• 대한족부족관절학회지
• /
• 제18권3호
• /
• pp.115-118
• /
• 2014

Purpose: The purpose of this study is to report on the result of repairing Achilles tendon using absorbable suture under nerve block. Materials and Methods: We retrospectively reviewed 20 patients with acute Achilles tendon rupture who were followed up for at least six months after the operation. We repaired Achilles tendon using two absorbable sutures using the Krackow technique for the proximal stump and the Kessler technique for the distal stump. A programmed postoperative management including non-weight bearing with a short leg cast for four weeks after the operation was applied for all patients. We evaluated clinical results using American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for satisfaction, range of motion of ankle, functional recovery rate, and the starting time of single heel raise. Results: The mean VAS score for satisfaction and AOFAS score was 9.2 and 93.0, respectively. The affected ankle showed a mean dorsiflexion rate of 90% and plantar-flexion rate of 94% compared to the uninjured side. The single heel raise could start at a mean of 3.5 months after the operation. Conclusion: Treatment of Achilles tendon rupture with absorbable suture material using the hybrid suture technique of proximal Krackow and distal Kessler showed sufficient stability and minimal chronic inflammatory reaction.

• Archives of Plastic Surgery
• /
• 제34권2호
• /
• pp.222-228
• /
• 2007

Purpose: Report of the good results of breast reconstruction using Becker permanent tissue expander that showed a short operation time and a quick post-operation recovery time, little side effects and usually superb aesthetic results without the need for additional incisions or donor site morbidity. The authors, after carrying out breast reconstruction operations using Becker permanent tissue expander on patients with appropriate indications, attempted to analyze several factors such as complication rates and patient satisfaction measurements. Methods: 11 cases of breast reconstruction using Becker expander implants were carried out on a total of 10 patients between March 2000 and February 2003. The patients were followed up at outpatient visit for an average of 6 months. Results: The most common post-operation complication was pain resulting from saline injection into the expanders, complained by 5 patients(50%). rib fractures, skin necrosis, implant removal due to infection, and breast cancer recurrence each occurred in 1 patient (9.9%). There was no occurrence of skin contracture complications which occurs frequently in case of silicone implant insertion. Patient complacency was surveyed by patient interviews made right after the operations and during outpatient follow-up periods: 5(50%) patients out of 10 showed excellent, 3(30%) good, and 2(20%) showed fair, leaving no patients who were disappointed with operation results. On routine follow-up, 80% of patients expressed satisfaction with the cosmetic outcome of their post-mastectomy beast reconstruction. Conclusion: Breast reconstruction using the Becker expander is a reliable alternative to other reconstructive methods but good patient selection is essential for satisfactory results.

• 대한치과마취과학회지
• /
• 제12권2호
• /
• pp.75-91
• /
• 2012

Background: Dental sedation reduces fear and phobia during dental treatment and helps patients get quality treatment by inducing adequate consciousness control. Propofol has recently grabbed the spotlight, but no meta-analysis for efficacy and safety of propofol in dentistry has yet been performed. Thus, the purpose of this study was to perform meta-analysis to verify the efficacy and safety of propofol for use in dental sedation. Methods: Articles published between 1980 and 2010 were searched in the web sites, journals and medical database including The Cochrane Library, MEDLINE and EMBASE. And a total of 22 studies were selected among the randomized controlled trials (RCTs) that compared the use of propofol with other sedatives (control group). The data was collected from these studies and meta-analysis for efficacy and safety was performed using Comprehensive Meta-Analysis 5.0 (CMA 5.0). Results: The patient recovered significantly faster and discharged significantly earlier in the propofol group (SMD = -1.442, P < 0.001). The satisfaction of patient and that of operator was higher in the propofol group (P < 0.05). The incidence of arrhythmia and apnea/ hypoventilation was significantly lower in the propofol group (OR = 0.071, P < 0.05), and there was no significant difference in the other side effects. On the level of sedation, although the sedation score was significantly lower in the propofol group (SMD = -0.430, P < 0.05). Conclusions: The present analysis showed that the use of propofol resulted in high satisfaction levels on the part of the patients and operators, a shorter recovery time, and faster hospital discharge. The incidence of complications, however, was lower in the propofol groups or not much different between the propofol and control groups. Thus, the adequate use of propofol in dentistry is believed to be helpful for the effective and safe sedation of the patients.

• 한국산학기술학회논문지
• /
• 제19권12호
• /
• pp.515-522
• /
• 2018

한국의 경제 상황이 악화되면서 소비가 침체되고 있다. 특히 최저임금 인상, 글로벌 경쟁 상황의 심화 등 다양한 국내외 변수들로 인하여 일반 국민들의 소비 성향과 구매 의도 역시 현격하게 낮아지고 있다. 이러한 상황에서 크라우드 펀딩이라는 새로운 투자, 유통 채널의 등장은 창업 초기의 기업들에게 큰 성장 동력을 제공하고 있으며, 새로운 유통채널로서 소비 증대 효과도 기대할 수 있는 상황이다. 본 연구에서는 리워드형 크라우드 펀딩 진행 시 고객이 느끼는 서비스 실패와 회복 과정에서의 공정성을 절차적 공정성, 상호작용적 공정성, 분배적 공정성의 세가지 영역으로 구분하고, 고객이 인지한 공정성이 만족도와 충성도에 미치는 영향을 살펴 보았다. 이러한 연구 목적을 달성하기 위하여 리워드형 크라우드 펀딩에 대한 조사와 분석을 진행하였고, 서비스 실패와 화복을 경험한 고객들이 느끼게 되는 공정성이 만족도와 충성도에 긍정적인 영향을 끼친 것으로 나타났다. 특히 고객의 만족도에는 상호작용 공정성이 가장 큰 영향을 끼쳤으며, 고객의 충성도에는 분배 공정성이 가장 큰 영향을 끼친 것으로 나타났다. 따라서 크라우드 펀딩사는 서비스 실패를 경험한 고객이 공정성을 느낄 수 있는 회복 전략을 실행하도록 노력해야 한다.

• 산업융합연구
• /
• 제17권1호
• /
• pp.25-31
• /
• 2019

간호사의 잦은 이직은 의료계의 큰 어려움 중 하나로, 본 연구는 이직간호사의 사회적지지, 감정노동과 주관적 건강이 회복탄력성에 미치는 영향을 파악하고자 시도되었다. 본 연구대상자는 이직간호사 70명으로, 자료 수집은 2018년 11월 1일부터 11월 10까지 이루어졌다. 수집된 자료는 IBM SPSS 25.0프로그램을 이용하여 분석하였으며 유의수준은 .05로 하였다. 본 연구결과는 다음과 같다. 1) 회복탄력성은 업무만족과 주관적 건강에 따라 유의한 차이가 나타났다. 2) 회복탄력성은 사회적지지, 주관적 건강과 유의한 상관관계를 나타내었다(p<.05). 3) 회복탄력성에 유의한 영향을 준 요인은 업무만족과 사회적 지지로 그 설명력은 44.1%로 나타났다(F=9.93, p<.001). 간호사의 회복탄력성을 향상시켜 이직을 감소시키고 임상에의 적응력을 높일 필요가 있다. 그러므로 이직간호사의 회복탄력성 향상 중재 시 이러한 영향요인을 반영할 필요가 있다.

• 벤처창업연구
• /
• 제12권6호
• /
• pp.13-24
• /
• 2017

본 연구는 도시형소공인의 매출채권관리가 재무적 경영성과에 미치는 영향을 검정하고자 진행하였다. 도시형소공인을 대상으로 설문조사를 실시하여 분석하였으며 연구결과는 다음과 같다. 첫째, 도시형소공인을 대상으로 한 매출채권관리 요인(신용판매관리와 신용통제관리, 회수관리)은 재무적 경영성과에 정(+)의 유의한 영향을 미치며, 사전적 매출채권관리가 사후적 매출채권관리보다 재무적 경영성과에 유의하게 영향을 미치는 것으로 나타났다. 사전적 매출채권관리 중 신용판매관리는 재무적 경영성과에 유의한 영향을 미치지 않았으며 신용통 제관리의 구성요소인 관리조직과 규정, 계약체결관리, 대손통제가 재무적 경영성과인 안정성에 모두 정(+)의 유의한 영향을 미치는 것으로 나타났고, 수익성에서도 관리조직과 규정이 부분적으로 정(+)의 유의한 영향을 미치는 것으로 나타났으며, 사후적 매출채권관리인 회수관리는 재무적 경영성과에 유의한 영향을 미치지 않는 것으로 나타났다. 둘째, 재무적 경영성과 중 안정성은 조직만족에 정(+)의 유의한 영향을 미치는 것으로 나타났고, 반면에 수익성은 조직만족에 유의한 영향을 미치지 않는 것으로 나타났다. 본 연구의 시사점은 도시형소공인의 매출채권관리에 있어 사전적 매출채권 관리가 사후적인 매출채권관리보다 중요하다고 판단할 수 있다는 것이다. 사전적 매출채권관리는 계약체결 전인 신용조사, 분석 및 평가, 판매결정 등의 과정을 통해 계약체결과 동시에 채무이행을 원활하기 위하여 인적보증이나 물적담보 등을 설정하여 관리하는 절차를 의미하며, 반면에 채무불이행을 전제로 하는 사후적 매출채권관리는 이미 디폴트가 되어버린 매출채권에 대한 채권회수 및 대손상각으로 처리 시까지의 채권관리 절차로서 매출채권이 회수가 지연되거나 대손이 증가하면 기업의 유동성이 악화되고 더 나아가 기업은 파산위험(흑자도산)에 처할 수도 있다. 그러므로 본 연구는 도시형소공인이 상거래 계약체결 시 이행기일 내에 매출 채권 결제와 불량채권의 회수 가능성을 사전에 파악하여 양질의 계약형태 변화를 유도하도록 방향성을 제시하였다는데 의의가 있다.

• International Journal of Contents
• /
• 제10권1호
• /
• pp.54-61
• /
• 2014

In this paper, we propose a pioneering concept of DPD(Disaster Prevention Design) to realize a securable society in the future. Features of danger in the future society are expected to be diverse, abrupt occurring, large scale, and complicated ways. Due to increment of dangers with their features of uncertainty, interactivity, complexity, and accumulation, human-oriented design concept naturally participates in activities to prevent our society against disasters effectively. We presented DPD is an essential design activity in order to cope with dangers expected in the future societies as well as realize securable environments. DPD is also an integrated design aids including preemptive protections, rapid preparing, recovery, and interactive cooperation. We also expect these activities of DPD is effective for generation of new values in the market, satisfaction of social needs, expansion of design industry, and a novel chance for development in the future society. Throughout this paper, we submit various aspects of DPD concepts including definition, classification, scope, necessity, strategy, influencing elements, process, and its principle. We expect these concepts will be the seed and/or basement of DPD research for the future works. For the direction of study for DPD in the future, we emphasize alarm system for preemptive protection rather than recovery strategy for the damage occurred. We also need to research about progressive prevention techniques and convergence with other areas of design. In order to transfer the concept of product design from facility-oriented mechanism to human-oriented one, we should develop new kinds of city basis facilities, public-sense design concepts referred to social weak-party, e-Learning content design preparing disasters, and virtual simulation design etc. On the other hand, we have to establish laws and regulations to force central and/or provincial governments to have these DPD strategies applying their regional properties. Modern design activities are expanding to UI(user interface) content design area overcoming the conventional design concept of product and/or service. In addition, designers are recognized as art directors or life stylists who will change the human life and create the social value. DPD can be divided into prevention design, preparedness design, response design, and recovery design. Five strategies for successful DPD are Precaution-oriented, Human-oriented, Sense-oriented, Legislation, and Environment Friendly Strategies.

• 임상간호연구
• /
• 제22권3호
• /
• pp.314-326
• /
• 2016

Purpose: The purpose of this study was to understand the experience of emotional labor of clinical nurses in medical institutes. Methods: A total of 26 nurses from 11 hospitals participated in the study. Six focus groups were organized and 4 to 5 nurses took part in each group. The compositional factors of groups included clinical experience, age, gender, work place and position. Data collection was conducted through focus group interview and it was proceeded by the time of data saturation. In this qualitative study, content analysis was conducted. Results: Five themes, 14 categories, and 33 subcategories, were emerged. The themes were 'Restrain themselves', 'Communion to the patients', 'Working environment provoking emotional tension', 'Respond to emotional events', 'Recovery of emotional energy'. Conclusion: Results indicated that surface acting of emotional labor such as, repression of personal desire and presenting the emotions that the organization ask nurse to express was related to psychosomatic symptoms, depression, burnout, poor job performance, increased mistakes, and low job satisfaction which eventually leads to nurses' turnover. In order to reduce negative influence of emotional labor, it is necessary to build positive organizational culture, to provide support from managers and co-workers. It is also important to improve work environment in order to do more deep acting since sharing emotions with patients can reduce the negative influence of emotional labor.

• 대한간호학회지
• /
• 제40권3호
• /
• pp.307-316
• /
• 2010

Purpose: The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards. Methods: A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0. Results: The mean score for RSS was $17.80{\pm}9.16$. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001). Conclusion: By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.

• Archives of Plastic Surgery
• /
• 제47권3호
• /
• pp.256-262
• /
• 2020

Background Most women consider an oval-shaped face to be youthful and beautiful. In recent years, demand has grown for surgical procedures with a shorter downtime and fewer complications. These minimally invasive procedures include botulinum toxin type A (BoNTA) injection, filler injection, suction-assisted liposuction (SAL), laser-assisted lipolysis (LAL), thread lifting, and fat grafting. This study aims to introduce an effective method for creating an aesthetically pleasing lower face using a combination of minimally invasive procedures. Methods From March 2017 to March 2019, 94 patients simultaneously underwent LAL, SAL, and thread lifting. Ancillary procedures such as BoNTA injections, hyaluronic acid filler injections, and removal of the buccal fat pad (BFP) were selectively performed according to the patient's condition. Results Patients rated their postoperative satisfaction as very satisfied, satisfied, dissatisfied, or very dissatisfied. Approximately 83% of all respondents were satisfied with the results, whereas the remaining respondents had complaints regarding the outcomes. The most common reasons for dissatisfaction were a longer-than-expected recovery time and undercorrection, and the most severe complaint was skin depression as a result of overcorrection. Conclusions Our method of simultaneously performing LAL, SAL, and thread lifting, while adding BoNTA, filler injections, and BFP removal as needed, was capable of producing consistent and reliable aesthetic outcomes for the lower face.