• 제목/요약/키워드: January Effect

검색결과 1,469건 처리시간 0.024초

The Management Effect of Silicone Tracheal T-tube Insertion in Tracheal Stenosis after Tracheostomy (기관절개술 후 발생한 기도 협착에서 실리콘 기관 T tube 삽입술의 치료 효과)

  • Cho, Sung-Roon;Lee, Yong-Man;Oh, Cheon-Rwan
    • Korean Journal of Bronchoesophagology
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    • 제13권2호
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    • pp.40-44
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    • 2007
  • Background and Objectives: Most of tracheal stenosis is resulted from longstanding endotracheal tube insertion. Treatments of tracheal stenosis are divided conservative and reconstructive treatment. The propose of this study was to evaluate the effect of prosthetic tracheal T-tube insertion on tracheal stenostic patients who can not be operated invasive surgery. Subjects and Method : Nine prosthetic tracheal T-tube insertion were studied from 9 patients from January 2002 to April 2007. The effect of silastic T-tube was analyzed according to the factors that were respiratory difficulty, oxygen saturation, phonation, aspiration and significant complications. Results: Four patients were good for respiration and no complication. But five patients occur various complications. A successful group did not have cartilagenous lesions but failed group had catilagenous lesions, infection and necrosis. Conclusion: A silastic T-tube insertion was good for palliative treatment in patients without catilagenous lesions.

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Cryoanalgesia vs Bupivacain Intercostal Nerve Block for the Post -thoracotomy Pain (개흉술 후 흉부동통억제를 위한 늑간신경냉동 요법과 약물주입요법에 관한 비교연구)

  • 최영호
    • Journal of Chest Surgery
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    • 제27권11호
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    • pp.942-947
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    • 1994
  • Post-thoracotomy pain is so severe that lead to postoperative pulmonary complications due to the patient`s inability to cough, deep breathing and chest wall motion. Many authors have been trying to reduce the post-thoracotomy pain, but there is no method of complete satisfaction. In 1990, we reported the result that the cryoanalgesia reduce the immediate postoperative pain significantly. We try to compare the effect of cyroanalgesia with the effect of Bupivacain intercostal nerve block for the post-thoracotomy pain control. Ninety patients, who undergoing thoracotomy in Korea University Medical Center Guro Hospital between the January 1993 and September 1993, were evaluated. The patients were divided into three groups : Group A, control, the patients without pain control procedure [N=30], Group B, the patients with Bupivacain intercostal nerve block [N=30], Group C, the patients with cryoanalgesia [N=30]. Postoperative analgesic effects were evaluated by the scoring system which made arbiturary by author. The results were that the Bupivacain intercostal nerve block markedly reduced the immediate postoperative pain compare with two other groups, the cryoanalgesia reduced the immediate postoperative pain significantly compare with control group, the pain reduction effect of the two groups- cryoanalgesia and Bupivacain intercostal nerve block- were not different at postoperative seventh day, probably due to the action time of Bupivacain and the result that there were no significant complications of the procedures.

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Hemostatic effect of fibrin glue for sternal marrow bleeding. (흉골 출혈에 대한 fibrin glue의 지혈 효과)

  • Lee, Hong-Seop;Park, Guk-Yang;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.683-687
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    • 1987
  • Bleeding from bone marrow after sternotomy for open cardiac surgery can be sometimes difficult to control and even lead to reoperation for hemostasis. A clinical comparative study was carried out to demonstrate the hemostatic effect of fibrin glue [Beriplast] for sternal marrow bleeding after sternotomy for open heart surgery. Postoperative blood loss was measured in two patient groups, group A included 19 patients operated upon from June to October 1987 and the fibrin glue was applied to the sternal marrow together with collagen fleece and group B consisted of 22 patients from January to May 1987 and only collagen fleece was applied without fibrin glue. There was no difference between two groups in age and sex distributions, coagulation state, method of extracorporeal circulation and operative management. The blood loss one hour after operation was 2.04 ml/hr/kg in group A and 3.55 ml/hr/kg in group B [P<0.001]. The most significant difference was observed during the first 4 hours after surgery with 1.34 ml/hr/kg versus 2.05 ml/hr/kg. over the following 20 hours the amount of drainage from the chest tubes was identical in both groups. Fibrin glue reduces blood loss after open heart surgery by local hemostasis at sternum. Our study has shown that local application of fibrin glue to sternal marrow is an effective method of controlling the sternal bleedings. No side effect or complication of fibrin glue was noted.

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Financial Reporting Opacity, Audit Quality and Crash Risk: Evidence from Japan

  • CHAE, Soo-Joon;NAKANO, Makoto;FUJITANI, Ryosuke
    • The Journal of Asian Finance, Economics and Business
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    • 제7권1호
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    • pp.9-17
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    • 2020
  • This study examines the effect of financial reporting opacity and audit quality on stock price crash risk using listed firms in Japan. This study is the first research to examine the effect of financial reporting opacity on crash risk using a Japanese listed company. Furthermore, the effect of audit quality on crash risk is verified. High level auditors can mitigate crash risk by playing a role as a corporate governance device mechanism to reduce agency costs. We use a logistic regression and linear regression model to test whether financial reporting opacity and audit quality affect crash risk using listed firms in the Japanese stock exchange market during the fiscal years 2015 January through 2017 February. The results of this study suggest that the financial reporting opacity variable shows a positive relationship with CRASH, which states that a firm with more opaque financial reporting increases crash risk. The results suggest also that the firms audited by Big4 auditors experience less crash risk, implying that the audit quality in Japan can be one of the factors mitigating firm's crash risk. This study provides implications for financial reporting and audit quality to external stakeholders who wants to avoid losses.

Estimation of High Resolution Gridded Precipitation Using GIS and PRISM (GIS와 PRISM을 이용한 고해상도 격자형 강수량 추정)

  • Shin, Sung-Chul;Kim, Maeng-Ki;Suh, Myoung-Suk;Rha, Deuk-Kyun;Jang, Dong-Ho;Kim, Chan-Su;Lee, Woo-Seop;Kim, Yeon-Hee
    • Atmosphere
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    • 제18권1호
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    • pp.71-81
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    • 2008
  • In this study, in order to estimate high resolution precipitation with monthly time scales, Parameter-elevation Regressions on Independent Slopes Model (PRISM) was modified and configured for Korean precipitation based on elevation, distance, topographic facet, and coastal proximity. Applying this statistical downscaling model to Korean precipitation for 5 years from 2001 to 2005, we have compiled monthly grid data with a horizontal resolution of 5-km and evaluated the model using bias, root mean square error (RMSE), and correlation coefficient between the observed and the estimated. Results show that bias, RMSE, and correlation coefficient of the estimated value have a range from 0.2% to 1.0%, 19.6% (June) to 43.9% (January), and 0.73 to 0.84, respectively, indicating that the modified Korean PRISM (K-PRISM) is reasonably worked by weighting factors, i.e., topographic effect and rain shadow effect.

Mediating Effect of Communication Skill in the Relationship between Fatigue and Clinical Practice Stress in Nursing Students (간호대학생의 피로와 임상실습 스트레스의 관계에서 의사소통 능력의 매개효과)

  • Yang, Ya Ki
    • Journal of Korean Academy of Fundamentals of Nursing
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    • 제25권1호
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    • pp.58-67
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    • 2018
  • Purpose: Fatigue and clinical practice stress can negatively influence nursing students. This study was done to examine of communication skill as mediating effect variable in the relationship between fatigue and stress during clinical practice. Methods: A cross-sectional study design was employed. Research participants were 124 nursing students from G city and J province. Data were collected from December 1, 2016 to January 30, 2017 using self-report questionnaires. Data were analyzed using Baron and Kenny method. Results: Fatigue had a significant negative correlation with communication skill (r=-.28, p=.001). Fatigue had a significant positive correlation with clinical practice stress (r=.39, p<.001). In addition, communication skill had a mediating effect in the relationship between fatigue and clinical practice stress. Conclusion: The findings of this study indicate that communication skill plays an important role in reducing clinical practice stress in nursing students. Therefore, in the field of nursing education, a program to improve the communication ability of nursing students should be developed and applied.

Cognition of oral health education and dental caries preventive effect in kindergartens and child care facilities (일부 유치원 및 보육시설 유아교사의 구강보건교육 유무에 따른 구강보건교육 및 치아우식예방효과 인식)

  • Jung, Yu Yeon;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • 제14권1호
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    • pp.17-24
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    • 2014
  • Objectives : The purpose of this study was to investigate cognition on oral health education and dental caries preventive effect in kindergartens and child care facilities. Methods : A self-reported questionnaire was completed by 260 teachers in kindergartens and nursery facility in Daejeon from January to February, 2013. Except incomplete answers, 248 questionnaires were analyzed by using the statistical package SPSS WIN 18.0. Results : High intention to participate in oral health education was shown in the teachers who experienced the oral health education. Dental caries preventive effect included correct tooth brushing, fluoride dentifrice, fluoride mouth rinse, and use of xylitol. The teachers agreed that the fluoride mouth rinses would help good oral health in the children. Conclusions : Teachers in kindergartens and nursery facility are the most important persons in childhood oral health care. So it is necessary to provide the continuing standardized education for the teachers systematically.

Monitoring of Non-point Source Pollutants Generated by a Flower Farm

  • Choi, Byoungwoo;Kang, Meea
    • The Journal of Engineering Geology
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    • 제24권4호
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    • pp.463-471
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    • 2014
  • This paper considers the effect of rainfall on non-point source (NPS) pollutant loads. The impact of runoff on the occurrence of NPS pollutants was found to be influenced by rainfall amount, rainfall intensity, and the number of antecedent dry days (ADD), both independently and in combination. The close correlation ($R^2$ = 0.9920) between rainfall and runoff amounts was demonstrated at the study site (a flower farm) over the period between January 2011 and December 2013. The relationships among pollutant levels, runoff, and rainfall was not satisfactory results except for the Biochemical Oxygen Demand ($BOD_5$). The correlation coefficients between $BOD_5$, and both runoff and rainfall, were greater than 0.92. However, the relationships of other pollutants, such as Suspended Solid (SS), Chemical Oxygen Demand ($COD_{Mn}$), Total Nitrogen (TN), and Total Phosphorus (TP), with runoff and rainfall had correlation coefficients of less than 0.70. The roles of rainfall was different from rainfall categories on the occurrence of runoff. Instantaneous rainfall intensity was a principle factor on the occurrence of runoff following light rainfall events (total ${\leq}30mm$). For rainfall of intermediate intensity (total precipitation 31-50 mm), the combined effect of both average rainfall intensity and ADD was found to influence runoff generation. We conclude that the control of NPS pollutants with the reflection of the climate change that makes the remarkable effect of amounts and forms on the rainfall and runoff.

Effect of Albumin Administration on Erythrocyte Crenation in Patients Undergoing Extracorea1 Circulation - A Report of 8 Case - (체외심폐순환중 알부민이 적혈구의 Crenation 에 미치는 영향)

  • 조경수
    • Journal of Chest Surgery
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    • 제22권6호
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    • pp.921-926
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    • 1989
  • The Free fatty acid [FFA] induced massive erythrocyte crenation has been reported in patients undergoing extracorporeal circulation[EGG], suggesting that the crenated cells impair microcirculatory flow and tissue oxygenation during and after the operation. Effect of albumin administration on erythrocyte crenation was examined in 24patients undergoing open heart surgery at the department of Thoracic and Cardiovascular Surgery in the Kyung Hee University Medical Center Between January, 1989 and August, 1989: 8 patients of 24 patients [group A] were given 50 gm albumin, another 8 patients of 24 patients [group B] were g en 26 gm of albumin and the other 8 patients of 24 patients [group C] were not given any albumin as a part of the priming solution. Erythrocyte crenation was almost completely prevented in the patients given 50 gm albumin. Crenated erythrocytes d urging ECC were 3.6* 0.4 % [mean\ulcornerD] of all erythrocytes and 3.1*0.6% after ECC. This was significantly lower than in patients without albumin administration [64.2*9.5% during ECC and 28.7*1.9% after ECC]. But the effect was less striking in the patients given 25 gm albumin, 37.8* 12.0 % during ECC and 27.8*3.9 % after ECC. Maintaining an adequate level of plasma albumin is important in preventing erythrocyte crenation during ECC, improving microcirculatory flow in patients undergoing open heart surgery.

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The Determinants of Foreign Exchange Reserves: Evidence from Indonesia

  • ANDRIYANI, Kurnia;MARWA, Taufiq;ADNAN, Nazeli;MUIZZUDDIN, Muizzuddin
    • The Journal of Asian Finance, Economics and Business
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    • 제7권11호
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    • pp.629-636
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    • 2020
  • This study aims to identify and analyze the factors that affect foreign exchange reserves in Indonesia. We consider the variables of external debt, exchange rate, inflation, and exports as explanatory factors referring to previous studies. We apply the Autoregressive Distributed Lag approach to time-series data retrieved from the Central Bank of Indonesia (BI), the Central Bureau of Statistics (BPS), and International Monetary Funds (IMF) from January 2016 to December 2018. Our results show that foreign debt, exchange rates, inflation, and exports significantly affect the simultaneous fluctuation of foreign exchange reserves in Indonesia. Partially, foreign debt has a significant and positive effect on foreign exchange reserves. The exchange rate has a significant and negative effect on foreign exchange reserves in Indonesia. However, our findings explain that inflation does not significantly affect foreign exchange reserves in Indonesia, and exports have a significant and positive effect on foreign exchange reserves. This study is expected to be useful to policymakers in managing foreign exchange reserves, so the economy of Indonesia can grow sustainably. One of the exciting things in this study lies in the model that uses the Autoregressive Distributed Log, which can explain long-term relationships through adjusted coefficient and cointegration tests.