• Tuberculosis and Respiratory Diseases
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• v.47 no.3
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• pp.321-330
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• 1999

Background : Early diagnosis and proper antibiotic treatment are very important in the management of ventilator-associated pneumonia (VAP) because of its high mortality. Bronchoscopy with a protected specimen brush (PSB) has been considered the standard method to isolate the causative organisms of VAP. However, this method burdens consumer economically to purchase a PSB. Another useful method for the diagnosis of VAP is quantitative cultures of aspirated specimens through bronchoscopic bronchoalveolar lavage (BAL), for which the infusion of more than 120 m1 of saline has been recommended for adequate sampling of a pulmonary segment. However, occasionally it leads to deterioration of the patient's condition. We studied the diagnostic efficacy of minibronchoalveolar lavage (miniBAL), which retrieves only 25 ml of BAL fluid, in the isolation of causative organisms of VAP. Methods: We included 38 consecutive patients (41 cases) suspected of having VAP on the basis of clinical evidence, who had received antibiotics before the bronchoscopy. The two diagnostic techniques of PSB and miniBAL, which were performed one after another at the same pulmonary segment, 'were compared prospectively. The cut-off values for quantitative cultures to define causative bacteria of VAP were more than $10^3$ colony-forming units (cfu)/ml for PSB and more than $10^4$ cfu/ml for BAL. Results: The amount of instilled normal saline required to retrieve 25 ml of BAL fluid was $93{\pm}32 ml$ (mean${\pm}$SD). The detection rate of causative agents was 46.3% (19/41) with PSB and 43.9% (18/41) with miniBAL. The concordance rate of PSB and miniBAL in the bacterial culture was 85.4% (35/41). Although arterial blood oxygen saturation dropped significantly (p<0.05) during ($92{\pm}10%$) and 10 min after ($95{\pm}3%$) miniBAL compared with the baseline ($97{\pm}3%$), all except 3 cases were within normal ranges. The significantly elevated heart rate during ($l25{\pm}24$/min, p<0.05) miniBAL compared with the baseline ($1l1{\pm}22$/min) recovered again in 10 min after ($111{\pm}26$/min) miniBAL. Transient hypotension was developed during the procedure in two cases. The procedure was stopped in one case due to atrial flutter. Conclusion: MiniBAL is a safe and effective technique to detect the causative organisms of VAP.

• Tuberculosis and Respiratory Diseases
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• v.50 no.3
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• pp.310-319
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• 2001

Background : The peak flowmeter is very useful in monitoring of out-patients as well as those in emergency departments because of its convenience and simplicity with low cost. There have been many studies aimed at determining the accuracy and reproducibility of the peak flow meter in normal population. However, there is a paucity of reports regarding its accuracy in patients with chronic obstructive pulmonary disease(COPD) or asthma. The accuracy of the peak expiratory flow(PEF) measured with a mini-Wright peak flowmeter was assessed by a comparison with the results of a mass flow sensor. Methods : The PEF measurements were performed in 108 patients aged 19-82 years presenting with either a chronic obstructive lung disease or asthma before and after inhaling salbutamol. The PEF measurements from the mini-Wright flowmeter were compared with those obtained by the calibrated mass flow sensor. Results : The average of the readings taken by the mini-Wright meter were 37-39 l/min higher than those taken by the mass flow sensor. The average percentage error of the mini-Wright meter were higher, ranging less than 300 l/min. The mean of the differences between the values obtained using both instruments (the bias)$\pm$limits of agreement(${\pm}2$ SD) were $37.1{\pm}90\;l/min$ for the PEF(p<0.001). Conclusions : The mini-Wright peak flowmeter overestimated the flows in patients with COPD or asthma. It was also found that the accuracy of the mini-Wright peak flowmeter decreased in its mid to low range. The limits of agreement are wide and the difference between the two instruments is significant. Therefore, the measurements made between the two types of machines in patients with asthma or COPD cannot be used interchangeably.

• The monthly packaging world
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• s.267
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• pp.66-71
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• 2015

• Proceedings of the Optical Society of Korea Conference
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• 1999.08a
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• pp.132-133
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• 1999

• Proceedings of the Korean Nuclear Society Conference
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• 1999.10a
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• pp.255.2-255
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• 1999

• The Journal of Korean Academy of Prosthodontics
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• v.60 no.1
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• pp.119-126
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• 2022

Mini-implant has been reported as an alternative method to conventional diameter implants in the treatment of mandibular anterior region with narrow ridge. However, one-piece type mini-implant showed biological and technical complications, such as peri-implantitis by residual cement and prosthetic detachment. Recently, one-piece type mini-implant with additional retentive structure has been introduced to increase the retention and stability of the mini-implant. The mini-implant is based on spreading the upper retentive structure with a spreader and connected it with the inner surface of the zirconia prosthesis. In two cases, we tried to reduce these complications through the mini-implant on the narrow mandibular anterior region, and it was possible to reduce the overall treatment period through a digital system. In this case report, restoration using the digital mini-implant system showed improvement of patient satisfaction on the aspect of function and esthetic in the narrow mandibular anterior region.

• Journal of the Korean Institute of Educational Facilities
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• v.20 no.2
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• pp.33-42
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• 2013

Due to the lack of available site in urban setting outdoor space in elementary schools are getting smaller and tend to be replaced by indoor spaces. Focusing on courtyard, piloti space and roof space, this study analyzed the current condition and usage of the outdoor spaces in the urban mini-schools based on the analysis of architectural drawing, interview, survey, and observation. Following issues are found for appropriate planning for outdoor spaces in the urban mini-schools. Firstly, roof space needs to be coordinated with the physical education and outdoor class curriculum and should be planned separately for quiet activities. Secondly, the piloti space should be planned as an independent space rather than a connection between classroom and outdoor space, with appropriate surveillance from teacher's space for the lower graders. Thirdly, courtyard space, typical space in urban mini school surrounded by densely arranged buildings, should be thermally controlled for outdoor class or resting with appropriate screen from noise to keep quiet atmosphere.

• Journal of the Korean Institute of Telematics and Electronics B
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• v.30B no.10
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• pp.59-68
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• 1993

This paper describes implemation of 'General-purpose ETRI MAP interface module' (GEM) for Mini-MAP network. GEM operates as a Mini-MAP node in our FA system. To communicate between GEM and programmable devices(PD) such as PLC and CNC, serial communication is used. Application programs of a MiNi-MAP host system control and monitor programmable devices via GEM. GEM is implemented and tested on the basis of the MAP 3.0. TBC in the Nini-MAP board performs the function of the MAC sublayer. The LLC sublayer is implemented according to the specification of Class 3 that includes Type 1 and 3. And the MMS services are designed within the scope of implementation class MAP3. All the softwares are implemented under the real-time multitask OS for real-time application of the Mini-MAP and they are loaded into PROMs at the network board of GEM. We tested the LLC functions to make use of a protocol analyzer for the token-passing protocol. Also the MMS conformance test was carried out by exchanging primitives between GEM and a MMS product that had already passed the conformance test. Therefore GEM is proposed as a network tool of Computer Integrated Manufacturing (CIM) to integrate PDs which don't support MAP functions.

• The Bulletin of The Korean Astronomical Society
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• v.35 no.2
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• pp.44-44
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• 2010

We study the effect of massive neutrinos on the evolution of the early mini-halos ($M\sim10^6h^{-1}M{\odot}at$ z~20) where the first stars may have formed. In the framework of the extended Press-Schechter formalism, we evaluate analytically the rates of merging of the mini-halos into zero-dimensional larger halos and one-dimensional mini-filaments. It is shown that the halo-to-filament merging rate increases with the neutrino mass fraction $f_v$ while the halo-to-halo merging rate decreases. Comparing the cases of $f_v$=0 and 0.10, the halo-to-filament merging rate for $f_v$=0.10 is 3 times larger than the other. The distribution of the epochs of the longest-axis collapse of these first filaments is also derived and found to reach a sharp maximum at z~8-9. Once the first mini-filaments form, they would provide bridges along which the matter and gas more rapidly accrete onto the constituent halos, causing the early formation of the first galaxies and rapid growth of their central blackholes. Furthermore, the longest axis collapse of these first mini-filaments would spur the supermassive blackholes to power the ultra-luminous high-z quasars.

• Journal of radiological science and technology
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• v.23 no.1
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• pp.103-111
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• 2000

In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, MINI-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed MINI-PACS consists of mainly four parts such as Web Module, Client-Server Module, Internal Module, Acquisition Module. In addition, MINI-PACS system includes DICOM Converter that Non-DICOM file format converts standard file format. In Client-Server Module case, Proposed system is combined both SCU(Service Class User: Client) part and SCP(Service Class Provider: Server)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for Medium and Small hospitals to install and operate the full-PACS. Also, we constructed Web Module for database connection through the WWW.