• Title/Summary/Keyword: functional dependency

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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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    • v.45 no.5
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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.

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

  • Jung, Suk-Hoon;Jang, Woo-Hyuk;Han, Dong-Soo
    • Journal of KIISE:Computing Practices and Letters
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    • v.15 no.5
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    • pp.375-379
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    • 2009
  • Protein domain is the conserved unit of compact tree-dimensional structure and evolution, which carries specific function. Domains may appear in patterns in proteins, since they have been conserved through the evolution for functional formation of proteins. In this paper, we propose a formulated method for conservation analysis of domain combination based on association rule. Proposed method measures mutual dependency of domains in a combination, as well as co-occurrence frequency of them, which is conventionally used. Based on the method, we extracted conserve domain combinations in S.cerevisiae proteins and analyzed their functions based on Gene Ontology. From the results, we drew conclusions that domains in S.cerevisiae proteins form patterns whose members are highly affiliated to one another, and that extracted patterns tend to be associated with molecular function. Moreover, the results testified to proposed method superior to conventional ones for identifying domain combinations conserved for functional cooperation.

Inorganic Printable Materials for Printed Electronics: TFT and Photovoltaic Application

  • Jeong, Seon-Ho;Lee, Byeong-Seok;Lee, Ji-Yun;Seo, Yeong-Hui;Kim, Ye-Na;More, Priyesh V.;Lee, Jae-Su;Jo, Ye-Jin;Choe, Yeong-Min;Ryu, Byeong-Hwan
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2011.05a
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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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Effect of AC Electric Field on Decreasing Liftoff Height in Laminar Lifted Jet Flames (층류 부상 화염의 화염부상 높이 감소 구간에서 교류 전기장이 인가된 화염에 관한 영향)

  • Seo, B.H.;Van, K.H.;Kim, G.T.;Park, J.;Keel, S.I.;Kim, S.W.;Chung, S.H.
    • Journal of the Korean Society of Combustion
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    • v.22 no.3
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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.

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

  • Yoon, Nan-He;Kim, Hongsoo;Kwon, Soonman
    • Health Policy and Management
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    • v.26 no.4
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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.

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

  • Lim, Seung Jae;Park, Jeong;Kim, Min Kuk;Chung, Suk Ho;Osamu, Fujita
    • Journal of the Korean Society of Combustion
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    • v.19 no.4
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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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    • v.44 no.3
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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.

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

  • Park, Jin Wook;Park, Jeong;Yun, Jin-Han;Keel, Sang-In
    • 한국연소학회:학술대회논문집
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    • 2014.11a
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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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A Study on Flame Extinction Behavior in Downstream Interaction between SNG/Air Premixed Flames (SNG/Air 예혼합 화염들의 하류상호작용에 있어서 화염 소화 거동에 관한 연구)

  • Sim, Keunseon;Lee, Keeman
    • Journal of the Korean Society of Combustion
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    • v.21 no.4
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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.

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

  • Kim, Eun-Hyung;Yoon, Gug-Ho;Park, Sung-Bum;Oh, Myung-Hoon;Kim, Sung-Jin;Park, Yong-Il
    • Journal of the Korean Ceramic Society
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    • v.45 no.2
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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.