• Title/Summary/Keyword: spread pattern

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A Numerical Study on Coughed Particle Dispersion and Deposition in Negative Pressure Isolation Room according to Particle Size (음압격리병실에서의 기침 토출입자의 입경에 따른 확산 및 침적에 대한 수치해석 연구)

  • Jung, Minji;Hong, Jin Kwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.2
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    • pp.37-44
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    • 2018
  • Purpose: This study investigates the influences of coughing direction and healthcare worker's location on the transport characteristics of coughed particles in airborne infection isolation room (AIIR), which is commonly called negative pressure isolation room, with a downward ventilation system. Methods: Computational Fluid Dynamics (CFD) was used to simulate the airflow and for tracing the behavior of particles. Results: The results show that the airflow pattern and coughing direction have a significant influence on the characteristics of particle dispersion and deposition. When healthcare workers are in the isolation room with the patient who is lying on the bed, it is recommended to be located far from the anteroom to reduce the exposures from infectious particles. And when the patient is lying, it is more effective in removing particles than when the patient is in Fowler's position. Although it is an isolation room that produces unidirectional flow, coughing particles can spread to the whole room and a large number of particles can be deposited onto patient, bed, side rails, healthcare worker, ceiling, floor, and sidewall. Implications: Following the patients' discharge or transfer, terminal cleaning of the vacated room, furniture, and all clinical equipment is essential. Also, it is necessary to establish detailed standard operating procedure (SOP) in order to reduce the risk of cross-contamination.

p53 Expression Helps Identify High Risk Oral Tongue Premalignant Lesions and Correlates with Patterns of Invasive Tumour Front and Tumour Depth in Oral Tongue Squamous Cell Carcinoma Cases

  • Viveka, Thangaraj Soundara;Shyamsundar, Vidyarani;Krishnamurthy, Arvind;Ramani, Pratibha;Ramshankar, Vijayalakshmi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.189-195
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    • 2016
  • Oral tongue squamous cell carcinoma (OTSCC) is the most common oral cancer subtype with a maximum propensity for regional spread. Our objective was to study if p53 expression might have any correlation with aggressive patterns of invasion within oral tongue cancers as well as with the histologically identified degree of oral tongue dysplasia. p53 immunoexpression was studied using immunohistochemistry in early staged OTSCCs (n=155), oral tongue dysplasias, (n=29) and oral tongue normal specimens (n=10) and evaluated for correlations with histological and clinicopathological parameters. Our study (n=194) showed a pattern of p53 expression increasing with different grades of tongue dysplasia to different grades of invasive OTSCC (p=0.000). Among the OTSCC tumours, positive p53 expression was seen in 43.2% (67/155) and a higher p53 labelling index was significantly associated with increased Bryne's grade of the tumour invasive front (p=0.039) and increased tumour depth (p=0.018). Among the OTSCC patients with tobacco habits, (n=91), a higher p53 labelling index was significantly associated with increased risk of local recurrence (p=0.025) and with lymphovascular space involvement (p=0.014). Evaluation of p53 through varying degrees of dysplasia to oral tongue cancer indicates that p53 expression is linked to aggressive features of oral tongue cancers and tongue precancers entailing a closer monitoring in positive cases. Among the OTSCCs, p53 expression is associated with tumour aggressiveness correlating with increased grading of invasive tumour front and tumour depth.

IMMUNOHISTOCHEMICAL ASSAYS FOR THE EXPRESSION OF ANGIOGENIC SIGNALING MOLECULES AND MICROVESSEL DENSITY IN ADENOID CYSTIC CARCINOMAS OF HUMAN SALIVARY GLANDS (타액선 선양낭성암종에서 혈관형성 신호전달 물질의 발현과 미세혈관농도에 관한 면역조직화학적 연구)

  • Park, Young-Wook;In, Yeon-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.530-543
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    • 2006
  • Adeonoid cystic carcinoma (ACC) is one of the most common malignant tumors of salivary glands. It is characterized by a relentless regrowth especially around nerve tissues and a high rate of hematogenous distant metastasis. Clinically most deaths from salivary ACC are caused by delayed lung metastases that are resistant to conventional chemotherapy. So, knowledge of cellular and molecular properties that influence the dissemination of metastatic tumor cells, is important for new treatment strategies of metastatic lesions. We determined expressions of angiogenic signaling molecules microvessel density (MVD) using surgical specimens of human salivary ACC. Protein expressions of vascular endothelial growth factor (VEGF), VEGF receptor (VEGFR)-2, activated VEGFR-2, and human CD31 were assessed in 20 cases of salivary ACC by immunohistochemical staining. Most of the tumors, especially ACC with a tubulocribriform pattern, were positive for antibodies of VEGF, VEGFR-2, and activated VEGFR-2. The overall percentages of the 20 specimens expressing VEGF, VEGFR-2, activated VEGFR-2 were 90, 95, and 95%, respectively. Immunoreactivities of the biomarkers in salivary ACC were higher than those in normal salivary gland. Furthermore, immune-related cells as well as tumor cells expressed VEGF/VEGFR-2. Microvessel density of salivary ACC was higher than that of normal salivary gland (P<0.05). Taken together, angiogenic signaling molecules are actively expressed in salivary ACC. And we suggest that these molecules may have critical role in the hematogenous spread of salivay ACC, which has a propensity for delayed lung metastasis. Therefore, these biomarkers can be molecular targets for therapy of metastasis of salivary ACC.

Principal Components Self-Organizing Map PC-SOM (주성분 자기조직화 지도 PC-SOM)

  • 허명회
    • The Korean Journal of Applied Statistics
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    • v.16 no.2
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    • pp.321-333
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    • 2003
  • Self-organizing map (SOM), a unsupervised learning neural network, has been developed by T. Kohonen since 1980's. Main application areas were pattern recognition and text retrieval. Because of that, it has not been spread to statisticians until late. Recently, SOM's are frequently drawn in data mining fields. Kohonen's SOM, however, needs improvements to become a statistician's standard tool. First, there should be a good guideline as for the size of map. Second, an enhanced visualization mode is wanted. In this study, principal components self-organizing map (PC-SOM), a modification of Kohonen's SOM, is proposed to meet such needs. PC-SOM performs one-dimensional SOM during the first stage to decompose input units into node weights and residuals. At the second stage, another one-dimensional SOM is applied to the residuals of the first stage. Finally, by putting together two stages, one obtains two-dimensional SOM. Such procedure can be easily expanded to construct three or more dimensional maps. The number of grid lines along the second axis is determined automatically, once that of the first axis is given by the data analyst. Furthermore, PC-SOM provides easily interpretable map axes. Such merits of PC-SOM are demonstrated with well-known Fisher's iris data and a simulated data set.

Neo- and Re- Vascularization in the Prefabricated Cutaneous Flap using Vascular Pedicle Implantation (혈관경 전위를 이용한 선조작 피부피판의 혈관화)

  • Lee, Byung-Il
    • Archives of Reconstructive Microsurgery
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    • v.11 no.2
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    • pp.125-134
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    • 2002
  • This study was designed to investigate the process of re- or neo-vascularization in the prefabricated cutaneous flap using a skeletonized arteriovenous pedicle implantation. Fourty-eight flaps were divided into six groups of eight flaps, including control group of the conventional epigastric flap. In experimental groups, skin flap was fabricated by subcutaneous implantation of a distally ligated saphenous arteriovenous pedicle in left abdomen. At 2, 4, 6, 8, and 10 weeks after, prefabricated flap was elevated as an island flap based on implanted pedicle and sutured back in place. Three days after flap repositioning, the area of flap viability was quantified, the pattern of flap vascularization was evaluated with microangiography, and the quantification of vessels was assessed histologically. There were statistically significant differences in flap viability between group 2, 3, 4, and the control (p<0.05), with increased survival area in order. But Group 5 and 6 showed higher flap viability as much as the control did. In the microangiographis study, numerous small meander vessels were newly developed in the vicinity of the implanted pedicle just only 2 weeks after pedicle implantation, but neovascularization around the tip of implanted pedicle, and its anastomosis with native vasculatures was more important for overall flap survival, which was usually developed at least 4 weeks after pedicle implantation. Histologically, vessels are evenly spread over all layers of the flap at 6 weeks after pedicle implantation. The quantification of vessels was correlated well with the improvement of flap viability (p<0.05). In conclusion, neo- and re-vascularization around the tip of implanted pedicle was an important factor for overall survival of the prefabricated flap. Therefore, skeletonized pure vascular pedicle transfer, even though it used alone without surrounding was sufficient to get higher flap viability. The optimal duration of pedicle implantation was8 weeks to obtain maximal survival.

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Spread of CTX-M Extended-spectrum β-lactamase Producing Escherichia coli in the Community in Chungcheong Area, Korea

  • Sung, Ji Youn;Oh, Ji-Eun;Kim, Eun Sun;Son, Ja Min;Kim, Hye Yeon;Lim, Da Young
    • Korean Journal of Clinical Laboratory Science
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    • v.45 no.2
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    • pp.43-47
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    • 2013
  • This study was designed to evaluate the prevalence of ESBL genes and monitor antimicrobial resistance pattern in Escherichia coli, isolated from a hospital and a community. We tested 200 E. coli strains isolated in the hospitals and community in Chungcheong area from January to March 2012. Antimicrobial susceptibilities were tested by using the disk diffusion method. A search for ESBL genes was conducted by PCR amplification, and the genotypes were determined by direct nucleotide sequence analysis of the amplified products. An Epidemiologic study was performed by repetitive extragenic palindromic sequence-based PCR (REP-PCR). The percentage of ESBL-producing isolates was 17% for hospital associated E. coli and 11% for community associated E. coli. The ESBL gene sequencing results showed that the most common ESBL in E. coli was CTX-M-14 (19/28), followed by CTX-M-15 (9/28). The REP-PCR study also showed the genetic diversity, but there was no difference between the hospital and community associated E. coli. In this study, the most common types of class A ESBLs identified were CTX-M in the hospital and the community in Chungcheong area. ESBL-producing E. coli isolates showed diverse clonality.

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Emotion Prediction of Paragraph using Big Data Analysis (빅데이터 분석을 이용한 문단 내의 감정 예측)

  • Kim, Jin-su
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.267-273
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    • 2016
  • Creation and Sharing of information which is structured data as well as various unstructured data. makes progress actively through the spread of mobile. Recently, Big Data extracts the semantic information from SNS and data mining is one of the big data technique. Especially, the general emotion analysis that expresses the collective intelligence of the masses is utilized using large and a variety of materials. In this paper, we propose the emotion prediction system architecture which extracts the significant keywords from social network paragraphs using n-gram and Korean morphological analyzer, and predicts the emotion using SVM and these extracted emotion features. The proposed system showed 82.25% more improved recall rate in average than previous systems and it will help extract the semantic keyword using morphological analysis.

Effect on Tenascin Expression of Low Power Generating Laser Irradiation during Wound Healing Process (저출력 레이저가 창상치유과정에서 Tenascin 발현에 미치는 영향)

  • Sang-Bae Kim;Chong-Youl Kim
    • Journal of Oral Medicine and Pain
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    • v.19 no.1
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    • pp.33-43
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    • 1994
  • The purpose of this paper was to observe the influence of Ga-As semiconductor-low power generating laser on she appearance and actions of tenascin, extracellular matrix, as healing process of intentional wound on the experimental animals is taking place. 35 rabbits were divided into control and experimental group. ; and on each, 3mm-long and 2mm-deep, surgical wounds were created on buccal oral mucosa and thoracodorsal portion of skin. Ga-As laser was applied to the experimental group starting a day of the day the wounds were created , the laser was applied for 5 minutes every other day. Tissue samples were taken after the 2, 4, 7, 10, and 14 days after wound formation. Then tile healing process of experimental and control groups were observed and compared, using light microscope. Afterwards, the samples were immunohistochemical stained and again observed tenascin by quantitative measuring. The following results were obtained : 1. Tenascin was observed prevalently on epithelial cells, border area of dermis, and interstitial matrix between connective tissue layers in both experimental and control groups. 2. In oral mucosa, the experimental group showed significant increase in the appearance of tenascin after 4 days compared to the control group, but after 10 days, it decreased to a point which is even less than the control group. 3. In the skin samples, the pattern of appearance of tenascin was the same in both groups, but there was some difference concerning when the peak period was shown, In the experimental group, the peak period of tenascin expression was the 7 days after wound formation in epithelium and connective tissue. In the control group, the peak period was 10 days after. 4. In both the experimental and control groups, tenascin first appeared in the epithelium near the wound area and submucosa, and then spread on the underlying connective tissue. In conclusion, appearance of tenascin is closely related to regeneration of epithelium and development of granulation tissue : therefore, low power laser, which fastnes appearance of tenascin, is sure to faciltate healing process of oral mucosa.

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A Direction of Politic Support for Infectious Disease in Busan Using Time-series Clustering: Focusing on COVID-19 Cases (시계열 군집을 활용한 부산시 감염병 지원 정책 방향: COVID-19 사례를 중심으로)

  • Kwun, Hyeon-Ho;Kim, Do-Hee;Park, Chan-Ho;Lee, Eun-Ju;Cho, KiHaing;Bae, Hye-Rim
    • The Journal of Bigdata
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    • v.5 no.1
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    • pp.125-138
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    • 2020
  • After the spread of COVID-19 in 2020, the country's Crisis Alert Level went up to the highest level, Level 4. Respond of COVID-19 pandemic, Governments, and cities secured each province's duty for the citizens. The government provided health assistance first and stepped forward to support the necessary resources for the citizens. Busan City proposed policy response to prepare and implement the Corona support for each county as well. The high occupant rate of self-business owners lost basic incomes, and the effect varies on industries. In our paper, to avoid any crisis in such an epidemic, we propose a clustering analysis for the guidance of policy support for Busan City. By analyzing patterns and clustering on districts and Sectors, we would like to provide reference materials for determining the direction of support and guiding preemptive response in the event of a similar epidemic.

Bioinvasion and Distribution Pattern of Verbesina alternifolia in Korea (외래잡초 나래가막사리(Verbesina alternifolia)의 생물학적 침입 및 분포유형)

  • Kil, Ji-Hyon;Lee, Chang-Woo;Kim, Young-Ha;Kim, Jong-Min;Hwang, Sun-Min
    • Korean Journal of Weed Science
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    • v.31 no.1
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    • pp.24-33
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    • 2011
  • Wingstem, Verbesina alternifolia of North America origin, was introduced in 1981 into the Korea terrestrial ecosystem. It scattered in a number of places with limited population size in most cases. Its population has spread into the forest at the Chiaksan National Park and occupied the natural vegetation. Distributions of wingstem were the most popular along the 12 road sites, especially in Route 453, Seohwa-myeon, Inje-gun, Gangwon-do and in Route 31, Yeongyang-gun, Gyeongsangbuk-do with 60% coverage of wingstem. It was also distributed in the 5 forest sites and 5 riversides. Despite of its attractive yellow flower, it is recommended to limit cultivation in the nature reserve or other ecosystem of conservation value.