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The efficacy of ultrasound-guided erector spinae plane block after mastectomy and immediate breast reconstruction with a tissue expander: a randomized clinical trial

  • Park, Sukhee;Park, Joohyun;Choi, Ji Won;Bang, Yu Jeong;Oh, Eun Jung;Park, Jiyeon;Hong, Kwan Young;Sim, Woo Seog
    • The Korean Journal of Pain
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    • v.34 no.1
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    • pp.106-113
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    • 2021
  • Background: We aimed to investigate the analgesic efficacy of an erector spinae plane block (ESPB) in immediate breast reconstruction (IBR) with a tissue expander. Methods: Adult women undergoing IBR with a tissue expander after mastectomy were randomly assigned to either intravenous patient-controlled analgesia (IV-PCA) alone (group P) or IV-PCA plus ESPB (group E). The primary outcome was the total amount of opioid consumption during 24 hours postoperatively between the two groups. Secondary outcomes were patient satisfaction, pain score at rest and on shoulder movement using numerical rating scale, incidences of postoperative nausea and vomiting (PONV), and a short form of the brief pain inventory (BPI-SF) at 3 and 6 months after surgery between the groups. Results: Fifty eight patients completed the study. At 24 hours postoperatively, total opioid consumption was significantly less in group E than in group P (285.0 ± 92.0, 95% confidence interval [CI]: 250.1 to 320.0 vs. 223.2 ± 83.4, 95% CI: 191.5 to 254.9, P = 0.005). Intraoperative and cumulative PCA fentanyl consumption at 3, 6, 9, and 24 hours were also less in group E than in group P (P = 0.004, P = 0.048, P = 0.020, P = 0.036, and P < 0.001, respectively). Patient satisfaction was higher in group E (6.9 ± 1.8 vs. 7.8 ± 1.4, P = 0.042). The incidences of PONV was similar. Conclusions: The ESPB decreased postoperative opioid consumption and increased patient satisfaction without significant complications after IBR with a tissue expander after mastectomy.

Analysis of usage decision factors based on the satisfaction of smart seniors using smartphone delivery applications (스마트 시니어의 스마트폰 배달 애플리케이션 만족도 기반 이용결정요인 분석)

  • Choi, Bu-Heon;Moon, Su-Ji
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.199-209
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    • 2021
  • The purpose of this study was to analyze the factors that affect the satisfaction of smart seniors using smartphone delivery applications. We established the hypothesis by dividing the factors that will affect the satisfaction of smart seniors using smartphone delivery applications into the characteristics of the delivery app and the personal characteristics of the smart senior. In order to verify the hypothesis, we surveyed adult men and women aged 50 to 65 years old who had experience using delivery apps, and we performed confirmatory factor analysis, correlation analysis, and path analysis to perform statistical processing for data analysis. The analysis results are as follows. First, we found that usefulness among the characteristics of delivery app had a statistically significant positive effect on the delivery app satisfaction of smart seniors. Second, we found that social empathy among the personal characteristics of smart seniors had a statistically significant positive effect on the delivery app satisfaction of smart seniors. Third, we found that delivery app satisfaction had a statistically significant positive effect on reuse intention. Based on research result, we suggested that in order to improve the satisfaction and use of delivery app by smart seniors, it is necessary to develop delivery app that can be usefully used by smart seniors and focus on social empathy.

A Study on the Effects of Protective Behavioral Strategies on Alcohol-Related Harms in Adults (보호행동전략이 성인의 음주폐해에 끼치는 영향에 관한 연구)

  • Lee, Hee Jong;Park, Ka Young
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.627-637
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    • 2021
  • Many efforts have been made to prevent alcohol related harms such as health problems and socio-economic problems. Among them, the method of improving drinking behavior at the individual level is the most direct intervention. The effectiveness of the use of protective behavior strategies(PBS) has been widely known in Western countries. The purpose of this study is to empirically verify whether the use of PBS affects alcohol related harms in Korean adults. The survey has been conducted on 2,000 adult men and women. As a result, it is found that the use of PBS reduced alcohol related harms in adults. Among the PBS, the biggest impact on alcohol related harms is the area related serious harm reduction strategy, followed by restrictions on 'manner of drinking'. The effects of 'limiting/ stopping of drinking' is not significant. In addition, drinking frequency, binge drinking, and drinking motivations have significant positive effects on alcohol-related harms, and only social motivation has a negative effect. In this work, we propose follow-up studies on identifying relationships between protective behaviors and alcohol related factors through longitudinal studies and strengthening the use of protective behavior strategies that applied to the refined target populations.

A survey of general perceptions and attitudes toward drug abuse among young people (청년층의 약물남용에 대한 일반적인 인식과 태도 조사)

  • Choi, Bogn-Sil;Park, Jeong-Sook
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.275-280
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    • 2022
  • This study investigated the perception and attitudes toward drug abuse among young people entering from adolescence to adulthood, and analyzed based on 1076 analytic questionnaires. Looking at the gender of the young people who participated in the survey, 699 men and 377 women had high awareness of methamphetamine, marijuana, bond, and propofol among abused drugs. It was found that 384 people (35.7%) were well aware of the dangers of drugs of abuse, but 249 people (23.1%) were well aware of the various problems caused by drugs of abuse, and 442 said they did not know. The number of people (41.1%) was almost twice as high. As for the desirable method to improve the problem of drug abuse, strong punishment were the highest at 53.6%, and school essential education was found to be an effective educational method for drug abuse prevention at 53.5%. Therefore, publicity or education projects for drug abuse prevention should be conducted more realistically, and a prevention education program that young people can empathize with should be developed. In addition, it is thought that it should help to establish a sound foundation for becoming an adult through proper education.

Effectiveness and patient satisfaction of dental emergencies in Pitié Salpêtrière Hospital, Paris, during the COVID 19 pandemic

  • Rodriguez, Isabelle;Zaluski, Daniel;Jodelet, Pierre Alain;Lescaille, Geraldine;Toledo, Rafael;Boucher, Yves
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.255-266
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    • 2022
  • Background: A previous study reported the effectiveness and patient satisfaction in the dental emergency unit (DEU) of the Pitie Salpetrière Hospital in Paris before coronavirus disease 2019 (COVID-19). The same methodology was used during the COVID-19 pandemic to compare pain, anxiety, and patient satisfaction during the two periods. Methods: This prospective study was conducted in 2020 (NCT04354272) on adult patients. Data were collected on day zero (D0) on site and then by phone during the daytime on day one (D1), day three (D3), and day seven (D7). The primary objective was to assess the pain intensity at D1. Secondary objectives were to assess pain intensity at D3 and D7, anxiety intensity at D1, D3, and D7, and patient satisfaction. Patients were evaluated on a 0-10 numeric scale on D1, D3, and D7; mean scores were compared with non-parametric statistics (ANOVA, Dunn's). Results: A total of 445 patients were given the opportunity to participate in the study, and 370 patients consented. Seventy-one were lost during follow-up. Ultimately, 299 patients completed all the questionnaires and were included in the analysis. In the final sample (60% men, 40% women, aged 39 ± 14 years), 94% had health insurance. The mean pain scores were: D0, 6.1 ± 0.14; D1, 3.29 ± 0.16; D3, 2.08 ± 0.16; and D7, 1.07 ± 0.35. This indicates a significant decrease of 46%, 67%, and 82% at D1, D3, and D7, respectively, when compared to D0 (P < 0.0001). The mean anxiety scores were D0, 4.7 ± 0.19; D1, 2.6 ± 0.16; D3, 1.9 ± 0.61; and D7, 1.4 ± 0.15. This decrease was significant between D0 and D7 (ANOVA, P < 0.001). Perception of general health improved between D1 and D7. The overall satisfaction was 9.3 ± 0.06. Conclusion: DEU enabled a significant reduction in pain and anxiety with high overall satisfaction during COVID-19, which was very similar to levels observed pre-COVID-19 pandemic.

Comparative Analysis and Implications of Lifelong Education Policy in Korea and Germany - Focusing on Historical Transition - (한국과 독일의 평생교육정책에 대한 비교분석 및 시사점 - 역사적 변천과정을 중심으로 -)

  • Lee, Myung-Sim
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.117-132
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    • 2020
  • The purpose of this study is to examine the lifelong education policy in Korea and Germany, focusing on the historical transition process, and to explore desirable ways to develop the lifelong education policy in Korea. To this end, We compared and analyzed Korea and Germany's lifelong education policy using research papers on lifelong education and practical data published by BMBF, DIE, DVV, EAEA, UIL, and NILE. As a result of the study, German lifelong education policy has improved social and vocational professionalism running programs suitable for the characteristic of region, Korean lifelong education policy lacks civic education in terms of local lifelong education due to political sensitivity. In addition, Germany is expanding the participation rate of lifelong education by constructing an environment where it is easy to participate in lifelong education, while Korea's participation rate in lifelong education is lower than that of advanced OECD countries. At last, the German lifelong education policy pursues a natural change in the needs of the society, the ideological principle of which require education be independent. On the other hand, the study confirms that Korean lifelong education policy tends to be controlled by the central government. As a result of this study, Germany's lifelong education policy provide the following implications for Korea's lifelong education policy. First, This dissertation emphasizes the need for the learner-centered operation as the needs of educational consumers become more diverse. Secondly, It highlights the need for activation of lifelong education in career education. Third, The expansion of the lifelong education budget to support good quality lifelong learning. Fourth, Holistic and long-term system for sustainable lifelong learning society needs to be structured.

The effects of latent classes in social exclusion on the economic instability of old age (사회적 배제 잠재유형이 노후의 경제적 불안에 미치는 영향: 주관적 계층의식의 조절효과)

  • Kim, Soo Jin;Kim, Ju Hyun;Ju, Kyong Hee
    • 한국노년학
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    • v.40 no.1
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    • pp.33-49
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    • 2020
  • This study was conducted to examine the latent classes in social exclusion and to analyse empirically the effects on the economic instability of old age by this type. And it also sought to look at whether the influence of old age anxiety varies with the subjective class consciousness of the elderly. Using the 14th data from the Korea General Social Survey (KGSS) in 2016, 1,041 adult males and females aged 18 years old were analyzed at the time of the survey. T-test, potential layer analysis (LCA), and multinomantic analysis of potential groups were conducted using the STATA14 and MPLUS 7 statistical programs. Finally, multi-regression analysis was performed to identify the moderate effect and effects among variables. According to the research, the types of social exclusion were three groups, followed by social exclusion group (49.3%), Multi-dimensional exclusion group (30.9%), and active social participation group (19.7%). The social exclusion group has the lowest possibility of economic, employment, and health exclusion, but the exclusion of formal and informal social activities seem to prominent, and the multi-dimensional exclusion group is more than 50% likely to experience exclusion in all areas. Active social participation are characterized by very active participation in informal social activities. By conducting multinominal logistic regression, it was observed that the social exclusion group included more young people than other groups, and that the multi-dimensional exclusion group included many elderly women without spouses. Finally, multiple regression analysis showed that social exclusion type interacts with subjective class consciousness and affects economic anxiety of old age.

The Longitudinal Effect between Disability Acceptance and Job Satisfaction of Wage Working Disabled Persons: Adapting the Autoregressive Cross-Lagged Model and Multigroup Analysis

  • Lee, Hyoung-Ha
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.9
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    • pp.177-190
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    • 2022
  • In this study, using data from the second wave of Panel Survey of Employment for The Disabled[PESD] (2016) to the sixth year (2021), the longitudinal changes between disability acceptance and job satisfaction of adult wage workers aged 20 or older with disabilities and the correlation An autoregressive cross-lagged model was applied to analyze the causal relationship. As a result of the analysis, first, the disability acceptance and job satisfaction at the previous time point of the disabled workers were stably significant to the disability acceptance(𝛽=.556~.610) and job satisfaction(𝛽=.554~.585) at the later time point. Second, disability acceptance at the previous point in time for wage workers with disabilities crosses the job satisfaction at the later time point(𝛽=.077~.090), and the job satisfaction at the previous point crosses the disability acceptance at the later time point(𝛽=.087~.092). Third, as a result of model fit analysis according to the gender group of wage workers with disabilities, the difference in the autoregressive effect between disability acceptance and job satisfaction and the cross-lagged effect between disability acceptance and job satisfaction according to the passage of time was not significant.

Dimensionality of emotion suppression and psychosocial adaptation: Based on the cognitive process model of emotion processing (정서 처리의 인지 평가모델을 기반으로 한 정서 억제의 차원성과 심리 사회적 적응)

  • Woo, Sungbum
    • Korean Journal of Culture and Social Issue
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    • v.27 no.4
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    • pp.475-503
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    • 2021
  • The purpose of this study is to clarify the constructs of emotion suppression and help understanding on the multidimensional nature of emotion suppression by classifying constructs for suppression according to the KMW model. Also, this study examined the gender differences of emotion suppression. For this purpose, 657 adult male and female subjects were evaluated for attitude toward emotions, and difficulty in emotional regulation, as well as depression, state anger and daily stress scale. As a result of the exploratory factor analysis on the scales related to the emotion suppression factors, the emotion suppression factors corresponding to each stage of the KMW model were found to be 'distraction against emotional information, 'difficulty in understanding and interpretation of emotions', 'emotion control beliefs', 'vulnerability on emotional expression beliefs'. Next, the study participants were classified by performing a cluster analysis based on each emotion suppression factor. As a result, four clusters were extracted and named 'emotional control belief cluster', 'emotional expression cluster', 'emotional attention failure cluster', and 'general emotional suppression cluster'. As a result of examining the average difference of male depression, depression, state anger, and daily stress for each group, significant differences were found in all dependent variables. As a result of examining whether there is a difference in the frequency of emotional suppression clusters according to gender, the frequency of emotional suppression clusters was high in men, and the ratio of emotional expression clusters was high in women. Finally, it was analyzed whether there was a gender difference in the effect of the emotional suppression cluster on psychosocial adaptation, and the implications were discussed based on the results of this study.

ANOVA of Satisfaction based on Navigation Location and Number of Items in Mobile Applications (모바일 어플리케이션의 네비게이션 위치와 항목 수에 따른 만족도에 대한 분산 분석)

  • Park Sung-Hum;Kim Tae-Wan
    • Journal of Service Research and Studies
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    • v.12 no.2
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    • pp.38-47
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    • 2022
  • The user interface is a very important factor in application usability. The user interface of a typical application has a navigation system and the selection of the item takes place to move the movement. In this study, we would like to see if there are differences in user satisfaction depending on the location of the navigation and the number of items. The methods of in this study, a random group of 135 adult men and women who randomly selected four to six items as independent variables was conducted on the top, bottom, side, and three locations of navigation in a typical application. As a result, the navigation system rejected the null hypothesis of 0.000 and 0.008 respectively, with a significant probability of 0.05 or less than 0.000 and 0.008, respectively. It was also confirmed that the study theory of whether the interaction of navigation location and number of items creates a difference in satisfaction was significant with a significant probability of 0.016. In the post-analysis (Schefe), there were significant differences in the position of navigation, as each group was classified as a new group at the top <bottom <, and in the number of items, there were significant differences between the two groups of six <4 . Conclusion of this research, depending on the results of some significant differences in satisfaction with the location of the navigation and the number of items, it can be seen that the satisfaction of the interface increases when the navigation position is located at the bottom. However, follow-up research is needed on whether side-type navigation is suitable for different mobile sizes.