• Title/Summary/Keyword: IV method

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Successful local use of heparin calcium for congested fingertip replants

  • Kadota, Hideki;Imaizumi, Atsushi;Ishida, Kunihiro;Sashida, Yasunori
    • Archives of Plastic Surgery
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    • v.47 no.1
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    • pp.54-61
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    • 2020
  • Background Conventional methods of external bleeding for congested fingertip replants exhibit notable problems, including uncontrollable bleeding and unpredictable survival of the replant. We have added a local injection of heparin calcium to the routine use of systemic heparinization for inducing external bleeding. We retrospectively examined patients who underwent external bleeding using our method. Methods Local subcutaneous injections of heparin calcium were made in 15 congested replants in addition to systemic heparinization. Each injection ranged from 500 to 5,000 U. The average duration of the injections was 4.1 days. Surgical outcomes were analyzed and compared with a control group of patients who underwent external bleeding without heparin calcium. Results The overall survival rate was 93.3%, which was higher than that of the control group (83.3%), but the difference was not statistically significant (P=0.569). The survival rate for subzones I and II by the Ishikawa subzone classification was 100%, whereas it was 87.5% in subzones III and IV. No statistically significant difference was observed. The rate of partial necrosis was 0% in subzones I and II, whereas it was significantly higher (66.7%) in subzones III and IV (P=0.015). The mean total blood loss via external bleeding was 588 g in 10 fingers. No patients required blood transfusion. Conclusions Congestion of a replanted fingertip can be successfully managed without blood transfusion by our method. Although complete relief from congestion in replants in subzones I and II is achievable, there is a higher risk of partial necrosis in subzones III and IV.

The Impact of Foreign Ownership on the Dividend and Investment Behaviors of Korean Firms (한국기업의 배당과 투자에 대한 외국인 투자자의 영향력 연구)

  • Kang, Shin Ae;Min, Sang Kee
    • International Area Studies Review
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    • v.14 no.2
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    • pp.79-105
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    • 2010
  • This paper investigates empirically the impact of foreign investors on a firm's dividend and investment decision making in Korean stock market. Empirical results using the sample firms in non-financial firms listed in Korean stock market whose settlement month are December, we find that foreign investors who declared participation in management didn't exert significant impact on dividend increase. In the case of investment, foreign investors exerts significant impact on R&D investments. Using Hausman-Taylor Instrumental Variable method, we controlled endogeneity problem related with foreign ownership and dividend and investment policy. The contribution of this paper is that the purpose of foreign investors whether or not participate in management is the most critical point and the impacts of foreign investors on dividends and investment are different whether they participate in management or not.

An Analysis of Stress Transfer Behaviors within the Necrotic Cancellous Bone following Surgical Procedures or the Management of the Osteonecrosis of the Femoral Head (대퇴골두 무혈성 괴사증의 수술적 기법 적용 후 괴사 망상골 내에서의 응력 변화 해석)

  • Kim, J.S.;Lee, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.245-248
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    • 1997
  • Operative interventions for the management of osteonecrosis of the femoral head (ONFH) include core drilling, with or without vascularized fibular bone grafting. Nevertheless, their clinical results have not been consistently satisfactory. Recently, a new surgical procedure that incorporates cementation with polymethylmethacrylate (PMMA) after core drilling has been tried clinically. In this study, a biomechanical analysis using a finite element method(FEM) was undertaken to evaluate surgical methods and their underlying surgical parameter. Our finite element models included five types. They were (1) normal model (Type I), (2) necrotic model (Type II), (3) core decompressed model (Type III). (4) fibular bone grafted model (Type IV), and (5) cemented with PMMA model (Type V). The geometric dimensions of the femur were based on digitized CT-scan data of a normal person. Various physiological loading conditions and surgical penetration depths by the core were used as mechanical variables to study their biomechanical contributions in stress transfer within the femoral head region. In addition. the peak von Mises stress(PVMS) within the necrotic cancellous bone of the femoral head was obtained. The fibular bone grafted method and cementation method provided optimal stress transfer behaviors. Here. substantial increase in the low stress level was observed when the penetration depth was extended to 0mm and 5mm from the subchondral region. Moreover, significant decrease in PVMS due to surgery was observed in the fibular bone grafted method and the cementation method when the penetration depths were extended up to 0 and 5mm from the subchondral region. The drop in PVMS was greater during toe-off than during heel-strike (57% vs. 28% in Type IV and 49% vs. 22% in Type V). Both the vascularized fibular bone grafting method (Type IV) and the new PMMA technique (Type V) appear to be very effective in providing good stress transfer and reducing the peak Von-Mises stress within the necrotic region. Overall results show that fibular bone grafting and cementation methods are quite similar. In light of above results, the new cementation method appears to be a promising surgical alternative or the treatment of ONFH. The use of PMMA for the core can be less prone to surgical complication as opposed to preparation of fibular bone graft and can achieve more immediate fixation between the core and the surrounding region.

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Clinical Analysis of the Belsey Mark IV Operation in Hiatal Hernia with Gastroesophageal Reflux and Achalasia (위 식도 역류를 가진 열공 헤르니아 환자와 식도 무이완증 환자에서 시행한 Belsey Mark IV 수술의 임상적 고찰)

  • 최영호;조원민;류세민;황재준;손영상;김학제;김광택
    • Journal of Chest Surgery
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    • v.35 no.3
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    • pp.217-222
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    • 2002
  • Background: The incidence of gastroesophageal reflux disease(GERD) is increasing recently, but medical management for GERD has many limitations. Therefore, variable surgical treatments have been introduced. Material and Method: A retrospective study was done in 10 patients who underwent the Belsey Mark IV operation at Korea university Guro hospital between 1996 and 2001. Preoperative diagnoses were hiatal hernia with gasroesophageal reflux in 8 patients and achalasia in 2 patients. Result: Mean age of the patients was 54.3$\pm$19.0 years. Belsey Mark IV operation was performed on patients where preoperative medical failed and mean hospital days were 13.1$\pm$2.6 days. We routinely practiced follow-up endoscopy on postoperative 3rd, 6th, 9th, and 12th months. After remission for reflux and esophagitis, they were transferred to internal medicine department. Six patients of hiatal hernia with reflux (one patient who lost follow-up and the other patient who didn't practice the follow-up endoscopy due to short postoperative follow-up period were excluded) had lowered endoscopic gradings and two patients of achalasia did not complained of reflux symptoms, postoperatively. We experienced 10% operation failure rate. Conclusion: We experienced satisfactory operation results with Belsey Mark IV in hiatal hernia with GERD and achalasia patients.

Multiple Regression Analysis to Determine the Reservoir Classification in the Empirical Area-Reduction Method (경험적 면적감소법을 위한 저수지 분류에 관한 연구)

  • 권오훈
    • Water for future
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    • v.10 no.1
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    • pp.95-100
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    • 1977
  • The empirical area-reduction method by W.M. Borland and C.R. Miller and its revised procedure by W.T. Moody were made of fitting the area and storage curves to the Van't Hul distributions. It should be noted that the reservoir is classified into one of the four standard types on the basis of the topographical feature of the reservoir in application of the method. In other words, this method did not take into account several considerafble factors affecting the mode of sediment deposition, but only the shape of the reservoir as a governign factor. This is why the method occasionally creates ambiguity in classification and accordingly leads to unexpected mode of deposition. This paper describes a generating an formula to decide the standard classification of four types Van's Hul distributions, taking into consideration quantitatively sediment-loss percent and capacity-inflow ratio as well as the shape of the reservoirs by multiple regression analysis using the least square method to get a better fit to the design curves. The result is expressed as $Y=-1.95+55.8X_1+0.14X_2+0.12X_3$ in which the the values of Y locate the standard type I through type IV in the range from ten to forty with the interval of ten. The regression analysis was correlated well with the standard errors of estimate of around two except for the case of the type IV. This formula does not give big difference from the Borland's work in general sityation, but it demonstrates acceptable results, giving somewhat precise replys for the specific reservoirs. Its application to the Soyang Lake, one of the largest reservoirs in the country, defined clearly the type II, while the original method located it in the boundary of the type II and type III.

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Development of Ceramic Composite Membranes for Gas Separation: IV. Permeation Characteristics of ${\gamma}$-Alumina Membranes (기체분리용 세라믹 복합분리막의 개발 : IV. ${\gamma}$-알루미나 분리막의 투과 특성)

  • 현상훈;강범석;최두진
    • Journal of the Korean Ceramic Society
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    • v.29 no.12
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    • pp.970-980
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    • 1992
  • ${\gamma}-alumina$ membranes were prepared by sol-gel dip coating or pressurized coating of boehmite sols on slipcasted ${\gamma}-alumina$ support tubes. The particle size of sols synthesized via the modified Yoldas-method could be controlled below 5 mn according to the mole ratio of nitric acid/aluminumtri-sec-butoxide (0.07~1.0). The reproducible crack-free composite membranes were produced by the 2nd dip coating or the pressurized coating technique using very stable sols with the particle size of 45 nm. Nitrogen gas permeability through the top-layer in the composite membrane was about $70~55{\times}10^{-7}\;mol/m^2{\cdot}s{\cdot}Pa$. The thermal stability of the top layer was proved to be good enough upto the heat-treatment temperature of $500^{\circ}C$.

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Ferromagnetic Semiconductors: Preparation and Properties

  • 조성래
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2003.03a
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    • pp.19-19
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    • 2003
  • The injection of spins into nonmagnetic semiconductors has recently attracted great interest due to the potential to create new classes of spin-dependent electronic devices. A recent strategy to achieve control over the spin degree of freedom is based on dilute ferromagnetic semiconductors. Ferromagnetism has been reported in various semiconductor groups including II-Ⅵ, III-V, IV and II-IV,-V$_2$, which will be reviewed. On the other hand, to date the low solubility of magnetic ions in non-magnetic semiconductor hosts and/or low Curie temperature have limited the opportunities. Therefore the search for other promising ferromagnetic semiconducting materials, with high magnetic moments and high Curie temperatures (Tc), is of the utmost importance. In this talk, we also introduce new pure ferromagnetic semiconductors, MnGeP$_2$ and MnGeAs$_2$, exhibiting ferromagnetism and a magnetic moment per Mn at 5K larger than 2.40 ${\mu}$B. The calculated electronic structures using the FLAPW method show an indirect energy gap of 0.24 and 0.06 eV, respectively. We have observed spin injection in MnGeP$_2$ and MnGeAs$_2$ magnetic tunnel junctions through semiconducting barriers.

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Calculation of Pressure Profiles in a Molecular Flow Regime using LTSpice IV

  • Choi, Won-Shik;Kang, Kun-Uk;Kim, Se-Hyun;Park, Chongdo
    • Applied Science and Convergence Technology
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    • v.25 no.4
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    • pp.67-72
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    • 2016
  • This article describes an electrical network analysis (ENA) method to calculate the pressure distribution of a vacuum system in a molecular flow regime. The vacuum system was modeled using electrical components. For an accurate analysis, a complexly combined pipe model, excluding entrance conductance, was employed and the pressure distribution was simulated using ENA. A vacuum system comprising three vacuum pumps was used for simplicity. In addition, the ENA results were compared with results from finite element analysis (FEA) and experimental measurements. The pressure distribution profiles estimated from ENA, performed using the LTSpice IV software, were in agreement with FEA and experimental results.

Synthesis and Characterization of CNT/TiO2 Composites Thermally Derived from MWCNT and Titanium(IV) n-Butoxide

  • Oh, Won-Chun;Chen, Ming-Liang
    • Bulletin of the Korean Chemical Society
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    • v.29 no.1
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    • pp.159-164
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    • 2008
  • Two kinds of CNT/TiO2 composite photocatalysts were synthesized with multi-walled carbon nanotubes (MWCNTs) and titanium(IV) n-butoxide (TNB) by a MCPBA oxidation method. Since MWCNTs had charge transfer and semiconducting, the CNT/TiO2 composite shows a good photo-degradation activity. The XRD patterns reveal that only anatase phase can be identified for MCT composite, but the HMCT composite synthesized with HCl treatment was observed the mixed phase of anatase and rutile. The EDX spectra were shown the presence as major elements of Ti with strong peaks. From the SEM results, the sample MCT and HMCT synthesized by the thermal decomposition with TNB show a homogenous sample with only individual MWCNTs covered with TiO2 without any jam-like aggregates between CNTs and TiO2. From the photocatalytic results, we could be suggested that the excellent activity of the CNT/TiO2 composites for organic dye and UV irradiation time could be attributed to combination effects between TiO2 and MWCNTs with plausible photodegradation mechanism.