• Archives of Plastic Surgery
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• v.43 no.4
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• pp.360-364
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• 2016

Background Venous thromboembolism, a spectrum of diseases ranging from deep venous thrombosis to pulmonary embolism, is a major source of morbidity and mortality. The majority of cases described in plastic surgery involve abdominoplasty. Risk assessment and prophylaxis are paramount in such patients. General recommendations were recently developed, but the evidence in the literature was insufficient to prepare exhaustive guidelines regarding the medication, dosage, timing, or length of the prophylaxis. Methods A thromboprophylaxis protocol was developed for patients undergoing abdominoplasty. The protocol consisted of preoperative, intraoperative, and postoperative measures. Enoxaparin was administered as chemoprophylaxis in selected patients. The study involved 253 patients. The patients were analyzed for age, body mass index, enoxaparin dosage, risk factors, and complications. Results Deep venous thrombosis was documented in two cases (0.8%). No pulmonary embolism occurred. Three patients (1.2%) presented mild subcutaneous abdominal hematoma within the first postoperative week that spontaneously resorbed with neither aesthetic nor functional complications. Two patients (0.8%) presented severe hematoma requiring surgical re-intervention for drainage and hemostasis revision. Statistical analysis showed no significant correlation between enoxaparin dosage and hematoma (P=0.18) or deep venous thrombosis (P=0.61). Conclusions The described thromboprophylaxis protocol proved to be effective in the prevention of thrombotic events, with an acceptable risk of hemorrhagic complications. Furthermore, it provides new evidence regarding the currently debated variables of chemoprophylaxis, namely type, dosage, timing, and length.

• Korean Journal of Agricultural and Forest Meteorology
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• v.6 no.1
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• pp.49-60
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• 2004

Northern Gyeonggi Province(NGP), consisting of 3 counties, is the northernmost region in South Korea adjacent to the de-militarized zone with North Korea. To supplement insufficient spatial coverage of official climate data and climate atlases based on those data, high-resolution digital climate models(DCM) were prepared to support weather- related activities of residents in NGP Monthly climate data from 51 synoptic stations across both North and South Korea were collected for 1981-2000. A digital elevation model(DEM) for this region with 30m cell spacing was used with the climate data for spatially interpolating daily maximum and minimum temperatures, solar irradiance, and precipitation based on relevant topoclimatological models. For daily minimum temperature, a spatial interpolation scheme accommodating the potential influences of cold air accumulation and the temperature inversion was used. For daily maximum temperature estimation, a spatial interpolation model loaded with the overheating index was used. Daily solar irradiances over sloping surfaces were estimated from nearby synoptic station data weighted by potential relative radiation, which is the hourly sum of relative solar intensity. Precipitation was assumed to increase with the difference between virtual terrain elevation and the DEM multiplied by an observed rate. Validations were carried out by installing an observation network specifically for making comparisons with the spatially estimated temperature pattern. Freezing risk in January was estimated for major fruit tree species based on the DCMs under the recurrence intervals of 10, 30, and 100 years, respectively. Frost risks at bud-burst and blossom of tree flowers were also estimated for the same resolution as the DCMs.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.10 no.1
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• pp.98-103
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• 2007

An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.

• Archives of Plastic Surgery
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• v.40 no.5
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• pp.621-626
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• 2013

Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21. Results The age range was 31 to 55 years ($38.5{\pm}9.5$ years) in group A and 25 to 58 years ($37.8{\pm}9.1$ years) in group B, while the mean BMI was 31.4 to 39.9 $kg/m^2$ (32.6 $kg/m^2$) in group A and 32.7 to 37.4 $kg/m^2$ (31.5 $kg/m^2$) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.

• Journal of Wetlands Research
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• v.12 no.3
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• pp.79-97
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• 2010

The purpose of this research is to apply the neural networks models for the hydrologic disaggregation of the yearly pan evaporation(PE) data in Republic of Korea. The neural networks models consist of multilayer perceptron neural networks model(MLP-NNM) and support vector machine neural networks model(SVM-NNM), respectively. And, for the evaluation of the neural networks models, they are composed of training and test performances, respectively. The three types of data such as the historic, the generated, and the mixed data are used for the training performance. The only historic data, however, is used for the testing performance. The application of MLP-NNM and SVM-NNM for the hydrologic disaggregation of nonlinear time series data is evaluated from results of this research. Four kinds of the statistical index for the evaluation are suggested; CC, RMSE, E, and AARE, respectively. Homogeneity test using ANOVA and Mann-Whitney U test, furthermore, is carried out for the observed and calculated monthly PE data. We can construct the credible monthly PE data from the hydrologic disaggregation of the yearly PE data, and the available data for the evaluation of irrigation and drainage networks system can be suggested.

• Journal of Soil and Groundwater Environment
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• v.15 no.6
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• pp.81-90
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• 2010

In this study, primary investigation for evaluation of abandoned metal mine effect on watershed has been done. 64 abandoned mines have been selected for primary investigation through literature and field survey. 216 soil and 90 water samples were collected and metal pollution concentrations were analyzed. 24 mines have mine water in the pits and acid water below pH 5 was not observed. Soils from 35 mines were over the soil basis of concern and 16 mines were over the soil basis of action. Arsenic average concentration was 188 times of average concentration of the natural background. Drinking water samples from 3 mines were over the drinking water standard and surface water samples from 12 mines were over the river water standard. Integrated pollution index, which was resulted from the integration of field survey, soil and water pollution concentration, showed that, abandoned metal mines had affected on watershed greatly in the order of Samgeum, Daedeok, Cheongdalgeum, Heungsin, Yeongdae and Myeongbong mines.

• Journal of the Korean Geotechnical Society
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• v.20 no.3
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• pp.151-159
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• 2004

This paper describes a systematic way of identifying the horizontal coefficient of consolidation of clayey soil by applying an optimization technique to the early part of dissipation data measured from the self-boring pressuremeter strain holding test. An analytical solution developed by Randolph ＆ Wroth (1979) was implemented in normalized form to express the build-up of excess pore pressures as a function of the rigidity index and subsequent dissipation of excess pore pressures around a pressuremeter Horizontal coefficient of consolidation was determined by minimizing the differences between theoretical and measured excess pore pressure curves over 50% degree of dissipation range using optimization technique. The effectiveness of the proposed back-analysis method was examined against the real fled performances obtained from pressuremeter strain holding tests at Gimje and Yangsan site. It is shown that the proposed back-analysis method can evaluates the rational horizontal coefficient of consolidation, which is similar to those obtained from the piezocone dissipation test. Furthermore, proposed method can evaluate appropriate coefficient of consolidation for soil under partially drained condition.

• Journal of Korea Water Resources Association
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• v.38 no.10 s.159
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• pp.895-906
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• 2005

The diversity of observed hydrologic data and the development of geographic information system leads significant progress for developing distributed runoff models in the world. One of the typical examples is TOPMODEL, but the spatial coverage of its application Is limited on small headwater basins. The purpose of this study attempts to overcome its limitation and consequently develops a semi-distributed TOPMODEL. The developed model is composed of two components: a watershed runoff component for a lumped representation of hydrologic runoff process on the catchment scale and a kinematic wave type hydraulic channel routing component lot routing the catchment outflows. The application basin is the $2,703km^2$ upper Soyang dam site and several daily and hourly events are selected for model calibrations and verifications. The model parameters are estimated on 1990 daily event. The model performance on correlation coefficient between observed and computed flows are above 0.90 for the verification events. It is concluded that the developed model in this study can be used for flood analysis in large drainage basins.

• Korean Journal of Environment and Ecology
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• v.22 no.2
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• pp.119-127
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• 2008

This research managed to establish the space information on incidence factors of landslide targeting Bukhansan National Park and aimed at suggesting a basic data for disaster prevention of a landslide for the period to come in Bukhansan National Park through drawing up the map indicating vulnerability to a landslide and ecological risks by the use of overlay analysis and adding-up estimation matrix analysis methods. This research selected slope angle, slope aspect, slope length, drainage, vegetation index(NDVI) and land use as an assessment factor of a landslide and constructed the spatial database at a level of '$30m\times30m$' resolution. The analysis result was that there existed high vulnerability to a landslide almost all over Uidong and Dobong valleys. As for ecological risks, Dobong valley, Yongueocheon valley, Jeongneung valley and Pyeongchang valley were analyzed to be higher, so it is judged that the impact on a landslide risk should be also considered in time of establishing a management plan for these districts for the time to come.

• Archives of Plastic Surgery
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• v.47 no.1
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• pp.3-8
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• 2020

Genital lymphedema (GL) is an uncommon and disabling disease that manifests as enlargement of the genital region resulting from the disturbance of lymphatic drainage. Although conservative treatment such as decompression is typically the first-line approach, surgical intervention has been shown to be effective in certain cases. This study aimed to systematically review studies evaluating available surgical alternatives for the treatment of male GL. A systematic search strategy using keyword and subject headings was applied to PubMed, Scopus, EMBASE, and Cochrane Library in May 2019. Studies investigating various surgical techniques to treat penile and scrotal lymphedema were included. The potential risk of bias of included trials was evaluated using the methodological index for non-randomized studies (MINORS). In total, 13 studies met the inclusion criteria, nine of which were determined to be high-quality. The average MINORS score was 12.45 for studies involving excision and 14 for studies involving lymphovenous anastomosis (LVA). The most common reason for a low score was a failure to describe the inclusion criteria. Recurrence of lymphedema during follow-up was reported in four studies involving excision and in no studies involving LVA. In general, the quality of the included literature was considered to be fair. Although surgical intervention might not always prevent the recurrence of lymphedema, all of the studies reported improved quality of life after the procedure. This study could be used as the basis for evidence-based guidelines to be applied in clinical practice for managing male GL.