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Risk Factors of Acute Renal Failure after Colorectal Surgery (대장수술 후에 발생한 급성신부전의 위험인자)

  • Lee, Hae-Mi;Hwang, Chang-Jae;Kim, Jae-Hwang;Kim, Heung-Dae;Park, Dae-Pal;Seo, Il-Suk;Song, Sun-Ok;Kim, Sae-Yeon;Lee, Deuk-Hee;Jee, Dae-Lim
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.275-286
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    • 2007
  • Background : Acute renal failure is one of the leading causes of postoperative morbidity and mortality. The purpose of this study was to determine the risk factors that are associated with acute renal failure after colorectal surgery. Materials and Methods : Five hundred seventy patients who operated colorectal surgery at the Yeungnam University Medical Center over three years from 2004 to 2006 were enrolled in this study. The effects of gender, age, ASA classification, concomitant disease, surgery type and duration, reoperation, urogenital manipulation, medication, hypotension, hypovolemia, transfusion, and postoperative ventilatory care on the occurrence of acute renal failure after colorectal surgery were studied. Results : The major risk factors of acute renal failure after colorectal surgery were age of patients (P=0.003), ASA classification (P<0.001), concomitant disease (P<0.001), duration of the time surgery (P=0.034), reoperation (P=0.001), use of intraoperative diuretics (P=0.005), use of postoperative diuretics (P<0.001), intraoperative hypotension (P=0.018), intraoperative transfusion (P<0.001), postoperative transfusion (P<0.001), and postoperative ventilatory care (P=0.001). Conclusion : Multiple factors cause synergistic effects on the development of acute renal failure after colorectal surgery. Therefore, efforts to reduce the risk factors associated with acute renal failure are needed. In addition, intensive postoperative care should be provided to all patients.

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Establishment of Organic Seed Harvesting Technology of Carrot (당근 유기종자 채종기술 확립)

  • Kwon, Sung-Ae;Bak, Min-Kyung;Kwon, Young-Han;Lee, Young-Hun;Ruan, Jiwei;Murti, Rudi Hari;Jee, Hyung-Jin;Lee, Yeon;Kim, Byun-Sup;Yeoung, Young-Rog
    • Proceedings of the Korean Society of Organic Agriculture Conference
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    • 2009.12a
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    • pp.297-297
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    • 2009
  • 최근 유기농산물에 대한 관심과 요구가 급증하면서 소비자들은 고품질 유기농산물을 선호하고 있어 국내 대부분 유기농가들은 무처리 일반종자를 이용하고 있는 실정이다. 앞으로 국제 기준에 부합하는 채소류 유기재배를 위해서는 유기종자의 이용이 필수적이므로 유기종자 채종체계 확립이 필요한 실정이다. 따라서 본 연구에서는 당근 종자(재래종 heimloom)를 사용하여 유기종자의 채종체계를 확립하고자 하였다. 일반적으로 당근종자 생산은 적어도 2년을 요구한다. Seed to seed 방법과 Root to seed 방법이 이용되고 있는데 본 연구에서는 Root to seed 방법을 사용하였다. Root to seed 방법은 6월에 당근종자를 파종하여 가을에 뿌리를 수확하여 지상부를 5cm 정도 남기고 정지하여 일시 저온저장 하였다가 이듬해 뿌리를 이식하여 새순에서 추대시켜 종자를 수확하는 방법으로 종자 생산성이 높아 종자회사에서 많이 사용하고 있다. 본 연구에서도 Root to seed 방법으로 채종 시험하였다. 2008년도에 파종 및 수확한 뿌리를 저온저장고에 일시 저장 후 1차 이식은 2008년 11월 하순에 노지포장에서 실시하고 이때 월동 중 동해를 막기 위하여 보온덮개로 멀칭 처리하였다. 이듬해 3월 중순에 주간거리 75${\times}$40cm 간격으로 솎음하여 처리당 10주씩 배치하였다. 이식후 뿌리에서 새순 1대를 유도하였고 추대 및 개화 6주후부터 종자가 갈색으로 변하기 시작할 때 채종을 시작하였다. 수확부위는 1차 측지 중 1번째 화지를 대상으로 하였고 화경절단은 화총으로부터 20cm 정도 남겨서 잘랐고 실내에서 1개월 이상 충분히 후숙시킨 후 종자를 정선하여 종자생산성을 조사하였다. 결실율과 발아율 조사는 채종된 종자를 이용하여 종자 충실도와 발아력을 조사하였다. 각 품종별 추대율은 15번 품종과 16번, 24번 품종이 5% 미만으로 매우 부진하였고 그밖에 추대된 묘의 생육 및 발육상은 매우 양호하여 개화에는 커다란 문제가 없었다. 종자 결실율은 23번 품종을 제외한 모든 품종에서 높았고 각 품종별 화총구조를 고려해 볼 때 주간 화총, 1차측지, 2차측지 순으로 결실율이 떨어졌다. 각 품종의 천립중은 1, 11, 12, 14, 20번 품종이 2.02g 이상으로 대립종으로 판단되며 각 품종별 화총의 크기는 비슷하여 대립종은 각 화총당 종자수가 적은 것으로 나타났다. 대분분의 대립종은 만생종으로 생육기간이 소립종 보다 10-20일상 길며 종자 성숙기간도 장기간 소요되며 특히 장마기간을 넘겨야 할 경우에는 비가림 시설 채종재배가 필수적인 것으로 나타났다. 발아율은 10, 11, 14, 18, 19, 26번 품종이 80% 이상으로 가장 높았고 다른 품종에서는 다소 떨어져 품종별 차이가 많았다. 종자 생산성은 장근종과 단근종간에 약간의 차이가 있지만 주간 화총을 포함하여 1차 측지 4-5개에서 채종하는 것이 가장 효율적인 것으로 사료된다. 또한 당근의 개화 기간을 보면 1화륜은 8~10일, 1개체는 40~50일, 채종포장에서는 1화륜에서 측지 6개구까지 채종은 60~70일 소요되어 미숙종자와 과숙종자가 혼재되어 적정 수확시기를 결정하기가 매우 어려운 점이 발생하였다. 본 연구 결과에서 생육특성, 수량성, 품질특성, 종자 생산성, 발아율을 고려해 볼 때 1, 7, 8, 9, 10, 14, 19, 26번 품종이 유기농 재배 및 유기채종에 적합한 것으로 사료되었다.

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A Case Study on the Management System of World Natural Heritage in Japan (일본의 세계자연유산 관리 체계에 관한 사례 연구)

  • Lee, Chang-Hun;Park, Jin-Wook
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.1
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    • pp.142-151
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    • 2020
  • This study is designed to deduce an implication for an effective implementation of the Special Act for Conservation, Management and Utilization of World Heritage in Korea which was legislated in February, 2020. To draw an implication, which is regarded as highly valuable for preparing for the implementation of the act, several case studies were performed focusing on four World Natural Heritage sites in Japan, and the result is as follows. First, it is enormously crucial for the central administration agencies and the local government to have a system through which they communicate one another regularly. All the target areas in Japan consist of three national parks and a prefectural park with natural monuments, and the national forest covers a tremendously large proportion of the areas. The Japanese central agencies including Ministry of the Environment, Forestry Agency and Agency for Cultural Affairs have communication with the local government through a system named Regional Liaison Committee in order to manage the sites effectively. Also, in the case of Japan, de facto administrating agencies involving non-profit organizations and the tourism association also participate in the regular conferences to communicate. Second, a specific committee consisting of academic advisers is strongly needed. In the case of Japan, Scientific Committee provides academic grounds for the management plan established by the members of Regional Liaison Committee, and an active system which allows the members to organize consultative committees and subcommittees has been established. Scientific Committee plays an important role in preventing the local government, which tends to manage the world natural heritage in more economically profitable ways, from damaging the environment of the site. The establishment of this type of committee is thought to be extremely desirable because the World Natural Heritage requires comprehensive and sustainable management plans on the ecosystem. Third, establishment of comprehensive management plan based on continuous monitoring on the environment and detailed action plan is exceedingly needed. To sum up, it is vital to establish a management plan considering environmental aspect, and detailed guidelines, which help execute the plan both properly and effectively, are required for systematic and sustainable management.

Distribution Characteristics and Management Plan of the Wisteria Habitat (No. 176 natural monument) of Beomeosa Temple in Busan (부산 범어사 등나무군락지의 등나무 분포 특성 및 관리방안)

  • Lee, Chang-Woo;Oh, Hae-Seong;Lee, Cheol-Ho;Choi, Byoung-Ki
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.35 no.2
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    • pp.77-86
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    • 2017
  • A study on the population ecology of gregarious Wisteria habitat was conducted in Beomeosa temple, Busan. The area has been protected since it was designated as No. 176 natural monument in 1966. Such a large habitat of native wisteria (Wisteria floribunda DC.) in Korea is very rare so that it has a very high academic value. However, there are no high-resolution researches on the distribution and ecology of wisteria in the Gregarious Wisteria Habitat of Beomeosa Temple. The study aimed to identify the distribution and characteristics of wisteria populations in the Wisteria habitat. The study identified the distribution of Wisteria, RCC, the climbing direction, the plant and flora in the research area in the Gregarious Wisteria Habitat of Beomeosa Temple in Busan and the surrounding areas based on an on-site research. As a result, the total number of the wisteria populations in the research area was confirmed to be 1,158 and the RCC of wisteria was on average 69.0 mm (${\pm}45.5$) and in maximum 365 mm. In terms of the climbing direction, the number of wisteria that climbs clockwise or counterclockwise was determined to be 40. It was identified that there are 28 taxa of the climbing plant species and the wisteria of the same kind was the most favorable. The populations were found to be dispersed adjacent to the valleys, and were found to be maintained by constant disturbance. 76.6 % of the population was found to be distributed in the valley forest, and the Carpinus tschonoskii-Pseudosasa japonica forest, Pueraria lobata community and Pinus densiflora forest were found to be relatively dispersed. The study proposed to conduct the follow-up researches to preserve the wisteria that is spreading in this research area, the wisteria with the highest RCC and regional habitat through continuous monitoring; and maintain the protection area of No. 176 natural monument; and discussed the management measures and approaches that reflect the habitat.

Influential Factors on Technology Acceptance of Augmented Reality(AR) (증강현실(Augmented Reality: AR) 기술수용에 영향을 미치는 요인)

  • Chung, Byoung Gyu;Dong, Hak Lim
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.3
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    • pp.153-168
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    • 2019
  • Augmented Reality(AR) has been one of the important technologies of the 4th industrial revolution. Consumer acceptance of new technologies is substantial issue for market expansion, but there have been few empirical studies on factors that affect the acceptance or use intention of AR. In this study, we have explored and analyzed the factors influencing technology acceptance based on the extended unified theory of acceptance and use of technology(UTAUT2) model in the AR business and have discussed it with comparison with existing research based on this analysis. The results of this study suggest that the main variables of the existing UTAUT1 model had significant positive effect on the intention to use, such as performance expectancy, effort expectancy, facilitating conditions and hedonic motivation, habits of UTAUT2. In addition, perceived risk introduced in this study had a negative effect on intention to use. Furthermore, the impact between these two factors have been effort expectancy(${\beta}=.294$)>habits(${\beta}=.268$)>hedonic motivation(${\beta}=.266$)>performance expectancy,(${\beta}=.263$)>facilitating conditions(${\beta}=.233$)>perceived risk(${\beta}=-.094$). The impact of social influence did not have a significant effect on intention to use. The intention to use was analyzed to have a significant positive effect on the actual use and recommendation intention. On the other hand, the hypothesis that the age and gender has played a moderating role between independent variables and the intention of use were investigated. Age was found out to play a role as a moderator between social influence, facilitating conditions, hedonic motivation, habits and intention to use. In the same way, gender has been shown to play a moderating role between facilitating conditions, perceived risk and intention to use. Academic and practical implications are suggested based on the results of this study.

The Effect of Mentoring on the Mentor's Job Satisfaction: Mediating Effects of Personal Learning and Self-efficacy (멘토링이 멘토의 직무만족도에 미치는 영향: 개인학습 및 자기효능감의 매개효과)

  • Lee, In Hong;Dong, Hak Lim
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.18 no.3
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    • pp.157-172
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    • 2023
  • The recent Fourth Industrial Revolution is accelerating changes due to digital transformation. According to this trend, the existing start-up paradigm is changing, and new business models based on new technologies and creative ideas are emerging. In addition, the diversity of mentoring relationships and environments such as online mentoring, reverse mentoring, group mentoring, and multiple mentoring is also increasing. However, most mentors in their 50s and 60s, who are mainly active in the start-up field, have been able to help mentees a lot based on their own experience and expertise, but they are having difficulty responding to the changing environment due to a lack of understanding and experience of new technologies and environments. To cope with these changes well, mentors must constantly study, acquire and apply the latest technologies to improve their understanding of new technologies and the environment. In addition, it is necessary to have an understanding and respect for the diversity of mentoring relationships and environments, and to maximize the effectiveness of mentoring by actively utilizing them. Therefore, mentors should recognize that they directly affect the growth and development of mentees, constantly acquire new knowledge and skills to maintain and develop expertise, and actively deliver their knowledge and experiences to mentees. Therefore, in this study, was tried to empirically analyze the relationship between mentoring's influence on mentor's job satisfaction through mentor's personal learning and self-efficacy. The results of the empirical analysis were as follows. Among the functions of mentoring, career function and role modeling were found to have a positive effect on both personal learning and self-efficacy, which are parameters, and job satisfaction, which is a dependent variable. On the other hand, psychological and social functions have a positive effect on personal learning, but they do not have an effect on self-efficacy and job satisfaction. In addition, as a result of analyzing the mediating effect, all mediating effects were confirmed for career functions, and only the mediating effect of self-efficacy was confirmed for role modeling. Through this study, mentoring is an important factor in promoting job satisfaction, personal learning and self-efficacy, and this study can be said to be academically and practically meaningful in that it confirmed personal learning and self-efficacy as factors that increase mentor's job satisfaction, and the focus of mentoring research was shifted from mentee to mentor to study the impact of mentoring on mentors.

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