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Immediate Postoperative Epidural Hematomas Adjacent to the Craniotomy Site

  • Jeon, Jin-Soo;Chang, In-Bok;Cho, Byung-Moon;Lee, Ho-Kook;Hong, Seung-Koan;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.39 no.5
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    • pp.335-339
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    • 2006
  • Objective : The authors present eight cases of immediate post-operative epidural hematomas[EDHs] adjacent to the craniotomy site, describe clinical details of them, and discuss their pathogenesis. Methods : Medical records of eight cases were retrospectively reviewed and their clinical data, operation records, and radiological findings analyzed. Any risk factors of the EDHs were searched. Results : In 5 of 8 cases, adjacent EDHs developed after craniotomies for the surgical removal of brain tumors. Three cases of adjacent EDHs developed after a pterional approach and neck clipping of a ruptured anterior communicating artery aneurysm, a ventriculoperitoneal shunt, and a craniotomy for a post-traumatic EDH, respectively. In all eight cases, brain computed tomography[CT] scans checked immediately or a few hours after the surgery, revealed large EDHs adjacent to the previous craniotomy site, but there was no EDH beneath the previous craniotomy flap. After emergent surgical removal of the EDHs, 7 cases demonstrated good clinical outcomes, with one case yielding a poor result. Conclusion : Rapid drainage of a large volume of cerebrospinal fluid or intra-operative severe brain collapse may separate the dura from the calvarium and cause postoperative EDH adjacent to the previous craniotomy site. A high-pressure suction drain left in the epidural space may contribute to the pathogenesis. After the craniotomy for brain tumors or intracranial aneurysms, when remarkable brain collapse occurs, an immediate postoperative brain CT is mandatory to detect and adequately manage such unexpected events as adjacent EDHs.

The Meaning of the Prognostic Factors in Ruptured Middle Cerebral Artery Aneurysm with Intracerebral Hemorrhage

  • Oh, Ji-Woong;Lee, Ji-Yong;Lee, Myeong-Sub;Jung, Hyen-Ho;Whang, Kum;Brain Research Group, Brain Research Group
    • Journal of Korean Neurosurgical Society
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    • v.52 no.2
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    • pp.80-84
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    • 2012
  • Objective : This study analyzed the relationship between prognosis and multiple clinical factors of ruptured middle cerebral artery (MCA) aneurysm with intracerebral hemorrhage (ICH), to aid in predicting the results of surgical treatment. Methods : Enrolled subjects were 41 patients with ruptured MCA aneurysm with ICH who were treated with surgical clipping. Clinical factors such as gender, age, and initial Glasgow coma scale were assessed while radiological factors such as the volume and location of hematoma, the degree of a midline shift, and aneurysm size were considered retrospectively. Prognosis was evaluated postoperatively by Glasgow outcome scale. Results : Age and prognosis were correlated only in the groups with ICH over 31 mL or ICH at the frontal lobe or sylvian fissure. When initial mental status was good, only patients with ICH on the temporal lobe had a better prognosis. If the midline shift was less than 4.5 mm, the probability of better prognosis was 95.5% (21 of 22). If the midline shift was more than 4.5 mm, the probability of poor prognosis was 42.1% (8 of 19). Patients with ICH less than 31 mL had higher survival rates, whereas if the ICH was more than 31 mL, 41.2% (7 of 17) had a poor clinical pathway. Conclusion : Even if the initial clinical condition of the patient was not promising, by carefully examining and taking into account all factors, neurosurgeons can confidently recommend surgical treatment for these patients.

Effects of Capillary Rise Interruption Layer on Salt Accumulation and Kentucky Bluegrass (Poapratensis L.) Growth in Sand Growing Media Established Over the Reclaimed Saline Soil (임해 간척지에서 모래상토 층에 모세관수 차단 층의 도입이 염류 집적과 켄터키블루그래스 생육에 미치는 영향)

  • Rahayu, Rahayu;Yang, Geun-Mo;Choi, Joon-Soo
    • Proceedings of the Turfgrass Society of Korea Conference
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    • 2011.02a
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    • pp.5-8
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    • 2011
  • This research was conducted to determine the effect of capillary rise interruption layer on the sand based growing media when growing Kentucky bluegrass under soil reclamation and saline water irrigation. Rootzone profile consists of three layers as top soil of 30 cm, 20 cm of capillary interruption layer and 10 cm of reclaimed paddy soil. Rootzone profile was packed in column pots. The top soil was a mixture of sand dredged up from Lake Bhunam Tae Ahn, Korea and peat at the ratio of 95:5 by volume. Bottom part of column was covered with plastic net and the pots were soaked into 5 cm depth saline water reservoir with salinity $3-5dsm^{-1}$. Kentucky bluegrass was installed by sod and irrigated using $2dSm^{-1}$ saline water(5.7mm $day^{-1}$)in 3days interval. The results showed that the largest accumulation of salt in the spring with ECe of $5.4dSm^{-1}$ and SAR34.0 in rootzone with out capillary rise interruption layer and ECe of $4.6dSm^{-1}$ and SAR8.24 at rootzone using gravel as capillary rise interruption layer material. Kentucky bluegrass grown in growing media with gravel as capillary rise interruption layer resulted in the average visual quality rate of 8.1and clipping dry weight of $24.8gm^{-2}$, while Kentucky bluegrass grown in the growing media with out capillary rise interruption layer showed the visual quality rate of 7.9 and clipping dry weight of $34g.m^{-2}$. Capillary rise interruption layer of gravel and coarses and enhanced the visual quality by 4.1and 4.0%, root length by 50 and 38%, and root dryweight by 35and 17% of Kentucky bluegrass, and reduced the accumulation of Na by 16% and 25%, ECe by 7% and 13% in the rootzone.

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An Investigation into the Release of Chemical Oxygen Demand in Organic Filter Media (유기성 여재로부터 화학적 산소요구량 물질의 방출에 관한 연구)

  • Guerra, Heidi B.;Kim, Youngchul
    • Journal of Wetlands Research
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    • v.22 no.3
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    • pp.171-177
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    • 2020
  • To improve the nitrogen reduction capability of stormwater treatment systems subjected to intermittent saturation, organic materials are often added as filter media. However, these materials can be an additional source of organic carbon and increase the chemical oxygen demand (COD) in the outflow. In this study, different types of organic filter media were subjected to a batch leaching test to observe and quantify the release of COD. Results reveal that the initial pH of the tap water used for soaking which is 7.5-7.7 is conducive to the release of organics from the media to the leachate. The highest amount of COD released was observed in yard clippings and woodchip followed by compost and bark mulch. The leaching of organics also increased as the size of the media decreases due to higher surface area per volume. In addition, empirical regression analysis predicted that COD from these organic media will be exhausted from the material in 3-5 months to up to 26 months depending on the type of media. The results of this study can serve as a guide in estimating the potential release of COD in organic media in order to ensure their safe application in stormwater treatment facilities.

Effects of Salinity Level and Irrigation Rate on Kentucky Bluegrass (Poa pratensis L.) Growth and Salt Accumulation in Sand Growing Media Established Over the Reclaimed Saline Soil (염해지 토양을 기반으로 조성된 모래 지반구조에서 관수용수의 량 및 염농도에 따른 토양내 염류 집적과 켄터키 블루그래스의 생육에 미치는 영향)

  • Rahayu, Rahayu;Yang, Geun-Mo;Choi, Joon-Soo
    • Asian Journal of Turfgrass Science
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    • v.25 no.1
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    • pp.79-88
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    • 2011
  • The purpose of this study was to obtain information on rates and salinity levels of irrigation for growth of Kentucky bluegrass by minimizing the hazard of salt accumulation in the sand based growing medium. Root zone profile consists of 20 cm sand based top soil, 20 cm of coarse sand as layer to interrupt capillary rise and 10 cm of reclaimed paddy soil as a base of the root zone profile. Topsoil was a mixture of dredged sand and peat with a ratio of 95%: 5% by volume. The columns were soaked into 5 cm depth saline water reservoir with salinity level of 3-5 $dSm^{-1}$. Salinity levels of irrigation water were 0, 2 and 3 $dSm^{-1}$. Irrigation rates were 3.8, 5.7 and 7.6 mm $day^{-1}$ which were equivalent to 70%, 100% and 130% of average ET (evapotranspiration) rate of Kentucky bluegrass, and irrigation interval was 3 days. Salt accumulation was due to irrigated water and moved up water from shallow water base. At the end of second year, the accumulation of salt in the rootzone showed ECc of3.86, 4.7 and 5.1 $dSm^{-1}$, and SAR of 19.2, 23.9 and 27.5 when the salinities were 0, 2 and 3 dS $m^{-1}$, respectively. Irrigation rates of 100% and 130% of ET rate with saline water did not decrease ECe and SAR in growing media. The growth of KEG was influenced by irrigation rate in the $1^{st}$ year, however, salinity level was more critical in the $2^{nd}$ year. Compared to non-saline water, saline water of 2 and 3 dS $m^{-1}$ resulted in decreased visual quality by 3.2% and 16.5%, by 6.4% and 39.3% in clipping weight, and by 5.5% and 5.0% in root mass, respectively.

Changes of Physico-chemical Properties and Maturity Assessment during Composting of Turfgrass Clipping Types from the Golf Courses (골프장 잔디예초물 종류에 따른 퇴비화 과정 중 이화학성 변화와 부숙도 평가)

  • Ha, Seung Myung;Chang, Ki Woon;Han, Ki Pil;Hong, Joo Hwah;Lee, Jong Jin
    • Journal of the Korea Organic Resources Recycling Association
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    • v.13 no.4
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    • pp.89-99
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    • 2005
  • The golf courses more than about 200 are operating in Korea. From the golf courses, a great amount of turfgrass clippings tend to increase, steadily. Materials used in the experiment were Creeping Bentgrass(CB), Kentucky Bluegrass(KB), Korean Lawngrass(KL), rice bran and composted chicken drop. Treatments are CB, KB, and KL. The temperature during the composting of all treatments increased rapidly and reached at the highest temperature($57.9^{\circ}C$, $67.8^{\circ}C$, $74.3^{\circ}C$) within 20 days, and then stabilized to the range of $35.2{\sim}41.6^{\circ}C$ at the 30th day. The pH values of all treatments decreased on the first day. However, they were increased rapidly after three days and decreased again on 10~20 days. The pH values of all treatments at the final day were stabilized to the low alkali levels. The contents of total carbon during the period of composting tend to decrease and total nitrogen was increased for factor of reduction of volume. CEC value of all treatments during the period of composting tends to increase. The round paper chromatogram of extracted solution of KL sample was the sharpest and clearest among all treatments. The G.I. values of CB, KB, and KL in 30th day of composting were about 95.1, 77.7, and 98.7 in germination test using chinese cabbage, respectively. Conclusively, all turfgrass clippings used in this experiment were composted well, suitable as composting products standardized by KSC. The maturity of the final compost samples is best in KL, followed by CB and KB treatments. The turfgrass compost can contribute to the plant cultivation for environment-friendly farm, and the results of this study can become the basic data of turfgrass clippings compost. Further research on the mixing ratio of each material is required to produce compost of good quality.

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