Han, Sun Sook;Sim, Sung Eun;Kim, Yang Hyun;Lee, Eun Hyoung;Joh, Ju Yeon;Kim, Ji Young;Lee, Sang Chul
The Korean Journal of Pain
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v.18
no.2
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pp.187-191
/
2005
Background: Discogenic leg pain is a major cause of health problems, often due to herniation of the intervertebral disc, and has traditionally been treated conservatively or with an open surgical discectomy. Conventional open surgery has many complications, such as nerve root injury, discitis and a relatively high mortality rate; failure of conservative treatments is also common. Recently, the $Dekompressor^{(R)}$ Percutaneous Lumbar Discectomy probe was developed. Herein, we present the early results for a percutaneous lumbar discectomy in herniated lumbar disc disease. Methods: Eleven patients, including 8 men and 3 women, with ages ranging from 22 to 78 years, were enrolled in this study. Those patients with a previous history of back surgery were not excluded from the study. All patients were postoperatively evaluated for their clinical outcomes, such as visual analogue scale (VAS) for pain after 1 and 3 months, reduction in analgesics, functional improvement and overall satisfaction. Results: The percutaneous lumbar discectomy was completed in 11 patients (17 levels), with average reductions in pre-VAS of 61.3 and 60.2% at 1 and 3 months, respectively. Also, 72.7% of patients reported functional improvement, with 81.1% expressing overall satisfaction. There were no procedural related complications. Conclusions: We concluded that a percutaneous lumbar discectomy is a safe and effective treatment modality for a herniated lumbar disc.
This study was conducted to investigate the relationship between body image and BMI with satisfaction of own body image, snack intake practices, food intake practices and weight control practices of 226 female college students in Jeonbuk province using questionnaire. The results were summarized as follows : 1. The average height, weight and BMI was 162.08cm, 52.02kg and 19.78, respectively. The average ideal body weight of the subjects was 48.92kg. Ninety percent of the subjects was dissatisfied with their body image. The degree of dissatisfaction was higher in the group who recognized themselves as fat. Most of subjects wanted to lose weight, but as the group having a recognition of thin body image significantly wanted to gain weight (p<0.001). 2. The subjects preferred fruits and juices for snack. The more subjects recognized themselves as fat, the more they restricted snack intake (p<0.05). 3. The rate of skipping meal tends to increase. The subjects did not intake balanced meals and skipped breakfast most (20.7%). The number of food groups taken at breakfast, lunch and dinner was 1.84, 2.25 and 2.55, respectively and the most variable food groups were taken at dinner(p<0.001). Dairy food group intake was low. The duration of meal time was longer in the underweight group by BMI regardless of body image recognition (p<0.05). 4. The weight controlling method was concentrated mostly on decreasing food intake. The more subjects recognized themselves as fat, the more they tried to control weight (p<0.001). Even though 59.5% of the subjects with no weight control experience had no future weight control plans, 50% of the group who recognized themselves as normal or fat did not want to control weight in the future (p<0.01). These results suggest that nutrition education programs and correction programs of food behaviors and weight control should start from focusing on the accurate recognition of body image for college female students.
The purpose of this study was to validate the effect that the job stress of the newly appointed dental hygienists would have on the organization effectiveness. In this study, 214 newly appointed dental hygienists in Daegu, Gyeongbuk, were surveyed from September to October, 2013 through the structured questionnaires, and the collected data were electro-statistically computerized under SPSS 17.0 program and analyzed based on the frequency analysis, correlation analysis, and multiple regression analysis. The results of analysis showed that the dental hygienists with less than 3-year experience had the lower role conflict compared to other groups in relation to the job stress factors based on the clinical experience, and there was a significant difference. A negative(-) relation was found among the job stress, organization commitment, and job satisfaction, while a positive(+) relationship with the turnover intention was found. Moreover, it turned out that the job stress of newly appointed dental hygienists had a significant effect on the organization effectiveness. Thus, it is considered necessary to explore the specific measures that can help reduce the turnover rate of newly appointed dental hygienists and improve their adaptation to the organization in a more effective manner.
With the introduction of the computer, convenience at work may have increased but flexibility decreased along with a tendency for humans to become secondary to computers with regards to work schedules. As it exists, from entering the department of radiology to completion of imaging requires a great deal of time and difficulties in understanding the imaging process adds to patient dissatisfaction. Since clinics use RFID bars to track patient locations at comprehensive medical testing centers, departments of radiology may apply RFID and Worklist at the core of the OCS system in order to increase work efficiency and improve work flow. As a result of developing an RFID and Worklist centered OCS program, there was a vast improvement in patient satisfaction and work flow. Theses results are the basis of an RFID system that in the future may be connected to PACS and other systems with an intergrated Worklist. There is a need to realize a plan the can offer ubiquity to hospital work.
As the growth rate of IPTV VOD usage increases it is necessary to analyze VOD usage patterns systematically. This study divides VOD users into free VOD and paid VOD users, then explores how VOD usage motivations, usage patterns, and demographic factors affect the differences between two groups. The results show that social motivation, VOD satisfaction, using content after the holdback expiration, an intention to pay for ad-skip, the proportion of VOD usage, a VOD give-up experience, TV usage time, and SVOD usage time, are statistically significant. Except the VOD satisfaction factor, all of the factors analyzed are more likely to expect paid VOD users. Additionally this study found paid VOD users are more likely to use a SVOD service as an alternative one compared with free VOD users.
Guardo, Laura Alonso;Gala, Carlos Cano;Poveda, David Sanchez;Juan, Pablo Rueda;Sanchez Montero, Francisco Jose;Garzon Sanchez, Jose Carlos;Lamas, Juan Ignacio Santos;Sanchez Hernandez, Miguel Vicente
The Korean Journal of Pain
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v.29
no.1
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pp.23-28
/
2016
Background: Sacral nerve stimulation is a therapeutic option with demonstrated efficacy for conditions presenting with perineal pain caused by different etiologies. We aimed to assess whether a sacral electrode ($Interstim^{(R)}$, Medtronic, Minneapolis, MN, USA) inserted through the caudal pathway is able to offer an acceptable level of sacral stimulation and rate of catheter migration. Methods: We present 12 patients with pelvic pain who received sacral neuromodulation via the sacral hiatus with the InterStim electrode. We evaluated patient satisfaction as well as migration and removal of the electrode, if necessary. Results: Our experience included 12 patients, 10 women and two men, with a mean age of 60 years. In eight of the 12 patients, the initial therapy was effective, and the final system implantation was performed. During subsequent follow-up, patient satisfaction was good. To date, there have been no cases of electrode displacement or migration. Conclusions: The caudal insertion of the InterStim electrode, with its own fixation system, and initially designed for transsacral insertion, appears in our experience to be a satisfactory option which can minimize electrode displacements, achieving similar results in therapeutic efficacy and causing no difficulties in removal.
Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.
Journal of the Korean Institute of Landscape Architecture
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v.30
no.6
/
pp.17-25
/
2003
The physical components of a river, such as water surface width/river width ratio, water level, and flow velocity vary according to different flowrates. Moreover, the riverside landscapes are greatly affected by the change of physical components of the stream or river. This paper provides an analysis of the influence of changing physical components of a river on the riverside landscape using a survey-based quantification method. The questionnaire was developed based on current literature, and was submitted to 326 people who each visited a representative station along the riverside.This survey was implemented three times at each representative station during periods of different flowrates. The results of this analysis and survey have Produced an understanding of the relationship between the variation of physical components and riverside landscapes. Survey results about the flow comparison are summarized as follows. Viewing riverside landscapes, most respondents are sensitive to the change of the flow velocity and prefer high water levels to low water levels. As a whole, respondents prefer abundant stream flows and moderate flow velocity in which they can perceive the flow of water. The minimum instream flows for riverside landscapes is estimated at each representative station by using a survey-based quantification method, and the estimated results of some representative stations were greater than the mean monthly flow at each station. The result of this analysis shows that establishing minimum instream flows for riverside landscapes is not only a technical problem, but also a legal problem. Therefore, in the to establish the instream flows in a river, the estimated results have to be considered as a relative standard. Regarding the survey results, respondents' satisfaction level didn't show any clear inclination according to the variation of various hydraulic properties. In determining the minimum instream flow using such an inquiry method, the structure of riverside scenery may vary according to the change of seasons or months. Therefore, to determine a consistent general inclination about the flow rate, it is necessary to have more detailed flow rates for each season or month combined with more inquiries.
Proceedings of the Korea Contents Association Conference
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2009.05a
/
pp.652-658
/
2009
As the rate of personnel expenses of contact center operating costs is the highest, we can reduce operating costs, if we answer a automatic phone call wholly or partially. The MCS(Managed Contact Services) play an important role in cost reduction and work efficiency related with voice self-services. The excellent functions of the MCS are able to implement self-service applications in network connected with effective network routing of the enterprise. The MCS makes a proper consultant rapidly response and process customer calls, improve customer processing services, and consequently increase customer satisfaction. The increase of customer satisfaction lead to improve profits and reduce the cost of building contact center infrastructure. In this paper, we analyze the contact center line capacity and PBX capacity based on the MCS. We can reduce communication costs and personnel expenses by reducing the call shifting need between consultants and rapidly solving customer questions with the MCS.
The Journal of Korean Society for School & Community Health Education
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v.7
/
pp.33-49
/
2006
Background & Objectives: This study was designed to examine relationships between smoking behavior and smoking attitudes among 6th-grade students in Korea in order to provide knowledge on school-based programs for preventing adolescent smoking behaviors. Methods: Questionnaires were administered to 464 students attending three public elementary schools in O city from June 13 to June 16, 2006. The total sample size is 458 (response rate = 98.7%). Data were statistically analyzed by frequency analysis, cross tabulation, and multiple regression. Results: First, smoking behavior was significantly influenced by the factors of gender, self-concept, family structure, sibling smoking, school achievement, relationship with teachers, satisfaction with school life, and smoking friends. Theprevalence of ever-smoking was 12.7% among 6th grade students in this study. Students were most likely to initiate smoking in the 5thgrade with curiosity and smoke at their own home. Second, students showed negative attitude toward smoking overall. From the detailed section, students respondednegatively about smoking in public places while they thought that adult smoking with moderate level was okay. Student who showed positive attitudes toward smoking in the present study were significantly related to the factors of self-concept, family environment, parental and sibling smoking status, school achievement, satisfaction with school life, and smoking friends. Third, Students who had tried cigarette smoking were likely to report less negative attitudes toward tobacco than non-smoking students. Fourth, this study found that smoking friends were the most significant predictor of positives smoking attitudes. Other factors significantlyassociated with smoking attitudes were gender, relationship with friends, self-concept, relationship with teachers, paternal smoking status. Conclusions: The study results suggest that smoking prevention programs focus on resisting peer influence and need to be community-incorporated and/or comprehensive from elementary to high school.
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