• 제목/요약/키워드: Reaction Management

검색결과 832건 처리시간 0.02초

자발적 약물 이상반응 보고 분석을 통한 수술 후 통증 조절에 사용된 Fentanyl의 약물사용적정성 (Fentanyl PCA Monotherapy and Fentanyl TTS Combination Therapy in Post-Operative Pain Management: Analyses of Spontaneous Adverse Drug Reaction Reports)

  • 박수정;정경혜;김은영
    • 한국임상약학회지
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    • 제28권2호
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    • pp.81-87
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    • 2018
  • Objective: There have been many cases of spontaneous adverse drug reactions to fentanyl at a regional pharmacovigilance center in the hospital. To assess the factors causing the adverse drug reactions reported in patients receiving fentanyl patient-controlled analgesia (PCA) monotherapy or in combination with fentanyl transdermal therapeutic system (TTS) for acute post-operative pain management. Methods: We conducted a retrospective cohort study with all patients prescribed fentanyl PCA for pain management after orthopedic surgery at a single university hospital from June 2012 to May 2013. We analysed the factors causing adverse drug reactions reported by a spontaneous reporting system in patients receiving fentanyl PCA monotherapy and those receiving fentanyl TTS in combination with fentanyl PCA. Results: Based on the spontaneous adverse drug reaction reporting, the risk ratio for the incidence rate of adverse drug reaction in the fentanyl TTS combination therapy group was 3.04 (95 % CI: 2.4-4.00, P < 0.0001), which was approximately 3-fold higher than that reported for fentanyl PCA monotherapy. Only 60 % of the adverse drug reactions were reported. Conclusion: It is inappropriate to add fentanyl TTS to fentanyl PCA to manage post-operative acute pain. There is a need to improve adverse drug reaction reporting. We expect that regular analysis of adverse drug reactions reported at regional pharmacovigilance centre would aid in appropriate drug utilization by patients.

Perceptions of the Self-regulation in Patients with Diabetes Mellitus

  • Han, Hye-Sook;Bae, Sun-Hee;Park, Young-Sun
    • 한국컴퓨터정보학회논문지
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    • 제26권4호
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    • pp.169-179
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    • 2021
  • 본 연구의 목적은 당뇨병 문제를 관리하는데 있어서 개인이 어떻게 행동과정에 대해 결정을 내리는지를 설명하는 자기조절의 인식유형과 특성을 탐색하고, 이를 근거로 당뇨병 환자의 관리방법을 제시하고자 시도되었다. 총 40개의 Q-표본과 38명의 P-표본이 본 연구에 사용되었으며 응답자의 반응은 Q방법론에 기초한 요인분석을 통해 5개의 유형이 도출되었다. 각 유형의 특성은 근거기반 순응형(evidence-based compliance), 위기대응 거부반응(crisis responding denial reaction), 정보기반 관계지향형(information-based orientation to relationship), 독립적 실천형(independent practice), 의지결핍 충동반응형(willingness deficit impulse reaction)으로 명명되었다. 5개 유형으로 분류된 응답자의 특성을 자기조절 속성에 따라 포지셔닝 시킴으로써 당뇨병 관리의 전략적 함의를 도출하였다.

패밀리 레스토랑의 서비스 품질에 관한 연구 (A Study on the Service Quality in Family Restaurant)

  • 김도영;노영만
    • 한국관광식음료학회지:관광식음료경영연구
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    • 제14권2호
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    • pp.17-22
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    • 2003
  • Although researchers have, during the past decade, become increasingly interested in customer satisfaction customer reaction, and service quality issues, very little of research has devoted to the family restaurant. Family restaurant industry is among the fastest growing sectors of the tourism market. This paper discusses the importance of the family restaurant product and service quality, and presents the relationship among service quality, customer satisfaction, and customer reaction. The literature supports the value of family restaurant's service quality and relation between service quality and customer reaction. Exploratory study examined customer's satisfaction with service quality components and customer's reaction with satisfaction. The survey was conducted in four phases; service quality, customer reaction(satisfaction, repurchase intention, and word of mouth), restaurant information, general profile of customer. The results of the study show that service quality(product's quality, physical character) provided family restaurant customer with the overall satisfaction, and service quality affected on customer reaction(repurchase intention, positive word of mouth). Also overall satisfaction affected on repurchase intention and positive word of mouth.

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외식산업의 이용 고객 태도와 선호도에 관한 연구 (A Study of the Attitude and Preference on Comsumer of Food and Beverage Industry)

  • 하종명;이지영
    • 한국관광식음료학회지:관광식음료경영연구
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    • 제17권1호
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    • pp.125-138
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    • 2006
  • The purpose of this study are to find out various the significant factors impinging on the attitude of consumer, between attitude of consumer and preference of consumer in the Food and Beverage industry. For these purposes, two hypothesis were established as follows : (1) The reactions of consumer should have a significant effect on the attitude of consumer in the Food and Beverage industry. (2) The attitude of consumer should have a significant effect on the preference of consumer in the Food and Beverage industry. The verification of the proposed hypothesis showed the following results : First, it was found that the consumer's recognition reaction of employees have significant on price and variety of menu. Second, it was found that the consumer's emotion reaction have significant on feeling, taste of food and so on. Third, it was found that the consumer's action reaction have significant on expense.

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화학반응 공정에서의 공정조건 및 허용차설계 (Parameter and Tolerance Designs of the Chemical Reaction Process)

  • 안종석;윤원영
    • 품질경영학회지
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    • 제30권1호
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    • pp.97-117
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    • 2002
  • We apply Taguchi method to the process optimization problem of chemical reaction process, and some case studies are done to find out the way for cost reduction and quality improvement The parameter and tolerance designs of Taguchi mettled are done with operation data of a chemical process and we propose a procedure how to use and analyze the operation data to find the optimal process conditions and tolerance limits. In order to use the continuous values in experiment conditions, it is suggested how to determine the interval of each level by discrete values and to treat any missing values caused from discrete 4 levels.

New Nuclear Fusion for Our Second Generations

  • Ho-Jin Choi;Koan-Sik Joo
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 1999년도 추계학술대회
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    • pp.421-424
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    • 1999
  • In this short report (before the authors would like to introduce an important application for one of the techniques of complex angular momentunm, say, Regge Pole approach, to nuclear fusion reaction for Light-ions: it will be reported in forthcoming papers), two kinds of thermalnuclear fusion reaction sources are introduced and discussed (A) the case of fusion: the production of neutron and target of Deuteron and (B) the case of fusion: the production of proton and target of Deuteron. Nuclear fusion reactions for Light-ions , such as the thermalnuclear energy sources and fuel cycles, are already well known. Fusion reactions are widely known as being extremly important and nationally vital (in point of view of nuclear weapons we must reconsider seriously development and building of such dangerous weapons) for our next generations in the future. This paper (a topics in review) is concerned with a simple introduction about a new nuclear fusion reaction of the above case of (B) for the second generation. Typical thermalnuclear fusion reactions which result in the release of huge amount of energy are nuclear stripping reactions:

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Management of patients with allergy to local anesthetics: two case reports

  • Arya, Varun;Arora, Geetanjali;Kumar, Sanjeev;Kaur, Amrita;Mishra, Santosh
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권6호
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    • pp.583-587
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    • 2021
  • Lidocaine is the most commonly used local anesthetic (LA) agent in various dental as well as oral and maxillofacial procedures. Although rare, adverse effects and allergic reactions to lidocaine have been reported. In patients with suspected allergy to LA or a history of such reaction, careful history-taking and allergy testing should be performed to choose an alternative LA agent to avoid any adverse effects. Here, we present two cases of delayed hypersensitivity reaction to lidocaine, wherein the patients presented with erythema, edema, and itching. Intradermal testing confirmed allergic reaction to lidocaine, and the patients underwent successful dental treatment using an alternative LA agent. This report highlights the importance of allergy testing prior to LA use considering the serious consequences of allergy to these agents and describes the management of such patients using an alternative LA agent.

외상성 뇌손상이후 발생하는 외상후 스트레스장애와 급성스트레스 장애의 평가 및 치료 (The Evaluation and Treatment of Post-Traumatic Stress Disorder and Acute Stress Disorder After Traumatic Brain Injury)

  • 박기창
    • 생물정신의학
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    • 제2권2호
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    • pp.193-204
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    • 1995
  • Traumatic brain injury(TBI) used to be developed after a severe traumatic event. Therefore TBI usually induces acute or chronic stress reaction. I reviewed the concept, epidemiology, biological or psychosocial etiology, diagnosis and treatment of post-traumatic stress disorder (PTSD), and discussed about PTSD or stress reaction after TBI. Early evaluation and management of stress reaction after TBI are important.

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패션산업 스트림에 따라 SCM 성공요인이 SCM 성과에 미치는 영향연구 (The Effect of Success Factors on SCM Performance in Fashion Industry Stream)

  • 최진혁;신상무
    • 패션비즈니스
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    • 제16권2호
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    • pp.12-26
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    • 2012
  • Fashion industry characteristically goes through many steps to manufacture and to retail apparel products. Complex inter-industry channels with many intermediaries in fashion industry provoked many problems regarding recognizing customer's need, delivering time, flexibility, and inventory control. Therefore, the purposes of this study were to investigate the differences between apparel manufacturing and distribution process in SCM success factors and performances, and to investigate how SCM success factors affect on performances. Questionnaire was developed and distributed to apparel industry. The returned 116 questionnaires were analyzed by Cronbach's alpha for internal validity, factor analysis, t-test, and regression analysis with SPSS14.0. The results of this study were as follows: There was significant difference of SCM success factors between apparel manufacturing and distribution regarding process standardization and integration. There were significant differences of SCM performances such as reaction for customer, flexible management, cost minimization, and maximized asset utilization which distribution was higher than apparel manufacturing process. In apparel manufacturing, SC strategic relation, and integrative management influenced upon reaction for customer of SCM performances. SC integrative management influenced upon cost minimization. SC integrative management influenced upon maximized asset utilization. In distribution, SC strategic relation, and activated support for SCM influenced upon reaction for customer of SCM performances. SCM specialization, credible relationship among supply chains, activated support for SCM, and SC integrative management influenced upon cost minimization. SCM specialization, credible relationship among supply chains, and SC integrative management influenced upon maximized asset utilization.

경사진 안창이 보행시 하지관절에 미치는 영향 (The Influence of Wedged Insoles on Lower Extremity Joints during Gait)

  • 권민정;최화순;정민근;나석희
    • 대한인간공학회지
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    • 제26권1호
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    • pp.19-27
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    • 2007
  • Despite the widespread use of laterally wedged insoles for patients with knee osteoarthritis and medially wedged insoles for controlling rearfoot pronation, an understanding of the effects of wedged insoles was limited and sometimes controversial. The objective of this study was to evaluate the effect of wedged insoles on the kinematics and kinetics of normal gait. Ten male subjects without history of lower limb disorders were recruited. Each subject performed four gait cycles under each of seven conditions; shod with 5$^{\circ}$, 8$^{\circ}$ and 15$^{\circ}$, 8$^{\circ}$ and 15$^{\circ}$ laterally wedged insoles. In order to determine statistical differences among seven conditions, the measured temporal spatial variables, angular displacements, joint moments, and ground reaction forces were compared with a one-way analysis of variance. Some significant changes induced by wedged insoles were apparent in joint moments and ground reaction forces. The medially wedged insole increased the laterally directed ground reaction force and varus moments at the ankle force and varus moments at the ankle and the knee.