• 제목/요약/키워드: Low effective index

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Surgical management of male genital lymphedema: A systematic review

  • Aulia, Indri;Yessica, Eva Chintia
    • Archives of Plastic Surgery
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    • 제47권1호
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    • pp.3-8
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    • 2020
  • Genital lymphedema (GL) is an uncommon and disabling disease that manifests as enlargement of the genital region resulting from the disturbance of lymphatic drainage. Although conservative treatment such as decompression is typically the first-line approach, surgical intervention has been shown to be effective in certain cases. This study aimed to systematically review studies evaluating available surgical alternatives for the treatment of male GL. A systematic search strategy using keyword and subject headings was applied to PubMed, Scopus, EMBASE, and Cochrane Library in May 2019. Studies investigating various surgical techniques to treat penile and scrotal lymphedema were included. The potential risk of bias of included trials was evaluated using the methodological index for non-randomized studies (MINORS). In total, 13 studies met the inclusion criteria, nine of which were determined to be high-quality. The average MINORS score was 12.45 for studies involving excision and 14 for studies involving lymphovenous anastomosis (LVA). The most common reason for a low score was a failure to describe the inclusion criteria. Recurrence of lymphedema during follow-up was reported in four studies involving excision and in no studies involving LVA. In general, the quality of the included literature was considered to be fair. Although surgical intervention might not always prevent the recurrence of lymphedema, all of the studies reported improved quality of life after the procedure. This study could be used as the basis for evidence-based guidelines to be applied in clinical practice for managing male GL.

범불안장애를 호소하는 귀비온담탕 가미방 치험 1례 (Case Report of Generalized Anxiety Disorder Treated with Guibiondamtang-gami)

  • 양승보;김연진;이형민;이현중;조승연;박성욱;박정미;고창남
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.361-367
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    • 2016
  • Objective: This clinical study reports on the effect of traditional Korean medicine on a patient with generalized anxiety disorder.Method: A patient who suffered from generalized anxiety disorder was treated with herbal medicine (Guibiondamtang-gami), acupuncture, moxibustion, and pharmacopuncture. We assessed the changes of anxiety-related symptoms with the state-trait anxiety inventory (STAI) score, the Beck anxiety inventory (BAI) score, a heart rate variability (HRV) test, and a second derivative of photoplethymogram waveform (SDPTG) test.Results: After taking Guibiondamtang-gami for 22 days, the patient’s STAI score, BAI score, and LF/HF (low-frequency/high-frequency heart rate variability) ratio decreased, while the differential pulse wave index and stress power in the SDPTG test increased.Conclusion: This clinical case study has demonstrated that traditional Korean medicine may be an effective option for treating generalized anxiety disorder.

Polyethylene/Montmorillonite Nanocomposite의 난연성 평가 (Assessment on the Flame Retardancy for Polyethylene/Montmorillonite Nanocomposite)

  • 송영호;정국삼
    • 한국화재소방학회논문지
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    • 제20권4호
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    • pp.72-76
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    • 2006
  • 고분자/점토의 nanocomposite는 고분자에 소량의 점토를 첨가해도 물리적, 기계적, 열적 특성이 증가하기 때문에 최근 이에 관련된 연구가 증가되고 있다. 특히 montmorillonite(MMT)와 같은 smectite 계열의 점토는 높은 종횡비, 판형의 층상구조, 경제성 때문에 산업적으로 이용가치가 많다고 할 수 있다. 본 연구에서는 PE/MMT nanocomposite는 고분자를 용융시킨 후 점토를 삽입하여 시편을 제조하였다. 나노입자의 구조는 XRD 및 TEM을 이용하여 확인하였고, 난연성은 LOI, 탄화층 생성량, 연기중량농도의 측정을 통하여 검토하였다. 또한 PE/MMT nanocomposite의 열적 안정성은 DTG-DTA 분석을 통하여 검토하였다. 그 결과 종래의 화합물보다 그 특성이 보강되었다. 난연성은 연소시 탄화층 형성에 의하여 증가 되었음을 확인할 수 있었다.

당뇨조절식의 조리법과 혈당반응효과 (Recipes for dishes controlling diabetes and its blood glucose response effect)

  • 김명애;김연선;윤석권
    • 한국식품조리과학회지
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    • 제15권4호
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    • pp.401-409
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    • 1999
  • 본 연구는 혈당반응이 낮은 식품인 미역, 시금치, 돌미나리, 산마, 토마토를 활용하여 37종의 부식에 대한 조리법을 개발하고, 일반식과 저GI식단을 정상인을 대상으로 혈당반응을 비교 분석함으로써, 혈당조절효과가 있고 기호성이 있는 당뇨조절식단을 개발하는데 도움이 되고자 한다. 조리법은 전통식 조리형태에 가까울수록 높은 평가를 받았다. 기호성이 높은 조리법으로는 미역쇠고기국, 미역된장국, 미역건새우죽, 미역수제비, 미역줄기볶음, 미역버섯회, 미역고추장무침, 시금치당근즙, 시금치된장국, 시금치전, 시금치두부무침 , 돌미나리굴생채, 돌미나리쇠고기무침, 돌미나리즙, 돌미나리초대, 마조림 , 마전등으로 6.8-8.2점의 평가를 받았다. 정상인에 대하여 일반식과 당뇨조절식의 혈당반응을 조사한 결과, 일반식 GI 100에 대하여 당뇨조절식은 GI 91.3-GI 57.9로서 혈당강하효과가 있었다. 특히, GI 57.9로서 가장 효과가 컸던 식단은 30% 검정콩 혼식에 당뇨식 반찬이었다.

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퍼지 모델에 기초한 시계열 주가 예측 (Time Series Stock Prices Prediction Based On Fuzzy Model)

  • 황희수;오진성
    • 한국지능시스템학회논문지
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    • 제19권5호
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    • pp.689-694
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    • 2009
  • 본 논문은 일별 및 주별로 시계열 주가를 예측할 수 있는 퍼지 모델을 구성하는 방법을 제안한다. 전통적인 시계열 분석으로 주가를 예측하는 것은 어렵지만 퍼지 모델은 비선형적인 주가 데이터의 특성을 잘 기술할 수 있는 장점을 갖고 있다. 주가 예측 모델에 사용될 입력 정보를 결정하는 데는 상당한 수고가 필요한데, 본 논문에서는 전통적인 캔들 스틱 차트의 정보를 입력변수로 고려한다. 주가 예측 퍼지 모델은 사다리꼴 멤버쉽함수를 갖는 전건부와 비선형식인 후건부로 된 퍼지 규칙으로 구성된다. 차분 진화를 통해 퍼지 모델은 최적화된다. 일별 및 주별로 코스피 지수의 시가, 고가, 저가 및 종가를 예측하는 모델을 만들고 그 성능을 평가한다.

우리나라 수산업의 경쟁력 분석 및 유통구조 선진화 방안에 관한 연구 (A Study on Competitive Power and Effective Distribution Structure of Korean Fisheries)

  • 김청열
    • 한국항만경제학회지
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    • 제25권3호
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    • pp.283-302
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    • 2009
  • 본 연구는 본격적인 개방시대에 즈음하여 우리나라 수산업의 교역 현황과 수산업의 수출입 비중이 높은 대중국 수산업 경쟁력 분석을 실시하고, 수산물 유통구조의 문제점 및 수산업 발전을 위한 선진화 방안을 도출함을 연구의 목적으로 한다. 우리나라의 수산업 유통체계를 저비용 고효율 체제로 개선하기 위해서 정책적 노력은 정부차원에서 계속되고 있으나 수산물 유통현장에서는 아직도 많은 모순들이 끊임없이 발생하고 있다. 이러한 현실에서 '수산물 유통시장을 현실에 맞게 재편하려는 새로운 시각'이 필요하다는 것이다. 다시 말하면 소비지 도매시장의 거래제도가 수산물 유통의 전부는 아니라는 것이다. 오히려 수산물 유통구조를 개선하려는 정책적 포커스가 유통시장(산지위판장, 소비지 도매시장 등)의 전체구조를 재편하려는 부분으로 전환되어야 한다. 또한 개방화 시대에 우리나라 수산업의 정책 방향 마련을 위해서는 수산업의 경쟁 력 등을 비교 평가할 필요가 있으며 이를 근거로 제한된 정책자원을 선택과 집중으로 효율적으로 투입하기 위해서이다.

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수도(水稻) 가리시비(加里施肥) 효율향상(効率向上)을 위(爲)한 추비방법(追肥方法) (Topdressing method of Potassium for the better efficiency in rice)

  • 오왕근;유인수;박훈;김우진
    • 한국토양비료학회지
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    • 제8권4호
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    • pp.199-217
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    • 1975
  • For the establishment of efficient method of potassium topdressing on rice the optimum time and amount were investigated and discussed on the basis of available data from nutriophysiological studies, soil characteristics and fertilizer trials in fields. The followings were pointed out. 1. According to yield rice plants require more potassium around heading under water culture. 2. Potassium involves in harvest index, filled grain ratio, grain weight and number of spikelets per panicle. 3. Potassium is lost after heading in most fields in spite of highest requirement during this period. 4. The higher $K_2O/N$ ratio in straw at harvest is, the higher the yield. 5. Relatively low efficiency of potassium fertilizer under the field condition may be due to improper application method rather than natural supply from soil and irrigation water. 6. Appropriate topdressing time appears at in effective tillering stage for the prevention of nitrogen excess and at 15 to 20 days after transplanting, ear formation stage and 5 days after heading for the prevention of soil reduction damage. Two times of topdressing for clayey soil and three times for sandy soil seems reasonable in practice together with nitrogen topdressing, 7. The reasonable ratio basal to topdressing of potassium fertlizer seems to be 2/3 and $N/K_2O$ ratio of fertilization for ear formation stage appeared also as 2/3.

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Bio-control of Stem Rot in Jerusalem Artichoke (Helianthus tuberosus L.) in Field Conditions

  • Junsopa, Chutsuda;Saksirirat, Weerasak;Saepaisan, Suwita;Songsri, Patcharin;Kesmala, Thawan;Shew, Barbara B.;Jogloy, Sanun
    • The Plant Pathology Journal
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    • 제37권5호
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    • pp.428-436
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    • 2021
  • Stem rot is a serious disease in Jerusalem artichoke (JA). To reduce the impact of this disease on yield and quality farmers often use fungicides, but this control method can be expensive and leave chemical residues. The objective of this study was to evaluate the efficacy of two biological control agents, Trichoderma harzianum T9 and Bacillus firmus BSR032 for control of Sclerotium rolfsii under field conditions. Four accessions of JA (HEL246, HEL65, JA47, and JA12) were treated or notreated with T. harzianum T9 and B. firmus BSR032 in a 4 × 2 × 2 factorial experiment in two fields (environments), one unfertilized and one fertilized. Plants were inoculated with S. rolfsii and disease was evaluated at 3-day intervals for 46 days. T. harzianum T9 and B. firmus BSR032 reduced disease incidence by 48% and 49%, respectively, whereas T. harzianum T9 + B. firmus BSR032 reduced disease incidence by 37%. The efficacy of T. harzianum T9 and B. firmus BSR032 for control of S. rolfsii was dependent on environments and genotypes. The expression of host plant resistance also depended on the environment. However, HEL246 showed consistently low disease incidence and severity index in both environments (fertilized and unfertilized). Individually, T. harzianum T9, B. firmus BSR032, or host plant resistance control stem rot caused by S. rolfsii in JA. However, no combination of these treatments provided more effective control than each alone.

International Diversification, Tax Avoidance, and Chaebol: Evidence from Korea

  • Kang, Jeong-Yeon;Kim, Jin-Soo
    • Journal of Korea Trade
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    • 제25권5호
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    • pp.74-92
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    • 2021
  • Purpose - Utilizing a large sample of Korean firms, this study examines international diversification impacts on corporate tax avoidance and whether firms affiliated with large business groups (known in Korean as "chaebol") reinforce the relationship between international diversification and tax avoidance. Design/methodology - This paper hypothesizes that 1) international diversification is likely to increase tax avoidance, 2) the positive effect of international diversification on tax avoidance is likely to be more pronounced for chaebol firms. We examine the hypotheses by using Korean firms listed in the Korean stock market between 2011 and 2016. We employ the number of foreign subsidiaries and the entropy index as proxies for international diversification and CASH ETR and GAAP ETR as proxies for tax avoidance. Findings - Our findings are summarized as follows. First, we have found that as firms are more internationally diversified, tax avoidance increases. It means that international diversification can be employed as a method of reducing the tax burden. Second, firms affiliated with chaebol are strengthened by the positive relation between international diversification and tax avoidance. It is interpreted that chaebol firms have more effective opportunities to reduce taxes than other firms. When entering foreign markets, they can share experience and resources to decrease taxation within the large business group. Originality/value - This study provides empirical evidence regarding the tax effect of international diversification. Unlike prior studies, international diversification is positively related to tax avoidance in Korea. In addition, we present additional evidence on the chaebol effects of international diversification on tax avoidance, in which they have an advantage to reduce taxes using transfer pricing through related party transactions, income shifting to low tax rate countries, and establishing subsidiaries in tax havens.

Transanal Tube Drainage as a Conservative Treatment for Anastomotic Leakage Following a Rectal Resection

  • Shalaby, Mostafa;Thabet, Waleed;Buonomo, Oreste;Di Lorenzo, Nicola;Morshed, Mosaad;Petrella, Giuseppe;Farid, Mohamed;Sileri, Pierpaolo
    • Annals of Coloproctology
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    • 제34권6호
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    • pp.317-321
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    • 2018
  • Purpose: We evaluate the role of transanal tube drainage (TD) as a conservative treatment for patients with anastomotic leakage (AL). Methods: Patients treated for AL who had undergone a low or an ultralow anterior resection with colorectal or coloanal anastomosis for the treatment of rectal cancer between January 2013 and January 2017 were enrolled in this study. The data were collected prospectively and analyzed retrospectively. The primary outcomes were the diagnosis and the management of AL. Results: Two hundred thirteen consecutive patients, 122 males and 91 females, were included. The mean age was $66.91{\pm}11.15years$, and the median body mass index was $24kg/m^2$ (range, $20-35kg/m^2$). The median tumor distance from the anal verge was 8 cm (range, 4-12 cm). Ninety-three patients (44%) received neoadjuvant therapy for nodal disease and/or locally advanced rectal cancer. Only 13 patients (6%) developed AL. Six patients developed subclinical AL as they had a defunctioning ileostomy at the time of the initial procedure. They were treated conservatively with TD under endoscopic guidance in the endoscopy unit and received intravenous antibiotics. Six weeks after discharge, these 6 patients underwent follow-up flexible sigmoidoscopy which showed a completely healed anastomotic defect with no residual stenosis. Seven patients developed a clinically significant AL and required reoperation with pelvic abscess drainage and Hartmann colostomy formation. Conclusion: These results suggest that TD for management of patients with AL is safe, cheap, and effective. Salvaging the anastomosis will help decrease the need for Hartmann colostomy formation. Proper patient selection is important.