• 제목/요약/키워드: comparison group method

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조립식(組立式) 탁자(卓子)의 CBA접합부(接合部) 강성(剛性)에 관(關)한 연구(硏究) (A Study on the Stiffness of CBA(Corner Block with Anchor Bolt) Joint in Knockdown Type Table Furniture)

  • 정우양;이필우
    • Journal of the Korean Wood Science and Technology
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    • 제17권2호
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    • pp.34-64
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    • 1989
  • 포장(包裝) 용적(容積) 감소에 따른 수송비(輸送費) 절감(節減) 효과(效果)가 있어 조립시(組立式) 탁자류(卓子類) 가구(家具)의 제작(製作)에 널리 쓰이는 CBA(corner block with anchor bolt) 접합방식(接合方式)은 일정기간(一定期間) 사용(使用)함에 따라 접합부위(接合部位)가 약해지고 그 결과(結果) 구조(構造)가 불안정(不安定)하게 되는 반강접합(半剛接合)(semi-rigid joint) 특유(特有)의 결점(缺點)도 지니고 있다. 따라서 본(本) 연구(硏究)에서는 CBA 접합(接合) 강도(强度)에 영향하는 주요(主要) 설계(設計) 인자(因子)로서 side rail 규격, corner block의 side rail에의 부착시(時) 보강재(補强材)의 효과(效果) 및 corner block관통 anchor bolt의 사용(使用) 수(數) 그리고 corner block의 형태등(等)의 평가(評價)를 하기 위해 22개(個)의 접합군(接合群) 별(別)로 총(總) 88개(個)의 table section 시험체(試驗體)를 제작(製作)한 후(後)그들의 강성(剛性) 계수(係數)(Z - 값) 및 유효강도(有效强度)를 수평 하중(荷重)에 의한 변형측정(變形測定) 실험(實驗)을 통해 결정(決定)한 후 설계(設計) 인자별(因子別) 효과(效果)를 비교 분석(分析)하였다. 분석결과(分析結果), side rail의 높이 증대(增大) 및 corner block 부착시(時) PVAc 수지(樹脂)의 사용효과(使用效果)가 뚜렷하여 유효강도(有效强度)의 유의적(有意的) 향상(向上)을 나타냈고 anchor bolt의 효과(效果) 역시 2개 사용시(使用時)가 1개 사용시(使用時) 보다 훨씬 큰 것으로 나타났다. 또 side rail 높이 와 anchor bolt 사용(使用) 수(數)간에는 상호작용(相互作用) 효과(效果)도 있었다. 그러나 side rail의 두께 효과(效果)는 22mm에서 25mm로 증대(增大)시켰을때 뚜렷한 상승 경향(傾向)은 보여주지 못했다. 한편 corner block의 형태는 MDF를 주재료(主材料)로 사용(使用)한 탁자(卓子) 설계시(設計時)는 두께 25mm, 높이 100mm의 side rail에 PVAc 수지(樹脂)로 보강(補强)하고 mitered corner block에 2개(個)의 anchor bolt를 관통시킨 경우가 유효강도(有效强度) 3171.7 kgf-cm로 22개의 접태군(接台群)들 중 최대치(最大値)를 나타냄으로써 miter type이 rectangular type보다 바람직한 것으로 나타났다. 결론적(結論的)으로 자재(資材)의 효과적(效果的) 이용(利用)을 통한 생산비(生産費) 절감(節減)과 동시(同時)에 구조(構造)의 안정(安定)된 강도적(强度的) 측면(側面)을 고려할 때, 두께 22mm, 높이 75mm의 MDF side rail에 mitered corner block을 PVAc 수지(樹脂)와 나사못을 이용하여 부착한 후(後) 2개(個)의 anchor bolt를 관통시키는 방법(方法)을 가장 합리적(合理的)인 MDF 사용(使用) 조립시(組立式) 탁자(卓子) 설계(設計) 방안(方案)으로 제시(提示)하는 바이다.

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야잠사의 구조특성 및 물리적 성질 (Structural Characteristics and Physical Properties of Wild Silk Fibres; Antheraea pernyi and Antheraea yamamai)

  • 권해용;박영환
    • 한국잠사곤충학회지
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    • 제36권2호
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    • pp.138-146
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    • 1994
  • 야잠사, Antheraea pernyi와 Antheraea yamamai의 구조특성을 살폅기 위하여 x-ray 회절 분석, IR 분광법, 편광현미경 관찰, 아미노산 분석을 행하였으며 섬유밀도, 열적 성질 및 동점탄성 성질을 살펴보았다. 그들의 구조 및 물리적 성질에 대한 결과를 가잠사(Bombyx mori)의 특성과 비교하여 요약하면 다음과 같다. 1. 작잠견사와 천잠견사의 아미노산 조성에는 큰 차이가 없었으나 천잠견사의 경우 반응성이 높은 극성아미노산이 다소 많은 것으로 나타났으며 가잠견사의 경우 glycine, 야잠사는 alanine 함량이 가장 많으므로 이들의 견사의 결정구조 특성에 관여되었다고 할 수 있다. 2. 섬유밀도 측정결과 천잠사(1.265~1.301g/㎤), 작잠사(1.308~1.311g/㎤), 가잠사(1.355~1.356g/㎤) 순으로 나타났으며 계산된 결정화도 값도 천잠사(51%), 작잠사(52%), 가잠사(64%) 순으로 나타났다. 3. 작잠사와 천잠사의 x-ray 회절곡선은 차이점이 없이 2$\theta$기호 16.7。와 20.5。에서 (002)면과 (201)면의 특징적인 double peak이 관찰되었으며 가잠사의 경우 2$\theta$기호 20.5。 부근에서 강한 회절 peak이 나타나 결정 구조가 서로 다른 것으로 나타났다. 4. IR spectrum 관찰결과 작잠사와 천잠사는 공히 alanine-alanine sequence에 관계되는 흡수 peak이 나타나며 가잠사는 glycine-alanine sequence에 관련된 group의 흡수 peak이 나타났다. IR 결정화도는 밀도측정에 의한 결과와 동일하게 천잠사(53.9%), 작잠사(54.3%), 가잠사(70.4%) 순으로 계산되었다. 5. 복굴절률은 가잠사의 경우 0.0556에 비하여 야잠사는 0.0216으로 낮은 값을 나타내며 광학배향도값도 가잠사가 2배 정도 높은 것으로 나타났다. 편광현미경에 의한 표면특성은 야잠사의 경우 섬유축방향으로 microfibril들이 줄무늬 모양으로 뚜렷하게 관찰되었다. 6. DSC 및 TGA 분석에 의하여 열분해특성을 살펴본 결과 열분해온도는 가잠사, 작잠사, 천잠사 순으로 350。 부근에서 나타났으며 각각의 구조특성에 따라 열분해가 진행되는 단계가 달리 나타나는 것으로 관찰되어 열안정성의 차이를 보여주었다. 7. Dynamic storage modulus와 loss modulus를 측정하여 얻은 유리전이온도는 가잠사 22$0^{\circ}C$, 천잠사, 24$0^{\circ}C$ 및 작잠사 255$^{\circ}C$의 값을 나타냈으며 이것은 비결정영역의 전이형상이 각 견사의 구조특성에 따라 다른 거동을 하고 있음을 의미한다.

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일 지역 성인의 구강건강실태에 관한 조사연구 (A study on the status of the Dental Health of Adults)

  • 정영숙
    • 보건교육건강증진학회지
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    • 제17권1호
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    • pp.95-113
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    • 2000
  • The purpose of this study is to investigate the state of the dental health of adults, used self-reporting qestionnaire as objects of 923 residents living in nine districts at random among the sites of eleven town located in a County. The level of knowledge on dental health of adults in a County was 65.6 points out of 100 points, comparatively low. Accodingly, it is necessary for entire adults to have a dental health-related education and get high standard of knowledge. Especially, educational approach should be performed for groups of 40-49 years old, 50-59 years old, above 60 years old, male, no educational background, having only elementary and middle school education, not having any jobs, engaging in agriculture, doing business on their own and so on. When planning the contents of health education, one actually has to include the habit of amalgam, the factor in influencing on dental health as well as show an example such as how to brush teeth, checking point of proper brushing, how to grip toothbrush. The attitude score related to dental heath was 71.2 points out of 100 points, relatively low. Consequently, the change of attitude related the dental health among entire adults is necessary, particularily, the strategical approach is essential to change dental health connected to attitude positively for groups of male, having high school education background, office workers and the civil service. Besides, among dental health related symtoms, more that 30-40% of objects showed negative attitude toward as the following cases; in case that plaque or food debris are attached to the teeth (40.8%), upper and lower teeth do not fit together(40.3%), you cannot sleep well because of toothache(31.0%), more than one tooth fall out(31.0%), you have loosing teeth(30.6%), the approach should be conducted to form attitude that dental care is necessry. The state of dental health through dental health related symtoms was 33.3 points out of 100 points, which was fairly satisfactory. However, dental treatment for the state of dental health should be executed in case of comparison of the dental health state according to general characteristics, the group who are above 60 years old, have elementary school education background, engage in aggriculture who are not good in dental health state as opposed to other groups. Furthermore, there should be dental care needs according to dental health related symtoms, particularly, more than 60-70% of objects have experienced symtoms that plaque or food debris attached to the teeth, tartar is on the teeth so dental treatment should be peformed for a large number of adults. In addition, for the people who have indications that there was a cavity, more than one tooth loss, chilled teeth, toothache when chewing, loose teeth, upper and lower teeth do not fit together, you cannnt sleep well due to the toothach, etc, there should be care through dental treatment. The actual conditions of the hygine of the mouth was relatively good and the difference of the actual state of dental health care in terms of general characteristics showed in only gender; female was more careful in dental health. Comparing the state of oral health synthetically, when they have symtoms, only 34.8% of objects go to a dentist, 60.7% are using passive or negative care such as gargling, tolerating or ignoring. There was many symtoms to care through dental therapy such as plaque or food debris get in between the teeth, tartar on the teeth, teeth are very cold, more than one tooth fallout, loose teeth, there is wrong amalgam, and so on, among symtoms to care passively or negatively. Therefore the education for proper treatment program should be performed. As a result of dental health-related knowlege, attitude, health state, verification of correlation between the actual condition of care, the higher the dental heath-related knowldege becomes, the more positive the dental health-related attitude is, and the state of dental health, that is, the standard of the symtom of dental health diminishes. the care for dental health executed through more active method and the more positive dental health-related attitude is, the more active means they performed. Consequently, the high level of dental health-related knowledge should be necessary, the more positive the dental health-related attitude was, the more active method they adopted, therefore, the program is needed to form attitude related to the dental health positively. As the knowledge on dental health is increasing, the attitude is also positive, after all, the plan to increase the standard of knowledge on dental health should be contrived through education program related to dental health.

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고체상 합성법에 의해 합성된 N-(3-hydroxysulfonyl)-L-homoserine Lactone 유사체들의 Vibrio harveyi 쿼럼 센싱에 대한 저해 효과 (Solid Phase Synthesis of N-(3-hydroxysulfonyl)-L-homoserine Lactone Derivatives and their Inhibitory Effects on Quorum Sensing Regulation in Vibrio harveyi)

  • 김철진;박형연;김재은;박희진;이본수;최유상;이준희;윤제용
    • 한국미생물·생명공학회지
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    • 제37권3호
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    • pp.248-257
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    • 2009
  • Vibrio harveyi 쿼럼 센싱 (quorum sensing; QS) 신호전달에 대한 저해제들이 주 신호물질인 N-3-hydroxybutanoyl-L-homoserine lactone(3-OH-$C_4$-HSL)의 분자 구조를 변형함에 의해 개발되었다. 일련의 구조 변형체들인 N-(3-hyoxysulfonyl)-L-homoserine lactones(HSHLs)들은 고체상 유기합성법 (solid-phase organic synthesis method)으로 합성되었다. 이 물질들의 생체내 쿼럼 센싱 저해능이 V. harveyi 발광을 이용한 bloassay를 system에 의해 측정되었을 때, 모두 의미있는 저해효과를 보여주었다. 이 물질들과 3-OH-$C_4$-HSL 수용체 단백질인 LuxN 사이의 상호작용을 분석하기 위하여 LuxN의 신호 결합 부위를 다른 acyl-HSL 결합 단백질들과의 유사성에 기초하여 시험적으로 결정하였다. 이 추정 신호결합 부위의 부분적 삼차구조를 ORCHESTRA program을 이용하여 예측하였으며, 이 부위 내에서 3-OH-$C_4$-HSL와 HSHLs의 결합 형태와 에너지를 계산하였다. 이렇게 모델링을 통해 얻어진 결과와 생체 내 bioassay를 통해 얻어진 결과의 비교를 통해, 수용체 단백질과 그 리간드 사이의 상호 작용에 관한 in silica 해석이 특히 단백질의 삼차 구조에 대한 정보가 제한적인 경우에 보다 나은 저해제 개발을 위한 유용한 방법이 될 수 있음을 제안한다.

光州 中心의 人口移動 特性에 관한 硏究 (The Characteristics of Population Flows in kwangju Metropolitan Area)

  • 조혜종
    • 대한지리학회지
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    • 제28권1호
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    • pp.40-57
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    • 1993
  • 본 연구에서는 光州를 중심으로 발생하는 人口流動의 특성에 관하여 분석하였다. 이를 위하여 生殘準法에 의한 이동 및 주거지 이동의 永久的 移動과 고속버스여객의 이동 및 환자의 受診移動의 一時的 移動으로 구분하였다. 分析結果, 1986-1990년 광주시 전출입의 양상은 전남이 규모상 탁월하지만 移動空間이 전국적으로 확산되고 있음이 밝혀졌다. 그리고 1980-1985년 센서스의 생잔율법에 의한 純移動의 분석과 광주시 5개 洞의 표본조사 결과에서는 移動因子로서 敎育因子와 移住者의 距離認知가 중요한 因子로 작용한다는 사실이 판명되었다. 한편, 1日移動의 분석결과, 週末과 休日에는 방문이동이 많고 連休에는 일시적 귀환이동이 탁월하게 나타났다. 환자의 수진이동은 생활환경의 변화에 따라 큰 폭으로 증가하고 있으며, 이런 현상은 광양, 여천의 공업지역에서 현저하게 나타나고 있다.

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축산물가공품에서 건조필름법과 TEMPO®TVC 검사법의 총세균수 비교분석 (Comparison of an Automated Most-Probable-Number Technique TEMPO®TVC with Traditional Plating Methods PetrifilmTM for Estimating Populations of Total Aerobic Bacteria with Livestock Products)

  • 김영조;위성환;윤하정;허은정;박현정;김지호;문진산
    • 한국식품위생안전성학회지
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    • 제27권1호
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    • pp.103-107
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    • 2012
  • 본 연구에서는 축산물가공품에서 건조필름법과 $TEMPO^{(R)}$ TVC의 총세균수 측정에 대한 유효성을 평가하였다. 이를 위하여 국내 유통 중인 축산물가공품 257건과 대장균과 황색포도상구균을 인위적으로 접종시킨 축산물가공품 87건에서 대하여 총세균수를 측정하였다. 실험결과는 $log_{10}$ 값으로 전환 후 CCFRA Guideline 29에 의하여 두 검사법간의 일치율을 분석하였고, Pearson의 검정법을 이용하여 상관분석을 실시하였다. 식육가공품 중 햄류, 건조저장육, 분쇄가공육제품 및 식육추출가공품에서 두검사법간 93%이상의 일치율이 확인된 반면 소시지류에서는 89.1%의 일치율을 보였다. 이에 반하여 우유류, 치즈류, 아이스크림류, 조제유류에서는 92% 이상의 일치율을 보였고, 알가열성형제품은 100%의 일치율을 보였다. 또한 소시지류(상관계수 $r$ = 0.77)와 치즈류(상관계수 $r$ = 0.89)를 제외한 축산물가공품 모든 유형에서 건조필름법과 $TEMPO^{(R)}$ TVC 검사법간의 상관계수($r$)가 0.9 이상으로 ($P$ < 0.001) 높은 양의 상관관계를 나타내었다. 결론적으로 본 연구에서 $TEMPO^{(R)}$ TVC는 검출한계가 있는 일부 축산물가공품을 제외하고 총세균수 검사에 있어서 효과적인 것으로 나타났다.

합성 폴리머 겔의 법랑질 탈회 속도 비교 (Comparison of the Rate of Demineralization of Enamel using Synthetic Polymer Gel)

  • 이준행;신지선;김종수
    • 대한소아치과학회지
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    • 제46권2호
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    • pp.190-199
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    • 2019
  • 인공우식 유발 용액 제조 방법 중의 하나인 White의 방법에 사용되는 $Carbopol^{(R)}$ 907의 생산이 최근 중단되면서, 그동안 사용되어 왔던 $Carbopol^{(R)}$ 907을 대체할 새로운 법랑질 보호제가 요구되게 되었다. 기존 White의 방법에 따라 $Carbopol^{(R)}$ 907을 사용하여 제조하고, 같은 방법으로 $Carbopol^{(R)}$ 2050을 사용하여 인공 탈회 용액을 제조한 후, 1일부터 20일까지 법랑질 표면에 인공우식을 유발시키고 편광현미경으로 관찰하여 병소 깊이의 변화와 우식 양상을 평가하였다. 편광 현미경 소견을 관찰한 결과, $Carbopol^{(R)}$ 907과 $Carbopol^{(R)}$ 2050을 사용한 탈회 용액으로 유발된 인공 우식은 자연 발생의 치아우식증과 매우 유사한 소견을 보였다. $Carbopol^{(R)}$ 907과 $Carbopol^{(R)}$ 2050을 사용한 탈회 용액으로 인공 우식을 유발한 영구치 법랑질 병소의 탈회 기간 경과에 따른 병소 깊이를 회귀 분석한 결과, $Carbopol^{(R)}$ 907을 사용한 경우는 회귀식이 Y = 8.4X - 0.4이었고, $Carbopol^{(R)}$ 2050을 사용한 경우는 회귀식이 Y = 9.8X + 8.0이었다. $Carbopol^{(R)}$ 907을 사용한 경우에 대한 회귀식의 R square 값은 0.945이었고, $Carbopol^{(R)}$ 2050을 사용한 경우는 R square 값이 0.965로 나타났다. 초기 법랑질 우식 병소 연구에 있어 인공 우식 유발 용액 제조시에 $Carbopol^{(R)}$ 2050을 사용한 경우가 $Carbopol^{(R)}$ 907를 사용한 경우보다 병소 깊이 증가가 더 빠르게 나타났으며, 회귀 분석 결과에서 R square 값이 0.965와 0.945로 나타나 탈회 기간과 병소 깊이가 매우 높은 상관관계를 가지고 있으며, 병소 깊이의 조절이 매우 용이하다고 사료되었다.

만성폐쇄성폐질환 환자에서 Tiotropium 1일 1회, 1회 18㎍ 요법과 Ipratropium 1일 4회, 1회 40㎍ 요법의 치료효과 및 안전성 비교 (A Comparison of Tiotropium 18㎍, Once Daily and Ipratropium 40㎍, 4 Times Daily in a Double-Blind, Double-Dummy, Efficacy and Safety Study in Adults with Chronic Obstructive Pulmonary Disease)

  • 김승준;김명숙;이상학;김영균;문화식;박성학;이상엽;인광호;이창률;김영삼;김형중;안철민;김성규;김경록;차승익;정태훈;김미옥;박성수;최천웅;유지홍;강홍모;고원중;함형석;강은혜;권오정;이양덕;이흥범;이용철;이양근;신원혁;권성연;김우진;이철규;김영환;심영수;한성구;박혜경;김윤성;이민기;박순규;김미혜;리원연;용석중;신계철;최병휘;오연목;임채만;이상도;김우성;김동준;정성수;김주옥;고영춘
    • Tuberculosis and Respiratory Diseases
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    • 제58권5호
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    • pp.498-506
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    • 2005
  • 연구배경 : 본 연구는 COPD환자를 대상으로 기관지확장제인 tiotropium 1일 1회, 1회 1캅셀 $18{\mu}g$과 ipratropium 1일 4회, 1회 2퍼프(퍼프당 $20{\mu}g$)의 유효성 및 안전성을 비교 평가하고자 하였다. 방 법 : 초기 선별방문 후, 환자는 2주간의 관찰기간에 들어갔으며, 이 기간을 마친 환자는 이중맹검, 무작위배정 하에 위약과 함께 1일 1회 tiotropium 또는 1일 4회 ipratropium을 투여 받았다. 유효성평가는 폐기능검사, 일중 PEFR측정, 환자평가 설문조사, 보조치료약물(살부타몰) 사용량으로 하였다. 폐기능검사는 치료시작 시(0일), 치료 14일후와 치료종료 시(28일)에 하였는데, 이때 투약 5분 전, 투약 후 30분, 60분, 120분 및 180분에 시행하였다. 결 과 : 16개 기관에서 134명의 환자가 분석되었다. 환자의 평균 (표준편차) 나이는 66 (7)세이었고 $FEV_1$은 예측치의 42 (12)%였다. 4주 치료 후 trough $FEV_1$ 반응은 ipratropium군에 비해 tiotropium군에서 유의하게 높았으며 PEFR경우에도 4주 동안 지속적으로 아침 흡입 전 측정한 PEFR이 tiotropium군에서 높게 나타났다(차이: 12.52-13.88 l/min). 4주 치료 기간동안 tiotropium은 좋은 내약성과 함께, ipratropium과 유사한 안전성을 나타냈다. 결 론 : 1일 1회 흡입용 항콜린제제인 tiotropium이 1일 4회 흡입용제제인 ipratropium에 비해 COPD환자를 치료하는데 더 우수한 기관지확장 반응을 보여주었고 안전성에서는 유사하였다.

High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
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    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
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    • pp.17-17
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    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

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교정형 대혈관 전위증의 수술적 치료 (Operative Treatment of Congenitally Corrected Transposition of the Great Arteries(CCTGA))

  • 이정렬;조광리;김용진;노준량;서결필
    • Journal of Chest Surgery
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    • 제32권7호
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    • pp.621-627
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    • 1999
  • 배경: 본 연구에서는 교정형 대혈관전위증으로 양심실교정이 가능하여 개심술을 시행받은 65례의 환아를 대 상으로 질환의 해부학적 특성, 수술방법 및 결과를 분석하였다. 대상 및 방법: 1984년부터 1998년 9월까지의 교정형 대혈관전위증으로 양심실교정을 받은 65례의 환자들을 대상으로 하였으며 주로 환자의 의무기록을 참조하여 후향적으로 동반기형에 따른 수술법의 차이 및 각각의 수술법에 따른 합병증등 단기 및 중장기 성 적을 분석하였다. 결과 평균 연령은 5.4$\pm$4.8세(2개월~18세)이었으며 남:녀비는 39:26이었다. 형태로는 {S,L,L}이 53례{I,D,D}가 12례였다. 폐동맥 협착이나 폐쇄가 동반되지 않았던 경우가 13례(20%)였으며 심실 혹은 심방중격결손증과 폐동맥 협착증이 동반된 경우가 26례(40%)였고 심실중격결손증과 폐동맥 폐쇄증이 동반된 례가 26례(40%)였다. 술전 경도이상의 삼첨판막 폐쇄부전을 보인 환자는 38.5%(26/65)였다. 완전교정 술전 단락술은 22명의 환자에서 24차례 시행하였다. 교정술의 방법으로 폐동맥심실유출로 협착이 없던 13례 에서는 7례에서 심실 혹은 심방 중격결손증만을 폐쇄하였고, 3례에서 삼첨판막치환술을, 3례에서 좌심실을 체순환으로 사용하는 중복치환술(Senning+Rastelli, Senning+REV, Senning+ASO)을 시행하였다. 심실,혹은 심방 중격결손증과 폐동맥 협착이 있던 26명의 환자에서는 24례에서 우심실을 체순환으로 사용하는 기존의 방법 (Rastelli술식 9례, 심실중격결손증 폐쇄후 폐동맥판막절개술 7례, REV형 술식 4례, 중격결손 폐쇄후 폐동맥 판막하 근육절제가 3례, 삼첨판막치환술이 1례)으로 수술하였으며 2례에서 중복치환술(Senning+Rastelli, Mustard+REV)을 시행하였다. 심실중격결손증과 폐동맥폐쇄증이 있었던 26명의 환자에서는 18명에서 심실중 격결손증을 폐쇄하고 Rastelli술식을 시행하였고, 7례에서 중복치환술(Senning+Rastelli)을 시행하였으며, 1례는 심실중격결손증을 폐쇄하고 REV형 술식을 시행하였다. 술후 추적 기간동안 우심실을 체순환으로 사용한 환 자들에서의 삼첨판막폐쇄부전은 술전 평균 1.3$\pm$1.4도에서 2.2$\pm$1.0도로 통계적으로 의미있게 증가하였다 (p<0.05). 그러나 중복치환술을 시행받은 환자들은 술후 삼첨판막의 폐쇄부전의 증가가 없었다. 술전 완전 방 실차단을 보인 환자는 2례(3.1%)있었으며 술후 새롭게 발생한 완전방실차단은 7례(10.8%)있었다. 술후 기타 장,단기 합병증으로는 폐동맥심실유출로도관(conduit) 재협착이 10례, 혈전증(판막: 2례, 인조혈관: 1례, 폐동 맥: 1례)이 4례, 2주 이상의 지속적 흉관배액이 4례, 유미흉이 3례, 출혈에 의한 재수술이 3례, 기타 급성 신 부전, 종격동염, 횡경막신경 마비가 각각 2례씩 있었으며, 중복치환술을 받은 환자들과 전통적 술식으로 수 술받은 환자에서 술후 합병증의 차이는 없었다. 65명의 환자를 평균 54$\pm$49개월(0~177개월)간 추적관찰하였 으며, 수술 초기에 사망한 환자는 13명으로 20.0%(13/65)의 수술사망율을 보였으며 3명의 환자가 추적기간중 사망하여 24.6%(16/65)의 전체사망율을 보였다. 중복치환술을 받은 환자의 수술사망율은 33.3%(4/12)였다. 술 후 1년, 5년, 10년 누적생존율은 각각 75.0$\pm$5.6%, 75.0$\pm$5.6%, 69.2$\pm$7.6%였다. 가장 흔한 사망원인으로는 술 후 저심박출증후군으로 8례였으며 삼첨판막 폐쇄부전이 심해져 심부전으로 사망한 경우도 5례로 사망의 중 요 원인이었다. 결론 저자들은 본 연구를 통하여 기존의 형태학적 우심실을 체순환으로 사용하는 방법과 형태학적 좌심실을 체순환으로 사용하는 해부학적 교정법인 중복치환술중 어느 것이 우월하다고 결론지을 수는 없었으나 해부학적 교정술이 삼첨판막의 폐쇄부전의 진행을 막을수 있다는 면에서 이점이 있으리라 사 료되며 보다 세분화된 적응증의 결정과 아울러 장기적인 추적관찰 및 비교가 필요하리라 생각된다

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