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Analysis of Surgical Risk Factors in Pulmonary (폐국균종의 수술위험인자 분석)

  • 김용희;이은상;박승일;김동관;김현조;정종필;손광현
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.281-286
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    • 1999
  • Background: The purpose of this study is to analyze the types of complications, the incidences of complications, and preoperative and postoperative risk factors affecting the incidence of the complication. Material and Method: Between August 1990 and August 1997 in Asan Medical Center, 42 patients(24 men and 18 women) underwent surgical resection for pulmonary aspergilloma. The mean age was 46.6${\pm}$11.5 years(range 29 to 69 years). Hemoptysis(90%) was the most common presentation. Pulmonary tuberculosis was the most common predisposing cause(81%). The associated diseases were bronchiectasis(n=11), active puolmonary tuberculosis(n=9), diabetes mellitus(n=8), lung carcinoid(n=1), and acute myeloblastic leukemia(n=1). Lobectomy was done in 32 cases(76%), segmentectomy or wedge resection in 4, pneumonectomy in 2, and lobectomy combined with segmentectomy in 4. Result: Operative mortality was 2%. The most common postoperative complication was persistent air leakage(n=6). The variables such as age, sex, pulmonary function test, amount and duration of hemoptysis, associated diseases(diabetes mellitus, active pulmonary tuberculosis), mode of preoperative management(steroid, antifungal agent, bronchial arterial embolization), and modes of operative procedures were statistically insignificant. The radiologic extent of infiltration to normal lung parenchyme was statistically significant(p=0.04). Conclusion: We conclude that the extent of the infiltration to normal lung parenchyme in preoperative radiologic studies should be carefully evaluated to reduce the postoperative complications in surgery for pulmonary aspergilloma.

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Hydrothermal Alteration and Mineralogy of Alunite and Kaolinite in the Ogmae Deposit, Southwest Jeonnam (전남(全南) 옥매산광상(玉埋山鑛床)의 열수변질작용(熱水變質作用) 및 광석광물(鑛石鑛物)에 대한 광물학적(鑛物學的) 연구)

  • Kim, Young Hee;Moon, Hi-Soo;Kim, Jong Hwan;You, Jang Han;Kim, In Joon
    • Economic and Environmental Geology
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    • v.23 no.3
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    • pp.287-308
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    • 1990
  • The Ogmae alunite-kaolinite deposit occurs in acidic tuff, the Hwangsan Tuff, of upper Crataceous age in the Haenam volcanic field, SW Jeonnam. This deposit characterized by advanced argillic alteration formed $71.8{\pm}2.8{\sim}73.9{\pm}2.8$ Ma ago in very shallow depth environment with acid-sulfate solution. Wallrock alteration can be classified into four zones from the center to the margin of the deposit: alunite, kaolinite, illite, and silicified zone. The mineral assemblage in the alunite zone, ore zone, is alunite-quartz-pyritekaolinite. Consideration of stability relation of these minerals suggests that the maximum alteration temperature is estimated at about $250^{\circ}C$ with solution pH of 3 or below assuming that pressure does not exceed 0.3 Kb. Alunite occurs as two different types; replacement and vein-type deposit. The former one consists of fine grained alunite and the later one coarse grained and relatively pure alunite that formed by open space filling. Isomorphous substitution of Na for K in these two types of alunites range 0 to 40 %, indicating that Na/K ratio in the solution is spontaneously changed during the alteration process. Alunite which has higher Na substitution probably formed in an earlier stage while the solution sustain high Na/K ratio. K-Ar age of alunites indicate that the replacement alunite formed earlier($73.9{\pm}2.8Ma$) than the vein-type alunite($71.8{\pm}2.8Ma$). The ${\delta}^{34}S$ value of pyrite and alunite indicate that those minerals formed at isotopically nonequillibrium state. The ${\delta}^{16}O$ and ${\delta}D$ values, of kaolintics 5.0 to 9.0‰ and -54 to -99‰, respectively, indicate that those are formed by hydrothermal solution having magmatic origin which have been diluted by low ${\delta}D$ meteoric water.

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A Study on the Fog Occurrence in Suyoung Bay (수영만의 안개 발생에 관한 연구)

  • Jo, Gyu-Dae;Kim, Sun-Yeong
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.26 no.3
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    • pp.254-264
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    • 1990
  • Using the meteorological data, surface weather map, and oceanographic data for 5 years(1984-1988). I investigated the characteristics of the fog occurrence and the role of the inshore in Pusan about the fog occurrence. And the meteorological data and sea surface temperature(SST), which were observed in July, 1989 in Suyoung Bay, were compared with those in Pusan. The fogs in Pusan concentrate in May, June and July. And at fog occurrence time the principal wind directions are Southwest(SW) winds, which easily supply with water vapor, and a series of Northeast(NE) wind. At the fog days pressure patterns are pattern 7 in spring time (March, April, and May) and pattern 10 and pattern 13 in summer time (June, July, and August). Also the advection fog(sea fog) is closely related with the relationship between warm and cold advection in 850~700mb and cold and warm SST rather than the increase of the instability of atmosphere in 850~500mb. The fogs in Taegu, which is the inland region, mainly occur at dawn in fall time due to the strong night radiation fog. On the other hand in Pusan the coastal region, the fogs occur from late spring time to summer time (May, June, and July). Because there is the abundant supply of the water vapor from the ocean owing to a series of South(S) wind at this time. Then the atmosphere, which has high relative humidity, reaches easily the supersaturation by the radiation cooling. In Suyoung Bay and Pusan the meteorological observation data, SST and fog days are almost similar. And I think that the mechanism of the fog occurrence nearly accords with both regions.

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