• 제목/요약/키워드: Success Rates

검색결과 565건 처리시간 0.033초

20년간 정관정관문합술 1000례의 임상적 경험 (20 Years-experience of 1000 Consecutive Vasovasostomy)

  • 서호경;박남철
    • Clinical and Experimental Reproductive Medicine
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    • 제25권2호
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    • pp.189-198
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    • 1998
  • Since the male sterilization (vasectomy) has been performed on a large scale as an accepted family planning in Korea on 1980s and this, in turn, has been followed by an increase in the number of patients requesting vasovasostomy. We studies 1000 consecutive cases of vasovasostomy performed from January 1975 to July 1995 in Pusan National University Hospital. In this report, we are going to present serial studies of vasovasostomy through which we attempted to find out what factors are of impotence in influencing the successful outcome of vasovasostomy operation. We inquired the operative results data through the questionnaire and telephone interview with survey of medical records. A total of 259 cases was excluded due to the loss of follow-up. The overall patency and pregnancy rates of 741 cases were 86.9% and 51.1%, respectively. The age of man at the time of anastomosis ranged from 23 to 57 years old with an average of 34.9. The most frequent reason for requesting vasovasostomy was the desire to have more children (43.4%). The average obstructive interval was 60.6 months with range from 1 to 264 months. If the obstructive interval had been less than 5 years patency rate was 92.4% and pregnancy rate 64.8%, but 6 years or more 84.1% and 48.5% (p<0.01, p<0.01). Patency and pegnancy rates according to intraoperative vas fluid were 93.1% and 62.8% for presence and 83.7% and 53.1% for absence (p<0.01, p<0.05). Patency and pregnancy rates according to histologically proven sperm granuloma at vasectomy site were 87.7% and 49.2% for presence and 86.9% and 50.6% for absence (p>0.05, p<0.05). Patency and pregnancy rates were not significantly different between microscopic standard vasovasostomy (88.4%, 64.3%) and modified vasovasostomy (89.5%, 56.3%)(p>0.05, p>0.05). Both patency and pregnancy rates according to level of anastomosis were 89.8% and 59.8% in cases of straight vas and 91.5%, 60.1% in cases of convoluted vas (p>0.05, p>0.05). Patency and pregnancy rates according to the kind of suture materials were 91.5% and 56.2% for absorbable, 91.0% and 64.2% for non-absorbable and 93.3% and 53.3% for absorbable plus non-absorbable, respectively (p>0.05, p<0.05). Thus it is suggested that the important factor influencing the success rate of vasovasostomy is the interval of obstruction and vasal ooze with surgical skills.

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Improved pregnancy rate and sex ratio in fresh/frozen in vivo derived embryo transfer of Hanwoo (Bos taurus coreanae) cows

  • Jihyun Park;Wonyou Lee;Islam M. Saadeldin;Seonggyu Bang;Sanghoon Lee;Junkoo Yi;Jongki Cho
    • Journal of Animal Science and Technology
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    • 제65권4호
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    • pp.779-791
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    • 2023
  • This study aimed to assess the effects of embryonic developmental stage, quality grade, and fresh or frozen/thawed conditions on the pregnancy rate and sex ratio of live offspring in Hanwoo (Bos taurus coreanae) cows. The quality and developmental stage of in vivo-derived (IVD) transferred embryos were evaluated using the standard criteria of the International Embryo Technology Society. The recipient cows were synchronized using conventional (estradiol benzoate and progesterone) protocols before embryo transfer. Embryos were transferred to 297 cows, and pregnancy was monitored for 60-70 days after embryo transfer. The pregnancy rates of fresh and frozen/thawed embryos were 56.90% and 52.49%, respectively. Pregnancy rates varied according to embryo quality (56.18% for grade 1 vs. 36.67% for grade 2). Pregnancy rates also varied by developmental stage and cryopreservation (67.86% vs. 63.49% for stage 4-1, 64.00% vs. 54.72% for 5-1, and 50.00% vs. 47.83% for 6-1, in fresh embryos vs. frozen/thawed embryos, respectively). For stage 7-1, the pregnancy rates were 72.73% for fresh embryos and 20.00% for frozen/thawed embryos. In 66 fresh embryos, the sex ratio of live offspring was 5:5, whereas it was 4(female):6(male) for frozen/thawed embryos among the 95 frozen/thawed embryos. The miscarriage rate was approximately 3% higher for frozen/thawed embryos than for fresh embryos (18.1% for fresh vs. 21.1% for frozen). Seasonal fertility rates were 33.3% in spring, 55.67% in summer, 52.8% in autumn, 60.0% in winter. The following male-to-female ratios were observed in different seasons: 6.7:3.3 in spring, 4.0:6.0 in summer, 5.5:4.5 in autumn, and 3.3:6.7 in winter. The current data revealed no significant differences in pregnancy rates between fresh and frozen/thawed IVD embryos. However, there was a lower pregnancy rate with advanced-stage frozen/thawed embryos (stage 7-1). The current study provides comprehensive results for the better optimization of embryo transfer in Hanwoo cattle to obtain the desired fertility rate, pregnancy rate, and sex ratio of calves. These results provide important insights into the factors that influence the viability and success of IVD embryo transfer in Hanwoo cows and may have practical applications for improving breeding programs and reducing production costs.

성문하 협착 소아 환자에 대한 내시경적 기도 확장 시술 후 치료 실패 위험 요인 분석 (Risk Factor Analysis of Endoscopic Dilation Procedure for the Management of Subglottic Stenosis in Pediatric Patients)

  • 박민혜;최나연;송복현;정한신;손영익;정만기
    • 대한후두음성언어의학회지
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    • 제31권1호
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    • pp.19-26
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    • 2020
  • Background and Objective Endoscopic airway dilation is the primary treatment for pediatric subglottic stenosis (SGS) due to its feasibility and non-invasiveness. The aim of this study is to evaluate the risk factors for the failure of endoscopic airway dilation in pediatric patients with SGS. Materials and Methods This study reviewed medical records of 38 pediatric patients had endoscopic dilation from a single and tertiary referral center, retrospectively. The success of the endoscopic dilation procedure was defined as no dyspneic symptom without tracheostomy or laryngotracheal reconstruction. Demographic profiles, underlying disease, and Myer-Cotton SGS severity grade were recorded. Success rates and risk factors for the failure of treatment were analyzed. Results The SGS patients with severity grade I was most common. After mean 1.8 numbers of procedures, there were 23 patients (60.5%) in the success group and 15 patients (39.5%) in the failure group. Age, sex, underlying diseases, and SGS severity grade were not significantly different between two groups. In patients who had multiple endoscopic procedures, the failure group showed SGS deteriorated after procedures in 66.7%, compared to 11.1% of the success group. In multivariable analysis, a long-term intubation (≥1 month) was identified as an independent risk factor for failure of endoscopic dilation procedure. Conclusion Although endoscopic dilation procedure is safe and effective for the management, repetitive endoscopic dilation may not give clinical benefit in patient with long-term intubation. Other airway procedures must be considered in those group of patients.

SLA surface를 가진 taper straight designed implant의 방사선학적 평가와 생존율: 1년 추적 관찰을 통한 후향적 연구 (Radiologic evaluation and survival rate of taper-straight designed implant with SLA surface: A 1-year follow-up retrospective study)

  • 김지은;김예슬;김옥수
    • 대한치과보철학회지
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    • 제59권4호
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    • pp.405-414
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    • 2021
  • 목적: 이번 연구는 최근 시판되고 있는 국내산 taper straight 타입의 SLA surface를 가진 임플란트의 변연골 흡수도와 생존율을 평가하여 임상적 유용성을 알아보기 위해 시행하였다. 대상 및 방법: 전남대학교 치과병원 치주과에서 2016년 8월부터 2019년 12월까지 KISPLANT®가 식립된 성인남녀 83명의 125개의 임플란트 중 포함 기준을 충족시키는 19명의 40개의 임플란트를 1년 동안의 관찰 대상으로 하였다. 처음과 1년 후의 치근단 방사선 사진에서 변연골 수준을 측정하고, 이를 이용하여 임플란트 생존율과 성공률을 분석하였다. 또한 치주염 심도, SPT, 식립 부위, 치아 발거 이유, 즉시 식립 여부, 전신질환에 따라 변연골 흡수도에 유의한 차이가 있는지를 확인하기 위해 t-test를 수행하였다. 결과: 근심측 변연골 흡수도는 0.74 ± 1.07 mm, 원심측 변연골 흡수도는 0.53 ± 1.04 mm로 나타났다. 1년 동안 40개의 임플란트 중 3개의 임플란트에서 2 mm 이상의 변연골 흡수가 일어나 임플란트 성공률은 92.5%이고 생존율은 100%이었다. t-test를 수행한 결과 근심측 변연골 흡수도와 식립 부위에서 유의한 차이가 있었고 나머지 요인에서는 유의한 차이가 없었다. 결론: 이번 연구에서 변연골 흡수도와 성공률, 생존율을 평가해 본 결과 임플란트 식립 1년 후 높은 생존율과 성공률을 보였고 낮은 변연골 흡수도를 보여 taper straight 타입의 SLA surface를 가진 임플란트는 우수한 임상 결과를 보였다.

Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Study

  • Nam, Hyunseung;Cho, Jae Hwa;Choi, Eun Young;Chang, Youjin;Choi, Won-Il;Hwang, Jae Joon;Moon, Jae Young;Lee, Kwangha;Kim, Sei Won;Kang, Hyung Koo;Sim, Yun Su;Park, Tai Sun;Park, Seung Yong;Park, Sunghoon;Korean NIV Study Group
    • Tuberculosis and Respiratory Diseases
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    • 제82권3호
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    • pp.242-250
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    • 2019
  • Background: Data on noninvasive ventilation (NIV) use in intensive care units (ICUs) are very limited in South Korea. Methods: A prospective observational study was performed in 20 ICUs of university-affiliated hospitals from June 2017 to February 2018. Adult patients (age>18 years) who were admitted to the ICU and received NIV treatment for acute respiratory failure were included. Results: A total of 156 patients treated with NIV were enrolled (mean age, $71.9{\pm}11.6years$). The most common indications for NIV were acute hypercapnic respiratory failure (AHRF, n=89) and post-extubation respiratory failure (n=44). The main device for NIV was an invasive mechanical ventilator with an NIV module (61.5%), and the majority of patients (87.2%) used an oronasal mask. After the exclusion of 32 do-not-resuscitate patients, NIV success rate was 68.5% (85/124); ICU and hospital mortality rates were 8.9% and 15.3%, respectively. However, the success rate was lower in patients with de novo respiratory failure (27.3%) compared to that of patients with AHRF (72.8%) or post-extubation respiratory failure (75.0%). In multivariate analysis, immunocompromised state, de novo respiratory failure, post-NIV (2 hours) respiratory rate, NIV mode (i.e., non-pressure support ventilation mode), and the change of NIV device were significantly associated with a lower success rate of NIV. Conclusion: AHRF and post-extubation respiratory failure were the most common indications for NIV in Korean ICUs. Overall NIV success was achieved in 68.5% of patients, with the lowest rate in patients with de novo respiratory failure.

The Effects of Training on the Proper Use of Respiratory Rate Measurement Devices for Providing High-Quality Artificial Ventilation

  • Jae-Ran Lim;Sung-Hwan Bang;Hyo-Suk Song;Gyu-Sik Shim;Ho-Jin Park
    • 한국컴퓨터정보학회논문지
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    • 제29권3호
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    • pp.165-171
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    • 2024
  • 본 연구는 2급 응급구조사가 호흡부전 및 호흡정지 환자에게 백-밸브 마스크(BVM) 인공호흡 시 호흡량 측정기를 사용하여 적정량의 호흡량과 및 성공률을 알아보고자 한다. 연구는 2023년 12월 11일부터 12일까지 D 대학교에 재학 중인 2급 응급구조사를 대상으로 20명을 선정하여 10명은 호흡량 측정기를 이용하여 BVM 인공호흡을 교육한 실험군으로, 다른 10명은 호흡량 측정기 없이 BVM 인공호흡을 교육한 대조군으로 선정하여 2분간 인공호흡을 제공하는 실험을 하였다. 연구 결과, 대조군에서는 정확한 호흡량을 제공하지 못하였고(p=.025), 호흡 성공률 역시 실험군에서는 2분간 호흡 성공률이 높았으나 대조군에서는 유의한 차이를 보였으며(p=.001), 주관적 호흡량과 측정된 객관적 호흡량이 대조군에서 유의한 차이를 보였다(p=.010). 따라서 호흡량 측정기를 사용한 교육은 2급 응급구조사가 느끼는 주관적 호흡량을 객관적 호흡량과 일치시키고 호흡 성공률을 높여 호흡부전 및 호흡정지와 심폐소생술 시 심장정지 환자의 생존율을 높이는 데 도움이 될 것이다.

지능형 개인비서(IPA)의 사용의도에 관한 통합모형 (An Integrated Model of the Intention to Use the Intelligent Personal Assistant (IPA))

  • 김찬우;서창교
    • 경영정보학연구
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    • 제19권4호
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    • pp.135-156
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    • 2017
  • 지능형 개인비서(Intelligent Personal Assistant, IPA)는 다양한 기능을 수행함에도 불구하고 사용자의 실제 이해가 기대보다 낮고 아직은 사용량이 많지 않다는 지적을 받고 있다. 본 연구는 이러한 지능형 개인비서의 사용의도에 영향을 미치는 요인을 밝히기 위하여 기술수용모형(Technology Acceptance Model)과 혁신확산이론(Innovation Diffusion Theory)과 정보시스템 성공모형(Information System Success Model)을 기반으로, 지능형 개인비서의 기능특성을 포함하는 통합 연구모형을 제안하였다. 개발된 통합모형의 가설검증을 위해 지능형 개인비서를 실제 사용하고 있는 사용자들을 대상으로 수집된 203부의 설문 데이터를 PLS 구조방정식을 사용하여 실증분석 하였다. 연구결과, 혁신확산이론에서 도출된 IPA 혁신특성(상대적 이점, 적합성, 관찰 가능성)은 모두 지각된 유용성에 유의한 긍정적 영향을 미치는 것으로 조사되었으며, 정보시스템 성공모형을 통해 도출된 IPA 품질특성(시스템 품질, 정보 품질) 중 정보 품질은 지각된 유용성과 지각된 용이성에 모두 긍정적 영향을 미치는 요인으로 조사되었다. 마지막으로 IPA 기능특성(지각된 지능, 지각된 개인화) 중 지각된 지능 또한 지각된 유용성과 지각된 용이성에 긍정적 영향을 미치며, 지능형 개인비서의 사용의도를 높이는 주요 요인으로 나타났다. 본 연구의 시사점과 향후 연구과제는 연구결과로 정리하였다.

Immunization effect of recombinant P27/30 protein expressed in Escherichia coli against the hard tick Haemaphysalis longicornis (Acari: Ixodidae) in rabbits

  • You, Myung-Jo
    • Parasites, Hosts and Diseases
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    • 제42권4호
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    • pp.195-200
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    • 2004
  • We investigated the induction of resistance to Haemaphysalis longicornis infestation in rabbits that had been immunized with recombinant H. longicornis P27/30 protein. The success of immunological control methods is dependent upon the use of potential key antigens as tick vaccine candidates. Previously, we cloned a gene encoding 27 kDa and 30 kDa proteins (P27/30) of H. longicornis, and identified P27/30 as a troponin I-like protein. In this study, rabbits that were immunized with recombinant P27/30 expressed in Escherichia coli showed the statistically significant longer feeding duration for larval and adult ticks (P<0.05), low engorgement rates in larval ticks (64.4%), and an apparent reduction in egg weights, which suggest that H. longicornis P27/30 protein is a potential candidate antigen for a tick vaccine. These results demonstrated that the recombinant P27/30 protein might be a useful vaccine candidate antigen for biological control of H. longicornis.

Automatic Acquisition of Paraphrases Using Bilingual Dependency Relations

  • Hwang, Young-Sook;Kim, Young-Kil
    • ETRI Journal
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    • 제30권1호
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    • pp.155-157
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    • 2008
  • This letter introduces a new method to automatically acquire paraphrases using bilingual corpora. It utilizes the bilingual dependency relations obtained by projecting a monolingual dependency parse onto the other language's sentence based on statistical alignment techniques. Since the proposed paraphrasing method can clearly disambiguate the sense of the original phrases using the bilingual context of dependency relations, it would be possible to obtain interchangeable paraphrases under a given context. Through experiments with parallel corpora of Korean and English language pairs, we demonstrate that our method effectively extracts paraphrases with high precision, achieving success rates of 94.3% and 84.6%, respectively, for Korean and English.

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고속통신시스템의 신호충실성을 고려한 신호경로 설계 방법 (Design Methodologies of High-speed Communication System with Signal Integrity)

  • 박종대;박영호;남상식
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2000년도 추계종합학술대회 논문집(1)
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    • pp.279-282
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    • 2000
  • As digital systems continue to use components with faster edge rates and clock speeds, transmission of the digital information in these systems approaches the microwave realm. At these speeds digital signal fidelity becomes both a critical success factor and design challenge. The noise sources in digital systems include the noise in power supply, ground and packaging media due to simultaneous switching of drivers, signal reflections and distortions on single and multiple transmission lines. This paper presents theory, case studies and design considerations of gigabit interconnection for network and communication systems. The case studies show HSPICE and Ampredictor simulations of alternate approaches. Various subjects including skin effect and dielectric losses, interconnect simulations and crosstalks of connector, affected signal discontinuity, are addressed.

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