• Title/Summary/Keyword: K-ACS

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Recent Changes in Risk Factors of Chronic Subdural Hematoma

  • Sim, Yang-Won;Min, Kyung-Soo;Lee, Mou-Seop;Kim, Young-Gyu;Kim, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.234-239
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    • 2012
  • Objective : Chronic subdural hematoma (CSDH) is a typical disease that is encountered frequently in neurosurgical practice. The medications which could cause coagulopathies were known as one of the risk factors of CSDH, such as anticoagulants (ACs) and antiplatelet agents (APs). Recently, the number of patients who are treated with ACs/APs is increasing, especially in the elderly population. With widespread use of these drugs, there is a need to study the changes in risk factors of CSDH patients. Methods : We retrospectively reviewed 290 CSDH patients who underwent surgery at our institute between 1996 and 2010. We classified them into three groups according to the time of presentation (Group A : the remote period group, 1996-2000, Group B : the past period group, 2001-2005, and Group C : the recent period group, 2006-2010). Also, we performed the comparative analysis of independent risk factors between three groups. Results : Among the 290 patients, Group A included 71 patients (24.5%), Group B included 98 patients (33.8%) and Group C included 121 patients (41.7%). Three patients (4.2%) in Group A had a history of receiving ACs/APs, 8 patients (8.2%) in Group B, and 19 patients (15.7%) in Group C. Other factors such as head trauma, alcoholism, epilepsy, previous neurosurgery and underlying disease having bleeding tendency were also evaluated. In ACs/APs related cause of CSDH in Group C, significantly less proportion of the patients are associated with trauma or alcohol compared to the non-medication group. Conclusion : In this study, the authors concluded that ACs/APs have more importance as a risk factor of CSDH in the recent period compared to the past. Therefore, doctors should prescribe these medications carefully balancing the potential risk and benefit.

Early-stage Diagnosis of Bladder Carcinoma by a Clinical Pharmacist's Effective Anti-coagulation Service in a Patient with Anticoagulation Therapy: a Clinical Case Report (항응고제 투여 환자에서 약사의 효과적인 ACS를 통한 방광암 조기발견 사례)

  • An, Sung-Shim;Bang, Joon-Seok;La, Hyen-Oh
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.1
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    • pp.85-87
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    • 2010
  • Recently, the prevalence of bladder cancer is increasing in the Korean society. As the risk factors of bladder carcinoma are variable, the early-stage diagnosis is regarded the best preventive practice. Hematuria is a specific sign of the malignancy as well as a kind of various medication-related adverse reactions. Some anti-coagulation therapy can cause bleedings including hematuria to the patients with cardiovascular diseases such as paroxysmal atrial fibrillation (PAF). Therefore, to the clinical pharmacists working in the anti-coagulation services (ACS), a closer monitoring of patients can give an opportunity to find certain ailments unexpectedly. In this case, a patient with PAF had episodes of sporadic hematuria in the course of warfarin therapy even though with its low levels of INR. An ACS pharmacist found a discrepancy between the bleeding symptoms and INR values, and recommended properly the patient to refer urologist. Fortunately, an early-stage of bladder carcinoma was found then followed by an excision performed to the lesion. Therefore, alert-minded and precise monitoring done by ACS pharmacist could optimize the therapeutic outcomes as well as increase the quality of life of the patient.

Adsorption Behaviors of Noxious Gases on Chemically Surface-treated Activated Carbons

  • Park, Soo-Jin;Shin, Jun-Sik
    • Carbon letters
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    • v.4 no.1
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    • pp.31-35
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    • 2003
  • The specific adsorption behaviors of activated carbons (ACs) treated with 30 wt% $H_3PO_4$ or NaOH were investigated in the removals of NO or $NH_3$. The acid and base values were determined by Boehm's titration method. And, the surface properties of ACs were studied by FT-IR and XPS analyses. Also, $N_2/77K$ adsorption isotherm characteristics, including the specific surface area and micropore volume were studied by BET and t-plot methods, respectively. From the adsorption tests of NO and $NH_3$, it was revealed in the case of acidic treatment on ACs that the $NH_3$ removal was more effective due to the increase of acidic functional groups in carbon surfaces. Also, the NO removal was increased, in the case of basic treatment, due to the improvement of basic functional groups, in spite of significant decreases of BET's specific surface area and total pore volume. It was found that the adsorption capacity of ACs was not only determined by the textural characteristics but also correlated with the surface functional groups in the acid-base intermolecular interactions.

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Influence of Ozone Treatment on Cr(VI) Adsorption of Activated Carbon (오존처리가 활성탄소의 Cr(VI) 흡착특성에 미치는 영향)

  • Park, Soo-Jin;Kim, Byeong-Joo
    • Korean Chemical Engineering Research
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    • v.44 no.6
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    • pp.644-649
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    • 2006
  • In this paper, the Cr(VI) adsorption behaviors of activated carbons (ACs) treated by various ozone treatment conditions were studied. The surface properties of the ACs studied were determined by pH, acid-base, and FT-IR measurements. $N_2$ adsorption isotherm characteristics at 77K were confirmed by BET equation, Boer's t-plot method, and Horvath-Kawazoe's slit pore model. Also, the total Cr adsorption amount onto the ACs was measured by ICP-AES. As a result, the ozone treatment led to an increase of oxygen-containing polar functional groups and total acidity as well. Meanwhile, the specific surface areas or micropore volumes were slightly decreased after the ozone treatment due to the micropore filling or blocking. Nevertheless, the total Cr adsorption of ACs was increased with increasing of the ozone treatment time, attributed to the good interaction between Cr ions and polar functional groups on the ACs.

The effect of chitosan/ACS on bone regeneration in rat calvarial defects (백서두개골 결손부에서 키토산/흡수성 콜라겐 전달체의 골재생)

  • Kim, Soo-Kyoung;Suk, Hun-Joo;Kim, Chang-Sung;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.33 no.3
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    • pp.457-474
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    • 2003
  • The ultimate objective of periodontal treatment is to get rid of an on-going periodontal disease and further regenerate the supporting tissue, which is already destroyed, functionally. Currently, the bone grafting operation using various kinds of bone grafting materials and the operation for induced regeneration of periodontal tissue using the blocking membrane are performed for regeneration of the destroyed periodontal tissue. However, there are respective limitations Galenical preparations, which are used for regeneration of periodontal of tissue, has less risk of rejective reaction or toxicity that may be incidental to degradation and their effect is sustainable. Thus, in case they are applicable to a clinic, they can he used economically. Chitosan has such compatibility, biological actions including antibacterial activity, acceleration of wound treatment, etc., and excellent mechanical characteristics, which has recently aroused more interest in it. Also, it has been reported that it promotes osteogenesis directly or indirectly by functioning as a matrix to promote migration and differentiation of a specific precussor cell (for example, osteoblast) and further inhibiting the function of such a cell as fibroblast to prevent osteogenesis. In this study, the pure chitosan solution, which was obtained by purifying chitosan, was used. However, since this chitosan is of a liquiform, it is difficult to sustain it in a defective region. It is, therefore, essential to use a carrier for delivering chitosan to, and sustaining it gradually in the defective region. In the calvarial defect model of the Sprague-Dawley rat, it is relatively easy to maintain a space. Therefore, in this study, the chitosan solution with which ACS was wetted was grafted onto the defective region, For an experimental model, a calvarial defect of rat m s selected, and a critical size of the defective region was a circular defect with a diameter of 8 mm. A group in which no treatment was conducted for the calvarial defect was set as a negative control group. Another group in which treatment was conducted with ACS only was set as a positive control group (ACS group). And another group in which treatment was conducted was conducted with by grafting the pure chitosan solution onto the defective region through ACS which was wetted with the chitosan solution was set an experimental group (Chitosan/ACS group). Chitosan was applied to the Sprague-Dawley rat's calvarial bone by applying ACS which was wetted with the chitosan solution, and each Sprague-Dawley rat was sacrificed respectively 2 weeks and 8 weeks after the operation for such application. Then, the treatment results were compared and observed histologically and his tometrically. Thereby, the following conclusions were obtained. 1. In the experimental group, a pattern was shown that from 2 weeks after the operation, vascular proliferation proceeded and osteogenesis proceeded through osteoblast infiltration, and at 8 week after the operation, ACS was almost absorbed, the amount of osteogensis was increased and many osteoid tissue layers were observed. 2. At 2 weeks after the operation, each amount of osteogenesis appeared to be 8.70.8 %, 13.62.3 % and 4.80.7 % respectively in the experimental group, the positive control group and the negative control group. Accordingly, it appeared to be higher in the Experimental group and the positive control group than in the negative control group, but there was no significant difference statistically (p<0.01). 3. At 8 weeks after the operation, each amount of osteogenesis appeared to be 62.26.1%, 17.42.5 % and 8.21.4 % respectively in the experimental group, the positive control group and the negative control group. Accordingly, it appeared to be substantially higher in the experimental group than in the positive control group and the negative control group, and there was a significant difference statistically (p<0.01). As a result of conducting the experiment, when ACS was used as a carrier for chitosan, chitosan showed effective osteogenesis in the perforated defective region of the Sprague-Dawley rat's calvarial bone.

$CO_2$ Adsorption Behaviors of Activated Carbons Modified by Chelating Groups (킬레이트 관능기가 도입된 활성탄소의 이산화탄소 흡착거동)

  • Jang, Dong-Il;Park, Soo-Jin
    • Applied Chemistry for Engineering
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    • v.21 no.4
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    • pp.396-400
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    • 2010
  • In this work, the adsorption behaviors of activated carbons (ACs) containing chelating functional groups were studied in $CO_2$ removal. The ACs were modified by pyrolysis of peroxide and glycidyl methacrylate graft polymerization in order to induce chelating functional groups, such as diethylenetriamine groups on the AC surfaces. The surface functional groups of the ACs were characterized by scanning electron microscope (SEM) and X-ray photoelectron spectroscopy (XPS). The textural properties of the ACs were analyzed by $N_2$/77 K isotherms. Adsorption behaviors of the ACs were observed in the amounts of $CO_2$ adsorption. From the results, we found that the chelating functional groups on the AC surfaces led to enhance selectivity and chemisorption on $CO_2$ adsorption in spite of decreasing the physical adsorption properties.

Validation of the ACS NSQIP Surgical Risk Calculator for Patients with Early Gastric Cancer Treated with Laparoscopic Gastrectomy

  • Alzahrani, Saleh M;Ko, Chang Seok;Yoo, Moon-Won
    • Journal of Gastric Cancer
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    • v.20 no.3
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    • pp.267-276
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    • 2020
  • Purpose: The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) risk calculator is useful in predicting postoperative adverse events. However, its accuracy in specific disorders is unclear. We validated the ACS NSQIP risk calculator in patients with gastric cancer undergoing curative laparoscopic surgery. Materials and Methods: We included 207 consecutive early gastric cancer patients who underwent laparoscopic gastrectomy between January 2018 and January 2019. The preoperative characteristics and risks of the patients were reviewed and entered into the ACS NSQIP calculator. The estimated risks of postoperative outcomes were compared with the observed outcomes using C-statistics and Brier scores. Results: Most of the patients underwent distal gastrectomy with Roux-en-Y reconstruction (74.4%). We did not observe any cases of mortality, venous thromboembolism, urinary tract infection, renal failure, or cardiac complications. The other outcomes assessed were complications such as pneumonia, surgical site infections, any complications requiring re-operation or hospital readmission, the rates of discharge to nursing homes/rehabilitation centers, and the length of stay. All C-statistics were <0 and the highest was for pneumonia (0.65; 95% confidence interval: 0.58-0.71). Brier scores ranged from 0.01 for pneumonia to 0.155 for other complications. Overall, the risk calculator was inconsistent in predicting the outcomes. Conclusions: The ACS NSQIP surgical risk calculator showed low predictive ability for postoperative adverse events after laparoscopic gastrectomy for patients with early gastric cancer. Further research to adjust the risk calculator for these patients may improve its predictive ability.

An Effective Ant Colony System Optimization for Symmetric Traveling Salesman Problem (Symmetric Traveling Salesman Problem을 해결하기 위해 Ant Colony System에서의 효과적인 최적화 방법에 관한 연구)

  • Jung, Tae-Ung;Lee, Sung-Gwan;Jung, Tae-Chung
    • Annual Conference of KIPS
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    • 2000.10a
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    • pp.321-324
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    • 2000
  • 조합 최적화 문제인 Traveling Salesman problems(TSP)을 Genetic Algorithm(GA)[3]과 Local Search Heuristic Algorithm[8]을 이용하여 접근하는 것은 최적해를 구하기 위해 널리 알려진 방법이다. 본 논문에서는 TSP문제를 해결하기 위한 또 다른 접근법으로, 다수의 Ant들이 Tour들을 찾는 ACS(Ant Colony System) Algorithms[4][6][7]을 소개하고, ACS에서 Global Optima를 찾는 과정에서, 이미 이루어져 있는 Ant들의 Tour결과들을 서로 비교한다. Global Updating Rule에 의해 Global Best Tour 에 속해 있는 각 Ant Tour의 edge들을 update하는 ACS Algorithm에, 각 루프마다 Ant Tour들을 우성과 열성 인자들로 구분하고, 각각의 우성과 열성 인자들에 대해서 Global Updating Rule에 기반한 가중치를 적용(Weight Updating Rule)하므로서 기존의 ACS Algorithm보다 효율적으로 최적 해를 찾아내는 방법에 대해서 논하고자 한다.

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High Throughput Radix-4 SISO Decoding Architecture with Reduced Memory Requirement

  • Byun, Wooseok;Kim, Hyeji;Kim, Ji-Hoon
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.14 no.4
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    • pp.407-418
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    • 2014
  • As the high-throughput requirement in the next generation communication system increases, it becomes essential to implement high-throughput SISO (Soft-Input Soft-Output) decoder with minimal hardware resources. In this paper, we present the comparison results between cascaded radix-4 ACS (Add-Compare-Select) and LUT (Look-Up Table)-based radix-4 ACS in terms of delay, area, and power consumption. The hardware overhead incurred from the retiming technique used for high speed radix-4 ACS operation is also analyzed. According to the various analysis results, high-throughput radix-4 SISO decoding architecture based on simple path metric recovery circuit is proposed to minimize the hardware resources. The proposed architecture is implemented in 65 nm CMOS process and memory requirement and power consumption can be reduced up to 78% and 32%, respectively, while achieving high-throughput requirement.

Electrochemical Behaviors of Activated Carbons Prepared from Polymeric Precursor

  • Park, Soo-Jin;Lee, Eun-Jung;Kim, Byung-Joo;Lee, Young-Seak
    • Carbon letters
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    • v.8 no.2
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    • pp.134-136
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    • 2007
  • In this work, activated carbons (ACs) were prepared from polystyrene-based cation-exchangeable resin (PSI) by a chemical activation with KOH as an activating agent. The surface morphologies were observed by using SEM, and the textural properties were investigated by using nitrogen adsorption at 77 K. From the experimental results, it was found that the well-developed micro- and mesopores were produced by a chemical activation, and the textural properties including specific surface areas and pore volumes were greatly enhanced. The electrochemical behaviors of the ACs showed similar phenomena with that of textural properties. These results indicated that KOH activation played an important role in the changes of surface, and pore structures, resulting in enhancing the electrochemical properties of the ACs prepared in present work.