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      • KCI등재

        An approach to evaluate groundwater recharge from streamflow and groundwater records

        Wen-Jui Kung,Hsin-Fu Yeh,Hung-I Lin,Wei-Ping Chen,Cheng-Haw Lee 한국지질과학협의회 2013 Geosciences Journal Vol.17 No.3

        To assess groundwater recharge, this study provided a composite method combining the recession-curve-displacement method and water-table fluctuation method. First, the initial recharge reference value was determined using the water-table fluctuation method. The corresponding groundwater discharge was then determined from the recharge reference value using the recession-curve-displacement method. Furthermore, the recession segment of the match between groundwater discharge and streamflow was computed. The recharge reference value was repeatedly adjusted to achieve a good fit with the recession segment for groundwater discharge and streamflow, thereby attaining the final groundwater recharge using the proposed method. Finally, the groundwater recharge of the Lanyang Creek basin in Taiwan was estimated as a case study. A comparison of recession-curve-displacement method and proposed composite method are presented. Estimation results show that the number of recharge events, recharge timing of these events, groundwater recharge events that satisfy recession theory, and range of transmissivity can be obtained using the proposed composite method. Comparison results demonstrate that the number of groundwater recharge events obtained with the composite method was greater than that acquired with the recession-curve-displacement method. However, the annual recharge and seasonal recharge obtained with the recession-curve-displacement method and composite method were close.

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        Therapeutic Efficacy of Urethral Sphincter Injections of Platelet- Rich Plasma for the Treatment of Stress Urinary Incontinence due to Intrinsic Sphincter Deficiency: A Proof-of-Concept Clinical Trial

        Yuan-Hong Jiang,Ping-Jui Lee,Hann-Chorng Kuo 대한배뇨장애요실금학회 2021 International Neurourology Journal Vol.25 No.1

        Purpose: The aim of this study was to investigate the efficacy of autologous platelet-rich plasma (PRP) in the treatment of stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) refractory to medical treatment. Methods: Thirty-five patients with SUI due to urodynamically proven ISD were prospectively enrolled. Five milliliters of PRP (2.5–5 times the platelet concentration in peripheral blood) was injected into the external sphincter at 5 sites; all patients received 4 injections at monthly intervals. The primary end-point was the change in SUI severity as assessed by a visual analogue scale (VAS of SUI). The secondary-endpoints were the Global Response Assessment score and changes in urodynamic parameters from baseline to 3 months after treatment. Results: The mean age of patients was 68.7±12 years; the median duration of SUI was 4 years. Five patients had neurogenic SUI, while 30 had nonneurogenic SUI (21 with postprostatectomy incontinence, 6 with previous radical cystectomy, and 3 with other etiologies). Complete dryness was achieved in 7 patients (20.0%) while moderate improvement was observed in 14 (40.0%). The mean VAS of SUI score decreased significantly from 6.57±1.89 to 3.77±2.41 after treatment. The abdominal leak point pressure (ALPP) increased significantly from 98.3±55.8 to 157.3±79.3 cm H2O. There was no increase of ALPP in neurogenic SUI and less increase of ALPP in patients with failed treatment outcomes. No perioperative adverse events or severe complications occurred. Conclusions: Urethral PRP injection is safe and effective in increasing urethral resistance and improving SUI. PRP could be an alternative treatment modality for male and female patients with moderate SUI due to nonneurogenic causes.

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