• Title/Summary/Keyword: Manipulation

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Improvement of catheter-related outcomes after application of tunneled cuffed hemodialysis catheter insertion without fluoroscopy

  • Kang, Seok Hui;Do, Jun Young
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.186-193
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    • 2020
  • Background: Non-tunneled catheters (NTCs) are used for hemodialysis (HD) in many centers in which fluoroscopy is not easily accessed despite high complication rates and conditions requiring long-term HD. Therefore, here we aimed to evaluate the superiority of catheter-related outcomes after the application of tunneled cuffed catheter (TCC) without fluoroscopy versus unconditioned NTC insertion. Methods: We divided the participants into two phases: those receiving NTCs between March 2010 and February 2011 (phase I), and those receiving TCCs or NTCs between March 2011 and February 2012 (phase II). Catheter survival, nurse satisfaction, and reasons for catheter removal were analyzed. Results: Two hundred and sixty patients in phase I and 300 patients in phase II were enrolled in this study. The success rate of TCC insertion was 99.2%. The catheter survival rate in phase I was 65.5% at 1 month, while that in phase II was 74.9% at 1 month (p=0.023). We compared catheter survival between TCCs and NTCs for all periods regardless of phase. The TCC survival rate was higher than the NTC survival rate (p<0.001). Catheter-associated problems led to catheter removal in 97 patients (26.6%) in phase I and 68 patients (18.5%) in phase II (p=0.009). Among 14 HD nurses, all reported being satisfied with manipulation during pre-/post-HD, manupulation during HD, and overall. Eleven HD nurses (78.6%) reported being satisfied with the workload. Conclusion: Compared with unconditional NTC insertion for HD, TCC insertion without fluoroscopy improved the overall catheter survival and nurse satisfaction rates.

Effects of Levels and Sources of Follicular Fluid on the In Vitro Maturation and Development of Porcine Oocytes

  • Huang, W.T.;Tang, P.C.;Wu, S.C.;Cheng, S.P.;Ju, J.C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.14 no.10
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    • pp.1360-1366
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    • 2001
  • The aims of this study were first to evaluate the effects of different levels (20, 40 and 100%) and sources (follicular size: large, >7 mm; medium, >5-7 mm; small, 3-5 mm) of porcine follicular fluid (pFF) on the in vitro maturation (IVM) of porcine oocytes, and the effects of fertilization treatments and different culture conditions on development of fertilized oocytes were also investigated. No differences in the maturation (63.6-76.6%) and cleavage (24.8-34.3%) rates were observed among the 20,40 and 100% pFF groups (p>0.05). The cleavage rates of oocytes cultured and fertilized in 40% and 100% pFF maturation media were significantly higher than those fertilized in m199-NBCS (51.0-61.2% vs. 12.8-31.8%. p<0.05), regardless of sources of the pFF. When oocytes were fertilized in m199-NBCS followed by culture in rabbit oviducts for 4 days, the cleavage rate in 40% pFF group was better than that in 100% pFF group (46.9% vs. 32.5%, p<0.05). Two oocytes recovered from the oviducts in the 40% pFF group developed to blastocysts after IVC. However, none developed to blastocysts when fertilized in the IVM medium after being transferred to rabbit oviducts. In conclusion, addition of pFF accompanied with gonadotropins (FSH, LH) in IVM medium enhanced maturation and cleavage rates of porcine oocytes. Direct addition of sperm suspension to IVM medium may be an alternative to simplify the fertilization procedures and to reduce the mechanical lesion during manipulation. Furthermore, rabbit oviducts provide a better environment for the in vitro fertilized oocyte developing to the morula and blastocyst stages.

New Technologies in Low Pollution Swine Diets : Diet Manipulation and Use of Synthetic Amino Acids, Phytase and Phase Feeding for Reduction of Nitrogen and Phosphorus Excretion and Ammonia Emission - Review -

  • Lenis, Nico P.;Jongbloed, Age W.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.2
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    • pp.305-327
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    • 1999
  • In the paper insight is given in the legislation policy to restrain environmental pollution by pig husbandry, focused on The Netherlands (Mineral Accounting System). Besides, nutritional measures are presented to reduce environmental pollution by lowering excretion of N and P, emphasizing (multi) phase feeding, the use of low protein, synthetic amino acids supplemented diets, phytase and its effect on phosphorus and calcium digestibility, its interaction with phytic acid and proteins, and the environmental impact of the use of phytase in pig diets. Also, nutritional means are indicated to reduce ammonia volatilization from pig operations. It is concluded that nutrition management can substantially contribute to reduction of N and P excretion by pigs, mainly by lowering dietary protein levels, (multi) phase feeding and the use of microbial phytase, and that the use of phytase on a large scale in The Netherlands has a tremendous environmental impact. In 20 years the excretion of P in growing-finishing pigs has more than halved. Ammonia emission from manure of pigs can be reduced substantially by lowering dietary protein content, but also by including additional non-starch polysaccharides in the diet. A very promising method to reduce ammonia emission is to manipulate dietary cation-anion difference, e.g. by adding acidifying salts to the diet, which will lower pH of urine substantially. Further research is desirable. This also applies to determining dietary factors influencing the odour release from manure. Finally, some speculation on the future of pig farming from an environmental viewpoint is presented.

Manipulation of Cassava Cultivation and Utilization to Improve Protein to Energy Biomass for Livestock Feeding in the Tropics

  • Wanapat, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.3
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    • pp.463-472
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    • 2003
  • Cassava (Manihot esculenta, Crantz), an annual tropical tuber crop, was nutritionally evaluated as a foliage for ruminants, especially dairy cattle. Cultivation of cassava biomass to produce hay is based on a first harvest of the foliage at three months after planting, followed every two months thereafter until one year. Inter-cropping of leguminous fodder as food-feed between rows of cassava, such as Leucaena leucocephala or cowpea (Vigna unculata), enriches soil fertility and provides additional fodder. Cassava hay contained 20 to 25% crude protein in the dry matter with good profile of amino acids. Feeding trials with cattle revealed high levels of DM intake (3.2% of BW) and high DM digestibility (71%). The hay contains tannin-protein complexes which could act as rumen by - pass protein for digestion in the small intestine. As cassava hay contains condensed tannins, it could have subsequent impact on changing rumen ecology particularly changing rumen microbes population. Therefore, supplementation with cassava hay at 1-2 kg/hd/d to dairy cattle could markedly reduce concentrate requirements, and increase milk yield and composition. Moreover, cassava hay supplementation in dairy cattle could increase milk thiocyanate which could possibly enhance milk quality and milk storage, especially in small holder-dairy farming. Condensed tannins contained in cassava hay have also been shown to potentially reduce gastrointestinal nematodes in ruminants and therefore could act as an anthelmintic agent. Cassava hay is therefore an excellent multi-nutrient source for animals, especially for dairy cattle during the long dry season, and has the potential to increase the productivity and profitability of sustainable livestock production systems in the tropics.

Development of Road Guide Sign Management System Based on National Digital Base Maps (국가수치기본도를 활용한 도로안내표지판 관리시스템 개발)

  • Kim, Si-Gon
    • Journal of Korean Society for Geospatial Information Science
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    • v.6 no.2 s.12
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    • pp.35-44
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    • 1998
  • Road guide sign is one of important traffic facility, which guides a driver a direction to go. A road is being newly built and/or an existing road can be temporarily closed very often at metropolitan area. Such information has to be linked to a road guide sign and to be updated in time. Otherwise, it might cause not only confusion to a driver but also traffic accident and/or traffic congestion. However, road guide signs are not properly managed at this time since the amounts of information are huge and they are being managed through paper maps manually. A decision-making framework has been developed to manage a variety of information of road guide signs based on the concept of GIS(Geographic Information Systems). Especially, it is designed on the fact that the existing national digital base maps under the NGIS(National Geographic Information Systems) program can be utilized. This framework has several functions such as the manipulation of statistics, landmark linkages along the selected traffic corridor and automatic design of signboard's content. This system is applied to the Kangnam district in Seoul Metropolitan area (SMA) for a case study.

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The Improvement for Geo-spatial Information Utilization of Environment Impact Assessment Supporting System (환경영향평가 정보지원시스템의 지형공간정보 서비스의 활용성 개선)

  • Chang, Hoon;Jeon, Hyung Jin
    • Journal of Korean Society for Geospatial Information Science
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    • v.21 no.1
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    • pp.45-52
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    • 2013
  • EIASS(Environment Impact Assessment Supporting System) provided the various updated quality environment impact assessment data and the assessment reports through database system to support cost effective and stable services. Through this system users can access environment impact assessment information and have great convenience in their relevant works. This study introduces geo-spatial information usages in EIASS and how this system developed the use of convenience and expansion of service ranges by user surveys. This study also demonstrated step-wise delivery and links on one-stop database inventory for data collection, manipulation, and usages of geo-spatial information among environmental information.

A Study on Open Software based IP Network System Practice Platform and Practicing Scenario (공개 소프트웨어 기반 IP 네트워크 시스템 실습 플랫폼 및 실습 시나리오)

  • Kim, Tae-Joon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.106-114
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    • 2020
  • It is very important for beginners in networking to build, test, and operate an IP network system, which is the key infrastructure of the fourth industrial revolution. An IP network system consists of the IP network itself, covering both the internet and underlying layers, plus the basic network system supporting fundamental network services, with a DNS, the DHCP, email, WWW, and application service systems, such as VoIP. This paper suggests an open software-based practice platform with a minimal network configuration on which beginners can practice on nearly all of the IP network system, and it presents a practice scenario and results. In addition, it adds both IP address allocation and routing table manipulation functions to the network simulator software, which will allow beginners to learn table-based datagram routing schemes in advance. This platform may be useful for networking beginners in order to practice on an IP network system on their own personal computers without additional equipment and costs.

In vitro Screening of Essential Oil Active Compounds for Manipulation of Rumen Fermentation and Methane Mitigation

  • Joch, M.;Cermak, L.;Hakl, J.;Hucko, B.;Duskova, D.;Marounek, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.29 no.7
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    • pp.952-959
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    • 2016
  • The objective of this study was to investigate the effects of 11 active compounds of essential oils (ACEO) on rumen fermentation characteristics and methane production. Two trials were conducted. In trial 1, ACEO (eugenol, carvacrol, citral, limonene, 1,4-cineole, p-cymene, linalool, bornyl acetate, ${\alpha}$-pinene, and ${\beta}$-pinene) at a dose of $1,000{\mu}L/L$ were incubated for 24 h in diluted rumen fluid with a 70:30 forage:concentrate substrate (16.2% crude protein; 36.6% neutral detergent fiber). Three fistulated Holstein cows were used as donors of rumen fluid. The reduction in methane production was observed with nine ACEO (up to 86% reduction) compared with the control (p<0.05). Among these, only limonene, 1,4-cineole, bornyl acetate, and ${\alpha}$-pinene did not inhibit volatile fatty acid (VFA) production, and only bornyl acetate produced less methane per mol of VFA compared with the control (p<0.05). In a subsequent trial, the effects on rumen fermentation and methane production of two concentrations (500 and $2,000{\mu}L/L$) of bornyl acetate, the most promising ACEO from the first trial, were evaluated using the same in vitro incubation method that was used in the first trial. In trial 2, monensin was used as a positive control. Both doses of bornyl acetate decreased (p<0.05) methane production and did not inhibit VFA production. Positive effects of bornyl acetate on methane and VFA production were more pronounced than the effects of monensin. These results confirm the ability of bornyl acetate to decrease methane production, which may help to improve the efficiency of energy use in the rumen.

Treatment of Osteochondroma of the Mandibular Condyle with Inferior Adhesion of Meniscus: A Case Report (관절원판의 유착을 동반한 하악과두의 골연골종의 치료: 증례보고)

  • Seol, Dong-Ju;Choi, Byung-Joon;Kim, Yeo-Gab;Lee, Baek-Soo;Ohe, Joo-Young;Lim, Ji-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.3
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    • pp.189-194
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    • 2013
  • Osteochondroma is a benign neoplasm, osseous projection surrounded with cartilage, 35.8% of benign osseous tumor, 8.5% of whole osseous tumor and usually arises from the skeletal bone. Osteochondroma is a cartilaginous derivation and relatively uncommon in the craniofacial bone. Osteochondroma of the mandible has slow growth rates which mainly affect women around forty years of age and it can appear through the coronoid process and mandibular condyle, especially in the medial half. Clinical finding associated with osteochondroma of condyle are primarily a palpable, painless temporomandibular area mass with facial asymmetry, malocclusion and midline deviations. Sometimes pain and dysfunction like trismus often accompany the anatomic derangement. Other features include malocclusion with open-bite on the affected side and cross-bite on the contralateral side. In this study, a 45-years old female patient exhibits pain on the left temporo-mandibular joint area and malocclusion due to loss of the molar region with osteochondroma on the top left of her mandibular condyle head. The patient is able to recover gradually from the symptom through treatments on manipulation, stabilization splint, arthroscopic lavage and surgical excision, thus, this is reported as a clinical case.

A Study on the Acupuncture & Moxibustion of Huangdineijing - focused on Concept of Time - (『황제내경(黃帝內經)』의 침구법(鍼灸法) 연구 - 시간(時間) 개념을 중심으로 -)

  • Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.29 no.3
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    • pp.57-74
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    • 2016
  • Subject : Treatment of acupuncture & moxibustion in Huangdineijing Objectives : Discover the principles and substances of acupuncture & moxibustion treatment of Huangdineijing Methods : The author reviewed the Huangdineijing: Suwen, Lingshu to gain a realistic sense of the facts and the medical book's contents that deal with the practices of acupuncture & moxibustion treatment for clinical praxis. Conclusions : 1. The acupuncture & moxibustion of Huangdineijing can be defined as follows. A treatment for correcting of meridian's drift by proper selection of surgical site, using suitable implementation and appropriate manipulation skill from a correct judgement of meridian's flowing through sensing the pulse for diagnosis when the meridian's flowing which come and go constantly driven by the tidal order of defensive Qi tactually appeared hard or soft caused by diseases, thus bring out the soft & gradual 50 laps circulation of nutrient Qi moderately driven by defensive Qi. 2. Today's acupuncture & moxibustion treatments greatly differ from those of Huangdineijing in that we do not know the substance of that treatment which is correcting of meridian's drift and do not obligatorily carry out feeling of the pulse for diagnosis which is a measure & judgement of meridian's flowing against a preliminary treatment in parallel with treatment so reduce use and power of that treatment. 3. I could form a list of general principle from the substances of acupuncture & moxibustion of Huangdineijing like as the flowing or fate of meridian Qi(tidally going in order of defensive Qi and nutrient Qi), deficiency or excess of Meridian flowing, comparing diagnosis before and after treatment, bring out the soft & gradual Qi. That was imposing "the concept of time" on recognition and treatment to human body.