• 제목/요약/키워드: the good

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술 전 항혈소판제 복합투여가 무심폐기하 관상동맥우회술 후 출혈에 미치는 영향 (Effects of Combined Antiplatelets on Bleeding in Off-Pump Coronary-Artery Bypass Surgery)

  • 이수경;김태진;송윤석;정선호;양경호;최강주;김용복
    • Journal of Yeungnam Medical Science
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    • 제28권2호
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    • pp.124-132
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    • 2011
  • Background: Antiplatelet agent administration is critical in managing coronary-artery disease, but there is a concern regarding operation-related bleeding and an increase in blood transfusion in such, especially when delivering combined antiplatelet agents. This study was conducted to evaluate the effect of the administration of antiplatelet agents on off-pump coronary-artery bypass surgery (OPCAB). Methods: From March 2003 to December 2009, 49 patients who had undergone OPCAB were collected retrospectively. The patients were divided into three groups according to the administration of antiplatelet agents before the OPCAB operation: 21 patients were given an aspirin agent (group 1), 19 patients were given combined agents (aspirin+clopidogrel) (group 2), and nine patients were not given any antiplatelet agent (group 3). The three groups' perioperative hematologic and coagulation profiles, including their platelet counts, hemoglobin levels, hematocrit, prothrombin times, and aPTTs (activated partial thromboplastin times), and their postoperative bleeding, related complications, transfusion requirements, and operation times, were compared. Results: The operation time in group 2 was 4.3 hours, longer than those in the two other groups, and urgent operation was significantly most frequent in group 2 (63%). The amount of blood loss and the number of patients who received blood transfusion were not different in the three groups. The perioperative hemoglobin level, hematocrit, platelet count, prothrombin time, and aPTT were also not significantly different among the three groups. Conclusion: The continuous administration of antiplatelet agents to the patients in this study did not increase their postoperative bleeding or operation-related complications. Therefore, OPCAB may well be considered even if combined antiplatelet agents are being administered.

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태교 실천에 대한 일상생활 기술적 연구 (An Ethnographic Study about Taegyo Practice in Korea)

  • 김현옥
    • 대한간호학회지
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    • 제27권2호
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    • pp.411-422
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    • 1997
  • The purpose of this study is twofold : (i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception : and (ii) to comprehensive investigate socio-cultural back-grounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing with Taegyo, and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August.1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis. taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's (1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse." "physical check-up," "physical good health, " "praying, " and so on. 2. When the marriod couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are : "having sex at specific time, " "having sex in nice place." "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical. psychological, emotionmental. environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music. " "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things." "to eat food in good shape, " "to avoid drugs," "eating Korean herbal medicine." "sexual abstinence," "to avoid dangerous places," "to keep emotional tranquility," "moderate exercises and rest." "leading a pure life." "praying." "being aware of their words and behavior." "for the couple to keep a good relationship." "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition. the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role. 5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the mass media. As the husband -and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, her family support, and her neighbor's support. The mass media factors include the broadcasting media, books specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits are leading the public behavior pattern to a prodigal one. Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the development of the unborn child's intelligence and talents, the expectation of the unborn child's good features. shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.

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지구과학 예비교사들은 '수업'에서 무엇을 보는가? -예비교사들의 수업 경험과 비평을 통해서- (What Do Earth Science Pre-service Teachers See in Class? -Through Pre-service Teachers' Experiences and Criticism of Class-)

  • 임성만
    • 대한지구과학교육학회지
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    • 제10권2호
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    • pp.199-213
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    • 2017
  • 이 연구의 목적은 지구과학 예비교사들이 수업 시연을 평가하며 좋은 과학 수업이 무엇이라고 생각하는지 알아보는 것이다. 연구는 우리나라 중부지방에 위치한 교사 양성 대학에 재학 중인 대학교 2학년 학생 32명을 대상으로 진행되었다. 32명의 예비교사들은 2인 1조로 수업을 시연하여 총 16회의 수업이 시연되었다. 또 자신의 수업을 제외한 15회의 수업에 참여하면서 수업을 평가하였다. 이렇게 수집된 평가지는 모두 480장이었다. 이 평가지를 분석하여 지구과학 예비교사들이 생각하는 좋은 과학수업에 대해 분석하였다. 연구 결과, 예비교사들의 좋은 과학 수업에 대한 관점은 3개 범주 9개의 주제 묶음으로 분석할 수 있었다. 3개의 범주는 '참여도가 높은 수업', '잘 구성된 수업 설계', '양질의 수업자료'이었다. 즉 예비교사들은 잘 짜여진 수업 설계, 활발한 상호작용이 좋은 과학 수업의 요건으로 생각하고 있었다. 이 연구는 예비교사들이 수업 시연 및 수업 평가의 경험을 통해 좋은 과학 수업에 대한 이미지를 그려갈 수 있다는 것을 확인시켜 주었다.

Live birth outcomes of vitrified embryos generated under growth hormone stimulation are improved for women categorized as poor-prognosis

  • Keane, Kevin N;Ye, Yun;Hinchliffe, Peter M;Regan, Sheena LP;Dhaliwal, Satvinder S;Yovich, John L
    • Clinical and Experimental Reproductive Medicine
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    • 제46권4호
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    • pp.178-188
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    • 2019
  • Objective: To determine the clinical pregnancy (CP) and live birth (LB) rates arising from frozen embryo transfers (FETs) that had been generated under the influence of in vitro fertilization (IVF) adjuvants given to women categorized as poor-prognosis. Methods: A registered, single-center, retrospective study. A total of 1,119 patients with first FETs cycle include 310 patients with poor prognosis (109 treated with growth hormone [GH], (+)GH group vs. 201 treated with dehydroepiandrosterone, (-)GH group) and 809 patients with good prognosis (as control, (-)Adj (Good) group). Results: The poor-prognosis women were significantly older, with a lower ovarian reserve than the (-)Adj (Good) group, and demonstrated lower chances of CP (p< 0.005) and LB (p< 0.005). After adjusting for confounders, the chances of both CP and LB in the (+)GH group were not significantly different from those in the (-)Adj (Good) group, indicating that the poor-prognosis patients given GH had similar outcomes to those with a good prognosis. Furthermore, the likelihood of LB was significantly higher for poor-prognosis women given GH than for those who did not receive GH (p< 0.028). This was further confirmed in age-matched analyses. Conclusion: The embryos cryopreserved from fresh IVF cycles in which adjuvant GH had been administered to women classified as poor-prognosis showed a significant 2.7-fold higher LB rate in subsequent FET cycles than a matched poor-prognosis group. The women with a poor prognosis who were treated with GH had LB outcomes equivalent to those with a good prognosis. We therefore postulate that GH improves some aspect of oocyte quality that confers improved competency for implantation.

Profiling of T Cell Receptor β-Chain Complimentary Determining Regions 3 Repertoire in Subarachnoid Hemorrhage Patients Using High-Throughput Sequencing

  • Kim, Bong Jun;Ahn, Jun Hyong;Youn, Dong Hyuk;Jeon, Jin Pyeong
    • Journal of Korean Neurosurgical Society
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    • 제64권4호
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    • pp.505-513
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    • 2021
  • Objective : The adaptive immune response following subarachnoid hemorrhage (SAH) is not well understood. We evaluated and compared the T cell receptor (TCR) immune repertoire of good-grade and poor-grade SAH patients to elucidate the T cell immunology after ictus. Methods : Peripheral blood from six SAH patients was collected at two different times, admission and at the 7-day follow-up. Composition and variation of the TCR β-chain (TCRB) complimentary determining regions (CDR) 3 repertoire was examined using high-throughput sequencing; the analysis was based on sampling time and disease severity (good vs. poor-grade SAH). Results : Clonality at admission and follow-up were 0.059 (0.037-0.038) and 0.027 (0.014-0.082) (median, 25th-75th percentile). Poor-grade SAH (0.025 [0.011-0.038]) was associated with significantly lower clonality than good-grade SAH (0.095 [0.079-0.101]). Poor-grade SAH patients had higher diversity scores than good-grade SAH patients. CDR length was shorter in good-grade SAH vs. poor-grade SAH. Differences in clonotype distribution were more prominent in TCRBV gene segments than TCRBJ segments. TCRBV19-01/TCRBJ02-04 and TCRBV28-01/TCRBJ02-04 were the most increased and the most decreased V-J pairs in the 7-day follow-up compared to admission in good-grade SAH. The most increased and decreased V-J pairs in poor-grade SAH patients were TCRBV28-01/TCRBJ02-06 and TCRBV30-01/TCRBJ02-04, respectively. Conclusion : The TCRB repertoire is dynamic in nature following SAH. TCRB repertoire may facilitate our understanding of adaptive immune response according to SAH severity.

다비공증: 증례보고 (Supernumerary Nostril: A Case Report)

  • 황소민;김홍일;안성민;임광열;정용휘;송제니퍼김
    • 대한두개안면성형외과학회지
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    • 제13권1호
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    • pp.60-62
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    • 2012
  • Purpose: Supernumerary nostril, also known as triple nostril or accessory nostril, is one of the extremely rare congenital nasal deformities which includes an additional nostril. Since Lindsey reported the first case of a supernumerary nostril, only 34 cases of supernumerary nostril have been reported world widely. And there was no any domestic case. In the present case, we described a case of supernumerary nostril and reviewed all the literature cases of supernumerary nostril. Methods: A 10-month-old female patient visited to the authors with an additional nostril located above her right nostril, which had been present since birth. Antenatal history was uneventful and the infant's birth was normal. On physical examination there were no other abnormalities and additional nostril was communicating with ipsilateral normal nasal cavity. We performed fistulectomy and local flap for the correction. Results: After 7 months postoperatively, the patient was doing well. The functional outcome was excellent and the cosmetic result was satisfactory. During the long term follow-up for 8 years, there were no specific problems. Conclusion: In supernumerary nostril, preoperative evaluation of other abnormalities is very important and we advocate that corrective surgery can be performed at an early age for patient's psychosocial development.

대학병원 간호사의 좋은 죽음에 대한 인식과 사전연명의료의향서 지식이 연명의료 중단에 대한 태도에 미치는 영향 (Effects of Perception of Good Death and Knowledge toward Advance Directive on Attitude Toward withdrawal of Life-sustaining Treatment among University Hospital Nurses)

  • 조은아;기정숙
    • 한국콘텐츠학회논문지
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    • 제21권4호
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    • pp.688-698
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    • 2021
  • 본 연구의 목적은 대학병원 간호사의 좋은 죽음에 대한 인식과 사전연명의료의향서 지식이 연명의료 중단에 미치는 영향을 파악하기 위해 시도되었다. 연구대상자는 J도와 G시에 소재하고 있는 3개 대학병원에 근무하는 간호사 207명이었다. 연구결과 연명의료 중단에 대한 태도에 가장 강력한 예측인자는 좋은 죽음에 대한 인식(𝛽=-.32, p<.001)이었고, 좋은 죽음에 대한 교육 경험(𝛽=.15, p=.024), 사전연명의료의향서 지식(𝛽=.14, p=.036)이 영향요인으로 파악되었으며, 모형의 설명력은 14.2%였다. 본 연구결과를 토대로 대학병원 간호사가 연명의료 중단에 대한 긍정적 태도를 가지고 정확한 정보 제공과 상담자로서 제 역할을 할 수 있도록 좋은 죽음에 대한 인식, 사전연명의료의향서 지식을 향상시키기 위한 좋은 죽음과 연명의료에 대한 교육 프로그램의 개발을 제언한다.

Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients

  • Minhee Cho;Hyunjoo Na
    • Journal of Hospice and Palliative Care
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    • 제27권1호
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    • pp.11-20
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    • 2024
  • Purpose: Advance directives (ADs) are legal documents that outline a person's preferences or decisions regarding end-of-life care ahead of time. In Korea, there is insufficient awareness and knowledge about ADs among patients undergoing hemodialysis. This study explored the relationship between perceptions of a good death, knowledge about ADs, and attitudes toward ADs in this patient population. Methods: This cross-sectional survey enrolled 119 hemodialysis patients from a secondary hospital in 2021. The participants completed a self-administered questionnaire, and the data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, Spearman rank correlation coefficients, and multiple regression analysis. Results: The average score for perceptions of a good death among hemodialysis patients was 2.80 out of 4, with clinical symptoms identified as the most critical factor. The average scores for knowledge about ADs and attitudes toward ADs were 5.69 out of 9 and 2.79 out of 4, respectively. There was a positive correlation between perceptions of a good death and attitudes toward ADs (r=0.34, P<0.001), as well as between knowledge about Ads and attitudes toward ADs (r=0.19, P=0.037). Factors influencing attitudes toward Ads included employment status (β=0.22, P=0.011), education level (β=0.22, P=0.013), and perceptions of a good death (β=0.29, P=0.001), which accounted for 24.8% of the variance in attitudes toward ADs. Conclusion: A positive perception of a good death among patients undergoing hemodialysis was associated with a positive attitude toward ADs. Educational programs are needed to improve individuals' understanding of a good death and encourage the development of end-of-life care plans.

기계학습 기반의 주행중 운전자 자세교정을 위한 지능형 시트 (Machine-Learning based Smart Seat for Correction of Driver's Posture while Driving)

  • 박흠;이창범
    • 디지털산업정보학회논문지
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    • 제13권4호
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    • pp.81-90
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    • 2017
  • This paper presents a smart seat for correction of driver posture while driving. We introduce good postures with seat height, seat angle, head height, back of knees, distances of foot pedals, tilt of seat, etc. There have been some studies on correction of good posture while driving, effects of driving environment on driver's posture, sitting strategies based on seating pressure distribution, estimation of driver's standard postures, and others. However, there are a few studies on guide of good postures while driving for problem of driver's posture using machine leaning. Therefore, we suggest a smart seat for correction of driver's posture based on machine leaning, 1) developed the system to get postures by 10 piezoelectric effect element, 2) collect piezoelectric values from 37 drivers and 28 types of cars, 3) suggest 4 types of good postures while driving, 4) analyze test postures by kNN. As the results, we can guide good postures for bad or problems of postures while driving.

The Value of the Good Faith of the Occupier for Acquiring the Right of Ownership by Limitation of Possession

  • Guyvan, Petro
    • International Journal of Computer Science & Network Security
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    • 제22권7호
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    • pp.57-64
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    • 2022
  • This scientific article is devoted to the study of the legal significance of such a category of legal status of the purchaser of another's thing, as its good faith. The essence of this phenomenon has been studied, it has been established that the criterion of good faith attaches significant importance to the claims of the participants of these relations for the acquisition or preservation of private property rights. The paper emphasizes that, in addition to the importance of good conscience at the time of possession of another's thing, which gives legal certainty the possibility of registration of the title and is part of the actual composition for the acquisition of property or the right of ancient possession, bona fides also characterizes the behavior of the occupier. In this case, good conscience only has some legal consequences when it is opposed to subjective law. Under such conditions, it acquires direct legal significance, including as a condition for the acquisition and protection of rights. Good faith possession of another's property is an internal indicator of the subject's awareness of a certain property status. This sense, the article assesses this status from the standpoint of the scientific concept of the visibility of law. According to this theory, prescription is also considered as a consequence of the appearance of law, however, because it arises and lasts against the will of the parties and despite their awareness of this fact. Therefore, bona fide continuous and open possession of property as one's own, during the acquisition period, was most significantly associated with the appearance of property. Therefore, the concept of good faith, in the sense of personal perception of real values, is closely related to the principle of protection of the appearance of law, as it is aimed at understanding it by third parties. The paper notes certain differences in the application of the theory of the appearance of the right in the acquisition of property by a bona fide purchaser from an unauthorized alienator and the acquisitive prescription. It is emphasized that such a mechanism must be used in presuming the attitude to the thing as its own, by the holder of movable property. But there should be exceptions to the rule, in particular, if the owner has grounds for vindication of the thing.