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Impact of postoperative dietary types on nutrition and treatment prognosis in hospitalized patients undergoing oral and maxillofacial surgery: a comparative study

  • Sung Bin Youn;Se-Hui Ahn;Dong-Ho Cho;Hoon Myoung
    • Korean Journal of Community Nutrition
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    • v.29 no.2
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    • pp.129-143
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    • 2024
  • Objectives: The objective of this study is to compare a nutritionally balanced soft blend diet (SBD) with a soft fluid diet (SFD) on the health of inpatients who have undergone oral and maxillofacial (OMF) surgery, ultimately aiming to enhance care outcomes, improve health-related quality of life (QOL), and increase satisfaction with the hospital. Methods: Thirty-two patients were randomized into two groups: sixteen received SFD and sixteen received SBD. Anthropometric, laboratory evaluations were conducted upon admission and discharge. Patients filled out questionnaires on demographics, diet satisfaction, food intake amount, and health-related QOL on the day of discharge, assessed using the EuroQoL 5 Dimensions 3 Level and EuroQoL Visual Analogue Scale (EQ-VAS) instruments. Data were analyzed with descriptive statistics, χ2 tests for group differences, and paired nonparametric t-tests for within-group comparisons. The Mann-Whitney U test evaluated inter-group differences in preoperative weight and body mass index (BMI), postoperative changes, meal satisfaction, intake, health-related QOL, and self-assessed health status. P-values were set at a significance level of 0.05. Results: The SBD group had higher dietary intake (63.2% vs. 51.0%) and greater diet satisfaction (80.6 vs. 48.1, P < 0.0001) compared to SFD group. Health-related QOL, measured by EQ-VAS, was better in SBD group (70.3 vs. 58.8, P < 0.05). Postoperative weight and BMI decreased in SFD group but increased in SBD group (P < 0.01). Changes in laboratory results showed more stability in the SBD group. No postoperative infections were reported in SBD group, whereas SFD group had a 31.25% complication rate. Conclusions: While SFD is often recommended after OMF surgery to protect oral wound healing process, our study reveals that SBD not only enhances physical and psychological outcomes but also, somewhat unexpectedly, supports wound healing and reduces complications. Essentially, SBD promotes physical recovery and enhances health-related QOL than SFD by supporting both somatic and mental healing aspects.

Cold stress test for the diagnosis of cold hypersensitivity on hands (냉부하검사를 통한 수부냉증의 진단)

  • Han, Ji-Young;Joe, Jung-Hoon;Jang, Jun-Bock;Kim, Yong-Suk;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.2 no.1
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    • pp.17-23
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    • 2003
  • Purpose The cold hypersensitivity is a subjective symptom and it is very difficult to evaluate the severity. It is possible to detect cold hypersensitivity by measuring the skin temperature on DITI, but there is limitation only using DITI to find the objective grade of the symptom. To set a new objective standard for the diagnosis of cold hypersensitivity, we examined the relationship between the Visual Analogue Scale (VAS) score for the cold hypersensitivity and the change of skin temperature on hands by cold stress test Method 23 patients with symptom of cold hypersensitivity were participated as subjects who visited the women medical center of Kangnam Kyunghee Korean Hospital, Kyung Hee Univ. from May 1, 2002 to August 31, 2002. There were all carefully examined to rule out other disease such as obesity, skin diseases, spinal nerve lesions and external wounds. Thermographic observations for this study were made using DITI. We performed cold stress test three times to compare with the results from thermographic observations by DITI: first, after 15 minutes-resting, second, right after 1 minutes soak in $20^{\circ}C$ water, the third for last, 10 minutes after the soak. VAS score was chosen to determine the severity of cold hypersensitivity. Result 1 male and 22 female patients were participated ranging in age from 22.17 to 45.21. There was a significant negative correlation between the recovery rate of finger skin temperature after cold stress test and the VAS score. And there was a significant positive correlation between the difference of finger skin temperature and the back and palm of hands after cold stress test and the VAS score. Conclusion In cold hypersensitivity patients, the cold stress test combined with DITI could be a accurate method for the objective evaluation of cold hypersensitivity, especially good at deciding the severity by numeric values. Using a more strict criterion, as diagnosing of cold hypersensitivity, and longer follow-up may improve the validity of the results attained in clinical trials.

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Burden and Needs of the Family Members of the Intensive Care Unit Patients (중환자실 입원환자 가족의 부담감과 요구도)

  • Lee, Ji-Won;Lim, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.421-429
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    • 2014
  • This study set out to investigate the burden and needs of family members of ICU(Intensive Care Unit) patients facing a crisis situation of a family member being hospitalized in ICU and check their connections. Data were collected from May to October 2013. The subjects include 93 main family caregivers of patients hospitalized in ICU at four general hospitals in the B area for three days or longer. Collected data were put to t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficient analysis with the SPSS WIN 20.0 program. As a result, the family members of ICU patients scored mean 3.56 points(out of five) on burden and mean 3.58 points(out of four) on needs, recording a moderate or higher level in both the areas. There was significant difference(F=3.463, p=.036) in burden according to the general characteristics with the number of days in the hospital. There was significant positive correlation(r=.332, p<.001) between their burden and needs. Those findings indicate that an active nursing intervention to reduce the burden of the families of ICU patients in a crisis situation and check their needs will be able to mitigate the family crisis and further have positive influences on the recovery of ICU patients.

Multi-Residue Analysis of 18 Dye Residues in Animal Products by Liquid Chromatography-Tandem Mass Spectrometry

  • Park, Hyunjin;Kim, Joohye;Kang, Hui-Seung;Cho, Byung-Hoon;Oh, Jae-Ho
    • Journal of Food Hygiene and Safety
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    • v.35 no.2
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    • pp.109-117
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    • 2020
  • This study aimed to develop an analytical method for determination of 18 dyes in livestock and fishery products by liquid chromatograph-tandem mass spectrometry (LC-MS/MS). The developed method was validated for linearity, accuracy, limit of quantifications (LOQ) and recovery based on the CODEX guideline (CAC/GL-71). Target matrices (beef, pork, chicken, egg, milk, flatfish, eel, and shrimp) were extracted using acetonitrile (containing 1% of acetic acid) and then, purified with C18 and primary secondary amine (PSA). Calibration linearity was obtained (r2>0.98) and LOQs were 0.002 mg/kg in animal products. The recoveries of dyes were ranged from 63 to 112% and relative standard deviations (RSDs, %) were less than 15%. The residues of 18 dyes were investigated in real samples (n=124) collected from retail markets in South Korea. As a result, a total of seven samples showed positive results for target analytes in fish samples. However, there was no violation according to the maximum residue limits set by the Korean Food Code. The proposed method will be used for routine analysis of dye residues in livestock and fishery products.

Determination of residual novobiocin in livestock products and fisheries products by HPLC (HPLC를 이용한 축·수산 식품 중 잔류 노보비오신의 분석)

  • Lee, Byung Kyu;Lee, Cheol-Woo;Lee, Sang-Ju;Jung, Eun Ha;Lim, Hyun Kyun;Han, Sang Beom
    • Analytical Science and Technology
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    • v.20 no.4
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    • pp.347-354
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    • 2007
  • A simple and rapid high-performance liquid chromatography assay for the determination of residual novobiocin levels in bovine, porcine, chicken, flatfish and japanese eel muscle has been developed and validated. The separation condition for HPLC/UV was optimized with phenyl hexyl ($4.6{\times}150mm$, $5{\mu}m$) column with 10 mM monobasic sodium phosphate buffer (pH 2.5)/acetonitrile (50/50, v/v) as the mobile phase at a flow rate of 1.0 mL/min and detection wavelength was set at 254 nm. Residues were extracted from tissue by blending with methanol and lipid materials were removed with n-hexane. Then, the methanol extract was evaporated to dryness under a nitrogen stream, reconstituted in the mobile phase. Aliquot of the organic extract was decanted and filtered through $0.45{\mu}m$ syringe filter. The $20{\mu}L$ of the resulting solution was injected into the HPLC system. The calibration ranges were $0.5{\sim}5{\mu}g/g$ and calibration curves were linear with coefficients of correlation better than 0.95. The limits of quantification were $0.5{\mu}g/g$ for all muscles. The recoveries of bovine, porcine, chicken, flatfish and japaneseel muscles were 99.8%, 102.4%, 91.0%, 104.0% and 93.0%, respectively. The procedures were validated according to the CODEX guideline, determining specificity, linearity, accuracy, precision, quantitation limit and recovery.

Estimation of Road-Network Performance and Resilience According to the Strength of a Disaster (재난 강도에 따른 도로 네트워크의 성능 및 회복력 산정 방안)

  • Jung, Hoyong;Choi, Seunghyun;Do, Myungsik
    • International Journal of Highway Engineering
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    • v.20 no.1
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    • pp.35-45
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    • 2018
  • PURPOSES : This study examines the performance changes of road networks according to the strength of a disaster, and proposes a method for estimating the quantitative resilience according to the road-network performance changes and damage scale. This study also selected high-influence road sections, according to disasters targeting the road network, and aimed to analyze their hazard resilience from the network aspect through a scenario analysis of the damage recovery after a disaster occurred. METHODS : The analysis was conducted targeting Sejong City in South Korea. The disaster situation was set up using the TransCAD and VISSIM traffic-simulation software. First, the study analyzed how road-network damage changed the user's travel pattern and travel time, and how it affected the complete network. Secondly, the functional aspects of the road networks were analyzed using quantitative resilience. Finally, based on the road-network performance change and resilience, priority-management road sections were selected. RESULTS : According to the analysis results, when a road section has relatively low connectivity and low traffic, its effect on the complete network is insignificant. Moreover, certain road sections with relatively high importance can suffer a performance loss from major damage, for e.g., sections where bridges, tunnels, or underground roads are located, roads where no bypasses exist or they exist far from the concerned road, including entrances and exits to suburban areas. Relatively important roads have the potential to significantly degrade the network performance when a disaster occurs. Because of the high risk of delays or isolation, they may lead to secondary damage. Thus, it is necessary to manage the roads to maintain their performance. CONCLUSIONS : As a baseline study to establish measures for traffic prevention, this study considered the performance of a road network, selected high-influence road sections within the road network, and analyzed the quantitative resilience of the road network according to scenarios. The road users' passage-pattern changes were analyzed through simulation analysis using the User Equilibrium model. Based on the analysis results, the resilience in each scenario was examined and compared. Sections where a road's performance loss had a significant influence on the network were targeted. The study results were judged to become basic research data for establishing response plans to restore the original functions and performance of the destroyed and damage road networks, and for selecting maintenance priorities.

Management Period Setting Study of through Analysis of the Growth Amount after Planting of Deciduous Broadleaf Species Planted in Ecological Restoration Sites (생태복원지에 식재된 낙엽활엽수종의 이식 후 생장량 분석을 통한 관리기간 설정 연구)

  • Lee, Soo-Dong;Bae, Soon-Hyoung
    • Korean Journal of Environment and Ecology
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    • v.36 no.5
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    • pp.496-506
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    • 2022
  • The growth of trees planted through transplantation rapidly decreases immediately after planting due to extreme disturbances such as root cutting and crown damage. Although the growth rate is recovered as time elapses, the time required to restore the original growth varies by species. Therefore, it is necessary to set an appropriate tree management period for survival after transplantation by analyzing each species' annual growth change. In this study, we analyzed the growth amount of deciduous broad-leaf species planted in the area where the riparian ecological belt was formed and proposed the management period based on the results. Slowed growth immediately after planting is a common phenomenon due to root cutting and pruning, the pre-works performed to increase tree survival rate during the transplantation process. Afterward, the original growth rate is recovered as time passes, but the time required may vary depending on the species and planting environment. Most of the trees showed a rapid decrease in growth immediately after transplantation. After that, although it is different for each species, most of them showed a gradual recovery from 2 years onwards. The analysis of the growth rate by tree species confirmed that it took 2 to 4 years, depending on the tree species, to recover the growth level before transplantation after a rapid decrease in growth immediately after transplantation. The results suggest that improving the defect rate of planted trees is necessary to meet the project objectives: ecological restoration and pollutant reduction. It requires setting a tree management period of at least two years and creating an appropriate base environment.

Changes in Near Lateral Phoria and Near Point of Convergence After Viewing Smartphones (스마트폰 시청 후 나타난 근거리 사위 및 폭주근점의 변화)

  • Park, Kyung-Joo;Lee, Wook-Jin;Lee, Na-Geum;Lee, Jeong-Young;Son, Jeong-Sik;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.2
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    • pp.171-176
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    • 2012
  • Purpose: This study was to compare changes in near lateral phoria and near point of convergence after viewing smartphones and monitors during short periods. Methods: 50 subjects with healthy eyes from 20s to 30s (mean age, $21.84{\pm}5.13$ years) were examined. Viewing time was set at 5 min to 20 min, and recovery time was 10 min. Near lateral phoria and near point of convergence (NPC) were examined before and after watching smartphones and monitors, and subjectively symptoms for visual fatigue were surveyed using a questionnaire before and after viewing image. Results: The tendency of phoria in viewing smartpones found more exophoric results than in viewing monitors, and both exophoric shifts were recovered after 10 min. The receded NPC in the smartphones was more remote than in the monitors. The smartpones induced more visual fatigue than the monitors. Conclusions: Sustained smartphone works induced changes in phoria and NPC, and this type of stress could cause visual fatigue. Therefore, an appropriate rest breaks can be helpful in relieving visual fatigue.

Review of Material Flow Analysis Related Activities of Developed Countries for the Improvement of Resources Efficiency and Sustainability (자원 효율성 및 지속 가능성 증진을 위한 선진국 물질흐름분석 관련활동에 대한 평가)

  • Kim, Seong-Yong
    • Economic and Environmental Geology
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    • v.39 no.5 s.180
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    • pp.615-626
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    • 2006
  • The natural resources and material life-cycle include all human activities related to resources and material extraction, transportation, processing, use, recovery and disposal. Sustainable material management (SMM) is an integrated set of policy approaches targeted on economic agents throughout the material life-cycles and designed to result in economically efficient and environmentally effective material use. The material flows of industrial mineral, ores and fossil fuels have also long been a focal area for environmental policies because of the high environmental pressures associated with extraction, processing, consumption, and final disposal of these materials. OECD work on material flow is to improve the quantitative and analytical knowledge bases about natural resource and material flows within and among countries, so as to better understand the importance of material resources in member countries' economies. In several EU Member States, material flow accounts are part of official statistics. Material flow analysis (MFA) is a valuation method which assesses the efficiency of use of materials using information from material flow accounting. Material flow analysis helps to identify waste of natural resources and other materials in the economy which would otherwise go unnoticed in conventional economic monitoring systems. Resource use and resource efficiency has emerged as a major issue for long-term sustainability and environmental policy.

The Effects of Aerobic Exercise Capacity on Free Oxygen Radical in Blood during Submaximal Exercise in Rowing Ergometer (유산소운동능력의 차이가 로윙에르고미터 최대하 운동시 혈중 활성산소에 미치는 영향)

  • Kang, Shin-Beum;Cha, Hwa-Jun;Ha, Hae-Dong
    • Journal of Navigation and Port Research
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    • v.34 no.10
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    • pp.757-762
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    • 2010
  • The purposes of this study were to examine the effects of aerobic exercise capacity on free oxygen radicals in blood(FORB) during submaximal exercise in rowing ergometer and as for study purposes, a set of experiments were conducted using one group of 6 rowing players(RP) and the other group of 6 non rowing players(NRP) at the maximum heart rate reserve(HRR) 85~90% exercise intensity. Oxygen free radical was sampled 5 times including a rest period(ARP), immediate after exercise(IAE), 10 minutes after exercise(10MAE), 20 minutes after exercise(20MAE) and 30 minutes after exercise(30MAE). Accordingly, following findings were derived from current study. The effects of interaction between groups and times were significant in oxygen free radical(p<.05) and post hoc tests revealed that significant differences occurred between 10MAE and 20MAE and between 20MAE and 30MAE. In conclusion, the aerobic exercise capacity excellence RP group had more positive recovery pattern than that in the NRP group from FORB of negative influence to the human body