• 제목/요약/키워드: ST-N

검색결과 1,529건 처리시간 0.029초

Effect of Stent Placement on Survival in Patients with Malignant Portal Vein Stenosis: A Propensity Score-Matched Study

  • Dong Jae Shim;Jong Woo Kim;Doyoung Kim;Gi-Young Ko;Dong Il Gwon;Ji Hoon Shin;Yun-Jung Yang
    • Korean Journal of Radiology
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    • 제23권1호
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    • pp.68-76
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    • 2022
  • Objective: Percutaneous portal vein (PV) stent placement can be an effective treatment for symptoms associated with portal hypertension. This study aimed to evaluate the effect of PV stenting on the overall survival (OS) in patients with malignant PV stenosis. Materials and Methods: Two groups of patients with malignant PV stenosis were compared in this retrospective study involving two institutions. A total of 197 patients who underwent PV stenting between November 2016 and August 2019 were established as the stent group, whereas 29 patients with PV stenosis who were treated conservatively between July 2013 and October 2016 constituted the no-stent group. OS was compared between the two groups before and after propensity score matching (PSM). Risk factors associated with OS were evaluated using the Cox proportional hazards model. Procedure-associated adverse events were also evaluated. Results: The stent group finally included 100 patients (median age, 65 [interquartile range, 58-71] years; 64 male). The no-stent group included 22 patients (69 [61-75] years, 13 male). Stent placement was successful in 95% of attempted cases, and the 1- and 2-year stent occlusion-free survival rate was 56% (95% confidence interval, 45%-69%) and 44% (32%-60%), respectively. The median stent occlusion-free survival time was 176 (interquartile range, 70-440) days. OS was significantly longer in the stent group than in the no-stent group (median 294 vs. 87 days, p < 0.001 before PSM, p = 0.011 after PSM). The 1- and 3-year OS rates before PSM were 40% and 11%, respectively, in the stent group. The 1-year OS rate after PSM was 32% and 5% in the stent and no-stent groups, respectively. Anemia requiring transfusion (n = 2) and acute thrombosis necessitating re-stenting (n = 1) occurred in three patients in the stent group within 1 week. Conclusion: Percutaneous placement of a PV stent may be effective in improving OS in patients with malignant PV stenosis.

인공사료로 사육한 뒷흰가는줄무늬밤나방(Mythimna loreyi ) (밤나방과)의 발육과 생식 특성 (Developmental and Reproductive Characteristics of Mythimna loreyi (Noctuidae) Reared on Artificial Diets)

  • 김은영;김이현;정진교
    • 한국응용곤충학회지
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    • 제61권3호
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    • pp.423-434
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    • 2022
  • 열대거세미나방(Spodoptera frugiperda)(밤나방과) 유충 사육을 위해 이전에 개발된 두 인공사료(N4와 N6)가 뒷흰가는줄무늬밤나방 (Mythimna loreyi)(밤나방과) 사육에도 적합하였다. 실험실 조건[25℃, 15:9 h (명:암) 광주기]에서 알기간은 4.9-5.2일, 유충기간은 22.3-23.2일로 두 사료 집단 사이에 큰 차이가 없었다. 한 사료 집단 내에서 번데기 기간은 암컷이 약 12.6-12.8일, 수컷이 14.1-14.5일이었고, 번데기 무게는 암컷이 약 345 mg, 수컷이 약 380 mg로, 암수 사이에 유의한 차이를 보였다. 유충의 용화율과 용의 우화율은 각각 91-94%와 91-95%로 두 사료집단 사에의 유의한 차이를 보이지 않았다. 성충 산란전 기간은 3.4일, 산란기간은 약 4.7-4.8일 이었다. 성충 수명은 암컷이 8.2일, 수컷이 10.3-12.4일로 수컷의 수명이 길었다. 암컷당 부화한 총 자손 수는 724-847마리였고, 최대 약 1,400마리였다. 생명표 분석에서 개체군 내적자연증가율(N4 집단 0.1181, N6 집단 0.1253)은 두 사료집단 사이에 유의한 차이가 없었다. 한 사료집단 내에서 유충 영기가 5령 혹은 6령까지 발육하는 개체변이가 발견되었다. N4 사료집단의 5령 개체 비율(약 22%)은 N6 사료집단의 5령 개체비율(약 7%)보다 높았다. 6령 개체들의 평균 유충기간이 5령 개체들보다 더 길었다. 유충의 영기별 두폭은 1령의 약 308 ㎛부터 6령의 약 3,065 ㎛까지, 몸길이는 1령의 약 2.0 mm부터 6령의 약 29.1 mm까지 측정되었다. 2020년 6-7월 중에 옥수수 포장에서 뒷흰가는줄무늬밤나방 유충이 동속종인 멸강나방(M. separata) 유충과 함께 발견되었다.

좌굴방지가새와 FRP로 보강된 RC골조의 반복 횡하중 실험 (Reversed Lateral Load Tests on RC Frames Retrofitted with BRB and FRP)

  • 이한선;이경보;황성준;조창석
    • 콘크리트학회논문집
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    • 제23권5호
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    • pp.683-692
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    • 2011
  • 필로티형 저층 RC 집합주택에서는 지진 발생 시 필로티층에 손상이 집중된다. 따라서, 이 연구에서는 필로티층의 비틀림과 X, Y방향의 강도와 강성을 증가시키기 위해 좌굴방지가새를 설치함과 동시에, 과도한 변형과 축력의 변동이 발생하는 외부기둥의 연성과 축성능, 전단 성능을 증가시키기 위해 외부기둥을 FRP로 보강하였다. 이와 같은 보강 효과를 실험적으로 검증하기 위해 순수 골조와 FRP와 좌굴방지가새로 보강된 골조에 대한 반복 횡하중 실험을 수행하였다. 실험 결과 항복강도(43.2 kN)는 설계항복강도(30 kN)와 압축부의 강도 증가 때문에 차이가 나타났고, 강성(11.6 kN/mm)은 설계강성(24.2 kN/mm)에 비하여 절반의 값을 가졌다. 이러한 강성의 차이는 골조와 가새의 접합부 사이의 미끄러짐과 기초의 회전 및 횡변위가 원인으로 나타났다. 보강된 골조의 에너지 흡수 능력은 순수 골조에 비해 7.5배 향상되었다. 기초당 설치된 로드셀의 개수를 2개에서 1개로 변화시키면, 횡강성이 11.6 kN/mm에서 6 kN/mm로 줄어 들었고, 이것은 단지 순수 골조의 강성에 3배에 지나지 않는다(2.1 kN/mm).

Application of Nano Coating to ACSR conductor for the Protection of Transmission lines against Solar Storms, Surface Flashovers, Corona and Over voltages

  • Selvaraj, D. Edison;Mohanadasse, K.;Sugumaran, C. Pugazhendhi;Vijayaraj, R.
    • Journal of Electrical Engineering and Technology
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    • 제10권5호
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    • pp.2070-2076
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    • 2015
  • Nano composite materials were multi-constituent combinations of nano dimensional phases with distinct differences in structure, chemistry and properties. Nano particles were less likely to create large stress concentrations and thereby can avoid the compromise of the material ductility while improve other mechanical properties. Corona discharge was an electrical discharge. The ionization of a fluid surrounding a conductor was electrically energized. This discharge would occur when the strength of the electric field around the conductor was high enough to form a conductive region, but not high enough to cause electrical breakdown or arcing to nearby objects. This paper shows all the studies done on the preparation of nano fillers. Special attention has given to the ACSR transmission line conductor, TiO2 nano fillers and also to the evaluation of corona resistance on dielectric materials discussed in detail. The measurement of the dielectric properties of the nano fillers and the parameters influencing them were also discussed in the paper. Corona discharge test reveals that in 0%N ACSR sample corona loss was directly proportional to the applied line voltage. No significant change in corona loss between 0%N and 1%N. When TiO2 nano filler concentration was increased up to 10%N fine decrement in corona loss was found when compared to base ACSR conductor, corona loss was decreased by 40.67% in 10%N ACSR sample. It was also found from the surface conditions test that inorganic TiO2 nano filler increases the key parameters like tensile strength and erosion depth.

산지초지에서 애기수영의 생육제어를 위한 질소와 석회의 적정시용수준의 추정 (The Estimation of Optimal Nitrogen and Lime Application Levels on the Growth Control of Sheep Sorrel(Rumex acetocella L.) in Mountainous Pastures)

  • 이주삼;이상영;조익환
    • 한국초지조사료학회지
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    • 제19권4호
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    • pp.363-372
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    • 1999
  • 산지초지에서 애기수영의 생육제어를 위한 석회와 질소의 적정 시용수준을 추정하였다. 1. 애기수영의 모든 예취회수에서 질소시용수준간과 석회시용수준간에는 유의성이 인정되었다. 2. 석회 200~300kg/10a의 수준에서 질소 21kg/10a 이상을 시용하는 것이 설정하는 것이 애기수영의 생육제어를 위하여 효과적이었다. 3. 질소 16kg/10a의 수준에서의 애기수영의 연간 건물수량이 가장 많았다. 4. 질소 48kg/10a의 수준에서 석회 520.5kg/10a을 시용할 경우, 애기수영의 완전한 생육제어가 가능한 것으로 추정되었다. 5. 석회 200~300kg/10a의 수준에서 2회 예취와 4회 예취의 생육제어효과가 가장 높았다. 6. 질소 48kg/10a의 수준의 1회 예취, 2회 예취, 4회 예취에서 생육제어효과가 가장 높았다.

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요소의 암모니아화 및 질산화와 토양반응에 미친 수종 유기물의 영향 (Effect of a Number of Organic Sources on the Ammonification and Nitrification of Urea and Soil Reaction)

  • 오왕근;허지희;김재영
    • 아시안잔디학회지
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    • 제5권1호
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    • pp.47-53
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    • 1991
  • A laboratory experiment was conducted in order to learn the effect of a number of organic matters on the ammonification and nitrification of urea, and the reaction of soil, applied to a loamy upland soil poor in orgnic matter(<1.5%, without plants 1.The ammonification of urea was most pronounced in one week period immediatly after fertilizer and water treated, after which a rapid decrease of it was followed showing no accumulation at the end of 3rd week. Owing to the accumlation of ammonium, pHs of treated soils were read 7.0 to 7.3 from 6.8~6.9. 2.Nitrification was also progressed rapidly in the first one week period so that the accumulation of NO$_3$-N surpassed that of ammonia during this period. After the 1st week the accumulation of N0$_3$-N was continuously increased showing the maximum at the end of 4 weeks following a sharp decrease at the end of 5th weeks. The accumulation of NO$_3$-N dropped soil pH from 6.8-7.0 to 6. 0-6.2,but the decrease of NO-N at the end of 5th weeks brought up soil pH to 6.4-6.6. again. 3.Amino acid fermentation byproduct rich in salt, paticularly chloride, slowed down the ammonification and nitrification of urea. 4.The application of organic matter diminished the acidifying effect of chemical fertilizers. The diminishing effect of soluble humic acid and amion acid fermentation byproduct showed greater than that of solid organic matter in this experiment, which might be own to the application of a rather small amount of water soluble organic matters. Rice straw powder among solid organic matters appeared to be the least in the diminishing effect above. It may be reasoned that these soluble organic matters decomposes rapidly so as to affect Soil pH, but solid organic matters, particularly the rice straw powder, form acidic humus.

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Clinical characteristics of children with 2009 pandemic influenza A (H1N1) admitted in a single institution

  • Park, San-In;Kim, Min-Ji;Hwang, Ho-Yeon;Oh, Chi-Eun;Lee, Jung-Hyun;Park, Jae-Sun
    • Clinical and Experimental Pediatrics
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    • 제53권10호
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    • pp.886-891
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    • 2010
  • Purpose: This study aims to investigate the clinical characteristics of children diagnosed with the novel influenza A (H1N1) in the winter of 2009 at a single medical institution. Methods: Out of 545 confirmed cases of influenza A (H1N1) in children, using the real time RT-PCR method at Kosin University Gospel Hospital from September to December of 2009, 149 patients and their medical records were reviewed in terms of symptoms, laboratory findings, complications and transmission within a family. Results: Median age of subjects was 7 years (range: 2 months-18 years). New cases increased rapidly from September to reach a peak in November, then declined rapidly. Most frequently observed symptoms were fever (96.7%), cough (73.2%), rhinorrhea (36.9%) and sore throat (31.5%). Average body temperatures on the 1st, 2nd and 3rd hospital day were $38.75{\pm}0.65^{\circ}C$, $38.08{\pm}0.87^{\circ}C$ and $37.51{\pm}0.76^{\circ}C$, respectively. Complete blood counts and biochemical tests performed on the first admission day showed within the reference values in most cases. Of the 82 patients with simple chest radiography, 18 (22%) had pneumonic lesions; multi-focal bronchopneumonia in eleven, single or multi-segmental lobar pneumonia in five, and diffuse interstitial pneumonia in two patients. All of the 149 patients improved from their symptoms and discharged within 9 days of admission without any late complication. Conclusion: Children with 2009 pandemic influenza A (H1N1) at our single institution displayed nonspecific symptoms and laboratory findings, resembling those of common viral respiratory illnesses, and did not appear to develop more severe disease.

Analysis and Evaluation of Lake Sediment

  • 황종연;한의정;김태근;유순주;윤영삼;정용순
    • 환경영향평가
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    • 제7권2호
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    • pp.5-14
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    • 1998
  • This study was performed to estimate interrelation between characteristics of sediment and nutrient releare from sediment in Dae-cheong lake. For the investigations, sediments were sampled in June and October 1997 at fish farms, embayment, and the main stream of Dae-cheong lake. Items for investigation are as follows; water content, weight loss on ignition(IG), porosity of sediment, Total Kjeldahl Nitrogen(TKN), content of element(H, N, C), nutrient release rate. Water content and porosity were measured to conjecture the physical trait and grain size. And weight loss on ignition was measured to determine the contents of organic substance. For the determination of nutrient release rate, $PO_4-P$ and $NH_4-N$ concentration of interstitial water and overlying water were measured. Release rate of nutrients which has direct influenced upon the water quality were 0.05-8.63mg-$P/m^2{\cdot}day$ and 4.99-36.56mg-$N/m^2{\cdot}day$. And it was found that release rate was measured higher in the 1st sampling than in the 2nd sampling. And for determination of the humus level of sediment, carbon and nitrogen content were measured by using elemental analyzer. Generally, C/N ratio is used to determine humus level of lake sediment. As a result of elemental analysis, C/N ratio was determined in the range of 7.64~11.55, so humus level of Dae-cheong lake sediment was estimated from mesohumic state to oligohumic state.

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다차원 2계 중성자 수송방정식의 방향근사를 위한 영역상수법 (Piecewise-Constant Method for Angular Approximation for the Second-Order Multidimensional Neutron Transport Equations)

  • 노태완
    • 에너지공학
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    • 제16권1호
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    • pp.46-52
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    • 2007
  • 특정한 방향에 대해 방향중성자속(angular neutron flux)을 정의하는 방향차분 방정식(discrete-ordinates or $S_{N}$ equation)과 달리 방향변수를 구분된 방향영역에 대하여 적분한 값을 사용하고, 해당 방향영역 내에서 방향중성자속이 일정하다고 가정하는 영역상수법(piecewise-constant method)을 개발하였다. 기존 방향차분법과 본 연구에서 개발된 영역상수법을 1계 수송방정식(1'st-order Boltzmann transport equation)과 2계 우성 방정식(even-parity equation)에 적용하여 방향차분 방정식인 $S_{N}$ 방정식과 유사 방향차분방정식($S_{N}$-like equation)인 $PC_{N}$ 방정식을 유도하였다. 우성 방정식에 영역상수법을 적용한 경우 기존 방향차분법의 단점인 광첨두 현상(ray effect)이 현저히 감소함을 확인하였는데 이는 우성 방정식의 혼합 미분항의 기여도가 작아지기 때문인 것으로 판단된다. 이러한 이론은 우성 방정식에서 혼합 미분항이 제거된 단순우성 방정식(simplified even-parity equation)을 사용하는 경우 광첨두 현상이 완전 제거 또는 극단적으로 감소되었던 이전의 결과를 이론적으로 설명한다.

승모판막질환의 재수술에 대한 임상적 고찰 (Clinical Evaulation of Reoperation for Mitral Vavular Disease)

  • 김명인;김응중;이영
    • Journal of Chest Surgery
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    • 제25권1호
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    • pp.49-56
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    • 1992
  • Total 20 cases of reoperation for mitral vavular disease, which had been performed during the period from May 1983 till October 1991, were reviewed. This study contained 1 case of previous balloon valvuloplasty and 1 case of death with bleeding from right ventricle during sternal reenrty. The average time intervals between reoperation and previous operation was 19 years in closed mitral commissurotomy[n=4], 7 years and 2 months in mitral valve replacement[n=10], 1 year and 8 months in mitral valvuloplasty[n=4], 3 years and 10 months in open mitral commissurotomy [n=2]. The cause of reoperation in closed mitral commissurotomy was progression of the disease, and residual stenosis with progression was the cause in open mitral commissurotomy cases. Technical failure might be the cause in the cases of valvuloplasty. In prosthetic valve replacement group the causes of reoperation were primary failure. Also two cases of suggested valve thrombosis and one case of failure of tricuspid annuloplasty was noted in prosthetic valve replacement group. The used valves for reoperation were Ionescue-Shiley in 3 cases, Bjork-Shiley in 6 cases, St. Jude Medical in 2 cases and CarboMedics in 8 cases. The mortality rate was 20%[n=4] and the causes of death were low output syndrome in 1 case, multiple organ failure in 2 cases and bleeding in 1 case during sternal reentry. During follow up 1 case of sudden death was observed.

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