• 제목/요약/키워드: Transfer of Risk

검색결과 429건 처리시간 0.028초

돼지유행성설사병 지속감염 양돈장의 임상검사 및 방제대책 (Clinical Examination and Control Measures in a Commercial Pig Farm Persistently Infected with Porcine Epidemic Diarrhea(PED) Virus)

  • 박최규;이창희
    • 한국임상수의학회지
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    • 제26권5호
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    • pp.463-466
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    • 2009
  • A swine farm located in the Kyungpook province (designated as farm D that have been suffering from PED for several years was selected to study the etiology and the outbreak pattern of PED by clinical and laboratory examinations. Clinical examination indicated that sows exhibited signs of mastitis resulting in an inadequate transfer of lactogenic immunity against PEDV to newborn piglets. Furthermore, serological tests revealed that all sow groups and their piglets had low levels of anti-PEDV antibody. These data suggest that improper vaccination program has been indeed performed in this farm. Remarkably, despite no symptoms of PED in weaners, the presence of PEDV was identified by RT-PCR from fecal samples of weaning piglets, indicating persistent PEDV circulation in the herd. Based on these results, the following basic control schemes were executed for the control of PEDV circulation in the farm; a) A quick removal of affected pigs and disinfection of affected sheds. b) restructuring of vaccination program and employment of consultant. c) prompt treatment of mastitis and removal of poor lactogenic sows, and d) enhancement of biosecurity of farrowing house by acquisition of additional space. We evaluated risk factors and implementation of control measures in two months and were unable to found any case related to PEDV infection. Taken together, our data indicate that the method described above is effective for the control of PED outbreak in farm persistently suffering from PEDV infection.

Efficacy and Safety of Azithromycin for the Treatment of COVID-19: A Systematic Review and Meta-analysis

  • Mangkuliguna, Ghea;Glenardi, Glenardi;Natalia, Natalia;Pramono, Laurentius A.
    • Tuberculosis and Respiratory Diseases
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    • 제84권4호
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    • pp.299-316
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    • 2021
  • Background: The lack of effective medications for coronavirus disease 2019 (COVID-19) has led to a trend of drug repurposing such as the case of azithromycin which shows immunomodulatory and anti-viral effect. Several clinical trials have shown conflicting results. It is currently unclear whether the available evidence is in favor or against the use of azithromycin in COVID-19 patients. Thus, the aim of this study was to investigate the efficacy and safety of azithromycin in COVID-19 patients. Methods: Four independent reviewers selected relevant studies from PubMed, ScienceDirect, EBSCO, and ProQuest published prior to March 2021. The protocol used in this study has been registered in PROSPERO (CRD42020224967). Results: We included 17 studies and found that the mortality rate (odds ratio [OR], 0.95; 95% confidence interval [CI], 0.76-1.19), need of respiratory support (OR, 1.30; 95% CI, 0.98-1.73), hospitalization rate (standardized mean difference, 0.12; 95% CI, -0.02 to 0.27), and intensive care unit transfer (OR, 1.21; 95% CI, 0.79-1.86) of azithromycin-treated group did not differ significantly (p>0.05) from those of the control group. Azithromycin treatment did not significantly increase the risk of getting secondary infection (OR, 1.23; 95% CI, 0.83-1.82), hypoglycemia (OR, 0.73; 95% CI, 0.38-1.40), gastrointestinal problems (OR, 1.03; 95% CI, 0.73-1.45) or electrocardiogram abnormalities (OR, 1.16; 95% CI, 0.94-1.42). The overall quality of evidence ranged from low to very low. Conclusion: Azithromycin did not result in a superior clinical improvement in COVID-19 patients, although it was well-tolerated and safe to use.

Late avulsion of a free flap in a patient with severe psychiatric illness: Establishing a successful salvage strategy

  • Schaffer, Clara;Hart, Andrew;Watfa, William;Raffoul, Wassim;Summa, Pietro Giovanni di
    • Archives of Plastic Surgery
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    • 제46권6호
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    • pp.589-593
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    • 2019
  • Post-traumatic defects of the distal third of the leg often require skipping a few steps of the well-established reconstructive ladder, due to the limited local reliable reconstructive options. In rare cases, the reconstructive plan and flap choice may encounter challenges when the patient has psychiatric illness affecting compliance with postoperative care. We describe a case of a patient with severe intellectual disability and an open fracture of the distal lower limb. After fracture management and debridement of devitalized tissues, the resultant soft tissue defect was covered with a free gracilis flap. On postoperative day 7, the patient ripped out the newly transplanted flap. The flap was too traumatized for salvage, so a contralateral free gracilis muscle flap was used. The patient showed good aesthetic and functional outcomes at a 1-year follow-up. When planning the postoperative management of patients with psychiatric illness, less complex and more robust procedures may be preferred over a long and complex surgical reconstruction requiring good compliance with postoperative care. The medical team should be aware of the risk of postoperative collapse, focus on the prevention of pain, and be wary of drug interactions. Whenever necessary, free tissue transfer should be performed despite potential compliance issues.

Pearl Gourami (Trichogaster leeri)로부터 분리한 Iridovirus의 유전적 특성과 병원성 분석 (Genomic Characterization and Pathogenicity of Iridovirus Isolated from Pearl Gourami (Trichogaster leeri))

  • 김호열;정준범;전려진;윤소혜;조혜진;정현도
    • 한국해양바이오학회지
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    • 제1권3호
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    • pp.163-169
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    • 2006
  • 본 연구에서는 비장 내의 비대해진 세포 존재와 조직 괴사라는 병리조직학적 관찰에 의하여 우리 나라의 pearl gourami (Trichogaster leeri)에서 iridovirus에 의한 자연 감염이 나타남을 확인하였다. 이러한 iridovirus 감염을 더욱 정확하게 진단하기 위해서 iridovirus 감염 진단에 주로 사용되는 MCP와 ATPase gene 부위에서 2 primer sets를 제작하여 PCR을 실시한 결과, PCR 생성물은 기대한 size와 부합하게 나타났고, MCP gene 부위의 염기서열은 reference strain인 ISKNV와 매우 높은 유사성 (99.6%)을 보였다. 공격 실험을 통하여 pearl gourami에서 분리된 iridovirus의 병원성을 확인하였고, 무분별한 관상어 관리에 의하여 관상어로부터 양식어류에로의 질병 전이가 나타남으로서 일어날 수 있는 국내 양식 산업에 대한 위험성을 제시하였다.

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Palmitic acid induces inflammatory cytokines and regulates tRNA-derived stress-induced RNAs in human trophoblasts

  • Changwon Yang;Garam An;Jisoo Song;Gwonhwa Song;Whasun Lim
    • 한국동물생명공학회지
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    • 제37권4호
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    • pp.218-225
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    • 2022
  • High levels of proinflammatory cytokines have been observed in obese pregnancies. Obesity during pregnancy may increase the risk of various pregnancyrelated complications, with pathogenesis resulting from excessive inflammation. Palmitic acid (PA) is a saturated fatty acid that circulates in high levels in obese women. In our previous study, we found that PA inhibited the proliferation of trophoblasts developing into the placenta, induced apoptosis, and regulated the number of cleaved halves derived from transfer RNAs (tRNAs). However, it is not known how the expression of tRNA-derived stress-induced RNAs (tiRNAs) changes in response to PA treatment at concentrations that induce inflammation in human trophoblasts. We selected concentrations that did not affect cell viability after dose-dependent treatment of HTR8/SVneo cells, a human trophoblast cell line. PA (200 μM) did not affect the expression of apoptotic proteins in HTR8/SVneo cells. PA significantly increased the expression of inflammatory cytokines including interleukin (IL)-1β, IL-6, IL-8, and tumor necrosis factor (TNF)-α. In addition, 200 μM PA significantly increased the expression of tiRNAs compared to 800 μM PA treatment. These results suggest that PA impairs placental development during early pregnancy by inducing an inflammatory response in human trophoblasts. In addition, this study provides a basis for further research on the association between PA-induced inflammation and tiRNA generation.

유기화합물의 승화열 예측을 위한 QSPR분석 (QSPR analysis for predicting heat of sublimation of organic compounds)

  • 박유선;이종혁;박한웅;이성광
    • 분석과학
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    • 제28권3호
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    • pp.187-195
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    • 2015
  • 승화열은 대기 유기 오염물질의 확산에 관련된 환경적인 문제를 해결하거나, 위험한 화학 물질의 위해성을 평가하는 데에 중요한 변수이다. 하지만 실험적으로 승화열을 측정하려면 많은 시간과 비용이 소모 되며, 그 실험자체도 복잡하고 위험하다. 따라서 본 연구에서는 유기화합물의 승화열을 간단하게 예측하는 모델을 개발하기 위하여 정량적 구조-물성 상관관계 연구를 이용하였다. 군기반 전진선택방법을 적용하여 다중선형회귀방법과 서포트 벡터 머신과 같은 학습방법에 적합한 분자표현자들을 선택하도록 하였다. 개별 모델과 복합모델들은 부스트래핑 방법과 y-임의추출법에 의해 내부검증이 되었다. 외부 테스트 데이터의 예측 성능은 적용범위를 고려하므로서 개선되었다. 다중선형회귀모델에 따르면, 승화열은 분자간의 분산력, 수소결합, 정전기적 상호작용, 쌍극자-쌍극자 상호작용과 관련이 있는 것을 나타낼 수 있었다.

Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study

  • Youngmin Kim;Byungchul Yu;Se-Beom Jeon;Seung Hwan Lee;Jayun Cho;Jihun Gwak;Youngeun Park;Kang Kook Choi;Min A Lee;Gil Jae Lee;Jungnam Lee
    • Journal of Trauma and Injury
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    • 제36권3호
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    • pp.224-230
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    • 2023
  • Purpose: Patients with penetrating injuries are at a high risk of mortality, and many of them require emergency surgery. Proper triage and transfer of the patient to the emergency department (ED), where immediate definitive treatment is available, is key to improving survival. This study aimed to evaluate the epidemiology and outcomes of patients with penetrating torso injuries in Incheon Metropolitan City. Methods: Data from trauma patients between 2014 and 2018 (5 years) were extracted from the National Emergency Department Information System. In this study, patients with penetrating injuries to the torso (chest and abdomen) were selected, while those with superficial injuries were excluded. Results: Of 66,285 patients with penetrating trauma, 752 with injuries to the torso were enrolled in this study. In the study population, 345 patients (45.9%) were admitted to the ward or intensive care unit (ICU), 20 (2.7%) were transferred to other hospitals, and 10 (1.3%) died in the ED. Among the admitted patients, 173 (50.1%) underwent nonoperative management and 172 (49.9%) underwent operative management. There were no deaths in the nonoperative management group, but 10 patients (5.8%) died after operative management. The transferred patients showed a significantly longer time from injury to ED arrival, percentage of ICU admissions, and mortality. There were also significant differences in the percentage of operative management, ICU admissions, ED stay time, and mortality between hospitals. Conclusions: Proper triage guidelines need to be implemented so that patients with torso penetrating trauma in Incheon can be transferred directly to the regional trauma center for definitive treatment.

Early-age thermal analysis and strain monitoring of massive concrete structures

  • Geng, Yan;Li, Xiongyan;Xue, Suduo;Li, Jinguang;Song, Yanjie
    • Computers and Concrete
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    • 제21권3호
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    • pp.279-289
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    • 2018
  • Hydration heat and thermal induced cracking have always been a fatal problem for massive concrete structures. In order to study a massive reinforced concrete wall of a storage tank for liquefied natural gas (LNG) during its construction, two mock-ups of $0.8m{\times}0.8m{\times}0.8m$ without and with metal corrugated pipes were designed based on the actual wall construction plan. Temperature distribution and strain development of both mock-ups were measured and compared inside and on the surface of them. Meanwhile, time-dependent thermal and mechanical properties of the concrete were tested standardly and introduced into the finite-element (FE) software with a proposed hydration degree model. According to the comparison results, the FE simulation of temperature field agreed well with the measured data. Besides, the maximum temperature rise was slightly higher and the shrinkage was generally larger in the mock-up without pipes, indicating that corrugated pipes could reduce concrete temperature and decrease shrinkage of surrounding concrete. In addition, the cooling rate decreased approximately linearly with the reduction of heat transfer coefficient h, implying that a target cooling curve can be achieved by calculating a desired coefficient h. Moreover, the maximum cooling rate did not necessarily decrease with the extension of demoulding time. It is better to remove the formwork at least after 116 hours after concrete casting, which promises lower risk of thermal cracking of early-age concrete.

해외직접투자이론(海外直接投資理論)에 관한 소고(小考) (A Study on the Theory of Overseas Direct Investment)

  • 빈봉식
    • 재무관리연구
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    • 제1권1호
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    • pp.119-131
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    • 1985
  • Although Korea is short of capital technology, and natural resources, she has achieved an outstanding progress by the export-drive policies by Korean government and the creative endeavor of Korean firms. As a result of that, Korean economy and enterprises are in the same file of newly industrialized countries and Korea is ready for an economic take-off as a developed country. But in the early 1980s, each country strengthens protective trade theory and resources nationalism, and this has a great influence on the field of international trade environment. In spite of that, to continue the same high development as that of the past. Korea must try to secure and find export markets, solve trade barriers, make sure of the long-term security of resources, develop technology, and strengthen economic cooperations. To satisfy these desires by 2000s, we must try to make Korean enterprises have the global competitive power and them grow strongly among world wide firm through capital and technology accumulated during the passed years, and to do so, there must be a foreign production and marketing management, too, this can be achieved only through foreign overseas direct investment. This investment has various forms, to say, verifical integrated, horizontal integrated. conglomerate integrated forms, and the amount of investment in each country from 18 century to today reaches 500 billion dollars. This investment is done by strategic, behavioral economic, and financial motives. So I am going to approach the fields of like these; in spite of the differences among political, economical, caltural, and social systems, and many risk compared with domestic enterprises, why do Korean firms witsh to transfer the productive facilities to overseas countries and run them there? What is the comparative advantage of foreign direct investment compared with domestic investment ?. why is the factor of comparative advantage transferred through foreign direct investment?, what is the motive of foreign overseas direct investment?, and last the ownership-specific factors and the theory of internalization, and the location specific factors were analysed chiefly. But in consideration of the given condition in Korea, Korean overseas direct investment must be propelled rationally on the basis of the above mentioned theory.

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침대 이송 기능을 갖춘 수동식 휠체어 설계 (Design of Manual Wheelchair with a Function of Bed Transfer)

  • 고현준;김남열;현정근;정우철;강모원;김종형
    • 한국생산제조학회지
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    • 제22권3_1spc호
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    • pp.580-586
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    • 2013
  • In general, manual wheelchairs have played important roles in moving patients from one place to another. However, patients have experienced discomfort getting on and off because of the need for physical assistance. This can be more serious if a patient has handicaps involving the arms or legs. In addition, it could be unpleasant for both the patient and assistant because of the need for extensive physical contact with each other. At times, a weak nurse feels that there is a risk when transferring a heavy patient from a bed to a wheelchair. In this paper, a new non-powered wheelchair is designed to assist in transferring a patient to their bed. This design considers the convenience of both the patient and assistant when the patient is transferred from a wheelchair to a bed and vice versa. The operation minimizes the physical contact between the assistant and the patient. The new wheelchair is also lightweight and portable compared with the normal popular wheelchair.