• 제목/요약/키워드: DDD

검색결과 102건 처리시간 0.021초

건강보험청구자료를 이용한 외래 급성 호흡기계 질환 방문과 항생제 처방률 변화 분석 (The Trend of Acute Respiratory Tract Infections and Antibiotic Prescription Rates in Outpatient Settings using Health Insurance Data)

  • 김지애;박주희;김보연;김동숙
    • 한국임상약학회지
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    • 제27권3호
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    • pp.186-194
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    • 2017
  • Objectives: A significant concern has been raised about the emerging resistance that is largely caused by the excessive or inappropriate use of antibacterial agents for viral respiratory infections. This study investigated the trend of respiratory tract infections (RTIs) and the use of antibiotics. Methods: Utilizing the national level health insurance claims data from 2005 to 2008, we examined encounter days, antibiotic use, and the prescription rate for respiratory tract infections including upper respiratory tract infections (URTIs), lower respiratory tract infections (LRTIs), and otitis media in outpatient settings. The antibiotic use was measured as defined daily dose per 1,000 patients per day (DDD/1,000 patients/day). Results: The visit for URTI increased from 141,693,465 in 2005 to 120,717,966 in 2008 and the visit for LRTI decreased from 61,778,718 to 66,930,122. For RTIs, prescription rates of antibiotics decreased from 65.2% to 58.5% for URTIs and 76.9% to 68.3% for LRTIs from 2005 to 2008. The antibiotic use decreased to 20.85 DDD/1,000 patients/day after a significant increase of 22.01 DDD/1,000 patients/day in 2006. Among antibiotics, J01CR had the highest use- 7.93 DDD/1,000 patients/day followed by J01DC of 3.71 DDD/1,000 patients/day and J01FA of 3.2 DDD/1,000 patients/day. One notable trend is that J01FA presented a continuous increase in antibiotic use from 2.3 in 2005 to 3.26 DDD/1,000 patients/day in 2008. Conclusion: The use of antibiotics had poor compliance to guidelines for RTIs. Despite decrease in the use of antibiotics, prescription rates for URTIs were still about 50% indicating that the delayed prescribing antibiotics (or wait-and-see) were not observed.

Effects of Spinal Stabilization Exercises on the Cross-sectional Areas of the Lumbar Multifidus and Psoas Major Muscles of Patients with Degenerative Disc Disease

  • Kim, Seong-Ho;Lee, Wan-Hee
    • The Journal of Korean Physical Therapy
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    • 제22권3호
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    • pp.9-15
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    • 2010
  • Purpose: To evaluate, in patients with degenerative disc disease (DDD), the efficacy of using spinal stabilizing exercises for the reversal? of atrophy of the multifidus and psoas major, reductions in pain and disability, and for increases in paraspinal muscle strength. Methods: Nineteen patients diagnosed with DDD participated for 10 weeks in a spinal stabilization exercise program. Pain and disability were measured before and after exercise using, respectively, a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Paraspinal muscular strength in four directions was evaluated using CENTAUR. Both before and after exercise we used computed tomography (CT) too measure cross-sectional areas (CSAs) of both the left and right multifidus and the psoas major at the upper & lower endplate of L4. Results: After 10 weeks of a spinal stabilization exercise program, pain was significantly decreased from $5.7{\pm}0.9$ to $2.5{\pm}0.9$ (p<0.01); the ODI score decreased from $16.7{\pm}4.9$ to $7.3{\pm}3.1$. Paraspinal muscle strength was significantly increased (p<0.01) and the CSAs of the left and right multifidus and psoas major muscles were significantly increased (p<0.01). Conclusion: Spinal stabilization exercise is effective in reversing atrophy in DDD patients, in reducing pain and disability, and in increasing paraspinal muscle strength. It is an effective treatment foro aiding rehabilitation in these cases.

Cardiac Resynchronization Therapy Using a Dual Chamber Pacemaker in Patients with Severe Left Ventricular Dysfunction and a Left Bundle Branch Block

  • Jung, Jae Jun;Kim, In Sook;Jeong, Jae-Han;Lee, Young Tak;Jeong, Dong Seop
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.289-292
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    • 2013
  • Through the use of a dual chamber (DDD) pacemaker, we achieved a cardiac resynchronization effect in a 51-year-old female patient who was transferred to our hospital from another hospital for an operation for three-vessel coronary artery disease. Her electrocardiogram showed a left bundle branch block (LBBB) and a prolonged QRS interval of 166 milliseconds. Severe left ventricle (LV) dysfunction was diagnosed via echocardiography. Coronary artery bypass grafting (CABG) was then performed. In order to accelerate left atrial activation and reduce the conduction defect, DDD pacing using right atrial and left and right ventricular pacing wires was initiated postoperatively. The cardiac output was measured immediately, and one and twelve hours after arrival in the intensive care unit. The cardiac output changed from 2.8, 2.4, and 3.6 L/min without pacing to 3.5, 3.4, and 3.5 L/min on initiation of pacing. The biventricular synchronization using DDD pacing was turned off 18 hours after surgery. She was transferred to a general ward with a cardiac output of 3.9 L/min. In patients with coronary artery disease, severe LV dysfunction, and LBBB, cardiac resynchronization therapy can be achieved through DDD pacing after CABG.

충남지역(忠南地域) 논토양중 유기염소계(有機鹽素系) 농약(農藥)의 잔류수준(殘留水準) (Residue Levels of Organochlorine Pesticides on Paddy Field Soils in the Chungnam Area)

  • 최종우;이규승;이중길;노길봉
    • 한국환경농학회지
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    • 제6권2호
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    • pp.12-21
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    • 1987
  • 1986.3.20∼4.6 사이에 충남(忠南)의 대덕(大德), 공주(公州), 금산(錦山), 논산(論山) 및 연기군(燕岐郡) 등 5개 지역(地域)에서 총(總) 108점(點)의 논토양을 채취하여 19종(種), 유기염소계(有機鹽素系) 농약(農藥)을 대상으로 잔류수준(殘留水準)을 조사(調査)하였으며, 중요한 결과를 요약하면 아래와 같다. 1. 모두 12종(種)의 농약성분을 검출(檢出)하였으며, 검출빈도는 P.P'-DDE (67.6%), ${\gamma}-BHC$(54.8%), ${\gamma}-chlordane$(50.9%), 그리고 ${\alpha}-BHC$(47.1%)의 순(順)이었고, 평균잔류량(平均殘留量)은 ${\alpha}-BHC$, ${\gamma}-chlordane$, P.P'-DDD와 P.P'-DDE가 0.001ppm 수준이었다. 2. 검출시료의 평균잔류수준은 ${\beta}$-BHC가 0.001ppm, ${\alpha}-BHC$, ${\gamma}-chlordane$, P.P'-DDT, O.P'-DDT 및 P.P'-DDD가 모두 0.002ppm 수준이었다. 3. 이상(以上)의 결과에서 볼 때, ${\beta}-BHC$, ${\gamma}-chlordane$ 및 DDT의 대사산물(代謝産物)의 잔류성(性)이 비교적 길은 것으로 나타났으나 전반적(全般的)인 잔류수준은 높지 않은 것으로 평가(評價)할 수 있다.

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MICROPROCESSOR를 이용한 중소도시형 시외문환 System에 관한 연구 (A Study on ESS System Using Microprocessor)

  • 성태경;김정선
    • 한국통신학회논문지
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    • 제4권1호
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    • pp.38-42
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    • 1979
  • 종래의 WPC方式에 依한 市外 DDD System 代身에 Microprocessor를 利用한 SPC 方式의 System에 關한 構成과 實驗硏究의 結果를 報告하였다. 本 硏究는 現用 PTP 方式(Selector 구동方式)의 新型 DDD 整合中機裝置를 그대로 出中機線 Repeator로 使用되도록 設計하였으므로 이 System을 中小都市型 市外交換機에 적용시킬 경우 Stage別 Selector가 不必要하며 裝置의 小型化 및 信賴度의 向上이 기대될 뿐 아니라 Route의 變更도 Program의 變更만으로 간편하게 實現시킬 수 있다.

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근관절가동기법이 퇴행성 디스크 질환을 가진 환자의 통증과 유연성에 미치는 영향 (The Effects of Joint and Muscle Mobilization on Pain and Flexibility of the Patients with Degenerative Disc Disease)

  • 전재국;김명준
    • 대한정형도수물리치료학회지
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    • 제16권2호
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    • pp.28-33
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    • 2010
  • Purpose : The purpose of this study is to find out the effects of Joint and Muscle Mobilization applied to the patients with Degenerative Disc Disease by measuring, assessing and analyzing the changes on pain and in flexibility before and after Joint and Muscle Mobilization. Method: Surveyed from June. 2008 to July. 2009 were 10 patients suffering from DDD. Joint and muscle Mobilization were applied for 15 minutes in total. After Joint Mobilization, the Oswestry Disability Index(ODI), Visual Analogue Scale (VAS) were used to measure the degree of the pain on the patients. After Joint and Muscle Mobilization, Spinal-$Mouse^{(R)}$ were used to measure the degree of the flexibility on the patients. Result: 1. There was significant decrease in the numerical values of the VAS & ODI after Joint and Muscle Mobilization (p<0.01). 2. There was significant decrease in the degree of the pain on the patients after Joint and Muscle Mobilization (p<0.01). 3. From the analysis into DDD in the degree the pain before and after Joint and Muscle Mobilization with Paired Sample T-test, It became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the flexibility and the degree of the pain (p<0.01). Conclusion: Summed up, it can be generally concluded that Joint and Muscle Mobilization is an effective treatment to rid the patients with DDD of pains safely and promptly. It is, therefore, suggested to continue and expand the study on the cure of DDD and to motivate patients. Joint and Muscle Mobilization is considered as safest and most efficient pain remedy.

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A case of regression of atypical dense deposit disease without C3 deposition in a child

  • Kim, Min-Sun;Hwang, Pyoung-Han;Kang, Mung-Jae;Lee, Dae-Yeol
    • Clinical and Experimental Pediatrics
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    • 제53권7호
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    • pp.766-769
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    • 2010
  • Dense deposit disease (DDD) is a rare disorder characterized by the deposition of abnormal electron-dense material within the glomerular basement membrane of the kidneys. The diagnosis is made in most patients between 5 and 15 years of age, and within 10 years, approximately half of the affected patients progress to end-stage renal disease. We report a rare case of regressive DDD without C3 deposition after steroid therapy in an 11-year-old boy. The patient presented with edema, gross hematuria, and nephrotic-range proteinuria. Laboratory testing revealed a serum creatinine level of 1.17 mg/dL, albumin level of 2.3 g/dL, and serum C3 level of 125 mg/dL (range 90-180 mg/dL). The results of the renal biopsy were consistent with DDD without C3 deposition. After 6 weeks of steroid therapy, the nephrotic syndrome completely resolved. The follow-up renal biopsy showed a significant reduction in mesangial proliferation and disappearance of electron-dense deposits in the GBM.

실생활에 적용된 분석합성식 분류기법의 사례에 관한 심층적 분석 (An Analysis on the Examples of the Analytico-Synthetic Classification Techniques Applied to Practical Life)

  • 오동근
    • 한국도서관정보학회지
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    • 제42권2호
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    • pp.151-170
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    • 2011
  • 이 연구에서는 분석합성식 문헌분류이론이 실생활에 적용되어 활용되고 있는 사례들을 찾아 이를 새로운 시각에서 분석하고자 시도하였다. 이를 위해 우리가 일상적으로 사용하는 한글의 초성과 중성, 종성의 합성 사례와 함께, 대구광역시 및 서울특별시의 시내버스번호, 주요 결혼관련업체의 회원정보, 부동산중개 및 경매관련정보, 우편번호와 광역전화통화권역(DDD) 번호 등의 사례를 문헌분류의 시각에서 분석해보고 그것이 주는 시사점을 제시하였다. 분석합성식 분류이론과 그 기법을 적용할 경우 특히 각 시스템의 기호법의 개선에 도움이 될 수 있음을 밝히고 있다.

Combining Ability in Mungbean (Vigna radiata (L.) Wilczek) II. Traits Related to Indetemination

  • Srinives, P.;Khattak, G.S.S.;Haq, M.A.;Ashraf, M.
    • 한국작물학회지
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    • 제46권5호
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    • pp.424-427
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    • 2001
  • Combining ability study was carried out on the components of synchronization in maturity and determinate growth habit in mungbean, using 6$\times$6 diallel cross. Both additive and non-additive gene effects were found conditioning the inheritance of days to first flower, days between first pod and 90% pod maturity (DDd1), plant height from first pod stage to 90% pod maturity (DDhl, DDh2, and DDh3). Only non-additive gene action was important in degree of determination from first pod stage to 90% pod maturity (DDd2). While only additive action was important in plant height at first flower. The predominant additive gene action was observed in all traits but non-additive was significant in only DDd$_2$. For synchronization in maturity, determinate growth habit, and their components, the best combiners were NM92, VCl560D, and NM89, whereas the best indeterminate combinations were NM92 $\times$ NM89, NM92 $\times$ VCl560D, and NM92 $\times$ ML-5.

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질량분석기에서 Pesticide Priority Pollutants의 동시분석의 동적 범위 (Dynamic Range in the Simultaneous Analysis of Pesticide Priority Pollutants on Mass Spectrometer)

  • 이승석;이석근
    • 분석과학
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    • 제9권3호
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    • pp.320-324
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    • 1996
  • The dynamic range of mass selected detector, which is very popular recently because of the simplicity and cheap price, was determined by using priority pollutants. The applied priority pollutants were four pesticides, 4,4'-DDE and 4,4'-DDD, which show the sharp peaks, and ${\alpha}$-endosulfan and ${\beta}$-endosulfan, which show the broad peaks in SIM Chromatogram. The dynamic range of the 4,4'-DDE and the 4,4'-DDD was $0.1{\sim}3000{\mu}g/ml$. The broad peaks of the ${\alpha}$-endosulfan and ${\beta}$-endosulfan resulted in $0.25{\sim}3000{\mu}g/ml$ of dynamic range.

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