• Title/Summary/Keyword: 동시 시행군

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Rectal Temperature Maintenance Using a Heat Exchanger of Cardioplegic System in Cardiopulmonary Bypass Model for Rats (쥐 심폐바이패스 모델에서 심정지액 주입용 열교환기를 이용한 직장체온 유지)

  • Choi Se-Hoon;Kim Hwa-Ryong;Paik In-Hyuck;Moon Hyun-Jong;Kim Won-Gon
    • Journal of Chest Surgery
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    • v.39 no.7 s.264
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    • pp.505-510
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    • 2006
  • Background: Small animal cardiopulmonary bypass (CPB) model would be a valuable tool for investigating path-ophysiological and therapeutic strategies on bypass. The main advantages of a small animal model include the reduced cost and time, and the fact that it does not require a full scale operating environment. However the rat CPB models have a number of technical limitations. Effective maintenance and control of core temperature by a heat exchanger is among them. The purpose of this study is to confirm the effect of rectal temperature maintenance using a heat exchanger of cardioplegia system in cardiopulmonary bypass model for rats. Material and Method: The miniature circuit consisted of a reservoir, heat exchanger, membrane oxygenator, roller pump, and static priming volume was 40 cc, Ten male Sprague-Dawley rats (mean weight 530 gram) were divided into two groups, and heat exchanger (HE) group was subjected to CPB with HE from a cardioplegia system, and control group was subjected to CPB with warm water circulating around the reservoir. Partial CPB was conducted at a flow rate of 40 mg/kg/min for 20 min after venous cannulation (via the internal juglar vein) and arterial cannulation (via the femoral artery). Rectal temperature were measured after anesthetic induction, a ter cannulation, 5, 10, 15, 20 min after CPB. Arterial blood gas with hematocrit was also analysed, 5 and 15 min after CPB. Result: Rectal temperature change differed between the two groups (p<0.01). The temperatures of HE group were well maintained during CPB, whereas control group was under progressive hypothermia, Rectal temperature 20 min after CPB was $36.16{\pm}0.32^{\circ}C$ in the HE group and $34.22{\pm}0.36^{\circ}C$ in the control group. Conclusion: We confirmed the effect of rectal temperature maintenance using a heat exchanger of cardioplegia system in cardiopulmonary bypass model for rats. This model would be a valuable tool for further use in hypothermic CPB experiment in rats.

The mathematical model of temperature dependent growth of Scuticociliate Miamiensis avidus in vitro and in vivo conditions (In vitro와 in vivo에서의 온도에 따른 스쿠티카충 성장의 수리 모델)

  • Oh, Chun-Young
    • Journal of fish pathology
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    • v.26 no.2
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    • pp.65-75
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    • 2013
  • Population growth equation of scuticociliate Miamiensis avidus was obtained from the experimental results of in vitro culture condition to estimate the growth rate and carrying capacity from the growth equation. In addition, intraperitoneal infections into olive flounder Paralichthys olivaceus were carried out into 2 different conditions: different concentrations of M. avidus in same water temperature and same concentration of M. avidus in different water temperatures. Olive flounder mortality was threshold dependent with both the temperature and M. avidus density parameters. In this paper, we propose a mathematical model to study M. avidus growth in olive flounder based upon the interactions between parasite and host. The mathematical model was logistic growth differential equation (1.2). The parameters were found with Matlab program through the Levenberge-Marquardt method. In theorem, equilibrium values between the infected fish population and dead population could found. Our equilibrium points were a stable equilibrium and an unstable equilibrium. From the equation (1.6), it was possible to predict the amount of cumulative mortality of olive flounder along with the time after M. avidus infection.

The Countermeasures of North Korea's Nuclear Weapon Terror (북한의 핵테러와 대응방안)

  • Kim, Sung Woo
    • Convergence Security Journal
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    • v.14 no.6_1
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    • pp.129-138
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    • 2014
  • South Korea should correspond to the primary threat to North Korea's nuclear weapons. It is necessary to have countermeasures to solve the realistic problems of North Korea's nuclear weapons. We can intensify military pact between the United States and Korea and at the same time strengthening the current military power. Currently, we take note the threat North Korea's missile. We can not control the development of a nuclear weapon and there are possibilities that North Korea have successfully miniaturized nuclear enough to carry by the missile. We should overview and check the Korea's missile defenses system. While the direction of the overall missile defense system deployment with a focus on lower and upper air defense network. And discuss defense research should be to build a system that can be protected with a key strategic facilities and cities. While North Korea have nuclear weapon, the main issues related to North Korea's nuclear threat. The six party talks countries try to solve the problem by the international and diplomatic approach. At the same time we should make somewhat to defend measures such as military defenses of Kill chain system to protect our country. Kill Chain is on of the effective defense system. We know that North Korea do not abandon to develop nuclear weapons by diplomatic efforts. We should performed in fact by a variety of military suppression method.

Dynamic Forecasting of Market Growth according to Portable Internet Carrier Licensing Policy (휴대인터넷 사업자 선정 정책에 따른 동태적 시장 예측과 함의)

  • 김종태;박상현;오명륜;김상욱
    • Proceedings of the Korean System Dynamics Society
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    • 2004.08a
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    • pp.87-107
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    • 2004
  • 우리나라에 이동통신이 처음 소개된 이래로 눈부신 발전을 거듭하여 왔으며, 급기야. 무선통신 서비스를 중심으로 새로운 성장력과 패러다임 전환의 가능성에 대한 전망을 논할 수 있는 수준이 되었다. 이러한 추세에 맞추어 휴대인터넷 시장에 대한 연구가 활발히 진행되고 있으며 국민경제적 효과변화나 시장 경쟁환경의 변화에 가장 영향을 미칠 수 있는 요인들 중, 사업자 수를 어떻게 선정할 것인가에 대해 다양한 접근이 시도되고 있다. 기존의 연구들은 휴대인터넷 시장을 분석하는데 있어 시장규모가 일방향으로 사업자 수에 영향을 미친다는 측면에서 이루어지고 있으며, 대부분 휴대인터넷 시장을 단일시장으로 범위를 한정하고 성장중인 시장을 정적으로 가정하여 시장성장 추이 분석 등에 주안점을 두는 단편적 연구가 수행되어져 왔다. 휴대인터넷 시장의 단편적 분석이 아닌 '모바일인터넷' , '초고속유선인터넷', '무선인터넷', '휴대인터넷' 등 네 가지 영역을 동시에 고려함으로써 영역간 복잡성과 동적인 관계 속에서 시장이 성장해 나아간다는 가정을 바탕으로, 시장에 내재되어 있는 관련요소간 상호영향과 신규정책 및 제도적 변화 수용에 있어 발생하는 시간적 공간적 지연 등을 고려한 동태적 분석을 수행하였다. 연구를 수행하기 위해 다양한 변수간의 인과관계, 피드백 구조와 시간흐름에 따른 시스템의 변화를 파악하는데 매우 유용한 도구인 시스템다이내믹스 기법을 활용하여 휴대 인터넷 시장의 동적인 구조를 알아보고 사업자 선정정책의 시행을 앞두고 있는 현재시점에서 의미있는 시사점을 제공하였다.시하고자 한다.채취하여 임신진단키트(제네디아프로테 트, 녹십자)를 이용하여 임신여부를 1차적으로 확인하였다. 과배란을 유기한 13두의 공란우중 9두(69.2%)가 과배란 반응을 나타내었으며, 회수된 수정란 51개중 이식가능수정란은 38개(74.5%) 였다. 발정동기화를 유도한 수란우 40두중에서 35두(87.5%)가 발정이 동기화되었으며, 그 중 황체검사를 통하여 30두의 수란우에 수정란을 이식하였다. 수정란이식후 13일(발정주기 21일)에 혈액을 이용한 임신진단에서 농가별 수태율은 각각 37.5%, 70.0%, 60.0% 및 71.4% 로서 평균 60.0%를 나타내었다.서 39$^{\circ}C$, 5% $CO_2$ 배양기에 48시간 배양하면서 생존여부를 판단하였다. 실험 2에서 확장배반포배 수정란이 25.3%의 생존율을 나타내었으며, 실험 1과 실험 3에서는 수정란의 형태와 관계없이 생존성을 확인할 수 없었다. 이상의 결과로 보아 glycerol 완만동결에서는 확장배반포기 수정란 이상이 보존가능한 것으로 추정되나 더 추가적인 연구가 요구된다.c kinase 활성의 변동은 정소 내 간충조직, 세정관 상피의 증식 및 기능적 분화 과정을 매개하는 생리적 활성분자 수용체 하위의 신호전달 과정에 Src-Csk loop에 의한 조절가능성을 확인할 수 있었다.rugrene의 향기성분이 주요 성분군으로 확인되었다. 2. 생강나무에서 생강의 향기를 발산하는 성분으로는 $\beta$-myrcene, o-terpinolene, phellandrone, ι-limonene, $\b

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Reconstruction of Hard Palatal Defect using Staged Operation of the Prelaminated Radial Forearm Free Flap (부분층 피부이식으로 전판상화된 전완유리피판을 이용한 경구개 결손의 재건)

  • Choi, Eui Chul;Kim, Jun Hyuk;Nam, Doo Hyun;Lee, Young Man;Tak, Min Sung
    • Archives of Craniofacial Surgery
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    • v.11 no.1
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    • pp.53-57
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    • 2010
  • Purpose: The radial forearm fasciocutaneous free flap is currently considered as the ideal free flap for reconstruction of mucosal and soft tissue defects of the palate. But the availability of stably attached oral and nasal mucosal lining is needed. In addition to this, for better operation field, operating convenience and esthetics, we planned a prelaminated radial forearm free flap. Methods: A 64-year-old male patient was admitted due to a $4{\times}4.5cm$ full through defect in the middle of the hard palate caused by peripheral T cell lymphoma with actinomycosis. In the first stage, the radial forearm flap was elevated, tailored to fit the hard palate defect, and then it positioned up-side down with split thickness skin graft. Two weeks later, the prelaminated radial forearm free flap was re-elevated and transferred to the palatal defect. One side covered with grafted skin was used to line the nasal cavity, and the other side (the cutaneous portion of the radial forearm flap) was used to line the oral cavity. Results: The prelamination procedure was relatively easy and useful. The skin graft was well taken to the flap. After 2nd stage operation, the flap survived uneventfully. There was no prolapse of the inset flap into the oral cavity and the cutaneous portion of the flap was mucosalized. The procedure was very successful and the patient can enjoy normal rigid diet and speech. Conclusion: The use of prelaminated radial forearm free flap for hard palate reconstruction is an excellent method to restore oral function. Based upon the result of this case, microvascular free flap transfer with prelaminated procedure is a valid alternative to the prosthetic obturator for palatal defect that provides an improved quality of life. It should be considered as an integral component of head and neck cancer therapy and rehabilitation.

A Case of Patient with Non-Small Cell Lung Carcinoma Treated with Samchilchoongcho-Jung in Conjunction with Crizotinib (비소세포성 폐암환자의 Crizotinib과 삼칠충초정 병용투여 경과관찰 1례)

  • Ha, Su jeong;Song, Si yeon;Park, So-jung;Jeon, Hyung-joon;Lee, Yeon-weol;Cho, Chong-kwan;Yoo, Hwa-seung
    • Journal of Korean Traditional Oncology
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    • v.23 no.1
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    • pp.23-32
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    • 2018
  • Objective: The purpose of this study is to report the case of a patient with non-small cell lung adenocarcinoma (NSCLC) with anaplastic lymphoma kinase (ALK) mutation treated by Samchilchoongcho-Jung in conjunction with Crizotinib. Methods: An NSCLC patient diagnosed with multiple pleural and lymph nodes metastasis has been taking Crizotinib (500 mg/day) since January 2014. The patient has been treated with Samchilchoongcho-Jung (1,500 mg/day) since June 2014. The tumor size was measured by computed tomography (CT) and laboratory analysis was conducted. Adverse events were evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0. Results: After combining treatment, stable disease was shown on CT. The tumor marker (CEA, Cyfra 21-1) levels were maintained. NCI-CTCAE 5.0 showed no adverse events. Conclusion: This case study suggests that Samchilchoongcho-Jung may contribute to tumor response, in conjunction with Crizotinib on the treatment of patients with NSCLC.

The Research Trend and Social Perceptions Related with the Tap Water in South Korea (수돗물 이용에 대한 국내 연구동향과 사회적 인식)

  • Kim, Ji Yoon;Do, Yuno;Joo, Gea-Jae;Kim, Eunhee;Park, Eun-Young;Lee, Sang-Hyup;Baek, Myeong Su
    • Korean Journal of Ecology and Environment
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    • v.49 no.3
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    • pp.208-214
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    • 2016
  • We analyzed research trend and public perception related with tap water to identify major factors affecting low consumption of tap water. 805 research articles were collected for text mining analysis and 1,000 on-line questionnaires were surveyed to find social variables influencing tap water intake. Based on the word network analysis, research topics were divided into 4 major categories, 1) drinking water quality, 2) water fluoridation, 3) residual chlorine, and 4) micro-organism management. Compared with these major research topics, scientific studies of drinking behavior, or social perception were rather limited. 22.4% of total respondents used tap water as drinking water source, and only 1% drank tap water without further treatments (i.e. boiling, filtering). Experience of quality control report (B=0.392, p=0.046) and level of policy trust (B=1.002, p<0.0001) were influential factors on tap water drinking behavior. Age (B=0.020, p=0.002) and gender (B= - 1.843, p<0.0001) also showed significant difference. To increase the frequency of drinking the tap water by social members, the more scientific information of tap water quality and the water policy management should be clearly shared with social members.

Eradication Effect of Penicillin Administration on the Asymptomatic Infections of Group A Streptococci (A군 연쇄구균 무증상 감염자에서 페니실린 투여 후 세균제거 효과에 대한 조사)

  • Jung, Hyun-Ju;Kim, Seon-Ju
    • Pediatric Infection and Vaccine
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    • v.5 no.2
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    • pp.215-220
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    • 1998
  • Purpose : Asymptomatic infections with positive throat culture for group A beta-hemolytic streptococci(GABHS) and high antistreptolysin O(ASO) concentration may lead to sequelae such as rheumatic fever or acute poststreptococcal glomerulonephritis. Children with asymptomatic infections were treated with oral penicillin V to evaluate the effectiveness of penicillin treatment on the asymptomatic infections. Methods : Throat culture and ASO concentration analysis were performed against healthy elementary school children. Thirty-six children with positive throat culture for GABHS and ASO concentrations of 400 IU/mL or more were divided into two groups. Twenty-two children were treated with oral penicillin V for 10 days, and the others were not treated. Eradication rate of GABHS and the change of ASO concentration between the two groups were compared after one month later. Results : Eradication rates of GABHS between treated and untreated children were 91%(20/22) and 50%(7/14) respectively(P<0.05). Children showing elevation of ASO levels more than 100IU/mL were 22%(4/18) in the treated group and 30%(3/10) in the untreated group, while children showing a decrease of more than 200IU/mL in the ASO level were 44%(8/18) and 40%(4/10) respectively. Conclusion : We confirmed the validity of penicillin treatment, because when we treated the asymptomatic children with penicillin V, the GABHS was eradicated effectively. But there was no significant difference of decrease in the ASO levels between the two groups due to long half-life of ASO or poor compliance. Treatment failure was 22% in terms of elevated ASO levels after penicillin treatment.

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Diagnostic Significance of the Delta Neutrophil Index and Other Conventional Parameters in Neonatal Bacteremia (신생아 균혈증에서 Delta Neutrophil Index의 진단적 의의)

  • Koh, Il Doo;Jeon, Ihn Soo;Kim, Hwang Min
    • Pediatric Infection and Vaccine
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    • v.24 no.1
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    • pp.1-6
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    • 2017
  • Purpose: We investigated the effectiveness of the delta neutrophil index (DNI) for the prediction of neonatal bacteremia and compared it to other indices. Methods: A total of 146 pediatric patients, aged less than 31 days, admitted to the neonatal intensive care unit of Wonju Severance Christian Hospital with fever before or during hospitalization were enrolled in this study. We divided the patients into two groups based on the existence of neonatal bacteremia and performed blood culture tests on both groups. We examined white blood cell count, absolute neutrophil count, DNI, platelet count, and C-reactive protein (CRP) test. We used a receiver operating characteristic (ROC) curve to evaluate their diagnostic significance. Results: Seventy-seven patients were diagnosed with neonatal bacteremia. The mean gestational age was 38.74 weeks and the mean birth weight was 3.20 kg. The mean gestational age of the control group was 33.34 weeks and the mean birth weight was 2.20 kg. Causative organisms of bacteremia included Staphylococcus aureus (n=22), Staphylococcus epidermidis (n=18), and Streptococcus agalactiae (n=8). Both DNI and CRP were significantly associated with neonatal bacteremia after adjusting for gestational age and birth weight. The area under the ROC curve (AUC) for DNI (0.70) was higher than that for CRP (0.68). Conclusions: The DNI can be used to effectively predict neonatal bacteremia. The prediction will be more accurate if DNI is used in conjunction with other indices. In future, it will be useful to compare DNI with other indices and investigate its relationship with prognosis.

A Clinical Evaluation of Tuberculous Pleurisy -Report of 52 Cases (결핵성 흉막염 환자의 임상적 고찰)

  • Choe, Hyeong-Ho;Kim, Chang-Nam;Jeong, Hae-Dong
    • Journal of Chest Surgery
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    • v.30 no.8
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    • pp.793-802
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    • 1997
  • A clinical analysis was performed on 52 cases of tuberculous pleurisy experienced in the department of thoracic and cardiovascular surgery and department of medicine, Chosun University Hospital during a period from Jan. 1994 to Dec. 1995. Among them, male was 39 cases, female was 13 cases, with age ranged from 7 to 73 years. The common symptoms were chest pain 75%, dyspnea 59.6%, cough 55.8%. The most common diagnostic tool was pleural biopsy. The protein levels in the tuberculous pleural effusion were 0.9∼6.5 gmojo, and ratios of effusion protein to serum protein were 0.48 ∼ 1.06. The glucose levels in the tuberculous pleural effusion were 37∼ 112 mg%. The LDH levels in the tuberculous pleural effusion were 80 ∼ 2440 unitlml, and ratios of tuberculous p eural effusion LDH to serum LDH were 0.48 ∼ 1.03. The ADA levels in the tuberculous pleural effusion were 24-63 lU/L. The common surgical methods of treatment in the tuberculous pleurisy were closed thoracostomy in 18 cases(66.7%), and thoracentesis in 5 cases(18.5%). This study compares the clinical results of group A and group B. There were no significant differences for age and sex, lag period from initial symptoms to admission, diagnostic method, and protein, pH, LDH, glucose, ADA levels in tuberculous pleural effusion. Authors noted that the discharge after admission on the tuberculous pleurisy was more faster in patients with surgical treatment than in patients with only medical treatment. (Korean J Thorac Cardiovasc Surg 1997;30:793-802)

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