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Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy

  • Koh, Jae Chul;Kim, Do Hyeong;Lee, Youn Woo;Choi, Jong Bum;Ha, Dong Hun;An, Ji Won
    • The Korean Journal of Pain
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    • v.30 no.4
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    • pp.296-303
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    • 2017
  • Background: To achieve a prolonged therapeutic effect in patients with lumbar facet joint syndrome, radiofrequency medial branch neurotomy (RF-MB) is commonly performed. The purpose of this study was to evaluate the prognostic value of paravertebral muscle twitching when performing RF-MB in patients with lumbar facet joint syndrome. Methods: We collected and analyzed data from 68 patients with confirmed facet joint syndrome. Sensory stimulation was performed at 50 Hz with a 0.5 V cut-off value. Patients were divided into 3 groups according to the twitching of the paravertebral muscle during 2 Hz motor stimulation: 'Complete', when twitching was observed at all needles; 'Partial', when twitching was present at 1 or 2 needles; and 'None', when no twitching was observed. The relationship between the long-term effects of RF-MB and paravertebral muscle twitching was analyzed. Results: The mean effect duration of RF-MB was 4.6, 5.8, and 7.0 months in the None, Partial, and Complete groups, respectively (P = 0.47). Although the mean effect duration of RF-MB did not increase significantly in proportion to the paravertebral muscle twitching, the Complete group had prolonged effect duration (> 6 months) than the None group in subgroup analysis. (P = 0.03). Conclusions: Paravertebral muscle twitching while performing lumbar RF-MB may be a reliable predictor of long-term efficacy when sensory provocation under 0.5 V is achieved. However, further investigation may be necessary for clarifying its clinical significance.

A Systematic Review of Studies Using Video-recording to Capture Interactions between Staff and Persons with Dementia in Long-term Care Facilities

  • Kim, Da Eun;Sagong, Hae;Kim, Eunjoo;Jang, Ah Ram;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.400-413
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    • 2019
  • Purpose: The use of video-recording offers important advantages in observing and assessing the relationship between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions with the older persons with dementia and staff in long-term care facilities. Methods: We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and the residents with dementia. Quantitative research design studies (e.g., descriptive or experimental studies) were included. Results: Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts measured by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)]. Conclusion: This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationships between staff and the residents in Korean long-term care settings.

Maximizing the Selection Response by Optimal Quantitative Trait Loci Selection and Control of Inbreeding in a Population with Different Lifetimes between Sires and Dams

  • Tang, G.Q.;Li, X.W.;Zhu, L.;Shuai, S.R.;Bai, L.
    • Asian-Australasian Journal of Animal Sciences
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    • v.21 no.11
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    • pp.1559-1571
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    • 2008
  • A rule was developed to constrain the annual rate of inbreeding to a predefined value in a population with different lifetimes between sires and dams, and to maximize the selection response over generations. This rule considers that the animals in a population should be divided into sex-age classes based on the theory of gene flow, and restricts the increase of average inbreeding coefficient for new offspring by limiting the increase of the mean additive genetic relationship for parents selected. The optimization problem of this rule was formulated as a quadratic programming problem. Inputs for the rule were the BLUP estimated breeding values, the additive genetic relationship matrix of all animals, and the long-term contributions of sex-age classes. Outputs were optimal number and contributions of selected animals. In addition, this rule was combined with the optimization of emphasis given to QTL, and further increased the genetic gain over the planning horizon. Stochastic simulations of closed nucleus schemes for pigs were used to investigate the potential advantages obtained from this rule by combining the standard QTL selection, optimal QTL selection and conventional BLUP selection. Results showed that the predefined rates of inbreeding were actually achieved by this rule in three selection strategies. The rule obtained up to 9.23% extra genetic gain over truncation selection at the same rates of inbreeding. The combination of the extended rule and the optimization of emphasis given to QTL allowed substantial increases in selection response at a fixed annual rate of inbreeding, and solved substantially the conflict between short-term and long-term selection response in QTL-assisted selection schemes.

Correlations Among the Stroke Patient Family상s Health Status, Burden and of Life (뇌졸중 환자가족의 건강상태, 부담감 및 삶의 질과의 관계 연구)

  • 이경호
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.669-680
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    • 2001
  • Purpose: This study is used to investigate the correlation among a stroke patient family's health, burden and quality of life. Method: Data was collected from one hundred twenty family care-givers registered at K and H Hospital in Seoul. Questionnaire data was drawn up by personal interviews aided by the staff nurses. The analyses of collected data are based on the rate of 100 percentage to the average, t-test, ANOVA, DMR, Pearson Correlation. Result: (1) The influential factors on physical health proved to be age, sex, academic career, matrimonial status, present occupation, economic situation, the relationship with the patient, the patient-caring term, and the family-formation. The psychological health issues were age, final academic career, matrimonial status, the relation with patient and the family-formation. Burdens were shown to be age, matrimonial status, the relation with patient, and the patient-caring term. The quality of life was determined by age, final academic career, matrimonial status, and the relationship with the patient, the patient- caring term, and the family-formation. (2) The rate of the physical condition was 2.87, the psychological condition 2.43, the sense of burden 3.08, and the quality of life was 2.42. (3) The rate of correlation between the burden and the quality of life was (r= -.547), the psychological health and the burden was (r= -.531), the physical health and the burden was (r= -.263), physical health and quality of life was (r= .301), psychological health, and quality of life was (r= .413). Conclusion: It follows from this study that there is a very close correlation among the stroke patient family's health, the burden, and quality of life. Therefore it is necessary that we should find various nursing intervention ways in order to mitigate the burden of family when caring for the stroke patients.

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Research on Relationship between Urbanization and Energy Consumption (중국의 도시화와 에너지 소비 관계에 대한 연구)

  • Won, Doohwan;Jung, Sukwan
    • Journal of International Area Studies (JIAS)
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    • v.22 no.1
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    • pp.91-112
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    • 2018
  • This study examined the dynamic relationship between urbanization and energy consumption in China. As an alternative to the conventional method of having the same integration of time series and large samples, ARDL method and Toda-Yamamoto causality analysis were applied. As a result, urbanization income, income, and energy consumption have a long-term stable equilibrium. Urbanization and income have a positive effect on energy consumption in the long run, but short-term changes of urbanization and income have no significant effect on energy consumption changes. The adjusted coefficient was -0.2395, which was statistically significant. In the causality test, income and energy consumption are useful to predict each other, but urbanization is exogenous because there are no causality with other variables. Since the process of urbanization in China has been proceeding slowly and deliberately by the government, it can be seen that the long-term effects of urbanization are clear and exogenous.

A Qualitative Study on Customer Relationship-orientation in Internet Shopping Mall (인터넷 쇼핑몰 이용고객의 관계지향성에 관한 질적 연구)

  • Suh, Mun-Shik;Suh, Yong-Han
    • Journal of Global Scholars of Marketing Science
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    • v.8
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    • pp.269-290
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    • 2001
  • Customer relationship management is getting more and more important due to the recent development in Internet. Internet allows businesses to collect customers' information, to contact on individual base, and to communicate bilaterally. Much increased interest has many researchers make effort to verify effectiveness and efficiency of relationship marketing. Despite the importance of characteristics of relationship, there has been no systematic study of the uncoupling of internet shopping mall-customer. The purpose of this study is to develop a model that depicts the key variables of relationship in shopping mall-customer situation. The findings of Qualitative research indicate that on-line shopping mall customers do form a long-term orientation toward shopping malls as they do in off-line.

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Variation of the Relationship Between Arctic Oscillation and East Asian Winter Monsoon in CCSM3 Simulation

  • Wie, Jieun;Moon, Byung-Kwon;Lee, Hyomee
    • Journal of the Korean earth science society
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    • v.40 no.1
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    • pp.1-8
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    • 2019
  • Although recent reports suggest that the negative correlation between the Arctic Oscillation (AO) and the East Asian winter monsoon (EAWM) has been strengthened, it is not clear whether this intermittent relationship is an intrinsic oscillation in the climate system. We investigate the oscillating behavior of the AO-EAWM relationship at decadal time scales using the long-term (500-yr) climate model simulation. The results show that ice cover over the East Siberian Seas is responsible for the change in the coupling strength between AO and EAWM. We found that increased ice cover over these seas strengthens the AO-EAWM linkage, subsequently enhancing cold advection over the East Asia due to anomalous northerly flow via a weakened jet stream. Thus, this strengthened relationship favors more frequent occurrences of cold surges in the EAWM region. Results also indicate that the oscillating relationship between AO and EAWM is a natural variability without anthropogenic drivers, which may help us understand the AO-EAWM linkage under climate change.

Effects of Restaurants' e-Wom Characteristics on Attitude and Visit Intention: Focused on Visit Intention Over Time (레스토랑의 e-Wom 특성이 시간 경과에 따른 방문의도를 중심으로 한 태도 및 방문의도에 미치는 영향)

  • KIM, Sung-Hwan;JEON, Young-Mi;LEE, Ji-Ah
    • The Korean Journal of Franchise Management
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    • v.13 no.2
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    • pp.17-31
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    • 2022
  • Purpose: With the development of the Internet, consumers can quickly access the electronic word-of-mouth. Consumers seek to reduce uncertainty by referring to the opinions of other consumers about products and services when making purchase decisions. In the food service industry, evaluating a restaurant before an actual visitation is difficult. Therefore, electronic word-of-mouth is important to interact with the customer in restaurants. as it can be used as an exchange of information in which consumers participate and interact with other customers. This study was conducted to verify how online word-of-mouth characteristics (Consensus, Vividness, Neutrality) on attitudes and visit intention from the perspective of social exchange theory. And it was performed to verify the structural relationship between short-term visit intention, mid-term visit and long-term visit intention. Research design, data, and methodology: A survey was conducted on customers who have visited restaurants. Of a total of 312 responses, 306 responses were used, excluding insincere responses and missing values for factors analysis. SPSS 25.0 and AMOS 25.0 were used for statistical analysis, and hypothesis testing was conducted after verifying the validity and reliability of the questionnaire items. Result: The result of the analysis showed that, consensus and neutrality have a positive effect on attitude but not much on vividness. In addition, consensus, vividness, and neutrality have no effect on the short-term visit intention. Finally, the short-term visit intention has a positive effect on mid-term visit intention, and mid-term visit intention has a positive effect on long-term visit intention. Conclusions: Based on the results, this study suggested that it is necessary to have practical implications for marketing and monitoring restaurant reviews in consideration of the characteristics of electronic word-of-mouth. When managing electronic-word-of-mouth, it is necessary to manage the consensus and neutrality is essential to provide sufficient information about the restaurant. The focus should not only be on vividness, such as photos and videos. In addition, restaurants should also provide a good experience for first-time visitors as the short-term visit intention positively affects mid-term and long-term visit intention.

Predictors of Burnout among Staff in Long-term Care Facilities for the Elderly (노인장기요양보호 인력의 소진 예측 요인)

  • Lee, Choo-Jae
    • 한국노년학
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    • v.31 no.1
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    • pp.97-109
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    • 2011
  • The purpose of this work is to examine how work stressors are related to the burnout among staff in long-term care facilities for the elderly. This study offers some responses to a growing stress and burnout for the long-term care workers. The demand for long-term care workers is set to rise in light of an increasing share of older people and dependent elderly. Long-term care workers provide long-term care services to persons with a reduced degree of functional, physical or cognitive capacity. Cross-sectional survey data were collected from 216 staff in long-term care facilities. The standardised Maslach Burnout Inventory(MBI) was used to assess levels of burnout in long-term care workers. The MBI consists of 22 items using a 5-point Likert scale, measuring three sub-scales of burnout; Emotional exhaustion, Depersonalization, and Personal accomplishment. Data were analyzed using regression. This study is empirically tested the degree of association between burnout and its antecedents. The majority of differences in burnout could be explained by work stressors such as client relationship, job overload, job role conflict, and conflicts with clients' family. The study also identified workers' perceptions of their image in society and emotional support as predictors of burnout. Therefore long-term care facilities are encouraged to review their practices so that workers well-being is supported. The study findings suggest attention for organizational oriented initiatives to cope with burnout.

The Effects of MTO's Marketing Activity Factors on Relationship Continuity under Transactional Types (복합운송주선업의 마케팅활동이 거래유형에 따라 대하주 거래관계의 지속성에 미치는 영향)

  • Lee, Jung-Sae
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.3
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    • pp.225-236
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    • 2008
  • This study is to evaluate the influence of relationship marketing and identify empirically the important factors which affect relationship continuity between multimodal transport operators and shippers. The empirical findings of this research are, MTO's marketing activity factors which consist of customers' contact intensity, relationship-oriented factors, positively affects relationship continuity such as revisit intention and word-of-mouth communication. As a result, relationship marketing activities are essential to the market strategy of MTO for continuous and stable growth. Also, on condition of transactional types, On-line transaction has an effect of customer switching, but there is no different effect in case of service type. Accordingly, international MTO in domestic need to develop various relationship marketing programs such as a special program for enhancing the continuity, an event for long-term customers and training program should be implemented and enforced to elevate qualify of the service encounter.

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