• 제목/요약/키워드: functional dependency

검색결과 84건 처리시간 0.022초

National perioperative outcomes of flap coverage for pressure ulcers from 2005 to 2015 using American College of Surgeons National Surgical Quality Improvement Program

  • Tran, Bao Ngoc N.;Chen, Austin D.;Kamali, Parisa;Singhal, Dhruv;Lee, Bernard T.;Fukudome, Eugene Y.
    • Archives of Plastic Surgery
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    • 제45권5호
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    • pp.418-424
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    • 2018
  • Background Complication rates after flap coverage for pressure ulcers have been high historically. These patients have multiple risk factors associated with poor wound healing and complications including marginal nutritional status, prolonged immobilization, and a high comorbidities index. This study utilizes the National Surgical Quality Improvement Program (NSQIP) to examine perioperative outcomes of flap coverage for pressure ulcers. Methods Data from the NSQIP database (2005-2015) for patient undergoing flap coverage for pressure ulcers was identified. Demographic, perioperative information, and complications were reviewed. One-way analysis of variance and Pearson chi-square were used to assess differences for continuous variables and nominal variables, respectively. Multivariate logistic regression was performed to identify independent risk factors for complications. Results There were 755 cases identified: 365 (48.3%) sacral ulcers, 321 (42.5%) ischial ulcers, and 69 (9.1%) trochanteric ulcers. Most patients were older male, with some degree of dependency, neurosensory impairment, high functional comorbidities score, and American Society of Anesthesiologists class 3 or above. The sacral ulcer group had the highest incidence of septic shock and bleeding, while the trochanteric ulcer group had the highest incidence of superficial surgical site infection. There was an overall complication rate of 25% at 30-day follow-up. There was no statistical difference in overall complication among groups. Total operating time, diabetes, and non-elective case were independent risk factors for overall complications. Conclusions Despite patients with poor baseline functional status, flap coverage for pressure ulcer patients is safe with acceptable postoperative complications. This type of treatment should be considered for properly selected patients.

연관성 규칙에 기반한 보존된 단백질 도베인 조합의 식별 (Identification of Conserved Protein Domain Combination based on Association Rule)

  • 정석훈;장우혁;한동수
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제15권5호
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    • pp.375-379
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    • 2009
  • 도메인은 단백질의 진화와 삼차구조 및 분자 기능의 기본 단위체이다. 단백질은 한 개 이상의 도메인들로 구정 되며, 단백질의 기능 또한 각 도메인이 가진 기능의 집합으로 구현된다. 단백질은 특정 기능을 담당하기 위해 진화되어 왔으므로, 도메인 또한 단백질 내에서 기능을 위한 특정 조합 패턴, 즉 보존도메인 조합을 가진다. 본 논문은 각 도메인 조합의 진화상 보존 정도를 측정할 수 있는 연관성 규칙 기반 계산 기법을 제안한다. 제안된 기법은 기존 기법에서 주로 고려되었던 도메인 조합의 빈도뿐 아니라, 조합 내 소속 도메인간의 상호 의존도를 측정하여 주어진 조합의 보존 정도를 산출한다. 이를 기반으로 S.cerevisiae의 단백질을 대상으로 보존 도메인 조합을 추출하였으며, Gene Ontology를 이용하여 그 생물학적 의미를 분석하였다. 그 결과 제안된 기법으로 추출된 보존 도메인 조합은 기존의 것에 비해 조합 내 기능의 유사도가 높았으며, 따라서 제안된 기법이 생물학적 기능의 협업 위해 보존된 도메인 조합의 추출에 우수하다 할 것이다. 또한 S.cerevisiae 단백질체에는 서로 의존도가 높고 자주 나타나는 보존 도메인 조합이 존재하며, 그러한 조합들은 molecular function의 협업과 관련 있음을 밝혀냈다.

Inorganic Printable Materials for Printed Electronics: TFT and Photovoltaic Application

  • 정선호;이병석;이지윤;서영희;김예나;;이재수;조예진;최영민;류병환
    • 한국재료학회:학술대회논문집
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    • 한국재료학회 2011년도 춘계학술발표대회
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    • pp.1.1-1.1
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    • 2011
  • Printed electronics based on the direct writing of solution processable functional materials have been of paramount interest and importance. In this talk, the synthesis of printable inorganic functional materials (conductors and semiconductors) for thin-film transistors (TFTs) and photovoltaic devices, device fabrication based on a printing technique, and specific characteristics of devices are presented. For printable conductor materials, Ag ink is designed to achieve the long-term dispersion stability and good adhesion property on a glass substrate, and Cu ink is sophisticatedly formulated to endow the oxidation stability in air and even aqueous solvent system. The both inks were successfully printed onto either polymer or glass substrate, exhibiting the superior conductivity comparable to that of bulk one. In addition, the organic thin-film transistor based on the printed metal source/drain electrode exhibits the electrical performance comparable to that of a transistor based on a vacuum deposited Au electrode. For printable amorphous oxide semiconductors (AOSs), I introduce the noble ways to resolve the critical problems, a high processing temperature above $400^{\circ}C$ and low mobility of AOSs annealed at a low temperature below $400^{\circ}C$. The dependency of TFT performances on the chemical structure of AOSs is compared and contrasted to clarify which factor should be considered to realize the low temperature annealed, high performance AOSs. For photovoltaic application, CI(G)S nanoparticle ink for solution processable high performance solar cells is presented. By overcoming the critical drawbacks of conventional solution processed CI(G)S absorber layers, the device quality dense CI(G)S layer is obtained, affording 7.3% efficiency CI(G)S photovoltaic device.

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층류 부상 화염의 화염부상 높이 감소 구간에서 교류 전기장이 인가된 화염에 관한 영향 (Effect of AC Electric Field on Decreasing Liftoff Height in Laminar Lifted Jet Flames)

  • 서보현;반규호;김경택;박정;길상인;김세원;정석호
    • 한국연소학회지
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    • 제22권3호
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    • pp.17-22
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    • 2017
  • An experimental study has been conducted to elucidate the effect of AC electric field on behaviors of laminar lifted flame in nitrogen-diluted methane coflow-jets. Our concerns are focued on the regime to show a decrease in liftoff height, $H_L$ with increasing nozzle exit velocity, $U_O$ (hereafter, $decreasing-H_L$). The $H_L$ with $U_O$ near flame extinction were measured by varying the applied AC voltage, $V_{AC}$ and frequency, $f_{AC}$ in a single electrode configuration. The behavior of $H_L$ with a functional dependency of $V_{AC}$ and $f_{AC}$ was categorized into two regime : (I) $H_L$ decreased for nozzle diameter, D = 1.0 mm, and (II) $H_L$ increased in the increase of $f_{AC}$ for a fixed $V_{AC}$ in a D = 4.0, 8.4 mm. The lifted flames in $decreasing-H_L$ region was unstable in high voltage regimes while the $H_L$ showed a decreasing tendency with $U_O$ except them. Such behaviors in $H_L$ were also characterized by functional dependencies of related physical parameters such as $V_{AC}$, $f_{AC}$, $U_O$, fuel mole fraction ($X_{F.O}$) and D.

생애말기 노인의 장기요양서비스 이용 특성과 영향요인 (Long-Term Care Utilization among End-of-Life Older Adults in Korea: Characteristics and Associated Factors)

  • 윤난희;김홍수;권순만
    • 보건행정학회지
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    • 제26권4호
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    • pp.305-314
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    • 2016
  • Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

교류전기장이 인가된 폴리에틸렌으로 피복된 기울어진 전선을 통해 하향으로 전파하는 화염에 대한 실험적 연구 (Experimental Study on Downwardly Spreading Flame over Inclined Polyethylene-insulated Electrical Wire with Applied AC Electric Fields)

  • 임승재;박정;김민국;정석호
    • 한국연소학회지
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    • 제19권4호
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    • pp.1-7
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    • 2014
  • An experimental study on downwardly spreading flame over slanted electrical wire, which is insulated by Polyethylene (PE), was conducted with applied AC electric fields. The result showed that the flame spread rate decreased initially with increase in inclination angle of wire and then became nearly constant. The flame shape was modified significantly with applied AC electric field due to the effect of ionic wind. Such a variation in flame spread rate could be explained by a thermal balance mechanism, depending on flame shape and slanted direction of flame. Extinction of the spreading flame was not related to angle of inclination, and was described well by a functional dependency upon the frequency and voltage at extinction.

Ginsenosides: potential therapeutic source for fibrosis-associated human diseases

  • Li, Xiaobing;Mo, Nan;Li, Zhenzhen
    • Journal of Ginseng Research
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    • 제44권3호
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    • pp.386-398
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    • 2020
  • Tissue fibrosis is an eventual pathologic change of numerous chronic illnesses, which is characterized by resident fibroblasts differentiation into myofibroblasts during inflammation, coupled with excessive extracellular matrix deposition in tissues, ultimately leading to failure of normal organ function. Now, there are many mechanistic insights into the pathogenesis of tissue fibrosis, which facilitate the discovery of effective antifibrotic drugs. Moreover, many chronic diseases remain a significant clinical unmet need. For the past five years, many research works have undoubtedly addressed the functional dependency of ginsenosides in different types of fibrosis and the successful remission in various animal models treated with ginsenosides. Caveolin-1, interleukin, thrombospondin-1 (TSP-1), liver X receptors (LXRs), Nrf2, microRNA-27b, PPARδ-STAT3, liver kinase B1 (LKB1)-AMPK, and TGF-β1/Smads are potential therapy targeting using ginsenosides. Ginsenosides can play a targeting role and suppress chronic inflammatory response, collagen deposition, and epitheliale-mesenchymal transition (EMT), as well as myofibroblast activation to attenuate fibrosis. In this report, our aim was to focus on the therapeutic prospects of ginsenosides in fibrosis-related human diseases making use of results acquired from various animal models. These findings should provide important therapeutic clues and strategies for the exploration of new drugs for fibrosis treatment.

부력을 최소화한 대향류 삼축 메탄-공기 비예혼합 화염 소화에서 에지화염의 거동 (Behavior of the Edge Flame on Flame Extinction in Buoyancy minimized Methane-Air Non-premixed Counter Triple Co-flow Flames)

  • 박진욱;박정;윤진한;길상인
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2014년도 제49회 KOSCO SYMPOSIUM 초록집
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    • pp.81-84
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    • 2014
  • A Experimental study on flame extinction behavior was investigated using He curtain flow with counter triple co-flow burner. Buoyancy force was suppressed up to a microgravity level of $10^{-2}-10^{-3}g$ by using He curtain flow. The stability maps were provided with a functional dependency of diluent mole fraction and global strain rate to clarify the differences in flame extinction behavior. The flame extinction curves had C-shapes at various global strain rates. The oscillation and extinction modes were different each other in terms of the global strain rate, and the flames extinction modes could be classified into five modes such as (I) and (II): an extinction through the shrinkage of the outmost edge flame forward the flame center after self-excitation and without self-excitation, respectively, (III): an extinction through rapid advancement of a flame hole while the outmost edge flame is stationary, (IV): self-excitation occurs in the outermost edge flame and the center edge flame and then a donut shaped flame is formed and/or the flame is entirely extinguished, (V): shrinkage of the outermost edge flame without self-excitation followed by shrinkage or survival of the center flame. These oscillation and extinction modes could be identified well to the behavior of edge flame. The result also showed that the edge flame was influenced significantly by the conductive heat losses to the flame center or ambient He curtain flow.

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SNG/Air 예혼합 화염들의 하류상호작용에 있어서 화염 소화 거동에 관한 연구 (A Study on Flame Extinction Behavior in Downstream Interaction between SNG/Air Premixed Flames)

  • 심근선;이기만
    • 한국연소학회지
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    • 제21권4호
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    • pp.48-60
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    • 2016
  • Experimental and numerical studies were conducted to investigate flame behaviors near flammable limits for downstream-interacting SNG-air premixed flames in a counter-flow configuration. The SNG fuel consisted of a methane, a propane, and a hydrogen with volumetric ratios of 91, 6, and 3%, respectively. The most appropriate priority for some reliable reaction mechanisms examined was given to the mechanism of UC San diego via comparison of lean extinction limits attained numerically with experimental ones. Flame stability map was presented with a functional dependencies of lower and upper methane concentrations in terms of global strain rate. The results show that, at the global strain rate of $30s^{-1}$, lean extinction boundary is slanted while rich extinction one is relatively less inclined because of the dependency of such extinction boundary shapes on deficient reactant Lewis number governed by methane mainly. Further increase of global strain rate forces both extinction boundaries to be more slanted and to be shrunk, resulting in an island of extinction boundary and subsequently one flame extinction limit. Extinction mechanisms for lean and rich, symmetric and asymmetric extinction boundary were identified and discussed via heat losses and chemical interaction.

DMFC용 무기-유기 복합 전해질 막의 합성 (Synthesis of Inorganic-Organic Composite Electrolyte Membranes for DMFCs)

  • 김은형;윤국호;박성범;오명훈;김성진;박용일
    • 한국세라믹학회지
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    • 제45권2호
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    • pp.119-125
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    • 2008
  • The FAS(Fluoroalkylsilane)/Nafion inorganic-organic composite electrolyte membrane was successfully fabricated through sol-gel method. The FAS having hydrophobic functional group and silanol ligands is impregnated in $Nafion^{(R)}$ membrane to reduce methanol crossover. The prepared FAS/Nafion inorganic-organic composite electrolyte membrane consist of the hydrophobic FAS-derived silicate nano-particles and $Nafion^{(R)}$ matrix showed decrease of methanol crossover and reduction of humidity dependence without large sacrifice of proton conductivity. The microstructural analysis of the composite membranes was performed using FESEM and FTIR. And the effect of the incorporation of the hydrophobic FAS-derived silicate nano-particles into $Nafion^{(R)}$ membrane was investigated via solvent uptake, membrane expansion rate, humidity dependency of proton conductivity and contact angle measurement.