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Venovenous Extracorporeal Membrane Oxygenation for Postoperative Acute Respiratory Distress Syndrome

  • Seo, Dong Ju;Yoo, Jae Suk;Kim, Joon Bum;Jung, Sung-Ho;Choo, Suk Jung;Chung, Cheol Hyun;Lee, Jae Won
    • Journal of Chest Surgery
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    • v.48 no.3
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    • pp.180-186
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    • 2015
  • Background: Extracorporeal membrane oxygenation (ECMO) has recently attracted interest as a treatment for severe acute respiratory distress syndrome (ARDS). However, the outcomes of this procedure in post-surgical settings have not yet been characterized. In this study, we evaluated the outcomes of ECMO in patients with severe postoperative ARDS. Methods: From January 2007 to December 2012, a total of 69 patients (aged $58.3{\pm}11.5$ years, 23 females) who underwent venovenous ECMO to treat severe postoperative ARDS were reviewed. Of these patients, 22 (31.9%) had undergone cardiothoracic surgery, 32 (46.4%) had undergone liver transplantation, and 15 (21.7%) had undergone other procedures. Results: Thirty-four patients (49.3%) were successfully weaned from ECMO, while the other 35 patients (50.7%) died on ECMO support. Among the 34 patients who were successfully weaned from ECMO, 21 patients (30.4%) eventually died before discharge from the hospital, resulting in 13 hospital survivors (18.8%). Multivariable analysis showed that the duration of pre-ECMO ventilation was a significant independent predictor of death (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.29 to 3.90; p=0.004), whereas the concomitant use of continuous venovenous hemodialysis (CVVHD) was associated with improved survival (OR, 0.55; 95% CI, 0.31 to 0.97; p=0.038). Conclusion: Although the overall survival rate of patients treated with ECMO for postoperative ARDS was unfavorable, ECMO offered an invaluable opportunity for survival to patients who would not have been expected to survive using conventional therapy. CVVHD may be beneficial in improving the outcomes of such patients, whereas a prolonged duration of pre-ECMO ventilator support was associated with poor survival.

Groundwater Recharge Estimation for the Gyeongan-cheon Watershed with MIKE SHE Modeling System (MIKE SHE 모형을 이용한 경안천 유역의 지하수 함양량 산정)

  • Kim, Chul-Gyum;Kim, Hyeon-Jun;Jang, Cheol-Hee;Im, Sang-Jun
    • Journal of Korea Water Resources Association
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    • v.40 no.6 s.179
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    • pp.459-468
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    • 2007
  • To estimate the groundwater recharge, the fully distributed parameter based model, MIKE SHE was applied to the Gyeongan-cheon watershed which is one of the tributaries of Han River Basin, and covers approximately $260km^2$ with about 49 km main stream length. To set up the model, spatial data such as topography, land use, soil, and meteorological data were compiled, and grid size of 200m was applied considering computer ability and reliability of the results. The model was calibrated and validated using a split sample procedure against 4-year daily stream flows at the outlet of the watershed. Statistical criteria for the calibration and validation results indicated a good agreement between the simulated and observed stream flows. The annual recharges calculated from the model were compared with the values from the conventional groundwater recession curve method, and the simulated groundwater levels were compared with the observed values. As a result, it was concluded that the model could reasonably simulate the groundwater level and recharge, and could be a useful tool for estimating spatially/temporally the groundwater recharges, and enhancing the analysis of the watershed water cycle.

Full validation of high-throughput bioanalytical method for the new drug in plasma by LC-MS/MS and its applicability to toxicokinetic analysis

  • Han, Sang-Beom
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2006.11a
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    • pp.65-74
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    • 2006
  • Modem drug discovery requires rapid pharmacokinetic evaluation of chemically diverse compounds for early candidate selection. This demands the development of analytical methods that offer high-throughput of samples. Naturally, liquid chromatography / tandem mass spectrometry (LC-MS/MS) is choice of the analytical method because of its superior sensitivity and selectivity. As a result of the short analysis time(typically 3-5min) by LC-MS/MS, sample preparation has become the rate- determining step in the whole analytical cycle. Consequently tremendous efforts are being made to speed up and automate this step. In a typical automated 96-well SPE(solid-phase extraction) procedure, plasma samples are transferred to the 96-well SPE plate, internal standard and aqueous buffer solutions are added and then vacuum is applied using the robotic liquid handling system. It takes only 20-90 min to process 96 samples by automated SPE and the analyst is physically occupied for only approximately 10 min. Recently, the ultra-high flow rate liquid chromatography (turbulent-flow chromatography)has sparked a huge interest for rapid and direct quantitation of drugs in plasma. There is no sample preparation except for sample aliquotting, internal standard addition and centrifugation. This type of analysis is achieved by using a small diameter column with a large particle size(30-5O ${\mu}$m) and a high flow rate, typically between 3-5 ml/min. Silica-based monolithic HPLC columns contain a novel chromatographic support in which the traditional particulate packing has been replaced with a single, continuous network (monolith) of pcrous silica. The main advantage of such a network is decreased backpressure due to macropores (2 ${\mu}$m) throughout the network. This allows high flow rates, and hence fast analyses that are unattainable with traditional particulate columns. The reduction of particle diameter in HPLC results in increased column efficiency. use of small particles (<2 urn), however, requires p.essu.es beyond the traditional 6,000 psi of conventional pumping devices. Instrumental development in recent years has resulted in pumping devices capable of handling the requirements of columns packed with small particles. The staggered parallel HPLC system consists of four fully independent binary HPLC pumps, a modified auto sampler, and a series of switching and selector valves all controlled by a single computer program. The system improves sample throughput without sacrificing chromatographic separation or data quality. Sample throughput can be increased nearly four-fold without requiring significant changes in current analytical procedures. The process of Bioanalytical Method Validation is required by the FDA to assess and verify the performance of a chronlatographic method prior to its application in sample analysis. The validation should address the selectivity, linearity, accuracy, precision and stability of the method. This presentation will provide all overview of the work required to accomplish a full validation and show how a chromatographic method is suitable for toxirokinetic sample analysis. A liquid chromatography/tandem mass spectrometry (LC-MS/MS) method developed to quantitate drug levels in dog plasma will be used as an example of tile process.

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Impregnation Effects of Water Soluble Organic and Inorganic Chemicals into Micropore of Cell Wall of Waste Paper fiber(I) (페지섬유의 세포벽 Micropore 속으로 수용성 유기 및 무기화합물 충전효과(제1보))

  • 이병근
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.29 no.1
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    • pp.36-42
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    • 1997
  • The fiber wall filling(FWF) technology, which is based on Precipitatin of fillers in the micropores of the cell wall structure of never-dried chemical pulp fiber, has been developed to improve filling and loading process in papermaking. In presenting FWF technique here, micropores of pulp fiber are first impregnated with an ionic solution of water soluble salt and consecutively impregnated with the second salt solution. This procedure generates an insoluble precipitate within the micropores of cell wall by chemical interaction of these two ionic salt solutions This is the first attempts to use FWF technology for the quality of waste paper grade which is recycled in papermaking, even though this FWF technology has been impressively improved for never-dried chemical pulp in filling and loading process of papermaking. The precipitated amount of CaCO$_3$ and SrCO$_3$ reached 5-6% and 4-5% of the waste paper weight respectively, which was measured by ash content of the burned waste paper fiber. On the other way the precipitated amounts of those materials impregnated into never-dried chemical pulp fiber have reached 17-18% and 16-18% respectively. The micropore loading technique gives optical and physical properties to the handsheets formed with celt-wall-filled fibers which are better than those handsheet properties resulting from conventional loading. The papers made from the cell-wall-filled pulps are stronger than those with the customary location of filler between the fibers.

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SPATIAL YIELD VARIABILITY AND SITE-SPECIFIC NITROGEN PRESCRIPTION FOR THE IMPROVED YIELD AND GRAIN QUALITY OF RICE

  • Lee Byun-Woo;Nguyen Tuan Ahn
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2005.08a
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    • pp.57-74
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    • 2005
  • Rice yield and protein content have been shown to be highly variable across paddy fields. In order to characterize this spatial variability of rice within a field, the two-year experiments were conducted in 2002 and 2003 in a large-scale rice field of $6,600m^2$ In year 2004, an experiment was conducted to know if prescribed N for site-specific fertilizer management at panicle initiation stage (VRT) could reduce spatial variation in yield and protein content of rice while increasing yield compared to conventional uniform N topdressing (UN, ,33 kg N/ha at PIS) method. The trial field was subdivided into two parts and each part was subjected to UN and VRT treatment. Each part was schematically divided in $10\times10m$ grids for growth and yield measurement or VRT treatment. VRT nitrogen prescription for each grid was calculated based on the nitrogen (N) uptake (from panicle initiation to harvest) required for target rice protein content of $6.8\%$, natural soil N supply, and recovery of top-dressed N fertilizer. The required N uptake for target rice protein content was calculated from the equations to predict rice yield and protein content from plant growth parameters at panicle initiation stage (PIS) and N uptake from PIS to harvest. This model equations were developed from the data obtained from the previous two-year experiments. The plant growth parameters for this calculation were predicted non-destructively by canopy reflectance measurement. Soil N supply for each grid was obtained from the experiment of year 2003, and N recovery was assumed to be $60\%$ according to the previous reports. The prescribed VRT N ranged from 0 to 110kg N/ha with average of 57kg/ha that was higher than 33kg/ha of UN. The results showed that VRT application successfully worked not only to reduce spatial variability of rice yield and protein content but also to increase rough rice yield by 960kg/ha. The coefficient of variation (CV) for rice yield and protein content was reduced significantly to $8.1\%\;and\;7.1\%$ in VRT from $14.6\%\;and\;13.0\%$ in UN, respectively. And also the average protein content of milled rice in VRT showed very similar value of target protein content of $6.8\%$. Although N use efficiency of VRT compared to UN was not quantified due to lack of no N control treatment, the procedure used in this paper for VRT estimation was believed to be reliable and promising method for managing within-field spatial variability of yield and protein content. The method should be received further study before it could be practically used for site-specific crop management in large-scale rice field.

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Moving Object Contour Detection Using Spatio-Temporal Edge with a Fixed Camera (고정 카메라에서의 시공간적 경계 정보를 이용한 이동 객체 윤곽선 검출 방법)

  • Kwak, Jae-Ho;Kim, Whoi-Yul
    • Journal of Broadcast Engineering
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    • v.15 no.4
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    • pp.474-486
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    • 2010
  • In this paper, we propose a new method for detection moving object contour using spatial and temporal edge. In general, contour pixels of the moving object are likely present around pixels with high gradient value along the time axis and the spatial axis. Therefore, we can detect the contour of the moving objects by finding pixels which have high gradient value in the time axis and spatial axis. In this paper, we introduce a new computation method, termed as temporal edge, to compute an gradient value along the time axis for any pixel on an image. The temporal edge can be computed using two input gray images at time t and t-2 using the Sobel operator. Temporal edge is utilized to detect a candidate region of the moving object contour and then the detected candidate region is used to extract spatial edge information. The final contour of the moving object is detected using the combination of these two edge information, which are temporal edge and spatial edge, and then the post processing such as a morphological operation and a background edge removing procedure are applied to remove noise regions. The complexity of the proposed method is very low because it dose not use any background scene and high complex operation, therefore it can be applied to real-time applications. Experimental results show that the proposed method outperforms the conventional contour extraction methods in term of processing effort and a ghost effect which is occurred in the case of entropy method.

Development of a Data Reference Model for Joint Utilization of Biological Resource Research Data (생물자원 연구데이터의 공동 활용을 위한 데이터 참조모델 개발)

  • Kwon, Soon-chul;Jeong, Seung-ryul
    • Journal of Internet Computing and Services
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    • v.19 no.4
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    • pp.135-150
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    • 2018
  • The biological resources research data around the world are not only very critical themselves but should be shared and utilized. Up to now, the biological resources have been compiled and managed individually depending on the purpose and characteristics of the study without any clear standard. So, in this study, the data reference model would be suggested which is applicable in the phase ranging from the start of the construction of the information system and which can be commonly used. For this purpose, the data model of the related information system would be expanded based on the domestic and foreign standards and data control policy so that the data reference model which can be commonly applicable to individual information system would be developed and its application procedure would be suggested. In addition, for the purpose of proving the excellence of the suggested data reference model, the quality level would be verified by applying the Korgstie's data model evaluation model and its level of data sharing with the domestic and foreign standards would be compared. The test results of this model showed that this model is better than the conventional data model in classifying the data into 4 levels of resources, target, activities and performances and that it has higher quality and sharing level of data in the data reference model which defines the derivation and relation of entity.

Studies on the Rapid Plasma Reagin(RPR) Card Test for the Diagnosis of Syphilis (매독진단(梅毒診斷)을 위(爲)한 신속(迅速)한 혈장항체검사법(血漿抗體檢査法)에 관(關)한 연구(硏究))

  • Kim, Joo-Deuk;Lew, Joon;Kim, Hyun-Joo
    • The Journal of the Korean Society for Microbiology
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    • v.3 no.1
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    • pp.15-23
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    • 1968
  • For the effective control of Syphilis, many investigators have developed a more rapid, simple and economical screening serological test which is adequately sensitive and specific. To fulfill the requirements of a more rapid serologic test for syphlis, a substitute for the conventional serum specimen was needed since considerable time and labor are involved in the processing of blood to serum. Burdon suggested the use of plasma in the serologic tests for syphilis as a substitute for serum. He noticed that plasma was more sensitive than serum in the Kline and Kahn tests, and attributed this to the presence of more antibody-like substance, "reagin" in plasma than in serum. However, to make plasma sufficiently sensitive, it was necessary to inactivate plasma by heating at a temperature of $56^{\circ}C$ for about 30 minutes. Heating of plasma resulted in the precipitation of fibrinogen which made centrifugation necessary to obtain dear plasma. Since the chief disadvantage to the use of unheated plasma(or serum) was a reduction in sensitivity of results-which probably was due to a labile factor such as complement-Portnoy et al began to consider rapid chemical methods of inactivation of plasma(or serum). They experienced that choline chloirde was shown to be anticomplementary which suggested its use as an inactivating agent for unheated plasma(or serum). In 1959 Portnoy et al reported the Rapid Plasma Reagin(RPR) Test for syphilis which is a more rapid, economical and simple. But still this test has many disadvantages as a rapid performing, field and office procedure, because it requires the usual laboratory equipments such as centrifuge, rotating machine, microscope etc. To substitute these disadvantages of the RPR test, in 1962, Portnoy et al developed the Rapid Plasma Reagin(RPR) card test for syphilis, which has the following advantages: a) Simplicity and rapidity of performance, b) Requires no laboratory equipments, c) Stable antigen suspension, d) Adequate sensitivity and specificity. This RPR card test can be used as a rapidly performing and screening test in field investigation, outpatient clinics, small laboratories and hospitals doing limited syphilis serology, and predonor in blood bank. Private clinic which has limited laboratory equipment and technic for syphilis serology can also use this RPR card test as a tool in the rapid diagnosis of syphilis. It was thought that this RPR card test is a useful tool in Korea for private physician and mass survey for syphilis diagnosis. But Portnoy patented the reagents needed for the performing the RPR card test. Therefore authors developed newly the reagents and according to Portnoy's method evaluated the newly developed. RPR card test compared with the VDRL, Kolmer CF, and RPCF tests. The RPR card and VDRL tests were performed plasma and serum from the total 1,132 cases. Among these 1,131 cases, 521 were syphilis suspected laboratory specimens, and 611 were syphilis unsuspected healthy young men. After screening with these two tests, the RPR card and VDRL tests, reactive specimens to the above one or both tests were retested by the Kolmer CF and RPCF tests.

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A Study-on Context-Dependent Acoustic Models to Improve the Performance of the Korea Speech Recognition (한국어 음성인식 성능향상을 위한 문맥의존 음향모델에 관한 연구)

  • 황철준;오세진;김범국;정호열;정현열
    • Journal of the Institute of Convergence Signal Processing
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    • v.2 no.4
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    • pp.9-15
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    • 2001
  • In this paper we investigate context dependent acoustic models to improve the performance of the Korean speech recognition . The algorithm are using the Korean phonological rules and decision tree, By Successive State Splitting(SSS) algorithm the Hidden Merkov Netwwork(HM-Net) which is an efficient representation of phoneme-context-dependent HMMs, can be generated automatically SSS is powerful technique to design topologies of tied-state HMMs but it doesn't treat unknown contexts in the training phoneme contexts environment adequately In addition it has some problem in the procedure of the contextual domain. In this paper we adopt a new state-clustering algorithm of SSS, called Phonetic Decision Tree-based SSS (PDT-SSS) which includes contexts splits based on the Korean phonological rules. This method combines advantages of both the decision tree clustering and SSS, and can generated highly accurate HM-Net that can express any contexts To verify the effectiveness of the adopted methods. the experiments are carried out using KLE 452 word database and YNU 200 sentence database. Through the Korean phoneme word and sentence recognition experiments. we proved that the new state-clustering algorithm produce better phoneme, word and continuous speech recognition accuracy than the conventional HMMs.

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A Study on Friction Characteristics of Backfill Material for Heat Transport Pipeline (열 수송관로 되메움재의 마찰 특성에 관한 연구)

  • Kim, You-Seong;Park, Young-Jun;Cho, Dae-Seong;Bhang, In-Hwang
    • Journal of the Korean Geosynthetics Society
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    • v.12 no.1
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    • pp.73-81
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    • 2013
  • The objective of this paper is to minimize installation length of pipeline and to reduce burial depth for construction by increasing the friction coefficient caused by the interface between backfill material and pipeline. And then, the sufficient friction coefficient shortens the length of expansion joint pipe and gives the life extension of expansion joint absorber for efficient procedure regarding maintenance and administration of construction. The backfill material which is developed in this study has larger and smaller friction angle than that of conventional backfill material (river sand). The backfill material with tire powder provides low friction angle at curved section when pipe diameter increases in size (38% reduction at pipe diameter in 900 mm). When using backfill material with river sand and fly-ash, the mixture mixed with 1.5% fly-ash has 30% and that with 3% fly-ash has 50% reduction effect for minimum installation length of expansion joint pipe.