• 제목/요약/키워드: P/A ratio

검색결과 11,822건 처리시간 0.049초

하악 제3대구치의 존재여부 및 매복양상이 하악 우각부 골절과 과두 골절의 발생에 미치는 영향 (The impact of the presence and aspect of mandibular third molars to the mandibular angle and condyle fractures)

  • 이영주;송윤정;홍순민;채상식;강현우;최동주;박준우
    • 대한치과의사협회지
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    • 제50권9호
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    • pp.566-573
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    • 2012
  • Purpose : This study evaluated the impact of the presence and aspect of mandibular third molars to the mandible angle fracture or condyle fractures in Korean. Materials and Methods : A retrospective study was designed for patients attending the division of Oral and Maxillofacial Surgery, Kang-dong sacred heart hospital for treatment of mandibular fracture from January 2006 to September 2010. The primary variable was the presence of mandibular third molar and the secondary variable was the aspects of third molar impaction. Mandibular third molars were classified by the impaction depth and the available space as Pell & Gregory system. Outcome variables were the presence of mandibular angle fracture or condyle fracture. Also the source of trauma, age, sex were studied. Hospital charts, radiographs were used for study. Statistic analysis was done with descriptive statistics, the X2-test, linear-by-linear association. P value under 0.05 was considered significant statistically. Results : The number of involved patients was 86. The ratio of male to female patients was about 9:1 for angle fracture and 7:3 for condyle fracture. The most common source of trauma was assault for angle fracture and fall down for condyle fracture. The presence of mandibular third molar increased frequency of angle fracture and decreased condyle fracture with larger impaction depth. But available space of mandibular third molar did not show high association with angle or condyle fractures. Conclusion: Preventive extraction of mandibular third molar is recommended for patients with high risk of angle fracture. Male patients at their third decade or martial artists, police officer could be the case. But it is not recommended for patients with low risk of angle fracture and high risk of condyle fracture relatively. Elder female patients without any symptom on their third molar could be the case.

요내반족 변형에 대한 재건수술의 임상적 및 방사선학적 결과 분석 (Analysis of Clinical and Radiographic Outcome of the Reconstructive Surgery for the Cavovarus Foot Deformity)

  • 정홍근;박재용;이동오;엄준상;정승희
    • 대한족부족관절학회지
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    • 제18권2호
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    • pp.62-67
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    • 2014
  • Purpose: Reconstructive surgeries for equinocavovarus foot deformities are quite variable, including hind-midfoot osteotomy or arthrodesis, soft tissue procedure, tendon transfers, etc. Comprehensive evaluation of the deformity and its etiology is mandatory for achievement of successful deformity correction. Few studies in this field have been reported. We report on the clinical and radiographic outcome of reconstruction for cavovarus foot deformities. Materials and Methods: The study is based on 16 feet with cavovarus foot deformities that underwent bony and soft tissue reconstructive surgery from 2004 to 2008. We evaluated the etiologies, varieties of surgical procedures performed, pain score, functional scores, and patient satisfaction and measured the radiographic parameters. Results: The average age at the time of surgery was 39.4 years old, with a male/female ratio of 9/4 and an average follow-up period of 23.9 months (range, 12~49 months). The etiologies of the cavovarus deformity were idiopathic 7 feet, residual poliomyelitis 5 feet, Charcot-Marie-Tooth disease 2 feet, and Guillain-Barre syndrome and hemiplegia due to cerebrovascular accident sequela 1 foot each. Lateral sliding calcaneal osteotomies were performed in 12 feet (75%), followed by Achilles tendon lengthening and plantar fascia release in 11 feet (69%), and first metatarsal dorsiflexion osteotomy/arthrodesis and tendon transfer in 10 feet (63%). Visual analogue scale pain score showed improvement, from an average of 4.2 to 0.5 points. American Orthopaedic Foot and Ankle Society ankle-hindfoot score showed significant improvement, from 47.8 to 90.0 points (p<0.05). All patients were satisfied. Ankle range of motion improved from $27.5^{\circ}$ to $46.7^{\circ}$. In radiographic measurements, calcaneal pitch angle improved from $19.1^{\circ}$ to $15.8^{\circ}$, Meary angle from $13.0^{\circ}$ to $9.3^{\circ}$, Hibb's angle from $44.3^{\circ}$ to $37.0^{\circ}$, and tibio-calcaneal axis angle from varus $17.5^{\circ}$ to varus $1.5^{\circ}$ Conclusion: We achieved successful correction of cavovarus foot deformities by performing appropriate comprehensive reconstructive procedures with improved functional, radiographic measures and high patient satisfaction.

악골 낭종에 대한 임상적 연구 (CLINICAL STUDY OF CYST IN THE JAW)

  • 차상권;김일규;오성섭;최진호;오남식;임영일;김광식;허지영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권2호
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    • pp.167-173
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    • 2001
  • Cystic lesion of the jaw are frequently encountered clinically. Although they rarely lead to development of tumors, they can result in resorption of the jaw bone or asymmetry of the face may occur. The purpose of this study is to find the clinical and histopathological pattern of cysts and to help better understanding for the diagnosis and treatment of jaw cysts. The hospital chart, out-patient chart, panorama X-ray, histopathological report and operation report of 246 patients were reviewed who had been diagnosed as cyst. Sex distribution, age distribution, classification, anatomic distribution, clinical sign & symptoms, treatment, post-operation complications, recurrence rate were studied. Then significant difference between the diameter of cyst with bone graft and none-bone graft was calculated with SAS program. The results were as follows. 1. Among the total patient of 246 cases, male were 163 case(67.0%), and female were 83 case(37.0%), male predominated by the ratio of 1.98. 2. By age group, the 20's accounted for the largest proportion of the cases(27.2%) and the 30' accounted for the 2nd largest proportion of the case(19.5%). 3. Radicular cyst and dentigerous cyst were most common cysts, irrespective of 166 case(67.5%) and 62 case(25.2%). 4. Clinical sign & symptoms were swelling(167case), pain(85case), pus discharge(53case), teeth discoloration(28case), indicating that most complaints were related to inflammation and facial asymmetry. 4.9% of the total cases were discovered accidentally. 5. The primary site of cysts were maxillary anterior area(43.9%), the others were, in descending order, mandibular posterior area(25.6%), maxillary posterior area(14.6%). 6. Enucleation with endodontic treatment was a main treatment method(133 case, 54.1%) and 38 cases(15.4%) were enucleation with extraction, and 37 cases(15.0%) were only enucleation, and 21 cases(8.5%) were enucleation with bone graft. 7. The average diameter of cysts with bone graft was significally greater than with non-bone graft(p<0.05). 8. Post-operation complications occurred in 10 case(4.1%), all of this were due to secondary infection.

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콩식이섬유를 첨가한 식빵의 이화학적 및 품질 특성 (The Physicochemical and Quality Properties of the Bread Added with Soy Fiber Powder)

  • 이명호;변종범;김선경;최영심
    • 한국조리학회지
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    • 제18권1호
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    • pp.1-14
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    • 2012
  • 본 연구는 여러 가지 생리활성 물질을 가지고 있는 콩식이섬유의 섭취를 증가시키기 위하여 콩식이섬유 SF-1450과 SF-1260을 각각 강력분에 0~12% 첨가하여 식빵을 제조하였다. 콩식이섬유 복합분의 식이섬유 함량은 SF-1450, SF-1260 각각 72.0%, 67.8%이었다. Mixograph 특성은 midline peak height, width at peak, width at 8.00 에서는 콩식이섬유 첨가량이 증가할수록 증가하는 경향을 보였다. 식빵의 비용적은 콩식이섬유 첨가량이 증가할수록 대조구보다 유의적으로 감소하는 경향을 보였다. Crust 색도변화는 콩식이섬유의 첨가량이 증가할수록 각각 L값은 4~12% 첨가구에서 대조구보다 유의적으로 증가하였고 a값은 SF-1450은 6~12% 첨가구, SF-1260은 8~12% 첨가구에서 대조구보다 유의적으로 감소하였으며 crumb 색도변화는 b 값의 경우 대조부보다 유의적으로 증가하였다.(p<0.05). Texture의 특성인 경도의 경우 SF-1450은 10~12% 첨가구에서, SF-1260은 6~12% 첨가구에서 대조구보다 유의적으로 증가하였다. 이상에서 살펴본 바와 같이 콩식이섬유 첨가식빵의 관능특성은 첨가량이 증가함에 따라 대조구보다 품질이 떨어지는 현상을 보였고, 이화학적 분석과 전체적인 기호도를 종합해보면 SF-1450의 경우는 2~4%, SF-1260의 경우는 2% 첨가구의 경우가 우수하게 평가되었다.

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병원의 미래 현금흐름 정보예측 (A Study on the Predictability of Hospital's Future Cash Flow Information)

  • 문영전;양동현
    • 한국병원경영학회지
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    • 제11권3호
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    • pp.19-41
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    • 2006
  • The Objective of this study was to design the model which predict the future cash flow of hospitals and on the basis of designed model to support sound hospital management by the prediction of future cash flow. The five cash flow measurement variables discussed in financial accrual part were used as variables and these variables were defined as NI, NIDPR, CFO, CFAI, CC. To measure the cash flow B/S related variables, P/L related variables and financial ratio related variables were utilized in this study. To measure cash flow models were designed and to estimate the prediction ability of five cash flow models, the martingale model and the market model were utilized. To estimate relative prediction outcome of cash flow prediction model and simple market model, MAE and MER were used to compare and analyze relative prediction ability of the cash flow model and the market model and to prove superiority of the model of the cash flow prediction model, 32 Regional Public Hospital's cross-section data and 4 year time series data were combined and pooled cross-sectional time series regression model was used for GLS-analysis. To analyze this data, Firstly, each cash flow prediction model, martingale model and market model were made and MAE and MER were estimated. Secondly difference-test was conducted to find the difference between MAE and MER of cash flow prediction model. Thirdly after ranking by size the prediction of cash flow model, martingale model and market model, Friedman-test was evaluated to find prediction ability. The results of this study were as follows: when t-test was conducted to find prediction ability among each model, the error of prediction of cash flow model was smaller than that of martingale and market model, and the difference of prediction error cash flow was significant, so cash flow model was analyzed as excellent compare with other models. This research results can be considered conductive in that present the suitable prediction model of future cash flow to the hospital. This research can provide valuable information in policy-making of hospital's policy decision. This research provide effects as follows; (1) the research is useful to estimate the benefit of hospital, solvency and capital supply ability for substitution of fixed equipment. (2) the research is useful to estimate hospital's liqudity, solvency and financial ability. (3) the research is useful to estimate evaluation ability in hospital management. Furthermore, the research should be continued by sampling all hospitals and constructed advanced cash flow model in dimension, established type and continued by studying unified model which is related each cash flow model.

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식물체 부위와 수확 시기에 따른 여주 charantin 함량의 변이 (Variation on Charantin Contents of Various Organs and Harvest Seasons in Bitter Gourd)

  • 이희주;이상규;김성겸;최장선
    • 원예과학기술지
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    • 제34권5호
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    • pp.701-707
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    • 2016
  • 여주(Momordica charantia)의 과실 이외의 새로운 부위에 대한 이용 가능성을 구명하고자 과실 수확 종료기 무렵의 식물체부위별 charantin 함량을 분석하였다. 그 결과 두 품종 모두 잎의 charantin 함량이 $131.4-138.0mg{\cdot}g^{-1}D.W.$으로 가장 높았고 과실은 $14.7-16.0mg{\cdot}g^{-1}D.W.$으로 가장 낮아 수확기 무렵에는 charantin 함량이 과실보다 잎이 약 8배 이상 높은 것으로 나타났다. 또한 어린 암꽃, 수꽃과 줄기의 함량도 과실보다 많은 것으로 나타났다. 수확기 무렵의 식물체 부위별 charantin 함량의 비율은 과실이 5%로 매우 낮았으며 줄기 12-13%, 수꽃 14%, 암꽃 20-21%, 잎이 48% 정도로 가장 높았다. 착과 후 14일에 채취한 과실의 수확시기별 charantin 함량은 6월부터 7월 중순까지 수확한 과실의 charantin 함량이 $20.2-23.3mg{\cdot}g^{-1}D.W.$으로 높았고, 7월 하순부터 8월 하순까지 수확한 과실은 $13.3-19.4mg{\cdot}g^{-1}D.W.$으로 낮았다. 따라서 charantin 함량이 높은 과실을 수확하기 위해서는 온도가 높고 과실 비대속도가 빠른 7월 중순 이전이 좋을 것으로 사료되었고, 여주 과실 수확 종료기에는 과실 내 charantin 함량보다 여주의 잎, 암꽃, 수꽃 및 줄기의 charantin 함량이 높기 때문에 버리지 말고 새로운 가공품 개발에 이용하면 좋을 것으로 사료되었다.

교애사물탕이 랫드의 모체와 태자에 미치는 영향에 대한 연구 (The Effects of the Administration on Gyoaesamultang in the Pregnant Rat and Their Fetuses)

  • 김창석;박해모;신헌태;이장우;김경태;김판기;이선동;한상백;한용주
    • 대한예방한의학회지
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    • 제10권2호
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    • pp.31-49
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    • 2006
  • This study was undertaken to investigate the effects of Gyoaesamultang in pregnant rats and their fetuses. Female Sprague-Dawley rats were orally administered with the Gyoaesamultang at dose of 5mg/kg/day for 20 days. Pregnant rats were sacrificed at 20th day of gestation, and observed internal and reproductive organs. Approximately, live fetuses in the 20th day of gestation were randomly selected and fixed in 95% ethanol. To observe skeletal malformations, fetuses were stained with alcian blue and alizarin red S. Maternal body weight of Gyoaesamultang treated group has a tendency to increase compared to that of control group. There were no significant difference in internal and reproductive organs. There were no significant changes between two groups in blood chemistry and hematological values. There were no significant changes in number of corpus luteum, implantation, live fetuses and implantation rate, delivery rate, late resorption rate and sex ratio. But Gyoaesamultang administered group showed lower early resorption rate than the control group. Neonatal body weight and number of fetus of Gyoaesamultang group were increased to that of control group. The fetuses of dams treated with Gyoaesamultang didn't showed external malformation. Vertebral and sternal variations were observed in Gyoaesamultang group but, compared to the control, those variations were insignificant. The number of ribs, cervical, thoracic, and lumber were normal. The number of sacral and caudal vertebrae were increased. Fetuses treated with Gyoaesamultang showed significant difference in the number of caudal vertebra(P<0.01). From these results, it can be concluded that Gyoaesamultang showed no toxicity effects on maternal body weight, early resorption rate, and number of live fetuses. There were no significant changes in organ weight, hematological data, reproductive organs. Although skeletal variations were showed in vertebrate and sternum, Gyoaesamultang were shown insignificant changes in bone malformation.

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제주도(濟州道) 초지개발(草地開發)에 있어서 토양학적(土壤學的) 문제점(問題點) (Soil problems for developing grass land in Jeju)

  • 이종기;이근상
    • 한국토양비료학회지
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    • 제8권3호
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    • pp.153-160
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    • 1975
  • 기상환경(氣象環境)이나 지리적(地理的) 역사적여건(歷史的與件)으로 보아 제주도(濟州道)는 우리나라에서 목축지대(牧畜地帶)로 가장 유리(有利)한 지역(地域)이다. 그러나 제주도(濟州道)의 초지(草地)는 매우 불량(不良)하여 목초(牧草)의 생산력(生産力)은 보잘것이 없고 수년내(數年內) 목축업(牧畜業)의 큰 발전(發展)은 볼 수가 없다. 이같은 현상(現象)은 화산회토양(火山灰土壤)의 불량성(不良性)과 초지경영자(草地經營者)의 토양개량(土壤改良) 및 시비방법(施肥方法)에 대(對)한 인식부족(認識不足)에 있다고 판단(判斷)된다. 토양(土壤)의 화학적(化學約) 불량성(不良性)은 반토성(礬土性)이 강(强)한 산성화산회토양(酸性火山灰土壤)이 갖는 문제점(問題點)인데 이는 염기(鹽基)의 부족(不足)과 인산고정력(憐酸固定力)이 큰 반면(反面) 유효태인산(有效態燐酸)의 현저(顯著)한 결핍(缺乏)과 시비기술(施肥技術)의 미협이다. 따라서 이들 불량성(不良性)의 대책(對策)으로는 염기간균형(鹽基間均衡)을 고려한 석회물질(石灰物質)의 시용(施用)과 용성인비(熔成隣肥)를 주축(主軸)으로한 인산질비료(燐酸質肥料)의 획기적(劃期的)인 증시(增施)와 유기물(有機物) 및 결핍(缺乏)되기 쉬운 미량원소(微量元素)를 시용(施用)하여 토양(土壤)의 불량성(不良性)을 근본적(根本的)으로 개량(改良)한후(後) 초종(草種)과 재배법(栽培法)에 따라 적량(適量)의 삼요소(三要素)를 균형(均衡)있게 시용(施用)하는 것이다.

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저염건 조기의 냉동저장 중 화학적 변화 (Chemical Changes of Low Salt-dried Yellow Corvenia Muscle During Frozen Storage)

  • 은종방;이진철;정동옥
    • 한국수산과학회지
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    • 제30권4호
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    • pp.660-666
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    • 1997
  • 참조기에 $14\%$ 정도 천일염을 가해 저열건조기를 가공한 후 근육만을 $-20^{\circ}C$에서 냉동저장 하면서 영양 및 화학적 조성의 변화를 살펴보았다. 저염검 조기의 수분, 단백질, 지방, 회분은 각각 $74.6\%,\;18\%,\;3.4\%$$2.3\%$로 냉동 저장 중 큰 변화는 없었고, 유리아미노산의 경우는 저장 중 약 2배 정도 증가 하였으며 주요 유리아미노산으로는 glutamic arid, alanine, lysine, glycine이었다. 근육에서 추출한 중성지방질의 주요 구성지방산은 palmitic acid, stearic acid, palmitoleic acid, docosahexaenoic acid 이었으며 인지질의 주요 구성지방산은 docosahexaenoic acid, palmitic acid, eicosapentaenoic acid 이었다. 유리지방산 함량 및 산값은 가공직후 각각 $3.8{\mu}M/g,\;0.25mg/100g$에서 냉동 10개월 후에는 $7{\mu}M/g$과 0.4mg/100g로 약간의 증가 후세를 보였고, TBA값은 $20{\mu}M/kg$에서 저장 2개월째 $60{\mu}M/kg$으로 증가하였으며, 그 후 완만한 증가를 보였다. 산도 및 pH는 냉동 저장 중 거의 변화가 없었으며, 아미노태질소는 가공직후 90mg/100g에서 자장 10개월째에는 18mg/100g으로 약간의 증가 추세를 보였다. VBN은 초기 18mg/100g에서 저장 5개월째에 초기 부패 단계까지 증가하였으며, 이후 계속 증가하는 경향을 나타내므로, 저염건 조기를 $-20^{\circ}C$ 냉동저장할 경우, 5개월 정도 저장 가능할 것으로 생각되었다.

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불안정성 족근관절 골절의 수술적 치료 결과에 영향을 미치는 임상적 예후 인자에 대한 분석 (The Evaluation of Clinical Prognostic Factors for the Surgically Treated Unstable Ankle Fractures)

  • 정홍근;유문집;유석주;이성철;박진영;김태원;김명호
    • 대한족부족관절학회지
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    • 제5권2호
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    • pp.112-119
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    • 2001
  • Purpose: The purpose of this study is to analyze the clinical prognostic factors which may affect the postoperative clinical results of the unstable ankle fractures. Materials and Methods: This study is based on 62 unstable ankle fractures treated by open reduction and internal fixation from May 1994 to June 2000, with a minimum follow-up period of 12 months(range: 13 months-7 years 3 months). The 62 patients were average 39.1 years old with male: female ratio of 41:21. Based on Lauge-Hansen classification, the supination-external rotation type was the most common with 36 (58.1%) cases. The clinical results was assessed by American Orthopaedic Foot and Ankle Society(AOFAS) functional scale. The sex, age, body weight, trauma-operation interval, operation time, cause of injury, fracture type were statistically analyzed as the possible postoperative clinical prognostic factors. Results: Postoperative AOFAS functional scale was average 82.1 points with 22(35.5 %) cases excellent, 12(19.4%) good. 16(25.8%) fair and 12(19.4%) cases poor results. The age and the operation time were found to be statistically significant factors affecting the prognosis(p<0.001). The sex, weight, trauma-operation interval factors did not significantly affect the clinical results. The pronation-external rotation type showed better clinical tendency among the fracture types, but without the statistical significance. Conclusion: The surgically treated unstable ankle fractures in patients whose age was above 41 years old or operation time exceeding 90 minutes showed significantly poor clinical results.

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