Near-infrared spectroscopy (NIRS), a noninvasive optical method, utilizes the characteristic absorption spectra of hemoglobin in the near-infrared range to provide information on cerebral hemodynamic changes in various clinical situations. NIRS monitoring have been used mainly to detect reduced perfusion of the brain during orthostatic stress for three common forms of orthostatic intolerance (OI); orthostatic hypotension, neurally mediated syncope, and postural orthostatic tachycardia syndrome. Autonomic function testing is an important diagnostic test to assess their autonomic nervous systems for patients with symptom of OI. However, these techniques cannot measure dynamic changes in cerebral blood flow. There are many experimentations about study of NIRS to reveal the pathophysiology of patients with OI. Research using NIRS in other neurologic diseases (stroke, epilepsy and migraine) are ongoing. NIRS have been experimentally used in all stages of stroke and may complement the established diagnostic and monitoring tools. NIRS also provide pathophysiological approach during rehabilitation and secondary prevention of stroke. The hemodynamic response to seizure has long been a topic for discussion in association with the neuronal damage resulting from convulsion. One critical issue when unpredictable events are to be detected is how continuous NIRS data are analyzed. Besides, NIRS studies targeting pathophysiological aspects of migraine may contribute to a deeper understanding of mechanisms relating to aura of migraine. NIRS monitoring may play an important role to trend regional hemodynamic distribution of flow in real time and also highlights the pathophysiology and management of not only patients with OI symptoms but also those with various neurologic diseases.
Byeongchang Byeon;Kyoung Joong Kim;Sangkwon Jeong;Dong min Kim;Mo Se Kim;Gi Dock Kim;Jung Hun Kim;Sang Yoon Lee;Seong Woo Lee;Keun Tae Lee
Progress in Superconductivity and Cryogenics
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v.26
no.1
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pp.20-24
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2024
Over the past four years, as the COVID-19 pandemic has struck the world, cold chain of COVID-19 vaccination has become a hot topic. In order to overcome the pandemic situation, it is necessary to establish a cold chain that maintains a low-temperature environment below approximately 203K (-70℃), which is the appropriate storage temperature for vaccines, from vaccine suppliers to local hospitals. Usually, cryocoolers are used to maintain low temperatures, but it is difficult for small-scale local distribution to have cryocooler due to budget and power supply issues. Accordingly, in this paper, a cryogenic TSU (Thermal storage unit) system for vaccination cold chain is designed that can maintain low temperatures below -70℃C for a long time without using a cryocooler. The performance of the TSU system according to the energy storage material for using as TSU is experimentally evaluated. In the experiments, four types of cold storage materials were used: 20% DMSO aqueous solution, 30% DMSO aqueous solution, paraffin wax, and tofu. Prior to the experiment, the specific heat of the cold storage materials at low temperature were measured. Through this, the thermal diffusivity of the materials was calculated, and paraffin wax had the lowest value. As a result of the TSU system's low-temperature maintenance test, paraffin wax showed the best low-temperature maintenance performance. And it recorded a low-temperature maintenance time that was about 24% longer than other materials. As a result of analyzing the temperature trend by location within the TSU system, it was observed that heat intrusion from the outside was not well transmitted to the low temperature area due to the low thermal conductivity of paraffin wax. Therefore, in the TSU system for vaccine storage, it was experimentally verified that the lower the thermal diffusivity of the cold storage material, the better low temperature maintenance performance.
Background/Aims: The prognosis of patients with idiopathic pulmonary fibrosis (IPF) and respiratory failure requiring mechanical ventilation is poor. Therefore, mechanical ventilation is not recommended. Recently, outcomes of mechanical ventilation, including those for patients with IPF, have improved. The aim of this study was to investigate changes in the use of mechanical ventilation in patients with IPF and their outcomes over time. Methods: This retrospective, observational cohort study used data from the National Health Insurance Service database. Patients diagnosed with IPF between January 2011 and December 2019 who were placed on mechanical ventilation were included. We analyzed changes in the use of mechanical ventilation in patients with IPF and their mortality using the Cochran-Armitage trend test. Results: Between 2011 and 2019, 1,227 patients with IPF were placed on mechanical ventilation. The annual number of patients with IPF with and without mechanical ventilation increased over time. However, the ratio was relatively stable at approximately 3.5%. The overall hospital mortality rate was 69.4%. There was no improvement in annual hospital mortality rate. The overall 30-day mortality rate was 68.7%, which did not change significantly. The overall 90-day mortality rate was 85.3%. The annual 90-day mortality rate was decreased from 90.9% in 2011 to 83.1% in 2019 (p = 0.028). Conclusions: Despite improvements in intensive care and ventilator management, the prognosis of patients with IPF receiving mechanical ventilation has not improved significantly.
KSCE Journal of Civil and Environmental Engineering Research
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v.44
no.2
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pp.173-182
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2024
In recent, there has been a trend toward primarily utilizing data-driven models employing artificial intelligence technologies, such as machine learning, for flood prediction. These data-driven models offer the advantage of utilizing pre-training results, significantly reducing the required simulation time. However, it remains that a considerable amount of flood data is necessary for the pre-training in data-driven models, while the available observed data for application is often insufficient. As an alternative, validated simulation results from physically-based models are being employed as pre-training data alongside observed data. In this context, we developed a flood mapping accelerator to generate flood maps for pre-training. The proposed accelerator automates the entire process of flood mapping, i.e., estimating flood discharge using HEC-1, calculating water surface levels using HEC-RAS, simulating channel overflow and generating flood maps using RAS Mapper. With the accelerator, users can easily prepare a database for pre-training of data-driven models from hundreds to tens of thousands of rainfall scenarios. It includes various convenient menus containing a Graphic User Interface(GUI), and its practical applicability has been validated across 26 test-beds.
Journal of the Korea institute for structural maintenance and inspection
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v.11
no.6
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pp.121-130
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2007
In this paper, large scale experimental model tests were performed to investigate the distribution of earth pressure acting on embedded rigid pipes having different bedding conditions. For these tests, very light weighted EPS blocks were installed at top and bottom of the rigid pipe and Jumunjin Standard Sand was used as a ground material. As results of model tests, for the case of no bedding on the pipe, the measured pressure at the bottom of the pipe was $4.96_{tf/m^2}$ whereas they were in the range of $1.87{\sim}4.96_{tf/m^2}$ in the case of EPS beddings being installed at the top and the bottom of the pipe. Therefore, for the case of EPS bedding being installed, the ratio of reduced pressures acting on the pipe, compared with the case of no EPS beddings, were in the rage of 16~62%. As a result of parametric test with changing the locations of EPS bedding, the trend of reducing the stress acting on the pipe was in the order of bottom bedding, top bedding, and top and bottom bedding. Effect of bedding positions on the reduced magnitude of acting pressure on the pipe was more significant in the case of top bedding than in the case of the bottom bedding.
Kim, Hee Ra;Kim, Ji Young;Lee, Gee Hyung;Choung, Ji Tae;Park, Sang Hee
Clinical and Experimental Pediatrics
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v.48
no.4
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pp.363-368
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2005
Purpose : The aim of this study is to identify where and how adolescents acquire cigarettes and how many were asked for identification while purchasing cigarettes. Methods : This study was conducted in 2003; participants were 2,200 students in middle and high schools, aged from 13 to 18 years old(males 1,098; females 1,102) in Ansan, Korea. The questionnaire assured them of anonymity, and self-administered in school. The data was analyzed with chisquare test for trends. Results : The prevalence of smoking was about 20 percent among respondents, was higher in males than in females, and in older students than in younger students(P<0.001). The most frequent source of cigarettes was purchased from a store(36.3 percent). About 29.2 percent of the students borrowed from friends or family members. By sex, the main sources of cigarettes were purchase from a store and borrowing. Younger students were borrowed more cigarettes; older students purchased more cigarettes from stores. Only 48.8 percent were asked for proof of age during their purchase. Of those asked for proof of age, about 73.3 percent answered that this made it difficult to buy cigarettes(P<0.001), and they thought that it was more difficult when asked for a photo ID than simply being asked their age(P=0.019). Conclusion : So far, there has been no systemic prevention of adolescents' smoking. It is difficult for minors to purchase cigarettes if asked for proof of age, but most minors go to stores to purchase cigarettes. Therefore, prevention efforts should include educating retailers not to sell cigarettes to minors and enforcing existing laws requiring youth to provide proof of age when attempting to buy cigarettes.
In this study, we analyzed career paths and college life plans of department of chemistry education students in teacher's college examined by their roadmaps. We let students make their roadmaps and analyzed them using the PASW 18 program. There were significant differences on gender in their career paths, learning English, traveling and volunteer activity. Female students for passing the MEET(Medical Education Eligibility Test) or DEET(Dental Education Eligibility Test) were more interested in learning English and traveling than male students. In addition, female students were more interested in volunteer activity. And the lower year students, the more interested in medical paths, learning English, traveling, getting good grades, exchange student program and scholarship. On the other hand the higher year students, the more interested in group study or E-learning. Then significant differences were in learning English, traveling and getting good grades by students's career paths. Students who wish to pass the MEET or DEET were more interested in learning English and getting good grades. Those two factors were essential in passing the MEET or DEET. Students who did not specified their career paths had more traveling plans than other students for setting their directions of careers. These results show that freshman and female students don't recognize the identity of teacher's college correctly. Because of reduction in the number of teacher recruitment according to decrease of students by birth rate drop, students in teacher's college are expected to continue like this trend that students look for other paths. Therefore, it is required career counseling and guidance for students who give priority practical path choices and college life plans over original characteristics of teacher's college. And it should be reconsidered the direction of chemistry education prepared the identity of teacher's college reflected in this actuality.
Hemifacial microsomia ( HFM ) is the second most common craniofacial abnormalies. HFM represnted a spectrum of clinical findings such as hypoplasia of the mandibular ramus and condyle, confinement of maxilla growth, external and/or middle ear defects, involvement of some cranial suture, buccal soft tissue, facial nerve, and muscles in the affected side. HFM often showed progressive facial asymmetry and occlusal plane slanting to the affected side with growth. There were several reports about asymmetry of tooth maturation, hypodontia, delayed eruption, enamel hypoplasia in HFM. Since teeth develope in close association with size and morphology of the maxillary and the mandible, it is highly likely that dental changes will be present in HFM. So the Purpose of this study was to investigate the differences of the primary and the permanent teeth dimensions in the maxillary and the mandibular dentition between the affected and the non-affected side of HFM.. The sample of this study consisted of 34 unilateral HFM Patients (18 males and 16 females, average age : 5 year 11 months old). The authors examined the mesiodistal and the faciolingual dimensions of the primary and the permanent teeth and performed statistical study by using paired t-test. The results were as follows 1. The mesiodistal dimensions of the mandibular second primary molar and the mandibular first permanent molar in the affected side of HFM were significantly smaller than those of non-affected side. But there were no significant differences in the anterior teeth and the mandibular first primary molar. It means that a gradient of severity from anterior teeth to posterior teeth was found in the mandibular dentition. 2. Although there were no significant differences in the faciolingual dimensions of the primary and the permanent teeth in the maxillary and the mandibular dentition between the affected and non-affected side of HFM, there were general trend of compensatory increase in faciolingual dimension of the mandibular primary and the permanent teeth in the affected side Therefore these results showed that HFM might affect on the abnormality of tooth dimension, especially the most posterior teeth, in the affected side of the mandible.
Jeong, Chan Ho;Ryu, Kun Seok;Kim, Moon Su;Kim, Tae Sung;Han, Jin Suk;Jo, Byung Uk
The Journal of Engineering Geology
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v.23
no.2
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pp.171-186
/
2013
A drilling project was undertaken to characterize the geochemical relationship and the occurrence of radioactive materials at a test site among public-use groundwaters previously known to have high occurrence of uranium and radon-222 in the Daejeon area. A borehole (121 m deep) was drilled and core rocks mainly consist of two-mica granite, and associated with pegmatite and dykes of intermediate composition. The groundwater samples collected at six different depths in the borehole by a double-packed system showed the pH values ranging from neutral to alkaline (7.10-9.3), and electrical conductivity ranging from 263 to 443 ${\mu}S/cm$. The chemical composition of the borehole groundwaters was of the $Ca-HCO_3(SO_4+Cl)$ type. The uranium and Rn-222 contents in the groundwater were 109-1,020 ppb and 9,190-32,800 pCi/L, respectively. These levels exceed the regulation guidelines of US EPA. The zone of the highest groundwater uranium content occurred at depths of 45 to 55m. The groundwater chemistry in this zone (alkaline, oxidated, and high in bicarbonate) is favorable for the dissolution of uranium into groundwater. The dominant uranium complex in groundwater is likely to be $(UO_2CO_3)^0$ or $(UO_2HCO_3)^+$. Radon-222 content in groundwater shows an increasing trend with depth. The uranium and thorium contents in the core were 0.372-47.42 ppm and 0.388-11.22 ppm, respectively. These levels are higher values than those previously been reported in Korea. Microscopic observations and electron microprobe analysis(EPMA) revealed that the minerals containing U and Th are monazite, apatite, epidote, and feldspar. U and Th in these minerals are likely to substitute for major elements in crystal lattice.
LEE, MIN-JI;KIM, DONGSEON;KIM, YOUNG OK;SOHN, MOONHO;MOON, CHANG-HO;BAEK, SEUNG HO
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.21
no.1
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pp.24-35
/
2016
To assess the relationship between environmental factors and seasonal phytoplankton community structure, we investigated abiotic and biotic factors in Ulsan Bay, Korea. We divided the bay into two areas based on geographical characteristics and compared the difference in each factor between inner and outer bay with t-test statistics. As a result, temperature in the outer bay was higher than that of the inner bay during winter (t = -5.833, p < 0.01) and autumn (p > 0.05). However, opposite trend was observed during spring (t = 4.247, p < 0.01) and summer (t = 2.876, p < 0.05). Salinity was significantly lower in the inner bay than in the outer bay in winter, spring, and summer (p < 0.01). However, the salinity was not significantly different between the inner and the outer bay in the autumn (p > 0.05). In particular, high nutrient concentration was observed in most stations during winter season due to vertical well mixing. The nutrient concentration was significantly higher in surface layers of inner bay after rainfall, particularly in the summer. The relative contribution (approximately 70%) of < $20{\mu}m$ (nano and pico) size phytoplankton was increased in all seasons with continuously low nutrients from the offshore water due to their adaption to low nutrient without other large competitors. Interestingly, high population of Eutreptiella gymnastica was kept in the inner bay during the spring and summer associated with high DIN (nitrate+nitrite, ammonium) after river discharge following rainfall, suggesting that DIN supply might have triggered the increase of Eutreptiella gymnastica population. In addition, high density of freshwater species Oscillatoria sp. and Microcystis sp. were found in several stations of the inner bay that were provided with large amounts of freshwater from the Tae-wha River. Diatom and cryptophyta species were found to be dominant species in the autumn and winter. Of these, centric diatom Chaetoceros genus was occupied in the outer bay in the autumn. Cryptophyta species known as opportunistic micro-algae were found to have high biomass without competitors in the inner bay. Our results demonstrated that Ulsan Bay was strongly affected by freshwater from Tae-wha River during the rainy season and by the surface warm water current from the offshore of the bay during dry season. These two external factors might play important roles in regulating the seasonal phytoplankton community structures.
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