내시경역행담췌관조영술(endoscopic retrograde cholangiopancreatography, ERCP)은 풍부한 임상경험과 내시경 기술이 요구되는 시술로, 다양한 합병증이 발생할 수 있으며 일부는 생명과 연관된 심각한 합병증으로 진행할 수 있다. 시술 적응증 확대와 기술적 발전으로 ERCP는 널리 이용되고 있고 이러한 변화는 시술의 접근성을 증가시키는 장점이 있다. 그러나 적절한 질 관리 없이 시행되는 시술은 상당한 위험을 야기할 수 있다. ERCP의 질 관리는 안전하고 성공적인 시술을 보장하고 향상된 의료 경쟁력을 위한 사회적 요구를 충족 시키기 위해 필수적인 것이다. 이러한 관심에 대응하기 위해 대한췌장담도학회는 국내 의료 환경과 현실이 반영된 한국형 ERCP 질 지표를 개발하였다. 먼저, 외국에서 발표된 ERCP 질 지표 및 관련 문헌 검토를 기반으로 하여 다섯 가지의 시술 전 처치 항목, 세 가지의 시술 중 처치 항목 및 네 가지 시술 후 처치 항목에 대한 주요 질문을 작성하였다. 각 항목의 서술과 권고사항은 동료 평가를 통해 선택되었다. 개발된 한국형 ERCP 질 지표는 개발 당시 최신 발표된 논문을 기반으로 외부 전문가에 의해 검토되었다. 국내 현실에 맞춘 이 한국형 ERCP 질 지표는 우리나라의 ERCP 질 향상에 크게 기여할 것으로 기대된다.

중재 시술의 발전으로, 노출된 방사선으로 인한 의료 방사선 중재 시술자에 미치는 건강 위협이 증대됨에 따라 시술 중 방사선 노출을 최소화하기 위한 관심과 노력이 요구되고 있다. 이에 대한췌장담도학회에서는 투시 장비를 이용한 중재 시술 중 의료 방사선 중재 시술자에게 미치는 방사선 노출을 최소화하기 위한 권고안을 개발하였다. 본 권고안은 방사선 차폐, 방사선 투시기와 방사선량의 관리, 방사선 노출 선량 한도 및 감시, 임신과 출산 총 4가지 분야로 나누어 중재 시술자에게 방사선 노출의 위험을 이해하기 위한 지식을 전달하고 실질적으로 수행해야 하는 권고사항을 명확히 제시하여 불필요한 방사선 노출을 피하기 위한 실용적인 접근이 가능하도록 구성되었다. 본 권고안을 통해 의료 방사선 중재시술자의 방사선 노출을 최소화하여 안전하고 효과적인 중재 시술이 이루어질 수 있기를 기대한다.

Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on indication for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.

Acute pancreatitis can range from a mild, self-limiting disease that requires no more than supportive care to severe disease with life-threatening complications. Therefore, to provide a framework for clinicians to manage acute pancreatitis and to improve national health care, the Korean Pancreatobiliary Association (KPBA) established the first Korean guideline for the management of acute pancreatitis in 2013. However, many challenging issues exist, which sometimes lead to differences in practice between clinicians. Taking together the recent dramatic changes of latest knowledge and evidence newly obtained, the committee of the KPBA decided to perform an extensive revision of the guidelines. These revised guidelines were developed by using mainly Delphi methods, and the main topics of these guidelines fall under the following topics: 1) diagnosis, 2) severity assessment, 3) initial treatment, nutritional support, and convalescent treatment, 4) the treatment of local complication and necrotizing pancreatitis. The specific recommendations are presented with the quality of evidence and classification of recommendations.

The purpose of this study is to investigate the mediating effect of trust when a media broadcaster (such as a disc jockey [DJ]) acting as an information source and the content they provide during live commerce streaming affect acceptance intention. Live commerce is increasing rapidly, offering a new fashion distribution channel by supplementing possible shortcomings of existing online shopping. Data was collected for the empirical study from female consumers in their 20s who actively accepted fashion technology. Statistical analysis of the data was conducted using IBM SPSS Macro Process 3.5. First, the reliability and validity of the variables for information source characteristics, content informativeness, trust, and acceptance intention were verified, and each variable was confirmed as a single factor. Bootstrap analysis was performed using Macro Process Model 4 to reveal the effects of information source characteristics and content informativeness on acceptance intention. As a result of analyzing the mediating effect for each path model with trust as a parameter, it was found that both the direct and indirect effects of the mediating path were significant. This result means that the characteristics of information sources and content informativeness are partially mediated by trust. Therefore, to promote consumer behavior in a live commerce shopping environment, it is necessary to enhance trust. This can be achieved by a media broadcaster with fashion expertise to increase the perception of the attractiveness of the information source and to improve the usefulness of the fashion information being delivered.

This study examined motivation to use omni-channel services on mobile devices in fashion stores and the effects of such usage motivation on brand purchase intention through continuous and affective commitment. Data were collected on consumers in their 20s and 30s who experienced omni-channel services during shopping for or purchasing fashion products. An online survey asked 413 consumers to rate their brand purchase intention. Sub-levels of each variable were examined using SPSS 25.0, followed by confirmatory factor analysis using AMOS 19.0. In addition, path analysis using structural equation modeling was applied to analyze associations between variables. The statistical results were mixed. First, only two dimensions of usage motivation for omni-channel services, hedonic and relational motivation, had positive effects on continuous and affective commitment. Second, continuous commitment had a greater effect on purchase intention of brands that provided omni-channel services than it did on affective commitment. Third, of the dimensions of usage motivation, utilitarian motivation had a direct influence on purchase intention in the modified model, while social motivation did not affect service commitment and purchase intention. Finally, our findings suggest that brand loyalty can be built by encouraging service commitments through hedonic and relational motivation, based on the usability of omnichannel services.

Over the past few years, companies have started moving into specific niches in plus-size fashion. The purpose of this study was to verify the marketability of young plus-size clothes in the USA. Data were collected from female consumers aged from 20 to 39 who have experience of purchasing plus-size items. A total of 282 responses were used for statistical analysis. The research result is as follows. First, the obesity stress is affected more by the subjective obesity level than by the objective obesity level and by how people recognize their body types. Second, from an analysis of the factors affecting the shopping orientation of plus-size consumers, style consciousness, pursuing reasonable, emphasizing comfort, and body consciousness are found to be important factors. Third, even if responders are aware of their exact body size, they actively look for the correct size. Fourth, fit evaluation of plus-size products is based on the factors of size fit and movement fit. The respondents were unsatisfied with chest and arm measurements, which deviate widely by body type for tops. Fifth, the overall dissatisfaction with the plus-size market is attributed to the fact that the product assortment range from which to select styles is narrow, and trend reflection is low. Sixth, the respondents tended to avoid fabrics that make their body type more obvious, textures that give the impression of a larger body size, or stiff textures. These results show that the psychological and physical characteristics of obese consumers should be considered to develop products for the young plus-size market.

본 연구는 이산화탄소를 효율적으로 분리하기 위한 이온성액체 지지분리막 제조를 목적으로 한다. 공칭크기 0.1 mum PVDF 정밀여과막에 이온성액체인 [bmim][PF6] (1-butyl-3-methylimidazolium hexafluorophosphate)를 분리막 세공내로 흡입시켜 고정화하였다. 제조된 이온성액체 지지막에 대한 N2, H2, CO2 기체의 투과도는 0.075, 0.203, 1.380 GPU로 측정되었으며 CO2/N2, H2/N2의 선택도는 각각 14.2와 2.69이었다. 또한 이온성액체 지지분리막은 이온성 액체가 운전압력 2.0 bar까지 세공 내에 고정되어 안정적으로 운전 가능하였다.

The objectives of this research was to evaluate the anaerobic digestibility of waste activated sludge (herein after WAS)and waste beverages (herein after WB) in beverages manufacturing industry using actual plant under various conditions.In this study, anaerobic digestion with WAS and WB were evaluated according to different operating conditions. As thebasis operating conditions for anaerobic digestion, the reaction temperature was controlled at 35 and hydraulic retentiontime 30 days. WAS and WB were mixed at the ratio of 1:0, 9:1, 8:2, 7:3, 5:5, Respectively. The organic loadingrate (herein after OLR) was maintained less than 0.5kgVS/m3·day. Biogas productivity in accordance with VS was fedat the each mixing ratio with WAS and WB was increased from 0.92Nm3/kg VSfeed to 1.28Nm3/kg VSfeed, except mixingratio 5:5 (0.19Nm3/kg VSfeed). Also Biogas productivity in accordance with VS was removed at the each mixing ratiowith WAS and WB was increased from 1.13Nm3/kg VSrem to 1.81Nm3/kg VSrem, except mixing ratio 5:5 (0.35Nm3/kg VSrem). It was judged that pH was reduced with WB addition. From the results, it was judged that anaerobic digestionusing WAS and WB could be feasible.

The objectives of this research was to evaluate the anaerobic digestibility of waste actizvated sludge (WAS) and wastebeverages in beverages manufacturing industry using BMP test under various conditions. Also, the effects of physical(ultrasonic) and biological (lactobacillus) solubilization process on anaerobic digestibility of WAS were thoroughlystudied. The soluble chemical oxygen demand (SCODCr)/total chemical oxygen demand (TCODCr) ratio of WAS was 0.15but the SCODCr/TCODCr ratio after solubilization was increased 17.5% by ultrasonic, 18.8% by lactobacillus respectively.The results of BMP test, methane gas productivity as mixing ratio of WAS and waste beverages were 156ml CH4/gCODCr,164ml CH4/gCODCr and 182ml CH4/g CODCr, respectively 9:1, 8:2, 7:3 before the solubilization of WAS. As themixing ratio of waste beverages increase, VFAs concentration and methane productivity was increased. Also, methanegas productivity as mixing ratio after the solubilization of WAS using ultrasonic and lactobacillus was increased3.3~11.3%, 11.1~15.2% respectively. From the results, it was judged that anaerobic digestion using WAS and wastebeverages could be feasible.