• Title/Summary/Keyword: On-site experience

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Technical Consideration of Endovascular Treatment for Aortoiliac Occlusive Disease Based on a 10-Year Tertiary Hospital Experience: A Retrospective Study (10년간의 3차 의료기관 경험을 바탕으로 한 대동맥장골동맥 폐색 질환 혈관내 치료의 기술적 고찰: 후향적 연구)

  • Panat Nisityotakul;Sorracha Rookkapan
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.596-606
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    • 2024
  • Purpose To examine the technical considerations of endovascular treatment for aortoiliac occlusive disease (AIOD) based on a 10-year experience in Songklanagarind Hospital. Materials and Methods This retrospective cohort study included 210 patients who underwent endovascular treatment for symptomatic AIOD between January 2010 and December 2020. The patients' clinical and lesion characteristics, including technical considerations of the procedure, were collected, analyzed, and stratified using the Transatlantic Inter-Society Consensus (TASC). Results Most patients (80%) in this study had chronic limb-threatening ischemia lesions, with an occlusion rate of 37%. The technical success rate of TASC C & D was lower than that of TASC A & B, 84.4% vs. 99.2% p ≤ 0.001. A technical success rate of 93.3% (14/15) was found for the femoral and brachial approach, compared with a success rate of 89.0% (57/64) for the unibifemoral approach in TASC C & D, without a statistically significant difference (p = 0.076). However, the puncture site complications in this route were up to 17.6%, which is the highest rate compared with other techniques. These complications could be treated either conservatively or minimally invasively. Conclusion In cases of failed femoral access, simultaneous femoral and brachial approaches improved the technical success rate of endovascular recanalization of TASC C & D aortoiliac occlusions.

Construction and Evaluation of the Student Practice Program in the Hospital under the 6-year College of Pharmacy Curriculum (6년제 약학대학에서의 필수실무실습 현황과 평가 - 병원약국실무실습 중심으로 -)

  • Chang, Min Jung;Noh, Hayeon;Lee, Jangik I.
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.4
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    • pp.300-306
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    • 2013
  • Background: 6-year College of Pharmacy curriculum had started in Korea, and the students in college of pharmacy are supposed to have student practice in the hospital pharmacy, community pharmacy, pharmaceutical company and administration to experience the role of pharmacists in advance. However, despite Korean Association of Pharmacy Education provided its own teaching plan, most Pharmacy Schools and the hospital pharmacy have difficulty in performing the desirable student practice program because they seldom experienced it. So, we reported the student practice program in the hospital pharmacy conducted by Yonsei University College of Pharmacy prior to the other numerous universities and the evaluation of survey on the student pharmacy practice program. Method: Severance Hospital, Gangnam Severance Hospital and National Health Insurance Service Ilsan Hospital took part in the student pharmacy practice program of Yonsei University. Students took 8-week pharmacy practice in Severance Hospital or Gangnam Severance Hospital plus 4-week pharmacy practice in National Health Insurance Service Ilsan Hospital. Also, students had once-a-week presentation class at school. A survey was conducted to evaluate the student practice program. Results: The presentation class was considerably helpful to share their own experiences at different practice sites in different hospitals, but there were some disadvantages that students could not experience the specific pharmacy practice site on the day of once-a-week presentation at school and so on. The results of the survey on the student practice program reported that students were satisfied with the overall practice program and presentation class at school. Also, they answered that the student practice program in the hospital pharmacy was significantly helpful for planning of the future career. Conclusion: Through the performance of the student practice program in Yonsei University, the adjustment of the student practice program in the hospital is planned to provide better experience of practice to the students and the results will be helpful for the student practice in the hospital of the other colleges of pharmacy.

A study of the Hydraulic & Hydrologic Causes on the Road Drainage Poor Site (노면배수 취약구간의 수리.수문 원인 분석)

  • Lee, Man-Seok;Lee, Kyung-Ha;Kang, Min-Soo;Kim, Heung-Rae
    • International Journal of Highway Engineering
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    • v.13 no.2
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    • pp.133-138
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    • 2011
  • This study aims to compare hydraulic & hydrologic design characteristics by examining generated on weak points for road drainage poor sites. More appropriated methodology of rainfall-intensity calculated is to consider minutely rainfall-intensity decision method for road drainage basins. To use non-uniform flow analysis methodology for road surface drainage facilities inlet spacing decision methods is better than present experience inlet spacing decision equations.

A Study on the Actual Condition of Scaffolding Construction in Accordance with the Revision of Safety Standards (비계공사 안전기준 개정에 따른 현장적용 실태에 관한 연구)

  • Kim, Ja Yeon;Cho, Youn Hee
    • Journal of the Korean Society of Safety
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    • v.35 no.4
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    • pp.15-22
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    • 2020
  • Scaffolding works are demolished after this structure is completed, and safety accidents often occur because they are installed differently from legal standards or frequently change during work. Therefore, in order to strengthen the safety of scaffolding, the Ministry of Land, Infrastructure and Transport required a need for design standards for temporary facilities that can systematically prevent and solve large-scale safety accidents that are repeatedly increasing during temporary construction. It has been enacted, and some contents have been revised for the past three years. However, construction site personnel do not know or know the revised matters, but often install scaffolding by the installer's experience rather than complying with relevant laws and regulations. It is the situation that the ground strength test of the foundation ground for the load applied to the floor of the column is omitted in most sites. Therefore, this study grasped the actual situation on the degree of recognition of the revised laws and regulations of the construction site and the foundation-based treatment of the floor working load of the scaffolding column, and derived problems. In addition, we intend to provide reference materials for the endurance test according to the ground conditions to small-scale small sites where it is difficult to conduct the test by carrying out the endurance test of the scaffolding ground according to the revised standards.

Development and Application of Timeout Protocol on OR (수술실 타임아웃 프로토콜 개발 및 적용)

  • Park, Jeong-Sook;Kim, Eun-Hee;Lee, Hye-Ran
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.353-363
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    • 2008
  • Purpose: This study was conducted to develop a timeout protocol as the process of patients verification in the operating room, and to evaluate its effects. Methods: The timeout protocol was developed based on the experience of practices and the universal protocol of JCAHO 2004. The subjects of this study were 192 surgical members working in the operating room at an university hospital in Daegu, Korea. Results: The timeout protocol was developed in six steps; participants verification, encouragement of compliance, verification of right 3 PSP, agreement of surgical team members, verification of the parties to a patient, patient agreement. The data which have been resulted from the experimental group show significantly higher than those of control group as follows; cognition(t = -6.580, p = .000), contents of performance; progress of anesthesiologist as leader(${\chi}^2$ = 29.029, p = .000), verification of right patient, right site and right procedure(${\chi}^2$ = 40.663, p = .000), participation of surgical team(${\chi}^2$ = 68.412, p = .000), and the number of cases of performance(${\chi}^2$ = 242.900, p = .000). Conclusion: It suggests that medical accidents caused by failures in a preoperative verification process can be prevented if a timeout is conducted active involvement and effective communication among surgical team members for a final verification of the correct patient, procedure, and site.

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Business Management and Marketing for Fermented Soybean Products on the Level of Farmhouses (장류가공사업 농가의 운영과 판매 실태)

  • 김은미;김화님;이승교
    • The Korean Journal of Community Living Science
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    • v.14 no.3
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    • pp.99-109
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    • 2003
  • This study was conducted to collect basic marketing and management data from businesses run by farmers producing traditional Kanjang and Doenjang, fermented soybean products. The actual conditions of the fermentation processing sites at farmhouses participating in the production of soybean fermentation products were investigated. The subjects of this survey were 130 small size farmhouse Kanjang and Doenjang processing sites nationwide. The frequency, percentage, t-value, chi-square, and ANOVA were used for statistical analysis. The farmhouse business surveyed were generally operated by rural women for non-farming business income. The percentage of co-worked sites was 71.2 while the percentage of sites operating with permits was 39.2. Generally, the the facilities, size, number of working people, and output were very small. The areas in which the products were sold, site-located regions and region metropolises, were equally weighted. Sales volumes in region metropolises for sites with permits were a little higher than sites without permits. Without regard to operation type, the percentage of sales was highest in cases of direct sale by customer order. Co-worked sites have been found to have more experience in publicity than individually operated sites. As for methods of publicity, co-worked sites use mass media such as newspapers and broadcasting. Individually operated sites usually use social organizations and acquaintances. It was found that the average sales of each site totaled 25 million Won. The average income of each site was 12 million Won, and average income per participant was 3 million Won. Total sales income for sites with permits was significantly higher than sites without permits. But personal income was much higher at individually operated sites without regard to whether the site had a permit or not. This kind of business was found to contribute to an individual's time management skills as well as instill a sense of pride.

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Visitor Behavior and Satisfaction in Suburban Recreational Forests - Focused on the suburbs of Seoul - (도시근교형 자연휴양림 이용 행태와 만족도 분석 - 서울 근교를 중심으로 -)

  • 서주환;최현상;전형석
    • Journal of the Korean Institute of Landscape Architecture
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    • v.30 no.6
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    • pp.57-65
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    • 2003
  • This study researches attributes , behaviors , satisfaction factors and degrees of curiosity of visitors to recreational forests in the suburbs of a large city. It aims to present suggestions for urban forest development and management policy by offering basic data which help to plan, design and manage recreational forests to increase the quality of these environments. The results are as follows First, in attribute, the visiting rate of males is higher than that of females, and the main users are in their thirties and forties. Sixty percent of visitors graduated from university and their rate of employment is evenly distributed. 95 percent of visitors are residents of the metropolitan area. In terms of behavior, major visitors are family units visiting during summer seasons and for overnight stays. 75% are re-visitors. 85% of visitors came to escape the city with families and friends, keep in good health and experience nature. Second, to extract the factors affecting visitor satisfaction in recreational forests, the natural environment, facilities, and management/use systems were identified as independent variables, while subordinate satisfactions were dependent variables. so regression analysis was used. Thus, the variables affecting the natural environment are quality of water, stream use, biodiversity, fresh air and landscape factors. The variables affecting facilities are puking, convenience, play facilities, sanitary arrangement and camping. Most important among the variables affecting management/use systems are educational facilities and access condition. On the basis of generalizing the study in the existing individual site, we must verify the visiting characteristics in recreational forests in the suburbs of a large city. Since development of recreational forests is understood as a sequence considering a site and a given condition, and since management and improvement must unfold according to these characteristics, a strategy is needed to reveal visitors' opinions about the site. Depending on the facilities and service, satisfaction of recreational forests is generally influenced by social and economic qualities. Also, this study can look into the effect according to use pattern motive and season. As suburban recreational forests have many overnight-users and younger men, programs suitable for these groups are needed. On the basis of variables affecting satisfaction according to natural environment, facilities, and use system, policies which can manage the natural environment and introduce educational programs are needed.

Results of Questionnaire: The Korean Society for Microsurgery (대한미세수술학회 설문조사 결과 보고)

  • Hahn, Hyun-Oun;Chung, Duke-Whan;Kim, Woo-Kyung
    • Archives of Reconstructive Microsurgery
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    • v.16 no.2
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    • pp.133-143
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    • 2007
  • For the better success in the society, it is important to collect opinions from members. The progress was slow before because it was hard to collect the opinions from each member. But since we have opened the web site it gets easier to evolve with the society for microsurgery, and expect to have active participations from the members. We make 20 questions in three different groups. The researches are made on participation, development in science council that starting from 2005 October to 2007 June, education on training with member's preference to thesis and individuality and suggestion. Thus we have results following to that research. 1.75% of the members vote for the lecture has to be substantial, and also want the atmosphere of the council to be more sincere. 46.2% of members want the council to be not only exchange information but also the place to experience the social intercourse. 2. When the thesis is present and submitted that will also connect to main society. It will be counted as equal as board thesis, only if the thesis can count in both plastic & reconstructive surgery and orthopedic surgery. Then it will be scored as same as examination of board, and will be a receipt of paper by home page 3. The information-oriented project on our council is slower than what members expected. 100% of members voted yes to online thesis examination, and 66.7% of members voted for preference of web site. We need to make improvements on our web pages as soon as possible such as online payment with credit card. 4. According to the result of questionnaire, our web site helps member's participation in council and eventually become a bridge between members. We hope the questionnaires would help us to develop the council and eventually would help us to society with each other in the council. We also hope this council would be the one that connect all of us in society.

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A Study on the Landscape Design for the Namyangju Gugjip House Complex (남양주 궁집(宮집) 외부공간 기본계획에 관한 연구)

  • Min, Byoung-Wook;Kim, Mi-Yeun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.4
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    • pp.86-100
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    • 2020
  • This study is the result of a design proposal to create a history and culture complex for the "Gungjip," an Important Folklore Cultural Heritage, and its surroundings located in Namyangju, Gyeonggi Province. In particular, the purpose is to introduce a new design approach to a historical and cultural complex consisting of the Gungjip House and Hanok annexes to be opened to the public in the future; and to provide its implications for future study. Although the architectural condition of Gungjip House is well preserved, several problems have been found in the use of the site as a public space due to the lack of a plan for systematic space experience, lack of specific spatial programs, and the too much shade due to uncontrolled green areas, etc. Therefore, the plan presented in this study largely sought to respect the meaning of historical landscape as a public space and to balance with the contemporary needs. The design strategies derived through basic research are to strengthen the sense of place as a cultural heritage; to respect the ecological characteristics of the site and visual harmony with the surrounding environment; and to suggest spatial programs suitable for the contemporary needs. Based on these strategies, the framework for the entire space is conceptually composed of four spaces; Oewon, Ganjeong, Jujeong, and Huwon, and proposes systematical land use and landscape experience. The main feature of this plan is the landscape approach, which aims to preserve the architectural cultural assets in their original form, but to create a reasonable land use and meaningful landscape experience based on the sense of place.

A Study on the Effect of Experience-specificity and Uncertainty on Choice in Experiential Products -From Transaction Cost Perspective- (경험재 거래의 경험특유성, 불확실성이 선택에 주는 영향에 관한 연구 -거래비용적 관점에서-)

  • Jeong, Yun-Hee;Park, JI-Yeon
    • Journal of Convergence for Information Technology
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    • v.9 no.4
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    • pp.152-159
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    • 2019
  • The purpose of this study is to investigate the effect of transaction characteristics on transaction cost and choice intention by applying transaction cost theory to experiential product. Experience-specificity, transaction uncertainty, and personal uncertainty are proposed to reflect the characteristics of experiential products, and the effects of these variables on transaction costs and transaction costs are assumed to have an influence on the choice intention. The results of this study are summarized as follows. First, experience-specificity(site, physical equipment, knowledge skill, temporal), transactional uncertainty(product-, process-), personal uncertainty (preference-, and situation-) have a significant positive effect on transaction cost. Second, transaction costs (search, comparison, examination, negotiation, payment, delivery) have a significant negative effect on the choice intention of the experiential product. The results of this study show that the increase of transaction costs can reduce the choice of experiential products and the strategic consideration of experience specificity, transaction uncertainty and individual uncertainty are required to reduce transaction costs. In addition, experiential products lacked access from a transactional and cost-based point of view, and this study contributes theoretically by compensating for the lack.