• 제목/요약/키워드: A-grade

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Assessment of Recanalization after Intra-Arterial Thrombolysis in Patients with Acute Ischemic Stroke : Proposed Modification of the Qureshi Grading System

  • Kim, Jae-Hoon;Kang, Hee-In;Moon, Byung-Gwan;Lee, Seung-Jin;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • 제51권5호
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    • pp.262-267
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    • 2012
  • Objective : We aimed to investigate the correlation between the success of recanalization and a modified version of the Qureshi grading system in acute ischemic stroke patients. Methods : We retrospectively analyzed the intra-arterial thrombolysis (IAT) records of 37 patients who were evaluated by Thrombolysis in Myocardial Infarction (TIMI) and a modified version of the Qureshi grading systems as follows : 1) post-IAT Qureshi grade, 2) modified ${\Delta}$ Qureshi grade : pre-IAT group grade - post-IAT group grade (grade 1 : Qureshi grades 0-2 and grade 2 : Qureshi grade 3-5) and 3) ${\Delta}$ Qureshi grade (post-IAT Qureshi grade - pre-IAT Qureshi grade). Successful recanalization was defined as follows : 1) post-IAT TIMI grades 2 and 3, 2) post-IAT Qureshi grade 0-2, 3) modified ${\Delta}$ Qureshi grade=1, and 4) ${\Delta}$ Qureshi grade of ${\geq}2$ and/or post-IAT Qureshi grade=0. We investigated the correlation between the post-IAT TIMI grade and the modified Qureshi grade and also compared the various grading systems with modified Rankin Scale scores for evaluating the clinical outcome at 3 months. Results : The post-IAT Qureshi grade and ${\Delta}$ Qureshi grade and/or post-IAT Qureshi grade were significantly correlated with the TIMI grade (${\gamma}$=0.976 and, 0.942, respectively). Further, post-IAT Qureshi grade and ${\Delta}$ Qureshi grade and/or post-IAT Qureshi grade showed a significantly stronger association with clinical outcome than did the post-IAT TIMI grade (p=0.001 and, 0.000 vs. 0.083, respectively). Conclusion : Our preliminary results suggest that the modified Qureshi grading system is a useful tool for assessing the success of recanalization after IAT.

단계별(段階別) 가압(加壓)에 따른 좌관부위(左關部位) 맥파(脈波) 변화(變化) (A Study on the Waveform Analysis of Left KWAN Pulse Dignosis by the Pressure)

  • 김경철;이정원;류경호;김종환;박주연
    • 대한한의진단학회지
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    • 제13권1호
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    • pp.19-35
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    • 2009
  • Objectives : In the study on the waveform analysis of radial artery pulse diagnosis, we need to establish fundamentals of contemporary pulse diagnosis research. To achieve certain experimental basis on traditional pulse diagnosis, we have to research the differences of pulse waveform according to pressure (in 5 level) and position (Chon, Gwan, Cheok in radial artery). As a first step, in present thesis, we tried to find the differences of pulse waveform according to pressure. Methods and Results : In this research, we analyzed seven parameters of the waveform at five levels of pressure. The parameters are E(so called 'energy', a representative of pulse strength), h1(height of percussion wave) and h2(height of subincisura). The results were as follows. 1. When we analyzed the change of the waveform according to pressure in the left Gwan, E, hl, h2 and A differed between 1st and 2nd grade, between 1st and 3rd grade, between 1st and 4th grade, between 1st and 5th grade, between 2nd and 3rd grade, between 2nd and 5th grade, between 3rd and 5th grade and between 4th and 5th grade in 95% confidence interval. 2. And t2, t4 differed between 1st and 2nd grade, between 1st and 5th grade, between 2nd and 4th grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade and between 4th and 5th grade in 95% confidence interval. 3. W differed between 1st and 3rd grade, between 1st and 4th grade, between 2nd and 3rd grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade, and between 4th and 5th grade in 95% confidence interval. 4. And h2/h1 differed between 1st and 4th grade, between 1st and 5th grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade & between 3rd and 5th grade in 95% confidence interval. 5. There were differences between 1st and 2nd grade & between 2nd and 5th grade in the case of t4/t2 in 95% confidence interval. And there were differences between 1st and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of W/A in 95% confidence interval. And were differences between 1st and 2nd grade, between 2nd and 3rd grade, between 2nd and 4th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of A/E in 95% confidence interval. Conclusions : As mentioned above, we conclude that the waveform analysis according to five grade pressure in the left Gwan shows the difference of waveform in each grade pressure.

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노인장기요양보험 이용자의 등급유지 영향요인 분석 (A Study of Factors Affecting the Grade Maintenance of Long-Term Care Service Users)

  • 문용필;이호용
    • 한국콘텐츠학회논문지
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    • 제18권1호
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    • pp.76-89
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    • 2018
  • 본 연구의 목적은 노인장기요양보험 이용자의 장기요양등급 유지 및 변경특성을 분석하고, 장기요양서비스 이용자의 등급유지에 영향을 미치는 요인을 파악하는 것이다. 이를 위해 국민건강보험공단 노인장기요양보험의 원자료(인정 및 급여자료)를 활용하여 2008-2014년 장기요양 급여를 이용한 자를 분석 대상으로 로지스틱 회귀분석을 실시하였다. 분석 대상자를 등급집단(1-3등급)별로 구분하여 인구사회학적 요인, 질병요인, 서비스 요인으로 분석하였다. 분석 결과, 인구사회학적 요인에서 1, 3등급에서 64세 미만자가 80세 이상자보다 등급을 유지할 가능성이 높게 나타났다. 3등급에서 독거자가 비독거자에 비해, 농어촌거주자는 대도시거주자에 비해 등급을 유지할 가능성이 높게 나타났다. 질병 요인에서 1등급에서 치매보유자가 등급유지 가능성이 높게 나타났으나, 2, 3등급에서 반대로 나타났다. 2등급에서 중풍, 골절 보유자가 등급유지 가능성이 높게 나타났고, 3등급에서 암보유자가 등급유지 가능성이 높게 나타났다. 서비스요인에서는 2, 3등급에서 갱신횟수가 높을수록 등급유지 가능성이 높게 나타났다. 1등급에서 시설이용일수가 높을수록 등급유지 가능성이 높게 나타났고, 2등급에서 재가이용일수가 높을수록 등급유지 가능성이 높게 나타났다. 이상의 분석결과를 통해서 장기요양서비스 이용자를 위한 제도개선에 대한 이론적, 정책적 시사점을 제시하였다.

상완골에서 발생한 Grade I 및 Grade II 연골육종 - 증례 보고 - (Grade I and II Chondrosarcoma of the Humerus)

  • 조완형;전대근;박종훈;송원석;안준환;이수용
    • 대한골관절종양학회지
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    • 제12권2호
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    • pp.131-135
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    • 2006
  • 연골육종은 조직학적 소견에 따라 grade I, II, III로 나누어지며 예후와도 깊은 관련이 있다. Grade II 및 III의 연골육종의 수술 시 광범위 절제를 주로 시행하나 grade I 연골육종의 경우에는 소파술과 광범위 절제술 사이에 이견이 많다. 저자들은 상완골의 근위부에 grade I, 원위부에 grade II의 연골육종이 발생한 경우에 grade I은 소파술을, grade II는 광범위 절제술을 시행한 경험을 하였기에 보고하는 바이다.

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한국산 김의 조리방법에 따른 Carotene 함량변화와 관한 연구 (A Study on Changes in the Carotene Content of Korean Laver according to different Cooking method)

  • 장기숙
    • 대한가정학회지
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    • 제17권3호
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    • pp.53-59
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    • 1979
  • Vitamin contents of three grades of Korean laver high, medium and low were measured. They were cooked by different methods to examine changes in their vitamin content. Results of this experiment are as follows ; 1. Vitamin contained in loogr of laver amount to 13,200 I.U, for high grade, 16,100 for mediium grade, and 16,400 for low grade . The low -grade laver, which is interwoven with green laver, showed the highest vitamin content. 2. When laver was broiled sheet by sheet, its vitamin loss rate was 11% for high grade, 19% for medium grade, and 20% for low grade. Thus , the one with a higher vitamin content showed a higher vitamin loss rate. When two sheets of laver, which were put upon each other, were broiled, their vitamin loss rates were 2.3% for high grade, 1.73 % for medium grade, and 2.64% for low grade. Thus broiling laver at the unitof two to three sheets together is a way of decreasing the vitamin loss rate. 3. When laver was broiled with salt applied on its surface , its vitamin loss rate was 8.3% for high grade, 13% for medium grade, and 10.9% for low grade. When laver was broied at the unit of two sheets together after salt and sesame oil were added, its vitamin loss rate was 2.2% for high grade, 5.2% for medium grade, and 8.2% for low grade . The one with a higher vitamin content showed a higher vitamin loss rate. 4. When laver was mixed seasoned soysauce, its vitamin loss rate increased in process of time. In 48 hours after laver was mixed with seasoned soysauce , its vitamin loss rate read 24.2%, 27.1% and 35% respectively, for the three grades of laver. Thus the laver mixed with seasoned soysauce has to be used right after so cooked so as to obtained the highest possible vitamin content.

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Association of tumor differentiation grade and survival of women with squamous cell carcinoma of the uterine cervix

  • Matsuo, Koji;Mandelbaum, Rachel S.;Machida, Hiroko;Purushotham, Sanjay;Grubbs, Brendan H.;Roman, Lynda D.;Wright, Jason D.
    • Journal of Gynecologic Oncology
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    • 제29권6호
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    • pp.91.1-91.12
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    • 2018
  • Objective: To examine the association between tumor grade and survival for women with squamous cervical cancer. Methods: This retrospective observational study utilized the Surveillance, Epidemiology, and End Result program data between 1983 and 2013 to examine women with squamous cervical cancer with known tumor differentiation grade. Multivariable analyses were performed to assess independent associations between tumor differentiation grade and survival. Results: A total of 31,536 women were identified including 15,175 (48.1%) with grade 3 tumors, 14,084 (44.7%) with grade 2 neoplasms and 2,277 (7.2%) with grade 1 tumors. Higher tumor grade was significantly associated with older age, higher stage disease, larger tumor size, and lymph node metastasis (all, p<0.001). In a multivariable analysis, grade 2 tumors (adjusted-hazard ratio [HR]=1.21; p<0.001) and grade 3 tumors (adjusted-HR=1.45; p<0.001) were independently associated with decreased cause-specific survival (CSS) compared to grade 1 tumors. Among the 7,429 women with stage II-III disease who received radiotherapy without surgical treatment, grade 3 tumors were independently associated with decreased CSS compared to grade 2 tumors (adjusted-HR=1.16; p<0.001). Among 4,045 women with node-negative stage I disease and tumor size ${\leq}4cm$ who underwent surgical treatment without radiotherapy, grade 2 tumors (adjusted-HR=2.54; p=0.028) and grade 3 tumors (adjusted-HR=4.48; p<0.001) were independently associated with decreased CSS compared to grade 1 tumors. Conclusion: Our study suggests that tumor differentiation grade may be a prognostic factor in women with squamous cervical cancer, particularly in early-stage disease. Higher tumor grade was associated with poorer survival.

Carcass Traits Determining Quality and Yield Grades of Hanwoo Steers

  • Moon, S.S.;Hwang, I.H.;Jin, S.K.;Lee, J.G.;Joo, S.T.;Park, G.B.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권7호
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    • pp.1049-1054
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    • 2003
  • A group of Hanwoo (Korean cattle) steers (n=14,386) was sampled from a commercial abattoir located in Seoul over one year period (spring, summer, autumn and winter) and their carcass traits were collected. Carcass traits assessed by an official meat grader comprised degree of marbling, meat color, fat color, texture and maturity for quality grade, and back fat thickness, ribeye area and carcass weight for yield grade. A heavier carcass with a higher marbling score, more red meat color and white fat color received better quality grade (p<0.05). Regression analysis showed that the marbling score was the strongest attribute (partial $R^2=0.88$) for quality grade. Lighter carcasses with a thinner back fat and larger ribeye area received higher yield grade score. The back fat thickness was the most negative determinant of yield grade (Partial $R^2=-0.66$). The slaughter season had a little effect on quality and yield grades. As slaughter weight increased, back fat thickness and ribeye area increased linearly, whereas marbling score reached its asymptotic level at approximately 570 kg. As a consequence, quality grade showed a considerable improvement up to 570 kg, but increases in slaughter weight afterward showed a little benefit on quality grade. There was a clear curvilinear relationship between slaughter weight and yield grade in that the yield grade reached its highest point at approximately 490 kg and decreased afterward. These results suggested that 570kg at the age of 24 months might be the economic slaughter weight for quality grade but 490 kg for yield grade.

가토에서 심낭이완술에 관한 실험적 연구 (Experimental Studies of the Pericardial Releasing Technique in Rabbits)

  • 박만실
    • Journal of Chest Surgery
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    • 제20권3호
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    • pp.451-457
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    • 1987
  • Reoperations following cardiac surgery have an increased risk of the danger of damaging the heart, great vessels or extracardiac grafts because of adhesions to the sternum. We experimentally evaluated 3 different methods for pericardial closure. A standardized procedure for induction of pericardial adhesions was carried out in 30 rabbits. For closure of pericardium, animals were divided into 3 groups, 10 animals respectively: Croup 1 [simple pericardial closure]The pericardium was primarily resuture; Group 2 [Core-Tex surgical membrane as a pericardial substitute]- A Gore-Tex surgical membrane was interposed between the sternum and the heart; and Group 3 [pericardial tension releasing technique]-Three longitudinal overlapping incisions were made on the right side of the pericardium while the midline incison was sutured. Animals were put to death 4 weeks postoperatively and the pericardial space was examined for pericardial adhesions and epicardial reactions. The extent of adhesions and reactions were graded as: I-none; II-minimal; III-moderate; and IV-severe. Histologic studies of the pericardium, the pericardial substitute and the epicardium were also performed. The results were as follows: 1. In group 1 [simple pericardial closure], the degree of pericardial adhesions were grade I in 1 animal, grade II in 2, grade III in 4 and grade IV in 3. Epicardial reactions were grade I in 1 animal, grade II in 3, grade III in 5 and grade IV in 1. Histologic examination revealed thick fibrous tissue that obliterated the pericardial space in 7 animals. 2. In group 2 [Gore-Tex surgical membrane as a pericardial substitute], the degree of pericardial adhesions were grade I in 3 animals, grade II in 3, grade III in 2 and grade IV in 2. The degree of epicardial reactions were grade II in 1 animal, grade III in 5 and grade IV in 4. Histologic studies revealed a thin layer of dense fibrous tissue which covered the Gore-Tex surgical membrane and thick loose fibrous tissue on the epicardium just beneath the substitute. 3. In group 3 [pericardial tension releasing technique], the degree of pericardial adhesions were grade I in 3 animals, grade II in 4, grade III in 2 and grade IV in 1. The degree of epicardial reactions were grade 1 in 4 animals, grade II in 4 and grade III in 2. Severe epicardial reactions were not observed in this group. Histologic examination showed normal epicardium in 4 animals and the epicardium of the other 6 animals only revealed very thin fibrous layer compared to group I and group II. Pericardial adhesions more than grade III were 70% in group 1, 40% in group 2 and 30% in group 3. Pericardial adhesions were reduced in group 2 and group 3 compared to group 1, but statistically not significant. Epicardial reactions more than grade III were 60% in group 1, 90% in group 2 and 20% in group 3. Epicardial reactions were significantly reduced in group 3 compared to group 2. Author`s modified pericardial releasing technique provides marked augment of pericardial surface area and facilitates tension-free pericardial closure. Furthermore, pericardial adhesion and epicardial reaction will be reduced with the pericardial tension releasing technique.

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시판 덖음녹차의 품질에 따른 이화학적 특성 (Chemical Properties on the Quality of Marketed Roasting Green teas)

  • 신미경;장미경;서은숙
    • 한국식품조리과학회지
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    • 제11권4호
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    • pp.356-361
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    • 1995
  • 시판되고 있는 녹차를 가격과 적채시기에 따라 상품, 중품 및 하품으로 구분하여 수분, 회분, 총 질소, 탄닌, 카페인, 색도 및 엽록소의 함량을 분석하고 관능평가를 실시하여 품질에 따른 상관관계를 조사한 결과는 다음과 같다. 1. 수분의 함량은 2.17-3.67%, 회분은 4.50-5.17%, 총 질소는 4.38-4.68%로 품질에 따른 차이가 없었다. 2. 탄닌은 상품이 11.09%,중품이 14.22%, 하품이 14.44%로서 상품이 중품과 하품보다 유의적으로 낮았다. 3. 질소와 탄닌의 조성비율(N/T)은 상품이 39.5%, 중품이 32.6%, 하품이 32.70%으로 상품일수록 유의적으로 높게 나타났다. 4. 카페인은 상품이 평균 1.78%, 중품이 1.32%, 하품이 0.92%로 적채시기가 늦어질수록 유의적으로 감소하였다. 5. 엽록소 a와 b의 량은 상품이 중품과 하품보다 유의적으로 높게 나타나 총엽록소 함량은 상품이 297.37 mg%, 중품이 182.89 mg%, 하품이 204.79 mg%으로 상품이 가장 높았다. 6. 색도에서 Yellow치는 상품과 중품이 하품보다 유의적으로 높았으나, red와 blue치에서는 품질간의 차이가 없었다. 7. 관능 평가는 상품이 중품과 하품보다 외판, 맛이 좋았으며 향기와 색깔은 상품과 중품이 비슷하게 나타나 전체적인 관능평가도는 상품, 중품, 하품순으로 유의적으로 높게 나타났다. 8. 가격과 적채시기에 따른 품질은 카페인, 외관, 맛과는 양의 상관관계(P < 0.01)를, tannin과는 음의 상관관계(P < 0.05)를 보였다. 또한 질소와 탄닌의 조성비율(N/T)은 탄닌과는 높은 음의 상관관계(P < 0.01)를 나타내었으나 카페인과는 양의 상관관계(P < 0.05)를 나타내었다. 이상에서 적채시기가 빠른 상품일수록 질소와 탄닌의 조성비율(N/T)이 높고, 카페인 및 총 엽록소의 함량이 높았으며, 관능평가에서도 좋게 나타났다.연화도는 증가하였으나, 기호도의 경우는 알갱이 15%,분말 10%를 장조림에 첨가하였을 때 가장 높은 것으로 나타났다.반후의 색차도 PT20이 가장 낮았다.ference. The pH and titratible acidity of the two juices with different ratios were in the range of 4.92~4.98 and 36.g∼37.4 ml, respectively.2K 이었으며, 다층 YbB $a_2$C $u_3$A $g_{x}$(x=5, 16 and 53)의 $T_{on}$ 은 88~90K이었다._{on}$ 은 88~90K이었다.er-designity. These trends identify the overall prevailing conditions of Korean landscape architectural design over the past thirty years.ang(목마장 horse ranches) and Neungyuk(능역 royal tombs) . Activities prohibited for conservation purposes included cutting timbers, burning, building houses or tombs, dumping wastes, farming and breaking up fresh land, grazing, hunting and trespassing. Positive actions for conservation were rituals to Heaven ennoblement of natural elements such as mountians or rivers, planting trees, Boto (보토 supplementing soil on low ridges) , Josan (조산 mounding)

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A STRUCTURE THEOREM FOR A CLASS OF GORENSTEIN IDEALS OF GRADE FOUR

  • Cho, Yong S.
    • 호남수학학술지
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    • 제36권2호
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    • pp.387-398
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    • 2014
  • In this paper, we give a structure theorem for a class of Gorenstein ideal of grade 4 which is the sum of an almost complete intersection of grade 3 and a Gorenstein ideal of grade 3 geometrically linked by a regular sequence. We also present the Hilbert function of a Gorenstein ideal of grade 4 induced by a Gorenstein matrix f.