• Title/Summary/Keyword: Recovery Factors

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The Effects of Social Support and Recovery Resilience on Self Care Behavior among the Elderly with Hypertension in the Senior Welfare Center (노인복지회관을 이용하는 고혈압 노인의 사회적 지지와 회복탄력성이 자가간호행위에 미치는 영향)

  • Park, Se Jung;Kim, Seonho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.182-191
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    • 2019
  • The purpose of this study was to identify correlation among social support, recovery resilience, and self-care behavior among the elderly with hypertension, as well as to clarify factors that affect self-care behavior. This was a descriptive study conducted with 183 hypertensive seniors over age 65 from three different senior welfare centers in C region. Data of this study were collected from Aug 20-31, 2018. T-test, ANOVA, Pearson's coefficient, and stepwise multiple regression were used for analysis. As a result, the mean score of social support was $3.79{\pm}0.78$ out of 5, recovery resilience was $4.10{\pm}0.71$ out of 5, and self-care behavior was $3.93{\pm}0.51$ out of 5. Self-care behavior had a statistically significant positive correlation with social support(r=.204, p<.001) and recovery resilience(r=.405, p<.001). Factors influencing Self-care behavior were recovery resilience(${\beta}=.36$, p<.001) and regularity of exercise(${\beta}=.17$, p=.019). These factors explained 18.9% of self-care behavior(F=21.02, p<.001). The study results indicate that recovery resilience and regularity of exercise are critical factors affecting self-care behavior among the elderly with of hypertension. Therefore, to promote self-care behavior among the hypertensive seniors, regular exercise must be advised and the development and evaluation of nursing interventions that can improve recovery resilience may be necessary.

Recovery Techniques for Memory Resident Databases (메인 메모리 상주 데이터 베이스 회복 기법)

  • Kim, Sang-Wook;Lee, Heon-Gyil;Kim, Yong-Seok
    • Journal of Industrial Technology
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    • v.15
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    • pp.51-62
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    • 1995
  • Databases can crash due to various failures in computer systems. Recovery is a mechanism for restoring consistent data from damages caused by the by the failures and is an essential feature in database systems. This paper surveys recovery techniques for memory resident database systems. We first describe the basic architecture for memory resident database systems, and point out the main factors affecting their performance enhancement. Next, we explain the write-ahead logging(WAL), a recovery technique widely-used in most disk resident database systems, for easy understanding of basic recovery mechanisms. And then, we discuss some new concepts employed in memory resident database systems recovery. Finally, we present a representative memory resident database recovery technique, which is based on a special purpose hardware called HALO, as a case study.

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The Management Factors of Medical Expenditure Reduction and Recovery of Hospital Health Insurance Department (의료기관 진료비 삭감율 및 이의신청 회수율과 관련되는 관리요인)

  • Park, Hyun-Suk
    • Korea Journal of Hospital Management
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    • v.13 no.4
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    • pp.46-75
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    • 2008
  • Main objective of this study is to investigate the factors that affect the reduction and recovery rate of hospital health insurance review departments of Korean tertiary hospitals, general hospitals and hospitals. A nationwide mail survey was conducted through structured questionnaire for chiefs and members of health insurance review departments of 178 hospitals, and data from 1,064 respondents were utilized in the final analysis. Major findings are as follows: 1) Monthly average reduction rate of surveyed hospitals was 1.18% for inpatients and 0.56% for outpatients. Also, average recovery rates from protests were 45.7% and 53.6%, respectively. 2) Average ages of health insurance review department employees were 41.5 for chiefs and 34.9 for members, and their average working period was 6.64 years. 69.1% of the respondents felt stress in their jobs, and they suggested 'communication problems with doctors' along with 'heavy workloads' as major reasons for the stress. 3) Reduction rates decreased and recovery rates increased when separate member in charge was assigned to each medical department, when health insurance review departments periodically provided medical parts with related education, and when the members participated in various committees.

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Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms (마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향)

  • Kim, Jin Joo;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.164-174
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    • 2020
  • Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

The Effect of Premorbid Demographic Factors on the Recovery of Neurocognitive Function in Traumatic Brain Injury Patients

  • Jeon, Ik-Chan;Kim, Oh-Lyong;Kim, Min-Su;Kim, Seong-Ho;Chang, Chul-Hoon;Bai, Dai-Seg
    • Journal of Korean Neurosurgical Society
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    • v.44 no.5
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    • pp.295-302
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    • 2008
  • Objective: Premorbid demographic backgrounds of injured individuals are likely to reflect more accurately the status of patients with traumatic brian injury (TBI) than clinical factors. However, the concrete study about the relationship between the demographic factors and neurocognitive function in TBI patients has not been reported. The object of this study was to evaluate the effect of premorbid demographic factors on the recovery of neurocognitive function following TBI. Methods: From July 1998 to February 2007, 293 patients (male: 228, female: 65) with a history of head injury, who had recovered from the acute phase, were selected from our hospital to include in this study. We analyzed the effect of premorbid demographic factors including age, sex, educational level and occupation on the recovery of neurocognitive function in each TBI subgroup as defined by Glasgow Coma Scale (GCS) score. Intelligence and memory are components of neurocognitive function, and the Korean Wechsler Intelligence Scale (K-WAIS) and the Korean memory assessment scale (K-MAS) were used in this study. The results were considered significant at p<0.05. Results: The higher level of education was a good prognostic factor for intelligence regardless of GCS score and younger age group showed a better result for memory with an exception of severe TBI group. In the severe TBI group, the meaningful effect of demographic factors was not noted by the cause of influence of severe brain injury. Conclusion: The demographic factors used in this study may be helpful for predicting the precise prognosis and developing an appropriate rehabilitation program for TBI patients.

Quantitative Analysis of Elastic Recovery Behavior after Bending of Ultra High Strength Steel Sheet: Spring-back or Spring-go (유한요소법을 이용한 초고강도 판재 굽힘에 따른 후변형의 정량적 분석: Spring-back or Spring-go)

  • Kwak, E.J.;Lee, K.;Suh, C.H.;Lim, Y.H.
    • Transactions of Materials Processing
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    • v.20 no.6
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    • pp.456-460
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    • 2011
  • A major source of difficulty in die design for high strength steel is the high level of elastic recovery during unloading. The degree of elastic recovery is affected by factors such as material strength, bending angle, punch's corner radius and sheet thickness. Finite Element Method was used in the present work to quantitatively analyze the elastic recovery for various combinations of these parameters. In some cases elastic recovery happened in reverse direction. This phenomenon, which we call spring-go, was explained via changes in stress distribution in the panel occurring in the forming process.

A Study on Urinary Trans, Trans-Muconic acid, Hippuric acid of gas station worker according to the use of gasoline vapor recovery system (유증기 회수설비 유무에 따른 주유소 근로자들의 요중 trans, trans-Muconic acid, Hippuric acid에 관한 연구)

  • Choi, Jaejun;Won, Jong-Uk;Kim, Chi-Nyon;Roh, Jaehoon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.2
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    • pp.152-159
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    • 2014
  • Objectives: This study aims to investigate the excretion aspect of urinary t, t-MA and hippuric acid by measuring concentrations of urinary metabolites according to the use of gasoline vapor recovery system. Materials:In order to analyze urinary metabolites, samples from the 23 gas station workers ten gas stations in the Seoul and Gyeonggi Province area were collected once daily after work. In addition, a survey was conducted on work factors and lifestyle habits as factors affecting the concentration of urinary metabolites. Results: The average concentrations of t, t-MA and hippuric acid after work were $0.124{\pm}0.177mg/g$ creatinine and $0.557{\pm}0.251g/g$ creatinine among workers at gas stations where gasoline vapor recovery systems were installed. The average concentrations of t, t-MA and hippuric acid were $0.160{\pm}0.113mg/g$ creatinine and $0.682{\pm}0.619g/g$ creatinine among workes at gas stations where gasoline vapor recovery systems were not installed. Average concentrations were higher at gas stations where a gasoline vapor recovery system was not installed, but the differences were not statistically significant differences. Urinary t, t-MA and hippuric acid average concentrations of smokers and non-smokers were higher in the gas stations where gasoline a vapor recovery system was not installed. T, t-MA as a factor evaluation affecting the concentration of urinary metabolites was not statistically significant in all factors, while hippuric acid was statistically significant only for age(p=0.024). Conclusions: The average concentrations of urinary t, t-MA and hippuric acid were higher in gas stations where gasoline vapor recovery systems were not installed compared to gas stations where such a system was installed. There needs to be an assessment of biological monitoring according to refueling activity considering skin absorption of benzene and toluene and presence of gasoline vapor recovery system.

An Analysis of Clinical Prognosis Factors of Bell's Palsy (Bell's Palsy의 경과에 대한 예후인자 분석)

  • Min, Young-Kwang;An, Chang-Beohm;Jang, Kyung-Jun;Yoon, Hyun-Min;Kim, Cheol-Hong;Song, Choon-Ho;Kim, Soo-Min;Kim, Jeong-Eun;Park, Jae-Heung
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.163-177
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    • 2008
  • Objectives : This study was designed to evaluate clinical prognosis factors of Bell's palsy patients. Methods : The 100 subjects were chosen from 262 patients over 20years old who was diagnosised Bell's palsy through Acupuncture & Moxibustion and ENT medical specialist after visiting the hospital within 8days of onset of peripheral facial palsy and after Oriental-Western Medicine Treatment, recovered completely or had over three months cares because of incomplete recovery Oriental-Western Medicine Treatment included Acupuncture Treatment, Herb med treatment, medicines treatment, Physical therapy and Electrodiagnostic Test was operated after 7 to 10days after outbreaks of the disease. Clinical prognosis factors were analyzed using House-Brackmann grading system(HBGS) as a measurement of the degree of Facial Palsy. Collected data were analyzed as Chi-Square test, ANOVA test, Independent-Samples t-test regression analysis using SPSS 12.0 WIN Program. Results : 1. There was a significant difference in the results of treatment according to site of palsy, degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset as clinical prognosis factors of Bell's Palsy, However, a statistically significant difference was not shown in the results of treatment according to gender, age, existence of Post Auricular Pain, Hypertension, Diabetes and existence of relapse. 2. As a result of overall treatment, 85% of patients were recovered almost entirely and 15% were not recovered completely. 3. There was a significant difference in the onset of Post Auricular Pain and duration of Post Auricular Pain according to the degree of Post Auricular Pain. 4. There was a significant difference in the degree of initial palsy and degree of palsy after 3weeks from onset according to the existence of Post Auricular Pain. However, a statistically significant difference was not shown in the period of time until initial treatment, The time of initial recovery, (H-B), The period from onset to recovey, ENoG value. Conclusions : Based on the above results, prognosis of Bell's palsy was affected by degree of initial palsy, time of initial recovery and existence of recovery after 3weeks from onset.

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Risk and protective factors affecting sensory recovery after breast reconstruction

  • Bae, Jae Young;Shin, Ha Young;Song, Seung Yong;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.48 no.1
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    • pp.26-32
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    • 2021
  • Background Although loss of sensation in patients with breast cancer after mastectomy followed by breast reconstruction is an important factor affecting patients' quality of life, the mechanism of sensory recovery is still unclear. Our study aimed to identify variables that affect sensory recovery, especially pain, in reconstructed breasts. Methods All patients with breast cancer who underwent mastectomy followed by immediate breast reconstruction, including nipple reconstruction or areolar tattooing, were included in this study. Sensation was evaluated in the nipple as an endpoint of sensation recovery of the whole breast. Patients rated pain severity using a 3-point verbal rating scale (VRS): grade 0, no pain; grade 1, mild to moderate pain; and grade 2, severe pain. The VRS was assessed by a single experienced plastic surgeon. Results In the univariate analysis, the odds ratio (OR) for sensation recovery was 0.951 for age (P=0.014), 0.803 for body mass index (P=0.001), 0.996 for breast volume before surgery (P=0.001), 0.998 for specimen weight after mastectomy (P=0.040), and 1.066 for the period between mastectomy and sensory assessment (P=0.003). In the multivariate analysis, the variables that showed a significant effect were age (OR, 0.953; P=0.034), the period between mastectomy and sensory assessment (OR, 1.071; P=0.006), and reconstruction using abdominal tissue instead of prosthetic reconstruction (OR, 0.270; P=0.004). Conclusions Based on our results, it can be inferred that aging has a negative impact on the recovery of sensation, breast sensation improves with time after surgery, and the recovery of sensation is better in prosthetic reconstruction.

The Comparative Analysis of the Reasons for Decreases in Marin Fishery Resources Based on AHP & duster Analysis (AHP - 군집분석을 이용한 주요어종의 자원감소 원인 비교분석에 관한 연구)

  • Park, Cheol-Hyung;Lee, Sang-Go
    • The Journal of Fisheries Business Administration
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    • v.40 no.3
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    • pp.127-146
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    • 2009
  • This study is to estimate the factor weights of the reasons for decreases in marine fishery resources using the Analytical Hierarchy Process. Furthermore, it classifies 20 fishes under a fishery resource recovery plan into various groups of fishes according to these factor weights using the non-hierarchial cluster analysis. The factors of decreases in marine fishery resources are identified as bio-ecological, technology-system, economic-business, and fishing village-society factors. Two of the most important factors of decreases in resource are turned out to be the economic-business and bio-ecological factors, estimated as 31% and 30% respectively. The technology-system and fishing village-society factors are estimated as 21% and 18% respectively. The study utilizes non-hierarchical cluster analysis in order to classify 20 fishes into 2, 3, and 4 groups. K-means cluster analysis is applied for grouping in conjunction with ANOVA to identify statistical differences in factors. Once again, the economic-business and bio-economic factors play main role in grouping 2-groups of fishes case. The third group of fishes in addition to the previous 2 groups of fishes appears as those 4 factors of decrease evenly play about the same role at a 3-groups of fishes case. Finally, the economic-business and bio-economic factors are turned out to be evenly important in the 4th group once there are 4-groups of fishes.

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