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An Analysis of Prehospital Care for Major Trauma Patients depending on the number of 119 Ambulance Crews (119 구급대 편성 인원에 따른 중증외상환자의 병원 전 응급처치 실태 분석)

  • Kim, Jong-Ho;Lee, Hyo-Ju;Lim, Yong-Deok;Han, In-Deuk;Lee, Jae-Gook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.500-506
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    • 2018
  • This study analyzed current prehospital emergency care for severe trauma patients administered by different number of 119 EMS (emergency medical services) teams. Out of 1,067 severe trauma patients transferred by 119 EMS teams in J province from January 1st to December 31st 2015, 438 were evaluated in this study. IBM SPSS Statistics 21.0 was used to analyze collected data. The number of patients with severe trauma during the period of study was higher in male with two and three ambulance crews of 119 EMS teams with 242 patients (70.6%) and 66 patients (69.5%) respectively. The percentage of transfers made to local emergency medical centers was highest in those two groups, being 44.0% (151 patients) and 49.5% (47 patients), respectively. Total time spent at the scene did not differ between ambulance crews of two and three, nor did the frequency of practicing advanced airway management and IV (intravenous) cannulation, or the success rate of IV cannulation (p=0.253, p=0.362, p=1.000). Overall, the results indicated that merely increasing the number of paramedics does not improve the quality of prehospital care for severe trauma patients. Measures such as securing professional paramedics, simplifying direct medical oversights, activating indirect medical oversights, and expanding the legally allowed work scope are required.

Determine Optimal Timing for Out-Licensing of New Drugs in the Aspect of Biotech (신약의 기술이전 최적시기 결정 문제 - 바이오텍의 측면에서)

  • Na, Byungsoo;Kim, Jaeyoung
    • Knowledge Management Research
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    • v.21 no.3
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    • pp.105-121
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    • 2020
  • With regard to the development of new drugs, what is most important for a Korean Biotech, where no global sales network has been established, is decision-making related to out-licensing of new drugs. The probability of success for each clinical phase is different, and the licensing amount and its royalty vary depending on which clinical phase the licensing contract is made. Due to the nature of such a licensing contract and Biotech's weak financial status, it is a very important decision-making issue for a Biotech to determine when to license out to a Big Pharma. This study defined a model called 'optimal timing for out-licensing of new drugs' and the results were derived from the decision tree analysis. As a case study, we applied to a Biotech in Korea, which is conducting FDA global clinical trials for a first-in-class new drug. Assuming that the market size and expected market penetration rate of the target disease are known, it has been shown that out-licensing after phase 1 or phase 2 of clinical trials is a best alternative that maximizes Biotech's profits. This study can provide a conceptual framework for the use of management science methodologies in pharmaceutical fields, thus laying the foundation for knowledge and research on out-licensing of new drugs.

$In$ $Vitro$ Development of Goat Parthenogenetic Oocytes Derived from Different Activation Methods (도축장 유래 산양난자의 단위 발생 유기 방법에 따른 체외 발달)

  • Yun, Yun-Jin;Park, Kyeong-Jin;Park, Hee-Sung
    • Journal of Embryo Transfer
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    • v.27 no.1
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    • pp.57-62
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    • 2012
  • Efficient oocyte activation is a key step for the success of nuclear transfer in cloning. Ionomycin sequentially combined with 6-DMAP is now widely used to activate normal oocytes for analytical studies of oocyte activation and to activate reconstructed oocytes after nuclear transfer. The present study investigated sources of oocytes, duration of ionomycin and 6-DMAP, laser and electric stimulation in goat oocyte activation in order to optimize the protocols. Goat ovaries were collected in individual abattoirs during the breeding season and were delivered to the laboratory within 6 h in saline with 100 IU/ml streptomycin and 0.05 mg/ml penicillin. The oocytes were denuded from the cumulus cell by pipetting with 0.2% hyaluronidase in PBS at 20~22 hr post maturation. Oocytes with the polar body were selected and assigned to four groups for parthenogenetic activation. To examine the effect of duration of ionomycin treatment, oocytes after 20~22 hr of maturation were treated with 2.5 uM ionomycin for 1 or 5 min times and then cultured in 2 mM 6-DMAP for 2 or 4 hr. The activated oocytes were cultured in mSOF at $38.5^{\circ}C$ in $CO_2$ 5%, $O_2$ 5% and $N_2$ 90% multi incubator. Cleavage and blastocyst development was observed at 48 hr and day 8 of culture $in$ $vitro$, respectively. Activation rates of oocytes exposed to ionomycin for 1 min(86.4%) were significantly higher than those treated for 5 min(74.3%) duration. This indicated that 1 min ionomycin treatment was most suitable for activation of goat oocytes. The duration of 6-DMAP treat duration was in 2 mM 6-DMAP for 2 hr after 1 min exposure to 2.5 uM ionomycin. The activation rate of oocytes incubated in 6-DMAP for 2 hour(82.5%) was significantly higher than those in oocytes treated with 4 hr(75.5%).

ARREST OF ROOT DEVELOPMENT AFTER SURGICAL REPOSITIONING OF THE INVERTED MAXILLARY CENTRAL INCISOR : CASE REPORT (역위 매복된 상악 중절치의 외과적 재위치 후 치근 발육 정지)

  • Song, Je-Seon;Choi, Byung-Jai;Choi, Huung-Jun;Kim, Seong-Oh;Son, Heung-Gyu;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.162-168
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    • 2007
  • Impaction of the maxillary central incisor may cause social, esthetic, and functional problems in children. There are various means of treatment for the inverted maxillary central incisor, such as extraction, surgical opening followed by orthodontic traction surgical repositioning or intra-alveolar autotransplantation prior to extraction. In this case, we surgically repositioned the inverted maxillary central incisor to normal semi-erupted position in a 5-year-old boy The developmental stage of the inverted tooth was Nolla's 6.5, which indicates formation of less than one third of the root. After surgical reposition, we did follow-up for 21 months, expecting spontaneous growth Unfortunately, poor prognosis was noted further root was not observed. Such failure seems to originate from possible injury on Hertwig's epithelial root sheath by surgical trauma. We performed surgical repositioning to retain the tooth instead of extraction. However, arrest of root development occurred which is one of the critical complications. In order to increase the success rate of the surgical reposition procedure, minimal surgical trauma is required as well as selection of adequate indication and decision of proper time of treatment considering the stage of root development.

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Facial Motor Evoked Potential Techniques and Functional Prediction during Cerebello-pontine Angle Surgery (소뇌교각 수술 중에 안면운동유발전위의 검사방법과 기능적 예측인자)

  • Baek, Jae-Seung;Park, Sang-Ku;Kim, Dong-Jun;Park, Chan-Woo;Lim, Sung-Hyuk;Lee, Jang Ho;Cho, Young-Kuk
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.470-476
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    • 2018
  • Facial motor evoked potential (FMEP) by multi-pulse transcranial electrical stimulation (mpTES) can complement free-running electromyography (EMG) and direct facial nerve stimulation to predict the functional integrity of the facial nerve during cerebello-pontine angle (CPA) tumor surgery. The purpose of this paper is to examine the standardized test methods and the usefulness of FMEP as a predictor of facial nerve function and to minimize the incidence of facial paralysis as an aftereffect of surgery. TES was delivered through electrode Mz (cathode) - M3/M4 (anode), and extracranially direct distal facial muscle excitation was excluded by the absence of single pulse response (SPR) and by longer onset latency (more than 10 ms). FMEP from the orbicularis oris (o.oris) and the mentalis muscle simultaneously can improve the accuracy and success rate compared with FMEP from the o.oris alone. Using the methods described, we can effectively predict facial nerve outcomes immediately after surgery with a reduction of more than 50% of FMEP amplitude as a warning criterion. In conclusion, along with free-running EMG and direct facial nerve stimulation, FMEP is a useful method to reduce the incidence of facial paralysis as a sequela during CPA tumor surgery.

A Study on the Policy Issues of Basic Research Promotion in Korean Academics (대학의 연구자 주도 기초연구에 대한 주요 정책 이슈 고찰)

  • Park, Kwisun;Kim, Haedo;Jang, Kyeongsu
    • Journal of Korea Technology Innovation Society
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    • v.21 no.3
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    • pp.938-968
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    • 2018
  • Korea's basic research has been rapidly expended in both quantative and qualitative aspect since establishment of 'the Korea Science & Engineering Foundation' in 1977, proclaiming of 'the First Year of Basic Research Promotion' and enactment of 'the Basic Sciences Promotion Act' in 1989. Despite the continuous increment of government basic research funding, the problem of low perceptions of university researchers on the funding increment has been constantly raised. Based on an intrinsic review on the core issues are diagnosed based on Korean academics' basic research status analysis and future challenges are proposed based on the precedent diagnoses. The six key issues that need to take the next step in Korean academics' basic research are as follows: (1) basic research investment in universities, (2) appropriate research expenses for supporting individual researcher, (3) basic research funding allocation method, (4) maintaining the sustainable success rate of research projects, (5) systematic and strategic support for excellent researchers, (6) creating research-immersive environment. The five challenges to promote basic research in academics are as follows: (1) increasing in university research expenses, (2) diversification of basic research funding allocation method, (3) establishment of research field-specified support system and predictable principles, (4) stable and sufficient support for outstanding researchers, (5) reducing burden on research administration.

Human Skeleton Keypoints based Fall Detection using GRU (PoseNet과 GRU를 이용한 Skeleton Keypoints 기반 낙상 감지)

  • Kang, Yoon Kyu;Kang, Hee Yong;Weon, Dal Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.127-133
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    • 2021
  • A recent study of people physically falling focused on analyzing the motions of the falls using a recurrent neural network (RNN) and a deep learning approach to get good results from detecting 2D human poses from a single color image. In this paper, we investigate a detection method for estimating the position of the head and shoulder keypoints and the acceleration of positional change using the skeletal keypoints information extracted using PoseNet from an image obtained with a low-cost 2D RGB camera, increasing the accuracy of judgments about the falls. In particular, we propose a fall detection method based on the characteristics of post-fall posture in the fall motion-analysis method. A public data set was used to extract human skeletal features, and as a result of an experiment to find a feature extraction method that can achieve high classification accuracy, the proposed method showed a 99.8% success rate in detecting falls more effectively than a conventional, primitive skeletal data-use method.

Effect of a short-term in vitro exposure time on the production of in vitro produced piglets

  • Hwang, In-Sul;Kwon, Dae-Jin;Kwak, Tae-Uk;Lee, Joo-Young;Hyung, Nam-Woong;Yang, Hyeon;Oh, Keon Bong;Ock, Sun-A;Park, Eung-Woo;Im, Gi-Sun;Hwang, Seongsoo
    • Journal of Embryo Transfer
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    • v.31 no.2
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    • pp.117-121
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    • 2016
  • Although piglets have been delivered by embryo transfer (ET) with in vitro produced (IVP) embryos and blastocysts, a success rate has still remained lower level. Unlike mouse, human, and bovine, it is difficult to a production of piglets by in vitro fertilization (IVF) because of an inappropriate in vitro culture (IVC) system in pig. Therefore, the present study was conducted to investigate whether minimized exposure time in IVC can improve the pregnancy and delivery rates of piglets. Immediately after IVM, the oocytes were denuded and co-incubated with freshly ejaculated boar semen for 3.5 to 4 hours at $38.5^{\circ}C$ under 5% $CO_2$ in air. To avoid long-term exposure to in vitro state, we emitted IVC step after IVF. After that the presumptive zygotes were transferred into both oviducts of the surrogate on the same day or 1 day after the onset of estrus. Pregnancy was diagnosed on day 28 after ET and then was checked regularly every month by ultrasound examination. The 3 out of 4 surrogates were determined as pregnant (75%) and a total of 5 piglets (2 females and 3 males) were delivered at $118.3{\pm}2.5$ days of pregnancy period. In conclusion, a short-term exposure time may be an important factor in the production of IVP-derived piglets. It can be apply to the in vitro production system of transgenic pig by IVF, cloning, and pronuclear microinjection methods.

MORPHOLOGIC ANALYSIS OF C-SHAPED ROOT USING 3-D RECONSTRUCTION (3차원 재구성법에 의한 C-shaped root의 형태분석)

  • Jung, Eun-Hee;Shin, Dong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.27 no.4
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    • pp.421-431
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    • 2002
  • C-shaped canal configuration is very difficult to treat because that clues about preoperative canal anatomy cannot be ascertained from clinical crown morphology and limited information can be derived from radiographic examination. This study was done to get more informations about the root and canal configuration of C-shape root by 3-dimensionally reconstructing for the purpose of enhancing success rate of endodontic treatment. 30 mandibular molars with C-shaped root were selected. Six photo images from occlusal, apical, mesial, distal, buccal, lingual directions and radiographic view were taken as preoperative ones to compare them with 3-D image. After crown reduction to the level of 1-2mm over pulpal floor was performed, teeth were stored in 5.25% sodium hypochlorite solution for the removal of pulp tissue and debris. They were cleaned under running water, allowed to bench dry and embedded in a self-curing resin. This resin block was serially ground with a microtome (Accutom-50, Struers, Denmark) and the image of each level was recorded by digital camera (FinePix S1-pro, Fuji Co., Japan). The thickness of each section was 0.25mm. Photographs of serial sections through all root canal were digitized using Adobe Photoshop 5.0 and then minimum thickness of open and closed sites were measured (open site is the surface containing occluso-apical groove closed site is oppsite). After dizitization using 3-D Doctor (Able software Corp, USA). 3D reconstruction of the outer surface of tooth and the inner surface of pulp space was made. Canal classsification of C-shaped roots was performed from this 3-D reconstructed image. The results were as follows : 1. Most C-shape rooted teeth showed lingual groove (28/30). 2 According to Vertuccis' calssification, type I, II, III, IV, VII were observed. but also new canal types suck as 2-3-2, 1-2-3-2. 2-3-2-1, 2-3-2-3 were shown. 3 There was little difference in minimum thickness on coronal and apical portions, but open site were thinner than closed site on mid portion. Conclusively, 3D reconstruction method could make the exact configurations of C-shape root possible to be visualized and analyzed from multi-directions. Data from minimum thickness recommend cleaning and shaping be more carefully done on dangerous mid portion.

Virtual Source and Flooding-Based QoS Unicast and Multicast Routing in the Next Generation Optical Internet based on IP/DWDM Technology (IP/DWDM 기반 차세대 광 인터넷 망에서 가상 소스와 플러딩에 기초한 QoS 제공 유니캐스트 및 멀티캐스트 라우팅 방법 연구)

  • Kim, Sung-Un;Park, Seon-Yeong
    • Journal of Korea Multimedia Society
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    • v.14 no.1
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    • pp.33-43
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    • 2011
  • Routing technologies considering QoS-based hypermedia services have been seen as a crucial network property in next generation optical Internet (NGOI) networks based on IP/dense-wavelength division multiplexing (DWDM). The huge potential capacity of one single fiber. which is in Tb/s range, can be exploited by applying DWDM technology which transfers multiple data streams (classified and aggregated IP traffics) on multiple wavelengths (classified with QoS-based) simultaneously. So, DWDM-based optical networks have been a favorable approach for the next generation optical backbone networks. Finding a qualified path meeting the multiple constraints is a multi-constraint optimization problem, which has been proven to be NP-complete and cannot be solved by a simple algorithm. The majority of previous works in DWDM networks has viewed heuristic QoS routing algorithms (as an extension of the current Internet routing paradigm) which are very complex and cause the operational and implementation overheads. This aspect will be more pronounced when the network is unstable or when the size of network is large. In this paper, we propose a flooding-based unicast and multicast QoS routing methodologies(YS-QUR and YS-QMR) which incur much lower message overhead yet yields a good connection establishment success rate. The simulation results demonstrate that the YS-QUR and YS-QMR algorithms are superior to the previous routing algorithms.