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이시학,김기현,Cheol Woong Choi,Su Jin Kim,Dae-Hwan Kim,Chang In Choi,Sun-Hwi Hwang 대한외과학회 2019 Annals of Surgical Treatment and Research(ASRT) Vol.97 No.2
Purpose: Postoperative complications (PCs) after gastrectomy are associated with readmission and longer hospital stay. This study aimed to determine the role of CRP as an early predictor of PCs and a reliable discharge indicator after gastrectomy. Methods: Clinicopathologic data and PCs of 613 patients who underwent gastrectomy for gastric cancer in 2015–2016 were retrospectively analyzed, including consecutive blood samples for CRP obtained preoperatively, at the operative day, and postoperatively. Following the Clavien-Dindo classification, the patients were divided into a group with major PCs and a group with minor/no PCs. Diagnostic accuracy was determined by the area under the receiver operating characteristic curve (AUC). Clinical factors related to major PCs were identified using univariate and multivariate logistic regression analyses. Results: PCs occurred in 89 patients (14.5%). The most significant predictive factor for major PCs was a CRP concentration reduction rate of ≤38.1% (AUC, 0.82; sensitivity, 76.4%; specificity, 76.1%) between postoperative day (POD) 3 and 5 (R5), followed by ≤11.1% (AUC, 0.75; sensitivity, 73%; specificity, 76%) between POD 2 and 3 (R4). When both factors were applied (R4 ≤ 11.1% and R5 ≤ 38.1%), the specificity was 91.6%; when only one condition was satisfied (R4 ≤ 11.1% or R5 ≤ 38.1%), the sensitivity was 91%. Conclusion: CRP concentration reduction rates between POD 3 and 5 and between POD 2 and 3 were the best combination factors to predict PCs and indicate a safe discharge after gastrectomy for gastric cancer
施學光 동아대학교 부설 사회과학연구소 2002 사회과학논집 Vol.21 No.-
9 11사건 후에 미국경제 및 세계경제는 급속히 쇠퇴하였고, 또한 大國關係에 큰 변화가 일어나고, 국제테러세력과 반테러세력과의 전쟁이 장기화하고 복잡화하는 특성을 보이고 있다. 지난해는 세계경제가 급속한 쇠퇴 기조를 보였지만, 2002년은 세계경제가 조정, 회복되는 해가 될 것 같다. 21세기 초 정보통신을 비롯한 제3차 산업혁명 및 세계의 산업구조 조정, 신국제경제질서의 형성 등이 세계경제 발전의 주요 동력이 되고 있다. 지금 세계경제는 쇠퇴 및 조정 후에 발전기에 들어온 것이다. 9·11事件加速了美國經濟和世界經濟的衰退, 幷引發了大國關係的變化, 國際恐怖主義與反恐鬪爭具有長期性和複雜性的特點. 在2001年世界經濟衰退的基礎上, 2002年是世界經濟的調整, 複蘇之年. 21世紀初, 以信息技術爲主的第三次産業革命及其世界范圍內産業結構的調整, 以及新的國際經濟秩序的形成, 是推動世界經濟發展的主要動力. 世界經濟經過目前的衰退和調整將進入新的增長期.