• 제목/요약/키워드: benefit groups

검색결과 568건 처리시간 0.026초

Enhancing Venous Anastomosis Visualization in Murine Kidney Transplants: The Two Stay Suture Technique

  • Jong-Min Kim
    • 한국임상수의학회지
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    • 제40권6호
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    • pp.423-428
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    • 2023
  • The mouse kidney transplantation model serves as an invaluable tool for exploring various aspects of the transplant process, including acute rejection, cellular and humoral rejection, ischemia-reperfusion injury, and the evaluation of novel therapeutic strategies. However, conducting venous anastomosis in this model poses a significant challenge due to the thin and pliable characteristics of the renal vein, which often obstruct clear visualization of the resected vein's edge. This study proposes the adoption of a two stay suture technique to enhance the visualization of the renal vein's edge, thereby facilitating efficient and successful venous anastomosis. A total of 22 mice served as kidney donors in this study. The conventional anchoring suture technique was employed for venous anastomosis in 11 of these mice, while the remaining 11 underwent the two stay suture technique. The anastomosis duration and completion rates were then compared between these two groups. The conventional anchoring suture technique yielded an average anastomosis time of 29 minutes and a completion rate of 64%. In contrast, the two stay suture technique demonstrated a substantial improvement, with an average anastomosis time of 14 minutes and a completion rate of 100%. The two stay suture technique offers a promising solution to enhance visualization during venous anastomosis in murine kidney transplantation. This technique may particularly benefit novices by enabling them to perform venous anastomosis more easily, swiftly, and successfully.

Developing Optimal Demand Forecasting Models for a Very Short Shelf-Life Item: A Case of Perishable Products in Online's Retail Business

  • Wiwat Premrudikul;Songwut Ahmornahnukul;Akkaranan Pongsathornwiwat
    • Journal of Information Technology Applications and Management
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    • 제30권3호
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    • pp.1-13
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    • 2023
  • Demand forecasting is a crucial task for an online retail where has to manage daily fresh foods effectively. Failing in forecasting results loss of profitability because of incompetent inventory management. This study investigated the optimal performance of different forecasting models for a very short shelf-life product. Demand data of 13 perishable items with aging of 210 days were used for analysis. Our comparison results of four methods: Trivial Identity, Seasonal Naïve, Feed-Forward and Autoregressive Recurrent Neural Networks (DeepAR) reveals that DeepAR outperforms with the lowest MAPE. This study also suggests the managerial implications by employing coefficient of variation (CV) as demand variation indicators. Three classes: Low, Medium and High variation are introduced for classify 13 products into groups. Our analysis found that DeepAR is suitable for medium and high variations, while the low group can use any methods. With this approach, the case can gain benefit of better fill-rate performance.

쇠퇴한 구도심 주거지의 개발여건별 재활성화 방법 제안 - 광주광역시 구도심을 사례로 (The proposal of urban regeneration methods for deteriorated downtown residential area, considering the development condition of urban blocks - A case study of Kwangju City)

  • 윤용석;양우현;김리원
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2009년도 추계학술발표대회 논문집
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    • pp.132-137
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    • 2009
  • The purpose of this study was to suggest urban regeneration methods for deteriorated downtown residential area, considering the development condition of urban blocks. Through the research that are based on literature, field survey, urban planning map and local experts consulting, it found out suitable sites for development such as a deteriorated residential zone or a unused site and it was deduced eight development types from analyzing the characters of developable sites. And then it is suggested various housing forms which were applied to eight development types of developable sites. The consequences of this research are summarized as follows. There are various housing forms by eight development types; block housing, low rise-high density court housing, medium low rise-high density housing, urban housing for low-income groups belong to T1-development of urban strategic position; block housing, housing on hilly site, semi-detached house, lodging house, urban housing for low-income groups, elderly housing belong to T2-development for living benefit; block housing, low rise-high density court housing, housing on hilly site, low rise housing, lodging housing, urban housing for low-income groups, elderly housing belong to T3-development of a small-scale rental housing; block housing, low rise-high density court housing, medium low rise-high density housing, terrace-house, housing on hilly site, low rise housing, block-typed detached house, semi-detached house, cluster-typed low rise housing, town house, urban housing for low-income groups belong to T4-residential environment renewal development; terrace-house, housing on hilly site, low rise housing, block housing, semi-detached house belong to T5-development of a small-scale housing; terrace-house, housing on hilly site, low rise housing, cluster-typed low rise housing belong to T6-development to adapt natural environment; block housing, low rise-high density court housing, low rise housing, block-typed detached house, town house belong to T7-development for community; block housing, low rise-high density court housing block housing, medium low rise-high density housing, terrace-house, housing on hilly site, low rise housing, elderly housing belong to T8-development of environment-friendly.

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치근면 활택술후 2% minocycline gel의 치료효과 (Effects of 2% minocycline gel as an adjunct to scaling and root planing on the treatment of adult periodontitis)

  • 권영혁;박지원;허익;박준봉
    • Journal of Periodontal and Implant Science
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    • 제28권4호
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    • pp.531-545
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    • 1998
  • The objective of the present study was to evaluate the clinical and microbiological effects of scaling and root planing combined with local application of 2% minocycline gel to patients with moderate to advanced chronic adult periodontitis. 27 healthy patients with moderate to advanced chronic adult periodontitis were enrolled in the study. The quadrants that had 2 or more teeth with $5{\sim}8mm$ probing pocket depth and radiographic evidence of alveolar bone loss were selected and divided into test side and control side according to the splitmouth design. All patients received standardized oral hygiene instructions at the beginning of the study. Subsequently scaling and root plaining was performed on all remaining teeth until 0 week. The 2% minocycline gel was applied to periodontal pocket at 0, 1, 2, 3week in the test side. The normal saline was irrigated subgingivally for about 30 seconds in the control side. The clinical and microbiological analysis was carried out at 0, 4, 8, and 12weeks. The results of this st udy were as follows; 1.2% minocycline gel delivered subgingivally as an adjunct to scaling and root planing provided benefit in reducing sulcular bleeding index and pocket depth than the use of normal saline. 2. The relative proportion of cocci and non-motile bacteria was increased in the test and control groups with time, and there was no statistically significantdifference between two groups. 3. The proportion of spirochetes was slowly reduced in the control group, but, inthe test group, they were remarkably reduced from the 4th week, and there was a statistically significant difference between two groups. 4. In both groups, the relative proportion of motile rods was notably decreasedat the beginning of the study, and remained until 12th week in the test group,but, in the control group, they were slowly increased from the 4th weekand finally similar to that of the initial examination. In conclusion, local application of 2% minocycline gel may be effective in the clinical and microbiological aspects as an adjunct to scaling and root planing in periodontal disease sites.

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수장부다한증에서의 교감 신경절 차단 범위 및 부위에 따른 성격 비교 (Clinical Results According to the Level and Extent of Sympathetic Block in Palmar Hyperhidrosis)

  • 오정훈
    • Journal of Chest Surgery
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    • 제33권10호
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    • pp.817-822
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    • 2000
  • Video assisted thoracic sympathectomy or sympathicotomy is a safe and effective therapy for the treatment of palmar hyperhidrosis with immediate symptomatic imporvement. However the degree of satisfaction may diminish with time due to cmpensatory sweating or excessive hand dryness. Therefore by comparing and assessing the degree of symptomatic improvement or compensatory sweating following sympathectomy or sympathicotomy at various levels we aim to determine the optimal level of sympathetic nerve block which will result in minimal side effects and maximal benefit. Material and Method: Among 194 patients having undergone video assisted thoracic sympathectomy or sympathicotomy between January 1996 and June 1999, 137 patients who responded to either telephone interview or questionnaire were included in the current study. The patients were divided into three groups. Group I(n=61) ; patients having undergone T2,3,4 sympathectomy group II(35) ; patients having undergone T2 sympathicotomy and group III(41) ; patients having undergone limited T2 sympathicotomy which consist of block of interganglionic neuronal fiber on the third rib. The parameters studied comprised of pre- and post-operative palmar temperature change treatment satisfaction the degree of compensatory sweating or discomfort from palmar dryness postoperative complication and changes in plantar sweating Result : There was no difference in age and sex among the groups and the mean postoperative elevation in palmar temperature was 21.59$^{\circ}C$ without any differences among the groups. Patients expressing satisfaction were 65.6%, 62.9% and 90.24% in groups I, II and III, respectively(p<0.05) Moderate to severe compensatory sweating was present in 65.6% 51.4%, and 24.39%, in group I, II, and III, respectively(p<0.05) Slight but comfortable amount of palmar humidness was expressed in decreasing order group III(41.6%) group I(24.6%) and group II(5.7%) (p<0.05) Ineffectiveness or recurrence was present in 5patients in group I(8.2%) 1 patient in group II(2.9%) and none in group III. With regards to plantar sweating decrease in sweating was expressed in 43 patients(31.4%) while similar degree of sweating in 61 patients(44.5%) and increase in sweating in another 33 patinets(24.1%) Conclusion : Limited T2 sympathicotomy resection of the lower interganglionic neuronal fiber of the second sympathetic ganglion on the third rib showed immediate effect in palmar hyperhidrosis and caused lesser compensatory sweating and hand dryness.

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3기 위암환자에서 시행한 술 후 보조항암화학요법들의 생존율 비교 (The Comparison of Survival Rates of Postoperative Adjuvant Chemotherapies in The Stage III Gastric Cancer Patients)

  • 김은미;김세원;김상운;송선교
    • Journal of Yeungnam Medical Science
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    • 제23권2호
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    • pp.193-204
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    • 2006
  • Purpose: Various postoperative adjuvant chemotherapy regimens have been proposed for the patients with advanced gastric cancer. The majority of clinical trials have shown no significant difference in the survival benefit. The aim of this study was to compare the survival rates of postoperative adjuvant chemotherapies used in stage III gastric cancer patients who received curative gastrectomy. Materials and Methods: Between 1990 and 1999, a survival analysis was performed in 260 patients who received curative gastric resection and postoperative adjuvant chemotherapy. The patients were divided into four groups according to the chemotherapeutic regimens received. The groups were: the F group: furtulon alone, FM group: furtulon and mitomycin, FAM group: 5-FU, adriamycin and mitomycin, FLEP group: 5-FU, leucovorin, etoposide and cisplatin. The survival rates were analyzed using the Kaplan-Meier method and the Cox proportional hazards model. Results: There were no differences among the groups of patients with regard to tumor characteristics except for lymph node metastasis and the ratio of metastasis to lymph nodes. In the FLEP group, the ratio of metastasis to lymph nodes was higher than in the other groups. The five and ten year survival rates of F, FM, FAM and FLEP were 51.9%, 28.9%, 59.5%, 49.8%, 66.1%, 57.4% and 30.0%, 27.5%, respectively. The univariate analysis showed that age, Borrmann type, lymph node metastasis, ratio of metastasis to lymph nodes, postoperative adjuvant chemotherapy and recurrence were significant factors for survival. For the multivariate analysis, recurrence, age, Borrmann type, ratio of lymph node metastasis and lymph node dissection were independent prognostic factors; however, the postoperative adjuvant chemotherapy was not an independent prognostic factor. Conclusion: The FAM regimen was the most beneficial postoperative adjuvant chemotherapy for improved survival rates; the FM regimen was the second and the FLEP regimen was the last. In order to determine the effectiveness of postoperative adjuvant chemotherapy in stage III gastric cancer, well designed prospective studies including a surgery only group will be needed.

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Full mouth disinfection therapy의 단기간 임상 효과 연구 (Clinical evaluation of full mouth disinfection therapy)

  • 조익현;정의원;차정헌;김중수;이대실;김창성;김종관;최성호
    • Journal of Periodontal and Implant Science
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    • 제35권3호
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    • pp.597-608
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    • 2005
  • The aim of this study is to determine whether full-mouth disinfection therapy(FMT) in our clinical setting would show better improvement of clinical parameters than partial mouth disinfection therapy(PMT) in chronic periodontitis and aggressive periodontitis patients. Among 12 patients, 6 were treated FMT and other 6 were treated PMT. Clinical parameters were calculated 3 months and 6 months after initial therapy. 1. There were no statistically significant differences between FMT and PMT in the reduction rate of bleeding on probing after 3 months, 6 months 2. Initial probing depth was 4-6mm, the mean probing depth after 3 months was 2.2mm vs 2.5mm(FMT vs PMT), after 6 months was 2.4mm vs 2.8mm. This was significantly lower in the FMT groups. 3. Initial probing depth was ${\geqq}$ 7mm, the reduction rate of mean probing depth during first 3 months was 4.8mm vs 4.1mm(FMT vs PMT), and 3 to 6 months was 0.5mm vs 0.3mm. This was significantly larger in the FMT groups. 4. Initial probing depth was 4-6mm, the mean clinical attachment level after 3 months was 2.3mm vs 2.7mm(FMT vs PMT), after 6 months was 2.7mm vs 3.0mm. This was significantly lower in the FMT groups. 5. Initial probing depth was ${\geqq}$ 7mm, the reduction rate of mean probing depth during first 3 months was 4.0mm vs 3.0mm(FMT vs PMT), and 3 to 6 months was 0mm vs -0.1mm. This was significantly larger in the FMT groups. Although the results provided us with succeccful clinical improvement in aggressive periodontitis, further research is needed to prove its additional benefit in the treatment of chronic periodontitis

저항전분 투여가 Loperamide 유도 변비 쥐의 대장환경과 혈청지질에 미치는 효과 (Effect of Resistant Starch on the Large Bowel Environment and Plasma Lipid in Rats with Loperamide-Induced Constipation)

  • 신현주;김광옥;김성홍;김영아;이혜성
    • 한국식품영양과학회지
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    • 제39권5호
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    • pp.684-691
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    • 2010
  • 본 연구는 저항전분이 Loperamide 유도 변비 쥐의 대장내 환경과 혈중지질 농도에 미치는 영향에 대해 실험 조사하였다. 실험동물은 Sprague-Dawley계 수컷 쥐를 사용하였으며 60마리를 정상 셀룰로오스군, 변비 셀룰로오스군, 변비 펙틴군, 변비 RS2군, 변비 고RS2군, 변비 RS3군의 6개 군으로 나누었다. AIN-76 식이를 기본으로 각각 다른 식이 섬유원 즉, 셀룰로오스, 펙틴, RS2, RS3를 첨가하여 에너지 밀도가 동일한 실험식을 변비 유발 쥐에 5주 동안 투여하여 다음과 같은 결과를 얻었다. RS3 투여군과 고농도 RS2 투여군은 맹장 내용물의 비피더스균 수를 정상대조군에 비해 유의적으로 높이는 효과를 나타내었다. 맹장 내용물의 단쇄지방산총량은 셀룰로오스 군에 비해 펙틴과 저항전분군들에서 유의적으로 높았고, 개별 단쇄지방산은 프로피온산의 경우 펙틴군에서 가장 높았으며 부티르산은 CR3군에서 가장 높았다. 저항전분의 투여는 맹장 내용물의 pH를 셀룰로오스군에 비해 유의적으로 낮추었다. RS3 투여는 대장 관내 점막의 두께를 정상대조군에 비해 증가시키는 경향을 보였고, 점액분비 세포의 활성도를 정상대조군과 비슷한 수준으로 나타내었다. 염증지표 $PGE_2$의 수준은 저항전분 보충군들이 정상셀룰로오스군에 비해서는 높았으나 변비 셀룰로오스군이나 펙틴군에 비해서는 유의적으로 낮았다. 뿐만 아니라 저항전분들의 투여는 종류에 관계없이 변비동물에서 혈중 중성지질과 총 콜레스테롤 농도를 낮추고 HDL-콜레스테롤의 비율을 높임으로써 동맥경화지수를 낮추어 지질대사를 개선하는 유익한 효과를 나타내었다. 이상의 결과들에서 저항성 전분들은 장내 비피더스균과 같은 유용균의 증식을 활성화 시키며 단쇄지방산의 생산을 증가시킴으로써 장내 pH를 낮추는 효과를 나타낼 수 있으며, 또한 대장 점막층의 두께와 점액분비 세포수를 증가시키고 염증지표 수준을 낮춤으로서 변비동물의 대장 내의 환경을 건강하게 유지하고 장 기능을 효과적으로 개선시킬 뿐 아니라 혈중지질의 개선효과를 함께 나타낼 것으로 사료된다.

농업, 임업 및 어업 종사자에서의 프리젠티즘: 제6차 근로환경조사를 바탕으로 (Presenteeism in Agricultural, Forestry and Fishing Workers: Based on the 6th Korean Working Conditions Survey)

  • 홍상희;장은철;권순찬;이화영;송명제;김종선;문믿음;김상현;윤지석;민영선
    • 농촌의학ㆍ지역보건
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    • 제49권1호
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    • pp.1-12
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    • 2024
  • 프리젠티즘이란, 몸이 아픔에도 불구하고 회사에 출근을 한 상태로 사회적 비용이 질병휴식보다 훨씬 더 경제학적으로 손해라 알려져 있다. COVID-19 이후, 프리젠티즘에 대한 대응책으로 상병수당에 대한 사회적 논의가 이뤄지고 있으며 특히 농림어업인 근로자는 업무 이외 질병이 발생하였을 때 생계지원에 대한 제도적 장치가 부재한 상황이다. 본 연구에서는 제6차 한국근로실태조사를 이용하여 농업, 어업 및 임업종사자와 프리젠티즘과의 연관성을 살펴보고자 하였다. 2020년 10월부터 2021년 1월까지 국내 17개 시·도를 대상으로 수행된 제6차 근로환경조사 데이터를 사용하였으며 총 34,981명을 연구대상으로 하였다. 통제변수로는 성별, 연령, 자가 건강평가, 교육수준, 야간근무, 교대근무, 월소득, 직종, 주당 근로시간, 고용상태를 평가하였다. 분석결과 농림어업인은 자영업자, 고령자의 특성을 보였으며, 회귀분석 결과 농림어업인은 다른 산업 종사자에 비해 프리젠티즘 경향성과의 연관성을 분석하였을 때 모든 변수가 보정된 모델에서 농림어업인은 다른 산업 그룹에 비해 프리젠티즘 경향이 23% 증가하였다. 본 연구는 제6차 근로환경조사를 활용하여 대표성을 지닌다는 점, 상병수당에 있어 간과될 수 있는 농림어업인에 대하여 상병수당의 필요성을 객관적으로 제시하였다는 점에서 의의가 있다 할 것이다.

수면이득이 있는 파킨슨병 환자의 임상특징 및 수면다원검사에 대한 연구 (A Clinical and Polysomnographic Study of Parkinson's Disease Patients with Sleep Benefit)

  • 천동렬;양창국;김재우;유승윤;한홍무
    • 수면정신생리
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    • 제7권2호
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    • pp.102-108
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    • 2000
  • 목 적 : 파킨슨병 환자의 상당수에서 아침에 일어났을 때 수면이득으로 알려진 운동성 기능의 일시적인 호전을 보고 한다. 파킨슨병 환자에서의 수면이득이 수면과 관련되는 현상임에도 불구하고 수면다원검사 등의 객관적인 방법을 이용한 연구는 드물다. 본 연구의 목적은 수면이득이 있는 환자 군과 없는 환자 군의 임상특징 및 수면다원검사 소견을 비교하는데 있다. 방 법 : 33명의 일차성 파킨슨병 환자(남 14, 여 19)를 대상으로 하였다. 모든 환자들은 수면이득의 여부를 확인하기 위하여 면담을 하였고, 의무 기록지를 통하여 임상적 자료를 얻었고, 수면검사실에서 하룻 밤의 수면다원검사를 실시하였다. 결 과 : 수면이득이 있는 환자가 16명(48.5%), 없는 환자가 17명(51.5%)이었다. 수면이득이 있는 환자들이 없는 환자들에 비하여 더 젊었고(p<0.02), 수면효율이 더 좋았고 (p<0.05), 그리고 수면잠복기가 더 짧았다(p<0.02). 그러나 수면이득은 유병기간, 레보도파 일일 복용 용량, 운동기능의 장애 등과 관련되지 않았고, 특정 수면단계와도 관련되지 않았다. 두 군 모두에서 렘수면행동장애 등의 수면장애의 빈도가 높았으나 일차성 코골이를 제외하고는 두 군간에 차이는 없었다. 결 론 : 본 연구의 결과는 수면이득이 젊은 나이, 좋은 수면효율, 짧은 수면잠복기와 관련됨을 시사한다.

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