• The Korean Journal of Medicine
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• v.93 no.6
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• pp.538-547
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• 2018

Background/Aims: The impact of left ventricular (LV) diastolic function and filling pressure on clinical outcomes in young patients with acute myocardial infarction (AMI) has been poorly studied. Therefore, the aim of this study was to investigate the impact of LV diastolic function and LV filling pressure on major adverse cardiac events (MACEs) in young patients with AMI. Methods: A total of 200 young patients (males < 45 year, females < 55 year) with AMI were divided into two groups according to the diastolic function; normal (n = 46, $39.5{\pm}5.3$ years) versus abnormal (n = 154, $43.5{\pm}5.1$ years). Results: Despite regional wall motion abnormalities, normal LV diastolic function was not uncommon in young AMI patients (23.0%). During the 40 months of clinical follow-up, MACEs developed in 26 patients (13.0%); 14 re-percutaneous coronary intervention (7.0%), 8 recurrent MI (4.0%), and 4 deaths (2.0%). MACEs did not differ between the normal and abnormal diastolic function group (13.6% vs. 10.9%, p = 0.810), but MACEs were significantly higher in the high LV filling pressure group than the normal LV filling pressure group (36.8% vs. 10.5%, p < 0.001). On multivariate analysis, high LV filling pressure was an independent predictor of MACEs (hazard ratio 3.022, 95% confidence interval 1.200-7.612, p = 0.019). Conclusions: This study suggested that measurement of the LV filling pressure (E/e' ratio) would be useful in the risk stratification of young patients with AMI. However, it would be necessary to monitor this category of patient more carefully.

• Membrane Journal
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• v.20 no.1
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• pp.29-39
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• 2010

This study focuses on the modeling of DMFC to predict the characteristics and to improve its performance. This modeling requires deep understanding of the design and operating parameters that influence on the cell potential. Furthermore, the knowledge with reference to electrochemistry, transport phenomena and fluid dynamics should be employed for the duration of mathematical description of the given process. Considering the fact that MEA is the nucleus of DMFC, special attention was made to the development of mathematical model of MEA. Multiscale modeling is comprised of process modeling as well as a computational fluid dynamics (CFD) modeling. The CFD packages and process simulation tools are used in simulating the steady-state process. The process simulation tool calculates theelectrochemical kinetics as well as the change of fractions, and at the same time, CFD calculates various balance equations. The integrated simulation with multiscal modeling explains experimental observations of transparent DMFC.

• Tuberculosis and Respiratory Diseases
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• v.45 no.4
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• pp.776-784
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• 1998

Background: The cyclin D1 gene is one of the most frequently amplified chromosomal regions(11q13) in human carcinomas. In laryngeal and head and neck carcinomas, its overexpression has been shown to be associated with advanced local invasion and presence of lymph node metastases. Cyclin D1 may therefore playa key role in cell growth regulation and tumorigenesis. Lung cancer is a worldwide problem and in many contries it is the most lethal malignancy. As relapse is frequent after resection of early stage non-small cell lung cancer, there is an urgent need to define prognostic factors. Purpose: This study was undertaken to evaluate the prognostic value of the cyclin D1, that is one the G1 cyclins which control cell cycle progression by allowing G1 to S phase transition, on the patients in radically resected non-small cell lung cancer. Method: Total 81 cases of formalin-fixed paraffin-embedded blocks from resected primary non-small cell lung cancer from January 1, 1983 to July 31, 1995 at Hanyang University Hospital were available for both clinical follow-up and immunohistochemical staining using monoclonal antibodies for cyclin D1. Results : The histologic classification of the tumor was based on WHO criteria, and the specimens included 45 squamous cell carcinomas, 25 adenocarcinomas and 11 large cell carcinomas. Cyclin D1 overexpression was noted in 26 cases of 81 cases tested (30.9%). Cyclin D1 expression was not significantly associated with cell types of the tumor, pathological staging and the size of the tumor. But cyclin D1 overexpression was significantly correlated with positive lymph node metastasis(p=0.035). The mean survival duration was $22.76{\pm}3.50$ months in cyclin D1 positive group and $45.38{\pm}5.64$ months in eyclin D1 negative group. There was a nearly significant difference in overall survival between cyclin D1 positive and negative groups(p=0.0515) in radically resected non-small cell lung cancer. Conclusion: Based on this study, cyelin D1 overexpression appears an important poor prognostic indicator in non-small cell lung cancer and may have diagnostic and prognostic importance in the treatment of resectable non-small cell lung cancer.

• The Korean Journal of Nuclear Medicine
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• v.34 no.3
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• pp.199-206
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• 2000

Purpose: Myocardial perfusion scintigraphy is a useful technique to diagnose and to predict prognosis in patients with suspected or known coronary artery disease. The purpose of the present study is to evaluate the prognostic value of normal exercise $^{99m}Tc$-MIBI myocardial perfusion single photon emission computed tomography (SPECT) and to analyze results with regard to those of exercise electrocardiography or coronary angiography. Materials and Methods: We evaluated 301 patients (mean age $52{\pm}10$ years, 166 males and 135 females) with normal exercise $^{99m}Tc$-MIBI myocardial perfusion SPECT performed for suspected coronary artery disease. Subject were evaluated for cardiac events and followed for 8-55 months (mean $19{\pm}10$ months) after imaging. Results: During the follow-up period, there was no cardiac death but only one non-fatal myocardial infarction (event rate 0.21% per year). In addition, only one patient underwent coronary revascularization. There was no significant difference in cardiac event rate between patients with positive (n=27) and negative (n=235) exercise electrocardiography (p:NS). There was no cardiac event in 17 patients who underwent coronary angiography (4 patients with >50% luminal narrowing, 2 patients with vasospasm and 11 patients with no significant lesion). Conclusion: Patients with normal exercise $^{99m}Tc$-MIBI myocardial perfusion SPECT has a very low risk for cardiac events regardless of exercise electrocardiographic and coronary angiographic findings.

• Journal of the Korean Geotechnical Society
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• v.24 no.11
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• pp.61-70
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• 2008

Load settlement behaviors and load transfer characteristics of rock-socketed pile subjected bi-directional load at pile tip were investigated using bi-directional pile load tests (BD PLT) performed on ten large-diameter drilled shafts at four sites. Based on test results, additional pile-toe displacement ($w_{bs}$) by coupled soil resistance was analyzed, and thus equivalent top loaded load-settlement curve of pile subjected bi-directional load was proposed by taking into account the coupled soil resistance. Through comparisons with field case studies, it is found that for test piles there exists effect of coupled soil resistance, which is represented by wbs, and thus an equivalent curve obtained by existing uncoupled methods can overestimate bearing capacity of piles by BD PLT. On the other hand, the analysis by the proposed method with soil coupling effect has a considerably larger settlement when compared with the results by uncoupled load transfer method and estimates reasonable load-settlement behaviors of test piles. In case of pile socketed in high strength rocks, however, effects of coupled soil resistance can be neglected.

• Journal of the Korean Geosynthetics Society
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• v.14 no.4
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• pp.97-104
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• 2015

When carrying out design for soft ground improvement before reclamation of dredged soil, it is very important to appropriately evaluate design parameters such as compression index and undrained strength in order to estimate optimum construction cost. In this study, consolidation and strength parameters were estimated by the samples obtained from the similar reclaimed land. Water content and compression index of dredged soil reclaimed by hydraulic fill method were quite decreased in comparison with those of in-situ conditions at Incheon site. Relationships between compression index(Cc) and water content (wn), and between undrained strength (su) and water content (wn) for dredged soil were obtained by field vane test and oedometer test, respectively. Applicability of Schmertmann correction method (compression index) for low plasticity silty soil was discussed according to comparison with designed and measured settlements.

• Journal of Biomedical Engineering Research
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• v.16 no.2
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• pp.223-230
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• 1995

This study investigates a combined mathematical model for the quantitative estimation of regional myocardial blood flow in experimental canine coronary artery occlusion and in patients with ischemic myocardial diseases using Rb-82 dynamic myocardial positron emission tomography. The coronary thrombosis was induced using the new catheter technique by narrowing the lumen of coronary vessel gradually, which finally led to partial obstruction of coronary artery. Thirty four Rb-82 dynamic myocardial PET scans were performed sequentially for each experiment using our 5, 10 and 20 second acquisition protocol, respectively, and six to seven regions of interest were drawn on each transaxial slices, one on left ventricular chamber for input function and the others on normal and decreased perfusion myocardial segments for the flow estimation in those regions. Two compartment model and graphical analysis method have been applied to the measured sets of regional PET data, and the rate constants of influx to myocardial tissue were calculated for regional myocardial flow estimates with the two parameter fits of raw data by the Levenberg-Marquardt method. The results showed that, (I) two compartment model suggested by Kety-Schmidt, with proper modification of the measured data and volume of distribution, could be used for the simple estimation of regional myocardial blood flow, (2) the calculated regional myocardial blood flow estimates were dependent on the selection of input function, which reflected partial volume effect and left ventricular wall motion in previously used graphical analysis, and (3) mathematically fitted input and tissue time activity curves were more suitable than the direct application of the measured data in terms of convergence.

• KSBB Journal
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• v.21 no.1 s.96
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• pp.59-67
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• 2006

2D spectrofluorometer produces many spectral data during fermentation processes. The fluorescence spectra are analyzed using chemometric methods such as principal component analysis (PCA), principal component regression (PCR) and partial least square regression (PLS). Analysis of the spectral data by PCA results in scores and loadings that are visualized in score-loading plots and used to monitor a few fermentation processes by S. cerevisae and recombinant E. coli. Two chemometric models were established to analyze the correlation between fluorescence spectra and process variables using PCR and PLS, and PLS was found to show slightly better calibration and prediction performance than PCR.

• Journal of Korea Water Resources Association
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• v.47 no.3
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• pp.257-267
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• 2014

The impact of the combination of changes in temperature and rainfall due to climate change on surface water resources is important in hydro-meteorological research. In this study, 4 hydro-meteorological (HM) models from the Rainfall Runoff Library in the Catchment Modeling Toolkit were used to model the impact of climate change on runoff in streams for 5 river basins in the Republic of Korea. Future projections from 2021 to 2040 (2030s), 2051 to 2070 (2060s) and 2081 to 2099 (2090s), were derived from 12 General Circulation Models (GCMs) and 3 representative concentration pathways (RCPs). GCM outputs were statistically adjusted and downscaled using Long-Ashton Research Station Weather Generator (LARS-WG) and the HM models were well calibrated and verified for the period from 1999 to 2009. The study showed that there is substantial spatial, temporal and HM uncertainty in the future runoff shown by the interquartile range, range and coefficient of variation. In summary, the aggregated runoff will increase in the future by 10~24%, 7~30% and 11~30% of the respective baseline runoff for the RCP2.6, RCP4.5 and RCP8.5, respectively. This study presents a method to model future stream-flow taking into account the HM model and climate based uncertainty.

• The Journal of the Korea Contents Association
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• v.21 no.1
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• pp.531-540
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• 2021

As cyber attacks and crimes increase exponentially and hacking attacks become more intelligent and advanced, hacking attack methods and routes are evolving unpredictably and in real time. In order to reinforce the enemy's responsiveness, this study aims to propose a method for developing an artificial intelligence-based security control platform by building a next-generation security system using artificial intelligence to respond by self-learning, monitoring abnormal signs and blocking attacks.The artificial intelligence-based security control platform should be developed as the basis for data collection, data analysis, next-generation security system operation, and security system management. Big data base and control system, data collection step through external threat information, data analysis step of pre-processing and formalizing the collected data to perform positive/false detection and abnormal behavior analysis through deep learning-based algorithm, and analyzed data Through the operation of a security system of prevention, control, response, analysis, and organic circulation structure, the next generation security system to increase the scope and speed of handling new threats and to reinforce the identification of normal and abnormal behaviors, and management of the security threat response system, Harmful IP management, detection policy management, security business legal system management. Through this, we are trying to find a way to comprehensively analyze vast amounts of data and to respond preemptively in a short time.