• 제목/요약/키워드: Trial Division

검색결과 619건 처리시간 0.024초

성인 호흡곤란 증후군에 있어 체외막 산소화 장치를 이용한 치료 (The Treatment of Adult Respiratory Distress Syndrome (ARDS) Using Extracorporeal Membrane Oxygenation (ECMO))

  • 김고운;최은영;홍상범
    • Tuberculosis and Respiratory Diseases
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    • 제72권1호
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    • pp.1-7
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    • 2012
  • Extracorporeal Membrane Oxygenation (ECMO) support to tissue oxygenation has been shown to improve survival in patients with life threatening respiratory distress syndrome or cardiac failure. Extracorporeal life support such as ECMO, including extracorporeal $CO_2$ removal ($ECCO_2R$), is used as temporary support until successful recovery of organs. A recently published multicentre randomized controlled trial, known as the CESAR (conventional ventilation or extracorporeal membrane oxygenation for severe adult respiratory failure) trial, was the first trial to demonstrate the utility of ECMO in acute respiratory distress syndrome (ARDS). During the 2009 influenza A (H1N1) pandemic, there were many reports of patients with severe ARDS related to H1N1 infection treated with ECMO. These reports revealed a high survival rate and effectiveness of ECMO. In this review, we explain the indication of ECMO clinical application, the practical types of ECMO, and complications associated with ECMO. In addition, we explain recent new ECMO technology and management of patients during ECMO support.

골프 비거리 증가를 위한 기능성 보조 웨어의 효과 검증 (Effect Verification of Wearable Assisting Wear for Increasing Golf Carry Distance)

  • 박양선;우병훈;임영태
    • 한국운동역학회지
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    • 제22권4호
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    • pp.421-428
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    • 2012
  • The purpose of this study was to verify the effects of developed assisting wear which maximize trunk(back) muscle's stretch-shortening effect during backswing and downswing for increasing golf ball carrying distance. Design and fabrication of assistive wear were performed based on the results of analyzed data of trunk EMG activity from the golf drive swings of elite professional male golfers during back swing and downswing phases. After the prototype of wear was produced, surface EMG and Flight scope tests were conducted to verify the effectiveness of the wear for increasing distance to the professional golfers. Results indicated that wearing trial showed significant longer carry distance than the non-wearing trial(p<.001). The carry distance of wearing trial showed an average 229 m compared to the non-wearing trial, the average 225 m. The swing with wearing also produced significantly faster ball speed than the trial without wearing(p<.05). Average 245 Km/h and 244 Km/h were produced for the swing with and without wearing trails, respectively. EMG results also indicated that the muscle activity of left psoas was significantly increased for wearing trial during downswing and near the impact. Thus, this may affect positively to increase club head speed. The activity of the left latissimus dorsi was dramatically increased during the final stage of swing. This generates elongation effect for longer follow-through and increased impulse between club and ball so eventually valid assistance to increase carry distance. Therefore, the developed assisting wear was proved to be effective tool for increasing golf ball carry distance with maximizing trunk(back) muscle's stretch-shortening effect during backswing and downswing.

국내 한방병원의 IRB 및 임상시험 실태조사 (Current Status of Institutional Review Boards and Approvals of Clinical Research in Oriental Medical Hospitals in Korea: A Survey)

  • 정희정;박지은;최선미
    • 대한한의학회지
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    • 제31권1호
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    • pp.122-129
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    • 2010
  • Objective: To investigate institutional review boards and approved clinical trials of Oriental medical hospitals in Korea Methods: We e-mailed 16 Oriental medical hospitals a survey consisting of questions that addressed two topics, institutional review boards and the clinical trials they approved. The first part included questions about whether each hospital had an institutional review board, that board's staffing and education, reviews, and expedited reviews. The clinical trials portion covered the number and types of approved clinical trials, treatment methods, whether an investigator or a sponsor initiated the trials, diseases, time frame, and clinical trial fee. Results: We received a response to our e-mail from 14 hospitals, all of which had an institutional review board. The average number of institutional review board members was 13.57. Of these Oriental medical hospitals, 70% and 49% said that they regularly educated their institutional review board staff and clinical trial, investigators, respectively. 79% of the hospitals claimed to conduct regular reviews, and 50% said that they did so monthly. The number of approved clinical trials increased sharply from 11 in 2005 to 102 in 2008. 68% of these clinical trials were randomized, and the most-used treatment methods were herbal medicine (35%) and acupuncture (29%). The most common target diseases were circulatory (19%), urinogenital (14%), and musculoskeletal (13%) disease. Conclusions: Despite the rapid increase in clinical research in oriental medical hospitals, many more efforts including raising IRB quality, varying research diseases and increasing clinical trials in the hospitals located in non-metropolitan area, should be made.

Evaluating feed value of native Jeju bamboo (Sasa quelpaertensis Nakai) for beef cattle

  • Seul, Lee;Youl Chang, Baek;Mingyung, Lee;Seoyoung, Jeon;Han Tae, Bang;Seongwon, Seo
    • Animal Bioscience
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    • 제36권2호
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    • pp.238-247
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    • 2023
  • Objective: Recently, indigenous Korean grass Sasa quelpaertensis Nakai (SQ) has garnered much interest as a roughage source for livestock to mitigate its adverse effects on habitat diversity. Thus, the objective of the present study was to evaluate the ruminal fermentation, palatability, and nutrient digestibility of SQ for Korean native beef cattle (Hanwoo) using in vitro rumen fermentation, in situ rumen degradability, and in vivo feeding trials. Methods: Using in vitro tests with rumen fluid as the inoculum for 48 h, ruminal fermentation of SQ was evaluated and compared with that of other roughage sources commonly used in Korea (i.e., rice straw, Timothy hay, and Italian ryegrass [IRG]). Additionally, an in situ trial 96 h was performed using three cannulated Hanwoo steers. Further, an in vivo trial was performed using eight Hanwoo steers to compare the palatability of SQ with rice straw in total mixed ration (TMR) and forage-concentrate separate feeding conditions. Finally, an in vivo digestibility trial of SQ fed as TMR of two particle sizes was performed with four Hanwoo steers. Results: In vitro and in situ trials revealed that SQ was comparable or superior to rice straw in terms of the ruminal fermentation characteristics of pH, gas production, total volatile fatty acid content, and effective ruminal dry matter digestibility (DMD), although its fermentability was lower than that of Timothy hay and IRG. In the palatability test, steers showed a greater preference for SQ when given as TMR. The total tract DMD of SQ fed as TMR was 75.9%±1.37%, and it did not differ by particle size. Conclusion: The feed value of SQ as a roughage source for Hanwoo steers is comparable or superior to that of rice straw, particularly when provided as TMR.

갱년 및 폐경 후 여성의 안면홍조에 대한 침 치료 다기관 임상연구 : 수행보고 및 방법론적 교훈 (Methodologic Lessons Learned from Multicenter, Randomized, Controlled Clinical Trial of Acupuncture for Hot Flashes in Peri- and Postmenopausal Women)

  • 김건형;김동일;황덕상;이진무;김형준;윤현민;정희정;강경원;이명수;최선미
    • 대한한방부인과학회지
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    • 제23권1호
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    • pp.42-52
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    • 2010
  • Purpose: This report aims to administer methodologic issues around recently conducted multicenter study for evaluating the effects of acupuncture on menopusal hot flashes and discuss practical issues for further implementation of acupuncture clinical trial for hot flashes. Methods: Study process were mentioned, and issues related to avoiding risk of bias, designing appropriate control group, optimal outcome measurement, potential different effects of menopausal status on study outcomes, and suggestions for developing future clinical trials are discussed. Results: Shortcomings of our multicenter study include lack of allocation concealment and assessor blinding, subjective outcome measurement, short-term follow-up, and fixed acupuncture regimen despite pragmatic purpose of this study. Improving trial design, using objective or validated outcomes, assessing long-term effects of acupuncture, and individualizing acupuncture regimen are needed in future clinical trials. Conclusion: We expect these practical discussions to enable researchers to plan and develop future well-designed clinical trials for evaluating the effects of acupuncture on hot flashes or other women's health issues.

Alternative Method of AWG Phase Measurement Based on Fitting Interference Intensity

  • Oh, Yong Ho;Lim, Sungwoo;Go, Chun Soo
    • Journal of the Optical Society of Korea
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    • 제16권2호
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    • pp.91-94
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    • 2012
  • Arrayed waveguide grating (AWG) phase errors are normally assessed from the Fourier transform of the interference intensity data in the frequency domain method. However it is possible to identify the phases directly from the intensity data if one adopts a trial-and-error method. Since the functional form of the intensity profile is known, the intensities can be calculated theoretically by assuming arbitrary phase errors. Then we decide the phases that give the best fit to the experimental data. We verified this method by a simulation. We calculated the intensities for an artificial AWG which is given arbitrary phases and amplitudes. Then we extracted the phases and amplitudes from the intensity data by using our trial-and-error method. The extracted values are in good agreement with the originally given values. This approach yields better results than the analysis using Fourier transforms.

요추 수술 후 급성기 통증 환자에 대한 통합의학 표준임상경로 임상시험 프로토콜 (An Integrative Care Model of Clinical Pathway Approach for Acute Pain after Back Surgery: A Protocol for Clinical Trial)

  • 김병준;신병철;황만석;신경민;허인;임경태;박인화;손동욱;황의형
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.111-119
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    • 2017
  • Objectives Clinical pathway (CP), is management plans that display goals for patients and have led to improve outcomes for many diseases. In Korea, Interest in Korean medicine's stabilization (Clinical pathway, Clinical Practice Guideline) is increasing, But the number of studies is scare. Method and Analysis This trials composes nonequivalent control group pretest-posttest design to conduct clincal pathway trial for the acute pain after back surgery. The subjects were 10 control patients with back surgery, and 10 experimental patients with application of integrative CP. Each group patient will observed 6 weeks. We check validation of CP. Also we compared the patient's status using the pain, function, Quality of life index between the two groups. Discussion This trial is the first CP for the acute pain after back surgery using integrative medicine concepts. Aim of this trial is to find the effectiveness and validity of clincal pathway for acute pain after back surgery.

선발과 비선발 참돔 (Pagrus maior) 계통의 성장 양상 비교 (Comparative Growth Performance of the Selected and the Non-selected Red Sea Bream (Pagrus major) Lines)

  • 노충환;홍경표;오승용;최희정;박용주;명정구;김종만
    • 한국수산과학회지
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    • 제37권5호
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    • pp.400-404
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    • 2004
  • Growth performances of the selected and the non-selected red sea bream (Pagrus major) lines were evaluated up to marketable size. The offspring were mass-produced either from the selected line (the fourth generation of broods from mass selection) or the non-selected line (the second generation of wild broods). Early (59 to 103 days old, trial I) and late growth performances (4 to 24 months old, trial II) were evaluated based on communal rearing in land-based tanks and sea cages, respectively. In trial I, the selected line exhibited significantly higher values in both weight gain (WG) and specific growth rate (SGR) when compared to those observed in the non-selected line (P<0.05). In trial II comprising of three growth phases (4-9, 9-16 and 16-24 months old), selected line showed only slightly improved in WG and SGR at the beginning two growth phases (4-9 and 9-16 months old) (P>0.05), however, displayed significantly higher values at the last growth phase (16-24 months old) (P<0.05). Overall WG and SGR throughout the experiment (4-24 months) were also significantly higher in the selected line than the non-selected line (P<0.05). Consequently, mean body weight of the selected line at 24 months old was 1.4-fold (40.8{\%}\;increased) as compared to that of the non-selected line. This present result indicates that mass selection of this species against the growth traits might be quite effective, and the present advance has important Implication in the productivity enhancement of red sea bream aquaculture.

FRP 복합재료 방향타 장착 근해어선의 해상시운전시험 결과분석 (Result Analysis of Sea Trial Test for Offshore Fishing Boat Attached FRP Rudder)

  • 박충환;장호윤;박명식;임남균
    • 한국해양공학회지
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    • 제27권6호
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    • pp.112-118
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    • 2013
  • This paper reports the results of a comparative study on rudder performance between the steel rudders that have been used in coastal angling fishing boats in the 20-GT class and the newly developed FRP composite material rudders. In order to compare the rudder performances of these two types, a sea trial test was carried out to investigate the speed performance, fuel consumption, and ship's turning ability. The results showed that the sea trial performance of the FRP composite rudder was better than that of the steel rudder type in terms of the sea speed, fuel consumption rate, and turning ability.

5kWh Flywheel 에너지저장장치 시스템의 동특성 향상 설계 (Design of 5kWh Flywheel Energy Storage System to Improve Dynamics)

  • 박철훈;최상규;함상용;이성휘;윤동원;한영희
    • 한국정밀공학회지
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    • 제25권10호
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    • pp.99-106
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    • 2008
  • 5kWh FESS(Flywheel Energy Storage System) using AMB(Active Magnetic Bearing) has been under development and 1st trial system has been finished and run the operating test. Unfortunately, the test result was not satisfactory because FESS could increase the rotational speed up to 9,000 rpm only although the target rotational speed is 18,000rpm. It's because 1st bending mode frequency of flywheel shaft was too low and imbalance response was too big. To achieve the target speed, 1st bending mode and imbalance response must be improved and the whole FESS needed to be designed again. This paper presents the newly designed FESS and what has been changed from the 1st trial FESS to improve 1st bending mode and imbalance response. The experimental results to see how much 1st bending mode frequency was improved are presented, too.