• Title/Summary/Keyword: location choice

Search Result 267, Processing Time 0.023 seconds

Current Updates in Treatment of Osteochondral Lesions of the Talus (거골 골연골 병변 치료에 대한 최신 지견)

  • Park, Young Hwan;Kim, Jae Young;Kim, Hak Jun
    • Journal of Korean Foot and Ankle Society
    • /
    • v.23 no.2
    • /
    • pp.43-51
    • /
    • 2019
  • Despite the increasing number of osteochondral lesions of the talus, there are a lack of definite evidence-based treatment protocols. Several types of treatments are available, each having their advantages and disadvantages. First-line therapy consists of well-conducted conservative treatment. Surgical treatment is the second choice. Treatments are chosen based on the size of the lesion, location, chronicity, and the condition of the neighboring cartilage. This article reviews the current updates in the treatment of osteochondral lesions of the talus to help clinicians use the available treatment strategies more efficiently.

Restructuring Primary Health Care Network to Maximize Utilization and Reduce Patient Out-of-pocket Expenses

  • Bardhan, Amit Kumar;Kumar, Kaushal
    • Asian Journal of Innovation and Policy
    • /
    • v.8 no.1
    • /
    • pp.122-140
    • /
    • 2019
  • Providing free primary care to everyone is an important goal pursued by many countries under universal health care programs. Countries like India need to efficiently utilize their limited capacities towards this purpose. Unfortunately, due to a variety of reasons, patients incur substantial travel and out-of-pocket expenses for getting primary care from publicly-funded facilities. We propose a set-covering optimization model to assist health policy-makers in managing existing capacity in a better way. Decision-making should consider upgrading centers with better potential to reduce patient expenses and reallocating capacities from less preferred facilities. A multinomial logit choice model is used to predict the preferences. In this article, a brief background and literature survey along with the mixed integer linear programming (MILP) optimization model are presented. The working of the model is illustrated with the help of numerical experiments.

Two cases of osseous choristoma on tongue base (혀 기저부의 골성 분리종 2예)

  • Lee, Geonho;Won, Ho-Ryun;Koo, Bon-Seok;Chang, Jae Won
    • Korean Journal of Head & Neck Oncology
    • /
    • v.35 no.1
    • /
    • pp.45-48
    • /
    • 2019
  • Osseous choristoma is a rare, benign proliferative osseous lesion, which is defined as the growth of normal tissue in an abnormal location. The etiopathogenesis for its formation is unknown, but various hypotheses have been proposed. Treatment of choice is en-bloc resection, and no recurrence has been reported. Here, we report the two cases of osseous choristoma, presented with a mass on the base of the tongue with/without globus symptom and were treated with surgical excision.

Estimating the benefit of constructing the international horse riding arena at Sangju (상주국제승마경기장 사업의 경제적 편익)

  • Jeong, Ki-Ho
    • Journal of the Korean Data and Information Science Society
    • /
    • v.23 no.5
    • /
    • pp.913-925
    • /
    • 2012
  • This study evaluates the economic benefit of the project constructing the international riding arena having been built at Sangju in Gyeongsangbuk-Do by the willingness to pay (WTP) of residents in the province. As the evaluation method, the dichotomous choice contingent valuation method (CVM) is adopted with the additional questions of whether his/her WTP is zero, to improve the statistical accuracy of evaluation results. Considering the arena's administrative location, the population of the surveys for analysis is confined to residents of Daegu and Gyeongsangbuk-do. The survey is conducted through personal interviews. It turns out that the WTP per household per year is evaluated as 1,847 won and the total yearly benefit of the Sangju international horse riding arena is estimated as 3.56 billion won.

Scalp reconstruction: A 10-year experience

  • Jang, Hyeon Uk;Choi, Young Woong
    • Archives of Craniofacial Surgery
    • /
    • v.21 no.4
    • /
    • pp.237-243
    • /
    • 2020
  • Background: The scalp is an important functional and aesthetic structure that protects the cranial bone. Due to its inelastic characteristics, soft-tissue defects of the scalp make reconstruction surgery difficult. This study aims to provide an improved scalp reconstruction decision making algorithm for surgeons. Methods: This study examined patients who underwent scalp reconstruction within the last 10 years. The study evaluated several factors that surgeons use to select a given reconstruction method such as etiology, defect location, size, depth, and complications. An algorithmic approach was then suggested based on an analysis of these factors. Results: Ninety-four patients were selected in total and 98 cases, including revision surgery, were performed for scalp reconstruction. Scalp reconstruction was performed by primary closure (36.73%), skin graft (27.55%), local flap (17.34%), pedicled regional flap (15.30%), and free flap (3.06%). The ratio of primary closure to more complex procedure on loose scalps (51.11%) was significantly higher than on tight scalps (24.52%) (p=0.011). The choice of scalp reconstruction method was affected significantly by the defect size (R=0.479, p<0.001) and depth (p<0.001). There were five major complications which were three cases of flap necrosis and two cases of skin necrosis. Hematoma was the most common of the 29 minor complications reported, followed by skin necrosis. Conclusion: There are multiple factors affecting the choice of scalp reconstruction method. We suggest an algorithm based on 10 years of experience that will help surgeons establish successful surgical management for their patients.

OK-432 Intralesional Injection Therapy for Lymphangioma in Children (소아 림프관종의 OK-432 병변내 주사요법)

  • Kim, Kyung-Hun;Kim, Hyun-Hahk;Lee, Suk-Koo;Seo, Jeong-Meen;Chang, Weon-Young;Lee, Byung-Boong
    • Advances in pediatric surgery
    • /
    • v.7 no.2
    • /
    • pp.142-146
    • /
    • 2001
  • Lymphangioma is a congenital malformation of the lymphatic system, commonly seen in the neck. Operation was the treatment of choice but it is difficult to resect the lymphangiomas completely. The aim of this study is to evaluate the result of intralesional injection of OK-432 as a treatment strategy of lymphangioma in children. Medical records of 51 cases of lymphangioma from March 1996 to February 2001 were reviewed retrospectively. Intralesional injection of 0.1mg OK-432 in 10ml normal saline was performed after the aspiration of as much fluid as possible. The location of the lesion was the face and neck in 26 patients, the chest wall in 14, the extremities in 9, and the abdominal wall in 2. The cystic type was present in 45 patients and the cavernous type in 6. Four postoperative recurrent cases were included. Fluid aspiration from the lesion was impossible in 5 patients. Development of fever after injection was observed in 27 patients and local inflammatory reaction was in 5 patients. There was no scar formation at injection sites. Complete shrinkage was observed in 20 patients, remarkable shrinkage in 23, slight shrinkage in 3, and no response in 5. Cystic type or aspiration-possible cases showed better outcome than cavernous type or aspiration-impossible cases. All of four recurrent cases after surgical excision showed at least remarkable shrinkage. These results indicate that intralesional injection of OK-432 is a safe and satisfactory treatment modality of lymphangiomas in children and might be considered as a treatment of choice, even in recurrent cases.

  • PDF

Effects of Korean Restaurant Selection and Service Quality on Customer Satisfaction and Loyalty of Chinese Living in Korea (한국거주 중국인들의 한식당의 선택속성과 서비스 품질이 고객 만족도 및 충성도에 미치는 영향)

  • Lee, Sang-Mi;Lee, Kwan-Pyo;Liu, Ying
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.1
    • /
    • pp.447-455
    • /
    • 2013
  • This paper is to investigate how selection variables and service quality influence on customer satisfaction and loyalty on Korean restaurants. They are chinese living in Korea that compose a little over 50% among foreigners. The findings and marketing guideline are showed up; First, 3 factors among choice attributions had highly significant on customer satisfaction and loyalty. They are 'service', 'food', and 'location' factors. They should reinforce food's taste & quality and also, service staff's elaborate service, and traffic's accessbility. Second, 'sympathy', 'tangibles', and 'response' factors among service quality were strongly influenced on customer satisfaction and loyalty. Therefore, they should provide various menu which is based on seasons & events, food's decoration, and immediate service. Third, customer satisfaction and loyalty are influenced each other. It should strengthen through consistent quality management and service.

Job Satisfaction among Library and Information Science Professionals in India: A Case Study

  • Pandita, Ramesh
    • Journal of Information Science Theory and Practice
    • /
    • v.5 no.1
    • /
    • pp.47-64
    • /
    • 2017
  • Purpose: This study aims to assess the level of job satisfaction among the practicing Library and Information Science (LIS) professionals in India. Some of the key variables studied include salary, work environment, professional position, working hours, location, employee participation in administrative matters, recognition, and advancement. Scope: The study is limited to LIS professionals in India; however, the results of the study show some degree of commonality among LIS professionals across the world. Methodology/Approach: The study has been purely undertaken by analyzing the primary data collected from practicing library and information professionals across India by circulating an online questionnaire, using Google services and by posting the link on various social groups and other social networking sites such as Groups, Facebook, LinkedIn, discussion forums, and e-mails. Findings: Responses were generated across 20 states and union territories of the country, representing 88.15% territory of India. Of the total responses generated, 72.88% are males and 27.12% females. From the data analysis it emerged that every third library professional in India enters in to LIS profession by chance and not by choice, as 35.59% respondents expressed that they landed in the LIS profession by chance and 60.45% by choice. More than 77% respondents have expressed their willingness to change their present employer, if given better opportunity. More than 80% professionals either fully or partly agree that most of the LIS professionals across India are dissatisfied with their employers. All these and many more areas have been explored, which reflect the aspects of job satisfaction and dissatisfaction among LIS professionals in India.

An empirical study on the roles of attitudes and attitude strength in stimulus-based decision-making (자극기반 의사결정과정에서 태도와 태도강도의 역할에 관한 실증연구)

  • Beom, Sang-Kyu;Song, Kyun-Suk
    • Journal of the Korean Data and Information Science Society
    • /
    • v.20 no.3
    • /
    • pp.563-575
    • /
    • 2009
  • This research has found logical data directly influencing forming consideration set and attitude and attitude strength under the choosing situation based on memory-base proposed by Priester et. al (2004). We've examined the possibility of model extension through physical salient strength according to the location of product display as an external stimulate factor and attitude and attitude strength, consideration set and role on variable choice. Especially, this research practically proposed the method measuring directly the attitude on behavior instead of seeing the intension of behavior or behavior by measuring the behavior itself based on existing experiment methods and applied logistics regression analysis. In conclusion, this research confirmed the possibility of generalization of this model by verifying appropriateness through logical background and actual analysis based on stimulus-base proposed model characters as an integrated model relation between attitude in stimulus-based relation and decision-making.

  • PDF

Analysis for Changes of Mode Choice Behavior from Providing Real-time Schedule for Public Transportation by Smartphone Application (스마트폰 애플리케이션을 이용한 대중교통 운행정보 제공에 따른 통행자 수단선택 행태변화 분석)

  • Choi, Sung-Taek;Rho, Jeong-Hyun
    • The Journal of The Korea Institute of Intelligent Transport Systems
    • /
    • v.11 no.6
    • /
    • pp.60-69
    • /
    • 2012
  • Public Transport Information Service which use smartphone Apps has received attention as the way of solution that reduced transport problem. Smartphone can offer real-time information because of a LBS(Location Based Service) system. This study try to find out which factor affect mode choice ratio of public transport, especially smartphone Apps. The result shows that rising oil price, traffic congestion, public information service with smartphone apps, BIS(Bus Information System) factors get 0.39, 0.27, 0.18, 0.16 scores with paired comparison. Younger and student respondents prefer smart phone public information service. Decision Tree shows that the most important decision factor is smartphone information service factor.