Background: To determine the reasons and factors that contribute to the cancellations of shoulder surgeries at a tertiary referral center and to analyze the characteristics of these patients. Methods: Patients scheduled for shoulder surgery from June 2017 to July 2019 were allocated to a surgery group (n=224) or a cancellation group (n=96). These groups were compared with respect to patient characteristics, types of surgery, distance from patient's home to the hospital, traveling time to the hospital, and waiting period before surgery. Reasons for cancellation and responses were acquired using a telephone interview and were subsequently analyzed. Results: The cancellation group was older, had a less frequent history of trauma, and had a lower proportion of patients undergoing arthroscopic rotator cuff repair than the surgery group (p=0.009, p=0.014, and p=0.017, respectively). In addition, mean distance from the patients' homes to the hospital and preoperative waiting time were both longer in the cancellation group (p=0.001 and p<0.01, respectively). The most common reason given for cancellation was another medical condition (28.1%). Conclusions: Older age, need for arthroscopic rotator cuff repair surgery, longer distance from the patient's home to the hospital, and longer waiting period significantly increased the chance of cancellation. The main reason for canceling surgery was a concurrent medical condition. Therefore, identification of other medical conditions in advance is an important consideration when surgeons recommend shoulder surgery to patients. Surgeons should also consider patient's age, type of surgery, distance from the hospital, and waiting time when assessing the possibility of surgery cancellation.
Moist curing of concrete is a time consuming procedure. It takes minimum 28 days of curing to obtain the characteristic strength of concrete. However, under certain situations such as shortage of time, weather conditions, on the spot changes in project and speedy construction, waiting for entire curing period becomes unaffordable. This situation demands early strength of concrete which can be met using accelerated curing methods. It becomes necessary to obtain early strength of concrete rather than waiting for entire period of curing which proves to be uneconomical. In India, accelerated curing methods are used to arrive upon the actual strength by resorting to the equations suggested by Bureau of Indian Standards' (BIS). However, it has been observed that the results obtained using above equations are exaggerated. In the present experimental investigations, the results of the accelerated compressive strength of the concrete are used to develop the regression models for predicting the short term and long term compressive strength of concrete. The proposed regression models show better agreement with the actual compressive strength than the existing model suggested by BIS specification.
Purpose: The aim of this study was to compare the levels of anxiety, depression, and quality of life (QOL) among kidney or liver transplant candidates and recipients. Methods: A cross-sectional descriptive design was utilized. The 160 subjects were recruited and assigned to three different conditions: awaiting transplant group; post-transplantation (TPL) group within less than one year of surgery; and post-TPL group with one year and no more than two years post surgery. The levels of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. The level of quality of life was measured by the Medical Outcomes Study Short Form-36 version 2. Results: The anxiety score was significantly higher in the waiting group compared with the 1~2 years post TPL group. The depression score was significantly higher in the waiting group compared with the post TPL groups. The QOL was significantly lower in the waiting group compared with the post TPL groups. Conclusion: Our results show a high prevalence of anxiety and depression and a marked reduction in the QOL in transplant candidates compared to the recipients. This study indicates that the group waiting for transplants may have unmet needs during that time period. Health professionals should be encouraged to attend to the psychological distress of the transplant candidates in order to improve their quality of life.
The Journal of the Institute of Internet, Broadcasting and Communication
/
v.16
no.5
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pp.7-12
/
2016
In general, crowded places, such as banks, government offices and hospitals, require the customer to wait for a certain period of time. Thus according to the order of the wait, customers takes waiting numbers. In this way, so customers should always check the order of waiting processes that they can not carry on another affairs. In this paper, we develop an application, that is SmartQ, managing queue using a mobile handset. SmartQ is an easy-to-use application allowing customers an alternative to the classic queue management systems. With this application, they are aware of the waiting conditions in real time for each of their services. They can indicate the time they wish to come and take a virtual ticket in the queue. It provides service notification, the number of waiting person, and expected waiting time.
We aimed to identify the biological factors during the voluntary waiting period (VWP) that are associated with subsequent reproductive performance in dairy cows. Two hundred and one pregnant dairy cows had their body condition score (BCS) evaluated and blood samples taken 4 weeks before calving, at calving, and 1, 2, 4, 6, and 8 weeks after calving, to measure serum metabolite and progesterone concentrations. In addition, any peri- and postpartum disorders within 4 weeks of calving, and the mean milk yields 4 and 8 weeks postpartum, were recorded. The cows were allocated to two groups according to whether they had become pregnant or not by 120 days after calving: a pregnant group (n = 50) and a non-pregnant group (n = 151). Analyses of serum metabolite concentrations showed that the aspartate aminotransferase and γ-glutamyltransferase activities 2 weeks (p < 0.05) and the non-esterified fatty acid concentration 6 weeks (p < 0.01) postpartum were higher in the non-pregnant than in the pregnant group. However, the albumin concentrations between 2 and 8 weeks and the total cholesterol and magnesium concentrations between 4 and 8 weeks postpartum were lower in the non-pregnant group (p < 0.05). The BCS (p < 0.05) and percentages of cows that had resumed cyclicity (p < 0.001) by 6 and 8 weeks postpartum were higher in the pregnant than in the non-pregnant group, whereas the incidence of peri- and postpartum disorders was higher in the non-pregnant group (p < 0.05). In conclusion, high serum enzyme activities, which imply liver damage, imbalances in energy metabolites and magnesium, and a higher incidence of peri- and postpartum disorders, are associated with poorer reproductive performance, whereas high BCS and early resumption of cyclicity during the VWP are associated with superior reproductive performance in dairy cows.
Journal of Korean Classical Literature and Education
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no.33
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pp.121-152
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2016
The purpose of this study is to illustrate the history of the Cheonsu-Temple天壽寺 and to describe the echo verse poem trend with regard to 'Waiting'待人 and why it is beautiful. The Cheonsu-Temple was located in the outskirts of Gaesung開城, the capital city during the Corea高麗 Dynasty. However, the temple was destroyed when the dynasty collapsed. Cheonsu-Station天壽院 was built amidst the temple ruins, as the temple was an important traffic point. The Cheonsu-Pavilion天水亭 was built in 1476 by Yi-Ye李芮 in the station's neighborhood. The station and the pavilion were completely ruined during the 17th century. Many poets visited the Cheonsu-Temple and composed poems in the latter part of the Corea Dynasty. 'Waiting'待人, written by Choi-Sarip崔斯立, -is the most famous work. Following this work, many poets composed echo verse poems 'Waiting' work that represented the anxiety of waiting for an old friend in front of the Cheonsu-Temple. The following is a highlighted verse: So many people who look like the old friend come to me, but it turned out no one was the man. This work is very picturesque. Over twenty echo verse poems 'Waiting' are categorized in three periods. They compared the "present" to the past by using the Zhenglingwei丁令威 origin from the former Joseon朝鮮 period. In the middle of Joseon period, Jungjong中宗 visited Cheonsu-Station and composed an echo verse poem 'Waiting'. The official literaries also composed poems there. In their works, they presented the collapse of the Corea Dynasty as inevitable and the construction of Joseon Dynasty as something reasonable. Cheonsu-Station was ruined in 17th century, followed after by the ruin of the Cheonsu-Pavilion. It appears that the echo verse poems to 'Waiting' in the latter Joseon period represented the ruin of the Cheonsu-Temple, the Cheonsu-Station, and the Cheonsu-Pavilion.
Yu, Mi Seon;Park, Hye Soon;Park, Hyoun Jung;Kim, Ji Hwa;Kim, Hee Jeoung;Kim, Sun Young
Quality Improvement in Health Care
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v.5
no.1
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pp.28-40
/
1998
Background : Many patients have been frequently complaining that they have to spend couples of hours in hospital on visiting outpatient clinic. Among several steps, two major time consuming steps were waiting to see a doctor and/or waiting at pharmacy to get medicine. Therefore not only to provide the proper guidance for medication or counseling on health affairs but also to make waiting time short is very important for the better hospital services. The aim of this study is to validate several time-saving processes to reduce waiting time at outpatient pharmacy and its efficacy. Methods : We surveyed the time interval actually taken to receive medicine after issuing prescription by doctors, and analyzed the data on the bases of relevant or possible causative factors. Then following processes were given to reduce waiting time and resurveyed and compared both data to validate efficacy of those processes : 1. No work-off on Monday and Tuesday 2. Work hour shift to start 30 minutes earlier 3. Changeable work shift between outpatient pharmacy and ward pharmacy according to work load 4. Use of pre-made medicines prescribed more frequently by certain doctors at certain time 5. Cooperation with doctors to use set prescriptions. Results : Before the process, mean waiting time at pharmacy was 29.2 minutes and most time consuming period was from noon to 1 PM, 3 to 4 PM, 1 to 2 PM in order of frequency. Only 37.7 % of patients could get the medicine within 20 minutes. Three times of surveys after process showed mean waiting time at pharmacy were 18.1 minutes, 19.0 minutes, and 17.6 minutes, respectively. And 72.7 %, 81.3%, and 82.2% of patients could get the medicine within 20 minutes. Conclusion : The mean waiting time was markedly reduced with above mentioned processes which applied intradepartmently event hough with little cooperation from other department. Consequently, the complaints of patients were decreased with increasing the satisfaction degree. In conclusion, those suggestions were recommanded to improve the degree of satisfaction of patients.
Jeong, Sang Soon;Chung, Hyun-Tai;Paek, Sun Ha;Kim, Dong Gyu
Quality Improvement in Health Care
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v.8
no.1
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pp.74-83
/
2001
Background : Since a Gamma Knife had been installed on December 1997, 405 patients have been treated until December 1999 at department of neurosurgery of Seoul National University hospital. The authors analyzed results of a work to improve satisfaction of Gamma Knife surgery patients and to reduce hospital length of stay. Methods : To understand main discontent of patients, a pre-survey was performed from October 1998 to December 1999 using a questionnaire. By Analyzing 93 questionnaire received from 234 patients, pain on frame application, explanation before surgery, waiting time before surgery, waiting time before medical procedure were main discontent factor and overall satisfaction ratio was 71.0%. To improve satisfaction ratio, several quality improvement activity works were designed and applied to 123 patients during the period between January 2000 and September 2000. The same questionnaire were analyzed. Works to reduce the patient hospital LOS were devised and applied during the same period. Results : The overall satisfaction ratio of Gamma Knife radiosurgery patients was increased to 83.7%(P=0.10). The main factor to improve satisfaction ratio was to reduce waiting time(P=0.05) and improvement of discomfort during the surgery(P=0.06). The average LOS was reduced from 3.1 to 2.7 days(P=0.003). Conclusion : As a result of quality assurance activities, the overall satisfaction ratio of patients was improved and LOS was reduced. The pain during frame application was remained as a main discontent factor and a further study is required to reduce this pain.
The purpose of this study is to examine the Marriage Preparation and Preservation Act adopted in Florida which require premarital counseling and covenant marriage laws of Louisiana and Arizona among many kinds of family policy which recently are designed to prevent divorce in the United States of America. Most of states in the U.S. require the marriage license prior to having a marriage ceremony. Covenant marriage legislation has admirable motives to strengthen marriage and cure the defects of the no-fault system. In that legislation, the imposition of waiting period for the no-fault ground of divorce, proof of fault requirements, consent requirements, and mandatory course or counseling attendance will likely serve as deterrents to those seeking divorce as a first resort. To sum up, by offering preventive measures in the form of premarital counseling and waiting period before marriage, covenant marriage will force couples entering marriage to carefully consider their actions before they act and prevent broken marriages in the first place. In response to rising divorce rates, the Koreas family policy has put its emphasis of fixing social problems accompanied with family dissolution. Rather, this study suggests that attention in Korea also should be shifted from broken marriages to preventing them.
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