• Journal of Trauma and Injury
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• v.22 no.2
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• pp.218-226
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• 2009

Purpose: In multiple blunt trauma patients, transfusion may be a significant therapeutic adjunct to non-operative management. The blood products must be expedited and efficiently to patients in impending shock caused by hemorrhage or traumatic coagulopathy, but the decision to perform blood transfusion has been made empirically, based on the clinician' and has not been guided by objective parameters, but own opinion, that may result in an underestimate of or a failure to detect bleeding, in delayed transfusion, and in a reduced outcome. This article presents quickly assessable predictive factors for determining if a blood transfusion is required to improve outcomes in multiple blunt trauma patients admitted to the emergency room. Methods: In a retrospective review of 282 multiple blunt trauma patients who visited our emergency center by emergency rescuer during a 1-year period, possible factors predictive of the need for a blood transfusion were subjected to univariate and multivariate logistic regression analysis. Results: Of blunt trauma patients, 9.2% (26/282), received red blood cells in the first 24 hours of care. Univariate analysis revealed significant associations between blood transfused and heart rate (HR) > 100 beats/min, respiratory rate (RR) > 20 breaths/min, Glasgow Coma Scale (GCS) < 14, Revised Trauma Score (RTS) < 11, white blood cell count (WBC) < 4000 or > 10000, and initial abnormal portable trauma series (Cspine lateral, chest AP, pelvis AP). A multiple regression analysis, with a correction for diagnosis, identified HR > 100 beats/min (EXP 3.2), GCS < 14 (EXP 4.1), and abnormal trauma series (EXP 2.9), as independent predictors. Conclusion: In our study, systolic blood pressure (SBP) < 90 mmHg, old age > 65 years, hemoglobin < 13g/dL, mechanism of injury were poor predictors of early blood transfusion. Initial abnormal portable trauma series, HR > 100 beats/min, and GCS < 14 were quickly assessable useful factors for predicting a need for early blood transfusion in blunt trauma patients visiting the emergency room.

• Journal of Physiology & Pathology in Korean Medicine
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• v.24 no.3
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• pp.390-400
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• 2010

This study is aimed to test physiological and hematological actions of Rheum palmatum through clinical pilot study optimized for usual oriental medicine prescription. Thirty-one cases were finally collected and the sample extract 100 $m{\ell}$ of Rheum palmatum (ERP) was administered two times in a day during 3 days and checked with blood CBC test, urinalysis, liver function test, abdominal X-ray as well as general diagnostic process of oriental medicine; pattern identification, assessment of shapes and constitution. The total toxic effective rate of ERP was 9.68% in 3 cases of the whole in case of consistent uneasy state in the subjective symptomatic assessment and aggravation of blood and urine examination. The relevant diagnostic factors were so-eum constitution and essence type subject, carapaces species, lung type in the aspect of Jisan shape theory. On the other hand, the positive effective rate of ERP was 29.03% manifesting improvement of vital signs or present illness and no abnormal changes of blood chemistry and urinalysis and simple abdomen radiology. The relevant diagnostic factors were tae-eum constitution, energy type subject, aves species, heart and liver type in Jisan's shape theory. And the other cases were manifesting no specific change through the administration of ERP. The ratio of the numbers of decrease and increase was 44:5 in the tenderness and hardness of abdominal palpation. But if the pattern identification doesn't comply with the aim of rhubarb application despite of constipation and abdominal pain, the tendeness and biochemical report was shown in abnormal change. The mean number of diarrhea by ERP was $16.77{\pm}6.95$ during 3 days after administration, and the frequent areas of abdominal pain were lower>middle>upper in order, and it meant the target site of ERP too. Besides, the toxic reaction against ERP was expressed highly in case of decrease in blood cell count and hemoglobin, hematocrit having blood deficiency syndrome. Likewise, the toxicity of ERP was influenced by pattern identification manifesting present disease condition and diagnostic factors of four constitutions, Jisan's shape theory collaterally. In conclusion, evaluation of herbal toxicity in order for using as a clinical guideline, various diagnostic pattern information and shape features like the above should be studied together with other pharmacologic toxicology test for the future.

• Journal of Animal Science and Technology
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• v.62 no.1
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• pp.1-13
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• 2020

This study was designed to evaluate the in vitro and in vivo effects of reductive acetogens isolated from ruminants on methane mitigation, and milk performance, respectively. Four acetogens, Proteiniphilum acetatigenes DA02, P. acetatigenes GA01, Alkaliphilus crotonatoxidans GA02, and P. acetatigenes GA03 strains were isolated from ruminants and used in in vitro experiment. A control (without acetogen) and a positive group (with Eubacterium limosum ATCC 8486) were also included in in vitro experiment. Based on higher acetate as well as lower methane producing ability in in vitro trial, P. acetatigenes GA03 was used as inoculum for in vivo experiment. Holstein dairy cows (n = 14) were divided into two groups viz. control (without) and GA03 group (diet supplied with P. acetatigenes GA03 at a feed rate of 1% supplementation). Milk performance and blood parameters were checked for both groups. In in vitro, the total volatile fatty acids and acetate production were higher (p < 0.05) in all 4 isolated acetogens than the control and positive treatment. Also, all acetogens significantly lowered (p < 0.05) methane production in comparison to positive and control groups however, GA03 had the lowest (p < 0.05) methane production among 4 isolates. In in vivo, the rate of milk yield reduction was higher (p < 0.05) in the control than GA03 treated group (5.07 vs 2.4 kg). Similarly, the decrease in milk fat was also higher in control (0.14% vs 0.09%) than treatment. The somatic cell counts (SCC; ×10³/mL) was decreased from 128.43 to 107.00 in acetogen treated group however, increased in control from 138.14 to 395.71. In addition, GA03 increased blood glucose and decreased non-esterified fatty acids. Our results suggest that the isolated acetogens have the potential for in vitro methane reduction and P. acetatigenes GA03 strain could be a candidate probiotic strain for improving milk yield and milk fat in lactating cows with lowering SCCs.

• Journal of Internet Computing and Services
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• v.16 no.1
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• pp.75-82
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• 2015

Major corporations and portals have implemented a link server that connects Content Management Systems (CMS) to the physical address of content in a database (DB) to support efficient content use in web-based environments. In particular, a link server automatically connects the physical address of content in a DB to the content URL shown through a web browser screen, and re-connects the URL and the physical address when either is modified. In recent years, the number of users of digital content over the web has increased significantly because of the advent of the Big Data environment, which has also increased the number of link validity checks that should be performed in a CMS and a link server. If the link validity check is performed through an existing URL-based sequential method instead of petabyte or even etabyte environments, the identification rate of dead links decreases because of the degradation of validity check performance; moreover, frequent link checks add a large amount of workload to the DB. Hence, this study is aimed at providing a link server that can recognize URL link deletion or addition through analysis on the B-tree-based Information Identifier count per interval based on a large amount of URLs in order to resolve the existing problems. Through this study, the dead link check that is faster and adds lower loads than the existing method can be performed.

• Journal of Life Science
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• v.21 no.7
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• pp.1039-1045
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• 2011

The effects of duration and time-dependent, high-intensity exercise on hematological properties and inflammation-related parameters in rats were studied. 20, 60, and 120 min of high-intensive exercise were performed daily for 8 weeks. None of the complete blood count (CBC) factors were affected by the exercise, except for the leukocyte concentration which, in the 20 min group, showed an increase of 47% compared to the control, but this was decreased after 60 min by 30% compared to the control. As exercise was performed for 60 min or longer, serum concentrations of $Fe^{++}$, unsaturated iron biding capacity (UIBC), and total iron biding capacity (TIBC) were significantly elevated in comparison to the control, where 20 min of exercise did not show any change. Both levels of interleukin-6 (IL-6), a pro-inflammatory cytokine, and interleukin-10 (IL-10), an anti-inflammatory cytokine in the serum, were elevated in response to the high-intensity exercise, however the rate of IL-6 increase was higher than the rate of exercise intensity increase, thus the offset of inflammation might be suggested. The concentration of nitric oxide (NO) in the serum became high in response to the exercise. Overall, the current observation suggests that inflammation-like responses to high-intensity exercise might be due to high circulation of blood flow and high oxygen requirement, resulting in systemic damages. However, under the current high-intensity exercise conditions, more than 20 min of exercise might not be suggested for health care purposes.

• Applied Biological Chemistry
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• v.26 no.1
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• pp.35-40
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• 1983

The inhibitory activity of 20 Lactic strains from Kimchi was tested against Escherichia coli and other microorganisms. Of the lactic strains investigated, A7 (Pediococcus cerevisiae) and C4(Leuconostoc spp.) were the most effective in restricting the growth of test organisms. The mixed culture inoculation of each selected lactic strain and Escherichia coli resulted in a drastic reduction in the plate count of Escherichia coli after 24 hours. Similar results were obtained when Staphylococcus aureus and Bacillus cereus were used as test organisms. For all test organisms, the presence of A7 caused a higher death rate constant than that of C4. Addition of catalase in the mixed culture did not prevent inhibition, suggesting that hydrogen peroxide did not cause the inhibition. The filtrate of A7 culture added to Escherichia coli showed identical inhibitory action, however heat treatment of filtrate at $80^{\circ}C$ 30min. destroyed the inhibitory activity. A7 filtrate treated with trypsin substantially lost the inhibitory effect, but not by pepsin. The results imply that the protein-like compound(s) is the principal inhibitor produced by this lactic strain.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.20 no.2
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• pp.427-436
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• 2016

In general, QRS duration represent a distance of Q start and S end point. However, since criteria of QRS duration are vague and Q, S point is not detected accurately, arrhythmia classification performance can be reduced. In this paper, we propose extraction of Q, S start and end point RS feature based on phase transition tracking method after we detected R wave that is large peak of electrocardiogram(ECG) signal. For this purpose, we detected R wave, from noise-free ECG signal through the preprocessing method. Also, we classified QRS pattern through differentiation value of ECG signal and extracted Q, S start and end point by tracking direction and count of phase based on R wave. The performance of R wave detection is evaluated by using 48 record of MIT-BIH arrhythmia database. The achieved scores indicate the average detection rate of 99.60%. PVC classification is evaluated by using 9 record of MIT-BIH arrhythmia database that included over 30 premature ventricular contraction(PVC). The achieved scores indicate the average detection rate of 94.12% in PVC.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.42 no.12
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• pp.149-158
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• 2005

This paper proposes a congestion avoidance algorithm which provides stable throughput and transmission rate regardless of buffer size by limiting the TCP congestion window in fixed bandwidth networks. Additive Increase, Multiplicative Decrease (AIMD) is the most commonly used congestion control algorithm. But, the AIMD-based TCP congestion control method causes unnecessary packet losses and retransmissions from the congestion window increment for available bandwidth verification when used in fixed bandwidth networks. In addition, the saw tooth variation of TCP throughput is inappropriate to be adopted for the applications that require low bandwidth variation. We present an algorithm in which congestion window can be limited under appropriate circumstances to avoid congestion losses while still addressing fairness issues. The maximum congestion window is determined from delay information to avoid queueing at the bottleneck node, hence stabilizes the throughput and the transmission rate of the connection without buffer and window control process. Simulations have performed to verify compatibility, steady state throughput, steady state packet loss count, and the variance of congestion window. The proposed algorithm can be easily adopted to the sender and is easy to deploy avoiding changes in network routers and user programs. The proposed algorithm can be applied to enhance the performance of the high-speed access network which is one of the fixed bandwidth networks.

• Particle and aerosol research
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• v.17 no.2
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• pp.21-27
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• 2021

We developed non-metallic electrodes that can replace metallic electrodes of the electrostatic precipitator(ESP) for the purpose of light weight, corrosion resistance, cost reduction. We manufactured three types of collection electrodes made of stainless steel (M), Carbon ink coating layer-Plastic sheet-Carbon ink coating layer (CPC), and Plastic sheet-Carbon ink coating layer-Plastic sheet (PCP). We studied the collection efficiency of a two-stage ESP using oil mist particles with and without collection stage by changing the flow rate, the material of collection electrode, and the applied voltage of the pre-charger module and the collection module. Here we measured concentrations of particles at diameters of 0.45 ㎛ (CMD; count median diameter) and 3.0 ㎛ (MMD : mass median diameter), as well as PM_2.5 and PM₁₀. As a result of the experiment, two-stage ESP had 22~25% higher collection efficiency in PM_2.5 than one-stage ESP at the same applied voltage. The difference in collection efficiency by varying the materials of collection electrodes was less than 5%. The weight of the non-metallic electrode was only one eighth the weight of the metal electrode. CPC electrode had a thickness of 0.27 mm, which was 1.5 times thinner than a thickness of PCP electrode, so when the flow rate increased, the CPC electrodes couldn't be kept at equal intervals due to the fluttering unlike PCP electrodes. In addition, the PCP-CPC collection module of the present experiment followed the theoretical efficiency based on Deutsch equation and Cochet's charging theory.

• Communications of Mathematical Education
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• v.36 no.4
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• pp.469-486
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• 2022

Counting occupies a fundamental and important position in mathematical learning due to its relation to number concepts and numeral operations. In particular, counting up to large numbers is an essential learning element in that it is structural counting that includes the understanding of place values as well as the one-to-one correspondence and cardinal principles required by counting when introducing number concepts in the early stages of number learning. This study aims to derive didactical implications by investigating the possibility of and the strategies for counting large numbers that is expected to have no students' experience because it is not composed of current textbook activities. To do this, 89 second-grade elementary school students who learned the three-digit numbers and experienced group-counting and skip-counting as textbook activities were provided with questions asking how many penguins were in a picture where 260 penguins were irregularly arranged and how to count. As a result of analyzing students' responses in terms of the correct answer rate, the strategy used, and their cognitive characteristics, the incorrect answer rate was very high, and the use of decimal principles, group-counting, counting by one, and partial sum strategies were confirmed. Based on these analysis results, several didactical implications were derived, including the need to include counting up to large numbers as textbook activities.