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Surgical Outcomes of Pneumatic Compression Using Carbon Dioxide Gas in Thoracoscopic Diaphragmatic Plication

  • Ahn, Hyo Yeong;Kim, Yeong Dae;I, Hoseok;Cho, Jeong Su;Lee, Jonggeun;Son, Joohyung
    • Journal of Chest Surgery
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    • 제49권6호
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    • pp.456-460
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    • 2016
  • Background: Surgical correction needs to be considered when diaphragm eventration leads to impaired ventilation and respiratory muscle fatigue. Plication to sufficiently tense the diaphragm by VATS is not as easy to achieve as plication by open surgery. We used pneumatic compression with carbon dioxide ($CO_2$) gas in thoracoscopic diaphragmatic plication and evaluated feasibility and efficacy. Methods: Eleven patients underwent thoracoscopic diaphragmatic plication between January 2008 and December 2013 in Pusan National University Hospital. Medical records were retrospectively reviewed, and compared between the group using $CO_2$ gas and group without using $CO_2$ gas, for operative time, plication technique, duration of hospital stay, postoperative chest tube drainage, pulmonary spirometry, dyspnea score pre- and postoperation, and postoperative recurrence. Results: The improvement of forced expiratory volume at 1 second in the group using $CO_2$ gas and the group not using $CO_2$ gas was $22.46{\pm}11.27$ and $21.08{\pm}5.39$ (p=0.84). The improvement of forced vital capacity 3 months after surgery was $16.74{\pm}10.18$ (with $CO_2$) and $15.6{\pm}0.89$ (without $CO_2$) (p=0.03). During follow-up ($17{\pm}17$ months), there was no dehiscence in plication site and relapse. No complications or hospital mortalities occurred. Conclusion: Thoracoscopic plication under single lung ventilation using $CO_2$ insufflation could be an effective, safe option to flatten the diaphragm.

기관 발행 국제학술지의 성공요인 분석: ETRI Journal 사례를 중심으로 (An Analysis on the Success Factors of International Journal by Institution: With a Special Regard to the Case of the ETRI Journal)

  • 오동근;여지숙;박상후
    • 정보관리학회지
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    • 제32권3호
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    • pp.361-375
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    • 2015
  • 이 연구는 기관 발행 국제학술지의 한 사례로서 한국전자통신연구원에서 발행하는 ETRI Journal이 국제저널로 발전한 요인을 다양한 관점에서 분석하였다. 그 결과 ETRI Journal은 기관의 정책적인 지원과 소속 구성원들의 적극적인 협조로 SCI 등재 준비 3년 만에 SCI에 등재될 수 있었다. 특히 SCI 등재 준비를 시작한 1996년부터 게재논문을 증가되었고, 이와 함께 ETRI 소속 구성원들이 자신들의 논문이나 학술발표에 ETRI Journal의 성과들을 적극적으로 인용하는 등의 공동노력들이 있었음을 분석하였다. 따라서 ETRI Journal의 사례는 기관과 그 구성원의 적극적인 지원과 참여, 관심이 있다면, 기관 발행 학술지는 발행 초기 단계에서는 그 한계나 단점을 장점으로 훌륭하게 활용할 수 있음을 잘 보여주고 있다.

의료소비자들의 의료기관 종별 정보탐색 행태에 관한 연구 (Information Searching Behavior of Health Care Consumers by Types of Medical Institutions)

  • 이선희;조우현;채유미
    • 한국병원경영학회지
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    • 제8권1호
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    • pp.95-111
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    • 2003
  • The purpose of this study was to evaluate the information searching behavior of consumer by type of medical institution. A questionnaire survey was conducted of 1,507 persons who were selected through a multi-stage stratified area cluster sampling in nationwide level, excluding Jeju-Do. Personal survey was conducted through door-to door survey from 27 July to 10 August 1999. The main results of this research was as following; 1. The proportion of information searching of respondents ranged from 91.5-95.2%. Even though the proportion of user in university hospital was slightly high, there was not significant statistically by type of medical institution. In terms of information source, personal informer was most common information source in all type of medical institution. Public informers were more frequently used in university hospital visitors and professional informer in general and university hospital visitors. 2. Comparing to searching intensity, user informer and professional informer's influences were more powerful, but not statistically significant. In analysis of unit influence for information source, written informer or public informer was more powerful in clinic visitor, professional informer and written informer in university hospital visitor. 3. Information which consumer want to know mostly were about on special potential and career of physician. The clinic visitor wanted to know about institutional location and kindness of medical personnel. The university hospital visitor also wanted to know about facilities and convenience of process. Comparing to institution selection criteria of consumers at 1991, quality related criteria were recognized more importantly in outpatient and dental services. But in case of inpatient services, convenience factor was recognized more importantly. In conclusion, the effort for specific marketing plan by type of medical institution should be needed. And more concern on information searching behavior of consumer will be needed.

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언어네트워크분석을 이용한 야외지질학습 전후의 퇴적암에 대한 개념 구조 변화 분석 (An Analysis of the Changes of High School Students' Conceptual Structure about Sedimentary Rocks before and after the Field Trip using the Semantic Network Analysis)

  • 박경진;정덕호;조규성
    • 한국지구과학회지
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    • 제34권2호
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    • pp.173-186
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    • 2013
  • 본 연구의 목적은 언어네트워크분석을 이용하여 야외지질학습에서 학생들의 퇴적암에 대한 개념 구조 변화를 알아보기 위한 것이다. 이를 위하여 고등학생 15명을 대상으로 퇴적암에 대한 정의, 분류, 생성과정 및 특징을 묻는 개방형 문항을 개발하였으며, 이 텍스트 자료를 언어네트워크분석법을 통해 분석하였다. 그 결과 첫째, 야외지질학습을 통해 학생들의 퇴적암에 대한 개념 구조는 사전에 비해 사후에 크게 확장되었다. 둘째, 학생들의 개념 구조를 구성하는 하위 클러스터는 서로 긴밀하게 연결되어 있는 '작은 세상 네트워크'를 형성하였다. 셋째, 학생들의 개념 구조의 규모는 수개월이 지난 후 감소하였지만, 하위 클러스터의 연결 상태는 그대로 유지하고 있었다.

치위생과 학생들의 임상실습내용에 따른 실습기관별 만족도 (Satisfaction towards clinical training institution according to clinical practice contents in the dental hygiene students)

  • 박정희;이명주;구효진
    • 한국치위생학회지
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    • 제15권4호
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    • pp.631-639
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    • 2015
  • Objectives: The purpose of the study was to investigate the satisfaction towards clinical training institution according to clinical practice contents in the dental hygiene students. Methods: A self-reported questionnaire was completed by 382 dental hygiene students of five colleges in Busan, Ulsan, and Gyeongsangnam-do from August 20 to September 30, 2013. The data were analyzed using SPSS WIN 20.0 program for t-test, one-way ANOVA, and Pearson's correlation analysis. The questionnaire consisted of the general characteristics of the subjects and the satisfaction towards the clinical training institution. The satisfaction was composed of 44 questions including the general satisfaction, practice contents, practice guide, training time of practice, training environment, practice evaluation, and personal relationship by Likert 5 point scale. Results: The students were most satisfied with the practice contents of the dental university hospitals. The dental hospital and dental clinics were the most satisfied choice in the personal relationships. Public health center dental clinics bestowed the students with the most satisfied practice guidance, time, environment, and evaluation. Practice contents and practice time were the most influential factors to dental hygiene department satisfaction to the students. Conclusions: In order to enhance the clinical practice satisfaction, it is necessary to have the continuous relationship with the clinical training institution. The practice satisfaction is influenced by the contents and environment of the clinical training institution.

Gene Expression Analysis for Statin-induced Cytotoxicity from Rat Primary Hepatocytes

  • Ko, Moon-Jeong;Ahn, Joon-Ik;Shin, Hee-Jung;Kim, Hye-Soo;Chung, Hye-Joo;Jeong, Ho-Sang
    • Genomics & Informatics
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    • 제8권1호
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    • pp.41-49
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    • 2010
  • Statins are competitive inhibitors of hydroxy-3-methyl glutaryl coenzyme A (HMG-CoA) reductase and used most frequently to reduce plasma cholesterol levels and to decrease cardiovascular events. However, statins also have been reported to have undesirable side effects such as myotoxicity and hepatotoxicity associated with their intrinsic efficacy mechanisms. Clinical studies recurrently reported that statin therapy elevated the level of liver enzymes such as ALT and AST in patients suggesting possible liver toxicity due to statins. This observation has been drawn great attention since statins are the most prescribed drugs and statin-therapy was extended to a larger number of high-risk patients. Here we employed rat primary hepatocytes and microarray technique to understand underlying mechanism responsible for statin-induced liver toxicity on cell level. We isolated genes whose expressions were commonly modulated by statin treatments and examined their biological functions. It is of interest that those genes have function related to response to stress in particular immunity and defense in cells. Our study provided the basic information on cellular mechanism of statin-induced cytotoxicity and may serve for finding indicator genes of statin -induced toxicity in rat primary hepatocytes.

금융사고에 대한 금융기관 종사원의 인지 및 경험에 관한 연구 (A Study on the Recognition & Experience of Institution Employee to the Monetary Circumstances)

  • 홍효석;이춘화;조국연
    • 벤처창업연구
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    • 제2권2호
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    • pp.23-47
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    • 2007
  • 본 연구는 금융기관을 중심으로 사원부정에 관한 자료를 수집하였다. 경남지역의 제1금융권 68건 및 제2금융권 87건과 서울 등 그 밖의 지역 46건 등 모두 201건을 표본을 확보하고 설문을 조사 분석하였다. 그 결과 금융기관에서 종사자들이 느끼는 금융사고의 인지 및 경험은 다양한 형태의 사원부정 형태 또는 사원부정 욕구들 가운데 편취, 부정대출, 금품수수의 형태로 조사되었으며, 이러한 금융사고의 인지 및 경험은 성별과 담당업무에 따라서 부정의 욕구를 느끼는 정도가 유의한 차이를 보였다. 주로 남성이 여성에 비해 금품수수의 욕구가 높은 것으로 조사되었으며, 경제사업 관련 업무 종사자들이 타 업무종사자에 비해 금품수수의 욕구를 보다 더 빈번하게 느끼는 것으로 조사되었다.

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Analysis of Causal Relationship between Chinese Restaurant Chefs' Work Environment and Burnout : Focused on Moderation Role of Enthusiasm

  • Lee, Sung-Woo;Shin, Choung-Seob;Jung, Hun-Jung
    • 동아시아경상학회지
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    • 제5권4호
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    • pp.1-19
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    • 2017
  • Purpose - The current study attempts to enhance competitiveness by improving Chinese restaurant chefs' work environment and analyzes its effect on work environment and burnout. Also, this study analyzes to see if there is moderation role of enthusiasm between work environment and burnout. Based on analyzation, the present study aims to suggest more effective measure of human resource management by reducing burnout and turnover through providing chefs with more stable and consistent work environment and through their enthusiasm. Research design, data, methodology - Surveys were distributed to chefs working in Chinese restaurant in Seoul and Kyunggi region. Total of 500 surveys were distributed between September 1, 2017 and September 20, 2017 (about 20 days), and 417 surveys were returned to be used in the analysis. Results - As a result of testing effect of chefs' work environment on burnout (1) welfare environment, personal environment, and institution environment had significant effect on loss of accomplishment. (2) welfare, personal, and institution environment had significant effect on deindividuation. (3) welfare environment and institution had significant effect on emotional deprivation while personal environment did not. Second, as a result of analysis on moderation role of obsessive enthusiasm between Chinese restaurant chefs' work environment and burnout (1) as a result of interaction between work environment and loss of accomplishment, personal environment had significant effect while welfare environment and institution environment did not. (2) As a result of interaction between work environment and deindividuation, welfare, personal, and institution environment did not have significant effect. (3) As a result of interaction between work environment and emotional deprivation, institution environment had significant effect while personal environment and welfare environment did not. Conclusions - There is manpower shortage due to poor work environment of Chinese restaurant. Studies that are not limited to work environment are needed to more efficiently utilize human resources.

한의 외래서비스 이용자의 동일 증상에 대한 타 의료기관 이용 경험과 다빈도 질환 분석: 2017년 한방의료이용 실태조사를 이용하여 (The analysis on the use experience of other medical institution for the same symptoms and the frequent diseases of outpatients of Korean medical institution: Based on the 2017 Korean Medicine Utilization and Herbal Medicine Consumption Survey)

  • 전천후;김지현;조용규;최대범;윤상훈;차지원;장보형;신용철;고성규
    • 대한예방한의학회지
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    • 제23권3호
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    • pp.13-20
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    • 2019
  • Objectives : The aim of this study is to investigate the use experience of other medical institution of outpatients of Korean medical institution. Methods : Cross-sectional study using the 2017 Korean Medicine Utilization and Herbal Medicine Consumption Survey was conducted. Demographic variables and frequent diseases were analyzed according to the experience of using other medical institutions. The proportions of experience of using other medical institutions of patients with frequent diseases of Korean medical outpatient were analyzed. Results : Fifty-three percent of outpatient had experiencing using other medical institutions for the same symptoms. The frequent diseases of the two groups were similar. The proportion of single use of Korean medicine for injury of lumbar and pelvic, rhinitis, and menstrual disorders were relatively high. Conclusions : There was no notable difference in the frequent diseases according to use experience of other medical institution. Further studies on this topic are needed.

외국인 직접투자는 제도에 어떻게 영향을 미치는가? (How Does Foreign Direct Investment Affect Unbundled Institution?)

  • 서한석
    • 국제지역연구
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    • 제15권3호
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    • pp.535-558
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    • 2011
  • 본 논문은 FDI를 종속변수가 아닌 설명변수로 삼아 FDI가 제도에 미치는 영향에 초점을 맞춘다. 제도를 Rodrik의 분류방법에 따라 시장조성제도, 시장규제제도, 시장안정화제도 및 시장복지제도 등 4종류로 분류하여 FDI가 제도에 어떠한 영향을 미치는지 분석한다. 1985~2009년 기간 동안 186개국가의 패널자료를 이용하여 후진국과 선진국으로 구분하여 제도결정방정식을 추정한다. 고정모형과 FDI의 내생성을 고려한 system GMM을 이용해서 FDI, FDI와 민주주의의 상호관계항이 4종류의 제도에 미치는 영향에 초점을 맞춘다. 추정결과는 다음과 같다. 첫째, 대부분의 추정결과 FDI는 4종류의 제도에 유의한 양의 영향을 미치지 못하고 있다. 둘째, FDI와 민주주의의 상호관계항은 시장규제제도를 제외한 나머지 3개 종류의 제도에 유의한 양의 영향을 미치고 있다. 즉, FDI는 직접적으로 제도에 영향을 미치지 못하지만, 민주주의가 발달한 경우에 간접적으로 시장조성제도, 안정화제도와 시장복지제도에 영향을 미친다. FDI가 유치국의 제도에 직접적으로 영향을 미치지는 못하지만, 긍정적 영향을 미치기 위해서는 유치국가의 민주주의발달이 필요하다는 점을 알 수 있다.