 터널의 설계에서도 그 중요성이 점차 증가하는 추세이다. 본 연구는 니질천매암과 사질천매암이 호층을 이루고 있는 OO 터널의 선진시추코어(horizontal boring core)를 이용하여 단층발달에 따른 광물성분의 변화 및 이들이 불연속면의 역학성에 미치는 영향을 파악하고, 암석 구성물질과 파생된 점토광물을 비교하여 암반의 불안정성을 추정하기 위해 수행되었다. 연구방법은 시추코어 중에서 단층의 영향을 받은 구간과 비교적 신선한 구간에서 시료를 채취하여 박편을 제작하여 관찰하였고, 점토광물의 성분 및 함량을 분석하였다. 그리고 야외조사와 실내 시험으로 단층물질의 강도정수를 구하였다.

강남지역 홍수영향예보를 위한 침수특성 분석 (Analysis on Inundation Characteristics for Flood Impact Forecasting in Gangnam Drainage Basin)

  • 이병주
    • 대기
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    • 제27권2호
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    • pp.189-197
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    • 2017
  • Progressing from weather forecasts and warnings to multi-hazard impact-based forecast and warning services represents a paradigm shift in service delivery. Urban flooding is a typical meteorological disaster. This study proposes support plan for urban flooding impact-based forecast by providing inundation risk matrix. To achieve this goal, we first configured storm sewer management model (SWMM) to analyze 1D pipe networks and then grid based inundation analysis model (GIAM) to analyze 2D inundation depth over the Gangnam drainage area with $7.4km^2$. The accuracy of the simulated inundation results for heavy rainfall in 2010 and 2011 are 0.61 and 0.57 in POD index, respectively. 20 inundation scenarios responding on rainfall scenarios with 10~200 mm interval are produced for 60 and 120 minutes of rainfall duration. When the inundation damage thresholds are defined as pre-occurrence stage, occurrence stage to $0.01km^2$, 0.01 to $0.1km^2$, and $0.1km^2$ or more in area with a depth of 0.5 m or more, rainfall thresholds responding on each inundation damage threshold results in: 0 to 20 mm, 20 to 50 mm, 50 to 80 mm, and 80 mm or more in the rainfall duration 60 minutes and 0 to 30 mm, 30 to 70 mm, 70 to 110 mm, and 110 mm or more in the rainfall duration 120 minutes. Rainfall thresholds as a trigger of urban inundation damage can be used to form an inundation risk matrix. It is expected to be used for urban flood impact forecasting.

충북 단양 봉양폐탄광 산성광산배수의 수질오염과 침전물의 특성: 철, 알루미늄의 거동을 중심으로 (Characteristics of Water Contamination and Precipitates of Acid Mine Drainage, Bongyang Abandoned Coal Mine, Danyang, Chungbuk Province with Emphasis on Fe and Al behaviors)

  • 추창오;이진국
    • 지질공학
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    • 제29권2호
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    • pp.163-183
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    • 2019
  • 충청북도 단양 월악산국립공원 상류지역의 봉양폐탄광으로부터 발생하는 산성광산배수의 오염 특징과 침전물의 특성을 수질화학분석, XRD, 주사전자현미경(SEM), 적외선분광분석(IR), 핵자기공명분석($^{27}Al$ NMR)을 이용하여 연구하였다. 수질은 pH와 용존이온의 침전에 따라서 변화하며, 포화지수 계산 결과 철, 알루미늄 광물종이 다수 과포화되어 있다. 오렌지색 침전물은 슈베르트마나이트와 침철석으로 구성되며, Leptothrix orchracea 박테리아가 생장한다. 백색 내지 회백색의 침전물은 대부분 독성이 강한 알루미늄 계열이 주를 이루는데, 배스알루미나이트는 결정도가 매우 낮다. 이 백색질 알루미늄광물에서는 소량의 Al-중합체 $Al_{13}$-Tridecamer가 확인된다. 봉양폐탄광의 산성광산배수를 저감, 제어하기 위해서는 무엇보다 함알루미늄 광물의 침전과 용해도를 조절하는 것이 중요하다.

GIS 기반 우도비를 이용한 호남지역 암괴류와 애추지형의 분포 특성 분석 (The Distribution Characteristics Analysis of Block Stream and Talus Landform by Using GIS-based Likelihood Ratio in the Honam Region)

  • 장동호;김찬수
    • 한국지형학회지
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    • 제25권2호
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    • pp.1-14
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    • 2018
  • The main objective of this paper is to classify properties of the locational environment for each debris type by calculating likelihood ratio based on the correlation between the distributions for each type of debris landform. A total of 8 thematic maps, like as elevation, slope, aspect, curvature, topographic wetness index (TWI), soil drainage, geology, and landcover including with GIS spatial information generally used in this type of debris landform analysis. The results of this study showed that the block stream had a high likelihood ratio compared to talus in areas with relatively high elevation; and concerning slope, the block stream had a high likelihood ratio in a relatively low region than talus. Concerning aspect, a clear correlation could not be analyzed for each debristype, and concerning curvature, the block stream displayed a developed slope on the more concave valley than the talus. Analysis concerning TWI, the block stream displayed a higher likelihood ratio in wider sections than talus, and concerning soil drainage, the talus and block stream both displayed a high likelihood ratio in regions with well-drained soil. The talus displayed a high likelihood ratio in the order of metamorphic rocks, sedimentary rocks, and granite, while the block stream displayed a high likelihood ratio in the order of volcanic rocks, granite, and sedimentary rocks. In addition, concerning landcover, the likelihood ratio had the most concentrated distributed compared to natural bare land only concerning talus. Based on the likelihood ratio result, it can be used as basic data for extracting the possible areas of distribution for each debris type through the GIS spatial integration method.

충주시 상산마을 주변 임도 산사태의 발생 원인 분석 (Analysis of Factors Influencing Landslide Occurrence along a Forest Road Near Sangsan Village, Chungju, Korea)

  • 김형신;문성우;서용석
    • 지질공학
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    • 제32권1호
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    • pp.73-83
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    • 2022
  • 충주시 상산마을 주변 임도에서 집중호우 기간 중 산사태가 발생한 임도 상부사면 6개소, 하부사면 24개소를 대상으로 붕괴 원인을 분석하였다. 토층의 물리·역학적 특성은 임도 하부사면이 상부사면에 비해 공극이 많아 건조단위중량이 낮고, 토층의 입자 배열이 느슨하여 마찰각이 작다. 지형학적 특성은 임도 하부사면이 상부사면에 비해토층이 두껍고, 경사방향의 수직 및 수평 방향으로 오목하며, 경사는 상대적으로 완만하고, 특정집수면적이 넓어 지형습윤지수가 높은 특징을 보인다. 따라서 임도 하부사면은 상부사면보다 물리·역학적 특성 및 지형학적 특성이 전반적으로 산사태 발생에 취약한 것으로 나타났다. 상기 두 원인 외에도 임도 배수시설의 시공 및 유지관리가 적절하게 수행되지 못한 점도 사면붕괴의 발생 원인 중 하나로 분석된다.

Initial Nutritional Status and Clinical Outcomes in Patients With Deep Neck Infection

  • Park, Marn Joon;Kim, Ji Won;Kim, Yonghan;Lee, Yoon Se;Roh, Jong-Lyel;Choi, Seung-Ho;Kim, Sang Yoon;Nam, Soon Yuhl
    • Clinical and Experimental Otorhinolaryngology
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    • 제11권4호
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    • pp.293-300
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    • 2018
  • Objectives. The current study aims to determine the correlation between nutritional status upon presentation and disease severity, as well as treatment and survival outcomes. Methods. Patients who were diagnosed with deep neck infection, underwent at least one surgical drainage/debridement, and had more than 1 week of hospitalization at a tertiary medical center from 2007 to 2015 were retrospectively included. Thereafter, initial serum albumin, C-reactive protein (CRP), and body mass index (BMI) were reviewed. Results. A total of 135 patients were included in the final analysis. Accordingly, the proportion of patients with simultaneous mediastinitis (21.0%), necrotizing fasciitis (12.9%), disease extent >1 cervical level (72.6%), mean CRP (22.4 mg/dL), mean length of hospitalization (25.0 days), and mean 1-week follow-up CRP (7.2 mg/dL) was significantly higher in the hypoalbuminemia group (initial serum albumin <3.0 g/dL) than in the normoalbuminemia group (all P<0.05). No significant correlations had been observed according to BMI status. After adjusting for age and Charlson comorbidity index, odds ratios for the following outcomes were calculated in patients initially presenting with hypoalbuminemia: simultaneous mediastinitis (3.07), necrotizing fasciitis (7.89), disease extent >1 cervical level (2.12), initial serum CRP over 20 mg/dL (3.79), hospitalization of more than 14 days (4.10), 1-week follow-up CRP over 5 mg/dL (3.78), and increased duration for an over 50% decrease in initial CRP (2.70) (all P<0.05). Although intravascular albumin replenishment decreased the proportion of patients with hypoalbuminemia after 2 weeks (P<0.05), it did not significantly predict better treatment outcomes. Conclusion. Among the markers reflecting an individual's nutritional state, an initial serum albumin of less than 3.0 g/dL was an independent serologic marker predicting increased disease severity and complications in patients with deep neck infection.

공주제일광산 수계에 분포하는 지하수, 지표수, 토양 및 퇴적물의 환경지구화학적 특성과 중금속 오염 (Environmental Geochemistry and Heavy Matel Contamination of Ground and Surface Water, Soil and Sediment at the Kongjujuil Mine Creek, Korea)

  • 이찬희
    • 자원환경지질
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    • 제32권6호
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    • pp.611-631
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    • 1999
  • Enviromental geochemisty and heary metal contamination at the Kongjueil mine creek were underaken on the basis of physicohemical properties and mineralogy for various kinds of water (surface, mine and ground water),soil, precipitate and sediment collected of April and December in 1998. Hydrgeochemical composition of the water samples are characterized by relatively significant enricant of Ca+Na, alkiali ions $NO_3$ and Cl inground and surfore water, wheras the mine waters are relatively eneripheral water of the mining creek have the characteristics of the (Ca+Mg)-$(HCO_3+SO_4)$type. The pH of the mine water is high acidity (3.24)and high EC (613$\mu$S/cm)compared with those of surface and ground water. The range of $\delta$D and $\delta^{18}O$ values (relative to SMOW) in the waters are shpwn in -50.2 to -61.6% and -7.0 to -8.6$\textperthousand$(d value=5.8 to 8.7). Using computer program, saturation index of albite, calcite, dolomite in mine water are nearly saturated. The gibbiste, kaolinite and smectite are superaturated in the surface and ground water, respectively. Calculated water-mineral reaction and stabilities suggest that weathing of silicate minerals may be stable kaolinite owing to the continuous water-rock reaction. Geochemical modeling showed that mostly toxic heavy metals may exist larfely in the from of metal-sulfate $(MSO_4\;^2)$and free metal $(M^{2+})$ in nmine water. These metals in the ground and surface water could be formed of $CO_3$ and OH complex ions. The average enrichment indices of water samples are 2.72 of the groundwater, 2.26 of the surface water and 14.15 of the acid mine water, normalizing by surface water composition at the non-mining creek, repectively. Characteristics of some major, minor and rate earth elements (Al/Na, K/Na, V/Ni, Cr/V, Ni/Co, La/Ce, Th/Yb, $La_N/Yb_N$, Co/Th, La/Sc and Sc/Th) in soil and sediment are revealed a narrow range and homogeneous compositions may be explained by acidic to intermediate igneous rocks. And these suggested that sediment source of host granitic gneiss colud be due to rocks of high grade metamorphism originated by sedimentary rocks. Maximum concentrations of environmentally toxic elements in sediment and soil are Fe=53.80 wt.% As=660, Cd=4, Cr=175, Cu=158, Mn=1010, Pb=2933, Sb=4 and Zn=3740 ppm, and extremely high concentrations are found are found in the subsurface soil near the ore dump and precipitates. Normalizing by composition of host granitic gneiss, the average enerichment indices are 3.72 of the sediments, 3.48 of the soils, 10.40 of the precipitates of acid mine drainage and 6.25 of the soils near the main adit. The level of enerichment was very severe in mining drainage sediments, while it was not so great in the soils. mineral composition of soil and sediment near the mining area were partly variable being composed of quartz, mica, feldspar, chlorite, vermiculite, bethierin and clay minerals. reddish variable being composed of quartz, mica, feldspar, chlorite, vermiculite, bethierin and clay minerals. Reddish brown precipitation mineral in the acid mine drainage identifies by schwertmanite. From the separated mineralgy, soil and sediment are composed of some pyrite, arsenopyite, chalcopyrite, sphalerite, galena, malachite, goethite and various kinds of hydroxied minerals.

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배액전극제어법을 이용한 토마토 펄라이트 자루재배시 일회급액량 구명 (Appropriate Each Irrigation Quantity in Irrigation System Controlled by Drainage Level Sensor for Perlite Bag Culture of Tomato)

  • 김성은;심상연;이상돈;김영식
    • 원예과학기술지
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    • 제29권1호
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    • pp.36-42
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    • 2011
  • 토마토 펄라이트 자루재배에서 급액방법으로 배액전극제어법 적용시 일회급액량이 작물의 생육과 수확량에 미치는 영향을 알아보고, 생육단계별 적정 일회급액량을 구명함으로써 적정 급액관리방법을 도출하기 위해 연구가 수행되었다. 처리로는 일회급액량을 적게 주는 처리(S-S)와 많이 주는 처리(L-L), 1화방수확기를 기점으로 적게 주다가 두 배로 급액량을 늘이는 처리(S-L)와 많이 주다가 반으로 줄이는 처리(L-S)를 두었다. 작물의 전 생육기간동안 일회급액량이 많거나 적은 처리에서는 배액율이 낮고 불안정해지며 생육이 좋지 않았다. 생육단계에 맞게 정식 후 1단 수확기 이전까지는 일회급액량을 약 145mL로 많이 주다가 이후에 70mL까지 줄여주는 L-S처리에서 뿌리분포가 좋고, 수확량이 가장 많았고, 배액율도 안정적이었다. 따라서 토마토 재배시 일회급액량을 생육단계에 따라 달리 해 주어 급액패턴을 다량소회에서 소량다회로 변화시켜 주는 것이 토마토의 생육과 수확량에 효과적임을 알 수 있었다. 또한, L-S처리로 일회급액량에 변화를 주었을 때, 토마토의 생장양상이 영양생장에서 생식생장으로 바뀌는 것을 식물생육지표 조사에서 확인하였다.