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Young Bum Lee,Anand Desai,Byung ryoul Jung 위기관리 이론과 실천 2017 Crisisonomy Vol.13 No.10
이 논문에서는 도서개발국가들(Small Island Developing States)을 대상으로 전자정부의 발전과 거버넌스와의 관계를 실증적으로 분석하고 있다. 기존 문헌들은 대부분 전자 정부 발전과 거버넌스와의 선형적 관계를 가정하여, 전자정부의 발전이 거버넌스의 다양한 측면에 긍정적 영향을 미치고 있다고 보고하고 있다. 그러나 이 논문에서는 두 변수의 관계가 단순한 선형적 관계가 아니라, 두 변수사이에 그 영향을 조절하는 변수가 개입할 수 있고, 이에 따라 전자정부 발전의 거버넌스에의 효과가 다르게 나타날 수 있다고 가정한다. 즉, 전자정부의 발전이 거버넌스에 직접적인 영향을 미칠뿐만 아니라, 사회적 여건에 따라 간접적인 효과도 갖는 실증 모형을 설정하여, 그 영향을 실증적으로 분석하고 있다. 분석결과, 이 연구는 사회적 개방성이나 법에 의한 통치 등 사회적 여건 변수가 조절변수로서 전자정부 발전과 거버넌스와의 관계에 개입하는 것을 확인하였다. 이를 통해, 본 연구는 전자정부의 발전이 거버넌스에 미치는 다양한 경로에 대한 연구가 보다 활발히 진행되어야 함을 강조하고 있다. Most studies exploring the relationship between e-government development and good governance have concluded that e-government has largely positive effects on various aspects of governance. However, an important criticism of the current literature on e-government is that the relationship often lacks a theoretical foundation. In this study, we propose a conceptual framework for the relationship between e-government and good governance, based on the conjecture that while there is a link between the two, conditions must be ripe for e-government to be effective in enhancing good governance. We propose a framework where the relationship between e-government and good governance is both direct and indirect, moderated by social conditions. As an exploratory effort, we test this model in the context of Small Island Developing States and find that the effects of e-government on governance are moderated by other social conditions such as social openness and the rule of law to influence governance. These results are encouraging as we attempt to understand the mechanisms by which e-government can play a role in enhancing good governance.
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Electronic nutritional intake assessment in patients with urolithiasis: A decision impact analysis
Avory M. Heningburg,Anand Mohapatra,Aaron M. Potretzke,Alyssa Park,Alethea G. Paradis,Joel Vetter,Adrienne N. Kuxhausen,Leslie D. McIntosh,Anthony Juehne,Alana C. Desai,Gerald L. Andriole,Brian M. Ben 대한비뇨의학회 2016 Investigative and Clinical Urology Vol.57 No.3
Purpose: To evaluate a physician's impression of a urinary stone patient's dietary intake and whether it was dependent on the medium through which the nutritional data were obtained. Furthermore, we sought to determine if using an electronic food frequency questionnaire (FFQ) impacted dietary recommendations for these patients. Materials and Methods: Seventy-six patients attended the Stone Clinic over a period of 6 weeks. Seventy-five gave consent for enrollment in our study. Patients completed an office-based interview with a fellowship-trained endourologist, and a FFQ administered on an iPad. The FFQ assessed intake of various dietary components related to stone development, such as oxalate and calcium. The urologists were blinded to the identity of patients' FFQ results. Based on the office-based interview and the FFQ results, the urologists provided separate assessments of the impact of nutrition and hydration on the patient's stone disease (nutrition impact score and hydration impact score, respectively) and treatment recommendations. Multivariate logistic regressions were used to compare pre-FFQ data to post-FFQ data. Results: Higher FFQ scores for sodium (odds ratio [OR], 1.02; p=0.02) and fluids (OR, 1.03, p=0.04) were associated with a higher nutritional impact score. None of the FFQ parameters impacted hydration impact score. A higher FFQ score for oxalate (OR, 1.07; p=0.02) was associated with the addition of at least one treatment recommendation. Conclusions: Information derived from a FFQ can yield a significant impact on a physician's assessment of stone risks and decision for management of stone disease.
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( Pavan Dhoble ),( Philip Abraham ),( Devendra Desai ),( Anand Joshi ),( Tarun Gupta ),( Shachish Doctor ),( Anand Deshpande ),( Rajeshwari Basavanna ) 대한소화기기능성질환·운동학회 2021 Journal of Neurogastroenterology and Motility (JNM Vol.27 No.4
Background/Aims Most patients with irritable bowel syndrome (IBS) report food-related aggravation of symptoms. Wheat/gluten is one of the most commonly incriminated. We studied the prevalence of self-reported wheat sensitivity in patients with IBS and in a healthy population from a region in India consuming mixed-cereal diets, correlated it with serological and human leukocyte antigen (HLA) markers of celiac disease, and evaluated the response to a wheat-free diet. Methods We surveyed 204 patients with IBS and 400 healthy persons for self-reported wheat sensitivity. Testing for IgA anti-tissue transglutaminase and HLA DQ2 or DQ8 was done in individuals who reported wheat sensitivity. Consenting persons with wheat sensitivity were put on wheat-free diet and monitored for symptom change. Results Twenty-three of 204 patients with IBS (11.3%) and none of the healthy subjects self-reported wheat sensitivity. Of 23 patients, 14 (60.9%) were positive for HLA DQ2 or DQ8 and none for anti-tissue transglutaminase antibody. After 6 weeks on wheat-free diet, all 19 participating patients reported clinical improvement; fewer patients had bloating, diarrhea, constipation, and easy fatigue. Conclusions Eleven percent of patients with IBS self-reported wheat sensitivity. None of them had positive celiac serology; 60.9% were positive for HLA DQ2 and DQ8, suggesting a possible genetic basis. All of them improved symptomatically on a wheat-free diet. (J Neurogastroenterol Motil 2021;27:596-601)
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Use of thiopurines in inflammatory bowel disease: an update
( Arshdeep Singh ),( Ramit Mahajan ),( Saurabh Kedia ),( Amit Kumar Dutta ),( Abhinav Anand ),( Charles N. Bernstein ),( Devendra Desai ),( C. Ganesh Pai ),( Govind Makharia ),( Harsh Vardhan Tevethia 대한장연구학회 2022 Intestinal Research Vol.20 No.1
Inflammatory bowel disease (IBD), once considered a disease of the Western hemisphere, has emerged as a global disease. As the disease prevalence is on a steady rise, management of IBD has come under the spotlight. 5-Aminosalicylates, corticoste roids, immunosuppressive agents and biologics are the backbone of treatment of IBD. With the advent of biologics and small molecules, the need for surgery and hospitalization has decreased. However, economic viability and acceptability is an im portant determinant of local prescription patterns. Nearly one-third of the patients in West receive biologics as the first/initial therapy. The scenario is different in developing countries where biologics are used only in a small proportion of patients with IBD. Increased risk of reactivation of tuberculosis and high cost of the therapy are limitations to their use. Thiopurines hence become critical for optimal management of patients with IBD in these regions. However, approximately one-third of patients are intolerant or develop adverse effects with their use. This has led to suboptimal use of thiopurines in clinical practice. This review article discusses the clinical aspects of thiopurine use in patients with IBD with the aim of optimizing their use to full therapeutic potential. (Intest Res 2022;20:11-30)
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