• 제목/요약/키워드: Records System

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Parallel-excision infrabrow blepharoplasty with extensive excision of the orbicularis oculi muscle in an Asian population

  • Lee, Yoon Jae;Kim, SeongAe;Lee, Jisung;Chung, Joong Geel;Jun, Young Joon
    • Archives of Plastic Surgery
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    • 제47권2호
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    • pp.171-177
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    • 2020
  • Background Infrabrow blepharoplasty has become a common surgical method used to rejuvenate aged upper eyelids in Asians. In this paper, we describe the parallel excision method for infrabrow blepharoplasty as a useful alternative to the conventional elliptical excision method. The authors' experience over a 3-year period is presented and reviewed. Methods A retrospective review of parallel excision infrabrow blepharoplasty cases at our hospital between 2014 and 2017 was performed. Three oculoplastic surgeons compared preoperative and postoperative photographs using the Strasser grading system. Results From the medical records of 123 patients, a total of 93 patients with moderate-to-severe bilateral dermatochalasis were selected as subjects. The exclusion criterion was levator function less than 8 mm. The total mean follow-up period was 2 years (range, 0.5-3.5 years). The mean skin excision height and width were 9.75 mm (range, 5-16 mm) and 58.51 mm (range, 42-75 mm), respectively. All patients who underwent surgery recovered without major complications, and all patients had high levels of satisfaction and improvements in their visual field. In the Strasser evaluation performed by the oculoplastic surgeons, most patients were found to have excellent results. Conclusions The parallel excision method for infrabrow blepharoplasty is a safe and effective technique that yields more natural- and youthful-looking eyelids than the conventional elliptical excision method. In our method, more effective manipulation of the orbicularis oculi muscle led to a reduction in frontalis compensation, resolution of sunken eyelids, and correction of lateral hooding.

Genetic evaluation of eggshell color based on additive and dominance models in laying hens

  • Guo, Jun;Wang, Kehua;Qu, Liang;Dou, Taocun;Ma, Meng;Shen, Manman;Hu, Yuping
    • Asian-Australasian Journal of Animal Sciences
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    • 제33권8호
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    • pp.1217-1223
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    • 2020
  • Objective: Eggshells with a uniform color and intensity are important for egg production because many consumers assess the quality of an egg according to the shell color. In the present study, we evaluated the influence of dominant effects on the variations in eggshell color after 32 weeks in a crossbred population. Methods: This study was conducted using 7,878 eggshell records from 2,626 hens. Heritability was estimated using a univariate animal model, which included inbreeding coefficients as a fixed effect and animal additive genetic, dominant genetic, and residuals as random effects. Genetic correlations were obtained using a bivariate animal model. The optimal diagnostic criteria identified in this study were: L🟉 value (lightness) using a dominance model, and a🟉 (redness), and b🟉 (yellowness) value using an additive model. Results: The estimated heritabilities were 0.65 for shell lightness, 0.42 for redness, and 0.60 for yellowness. The dominance heritability was 0.23 for lightness. The estimated genetic correlations were 0.61 between lightness and redness, -0.84 between lightness and yellowness, and -0.39 between redness and yellowness. Conclusion: These results indicate that dominant genetic effects could help to explain the phenotypic variance in eggshell color, especially based on data from blue-shelled chickens. Considering the dominant genetic variation identified for shell color, this variation should be employed to produce blue eggs for commercial purposes using a planned mating system.

제한항균제 전산 관리 프로그램 도입 전과 후의 반코마이신 사용 평가 (Evaluation of Vancomycin Use before and after the Computerized Restricted Antibiotic Control Program)

  • 안효초;이창섭;이미경;양재헌
    • 약학회지
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    • 제53권3호
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    • pp.107-113
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    • 2009
  • Since 2006, the Computerized Restricted Antibiotic Control Program (CRACP) has been incorporated to facilitate a more efficient approval process of vancomycin use at the Chonbuk National University Hospital. The purposes of the study were to evaluate proper use of vancomycin and to examine if there is any improvement when administering the CRACP. The use of vancomycin was retrospectively reviewed by a medical record review based on the American Society of Hospital Pharmacists (ASHP) criteria (i.e., indication, use of critical process indicators and use of outcome measurements) and compared before (Group I) and after the CRACP (Group II). Two hundred fifty six patient records were evaluated (138 in Group I and 118 in Group II). There was a statistically significant improvement in the report of justification for vancomycin use after CRACP (42.0% vs. 62.7%, p=0.001). Out of eight critical process indicators, two indicators (appropriate cultures prior to medication [68.8% vs. 85.6%, p=0.002] and serum vancomycin level measurement [0% vs. 7.6%, p=0.001]) were significantly improved after CRACP. The total incidence of adverse effects was decreased from 14.5% to 6.8%. In addition, there was a statistically significant difference in WBC count reduction within normal range (52.8% vs. 73.1%, p=0.024). The CRACP appears to be a promising approach to improve use of vacomycin in a hospital setting. However, further evaluation for the long-term period should be performed to confirm the performance of the program.

점탄성 감쇠기가 설치된 철골조 건물의 비탄성 해석 (Inelastic Analysis of Steel Frame Structures with Viscoelastic Damper)

  • 김진구;최현훈
    • 한국전산구조공학회논문집
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    • 제13권2호
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    • pp.271-278
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    • 2000
  • 본 연구에서는 철골조 건물의 내진 보강 방법으로 점탄성 감쇠기의 적용과 효과에 대하여 성능에 기초한 내진 설계의 관점에서 연구하였다. 먼저 단자유도계 구조물을 대상으로 입력된 지진에너지의 소산에 대한 감쇠기의 효과에 대하여 연구하였다. 설계하중으로 중력하중을 적용한 5층 건물과 중력하중과 풍하중을 적용한 10층과 20층 건물에 대하여 해석을 수행하였다. 비선형 시간이력해석을 수행하기 위하여 성능에 기초한 내진설계기준(안)에 제시된 표준 설계응답스펙트럼을 각 지반종류와 성능목표에 대하여 구성하고, 이를 바탕으로 인공지진을 생성하였다. 해석결과에 따르면 층간변위를 성능기준으로 적용하였을 때 모든 모델이 연약지반(기능수행 성능목표)을 제외한 대부분의 지반조건에서 기준안에 제시된 성능목표를 만족하였다. 또한 적당한 위치에 점탄성 감쇠기를 설치함으로써 내진성능을 향상시키고 구조물이 탄성적으로 거동하도록 유도함을 보였다.

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옥소 권섭의 학창의에 관한 연구 - "옥소고"소재 학창의 관계자료를 대상으로- (A Study on Okso, Keun Seob's Hakchangeui(학창의)-Examining Data about Hakchangeui Written in $\lceil$Oksoko(옥소고)$\rfloor$-)

  • 이민주
    • 복식문화연구
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    • 제13권2호
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    • pp.269-279
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    • 2005
  • Okso, Keun Seob($1671\sim1759$) was descended from a noble family of Noreun(노론) and learned from his uncle, Keun Sang-ha who is a disciple of Song Si-Yeol, Kim Chang-hyeub and Kim Chang-heub. His $\lceil$Oksoko$\rfloor$ remains in the form of a transcription or a lithographic printing, and documents on 'Hakchangeui' are recorded in jabeui(잡의), Euijedogi(의제도기), which is a part of it. He left Seoul in 1714, settled in Chungpung, journeyed to many places, including the Hwang river area and Jecheon and led a literary and artistic life as Sadaebu(사대부), which was written in a collection of his works where the record about 'Hakchangeui', the most suitable clothes for the life of a retired scholar remains today to express one part of his life. This study introduces data about Hakchangeui written in $\lceil$Oksoko$\rfloor$, pursues the reason why Okso, Keun Seob told about it and intends to embody the figure of Hakchangeui based on the system, measure, material, and sewing method according to the records in a collection. Hakchaneui described in $\lceil$Oksoko$\rfloor$ reveals a structure that is different from old Hakchaneui, showing characteristics like the following. It is a Sadaebu's costume for field amusement in which the length of a former part is longer than that of a later part and the side seam of a garment rips. Black Yeon is attached to the white texture. Yeon widths of Git(collar), Sugu and Gil are varied, respectively. Yeon's figure attached to Gil and Somaejindong is a mountain. Git is Bangryeong and link parts between Git and Gil is connected with Sangchim. This Hakchangeui is considered to playas a gown because it has no string or support to adjust his dress. Especially we can identify that Hwayanggun(화양건) was used in this Hakchangeui.

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급성 endosulfan 중독환자에서 경련이 예후에 미치는 영향 (Effect of Seizure on Prognosis in Acute Endosulfan Intoxication)

  • 한병곤;이준호;이경우
    • 대한임상독성학회지
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    • 제7권2호
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    • pp.77-82
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    • 2009
  • Purpose: In highly doses, endosulfan lowers the seizure threshold and elicits central nervous system stimulation, which can result in seizures, respiratory failure, and death. Management of seizure control is essential for survival and prognosis of intoxicated patients. This study assessed whether seizure time was an independent predictor mortality in patients with endosulfan poisoning. Methods: This retrospective study enrolled patients with endosulfan poisoning presenting to Masan Samsung Hospital and Gyeongsang National University Hospital from January 2003 to December 2008. The data were collected from clinical records and laboratory files. Using a multivariate logistic analysis, data on the total population was retrospectively analyzed for association with mortality. Results: Of the 24 patients with endosulfan poisoning, nineteen (79.1%) experienced seizure. The patients in the seizure group showed significantly lower Glasgow coma scale score, base excess, bicarbonate, and significant existence of mechanical ventilation, as compared to the non seizure group (n=5). Seizure, Glasgow coma scale score, systolic blood pressure, bicarbonate level, need for respiratory support, pulse rate, respiratory rate, pH, base excess, and seizure time were associated with mortality. The fatality rate of endosulfan poisoning was 54.1% with higher mortality among patients experiencing. Longer seizure time was associated with higher mortality. Conclusion: Seizure time can be a significant independent predictor of mortality in patients with acute endosulfan poisoning. Physicians should aggressively treat for seizure control in patients with acute endosulfan poisoning.

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독수리(Aegypius monachus)의 월동생태 및 부상실태 조사 (Survey on the actual injured condition and wintery ecology of Black vulture(Aegypius monachus))

  • 김종택;박철민;김영준;박인철
    • 한국동물위생학회지
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    • 제30권3호
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    • pp.467-472
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    • 2007
  • Eurasian black vulture (Aegypius monachus) belongs to family Accipitridae and is a raptor preying small birds and mammals. It is a wintering bird residing from the mid of November to the late of March in Korea. Although Eurasian black vulture population wintering at Korea is gradually increased, the efficient rescue and treatment for injured Eurasian black vultures are still problematic, due to lack of basic data. Therefore, in this survey, to obtain basic resources for establishing more efficient rescue system, we surveyed the number of Eurasian black vultures wintering at Gangwon province, wintering ecology and injury state of Eurasian black vulture. Survey area was Togyo reservoir at Cheorwon, Seonan basin at Yangoo and Wolsong reservoir at Chuncheon from November 2004 to March 2005. From 12 rescued Eurasian black vultures, physical examination, total plasma protein (TPP) and packed cell volume (PCV) were measured. To survey injury state of Eurasian black vultures wintering at Gangwon province, we surveyed the cause, morbidity and mortality from 103 Eurasian black vultures, based on medical records from animal rescue teams. The number of eurasian black vultures were gradually increased from November, peaked at Feburary, then steeply decreased at March. Eurasian black vultures showed the most vigorous activity around 1 PM within a day. In physical examination, mean body weight was $9.6{\pm}1.22kg$, body length was $1130{\pm}45.4mm$. No statistically significant difference in body weight and length between male and female eurasian black vultures was observed. Mean PCV was $40.2{\pm}2.7%$, while mean TPP was $5.86{\pm}0.8mg/dl$. The most common cause of injury and mortality was intoxication, while that of morbidity was fatigue.

공간정보의 체계적 발전을 위한 법제도적 정합성에 관한 연구 (The Research on Coherence of Legal System for Systematic Development of Spatial Information)

  • 김현희;임형택
    • 지적과 국토정보
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    • 제45권1호
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    • pp.1-15
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    • 2015
  • 우리나라의 공간정보정책은 "국가공간정보에 관한 법률", "측량 수로조사 및 지적에 관한 법률", "공간정보산업 진흥법" 등을 근거로 제도화 되었으며, 이들은 2015년 6월 새로운 이름과 내용으로 시행된다. 공간정보의 개념이 보편화되고 있는 현 상황에서 공간정보법이 타법과의 관계에서 체계적으로 정합을 이루며 발전하기 위하여 갖추어야 할 사항을 검토할 필요가 있다. 대표적으로 공간정보 개념의 유형화, 공간정보 관련법제의 체계화, 공간정보 추진체계의 전문화에 대하여 현행 법률을 검토하고 일부 보완이 필요한 점에 대하여 개선방안을 제시하고자 한다. 이러한 개선방안의 근거로는 공간정보에 관하여 우리보다 일찍 발전을 이룬 독일, 프랑스, 미국의 입법례와 정책사례를 참고하였다.

인터넷 신문기사에 보도된 한약 유해사례 분석 (Herbal-drug-associated Adverse Events Reported in the Internet Newspaper Articles)

  • 김미경;한창호
    • 대한한의학회지
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    • 제36권1호
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    • pp.33-44
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    • 2015
  • Objectives: The aim of this study was to understand the characteristics of herbal-drug-associated adverse events (AEs) reported in the internet newspaper articles and to take a countermeasure against the safety issue of herbal drugs. Methods: We searched the internet newspaper articles published from 2010 to 2014 in the 3 major portal sites in Korea, NAVER, DAUM, and GOOGLE. Search terms were the Korean words equivalent of 'herbal drug' and 'side effects'. Informations on the type and characteristics of suspected herbal drugs, AEs, and the patient records were extracted from the articles reporting the herbal-drug-associated AE occurred in Korea. Results: From 8,806 articles, a total of 36 AEs were found. The most frequently reported age group was 20s, and women outnumbered men. Obesity was the most common cause of administration. Doctors of Korean medicine clinic were the most commonly referred prescribers and purchasing route (11 cases). The most frequently mentioned medicinal herb was Ephedra sinica (7 cases) and the most commonly reported AEs were abdominal pain (8 cases), dizziness (6 cases), diarrhea (5 cases), and vomiting (5 cases) were followed in order. Ten cases were judged as serious AEs, and the others were not. Conclusions: Current customers demand health care providers to offer them sufficient information on the safety of herbal drugs. To satisfy their requirements, physicians of Korean medicine should be able to explain, predict, prepare, recognize, and deal with the herbal-drug-associated AEs. We propose an establishment of pharmacovigilance system for herbal medicine, in which doctors of Korean medicine are participated as important personnel, to collect and analyze the related AEs and offer credible information on the safety of herbal drug.

뇌파 분석 시스템에서의 Artifact 제거를 위한 적응 기법에 관한 연구 (A Study on the Adaptive Technique for Artifact Cancelling in Electroencephalogram Analysis System)

  • 유선국;김기만;남기현
    • 대한의용생체공학회:의공학회지
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    • 제18권4호
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    • pp.389-396
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    • 1997
  • 본 논문에서는 뇌파측정기에서 발생하는 전기적 잡음을 제거하기 위하여 뇌파 측정시 발생하는 안구운동, PVC 룰러 펌프 잡음등을 포함하는 전기적 잡음에 대하여 기술하였다. 적응 디지틀 필터는 이러한 뇌파 측정 잡음을 제거하는 효과적인 방법이다. 그러나 일반적인 적응 디지틀 필터는 뇌파신호의 일부주파수 성분에 영향을 주게되므로 자동 뇌파 처리에는 부적합하다. 그러므로 본 고에서 이러한 뇌파잡음을 제거하기 위하여 제안한 방법은 일반적인 적응디지틀 필터의 참조채널을 사용하지 않으며, EOG 잡음을 제거하기 위하여 선형예측기와 고정차수 FIR 필터를 연결하였으며, 펌프잡음을 제거하기 위하여 선형예측기와 잡음 제거기를 연결함으로써 실현하였다. 또한 시뮬레이션을 통한 결과는 잡음제거 능력의 관점에서 제안한 방법의 성능을 분석하였으며, 결과적으로 약 20dB의 잡음제거 성능을 보였다.

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