• Journal of Chest Surgery
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• v.39 no.2 s.259
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• pp.111-116
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• 2006

Background: Perforation of the esophagus is a deadly injury that requires expert management for survival. The mediastinal contamination with microorganisms, gastric acid, and digestive enzymes results in a mediastinitis that is often fatal if untreated. Material and Method: Between January 1990 and June 2004, 38 patients with esophageal perforation were treated in our hospital. Retrospective review of these cases has been performed. Result: There were 28 males and 10 females. The mean age was 43.84$\pm$18.89 years (range $1{\~}73$ years). Spontaneous rupture was found in $34\%$ of perforations, iatrogenic perforation in $32\%$ and traumatic perforation in $34\%$. Perforation occurred in the cervical esophagus in 8 cases, thoracic esophagus in 29 and abdominal esophagus in 1. In the cervical esophageal perforation, managements were primary closure in 8 and drainage in 2. In the thoracic esophageal perforation, managements were primary closure in 14, resection in 3 and conservative management in 12. The mortality rate was $25\%$ in cervical esophageal perforation and $34.5\%$ in thoracic esophageal perforation. We revealed risk factor of esophageal perforation to be peropertaive septic condition (p=0.005). Conclusion: Most important risk factor of esophageal perforation was preoperative septic condition. Preoperative prompt and aggressive preoperative treatment may improve the survival rate of esophageal perforation.

• Journal of Chest Surgery
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• v.36 no.1
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• pp.21-25
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• 2003

Video-assisted thoracoscopic surgery (VATS) for decortication or debridement in the management of empyema thoracis has increased the available treatment options but requires validation. We present and evaluate our technique and experience with thoracoscopic management of pleural empyema, irrespective of chronicity. Material and Method : VATS debridement or decortication was performed with endoscopic shaver system in 40 consecutive patients presented with pleural space infections. A retrospective review was performed and the effect of this technique on perioperative outcome was assessed. Result : VATS evacuation of infected pleural fluid and decortication was successfully performed in 35 of 40 patients. The mean duration of preoperative symptoms before referral was 23$\pm$1.8 days. The mean duration of hospitalization before transfer was 13.5$\pm$1.5 days. Blood loss was 250 to 200 mL. Intercostal drainage was required for 5$\pm$3 days. The postoperative hospital stay was 5 $\pm$0.7 days. There were no operative mortalities. Conclusion : Video-assisted evacuation of infected pleural fluid and decortication is an effective modality in the management of the fibropurulent stage of empyema. An organized empyema should be approached thoracosco-pically, but may require open decortication.

• Korean Journal of Agricultural and Forest Meteorology
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• v.13 no.1
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• pp.28-34
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• 2011

This study was carried out to estimate monthly mean of daily maximum and minimum temperature across North Korea at a 30 m grid spacing for a climatological normal year (1971-2000) and the 4 decadal averages (1971-1980, 1981-1990, 1991-2000, and 2001-2010). A geospatial climate interpolation method, which has been successfully used to produce the so-called 'High-Definition Digital Climate Maps' (HD-DCM), was used in conjunction with the 27 North Korean and 17 South Korean synoptic data. Correction modules including local effects of cold air drainage, thermal belt, ocean, solar irradiance and urban heat island were applied to adjust the synoptic temperature data in addition to the lapse rate correction. According to the final temperature estimates for a normal year, North Korean winter is expected colder than South Korean winter by $7^{\circ}C$ in average, while the spatial mean summer temperature is lower by $3^{\circ}C$ than that for South Korea. Warming trend in North Korea for the recent 40 years (1971-2010) was most remarkable in spring and fall, showing a 7.4% increase in the land area with 15 or higher daily maximum temperature for April.

• Proceedings of the Korea Water Resources Association Conference
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• 2007.05a
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• pp.97-105
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• 2007

수문학적 토양유형은 복잡하게 세분되어 있는 토양의 종류를 수문학적인 목적에 따라 단순화하기 위해 만든 것으로 미농무성 토양보전국에서 고안한 개념이다. 우리나라 토양을 이 방법으로 구분하고자 하는 몇번의 시도가 있으며 그 중 대표적인 것이 정 등(1995)이 분류한 수문학적 토양군이다. 이는 토양의 침투 투수특성에 대한 실측자료가 부족한 우리나라의 실정을 감안하여 토성속(textural family), 배수등급(drainage class), 불투수층(impermeable layer), 투수성(permeability)의 네가지 토양특성을 분류특성으로 하여 각각에 1-4점 범위로 점수를 매긴 후 합산한 점수를 기준으로 수문학적 토양유형을 분류하는 것이다. 최근에는 토양의 한계침투속도에 따라 수문학적 토양유형을 분류하고자 하는 시도가 있으며 본 논문에서는 새로운 방법으로 분류할 때 기존의 방법과 어떠한 차이가 있는지 비교하고자 하였다. 정 등(1995)의 분류방법은 개념상 몇가지 문제점을 안고 있다. 먼저 토양의 수리특성은 같은 토성속이라 하여도 토양생성 과정과 토지이용 방법에 따라 그 차이가 매우 큼에도 불구하고 이에 대해 고려하지 못하였으며 다음으로 지표유거가 많아 배수가 양호한 토양의 강우 유출을 과소평가한다. 또한 얕은 토심에 존재하는 불투수층이 존재하는 경우 토양의 수리특성에 관계없이 적은 양의 강우에도 유출이 발생하므로 별도의 제한인자로 간주하여야 한다. 토양의 한계 침투속도를 이용한 분류방법은 이러한 문제점을 상당 부분 개선할 수 있다. 토양의 한계침투속도를 산정하기 위해 현장에서 지표 한계침투속도와 투수속도를 측정하였으며 이 자료를 확장하여 해석하기 위해 입자특성을 이용한 Pedo Transfer Function을 개발하였다. 토심 50 cm 포화시 토양 투수성을 한계 침투속도로 가정하였으며 50 cm 이내에 암반층과 지하수위가 존재할 경우 투수성에 관계없이 D유형으로 분류하였다. 새로운 방법으로 분류한 결과 기존의 분류와 몇가지 차이점이 발견되었다. 가장 큰 차이는 대부분의 논토양이 느린 한계침투속도의 영향으로 D유형에 속한 것이다. 산림토양과 밭토양은 기존 방법과 마찬가지로 A, B유형이 많았으며 암반층을 고려하기 전에는 기존 분류에 비해 강우 유출 가능성이 적은 쪽으로 평가되었다. 그러나 암반층이 존재하는 토양을 고려한 결과 A 또는 B 유형에 속하던 상당수의 산림토양이 새로운 분류에서 D유형으로 분류되었다. 지표 유거가 많아 배수등급이 매우양호로 분류되던 토양은 정 등(1995)의 분류와 비교하여 대부분 강우 유출 가능성이 큰 쪽으로 조정되었다. 새로운 수문학적 토양유형을 이용할 경우 낮은 토심에서 암반층이 발견되는 산림토양이 분포한 유역이나 산림, 밭 등에 식질 토양이 많이 분포하는 유역에서는 기존의 방법을 이용하는 것보다 강우 유출량이 높게 평가될 것으로 판단된다. 앞으로 강우 유출량 실측자료와의 비교를 통해 지속적인 보정을 하여야 할 것이며 특히 불투수층의 존재시 일괄적으로 D유형으로 분류된 토양의 경우 깊이에 따라 C 또는 D 유형으로 세분하여 조정할 필요가 있다.

• Journal of Chest Surgery
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• v.46 no.5
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• pp.340-345
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• 2013

Background: This study aims to evaluate whether or not the method of right vertical axillary minithoracotomy (RVAM) is preferable to and as reliable as conventional sternotomy surgery, and also assesses its cosmetic results. Methods: Thirty-three patients (7 males, 26 females) with atrial septal defect were admitted to the Cardiovascular Surgery Clinic of Cukurova University from December 2005 until January 2010. The patients' ages ranged from 3 to 22. Patients who underwent vertical axillary minithracotomy were assigned to group I, and those undergoing conventional sternotomy, to group II. Group I and group II were compared with regard to the preoperative, perioperative and postoperative variables. Group I included 12 females and 4 males with an average age of $16.5{\pm}9.7$. Group II comprised 14 female and 3 male patients with an average age of $18.5{\pm}9.8$ showing similar features and pathologies. The cases were in Class I-II according to the New York Heart Association (NYHA) Classification, and patients with other cardiac and systemic problems were not included in the study. The ratio of the systemic blood flow to the pulmonary blood flow (Qp/Qs) was $1.8{\pm}0.2$. The average pulmonary artery pressure was $35{\pm}10$ mmHg. Following the diagnosis, performing elective surgery was planned. Results: No significant difference was detected in the average time of the patients' extraportal circulation, cross-clamp and surgery (p>0.05). In the early postoperative period of the cases, the duration of mechanical ventilator support, the drainage volume in the first 24 hours, and the hospitalization time in the intensive care unit were similar (p>0.05). Postoperative pains were evaluated together with narcotic analgesics taken intravenously or orally. While 7 cases (43.7%) in group I needed postoperative analgesics, 12 cases (70.6%) in group II needed them. No mortality or major morbidity has occurred in the patients. The incision style and sizes in all of the patients undergoing RVAM were preserved as they were at the beginning. Furthermore, the patients of group I were mobilized more quickly than the patients of group II. The patients of group I were quite pleased with the psychological and cosmetic results. No residual defects have been found in the early postoperative period and after the end of the follow-up periods. All of the patients achieved functional capacity per NYHA. No deformation of breast growth has been detected during 18 months of follow-up for the group I patients, who underwent RVAM. Conclusion: To conclude, the repair of atrial septal defect by RVAM, apart from the limited working zone for the surgeon in these pathologies as compared to sternotomymay be considered in terms of the outcomes, and early and late complications. And this has accounted for less need of analgesics and better cosmetic results in recent years.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.20 no.4
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• pp.43-61
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• 2017

The wetlands are facing environmental changes such as desiccation that occurs with the passage of time and reduced ecosystem services from wetlands in the city. In order to maintain the ecosystem services provided by wetlands in urban areas, a system thinking about the trade-off phenomenon of ecosystem services occurring as the wetlands undergo environmental changes is needed. Therefore, the purpose of this study is to develop strategies for wetland design using system thinking approach to enhance the resilience of ecosystem services degraded by the desiccation of wetlands and other disturbances. The objectives of this study include the system boundary and variables. Second, analyzing the dynamics of wetland design strategy. Third, it analyzes the trade-off phenomenon of ecosystem services in terms of the hydrology, hydric soil, and plants strategies to mitigate these effects. Fourth, wetland basic design to improve the resilience of ecosystem services. A wetland in Abuk-Mountain Neighborhood Park, Miryang-si, Gyeongsangnam-do, has been selected as a case study. Causal loop diagrams(CLDs) are used to analyze feedback in the wetland regime. In summary, hydrology, hydric soil, and plants is suggested as system boundaries to design plan. Design strategies for the wetland focused on robustness, redundancy, rapidity, and resourcefulness as a result of CLD analysis are first proposed in order to effectively maintain the wetland regime over the long term. Secondly, in a section related to hydrology, the CLD results show the trade-offs between provisioning-cultural services and regulating services. In order to control these services, a "water cycling system" has been implemented due to its strength in terms of robustness. The CLDs for hydric soil showed the trade-offs between regulating services and supporting services. An "installation of storm drainage for maintaining water levels" was selected due to the strength offered in terms of redundancy and rapidity. The CLDs for plants showed the trade-offs between provisioning - cultural services and regulating services. In order to control the strategic points, the "planting of indigenous vegetation" was suggested given the strength in terms of redundancy. In this study, a wetland design method is proposed that can improve the resilience of wetland ecosystem services by analyzing the dynamics overtime. The results of this research can theoretically be applied to help restore ecosystem services in wetlands using ecological landscape design. In addition, this study will contribute to reducing maintenance costs by improving wetland resilience.

• Economic and Environmental Geology
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• v.35 no.2
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• pp.137-147
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• 2002

Natural geological and environmental processes reflect to element abundances in geological materials on the surface. This study aims to elucidate a possibility of geostatistical application to differentiate geochemical anomalies affected by anthropogenic and geogenic factors. A regional geochemical map was produced using 'inverse distance weight interpolation' method for analytical results of stream sediments «150 11m) which were collected from 2,290 first- to second-order streams over the whole Gyeonggi Province. The Jurassic granitic batholith in the southeastern province was selected as a target for the geostatistical examination. Factor analysis was conducted using 22 elements for stream sediments from 445 drainage basins over the granitic body. Co, Cr, Sc, MgO, Fe$_{2}$O$_{3}$, V, and Ni were grouped with high correlation coefficients and the depletion of the components may reflect the whole-rock chemistry of the granite. Regression analysis was done using Co, Cr, and Sc as dependent variables and other six components as independent variables, and the results were drawn as maps. The maps acquired generally show quite similar distribution patterns with those of concentrations of each variable. The similarity in the spatial patterns between the two maps indicates that the application of regression statistics can be valid for the interpretation of regional geochemical data. However, some components show local discrepancies which may be influenced by secondary factors regardless of the basement lithology. The regression analysis may be effective in extracting local geochemical anomalies which may reflect rather anthropogenic pollutions than geogenic influences.

• Journal of the Korean Geosynthetics Society
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• v.12 no.3
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• pp.65-73
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• 2013

The information of cut slope in Mt. Jang area, Busan is investigated in order to construct the Slope Management System in Urban Area. The slope inspection sheet is made to record the characteristics for cut slopes, and that is capable to be inputted slope information systematically. The cut slopes in Mt. Jang area are consisting of 69 slopes. Most of the cut slopes are constructed in cutting slope and retaining wall (CR). The cut slopes located in housing facilities are 46 slopes, and the slopes located in school facilities are 12 slopes. The traverse of cut slopes is mainly ranged from 50 m to 150 m, and the height is mainly ranged from 10 m to 20 m. The slopes combined with soil and rock are mostly distributed. The retaining wall was installed in the toe part of cut slope in order to increase the slope stability, and the additional reinforcement methods including the anchor, drainage, preventing rock fall, shotcrete and vegetation were installed at the toe part of cut slopes.

• Journal of the korean academy of Pediatric Dentistry
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• v.38 no.4
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• pp.413-420
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• 2011

Garre's osteomyelitis is associated with bacterial infection and bone necrosis resulting from obstruction of blood supply. The most common cause for Garre's osteomyelitis is odontogenic infection that originates from periodontal tissue or dental pulp. Subperiosteal abscess may also cause Garre's osteomyelitis in the progress of the infection. Mandible is more often affected than maxilla, most commonly in the permanent first molar region of mandible. Clinically, it results in a hard swelling over the jaw, producing facial asymmetry. Meanwhile, radiograph shows a characteristic feature of irregular pulpal cavity, showing new periosteal proliferation located in successive layers to the condensed cortical bone on stimulated site. The treatment method for Garre's osteomyelitis are removal of the infection source, root canal treatment, antibiotic medication, and incision and drainage. This report presents a case of Garre's osteomyelitis under 15 years old. The patient was successfully treated by antibiotic medication accompanied with root canal treatment. Since the symptom of pediatric patients is less severe than adult, careful diagnosis with history taking and clinical examination is necessary. Furthermore long-term follow-up examination is needed to prevent recurrence even after the symptom disapears.

• Journal of Chest Surgery
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• v.31 no.1
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• pp.40-45
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• 1998

Recently, video-assisted thoracoscopic surgery for mediastinal lesions has been considered a new effective therapeutic method. From March, 1992 to April, 1997, 33 cases of video assisted thoracoscopic surgery for mediastinal lesions were performed. Gender distribution was 16 males and 17 females. Average age was 42 years old(ranged from 14 to 69). The locations of lesions were anterior mediastinum in 14 cases, middle mediastinum in 5 cases, posterior mediastinum in 11 cases, and superior mediastinum in 3 cases. These included 9 neurilemmomas, 5 benign cystic teratoma, 4 pericardial cysts, 2 ganglioneuroma, 2 thymus, 2 thymic cyst, 1 thymoma, 2 esophageal leiomyomas, 1 dermoid cyst, 1 lipoma, 1 malignant lymphoma, 1 bronchogenic cyst, 1 pericardial effusion, and 1 Boerhaave's disease with empyema. Working window was needed in 6 cases. We converted to open thoracotomy in 6 cases. Reasons of convertion to open thoracotomy were large sized mass(1), severe adhesion(3), and difficult location to approach(2). The average operation time was 116min($\pm$56 min). The average chest tube drainage time was 4.7days. The average hospital stay was 8.7 days. Operative complications were atelectasis(2), empyema with mediastinitis(1), recurrent laryngeal nerve palsy(1), and plenic nerve palsy(1). In conclusion, VATS for mediastinal lesions were performed with shorter operation time and hospital stay, and lesser complications and pain than those of conventional thoracotomy.