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Cheng-Shang Lee,Chun-Chieh Wu,Tai-Chi Chen Wang,Russell L. Elsberry 한국기상학회 2011 Asia-Pacific Journal of Atmospheric Sciences Vol.47 No.3
Typhoon Morakot (2009) produced 2855 mm of rain and was the deadliest typhoon to impact Taiwan with 619 deaths and 76missing persons, including a landslide that wiped out an entire village. While Morakot did not exceed the heaviest 24-h rain record,the combination of heavy rain and long duration that led to the record accumulation is attributed to the southwest summer monsoon influence on the typhoon. Thus, a special combination of factors was involved in the Morakot disaster: (i) Strong southwesterly monsoon winds; (ii) Convergence between the typhoon circulation and monsoon flow to form an east-west oriented convective band over the Taiwan Strait that was quasi-stationary and long-lasting; (iii) A typhoon in a specific location relative to the Central Mountain Range and moving slowly; and (iv) Steep topography that provided rapid lifting of the moist air stream. The contributions of each of these four factors in leading to the Morakot disaster are reviewed primarily based on new research presented at the International Conference on Typhoon Morakot (2009). Historical data sets, new Doppler radar observations, and numerical modeling have advanced the understanding of the special conditions of monsoon-influenced typhoons such as Morakot. This research is also leading to modifications of existing and development of new forecasting tools. Gaps in scientific understanding, limits to the predictability, and requirements for advanced forecast guidance tools are described that are challenges to improved warnings of these extreme precipitation and flooding events in monsoon-influenced typhoons.
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Hui-Chung Teng,Huei-Lung Liang,Yih-Huie Lin,Jer-Shyung Huang,Chiung-Yu Chen,Shang-Chieh Lee,Huay-Ben Pan 대한영상의학회 2013 Korean Journal of Radiology Vol.14 No.2
Objective: To evaluate the clinical efficacy as well as long-term clinical outcomes of superselective microcoil embolization for lower gastrointestinal bleeding (LGIB). Materials and Methods: Between 1997 and 2009, 26 patients with intended transcatheter embolotherapy for LGIB were retrospectively reviewed. Embolization was performed only when the catheter could be advanced to or distal to the mesenteric border of the bowel. The main purpose of our study was to assess technical success, recurrent bleeding rate and complications. We also evaluated the long-term clinical outcome, including late recurrent LGIB, bowel ischemia and the survival rate. Results: Twenty-two bleeding sources were in the territory of superior mesenteric artery and four in the inferior mesenteric artery. Technical success was achieved in 22 patients (84.6%). The target vessel of embolization was vasa recta in seventeen patients and marginal artery in the remaining five patients. Early rebleeding occurred in two patients (7.7%) and bowel ischemia in two patients, of whom the embolized points were both at the marginal artery. Delayed recurrent bleeding (> 30 days) occurred in two angiodysplasia patients. Five patients (19.2%) died within the first 30 days of intervention. Long-term follow-up depicted estimated survival rates of 58.2 and 43.1% after one, and five years, respectively. Conclusion: Transcatheter embolotherapy to treat LGIB is effective with low rebleeding and ischemic complications. Considering the advanced age and complex medical problems of these patients, the minimal invasive embolotherapy may be used as both a primary and potentially definitive treatment of LGIB.
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