• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.26 no.3
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• pp.270-276
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• 2022

Backgrounds/Aims: Thoracic epidural analgesia (TEA) is an established analgesic method in open Kausch-Whipple pancreaticoduodenectomy (KWPD). Although, it can cause hemodynamic instability and neurological complications. Inter pleural analgesia (IPA) is an alternative option. We aim to evaluate the effectiveness of IPA versus TEA after KWPD. Methods: We retrospectively studied the efficacy of IPA against TEA in patients, operated by a single surgeon. The primary outcome was the analgesic efficacy and secondary outcomes were analgesia-related complications, inotrope use, and duration. Results: Forty patients (TEA, 22; IPA, 18) were included. Both groups were well matched for patient characteristics, type, and duration of surgery. TEA was associated with higher analgesia-related complications (n = 8, 36.4% vs. n = 1, 5.6%; p = 0.027). TEA complications included analgesia not working (n = 4), leakage (n = 2), refractory hemodynamic instability (n = 1), and lower limb anaesthesia (n = 1). One patient in the IPA group encountered leakage. TEA was associated with longer inotrope requirement (35 vs. 18 hours; p = 0.047). There was no significant difference in intensive care unit (ITU) admission rate (81.8% vs. 77.8%; p > 0.999), median ITU stay (3 vs. 2 days, p = 0.385), or hospital stay (11 days in both groups). Conclusions: In open KWPD, IPA is not inferior to TEA in its efficacy of pain control. IPA was associated with less analgesia-related complications and shorter inotrope requirements. However, this was a small retrospective study. Larger randomized controlled trials are needed to study the effectiveness of IPA.

• Proceedings of the KIEE Conference
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• 2003.11a
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• pp.422-425
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• 2003

CBP market which is the first stage of competitive electricity market has been operated and the KPX has been established since April, 2001 by restructuring plan for electricity industry. Baseload unit are settled with baseload CP and BLMP in CBP market. The other unit are settled with peakload CP and SMP. The difference of settlement between two groups occurs the profit changes of the unit. This paper analyzes the profit by units under settlement rule in CBP market. It analyzes the difference between market clearing price and variable costs, and fixed cost recovery through CP income. Finally, this paper suggests the plan how market was affected by the difference of fixed cost recovery by generators and how to improve Intermediate and peak load unit's profit.

• Journal of Environmental Science International
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• v.28 no.9
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• pp.807-811
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• 2019

The present study aimed to examine the effects of dietary illite as a feed additive on the Haugh unit and fatty acid profiles of eggs. One hundred and twenty laying hens (48-week-old Hy-line Brown) were randomly assigned to one of the following two treatments: control or 2% illite powder. At 2 and 4 weeks, the Haugh unit values between the control and 2% illite powder groups were not significantly different (p>0.05). In addition, individual fatty acid content at 2 and 4 weeks did not differ between the treatments (p>0.05), except for palmitic (C16:0) and palmitoleic acid (C16:1) content. The addition of 2% illite powder caused no difference between the total saturated and total unsaturated fatty acids at 2 and 4 weeks (p>0.05). In conclusion, the addition of dietary illite at a rate of 2% did not improve the Haugh unit values or fatty acid profiles of eggs.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.7
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• pp.3163-3167
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• 2014

Background: Breast-conserving surgery (BCS) plus radiotherapy is equivalent to modified radical mastectomy (MRM) in terms of outcome. However there is wide variation in mastectomy rates dependent both on tumour and patient characteristics. Objective: This study aimed to assess the determinants of surgery choice in Asian patients with early breast cancer in a middle-income country. Materials and Methods: 184 patients with early breast cancer treated between Jan 2008 and Dec 2010 were recruited to complete a questionnaire. Chi-square test was used to analyze the association between surgery choice and demographic and tumour factors, surgeon recommendation, family member and partner opinions, fear of recurrence, avoidance of second surgery, fear of disfigurement, interference with sex life, fear of radiation and loss of femininity. Results: 85 (46%) had BCS while 99 (54%) had mastectomy. Age >60, Chinese ethnicity, lower education level, and larger tumour size were significantly associated with mastectomy. Surgeon recommendation was important in surgery choice. Although both groups did not place much importance on interference with sex life, 14.1% of the BCS group felt it was very important compared to 5.1% in the mastectomy group and this was statistically significant. There was no statistical difference between the two groups in terms of the other factors. When analyzed by ethnicity, significantly more Malay and Indian women considered partner and family member opinions very important and were more concerned about loss of femininity compared to Chinese women. There were no statistical differences between the three ethnic groups in terms of the other factors. Conclusions: When counseling on surgical options, the surgeon has to take into account the ethnicity, social background and education level, age and reliance on partner and family members. Decision-making is usually a collective effort rather than just between the patient and surgeon, and involving the whole family into the process early is important.

• Speech Sciences
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• v.13 no.1
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• pp.69-83
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• 2006

Speech characteristics of Wernicke's aphasia are characterized by such errors as empty speech, jargon, paraphasia, filler and others. However, not all the errors can be observed in each patient presumably due to diverse auditory comprehension (AC) abilities and/or lesion loci. The purpose of this study was, thus, to clarify the speech characteristics of Wernicke's aphasics according to the AC levels (i.e., better vs. worse) and lesion loci (i.e., Wernicke's area, WA vs. non-Wernicke's area, NWA). The authors divided 21 Wernicke's aphasic patients into four patient groups based on their AC levels and the lesion loci. The results showed that the four groups differed only in CIU (Correct Information Unit) rate. The patient groups with a better AC ability had higher CIU rates than the groups with a worse AC regardless of the lesion loci (e.g., WA or NWA). Therefore, it was concluded that CIU rate, the differentiating speech variable was most likely related to the AC levels, but not to lesion loci.

• Convergence Security Journal
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• v.13 no.4
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• pp.33-39
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• 2013

Unit testing is proved to be vital for a successful software development process. Modern languages, such as Python, Java and C#, have a great support and tools for unit testing. But when it comes to C++, there are a big number of C++ frameworks available [List], and it becomes hard to make a choice of unit testing framework to use. This paper presents a survey of open source C++ unit testing frameworks by dividing open source C++ unit testing frameworks into two groups: frameworks with an integrated test runner and frameworks with a separate test runner.

• Archives of Plastic Surgery
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• v.40 no.6
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• pp.687-696
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• 2013

Background Ischemic preconditioning has been shown to improve the outcomes of hypoxic tolerance of the heart, brain, lung, liver, jejunum, skin, and muscle tissues. However, to date, no report of ischemic preconditioning on vascularized bone grafts has been published. Methods Sixteen rabbits were divided into four groups with ischemic times of 2, 6, 14, and 18 hours. Half of the rabbits in each group underwent ischemic preconditioning. The osteomyocutaneous flaps consisted of the tibia bone, from which the overlying muscle and skin were raised. The technique of ischemic preconditioning involved applying a vascular clamp to the pedicle for 3 cycles of 10 minutes each. The rabbits then underwent serial plain radiography and computed tomography imaging on the first, second, fourth, and sixth postoperative weeks. Following this, all of the rabbits were sacrificed and histological examinations were performed. Results The results showed that for clinical analysis of the skin flaps and bone grafts, the preconditioned groups showed better survivability. In the plain radiographs, except for two non-preconditioned rabbits with intraoperative ischemic times of 6 hours, all began to show early callus formation at the fourth week. The computed tomography findings showed more callus formation in the preconditioned groups for all of the ischemic times except for the 18- hour group. The histological findings correlated with the radiological findings. There was no statistical significance in the difference between the two groups. Conclusions In conclusion, ischemic preconditioning improved the survivability of skin flaps and increased callus formation during the healing process of vascularized bone grafts.

• Asian-Australasian Journal of Animal Sciences
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• v.5 no.2
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• pp.341-347
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• 1992

Eggs used in this study were obtained from Saudi Arabian Baladi laying hens which were divided into four experimental groups and subjected to the following treatments: Commercial laying ration (17% CP, 3.6% Ca and 0.343%, available P) fed ad libitum as a control (C); Conventional force molting, feed removal for 10 days followed by 18 days full-feed of cracked corn (F); 15 days ad libitum intake of the control ration supplemented, to initiate forced-molt, with 0.35% aluminum as the sulfate (ALS) or the chloride (ALC). The hens were in production for 52 weeks and 17 months of age at the start of the trial and the post-treatment period lasted 36 weeks. During the treatment period F and AL treated groups had similar egg and shell weight, egg surface area, shell thickness and shell weight per unit of surface area but significantly (p<0.05) lower than the control. F had significantly (p<0.05) the highest and the control the lowest Haugh unit values whereas AL fed groups had significantly (p<0.05) lower meat spot incidence compared with the control which tended to have higher value than F group. ALC and F had significantly (p<0.05) the lowest yolk color grade whereas ALC had significantly (p<0.05) lower egg index than ALS and the control. During the post-treatment period the control had significantly (p<0.05) the highest egg index and blood spots incidence and ALS the lowest shell diensity compared with other groups. ALS had significantly (p<0.05) lower shell weight than ALC and the control whereas F and AL treated hens had significantly (p<0.05) the highest Haugh unit values and yolk color grades respectively. F had significantly (p<0.05) lower meat spots incidence than ALC and the control. The same results were observed for ALS compared with the control.

• Journal of Korean Biological Nursing Science
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• v.17 no.2
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• pp.97-103
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• 2015

Purpose: The aim of the study was to identify effects of oral care protocol on bacterial floras of the oral cavity and oral health status of intubated patients in an intensive care unit. Methods: The participants were 60 intubated patients who were recruited from an intensive care unit of a university hospital from Dec. 28, 2010 to Mar. 25, 2011. The participants were randomly assigned into 3 groups of 20 patients according to the application time of oral care (1-minute oral care, 2-minute oral care, and 3-minute oral care groups). The numbers of bacterial flora colonies in the oral cavity was assessed before and after the oral care. Oral health status was assessed using a Korean version of the Oral Assessment Guide developed by Elier et al. originally. Results: The numbers of bacterial flora colonies were less after oral care than those before the care, but there was no significant differences among the 3 groups after the care. Oral health status was better after the oral care than it was before the care, but there was also no significant differences among the 3 groups. Conclusion: If well-trained nurses perform oral care for 1 minute using a chlorhexidine swab on intubated patients, the numbers of bacterial flora colonies will be reduced and healthy oral status will be maintained.

• Journal of the Korean Institute of Oriental Medical Informatics
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• v.22 no.1
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• pp.27-36
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• 2016

Purpose: The purpose of this study was to compare the level of job stress, burn-out and job satisfaction between intensive care unit nurses and general unit nurses. Methods: The subjects of this study were 100 intensive care unit nurses and 100 general unit nurses in university's hospitals. The data were collected using self-report questionnaires. The data were analyzed by descriptive statistics, -test, ANCOVA, t-test, ANOVA, and Pearson correlation coefficient by using the SPSS WIN 20.0 program. Results: There were significantly negative correlation in the score of job stress and job satisfaction in both groups of nurses. Job stress of intensive care unit nurses was significantly differences according to department satisfaction. Burn-out of intensive care unit nurses was significantly differences according to position, department satisfaction. Job satisfaction of intensive care nurses unit was significantly differences according to department satisfaction. Job stress of general unit nurses unit was significantly differences according to department satisfaction. Burn-out of general unit nurses was significantly differences according to clinical experience, position, department satisfaction. Job satisfaction of general unit nurses was significantly differences according to clinical experience, department satisfaction. Conclusions: The appropriate rewards for intensive care nurses and general unit nurses to decrease their job stress will be needed in hospital settings. In addition, a plan for systemic nurse training program is needed to provide high quality nursing education for each unit nurses effectively.