• 제목/요약/키워드: access to medicine

검색결과 656건 처리시간 0.026초

Effects of Feeding Licury (Syagrus coronate) Cake to Growing Goats

  • Borja, M.S.;Oliveira, R.L.;Ribeiro, C.V.D.M.;Bagaldo, A.R.;Carvalho, G.G.P.;Silva, T.M.;Lima, L.S.;Barbosa, L.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권11호
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    • pp.1436-1444
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    • 2010
  • The objectives of this study were to determine the highest inclusion of licury (Syagrus coronate) cake in the diet of growing Boer goats without adverse effects on intake and digestibility and to determine its effects on ingestive behavior and physiological responses. Twenty entire, one year old 3/4 Boer goats, 18.1 kg (DS = 2.2) average body weight (BW), were allocated to dietary treatments in a completely randomized design. Each animal was confined in a $1.0\;m^2$ pen with a suspended floor and given ad libitum access to clean, fresh water. Diets were formulated to meet NRC (2007) requirements and the ingredients were: 50% of Tifton-85 (Cynodon sp.) hay, corn meal, soybean meal, mineral and vitamin premix, and licury cake. The treatments were: i) no addition of licury cake to the diet, ii) 15% (DM basis) addition of licury cake, iii) 30% licury cake and, iv) 45% licury cake. The experiment lasted for 17 days; the first 10 days were used to adapt the animals to the diets and facilities. The inclusion of licury cake increased the fiber concentration of the diets; however, there was no effect on either dry matter (DM) or organic matter (OM) intake. There was a linear increase (p<0.05) in the EE content of the diet as the addition of licury cake increased; however, EE intake did not differ (p>0.05) between treatments. The digestibility of non-fibrous carbohydrates (NFC) decreased with increasing inclusion of licury cake, as did NFC intake. The efficiency of ingestion of DM and NDF presented a negative quadratic effect with the inclusion of licury cake. Results from this study indicate that licury cake can be fed to goats at up to 45% of the diet without adverse effects on either intake or digestibility.

대퇴 전외측 피판술의 해부학적 특성과 유용성 (Anatomical Characteristics and Versatility of the Anterolateral Thigh Flap)

  • 김동희;정덕환
    • Archives of Reconstructive Microsurgery
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    • 제19권2호
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    • pp.112-119
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    • 2010
  • The anterolateral thigh flap is a reliable and versatile flap. It has been extensively used for soft tissue reconstruction because minimal donor site morbidity is attractive feature of this flap. It can be harvested as a cutaneous, fasciocutaneous, muscluocutaneous flap. We can be used to form as desired shape and thickness. But variation of vascular anatomy make difficult for many surgeons. We review of vascular anatomy of the anterolateral thigh to be easier access to surgery. With understanding anatomic variation, it allows you to take advantage of this surgery using little more variable form.

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Blockchain based Online Pharmacy with Customer Privacy Protection

  • Im, Cheon Woon;Kim, Dong Han;Jang, Jung Eun;Shin, Eun Jung;Lee, Hyun Chul;Kim, Tae Hyun;Kim, Seong Whan
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2021년도 춘계학술발표대회
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    • pp.33-36
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    • 2021
  • Corona 19 minimizes face-to-face contact, and online untact platforms are emerging in the medical sector. However, there are potential risks of medicine expiration, medicine misuse, and responsible materials management for secure delivery. In this paper, we investigate three key functional requirements for online pharmacy, and design the blockchain based online pharmacy to meet the requirements. To protect the patient's privacy and to ensure tamper-free traceability, we incorporate the multi-level access authentication scheme for each participant (governments, medical circles, and patients). We show that our system guarantees patient's privacy without further system modification.

Progress in human ovarian rejuvenation: Current platelet-rich plasma and condensed cytokine research activity by scope and international origin

  • Sills, E. Scott;Wood, Samuel H.
    • Clinical and Experimental Reproductive Medicine
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    • 제48권4호
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    • pp.311-315
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    • 2021
  • Objective: As clinicians and patients await consensus on intraovarian platelet-rich plasma (PRP) treatment, this project evaluated contemporary research trends in the literature. Methods: A PubMed/NLM search aggregated all ovarian PRP-related publications (n=54) to evaluate their scope, abstract utility, submission-to-publication interval, journal selected, article processing charge (APC), free reader access to full-text manuscripts, number and nationality of authors, and inclusion of international collaborators. The NIH Clinical Trials database was also audited. Results: Published output on intraovarian PRP has increased consistently since 2016, especially among investigators in Greece, Iran, USA, and Turkey. Between 2013 and 2021, 42 articles met the relevancy criteria, of which 40.5% reported clinical studies, small series, or case reports, 33% described experimental animal models, and 23.8% were opinion/review papers. Only two works included a placebo control group. The submission-to-publication interval (mean±standard deviation) was 130±96 days, there were 5.9±3.2 authors per project, and journals invoiced US $1,613±1,466 (range, $0-$3,860) for APCs. Conclusion: There was no correlation between APC and time to publish (Pearson's r=-0.01). Abstract content was inconsistent; sample size and patient age were often missing, yet free full-text "open access" was available for most publications (59.5%). The NIH Clinical Trials portal lists eight registered studies on "ovarian rejuvenation," of which two are actively recruiting patients, while four have been terminated or have an uncertain status. Two studies have concluded, with results from one posted to the NIH website. PRP and its derivatives for ovarian treatment show early promise, but require further investigation. Research is accelerating and should be encouraged, particularly placebo-controlled randomized clinical trials.

지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로 (Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity)

  • 이수진;홍남수;김건엽;류동희;배상근;김지민
    • 한국산학기술학회논문지
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    • 제22권5호
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    • pp.151-161
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    • 2021
  • 본 연구는 지역보건의료계획 수립과정에서 시민들이 생각하는 건강문제와 보건 서비스 요구도를 정확히 파악하고 이를 대구광역시의 중장기 보건의료 종합계획 수립에 반영하고자 함을 목적으로 하였다. 시민참여단을 구성하여 2차례의 시민원탁회의를 실시하였으며, 시민원탁회의는 고객여정지도, DVDM (Definition, Value, Difficulty, Method) Map, 페르소나 기반 시나리오법을 통해 진행하였다. 시민들은 건강수준 향상을 위한 방안으로 보건 서비스 접근성 확대, 소생활권 중심 보건 서비스, 정신건강 서비스 확대, 건강 친화적 환경조성, 환경오염 개선, 사회적 건강개선을 제안하였으며, 건강 격차를 줄이는 방안으로는 건강 취약계층의 소통 향상 및 사회적 환경조성, 보건의료에 대한 접근성 향상, 쾌적한 물리적 공간, 사회적 역할 수행이 필요하다고 하였다. 본 연구 결과는 기존의 설문조사를 통한 주민요구도 조사와 달리 실제 주민들의 생각과 요구를 상세히 파악할 수 있었다는 점에서 의의가 있으며, 향후 지역보건사업의 기획과 수행과정에서 주민참여 수준의 단계를 평가하고, 보다 다양한 시민들의 의견을 적용할 수 있도록 주민참여 제도화 기반 수립을 위한 추가적인 연구가 필요할 것이다.

Making the Difference in Occupational Health: Three Original and Significant Cases Presented at ICOH Congresses in the 20th Century

  • Iavicoli, Sergio;Valenti, Antonio;Barillari, Caterina;Fortuna, Grazia;Boccuni, Valeria;Carnevale, Francesco;Riva, Michele A.;Kang, Seong-Kyu;Tomassini, Luigi
    • Safety and Health at Work
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    • 제11권2호
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    • pp.215-221
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    • 2020
  • Background: The aim of this study is to illustrate the historical role of the International Commission on Occupational Health (ICOH) congresses as an arena where national and international occupational medicine can dialogue and as the first example of scientific transferability of the research and prevention results that have had such an impact on global public health. Methods: We used the ICOH Heritage Repository, in which ICOH congress proceedings (from the first congress in Milan in 1906 to the last congress, held in Dublin in 2018), are organised in an orderly way, updated and easily accessible according to open access logic. Results: We describe studies by three physicians who submitted significant scientific work to ICOH congresses, one on the battle against ancylostomiasis (Volante, 1906), the second (Quarelli, 1928) on carbon disulphide poisoning, and the third (Viola, 1969) on the carcinogenicity of vinyl chloride monomer. Priority is given to Italian cases, on account of the authors' obvious familiarity with the issues. Conclusion: The visibility offered in ICOH conferences and their published proceedings has boosted the international spread of their findings, contributing to the scientific transferability of the research results and influencing the development of policies and prevention interventions that have had a great impact on global public health.

일반 인구집단의 사상체질에 따른 수면의 질 및 신체활동량과 복부비만과의 연관성 (Association between Sleep Quality, Physical Activity and Abdominal Obesity in the Community-Based Population: Based on Sasang Constitution Types)

  • 정경식;임수은;김호석;이시우;백영화
    • 사상체질의학회지
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    • 제34권3호
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    • pp.41-49
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    • 2022
  • Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

로봇수술의 현재와 미래 (The Present and Future of Robotic Surgery)

  • 나군호
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 학술대회 논문집 정보 및 제어부문
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    • pp.68-70
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    • 2008
  • Since the beginning of the 21st century, the emergence of innovative technologies made further advances in minimal access surgery possible. Robotic surgery and telepresence surgery effectively addressed the limitations of laparoscopic procedures, thus revolutionizing minimal access surgery. Surgical robots provide surgeons with to technologically advanced vision and hand skills. As a result, such systems are expected to revolutionize the field of surgery. In that time, much progress has been made in integrating robotic technologies with surgical instrumentation. However, robotic surgery will not only require special training, but it will also change the existing surgical training pattern and reshape the learning curve by offering new solutions, such as robotic surgical simulators and robotic telementoring. This article provides an introduction to medical robotic technologies, develops a possible classification, reviews the evolution of a surgical robot, and discusses future prospects for innovation. In the future, surgical robots should be smaller, less expensive, easier to operate, and should seamlessly integrate emerging technologies from a number of different fields. We believe that, in the near future as robotic technology continues to develop, almost all kinds of endoscopic surgery will be performed by this technology.

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국내 독성정보 검색을 위한 인터넷 웹사이트 분석 (An analysis of internet websites for searching domestic toxic information)

  • 정은경;강지훈
    • 한국응급구조학회지
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    • 제24권3호
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    • pp.117-128
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    • 2020
  • Purpose: This study analyzed the information and accessibility of toxic substances provided to Internet websites. Methods: From August 1, 2020, to August 31, 2020, we analyzed eight internet websites regarding toxic pharmaceuticals, pesticides, and chemicals. The website-evaluation criteria were divided into five categories for information and five categories for website convenience. Results: All eight websites about toxic substances were hosted by reliable institutions or organizations and provided accurate information in terms of informational relevance. The website run by the Safety and Health Corporation scored the highest with 100points. Analysis of the websites' accessibility to non-members' revealed that six (75.0%) were accessible, but two (12.5%) provided only limited information. Access to information through mobile apps was only available in three of the eight cases (37.5%). Conclusion: This study can be used as a reference for Internet websites about toxic substances. Toxicological information that can be viewed only with membership and manager approval requires membership in advance of viewing. In addition, emergency medical personnel working at a site or hospital should be familiar with the characteristics of toxicity information retrieval.

요추 추간판 탈출증에서 Dekompressor(R)를 이용한 경피적 수핵 감압술 (Percutaneous Discectomy of Herniated Intervertebral Disc with a Dekompressor(R))

  • 조외경;김찬;한경림;이현호;조혜원
    • The Korean Journal of Pain
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    • 제18권2호
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    • pp.192-197
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    • 2005
  • Background: Radicular pain, associated with herniated intervertebral disc, has been treated with either conservative treatments or a traditional surgical discectomy. Several modalities for minimally invasive percutaneous procedures have been developed as alternatives to a surgical discectomy. Percutaneous decompression using a $Dekompressor^{(R)}$ probe has been recently introduced. Herein, we report the outcome of percutaneous decompression with a $Dekompressor^{(R)}$ for the treatment of a herniated intervertebral disc. Methods: Between August 2004 and April 2005, percutaneous decompression was performed using a $Dekompressor^{(R)}$, 1.5-mm percutaneous lumbar discectomy probe in 17 patients with a herniated lumbar intervertebral disc resistant to conservative treatments, with the results reviewed retrospectively. The procedure was performed under fluoroscopic guidance after local anesthesia. Disc access was gained with a posterolateral approach on the symptomatic side and intradiscal placement of the discectomy probe in the herniated disc confirmed from the anteroposterior and lateral views on the fluoroscopy. Results: We obtained satisfactory clinical results in 14 patients with a decrease in the initial Visual analogue scale (VAS) of more than 55% and the elimination or reduction of analgesic medication, with a follow-up of 3 to 11 months. Conclusion: We concluded that a percutaneous discectomy with a $Dekompressor^{(R)}$ probe might be an effective alternative for the treatments of painful disc herniations resistant to conservative managements when performed under proper selection criteria.