• Title/Summary/Keyword: Post Management

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Aggravation and Relief after Surgical Resection of Post Infectious Pneumatocele in Very Low Birth Weight Infant

  • Min, Dong-Eun;Choi, Yong-Sung;Kim, Soo-Cheol
    • Perinatology
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    • v.29 no.4
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    • pp.175-179
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    • 2018
  • Pneumatocele (PC) is a thin-walled cyst of the lung that can occur at all ages and with various etiologies. However, there is no fully accepted consensus for the management of PC in a neonatal intensive care unit. Although the management of PC is generally expectant, it is difficult to decide how long conservative management should be maintained, especially under Korea's medical care environment and the parents' worry and anxiety. We report a male neonate, born at $27^{+5}weeks$ gestation, weighing 1,000 g, who had a post infectious PC caused by methicillin-resistant Staphylococcus aureus sepsis. We treated conservatively for about 100 days (roughly 14 weeks), but unfortunately after a few days of chest retraction, acute exacerbation occurred, video assisted thoracoscopic surgery (VATS) was deemed necessary and performed. The purpose of this publication is to describe the clinical course, aggravation and relief after VATS management with a review of the literature.

THE MODULES ADVENCEMENT TO DEVELOP PMIS INTO FMS IN THE CASES OF MEDICAL FACILITIES

  • Jong-Soon Park;Byeong-Gi Yoo;Kyung-Mi Hyun
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.1328-1333
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    • 2009
  • On the construction area, Information Technology (IT) has been a considerably significant part over the all phases; plan, design, procurement, construction and post-construction. For example, CALS, CITIC, PMIS, FMS, BIM and etc, designed and applied for managing construction industry are already valuable to improve on the Construction Management (CM). To develop these management methods, lots of mixed-systems are studied and progressed so far. In this paper, more useful and efficient system modules are proposed through investigating PMIS cases implemented, especially medical projects, to improve into FMS on the post-construction. Because most PMIS on the construction phase is used not to continue as FMS, considerable cost and time is consumed to rebuild the system, even both systems have common modules. As these wastes are faced to design systems, the important modules on PMIS are derived and analyzed to apply to FMS to save time and cost on CM.

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The Evaluation and Treatment of Post-Traumatic Stress Disorder and Acute Stress Disorder After Traumatic Brain Injury (외상성 뇌손상이후 발생하는 외상후 스트레스장애와 급성스트레스 장애의 평가 및 치료)

  • Park, Ki-Chang
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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    • pp.193-204
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    • 1995
  • Traumatic brain injury(TBI) used to be developed after a severe traumatic event. Therefore TBI usually induces acute or chronic stress reaction. I reviewed the concept, epidemiology, biological or psychosocial etiology, diagnosis and treatment of post-traumatic stress disorder (PTSD), and discussed about PTSD or stress reaction after TBI. Early evaluation and management of stress reaction after TBI are important.

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Management and Operation of Apartment Community Facilities and Post Occupancy Evaluation - Focused on the R Apartments Complex in Daegu - (아파트 단지 내 커뮤니티 시설의 운영 실태와 거주 후 평가 - 전문관리자 운영의 대구 R아파트 단지를 중심으로-)

  • Kang, Soon-Joo
    • Journal of the Korean housing association
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    • v.21 no.4
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    • pp.111-120
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    • 2010
  • This study examines the effectiveness of a new community facility operation and management system that were implemented by one of the major construction companies. This system was an unprecedented approach in a sense that it provided not only necessary facilities but also a specialized management staff, an operational manual, and a subsidy for various programs. According to POE conducted among the residents, it can be concluded that the residents' satisfaction will be increased under the following conditions; 1) when a program manual associated with the community facility is provided, 2) when there is a professional staff who can coordinate various programs effectively, 3) when the facilities are well designed in accordance with the program requirements, 4) when the users adhere to regulations and management standards, 5) when all three components- i.e. facility, people and programs- are well coordinated, and 6) when affordable user fees are charged. This research assures that professional management staff and well-planned management system play a significant role in the enhancement of the residents' satisfaction as well as vitalizations of the community.

Fuel Management in Ghana's Tropical Forests: Implications on Implementation Cost, Fuel Loading and Fire Behaviour

  • Barnes, Victor Rex;Swaine, Mike D.;Pinard, Michelle A.;Kyereh, Boateng
    • Journal of Forest and Environmental Science
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    • v.36 no.4
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    • pp.298-310
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    • 2020
  • Fuel management can play enormous role in fire management in tropical dry forests. However, unlike the temperate forests, knowledge on implications of different fuel management methods in tropical forests is often inadequate. In this study, the implications of prescribed burning and hand thinning treatments on implementation cost, fuel loading and post-treatment fire behaviour were tested and compared in degraded forests and teak plantations in two forest reserves of different levels of dryness in Ghana. The study found that prescribed burning was less expensive (62.02 US Dollars ha-1) than hand thinning (95.37 US Dollars ha-1). The study also indicated that the two fuel management methods were able to reduce fuel loading in degraded forests and teak plantations. However, prescribed burning was more effective in reducing fuel loading than hand thinning. While the relative change of fuel reduction was 13% higher in prescribed burning than the hand thinning in degraded forest, it was 41% higher in prescribed burning than hand thinning in teak plantations. The fire behaviour of post-treatment experimental fire was also lower in prescribed burning than the hand thinning and control plots. Fuel management, therefore, has a great potential in fire management in degraded forests and teak plantations in Ghana.

Effectiveness of Center for Child-Care Foodservice Management for Menu Management and Dietary Variety (어린이급식관리지원센터 지원에 대한 효과 평가: 메뉴관리 및 식사다양성)

  • Kim, Hye-Young;Yang, Il-Sun;Chae, In-Sook;Yi, Bo-Sook;Park, Moon-Kyung;Kim, Ha-Young;Kang, Tae-Seok;Leem, Dong-Gil;Lee, Jin-Ha;Lee, Hae-Young
    • Korean Journal of Community Nutrition
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    • v.18 no.3
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    • pp.243-256
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    • 2013
  • The purpose of this study was to evaluate the effectiveness of Centers for Child-care Foodservice Management (CCFSM)'s support on menu management in child-care centers and kindergartens by comparing two perspectives of pre-support vs. post-support and established vs. non-established. To evaluate dietary variety, we used methods that considered both Dietary Diversity Score (DDS) and Dietary Variety Score (DVS). For surveying pre-support and post-support state by CCFSM, we collected and analyzed menus of June and September, 2012, targeting 7 CCFSM supported institutions. Meanwhile, for surveying state in CCFSM established and non-established areas, we collected and analyzed menus of June, 2012, which were implemented in institutions in CCFSM established (181 places) and non-established (106 places) areas. The results of evaluation on the dietary support by CCFSM showed that post-supporting state by CCFSM (95.3%) was significantly higher than pre-supporting state (77.2%) (p < 0.001) and established areas (87.4%) were significantly higher than non-established ones (77.2%) (p < 0.05) on 'Meeting the DRI for infant'. Evaluation of dietary variety between pre- and post-support state by CCFSM showed that post-support state (total 77.3 point) was higher than pre-support state (total 76.4 point). Evaluation of dietary variety between established and non-established areas showed that established areas (total 81.1 point) were significantly higher than non-established ones (total 77.1 point) (p < 0.001). Therefore, it is considered that dietary support service conducted by CCFSM contributes to improve variety level of diet provided by child-care centers and kindergartens.

Marital Quality, Barriers to Divorce, Everyday Stress and Post-Divorce Adjustment : Focused on Gender Differences (결혼의 질, 이혼 장애 요인, 일상생활 스트레스와 이혼 후 적응)

  • Son Jeong-Yeon;Han Gyoung-Hae
    • Journal of Families and Better Life
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    • v.24 no.1 s.79
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    • pp.83-102
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    • 2006
  • The purpose of this study is to examine the effects of the divorce process on post-divorce adjustment. This study specifically examines the effects of the pre-divorce marital quality, perceived barriers to divorce at the time of considering divorce, and the level of everyday stress after divorce on post-divorce adjustment of men and women focused on gender differences. Data gathered from 147 men and 208 women living in Seoul and Gyeonggi province were analyzed for this study. The major findings are as follows. First, pre-divorce marital quality, perceived barriers to divorce at the time of considering divorce, and the level of everyday stress after divorce, have both positive and negative effects on post-divorce adjustment of divorced men and women depending on the stages of divorce process. Second, the relationship between various aspects of divorce process and adjustments differ according to the sub-dimension of post-divorce adjustment. Third, divorce process functions differently for divorced men and women. The results show the importance of considering the divorce process, including both pre-divorce and post-divorce circumstances in order to have a good understanding of post-divorce adjustment of men and women.

Post-traumatic Stress Experienced by Firefighters and Paramedics (소방공무원의 외상 후 스트레스 경험)

  • Lee, Na Yoon;Hah, Yang Sook
    • Perspectives in Nursing Science
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    • v.9 no.2
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    • pp.83-93
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    • 2012
  • Purpose: The purpose of this study was to describe the post-traumatic stress experiences of firefighters and paramedics. Methods: The participants were 20 fire fighters and paramedics who belong to the Busan Fire Department. Data were collected through in-depth, unstructured audio-taped interviews by the investigator over a six-month period. The participants were asked to describe their post-traumatic stress. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 7 categories that emerged from the analysis. Participants faced various post-traumatic stresses working as fire fighters or paramedics. The categories were suffering from disastrous situations, feeling of fear and helplessness in the face of death, re-experiencing vividly the past traumatic situation, avoiding painful reminders of the trauma, emotional numbing as time passes, suffering from emotional arousal and increased anxiety, and struggling to cope with the post-traumatic stress. Conclusion: This study provides a better understanding of post-traumatic stress experiences from fire fighters and paramedics and the knowledge gained from this study will help in developing appropriate post-traumatic stress management programs.

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Comparing Effects of Tai Chi Exercise, Tai Chi Self-help Program, and Self-help Management Program for Osteoarthritis Patients (골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교)

  • Cho, Kyung-Sook;Kang, Hyun-Sook;Kim, Jong-Im;Bak, Won-Sook;Song, Rha-Yun;Ahn, Yang-Heui;Lim, Nan-Young;Lee, In-Ok;Choi, Sun-Ha;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.77-84
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    • 2007
  • Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

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The Study on the Domestic Printing Products Quality Administration for Export (수출(輸出)을 위한 국내(國內) 인쇄물(印刷物) 품질관리(品質管理)에 관(關)한 연구(硏究))

  • Ha, Young-Baeck;Choi, Jae-Hyuk;Oh, Sung-Sang
    • Journal of the Korean Graphic Arts Communication Society
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    • v.27 no.1
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    • pp.107-118
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    • 2009
  • The printing industry is getting more digitalized and integration. It has enabled the interactive information and networking from Pre-Press, Press, to the Post-Press. These are efficient management and the improved process and productivity are getting more important. Such trends improved in the functionality and automation. This paper tries to find out how technology for CIP3/4-based process may be applied and resolved. Such subject includes the domestic and international cases regarding each manufacturer's CIP3/4 technology types. Another purpose is to emphasize on the needs to establish the environment. Under this environment, it is possible to integrate network in exchangeable form through JDF standard format after CIP3/4. Based on the data from this study, it is expected to collect further substantial data which is related to the domestic printing company's CIP4 operation. It will be also possible to perform subsequent studies on the proper variables of the market segment. CIP4 stands for "International Cooperation for Integration of Prepress, Press and Post-press, it is an association of around forty international companies, mostly manufacturers of prepress, press and post-press, as well as suppliers and users. In this paper, we studied on the acting application of CIP4 workflow.

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