• 제목/요약/키워드: ADM

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신규 항암제 DA-125의 물질연구 및 약리연구

  • 양중익;김원배;김기성;류항묵
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1993년도 제2회 신약개발 연구발표회 초록집
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    • pp.36-36
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    • 1993
  • DA-125의 분광학적, 물리화학적, 물리적 특성을 규명하고 HPLC 및 Bioassay에 의한 정량법을 개발하였다. DA-125는 용액중에서 pH의존적 안정성을 나타내었으며, 원말의 안정성은 상대습도에 의한 영향을 크게 받았다. DA-125의 합성수율은 약 10% 향상되었으며, 연구용 시료는 약 72g을 합성하였다. DA-125는 ADM 내성암주에 대해서도 상대적으로 매우 강한 세포독성을 나타냈으며, in vivo애서도 ADM보다 우수한 종양성장억제율과 연명율을 나타내었고 특히 장기생존수에서 ADM 투여군에서는 생존예가 없는 반면 DA-125 투여군에서는 7/8이 생존하는 우수한 결과를 나타냈다. DA-125의 일반약리작용은 ADM과 유사하였으나 작용은 보다 경미하였다.

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광대역 신호전송을 위한 Digital ADM에 관한 연구 (Study on the Digital ADM for Expanding the Frequency Range)

  • 이윤현;김정선
    • 한국통신학회논문지
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    • 제5권1호
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    • pp.54-59
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    • 1980
  • 電話信號에 대하여 syllabic companding 과 비슷한 變形된 ADM을 論하였다. 入力과 歸還回路를 포함한 大部分의 回路에 digital 技法을 사용함으로 DM의 IC化가 용이 하게 된다. 廣帶域 ADM의 slope over load 最適化, 安定化, SNR에 對하여 解析하였고 實驗 結果 周波數帶域이 改善됨을 確認하였다.

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수지 첨부 손상에서 피부이식을 동반하지 않은 무세포 진피조직의 사용 (Application of acellular dermal matrix without skin graft in fingertip injury)

  • 이동휘;강재경
    • Journal of Medicine and Life Science
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    • 제15권1호
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    • pp.23-26
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    • 2018
  • The most common surgical repair method for fingertip injuries are replantation, flap coverage, and skin graft. In fingertip injury cases, acellular dermal matrix (ADM) is generally used in a two-stage operation. In the present case, only ADM was used in a 67-year-old male patient with a right fifth fingertip injury. The patient was undergoing chemotherapy after surgery for colon cancer, preventing prolonged hospitalization. In addition, wound healing was likely to be problematic. As a typical surgical method might have been difficult to apply in such a patient, we performed a one-stage operation, using only ADM on the injured area. Postoperative followup for 3 months showed good wound healing. Accordingly, we report a successful treatment outcome using ADM alone for a fingertip injury.

Daily Serum Collection after Acellular Dermal Matrix-Assisted Breast Reconstruction

  • Caputo, Glenda Giorgia;Franchini, Zeno;Maritan, Monia;Pozza, Edoardo Dalla;Vigato, Enrico;Tedeschi, Umberto;Governa, Maurizio
    • Archives of Plastic Surgery
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    • 제42권3호
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    • pp.321-326
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    • 2015
  • Background The acellular dermal matrix (ADM)-assisted breast reconstruction technique is widely known, but discouraging results due to early postoperative complications have been reported. As the literature identifies seroma as the most common issue after breast surgery without identifying its pathogenesis, we aimed to report the trend of postoperative daily serum collection after ADM-assisted breast reconstruction and compare it with data in the literature in order to discover more about this little-known topic. Methods A retrospective study on 28 consecutive patients who received ADM-assisted breast reconstruction between February 2013 and February 2014 was performed. In order to reduce the number of variables that could affect serum production, only one brand of ADM was used and all tissues were handled gently and precisely. The daily drainage volume was recorded per patient during the first four days of hospitalization. Likewise, postoperative complications were noted during routine follow-up. Results In total, five (17.9%) bilateral and 23 (82.1%) unilateral ADM-assisted breast reconstructions (33 implants) were performed. The mean age, body mass index, and length of hospital stay were 53.6 years, $21.3kg/m^2$, and 4.5 days, respectively. One major complication led to implant loss (3.0%), and nine minor complications were successfully treated with ambulatory surgery (27.3%). Serum collection linearly decreased after 24 hours postoperatively. Conclusions Daily drainage decreased following the theoretical decline of acute inflammation. In concordance with the literature, daily serum production may not be related to the use of ADM.

Meshed Acellular Dermal Matrix for Two-Staged Prepectoral Breast Reconstruction: An Institutional Experience

  • Luo, Jessica;Willis, Rhett N. Jr;Ohlsen, Suzanna M.;Piccinin, Meghan;Moores, Neal;Kwok, Alvin C.;Agarwal, Jayant P.
    • Archives of Plastic Surgery
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    • 제49권2호
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    • pp.166-173
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    • 2022
  • The introduction of acellular dermal matrix (ADM) to breast reconstruction has allowed surgeons to reexplore the prepectoral implant placement technique in postmastectomy breast reconstruction. Our institution adopted a novel approach using meshed ADM to lessen the financial burden of increased ADM utilization with the prepectoral breast reconstruction. This is a retrospective, single-center review of two-stage prepectoral breast reconstruction using meshed human-derived ADM for anterior prosthesis coverage. Patient demographics, oncologic data, perioperative characteristics, and complications were examined and reported as means with standard deviations. Cost-saving with the meshed technique was evaluated. Forty-eight patients (72 breasts) with a mean age of 48.5 ± 15.0 years (range 26-70 years) were included in the study. The mean follow-up time was 13.2 ± 4.4 months (range 4.1-25.8 months). Nineteen breasts (24.6%) experienced complications, with seromas being the most common complication (12.5%, n = 9). Expander removal and reoperation occurred at a rate of 8.3 and 9.7%, respectively. The average time to drain removal was 18.8 ± 6.6 days (range 8-32 days). Meshed ADM provided an average cost savings of $6,601 for unilateral and $13,202 for bilateral reconstructions. Our study found that human-derived meshed ADM can be safely used in two-staged prepectoral tissue expander-based breast reconstruction and can result in significant cost savings.

Comparing Complications of Biologic and Synthetic Mesh in Breast Reconstruction: A Systematic Review and Network Meta-Analysis

  • Young-Soo Choi;Hi-Jin You;Tae-Yul Lee;Deok-Woo Kim
    • Archives of Plastic Surgery
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    • 제50권1호
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    • pp.3-9
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    • 2023
  • Background In breast reconstruction, synthetic meshes are frequently used to replace acellular dermal matrix (ADM), since ADM is expensive and often leads to complications. However, there is limited evidence that compares the types of substitutes. This study aimed to compare complications between materials via a network meta-analysis. Methods We systematically reviewed studies reporting any type of complication from 2010 to 2021. The primary outcomes were the proportion of infection, seroma, major complications, or contracture. We classified the intervention into four categories: ADM, absorbable mesh, nonabsorbable mesh, and nothing used. We then performed a network meta-analysis between these categories and estimated the odds ratio with random-effect models. Results Of 603 searched studies through the PubMed, MEDLINE, and Embase databases, following their review by two independent reviewers, 61 studies were included for full-text reading, of which 17 studies were finally included. There was a low risk of bias in the included studies, but only an indirect comparison between absorbable and non-absorbable mesh was possible. Infection was more frequent in ADM but not in the two synthetic mesh groups, namely the absorbable or nonabsorbable types, compared with the nonmesh group. The proportion of seroma in the synthetic mesh group was lower (odds ratio was 0.2 for the absorbable and 0.1 for the nonabsorbable mesh group) than in the ADM group. Proportions of major complications and contractures did not significantly differ between groups. Conclusion Compared with ADM, synthetic meshes have low infection and seroma rates. However, more studies concerning aesthetic outcomes and direct comparisons are needed.

Differential transform method and Adomian decomposition method for free vibration analysis of fluid conveying Timoshenko pipeline

  • Bozyigit, Baran;Yesilce, Yusuf;Catal, Seval
    • Structural Engineering and Mechanics
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    • 제62권1호
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    • pp.65-77
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    • 2017
  • The free vibration analysis of fluid conveying Timoshenko pipeline with different boundary conditions using Differential Transform Method (DTM) and Adomian Decomposition Method (ADM) has not been investigated by any of the studies in open literature so far. Natural frequencies, modes and critical fluid velocity of the pipelines on different supports are analyzed based on Timoshenko model by using DTM and ADM in this study. At first, the governing differential equations of motion of fluid conveying Timoshenko pipeline in free vibration are derived. Parameter for the nondimensionalized multiplication factor for the fluid velocity is incorporated into the equations of motion in order to investigate its effects on the natural frequencies. For solution, the terms are found directly from the analytical solution of the differential equation that describes the deformations of the cross-section according to Timoshenko beam theory. After the analytical solution, the efficient and easy mathematical techniques called DTM and ADM are used to solve the governing differential equations of the motion, respectively. The calculated natural frequencies of fluid conveying Timoshenko pipelines with various combinations of boundary conditions using DTM and ADM are tabulated in several tables and figures and are compared with the results of Analytical Method (ANM) where a very good agreement is observed. Finally, the critical fluid velocities are calculated for different boundary conditions and the first five mode shapes are presented in graphs.

Selective Demodulation Scheme Based on Log-Likelihood Ratio Threshold

  • Huang, Yuheng;Dong, Yan;Jo, Minho;Liu, Yingzhuang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권4호
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    • pp.767-783
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    • 2013
  • This paper aims at designing a selective demodulation scheme based on Log-likelihood Ratio threshold (SDLT) instead of the conventional adaptive demodulation (ADM) scheme, by using rateless codes. The major difference is that the Log-likelihood ratio (LLR) threshold is identified as a key factor to control the demodulation rate, while the ADM uses decision region set (DRS) to adjust the bit rate. In the 16-QAM SDLT scheme, we deduce the decision regions over an additive white Gaussian channel, corresponding to the variation of LLR threshold and channel states. We also derived the equations to calculate demodulation rate and bit error rate (BER), which could be proven by simulation results. We present an adaptation strategy for SDLT, and compare it with ADM and adaptive modulation (AM). The simulation results show that our scheme not only significantly outperforms the ADM in terms of BER, but also achieves a performance as good as the AM scheme. Moreover, the proposed scheme can support much more rate patterns over a wide range of channel states.

A New Product Risk Model for the Electric Vehicle Industry in South Korea

  • CHU, Wujin;HONG, Yong-pyo;PARK, Wonkoo;IM, Meeja;SONG, Mee Ryoung
    • 유통과학연구
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    • 제18권9호
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    • pp.31-43
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    • 2020
  • Purpose: This study examined a comprehensive model for assessing the success probability of electric vehicle (EV) commercialization in the Korean market. The study identified three risks associated with successful commercialization which were technology, social, policy, environmental, and consumer risk. Research design, methodology: The assessment of the riskiness was represented by a Bayes belief network, where the probability of success at each stage is conditioned on the outcome of the preceding stage. Probability of success in each stage is either dependent on input (i.e., investment) or external factors (i.e., air quality). Initial input stages were defined as the levels of investment in product R&D, battery technology, production facilities and battery charging facilities. Results: Reasonable levels of investment were obtained by expert opinion from industry experts. Also, a survey was carried out with 78 experts consisting of automaker engineers, managers working at EV parts manufacturers, and automobile industry researchers in government think tanks to obtain the conditional probability distributions. Conclusion: The output of the model was the likelihood of success - expressed as the probability of market acceptance - that depended on the various input values. A model is a useful tool for understanding the EV industry as a whole and explaining the likely ramifications of different investment levels.

다형샘종 제거 후 발생한 연구개 점막 결손의 무세포 동종 진피기질을 이용한 재건 1례 (Use of Acellular Allogenic Dermal Matrix in Soft Palate Reconstruction after Excision the Pleomorphic Adenoma)

  • 이재성;임길채;김정홍;강재경;신명수;윤병민
    • 대한두경부종양학회지
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    • 제35권1호
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    • pp.21-23
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    • 2019
  • Recent studies have reported on the reconstruction of oral mucosal defects using acellular dermal matrix (ADM). This case report describes the reconstruction of a soft-palate mucosal defect using ADM. A 43-year-old man developed a $2.5cm{\times}3cm$ soft-palate mucosal defect after the removal of a lump on the soft palate andreconstructed the defect using ADM without further complications. Reconstruction of the soft palate with ADM could be more convenient than traditional methods including primary closure, skin graft, and local or free flap without complications.