• 제목/요약/키워드: RA07

검색결과 87건 처리시간 0.03초

Effect of the Proximal Anastomosis Configuration of the Radial Artery in Patients Undergoing Coronary Artery Bypass Grafting

  • Yoon, Seung Keun;Song, Hyun;Lim, Ju Yong
    • Journal of Chest Surgery
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    • 제54권2호
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    • pp.117-126
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    • 2021
  • Background: Several factors, such as the degree of target vessel stenosis, are known to be associated with radial artery (RA) graft patency in coronary artery bypass grafting (CABG). There is a lack of data regarding the effect of the RA proximal configuration (aortic anastomosis versus T-anastomosis). This study evaluated the effects of the RA proximal configuration on the patency rate and clinical outcomes after CABG. Methods: We conducted a retrospective study, analyzing 328 patients who had undergone CABG with an RA graft. We divided the patients into 2 groups. The primary endpoint was RA patency and the secondary endpoints were overall mortality and major adverse cardiac and cerebrovascular events (MACCE). We performed a propensity score-matched comparison. Results: Aorta-RA anastomosis was performed in 275 patients, whereas the rest of the 53 patients received T-RA anastomosis. The mean age was 67.3±8.7 years in the T-RA anastomosis group and 63.8±9.5 years in the aorta-RA anastomosis group (p=0.02). The mean follow-up duration was 5.13±3.07 years. Target vessel stenosis ≥70% (hazard ratio [HR], 0.42; 95% confidence interval [CI], 0.20-0.91; p=0.03) and T-RA anastomosis configuration (HR, 2.34; 95% CI, 1.01-5.19; p=0.04) were significantly associated with RA occlusion in the multivariable analysis. However, T-RA anastomosis was not associated with higher risks of overall mortality and MACCE following CABG (p=0.30 and p=0.07 in the matched group, respectively). Conclusion: Aorta-RA anastomosis showed a superior patency rate compared to T-RA anastomosis. However, the RA proximal anastomosis configuration was not associated with mortality or MACCE.

일부 학령기 아동의 구리 섭취량 및 구리 영양 상태에 관한 연구: 충남 벽지농촌과 도시간의 비교 (Dietary Copper Intakes and Nutritional Status of Copper in Serum among Elementary Schoolchildren in Chungnam Province in Korea: Comparison between Remote Rural and Urban Areas)

  • 김선효
    • Journal of Nutrition and Health
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    • 제39권4호
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    • pp.381-391
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    • 2006
  • This study is performed to compare the dietary intakes and food sources of copper (Cu) using the database of Cu content developed in this study between the elementary schoolchildren in remote rural areas (RA, n=58, $9.9{\pm}1.7$ yrs) and those in urban area (UA, n=60, $9.4{\pm}1.8$ yrs), and to analyze the relationship between serum Cu concentration and serum antioxidant status in the RA. The results obtained in this study were as followings: 1) Dietary intakes of calorie, calcium and iron in the RA were in the 3/5-4/5 of the Korean RDA while the UA were similar to or more than the Korean RDA, 7th ed. except iron. 2) More than 273 kinds of food consumed by the subjects were analyzed the content of Cu and database of Cu content were developed in the present study. The mean dietary intake of Cu per day in the RA was $0.99{\pm}0.07mg/d$ ($170.0{\pm}13.2%$ of the USA RDA) while it was $1.22{\pm}0.07mg/d$ ($203.4{\pm}13.1%$ of the RDA) in the UA. The percentage of dietary intakes of Cu less than 213 of the RDA was 8.6% in the RA in comparison to 0% in the UA. 3) The RA and the UA consumed more than 80% of total dietary intakes of Cu from plant foods. Thus, the RA and the UA consumed Cu from cooked rice, vegetables and fruits as a major source. However the RA had less Cu from meat and their products than did the UA (p<0.05) .4) Crab stew including crab and juice was the highest food source of Cu for the total subjects, followed by seasoned bud of aralia, cooked; beef rib meat, roasted; soybean paste soup w/mallow; and soybean paste soup w/mallow & beef. Major food source of Cu was similar for the RA and the UA such as cooked rice, vegetables and fruits. 5) Mean concentration of serum Cu in the RA was $18.1{\pm}0.7{\mu}M/L$ that was in the normal value, and all subjects in this group were in more than normal value. In the RA serum Cu concentration related positively with serum ceruloplasmin concentration, serum vitamin C concentration and EC SOD activity, respectively. However, serum Cu concentration did not relate with serum TBARS concentration in the RA. Above results showed that the RA had good status of Cu nutrition based upon dietary intake and serum concentration, however some of the RA had lower intake of Cu than the RDA. The overall children in the UA had good Cu nutrition. Therefore, the subgroup of the RA should be supported to improve their Cu nutrition, and this support could give them better antioxidant status based upon positive relationship between serum Cu concentration and serum antioxidant status in the RA.

학습된 무력감이 류마티스관절염 대상자의 규칙적 운동에 미치는 영향 (Learned Helplessness to Predict Regular Physical Activity among Individuals with Rheumatoid Arthritis)

  • 부선주;오현진
    • 근관절건강학회지
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    • 제24권2호
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    • pp.150-158
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    • 2017
  • Purpose: Regular physical activity is beneficial in reducing disease activity and morbidity in patients with rheumatoid arthritis (RA). The purposes of this study were to examine the levels of regular physical activity and learned helplessness and to identify factors influencing in participation in regular physical activity in RA patients. Methods: This cross-sectional study was conducted with 210 RA patients in a university-affiliated hospital. Participants completed a questionnaire including demographic and disease-related characteristics, physical activity and learned helplessness. Data were analyzed with descriptive statistics, $x^2$ tests, t-tests, and multivariate logistic regression analyses. Results: About 23% of RA patients engaged in at least 30 minutes of regular physical activity per week. Patients with being older (OR=1.09, 95%CI=1.03~1.14), no employment status (OR=0.17, 95% CI=0.07~0.42), and lower levels of learned helplessness (OR=0.58, 95% CI=0.34~0.96) had significantly higher chance of engaging in regular physical activity. Conclusion: In developing nursing interventions to promote regular physical activity in RA patients, their learned helplessness should be considered.

마이크로 필름을 이용한 경면가공 시스템에 관한 연구 (A Stlidy on the Mirror Surface F~n~shinSgy stem using Micro Abraslve Film)

  • 김기수;남궁석
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1994년도 추계학술대회 논문집
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    • pp.273-278
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    • 1994
  • The surface finishing systems using the micro abrasive film were designed and manufactured to make the mirror surface of the cylindrical workpiece. An experimental study of surface finishing was carried out to investigate the performance of mirror surface finishing system. The surface roughness of stainless steel was about Rmax 0.2~0.25 .mu.m, Ra 0.02~0.04 .mu.m in abrasive grain size 12, 9 .mu.m. the surface roughness of chrome coated workpiece was about Rmax 0.07~ 0.11 .mu. m, Ra 0.01 in abrasive grain size 3 .mu. m. Also, to measure the mirror finishing time by mirror surface finishing system, the experiment was carried out on the chrome coated and ground roller of diameter 76mm and length 650mm. The finishing time and surface roughness were 40min and Rmax 0.1~0.13 .mu.m, Ra 0.01 .mu.m.

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동결 surimi의 품질과 어묵 젤리 강도의 관계 (Relationship between Quality of Frozen Surimi and Jelly Strength of Kamaboko)

  • 김육용;조영제
    • 한국수산과학회지
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    • 제25권2호
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    • pp.73-78
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    • 1992
  • 현재, 동결 surimi의 품질 각정의 기준으로 사용되고 있는 pH, 수분함량, 백도, 협잡물 및 젤리 강도를 연제품의 원료 단계인 surimi의 품질 판정지표로 사용하기에는 과학성이 결여되어 있을 뿐만 아니라 부적당한 것으로 생각된다. 따라서 연제품의 생명인 결착력에 직접적인 영향을 미치는 동결 surimi 단백질의 양부의 정도를 정확하게 판정할 수 있는 과학적인 지푤글 모색하기 위하여, 등급별로 분류되어 있는 동결 surimi를 시료로 하여 단백질의 변성 정도를 나타내는 $Ca^{2+}-,\;Mg^{2+}-$ EDTA-APTase 활성, 용해도 및 점도 그리고 신선도의 지표로 사용되고 있는 K값과 현재 동결 surimi의 등급별 분류지표로서 사용되고 있는 젤리 강도를 비교 검토하여 다음과 같은 결과를 얻었다. $Ca^|{2+}-$ATPase 생활과 동결 surimi의 젤리 강도는 깊은 상관 계수를 나타내었으며, 상관 계수(r)는 0.9584였다. 각등급의 생활값은 SA grade $1.184\pm0.12$, FA grade $0.956\pm0.14$, A grade $0.766\pm0.07$, RA grade $0.453\pm0.07$ 및 B grade $0.227\pm0.08({\mu}moles\;Pi/min/mg)$이었다. $Mg^{2+}-$ 및 EDTA-ATPase 활성과 젤리 강도와의 상관 관계는 상관계수(r)가 각각 0.8532, 0.7624로 $Ca^{2+}-$ATPase 생활과 젤리 강도와의 상관 계수에 비하여 낮은 상관 관계를 나타내었다. 용해도는 동결 surimi 각등급간의 젤리 강도와 밀접한 상관 관계를 나타내었으며 상관 계수(r)는 0.9849였다. SA grade에 $93.19\pm5\%$로 가장 높았고 FA grade $84.62\pm4\%,\;A\;grade\;70.63\pm5\%,\;RA\;grade\;41.21\pm4\%$이었고 B grade $32.82\pm4\%$로 각 등급별 품질의 차이를 잘 나타내었다. K-value는 상관 계수(r)가 0.9053으로 상관성을 나타내었으며, SA grade $15.67\pm1.4\%,\;FA\;grade\;14.94\pm3\%,\;A\;grade\;28.00\pm55\%,\;RA\;grade\;32.16\pm3\%,\;B\;grade\;48.78\pm5\%$로 등급이 낮을수록 K-value는 높은 값을 나타내었다. 이상의 결과에서, 현재까지의 동결 surimi의 등급별 분류 index로 사용되고 있는 jelly strength, 수분 함량, pH, 백도 및 협잡물에 대신할 원료 surimi 자체의 양부를 결정할 과학적인 지표로서 단백질 변성 정도를 나태는 $Ca^{2+}-$ATPase 활성 및 용해도가 사용할 것으로 생각된다.

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마이크로 연마 필름을 이용한 경면 가공 시스템에 관한 연구 (A Study on the Mirror Surface Finishing System Using Micro Abrasive Film)

  • 김홍배;김기수;남궁석
    • 한국정밀공학회지
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    • 제14권10호
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    • pp.68-74
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    • 1997
  • The surface finishing system using the micro abrasive film was designed and manufactured to make the mirror surface of the cylindrical workpices. An experimental study of srface finishing was carried out to investigate the performance of mirror surface finishing system. The surface roughness value of stainless steel was about 0.2 .approx. 0.25 .mu. m Rmax, 0.02 .approx. 0.04 .mu. m Ra, using abrasive grain size of 12, 9 .mu. m. The surface roughness value of chrome coated workpiece was about 0.07 .approx. 0.11 .mu. m Ra using abrasive grain size 3 .mu. m. In the same condition, the chrome coated workpiece has obtained better surface roughness charateristics than the one of stainless steel.

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수평타원 환상공간에서의 자연대류에 관한 실험적 연구 (An experimental study on natural convection in the annuli between two horizontal elliptic cylinders)

  • 이재순;서정일;이택식
    • 대한기계학회논문집
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    • 제12권1호
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    • pp.28-35
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    • 1988
  • 본 연구는 이중벽용기에서 볼 수 있는 환상공간에 관한 자연대류 연구로서 용기속에 들어있는 유체의 열차폐를 위한 최적의 가스두께를 측정하기 위하여 필요한 지식을 얻기위한 열전달 연구이다.

Gender Differences in the Effects of Weight, Weight Perception, and Weight Satisfaction on Depression in Adolescents

  • Ra, Jin Suk;Kim, Hye Sun;Ryu, Jeong Lim
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.359-365
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    • 2017
  • Purpose: This study aims to investigate gender differences in the association between depressive symptoms and weight, weight perception, and body satisfaction among Korean adolescents. Methods: A secondary data analysis was performed on data from 33,374 adolescents who participated in the 2015 Adolescent Health Behavior Online Survey. They were classified as underweight, normal weight, or overweight/obese; weight perception was classified into perception of being underweight, normal weight, or overweight/obese; and weight satisfaction into desire to gain weight, satisfied, and desire to lose weight. Results: Among boys, perception of being underweight (adjusted odds ratio [AOR]: 1.20, 95% confidence interval [CI]: 1.07~1.35) and desire to gain weight (AOR: 1.45, 95% CI: 1.30~1.62) were associated with depression. Among girls, perception of being overweight or obese (AOR: 1.18, 95% CI: 1.07~1.29) and a desire to lose weight (AOR: 1.30, 95% CI: 1.18~1.42) were associated with depression. Conclusion: Gender differences were observed in the association between weight perception and depression in adolescents. The perception of being underweight among boys and the perception of being overweight/overweight among girls were associated with depression. Thus, gender-specific intervention programs to correct weight perception and weight satisfaction are needed in order to relieve depressive symptoms in adolescents.

도시홍수예보를 위한 최적의 홍수유출모형에 대한 연구 (A Study on Optimal Flood Runoff Model for Urban Flood Forecasting)

  • 육지문;전수빈;김민석;문영일
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2017년도 학술발표회
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    • pp.379-379
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    • 2017
  • 과거에는 하천 범람으로 인한 홍수피해가 많았으나 최근에는 도시화로 인한 불투수면적의 증가로 홍수도달시간의 단축 및 노면수의 배수불량으로 인한 내수 홍수피해가 많아졌다. 이러한 변화는 도시하천의 홍수예보에 밀접한 관련이 있으며 관련된 분석 모형 및 연계방안 또한 매우 중요하게 되었다. 일반적으로 하천에 대한 유출해석 모형으로 HEC-RAS((Hydrologic Engineering Center-River Analysis System)가 주로 사용되고 있으나 현재와 같이 도심지 하천에서는 내배수의 특성을 고려한 SWMM(Storm Water Management Model)을 사용한다. 또는 이 두모형의 연계를 통해 유출해석을 진행하기도 한다. 최근 HEC-RAS와 SWMM모형이 최신 버전을 공개하였다. HEC-RAS의 경우 2016년 9월 5.0.3버전을 출시하며 1D뿐만 아닌 2D의 모의도 가능하도록 기능을 개선하였으며 SWMM의 경우 2016년 09월 07일 5.1.011버젼이 공개되었다. 본 연구에서는 공개된 최신 모형을 도림천 지역에 적용하여 도림천 지역에 적합한 모형 및 연계 방법을 찾아보려 한다. 이를 통해 최적의 도시홍수예보 시스템을 구성하기 위한 모형 및 연계방안의 조사와 가장 합리적인 도시홍수 시스템의 구성방안을 제시하고자 한다.

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