• Archives of Plastic Surgery
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• 제47권1호
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• pp.20-25
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• 2020

Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242-8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.

• 한국물환경학회지
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• 제39권1호
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• pp.38-45
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• 2023

In this study, the removal efficiency of road sweeping and sand filter facility for removing total suspended solid (TSS) as nonpoint source pollution from expressway was evaluated for the last 10 years (2012~2021) using ROADMOD. ROADMOD is a screening level model and was calibrated for runoff rate and TSS loading both at the inlet, which is the loading from the drainage area, and the outlet, from the sand filter facility. The drainage area is 715 m² and the dimensions of sand filter facility are 1.5 m (wide) × 3.8 m (length) × 1.5 m (depth). The monitoring period for model calibration was the rainfall event during Aug. 31~Sep. 1, 2021 and the amount of rainfall was 74.5 mm. As a result of calibration, the determination coefficients (R²) of the flow rate were 0.66 and 0.86, for the inlet and outlet, respectively, and those of TSS loading were 0.50 and 0.84, for the inlet and outlet, respectively. Considering that ROADMOD is a screening level model, the calibration results were reasonable to evaluate the best management practices (BMPs) on the expressway. Using ROADMOD simulation results for 2012~2021, the average yearly runoff rate from the expressway was 82% and removal efficiency was 9% for road sweeping, 35% for sand filter facility, and 39% for both road sweeping and sand filter facility.

• 콘크리트학회논문집
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• 제23권2호
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• pp.151-158
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• 2011

선발포 방식을 통해 제조되는 기포 콘크리트에서 기포는 밀도, 강도, 공극 등의 물리적 특성에 영향을 끼치는 주요인이다. 기포 콘크리트에 대한 연구가 꾸준하게 진행되었지만, 기포 자체의 특성에 관한 연구는 화학적인 분야를 제외하고는 거의 없는 실정이다. 그러므로 용도에 적합한 기포 콘크리트를 제조하기 위해서는 기포의 성상에 대한 연구가 필수적으로 선행되어야 한다. 기포 콘크리트의 제조에서 기포를 유효하게 이용하기 위해서는 기포의 특성을 평가해야만 한다. 이 연구에서는 기포의 특성을 알아보기 위해 기포제 종류 및 농도 변화에 따른 기포의 특성에 관한 검토를 수행하였다. 기포의 특성을 알아보기 위해 사용한 기포제는 계면활성제계, 수지비누계, 단백질계 기포제를 사용하였고 기포제의 농도는 기포제 종류에 따라 0.05~13% 범위로 설정하였다. 측정 항목은 발포율, 기포 용적, 수용액 용적, 기포 크기 및 분포를 측정하였다. 분석 결과, 기포제 종류와는 상관없이 기포제 농도가 높을수록 발포율은 증가하는 것으로 나타났고, 기포제 농도는 기포, 수용액 용적 변화, 기포 크기 분포에도 영향을 끼치는 것으로 나타났다. 기포의 안정성 측면에서 단백질계가 계면활성제, 수지비누계 보다 높은 안정성을 나타냈다. 기포의 형상에서는 계면활성제계, 수지 비누계는 다각형의 기포를, 단백질계는 구형의 기포를 형성하였다.

• Journal of Korean Neurosurgical Society
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• 제43권6호
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• pp.281-287
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• 2008

Objective : Cerebral vasospasm still remains a major cause of the morbidity and mortality, despite the developments in treatment of aneurysmal subarachnoid hemorrhage. The authors measured the utility and benefits of external lumbar cerebrospinal fluid (CSF) drainage to prevent the clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage in this randomized study. Methods : Between January 2004 and March 2006, 280 patients with aneurysmal subarachnoid hemorrhage were treated at our institution. Among them, 107 patients met our study criteria. The treatment group consisted of 47 patients who underwent lumbar CSF drainage during vasospasm risk period (about for 14 days after SAH), whereas the control group consisted of 60 patients who received the management according to conventional protocol without lumbar CSF drainage. We created our new modified Fisher grade on the basis of initial brain computed tomography (CT) scan at admission. The authors established five outcome criteria as follows : 1) clinical vasospasm; 2) GOS score at 1-month to 6-month follow-up; 3) shunt procedures for hydrocephalus; 4) the duration of stay in the ICU and total hospital stay; 5) mortality rate. Results : The incidence of clinical vasospasm in the lumbar drain group showed 23.4% compared with 63.3% of individuals in the control group. Moreover, the risk of death in the lumbar drain group showed 2.1 % compared with 15% of individuals in the control group. Within individual modified Fisher grade, there were similar favorable results. Also, lumbar drain group had twice more patients than the control group in good GOS score of 5. However, there were no statistical significances in mean hospital stay and shunt procedures between the two groups. IVH was an important factor for delayed hydrocephalus regardless of lumbar drain. Conclusion : Lumbar CSF drainage remains to playa prominent role to prevent clinical vasospasm and its sequelae after endovascular coiling on aneurysmal subarachnoid hemorrhage. Also, this technique shows favorable effects on numerous neurological outcomes and prognosis. The results of this study warrant clinical trials after endovascular treatment in patients with aneurysmal SAH.

• Journal of Chest Surgery
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• 제45권3호
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• pp.171-176
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• 2012

Background: Deep neck infections (DNI) can originate from infection in the potential spaces and fascial planes of the neck. DNI can be managed without surgery, but there are cases that need surgical treatment, especially in the case of mediastinal involvement. The aim of this study is to identify clinical features of DNI and analyze the predisposing factors for mediastinal extension. Materials and Methods: We reviewed medical records of 56 patients suffering from DNI who underwent cervical drainage only (CD group) and those who underwent cervical drainage combined with mediastinal drainage for descending necrotizing mediastinitis (MD group) from August 2003 to May 2009 and compared the clinical features of each group and the predisposing factors for mediastinal extension. Results: Forty-four out of the 56 patients underwent cervical drainage only (79%) and 12 patients needed both cervical and mediastinal drainage (21%). There were no differences between the two groups in gender (p=0.28), but the MD group was older than the CD group (CD group, $44.2{\pm}23.2$ years; MD group, $55.6{\pm}12.1$ years; p=0.03). The MD group had a higher rate of co-morbidity than the CD group (p=0.04). The CD group involved more than two spaces in 14 cases (32%) and retropharyngeal involvement in 12 cases (27%). The MD group involved more than two spaces in 11 cases (92%) and retropharyngeal involvement in 12 cases (100%). Organism identification took place in 28 cases (64%) of the CD group and 3 cases of (25%) the MD group (p=0.02). The mean hospital stay of the CD group was $21.5{\pm}15.9$ days and that of the MD group was $41.4{\pm}29.4$ days (p=0.04). Conclusion: The predisposing factors of mediastinal extension in DNI were older age, involvement of two or more spaces, especially including the retropharyngeal space, and more comorbidities. The MD group had a longer hospital stay, higher mortality, and more failure to identify causative organisms of causative organisms than the CD group.

• 지질공학
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• 제20권1호
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• pp.79-87
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• 2010

본 연구지역에서 2009년 3월부터 9월 사이에 5개 지점(배경수(BW), 산성광산배수(AMD0, AMD1, AMD2, AMD3))에서 수온, pH, Eh, EC, DO 성분 등이 현장에서 6회 관측되었으며, 폐광산 갱내 출구부(AMD0) 지점에서는 유량이 측정되었다. 일광 폐광산에서 유출되는 산성광산배수는 pH 3 이하의 강산성수이며, Eh 성분은 400~600 mV의 범위이었다. 산성광산배수의 EC 값은 주변 배경수에 비해 10배 이상 높았으며, DO 성분은 유출지점 하류부로 갈수록 대기와의 접촉을 통해 그 값이 증가되었다. 산성광산배수 내 중금속 이온의 농도는 Fe > Cu > Zn > Mn > As > Cd 순이었으며, Fe 성분의 농도가 81.870~474.30 mg/L 로서 가장 높았다. 중금속 성분별 최대농도 관측시기는 5월(As, Cd), 6월(Fe), 7월(Cu, Zn, Mn) 이었으며, 최소농도는 4월(Cd, Mn)과 9월(Fe, Cu, Zn, As)에 관측되었다. 산성광산배수에 용존된 중금속의 유출질량은 Fe 성분 53.44 kg, Cu 성분 6.25 kg, Zn 성분 5.26 kg, Mn 성분 2.13 kg, As 성분 0.14 kg, Cd 성분 0.04 kg 정도이었다. 폐광산에서 갱내에서 1일 동안 유출되는 6개 중금속의 전체 질량은 67.26 kg 이었으며, Fe 성분이 전체 유출질량의 79% 정도를 차지하고 있었다.

• 한국지반공학회논문집
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• 제32권9호
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• pp.17-27
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• 2016

서해안의 인천 및 화성지역에 분포하는 모래 및 실트 함유량이 많은 저소성 지반에 대해 피에조콘관입시험(CPTU) 데이터 및 강제치환 공법을 이용하여 부분배수 특성을 분석하였다. Powell과 Quarterman(1988)에 의한 과압밀비 $OCR={\kappa}(q_t-{\sigma}_{vo})/{\sigma}^{\prime}_{vo})$ 경험식은 모래함유량이 많은 서해안 저소성 실트 지반에서는 상대적으로 투수성이 커서 표준관입속도(2cm/s)하에서 콘관입저항력($q_t$)이 크게 평가되어 과압밀비가 크게 산정되는 경향을 나타냈다. Schnaid et al. (2004)는 간극수압계수($B_q$)-강도증가율($s_u/{\sigma}^{\prime}_{vo}$)-정규화된 콘저항($Q_t=(q_t-{\sigma}_{vo})/{\sigma}^{\prime}_{vo}$)을 함께 도시하여, 부분배수 유무를 판단하도록 제시하였는데, 인천 및 화성 지역의 CPTU 데이터의 50% 이상이 부분배수 상태를 나타내는 $B_q$ < 0.3에 분포하였다. 또한, 강제치환 시공과정 중 부분배수 현상으로 인해 원지반의 강도증가 현상이 발생되어 설계 예상 치환깊이보다 훨씬 작은 실측값이 얻어진다는 관점에서 실측 치환깊이와 동일한 값이 얻어지도록 원지반의 지지력에 대한 역해석을 수행하였다. 그 결과, 소성지수가 감소할수록 내부마찰각이 커지는 경향을 나타내며, 내부마찰각(${\varphi}^{\prime}$)이 $2{\sim}7^{\circ}$의 범위에서 분포하는 것으로 분석되었다.

• 한국관개배수논문집
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• 제4권2호
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• pp.25-37
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• 1997

Flow rate and selected water quality of 2 small rural streams located in Kangwon-do, Korea, were monitored and land use of the watersheds was investigated to describe the trend of stream water quality for 2 years. Water qualities were analyzed with respec

• Journal of Chest Surgery
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• 제23권5호
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• pp.1035-1039
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• 1990

All 10 cases of spontaneous rupture of esophagus had violent vomiting as precursor. 9 patients were male, 1 case was female. Chief complaints were chest pain and dyspnea. Chest P \ulcornerA and esophagogram were mainly used as confirm diagnostic tool. Perforation sites of all cases were at distal esophagus near the G-E junction. 6 cases were received primary repair within 24 hrs, other cases were managed with surgical drainage after exclusion and diversion of esophagus. Empyema was the most frequent complication. Other complications were sepsis, pneumonia, leaking etc. Overall mortality rate was about 70.0%.

• Journal of Chest Surgery
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• 제26권6호
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• pp.507-509
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• 1993

Esophageal perforation, regardless of the etiology, is a catastrophic event. The importances of early diagnosis and an aggressive surgical approach in the management of such a potentially lethal situation are stressed, in fact the mortality rate is directly related to the interval between perforation and initiation of treatment. We experienced a rare case of esophageal rupture caused by compressed air which produce a rupture of the colon not infrequently, which was treated successfully by an aggressive surgical approach consisting of closure of the perforation and adequate drainage.