• 제목/요약/키워드: Failed

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하악골 부분절제술을 받은 환자에서 발생한 기도 관리 실패 (Failed Airway Management in a Patient with Wound Hematoma After Partial Mandibulectomy and Reconstruction with Free Flap)

  • 김석곤;송재격;강봉진;김철환;최규운
    • 대한치과마취과학회지
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    • 제13권3호
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    • pp.127-131
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    • 2013
  • We experienced failed airway management in a patient who had partial mandibulectomy and reconstruction with free-flap. 40 year-old man (height: 164 cm, body weight: 59 kg) with malignant melanoma on #38 tooth area of mandibular body was scheduled for partial mandibulectomy and reconstruction with free flap. Approximately fifteen-hours after surgery, the patient was extubated without complication. Seven hours after extubation, we experienced respiratory failure andfailed airway managementdue to airway edema and neck. We failed orotracheal intubation with direct laryngoscopy andlaryngeal mask airway, thus we tried tracheostomy but the patient was hypoxic state for more than 30 minutes. The patient had got hypoxic brain damage in whole cerebral cortex and basal ganglia. We should have the policy of airway management of the patients who have massive oro-maxillo-facial surgery and all medical personnel who treat these patients should be educated the policy and airway management methods.

척추수술후증후군 환자에서 단일 전극을 이용한 경부와 흉부 척수자극술 - 증례보고 - (Cervical and Thoracic Spinal Cord Stimulation with Single Electrodes for Failed Back Surgery Syndrome - A case report -)

  • 이재준;엄태범;홍성준;황성미;임소영;신근만
    • The Korean Journal of Pain
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    • 제20권2호
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    • pp.199-202
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    • 2007
  • Failed back surgery syndrome (FBSS) is a condition characterized by extreme pain after spinal surgery. Treatment of FBSS is aimed at improving function, using interdisciplinary approaches that encompass rehabilitation, psychological therapy, and pain management. If no response to conventional treatment is noted, a more interventional technique such as spinal cord stimulation (SCS) should be used. SCS is a well-established method of managing a variety of chronic neuropathic pain conditions. A 32 year-old male patient afflicted by FBSS that was irresponsive to both medication and several repeated nerve blocks showed improvement of symptoms after cervical and thoracic SCS with a single electrode. Centered on the midline of the spinal cord, single-electrode SCS can be an effective method for relieving pain and improving function.

Analysis of Failed Spinal Cord Stimulation Trials in the Treatment of Intractable Chronic Pain

  • Jang, Hyun-Dong;Kim, Min-Su;Chang, Chul-Hoon;Kim, Sang-Woo;Kim, Oh-Lyong;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제43권2호
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    • pp.85-89
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    • 2008
  • Objective: The purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal cord stimulation (SCS) trial. Methods: A retrospective review of the failed trials (44 patients, 36.1 %) among the patients (n=122) who underwent SCS trial between January 1990 and December 1998 was conducted. We reviewed the causes of failed trial stimulation, age, sex, etiology of pain, type of electrode, and third party support. Results: Of the 44 patients, 65.9% showed unacceptable pain relief in spite of sufficient paresthesia on the pain area with trial stimulation. Four of six patients felt insufficient paresthesia with stimulation had the lesions of the spinal cord. Seventy five percent of the patients experienced unpleasant or painful sensation during stimulation had allodynia dominant pain. Third-party involvement, sex, age and electrode type had no influence on the outcome. Conclusion: We conclude that SCS trial is less effective for patients with neuropathic pain of cord lesions, postherpetic neuropathy or post-amputation state. Further, patients with allodynia dominant pain can feel unpleasant or painful during trial stimulation.

IVF 시술 실패한 여성 불임환자 1례와 남성 불임환자 1례의 임상보고 (Case Report of Each Example of a Female and a Male Patient Who Were Infertile and Failed in In Vitro Fertilization(IVF) Treatment)

  • 조진형
    • 대한한방부인과학회지
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    • 제25권4호
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    • pp.94-104
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    • 2012
  • Purpose: The purpose of this paper is to report the effect of Korean medicine treatments on a female and a male patient who were infertile and failed to in vitro fertilization(IVF) treatment. Methods: The patients are a 30-year-old female who had been diagnosed with the ovulation dysfunction caused by the depression of ovarian function, and a 33-year-old male who had been diagnosed with sperm defect. The female patient alone underwent Korean medicine treatment after the eighth failure in IVF treatment and the male patient received Korean medicine treatment along with his wife after he failed in the first IVF treatment. The Korean medicine applied include herb-medicine administration, acupuncture, moxibustion, Jwa-Hun, and Du-Han-Jok-Yeol treatment. Results: Through Korean medicine treatment the female patient had succeeded in the IVF treatment and she also recovered completely from allergic rhinitis. The male patient whose wife also received Korean medicine treatment with him got his wife pregnant naturally. Conclusions: This result concludes that Korean medicine treatment is effective in infertile patients. Therefore, there needs to be more of subsequent research on infertile patients that is based on Korean medicine treatment.

A Study on Economic Value of Korean Private Universities' Profitable Business Based on Successful and Failed Cases

  • LEE, Choon-Ho
    • 융합경영연구
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    • 제9권4호
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    • pp.9-18
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    • 2021
  • Purpose: This study examines some successful and failed cases of Korean private universities' profitable business and explores the desirable economic value and direction of their profitable business business operations with a view to shedding light on some clues conducive to their financial health and quality education. Research design, data and methodology: This study reviews news articles, reports and literature to find out Korean universities' financial condition and examines some successful and failed examples of their corporations' profit-making business operations to suggest a direction. Results: Private universities suffer declining enrollments and/or tuition freeze but they lack in making efforts to secure financial health. The reviewed examples of private universities' profit-making business operations suggest both universities and their corporations should first assume the public accountability prior to engaging in diverse business activities. Conclusions: First, to remain financially healthy, university corporations should exert themselves to transform their low-profit-margin lands and buildings into high-profit-margin businesses and to credit the realized income to their school-expense accounts. And, the ultimate purpose of universities' profit-making business operations is to realize a decent income without prejudice to their public accountability for the country and community, while forging a virtuous cycle by investing the income for the betterment of their educational quality and competitiveness.

척추 수술 실패 증후군에 대한 수기요법의 효과: 체계적 문헌 고찰 (Manual Therapy for Failed Back Surgery Syndrome: A Systematic Review)

  • 윤홍렬;정지홍;김순중
    • 척추신경추나의학회지
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    • 제17권2호
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    • pp.1-15
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    • 2022
  • Objectives This study aimed to assess the efficacy and safety of manual therapy in patients with failed back surgery syndrome (FBSS). Methods We searched eight electronic databases from October 2022 and only selected randomized controlled trials (RCTs) reporting outcomes for manual therapy in FBSS patients. Included studies were analyzed qualitatively. Results A total of twelve RCTs were included and three studies were meta-analyzed. Manual therapy combined with exercise demonstrated more favorable outcomes in terms of pain reduction compared to exercise therapy only (P<0.01). Some studies reported that manual therapy resulted in low efficacy, while some studies reported that specific manual techniques have a significant effect in pain relief. We, therefore, conclude that several studies have a high risk of bias. Conclusions Findings suggest that manual therapy is a safe and non-invasive, promising option for managing FBSS. However, manual therapy is not the best option in all circumstances; thus, this should be selectively applied by a well-trained practitioner. Further studies such as well-designed, risk-controlled RCTs are required to gain stronger evidence.

Adaptive-and-Resolvable Fractional Repetition Codes Based on Hypergraph

  • Tiantian Wang;Jing Wang;Haipeng Wang;Jie Meng;Chunlei Yu;Shuxia Wang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권4호
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    • pp.1182-1199
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    • 2023
  • Fractional repetition (FR) codes can achieve exact uncoded repair for multiple failed nodes, with lower computational complexity and bandwidth overhead, and effectively improve repair performance in distributed storage systems (DSS). The actual distributed storage system is dynamic, that is, the parameters such as node storage overhead and number of storage nodes will change randomly and dynamically. Considering that traditional FR codes cannot be flexibly applied to dynamic distributed storage systems, a new construction scheme of adaptive-and-resolvable FR codes based on hypergraph coloring is proposed in this paper. Specifically, the linear uniform regular hypergraph can be constructed based on the heuristic algorithm of hypergraph coloring proposed in this paper. Then edges and vertices in hypergraph correspond to nodes and coded packets of FR codes respectively, further, FR codes is constructed. According to hypergraph coloring, the FR codes can achieve rapid repair for multiple failed nodes. Further, FR codes based on hypergraph coloring can be generalized to heterogeneous distributed storage systems. Compared with Reed-Solomon (RS) codes, simple regenerating codes (SRC) and locally repairable codes (LRC), adaptive-and-resolvable FR codes have significant advantages over repair locality, repair bandwidth overhead, computational complexity and time overhead during repairing failed nodes.

기업가의 창업 실패 경험과 재교육이 재창업에 미치는 영향: 창업 동기의 조절효과를 중심으로 (The Effects of Entrepreneurs' Failure Experience and Re-education on Subsequent Venture: Moderating Effect of Entrepreneurial Motivation)

  • 김나미;이종선;김동수
    • 벤처창업연구
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    • 제15권2호
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    • pp.33-45
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    • 2020
  • 사회적으로 창업에 대한 관심이 고조되고 있지만 사실 창업은 실패할 가능성이 높게 내포되어 있는 위험한 도전이기도 하다. 창업 연구에 있어 실패는 필연적으로 연구되어야 할 부분이지만, 기본적으로 실패를 회피하고 싶고 선호하지 않는 경향 때문에 상대적으로 폭넓게 연구되어 오지 못했다. 실패는 기업가에게 있어 고통스럽고 큰 비용을 수반하는 경험이지만 긍정적으로 연결시킬 수만 있다면 성공으로 나아가기 위한 하나의 관문이자 촉매제로 작용할 수 있는 값진 경험이기도 하다. 창업 실패를 경험한 기업가에게 사회적 차원의 도움이 필요하다는 주장이 제기되며 최근 재창업 지원제도의 일환으로 재창업 교육 등을 통해 재기하고자 하는 창업가들에게 도움을 주고자 하고 있다. 본 연구에서는 실패를 경험한 기업가에 주목하여, 실패 경험을 통한 학습과 사회적 지원책으로의 재창업 교육이 재창업에 어떠한 영향을 미치는지 살펴보고자 하였다. 더불어 기업가의 개인적 요인으로 기업가의 행동에 큰 영향을 미친다고 알려져 있는 창업 동기에 주목하여, 실패 경험이 재창업에 미치는 영향 및 교육이 재창업에 미치는 영향에 기업가의 창업 동기가 어떠한 효과를 주는지 고찰해보고자 하였다. 분석을 위하여 재기중소기업개발원의 실패 후 재창업을 계획한 연속 창업가들을 대상으로 설문을 통해 데이터를 수집하였다. 분석 결과, 이전 창업 경험으로부터 학습효과가 큰 기업가일수록 재창업 할 확률이 높았으며 재창업 교육으로부터 학습효과가 큰 기업가일수록 재창업할 확률 역시 높은 것으로 나타났다. 또한 창업의 외재적 동기가 클수록 이러한 이전 경험과 재창업 교육의 학습효과가 재창업에 미치는 긍정적 영향은 줄어드는 것으로 나타났다.

제주지역 호텔기업 부실예측모형 평가 (Assessing Distress Prediction Model toward Jeju District Hotels)

  • 김시중
    • 산경연구논집
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    • 제8권4호
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    • pp.47-52
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    • 2017
  • Purpose - This current study will investigate the average financial ratio of top and failed five-star hotels in the Jeju area. A total of 14 financial ratio variables are utilized. This study aims to; first, assess financial ratio of the first-class hotels in Jeju to establishing variables, second, develop distress prediction model for the first-class hotels in Jeju district by using logit analysis and third, evaluate distress prediction capacity for the first-class hotels in Jeju district by using logit analysis. Research design, data, and methodology - The sample was collected from year 2015 and 14 financial ratios of 12 first-class hotels in Jeju district. The results from the samples were analyzed by t-test, and the independent variables were chosen. This was an empirical study where the distress prediction model was evaluated by logit analysis. This current research has focused on critically analyzing and differentiating between the top and failed hotels in the Jeju area by utilizing the 14 financial ratio variables. Results - The verification result of the accuracy estimated by logit analysis has shown to indicate that the distress prediction model's distress prediction capacity was 83.3%. In order to extract the factors that differentiated the top hotels in the Jeju area from the failed hotels among the 14 chosen, the analysis of t-black was utilized by independent variables. Logit analysis was also used in this study. As a result, it was observed that 5 variables were statistically significant and are included in the logit analysis for discernment of top and failed hotels in the Jeju area. Conclusions - The distress prediction press' prediction capability was compared in this research analysis. The distress prediction press prediction capability was shown to range from 75-85% by logit analysis from a previous study. In this current research, the study's prediction capacity was shown to be 83.33%. It was considered a high number and was found to belong to the range of the previous study's prediction capacity range. From a practical perspective, the capacity of the assessment of the distress prediction model in the top and failed hotels in the Jeju area was considered to be a prominent factor in applications of future hotel appraisal.

실패기업인의 재창업지원 제도에 관한 국제비교연구 (International Comparison of Re-start up Support system for Failed Businessmen)

  • 김형호;윤현덕
    • 벤처창업연구
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    • 제10권6호
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    • pp.235-252
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    • 2015
  • 정부는 역동적 혁신경제로 경제 대도약을 위해 선순환 벤처 창업 생태계를 구축하고 있다. 이와 같은 생태계 구축은 실패를 두려워 하지 않는 기업가정신을 지닌 우수인력의 도전적 벤처창업과 실패를 관용하고 이를 경험으로 재창업할 수 있는 사회적 환경이 마련되어야 가능하다. 정부의 벤처 창업 붐 조성 노력으로 벤처기업 및 신설법인 수 등이 매년 증가 하고 있으나, 이들 기업이 실패할 경우 재창업 등으로 재기 할 수 있는 사회적 환경 조성과 지원제도 마련의 노력은 최근에야 시작되었다. 실패기업에 대한 정확한 실태조사, 지원제도가 부족한 상황에서 본 연구는 실패한 기업에 대한 그간의 선행연구를 기반으로 국내 실패기업인의 재도전, 재창업과 관련된 현황을 파악 후 해외 선진국 사례와 국제비교를 통해 적용 가능한 정책적 시사점을 도출하여 국내 실패기업의 재창업을 원활히 할 수 있는 정책적 방향을 제시하고자 한다. 미국과 같이 실패를 성공의 한 단계로 인식하는 창업문화가 형성되기 전까지는 EU의 SBA법과 같은 재도전 정책을 지속적으로 추진할 수 있는 법적근거 마련과 일본의 민간 중심의 중소기업재생지원협의회 구성 운영을 참고할 필요가 있다. 또한 실패기업인의 삶의 질 보장도 함께 고려하는 것이 필요하다. 도출된 시사점을 바탕으로 내린 결론에 대한 추가 연구와 정부 정책이 보완된다면 국내 재창업 활성화를 위한 깊은 통찰을 제공할 수 있을 것이다.

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