• Journal of Chest Surgery
• /
• 제32권7호
• /
• pp.686-689
• /
• 1999

하행 괴사성 종격동염은 구강인두와 경부 염증의 드문 합병증 중의 하나로서, 높은 사망률과 합병증 등을 낮추기 위해 조기에 적극적이고 효과적인 수술적 배농술이 필요하다. 39세 남자 환자가 연하통, 경부 종창, 연하곤란 및 호흡곤란으로 내원하여 촬영한 경부 CT상 편도주위농 양과 인두 후부 및 주위의 농양이 발견되어 이비인후과에서 경부절개를 통한 배농술을 시행하였다. 1차 수 술 이후에 발열, 양측 견갑통이 재발하였으며 재촬영한 경부 및 흉부 CT에서 종격동 농양이 발견되어 경부 배농술과 더불어 개흉술을 통한 종격동 배농술을 시행하였다. 수술시에 시행한 종격동 농양과 농흉, 그리고 객담으로부터의 균배양 결과 Klebsiella pneumona로 밝혀졌다. 2차 수술후 환자는 호전되어 술후 85일째 퇴원 할 수 있었다. 결론적으로 CT촬영으로 하행 괴사성 종격동염을 조기에 진단하고 경부 배농술 뿐만 아니라 개흉술을 통한 광범위하고 효과적인 배농술이 환자의 생존율을 높이는데 도움이 되리라 본다.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2010년도 춘계 학술발표회
• /
• pp.495-508
• /
• 2010

Vertical drains are commonly used to accelerate the consolidation process of soft soils, such as dredged materials. The installation of vertical drain provides a radial drainage path to water in the deposit soil in addition to the vertical direction. An estimation of time rate of settlement is considerably complicated when vertical drains are installed to enhance consolidation process of dredged material because the vertical drains are commonly installed before self-weight consolidation is ceased. In this paper, the vertical drain theory developed by Barron(1948) is applied to analyze the non-linear consolidation behavior considering radial drainage. The overall average degree of self-weight consolidation of the dredged soil under the condition that the water is drained in both radial and vertical directions is estimated using the Carillo(1942) formula. In addition, the Morris(2002) theory and the one-dimensional non-linear finite strain numerical model, PSDDF, are applied to analyze the self-weight consolidation in case of only the vertical drainage is considered. The new analysis approach proposed herein can simulate properly the time rate of the self-weight consolidation of dredged materials that is facilitated with vertical drains.

• Journal of Trauma and Injury
• /
• 제34권4호
• /
• pp.284-287
• /
• 2021

We report a case of delayed chest wall reconstruction after thoracotomy. A 53-yearold female, a victim of a motor vehicle accident, presented with bilateral multiple rib fractures with flail motion and multiple extrathoracic injuries. Whole-body computed tomography revealed multiple fractures of the bilateral ribs, clavicle, and scapula, and bilateral hemopneumothorax with severe lung contusions. Active hemorrhage was also found in the anterior pelvis, which was treated by angioembolization. The patient was transferred to the surgical intensive care unit for follow-up. We planned to perform surgical stabilization of rib fractures (SSRF) because her lung condition did not seem favorable for general anesthesia. Within a few hours, however, massive hemorrhage (presumably due to coagulopathy) drained through the thoracic drainage catheter. We performed an exploratory thoracotomy in the operating room. We initially planned to perform exploratory thoracotomy and "on the way out" SSRF. In the operating room, the hemorrhage was controlled; however, her condition deteriorated and SSRF could not be completed. SSRF was completed after about a month owing to other medical conditions, and the patient was weaned successfully.

• 한국지반공학회논문집
• /
• 제24권1호
• /
• pp.25-35
• /
• 2008

본 연구에서는 불포화토의 역학특성을 해명하기 위하여 4개의 횡변위 계측시스템(proximeter)을 이용하는 방법으로 포화 삼축시험기를 개량하여 불포화 삼축압축시험을 수행하였다. 등방응력조건하에서 다양한 석션을 작용시켜 압축 특성을 검토한 결과, 공시체의 초기 석션 보다 작은 석션을 작용시켰을 경우 흡수에 의한 체적압축(wetting collapse)이 발생함을 알았다. 또한 다양한 석션 레벨 및 구속압에서 삼축압축시험을 수행하여, 불포화토에 미치는 영향을 검토하였다. 그 결과, 초기 석션이 클수록 동일 축변형률에 대한 전단강도가 커지고 체적변형률이 작게 나타났다. 그러나, 구속압에 의한 체적변형률 및 배수량의 변화는 작게 나타났으며, 구속압 보다는 초기 석션에 더 의존하고 있다는 사실을 알았다.

• 한국산림과학회지
• /
• 제47권1호
• /
• pp.52-61
• /
• 1980

본(本) 연구(硏究)는 한국삼림토양(韓國森林土壤)의 특성(特性)을 비악(把握)하여 그 합리적(合理的) 이용(利用) 및 관리방법(管理方法)을 제공하기 위하여 실시되었다. 현재(現在)까지 조사발표(調査發表)된 토양(土壤)의 종류(種類)는 178개(個) 토양통(土壤統)으로 그중 64개(個) 토양통(土壤統)이 삼림토양(森林土壤)이다. 삼림토양(森林土壤)은 그 풍화모재(風化母材)의 종류(種類)에 따라 산악잔적토(山岳殘積土), 구릉잔적토(丘陵殘積土), 곡간붕적토(谷間崩積土), 충적토(沖積土) 및 화산회토(火山灰土)로 구분(區分)하여 분석(分析)하였다. 본(本) 논문(論文)에서는 토양(土壤)의 분류학적(分類學的) 특성(特性)과 모암(母岩), 토성(土性) 및 배수상태(排水狀態)를 다루고 있다. 기타 물리적(物理的), 화학적(化學的) 특성(特性)은 다음 논문(論文)에서 서술될 예정이다. 분류(分類)된 한국삼림토양(韓國森林土壤)의 특징(特徵)은 다음과 같다. 1. 산악잔적토(山岳殘積土)(29개통(個統))는 대부분(大部分) Lithosols로서 토양단면(土壤斷面)의 층위분화(層位分化)가 발달(發達)하지 못하였고 토성(土性)은 석력(石礫)이 있는 양토(壤土)가 가장 많고 점질(粘質)로 갈수록 토양통수(土壤統數)가 감소하며 배수상태(排水狀態)는 과도(過度)하다. 2. 구릉잔적토(丘陵殘積土)(19개통(個統))는 대부분(大部分) Red-yellow Podzolic Soils로서 단면(斷面)이 잘 발달(發達)되어 있고 토성(土性)은 주 로 양토(壤土)와 식토(埴土)로 되어 있으며 토양배수(土壤排水)는 양호(良好)하다. 3. 곡간붕적토(谷間崩積土)(13개통(個統))는 주로 Regosols로서 단면발달(斷面發達)이 미약하나 일부 층위분화(層位分化)가 이루어진 Red-Yellow Podzolic Soils와 Acid Brown Forst Soils 가 있다. 토성(土性)은 다양(多樣)하나 조립질(粗粒質)인 경향(傾向)이 있고 배수(排水)는 양호(良好)하다. 4. 각종모암(各種母岩)의 풍화산물(風化産物)의 토성(土性)을 보면 다음과 같다. 1) 조립질토성(粗粒質土性)을 생산(生産)하는 모암(母岩)들로는 유문암(流紋岩), 화강편마암(花崗片麻巖), 편암(片岩), 혈암(頁岩), 사암(砂岩), 역암(礫岩) 등(等)이 있다. 2) 미립질토성(微拉質土性)을 생산(生産)하는 모암(母岩)들로는 석회암(石灰岩), 현무암(玄武岩), 반려(斑糲岩) 및 안산반암(安山斑岩)이 있다. 3) 여러가지 토성(土性)을 다양(多樣)하게 생산(生産)하는 모암(母岩)으로는 화강암(花崗岩)이 있다.

• 한국지반공학회논문집
• /
• 제35권11호
• /
• pp.63-74
• /
• 2019

동적원심모형 시험 결과를 기준으로 액상화모델과 응답이력해석 절차에 대한 검증을 시행하였다. 사용된 동적원심모형시험 결과는 LEAP-2017(Liquefaction Experiments Analysis Project)의 일환으로 시행된 결과이다. 시험을 위한 모형지반은 오타와 F-65모래를 이용하여 강성토조 내부 수면아래 상대밀도 55%, 표면경사 5°로 조성되었다. 진폭이 변화하는 주파수 1Hz 사인파형 입력운동을 강성토조 하단에 가진하였다. 수치해석은 원심모형시험의 원형스케일에 대해서 2차원 유한차분 해석기법을 이용하여 수행되었다. 지반은 전단파괴 이전 이력감쇠를 나타내며 전단 파괴기준은 Mohr-Coulomb 모델을 따르도록 모델링 되었다. 정적평형 후 반복하중으로 인한 간극수압의 변화를 묘사하기 위하여 Byrne의 액상화 모델을 적용하였다. 액상화 해석에 적합한 흐름조건을 확인을 위하여 수치해석은 배수 및 비배수 조건으로 시행하였으며, 비배수 해석조건에서 시행된 수치해석결과가 원심모형시험과 유사한 결과를 제시함을 알 수 있었다.

• Archives of Plastic Surgery
• /
• 제34권6호
• /
• pp.799-802
• /
• 2007

Purpose: The masserteric space is an important tissue compartment of the face, but a disease in it is difficult to diagnose and treat. The submasseteric abscess is located between the masseter muscle and mandibular ramus with different appearances such as sepsis, infection, or tumor. Especially the common misdiagnosis of submasseteric abscess is acute or chronic parotitis. The purpose of this report is to pay special attention to the possible diagnosis of submasseteric abscess for the symptoms of unilateral cheek swelling and tenderness that accompany marked trismus. Methods: A 11-year-old boy came to our hospital because of facial swelling, tenderness, and trismus in a history of left cheek swelling and toothache. We diagnosed his case as submasseteric abscess by CT scan and surgical intervention was performed. Under general anesthesia, the abscess was opened by the intraoral incision and considerably massive pus was drained. Results: Swelling, tenderness, and trismus became to subside during postoperative 10 days and general condition and vital signs became stable. After 6 months, CT scan showed that both masseteric muscles were symmetric and there was no periosteal reaction of the mandible. Conclusion: In conclusion, submasseteric abscess is a rare infection with the symptoms of cheek tenderness and marked trismus. A detailed medical history and clinical examination of a patient as well as computed tomography(CT) are important tools in the accurate diagnosis and efficient treatment of the submasseteric abscess. Adequate drainage, removal of cause, and antibiotic infusion are the management of choice.

• 한국지반공학회:학술대회논문집
• /
• 한국지반공학회 2005년도 춘계 학술발표회 논문집
• /
• pp.974-981
• /
• 2005

Because general laboratory tests for sand compaction pile method including unit-cell test device have fixed outside diameter, as area replacement ratio increase, diameter of sand pile increase. These condition can bring about overestimation of stiffness of composite ground. In addition, existing large soil box which consist of bellows type loading plate can occur serious mistake in checking the amount of drained water because there are additional drainage along the inside wall in device. Overcoming these shortcoming, this paper developed modified large scale soil box consist of piston type load plate. In this study, using this device, series of modified large scale soil box tests were performed, and investigated the settlement and stress transportation characteristics with area replacement ratio in sand compaction pile method.

• Geomechanics and Engineering
• /
• 제35권4호
• /
• pp.385-393
• /
• 2023

To analyze the consolidation with horizontal sand drains, the plane strain consolidation model under multi-ramp loading is established, and its corresponding analytical solution is derived by using the separation of variables method. The proposed solution is verified by the field measurement data and finite element results. Then, the effects of the loading mode and stress distribution on consolidation and dissipation of pore pressure are investigated. At the same time, the influence of hydraulic conductivity and thickness of sand blankets on soil consolidation are also analyzed. The results show that the loading mode has a significant effect on both the soil consolidation rate and generation-dissipation process of pore water pressure. In contrast, the influence of stress distribution on pore pressure dissipation is obvious, while its influence on soil consolidation rate is negligible. To guarantee the fully drained condition of the sand blanket, the ratio of hydraulic conductivity of the sand blanket to that of clay layer k_d/k_v should range from 1.0×10⁴ to 1.0×10⁶ with soil width varying from 100 m to 1000 m. A larger soil width correspondingly needs a greater value of kd/kv to make sure that the pore water can flow through the sand blanket smoothly with little resistance. When the soil width is relatively small (e.g., less than 100 m), the effect of thickness of the sand blanket on soil consolidation is insignificant. And its influence appears obvious gradually with the increase of the soil width.

• 한국작물학회지
• /
• 제44권3호
• /
• pp.225-229
• /
• 1999

Unstable seedling stand establishment of wet direct seeding culture of rice is one of the major elements preventing the extension of its culture area. In order to develop methods of seedling stand improvement in direct seeded rice on flooded surfaces, three field experiments were conducted on silty loam soil using a cultivar 'Donjinbyeo' for three years, mainly focusing on water management after seeding and seed soaking with plant growth regulators (PGRs). Under the condition of shallow flooding after seeding, seedling stand rate increased and floating seedling rate decreased in both early and normal season seeding compared to deep flooding. With earlier draining time after seeding, there was a tendency towards preferential growth of the seminal root, increase of seedling stand and decrease of the floating seedling rate. Therefore the highest seedling numbers per unit area and the lowest floating seedling numbers were found upon drainage at 1 day after seeding (DAS), while a contrary tendency was shown upon conventional drainage at 7 DAS. Seed soaking with PGRs such as Metalaxyl or mixing of Metalaxyl with gibberellic acid (GA$_3$) significantly increased the seedling stand. In addition the effects of PGR treatment on seedling stand and the early growth of plants were greater under flooded conditions than under drained conditions after seeding, although draining of water after seeding improved the seedling establishment rate more when compared with the PGR treatment. These results suggest that draining management after seeding or maintaining of shallow flooding for a week is the most effective method to improve the seedling stand rate in wet direct seeding.