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The Comparison of Clinical Outcomes of Off-pump versus On-pump Coronary Artery Bypass Grafting in Diabetes Patients (당뇨 환자에서 시행한 Off-pump CABG와 On-pump CABG의 비교 연구)

  • 송석원;임상현;홍순창;조수진;장병철;강면식;신혜란;유경종
    • Journal of Chest Surgery
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    • v.37 no.7
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    • pp.553-558
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    • 2004
  • Avoiding cardiopulmonary bypass (CPB) in coronary artery bypass grafting (CAB G) has been known to reduce early mortality and morbidity. Diabetes Mellitus is a significant risk factor for adverse early and late outcomes after CABG. We compared the clinical results of off-pump CABG versus on-pump CABG in diabetes patients. Material and Method: 682 patients (424 off-pump CABG and 258 on-pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Data were collected 242 patient who had diabetes. Among them, 154 patients underwent off-pump CABG and 90 patients underwent on-pump CABG. We analyzed the preoperative risk factors and postoperative results between 2 groups. Result: Two groups did not show statistical differences in age, sex, coronary and operative risk factors. Operative time was significantly shorter in off-pump CABG, however, number of grafts was fewer in off-pump CABG. Postoperative inotropic usage was lower in off-pump CABG. Postoperative CK-MB level was lower in off-pump CABG, and ICU stay and ventilation time was significantly shorter in off-pump CABG. However, there was no statistical difference between 2 groups in operative mortality, reoperation rate, perioperative myocardial infarction, wound infection, renal failure, neurological complications and hospital stay. Conclusion: Off-pump CABG group showed less myocardial damage and early recovery. We concluded that off-pump CABG is the more reasonable technique in diabetes patients although two techniques showed good results. The long-term follow up and prospective study may be warranted.

The Effect of the Characteristics of Fabrics and Subjective Sensory Images on the Off-line and On-line Preferences of Women's Suit Fabrics

  • Kim, Hee-Sook;Na, Mi-Hee
    • International Journal of Human Ecology
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    • v.13 no.1
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    • pp.105-115
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    • 2012
  • This research investigated the influences of structural characteristics such as fabrics, mechanical properties, and subjective sensory images on the off-line and on-line preferences to women's spring/summer suits fabrics to extract the most effective factor towards preference as well as analyze the preferential off-line and on-line differences to predict the exact texture image on-line. Objective evaluations were done for the measurement of the mechanical properties of fabrics using Kawabata's Evaluation System and subjective evaluations were done with 109 female subjects who value the off-line and on-line sensory image of suit fabrics. For statistical analysis, factor analysis, cluster analysis, t-test, ANOVA, and regression were used. The results were as follows. The preference scores on-line were generally higher than those off-line. For the structural characteristics of fabrics, differences of thickness were observed according to preference clusters, and the preference increased as thickness was lowered off-line and on-line. For mechanical properties, WC influenced off-line and on-line preferences. Fabrics with low compression energy were preferred; however, the effect of SMD was observed off-line only. In subjective sensory images, the 'smoothness' image influenced off-line and on-line preferences the most. All sensory images influenced the off-line preferences; however, the effects of 'flexibility' and 'weight' were not shown on-line.

Analysis of On-Off Voltage △Von-off in Sub-10 nm Junctionless Cylindrical Surrounding Gate MOSFET (10 nm 이하 무접합 원통형 MOSFET의 온-오프전압△Von-off에 대한 분석)

  • Jung, Hak-kee
    • Journal of IKEEE
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    • v.23 no.1
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    • pp.29-34
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    • 2019
  • We investigated on-off voltage ${\Delta}V_{on-off}$ of sub-10 nm JLCSG (Junctionless Cylindrical Surrounding Gate) MOSFET. The gate voltage was defined as ON voltage for the subthreshold current of $10^{-7}A$ and OFF voltage for the subthreshold current of $10^{-12}A$, and the difference between ON and OFF voltage was obtained. Since the tunneling current was not negligible at 10 nm or less, we observe the change of ${\Delta}V_{on-off}$ depending on the presence or absence of the tunneling current. For this purpose, the potential distribution in the channel was calculated using the Poisson equation and the tunneling current was calculated using the WKB approximation. As a result, it was found that ${\Delta}V_{on-off}$ was increased due to the tunneling current in JLCSG MOSFETs below 10 nm. Especially, it increased rapidly with channel lengths less than 8 nm and increased with increasing channel radius and oxide thickness.

On-line 스케줄링을 고려한 off-line 스케줄링

  • 김경훈;김영호;강석호
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1997.10a
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    • pp.162-165
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    • 1997
  • 본 연구에서는 off-line 스케쥴링과 on-line 스케쥴링을 함께 고려하는 스케쥴링 메카니즘에 대해 설명하였다. 일반적으로 스케쥴링은 off-line 문제를 주로 다룬다. 그러나, off-line으로 생성된 스케쥴은 실시간으로 발생하는 여러 문제들(기계 고장, 긴급 주문등) 때문에 현실과 맞지 않게 되어 유용성이 떨어지는 경우가 자주 발생한다. 따라서 off-line 스케쥴링의 결과를 수행할때 위와 같은 문제가 발생할 경우, 스케쥴의 변화를 흡수하면서 off-line 스케쥴링의 결과를 최대한 유지할수 있는 on-line 스케쥴링에서 이 같은 스케쥴 실행시의 문제를 해결할 수 있도록 bidding 알고리즘을 사용하는 방법을 제시하였다.

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Cost-Effectiveness Analysis on On-line and Off-line Extra Curricula Education (온라인과 오프라인 과외교육의 비용-효과 분석)

  • KIM, Byoung-Joo;KIM, Sun-Yeon;KIM, Jung-Mi
    • Journal of Fisheries and Marine Sciences Education
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    • v.21 no.2
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    • pp.199-212
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    • 2009
  • The purpose of this study is to analyze the cost-effectiveness analysis on on-line and off-line extra-curricula education(ECE). Based on a review of relevant literature, on-line ECE is defined as internet based learning, and off-line ECE is defined as on-site learning out of school such as private cram schools and private tutoring. The results of this study are as follows: First, sixty nine percent of the subjects were received ECE. Off-line ECE is more dominant than on-line ECE. Second, cost for off-line ECE is more expensive than on-line ECE. Third, off-line ECE is more effective than on-line ECE, when cost is ignored. Fourth, on-line ECE is more cost-effective than off-line ECE.

The Comparison of Clinical Outcomes of Off-Pump versus On-Pump Coronary Artery Bypass Grafting in High Risk Patients (고위험군 환자에서 시행한 On-Pump CABG와 Off-Pump CABG의 비교연구)

  • 윤영남;이교준;김치영;안지영;오영준;유경종
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.749-754
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    • 2004
  • Off-pump coronary artery bypass grafting (Off-Pump CABG) has been proven to have less morbidity and to facilitate early recovery. High-risk surgical patients may have benefitted by avoiding the adverse effects of the cardiopulmonary bypass. We compared the effectiveness of Off-Pump CABG with that of coronary artery bypass using cardiopulmonary bypass (On-Pump CABG) in high-risk patients. Material and Method: 682 patients (424 Off-Pump CABG and 258 On-Pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Patients who were considered high risk were selected High risk is defined as the presence of one or more of nine adverse prognostic factors. Data were collected from 492 patients in Off-Pump CABG and 100 in On-Pump CABG for risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off-Pump CABG group and On-Pump CABG group did not show differences in their preoperative risk factors. We used more arterial grafts in Off-Pump CABG group (p < 0.05). Postoperative results showed that operative mortality (0.5% in Off-Pump CABG versus 2.0% in On-Pump CABG), renal failure (2.6% in Off-Pump CABG versus 7.0% in On-Pump CABG), and perioperative myocardial infarction (1.5% in Off-Pump CABG versus 1.0% in On-Pump CABG) did not differ significantly. However, Off-Pump CABG had shorter mean operation time (p<0.05), lower mean CK-MB level (p <0.05), lower rate of usage of inotropics (p < 0.05), shorter mean ventilation time (p <0.05), lower perioperative stroke (0% versus 2.0%), and shorter length of stay (p < 0.05) than On-Pump CABG. On-Pump CABG had more distal grafts (p<0.05) than Off-Pump CABG. Although Off-Pump CABG and On-Pump CABG did not show statistical differences in mortality and morbidity was more frequent in CABG. Conclusion: Off-Pump CABG reduces morbidity and favors hospital outcomes. Therefore, Off-Pump CABG is safe, reasonable and may be a preferable operative strategy for high-risk patients.

Thermal Performance of Solar Thermal System by On-Off Differential Temperature of Differential Temperature Controller (차온제어기의 On-Off 온도설정에 따른 태양열 시스템 열성능)

  • Shin, U-Cheul;Baek, Nam-Choon
    • Journal of the Korean Solar Energy Society
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    • v.25 no.2
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    • pp.1-8
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    • 2005
  • On-off differential controller is one of the very important components which affect the system performance of the active solar thermal system. In this study, analyses were made regarding the influence of "on-off" setting temperature on the system efficiency and on the electrical consumption by circulation pump. This study was performed by experiment as well as the computer simulation using TRNSYS program. The simulation system was developed in this study was verified the its reliability by the experimental results. As a results, the turn off temperature(${\Delta}T_{off}$) is much more influence than the turn on temperature(${\Delta}T_{on}$) on the system efficiency. It is more clear and sensitivity in winter season. Finally the optimum on-off setting value and the system on-off pattern according to the several different kind of system was also represented.

'OFF' Response and Its Characteristics of Guinea Pig Ureter (기니픽 요관(尿管)에 있어서 OFF Response 발생과 그 특징)

  • Hong, K.W.;Rhim, B.Y.;Peter Binancani;Weiss Robert M.
    • The Korean Journal of Pharmacology
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    • v.16 no.1 s.26
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    • pp.25-34
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    • 1980
  • The in vitro guinea pig ureter responded to 5 sec trains of electrical stimuli with two contractions; the first an 'on response' (ON) occurred with $0.1{\sim}0.3$ sec after the onset o the stimulus train, the second an 'off response'(OFF) occurred $0.2{\sim}1.0$ sec after the termination of the stimulus train. Relaxation occurred between the two responses during a time when the stimulus was still being delivered. Longer duration and/or higher frequencies of stimuli within the train were required to elicit the OFF than the ON. Decreasing temperature from $37^{\circ}$ to $22^{\circ}$ decreased ON amplitude and increased OFF amplitude. $Ca^{++}$-free solution, 2 mM EDTA, 1 mM $Mn^{++}$ or $1{\mu}M$ verapamil rapidly abolished ON. OFF persisted when ON had disappeared by repeated stimulation at 0.12 train per sec. Conversely, caffeine, $50{\mu}M$ and theophylline, $10{\mu}M$ abolished OFF with only slight reduction of ON, and sodium nitroprusside decreased preferentially ON amplitude rather than OFF. Relaxation between ON and OFF was incomplete in low $Na^+$ solution. ON and OFF were not affected by the neural blockers tetrodotoxin, atropine or phentolamine, also pyrilamine and methysergide, and relaxation between ON and OFF was $Na^+$ dependent. Furthermore, ON depends on free $Ca^{++}$ and OFF is more dependent on bound or stored $Ca^{++}$.

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The Study of Consumer Sensibility on Apparel Texture Image regarding Marketing Channels

  • Shin, Sang-Moo;Lee, Hyo-Jeong
    • Journal of Fashion Business
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    • v.7 no.6
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    • pp.85-91
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    • 2003
  • Quick Response based Mass-Customization can be produced and distributed customized goods and services on mass basis in apparel e-business. Because consumers cannot touch and feel the apparel products in e-business, they tend to have the negative buying behavior. The purposes of this study were to analyze factors of texture image, and to investigate the differences of consumer sensibility on texture image of apparel products based on different marketing channels (on-line/off-line). Two types of questionnaires for on-line and off-line were used to assess consumer sensibility on apparel fabric. The 8 swatches were selected based on the previous literatures. 202 returned questionnaires for each type (on-line/off-line) were analyzed by t-test, mean and standard deviation with SPSS 10.0. The result of this study was showed that there were partially significant differences on consumer sensibility on texture image of apparel products between on-line and off-line. In case of corduroy, consumers perceived more high-class image under on-line than off-line. In case of taffeta, consumers perceived more thin and dense image under off-line (traditional marketing channel) than on-line (e-commerce). In case of denim, consumers perceived more thin and natural image under off-line than online. In case of organza, consumers perceived more natural image under on-line than off-line. In case of satin, consumers perceived more natural image under on-line than off-line. In case of chiffon, consumers perceived denser image under on-line than off-line. In case of velvet, consumers perceived thinner image, higher-class image, and more natural image of texture sensibility under on-line than off-line. In case of single jersey, consumers perceived higher-class image, and denser image of texture under on-line than off-line.

Location Tracking and Remote Monitoring system of Home residents using ON/OFF Switches and Sensors (ON/OFF 스위치와 센서를 이용한 홈 거주자의 위치추적 및 원격모니터링 시스템)

  • Ahn Dong-In;Kim Myung-Hee;Joo Su-Chong
    • Journal of KIISE:Computing Practices and Letters
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    • v.12 no.1
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    • pp.66-77
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    • 2006
  • In this paper, we researched the searching and tracking locations of a home resident using ON/OFF switches and sensors and designed a remote monitoring system. As an implementation environment, this system is developed on the base of the distributed object group framework we have developed from previous works. In order to trace the moving locations of a home resident, we firstly showed a home structure which attaches ON/OFF switches and sensors to home appliances and indoor facilities being fixed in home. Whenever a home resident opens/closes these objects, the signals operated from ON/OFF switches and sensors are sent to a home server system. In this time, the real locations of ON/OFF switches and sensors that the signals are being occurred must be the current location that he/she stays. A home server system provides the functionalities that map the real location of a resident in home to virtual location designed on remote desk-tops or terminals like PDAs, and that construct a healthcare database consisted of moving patterns, moving ranges, momentum for analyzing the given searching locations and times Finally, this system provides these information for remotely monitoring services.