• 제목/요약/키워드: Primary method

검색결과 4,775건 처리시간 0.03초

금강유역 보건진료소 지역주민의 간흡충 감염 실태와 지식 및 행태변화 의도 (Prevalence of Clonorchiasis, Knowledge and Intention to Change Behavior of Village People living in the Catchment Area of Community Health Posts along the Geum River)

  • 박지연;전경자;박도순;조경녀;조정숙;김순찬;석은숙;신동숙;이은경;김옥님
    • 한국농촌간호학회지
    • /
    • 제4권1호
    • /
    • pp.5-12
    • /
    • 2009
  • Purpose: The purpose of this study was to describe the prevalence of clonorchiais and analyze the knowledge level and intention of the participants to change their behavior related to clonorchiais. Method: The participants were 514 people from 7 community health posts along the Geum River. The formalin-esther sedimentation technique was used to detect the Clonorchis Sinensis (CS) eggs and a questionnaire for data on related factors. The study was carried on from December 2008 to January 2009. Results: The prevalence of CS averaged 9.3%, with a range from 0% to 24.6%. The significant factors were sex, habit of eating raw fish, and habit related to smoking and alcohol consumption. The level of knowledge was not high and not significantly different between the CS positive group and CS negative group. Intention to change their habits of eating raw fish showed various stages of change and attitudes to raw fish eating habit of others were not positive. Conclusions: These results suggest that a CS control program needs to be developed by community health services in the Geum River area to decrease the prevalence of clonorchiais.

Comparison of Outcomes of Hybrid and Surgical Correction for De Novo Arteriovenous Graft Occlusion

  • Ko, Dai Sik;Choi, Sang Tae;Lee, Won Suk;Chun, Yong Soon;Park, Yeon Ho;Kang, Jin Mo
    • Vascular Specialist International
    • /
    • 제34권4호
    • /
    • pp.88-93
    • /
    • 2018
  • Purpose: This study aimed to compare surgical revisions and balloon angioplasty after surgical thrombectomy on thrombosed dialysis access as a first event. Materials and Methods: Records of patients undergoing creation of arteriovenous grafts (AVGs) at the Gachon University Gil Medical Center between March 2008 and February 2016 were reviewed. Among them, patients who underwent treatment on first-time thrombotic occlusion after AVG creation were identified. Outcomes were primary, primary-assisted, and secondary patency. The patency was generated using the Kaplan-Meier method, and patency rates were compared by log-rank test. Results: A total of 59 de novo interventions (n=26, hybrid interventions; n=33, surgical revisions) for occlusive AVGs were identified. The estimated 1-year primary patency rates were 47% and 30% in the surgery and hybrid groups, respectively. The estimated primary patency rates were not different between the two groups (log-rank test, P=0.73). The Kaplan-Meier estimates of 6 and 12 months for primary-assisted patency rates were 68% and 57% in the surgery group and 56% and 56% in the hybrid group. The Kaplan-Meier estimates of 12 and 24 months secondary patency rates were 90% and 71% in the surgery group and 79% and 62% in the hybrid group. There were no differences in the estimated primary-assisted and secondary patency rates between the two groups. Conclusion: Our results showed no significant difference between the two groups in terms of primary patency (P=0.73), primary-assisted patency (P=0.85), and secondary patency (P=0.78). However, percutaneous transluminal angioplasty can give more therapeutic options for both surgeons and patients.

Endoscopic Primary Prophylaxis to Prevent Bleeding in Children with Esophageal Varices: A Systematic Review and Meta-Analysis

  • Fatima Safira Alatas;Ervin Monica;Lukito Ongko;Muzal Kadim
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제26권5호
    • /
    • pp.231-238
    • /
    • 2023
  • Purpose: This systematic review and meta-analysis aimed to compare endoscopy as primary versus secondary prophylaxis to prevent future bleeding in children with esophageal varices. Methods: A systematic literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was conducted using the Scopus, PubMed, and Cochrane databases for relevant studies on the outcome of rebleeding events after endoscopy in primary prophylaxis compared to that in secondary prophylaxis. The following keywords were used: esophageal varices, children, endoscopy, primary prophylaxis and bleeding. The quality of eligible articles was assessed using the Newcastle-Ottawa Scale and statistically analyzed using RevMan 5.4 software. Results: A total of 174 children were included from four eligible articles. All four studies were considered of high-quality based on the Newcastle-Ottawa Quality Assessment Scale. Patients who received primary prophylaxis had 79% lower odds of bleeding than those who received secondary prophylaxis (odds ratio, 0.21; 95% confidence interval [CI], 0.07-0.66; I2=0%, p=0.008). Patients in the primary prophylaxis group underwent fewer endoscopic procedures to eradicate varices than those in the secondary prophylaxis group, with a mean difference of 1.73 (95% CI, 0.91-2.56; I2=62%, p<0.0001). Conclusion: Children with high-risk varices who underwent primary prophylaxis were less likely to experience future bleeding episodes and required fewer endoscopic procedures to eradicate the varices than children who underwent secondary prophylaxis.

전기비저항탐사에서 음의 겉보기 비저항 (Negative Apparent Resistivity in Resistivity Method)

  • 조인기;김정호;정승환;서정희
    • 지구물리와물리탐사
    • /
    • 제5권3호
    • /
    • pp.199-205
    • /
    • 2002
  • 전기비저항 탐사에서 측정되는 양은 두 전위전극 사이의 전위차이다. 이 전위차가 양일 경우에는 겉보기 비저항도 양의 값을 가지며, 음일 경우에는 겉보기 비저항도 음의 값을 나타낸다. 또한 측정되는 전위차의 부호는 전기장의 방향에 따라 좌우된다. 만약 측정방향과 전기장의 방향이 같다면, 전위차와 겉보기 비저항은 양의 값을 보이게 되며, 그 반대의 경우에는 음의 값을 나타낸다. 일반적으로 지표 전기비저항 탐사에는 측정방향과 1차 전기장의 방향이 같은 전극 배열을 사용하며, 이 방향의 1차 전기장은 2차 전기장에 비하여 항상 크다. 따라서 일반적인 전극배열을 사용하는 지표 전기비저항 탐사의 경우에는 지형이 평탄하고 잡음이 없다면 음의 겉보기 비저항은 나타나지 않는다. 그러나 시추공-시추공 전기비저항 탐사의 경우에는 1차 전기장의 방향과 측정방향이 일치하지 않으며, 경우에 따라서는 1차 전기장의 측정방향 성분이 2차 전기장의 측정방향 성분 보다 그 크기가 작을 수 있다. 이 경우 2차 전기장의 방향과 측정방향이 서로 반대일 경우에는 음의 겉보기 비저항이 나타날 수 있다. 따라서 음의 겉보기 비저항은 측정방향의 1차 전기장이 매우 작은 영역에서 발생할 가능성이 높다.

Orbital wall restoration with primary bone fragments in complex orbital fractures: A preliminary study

  • Jung, Joo Sung;Kang, Dong Hee;Lim, Nam Kyu;Kim, Hyonsurk
    • 대한두개안면성형외과학회지
    • /
    • 제21권3호
    • /
    • pp.156-160
    • /
    • 2020
  • Background: We have reported orbital wall restoration surgery with primary orbital wall fragment in pure blowout fractures using a combination of transorbital and transnasal approach in pure blow out fractures. However, this method was thought to be difficult to use for complex orbital wall fractures, since the sharp screw tip that fixate the maxillary wall increases the risk of balloon ruptures. In this study, we reviewed 23 cases of complex orbital fractures that underwent orbital wall restoration surgery with primary orbital wall fragment and evaluated the result. Methods: A retrospective review was conducted of 23 patients with complex orbital fracture who underwent orbital restoration surgery with primary orbital wall fragments between 2012 and 2019. The patients underwent orbital wall restoration surgery with primary orbital wall fragment with temporary balloon support. The surgical results were evaluated by the Naugle scale and a comparison of preoperative and postoperative orbital volume ratio. Complex fracture type, type of screw used for fixation and complications such as balloon rupture were also investigated. Results: There were 23 patients with complex orbital fracture that used transnasal balloon technique for restoration. 17 cases had a successful outcome with no complications, three patients had postoperative balloon rupture, two patients had soft-tissue infection, and one patient had balloon malposition. Conclusion: The orbital wall restoration technique with temporary balloon support can produce favorable results when done correctly even in complex orbital wall fracture. Seventeen cases had favorable results, six cases had postoperative complications thus additional procedure seems necessary to complement this method.

당귀(當歸)의 건조방법 및 뿌리 부위에 따른 품질 평가 (Quality evaluation of Angelica gigas Nakai with different drying methods and different root parts)

  • 성기운;백미은;이영종;원재희
    • 대한본초학회지
    • /
    • 제33권1호
    • /
    • pp.85-91
    • /
    • 2018
  • Objectives : This study was carried out to evaluate the quality of different drying methods and different roots(primary root and lateral root) of Angelica gigas Nakai. Methods : The experimental method was performed according to the Korea Pharmacopoea Eleventh edition (KP11). Loss on drying, ash, acid insoluble ash, ethanol extract, nodakenin and total decursin contents were tested to evaluate the quality of root tissue of Angelica gigas Nakai. In addition, the treatment of different root parts were prepared in two groups of washing dry process and natural dry process. Results : In comparison of dry processing methods, total contents of nodakenin and total decursin in the primary root and lateral root through washing dry process were ranged from 3.55 to 4.09% and from 5.18 to 6.13%, respectively. And also, those of roots from the natural dry process were from 4.36 to 6.22% and from 6.28 to 8.34%, respectively. In the washing dry process and natural dry process methods, 47.9% and 22.3% higher amount of nodakenin and total decursin were measured in lateral root compared to primary root. In common, lateral roots accumulated higher contents of nodakenin and total decursin compared to primary roots, and samples drying processed with natural dry process compared to washing dry process method contained higher amount of compounds. Conclusions : We sincerely hope that this study will be contributed to the standardization and quality control of Angelica Gigas Root.

Cognitive Radio 시스템에서 유전자 알고리즘 기반 전력 제어 및 동적 주파수 선택방법 (Power Control and DFS Based on Genetic Algorithm in Cognitive Radio System)

  • 이주관;손성환;홍인;김재명
    • 한국ITS학회 논문지
    • /
    • 제8권3호
    • /
    • pp.100-111
    • /
    • 2009
  • Cognitive Radio(CR)는 우선 사용자에게 할당되어 있지만 실제로 사용되지 않는 주파수 대역을 감지하고 사용함으로써 스펙트럼 효율을 향상시킬수 있는 기술이다. 우선 사용자가 채널을 점유하게 되면 CR 사용자는 우선사용자에 대한 간섭을 피하기 위해 다른 채널로 이동해야 하므로 CR 사용자에 대한 서비스 품질의 보장이 어렵다. 본 논문에서는 우선 사용자와 CR 사용자가 공존하기 위해 CR 기지국의 전력 제어를 통해 우선 사용자에 대한 CR 사용자의 간섭을 최소화 시키면서 CR 사용자의 다양한 요구에 따른 다양한 통신 시스템 구성 변수들을 할당하기 위한 유전자 알고리즘 (Genetic Algorithm)을 이용한 최적의 채널을 찾는 동적 주파수 선택 (Dynamic Frequency Selection) 을 제안한다. 컴퓨터 시뮬레이션 수행을 통해 제안하는 무선 자원 공유 방법이 우선 사용자에 대한 간섭을 줄이고 스펙트럼 효율을 향상시키는 것을 보였다.

  • PDF

인지 무선 기반 애드 혹 네트워크에서의 클러스터 헤드 선정기법 (Cluster-head Decision Method for Cognitive Radio Based on Wireless Ad-hoc Network)

  • 이경선;김윤현;김진영
    • 한국인터넷방송통신학회논문지
    • /
    • 제12권1호
    • /
    • pp.91-96
    • /
    • 2012
  • Ad-hoc 네트워크는 음영지역, 재난지역, 전쟁 시와 같은 통신 인프라가 구축되기 어려운 상황에서 유용하게 사용 될 수 있다. 그러나 음성 및 데이터 서비스 등과 같은 무선 서비스의 제공을 위해 많은 양의 네트워크 용량이 필요하게 되지만 기존의 제한된 주파수 자원에 따른 주파수 부족 상황 및 주파수 자원정책의 규제에 따라 원활한 주파수 사용이 어려운 상황이다. 이에 따라 높은 주파수 활용을 제공하는 인지 무선 시스템을 ad-hoc 네트워크에 적용하여 보다 다양하고 확장된 네트워크 서비스를 제공할 수 있다. 하지만 인지무선 기반 ad-hoc 네트워크에서 1차 사용자의 센싱 정보를 취합해서 1차 사용자의 존재 유무를 판단하는 클러스터 헤드의 선정에 대한 연구는 아직 미비한 상태이다. 따라서 본 논문에서는 인지 무선 기반 ad-hoc 네트워크 시스템에서 각 ad-hoc 단말기내의 클러스터 헤드 선정 방법과 그에 따른 신호 검출 성능을 보여준다.

국민학교 환경교육의 효율적 지도에 관한 연구 (A Study on the Effective Teaching Method for the Environmental Education in Korean Primary School)

  • 차주혁;김병우
    • 한국환경교육학회지:환경교육
    • /
    • 제7권1호
    • /
    • pp.30-45
    • /
    • 1994
  • This study was conducted to investigate the concern of the primary school teachers and the teaching situation about the environmental education through questionnaire survey on the effective environmental education. The results of questionnaire were analysed and discussed to provide the effective teaching method for the environmental education. The result of this study is as follows. 1. It was found that teachers want to teach environmental lessons as a special subject, and the content of the environmental lessons in textbook was not enough in quantity, the living waste was the most serious ploblem. Owing to the lacking in materials for the lectures on environmental education, most teachers collect the material depending on the mass communication. Also they were more interested in the environmental lessons rather than the other lessons in textbook. But because of the lacking in administrative assistance, they have difficulty in conducting the effective environmental education. 2. The teaching method of the environmental education in most primary schools was a all together-type lecture in classroom. Owing to conducting the environmental education for the knowledge than the action through the extra activity, it was difficult to expect the effect of the environmental education. Also the rate of using the reflection materials which can be improved the studying effect was very low. 3. For the effective environmental education most teachers wanted the spot learnings and the case studies and teacher education and training to get an special knowledge for environmental education. The effective evaluation method for children's environmental education is to present the results by environmental experiences and practices and to formulate a system education is organized for the effective management and activation of environmental education. 4. By practising the seasonal spot learnings, students need to change of learning method and to realize the importance of environment through own self-experiences. 5. In the future, it is desirable that researching of an environmental education is offered the effective practising teaching method which is improving the development of customs and functions, cultivation of the sense of value, ability to solve the problem, to determine the intention as well as the survey on the real situation and the consciousness about environmental education.

  • PDF

주입력신호의 LPC 필터 이득을 이용한 반향제거기의 수렴전 동시통화검출 성능 개선 (Performance Improvement of Double Talk Detection before Convergence of the Echo Canceller by Using Linear Predictive Coding Filter Gain of the Primary Input Signal)

  • 유재하
    • 한국지능시스템학회논문지
    • /
    • 제24권6호
    • /
    • pp.628-633
    • /
    • 2014
  • 본 논문에서는 반향제거기가 수렴하기 전에 동작할 수 있는 기존 동시통화검출법의 성능을 개선하기 위한 방법을 제안하였다. 제안된 방법은 LPC 필터 계수를 주입력신호로부터 추정하게 된다. 동시통화검출을 위한 문턱치는 주입력신호의 크기별로 기대되는 LPC 필터 이득치를 사용하여 가변적으로 설정하게 된다. 제안한 방법은 기존의 방법이 갖고 있는 단일통화를 동시통화로 잘못 판단하는 오검출률을 개선할 수 있을 뿐만 아니라 동시통화 검출 지연 시간도 단축시킬 수 있다. 장시간의 음성신호를 사용한 모의실험을 수행하였다. 제안한 방법이 기존 방법의 오검출률을 감소시키고 동시통화 검출 지연시간을 단축시킴을 확인할 수 있었다.