Kim, Yong Kuk;Im, Hae Ra;Lee, Gwang Hoon;Han, Soo Jin;Sun, Yong Han;Ryoo, Eell;Cho, Kang Ho;Tchah, Hann;Lee, Hak Soo
Clinical and Experimental Pediatrics
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v.46
no.1
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pp.37-41
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2003
Purpose : Although air enema reduction has been known as a good method of diagnosis and treatment of intussusception, it could develop colon perforation. However, there have been few studies about this complication. So we analyzed the risk factors of colon perforation during air enema reduction in patients with intussusception. Methods : We reviewed the charts of 12 colon perforation patients during air enema reduction of intussusception, who were admitted to Gil Medical Center from Jan. 1990 to Dec. 2001. Their age, sex, major symptoms, length of time till hospital visit, types of intussusception, operative findings and pathologic reports were reviewed. Results : Among 657 cases, 596 patients(90.7%) were successfully treated, but 12 patients(1.83%) failed in air enema reduction and had colon perforation. In patients with colon perforation the male to female ratio was 11 : 1, and average age was 5.3 months. The most common symptom at the time of hospital visit was vomiting(91.7%). Cyclic irritability(75.0%), bloody stool(75.0%) and abdominal mass(41.7%) were also noted. The average length of time between symptom onset and hospital visit was 44.7 hours. Types of intussusception were predominantly ileocolic, ileocecal, and ileoileocolic. The site of perforation was most commonly found at the proximal part of intussusception including ascending colon(50%) and transverse colon(50%). Most cases were uncomplicated, and had a single perforation. Pathologic reports showed hemorrhagic necrosis and mesenteric laceration at the site of colon perforation. Complications of colon perforation were tension pneumoperitonium(58.3%), requiring immediate decompression. Conclusion : The chance of colon perforation during air enema reduction increases in cases with small bowel obstruction on simple abdominal x-ray of a patient younger than 6 months, delay in time till hospital visit and higher air pressure during reduction. Therefore more careful investigation is needed in these cases.
Purpose: To investigate amount of myopic progression with increase of age for children myopes among patients of a Korean optometry clinic. Methods: It has followed up 99 children subjects (male 55, female 44) who had no ocular disease and have visited a Korean optometric clinic for mean $33{\pm}8$ months (13 to 54 months) since June of 2001. Mean age of subjects at first visit was $118{\pm}23$months. Non-cycloplegic refractive error were measured 6 times using Canon RK-3(Japan) every mean 6 months. Results: For all subjects mean of refractive errors increased -0.78 D per year from $-2.02{\pm}1.05D$ at first visit to $-4.18{\pm}1.30D$ at final visit with longitudinal study, but -0.19 D per year with cross-section study, which showed a big difference between two methods. Mean of astigmatic refractive error increased -0.15 D per year. As progression of refractive error according to ages at first visit, refractive errors increased -1.04 D per year for 6 years old, -0.9 D for 7 years old, -0.89 D for 8 years old, -0.89 D for 9 years old, -0.74 D for 10 years old, -0.74 D for 11 years old and -0.72 D for 12 years old. And it showed a tendency that the younger age was the higher progression of myopia. However it was not significantly different between each groups. Conclusions: Follow-up results for myopic children among patients of a Korean optometry clinic showed increase of -0.78 D for myopic refractive error and -0.14 D for astigmatic refractive error per year.
This study was carried out to investigate the management and support system affecting to the occupational health nursing services(OHNS) provided in group occupational health agencies(GOHA). Questionnaire was developed and distributed to 82 nurses who were working in GOHA and who agreed to participate in the survey. The results were as follow: 1. OH nurses responded were mostly in the age of twenty to thirties(89%), married(73.7%), technical college graduates(88.9%), worked in hospital(85.4%) and participated more than 1 year in group occupational health services (96.3%). 2. Fifty eight point four percent of the OH nurses worked in number of workplace more than 30 to less than 60 in the OHNS form. The figure of workplaces undertaken by nurses was ranged greatly from 9 to more than 100. Number of employees who cared by nurses were mostly under 5,000 peoples in 93.3%. The types of industry was mostly manufacturing and located in the order of factory complex area, suburban, urban and others. 3. Most OH nurses(87.8%) were fully involved in the OHNS for the SSE. Their working days to visit SSE was 5 days per week(77.8%) and one day in the GOHA at 41.3%. 4. The OH documents using by nurses were found in more than 23 different types. However, they were largely summarized in the types of 'Workplace Health Management Card', 'Personal Health Counselling Card', 'Daily Health Management Report', 'Visiting List of Workplace' and 'Sick Employee List'. 5. The items of laboratory test provided by GOHA were mostly achieved in the purpose of basic health examination. They were used to be the blood pressure check(98.8%), blood sugar test (98.8%), urine sugar and protein(91.4%), SGOT and SGPT(85.3% each), cholesterol (82.9%), hepa vaccine immunization(82.9%), r-GPT(81.7%), hemoglobin(79.3%) and triglyceride(75.5%). 6. The OH nurses(92.7%) followed the work pattern to visit the GOHA before and after small-scale enterprises(SSE) visit by car driven by nurses in 74.3%. They were payed by GOHA for transportation fees in certain amounts. However, nurse is the main person(75.0%) who covers up in case of traffic accident. If the GOHA has no transportation regulation for the formal workplace visit, data showed that nurses had been responsible to take charge(31.7%). 7. The personnel manager who takes in charge for nursing services was 'nurse' in 61.7% and 41.2% worked as the final decision maker related to nursing work. The OH nurses' opinions about factors affecting to the management were classified in the four areas such as 'Nature(Quality) of health professional'. 'Content of OHNS', 'Delivery system of the GOHS', and 'Others'. The factors were indicated highly in 'Authority as health professional', 'Level of perception of director on the OH' and 'Physical work condition for OHNS'. The things that this study suggests in the recommendation would be summarized in such as the management and supporting system working for SSE in the OHNS is necessary to reform thoroughly. The reconsidered aspects might be in the matters of number of workplaces undertaken by nurses, development of effectively practical health documents, preparation for guideline of the laboratory test in the workpleces, establishment of convenient and encouraging support system and cooperation between other health professionals with respect and skill.
The purpose of this study is to provide the fundamental data through researching on the actual condition of foreign consumers, the image of DongDaeMun fashion market, the customer satisfaction measurement of DongDaeMun fashion market, and the degree of satisfaction of DongDaeMun market's products. The results of this study are as follows: 1. The analysis on gender who visits DongDaeMun fashion market reveals that female(77.6%) was more than male, and the each age group has a priority in orders of 30s, 20s and 40s. The Japanese shoppers has more willing to visit again and a number of visitors has visited more than twice and many of them came by for the purpose of shopping. Japanese shoppers get the information of DongDaeMun fashion market from families or advertisements by media, while Chinese customers get the information through travel agencies. 2. The image of DongDaeMun fashion market by foreigners is generally positive. They were satisfied with the facilities of DongDaeMun fashion market, the convenience of transportation, business hour and ambience of store, and fashion of clothes. Foreign customers who visited Korea on purpose to do shopping and frequent visitors to Korea have a similar image of DongDaeMun fashion market with that of domestic visitors. 3. The degree of satisfaction to the DongDaeMun fashion market for clothing was usually high. There were only few differences between Chinese shoppers and Japanese shoppers. The higher the satisfaction to the DongDaeMun fashion market was the more they had bought and high intention of visiting. And the more experiences of visiting to the DongDaeMun fashion market showed the higher degree of satisfaction.
In the case of the hotel restaurant, the purpose of using the hotel affects largely to the type or the menu and nowadays it becomes essential to find out the characteristics of the hotels and make the strategy within them. Therefore, the purpose of this study is analyzing that even if the customers have the similar characteristics and preferences, they choose different menu because of the purpose of the visit, and the image of the hotel. And also this study gives basic data for the strategic menu management, the target of this research was the super deluxe Italian restaurant. Using the sales data of this restaurant, we analyzed the menu what people like most, and moreover, we analyzed the menu-choice behavior about each hotel. This study has a important role as a basic data that gives more profit to the restaurant, but also satisfaction to the customers.
It is easier to objectify the designing process with the analysis of how users perceive any space depending on the purpose of space visiting in the interactions of them and images. This study analyzed the observation characteristics perceived through observation frequency and time depending on the purpose cafe customers to understand what effect the design factors constructing the space has on the observation characteristics which are the results obtained as information through visual perception. The followings are the results of this study. First, The time range for searching or wandering and the observation characteristics could be estimated by the meaning of observation time by grade with the setup of time-range out of the distribution of sections. Second, at the time distribution by section, when there was intention, the observation time was found to have higher occupation. Third, though the higher section frequency is likely to have more observation time, the grades of II/V had higher frequency of [Intention] and the time had higher [Non-Intention], which revealed that there is a tendency for the observation characteristics vary in a large degree depending on whether there was intention or not. Fourth, by the application of the observation characteristics of each grade for interrelation analysis depending on whether there is any intention to the space of cafe, the detailed space characteristics could be compared with observation tendency. The difference of obtained information has an effect on obtaining perceived information, and since the intention may affect any information which is obtained, it is necessary for design information suitable to visit purpose or users' observation intention to be transferred in the process of designing. Analyzing the effect of any change to designing factors on the sight inducing intention and synchronization will help to understand the emotional design focused on users.
Purpose - The purpose of this study is to investigate the factors that cause consumers to frequently visit large - Super Store and goods for large - scale retailers using Super Store. Research design, data, and methodology - The purpose of this study is to present the empirical analysis of 53 adult males and females living in the Mokpo area on the relationship between perceived level of satisfaction and loyalty of the large - scale marts. The results were analyzed. The statistical data of the questionnaire were verified by the SPSS. Results - In the empirical analysis of this study, four variables were found to be the main loyalty factors, which were found to affect the satisfaction of Super Store and the decision to return again. Therefore, in this study, the quality of goods, price, diversity, and image were analyzed as loyalty factors, and it was analyzed as factors influencing satisfaction. It was confirmed that loyalty factors were important. In particular, consumers' perception of behaviors such as local specialties and community service that can be distinctly differentiated from other distribution agencies was very low. Conclusions - It is necessary to construct a comprehensive systematic system to analyze the detailed factors influencing the satisfaction and loyalty of users of Mokpo ticket consumers and to systematically manage and evaluate them. In order to raise awareness of consumer loyalty factors, consumer satisfaction and loyalty survey should be regularly conducted. Consumers should look for ways to improve them and develop improvement plans. The various direct and indirect services provided by Super Store to consumers include price, quality, assortment, customer service, accessibility, and feelings for large marts. However, since the services provided by the Super Store are different from those of the consumers, the loyalty factors for the different factors can be different. Therefore, in order to differentiate them from traditional markets or other distribution centers, it It should be used as a weapon of competition. In this study, it is generally recognized that the services provided by Super Store are very simple and inexpensive, so that consumers are not aware of the difference of particular stores.
Purpose - The Purpose of this study is to observe the value of LOHAS as an exhibition that is perceived to be a specialized local exhibition with good fame and differentiated advantage as well as the spectators' will to visit the exhibition coming from the future behavior intention of visitors. Research design, data, and methodology - In order to achieve the purpose of this study, This study organized questionnaire after setting a hypothesis based on the theoretical background from the parameters. verification of the hypothesis by statistically analyzing the answers for questionnaire follows. Finally, the implication of this study is drawn through comprehensive discussion while This study indicated from the limits of the study and future direction for research. This study set up a model to research the influence on the structuring factors in LOHAS exhibition in forming perceived value, customer satisfaction and future behavior intention. Frequency analysis was used for getting demographic characteristics, verification of plausibility, reliability of measured parameters and factors analysis. This study have performed verification of difference at selection property level based on multiple regression analysis and demographic nature. Results - To summarize the study result, through the verification of hypothesis about meaningful influence among structuring factors in LOHAS exhibition, perceived value and customer satisfaction shows some noticeable points to focus on. That is, it is established things that partial adoption and meaning relationship of partial influence. The perceived value affected both customer satisfaction and future behavior intention meaningfully. Conclusions - This study could note that in the structuring factors of LOHAS exhibition, perceived value for visitors and customer satisfaction play their roles positively on the future behavior intention. In conclusion, this study implies that strategic measures are necessary to fulfill the structuring factors of LOHAS exhibition as they would make positive impact on acknowledged value, customer satisfaction and future behavior intention to contribute to the growth and development of LOHAS exhibition. Also it suggests that the method to join each other with activities is necessary to strengthen the properties of the exhibition and position well to be a solid local exhibition.
Purpose: This study identifies the relative importance of the sub - factors of initial services and continuous services using AHP (Analytic Hierarchy Process) method, and calculates the competitive index for the detailed factors. The purpose of this paper is to propose the establishment of long - term and short - term management strategy for expansion of business of food service franchise, franchisors, long - term and win - win relationship with franchisees, and rationalization of operating system. Research design, data, and methodology: The population for the survey is 92 franchisees in 46 foreign brands and 46 domestic brands in the Seoul metropolitan area (Seoul / Gyeonggi / Incheon). The survey was conducted from July 1 to August 31, 2018 through the survey agency with a telephone interview and a surveyor's direct visit. A total of 100 questionnaires were collected, but a total of 92 parts were used for analysis except 8 parts that were considered to contain false information. Using the AHP method, relative importance and competitiveness index were calculated for the details of initial services and continuous services. Results: The results shows continuous services were significantly higher for both foreign brand franchises, domestic brand franchises, and overall than initial services, This suggests that the continuous services of the affiliated franchisors has a higher relative importance than the initial services. Among the continuous services, brand reinforcement and promotion were significantly higher for both foreign brand merchants and domestic brand franchises. This can be regarded as the most important factor in brand reinforcement and promotion when selecting a food service franchisors. Conclusions: In the Standard Terms and Conditions governed by the Fair Trade Commission, the franchisors should increase the fairness by creating manuals for supporting services, especially after opening, and regularly checking whether the supporting services have been carried out like manuals since the establishment of franchisees. In addition, the Brand Strengthening and Public Relations Committee (tentative name) jointly participated by the franchisors and franchisees for the purpose of strengthening and promoting the brand, suggesting a system for transparent and efficient execution of the brand reinforcement and promotion budget and monitoring afterwards.
Journal of The Korea Institute of Healthcare Architecture
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v.29
no.2
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pp.17-26
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2023
Purpose: The purpose of this study is to identify policy implications for the construction of public health facilities in the field of international cooperation, by examining the case of establishing a health care delivery system using a public health center in a rural area of Paraguay. Methods: Firstly, to map the capacity of the 20 public health centers that were studied, we used the WHO Capacity Mapping tool to select and analyze relevant items. Secondly, to assess the utilization of public health centers, we conducted a direct visit survey and analyzed the results using the M-survey tool. Results: The floor plan of each public health center, the structure of the health center, the size of the population served by each health center, the number of monthly visitors, medical human resources, and the budget were classified by health center for comparative analysis. In addition, by utilizing the M-survey tool, we analyzed the general characteristics of the respondents, their perceptions of the purpose and accessibility of public health centers, their satisfaction with using public health centers, and the level of demand for public health centers to play a role in promoting community health. Implications: The results of this study suggest that access to public health facilities for residents in the research area was improved. By classifying public health centers into two types, these centers can perform the functions and roles of primary health facilities. A patient request and evacuation system was established in the research area. Finally, a network, such as a social prescribing program, is needed so that public health centers can function as a "setting" for community members to live together.
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