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The Relationships Between Patient's Perceived Quality of Healthcare Service and Intention to Re-visit (대상자가 인지한 의료서비스 질과 재이용 의도와의 관계)

  • Rho, Eun-Kyung;Oh, Suk-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.176-181
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    • 2008
  • Purpose: This study was performed to identify the relationship between patient's perceived quality of healthcare services and intention to re-visit. Method: The study subjects were 242 patients from three local clinics. The data were analyzed using SPSS PC+ 12.0 program for descriptive, Pearson's correlation coefficient, and multiple regression analysis. Result: Patients' perceived quality of healthcare services was measured 5.73$\pm$0.71 using the 7-point scale. The patients' perceived quality was moderately correlated with patient satisfaction (r=0.647, p<0.001) and intention to re-visit (r=0.604, p<0.001). Also, patient satisfaction was highly correlated with intention to re-visit (r=0.788, p<0.001). 3) the reliability factor of patients' perceived quality of healthcare services and patient satisfaction were found significant predictors of intention to re-visit. Conclusion: In conclusion, service quality evaluated by patients influenced on their intention of re-visit and especially, reliability was the most significantly influential variable.

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Electrodialysis with a channeled stack for high strength cadmium removal from wastewater

  • Kyung Jin, Min;Hyo Jin, An;Ah Hyun, Lee;Hyun-Gon, Shin;Ki Young, Park
    • Membrane and Water Treatment
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    • v.14 no.1
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    • pp.47-54
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    • 2023
  • In this study, high concentrations of cadmium-containing wastewater were treated by electrodialysis (ED) with a channel stack. The limiting current density (LCD), cadmium removal efficiency, and current efficiency were investigated under each experimental condition according to the Reynolds number (Re), membrane area, and pH. With the increase in the film area to 111, 333, 555, and 777 cm2 at Re (109.1), LCDs decreased to 408.11, 44.45, 35.32, and 13.64 A/m2, respectively. The highest cadmium removal efficiency (99.6%) and current efficiency were obtained for the membrane area of 111 and 777 cm2, respectively. Under changing Re in the pH range of 1 to 4, Re and LCD were proportional under the same pH condition, and pH and LCD tended to be inversely proportional under the same Re condition. Cadmium removal rate was the best at the pH range 3 - 4. It has been found that ED with channeled stacks can be successfully applied to treat wastewater containing high concentrations of cadmium.

Factors Affecting the Satisfaction for Medical Service and Reuse Intention of Patients at Dental Clinic in Gyeongnam Province (경남 일부지역 치과의원 내원 환자들의 치과 의료서비스 질 만족도와 재이용 의사에 미치는 영향 요인)

  • Seong, Mi-Gyung;Kim, Jae-Hwa;Jang, Kyeung-Ae
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.106-112
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    • 2015
  • This study was conducted to provide with baseline data with the purpose of increasing the values of medical services. Self-administered questionnaire survey was conducted on 236 patients at a dental clinic follow-up visit in dentist clinic Gyeongnam area from June 2013 to August 2013. All statistical analyses were performed using SPSS. The motivation visiting the dental clinic is that the first one is introduction from the family and friends, the second is accessibility, the third is conspicuity and the last one is awareness of the dentist. The main variables in the process of treatment are service system, kindness, satisfaction of service, efficient of re-call system. The relief of discomfort at revisit show the highest score in the process of implant treatment and intention of revisit hereafter do in the prostheses process. In the correlation between main variables, service system and relief of discomfort at revisit (r=0.440, p<0.001), kindness and satisfaction of medical service (r=0.675, p<0.001), revisit hereafter and satisfaction of service (r=0.387, p<0.001) and efficiency of re-call system and revisit showed the highest correlation. The influence on satisfaction of dental service show meaningful level in kindness (p<0.001) and efficiency of re-call system (p<0.05). The intention of revisit is affected meaningfully by relief of uncomfort (p<0.05), service system (p<0.05), kindness (p<0.01) and efficiency of re-call system (p<0.01). In summary, the personal network of patients is most important variable at intention for revisit of dental clinic. As satisfaction of kindness and efficiency of re-call system is higher, satisfaction of medical service and intention for revisit are shown higher. Therefore further research for improvement of satisfaction for medical service and of intention of revisit at the dental clinic should be carried out.

QSAR Modeling of Toxicant Concentrations(EC50) on the Use of Bioluminescence Intensity of CMC Immobilized Photobacterium Phosphoreum (CMC 고정화 Photobacterium phosphoreum 의 생체발광량을 이용한 독성농도(EC50)의 QSAR 모델)

  • 이용제;허문석;이우창;전억한
    • KSBB Journal
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    • v.15 no.3
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    • pp.299-306
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    • 2000
  • Concern for the effects of toxic chemicals on the environment leads the search for better bioassay test organisms and test procedures. Photobacterium phosphoreum was used successfully as a test organism and the luminometer detection technique was an effective and simple method for determining the concentration of toxic chemicals. With EC50 a total of 14 chlorine substituted phenols benzenes and ethanes were used for the experiments. The test results showed that the toxicity to P. phosphoreum increased in the order of phenol > benzene > ethane and the toxicity also increased with the number of chlorine substitution. Quantitative structure activity relationship (QSARO) model can be used to predict EC50 to save time and endeavor. Correlation was well established with the QSAR parameters such as log P, log S and solvatochromic parameter(Vi/100 $\pi$, ${\beta}$m and am). The QSAR modeling was used with multi-regression analysis and mono-regression analysis. These analyses resulted in the following QSAR : $log EC_{50} =2.48 + 0.914 log S(n=9 R2=85.5% RE=0.378) log EC_{50}=0.35 - 4.48 Vi/100 + 2.84 \pi^* +9.46{\beta}m-4.48am (n =14 R2=98.2% RE=0.012) log EC_{50} =2.64 -1.66 log P(n=5, R2=98.8% RE=0.16) log EC_{50}=3.44 -1.09 log P(n=9 R2= 80.8% Re=0.207)$

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The Influence of Activities in Virtual Communities on Usage of P2P Services (가상커뮤니티 활동성이 P2P서비스 이용도에 미치는 영향)

  • Kim, Chang-Kyu;Kim, Sang-Hoon
    • Journal of Information Technology Services
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    • v.6 no.3
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    • pp.69-86
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    • 2007
  • As most of firms related with P2P services change their free services into fee-charging services, the problems of intellectual property rights are solved to satisfactory extent. Accordingly, P2P systems become more popular with the general public. In this respect, it is thought to be very important to research on the critical factors affecting usage of P2P systems. Although it is strongly expected that the characteristics of users activities in virtual communities affect the intention to re-use P2P systems, relatively few attention have been paid to this question. Therefore, this paper is to present empirical evidence to explain how the characteristics of users activities in virtual communities affect re-use intention of P2P services. The theoretical contribution of this study is that the characteristics of users activities in virtual communities is theoretically derived from the comprehensive literature review and the logical reasoning, and that the research model of the relationship between the users activities' characteristics in virtual community and the re-use intention of P2P services is proposed and empirically validated, which is expected to expand explaining power of the TAM(Technological Acceptance Model). Also, the practical implication is to provide the guideline to support the successful strategic planning for development and.operation of P2P services through the virtual communities.

A study on the high voltage nozzle type ozonizer (高電壓 nozzle 형 오존발생기에 관한 연구)

  • 송현직;이광식;이동인;조환
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.44 no.1
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    • pp.97-103
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    • 1995
  • This paper reports the following two topics : $\circled1$ ozone concentration (O$\sub$3con/) and discharge characteristics in flowing O$\sub$2/ with variation of Re$\sub$3/ at high voltage nozzle (HVN) of HVN 10 type ozonizer. $\circled2$ O$\sub$3con/ with variation of Re$\sub$3/ at HVN of HVN 25 type ozonizer. The important conclusions obtained from this paper are as follows. 1) In HVN 10 type ozonizer : $\circled1$ The discharge pattern can be controlled by adjustment of the Re$\sub$3/. $\circled2$ V$\sub$c/ is inversely proportional to pulse width (P$\sub$w/) and pulse frequency (P$\sub$f) $\circled3$ O$\sub$3con/ increase as decreasing of Re$\sub$3/ for constant P$\sub$w/ and P$\sub$f/. $\circled4$ O$\sub$3con/ increase as decreasing of P$\sub$w/, O$\sub$3con/ is proportional to P$\sub$f/. 2) In HVN 25 type ozonizer : O$\sub$3con/ of HVN 25 type ozonizer can increase than that of HVN 10 type ozonizer, according to parallel circuit of applied voltage and serial of supplied gas. As a result, we can obtain O$\sub$3con/ of 825[ppm] as the maximun value.

Areca Nut Chewing and the Risk of Re-hospitalization and Mortality Among Patients With Acute Coronary Syndrome in Pakistan

  • Karim, Muhammad Tariq;Inam, Sumera;Ashraf, Tariq;Shah, Nadia;Adil, Syed Omair;Shafique, Kashif
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.2
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    • pp.71-82
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    • 2018
  • Objectives: Areca nut is widely consumed in many parts of the world, especially in South and Southeast Asia, where cardiovascular disease (CVD) is also a huge burden. Among the forms of CVD, acute coronary syndrome (ACS) is a major cause of mortality and morbidity. Research has shown areca nut chewing to be associated with diabetes, hypertension, oropharyngeal and esophageal cancers, and CVD, but little is known about mortality and re-hospitalization secondary to ACS among areca nut users and non-users. Methods: A prospective cohort was studied to quantify the effect of areca nut chewing on patients with newly diagnosed ACS by categorizing the study population into exposed and non-exposed groups according to baseline chewing status. Cox proportional hazards models were used to examine the associations of areca nut chewing with the risk of re-hospitalization and 30-day mortality secondary to ACS. Results: Of the 384 ACS patients, 49.5% (n=190) were areca users. During 1-month of follow-up, 20.3% (n=78) deaths and 25.1% (n=96) re-hospitalizations occurred. A higher risk of re-hospitalization was found (adjusted hazard ratio [aHR], 2.05; 95% confidence interval [CI], 1.29 to 3.27; p=0.002) in areca users than in non-users. Moreover, patients with severe disease were at a significantly higher risk of 30-day mortality (aHR, 2.77; 95% CI, 1.67 to 4.59; p<0.001) and re-hospitalization (aHR, 2.72; 95% CI, 1.73 to 4.26; p<0.001). Conclusions: The 30-day re-hospitalization rate among ACS patients was found to be significantly higher in areca users and individuals with severe disease. These findings suggest that screening for a history of areca nut chewing may help to identify patients at a high risk for re-hospitalization due to secondary events.

Thoracic Re-irradiation for Locally Recurrent Lung Cancer

  • Aktan, Meryem;Kanyilmaz, Gul;Koc, Mehmet;Aras, Serhat
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.5041-5045
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    • 2016
  • Background: Patients with recurrent or progressive lung cancer experience a significant symptom burden, negatively affecting quality of life and reducing life expectancy. Thoracic re-irradiation can be used for palliative treatment to relieve symptoms or as a curative treatment. Methods: Using patient charts, we identified and reviewed 28 cases that had received palliative thoracic re-irradiation for recurrent lung cancer. Results: Before re-irradiation, 32% of patients had stage III non-small cell lung cancer and six had small cell lung cancer. The median interval between treatments was 18.7 months. Median follow-up was 31.2 months from the initial radiotherapy and 5 months after re-irradiation. A better performance status before re-irradiation (<80 vs >80, p=0.09) and a lower overlap 90% isodose (<70 vs >70, p=0.09) showed trends toward improved survival. Grade 1-2 toxicity from re-irradiation was recorded in 12/28 patients, and no grade 3 or 4 acute toxicity was encountered. Conclusion: The role of palliative treatment in survival is not clear but it can provide symptomatic relief in patients, with no high grade toxicity. Further studies with greater patient numbers and longer follow-up times should facilitate determination of the role of this treatment in toxicity and effects on survival.

Preparation and Biodistribution of Re-188 Sulfur Colloid (Re-188이 표지된 황 교질(Sulfur Colloid) 제조와 생체내 분포)

  • Kim, Young-Ju;Jeong, Jae-Min;Chang, Young-Soo;Lee, Yong-Sin;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Song, Yeong-Wook
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.3
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    • pp.298-304
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    • 1998
  • Purpose: We evaluated the usefulness of Re-188 sulfur colloid for radiation synovectomy and therapy of intraperitoneal metastasis. Materials and Methods: We investigated the labeling efficiency of Re-188 sulfur colloid on various conditions. The stability of Re-188 sulfur colloid was observed at room temperature for 24 h and in human serum and synovial fluid for 72 h. The particle size distribution of Re-188 sulfur colloid was measured by filtering with various pore size filters. Animal experiment was performed in mice and rabbits. Results: The labeling efficiency of Re-188 sulfur colloid was $64.5{\pm}5.8%$ (n=5) at the conditions of sodium thiosulfate 40 mg, EDTA $Na_2.2H_2O$ 0.8 mg, $KReO_4$ 0.8 mg at pH 1. After purification, the radiochemical purity was higher than 99%. The stability of Re-188 sulfur colloid was high (>99%) at room temperature for 24 h and in human serum and synovial fluid for 72 h. The particle size distribution of Re-188 sulfur colloid was 0.3% ($<1{\mu}m$), 11.2% ($1{\sim}5{\mu}m$), 25.8% ($5{\sim}10{\mu}m$) and 52.8% ($>10{\mu}m$). In mice, 1 h postinjection of Re-188 sulfur colloid into tail vein, uptakes in lung, liver and muscle were $37.30{\pm}5.36$, $32.33{\pm}1.79$, $6.60{\pm}0.02%$ ID/organ respectively. After i.p. injection in mice, the uptakes of extraperitonial organs of Re-188 sulfur colloid at 1 and 24 h were $0.1{\pm}0.1$, $0.4{\pm}0.1%$ ID/organ, and the excretions through urine and feces (${\sim}70 h$) were low ($2.68{\pm}0.80$, $0.95{\pm}0.17%$). When Re-188 sulfur colloid was injected to synovial space of rabbit, the uptake in other organs except knee was very low. Conclusion: Re-188 sulfur colloid showed high labeling efficiency, stability and potency for clinical use.

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Combination of Grapefruit and Rosemary Extracts Has Skin Protective Effect through MMPs, MAPKs, and the NF-κB Signaling Pathway In Vitro and In Vivo UVB-exposed Model

  • Yoon, Yeo-Cho;Choi, Hee-Jeong;Park, Ji-Hyun;Diniyah, Nurud;Shin, Hyun-A;Kim, Mi-Yeon
    • Korean Journal of Plant Resources
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    • v.32 no.6
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    • pp.633-643
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    • 2019
  • Long-term ultraviolet (UV) exposure accelerates the phenomenon of skin photo-aging by activating collagenase and elastase. In this study, we aimed to investigate the effects of a combination of grapefruit and rosemary extracts (cG&Re) on UVB-irradiated damage in HaCaT cells and dorsal mouse skin. In HaCaT cells, cG&Re recovered UVB-reduced cell viability and inhibited protein expression of mitogen-activated protein kinases (MAPKs), such as extracellular signal-regulated kinases (p-Erk), c-Jun N-terminal kinases (p-JNK), and a class of MAPKs (p-P38). Also, cG&Re suppressed UVB-induced collagen and elastin degradation by decreasing matrix metalloproteinases (MMPs) and nuclear factor kappa light chain enhancer of activated B cells (NF-κB) expression, which is a transcription factor. Similar results were observed in dorsal mouse skin. Taken together, our data indicate that cG&Re prevent UVB-induced skin photo-aging due to collagen/elastin degradation via activation of MAPKs, MMPs, and the NF-κB signaling pathway in vitro and in vivo.