• Title/Summary/Keyword: IS5

Search Result 173,145, Processing Time 0.184 seconds

The Risk Factors Influencing the Postoperative Mortality of the Patients with an Abdominal Aortic Aneurysm (복부대동맥류 환자에서의 수술 후 사망의 위험인자 분석)

  • Lee, Seong-Kwang;Jun, Hee-Jae;Park, Kyung-Taek;Yoon, Young-Chul;Han, IL-Yong;Lee, Yang-Haeng;Cho, Kwang-Hyun
    • Journal of Chest Surgery
    • /
    • v.43 no.6
    • /
    • pp.655-662
    • /
    • 2010
  • Background: Despite the rapid expansion of percutaneous endovascular repair, open surgical repair is still recognized as an option to achieve a cure. We retrospectively analyzed over a 6 year period the surgical outcomes, the complications and the mortality-related factors for patients with abdominal aortic aneurysms. Material and Method: We analyzed 36 patients who underwent surgery for abdominal aortic aneurysms between May 2001 and June 2005, and between April 2007 and November 2009. The indications for surgery were rupture, a maximal aortic diameter > 50 mm, and medically intractable hypertension or pain. Result: The mean patient age was $69.67{\pm}6.97$ years (range: 57 to 84 years). Thirty two patients (88.9%) were males and 4 patients (11.1%) were females. Extension to the iliac artery existed in 28 patients (77.8%). Thirteen patients (36.1%) had ruptured aortic aneurysms. The mean maximal diameter of the aorta was $73.7{\pm}13.3$ mm (60 to 100 mm). Surgery was performed by a midline laparotomy and 10 patients (27.8%) underwent emergency surgery. The mortality rate was 8.3%; the mortality rate for the patients with ruptured aneurysms was 23.1 % and the mortality rate for patients with unruptured aneurysms was 0%. The postoperative complications included wound infection (3 cases), sepsis (2 cases), renal failure (2 cases) and pneumonia (1 case). Unstable vital signs, pre-operative transfusion, ruptured aneurysm, emergency surgery, comorbidity (DM and syncope) and complications (sepsis and renal failure) were the statistically significant mortality-related factors (p < 0.05). Conclusion: Emergency surgery for ruptured aortic aneurysms continues to have high mortality, but the unruptured cases are repaired with relative safety. Even though endovascular aortic repair is the trend for abdominal aortic aneurysms, an elective operation of the unruptured aneurysms could decrease the procedure's morbidity and the inconvenient for repeat evaluation with good surgical results.

Policies for Improving Thermal Environment Using Vulnerability Assessment - A Case Study of Daegu, Korea - (열취약성 평가를 통한 열환경 개선 정책 제시 - 대구광역시를 사례로 -)

  • KIM, Kwon;EUM, Jeong-Hee
    • Journal of the Korean Association of Geographic Information Studies
    • /
    • v.21 no.2
    • /
    • pp.1-23
    • /
    • 2018
  • This study aims to propose a way for evaluating thermal environment vulnerability associated with policy to improve thermal environment. For this purpose, a variety of indices concerning thermal vulnerability assessment and adaptation policies for climate change applied to 17 Korean cities were reviewed and examined. Finally, 15 indices associated with policies for improving thermal environment were selected. The selected indices for thermal vulnerability assessment were applied to Daegu Metropolitan City of South Korea as a case study. As results, 15 vulnerability maps based on the standardized indices were established, and a comprehensive map with four grades of thermal vulnerability were established for Daegu Metropolitan City. As results, the area with the highest rated area in the first-grade(most vulnerable to heat) was Dong-gu, followed by Dalseo-gu and Buk-gu, and the highest area ratio of the first-grade regions was Ansim-1-dong in Dong-gu. Based on the standardized indices, the causes of the thermal environment vulnerability of Ansim-1-dong were accounted for the number of basic livelihood security recipients, the number of cardiovascular disease deaths, heat index, and Earth's surface temperature. To improve the thermal environment vulnerability of Ansim-1-dong, active policy implementation is required in expansion and maintenance of heat wave shelters, establishment of database for the population with diseases susceptible to high temperature environments, expansion of shade areas and so on. This study shows the applicability of the vulnerability assessment method linked with the policies and is expected to contribute to the strategic and effective establishment of thermal environment policies in urban master district plans.

The Effect of E-SERVQUAL on e-Loyalty for Apparel Online Shopping (재망상복장구물중전자(在网上服装购物中电子)E-SERVQUAL 대전자충성도적영향(对电子忠诚度的影响))

  • Kim, Eun-Young;Jackson, Vanessa P.
    • Journal of Global Scholars of Marketing Science
    • /
    • v.19 no.4
    • /
    • pp.57-63
    • /
    • 2009
  • With an exponential increase in electronic commerce (e-commerce), marketers are attempting to gain a competitive advantage by emphasizing service quality and post interaction service aspects, which leads to customer satisfaction or behavioral consequence. Particularly for apparel, service quality is one of the key determinants in encouraging customer e-loyalty, and hence the success of apparel retailing in the context of electronic commerce. Therefore, this study explores e-service quality (E-SERVQUAL) factors and their unique effects on e-loyalty for apparel online shopping based on Parasuraman et al' s (2005) framework. Specific objectives of this study are to identify underlying dimension of E-SERVQUAL, and analyze a structural model for examining the effect of E-SERVQUAL on e-loyalty for online apparel shopping. For the theoretical framework of service quality in the context of online shopping, literatures on traditional and electronic service quality factors were comparatively reviewed, and two aspects of core and recovery services were identified. This study hypothesized that E-SERVQUAL has an effect on e-loyalty; customer satisfaction has a positive effect on e-service loyalty for apparel online shopping; and customer satisfaction mediates in the effect of E-SERVQUAL on e-loyalty for apparel online shopping. A self-administered questionnaire was developed based on literatures. A total of 252 usable questionnaires were obtained from online consumers who had purchase experience with online shopping for apparel products and reside in standard metropolitan areas, in the United States. Factor analysis (e.g., exploratory, confirmatory) was conducted to assess the validity and reliability and the structural equation model including measurement and structural models was estimated via LISREL 8.8 program. Findings showed that the E-SERVQUAL of shopping websites for apparel consisted of five factors: Compensation, Fulfillment, Efficiency, System Availability, and Responsiveness. This supports Parasuraman (2005)'s E-S-QUAL encompassing two aspects of core service (e.g., fulfillment, efficiency, system availability) and recovery related service (e.g., compensation, responsiveness) in the context of apparel shopping online. In the structural equation model, there are five exogenous latent variables for e-SERVQUAL factors; and two endogenous latent variables (e.g., customer satisfaction, e-loyalty). For the measurement model, the factor loadings for each respective construct were statistically significant and were greater than .60 and internal consistency reliabilities ranged from .85 to .88. In the estimated structural model of the e-SERVEQUAL factors, the system availability was found to have direct and positive effect on e-loyalty, whereas efficiency had a negative effect on e-loyalty for apparel online shopping. However, fulfillment was not a significant predictor for explaining consequences of E-SERVQUAL for apparel online shopping. This finding implies that perceived service quality of system available was likely to increase customer satisfaction for apparel online shopping. However, it was not supported that e-loyalty was determined by service quality, because service quality has an indirect effect on e-loyalty (i.e., repurchase intention) by mediating effect of value or satisfaction in the context of online shopping for apparel. In addition, both compensation and responsiveness were found to have a significant impact on customer satisfaction, which influenced e-loyalty for apparel online shopping. Thus, there was significant indirect effect of compensation and responsiveness on e-loyalty. This suggests that the recovery-specific service factors play an important role in maximizing customer satisfaction levels and then maintaining customer loyalty to the online shopping site for apparel. The findings have both managerial and research implications. Fashion marketers can establish long-term relationship with their customers based on continuously measuring customer perceptions for recovery-related service quality, such as quick responses to problem and returns, and compensation for customers' problem after their purchases. In order to maintain e-loyalty, recovery services play an important role in the first choice websites for consumers to purchase clothing. Given that online consumers may shop anywhere, a marketing strategy for improving competitive advantages is to provide better service quality, maximize satisfaction, and turn to creating customers' e-loyalty for apparel online shopping. From a researcher's perspective, there are some limitations of this research that should be considered when interpreting its findings. For future research, findings provide a basis for the further study of this important topic along both theoretical and empirical dimensions. Based on the findings, more comprehensive models for predicting E-SERVQUAL's consequences can be developed and tested. For global fashion marketing, this study can expand to a cross-cultural approach into e-service quality for apparel by including multinational samples.

  • PDF

Nose Changes after Maxillary Advancement Surgery in Skeletal Class III Malocclusion (골격성 III급 부정교합자에서 상악골 전방 이동술 후 코의 변화에 관한 연구)

  • Kang, Eun-Hee;Park, Soo-Byung;Kim, Jong-Ryoul
    • The korean journal of orthodontics
    • /
    • v.30 no.5 s.82
    • /
    • pp.657-668
    • /
    • 2000
  • The purpose of this study was to evaluate the amount and interrelationship of the soft tissue of nose and maxillary changes and to identify the nasal morphologic features that indicate susceptibility to nasal deflection in such a manner that they would be useful in presurgical prediction of nasal changes after maxillary advancement surgery in skeletal Class III malocclusion. The sample consisted of 25 adult patients (13 males and 12 females) who had severe anteroposterior skeletal discrepancy. The patients had received presurgical orthodontic treatment. They underwent a Le Fort I advancement osteotomy, rigid internal fixation, alar cinch suture and V-Y advancement lip closure. The presurgical and postsurgical lateral cephalograms and lateral and frontal facial photographs were evaluated. The computerized statistical analysis was carried out. Soft tissue of nose change to h point change ratios were calculated by regression equations. The results were as follows 1. The correlation of maxillary hard tissue horizontal changes and nasal soft tissue vortical changes were high and the ${\beta}_0$ for soft tissue to ADV were 0.228 at ANt, 0.257 at SNt. 2. The correlation of maxillary hard tissue and nasal soft tissue horizontal changes were high and the ${\beta}_0$ for soft tissue to ADV were 0.484 at ANt, 0.431 at SNt, 0.806 at Sn. 3. The correlation of maxillary hard tissue horizontal changes and width changes of ala of nose were high and the ${\beta}_0$ lot alar base width ratio to ADV were 0.002. 4. The DRI, Prominence of nose, Pre-Op CA is not a quantitative measure that can be used clinically to improve the predictability of vertical and horizontal nasal tip deflection. In this study, increases in nasal tip projection and anterosuperior rotation occur when there is an anterior vector of maxillary movement. These nasal changes were Quantitatively correlated to magnitude of maxillary(A point) movement.

  • PDF

IN VITRO STUDY ON THE EFFECTS OF THE FLOURIDE ON THE REMINERALIZATION OF ACID ETCHED ENAMEL (불소가 산부식된 법랑질의 재석회화에 미치는 영향에 관한 연구)

  • Kim, Jin-Han;Lee, Ki-Soo
    • The korean journal of orthodontics
    • /
    • v.26 no.4
    • /
    • pp.389-399
    • /
    • 1996
  • Remineralization of acid-etched enamel across the time has been one of the curiosities in the context of the orthodontic biomechanics(Arends J. et al., IRL Press, 1, 1985), nevertheless, is so far controversial. It was the aim of this study to observe the remineralization patterns of acid-etched enamel across the time and whether the existence of fluoride might carry out any modifications. The intact buccal surfaces of the first bicuspids which was extracted for orthodontic treatment were ground smooth, and etched with a 38w/w% phosphoric acid for 60 seconds, The surface was observed by the scanning electron microscope and surface microhardness was measured after immersion in the fluoride or non-fluoride containing remineralizing solution for 0 hour, 12 hours, 1 day, 3 days, 7 days, 14 days, 28 days, and 42 days. The following results and conclusions were drawn; 1. Surface microhardness increased in both fluoride containing and non-fluoride containing solution group with time lapse. 2. In fluoride containing solution group, the surface microhardness sharply increased at the 12 hours group, on the other hand, surface microhardness increased at 3 days in non-fluoride containing solution group. 3. The difference in microhardness value between two groups manifested gradual decrease. 4. Scanning electron microphotographs disclosed that the fluoride containing solution group generated spiculate sub-stances in the 12 hours group, which was increased in number and size with time lapse. 7 days later, spherical composure was began to be produced, The spiculate substances so much increased in number that the etched enamel surface looked like flat in 42 days. 5. In non fluoride-containing solution group, there was no surface change at 42 days, perceivable in scanning electron microphotographs which could be defined as remineralization though the surface was a little rougher than the incipient etched surface. These results demonstrate that the action of the fluoride is exceedingly pertinent in the remineralization of acid-etched enamel and the remineralization process goes uninterruptedly with time lapse.

  • PDF

The Effect of 1,25-Dihydroxyvitamin D3 on the Viability of Periodontal Ligament Cells and the Experimental Tooth Movement in Rats (1,25-Dihydroxyvitamin D3가 치주인대세포활성 및 실험적 치아이동에 미치는 영향에 관한 연구)

  • Kim, Sung-Woo;Park, Dong-Kwon;Kim, Sang-Cheol
    • The korean journal of orthodontics
    • /
    • v.27 no.2
    • /
    • pp.335-347
    • /
    • 1997
  • Vitamin D is known to exert its action by activating DNA and RBA within target cells to produce proteins and enzymes that can be used in bone resorption process. Particularly, the active form of vitmain D, 1,25-dihydroxycholecalciferol $[1,25-(OH)_2D_3]$, is considered to be one of the most potent stimulators of osteoclatic acitivity in vitro. The purpose of this study was to evaluate the effect of 1,25-Dihydroxyvitamin $D_3$ on the avtivity of periodotal ligament cells and, the experimental tooth movement. Human periodontal ligament cells were collected from the first premolar tooth extracted for the orthodontic treatment, and were incubated in the environment of $37^{\circ}C$, 5% $CO_2$ and 95% humidity. Microtitration(MIT) assay was done at 10, 25, 50 and 100ng/ml of 1,25-Dihydroxyvitamin $D_3$. 21 Sprague-Daft rats were divided into a control gmup(3), and experimental groups(18) where 100g of force from helical spring was applied across the maxillary incisors 1,25-Dihydroxyvitamin $D_3$ was injected into periodontal ligament at the mesial or distal surface of maxillary incisors so that we can compare the control side and the experimental side. Expreimental groups were sac rifled at 12, 24, 36, 48, 72hours and 7 days after force application, respectively. And the obtained tissues were evaluated histologically. The observed results were as follows. 1. The activity of periodontal ligament cells in l0ng/ml or 25ng/ml of 1,25-Dihydroxyvitamin $D_3$ 1,25-Dihydroxyvitamin $D_3$ was not significantly different to the control at the cultivation of 1, 2 and 3 days. 2. The activity of periodontal ligament cells was significantly increased at 3 days in 50 ng/ml of 1,25-Dihydroxyvitamin $D_3$ and 2, 3 days in 100g/ml of 1,25-Dihydroxyvitamin $D_3$. 3. Up to 7 days after force application, there was no difference in osteoblastic activity, tearing of periodontal ligament and proliferation of capillary at tension side between 1,25-Dihydroxyvitamin $D_3$ injection side and the control side. 4. The osteoclastic activity and the resorption of alveolar bone was greater in 1,25-Dihydroxyvitamin $D_3$ injection side than the control side at 36 hours after force application.

  • PDF

A Study on the Breeding Density and Diet of Magpie Pica pica in Jeju Island1a (제주도에 서식하는 까치 Pica pica의 번식 밀도 및 식이물에 관한 연구)

  • Park, Joo-Yeon;Kim, Byoung-Soo;Oh, Hong-Shik
    • Korean Journal of Environment and Ecology
    • /
    • v.22 no.6
    • /
    • pp.648-657
    • /
    • 2008
  • This research was conducted to investigate the breeding density and seasonal food items of the magpies in Jeju Island and the near-manned islets. The examination of nest distribution to determine breeding density was performed during breeding season from February 2006 to April 2008, and that of food items from May 2006 to February 2008. A total of 2,113 nests were found across Jeju Island, the average density was $1.33\;nest/km^2$, and the magpies were distributed up to 600 meters above the sea level. The nest density was the highest in the central areas of Jeju Island, with 688 nests at $3.61\;nest/km^2$, while that in the eastern areas was the lowest, with 214 nests at $0.66\;nest/km^2$. In terms of the number of nests depending on the height above the sea level, 1,172 nests, which was equivalent to the density of $1.85\;nest/km^2$, was observed below 100m and highest among the intervals of height, but 16 nests found at 500-600m were the lowest, corresponding to $0.20\;nest/km^2$. The number of nests found in the manned islets near Jeju Island was eight in Biyang-do with the density of $15.38\;nest/km^2$, nine in U-do with $1.49\;nest/km^2$, and one in Gapa-do with $1.15\;nest/km^2$, whereas none of nests were observed in Mara-do. The contents of stomach consisted of 17 types of prey sources including countless bones, eggshells, plants, and seed, most of which were the individuals of the order Coleoptera. In spring and summer, the foraging frequency for invertebrate animals such as insects was high, but less than 30% in winter. In contrast, the magpies preyed upon plants and seeds at the frequency of 10% and 30%, respectively, in spring, while the foraging frequencies for both of them were 100% in winter and higher than any of other seasons. Eggshells and bones of birds were also detected infrequently. If the density of the magpies, which may play role as the upper predator within the ecosystem, increases, it would be expected to affect directly the reduction of the number of the species and population of endemic animals such as small birds and reptiles, etc. Therefore, it is considered that long-term monitoring for the density of the magpies and precaution is prerequisite to minimize adverse effects on ecosystem.

Budbreak, Floral Bud and Fruit Characteristics of Kiwifruit as Affected by Various Windbreaks (파풍망 종류에 따른 키위의 발아, 개화 및 과실 특성)

  • Kwack, Yong-Bum;Kim, Hong Lim;Lee, Mockhee;Rhee, Han-Cheol;Kwak, Youn-Sig;Lee, Yong Bok
    • Korean Journal of Environmental Agriculture
    • /
    • v.36 no.3
    • /
    • pp.169-174
    • /
    • 2017
  • BACKGROUND:Kiwifruit growers build their vineyards using many windbreaks to protect their kiwifruit vines from defoliation injury by strong winds such as typhoon. In this study, we have compared fruit quality, budbreak rate and floral bud as affected by windbreaks. And also we surveyed several microclimate indices of kiwifruit orchard depending on the covering materials of arch-type windbreaks. METHODS AND RESULTS: Five different windbreak materials including polyethylene film (PE), blue- and white-colored nets were tested in pipe-framed archtype kiwifruit vineyards as the covering materials. Photosynthetically active radiation (PAR), annual mean temperature (AMT) and chill unit (CU) as well as fruit quality were compared among the covering materials. In all treatments, annual PAR was more than $400{\mu}mol\;m^{-2}s^{-1}$, in which kiwifruit leaf could reach its maximum photosynthesis, since the leaves were emerged. Annual mean temperature was greater in 0.1 mm-PE covering as much as $1-2^{\circ}C$ than other windbreaks. In CU calculated by three different models, all windbreaks showed more than 1400 CU that is fully fulfilled CU for kiwifruit rest completion. There were no difference in budbreak rate among the covering materials. Fruit weight was heavier in 0.1 mm-PE and white-net (4 mm) than other windbreaks. CONCLUSION: Regardless of the windbreak materials, the PAR quantity was enough for kiwifruit photosynthesis. And CU for kiwifruit rest completion was fully achieved in all treatments. However, with respect to fruit weight, quantity of PAR, and AMT, etc., It is highly recommended for kiwifruit growers to choose 0.1 mm-PE and white-net (4 mm) as for their windbreaks materials.

Studies on the Laboratory Test of Lime Requirement (실험실(實驗室)에서의 석회소요량(石灰所要量) 측정방법(測定方法)에 관(關)한 연구(硏究))

  • Park, C.S.;Lee, J.K.;Lee, Y.C.;Lee, J.H.
    • Korean Journal of Soil Science and Fertilizer
    • /
    • v.1 no.1
    • /
    • pp.117-123
    • /
    • 1968
  • A simplest and best method to find out lime requirement for Korean soils is described. Twenty six top soil samples were collected from various localities and chemical characteristics were dertermined. Three different buffer curve methods were employed as the standard to find out the most reliable test for lime requirement. In addition, the lime requirement test by the Shoemaker's and Woodruff's as well as the O.R.D. kit method were compared with the most reliable buffer curve method. The results may be summarized as follows. 1. The regression equation of the most reliable lime requirement by buffer curve method, y, on percent base saturation of various soils, X, was y=9.69-0.106 X and the negative correlation coefficient r=-0.84 was statistically significant at 5% level. 2. Lime requirement test by the best, buffer curve, method was more well correlated with the sum of exchangeable hydrogen and exchangeable aluminum contents of the soil samples than the exchangeable hydrogen content only. 3. The ordinary buffer curve method for lime requirement is more reasonable than the lime requirement test by the buffer curve prepared after addition of 1 normal potassium chloride or calcium chloride solutions. 4. The lime requirement tests by the most reasonable buffer curve method, X, and by the Woodruff's, the Shoemaker's and O.R.D. kit were compared. The best method for laboratory lime requirement test was the Shoemaker's method and the O.R.D. kit method also was good enough for the field test and these two method are recommended as the unified method of lime requirement test in each soil testing laboratories throughout Korea.

  • PDF

Effect of Wollastonites on Silica Uptake by Rice Plant (규회석(珪灰石)의 가용성(可溶性) 규산함량(珪酸含量)이 수도(水稻)의 규산흡수(珪酸吸收)에 미치는 효과)

  • Lee, Yun Hwan;Choi, Eae Ung;Han, Ki Hak
    • Korean Journal of Soil Science and Fertilizer
    • /
    • v.6 no.4
    • /
    • pp.221-226
    • /
    • 1973
  • In order to investigate the silica effect of insufficient wollastonite to the official standard (above than 15% of suluble silica (N/2 HCl) on rice plant as silica fertilizer, 9 kinds of wollastonites and slag were adopted to examine the amount of silica absorbed by rice straw during growing period, and soluble silica of wollastonites extracted by 7 buffer solutions were compared with silica content in rice straw. Crystalls of ingredient in wollastonite ores were identified by X-ray diffractometer. The results were that silica content of rice plant at growing stages were increased as same ratio of soluble silica. content in wollastonite. Wollastonite containing more than 10% of souble silica (N/2 HCl) could be applied as fertilizer because absorbed amount of silica by rice plant from them are higher than from slag which contained 30% of soluble silica. Wollastonite powder mixed with impure ores in which soluble silica could not be extracted had the same effect on silica absorption of straw as wollastonite powder which contained conformable amount of soluble silica. The soluble silica of wollastonite extracted by buffer solutions (2% citric acid, N. NaOAc, N. $NH_4OAc$, Petermann solution, 0.1M. EDTA, and Hot water) had high significant relation to silica content in rice straw, but soluble silica extracted N/2 hydrochloric acid solutilon, also, had deep relation to them in rice straw. The adequate solution to extract silica from wollastonites is N/2 hydrochloric acid solution because its extracted silia amount is much higher than other solution (about one hundred times) and can be determined by gravimetric analysis. X-ray diffraction pattern would identify qualitatively purity of wollastonite, and large amount of soluble silica was extracted from wollastonite which was appeared to be weathered.

  • PDF