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Clinical outcome of perioperative airway and ventilatory management in patients undergoing surgery for oral cavity cancer: a prospective observational study

  • Souvik Mukherjee;Anuj Jain;Seema S;Vaishali Waindeskar
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.50 no.3
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    • pp.146-152
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    • 2024
  • Objectives: This prospective observational study aimed to assess the clinical outcomes of perioperative airway and ventilatory management in patients undergoing surgery for oral cavity cancer. The study described the frequencies and types of procedures for securing the airway and the duration and types of postoperative ventilatory support. We compared the findings with those of the TRACHY study. Patients and Methods: One hundred patients undergoing oral cavity oncological surgeries were included. Airway assessment included inter-incisor gap, Mallampati class, neck movements, and radiological features. Surgical parameters, postoperative ventilatory support, and complications were documented. Results: The buccal mucosa was the most common cancer site (48.0%), and direct laryngoscopy was deemed difficult in 58.0% of patients. Awake fibreoptic intubation or elective tracheostomy was required in 43.0% of cases. Thirty-three patients were extubated on the table, and 34 patients were successfully managed with a delayed extubation strategy. In comparison with the TRACHY study, variations were observed in demographic parameters, tumour characteristics, and surgical interventions. Our mean TRACHY score was 1.38, and only five patients had a score ≥4. Prophylactic tracheostomy was performed in 2.0% of cases, in contrast to the TRACHY study in which 42.0% of patients underwent the procedure. Conclusion: The study emphasizes the challenges in airway management for oral cavity cancer surgery. While prophylactic tracheostomy may be necessary in specific cases, individualized approaches, including delayed extubation, are preferrable to maximize safety. Our findings contribute to better understanding and managing perioperative challenges in oral cancer patients and highlight the need for personalized strategies. Scoring systems like TRACHY should not be accepted as universally applicable.

A Regional Trip Modes Classification Methodology Using Mobile Phone Data (모바일 데이터를 활용한 지역간 수단통행 분류 방법론 개발)

  • Kyuhyuk Kim;Hyorim Han;Dongho Kim;Tai jin Song
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.23 no.4
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    • pp.77-93
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    • 2024
  • The recent development of data collection technology, which conveys various travel data in real-world such as mobile data and probe vehicle data, facilitates transportation planners identifying specified spatio-temporal travel patterns. In this study, an easily implementable travel mode classification methodology was proposed to classify inter-regional trip-modes without modeling by superimposing trajectories generated from mobile phone signaling and transportation infrastructure points into a polygon scale of a shapefile in a GIS system. Each regional mode trip was classified according to the rules such as the presence of transportation infrastructure in the trip trajectory, travel time, and the presence of access trips. An accuracy test generates Type I and Type II error results table to verify the proposed methodology. As a result, it was found that the methodology developed showed the F1-Score of the air mode 1.00, rail mode 0.95, bus mode 0.73.

The Development of Yogurt, Bread, and Cookies with added Bean Sprout Powder and Isoflavone Extracts (콩나물 분말과 이소플라본 추출물을 첨가한 요쿠르트, 빵 및 과자의 개발)

  • Lee, Hye-Sung;Kim, Kwang-Ok
    • Korean journal of food and cookery science
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    • v.23 no.4 s.100
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    • pp.537-550
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    • 2007
  • In a previous study, isoflavones showed prominent physiological effects on diabetes, hyperlipemia, and alcoholic hepatotoxicity. The purpose of this study was to develop isoflavone-rich bean sprout- and isoflavone extract-containing foods, to improve symptoms of diabetes and hyperlipemia. The foods employed were yogurt, bread, and cookies. Through sensory evaluations, the ingredient amounts were determined. In the sensory evaluations of the yogurt and bread, overall taste scores decreased with increasing amounts of bean sprout powder. However, for the cookies, the overall taste score increased with an increasing amount of bean sprout powder, and the addition of isoflavones had no influence on flavor. The results indicated the following ingredient levels for ultimate product development. For the yogurt, 100 mL of low fat milk was fermented at $50^{\circ}C$ for 36 hr, and mixed with 0.5 g of roasted bean sprout powder and 31 mg of isoflavone extract. For the bread, bean sprout powder was added to wheat flour at a replacement level of 10%, which was mixed with 12 g of butter and 124 mg of isoflavone extract for 200 g of dough. For the cookies, the bean sprout powder was added to wheat flour at a replacement level of 60%, and then mixed with 15 g of butter and 124 mg of isoflavone extract for 100 g of dough. The total isoflavone contents of the yogurt, bread, and cookies were 14.35 mg/100 mL, 38.24 mg/100 g, and 190.00 mg/100 g, respectively.

Ergonomic Design of Medic Work Table (MWT) for Medical Technologist

  • Choi, Kyeong-Hee;Lee, Sung-Yong;Lee, Jun-Hyub;Kong, Yong-Ku
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.6
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    • pp.595-609
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    • 2016
  • Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users' anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users' anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.

Intake of Processed Foods and the Effects of Nutrition Label Education in 5th Grade Children (초등학교 5학년 아동의 가공식품 섭취와 영양표시 교육의 효과)

  • Chang, Soon-Ok;Lee, Ok-Hee;Lee, Kyung-Shil
    • Journal of the Korean Dietetic Association
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    • v.14 no.2
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    • pp.166-175
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    • 2008
  • The effects of nutrition label education on the perception, nutrition knowledge, understanding and applicability of labeling for 81 5$^{th}$ grade students was assessed. Prior to the education, the students' purchasing behavior of processed food was assessed by self-administered questionnaires. The evaluation of subjects' perception and understanding on nutrition label was completed prior to and following four education sessions utilizing materials developed by Korea Food and Drug Administration and Korea Health Industry Development Institute. More than 90% and 15% of subjects purchased processed food weekly and daily, respectively. Considering the nutrition label became an important factor in food purchases following the education sessions. Perception of the value of nutrition label improved from 2.93 to 3.32, although the belief that nutrition labels contributed to the maintenance of good food intake was not significantly increased. The total nutrition knowledge score increased from 5.47 to 7.14 and understanding nutrients composition table was significantly improved (3.17 to 4.80). The results indicate that a school-based nutrition label education program might be an effective aid for adoption of healthier food choices by children.

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Consumer′s Recognition and Using State about Food-Nutrition Labeling System among Twenties (식품영양표시 제도에 대한 소비자 인식 및 이용실태-20대 남녀를 중심으로 -)

  • 이강자;이윤희
    • Journal of the East Asian Society of Dietary Life
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    • v.14 no.1
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    • pp.54-63
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    • 2004
  • This study was accomplished to investigate the recognition and the using practices about food-nutrition labeling system of 20's consumers. Two hundred and fifty-four man and women were examined using the questionnaire. The results were as follows. 1. The degree of recognition of subjects about food-nutrition labeling system was low (43.3%) and the using practices were even lower (18.1%). 2. The items considered as important were in the order of shelf life, manufactured date and cost. 3. The confidence score to the food-nutrition labeling system of consumers was 3.2 and was higher in the females compared to males. 4. The preferred method of food-nutrition labeling was in the order of picture and graphic type method, table type method and descriptive type method. 5. The expected effects of the current food-nutrition labeling system were easy to select foods for the prevention of the adult diseases and diet therapy. From these results, we might propose the conclusion as follows: Food-nutrition labeling system might be a good source of nutrition information and the consumers'demand for disease-prevention and dietary purpose. Therefore, the agencies concerned should make an every effort for the successful implementation of food-nutrition labeling system.

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Detection of superior genotype of fatty acid synthase in Korean native cattle by an environment-adjusted statistical model

  • Lee, Jea-Young;Oh, Dong-Yep;Kim, Hyun-Ji;Jang, Gab-Sue;Lee, Seung-Uk
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.6
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    • pp.765-772
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    • 2017
  • Objective: This study examines the genetic factors influencing the phenotypes (four economic traits:oleic acid [C18:1], monounsaturated fatty acids, carcass weight, and marbling score) of Hanwoo. Methods: To enhance the accuracy of the genetic analysis, the study proposes a new statistical model that excludes environmental factors. A statistically adjusted, analysis of covariance model of environmental and genetic factors was developed, and estimated environmental effects (covariate effects of age and effects of calving farms) were excluded from the model. Results: The accuracy was compared before and after adjustment. The accuracy of the best single nucleotide polymorphism (SNP) in C18:1 increased from 60.16% to 74.26%, and that of the two-factor interaction increased from 58.69% to 87.19%. Also, superior SNPs and SNP interactions were identified using the multifactor dimensionality reduction method in Table 1 to 4. Finally, high- and low-risk genotypes were compared based on their mean scores for each trait. Conclusion: The proposed method significantly improved the analysis accuracy and identified superior gene-gene interactions and genotypes for each of the four economic traits of Hanwoo.

Prioritization of Anti-Icing Spray System for Active Snow-Removal Works (능동적 제설작업을 위한 염수분사장치 설치 우선순위 선정)

  • Yang, Choong Heon;Kim, In Su
    • International Journal of Highway Engineering
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    • v.17 no.4
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    • pp.99-105
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    • 2015
  • PURPOSES: This study aims to establish the priority of introducing anti-icing spray system for regions of the National Highways in South Korea. Using this study, a logical plan for instituting such an anti-icing spray system can be established for the National Highways. METHODS : The Analytical Hierarchy Process (AHP) was employed to prioritize the implementation of an anti-icing spray system on Korean highways. For this purpose, an existing scoring table developed by the Ministry of Land, Infrastructure Transport Affair was slightly modified in order to reflect recent trends in winter maintenance. A survey was conducted to gather the preferences regarding the developed hierarchy of road experts and agencies. Finally, the final score was produced by integrating the scoring results with estimated weights for each evaluation criterion. RESULTS: In general, Honam and the metropolitan areas have relatively high priority while other areas such as Chungcheong, Young Nam, and Gang Won appear to be uniform in importance in terms of establishing an anti-icing spray system. This result may indicate that historical weather data and traffic volumes are significant factors in deciding in winter maintenance polices CONCLUSIONS : In this study, useful insights are suggested regarding winter maintenance by simultaneously performing rapid snow removal and proactive treatment. Issues of resource allocation may be potential research items in the field transportation engineering.

Development and Application of Protein-Protein interaction Prediction System, PreDIN (Prediction-oriented Database of Interaction Network)

  • 서정근
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2002.06a
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    • pp.5-23
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    • 2002
  • Motivation: Protein-protein interaction plays a critical role in the biological processes. The identification of interacting proteins by bioinformatical methods can provide new lead In the functional studies of uncharacterized proteins without performing extensive experiments. Results: Protein-protein interactions are predicted by a computational algorithm based on the weighted scoring system for domain interactions between interacting protein pairs. Here we propose potential interaction domain (PID) pairs can be extracted from a data set of experimentally identified interacting protein pairs. where one protein contains a domain and its interacting protein contains the other. Every combinations of PID are summarized in a matrix table termed the PID matrix, and this matrix has proposed to be used for prediction of interactions. The database of interacting proteins (DIP) has used as a source of interacting protein pairs and InterPro, an integrated database of protein families, domains and functional sites, has used for defining domains in interacting pairs. A statistical scoring system. named "PID matrix score" has designed and applied as a measure of interaction probability between domains. Cross-validation has been performed with subsets of DIP data to evaluate the prediction accuracy of PID matrix. The prediction system gives about 50% of sensitivity and 98% of specificity, Based on the PID matrix, we develop a system providing several interaction information-finding services in the Internet. The system, named PreDIN (Prediction-oriented Database of Interaction Network) provides interacting domain finding services and interacting protein finding services. It is demonstrated that mapping of the genome-wide interaction network can be achieved by using the PreDIN system. This system can be also used as a new tool for functional prediction of unknown proteins.

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The Case Report of Chuna Treatment using Drop Table on Neck Pain Patients with Kyphotic Cervical Curvature (경추 후만에 대한 낙차 교정기법을 이용한 추나치료 치험례)

  • Park, Jang-Woo;Hwang, Jae-Pil;Kim, Min-Kyun;Oh, Min-Seok;Heo, Dong-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.111-123
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    • 2006
  • Objectives: This study is performed to evaluate the clinical effect of chuna therapy on the neck pain associated with kyphotic cervical curvature. Methods: This study carried out on three patients with neck pain & kyphotic cervical curvature who have received treatment in Depar1ment of Oriental Rehabilitation Medicine, Daejon Oriental Hospital of Daejon University from 28th July 2006 to 3th November 2006. Pre and post treatment, We evaluated the cervical angle, Jackson's angle, Jochumsen method, Ishihara index, VAS and effective score of treatment. Results & Conclusions: Two patients who received Chuna treatment recovered cervical curvature and improved neck pain. But One patient who dosen't received Chuna treatment was no improvement in cervical curvature & neck pain.

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