• Title/Summary/Keyword: MD-5

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Clinical Features of Deep Neck Infections and Predisposing Factors for Mediastinal Extension

  • Kang, Shin-Kwang;Lee, Seok-Kee;Oh, Hyun-Kong;Kang, Min-Woong;Na, Myung-Hoon;Yu, Jae-Hyeon;Koo, Bon-Seok;Lim, Seung-Pyung
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.171-176
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    • 2012
  • Background: Deep neck infections (DNI) can originate from infection in the potential spaces and fascial planes of the neck. DNI can be managed without surgery, but there are cases that need surgical treatment, especially in the case of mediastinal involvement. The aim of this study is to identify clinical features of DNI and analyze the predisposing factors for mediastinal extension. Materials and Methods: We reviewed medical records of 56 patients suffering from DNI who underwent cervical drainage only (CD group) and those who underwent cervical drainage combined with mediastinal drainage for descending necrotizing mediastinitis (MD group) from August 2003 to May 2009 and compared the clinical features of each group and the predisposing factors for mediastinal extension. Results: Forty-four out of the 56 patients underwent cervical drainage only (79%) and 12 patients needed both cervical and mediastinal drainage (21%). There were no differences between the two groups in gender (p=0.28), but the MD group was older than the CD group (CD group, $44.2{\pm}23.2$ years; MD group, $55.6{\pm}12.1$ years; p=0.03). The MD group had a higher rate of co-morbidity than the CD group (p=0.04). The CD group involved more than two spaces in 14 cases (32%) and retropharyngeal involvement in 12 cases (27%). The MD group involved more than two spaces in 11 cases (92%) and retropharyngeal involvement in 12 cases (100%). Organism identification took place in 28 cases (64%) of the CD group and 3 cases of (25%) the MD group (p=0.02). The mean hospital stay of the CD group was $21.5{\pm}15.9$ days and that of the MD group was $41.4{\pm}29.4$ days (p=0.04). Conclusion: The predisposing factors of mediastinal extension in DNI were older age, involvement of two or more spaces, especially including the retropharyngeal space, and more comorbidities. The MD group had a longer hospital stay, higher mortality, and more failure to identify causative organisms of causative organisms than the CD group.

THE KRONECKER FUNCTION RING OF THE RING D[X]N*

  • Chang, Gyu-Whan
    • Bulletin of the Korean Mathematical Society
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    • v.47 no.5
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    • pp.907-913
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    • 2010
  • Let D be an integrally closed domain with quotient field K, * be a star operation on D, X, Y be indeterminates over D, $N_*\;=\;\{f\;{\in}\;D[X]|\;(c_D(f))^*\;=\;D\}$ and $R\;=\;D[X]_{N_*}$. Let b be the b-operation on R, and let $*_c$ be the star operation on D defined by $I^{*_c}\;=\;(ID[X]_{N_*})^b\;{\cap}\;K$. Finally, let Kr(R, b) (resp., Kr(D, $*_c$)) be the Kronecker function ring of R (resp., D) with respect to Y (resp., X, Y). In this paper, we show that Kr(R, b) $\subseteq$ Kr(D, $*_c$) and Kr(R, b) is a kfr with respect to K(Y) and X in the notion of [2]. We also prove that Kr(R, b) = Kr(D, $*_c$) if and only if D is a $P{\ast}MD$. As a corollary, we have that if D is not a $P{\ast}MD$, then Kr(R, b) is an example of a kfr with respect to K(Y) and X but not a Kronecker function ring with respect to K(Y) and X.

Molecular Dynamics Study on the Structural Phase Transition of Crystalline Silver Iodide

  • Jun Sik Lee;Mee Kyung Song;Mu Shik Jhon
    • Bulletin of the Korean Chemical Society
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    • v.12 no.5
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    • pp.490-494
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    • 1991
  • The ${\beta} to {\alpha}$ phase transition in silver iodide is studied with the (N, V, E) and (N, P, T) molecular dynamics (MD) method. In experiments, the phase transition temperature is 420 K. Upon heating of ${\beta}$ form, the iodine ions undergo hcp to bcc transformation and silver ions become mobile. MD simulations for the ${\beta}$ and ${\alpha}$ phases are carried out at several temperatures and the radial distribution functions (rdf) are obtained at those temperatures in the (N, V, E) ensemble. But the phase transition is not found in our calculation. Next the phase transition is studied with the (N, P, T) MD and we find some evidences of phase transition. At 3 Kbars and 2 Kbars the phase transition temperatu re is about 300 K. For 3.55 Kbars, the phase transition is higher (420 K) than the low pressure case. The phase transition temperature is somewhat dependent on the pressure in our calculations.

Assessment of heavy metals in sediments of Shitalakhya River, Bangladesh

  • Al-Razee, A.N.M.;Abser, Md. Nurul;Mottalib, Md. Abdul;Rahman, Md. Sayadur;Cho, Namjun
    • Analytical Science and Technology
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    • v.32 no.5
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    • pp.210-216
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    • 2019
  • Concentrations of Cu, Zn, Fe, Mn, Ni and Cr have been estimated in sediments of the Shitalakhya River at Polash-Ghorashal area, Narsingdi, Bangladesh. 36 samples of sediments from nine sampling point at different locations of Shitalakhya River were collected to determine the concentration of Cu, Zn, Fe, Mn, Ni, Cr and the samples were analyzed by atomic absorption spectrophotometer (AAS). The obtained results were compared with national and international guidelines. The levels of heavy metal concentrations in sediments were found to decrease in the order of Fe > Mn > Zn > Ni > Cu > Cr, respectively. The heavy metal concentration in sediment of Shitalakhya was below the recommended safe limits of heavy metals by WHO, FAO and other international standards. Contamination factor (CF) of Zn and Cu at sampling point Fsd2 show higher (> 1) values due to the influence of external discrete sources like wastage catalysts of ZnO and CuO. Geo-accumulation index values of the study indicate as non-contaminated to moderately contaminate.

Improved Thermal Stability of a Novel Acidophilic Phytase

  • Byung Sam Son;So Hyeong Kim;Hye-Young Sagong;Su Rin Lee;Eun Jung Choi
    • Journal of Microbiology and Biotechnology
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    • v.34 no.5
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    • pp.1119-1125
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    • 2024
  • Phytase increases the availability of phosphate and trace elements by hydrolyzing the phosphomonoester bond in phytate present in animal feed. It is also an important enzyme from an environmental perspective because it not only promotes the growth of livestocks but also prevents phosphorus contamination released into the environment. Here we present a novel phytase derived from Turicimonas muris, TmPhy, which has distinctive structure and properties compared to other previously known phytases. TmPhy gene expressed in the Pichia system was confirmed to be 41 kDa in size and was used in purified form to evaluate optimal conditions for maximum activity. TmPhy has a dual optimum pH at pH3 and pH6.8 and exhibited the highest activity at 70℃. However, the heat tolerance of the wildtype was not satisfactory for feed application. Therefore, random mutation, disulfide bond introduction, and N-terminal mutation were performed to improve the thermostability of the TmPhy. Random mutation resulted in TmPhyM with about 45% improvement in stability at 60℃. Through further improvements, a total of three mutants were screened and their heat tolerance was evaluated. As a result, we obtained TmPhyMD1 with 46.5% residual activity, TmPhyMD2 with 74.1%, and TmPhyMD3 with 66.8% at 80℃ heat treatment without significant loss of or with increased activity.

Characterization of SAL plasmid isolated from Pseudomonas putida (Pseudomonas putida에서 분리한 SAL 플라스미드의 특성)

  • 김희윤;임영복;이영록
    • Korean Journal of Microbiology
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    • v.25 no.1
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    • pp.9-16
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    • 1987
  • Three strains of bacteria utilizing salicylate, KU801(pKU5, pKU8), KU803(pKU6, pKU9), and KU806(pKU7, pKU10), were selected from the isolates and identified as Pseudomonas putida. By agarose gel electrophoresis, it was found that the strains had two plasmids each. All three strains were resistant to antibiotics such as ampicillin, tetracyclin, and chloramphenicol, and did not utilize other aromatic and aliphatic hydrocarbons examined except salicylate. The plasmids (pKU5, pKU6, and pKU7) of larger molecular weight were cured by treatment with mitomycin C and frequencies of curing were 0.4%, 1.67%, and 0.75%, respectively. Cured strains did not degrade salicylate and still had antibiotic resistances, which were identical with wild strains. The genes for salicylate degradation were proved to be enclded on thier plasmids. The molecular weights of pKU5 and pKU6 were estimated as 103.5Md, and that of pKU 7 as 101 Md. The new SAL plasmids, pKU5, pKU6, and pKU7 were transferred to P. putida and P. aeruginosa, but not to E. coli.

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An Efficient TCP Mechanism for Mobile IP Handoffs (Mobile IP 핸드오프를 위한 효율적인 TCP 방식)

  • Kwon, Jae-Woo;Park, Hee-Dong;Cho, You-Ze
    • Journal of KIISE:Information Networking
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    • v.29 no.5
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    • pp.501-509
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    • 2002
  • When using TCP over a mobile network, TCP responds to a handoff by invoking a congestion control algorithm, thereby resulting in a degraded end-to-end performance in a mobile network. In this paper, two schemes are proposed, TCP-MD and TCP-R. TCP-MD can detect the movement of s mobile host early on, whereas TCP-R can force the source to freeze data transmission during registration. The proposed schemes maintain end-to-end TCP semantics, making it possible to fully interoperate with the existing infrastructure. Only a small change is required in the mobile host, plus the implementation is simple because some Mobile IP messages are used to notify the handoff, eliminating the need for any additional messages. Simulations confirmed that the proposed schemes give an excellent performance under various environments.

Comparison of the Maximal Muscular Activities of the Deltoid During Shoulder Abductions in Patients with Adhesive Capsulitis (유착성 관절낭염 환자의 어깨벌림 각도에 따른 중간어깨세모근의 최대근활성도 비교)

  • Song, Il-Gyu;Lee, Han-Suk;Park, Sun-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.65-70
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    • 2016
  • PURPOSE: This study aimed to compare the electromyography (EMG) activity for the middle deltoid (MD) and upper trapezius (UT) muscles in various shoulder abduction angles in patients with adhesive capsulitis (AC). METHODS: A total of 15 subjects participated in the study: 6 without AC (control group) and 9 with AC (AC group). The muscle activities of the UT and MD were measured using EMG during maximal static shoulder abductions in both groups. Each subject performed three repetitions of horizontal abduction at $0^{\circ}$, $30^{\circ}$, $60^{\circ}$, and $90^{\circ}$ of the shoulder abduction angle in a sitting position. The measurement data from the middle 3-seconds of the 5-second periods were used. The mean value of three separate sets of measurements was used in the data analysis. For each muscle, independent t-tests were performed to determine group differences. A measured repeated-measures ANOVA was performed using Bonferroni's post-hoc test. RESULTS: The muscle activity of the UT was significantly greater in the AC group; than in the control group (p<.05). The muscle activity of the MD was significantly lower in the AC group; than in the control group (p<.05). The greatest level of muscle activity for both the MD and UT was demonstrated at the $0-60^{\circ}$ and $0-90^{\circ}$ of shoulder abduction angles in the AC group. CONCLUSION: These findings showed that low muscle activation of the MD may contribute to hyperactivity of the UT during shoulder abduction in AC patients.

Duration Magnitude and Local-Duration Magnitude Relations for Earth-quakes of 1979-1998 Recorded at KMA Network (한반도 지진의 지속규모식에 관한 연구)

  • 박삼근
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1998.10a
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    • pp.421-435
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    • 1998
  • An empirical formula for estimating duration magnitude(MD)is determined by analyzing 619 epicentral distance-duration data set, obtained from earthquakes of 1989-1998 recorded at the KMA network. Based on two assumptions: 1) observed signal duration decreases with increasing epicentral distance, and 2) seismographs of KMA are set at low-gain and therefore inclusion of sensitivity correction term in the equation is not necessary, scaling predicted duration at epicenter to Tsuboi's local magnitude yielded the duration magnitude equation: MD =2.0292$\times$log$\tau$+0.00123Δ-1.4017 for 1/0$\leq$ML$\leq$5.0, where $\tau$is total signal duration(sec)and Δis epicentral distance(km). Event by event comparison of ML values against MD estimates for t152 events shows that for events having a same ML the difference in MD estimates reaches as high as 1.1 magnitude units. So, to test the usefulness of the duration magnitude equation, we have calculated ML-MD relations by which duration magnitude estimates are converted to local magnitudes ("predicted" ML, say) which are then compared with the directly determined local magnitude values. Except for events with stations where duration is anomalously reestimates(predicted ML) which are in an agreement within a 0.2 magnitude units with the corresponding ML values. Although this study could gain some insights into magnitudes of the past events, we still need to re-examine all the observables in order to obtain more reliable and precise information about magnitude and hypocenter location. So we will pursue a new local-magnitude scaling, as well as refinement of the duration magnitude equation, starting soon with re-reading the amplitudes-arrival time records of (and hence relocating) 250+earthquakes of 1979-present recorded at the KMA network. Thus, with more reliable and precise earthquake parameters determined we would better understand the recent seismicity and related tectonic process within and adjacent region to the Korean peninsula.peninsula.

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Effectiveness of Exercise after Lung Cancer Surgery: A Systematic Review in PubMed Database (폐암 수술 후 운동의 효과: PubMed 내 연구에 대한 체계적 문헌고찰)

  • Jerng, Ui Min
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.1
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    • pp.149-163
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    • 2021
  • Objectives This study is to review the effectiveness of exercise after lung cancer surgery. Methods Relevant randomized controlled trials (RCTs) were searched in PubMed database. The systematic review was conducted through flow diagram. The risk of biases were assessed through the Cochrane guideline. Characteristics and outcomes were extracted from each study. Meta-analyses of forced expiratory volume in one second (FEV1), 6-minute walk test (6MWT), quality of life (QoL), pulmonary complications were conducted. Results 14 RCTs were selected. In meta-analysis, exercise improved FEV1 (mean difference [MD] 0.14; 95% confidence interval [CI] 0.04 to 0.25; p=0.009; I2=55%) and mean change of FEV1 (MD 0.11; 95% CI 0.02 to 0.20; p=0.02; I2=0%). Exercise increased the distance of 6MWT, but there was considerable heterogeneity (MD 45; 95% CI 21.16 to 68.83; p=0.0002, I2=89%). There was no differences in QoL scores by 2 questionnaires (European Organisation for Research and Treatment of Cancer quality of life questionnaire, short form-36). Exercise reduced the duration of hospital stay (MD -3.32; 95% CI -5.27 to -1.36; I2=0%; 2 studies) but not duration of chest tube intubation (MD -1.37; 95% CI -2.81 to 0.06; I2=0%) and incidence of pulmonary complications (pooled risk ratio 0.54; 95% CI 0.23 to 1.30; I2=0%). Conclusions Exercise might reduce the duration of hospital stay after lung surgery. There was not enough evidence to prove improvement of lung function, aerobic capacity, muscle strength, QoL, and decline of pulmonary complications. Low-quality risk of bias, different units or estimation of outcome, different exercise type and duration, heterogeneity among studies make the evidence of effectiveness weak. Future researches are required to redeem these defects.