• Tuberculosis and Respiratory Diseases
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• v.67 no.6
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• pp.491-498
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• 2009

Severe sepsis and septic shock are major healthcare problems with high mortality, ranging from 20% to 60%, affecting millions of individuals around the world each year. The speed and appropriateness of therapy administered in the initial hours after severe sepsis develops have an important impact on the outcome. In 2004, an international guideline that the bedside clinician could use to improve the outcomes in severe cases of sepsis and septic shock was published. Several landmark studies recently demonstrated that therapeutic strategies may reduce mortality substantially. The "Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock: 2008", using a new evidence-based methodology system for assessing the quality of evidence and the strength of the recommendations, was updated. The revised version is based on an updated search into 2007. Evidenced-based recommendations regarding the acute management of sepsis and septic shock are the first step toward improving the outcomes of critically ill patients. We review the treatment guidelines of sepsis and septic shock.

• Journal of the Korean Society of Manufacturing Technology Engineers
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• v.22 no.4
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• pp.680-685
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• 2013

In this study, the effect of laser shock peening on a titanium alloy was modeled using different confinements. Both liquid and solid confinement could be applied to laser shock peening, and solid confinement provided a dry laser shock peening process, which has the advantage of a corrosion-free effect. When a different confinement was applied to laser shock peening, a different peening effect would be expected. In our study, the peening effect was numerically modeled and simulated. The main effect of different confinements was a change in the impedances required to confine a shock wave from a plasma. The impedances were assumed with respect to different materials. Johnson-Cook's plastic deformation modeling was applied to the simulation. The strains and residual stresses were calculated to evaluate the confinement effects. When solid confinement was used, the residual stress increased by 60-85%, compared to the case of liquid confinement. However, the depth of the residual stress was slightly deeper. The simulated results could be applied to estimate the peening effect when a different confinement was used in the laser shock peening process.

• Journal of Chest Surgery
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• v.32 no.5
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• pp.480-483
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• 1999

The widely accepted method for coronary artery bypass grafting(CABG) is performing the distal coronary artery anastomoses on the flaccid and nonbeating heart with the aid of cardiopulmonary bypass(CPB) and cardioplegic arrest. However, current cardioplegic techniques are not consistent in avoiding myocardial ischemic damages especially in high risk patients undergoing CABG. In this regard, "Off-Pump" seems to be an ideal method for preventing myocardial ischemic damage and adverse effects during CPB. However, "Off-pump" CABG is not always technically feasible. We report 2 cases of "On-pump" CABG performed on the beating heart in high risk patients; The first patient had left ventricular dysfunction(Ejection Fraction=25%), and the second patient had cardiogenic shock after percutaneous transluminal coronary angioplasty.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.34 no.1
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• pp.90-96
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• 2011

The shock absorber base assembly is one of the parts in the shock absorber equipment that controls the vehicle movement. It absorbs the shock and vibration to guarantee riding stability and comfort. It demands strength, reliability and strict airtightness of the welded section because the shock absorber base assembly is a container which resists pressure and needs durability by being filled with gas and oil. However, the current engineering needs a lot of production time, has a high cost and shows a low production rate. These problem due to the eight production processes, four of which are spot welding, reinforcement welding like metal active welding (MAG), prior process of the base assembly cap and tube for precision and pressing. We will analyze the manufacturing processes of the base assembly and suggest an improved manufacturing method that uses frictional welding. The results will show that the new method of the frictional welding is better than the previous welding technique. Through the use of this concept of frictional welding, the welding conjunction will be strengthened, measurements will be more precise, and the cost and the number of processes will be reduced.

• 한국HCI학회:학술대회논문집
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• 2009.02a
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• pp.27-33
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• 2009

We propose an efficient method for single image motion deblurring using edge prediction. Previous methods for motion deblurring from a single image have been based on total variation or natural image statistics. In contrast, our method predicts sharp edges by applying bilateral and shock filters and manipulating image gradients directly, and estimates motion blur using the predicted sharp edges. Sharp edge prediction makes our method possible to deblur efficiently with less computation. Results show that our method can effectively and efficiently restore images degraded by large complex motion blur.

• Journal of Chest Surgery
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• v.37 no.6
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• pp.543-545
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• 2004

Postinfarction ventricular septal defect often induces cardiogenic shock and requires operative treatment early after myocardial infarction. Although the operative mortality of this disease has decreased during the past 3 decades, it is still relatively high. In this case, to prevent global myocardial ischemia, we used the technique of repair of postinfarction ventricular septal defect on a beating heart. This approach does not requir aortic cross-clamping and provides superior myocardial protection.

• Journal of the Korean Society for Railway
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• v.12 no.1
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• pp.161-166
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• 2009

DC feeding system is mainly floating but rail potential and leakage current are due to long parallelism between rails and ground, namely rail resistance and rail to ground conductance. Rail potential causes electric shock to human and rail leakage current causes electrolytic corrosion to nearby the buried metals. Therefore the design technologies to reduce, protect and monitor these effects are important in recent DC feeding system. Rail potential and leakage current are analysed based on propagation theory that is utilized. Monitoring and controlling rail leakage current is proposed in order to maintain rail resistance and rail to ground conductance.

• YAKHAK HOEJI
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• v.38 no.2
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• pp.191-196
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• 1994

Higenamine is a tetrahydroisoquinoline alkaloid which was isolated as a cardiotonic principle from Aconiti tuber. 1.v. injection of higenamine was reported to increase the cardiac output and heart rate and to decrease the blood pressure and the systemic vascular resistance presumably by stimulating the adrenergic ${\beta}-receptors$. The anti-platelet and anti-thrombotic effects of higenamine were investigated in this paper. Higenamine(0.5 mg/ml) showed mild inhibitory effect against collagen induced platelet aggregation in vitro and the inhibito교 effect was increased with the pre-incubation$(5{\sim}30\;min)$ of platelet rich plasma(PRP) with higenamine. With the 30 min incubation, the platelet aggregation was almost completely inhibited. And the oral administration of higenamine$(50{\sim}200\;mg/kg)$ enhanced the survival in the mouse model of thrombosis and that of endotoxic shock. The anti-thrombotic and anti-septic effects of higenamine thus appear to be due to the ${\beta}-agonistic$ and the anti-platelet effects of this compound.

• Journal of the Korean Society of Propulsion Engineers
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• v.20 no.5
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• pp.40-50
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• 2016

Energetic plasticizers containing explosophore groups such as $-NO_2$, $-ONO_2$, and $-N_3$ group are susceptible to impact, shock, heat, etc, finally deteriorating the insensitivity of PBXs. In this study, in an attempt to investigate the feasibility of replacing sensitive explosophore groups to fundamentally inactive but potentially (latent) energetic fluorine group which was known to have an exothermic thermite reaction with aluminum, nano-aluminum/fluorinated polyurethane binders were prepared by simultaneous polyurethane and catalyst-free azide-alkyne click reaction in the presence of nano-aluminum. Thermal characteristics of nano-aluminum/fluorinated polyurethane binders were monitored by using DSC with high pressure crucible pan.

• Journal of Chest Surgery
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• v.37 no.7
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• pp.601-605
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• 2004

Addisonian crisis, also commonly referred to as adrenal crisis, occurs when the cortisol produced by the adrenal gland is insufficient to meet the body's needs. Pituitary apoplexy usually occurs as hemorrhagic and ischemic necrosis in the presence of a pre-existing pituitary adenoma, and is a rare sequela of cardiovascular surgery. Most pituitary apoplexy that happens in cardiovascular surgery has been known to be related to harmful effects of the cardiopulmonary bypass. The case presented herein illustrates occult pituitary apoplexy that occurred after off-pump coronary artery bypass grafting. In this patient, . the initial signs of addisonian crisis was similar to those of septic shock, and were overlooked. However, once recognized, they were reduced dramatically with standard stress-dose cortisone.