• Journal of Preventive Medicine and Public Health
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• v.42 no.1
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• pp.12-20
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• 2009

Objectives : The purpose of this study was to analyze the association between the pattern of prophylactic antibiotic use(PAU) and the surgical site infection(SSI) rate for major surgeries in Korea. Methods : We retrospectively reviewed the medical records of patients who underwent cardiac, colon and gastric surgery, hysterectomies and hip/knee replacements at 20 hospitals, and inclusive of over 500 beds. We randomly sampled 60 cases per surgery type for patients discharged between September and November, 2006. A total fo 2,924 cases were included in our analysis. Cox's proportional hazard analysis was conducted to evaluate the association between the pattern of PAU and SSI rate. Results : The proportion of patients who received their first prophylactic antibiotics(PA) 1 hour before incision was 65.5%, who received inappropriate PAs was 80.8%, and the proportion of patients whose PA was discontinued within 24 hours of surgery was 0.5%. The average duration of PAU after surgery was 9 days. The relative risk(RR) of SSI in patients who received their first PA more than 1 hour before incision was significantly higher than for those who received it within 1 hour prior to incision(RR=8.20, 95% CI=4.81-13.99). Inappropriate PA selection increased SSI rate, albeit with marginal significance(RR=1.97, 95% CI=0.96-4.03). Also, prolonged PAU following surgery had no effect on SSI rate. Conclusions : These results suggest that the pattern of PAU in the surgeries examined was not appropriate. Errors in the timing of PAU and of PA selection increase SSI rate. SSI rate remained unaltered following prolonged PAU after surgery.

• Journal of the Korean Geotechnical Society
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• v.24 no.12
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• pp.75-84
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• 2008

Recycled-aggregate porous concrete pile (RAPP) which forms a composite ground is one of new ground improvement techniques. In this paper, triaxial compression tests are carried out to investigate the shear strength characteristics of RAPP-Clay composite samples. The main purpose of the tests was to investigate the effects of area replacement ratio ($15%{\sim}100%$) on behaviors of RAPP-Clay samples during shearing. Also, triaxial compression tests using Sand-Clay composite samples were performed to compare with the behaviors of RAPP-Clay samples. The test results showed that the friction angle and cohesion of the RAPP-Clay composite were $18{\sim}34$ degree and $557.0{\sim}588.0\;kPa$, respectively, whereas those of sand-clay composite samples were 26~35 degree of friction angel and $4.0{\sim}18.0\;kPa$.

• Tuberculosis and Respiratory Diseases
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• v.40 no.4
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• pp.378-383
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• 1993

Background: In recent reports, it has been reported that increased coagulation and decreased fibrinolytic activity has been responsible for abnormal fibrin turnover in exudative pleural effusion. In the cases of empyema, the fibrinopurulent stage is characterized by the fibrin deposition resulting in formation of limiting membranes in the visceral and parietal pleura. Recently attention has been focused on intrapleural fibrinolytic therapy capable of removing intrapleural fibrin deposits by urokinase (UK) in the treatment of empyema. However, these clinical trials have provided the clinical evidences for resolution of pleural loculation after intrapleural urokinase injection (UK-injection), the profiles of fibrinolytic activity following the treatment were still not investigated. Therefore in order to demonstrate the fibrinolytic evidences behind the clinical efficacy of intracavitary UK-injection, we examined intrapleural plasminogen activator activity (PA-activity) and D-dimer (D-Di) concentrations before and after each repeated UK-injection into the pleura in subjects with loculated empyema cavity. Methods: In a group of 14 patients with multiple loculated empyema cavity, PA-activity and D-Di concentrations were measured before and after repeated UK-injection. One hundred thousand IU of UK was injected at each time and all sujects had at least two times of UK injection accoring to clinical decisions. Nine out of 14 sujects had three times of UK-injection. Results: The mean (${\pm}SE$) PA-activity prior to treatemnt was $10.5{\pm}7.0$ and it was increased to $91.9{\pm}27.0,\;432.3{\pm}177.1,\;170.0{\pm}85.3$ IU tPA/ml after first, second and third time of UK-injection respectively (p<0.01). D-Di concentrations were also increased from $4.16{\pm}1.06{\times}10^5$ to $9.62{\pm}1.54{\times}10^5,\;12.31{\pm}1.89{\times}10^5,\;8.54{\pm}1.56{\times}10^5$ ng/ml in the same order as above (p<0.05). Conclusion: The suppressed fibrinolytic activity in the empyema cavity get removed sinificantly after inrracavitary injection of urokinase by generation of additional intrapleural plasmin.

• ETRI Journal
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• v.34 no.6
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• pp.885-891
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• 2012

This paper proposes a high-efficiency power amplifier (PA) with uneven bias. The proposed amplifier consists of a driver amplifier, power stages of the main amplifier with class AB bias, and an auxiliary amplifier with class C bias. Unlike other CMOS PAs, the amplifier adopts a current-mode transformer-based combiner to reduce the output stage loss and size. As a result, the amplifier can improve the efficiency and reduce the quiescent current. The fully integrated CMOS PA is implemented using the commercial Taiwan Semiconductor Manufacturing Company 0.18-${\mu}m$ RF-CMOS process with a supply voltage of 3.3 V. The measured gain, $P_{1dB}$, and efficiency at $P_{1dB}$ are 29 dB, 28.1 dBm, and 37.9%, respectively. When the PA is tested with 54 Mbps of an 802.11g WLAN orthogonal frequency division multiplexing signal, a 25-dB error vector magnitude compliant output power of 22 dBm and a 21.5% efficiency can be obtained.

• Journal of Energy Engineering
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• v.4 no.3
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• pp.420-428
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• 1995

현재 사용하고 있는 액화천연가스 기화기는 관내부로 -162$^{\circ}C$의 액화가스가 흐르고, 관외부로 발전소 증기응축기 출구에서 배출된 20~3$0^{\circ}C$의 해수를 흐르도록 하여, 두 유체사이의 온도차로 기화시키는 간접접촉방식 열교환기가 사용되고 있다. 그러나 간접접촉방식 열교환기는 두 유체사이의 큰 온도차로 인한 금속재료의 피로현상과 해수의 염분에 의한 재질의 부식 및 미생물 부착 등의 원인으로 열전달효율이 저하되고 있다. 따라서 본 연구는 관을 중간매체로 하는 간접접촉식 열교환기대신 액화천연가스와 기화용수인 물을 직접접촉시키는 방법으로 이용하여, 위와 같은 문제점들을 근본적으로 해결하려 한다. 본 실험에서는 기화기내의 수위 500 mm와 물의 유량 10 l/min을 일정하게 고정시키고, 액화천연가스의 유량 0.12 ㅣ/min, 0.36 l/min, 0.6 l/min, 기화기내의 압력을 100 kPa, 300 kPa, 500kPa로 변화시키면서 기화기내의 기포, 온도분포, 급팽창현상, 동결현상 및 기화후 수분함유량등의 비등특성을 규명하였다. 실험결과 기화기내의 압력이 증가할수록 기포는 작고 균일한 분포를 이루고, 폭발적인 급팽창현상은 일어나지 않았다. 또한 동결현상은 액화천연가스의 기화를 방지하지 못하였으며, 기화된 천연가스내의 수분함유량 몰%는 압력과 유량이 증가함에 따라 감소하는 경향을 보이고 있다.

• Journal of Chest Surgery
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• v.23 no.6
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• pp.1191-1203
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• 1990

Pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries [abbreviated as PA+VSD+MAPCA in the following] has limited the success of attempts at accurate diagnosis and complete surgical repair. From April 1986 to September 1990, 23 patients with PA+VSD+MAPCA among 96 patients of PA+VSD in Seoul National University Children’s Hospital were encountered. The group comprised 14 male and 9 female patients with ages ranging from 17 days to 177 months [mean 49.6 months]. We operated one stage total repair on good pulmonary artery sized two patients by R.E.V. [Reparation a l’etage ventriculaire] and Rastelli operation respectively. And the 11 patients who had independent MAPCAs and hypoplastic central pulmonary artery were dealt with unifocalization and modified Blalock-Taussig Shunt and followed by second stage repair in 3 patients later. We successfully had managed 7 patients whose MAPCAs could be ligated with modified Blalock-Taussig Shunt and followed by second stage repair in 3 patients with R.E.V or Rastelli operation. Recently, three obstruction after 11 unifocalization procedures made us to try palliative right ventricle-pulmonary artery conduit operation by Gore-Tex vascular graft interposition under cardiopulmonary bypass. And so we managed another 3 patients with these procedures for the purpose of pulmonary artery growth whose central pulmonary artery were severely hypoplastic. We experienced one death after second stage repair whose central pulmonary artery was created by 12mm Gore-Tex vascular graft and was unifocalized.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.24 no.8
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• pp.1046-1055
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• 2000

The flow and thermal phenomena in flat tubes of radiator are analyzed numerically. To predict the characteristics of heat transfer and pressure drop, the flow analysis program for three-dimensional complex geometry is developed, which adopted an non-staggered grid system and Cartesian velocities as dependent variables of the momentum equations. Using the developed program, the effect of tube specifications on the heat transfer characteristics is investigated for various flat tubes. From this study, the following results are obtained; (1) For the same hydraulic diameter($D_h{\doteq}5.2$mm), the Nusselt numbers of three basic modeis(D, J, and H-model) are 8.71, 8.92, and 10.58, respectively, and the pressure drops of D-, J-, and H-model are predicted as $-3.08{\times}10^{-2}\;Pa,\;-3.12{\times}10^{-2}\;Pa,\;and\; -3.98{\times}10^{-2}$ Pa, (2) In case of the same flat tube specification, the fins must be brazed at upper tube surface because the heat is more vividly transferred. Therefore, it is found that the H- model is the most effective tube as a heat exchanger and these results are used as a fundamental data for the design of tube.

• Korean Journal of Optics and Photonics
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• v.12 no.6
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• pp.463-467
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• 2001

In this study, we developed a FFPI (fiber optic Fabry-Perot interferometer) pressure sensor using the Si diaphragm which measures pressure in vivo. The diaphragm and its supporting structure were etched in KOH solution and were fabricated with micromachining technology. For the configuration of the sensor, the length of the cavity of the Fabry-Perot etalon is 15 mm and one end of the etalon was bonded to a Si diaphragm with 507m thickness. When the area of the Si diaphragm was 2$\times$2 mm2 (cavity length 15 mm), it turns out that the pressure sensitivity was about 1.5 degree/kPa. The pressure sensor developed in this study showed that the phase change was linearly proportional to the increasing pressure in the range of 80 kPa.

• Neonatal Medicine
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• v.17 no.1
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• pp.34-43
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• 2010

Purpose : The aim of this study was to examine whether hypercapnia during the first seven days of life was associated with severe intraventricular hemorrhage (IVH) in preterm infants requiring mechanical ventilation. Methods : A matched pair analysis was performed for 19 preterm infants with severe IVH(grade$\geq$3) and 38 infants with no severe IVH (normal or grade 1), who required mechanical ventilation for more than seven days. The univariate and multivariate analysis of severe IVH with maximal and minimal $PaCO_2$, averag $PaCO_2$, SD of $PaCO_2$, and difference in the $PaCO_2$ were assessed. The major perinatal factors and maximal ventilator index (VI) were also compared. Results : Infants with severe IVH had a higher maximal $PaCO_2$ (86.1$\pm$18.4 mmHg vs. 60.1$\pm$ 11.6 mmHg, P <0.001) and mean $PaCO_2$ (47.5$\pm$5.6 mmHg vs. 41.2$\pm$6.3 mmHg, P=0.004) and a larger SD or difference in $PaCO_2$ (14.0$\pm$4.4 mmHg vs. 9.0$\pm$2.4 mmHg; 60.3$\pm$20.9 mmHg vs. 35.5$\pm$11.8 mmHg, P <0.001). However the minimal $PaCO_2$ values did not differ between the groups. Disseminated intravascular coagulation, pulmonary hemorrhage, and the air leak syndrome were more frequent in the IVH group than in the controls. The maximal VI on each day was higher in the IVH group. The multivariate logistic regression analysis after controlling for bleeding tendency showed that the air leak syndrome, maximal VI, and maximal $PaCO_2$ were independently associated with severe IVH [OR, 1.324 (95% CI, 1.011-1.733; P=0.041)]. Conclusion : Extreme hypercapnia was significantly associated with severe IVH in preterm infants, after adjustment for major perinatal risk factors. Frequent monitoring of the $PaCO_2$ may be important for early detection of inadvertent hypercapnia and prompt correction of high PaCOS levels.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.12
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• pp.581-588
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• 2017

This study was conducted to determine which factors would predict metabolic syndrome (MetS) perception and exercise by applying a machine learning classifier, or Extreme Gradient Boosting algorithm (XGBoost) from July 2014 to December 2015. Data were obtained from the Korean Community Health Survey (KCHS), representing different community-dwelling Korean adults 19 years and older, from 2009 to 2013. The dataset includes 370,430 adults. Outcomes were categorized as follows based on the perception of MetS and physical activity (PA): Stage 1 (no perception, no PA), Stage 2 (perception, no PA), and Stage 3 (perception, PA). Features common to all questionnaires for the last 5 years were selected for modeling. Overall, there were 161 features, categorical except for age and the visual analogue scale (EQ-VAS). We used the Extreme Boosting algorithm in R programming for a model to predict factors and achieved prediction accuracy in 0.735 submissions. The top 10 predictive factors in Stage 3 were: age, education level, attempt to control weight, EQ mobility, nutrition label checks, private health insurance, EQ-5D usual activities, anti-smoking advertising, EQ-VAS, education in health centers for diabetes, and dental care. In conclusion, the results showed that XGBoost can be used to identify factors influencing disease prevention and management using healthcare bigdata.