• Pediatric Infection and Vaccine
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• v.24 no.1
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• pp.1-6
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• 2017

Purpose: We investigated the effectiveness of the delta neutrophil index (DNI) for the prediction of neonatal bacteremia and compared it to other indices. Methods: A total of 146 pediatric patients, aged less than 31 days, admitted to the neonatal intensive care unit of Wonju Severance Christian Hospital with fever before or during hospitalization were enrolled in this study. We divided the patients into two groups based on the existence of neonatal bacteremia and performed blood culture tests on both groups. We examined white blood cell count, absolute neutrophil count, DNI, platelet count, and C-reactive protein (CRP) test. We used a receiver operating characteristic (ROC) curve to evaluate their diagnostic significance. Results: Seventy-seven patients were diagnosed with neonatal bacteremia. The mean gestational age was 38.74 weeks and the mean birth weight was 3.20 kg. The mean gestational age of the control group was 33.34 weeks and the mean birth weight was 2.20 kg. Causative organisms of bacteremia included Staphylococcus aureus (n=22), Staphylococcus epidermidis (n=18), and Streptococcus agalactiae (n=8). Both DNI and CRP were significantly associated with neonatal bacteremia after adjusting for gestational age and birth weight. The area under the ROC curve (AUC) for DNI (0.70) was higher than that for CRP (0.68). Conclusions: The DNI can be used to effectively predict neonatal bacteremia. The prediction will be more accurate if DNI is used in conjunction with other indices. In future, it will be useful to compare DNI with other indices and investigate its relationship with prognosis.

• Childhood Kidney Diseases
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• v.26 no.1
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• pp.46-51
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• 2022

Purpose: Delta neutrophil index (DNI) indicates immature granulocytes in peripheral blood and has been confirmed to be effective as a prognostic factor for neonatal sepsis. Also, it has been reported to have diagnostic value in acute pyelonephritis and in predicting vesicoureteral reflux (VUR) in the infant. We conducted the study to verify whether DNI is also helpful in the entire pediatric age group with febrile urinary tract infection (UTI). Methods: Medical records of children hospitalized for febrile UTIs were analyzed retrospectively. All subjects underwent kidney ultrasound and voiding cystourethrography. In the group with and without VUR, we compared sex and age, and the following laboratory values: the white blood cell count, neutrophil, polymorphonuclear leucocyte, eosinophil, hemoglobin, platelet count, C-reactive protein, DNI value, and the finding of ultrasound. Results: A total of 315 patients (163 males and 152 females; range, 0-127 months) were eligible, and 41 patients (13%) had VUR. As a result of univariate analysis, the white blood cell count, neutrophil, DNI, and ultrasonic abnormalities were high in the reflux group, and the hemoglobin and lymphocyte fraction values were low. The value of DNI and the abnormal ultrasound were significantly higher in the reflux group on the multivariate analysis. The area under the curve value of the receiver operating curve was higher in DNI (0.640; 95% confidence interval, 0.536-0.744; P=0.004), and the DNI cutoff value for VUR prediction was 1.85%. Conclusions: We identified that ultrasound findings and DNI values were helpful predictors of VUR in pediatric febrile UTIs.

• 한국신재생에너지학회:학술대회논문집
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• 2006.11a
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• pp.176-179
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• 2006

This paper describes the procedure of the basic design and transient variation of performance for a 1MWe large scale solar thermal power plant system (STPPS) by using the commercial software tool of TRNSYS. In order to simulate the transient variation of STPPS's performance, the basic design of STPPS are preceded by using the THERMOFLEX, Three different days of DNI weather data of Daejeon in 2005 are used to calculate the performance. For a high DNI data values, the general ing power of 1.1 MWe and flow rate of 1.4kg/s at $804W/m^2$ are good agreement with the basic design value of 1.0 MWe, 1.36 kg/s at $800 /m^2$. Using the other weather data of low and sudden decreasing DNI values, the results show that the output power and flow rate follow well the DNI variation. Based on the results, it is allowed to use the Program to estimate the performance of STPPS for variety of DNI data.

• Journal of the Korean Burn Society
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• v.22 no.2
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• pp.38-44
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• 2019

Purpose: The immature granulocyte count has been reported to be a marker of infection and sepsis. The difference in leukocyte subfractions (delta neutrophil index, DNI) in ADVIA 2120 reflects the fraction of circulating immature granulocytes in the blood. This study evaluated the clinical utility of DNI as a severity and prediction marker in critically ill patients with burn sepsis. Methods: One hundred and sixty nine patients admitted to the burn care unit were studied. DNI (the difference in leukocyte subfractions identified by myeloperoxidase and nuclear lobularity channels) was determined using a specific blood cell analyzer. Results: Seventy one patients (42 %) were diagnosed with burn sepsis. DNI was significantly higher in patients with burn sepsis than in patients without (P<0.01). Delta neutrophil index was a better indicator of burn sepsis than C-reactive protein, lactate, white blood cell count, HCO3, base excess, lactate, procalcitonin (odds ratio, 6.31; confidence interval 2.36~16.90; P<0.01). And the receiver operating characteristic curves showed that delta neutrophil index, AUC 0.795 (95% confidence interval, 0.721~0.869; P<0.05) was a better predictor of burn sepsis than lactate, procalcitonin, white blood cell, base excess and abbreviated burn severity index. Conclusion: Delta neutrophil index may be used as a early marker of patients with burn sepsis.

• Journal of Oral Medicine and Pain
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• v.46 no.4
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• pp.150-154
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• 2021

Deep neck infection (DNI) is a potentially serious pathology that can lead to serious complications and high rate of mortality. Since DNI affects the cervical spaces, which can compromise airway, aggressive antibiotic administration and prompt surgical drainage are essential for recovery. Although most causes of DNI are known to be dental infections, developmental cysts such as dentigerous cysts are relatively few causes. In this case, we report a rare patient with severe deep neck space infection caused by infected third molar with dentigerous cyst.

• The Plant Pathology Journal
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• v.24 no.4
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• pp.392-399
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• 2008

Detached chili pepper fruits were inoculated with the conidial suspension of Colletotrichum acutatum JC-24 simultaneously (simultaneous inoculation, SI) and at delayed time (delayed inoculation, DI) after wounding with (delayed wound inoculation, DWI) or without additional wounding (delayed non-wound inoculation, DNI) at the inoculation time. Disease severity was significantly lowered by DNI, compared to SI. By DNI, the disease reduction rates were proportional with the length of delayed time, and greater at the high temperature range (18, 23 and $28^{\circ}$) than at the low temperature ($13^{\circ}$) tested. DWI was also effective in reducing the disease severity especially at 18oC; however, its effectiveness was lower than for DNI. In light microscopy, parenchyma cells at the wounding sites were modified structurally, initially forming new cell walls crossing cytoplasm, enlarged with multiple periclinal cell divisions, and finally layered like wound periderms. In DWI, the above structural modifications occurred, showing the restriction of the fungal invasion by the cell walls in enlarged modified cells, while no definite cellular modifications were found with proliferation of fungal hyphae in SI. Sclerenchyma-like cells with thickened cell walls were proliferated around the wounding sites, which were partially dissolved by DWI, probably leading to some disease development. All of these results suggest that the decline of the anthracnose disease in pepper fruit by the delayed inoculations may be derived from the structural modifications related to the healing processes of the previous wound inflicted on the tissues.

• Journal of the Korean Solar Energy Society
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• v.30 no.6
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• pp.118-124
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• 2010

In order to develop commercial model of 10kW dish-Stirling solar thermal power system, modification for the exiting facility was taken for a year as a Leading Project in KIER. During the project, solar tracking system, control and monitoring system and high durability reflector were developed and long term operation were performed. The solar tracking system was tested for four months to investigate the degree of precision and adapted to the control system for an actual operation from October in 2009. The sun tracking accuracy of ${\pm}4$ mrad using modified control system was obtained and the system operated successfully during the experimental period. The monitoring system displays engine pressure, electric generation amounts, generator RPM, receiver temperatures, and etc. from Stirling engine and weather data of Direct Normal Irradiation, Horizontal Global Insolation, wind speed & direction, and atmosphere temperature from weather station. According to the operating results in a clear sky day, electric power of 6,890 W was generated at the DNI value of 850 W/$m^2$ and the averaged solar-to-electricity efficiency during a whole day reached to 18.99%. From the overall operating results, linear power generation trend could be observed with increasing DNI value. The solar-to-electricity efficiency achieved to 19% around the DNI value of 700 W/$m^2$ and increased to 20% when the DNI value goes up to 900 W/$m^2$.

• Journal of Chest Surgery
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• v.45 no.3
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• pp.171-176
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• 2012

Background: Deep neck infections (DNI) can originate from infection in the potential spaces and fascial planes of the neck. DNI can be managed without surgery, but there are cases that need surgical treatment, especially in the case of mediastinal involvement. The aim of this study is to identify clinical features of DNI and analyze the predisposing factors for mediastinal extension. Materials and Methods: We reviewed medical records of 56 patients suffering from DNI who underwent cervical drainage only (CD group) and those who underwent cervical drainage combined with mediastinal drainage for descending necrotizing mediastinitis (MD group) from August 2003 to May 2009 and compared the clinical features of each group and the predisposing factors for mediastinal extension. Results: Forty-four out of the 56 patients underwent cervical drainage only (79%) and 12 patients needed both cervical and mediastinal drainage (21%). There were no differences between the two groups in gender (p=0.28), but the MD group was older than the CD group (CD group, $44.2{\pm}23.2$ years; MD group, $55.6{\pm}12.1$ years; p=0.03). The MD group had a higher rate of co-morbidity than the CD group (p=0.04). The CD group involved more than two spaces in 14 cases (32%) and retropharyngeal involvement in 12 cases (27%). The MD group involved more than two spaces in 11 cases (92%) and retropharyngeal involvement in 12 cases (100%). Organism identification took place in 28 cases (64%) of the CD group and 3 cases of (25%) the MD group (p=0.02). The mean hospital stay of the CD group was $21.5{\pm}15.9$ days and that of the MD group was $41.4{\pm}29.4$ days (p=0.04). Conclusion: The predisposing factors of mediastinal extension in DNI were older age, involvement of two or more spaces, especially including the retropharyngeal space, and more comorbidities. The MD group had a longer hospital stay, higher mortality, and more failure to identify causative organisms of causative organisms than the CD group.

• Journal of the Korean Solar Energy Society
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• v.39 no.3
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• pp.81-89
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• 2019

Long-term solar irradiance data are required for reliable performance evaluation and feasibility analysis of solar photovoltaic systems. However, measurement data of the global horizontal irradiance (GHI) are only available for major cities in Korea. Neither the direct normal irradiance (DNI) nor the diffuse horizontal irradiance (DHI) are available, which are also needed to calculate the irradiance on the tilted surface of PV array. It is a simple approach to take advantage of the decomposition model that extracts DNI and DHI from GHI. In this study, we investigate variations of solar PV power estimation due to the choice of decomposition model. The GHI data from Korea Meteorological Administration (KMA) were used and different sets of typical meteorological year (TMY) data using some well-known decomposition models were generated. Then, power outputs with the different TMY data were calculated, and a variation of 3.7% was estimated due to the choice of decomposition model.

• Journal of the Korean Solar Energy Society
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• v.27 no.1
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• pp.55-61
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• 2007

This paper describes the procedure and calculation results of basic design and transient variation of performance of 1 MWe large scale solar thermal power plant (STPP) by using the commercial software of THERMOFLEX and TRNSYS, respectively. In order to simulate the transient variation of STPP, the results of basic design are necessary. The design standard of the STPP is 1 MWe generation with solar only at high DNI condition and then 0.6 MWe output power for 1 hour using stored energy when the DNI becomes lower unable to operate normally. The results of basic design show the important design data of flow rates, water/steam conditions at each equipments and the estimated efficiency of STPP. In addition, dynamic simulation results of STPP are predicted and plotted for one year and three different days weather data of Daejeon.