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Non-Operative Management of Traumatic Gallbladder Bleeding with Cystic Artery Injury: A Case Report

  • Kim, Tae Hoon
    • Journal of Trauma and Injury
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    • v.34 no.3
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    • pp.208-211
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    • 2021
  • Gallbladder injuries are rare in cases of blunt abdominal trauma and are usually associated with damage to other internal organs. If the physician does not suspect gallbladder injury and check imaging studies carefully, it may be difficult to distinguish a gallbladder injury from gallbladder stone, hematoma, or bleeding. Therefore, in order not to miss the diagnosis, the clinical findings and correlation should be confirmed. In the present case, a 60-year-old male presented to a local trauma center complaining of pain in the upper right quadrant and chest wall following a motor vehicle collision. Abdominal computed tomography (CT) showed a hepatic laceration and hematoma in the parenchyma in segments 4, 5, and 6 and active bleeding in the lumen of the gallbladder. Traumatic gallbladder injuries generally require surgery, but in this case, non-operative management was possible with cautious follow-up consisting of abdominal CT and angiography with repeated physical examinations and hemodynamic monitoring in the intensive care unit.

Adaptive Antenna Muting using RNN-based Traffic Load Prediction (재귀 신경망에 기반을 둔 트래픽 부하 예측을 이용한 적응적 안테나 뮤팅)

  • Ahmadzai, Fazel Haq;Lee, Woongsup
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.4
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    • pp.633-636
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    • 2022
  • The reduction of energy consumption at the base station (BS) has become more important recently. In this paper, we consider the adaptive muting of the antennas based on the predicted future traffic load to reduce the energy consumption where the number of active antennas is adaptively adjusted according to the predicted future traffic load. Given that traffic load is sequential data, three different RNN structures, namely long-short term memory (LSTM), gated recurrent unit (GRU), and bidirectional LSTM (Bi-LSTM) are considered for the future traffic load prediction. Through the performance evaluation based on the actual traffic load collected from the Afghanistan telecom company, we confirm that the traffic load can be estimated accurately and the overall power consumption can also be reduced significantly using the antenna musing.

Merging, Recoiling, or Slingshotting of Supermassive Black Holes in a Red AGN 1659+1834

  • Kim, Dohyeong;Im, Myungshin
    • The Bulletin of The Korean Astronomical Society
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    • v.46 no.1
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    • pp.31.1-31.1
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    • 2021
  • We report the Gemini Multi-Object Spectrograph (GMOS) Integral Field Unit (IFU) observation of a red active galactic nucleus (AGN), 2MASSJ165939.7+183436 (1659+1834). 1659+1834 is a prospective merging supermassive black hole (SMBH) candidate due to its merging features and double-peaked broad emission lines. The double-peaked broad emission lines are kinematically separated by 3000 km/s, with the SMBH of each component weighing at 10^8.9 and 10^7.1 solar mass. Our GMOS IFU observation reveals that the two components of the double-peaked broad emission line are spatially separated by 0.085" (~250pc). In different assumptions for the line fitting, however, a null (<0.05") or a larger spatial separation (~0.15") are also possible. For this GMOS IFU observational results of 1659+1834, various models can be viable solutions, such as the disk emitter and multiple SMBH models. We believe that these results show the need for future research of finding more multiple SMBH systems in red AGNs.

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The Effects of the Instructional Use of Materials Around Everyday Life on Science Academic Achievement: Focused on the Third and Sixth - Grade Level (생활 주변 자료 활용 수업이 학업성취도에 미치는 효과)

  • 김정길;남철우;김석중;송판섭;한광래;최도성;문두석
    • Journal of Korean Elementary Science Education
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    • v.20 no.1
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    • pp.45-57
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    • 2001
  • The purpose of this study is to guide and apply gettable and accessible materials around everyday life into classroom instruction, and to find out their effects on student academic achievement. In order to achieve it, this study was tried to develop and guide available materials around life in teaming activities, to provide a preliminary assignment that could apply the available materials, and to compare its academic achievement to one from field trip loaming. For the hypothesis testing, first, the experimental and comparing classes were selected based on the results of basic learning diagnostic evaluation, which conducted by the researcher being served as a full-time science teacher of the third and sixth grade of K elementary school in Kwangju for 2 years. Secondly, the instructional use of the available materials around life was applied to the experimental class. Also, the instructional use of the existing materials was applied to the comparing class. Finally, for the testing of the effects on academic achievement, the posterio test was implemented after conducting the experimental instruction in knowledge·understanding, inquiry process, and attitude domains classified by the unit characteristics. Using SPSS/WIN program the t-test was performed in order to compare the differences between the two groups. Major findings were as follows: 1) In the achievement test of knowledge·understanding domain, there were no significant differences at the 5% level between the experimental and comparing classes. It could be difficult to say, therefore, that the instructional use of the available materials around life was more effective than the instructional use of the existing materials. However, it had some effects on differences between the third grade final achievement test and sixth grade experimental class. 2) In the achievement test of inquiry process domain, there were some significant differences in that the sixth grade experimental class was higher than the third grade out-of classroom experience unit. It was indicated that the instructional use of the available materials around life had some effects on improving the students' inquiry ability 3) In achievement test of attitude domain, there were some significant differences. It was shown that the self-evaluation test of the sixth grade experimental class unit was higher than that of the third grade out-of classroom experience unit; Especially, the learning activities in the experimental class were more active, and the experimental practice ability was improved. It was presented that the instructional use of the available materials around life had some effects on the students' academic achievement in attitude domain. It was concluded from this study that the instructional use of the available materials around life was less effective on Knowledge understanding domain, but was effective on improving their scientific inquiry ability and interest on science education.

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Effects of CoRe-based Density Unit Lesson on Conceptual Formation and Class Satisfaction (CoRe에 기반한 밀도 개념 수업이 개념형성과 수업만족도에 미치는 영향)

  • Kim, Eun-Young;Choi, Byung-Soon
    • Journal of Science Education
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    • v.37 no.1
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    • pp.221-232
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    • 2013
  • The purpose of this study was to examine the effect of the CoRe-based density unit class on conceptual formation and on learner satisfaction with the class. For this study, two hundred and forty 8th grade students were chosen from six classes. The students were divided into two groups: an experimental group, which received a CoRe-based density unit lesson, and a control group, which was taught based on traditional teaching method. The CoRe-based density unit classes consisted of 4 periods based on the analysis of the previous studies on CoRe about density. The results showed the meaningful significant difference between the CoRe-based classes and the classes based on traditional teaching method both in the posttest on the extent of the conceptual formation on the density and in the retention test. The difference suggests that the lesson with CoRe is based on the consideration of the difficulties and limitations students face in various fields such as the students themselves, teachers, learning environment, evaluation, etc. during their learning process and even in the types of preconception they have, and the CoRe-based lesson is centered around the best teaching strategies to solve such difficulties. As a result of the analysis on the experimental group's class satisfaction, it is revealed that the students with a high level of attitudes related science or with a high level of science achievement showed especially high satisfaction in their learning. Analysis of questionnaire survey showed that the students in the experimental group got the opportunity through CoRe-based lesson to stretch their thoughts and ideas in a free way and preferred a teaching method which didn't just show the concept, but allowed them to find it for themselves or which let them predict the solution and then confirm the result on their own and a lesson which encouraged their active participation.

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Surface Display of Bacillus CGTase on the Cell of Saccharomyces cerevisiae (Saccharomyces cerevisiae에서 Bacillus CGTase의 표층발현)

  • Kim Hyun-Chul;Lim Chae-Kwon;Kim Byung-Woo;Jeon Sung-Jong;Nam Soo-Wan
    • Journal of Life Science
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    • v.15 no.1 s.68
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    • pp.118-123
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    • 2005
  • For the expression in Saccharomyces cerevisiae, Bacillus stearothermophilus cyclodextrin glucano­transferase gene (cgtS) in pCGTS (4.8 kb) was subcloned into the surface expression vector, pYD1 (GALl promoter). The constructed plasmid, pYDCGT (7.2 kb) was introduced into S. cerevisiae EBY100 cells, and then yeast transformants were selected on the synthetic defined media lacking tryptophan. The formation of cyclodextrin (CD) was confirmed with active staining of culture broth of transformant grown on starch medium. Enzymatic reaction products with respect to the culture time and the reaction time were examined by TLC analysis. The results indicated that the enzyme activity was exhibited after 12 h cultivation and CD was produced after 10min of enzymatic reaction. When the surface-engineered yeast cells were cultured on galactose medium, maximum activities of CGTase were about 21.3 unit/l and 16.5 unit/l at $25^{\circ}C\;and\;30^{\circ}C$, respectively. The plasmids stability showed about $80\%\;even\;at\;25^{\circ}C\;and\;30^{\circ}C$.

Identification of Substrate Specificity Determinant of Achromobacter Protease I (API) and Catalytic Activity of Mutant D225E for Ornithine Substrate (Achromobacter Protease I (API)의 기질특이성 결정기의 동정과 변이체[D225E]의 Ornithine 기질에 대한 촉매활성)

  • Lim, Seong-Il;Kwon, Oh-Jin;Choi, Cheong
    • Applied Biological Chemistry
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    • v.40 no.3
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    • pp.189-195
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    • 1997
  • The structural basis of Iysine specificity of Achromobacter protease I (API) was investigated by means of site-directed mutagenesis. The precursor protein in which Glu190, one of the two candidates for determining Iysine specificity, was substituted by glutamine, aspartic acid or leucine was processed autocatalytically to attaln full pretense activity with lysine specificity. The substitution of the other candidate, Asp225, for asparagine or leucine produced no mature active forms of pro-API. The precursor protein of the mutant D225E slowly matured autocatalytically. The lysylendopeptidase activity of the mature D225E was 0.25% of that of native API, and this reduced activity is mainly due to a decrease in the affinity of the enzyme for lysine. These results suggest that Asp225 plays a critical rol in restricted substrate specificity as a lysylendopeptidase. However, D225E exhibited no measurable activity for synthetic ornithine substrate. Since the hydroxyl group of Ser194 in this mutant retained essentially the same reactivity to DFP or PMSF as that in native API, it can be noted that a methylene unit longer side chain of residue 225 is not compensated by a methylene unit shorter side chain at subsite P1 in the bound substrate.

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An Investigation of Emission of Particulate Matters and Ammonia in Comparison with Animal Activity in Swine Barns (양돈사 내 동물 활동도에 따른 암모니아 및 미세먼지 배출농도 특성 분석)

  • Park, Jinseon;Jeong, Hanna;Lee, Se Yeon;Choi, Lak Yeong;Hong, Se-woon
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.6
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    • pp.117-129
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    • 2021
  • The movement of animals is one of the primary factors that influence the variation of livestock emissions. This study evaluated the relationship between animal activity and three major emissions, PM10, PM2.5, and ammonia gas, in weaning, growing, and fattening pig houses through continuous monitoring of the animal activity. The movement score of animals was quantified by the developed image analysis algorithm using 10-second video clips taken in the pig houses. The calculated movement scores were validated by comparison with six activity levels graded by an expert group. A comparison between PMs measurement and the movement scores demonstrated that an increase of the PMs concentrations was obviously followed by increased movement scores, for example, when feeding started. The PM10 concentrations were more affected by the animal activity compared to the PM2.5 concentrations, which were related to the inflow of external PM2.5 due to ventilation. The PM10 concentrations in the fattening house were 1.3 times higher than those in the weaning house because of the size of pigs while weaning pigs were more active and moved frequently compared to fattening pigs showing 2.45 times higher movement scores. The results also indicated that indoor ammonia concentration was not significantly influenced by animal activity. This study is significant in the sense that it could provide realistic emission factors of pig farms considering animal's daily activity levels if further monitoring is carried out continuously.

Optimizing Fat Grafting Using a Hydraulic System Technique for Fat Processing: A Time and Cost Analysis

  • Verdura, Vincenzo;Guastafierro, Antonio;Di Pace, Bruno;Faenza, Mario;Nicoletti, Giovanni Francesco;Rubino, Corrado
    • Archives of Plastic Surgery
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    • v.49 no.2
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    • pp.266-274
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    • 2022
  • Background Many authors have researched ways to optimize fat grafting by looking for a technique that offers safe and long-term fat survival rate. To date, there is no standardized protocol. We designed a "hydraulic system technique" optimizing the relationship among the quantity of injected fat, operative time, and material cost to establish fat volume cutoffs for a single procedure. Methods Thirty-six patients underwent fat grafting surgery and were organized into three groups according to material used: standard, "1-track," and "2-tracks" systems. The amount of harvested and grafted fat as well as material used for each procedure was collected. Operating times were recorded and statistical analysis was performed to establish the relationship with the amount of treated fat. Results In 15 cases the standard system was used (mean treated fat 72 [30-100] mL, mean cost 4.23 ± 0.27 euros), in 11 cases the "1-track" system (mean treated fat 183.3 [120-280] mL, mean cost 7.63 ± 0.6 euros), and in 10 cases the "2-tracks" one (mean treated fat 311[220-550] mL, mean cost 12.47 ± 1 euros). The mean time difference between the standard system and the "1-track" system is statistically significant starting from three fat syringes (90 mL) in 17.66 versus 6.87 minutes. The difference between the "1-track" system and "2-tracks" system becomes statistically significant from 240 mL of fat in 15 minutes ("1-track") versus 9.3 minutes for the "2-tracks" system. Conclusion Data analysis would indicate the use of the standard system, "1-track," and "2-tracks" to treat an amount of fat < 90 mL of fat, 90 ÷ 240 mL of fat, and ≥ 240 mL of fat, respectively.

A Estimation Study on Water Integration Management Model using Water-Energy-Food-Carbon Nexus - Focused on Yeongsan River - (물-에너지-식량-탄소 넥서스를 이용한 통합물관리 모델 평가 연구 - 영산강 수계를 중심으로 -)

  • Na, Ra;Park, Jin-hyeon;Joo, Donghyuk;Kim, Hayoung;Yoo, Seung-Hwan;Oh, Chang-Jo;Lee, Sang-hyun;Oh, Bu-Yeong;Hur, Seung-oh
    • Journal of Korean Society of Rural Planning
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    • v.29 no.1
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    • pp.37-49
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    • 2023
  • Active attention and effort are needed to develop an integrated water management system in response to climate change. In this study, it proposed models for cross-use of agricultural water and river maintenance water using sewage treatment water as an integrated water management system for the Yeongsan River. The impact of the integrated water management models was assessed by applying the concept of Nexus, which is being presented worldwide for sustainable resource management. The target year was set for 2030 and quantitatively analyzed water, energy, land use and carbon emissions and resource availability index by integrated water management models was calculated by applying maximum usable amount by resource. An integrated water management system evaluation model using the Nexus concept developed in this study can play a role that can be viewed in a variety of ways: security and environmental impact assessment of other resources. The results of this research will be used as a foundation for the field of in the establishment of a policy decision support system to evaluate various security policies, as we analyzed changes in other factors according to changes in individual components, taking into account the associations between water, energy, food, and carbon resources. In future studies, additional sub-models need to be built that can be applied flexibly to changes in the future timing of the inter-resource relationship components.