• Title/Summary/Keyword: cell loss rate

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Survival Difference of Combination Chemotherapy versus Supportive Care in the Patients with Stage Ⅳ Non-Small Cell Lung Cancer (4기 비소세포폐암 환자에서 복합화학요법군과 보존적치료군의 생존율 비교연구)

  • Kim, Byeong Hun;Lee, Kyung Hee;Doh, Gab Suk;Lee, Eun Jung;Kim, Seong Mok;Chung, Jin Hong;Lee, Kwan Ho;Hyun, Myung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.4
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    • pp.536-546
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    • 1996
  • Background : The survival benefit of combination chemotherapy comparing supportive care to patients with advanced non-small cell lung cancel, especially stage IV non-small cell lung cancer patients with metastatic disease, is controversial. The main goal of this study was to evaluate the difference in survival between patients treated with chemotherapy and those who were not and to identify prognostic factors in the patients with stage IV non-small cell lung cancer. Methods : From January 1989 to December 1994, total 67 patients including 20 patients treated with combination chemotherapy and 47 patients treated with only supportive care in stage IV non-small cell lung cancer patients with metastatic disease were enrolled in this study. Combination chemotherapy consisted of etoposide $120mg/m^2$ iv for 3 days and cis-platin iv day 1 every 4 weeks. The treatment groups were retrospectively analyzed by age, sex, histologic cell type, weight loss, serum LDH level, ECOG performance status and major organ metastasis. Results : The significant prognostic factors influencing survival on this study were ECOG performance status and histologic subtype. Overall response rate by combination chemotherapy was 30%(complete response 0%, partial response 30%). Median survival of overall patients was 13.6 weeks and median survival of Chemotherapy group, 20 weeks, was significantly longer than that of supportive care group, 11.7 week(p<0.01). Median survival of responded in patients receiving chemotherapy, 45.5 weeks, was significantly longer than that of non-responder, 17.3 weeks(p<0.05). 1 year-survival rate of chemotherapy group and supportive care group was 15N and 8%, respectively. Nausea or vomiting, alopecia and anemia were seen in nearly most cases after this combination chemotherapy. Toxicities above grade 3 included neutropenia, anemia, thrombocytopenia, infection, fever, nausea, vomiting and alopecia. But this combination chemotherapy was relatively well tolerated except one treatment-related death from sepsis associated with severe granulocytopenia. Conclusion : These results suggest that systemic chemotherapy might be helpful to the stage IV non-small cell lung cancer patients with good performance status and large scale randomized prospective trials should be performed.

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Roles of $Na^+\;-Ca^{2+}$ Exchange in the Negative Force-Frequency Relationship

  • Ko, Chang-Mann;Kim, Soon-Jin
    • The Korean Journal of Physiology and Pharmacology
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    • v.2 no.6
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    • pp.715-724
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    • 1998
  • Frequency-force relationships (FFR) were studied in electrically field stimulated rat left atria (LA) by reducing the stimulation frequency from resting 3 Hz to test frequencies (0.1-1 Hz) for 5 minutes. The twitch amplitudes of LA elicited the typical negative staircases with 3-phased changes: the initial rapid increase, the second decrease and the following plateau at test frequencies. Verapamil $(3{\times}10^{-5}\;M)$ pretreatment elicited frequency-dependent suppression of the twitch amplitudes, exaggerating the negative staircase. Monensin pretreatment enhanced not the peak but the plateau amplitudes in a concentration-dependent manner. When the $Na^+-Ca^{2+}$ exchange was blocked by $Na^+\;and\;Ca^{2+}$ depletion in the Krebs Hensleit buffer (0 $Na^+-0\;Ca^{2+}$ KHB), the twitch amplitudes increased in a frequency-dependent manner, changing the negtive staircase into the positve one. Meanwhile, the 0 $Na^+-0\;Ca^{2+}$ KHB applicationinduced enhancement was strongly suppressed by caffeine (5 mM) pretreatment. Only dibucaine among the local anesthetics increased the basal tone during frequency reduciton. There were no differences in $^{45}Ca$ uptakes between 0.3 Hz and 3 Hz stimulation except at 1 min when it was significantly low at 0.3 Hz than 3 Hz, illustrating net $Ca^{2+}$ losses. Monensin pretreatment enhanced the rate of this $Ca^{2+}$ loss. Taken together, it is concluded that $Na^+-Ca^{2+}$ exchange extrudes more SR released $Ca^{2+}$ out of the cell in proportion to the frequency, resulting in the negative rate staircase in the rat LA.

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Is It Necessary to Use Dextran in Free Flap Surgery? (유리피판술에서 덱스트란의 사용이 필요한가?)

  • Ahn, Hee Chang;Kim, Kee Woong;Lee, Young Jin;Kim, Yeon Hwan
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.393-396
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    • 2009
  • Purpose: Low - molecular - weight dextran is one of the most frequently used antithrombotic agents in microvascular surgery, but there is controversy if it has the real benefit in the clinical aspects. The purpose of this study was to evaluate the effect associated with postoperative use of low - molecular - weight dextran in breast reconstruction by free TRAM flap patients. Methods: From January 2002 to October 2008, we reconstructed 88 cases of postmastectomy deformity using the free TRAM flap. The 88 cases were divided into two groups : a group with no use of dextran(66 patients, control group, Group A) and a postoperative low - molecular weight dextran loaded group(22 patients, Group B). We assessed number of flap survival, rate of complication like hematoma or seroma, total amount of drainage from operative wound, duration of drainage, and amount of transfusion in each group. Results: There was no total flap loss and every flap was survived. Total amount of drainage for post - operative 5 days were 857 ml in group A and 1101 ml in group B. Drain was kept for average of 7.3 days in group A and 8.7 days in group B. Packed red cell transfusions were made in average of 3.3 units for group A and 3.0 units for group B. Group B showed significantly higher values in former 2 comparative parameters than group A. Conclusion: There was no definitive advantage of anticoagulants in elective free - flap surgery in terms of success rate. However, groups with using anticoagulants had the increased bleeding tendency in immediate postoperative period. The routine use of anticoagulants in elective free - flap surgery should be reconsidered with postoperatively less bleeding and early recovery.

Studies on Selective Separation of Highly Motile Bovine Sperm (고활력우정자(高活力牛精子)의 선택적(選擇的) 분리(分離)에 관한 연구(硏究))

  • Kim, Myung-cheol
    • Korean Journal of Veterinary Research
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    • v.24 no.2
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    • pp.245-266
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    • 1984
  • As a fundamental study to increase the reproductive efficiency in cattle, highly motile sperm were separated and collected from raw semen, extended semen and frozen semen by different methods using various concentrations of bovine serum albumin or Tyrode's solution. Various characteristics and light microscopic and electron-microscopic morphology of sperm separated by different methods were compared. The results obtained were as follows; 1. The sperm separated from raw semen using bovine serum albumin showed significantly high value in motility, motile sperm count, percent of normal sperm and progressive motility, as compared with control sperm and revealed the highest sperm recovery rate when separated with 6% bovine serum albumin. 2. The sperm motility, percent of normal sperm and progressive motility of the highly motile sperm frozen after being separated from raw semen with bovine serum albumin, showed significantly high value than those of a control sperm and especially found the highest value when separated with 20% bovine serum albumin. 3. Light-microscopic percent of abnormality was significantly low in the prefrozen and postfrozen highly motile sperm separated with bovine serum albumin, as compared with control sperm. 4. Electron-microscopic finding of the highly motile sperm separated with bovine serum albumin showed low percent of deformity in the dilatation and vesiculation of cell membrane, in dilatation and density loss of acrosome than in those of control sperm. 5. It was impossible to separate the highly motile sperm from frozen semen with bovine serum albumin, but it was possible with Tyrode's solution. 6. Recovery rate of highly motile sperm from raw semen extended semen and frozen semen was the highest when the sperm pellet stood in Tyrde's solution for 80 minutes. 7. The highly motile sperm separated from raw semen, extended semen and frozen semen with Tyrode's solution showed significantly high value in motility, progressive motility and percent of normal sperm, as compared with control sperm. 8. Highly motile sperm, when separated from raw semen, extended semen and frozen semen with Tyrode's solution, showed significantly low percent of microscopic abnormality as compared with control sperm.

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The surgical experiences of esophageal reconstruction with stomach at the middle and lower esophageal and cardia cancer (중,하부 식도및 분문에 발생한 식도 종양의 위장을 이용한 식도재건술의 외과적 치험)

  • 강경민;박재홍
    • Journal of Chest Surgery
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    • v.29 no.6
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    • pp.626-631
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    • 1996
  • The forty patients with carcirLoma of the esophagus or cardia seen at National Medical Center between November 1983 and April 1994 underwent surgical exploration. The esophagogastrectomy was carried out in 29 of 40 patients, one case through right thoracotomy, the others through left thoracotomy. Two patients underwent colon bypass surgeries due to upper esophageal cancer Transhiatal esop agectomy was performed In one case. Feeding gastrostomy or feeding jejunostomy were performed in 8 patients due to the advanced stage or malnutrition. In this report, we evaluated the long-term results in the 28 patients who underwent esophagogastrectomy for palliation through the left thoracotomy. There were 25 men(89%) and 3 women(11 %), and the mean age was 58.65$\pm$7.15 years(range, 46 to 73 years). The most frequent preoperative symptoms included dysphagia (22), weight loss (15), chest pain (6), vomiting (1), and hoarsness (1). Twenty-three patients had sqamous cell cancers of mid-and lower esophagus and five adenocarcionomas of cardia. One patient died in the hospital within 30 days of the op- eration for a hospital mortality rate of ).7%, Cause of death was sepsis due to anastomotic leakage. There were five additional complications in five patients; acute respiratory distress syndrome (1), post-op- erative bleeding (1), diaphragmatic hernia (1), acute renal failure (1) and late raft stenosis (1). The one year, 1틴o years, and three years acturial survival rate were 75.6$\pm$9.5%, 43.2$\pm$ 11.6%, 21.6: 10.5$\circledcirc$ re- spectively. The average survival was 21.8 months. The data from this study suggest that esophagogastrectomy through the left thoracotomy can achieve resonable long-term palliation for carci- noma of the esophagus. The operation can be performed with a low operative mortality and few serious postoperative complications.

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A study on the fading compensation scheme for wireless ATM systems (무선 ATM 시스템을 위한 페이딩 보상기법에 관한 연구)

  • Chung, Boo-Young;Kang, Young-Heung;Cho, Sung-Jun;Lee, Jin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.12
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    • pp.2727-2735
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    • 1997
  • This paper describes a new fading compensation scheme for Wireless ATM(WATM) sytem using pilot symbols. We have carried out a simulation for bit error rate(BER) and cell loss probability(CLP) to analyze the performance of a new scheme. As the resutls, BER performance we improved by means of HEC only above 3 dB of $E_{b}/N_{0}$ in AWGN, but not at all in fading environment. However, by using a new fading compenstion scheme with HEC, BER performance degraded below to 1 dB of $E_{b}/N_{0}$ in AWGN, but BER and CLP performances in WATM system were improved remarkably, and meeted at CLP performance criterion for K=10 dB rician fading. Also, code rate will be high and harware size of codec will be small by using this new scheme with HEC OR FEC.

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Basic Analysis of Heat and Mass Transfer Characteristics of Tubular Membrane Humidifier for Proton Exchange Membrane Fuel Cell (이온교환막 연료전지용 원통형 막 가습기의 열 및 물질전달특성 기초 연구)

  • Bae, Ho-June;Ahn, Kook-Young;Lee, Young-Duk;Kang, Sang-Kyu;Yu, Sang-Seok
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.5
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    • pp.473-480
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    • 2011
  • The proton exchange membrane (PEM) fuel cell system is critically dependent on the humidity, which should be properly maintained over the entire operating range. A membrane humidifier is used for the water management in the PEMFC because of the membrane humidifier's reliable performance and zero parasitic power loss. In the PEMFC system, the membrane humidifier is required to provide appropriate humidity for the design point of the fuel cell. Although the performance of the fuel cell depends on the performance of the humidifier, few studies have provided a systematic analysis of the humidifier. We carry out an experimental analysis of the membrane humidifier using a vapor condensation bottle. The dry air pressure, water flow temperature, and air flow rate were chosen as the operating parameters. The results show that the time constant for the dynamic response of the membrane humidifier is relatively short, but additional analysis should be carried out.

Performance Evaluation of Hydrogen Generation System using NaBH4 Hydrolysis for 200 W Fuel Cell Powered UAV (200 W급 연료전지 무인기를 위한 NaBH4 가수분해용 수소발생시스템의 성능평가)

  • Oh, Taek-Hyun;Kwon, Sejin
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.43 no.4
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    • pp.296-303
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    • 2015
  • The concentration of solute in a $NaBH_4$ solution is limited due to the low solubility of $NaBO_2$. The performance of a hydrogen generation system was evaluated using various concentrations of $NaBH_4$ solution. First, a self-hydrolysis test and a hydrogen generation test for 30 min were performed. The composition of $NaBH_4$ solution was selected to be 1 wt% NaOH + 25 wt% $NaBH_4$+74wt% $H_2O$ by considering the amount of hydrogen loss, stability of hydrogen generation, $NaBO_2$ precipitation, conversion efficiency, and the purpose of its application. A hydrogen generation system for a 200 W fuel cell was evaluated for 3 h. Although hydrogen generation rate decreased with time due to $NaBO_2$ precipitation, hydrogen was produced for 3 h (conversion efficiency: 87.4%). The energy density of the 200 W fuel cell system was 263 Wh/kg. A small unmanned aerial vehicle with this fuel cell system can achieve 1.5 times longer flight time than one flying on batteries.

The Physical Properties of Mn-Ferrite According to the Variation of Fe-Mn Composition Ratio (철-망간 화합비 변화에 따르는 망간 페라이트의 물성)

  • Kim, Yu-Sang;Hwang, Yong-Gil
    • Korean Journal of Materials Research
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    • v.2 no.2
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    • pp.126-132
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    • 1992
  • Experiment has been performed to investigate the thermal and magnetic properties of Mn-ferrite by electrolysis. Using the 0.2%C mild steel as soluble anode and SUS 304 stainless steel as cathode, Mn-ferrite could be made from the sulfuric acid leaching of the wasted manganese dry cell and $MnSO_4$reagent by electrolysis. As the result of X-ray diffraction, thermal analysis and magnetic measurement, Mn-ferrite was the spinel type in $Mn_{x}Fe_{3-x}O_4$ (X=1), the weight loss rate of $Mn_{x}Fe_{3-x}O_4$ were linearly increased up to the $200^{\circ}C$. Ms, Mr and Hc values were decreased with increasing Mn content and heating temperature. When Mn-ferrite was formed by $MnCl_2$reagent electrolysis, Ms values were higher than those formed from the sulfuric acid leaching of the wasted manganese dry cell and $MnSO_4$reagent by electrolysis. In Mn-ferrite, which was formed from the sulfuric acid leaching of the wasted manganese dry cell by electrolysis, Ms and Mr values were higher, Hc values were lower than which was formed by $MnSO_4$ reagent electrolysis at $200^{\circ}C\;and\;300^{\circ}C, while the same values at $100^{\circ}C$. The shape of particles was spherical type, the sizes of them were about $0.1{\mu}m$ sub-micron in $MnSO_4$reagent electrolysis, $0.5{\mu}m$ in the sulfuric acid leaching of the wasted manganese dry cell by electrolysis.

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The Effect of Additives on the Performance of Aqueous Organic Redox Flow Battery Using Quinoxaline and Ferrocyanide Redox Couple (수계 유기 레독스 흐름 전지 성능에서의 첨가제 효과)

  • Chu, Cheonho;Lee, Wonmi;Kwon, Yongchai
    • Korean Chemical Engineering Research
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    • v.57 no.6
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    • pp.847-852
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    • 2019
  • In this study, the effect of additives on the performance of aqueous organic redox flow battery (AORFB) using quinoxaline and ferrocyanide as active materials in alkaline supporting electrolyte is investigated. Quinoxaline shows the lowest redox potential (-0.97 V) in KOH supporting electrolyte, while when quinoxaline and ferrocyanide are used as the target active materials, the cell voltage of this redox combination is 1.3 V. When the single cell tests of AORFBs using 0.1 M active materials in 1 M KCl supporting electrolyte and Nafion 117 membrane are implemented, it does not work properly because of the side reaction of quinoxaline. To reduce or prevent the side reaction of quinoxaline, the two types of additives are considered. They are the potassium sulfate as electrophile additive and potassium iodide as nucleophilie additive. Of them, when the single cell tests of AORFBs using potassium iodide as additive dissolved in quinoxaline solution are performed, the capacity loss rate is reduced to $0.21Ah{\cdot}L^{-1}per\;cycle$ and it is better than that of the single cell test of AORFB operated without additive ($0.29Ah{\cdot}L^{-1}per\;cycle$).