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Prognosis in the Patients with Prolonged Extracorporeal Membrane Oxygenation

  • Kim, Tae-Hun;Lim, Cheong;Park, Il;Kim, Dong-Jin;Jung, Yo-Chun;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • v.45 no.4
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    • pp.236-241
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    • 2012
  • Background: Prolonged usage of extracorporeal membrane oxygenation (ECMO) may induce multi-organ failure. This study is aimed to evaluate prognostic factors in the patients with ECMO. Also, the prognosis of ECMO with Kidney Injury Network Scoring system is studied. Materials and Methods: From May 2005 to July 2011, 172 cases of ECMO were performed. The cases of perioperative use of ECMO were excluded. Renal failure patient and younger than 15 years old one were also excluded. As a result, 26 cases were enrolled in this study. Male patients were 15 (57.7%), and mean age was $56.57{\pm}17.03$ years old. Demographic data, ECMO parameters, weaning from ECMO, and application of continuous renal replacement therapy are collected and Acute Kidney Injury Network (AKIN) scores were evaluated just before ECMO and day 1, day 2 during application of ECMO. Results: Venoarterial ECMO was applied in 22 cases (84.6%). The reasons for applications of ECMO were cardiac origin in 21 (80.8%), acute respiratory distress syndrome in 4, and septic shock in 1 case. Successful weaning from ECMO was achieved in 15 cases (57.7%), and survival discharge rate was 9 cases (34.6%). Mean duration of application of ECMO was $111.39{\pm}54.06$ hours. In univariate analysis, myocarditis was independent risk factors on weaning failure. Using the receiver operating characteristic curve, level of hemoglobin on 24 hours after ECMO, and base excess on 48 hours after ECMO were showed more than 0.7. AKIN score was not matched the prognosis of the patients with ECMO. Conclusion: In our study, the prognosis of the patients with myocarditis was poor. Hemoglobin level at first 24 hours, and degree of acidosis at 48 hours were useful methods in relating with prognosis of ECMO. AKIN scoring system was not related with the prognosis of the patients. Further study for prognosis and organ injury during application ECMO may be needed.

Colostrum Management and Use in Domestic Dairy Farms (국내 낙농가의 초유관리와 이용)

  • Jeong, Seok-Geun;Ham, Jun-Sang;Kim, Dong-Hun;Chae, Hyun-Seok;You, Young-Mo;Jang, Ae-Ra;Kwon, Il-Kyung;Lee, Seung-Gyu
    • Journal of Animal Science and Technology
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    • v.51 no.2
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    • pp.163-170
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    • 2009
  • Colostrum provide a complete diet for the newborn calves. In ruminants, colostrum is also the sole source of initial acquired immunity for the offspring. Colostrum, therefore, plays an important role in ruminants host defense. Bovine colostrum imparts passive immunity to newborn calves during the first 24h of life and generally has been fed for the first 3 days after birth. Colostrum can be preserved conveniently for future use by brief refrigeration, freezing, or storage at ambient temperatures (fermentation or chemical treatment). Colostrum management were surveyed via data collection from 67 dairy farms in Gyeonggi and Chungnam provinces. After parturition for five days the total amount of produced colostrum was 80.4 kg on average, and the average amount of lactation fed to a calf was 20.9 kg. According to the survey results, identified treatment methods for surplus colostrum are as follows; disposal 17.9%, other calf feeding 37.3%, storage 22.4%, other livestock feeding 20.9% and other treatment 1.5%. For improvement in the quality of colostrum, there must be controlled usage of medicines (such as antibiotics) before and after parturition, proper choices of milk-drying agents, and increased milking yields during the early stage of the milking period.

Change of the Land Use in Yanji city of China in the Connection with Urbanization Process (도시화에 따른 중국 연길시 토지이용의 변화)

  • Li, Mingyu
    • Journal of the Korean association of regional geographers
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    • v.12 no.2
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    • pp.323-337
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    • 2006
  • This thesis aims to study Change of the Land Use in Yanji city since the reformation and opening of China in the Connection with Urbanization Process. This study is based on Landsat image and maps and data related to topography, urban planning basic, the cadastral map were employed. Softwares such as Arcview3.3, ArcGis8.0 were used. The result of the research is as follows. It clearly appears that there have decreased in the ratio of agricultural areas since the increase in other urban usage of land. There has greatly increased in residential, commercial and industrial areas. Such as the capitalist and market economic city the highest point of city land price emerged in downtown of the old city center. In addition spatial pattern of land price is unusually quite different from the western city in its pattern of land price surface declining tendency between the highest land price and the lowest land price. The land price surface shows irregular patterns with increase of distance from downtown due to various urban developments. According to the land price distribution map, it is possible to guess spatial development of the city that the north-eastern part of Yanji was developed prior to south-western area. The center of the city, or downtown expanded to eastward, and the city expanded to south-westward out skirt. Along the main road, Xin-xing areas developed toward east and west ward.

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Preliminary Analyses of the Deep Geoenvironmental Characteristics for the Deep Borehole Disposal of High-level Radioactive Waste in Korea (고준위 방사성폐기물 심부시추공 처분을 위한 국내 심부지질 환경특성 예비분석)

  • LEE, Jongyoul;LEE, Minsoo;CHOI, Heuijoo;KIM, Geonyoung;KIM, Kyungsu
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.14 no.2
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    • pp.179-188
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    • 2016
  • Spent fuels from nuclear power plants, as well as high-level radioactive waste from the recycling of spent fuels, should be safely isolated from human environment for an extremely long time. Recently, meaningful studies on the development of deep borehole radioactive waste disposal system in 3-5 km depth have been carried out in USA and some countries in Europe, due to great advance in deep borehole drilling technology. In this paper, domestic deep geoenvironmental characteristics are preliminarily investigated to analyze the applicability of deep borehole disposal technology in Korea. To do this, state-of-the art technologies in USA and some countries in Europe are reviewed, and geological and geothermal data from the deep boreholes for geothermal usage are analyzed. Based on the results on the crystalline rock depth, the geothermal gradient and the spent fuel types generated in Korea, a preliminary deep borehole concept including disposal canister and sealing system, is suggested.

Benefits of Using Light : Study on Effect of LED Emblem for Pregnant Women (빛을 활용한 배려: 임산부 LED 엠블럼의 효과 연구)

  • Oh, Hee-Kyoung
    • Science of Emotion and Sensibility
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    • v.19 no.4
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    • pp.33-40
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    • 2016
  • The purpose of this study is to improve social protection and benefits for pregnant women with the usage of LED care emblem. The study was conducted in the Seoul Metro by two research assistants on January 20th to 30th, 2015. One of subjects wore the LED care emblem and the other was present to record the data. An experiment was carried out total 60 times by wearing LED care emblem in 2 positions ((a) necklace and (b) bag), and 3 usages of Light ((1) Constant light, (2) No light which is like existing care emblem, and (3) blinking light at one-second intervals). Experimental results show there was a significant difference depending on the type of light. Mostly seat offering was the type of light (1) Constant light and it has 8 times (13.4%). The type of light (3) blinking light at one-second intervals has only 2 times (3.4%) seat offering. However, there were no seat offerings at the type of light (2) No light. Meanwhile, there were no significant differences in wearing position, time, the number of people in the train and gender. This study suggests that it is necessary to make LED care emblem with constant light in order to induce spontaneous seat offering.

An Analysis of the Economic Effects for the IoT Industry (사물인터넷 산업의 경제적 파급효과 분석)

  • Jeong, Woo-Soo;Kim, Sa-Hyuk;Min, Kyoung-Sik
    • Journal of Internet Computing and Services
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    • v.14 no.5
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    • pp.119-128
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    • 2013
  • As ICT technology becomes advanced, the importance of future internet is emphasized and in part of that, M2M (Machine-to Machine communications) is magnified in terms of importance and usage in public and private sector. M2M is emerging as a next generation strategic industry but there is no existing analyzed data or market classification, so it disrupts establishing policies on the M2M industry. As the technology is progressing, the evolution from M2M to IoT (Internet of Things) has started and many countries actively try to find technological trend through market analysis in order to develop new growth engine. Therefore, in order to strengthen competitiveness, we should secure differentiated capabilities in industry and service. This article examines Korea's domestic market and international market trends in IoT and analyses the economic impact of the IoT industry using quantitative methodology and evaluates relations between the IoT industry and other relevant industries. As a result, the effect of IoT industry on production inducement is KRW474.6 billion; the effect on value-added inducement is KRW314.7 billion; and it is measured that 3,628 jobs will be created by the IoT industry.

A Study on the Selection Method of Subject Parcel to Alter Land Category by Fuzzy GIS Analysis - Focused on Road State of Government Owned and Public Land - (퍼지 GIS 공간분석에 의한 지목변경 대상필지 선정방법에 관한 연구 - 국공유지 도로현황을 중심으로 -)

  • Cho, Tae-In;Choi, Byoung-Gil
    • Journal of Korean Society for Geospatial Information Science
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    • v.19 no.3
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    • pp.57-66
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    • 2011
  • The purpose of this study is to research into a method of selecting the subject parcel with a change in the category of land given surveying the land alteration state focusing on the present state of road in the government-owned and public land by using the fuzzy membership function and GIS spatial analysis. It selected the old town center of Incheon Jung-gu, and the new downtown & the forest land of Gyeyang-gu as the research subject region, and carried out GIS spatial analysis on a serial cadastral map, urban planning road layer of Korea Land Information System, practical width of road layer of Road Name Address Management System & cadastral data base, and then calculated the suitable index for the subject parcel with a change in the category of land by using the fuzzy membership function with having the critical value as the area ratio of each parcel on a serial cadastral map that was incorporated into road layer or practical width of road layer. It finally selected the parcel, which is different in land category from the real land usage, as the final subject parcel for altering land category, by using the screen of visualizing the suitable index and the aerial ortho photograph. As a result of the final selection, the fuzzy GIS spatial analysis method, which was suggested in this study, is judged to be efficient in the selection period and the methodology compared to the existing manual method. It could be confirmed to be more suitable method for downtown than forest land and for the new downtown than the old town center.

Study on Validity of SDLRS Instrument for Evaluation of Life-Long Outcome (평생학습 학습성과 평가를 위한 자기주도학습 준비도 검사도구(SDLRS)의 타당성 연구)

  • Han, Ji-Young
    • Journal of Engineering Education Research
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    • v.11 no.4
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    • pp.64-75
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    • 2008
  • The purpose of the study was to verify reliability and validity of SDLRS instrument and to prove up possibility of usage as an evaluation method for evaluating life-long learning. Literature review and survey were used to accomplish objectives of the study. 218 students in department of mechanical engineering of A university at Gyunggi province were responded for SDLRS(Guglielmino, 1977) instrument. Data were analyzed using descriptive statistics, factor analysis, t-test, and ANOVA test. 58 items in original version instrument were converted to 23 items. There were 7 factors for assessing the self-directed learning readiness according to this measurement scale with a total variance of about 58%. The total reliability of the final 23 items was $\alpha$. The final 7 factors consisted of love for learning, openness for learning, self-perception, basic learning function and independence, acceptance of responsibility for learning, leadership and future directivity, and creativity and exploration. The result of SDLRS analysis according to individual background, there were significant statistically in the grade, period of employment in industry, entering graduate school or not, and GPA, but no significant statistically in sexual difference, employment in industry or not, final academic level of parent, and income level of the family. In the future, final instrument will be needed to check in the respect of correlation with another ability and skill influencing on life-long learning, and more study will be done for developing life-long learning.

Improvement in Legislative Assessment of the Environmental Conservation Value Assessment Map Considering the Restriction on Acts of Special-Purpose Areas (용도 지역 행위 제한을 고려한 국토환경성평가지도 법제적 평가 개선)

  • Yang, Hyun-Jae;Kim, Geun-Han;Yoon, Jeong-Ho;Jun, Chul-Min;Lee, Eun-Jung;Hwang, So-Young
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.21 no.1
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    • pp.13-30
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    • 2018
  • In terms of environmental friendly land use and objective environmental assessment, legislative assessment items of Environmental Conservation Value Assessment Map (ECVAM) consists of designated areas related to conservation and protection, and areas that are planned to be designated in the future. However, the gap with the reality due to omission of several protection areas and land use regulations, and assessment grades according to 3 division land use map of forest, agricultural land, and urbanized area, results in low application and utilization of ECVAM. Therefore in this study, the legislative assessment of the ECVAM was performed with new assessment items and its new ratings, to suggest an improvement in legislative assessment items of the ECVAM. As a result, legally protected areas of inhabited islands under absolute conservation, special wildlife protection districts, protected marine areas, environmental preservation sea areas, scenic spots, forest protection zone, traditional temple preservation zone, and 45 zone or district related to regulation of land use were additionally designated as new legislative assessment items. New grade ratings were given to each additional assessment items in consideration of the restrictions on acts. As a result of the legislative assessment based on the new assessment items and new grades, the 1st grade area increased by 3.47%, and the 2nd grade area increased by 19.35%. The 3rd grade area decreased by 8.54%, the 4th grade area increased by 2.95%, and 5th grade increased by 2.91%. In addition, the out-of-grade area decreased by 20.14%, considered to be a realistic assessment based on land use. With the improved legislative assessment, it is possible to provide a more accurate environmental assessment map. Increase usage of ECVAM is expected in providing regulations of land use and base data for integrated land management of land environmental planning.

Comparison of Nutrient Components and Physicochemical Properties of General and Colored Potato (일반감자와 유색감자의 영양성분 및 이화학적 특성 비교)

  • Jang, Hye-Lim;Hong, Ju-Yeon;Kim, Nam-Jo;Kim, Min-Ha;Shin, Seung-Ryeul;Yoon, Kyung-Young
    • Horticultural Science & Technology
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    • v.29 no.2
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    • pp.144-150
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    • 2011
  • This study was conducted to investigate the nutrient components and physicochemical properties of general ('Superior') and colored potato. Proximate composition, reducing sugar, free sugars, free amino acids, organic acids, minerals were analyzed, and Hunter color values were measured in the study. 'Rose' and 'Blue' (colored potatoes) contained high levels of reducing sugar, and total free sugar content was greatly different according to varieties. Glutamic acid, arginine and ${\gamma}$-aminobutyric acid were detected to be the three major amino acids in colored potato, and the major organic acids of general potato were oxalic acid, tartaric acid, malic acid and citric acid. All potato contained high level of potassium, calcium and magnesium. The Hunter 'L' value was the highest in 'Jaseo'; Hunter 'a' value was high in 'Blue' and 'Jasim'; Hunter 'b' value was the highest in 'Haryoung'. Overall, colored potato had higher amount of nutrients and physicochemical properties than 'Superior'. Therefore, colored potatoes are expected to be highly valuable items for the development and applications of a functional food. In addition, these results will provide fundamental data for improving sitological value, breeding of new cultivar and promoting of roughage usage.