• 제목/요약/키워드: Aquired

검색결과 51건 처리시간 0.03초

게이트 $^{99m}Tc-MIBI$ 심근 SPECT의 심근 분절 운동 평가능력 (Assessment of Regional Myocardial Wall Motion by Gated $^{99m}Tc-MIBI$ Myocardial SPECT)

  • 김선욱;이동수;김상현;현인영;정준기;이명묵;이명철;고창순
    • 대한핵의학회지
    • /
    • 제29권4호
    • /
    • pp.473-477
    • /
    • 1995
  • 게이트 $^{99m}Tc-MIBI$ 심근 SPECT의 심근 분절 운동 평가 능력을 알아보기 위하여 심초음파도 및 좌심실 조영술과 비교한 결과 각각 88%, 78%의 일치도를 보여 이 검사가 심근 분절 운동을 적절히 평가할 수 있음을 알 수 있다.

  • PDF

24시간 회상법을 사용한 식이섭취조사에 나타난 한국 여대생의 과소응답 분석 (Under-Reporting in Dietary Assessment by 24-Hour Recall Method in Korean Female College Students)

  • 이은영
    • Journal of Nutrition and Health
    • /
    • 제32권8호
    • /
    • pp.957-966
    • /
    • 1999
  • Underreporting of dietary intake is common and might distort analysis and interpretation of dietary surveys. This study was designed to investigate the degree of underreporting and characterastics of under-reporting group in Korean college female students. Dietary survey of 1-day 24-hour recall method was conducted on 379 college students in Seoul and Chonan areas. Physical activity and life style were aquired from questionnnaires. Underreporting was defined as energy intake(EI) lower than 0.9BMR(based metabolic rate), since EI<0.98BMR is statistically judged as bias in 1-day 24 hour recall. BMR was calculated from Schofield's equation. Proportion of underreporting was 18.7% and it's not so different from one of American or European women. Intake of nutrients except vitamin A by underreporting group was lower than other groups(p<0.001). Proportions of subjects with nutrient intake level less than 75% of Korean RDA were more than 80% in protein, Ca, Fe, vitamin A, riboflavin, niacin, zinc as well as energy. Dietary quality of underreporting group was also worse than other groups. Proportion of subjects less than 3 food groups among 5 food group was higher in underreporting group. The number of foods eaten by underreporting group were also less than those of other groups. BMI and body weight were the largest in underreporting group(p<0.05) and the trial of weight reduction was shown higher trend(p<0.01). Different in PAC and other characteristics between underreporting group and other group were not significant. Not only dietary quantity but also dietary quality were worse in the underreporting group. Furthermore underreporting in college female students seemed to be affected by body weight and concern for weight reduction.

  • PDF

한국 다국적기업 해외자회사의 현지화 수준과 경영성과 - 산업별·국가별 성과요인 비교 분석 (Localization and Subsidiary Performance of Korean Multinationals - Performance Factors by Sector and Country)

  • 황은혜;김동환;이홍식
    • 국제지역연구
    • /
    • 제20권3호
    • /
    • pp.81-100
    • /
    • 2016
  • 본 논문은 한국 다국적 기업의 자료를 이용하여 해외직접투자에서 현지화가 자회사의 경영성과에 미치는 영향을 분석하고자 한다. 이를 위해 한국수출입은행에서 제공하는 61개 국가에 진출해있는 2,116개 한국 다국적기업의 현지자회사에 대한 2008년에서 2011년까지의 자료를 사용하고 있다. 고정효과 패널선형모형을 사용해 분석한 결과 현지화가 자회사의 경영성과에 미치는 영향은 산업별, 국가그룹별로 매우 상이하게 나타났다. 제조업의 경우 현지매출비중의 증가는 중국에 진출해 있는 현지자회사의 경영성과에만 긍정적인 영향을 미치는 반면, 현지매입비중의 증가는 중국을 제외한 기타 개도국에서만 유의하게 정(+)의 영향을 나타내는 것으로 분석되었다. 반면, 서비스업의 경우 해당 투자대상국이 선진국일 경우 현지매출비중, 현지매입비중, 현지관리자비중 모두 긍정적인 영향을 미치며, 중국의 자회사에 대해서는 현지매출비중만이 긍정적인 영향을 미치는 것으로 나타났다.

기업의 제품화 역량, 조직역량, 해외시장 적응역량이 수출성과에 미치는 영향: 전자파 차폐 기업을 중심으로 (The Effects of Productization, Organizational, Overseas Market Adaptation Competences on Export Performance: Focus on Korean Electromagnetic Wave Shielding Firms)

  • 박원철;오가영
    • 아태비즈니스연구
    • /
    • 제11권3호
    • /
    • pp.307-344
    • /
    • 2020
  • Purpose - The purpose of this study is to examine effects of productization and organizational competences on export performance of electromagnetic shielding companies and to analyze moderating effects of overseas market adaptation competences. For this, hypotheses were established by reviewing previous studies and an empirical analysis was conducted for testing. Design/methodology/approach - For this study, a survey was conducted for workers at electromagnetic shielding companies and 250 valid responses out of 300 questionnaires were aquired. A frequency analysis of related variables was conducted. Through an exploratory factor analysis, validity and reliability tests of measuring tools were conducted and a descriptive statistics was analyzed for collected data result and hypotheses testing. Findings - A correlation analysis was conducted to examine relationships among variables. Construct, convergent and discriminant validities were analyzed after a confirmatory factor analysis and a multi-group confirmatory factor analysis. Finally, with a verified model, the hypotheses and the moderating effects were tested. The results are as follows: First, the productization competence has a positive effect on export performance; Second, the organizational competence has a positive effect on export performance. Especially, the organizational competence has more effect on export performance than the productization competence. Although a development of new technology and product is important in terms of performance, along with these competences, a way of acquiring new skills and knowledge, and internalization and adaptation in organizations have more effect on export performance. Third, overseas market adaptation competence moderates effects of organizational and productization competences. Research implications or Originality - It is necessary to seek out opportunities for workers to participate in actively, such as conferences and seminars, to strengthen organizational competence. It is strongly believed that a constant development of high quality product will contribute to export performance. Lastly, in a policy level, supports on SMEs by governments are to be strengthened by providing with finance and human resource.

기관절개술 환자의 호흡기계 병원감염양상에 관한 연구 (Respiratory Hospital Infections of Patients with a Tracheostomy)

  • 양숙자;최영희;김문실
    • 대한간호학회지
    • /
    • 제19권3호
    • /
    • pp.240-248
    • /
    • 1989
  • The increase in size and numbers of general hospitals in the process of conspicuous development of modem medicine has been accompanied by a serious increase in hospital acquired infections. Hospital aquired infections cause pain and discomfort, may threaten life, adds an economic burden, and delays recovery and return to society. Even though respiratory hospital infection rates resulting for tracheostomy and respiratory inhalation therapy, may be low, they are serious because of their bad prognosis and high mortality rates. This study was designed to assess certain aspects of respiratory infections of patients with a tracheostomy and thus provide baseline data for further research related to preventive or therapeutic nursing interventions. The specific objectives were to determine the incidence of colonization in the trachea, clinical signs, type of colonized bacteria and sensitivity to antibiotics. Data were collected from July 1 to December 10, 1989 at two university Hospital in Seoul. Subjects were 20 patients with a tracheostomy admitted to the Intensive Care Unit or Cerebral Vascular Accident Center. Clinical signs related to respiratory infection were observed using a checklist based on previous study outcomes. Bacterial culture, sensitivity test to antibiotics, WBC counts and chest X-ray were also performed. Cultures were done on the day of tracheostomy, and on the third, fifth and seventh day. Cultures were then done on seventh days after the first colonization. The results were as follows : 1. The incidence of bacteria colonization in a week was 90%(18 patients) 50% (10/20 patients) on the day of tracheostomy, 70%(7/10 patients) on the third day, and 0% on the fifth day, and 33%(1/3 patient) on the seventh day. 3 of 18 patients (16.7%) were colonies of mixed growth isolated. 2. The observed clinical signs related to respiratory infection were high fever 38.9%(7 patients), prulent secretion 16.7%(12 patients) and infiltration seen on chest X-ray 33.3%(6 patients). 3. The total number of types of bacteria isolated among the 18 subjects was 21 ; gram negative 71.4%, gram postive 28.6%. The dominant bacteria type was Staphylococcus aureus(5 cases) for gram(equation omitted) and Pseudomonas aeruginosa(3 cases), Klebsiella (4 cases), Enterobacter(3 cases) for gram (equation omitted). The results of culture on 7th day after the first colonization, 6 cases showed same type of bacteria, 3cases showed different type of bacteria and 1 cases showed no growth. 4. The sensitivity tests to antibiotics showed that Pseudomonas aeruginosa and Staphylococcus were strongly resistant to most kinds of antibiotics, but Klebsiella and the rest of gram negative bacteria were moderately sensitive to antibiotics.

  • PDF

한국 노인의 성공적 노화 척도 개발을 위한 연구 (The Study on the Development of the Korean Elderly's Successful Aging Scale)

  • 김동배
    • 한국사회복지학
    • /
    • 제60권1호
    • /
    • pp.211-231
    • /
    • 2008
  • 본 연구에서는 65세 이상의 한국 노인을 대상으로 한국 노인의 성공적 노화 척도를 개발하였다. 성공적 노화 개념 추출을 위해 25명의 노인들에 대한 심층면접과 4개의 포커스 그룹을 통해 6개 영역의 성공적 노화 핵심 범주와 78개의 문항을 개발하였다. 이를 토대로 66문항의 일대일 면접설문지를 통해 수집된 표본 597부를 무선 분할하여 개발 표본 345부와 타당화 표본 252부의 분석을 통해 최종적으로 31문항으로 구성된 한국 노인의 성공적 노화 척도를 개발하였다. 이 척도는 '자율적 삶', '자기완성 지향', '적극적 인생 참여', '자녀에 대한 만족', '자기수용', 그리고 '타인수용' 등의 하위 요인으로 구성되어 있으며, Cronbach's $\alpha$값이 .903, 모형 적합도 지수 TLI가 .983, RMSEA가 .057로 만족할 만한 수준의 신뢰도와 타당도를 나타내었다. 또한 우리나라에서 노년기를 평가하는 데 있어서 가장 범용적인 척도로 간주되는 '노인의 삶의 질 척도'와 상관분석을 한 결과 r=.72의 높은 상관관계를 보여 공인타당도를 만족시켰다.

  • PDF

Salmonella typhimurium의 혐기적 산내성도 평가 (Anaerobic Acid Tolerance Response in Salmonella typhimurium)

  • 김영찬;이선;이경미;임성영;박용근;백형석;박경량;이인수
    • 생명과학회지
    • /
    • 제9권2호
    • /
    • pp.169-175
    • /
    • 1999
  • Salmonella typhimurum은 생활사 동안에 다양한 환경과 접하게 된다. S. typhimurium은 오염된 웅덩이에서 숙주의 phgolysosome에 이르기까지 생태계에 널리 분포하면서 산성 스트레스를 경험하며 또한 생존할 수 있다. Salmonella 이와 같은 산저항능은 Acid Tolerance Response (ATR)에 의해 획득된다. 약산의 pH에 적응된 S. typhimurium은 낮은 pH 영역에서 생존할 수 있는 일종의 대항능을 갖게되며, 이런 생존 능력은 복잡한 유전적 유도현상 결과로 해석된다. Salmonella 있어서 ATR은 RpoS 의존적 그리고 RpoS 비의존적 현상으로 구분되며, 특히 혐기적 조건(5% $CO_2$, 5% H$_2$, 90% $N_2$)에서 rpoS$\Omega$Ap는 UK1과 동일한 ATR을 나타내어, 혐기적 조건의 ATR은 RpoS 비의존적인 것으로 판명되었다. P22와 MudJ (Km, lacZ)를 이용한 gene fusion기법과 sodium acetate (pH4.5)를 이용한 돌연변이체 분리방법을 병행하여 산민감성의 형질을 나타내는 LE487 aatA::MudJ를 얻었다. antA 는 Salmonella의 유전자 지도상에서 12min에 위치하는 것으로 조사되었다. antA는 혐기적 조건(5% $CO_2$, 5% H$_2$, 90% $N_2$)하의 pH4.3 조건에서 야생형 Salmonella 비해서 매우 높은 산민감성을 보여주었다. 그러므로 antA는 혐기적 ATR에 있어서 산적응 기전에 관여하는 중요한 유전자로 확인되었다.

  • PDF

삼첨판막 치환술의 장기성적 (Long-Term Result of Tricuspid Valve Replacement)

  • 임청;강문철;김경환;김기봉;안혁
    • Journal of Chest Surgery
    • /
    • 제34권9호
    • /
    • pp.680-685
    • /
    • 2001
  • 배경: 삼첨판막친환술은 매우 드물게 시행되는 수술이며 그 장기 성적은 만족치 못한 수준이다. 또한 어떤 종류의 인공판막을 사용하느냐에 대하여도 논란이 많은 상황이다. 서울대학교병원 흉부외과에서는 1989년 1월부터 1998년 12월까지 10년동안 71명의 환자에서 72례의 삼첨판막 치환술을 시행하였으며 이 결과를 토대로 장단기 성적과 위험요인들을 분석하였다. 대상 및 방법: 평균나이는 42$\pm$13세(16~65세)였으며 남여비는 32/39였다. 술전진단은 50례의 후천성판막질환과 18례의 선천성심장질환이 있었고 삼첨판폐쇄부전만 단독으로 있었던 경우도 4례 있었다. 사용된 인공판막은 기계판막이 69개, 조직판막이 3개였다. 승모판막치환술 또는 대동맥판막치환술과 같이 시행된 경우는 50례였고 1례에서는 폐동맥판막 치환술이 같이 시행되었다. 결과: 조기사망은 7례(9.7%), 만기사망은 7례(13.0%)였고 10년 생존율은 59.2$\pm$7.2%였다. 삼천판막혈전증은 5례에서 11번에 결쳐 발생하였으며 그중 1례는 재수술을 시행받았다. 생존자들의 대부분은 심장기능분류 I-II의 상태로 현재까지 외래 추적관찰중이다. 결론: 삼첨판막치환술은 비록 혈전증등의 위험이 상존하기는 하지만 비교적 낮은 사망률과 이환율을 보이고 있으며 기계판막의 경우에도 조직판막과 비교하여 큰 차이 없이 좋은 장기성적을 얻을 수 있었다.

  • PDF

A NEW HARDWARE CORRELATOR IN KOREA: PERFORMANCE EVALUATION USING KVN OBSERVATIONS

  • Lee, Sang-Sung;Oh, Chung Sik;Roh, Duk-Gyoo;Oh, Se-Jin;Kim, Jongsoo;Yeom, Jae-Hwan;Kim, Hyo Ryoung;Jung, Dong-Gyu;Byun, Do-Young;Jung, Taehyun;Kawaguchi, Noriyuki;Shibata, Katsunori M.;Wajima, Kiyoaki
    • 천문학회지
    • /
    • 제48권2호
    • /
    • pp.125-137
    • /
    • 2015
  • We report results of the performance evaluation of a new hardware correlator in Korea, the Daejeon correlator, developed by the Korea Astronomy and Space Science Institute (KASI) and the National Astronomical Observatory of Japan (NAOJ). We conduct Very Long Baseline Interferometry (VLBI) observations at 22 GHz with the Korean VLBI Network (KVN) in Korea and the VLBI Exploration of Radio Astrometry (VERA) in Japan, and correlated the aquired data with the Daejeon correlator. For evaluating the performance of the new hardware correlator, we compare the correlation outputs from the Daejeon correlator for KVN observations with those from a software correlator, the Distributed FX (DiFX). We investigate the correlated flux densities and brightness distributions of extragalactic compact radio sources. The comparison of the two correlator outputs shows that they are consistent with each other within < 8%, which is comparable with the amplitude calibration uncertainties of KVN observations at 22 GHz. We also find that the 8% difference in flux density is caused mainly by (a) the difference in the way of fringe phase tracking between the DiFX software correlator and the Daejeon hardware correlator, and (b) an unusual pattern (a double-layer pattern) of the amplitude correlation output from the Daejeon correlator. The visibility amplitude loss by the double-layer pattern is as small as 3%. We conclude that the new hardware correlator produces reasonable correlation outputs for continuum observations, which are consistent with the outputs from the DiFX software correlator.

하안면과 경부의 심미성 증진을 위한 지방흡입술을 동반한 Submentoplasty 술식: 증례보고 (Submentoplasty for esthetic improvement of the neck-lower facial region : Two cases report)

  • 박영주;남정훈;송준호;연병무;김다영;안장훈;강태인;강혜진;김준현
    • 대한치과의사협회지
    • /
    • 제47권11호
    • /
    • pp.750-757
    • /
    • 2009
  • Purpose : The purpose of this study is to evaluate the clinical availability of submentoplasty for esthethic improvement of the cervico-facial region of patients with obtuse chin-neck angle. Materials and methods : Case 1. We evaluate the changes of submental line length and chin-neck angle of 35-year-old woman with skeletal Class III and mandibular excess with excessive submental fat before and after surgery: Bilateral sagittal split ramus osteotomy(BSSRO) setback(5mm), Mandibular Angle Reduction, Reduction Malarplasty and Submentoplasty. In this case, It was done simultaneously with orthognathic surgery. Case 2. The changes of submental line length and chin-neck angle of 20-year-old man with skeletal class III and maxillary defiency were evaluated before surgery, at first surgery : Lefort I osteotomy(6mm posterior Impaction), BSSRO setback(9mm), Paranasal Augmentation and at second surgery: genioplasty(6mm advanced) with submentoplasty. In this case, submentoplasty and advancement genioplasty were done after 2 months post-operative periods. Results : Case 1. In case of the Skeletal Class III mandibular excess with submental fat deposit, It showed the improvement of submental angle and length of submental line after simultaneous submentoplasty. Submental angle is changed from $177^{\circ}$ (pre-op) to $151^{\circ}$ (post-op) and submental line length is changed from 8mm(pre-op) to 36mm(post-op). Case 2. The improvement of submental angle and length of submental line after delayed submentoplasty was aquired in case of the skeletal class III maxillary defiency. Submental angle is changed from $154^{\circ}$ (pre-op) to $161^{\circ}$ (first surgery) and to $153^{\circ}$ (second surgery) and submental line length is changed from 25mm(pre-op) to 19mm(first surgery) and to 23mm(second surgery). Conclusion : The results suggest that Submentoplasty is useful surgical procedure for esthethic improvement of the cervicofacial region of patients with obtuse chin-neck angle.

  • PDF