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Modified Classification of Anemia by ROW (RDW를 이용한 빈혈의 재분류)

  • Hwang, Hyeong-Ki;Hyun, Myung-Soo;Shim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.10 no.1
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    • pp.58-67
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    • 1993
  • The author obtained index of red cell volume distribution width(RDW) and other red cell indices in 210 patients of various hematoncologic conditions and 200 healthy control group using, an automated blood analyzer, Coulter Counter Model S-plus II. This study performed to classify various etiologic anemia based on the MCV and RDW, to evaluate availability to the differential diagnosis in korean anemic distoders somewhat different from etiologies of anemias in foreginers. In the most of cases, the increase or decrease of MCV were always combined the pararell changes of MCH and MCHC. But the values of MCV and RDW were not correlated in control group and patient group. So the terms of heterogenous of homogenous anemia were meaningful morphologic classification than hypochromic or normochromic anemia. The heterogenous microcytic anemia contained iron deficiency anemia. In heterogenous normocytic anemia, myelophthisic anemia, acute leukemia were contained. In heterogenous macrocytic anemia, megaloblastic anemia, hemolytic anemia were contained. The homogenous microcytic anemia was observed in anemia of chronic disorders. In homogenous normocytic anemia, acute blood loss, chronic leukemia, multiple myeloma were contained. The aplastic anemia was belonged to homogenous macrocytic anemia. The diagnostic significance of RDW in hemoglobinopathies is most important. But this study was not contained hemoglobinopathies. Instead RDW was very helpful to differential diagnosis of most common anemias, iron deficiency anemia and anemia due to chronic disorders in Korea.

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Analysis of Correlation between Smoking and Gingivitis an Actual Condition of Oral Health Care in Some Vocational High School Boy Students (일부지역 실업계 고등학교 남학생의 구강관리실태 및 흡연과 치은염과의 상관성 분석)

  • Kim, Han-Hong;Yu, Ji-Su;Han, Yang-Keum
    • Journal of dental hygiene science
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    • v.9 no.5
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    • pp.513-518
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    • 2009
  • The purpose of this study was to examine correlation between smoking and gingivitis in boy students targeting 281 students in the 2nd grade for vocational boys' high schools where are located in Cheongju city. As a result of carrying out questionnaire research and oral examination, the following conclusions were obtained. 1. The smoking-experience rate in subjects of this study accounted for 59.4%. The current smoking rate was indicated to be 41.3%. Students' average gingivitis prevalence accounted for 61.5%. Out of those students, the students with experience of smoking accounted for 44.8%. The average gingivitis index was $0.20{\pm}0.27$. Out of those students, the students with experience of smoking were indicated to be $0.29{\pm}0.31$. 2. In case of having experience of smoking, the probability of having gingivitis was high(p = 0.000). The more drinking experience led to the higher gingivitis prevalence(p = 0.010). 3. In the multi-variate analysis, a case of gingivitis prevalence was higher in the group with experience of smoking by 5.5 times(p = 0.000) compared to the non-smoking group. A case that the smoking volume for a day is over 6 pieces was higher by 8.4 times(p = 0.000) compared to the non-smoking group. A case of being over 25 months in the smoking period was higher 13.2 times(p = 0.000) compared to the non-smoking group.

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Pancreaticoduodenectomy with superior mesenteric artery first-approach combined total meso-pancreas excision for periampullary malignancies: A high-volume single-center experience with short-term outcomes

  • Thanh Khiem Nguyen;Ham Hoi Nguyen;Tuan Hiep Luong;Kim Khue Dang;Van Duy Le;Duc Dung Tran;Van Minh Do;Hong Quang Pham;Hoan My Pham;Thi Lan Tran;Cuong Thinh Nguyen;Hong Son Trinh;Yosuke Inoue
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.28 no.1
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    • pp.59-69
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    • 2024
  • Backgrounds/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results. There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178-540 min), the median intraoperative blood loss was 209 mL (30-1,600 mL). Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions: The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

Estimate of Radiation Doses in MDCT Using Patient Weight (MDCT 검사에서 환자 체중을 이용한 선량 평가)

  • Kwon, Seong-Ohk;Dong, Kyung-Rae;Kweon, Dae-Cheol;Goo, Eun-Hoe;Choi, Ji-Won;Chung, Woon-Kwan
    • Progress in Medical Physics
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    • v.21 no.3
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    • pp.246-252
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    • 2010
  • The purpose of this study provides measurements of radiation dose from MDCT of head, chest, abdomen and pelvic examinations. A series of dose quantities that are measured of patient weight to compare the dose received during MDCT examinations. Data collected included: weight together with CT dose descriptors, volume CT dose index (CTDIvol) and dose length product (DLP). The effective dose was also estimated and served as collective dose estimation data. Data from 1,774 adult patients attending for a CT examination of the head (n=520) or chest (n=531) or abdomen (n=724) was obtained from spiral CT units using a same CT protocol. Mean values of CTDIvol was a range of 48.6 mGy for head and 6.9, 10.5 mGy for chest, abdomen examinations, respectively. And mean values of DLP was range of 1,604 $mGy{\cdot}cm$ for head, 250 $mGy{\cdot}cm$ for chest, 575 $mGy{\cdot}cm$ for abdomen examinations, respectively. Mean effective dose values for head, chest, abdominal CT were 3.6, 4.2, and 8.6 mSv, respectively. The degree of CTDIvol and DLP was a positive correlation with weight. And there was a positive correlation for weight versus CTDIvol ($r^2$=0.62), DLP ($r^2$=0.694) in chest. And head was also positive correlation with weight versus CTDIvol ($r^2$=0.691), DLP ($r^2$=0.741). We conclude that CTDIvol and DLP is an important determinant of weight within the CT examinations. The results for this study suggest that CT protocol should be tailored according to patient weight.

Material Properties and Structural Characteristics on Flexure of Steel Fiber-Reinforced Ultra-High-Performance Concrete (강섬유 보강 초고성능 콘크리트의 재료특성 및 휨 거동 역학적 특성)

  • Kim, Kyoung-Chul;Yang, In-Hwan;Joh, Chang-Bin
    • Journal of the Korea Concrete Institute
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    • v.28 no.2
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    • pp.177-185
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    • 2016
  • This paper concerns the flexural behavior of steel fiber-reinforced ultra-high-performance concrete (UHPC) beams with compressive strength of 150 MPa. It presents experimental research results of hybrid steel fiber-reinforced UHPC beams with steel fiber content of 1.5% by volume and steel reinforcement ratio of less than 0.02. This study aims at investigating of compressive and tensile behavior of UHPC to perform a reasonable prediction for flexural capacity of UHPC beams. Tensile behavior modeling was performed using load-crack mouth opening displacement relationship obtained from bending test. The experimental results show that steel fiber-reinforced UHPC is in favor of cracking resistance and ductility of beams. The ductility indices range from 1.6 to 3.0, which means high ductility of hybrid steel fiber-reinforced UHPC. Test results and numerical analysis results for the moment-curvature relationship are compared. Though the numerical analysis results for the bending capacity of the UHPC beam without rebar is larger than test result, the overall comparative results show that the bending capacity of steel fiber-reinforced UHPC beams with compressive strength of 150 MPa can be predicted by using the established method in this paper.

Study on the Introduction of Safety Management Level Evaluation System for Shipping Company by Imitation Strategy (모방전략을 이용한 해운선사 안전관리 수준 평가제도 도입방안 연구)

  • Kim, Hwa-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.19 no.4
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    • pp.366-374
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    • 2013
  • Maritime transportation circumstance is changing rapidly in accordance with the increase of cargo volume between countries and increase of marine leisure activities by improvement of quality of life. And the circumstance for ship operation is also changing due to aging of seafarers and increasing of foreign seafarers. To cope with such changes in maritime environment well, it requires higher safety management skills from shipping companies, the main subject in charge of the safety matter. In this paper, we analyzed domestic and foreign similar system, and then applied imitation strategies for introduction of an unific evaluation and management system that was consist of marine accidents, port state control, ISM Code and so on from shipping companies. We defined that the imitation industry and system are converted accident ration of construction industry and traffic safety excellence company of road transportation, and then extracted relevant law, evaluation index, incentive system as a imitation subject. We also proposed scheme that introduction of basis law, and evaluation tool with marine accidents ratio, port state control & ism code result, and incentives such as immunity of safety inspection or reduction of commission for introduction of company's safety management level evaluation system. Finally, we proposed the imitation timing and plan in stages for system's sustainable development through the prompt introduction and continuous enforcement.

Quality Characteristics of Muffins Containing Wheat Sprout Powder (밀싹 분말 첨가 머핀의 품질 특성)

  • Park, La-Young
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.5
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    • pp.784-789
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    • 2015
  • This study investigated the quality of muffins prepared with various concentrations of wheat sprout powder. Muffins were prepared by adding 0, 1, 3, 5, and 7% wheat sprout powder to flour of the basic formulation. The weight of muffins increased upon addition of 3~5% wheat sprout powder. Height and volume index of the muffins containing 1~5% wheat sprout powder were higher than those of the control. The pH, lightness, and redness of muffins decreased with 3~5% wheat sprout powder, whereas yellowness and moisture contents increased. The hardness of muffins increased upon addition of wheat sprout powder, but there was no significant difference among the sample groups. The total polyphenol contents and antioxidative activity as measured by 2,2-diphenyl-1-picrylhydrazyl radical scavenging activity of muffins increased as the concentration of wheat sprout powder increased. Muffins containing 1~5% wheat sprout powder showed acceptable sensory properties, including color, flavor, taste, and overall acceptability. Results indicate that the optimal concentration of wheat sprout powder in the muffin formula was 3~5% (w/w).

An Empirical Study on the Size Distribution of Venture Firms in the center of KOSDAQ Listed Companies (국내 벤처기업 진화과정에 관한 실증분석 - 코스닥상장 기술벤처기업 분석을 중심으로 -)

  • Cho, Sang-Sup;Yang, Young-Seok
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.6 no.1
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    • pp.23-37
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    • 2011
  • This paper is brought to carry out an empirical study whether evolution process of venture firm's scale is following the Gibrat's law; random evolution process, or Pareto law; self-organizing process. The empirical test, as attaching theoretical explanation, of this research utilize the serial data samples of 92 KOSDAQ listed companies from the year of 2005 through 2008. Summarizing the research results are as followed. First, Gini Coefficients representing the density of venture firm's scale has been constantly reduced since the year of 2005 in terms of number of employee, while these index increased during the same time period from the perspective of sales volume. Second, the evolution process of Korea venture firm's scale is following the Power Law related to Pareto Law. In particular, estimated Pareto coefficient, ${\alpha}$, is shown lower than 1 which is significant result. Third, the probability of joining in the top tier group of firm starting from the early stage growing is forecasted into 6.9%, the result which emphasize the starting scale of venture firm play an important role in long term evolution of venture firm.

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Analyzing Efficiency of Korean Automobile Ports (국내 자동차부두 효율성 분석에 관한 연구)

  • Seo, Jeong Ho;Gong, Jeong Min;Nam, Tae Hyun;Yeo, Gi Tae
    • Journal of Navigation and Port Research
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    • v.41 no.3
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    • pp.127-136
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    • 2017
  • The aim of this study is using DEA-CCR, BCC, and Malmquist analysis to determine the efficiency and productivity of Korean automobile ports. We analyzed eight Korean automobile port terminals, using the number of workers and size of ports as input variables and the number of processed car as output variables. An efficiency analysis of the eight automobile port terminals for the four-year span from 2013 to 2016 revealed efficiency levels of 1 for the CCR, BCC, and the scales for Ulsan port and the Gwangyang port terminal, indicating efficient operation of the terminals. As a result of benchmarking analysis, Gunsan port 1, 2 terminal, Incheon port, Pyeongtaek Dangjin 2 terminal should benchmark Busan Port and Ulsan Port. Conversely, Malmquist analysis showed a slight increase in the production volume from 2013 to 2015, but a decline to 1 or less from 2015 to 2016. In the case of TECI the technology was confirmed as effective at 1 or more from 2014 to 2015. The TCI value was 0.87 for the period from 2015 to 2016. During this period, the TCI index of all terminals was less than 1.

Qualities of Muffins Made with Jujube Powder (대추분말을 첨가한 머핀의 품질특성)

  • Kim, Eun Ji;Lee, Jun Ho
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.12
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    • pp.1792-1797
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    • 2012
  • The feasibility of incorporating jujube powder as a value-added food ingredient in bakery food products, using a model system of muffins, was investigated. Jujube powder was incorporated into muffins at 0, 5, 10, 15, and 20% weight amounts based on the total weight of wheat flour. Qualities, such as pH, volume index, height, and moisture content, of muffins decreased significantly with increasing levels of jujube powder added (p<0.05). In terms of color, lightness decreased, whereas redness increased significantly for both crust and crumb (p<0.05) with increasing levels of jujube powder. Baking loss also decreased gradually, while hardness and 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity were significantly influenced with higher amounts of jujube powder in the formulation (p<0.05). Finally, the consumer acceptance test indicated that the highest levels of jujube incorporation (20%, w/w) had a considerable adverse effect on consumer preferences in all attributes. In contrast, muffins with moderate levels of jujube powder (10%, w/w) are recommended (with respect to overall preference score) for taking advantage of the functional properties of jujube powder without sacrificing consumer acceptability.