• Journal of Menopausal Medicine
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• 제24권3호
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• pp.163-168
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• 2018

Objectives: To investigate the rate of postoperative urinary retention (POUR) and identify the risk factors for this complication in women who underwent transvaginal uterosacral suspension surgery. Methods: A retrospective chart review was conducted for 75 women who underwent transvaginal uterosacral suspension surgery with vaginal hysterectomy, repair of cystocele, and levator myorrhaphy with/without transobturator anti-incontinence surgery. POUR was defined as a need for continuous intermittent catheterization on the third day subsequent to removal of the urethral indwelling catheter. Results: Acute POUR was reported in 18 women (24.0%). Thirty-six of the 75 patients (48.0%) had undergone anti-incontinence surgery. Crude analysis revealed significant association between the following variables and the risk of POUR: hypertension, the lower average flow rate in the pressure-flow study (PFS), greater post-void residual (PVR) urine volume in PFS, and PVR >30% of the total bladder capacity (TBC) in PFS. In the logistic regression analysis, PVR >30% of the TBC in PFS was identified as the only significant predictor of POUR (odds ratio, 15.4; 95% confidence interval, 2.5-90.9; P = 0.003). Conclusions: The PVR >30% of the TBC in PFS was identified as the only predictive factor of acute POUR in women who underwent transvaginal uterosacral suspension surgery.

• 청정기술
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• 제15권2호
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• pp.116-121
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• 2009

Ti/$IrO_2$ 를 양극으로 SUS 316L 을 음극으로 사용한 전기분해 반응조에 간접산화조를 설치하여 간접산화 효과를 제시함으로써 하폐수 재활용 시스템의 설계에 미치는 영향을 고찰하였다. 전기분해 반응조의 운전조건은 극판 간격, 전류 밀도, 전해질 농도에 대한 영향을 조사하여 극판 간격 6 mm, 전류 밀도 1.0 $A/dm^2$ L, 전해질 농도 15%로 설정하였다. 산화에 의한 제거효율은 유기물은 COD로서 직접산화조에서 55%, 간접산화조에서 12.5${\sim}$15.0%의 추가 분해가 일어나고 있으며 T-N (전체 질소량), T-P(전체 인량)는 직접산화조에서 각각 88%, 75%의 제거효율을 나타내고 있으나 COD제거와는 달리 간접산화조의 추가 제거 효과는 거의 없는 것으로 판명되었다. 또한 COD, T-N, T-P의 제거는 2-5일의 반응초기에 일어나고 있기 때문에 전기 분해 반응조의 체류시간을 크게 설계할 필요는 없다는 결론을 얻을 수 있었다.

• The Korean Journal of Pain
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• 제10권1호
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• pp.34-41
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• 1997

Background : Patient-controlled analgesia(PCA) is a safe and effective technique for providing postoperative pain relief. Studies that compare epidural vs intravenous routes of opiate administration show conflicting results. We designed a prospective, randomized, controlled study to evaluate the safety and efficacy of epidural(EPI-PCA) morphine-bupivacaine versus intravenous (IV-PCA) nalbuphine when administered with a PCA system. Methods : Forty healthy women were randomly assigned to receive an epidural bolus of morphine 3 mg and 0.5% bupivacaine 10 ml, followed by a EPI-PCA with 0.01% morphine and 0.143% bupivacane (basal infusion 1 ml/hr, bolus 1 ml, lock-out interval 30 min) or intravenous bolus of nalbuphine 0.1 mg/kg followed by a IV-PCA with nalbuphine(basal infusion 1 mg/hr, bolus 1 ml, lock-out interval 20 min) for pain relief after cesarean delivery. This study was conducted for 2 days after cesarean section to compare the analgesic efficacy, side effects, patient satisfaction either as EPI-PCA or as IV-PCA. Results : EPI-PCA group had significant lower visual analog pain scale(VAS) at immediate postoperative period, whereas no significant difference was observed when pain was assessed at other time sequence. Urinary retention and pruritus were more frequent with EPI-PCA group, although the incidence of other side effects were the same. Conclusions : Although EPI-PCA with morphine-bupivacaine was of significantly lower VAS at immediate postoperative period, IV-PCA with nalbuphine is a safe and effective alternative to EPI-PCA with morphine-bupivacaine for providing pain relief after cesarean delivery. Further studies about IV-PCA with nalbuphine are needed to control the immediate postoperative pain and to further improve effective pain management.

• 한국산림과학회지
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• 제102권1호
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• pp.82-89
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• 2013

벌채 수확은 토양 내 탄소 동태를 변화시킬 수 있는 중요한 교란 중 하나이다. 그러나 수확에 따른 토양탄소 변화를 현지에서 장기간 연구하는 데에는 여러 가지 제한 요건이 있기 때문에 수학적 모델을 이용하여 장기적인 토양탄소 변화 경향을 효율적으로 추정할 수 있다. 본 연구에서는 최근 개발된 한국형 산림토양탄소 모델(KFSC 모델)을 이용하여 국내 중부지방 소나무(Pinus densiflora S. et Z.) 임분을 대상으로 수확의 주기, 강도, 수확 후 잔재물 처리방법에 따른 산림토양탄소 동태의 장기 변화를 모의하였다. 모의 시나리오는 3개의 수확 주기(50년, 80년, 100년), 2개의 수확 강도(재적 대비 30%의 부분수확 및 100%의 개벌수확), 2개의 수확 후 잔재물 처리방법(지상부 잔재물의 전량 수거 및 전량 방치) 등을 조합하여 총 12개로 이루어졌으며, 연간 토양탄소 저장량의 변화를 400년 간 모의하였다. 모의 결과, 400년 후 30 cm 깊이까지의 토양탄소 저장량은 시나리오별로 50.3-55.8 Mg C $ha^{-1}$(현재 토양탄소 저장량 대비: 98.1-108.9%)의 범위를 나타냈다. 수확 후 잔재물을 전량 방치할 경우 잔재물을 전량 수거할 때보다 토양탄소 저장량이 2.5-11.0% 증가하는 것으로 모의되었으나, 수확 주기 및 강도에 따른 토양탄소 저장량 변화에서는 일정한 경향이 나타나지 않았다. 토양탄소 저장량의 변화 경향은 고사유기물의 변화 경향과 일치하였으며, 고사유기물의 변화 경향은 수확 시 발생하는 고사유기물의 양과 수확 후 임분 생장 형태에 의해 달라지는 것으로 나타났다.

• 대한소아치과학회지
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• 제34권1호
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• pp.156-161
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• 2007

소아치과 임상에서는 외상성 손상에 의하거나 발치 도중 우발적으로 유치의 치근이 파절되는 경우가 종종 있다. 이런 경우 임상의들은 치근 파절편을 발치할지, 남겨둘지에 대해 간혹 고민하게 된다. 이같은 상황에서 잔근이나 파절편의 발치 시도가 계승치 배를 손상시킬 우려가 있을 경우에는 일반적으로 치근 파절편을 남겨두는 것이 추천되고 있다. 본 연구는 유치 잔근이나 파절편을 술자 의도적으로 잔존시킨 경우, 계승치의 맹출경로에 장애를 가하지 않고 소멸될 것인지의 예후를 확인해 볼 목적으로 잔근이나 치근 파절편을 의도적으로 남긴 3세 8개월${\sim}6$세 1개월 어린이 6명을 대상으로 $7{\sim}37$개월 동안 $2{\sim}3$개월 주기의 내원을 통하여 임상검사와 방사선검사를 시행하고 예후를 장기 관찰하였다. 관찰 결과, 5 증례에서 치근측 파절편은 생리적인 흡수과정을 통하여 크기가 축소되거나 소멸되었고, 1 증례에서는 계승치와 함께 밀려 출은하였으며 계승치의 맹출을 현저하게 지장을 초래한 경우는 나타나지 않았다. 본 관찰을 통하여 치조골 내에 남은 유치근 파절편이 계승치배에 근접한 경우, 이를 무리하게 발치하려 시도하기보다는 치배의 손상 가능성을 고려하여 잔존시키고 주기적인 검진을 통해 흡수 여부를 판단하며 예후 관리를 하는 방법의 타당성을 확인할 수 있었다.

• 대한응급의학회지
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• 제29권6호
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• pp.568-577
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• 2018

Objective: Performing high quality cardiopulmonary resuscitation (CPR) is important for improving the survival rate with a good neurological outcome and fewer complications. The retention of accurate CPR knowledge is essential for providing high quality CPR. This study examined the effects of chest compression only CPR training on the retention of correct CPR knowledge. Methods: In December 2016, an interview survey to target the study population was conducted by trained interviewers, using a structured questionnaire. The respondents' general characteristics, status of CPR education, and knowledge and willingness regarding CPR were investigated. Pearson's chi-square tests and multivariate logistic regression analyses were used to determine which education-related factors affected the correct skill knowledge of performing CPR. Results: Among the respondents, there are 80 persons (17.4%) who answered correctly in the questions regarding the skills of performing CPR. The respondents who had a willingness to perform CPR to family and strangers were 90.2% and 44.9% respectively. Through multivariable analysis, the factors related to correct skill knowledge in performing CPR in the didactic with practice group were people who had undergone CPR training within 2 years (odds ratio [OR], 2.293; 95% confidence interval [CI], 1.311-4.009), and person who had undergone chest compression only CPR training (OR, 2.044; 95% CI, 1.033-4.042). Conclusion: Chest compression only type of CPR training and the experience of CPR education within 2 years were associated with accurate skill knowledge of performing CPR.

• Asian-Australasian Journal of Animal Sciences
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• 제29권6호
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• pp.768-774
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• 2016

The present study investigated the impact of parity 1 gilt body weight during late gestation (d 109) on subsequent reproductive performance of sows and performance of suckling pigs. A total of 2,404 farrowing records over 6 parities were divided into six groups on the basis of body weight (190, 200, 210, 220, 230, and 240 kg) at d 109 of gestation of 585 gilts. Significant effects (p<0.05) of body weight on sow retention rate was noticed, with the 210 kg group having the lowest culling rate and highest total number of piglets born alive over the 6 parities. With increase of body weight, a linear increase (p<0.05) in losses of body weight and backfat during the lactation period of parity 1 and a linear decrease (p<0.05) in backfat loss for parities 4 and 6 were found. Compared with light sows, heavy sows had higher (p<0.05) litter weight at birth for parities 1 and 2 and at weaning in parity 1. Sow weaning-to-estrus interval of sows was not influenced (p>0.05) by body weight. In conclusion, maintaining optimal body weight during gestation would be beneficial to sows and suckling piglets.

• 대한한의학회지
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• 제22권3호
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• pp.129-140
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• 2001

Objectives : The aim of this study was to evaluate the effects of Punsimgi-eum(fenxingi-yin) in rat model of depression induced by chronic mild stress (CMS). Methods : The change of the consumption of sucrose solution was measured, and the open field test and passive avoidance conditioning test were performed to investigate the anti-depressive effect of Punsimgi-eum(fenxingi-yin). Results : The results were as follows; I. The consumption of sucrose solution was significantly reversed in the test group at 5, 7 and 8 weeks, but there was no significant change in the control group. 2. There was no significant change of body weight after 8 weeks in each group 3. In the open field test, there was significant increase of exploratory activity in the test group. 4. In the passive avoidance test, the test group showed differences in the maintenance of retention from the control group at the 2-week training-testing interval. Conclusions : The present results suggest that Punsimgi-eum(fenxingi-yin) has an anti-depressive effect.

• 대한수의학회지
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• 제25권2호
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• pp.187-195
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• 1985

The Present study has been carried out to elucidate the antiestrogenic effects of tamoxifen in uteri of immature rats. Immature female Sprague-Dawley rats were allocated into 4, groups and injected with $5{\mu}g$ of estradiol-$17{\beta}$, $50{\mu}g$ of tamoxifen, a combination of both or vehicle only subcutaneously three times after an interval of 24 hours respectively. The concentrations, of cytosol estradiol receptor in uterus were measured by DCC method before and 1, 3, 6, 12, 24, 48 and 72 hours after the above treatments and those of nuclear estradiol were measured by protamine exchange method 72 hours and those of nuclear estradiol were measured by protamine exchange method 72 hours after the above treatments. The results obtained were summarized as follows: 1. The binding affinity of tamoxifen to estradiol receptor in uterine cytosol was lower than that of estradiol-$17{\beta}$, accordingly the translocation of estradiol receptor into the nucleus was found to be delayed. 2. Tamoxifen caused the retention of estradiol receptor in nucleus over 24 hours and inhibited the replenishment of the receptor from nucleus to cytosol in uterus.

• Journal of Microbiology and Biotechnology
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• 제29권9호
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• pp.1434-1443
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• 2019

Although chemical oxygen demand (COD) is an important issue for wastewater treatment, COD reduction with microalgae has been less studied compared to nitrogen or phosphorus removal. COD removal is not efficient in conventional wastewater treatment using microalgae, because the algae release organic compounds, thereby finally increasing the COD level. This study focused on enhancing COD removal and meeting the effluent standard for discharge by optimizing sludge inoculation timing, which was an important factor in forming a desirable algae/bacteria consortium for more efficient COD removal and higher biomass productivity. Activated sludge has been added to reduce COD in many studies, but its inoculation was done at the start of cultivation. However, when the sludge was added after 3 days of cultivation, at which point the COD concentration started to increase again, the algal growth and biomass productivity were higher than those of the initial sludge inoculation and control (without sludge). Algal and bacterial cell numbers measured by qPCR were also higher with sludge inoculation at 3 days later. In a semi-continuous cultivation system, a hydraulic retention time of 5 days with sludge inoculation resulted in the highest biomass productivity and N/P removal. This study achieved a further improved COD removal than the conventional microalgal wastewater treatment, by introducing bacteria in activated sludge at optimized timing.