Ochronosis is a musculoskeletal manifestation of alkaptonuria, a rare hereditary metabolic disorder occurs due to the absence of homogentisic acid oxidase and leading to various systemic abnormalities related to deposition of homogentisic acid pigmentation (ochronotic pigmentation). The present case reports the clinical features, radiographic findings, treatments and results of a cervical spondylotic myelopathy woman patient due to the ochronotic arthropathy of the cervical spine. The patient aged 62 years was presented with gait disturbance and hand clumsiness. Physical examination, X-rays, computed tomography and lab results of the urine sample confirmed the presence of ochronosis with the involvement of the cervical spine. The patient underwent a modified cervical laminoplasty due to multi-segment spinal cord compression. The postoperative follow-up showed a good functional outcome with patient satisfaction. The present study concludes the conditions and important diagnostic and surgical aspects of a patient. It is necessary to identify the condition clinically and if cord compression is observed, appropriate surgical interventions needs to be instituted.
This paper proposes a utility-based data rate allocation algorithm to provide high-quality mobile video streaming over femtocell networks. We first derive a utility function to calculate the optimal data rates for maximizing the aggregate utilities of all mobile users in the femtocell. The total sum of optimal data rates is limited by the link capacity of the backhaul connections. Furthermore, electromagnetic cross-talk poses a serious problem for the backhaul connections, and its influence passes on to mobile users, as well as causing data rate degradation in the femtocell networks. We also have studied a fixed margin iterative water-filling algorithm to achieve the target data rate of each backhaul connection as a counter-measure to the cross-talk problem. The results of our simulation show that the algorithm is capable of minimizing the transmission power of backhaul connections while guaranteeing a high overall quality of service for all users of the same binder. In particular, it can provide the target data rate required to maximize user satisfaction with the mobile video streaming service over the femtocell networks.
Purpose: The purpose of this study was to investigate the mechanical properties of polymer prosthetic and restorative materials for dental CAD/CAM using two test method; surface characteristics and shear bond strength. Methods: Commercialized CAD/CAM polymer blanks were investigated; One kinds of PMMA, and one PEKK blanks. A total of 20 PMMA and PEKK specimens were prepared, and each group was divided into 10 specimens. Average surface roughness was observed under surface profilometer. The contact angle was measured with a surface electrooptics. The bond strength was evaluated by a universal testing machine at a crosshead speed of 5mm/min. The data were statistically analyzed using independent t-test and Fisher's exact test(P<0.05). Results: The PMMA and PEKK group showed a significant difference in the shear bond strength with the composite resin(P<0.05). The surface roughness of the PEKK group was higher than that of the PMMA group. The fracture mode were observed in PEKK groups with 50% showing adhesive remnant index score. Conclusion: PEEK is used as substructure material and composite veneering material is applied. PEKK resins will contribute to the development of successful products that will provide structural and aesthetic satisfaction.
Education in radiology involves a large portion of practical training, and it is difficult to conduct it through non-face-to-face online education. In this study, we utilized the Metaverse platform, which can replace hands-on education, to implement a practice room that is difficult to access through non-face-to-face classes into a virtual world, and then evaluated the satisfaction of learners after the practice class, the practicality of the Metaverse platform class, and the future orientation of the curriculum. I wanted to find out. Using the metaverse platforms ZEPETO (Build It) and ZEP (ZEP), the S University radiology department lab was implemented into a virtual world and used for students' classes. A total of 50 students were surveyed twice, divided into pre- and post-surveys, and all questions used a 5-point Likert scale. As a result of the study, satisfaction was low at 2.32 for education without using Metaverse virtual space, while education using virtual space was very high at 4.16. As a result of the analysis, the satisfaction level of the new education system and the practicality of the Metaverse platform classes are very high, and it is believed that it will be a more effective education platform when conducting additional education such as app explanations in the future.
Journal of the Korean Institute of Landscape Architecture
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v.45
no.1
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pp.35-51
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2017
Street gardens, a series of streetscape improvement projects led by Seoul City Government, are initiated for the purpose of providing aesthetic satisfaction and mental refreshment to pedestrians. In order to investigate whether street gardens indeed promote the psychological health of the users, questionnaire surveys were conducted on three selected street gardens - at Gangnam-daero, Digital-ro, and Teheranro - and their comparison sites located on the same streets, which have a similar physical environment but without a street garden. The survey questionnaires, based on Attention Restoration Theory, were composed of Perceived Restorativeness Scale-11 with the eleven individual questions grouped into four categories: 'Fascination', 'Being away', 'Coherence', and 'Scope'. The survey questionnaires also ask about physical components that promote psychological improvement in the aforementioned categories. The collected data was analyzed with factor analysis, reliability analysis, and independent t-test. The results suggested that street gardens had a relatively positive effect on the psychological restorativeness of the users. In particular, they gave fascination and interest to the users. However, they did not offer a feeling of being away to the users, which revealed the limitation in the psychological improvement effect of street gardens. The physical components of the street garden that have led the psychological restorativeness effect were wooden bench, tree, and flower. This result corresponds to an extant theory that natural factors have a positive effect on the psychological restorativeness within a hardscape. This research will shed light on the planning and design guidelines for the street garden project.
Journal of the Korea Academia-Industrial cooperation Society
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v.12
no.5
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pp.2222-2229
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2011
The purpose of this study was to evaluate the efficacy of basic integrative lecture course of medical college through cyber lecture. This study was also aimed to develop and implement a progressive cyber-teaching method which integrative lecture system is concerned for medical students. In this study, effectiveness of cyber lecture on the student's satisfaction, content difficulty and course management were analyzed by way of anonymous survey at the end of basic neuroscience integrative lecture course. Survey data were also analyzed with statistical tools to find out strength of correlation between students degree of satisfaction to cyber lecture and their individual grade of this course. The majority of students held positive opinions on course management, level of difficulty in each session, utilizing multimedia contents and preferred cyber lecture system to be continued in the future. Many students also suggested intimate integration of multimedia contents shown in cyber lecture to the lab sessions for the maximization of educational effect. In this study, it suggested that cyber lecture could be a useful tool in teaching integrative medical subjects and play more important role in the future integrative medical subjects with the improvement of present problems and limitations.
The purpose of this study was to examine the satisfaction level of patients with oral health care provided by a dental hospital, especially scaling, and their oral health behavior. The subjects in this study were 263 college students who were in their 20s and selected from among patients who visited D university dental hospital in Gangwon Province during the oral prophylaxis practice of dental hygiene sophomores and juniors. The findings of the study were as follows: 1. Whether the selected students had ever had their teeth scaled was checked, and those who had outnumbered the others who hadn't. The rates of the former and latter respectively stood at 61.2 percent and 38.8 percent. Regarding places where they got their teeth scaled, the majority of the students that represented 75.2 percent did that at dental clinics. By gender, 34.4 percent of the male students did that at schools, which were larger than 11.8 percent of the female students who did. 88.2 percent of the female students did that at dental clinics, which were larger than 65.5 percent of the male students who did. Gender made significant differences to that(x2=10.79, p<.01). 2. As for satisfaction level with scaling by gender, the male students (38.7%) who had no specific idea outnumbered the female students (26.5%) who did. The female students(57.4%) who felt no pain during scaling outnumbered the male students(55.9%) who did. Gender made a significant difference to their responses. (x2=6.38, p<.05). 3. Concerning the use of oral hygiene supplies, most of the students who represented 72.2 percent had never flossed their teeth, and as many as 86.3 percent had never used a tongue cleaner. But the gaps between them and the others were not statistically significant.
As medical practices and procedures become more specialized and information technology develops in clinical settings, health organizations need medical personnel with special skills, knowledge and competency. But the lack of practical experience in clinical settings may impair competency in basic nursing skills among nursing students. This study used a cross-sectional survey to analyze factors related to nursing competency among nursing students in order to establish effective teaching methods to increase the clinical competency of nursing students. The data were collected from a questionnaire distributed in several universities among 106 nursing students who expressed a willingness to participate in the study during December 2011 in order to measure self-directedness, professional self-concepts, communication ability, learning satisfaction. The data were analyzed using the SPSS window program. There were differences regarding competency in basic nursing skills according to interpersonal relationships, grades, existence of an open lab. The level of learning satisfaction, communication skills and self-directedness were deemed influencing factors regarding competency in basic nursing skills. These 3 elements account for 49.9% of competency with regard to basic nursing skills. According to existing research, blended learning methods which consist of problem based learning, cyber education or case centered education should be considered as effective teaching methods for developing clinical nursing skills.
Park, Ji-Hye;Kim, Nyeon-Ok;Seo, Mi-Hye;Yoo, Soh-Yeon;Park, Hye-Mi
The Korean Journal of Nuclear Medicine Technology
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v.21
no.1
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pp.23-28
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2017
Purpose Recently, there has been increasing demands for clinical departments at Asan Medical center in Seoul. They want to see the results of lab tests about blood samples as soon as possible and to be reported to them on the day. As the main contents of the survey, we explained the goodness of Asan medical center's in vitro and the points to be improved. Based on this, it became an opportunity to create a positive image of In vitro laboratory. In addition, we could identify their specific requirements through the surveys. Materials and Methods In September 2016, a total of 14 questionnaire surveys were conducted for 49 clinical departments and outpatient nurses at Asan Medical center in Seoul. The survey consists of description questions to be able to express the intention of the individual and the questions made on the Likert 4 point scale. The main contents of 14 questions are composed of goodness of In Vitro laboratory and points to be improved. Results 62% answered that the best service in In Vitro laboratory was "good accuracy and reproducibility". On the other hand, as an inconvenience when requesting blood tests, 73% pointed out that "the result report time was long", which was recognized as a part to be improved. There are many contents that "The result of all tests is reported within 2 hours" on the day of the examination. In the question - 'Are there some examination results which do not coincide well with clinical observations?', 55 of 56 people answered "no". Above all, the majority answered that waiting for re-examination results is too long. This problem must be causing discomfort to the patients. Conclusion In order to improve these problems, the first thing is to increase the number of blood tests by using the current personnel, equipments and reagents to the fullest by item in Asan Medical Center's Nuclear medicine in vitro part. Secondly, in case of re-examinations, we use the "AMIS message" to show other clinical departments the reporting time. This methode improves the efficiency of work with nurses and increases satisfaction of custom service. Thirdly, the correlation was evaluated by selecting the test species that can be carried out by the shortening method. Currently, C-peptide and insulin are implemented in the reaction process to shorten 2 hours into 1 hour. Finally, we are considering purchasing new equipments for quick test results.
Asia-Pacific Journal of Business Venturing and Entrepreneurship
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v.18
no.4
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pp.51-63
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2023
The purpose of this study is to develop and implement a secondary teacher training program based on the TPACK model to strengthen the capacity of teachers of youth entrepreneurship education in the context of the increasing importance of entrepreneurship as a future competency, and to provide theoretical and practical implications based on it. To this end, a teacher training program was developed through the process of analysis, design, development, implementation, and evaluation based on the ADDIE model, and 22 secondary school teachers in Gangwon Province were trained and the effectiveness and validity were analyzed. First, the results of the paired sample t-test of TPACK in entrepreneurship education conducted before and after the program showed statistically significant improvements in all sub-competencies. Second, the satisfaction survey of the training program showed that the overall satisfaction was high with M=4.83. Third, the validity of the program was reviewed by three experts, and it was found to be highly valid with a validity of M=5.0, usefulness of M=4.7, and universality of M=5.0. Based on the results, it is suggested that in order to expand entrepreneurship education, opportunities for teachers' holistic capacity building such as TPACK should be expanded, teachers' understanding and practice of backward design should be promoted, and access to various resources that can be utilized in entrepreneurship education should be improved.
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