• 제목/요약/키워드: complicated group

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Prothrombin Complex Concentrate versus Fresh Frozen Plasma in Adult Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

  • Patricia Viana;Jessica Hoffmann Relvas;Marina Persson;Thamiris Dias Delfino Cabral;Jorge Eduardo Persson;Jessica Sales de Oliveira;Paulo Bonow;Camila Veronica Souza Freire;Sara Amaral
    • Journal of Chest Surgery
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    • 제57권1호
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    • pp.25-35
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    • 2024
  • Background: Prothrombin complex concentrate (PCC) and fresh frozen plasma (FFP) are commonly used to manage bleeding in patients during cardiac surgery. However, the relative efficacy and safety of these 2 strategies remain uncertain. Methods: MEDLINE, Embase, and Cochrane were searched for studies comparing PCC and FFP in patients who underwent cardiac surgery complicated by bleeding. Review Manager (RevMan) ver. 5.4 (Nordic Cochrane Centre, The Cochrane Collaboration) was used for statistical analysis. Binary and continuous outcomes were compared using pooled risk ratios and mean differences, respectively. The meta-analysis protocol was registered in the International Prospective Register of Systematic Reviews under protocol number CRD42022379144. Results: We included 8 studies with 1,500 patients, of whom 613 (40.9%) received PCC. The mean follow-up period ranged from 28 to 90 days. The PCC group had significantly lower chest tube drainage at 24 hours (mean difference [MD], -148.50 mL; 95% CI, -253.02 to -43.99 mL; p=0.005; I2 =42%). Fewer units of red blood cells (RBCs) were transfused within the first 24 hours (MD, -1.02 units; 95% CI, -1.81 to -0.24 units; p=0.01; I2 =56%), and fewer patients required RBC transfusion within the first 24 hours (risk ratio, 0.85; 95% CI, 0.78-0.93; p<0.007; I2 =45%) in the PCC group. There were no statistically significant differences in secondary outcomes. Nonetheless, a subgroup analysis of randomized controlled trials failed to corroborate the results obtained from the main analysis. Conclusion: Our findings suggest that PCC can be effective, without increased adverse events, when compared with FFP in patients undergoing cardiac surgery complicated by bleeding.

성인 여성의 신체만족도 및 스트레스에 따른 미니스타일 선호에 관한 연구 (A Study of the Preference of Mini-Style according to Body Cathexis and the Stress Recognition level for a Group of Adult Women)

  • 이인자
    • 복식
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    • 제30권
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    • pp.59-68
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    • 1996
  • As a society is becoming more and more complicated people living in modern times are experiencing more stresses for various reasons. Some past research results proved the role of clothing in reducing the stresses. The purpose of this study is to investigate how the preference of the mini-style which is recently most fashionable styles is related to the psychological factors such as stress and body satisfaction. Measure Instrument were Nolmes and Masuda(1973)'s SRRS(Social Readjustment Rating Scal) Secord and Jourard(1953)' Body Cathexis Scale and mini-style preference scale by author Survey questionnaires were distributed to two hundred seventy adult women living in Seoul area during may 25 1992. through June 8. 1992. The age range of the subjects was from 30 to 49 The final number of subjects in-cluded in the statistical analysis was 244. The result and conclusions are as follows: 1. Significant difference was existed in mini-style preference between high and low body satisfaction groups. Mini-style was pre-ferred by high body satisfaction group than low body satisfaction group. 2, Significant difference was existed in mini-style preference between high and low stress groups. Mini-style was preferred by low stress group than high stress group. 3. Regarding demographic characteristics unmarried 2 year college graduates with low family income in their early 30's pref. mini-style. 4. There was a marginal interaction effect of demographic characteristics on the relation-ship between mini-style preference and body satisfaction. The higher preference and body satisfaction. The higher preference for mini-style was found for the higher body satis-faction group mostly with the age range of 35 to 39 married 4 year college graduates as drop-puts and mid less income group. 5. There was a marginal interaction effect of demographic variables on the relatonship be-tween mini style preference and stress level The higher preference for mini-style was re-lated to the low stress level group mostly with age group of 35 to 44 high school graduates or lower and highest income group regardless of their marital status. In sum mini-style seems to be preferred by women who feel relatively less stress and are more satisfied with their bodies thus psycho-logically stable.

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Silicone Index Tooth Tray를 이용한 인상체의 체적안정성에 대한 연구 (DIMENSIONAL STABILITY OF IMPRESSION BODY USING SILICONE INDEX TOOTH TRAY IMPRESSION SYSTEM)

  • 이규영;정승미;심준성;최병갑;이근우
    • 대한치과보철학회지
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    • 제43권5호
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    • pp.622-632
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    • 2005
  • Statement of problem: Silicone Index Tooth Tray impression system which does not use gingicord has a shortcoming. It takes time to remove internal wall of Silicone Index Tooth Tray for space of wash impression material. Purpose: This study was to evaluate whether providing certain space to impression body can prevent from doing complicated laboratory work. Material and methods: After mounting metal dies with shoulder and chamfer margins arbiturarily, SITT was produced using $Blu-mousse^(R)$. In one experimental group, wash impression was taken using $Fit-tester^(R)$ without removing interior surface of SITT and in the other group, wash impression was taken using $Fit-tester^(R)$ providing 0.5mm space in the SITT and then compared the differences in two groups. Results: 1. There was no significant difference between a group which did not allow space and a group which granted equal 0.5mm space. 2. There was no significant difference between gingival diameter, occlusal diameter of metal die that has shoulder margin and gingival diameter, occlusal diameter of metal die that has chamfer margin. 3. There was no significant difference between a group which did not take pick-up impression and a group which took pick-up impression through relining method using SITT 4. There was no significant difference between a group that poured immediately after taking primary impression and a group that poured after removing poured stone die. Conclusions: When taking an impression of an abutment using SITT impression system, it is considered to obtain clinically identical results between a group that did not grant a 0.5mm space within SITT for wash impression and a group which invest a space. Furthermore, it is considered possible to produce an individual die through secondary pouring.

전파사용료 제도의 합리적 개선방안에 관한 연구 (An Empirical Study on Improving the Spectrum Usage Fee System)

  • 이건창;이승진
    • 경영과학
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    • 제23권3호
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    • pp.225-242
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    • 2006
  • The Spectrum Usage Fee System which has been introduced and enforced since 1993 has had a great role for effective use of the radio frequency resources and the promotion of radio wave industry. However, the current system has been criticized due to several drawbacks. For example, broadcasting stations and national institutions are exempted whereas the overdue utility rate on some frequency has been imposed. So there has been rising the questions on whether the principles of fair imposition are broken. Another problem regarding the current system is that how to calculate the fee is too much complicated, and it needs to be revised into a simpler and clearer formulation. In this regard, this study intends to propose a new calculation framework for the radio spectrum usage fee and then prove its validity empirically on the basis of real data gathered from MIC and focus group interview.

다수표적지역에 대한 공격 항공기 할당모형 (Assignment Model of Attack Aircraft for Multi-Target Area)

  • 노상기;하석태
    • 한국국방경영분석학회지
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    • 제17권1호
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    • pp.159-176
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    • 1991
  • The probability of target survival is the most important factor in the target assignment, Most of the studies about it have assumed the case of one target and ane weapon type. Therefore, they can not be applied to the real situation. In this paper. the quantity and type of enemy assets of the friendly force are considered simultaneously. Considered defense type is the coordinated defense with no impact point prediction. The objective function is to minimize the expected total survival value of targets which are scattered in the defense area. The rules of aircraft assignment are as follows : first, classify targets into several groups, each of those has the same desired damage level secondly. select the critical group which has the least survival value in accordance with the additional aircraft assignment, and finally. assign the same number of attack assets against each target in the critical group. In this paper, the attack assets, the escort assets, and the defense assets are considered. The model is useful to not only the simple aircraft assignment problem but also the complicated wargame models.

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Substituent Effects on the Binding Energies of Benzyl Alcohol-H2O Clusters: Ab initio Study

  • Ahn, Doo-Sik;Lee, Sung-Yul
    • Bulletin of the Korean Chemical Society
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    • 제23권2호
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    • pp.262-266
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    • 2002
  • Computations are presented for the ortho- and para-substituted benzyl alcohol-$H_2O$ clusters. A variety of conformers are predicted, and their relative energies are compared. Binding energies of the clusters are computed, and detailed analysis is presented on the effects of substitution on the strength of the hydrogen bond in the clusters. F- and $NH_2-$ substituted clusters are studied to analyze the effects of electron-withdrawing and electron-pushing groups. In para-substituted clusters, the inductive effects are dominant, affecting the binding energies in opposite way depending on whether the hydroxyl group is proton-donating or -accepting. For ortho-substituted clusters, more direct involvement of the substituting group and the resulting geometry change of the hydrogen bond should be invoked to elucidate complicated pattern of the binding energy of the clusters.

Short-term Electric Load Forecasting Based on Wavelet Transform and GMDH

  • Koo, Bon-Gil;Lee, Heung-Seok;Park, Juneho
    • Journal of Electrical Engineering and Technology
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    • 제10권3호
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    • pp.832-837
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    • 2015
  • The group method of data handling (GMDH) algorithm has proven to be a powerful and effective way to extract rules or polynomials from an electric load pattern. However, because it is nonstationary, the load pattern needs to be decomposed using a discrete wavelet transform. In addition, if a load pattern has a complicated curve pattern, GMDH should use a higher polynomial, which requires complex computing and consumes a lot of time. This paper suggests a method for short-term electric load forecasting that uses a wavelet transform and a GMDH algorithm. Case studies with the proposed algorithm were carried out for one-day-ahead forecasting of hourly electric loads using data during the years 2008-2011. To prove the effectiveness of our proposed approach, the results were evaluated and compared with those obtained by Holt-Winters method and artificial neural network. Our suggested method resulted in better performance than either comparison group.

탄광부 진폐증자의 흉부 방사선 사진상 소음영의 밀도에 따른 혈청 단백 농도 및 전기영동 분획상 (Serum Protein Concentrations and Electrophoretic Patterns by Categories of Small Opacity Profusions in Coal Workers' Pneumoconioses)

  • 홍정표;정호근
    • Journal of Preventive Medicine and Public Health
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    • 제24권1호
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    • pp.1-7
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    • 1991
  • The concentrations of serum proteins fractions and their electrophoretical patterns were investigated in 135 patients with coal workers' pneumoconiosis who participated in confirmative examination for pneumoconiosis in December 1989. Their radiographical profusions were classified as 1/0 or more. Agarose film and phosphoric acid-sodium hydroxide buffer(pH 9.6) were used for electrophoresis. Concentration of each protein fractions and electrophoretical patterns seemd to be equivalent to reference values. Serum ${\alpha}_1$- and $\beta$-globulin concentrations, however, were significantly different (p<0.50) among categories of small opacity profusions and showed the lowest level in the group of category 1. Albumin concentratins decreased and ${\alpha}_2$- globulin concentrations increased significantly (p<0.05) in the group of complicated with pulmonary tuberculosis. $\gamma$-globulin concentrations were not varied by category of profusions nor by pulmonary tuberculosis complication.

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The Overview of Research on Global Change

  • Choi, Gi-Hyuk;Paik, Hong-Yul
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 1998년도 Proceedings of International Symposium on Remote Sensing
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    • pp.26-30
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    • 1998
  • Recently many parts of world suffer from chaotic weather, Many scientists believe that this is due to the human made green house emissions, mainly carbon-dioxide Apart from this various pollutants also affect the Earth's environment. These global changes could become a great threat to human survival on the Earth in the future. Therefore many countries are putting great efforts into the study on the global change. This research should take into account whole field of earth sciences, so it becomes interdisciplinary by nature. This will help us to understand the complicated and subtle nature system of the Earth.

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분산 컴퓨팅 환경에서 객체 그룹 설계 및 구현에 관한 연구 (A Study on the Object Group Design and Implementation in Distributed Computing)

  • 송기범;이준
    • 한국정보통신학회논문지
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    • 제6권1호
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    • pp.133-139
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    • 2002
  • 분산환경에서 효율적인 분산 서비스를 제공하기 위해 TINA 콘소시엄과 OMG CORBA에서 객체지향기술을 적용한 분산 객체 플랫폼의 제안과 다양한 서비스의 요구사항을 정립하고 있다. 그러나, 어플리케이션의 규모가 점점 커지고 분산화 됨에 따라 객체들간의 서비스 및 관리 인터페이스가 매우 복잡해지고 있다. 이러한 문제들을 해결하기 위해서 새로운 객체그룹 모델의 제안과 객체그룹 하에서 도입될 수 있는 객체 관리 서비스를 위한 요구사항들이 필요하다. 본 논문에서는 TINA에서 제안한 그룹객체 정의를 도입하여 현재 분산 시스템의 표준으로 사용하는 CORBA 기반에서 분산된 객체들을 효율적으로 관리할 수 있는 시스템을 제안한다.