• Title/Summary/Keyword: free choice

검색결과 370건 처리시간 0.026초

Voluntary Intake of Insoluble Granite-grit Offered in Free Choice by Broilers: Its Effect on Their Digestive Tract Traits and Performances

  • Garipoglu, Ali Vaiz;Erener, Guray;Ocak, Nuh
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권4호
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    • pp.549-553
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    • 2006
  • In this study, the effects of granite-grit offered free-choice on voluntary intakes of grit and subsequently on some morphologic traits of the digestive tract and performance of broilers were investigated. A total of 240 7d-old male broiler chicks (Ross 308) were allotted randomly to 10 floor pens supplied with wood shavings. The experiment lasted for 42 days. There were 2 dietary treatments, each consisting of 5 replicates. Each replicate consisted of 24 birds kept in an experimental unit with a floor size of $2{\times}2m$. Dietary treatments consisted of control (C) in which broilers were fed standard broiler rations, and acid insoluble granite-grit choice (AIGG) in which broilers were fed standard broiler rations and grit in separate troughs. Mean amounts consumed varied quite widely from week to week, but on average broilers ate 3.41 g per d per bird during the experimental period. Birds had a higher voluntary intake of granite-grit at an early age (7 to 21 d of age) than later (22 to 42 d of age). The voluntary intake of granite-grit of AIGG broilers increased (p<0.05) from 2.7 g/day at 7-14 d to 4.4 g at 15-21 d of age, and then it decreased to 3.4, 3.2 and 3.4 g/day between 22-28, 29-35 and 36-42 d of age, respectively. This level of grit intake increased (p<0.05) weights of empty gizzard (0.97 vs. 1.30 g), edible inner organs (3.51 vs. 3.69 g), and length of gut (8.86 vs. 9.01 cm) as a proportion of body weight and the content of insoluble ash (8.4 vs. 42.2 g/kg) in the faeces compared to the control group. Feeding free-choice grit had little or no effect on final live weights (2,542 vs. 2,543 g), daily gains (69 vs. 69 g), carcass weights (1,924 vs. 1,911), dressing percentages (75.6% vs. 75.1%) and feed efficiencies (1.69 vs. 1.66). Birds given grit did not gain more weight than those not given grit but they tended to have (p<0.07) lower feed intake (116.7 vs. 114.5 g), and consequently lower protein and energy intake. In conclusion, the granite-grit consumed voluntarily by broilers increased gut length and empty gizzard weight without affecting growth performance of broilers. Thus, it can be assumed that the voluntary consumption of granite-grit was too low to affect performance.

R-IPA를 활용한 무역박람회 참가업체의 전시회 선택요인과 참가목적에 관한 연구 (A Study on the Exhibitors' Objectives and Choice Attributes of Participating in Trade Fairs Using R-IPA)

  • 김용석;정윤세
    • 무역학회지
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    • 제44권1호
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    • pp.57-73
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    • 2019
  • The purposes of this study are to propose exhibition planning and management skills of trade fair organizers and to provide suggestions on the direction of government policies related to fair items. This study analyzes exhibitor objectives of exhibition participation and exhibition choice attributes using revised importance-performance analysis. This research uses visitor level, organizer services and market attraction of hosting country, as explanatory variables affecting companies' trade show choices. It also utilizes sales and non-sales purposes of participants as variables of exhibitors' objectives. As a result of the empirical analysis and examination of prior research, this study presents some recommendations for exhibition organizers and governments of hosting countries. First, the exhibition organizer should consider the importance of the number of visitors. Thus, the organizer should focus on prior marketing activities to attract visitors. Second, the organizer should make a trade fair plan in compliance with participants' needs. Third, policy authorities should provide environment of free competition among players.

하인두 및 경부식도 결손의 재건 : 재건술의 선택 (Reconstruction of Hypopharynx and Cervical Esophagus : Choice of Flap)

  • 최은창;이세영;정태영;김세헌;김영호;유대현;김충배
    • 대한두경부종양학회지
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    • 제16권1호
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    • pp.26-32
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    • 2000
  • Background and Objectives: Various flaps are using for reconstruction of hypopharyngeal and esophageal defect. However, complication and indication of each flap are not fully analyzed. Patient and Methods: Records of 52 hypopharyngeal cancer patients who had surgical treatment and 13 other head and neck cancer patients who underwent hypopharyngeal and/or esophageal reconstruction with flap were retrospectively analyzed. Eighty three percent(54 cases) of patients needed reconstruction other than primary pharyngeal closure. Five split thickness skin graft, 1 pectoralis major myocutaneous flap, 20 forearm free flap, 13 jejunal free flap, 15 gastric pull up were used. Result: Flap failure was noted in 2 cases who had subsequent gastric transposition. Wound dehiscence and fistula were most common problem of forearm free flap. Most fistulas were developed in patients with conduit type reconstruction of forearm flap while there wasn't any fistula in patient with patch type reconstruction. Stenosis of lower anastomosis was the frequent problem of jejunal transfer. Gastric pull-up has frequent com-plication of stomal stenosis. All but three patients had reached oral feeding postoperatively. Conclusion: Based on this study, forearm flap is effective in partial hypopharyngeal defect while jejunum is the choice for circumferential defect. Gastric pull-up is for combined esophageal defect.

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Fibular flap for mandible reconstruction in osteoradionecrosis of the jaw: selection criteria of fibula flap

  • Kim, Ji-Wan;Hwang, Jong-Hyun;Ahn, Kang-Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.46.1-46.7
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    • 2016
  • Background: Osteoradionecrosis is the most dreadful complication after head and neck irradiation. Orocutaneous fistula makes patients difficult to eat food. Fibular free flap is the choice of the flap for mandibular reconstruction. Osteocutaneous flap can reconstruct both hard and soft tissues simultaneously. This study was to investigate the success rate and results of the free fibular flap for osteoradionecrosis of the mandible and which side of the flap should be harvested for better reconstruction. Methods: A total of eight consecutive patients who underwent fibula reconstruction due to jaw necrosis from March 2008 to December 2015 were included in this study. Patients were classified according to stages, primary sites, radiation dose, survival, and quality of life. Results: Five male and three female patients underwent operation. The mean age of the patients was 60.1 years old. Two male patients died of recurred disease of oral squamous cell carcinoma. The mean dose of radiation was 70.5 Gy. All fibular free flaps were survived. Five patients could eat normal diet after operation; however, three patients could eat only soft diet due to loss of teeth. Five patients reported no change of speech after operation, two reported worse speech ability, and one patient reported improved speech after operation. The ipsilateral side of the fibular flap was used when intraoral soft tissue defect with proximal side of the vascular pedicle is required. The contralateral side of the fibular flap was used when extraoral skin defect with proximal side of the vascular pedicle is required. Conclusions: Osteonecrosis of the jaw is hard to treat because of poor healing process and lack of vascularity. Free fibular flap is the choice of the surgery for jaw bone reconstruction and soft tissue fistula repair. The design and selection of the right or left fibular is dependent on the available vascular pedicle and soft tissue defect sites.

확장된 박근 유리 피판을 이용한 족관절 및 족배부 연부조직 결손의 치유 (Treatment of Soft Tissue Defect on Ankle or Dorsum of Foot with Extended Gracilis Muscle Free Flap)

  • 김석원;김광섭;서동완;이훈범;정윤규
    • Archives of Reconstructive Microsurgery
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    • 제9권2호
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    • pp.147-153
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    • 2000
  • Soft tissue defects of the dorsum of foot and ankle can be covered from skin graft to free tissue transfer. The extent of injury which may be complex including the exposure of paratenons or bones requires free flap reconstruction. Some of the precautions for reconstruction are providing minimal bulkiness and well conforming to irregular contour thus making normal footwear possible. Though the muscle flap having its advantages and versatility, the fascial flap such as temporoparietal fascial flap has been considered the choice for reconstruction of the dorsum of foot and ankle. The purpose of our study is to utilize the advantages and versatility of the muscle flap as a first choice for reconstruction for the defects involving the dorsum of foot and ankle. The gracilis muscle with its anatomic and donor characteristics, it can be utilized to maximal effect by expanding its slim muscle width removing the epimysium and reducing its bulk by muscle atrophy through denervation. We present our experience with ten cases of reconstruction for the dorsum of foot and ankle using the gracilis muscle free flap. Results were satisfactory without flap loss, skin loss and infection. The contour and aesthetic aspect of the foot was satisfactory. Gait analysis showed near normal gait without limitations from everyday activities. Normal footwear was tolerable in all the cases. The keys to consider in the reconstruction of the dorsum of foot and ankle are appropriate bulkiness, conforming to its contour and able to apply normal footwear. With minimal donor morbidity and satisfying results, the extended gracilis muscle should be considered as the first line for reconstruction of the ankle and dorsum of foot.

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소아 환자에서 유리피판술을 이용한 연부 조직 결손의 재건 (Reconstruction of Soft Tissue Defect with Free Flap in Pediatric Patients)

  • 송진우;홍준표
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.157-162
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    • 2010
  • Purpose: Free flap reconstruction in the pediatric population is difficult. However, microsurgery has had remarkable success rates in children. The aim of study is to present our clinical experience using free flap for reconstruction of soft tissue defects in children and to describe long-term follow-up results. Methods: Between June 2002 and July 2010, 30 cases of pediatric reconstruction were performed with free flap. The authors analyzed several items, such as the kind of flap, associated complications, and growth problems. Results: Among the 30 cases, 21 cases were due to traffic accidents, 5 to cancer, and 4 to falls and other soft tissue defects. The lower leg and foot were the most common sites of the lesion. In the free flap operations we have done, 20 cases involved an anterolateral thigh perforator free flap, 6 a superficial circumflex iliac perforator free flap, and 4 an upper medial thigh perforator free flap. In early postoperative complications, partial necrosis was seen in 2 cases, infection in 1 case, and the hematoma in 1 case. A satisfactory success rate and functional results were achieved. Conclusion: Free flap reconstruction in children allows satisfactory function with no significant effect on growth. Free flaps are regarded as the primary choice for selective pediatric reconstructive cases.

How Can We Improve Crown-Implant Ratio in Reconstructed Mandible with Fibular Free Flap?: A New Surgical Technique Using 3D RP Model and Reconstruction Titanium Plates

  • Kim, Dong-Young;Ahn, Kang-Min
    • Journal of International Society for Simulation Surgery
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    • 제4권1호
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    • pp.13-16
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    • 2017
  • Fibular free flap reconstruction is the flap of the choice in long-span mandibular bone reconstruction. The most common disadvantage of the fibular flap is short bone height to install dental implant. Double barrel fibular flap has been tried, however, bulky flap in the oral cavity hinder its use. Titanium reconstruction plate has been used simultaneously with the free fibular flap to stabilize occlusion and to fix the fibular flap. In this study, titanium reconstruction plate was fixed in the lower border of the mandible and the fibular free flap was fixed in the superior border of the titanium plate to improve implant-crown ratio. This new technique improved the longevity of the dental prosthodontics with dental implants.

Sn-Cu 무연 도금용액 및 피막의 신뢰성평가 (A Reliability Test for ph-free SnCu Plating Solution and It's Deposit)

  • 이홍기;허진영
    • 한국표면공학회지
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    • 제38권6호
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    • pp.216-226
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    • 2005
  • Pb-Free Technology was born with environmental problems of electronic component, Being connected by big and small project of every country. Also, in each country environment is connected and various standards of IEC, ISO, MIL, JIS, KS, JEDEC, EIAJ etc. All products can divide at solder part and finishing part These can tested each and synthetically divide. This research is reliability evaluation for three kind of ph-free SnCu solder plating solution and it's deposit. First, executed analysis about Pure Sn, SnCu solutions and plating surface by way similar to other plating solution analysis. Next, executed reliability about test method and equipment for reliable analyzer system construction. Next, data comparison and estimation, main estimation test method and item's choice. In this paper the systematic surface analysis and reliability for plating solutions and it's deposit in metal surface finishing processes could be shown.

생비골 유리 피판술을 이용한 수부의 복합조직 결손의 재건 (Reconstruction of Composite Defect of Hand with Two Segmented Osteocutaneous Fibular Free Flap)

  • 탁관철;강상윤;박윤규;이훈범;박병윤
    • Archives of Reconstructive Microsurgery
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    • 제9권1호
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    • pp.44-48
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    • 2000
  • The advent of free bone flaps has made successful replacement of extensive areas of bone loss in the upper and lower extremities. The microvascular free bone flaps have faster healing without bony absorption or atrophy and can heal in the hostile environment of scarred bed or infection. Since the fibula free flap introduced by Taylor and colleague in 1975, it has been used extensively for skeletal reconstruction of extremities. In 1988, the folded vascularized fibula free flap was first described as a technique to reconstruct significant long bone defect of upper and lower extremities. During the same time, the fibular free flap has evolved to become most preferred choice of mandibular reconstruction. Up to present day, few reports have been made on the fibular free flap used for reconstruction of injured hand containing metacarpal bone and soft tissue defect. We present here our new and unique experiences with vascularized fibular osteocutaneous free flap as useful and satisfactory one for reconstruction of hand with composite defects.

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Informed choice of pregnant women regarding noninvasive prenatal testing in Korea: a cross-sectional study

  • Choi, Hyunkyung
    • 여성건강간호학회지
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    • 제28권3호
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    • pp.235-249
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    • 2022
  • Purpose: This study explored the degree to which pregnant women in Korea made informed choices regarding noninvasive prenatal testing (NIPT) and investigated factors influencing whether they made informed choices. Methods: In total, 129 pregnant women in Korea participated in a web-based survey. Multidimensional measures of informed choice regarding NIPT and decisional conflict were used to measure participants' levels of knowledge, attitudes, deliberation, uptake, and decisional conflict related to NIPT. Additional questions were asked about participants' NIPT experiences and opinions. Results: All 129 pregnant women were recruited from an online community. Excluding those who expressed neutral attitudes toward NIPT, according to the definition of informed choice used in this study, only 91 made an informed choice (n=63, 69.2%) or an uninformed choice (n=28, 30.8%). Of the latter, 75.0% had insufficient knowledge, 39.3% made a value-inconsistent decision, and 14.3% did not deliberate sufficiently. No difference in decisional conflict was found between the two groups. A significant difference was found between the two groups in the reasons why NIPT was introduced or recommended (p=.021). Multiple logistic regression analysis showed that pregnant women who were knowledgeable (odds ratio [OR], 4.77; 95% confidence interval [CI], 2.17-10.47) and deliberated (OR, 0.74; 95% CI, 0.57-0.98) were significantly more likely to make an informed choice. Conclusion: The results of this study help healthcare providers, including nurses in maternity units, understand pregnant women's experiences of NIPT. Counseling strategies are needed to improve pregnant women's knowledge of NIPT and create an environment that promotes deliberation regarding this decision.