• Journal of Chest Surgery
• /
• v.42 no.3
• /
• pp.344-349
• /
• 2009

Background: The clinical history and physical findings of the patients with spontaneous pneumothorax depend largely on the extent of the collapse of the lung and the presence of pre-existing pulmonary disease. Large primary spontaneous pneumothorax is a possible serious condition and. so more active treatment will be necessary for these patients. The therapeutic guideline for large pneumothorax remains controversial. Therefore, by assessing the clinical results of surgical treatment for large primary pneumothorax, we aim to determine the indicators of treatment. Material and Method: Among 348 patients with primary spontaneous pneumothorax and who underwent surgical treatment from August 2004 through December 2007, 58 patients who responded to treatment for a large primary pneumothorax were included in the current study. We then retrospectively evaluated the operative findings and the surgical results. The patients with a pneumothorax of 80% or more, including those patients with tension pneumothorax, were considered to have a "large pneumothorax". Most of these patients Should be treated with a 12F chest tube. Thoracoscopic wedge resection was considered for treating recurrent pneumothorax, continuous air leakage, controlateral pneumothorax and first episode pneumothorax with visible blebs (> 1cm) seen on the computed tomography. Result: There were 50 men and 8 women with a mean age of 28.2 years (range: $14\sim54$ years). The mean length of hospitalization was 5.3 days (range: $2\sim10$ days). Nine patients underwent chest tube drainage only. Forty-nine patients underwent thoracoscopic wedge resection. The mean follow up time was 27.8 months (range: $10\sim58$ months). The actual site of air leakage could be located in 35 patients (71.4%) and this was correlated with pleural adhesion (p=0.005). The initial air leakage tended to be more correlated with intra-operative air leakage, although this was not statistically significant (p=0.066). The recurrence rate was 11.1 % for the patients with chest tube drainage and 2.0% for the patients with thoracoscopic wedge resection. Conclusion: Large primary pneumothorax requires an early diagnosis and early treatment. Thoracoscopic wedge resection may help to prevent recurrence of large primary pneumothorax.

• Journal of Chest Surgery
• /
• v.42 no.2
• /
• pp.184-192
• /
• 2009

Background: Although complications from transfusion are known to happen, transfusion is performed during most open heart surgeries. The aim of this study was to investigate the possibility of performing cardiac surgery without allogenic blood transfusion. Material and Method: Between January to August 2007, 44 consecutive patients who underwent open heart surgery with using various blood conservation methods were retrospectively enrolled. They were divided into group I (the onpump group, n=17) and group II (the offpump group, n=27). The blood conservation methods were intraoperative autologous donation, cell saver, retrograde autologous priming, conventional ultrafiltration and modified ultrafiltration. Antianemic agents were administered to all the patients postoperatively. We analyzed the possibility of bloodless operations, the causes of homologous transfusion, the serial change of the hematocrit and the postoperative chest tube drainage, and we compared the results between the two groups. If comparison between the two groups was not reasonable, then we compared two groups with the individual control groups I and II (49 patients) in 2006. Result: 40 (90.9%) of 44 patients were successfully operated on without transfusion and the success rate was 88.2% (15/17) for group I and 92.6% (25/27) for group II. There was no statistical difference between the two groups (p=NS). The causes of transfusion were 2 cases of postoperative bleedings, 1 case of intraoperative bleeding and 1 mistake of the indication for transfusion. There was no statistical difference of the total chest tube drainage (Group I: $417{\pm}359mL$, Group II: $451{\pm}237mL$) (p=NS), but the total chest tube drainages of the two groups were less than each of the control groups 1 and II (p<0.05). The lowest hematocrit level of Group I was $16.4{\pm}2%$, and this occurred just after infusion of cardioplegics and the hematocrits of both groups were recovered to the preoperative level at 2 months postoperatively. Conclusion: In this study, bloodless open heart surgery could be performed in 90.9% of the patients with intraoperative autologous donation, cell saver, retrograde autologous priming, conventional ultrafiltration and modified ultrafiltration. A combination of various blood conservation methods is the most important and bloodless cardiac surgery could be performed with meticulous bleeding control and strictly following the transfusion indications.

• Korean Journal of Soil Science and Fertilizer
• /
• v.44 no.5
• /
• pp.717-721
• /
• 2011

In case of plastic film greenhouses cultivating fresh vegetables on paddy soil, soil characteristics must be considered as more important factor than any other factors. Generally after the four years of cultivation, soils tend to increase electrical conductivity value, nutrient unbalance and soil pests. As a result, degradation of agricultural products occurred, therefore it is necessary to improve soil conditions. In this study, yield and economic cost of cucumber were analyzed. The best soil conditions for cucumber cultivation were alluvial or valley in soil topology, moderately or poorly drainage in soil drainage classes, coarse loamy soil in texture. In addition, rich-sunlight and-deep groundwater would be proper for the cucumber cultivation. Good environmental managements of plastic film greenhouse were as follows. The temperature needed to be adjusted three times. The optimal daytime temperature could be $22{\sim}28^{\circ}C$, the one from 12 until night could be $14{\sim}15^{\circ}C$, and the temperature from 24 to sunrise could be $10{\sim}12^{\circ}C$. During plant growth period, soil moisture content was as low as 10~15%, and it needed to be maintained as 15~20% during reproductive growth period. To control pests, catch crop cultivation and solar treatment were carried out, after those EC was reduced and the root-knot nematode was controled too. Cucumber yield from the plot with improved soil managements increased to $158.4Mg\;ha^{-1}$, but plot with successive cropping injury yielded $140.3Mg\;ha^{-1}$. The income from the plot with improved soil managements was 215,676 thousand won $ha^{-1}$, the plot with successive cropping injury was 131,649 thousand won $ha^{-1}$. Income rate of each plot was 51.8% and 38.4%, respectively.

• Korean Journal of Soil Science and Fertilizer
• /
• v.40 no.1
• /
• pp.18-24
• /
• 2007

Paddy fields are apparently nonpoint source pollution and influence water environment. In order to improve water quality in rivers or lakes, to low nutrient load from paddy fields are required. To establish comprehensive plan to control agricultural non-point source pollution, it is imperative to get a quantitative evaluation on pollutants and pollution load from paddy fields. A field monitoring study was carried out to investigate the water balance and losses of nutrients from fields in Sumjin river basin. The size of paddy fields was 115 ha and the fields were irrigated from a pumping station. The observed total nitrogen loads from paddy fields were larger than those of the unit loads determined by Ministry of Environment data (MOE). It is because the nitrogen fertilization level at the studied field was higher than the recommended rate and the high irrigation and subsequent drainage amount. On the contrary, total phosphorus loads were less than those addressed by MOE since phosphorus fertilization level was lower than that of standard level. Therefore, it was found that fertilization, irrigation, and drainage management are key factors to determine nutrient losses from paddy fields. When the runoff losses of nutrients were compared to applied chemical fertilizer, it was found that 42 to 60% of nitrogen lost via runoff while runoff losses of phosphorus account for 1.3 to 7.6% of the total applied amount during the entire year.

• Journal of the Korean Geotechnical Society
• /
• v.28 no.3
• /
• pp.15-23
• /
• 2012

An internal friction angle, which is one of strength parameters of granular soils, can be obtained from direct shear tests or triaxial tests. The result of traixial tests can be influenced by various experimental conditions such as confining pressure, shearing rate, specimen diameter and height, and end constraint. In this study, undrained and drained shearing behaviors of Nakdong River sand were investigated for loose (Dr = 40%) and dense (Dr = 80%) specimens with 5, 7, and 10 cm in diameter. Friction angles such as undrained total stress friction angle, undrained effective stress friction angle, and drained friction angle obtained from Mohr's stress circle slightly increased and then decreased as a diameter of a specimen increased from 5, 7 to 10 cm, regardless of relative densities. The difference between friction angles caused by different specimen size was at maximum 4.5 degrees for undrained total stress friction angle of dense specimen. In most cases, there was little difference between friction angles of large and small specimens, which was less than 2 degrees. The difference between an effective friction angle from undrained tests and a drained friction angle from drained tests was at maximum 7 degrees for loose samples but negligible for dense samples.

• Journal of the Korean GEO-environmental Society
• /
• v.13 no.12
• /
• pp.5-16
• /
• 2012

The second scientific antarctic station of South Korea is under construction at Terra Nova Bay located in eastern Antarctica. Ground condition in the Antarctica is frozen in general, but there are seasonal frozen grounds with active layers sporadically. When the active layer is frozen, frost heaving occurs that might cause the differential movement of frozen ground and the failure of structures. Therefore, it is necessary to determine the frost heaving susceptibility of soils at Terra Nova Bay before starting antarctic station construction. This study presents experimental investigation of the frost heaving susceptibility of soil samples with variation of particle sizes and unfrozen water contents. The soil samples were taken from five different locations at Terra Nova Bay and physical properties, unfrozen water content, and frost heaving tests were performed. For the frost heaving tests, soil specimens were frozen with constant freezing temperatures at the top and with drainage at the bottom in order to stimulate the frost heaving. The frost heaving tests provide volume expansion, volumetric strain, and heaving rate which can be used to analyze the relationship between the frost heaving vs. particle size and the frost heaving vs. unfrozen water content. Experimental results show that the more the fine contents exist in soils, the more frost heaving occurs. In addition, the frost heaving depends on unfrozen water content. Experimental data can be used to evaluate the frost heaving susceptibility of soils at the future construction site in the Antarctica.

• Korean Journal of Agricultural and Forest Meteorology
• /
• v.19 no.3
• /
• pp.93-101
• /
• 2017

The distribution of inter-annual variation in temperature would help evaluate the likelihood of a climatic risk and assess suitable zones of crops under climate change. In this study, we evaluated two methods to estimate the standard deviation of temperature in the areas where weather information is limited. We calculated the monthly standard deviation of temperature by collecting temperature at 0600 and 1500 local standard time from 10 automated weather stations (AWS). These weather stations were installed in the range of 8 to 1,073m above sea level within a mountainous catchment for 2011-2015. The observed values were compared with estimates, which were calculated using a geospatial correction scheme to derive the site-specific temperature. Those estimates explained 88 and 86% of the temperature variations at 0600 and 1500 LST, respectively. However, it often underestimated the temperatures. In the spring and fall, it tended to had different variance (e.g., increasing or decreasing pattern) from lower to higher elevation with the observed values. A regression analysis was also conducted to quantify the relationship between the standard deviation in temperature and the topography. The regression equation explained a relatively large variation of the monthly standard deviation when lapse-rate corrected temperature, basic topographical variables (e.g., slope, and aspect) and topographical variables related to temperature (e.g., thermal belt, cold air drainage, and brightness index) were used. The coefficient of determination for the regression analysis ranged between 0.46 and 0.98. It was expected that the regression model could account for 70% of the spatial variation of the standard deviation when the monthly standard deviation was predicted by using the minimum-maximum effective range of topographical variables for the area.

• Journal of Korea Water Resources Association
• /
• v.50 no.4
• /
• pp.223-232
• /
• 2017

The ability to defend against floods in urban areas was weakened, because the increase in the impervious rate of urban areas due to urbanization and industrialization and the increase in the localized torrential rainfall due to abnormal climate. In order to reduce flood damage in urban areas, various runoff reduction facilities such as detention ponds and infiltration facilities were installed. However, in the case of domestic metropolitan cities, it is difficult to secure land for the installation of storm water reduction facilities and secure the budget for improving the aged pipelines. Therefore, it is necessary to design a storage system (called the detention pond in trunk sewer) that linked the existing drainage system to improve the flood control capacity of the urban area and reduce the budget. In this study, to analyze the effect of reducing runoff amounts according to the volume of the detention pond in trunk sewer, three kinds of virtual watershed (longitudinal, middle, concentration shape) were assumed and the detention pond in trunk sewer was installed at an arbitrary location in the watershed. The volume of the detention pond in trunk sewer was set to 6 cases ($1,000m^3$, $3,000m^3$, $5,000m^3$, $10,000m^3$, $20,000m^3$, $30,000m^3$), and the installation location of the detention pond in trunk sewer was varied to 20%, 40%, 60%, and 80% of the detention pond upstream area to the total watershed area (DUAR). Also, using the results of this study, a graph of the relationship and relational equation between the volume of the detention pond in trunk sewer and the installation location is presented.

• Journal of Wetlands Research
• /
• v.18 no.4
• /
• pp.424-431
• /
• 2016

LID facilities like bio-retention cells is applied to manage stormwater. LID concept becomes an important part in stormwater management, and the clear understanding of hydrologic performance and hydrologic impact on the corresponding catchment has been needed. In this study, the application of flow duration curves as design strategy is investigated. Bio-retention cells like many LID facilities are installed to reproduce natural hydrologic processes. In this study, the attempt to determine the size of a bio-retention cell is carried out to satisfy the flow duration criteria. From the results, it is shown that "5 mm * the area of a target catchment" which is the current facility design capacity is valid for the drainage area with 20-30% impervious rate. In the 100% impervious catchment where LID facilities are typically installed, the design capacity to intercept stormwater of approximately 47 mm depth is required to reproduce natural flow duration curves. This means that about 11% of the target catchment area should be allocated as a bio-retention cell. However, the criteria of the design capacity and facility surface area should be set at the possible implementation conditions in reality, and site-specific hydrologic characteristics of a target catchment should be considered.

• Journal of Radiation Protection and Research
• /
• v.39 no.1
• /
• pp.61-64
• /
• 2014

Radioactive materials are in use and have many applications from the generation of electricity to the purposes of research, industry and medicine such as diagnosis and therapy. In the course of their use some of radioactive substances may be discharged into the environment from facilities using the unsealed radioactive materials, which are main artificial sources occurring the public exposure. Discharges are in the form of gases, particles or liquids. This paper provides procedures to estimate the level of the public exposure based on the conservative assumptions and simple calculations in the facility using unsealed liquid sources. They consist of two processes; (1) to calculate maximum concentration of gaseous effluents discharged through the exhaust pipe and average concentration of liquid effluents discharged through the drain of the storage tank, (2) to compare each of them to numerical guidances for the discharges of radioactive gaseous and liquid effluents mentioned in the related notification. For this purpose followings are assumed properly; daily usage, form and dispersion rate of radionuclides, daily amount of radioactive liquid waste and exhaust and drainage equipment. The procedures are readily applicable to evaluate environmental effects by planned effluent discharges from facilities using the unsealed radioactive materials. In addition they may be utilized to obtain practical requirements for radiation safety control necessary for the reductions of the public exposure.