• Title/Summary/Keyword: Days in Inventory

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Nefopam Reduces Dysesthesia after Percutaneous Endoscopic Lumbar Discectomy

  • Ok, Young Min;Cheon, Ji Hyun;Choi, Eun Ji;Chang, Eun Jung;Lee, Ho Myung;Kim, Kyung Hoon
    • The Korean Journal of Pain
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    • v.29 no.1
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    • pp.40-47
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    • 2016
  • Background: Neuropathic pain, including paresthesia/dysesthesia in the lower extremities, always develops and remains for at least one month, to variable degrees, after percutaneous endoscopic lumbar discectomy (PELD). The recently discovered dual analgesic mechanisms of action, similar to those of antidepressants and anticonvulsants, enable nefopam (NFP) to treat neuropathic pain. This study was performed to determine whether NFP might reduce the neuropathic pain component of postoperative pain. Methods: Eighty patients, who underwent PELD due to herniated nucleus pulposus (HNP) at L4-L5, were randomly divided into two equal groups, one receiving NFP (with a mixture of morphine and ketorolac) and the other normal saline (NS) with the same mixture. The number of bolus infusions and the infused volume for 3 days were compared in both groups. The adverse reactions (ADRs) in both groups were recorded and compared. The neuropathic pain symptom inventory (NPSI) score was compared in both groups on postoperative days 1, 3, 7, 30, 60, and 90. Results: The mean attempted number of bolus infusions, and effective infused bolus volume for 3 days was lower in the NFP group for 3 days. The most commonly reported ADRs were nausea, dizziness, and somnolence, in order of frequency in the NFP group. The median NPSI score, and all 5 median sub-scores in the NFP group, were significantly lower than that of the NS group until postoperative day 30. Conclusions: NFP significantly reduced the neuropathic pain component, including paresthesia/dysesthesia until 1 month after PELD. The common ADRs were nausea, dizziness, somnolence, and ataxia.

Evaluation of Incremental Reactivity and Ozone Production Contribution of VOCs Using the PAMS Data in Seoul Metropolitan Area (수도권에서 오존생성 기여도 산출에 관한 연구)

  • Lee, J.H.;Han, J.S.;Yun, H.K.;Cho, S.Y.
    • Journal of Korean Society for Atmospheric Environment
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    • v.23 no.3
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    • pp.286-296
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    • 2007
  • Ozone creation potentials suited for Seoul metropolitan area was derived by utilizing the PAMS monitoring data and the source inventory. A simple box model with variable height was developed to calculate the incremental reactivity for all the ozone episode days in the year 2003 and 2004. RIR (Relative Incremental Reactivity) was introduced as a measure of contribution to ozone generation in the Seoul metropolitan area. RIR was defined as a function of ratio of VOC to $NO_x$ and therefore it addresses both VOC and $NO_x$ limited regime. For the days that more than 10 monitoring stations out of 27 monitoring station in Seoul recorded the daily maximum ozone concentrations higher than 70 ppb, toluene had the highest RIR value in all the type II and type III PAMS site and m/p-xylene followed with the second highest RIR value. Analyses using MIR (Maximum Incremental Reactivity) and POCP (Photochemical Ozone Creation Potential) instead of RIR also yields dominance of toluene and m/p-xylene in generating ozone concentrations to demonstrate the validity of RIR.

Impact of Working Capital Management on Firm Performance in Different Business Cycles: Evidence from Vietnam

  • NGUYEN, Co Trong
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.12
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    • pp.863-867
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    • 2020
  • This study was conducted on financial data of 38 economic groups listed on Vietnam's stock market for the period 2009 - 2019 and it aims to provide an empirical evidence on the impact of working capital management policy on performance in all phases of the economic cycle of Vietnamese economic groups. The study uses FGLS estimation method with 2 dependent variables ROA, GOP, independent variables including INV, AR, AP, CCC, dummy variable representing different phases of the economic cycle, variables Control includes CAT, CR, LEV, SZ, GR. Research shows that the greater the level of investment by companies in liquid assets corresponding to a certain level of activity (shown by average days of inventory (INV), average days of collection. (AR), cash flow cycle (CCC)) the lower the rate of return on assets. The study also provides additional evidence of the negative effects of economic crisis on the performance of economic groups. The study also shows that the number of short-term asset cycles has a positive impact on operational efficiency, and the level of debt use has a negative impact on operational efficiency. This result implies that the managers of economic groups can increase the efficiency of businesses through a reasonable working capital policy.

Effects of Foot Reflexzone Massage on State-Anxiety and Discomfort in Ovari an Cancer Patients Receiving Chemotherapy (발반사 마사지가 항암화학요법을 받는 난소암 환자의 불안과 불편감에 미치는 효과)

  • Hwang, Kyung-Hye;Choi, Euy-Soon;Yoo, Yang-Sook
    • Women's Health Nursing
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    • v.11 no.3
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    • pp.209-217
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    • 2005
  • Purpose: This study was conducted to investigate the effects of foot reflexzone massage on state - anxiety and discomfort of ovarian cancer patients receiving chemotherapy. Method: A quasi experimental design with a non equivalent control group and non synchronized design was used. The experiment was conducted from October 1, 2003 to September 30, 2004. The subjects consisted of 40 patients admitted to C University Hospital. Twenty subjects were assigned to the experimental group and received foot reflexzone massage everyday for 3 days. The other 20 subjects were in the control group and received routine care. Foot reflexzone massage was done on both feet of the subjects for 30 minutes for 3 days using standard protocol. The 'State-Anxiety Inventory' developed by Spielberger was used to measure the degree of state-anxiety. Discomfort was assessed using the 'Symptom Distress Scale' of McCorkle and Young. Data was analyzed by a SAS program using t-test, Wilcoxon signed rank sum test and Wilcoxon rank sum test. Results: State-anxiety and discomfort of subjects receiving foot reflexzone massage were significantly lower than those of the control group. Conclusion: These findings indicate that foot reflexzone massage could be an effective nursing intervention for relieving state-anxiety and discomfort in ovarian cancer patients.

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Evaluation of the reutilization of used nuclear fuel in a PWR core without reprocessing

  • Zafar, Zafar Iqbal;Park, Yun Seo;Kim, Myung Hyun
    • Nuclear Engineering and Technology
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    • v.51 no.2
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    • pp.345-355
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    • 2019
  • Use of the reconstructed fuel assemblies from partially burnt nuclear fuel pins is analyzed. This reutilization option is a potential candidate technique to make better use of the nuclear resources. Standard two step method is used to calculate node i.e. fuel assembly average burnup and then pin by pin ${\eta}$ values are reconstructed to ascertain the residual reactivity in the used fuel pins. Fuel pins with ${\eta}$ > 1:0 are used to reconstruct to-be-reused fuel assemblies. These reconstructed fuel assemblies are burnt during the cycle 3, 4, 5 and 6 of a 1000 MW PWR core by replacing fresh, once burnt and twice burnt fuel assemblies of the reference core configurations. It is concluded that using reconstructed fuel assemblies for the fresh fuel affect dearly on the cycle length (>50 EFPD) when more than 16 fresh fuel assemblies are replaced. However, this loss is less than 20 days if the number of fresh fuel assemblies is less than eight. For the case of replacing twice burned fuel, cycle length could be increased slightly (10 days or so) provided burnt fuel pins from other reactors were also available. Reactor safety parameters, like axial off set (< ${\pm}10%$), Doppler temperature coefficient (<0), moderator temperature coefficient at HFP (<0) are always satisfied. Though, 2D and 3D pin peaking factors are satisfied (<1:55) and (<2:52) respectively, for the cases using eight or less reconstructed fuel assemblies only.

The Influences of Progressive Muscle Relaxation on Meridian-Electromyograph, Autonomic Nervous System and Stress in Healthy People (점진적 근육이완법이 건강인의 경근전도와 자율신경계·스트레스에 미치는 영향)

  • Nam, Ki-Bong;Chung, Seok-Hee;Kim, Sung-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.1
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    • pp.125-140
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    • 2008
  • Objectives : The purpose of this study was to investigate the effect of Progressive Muscle Relaxation(PMR) on stress and muscle relaxation in healthy people. Methods : Sample group of 14 healthy subjects had been treated by progressive muscle relaxation for 10 days. Control group of 14 healthy subjects were not treated during the same period. Outcomes were assessed by Meridian-Electromyograph(MEMG), Heart Rate Variability(HRV), Stress Reaction Inventory(SRI). Results : The contraction and fatigue of erector spinae muscle by MEMG had decreased significantly in Sample group. There was no significant difference between two groups in the HRV and SRI. Conclusions : Further studies analysing PMR effect on stress and muscle relaxation are needed.

The Relationship between Early Neo-maternal Exposure, and Maternal Attachment, Maternal Self-esteem and Postpartum Depression in the Mothers of NICU Infants (신생아 중환자실에서의 초기 모아상호노출과 모아애착, 모성자존감 및 산후우울간의 관계분석)

  • Ahn Young-Mee;Kim Mi-Ran
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.798-809
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    • 2005
  • Purpose: This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU. Method: Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU. Result: The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression. Conclusion: The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are neededfor the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.

Cerebral current-source distribution associated with pain improvement by non-invasive painless signaling therapy in patients with failed back surgery syndrome

  • Lee, Chang Han;Kim, Hyeong Seop;Kim, Young-Soo;Jung, Seokwon;Yoon, Chul Ho;Kwon, Oh-Young
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.437-446
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    • 2021
  • Background: Non-invasive painless signaling therapy (NPST) is an electro-cutaneous treatment that converts endogenous pain information into synthetic non-pain information. This study explored whether pain improvement by NPST in failed back surgery syndrome (FBSS) patients is related to cerebral modulation. Methods: Electroencephalography (EEG) analysis was performed in 11 patients with FBSS. Subjects received daily NPST for 5 days. Before the first treatment, patients completed the Brief Pain Inventory (BPI) and Beck Depression Inventory and underwent baseline EEG. After the final treatment, they responded again to the BPI, reported the percent pain improvement (PPI), and then underwent post-treatment EEG. If the PPI grade was zero, they were assigned to the ineffective group, while all others were assigned to the effective group. We used standardized low-resolution brain electromagnetic tomography (sLORETA) to explore the EEG current-source distribution (CSD) associated with pain improvement by NPST. Results: The 11 participants had a median age of 67.0 years, and 63.6% were female. The sLORETA images revealed a beta-2 CSD increment in 12 voxels of the right anterior cingulate gyrus (ACG) and the right medial frontal area. The point of maximal CSD changes was in the right ACG. The alpha band CSD increased in 2 voxels of the left transverse gyrus. Conclusions: Pain improvement by NPST in FBSS patients was associated with increased cerebral activity, mainly in the right ACG. The change in afferent information induced by NPST seems to be associated with cerebral pain perception.

Ozone Simulations over the Seoul Metropolitan Area for a 2007 June Episode, Part I: Evaluating Volatile Organic Compounds Emissions Speciated for the SAPRC99 Chemical Mechanism (2007년 6월 수도권 오존모사 I - 광화학측정자료를 이용한 SAPRC99 화학종별 휘발성유기물질 배출량 입력자료 평가)

  • Kim, Soon-Tae
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.5
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    • pp.580-602
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    • 2011
  • Volatile organic compound (VOC) emissions in the 2007 CAPSS (Clean Air Protection Supporting System) emissions inventory are chemically speciated for the SAPRC99 (Statewide Air Pollution Research Center 99) mechanism, following the Source Classification Code (SCC) matching method to borrow the U.S.EPA's chemical speciation profiles. CMAQ simulations with High-order Direct Decoupled Method (HDDM) are in turn applied to evaluate uncertainty in the method by comparing the simulated model VOC species to the observations in the Seoul Metropolitan Area (SMA) for a 2007 June episode. Simulations under-predicted ALK1 to ALK4 in SAPRC99 by a factor of 2 to 5 and over-predicted ALK5 by a factor of 7.5 while ARO1, ARO2, OLE1, and ethylene (ETH) are comparable to the observations, showing relative difference by 10 to 30%. OLE2 emissions are roughly 4 times overestimated. Emission rates for individual VOC model species are revised referring to the ratio of simulated to observed concentrations. Impact of the VOC emission changes on the overall ozone prediction was insignificant for the days of which 1-hr maximum ozone are lower than 100 ppb. However, simulations showed ozone difference by 5 to 10 ppb when high ozone above 120 ppb was observed in the vicinity of Seoul. This result suggests that evaluations on individual model VOC emissions be necessary to lead ozone control plans to the right direction. Moreover, the simulated ratios of ARO1 and ARO2 to $NO_x$ are roughly 50% lower than the observed ones, which imply that adjustment in $NO_x$ and VOC emission rates may be required to mimic the real VOC/$NO_x$ condition over the area.

Effects of Purposeful Activities Combined with Music on Upper Extremity Function, Therapeutic Motivation, and Mood in Acute Stroke Patients (음악을 병행한 목적있는 활동이 급성기 뇌졸중 환자의 상지기능, 치료동기와 기분에 미치는 효과)

  • Moon, Jong-Hoon;Kim, Kye-Ho;Lee, Soon-Hyun;Won, Young-Sik
    • PNF and Movement
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    • v.15 no.3
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    • pp.267-279
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    • 2017
  • Purpose: The aim of the investigation was to identify the effects of purposeful activities combined with music on upper extremity function, motivation, and mood in acute stroke patients. Methods: For the study, 19 acute stroke inpatients were recruited at a general hospital in Korea. The patients were allocated between an experimental group (n=9) and a control group (n=10). The experimental group performed purposeful activities with their preferred music, and the control group carried out purposeful activities without music. The 2 groups received the treatments 30 min per day, 5 days per week, for 4 weeks. Measurements were taken before and after intervention, including a manual function test (MFT) for measuring upper extremity function, a volitional questionnaire (VQ) for assessing motivation, and the Beck depression inventory (BDI) and Beck anxiety inventory (BAI) for assessing mood. Results: In post-treatment measurement, both groups showed greater MFT, VQ, and BDI scores than in pre-treatment. Significantly greater VQ and BDI changes were represented in the experimental group as compared to the control group. Conclusion: Based on the findings of this study, purposeful activities combined with music have a positive effect on motivation and depression in acute stroke patients.