• 제목/요약/키워드: David operation

검색결과 36건 처리시간 0.021초

Precision feeding and precision nutrition: a paradigm shift in broiler feed formulation?

  • Moss, Amy F.;Chrystal, Peter V.;Cadogan, David J.;Wilkinson, Stuart J.;Crowley, Tamsyn M.;Choct, Mingan
    • Animal Bioscience
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    • 제34권3_spc호
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    • pp.354-362
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    • 2021
  • Broiler chickens grow rapidly, and their nutrient requirements change daily. However, broilers are fed three to five diet phases, meaning nutrients are under or oversupplied throughout production. Increasing diet phases improves production efficiency as there is less time in the production cycle that nutrients are in under or over-supply. Nevertheless, the process of administering four or more diets is costly and often impractical. New technologies are now available to blend feed to match the daily nutrient requirements of broilers. Thus, the aim of this review is to evaluate previous studies measuring the impact of increasing feed phases on nutrient utilisation and growth performance, and review recent studies taking this concept to the extreme; precision nutrition - feeding a new diet for each day of the production cycle. This review will also discuss how modern precision feeding technologies have been utilised and the potential that new technologies may bring to the poultry industry. The development of a precision nutrition regime which targets daily requirements by blending dietary components on farm is anticipated to improve the efficiency of production, reduce production cost and therefore improve sustainability of the industry. There is also potential for precision feeding technology along with precision nutrition strategies to deliver a plethora of other management and economic benefits. These include increased fluidity to cope with sudden environmental or market changes, and the ability to alter diets on a farm by farm level in a large, integrated operation. Thus, the future possibilities and practical implications for such technologies to generate a paradigm shift in feed formulation within the poultry industry to meet the rising demand for animal protein is also discussed.

Rare Tumors Causing Median Nerve Compression in Adults-A Narrative Review

  • Natroshvili, Tinatin;Peperkamp, Kirsten;Malyar, Masoud A.;Wijnberg, David;Heine, Erwin P.;Walbeehm, Erik T.
    • Archives of Plastic Surgery
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    • 제49권5호
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    • pp.656-662
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    • 2022
  • The median nerve can be compressed due to a tumor along the course of the median nerve, causing typical compression symptoms or even persistence or recurrence after an operation. The aim of this review is to provide a comprehensive overview of rare tumors described in recent publications that cause median nerve compression and to evaluate treatment options. The PubMed, Embase, and Web of Science databases were searched for studies describing median nerve compression due to a tumor in adults, published from the year 2000 and written in English. From 94 studies, information of approximately 100 patients have been obtained. Results The rare tumors causing compression were in 32 patients located at the carpal tunnel, in 21 cases in the palm of the hand, and 28 proximal from the carpal tunnel. In the other cases the compression site extended over a longer trajectory. There were 37 different histological types of lesions. Complete resection of the tumor was possible in 58 cases. A total of 8 patients presented for the second time after receiving initial therapy. During follow-up, three cases of recurrence were reported with a mean follow-up period of 11 months. The most common published cause of median nerve compression is the lipofibromatous hamartoma. Besides the typical sensory and motor symptoms of median nerve compression, a thorough physical examination of the complete upper extremity is necessary to find any swelling or triggering that might raise suspicion of the presence of a tumor.

Inpatient or outpatient total elbow arthroplasty: a comparison of patient populations and 30-day surgical outcomes from the American College of Surgeons National Surgical Quality Improvement Program

  • David Momtaz;Farhan Ahmad;Aaron Singh;Emilie Song;Dean Slocum;Abdullah Ghali;Adham Abdelfattah
    • Clinics in Shoulder and Elbow
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    • 제26권4호
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    • pp.351-356
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    • 2023
  • Background: Total elbow arthroplasty (TEA) is uncommon, but growing in incidence. Traditionally an inpatient operation, a growing number are performed outpatient, consistent with general trends in orthopedic surgery. The aim of this study was to compare TEA outcomes between inpatient and outpatient surgical settings. Secondarily, we sought to identify patient characteristics that predict the operative setting. Methods: Patient data were collected from the American College of Surgeons National Quality Improvement Program. Preoperative variables, including patient demographics and comorbidities, were recorded, and baseline differences were assessed via multivariate regression to predict operative setting. Multivariate regression was also used to compare postoperative complications within 30 days. Results: A total of 468 patients, 303 inpatient and 165 outpatient procedures, were identified for inclusion. Hypoalbuminemia (odds ratio [OR], 2.5; P=0.029), history of chronic obstructive pulmonary disorder or pneumonia (OR, 2.4; P=0.029), and diabetes mellitus (OR, 2.5; P=0.001) were significantly associated with inpatient TEA, as were greater odds of any complication (OR, 4.1; P<0.001) or adverse discharge (OR, 4.5; P<0.001) and decreased odds of reoperation (OR, 0.4; P=0.037). Conclusions: Patients undergoing inpatient TEA are generally more comorbid, and inpatient surgery is associated with greater odds of complications and adverse discharge. However, we found higher rates of reoperation in outpatient TEA. Our findings suggest outpatient TEA is safe, although patients with a higher comorbidity burden may require inpatient surgery. Level of evidence: III.

저준위 방사성폐기물의 혼합 관련 미국의 정책과 실제 적용 (U.S. Policy and Current Practices for Blending Low-Level Radioactive Waste for Disposal)

  • 데이빗 케슬;김창락
    • 방사성폐기물학회지
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    • 제14권3호
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    • pp.235-243
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    • 2016
  • 우리나라를 포함한 많은 국가들에서 향후 원전 해체로 저준위폐기물이 대량으로 발생할 전망이다. 본 논문에서는 미국의 저준위방사성폐기물 처분 관련 규제 기준을 분석하고, 특히 원자력발전소의 운영 및 해체를 포함하는 전주기에서 발생하는 폐기물의 처분 옵션을 확장하는 방안으로 사용되고 있는 저준위방사성폐기물의 블랜딩에 대해 검토하였다. 2007년 미국 NRC는 미국 저준위폐기물 관리 프로그램에 대한 전략분석 결과, 방사선위험도와 성능평가에 기반한 새로운 저준위폐기물 관리 규제의 필요성을 제기하였는데, 특히 방사성핵종 농도가 다른 폐기물의 블랜딩을 처분에 대한 옵션을 다양화할 수 있는 안전한 방안으로 제시하였다. NRC는 블랜딩을 처분에 적합하도록 방사성핵종의 농도가 다른 저준위폐기물을 비교적 균일하게 혼합(mixing)하는 것으로 정의하였다. 2015년 2월 농도 평균과 포장에 대한 NRC BTP의 개정판으로 공표된 블랜딩에 대한 구체적인 기술요건을 분석하였고 국내 해체폐기물에 대한 적용 방안도 예시하였다. 대량으로 발생할 해체폐기물에 대해 블랜딩과 농도평균을 적용하면 처분 효율성을 향상시킬 수 있다. 바이오쉴드 콘크리트에 대한 농도평균 적용에 대해 예시하였다.

Evaluation of Macroporous and Microporous Carriers for CHO-K1 Cell Growth and Monoclonal Antibody Production

  • Rodrigues, Maria Elisa;Costa, Ana Rita;Fernandes, Pedro;Henriques, Mariana;Cunnah, Philip;Melton, David W.;Azeredo, Joana;Oliveira, Rosario
    • Journal of Microbiology and Biotechnology
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    • 제23권9호
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    • pp.1308-1321
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    • 2013
  • The emergence of microcarrier technology has brought a renewed interest in anchorage-dependent cell culture for high-yield processes. Well-known in vaccine production, microcarrier culture also has potential for application in other fields. In this work, two types of microcarriers were evaluated for small-scale monoclonal antibody (mAb) production by CHO-K1 cells. Cultures (5 ml) of microporous Cytodex 3 and macroporous CultiSpher-S carriers were performed in vented conical tubes and subsequently scaled-up (20 ml) to shake-flasks, testing combinations of different culture conditions (cell concentration, microcarrier concentration, rocking methodology, rocking speed, and initial culture volume). Culture performance was evaluated by considering the mAb production and cell growth at the phases of initial adhesion and proliferation. The best culture performances were obtained with Cytodex 3, regarding cell proliferation (average $1.85{\pm}0.11{\times}10^6$ cells/ml against $0.60{\pm}0.08{\times}10^6$ cells/ml for CultiSpher-S), mAb production ($2.04{\pm}0.41{\mu}g/ml$ against $0.99{\pm}0.35{\mu}g/ml$ for CultiSpher-S), and culture longevity (30 days against 10-15 days for CultiSpher-S), probably due to the collagen-coated dextran matrix that potentiates adhesion and prevents detachment. The culture conditions of greater influence were rocking mechanism (Cytodex 3, pulse followed by continuous) and initial cell concentration (CultiSpher-S, $4{\times}10^5$ cells/ml). Microcarriers proved to be a viable and favorable alternative to standard adherent and suspended cultures for mAb production by CHO-K1 cells, with simple operation, easy scale-up, and significantly higher levels of mAb production. However, variations of microcarrier culture performance in different vessels reiterate the need for optimization at each step of the scale-up process.

하수처리오니 알칼리 안정화 처리시설에서의 암모니아 발생특성 (Characteristics of Ammonia in Alkaline Stabilization Facility of Sludge from Sewage Treatment Plant)

  • 김용준;정다위;정미정;유혜영;윤철우;신선경
    • 유기물자원화
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    • 제24권3호
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    • pp.23-33
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    • 2016
  • 본 연구는 하수처리시설의 유기성슬러지가 알칼리 안정화 처리시설을 거쳐 발생되는 암모니아의 특성을 조사하였다. 암모니아 검지관을 통해 알칼리 안정화 처리시설의 혼합 및 양생 공정에서 87.78 ppm($66.62mg/m^3$) ~ 1,933 ppm($1,467.01mg/m^3$) 으로 높은 농도의 암모니아가 검출 되었다. 이는 하수처리오니의 질소산화물이 생석회와 혼합되며 암모니아로 변환되는 것으로 예상된다. 일부 시설에서는 황화수소, 메틸메르캅단이 비교적 높은 농도로 검출되었으나, 대부분의 시설에서는 암모니아를 제외한 악취 물질은 검출되지 않았다. 공정 중 암모니아의 농도는 일반적으로 혼합 > 양생 > 반출 > 저장 > 건조 > 입고 순으로 높게 나타났다. 현재 운영 중인 5개 알칼리 안정화 처리시설에서 발생된 악취 물질들은 황산과 차아염소산 등을 사용하여 습식처리하는 것으로 조사되었다. 각 시설은 1 ppm($0.76mg/m^3$), 50 ppm($37.95mg/m^3$) 또는 100 ppm($75.89mg/m^3$)으로 방출되도록 설계되었으나 설계 기준을 만족하지 못하는 것으로 나타났다. 암모니아의 경우, 일부 알칼리 안정화 처리시설은 노동부가 정한 노출기준을 초과하는 것으로 조사되었다. 이것은 향후 근로자의 안전을 위해 적절한 환기가 필요함을 의미하고 있다. 또한, 암모니아를 포함한 악취물질이 시설의 부지경계선에서 검지관으로 검출되지 않았으나, 현재의 운전상태로 볼 때, 미량의 악취물질이 존재할 것으로 판단된다.