Nasotracheal intubation (NTI) plays an important role in pediatric airway management, offering advantages in specific situations, such as oral and maxillofacial surgery and situations requiring stable tube positioning. However, compared to adults, NTI in children presents unique challenges owing to anatomical differences and limited space. This limited space, in combination with a large tongue and short mandible, along with large tonsils and adenoids, can complicate intubation. Owing to the short tracheal length in pediatric patients, it is crucial to place the tube at the correct depth to prevent it from being displaced due to neck movements, and causing injury to the glottis. The equipment used for NTI includes different tube types, direct laryngoscopy vs. video laryngoscopy, and fiberoptic bronchoscopy. Considering pediatric anatomy, the advantages of video laryngoscopy have been questioned. Studies comparing different techniques have provided insights into their efficacy. Determining the appropriate size and depth of nasotracheal tubes for pediatric patients remains a challenge. Various formulas based on age, weight, and height have been explored, including the recommendation of depth-mark-based NTI. This review provides a comprehensive overview of NTI in pediatric patients, including the relevant anatomy, equipment, clinical judgment, and possible complications.
This study was conducted to investigate and compare species composition, stand structure, and growth pattern for two different sites in which silvopastoral system has been taking place. One site was the pasture area where a number of trees were removed and grasses were planted for cattle grazing, and the other site was the deciduous forest that has been established by ecological succession. The results were as follows: 1. Nine tree species were present equally in the pasture area and the deciduous forest. Of these species, seven tree species were growing in common for two sites. However, the species composition, including density and frequency, was varied by sites. 2. The number of stems per hectare in the pasture area was 71, and that in the deciduous forest was 1,433, having shown the big difference. It is estimated that, considering the growth rate, better grown trees were remained at the time of harvesting in 1996. 3. The growth of diameter, height, and basal area in the pasture area was superior to that in the nearby deciduous forest. In spite of higher values of diameter and height, the timber volume of pasture area per unit area was less than 15% of that in the deciduous forest. 4. Providing sufficient growing space, the pasture area supported higher values of diameter and height. The wider growing space also had influence on the expansion of crown of trees by the result of deliquescent growth pattern. From this point of view, more research would be needed to establish appropriate number of trees for silvopastoral system.
Most large cut slopes of open pit mines, roadways, and railways are steeply inclined and composed with rocks that do not contain soils. However, these rock slopes suffer both weathering and fragmentation. In the case of steep slopes, falling rock and collapse of a slope may often occur due to surface erosion. Cast-in place concrete and rubble work are the most widely used earth structure-based pressure supports that act as restraints against the collapse of the rock slope. In order to overcome the shortcomings of conventional retaining walls, a segmental grid retaining wall is being used with connects precasted segments to construct the wall. In this study, laboratory model test was conducted to estimate deformation behavior of segmental grid retaining wall with configuration of rear strecher, height and inclination of the wall. In order to examine the behavior characteristics of a segmental grid retaining wall, this research analyzes the aspects of spacial displacement through relative displacement according to change in the inclination of the wall. Also, the walls behavior according to the formation and status of the rear stretcher which serves the role of transferring the load from the header and the stretcher which make up the wall, the displacement of backfill materials in the wall, and the location of the maximum load were surveyed and the characteristics of displacement in the segmental grid retaining wall were observed. The test results of the segmental grid retaining wall showed that there was a sudden increase in failure load according to the decrease in the wall's height and the size of the in was greatly decreased. Furthermore, it revealed that with identical inclination and height, the structure of the rear stitcher did not greatly affect the starting point or size of maximum horizontal displacement, but rather had a stronger effect on the inclination of the wall.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.39
no.6
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pp.274-282
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2013
Objectives: The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach. Materials and Methods: In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height. Results: The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively. Conclusion: Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.
Korean Journal of Agricultural and Forest Meteorology
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v.14
no.4
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pp.222-228
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2012
This study was conducted to determine the natural succession process after forest fire by comparing height, relative growth rates in height (RGH), and tree density of pine seedlings with different fire severity. In the area damaged by surface fire, tree density was highest during the first 5 years after fire. However, in the area damaged by crown fire, tree density rapidly increased during first 5 years after fire. Pine seedlings were found only on the place with ridges, barren soil, and the aspect of north. Annual height growth of pine seedlings was decreased with time in all study sites. The empty space in pine stands gradually decreased by the invasion of Quercus species. The forest fire altered the pine forest into oak forest rapidly. In contrast, pine seedlings invaded steadily on the oak forest in the rocky area or the area with ridges.
Ha-Yun Song;Yeong-Ho Kwak;Chang-Gi Hong;Su-Jeong Gwon;Jeong-Bae Kim;Wan-Ok Lee
Korean Journal of Ichthyology
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v.36
no.3
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pp.240-252
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2024
The distribution status of the nature monument species, Hemibarbus mylodon, was investigated from 2021 to 2024 in Geumgang River and Mujunamdae Stream (a tributary of the Geumgang River). In 2021 to 2023, five individuals from Gemgang River upstream were collected by Geumsan-gun, Chungchangnam-do. In 2021 to 2024, 1,592 induviduals juvenile from seven sites were collected by surveying 15 sites from Mujunamdae Stream. The main habitat of juvenile was about 0.3~1.5 meters water deep, 0.14~0.16 meters per second in the middle-upper stream of rock and sand bottom with slow rapids and pools. The age groups for H. mylodon estimated by the frequency distribution of total length in after spawning season (May) to October indicated the 10~65 mm is 0-year old, 75~90 mm is 1-year old group. In addition, over the 120 mm group is 2-years old, the 190~250 mm is more than 3-years old group. In 2024, we identified 35 spawning place from six sites were sites were collected by surveying 15 sites. Spawning place at the river bottom were top of the rapids, 30~60 cm (mean 48.2 cm) water deep, and the place was covered with stone and gravel, water velocity was 0.13~0.34 (mean 0.25 m/sec) meter per second. The spawning place size of the gravel piles was as follows: length 35~48 cm (mean 40.7 cm), width 25~37 cm (mean 34.5), and height 5~12 cm (mean 8.6 cm). Thus, H. mylodon reintroduced to Mujunamdae Stream has successfully settled down and increase in abundance within the natural habitat.
Journal of the Korean Association of Geographic Information Studies
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v.12
no.2
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pp.34-43
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2009
Based on previous research on ways of reducing an urban heat island phenomenon via an introduction of wind corridors, I conducted this study to see what influence a change in land cover arising of or going through urbanization has on wind corridors of urban space. As a target place, I chose Daegu city where is a representative extreme heat place in Korea and has been also largely expanded in size by incorporating its neighboring areas since the 1980s, expecially Dalseo District whose surface temperature gap is large. The population of Dalseo District has been sharply increased since its creation as a new administrative district in 1988. I studied on the urban microclimate change for a 20-year period by using satellite images on summer months in 1987, 1997 and 2007 in time frames. The finding of this study found that a reduction of natural land cover and an increase of artificial land cover serves as a disadvantageous factor for cold air creation and flowing and strikingly lowers the amount and height of cold air in the downtown area. It seemed that the cold air creation and flowing functions are influenced by land cover. In order to steadily create cold air and secure its flowing, it is thought that urban development or urban regeneration should be implemented by analysing the characteristics of the space surrounding the city. By doing so, a pleasant and healthy city could be formed.
An experiment was conducted to examine environmental influences upon the behavioral pattern of pigs. The resting areas of an enclosed growing-finishing pig house were checked in two seasonal ventilation systems, and the excretion habit of pigs influenced by the different closing rates (50, 75 and 100%) of side walls of pens was surveyed. 1. The excretion habit of pigs was not influenced by temperature, humidity and the flow speed of running air as they excreted in a fixed area of the side walls. However, the lighting effects on the excretion habit was observed because pigs excreted in the darkest area of the pig pen. 2. The accumulated height and width of feces showed 10 and 30 cm; 5 and 25cm; and 3 and 20cm for 50, 75 and 100% of closing rates of side walls, respectively. It indicates that pigs excrete all over the floor in the pen with 100% closed side walls. 3. Ammonia concentrations of the resting areas on the pen floor were determined to 4.2, 5.1 and $5.8mg/{\ell}$ for 50, 75 and 100% of closing rates of side walls, respectively. It indicates that the ammonia concentration was highest in the pen with 100% closed side walls. Thus, the high ammonia concentration of the resting areas could be reduced by illuminating the darker areas with relation to the excretion habit. 4. The flow speed of running air was likely the biggest factor influencing the resting areas of pigs; pigs took a rest at the place of 0.04 m/s air flow speed point during midwinter, and at the place of 0.24 m/s air flow speed point during midsummer.
Kyedan(戒壇) is an altar to perform a rite of Buddhist Initiation which gives Precept to a Buddhist monk. Sometimes it is called the Place of Precept and Mandala by Sanskrit. In this study, the Sutra of the Tang(唐) Dosun(道宣) regarding First Kyedan of Jetavana-anathapindasyarama(祇園精舍), which was the first temple such as, Kyedandokyung(戒壇圖經), Kiwonsadokyung(祇洹寺圖經), Sabunyul(四分律) were analyzed to find out original form and layout. Ultimately, the study was intended to examine the spatial formation-principle by comparing with Kyedan Temple. The results of this study could be summarized as below. First. Except for Kyedan in Bakryensa, the height of lower stone plate of Buddhist Bell-Shaped Stupa of Korean Kyedan is higher than three storied Kyedan that described in Kyedandokyung. Second. Buddhist Bell-Shaped Stupa above Kyedan was presumed that embodied image of Bell Pedestal and symbolism of overturned-bowl were combined together, when Kyedandokyung and Kiwonsadokyung were referred. It could be examined by the existence of stone lantern. Third. In Korea, the rite of Buddhist initiation that gives Precept in Kyedan has been considered impossible. However, when the rite was conducted, there was a possibility to establish wood stair. It is because that the Buddhist Stupa of Silleuuksa(神勒寺) and Woljeongsa(月精寺), which reflected the image of Kyedan had stone stair. Fourth, The method to build Kyedan of Dosun divided into Large Region and Small Region was applied to the method to construct Stone terrace behind Jeongmyeolbogung(寂滅寶宮) like Tongdosa(通度寺) and complete Kyedan on the stone terrace. In other words, Jeongmyeolbogung became Kyedanwon(戒壇院) and Kyedan, itself became Small Region. The area of Stone terrace became Large Region and naturally, they constituted an Institution. Fifth, Korean Kyedan which is consist of Jeongmyeonlbogung and Kyedan is a Korean original composition principles of Kyedangaram(戒壇伽藍) that can satiate all the functions of Kyedan as a religious subject and the place of the rite of Buddhist initiation, as it had complex of Outdoor Kyedan, which was suggested by the sutra of Dosun and Institution of Kyedan.
Journal of Korean Tunnelling and Underground Space Association
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v.11
no.3
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pp.287-301
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2009
The novel cut-and-cover tunnel construction method using rib-reinforced pre-cast arch segments has been recently developed and applied for practice to secure a structural stability of high covering and wide width section tunnels. Cut-and-cover tunnels are usually damaged by the seismic behavior of backfill grounds in case of a low covering condition. Seismic analyses are performed in this study to characterize the dynamic behavior of rib-reinforced pre-cast arch cut-and-cover tunnels. Seismic analyzes for 2 lane cast-in-place and rib-reinforced pre-cast arch cut-and-cover tunnels are carried out by using the commercial FDM program (FLAC2D) considering various field conditions such as the covering height embankment slope and excavation slope. It can be concluded that the amplification of seismic wave is reduced due to an increase in the structural stiffness induced by rib-reinforcement. The results show that the rib-reinforced pre-cast arch cut-and-cover tunnels are more effective against the seismic loading, compared to the cast-in-place cut-and-cover tunnels.
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