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The Usefulness of Cephalic Vein Cut-Down for Totally Implantable Central Venous Port in Children (소아에서 완전 이식형 중심정맥포트를 위한 두정맥 절개술의 유용성)

  • Jung, Kyu-Whan;Moon, Suk-Bae;Jung, Sung-Eun;Lee, Seong-Cheol;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.14 no.1
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    • pp.67-74
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    • 2008
  • The usefulness of totally implantable central venous port for long-term intravenous infusion is widely accepted in children. Usually the catheters are placed through the internal or external jugular vein. In case of jugular vein cut-down, two separate incisions are needed for catheter and port respectively. Patients also feel uncomfortable as the catheter run through the neck. However these disadvantages can be overcome by using the cephalic vein (CV). We reviewed our experiences on CV cut-down for totally implantable central venous port in children. From January 2002 to December 2006, 201 patients (M:F=127:74) underwent 218 central venous port insertions. Mean age at operation was 5.9 years (2 months - 19 years). Indications included chemotherapy (N=167), long-term intravenous antibiotics infusion (N=36), and total parenteral nutrition (N=15). CV was selected preferentially. The incision includes the deltopectoral triangle laterally, and both the CV cut-down and port insertion were achieved with a single incision. The number of insertion through external, internal jugular vein, and CV was 77, 66 and 75, respectively. The median age, height and body weight were higher in CV cut-down group. The youngest age for CV cut-down was 8 months, the shortest height was 69 cm and the smallest body weight was 5.9 kg. Of 118 trials of CV cut-down, cut-down was successful in 75 cases (63.6 %). CV was absent in 10 cases(8.4 %) and CV was sacrificed after catheter tip malposition in 10 cases (8.4 %). There was only one complication, in which the catheter was inserted into the minute branch of subclavian artery. The CV cut-down method for totally implantable central venous port was safe and feasible in selected groups of patients in children. In addition, preservation of jugular vein and a more favorable cosmetic effect are other benefits of CV cut-down.

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Effect of Sucrose, Germicides and ABA in the Preservatives on Postharvest Quality of Cut Chrysanthemum 'Kyoungsubang` (보존용액에 함유된 당, 살균제 및 ABA가 절화국화의 수확후 품질에 미치는 영향)

  • 박윤영;김학윤;조문수
    • Journal of Life Science
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    • v.10 no.6
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    • pp.591-597
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    • 2000
  • An investigation was conducted to elucidate the effect of sucrose, germicides and abscisic acid (ABA) in the preservatives on postharvest quality, such as fresh weight, solution uptake, vase life, diameter and thickness of flower, and chlorolhyll of leaf in cut chrysanthemum 'Kyoungsubang`. Fresh weight of cut chrysanthemum was highest in 250mg/L aluminum sulfate [{TEX}$Al_{2}(SO_{4})_{3}${/TEX}]+3% sucrose and 250 mg/L 8-hydroxyquinoline sulfate (8-HQS)+ 3% sucrose. Addition of sucrose and germicides inhibited microorganisms growth in solution, and apparently promoted solution uptake. The increased fresh weight seems to attribute to the elevated uptake. Germicide 8-HQS was more effective than {TEX}$Al_{2}(SO_{4})_{3}${/TEX} in the aspect of solution uptake and fresh weight. Treatment of 250 mg/L 8-HQS +3% sucrose showed the longest vase life (24.67±2.52 days) and the lowest rate of leaf chlorosis (or senescence). Addition of {TEX}$Al_{2}(SO_{4})_{3}${/TEX} and sucrose accelerated leaf chlorosis and increased diameter of flower, respectively. Sucrose treatment prolonged the vase life of flowers. Except control and 250 mg/L 8-HQS, content of chlorophyll was rapidly decreased after 6 days at upper, middle and lower leaves in order.

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Effect of Cutting Frequency and Nitrogen Fertilization on Productivity of Reed Canarygrass ( Phalaris arundinacea L.) (유휴 논토양에서 Reed Canarygrass의 생산성에 대한 예취빈도와 질소시비 효과)

  • 조익환;이주삼
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.17 no.4
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    • pp.407-414
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    • 1997
  • In this study, the optimum cutting 6equency and level of mineral nitrogen fertilization were investigated for the production of Reed canarygrass in uncultivated rice paddy. The results are summarized as follows; 1. Higher relative dry matter yields were recorded in 2nd cut of plots with 3 and 5 cutting frequencies, and 3rd cut of plot with 4 cutting kquency, respectively. 2. With no nitrogen fertilization, mean dry matter yields per year were 6.2~7.6 tonsha and the highest yield appeared in plot with 4 cutting 6equency. 3. The increased fertilization of mineral nitrogen resulted in the increased dry matter yield. Significantly higher dry matter yields than that of no nitrogen fertilization were recorded in fertilization of 90 kg nitrogen per year in 3 cutting fequency, 240 kg in 4 cutting frequency and 150 kg in 5 cutting 6equency respectively. 4. Efficiency of dry matter production with nitrogen fertilization(kg DMkg N) was higher in 30kg Nhalcut in 3 and 5 cutting eequency, 60kg Nhalcut in 4 cutting 6equency respectively. In each cutting kequency, the higher efficiency of dry matter production appeared in 1st cut in 3 cutting kequency, and 2nd cut in 4 and 5 cutting 6equency respectively. 5. Economic N level(kg/ha) was 179.5~242.3kg/ha in 3 cutting 6equency, and 189.6-241.6kg/ha and 167.0 ~253.2kg/ha in 4 and 5 cutting 6equency respectively, and marginal dry matter yields were 11.4~ 12.3 tons/ ha, 11.2 ~ 11.8 tons/ha and 8.3 ~9.1 tons/ha in 3, 4 and 5 cutting 6equency respectively. 6. The limiting N fertilization level to the highest dry matter were estimated to be 569.9kg/ha, 492.4kg/ha and 654.lkg/ha in 3, 4 and 5 cutting kequency respectively.

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The Optimal Cut Off Score According to Self-Rated Health in Early Adulthood (초기 성인기 주관적 건강상태에 따른 절단 값 제시)

  • Kim, Yun-Young;Jang, Eun-Su
    • The Korean Journal of Health Service Management
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    • v.11 no.2
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    • pp.105-115
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    • 2017
  • Objectives : The aim of this study was to suggest the optimal cut off for best, very good, good, slightly bad, and bad grades. Methods : The subjects were recruited from 4 areas of South Korea and 487 questionnaires were analyzed. The nominal and continuous self-rated health questions were used to reveal the optimal cut off and the Short Form-12 Health Survey questionnaire (SF-12) was additionally used. Frequency, Pearson's correlation coefficient, and ROC-curve analysis were used; the significance level was <.05. Results : Subjects assigned 15(3.1%), 90(18.5%), 237(48.7%), 130(26.7%), and 15(3.1%) to best, very good, good, slightly bad and bad groups respectively. The self-rated health score was associated with total Component (r=.563, p<.001), Physical Component (r=.520, p<.001) and Mental Component of SF-12 (r=.303, p<.001). The optimal cut off was 80.5, 70.5, 53.5, and 40.5 for best, very good or more, good or more, and under slightly bad respectively and area under curve was 0.898, 0.908, 0.945, and 0.908 accordingly. Conclusions : This study suggests that the self-rated health score and grade could be integrated with the optimal cut off.

Effects of Cutting Frequency and Height on Agronomic Characteristics and Yield Performance of Sorghym-Sudangrass Hybrid (예취횟수와 예취높이가 수수-수단그라스 교잡종의 제형질 발현과 수량에 미치는 영향)

  • 박병훈;강정훈;유시용
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.8 no.1
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    • pp.26-32
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    • 1988
  • This study was conducted to determine the effects of cutting frequency and cutting height on agronomic characteristics and yield performance of sorghum-sudangrass hybrid, cv. Pioneer 855 F on the experimental field of Livestock Experiment Station, Suweon. The results are summarized as follows: 1. The relative contribution of leaf component to total yield was higher when the plants were cut frequently rather than when defoliated only a few times, and tend to be higher with high cutting. 2. Leaf Area Index (LAI) was the highest at the primary growth of two cutting times scheme and the first regrowth for three or four cutting times a year, but LAI, in general, was not related to cutting height. 3. Crop Growth Rate was the heighest at the first regrowth-plants grown in summer, and it was also related to the amount of stubble left at the previous cut. 4. Dead stubbles were not occurred when plants were cut before heading, but those were accompanied by the frequent and low cutting. 5. Total fresh fodder and dry matter yield were the highest at two times cut a year, and decreased with frequent cutting. The optimum cutting height at two times cut was ca. lOCm height stubble from the ground level, but yield increased with higher level cutting at the three or four times cut a year.

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A Parametric Study of Ridge-cut Explosive Bolts using Hydrocodes

  • Lee, Juho;Han, Jae-Hung;Lee, YeungJo;Lee, Hyoungjin
    • International Journal of Aeronautical and Space Sciences
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    • v.16 no.1
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    • pp.50-63
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    • 2015
  • Explosive bolts are one of pyrotechnic release devices, which are highly reliable and efficient for a built-in release. Among them, ridge-cut explosive bolts which utilize shock wave generated by detonation to separate bolt body produce minimal fragments, little swelling and clean breaks. In this study, separation phenomena of ridge-cut explosive bolts or ridge-cut mechanism are computationally analyzed using Hydrocodes. To analyze separation mechanism of ridge-cut explosive bolts, fluid-structure interactions with complex material modeling are essential. For modeling of high explosives (RDX and PETN), Euler elements with Jones-Wilkins-Lee E.O.S. are utilized. For Lagrange elements of bolt body structures, shock E.O.S., Johnson-Cook strength model, and principal stress failure criteria are used. From the computational analysis of the author's explosive bolt model, computational analysis framework is verified and perfected with tuned failure criteria. Practical design improvements are also suggested based on a parametric study. Some design parameters, such as explosive weights, ridge angle, and ridge position, are chosen that might affect the separation reliability; and analysis is carried out for several designs. The results of this study provide useful information to avoid unnecessary separation experiments related with design parameters.

Comparison of Cut Meat Yield from Two Different Breeds of Broilers in Korea

  • Lee, Hyun-Jung;Lee, Se-Hyung;Yang, Chang-Ho;Lee, Jae-Cheong;Jo, Cheo-Run
    • Korean Journal of Poultry Science
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    • v.39 no.3
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    • pp.163-166
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    • 2012
  • This study was carried out to compare the cut meat yields of Cobb and Avian and their profits at productive aspect. Two different breeds, Cobb (34,086,758 birds) and Avian (4,087,600 birds) produced from January 2009 to August 2009 were used. The whole chickens were divided into cut meats including tenderloins, breast fillets, whole wings, boneless thighs, and drumsticks. The growth performance and cut meat yield of Cobb and Avian were measured to investigate possible profit difference. Cobb was superior in the aspect of production performance to Avian with significant differences in survival rate and slaughtering age. As the weight gained, the yields of Cobb increased in breast fillets and boneless thighs as well as lean meat percentage. Significantly higher yield (%) of breast fillets was produced by Cobb at size 14 when compared with Avian. However, there was no significant difference in expected market prices for both cut meat and whole chicken meat between the two breeds in all sizes.

Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year

  • Kang, Jiyeon;Jeong, Yeon Jin;Hong, Jiwon
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.787-798
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    • 2020
  • Purpose: This study aimed to assign weights for subscales and items of the Post-Intensive Care Syndrome questionnaire and suggest optimal cut-off values for screening unplanned hospital readmissions of critical care survivors. Methods: Seventeen experts participated in an analytic hierarchy process for weight assignment. Participants for cut-off analysis were 240 survivors who had been admitted to intensive care units for more than 48 hours in three cities in Korea. We assessed participants using the 18-item Post-Intensive Care Syndrome questionnaire, generated receiver operating characteristic curves, and analysed cut-off values for unplanned readmission based on sensitivity, specificity, and positive likelihood ratios. Results: Cognitive, physical, and mental subscale weights were 1.13, 0.95, and 0.92, respectively. Incidence of unplanned readmission was 25.4%. Optimal cut-off values were 23.00 for raw scores and 23.73 for weighted scores (total score 54.00), with an area of under the curve (AUC) of .933 and .929, respectively. There was no significant difference in accuracy for original and weighted scores. Conclusion: The optimal cut-off value accuracy is excellent for screening of unplanned readmissions. We recommend that nurses use the Post-Intensive Care Syndrome Questionnaire to screen for readmission risk or evaluating relevant interventions for critical care survivors.

Dose Effect of Phytosanitary Irradiation on the Postharvest Quality of Cut Flowers

  • Kwon, Song;Kwon, Hye Jin;Ryu, Ju Hyun;Kim, Yu Ri
    • Journal of People, Plants, and Environment
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    • v.23 no.2
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    • pp.171-178
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    • 2020
  • The present study was conducted to determine the effects of electron beam irradiation on the postharvest quality of cut flowers. Cut flowers were irradiated with electron beam at 100, 200, 400, 600, 800, 1,000, and 2,000 Gy with a 10 MeV linear electron beam accelerator to evaluate their irradiation tolerance. Postharvest quality was determined by monitoring fresh weight loss, flower longevity, flower diameter, flowering rate, visual quality of flowers and leaves, and chlorophyll content. Cut flowers showed a radiation-induced damage with increasing the irradiation dose. Flower longevity and fresh weight of cut flowers decreased when the irradiation dose was increased. Flower bud opening was also inhibited in a dose-dependent manner. The effective irradiation doses for 10% reduction of postharvest quality (ED10) values were 144.4, 451.6, and 841.2 Gy in the 'Medusa' lily, 'Montezuma' carnation, and 'Rosina White' eustoma, respectively. Although tolerance of cut flowers to electron beam irradiation vary according to species, cultivars, or maturity stage conditions, it is conceivable that 'Montezuma' carnation and 'Rosina White' eustoma could be tolerated and maintained overall postharvest quality up to 400 Gy, the generic irradiation dose approved by the Animal and Plant Health Inspection Service (APHIS) and the International Plant Protection Convention (IPPC) for postharvest phytosanitary treatments.

Usefulness of Region Cut Subtraction in Fusion & MIP 3D Reconstruction Image (Fusion & Maximum Intensity Projection 3D 재구성 영상에서 Region Cut Subtraction의 유용성)

  • Moon, A-Reum;Chi, Yong-Gi;Choi, Sung-Wook;Lee, Hyuk;Lee, Kyoo-Bok;Seok, Jae-Dong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.1
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    • pp.18-23
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    • 2010
  • Purpose: PET/CT combines functional and morphologic data and increases diagnostic accuracy in a variety of malignancies. Especially reconstructed Fusion PET/CT images or MIP (Maximum Intensity Projection) images from a 2-dimensional image to a 3-dimensional one are useful in visualization of the lesion. But in Fusion & MIP 3D reconstruction image, due to hot uptake by urine or urostomy bag, lesion is overlapped so it is difficult that we can distinguish the lesion with the naked eye. This research tries to improve a distinction by removing parts of hot uptake. Materials and Methods: This research has been conducted the object of patients who have went to our hospital from September 2008 to March 2009 and have a lot of urine of remaining volume as disease of uterus, bladder, rectum in the result of PET/CT examination. We used GE Company's Advantage Workstation AW4.3 05 Version Volume Viewer program. As an analysis method, set up ROI in region of removal in axial volume image, select Cut Outside and apply same method in coronal volume image. Next, adjust minimum value in Threshold of 3D Tools, select subtraction in Advanced Processing. It makes Fusion & MIP images and compares them with the image no using Region Cut Definition. Results: In Fusion & MIP 3D reconstruction image, it makes Fusion & MIP images and compares them by using Advantage Workstation AW4.3 05's Region Cut Subtraction, parts of hot uptake according to patient's urine can be removed. Distinction of lesion was clearly reconstructed in image using Region Cut Definition. Conclusion: After examining the patients showing hot uptake on account of volume of urine intake in bladder, in process of reconstruction image, if parts of hot uptake would be removed, it could contribute to offering much better diagnostic information than image subtraction of conventional method. Especially in case of disease of uterus, bladder and rectum, it will be helpful for qualitative improvement of image.

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