Park, Sung Bae;Kim, Ki Jeong;Han, Sanghyun;Oh, Sohee;Kim, Chi Heon;Chung, Chun Kee
Journal of Korean Neurosurgical Society
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v.61
no.3
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pp.415-423
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2018
Objective : To identify the perioperative factors associated with instrument failure in patients undergoing a partial corpectomy with instrumentation (PCI) for spinal metastasis. Methods : We assessed the one hundred twenty-four patients with who underwent PCI for a metastatic spine from 1987 to 2011. Outcome measure was the risk factor related to implantation failure. The preoperative factors analyzed were age, sex, ambulation, American Spinal Injury Association grade, bone mineral density, use of steroid, primary tumor site, number of vertebrae with metastasis, extra-bone metastasis, preoperative adjuvant chemotherapy, and preoperative spinal radiotherapy. The intraoperative factors were the number of fixed vertebrae, fixation in osteolytic vertebrae, bone grafting, and type of surgical approach. The postoperative factors included postoperative adjuvant chemotherapy and spinal radiotherapy. This study was supported by the National Research Foundation grant funded by government. There were no study-specific biases related to conflicts of interest. Results : There were 15 instrumentation failures (15/124, 12.1%). Preoperative ambulatory status and primary tumor site were not significantly related to the development of implant failure. There were no significant associations between insertion of a bone graft into the partial corpectomy site and instrumentation failure. The preoperative and operative factors analyzed were not significantly related to instrumentation failure. In univariable and multivariable analyses, postoperative spinal radiotherapy was the only significant variable related to instrumentation failure (p=0.049 and 0.050, respectively). Conclusion : When performing PCI in patients with spinal metastasis followed by postoperative spinal radiotherapy, the surgeon may consider the possibility of instrumentation failure and find other strategies for augmentation than the use of a bone graft for fusion.
Purpose: The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy. Methods: This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, $\chi^2$-test and logistic regression analyses were used for data analysis. Results: The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (${\leq}7$ days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (${\leq}7$ scores) (OR=4.71, 95% CI=1.64-13.50). Conclusion: The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.
Purpose: This experiment aims to provide the fundamental resources in developing a programme intended to prevent students from dropping out of their academics by promoting students to develop an optimistic psychological state, through analysis of the factors that influence students' commitment to their major. Methods: A self-administered questionnaire was conducted from $19^{th}$ of November of the year 2018, till $1^{st}$ of December of the same year, with dental technology students located in W city as the subject. 261(93.2%) of the participants' responses were used for the final analysis. Results: A negative association between factors of commitment to major and factors of academic dropout decision were portrayed to be of statistical significance (p<.01), and factors of commitment to major that influence dropping out of their academics were shown to be that of 'autotelic experience' (p<.001) with a negative ( - ) relationship, and 'change in a sense of time' (p<.01) with a positive ( + ) relationship of statistical significance, while the explanatory power of the model was shown to be 33.6%. Conclusion: In order to prevent dental technology students from dropping out of their academics, following their entrance, To achieve this, the department must consider the implementation of, aside from subject matters of the major, other various extra-curricular programmes, and programmes in which the supervisor is consistently providing consultations that are tailored to each individual student.
This study groups the life content of adolescents according to their time spent during the week and compares their internet use. The data were collected from 2210 middle and high school students, including their life content and hours, and various internet factors such as self-evaluated internet addiction, internet support, internet experience, chatting subjects and the type of internet service. Adolescents were divided into five groups: TV-oriented group, computer-oriented group, peer-oriented group, self-study group and extracurricular institution group. The purpose of internet use, internet experience, chatting subjects, negative aspects of internet and internet addiction were different by adolescents' group type. The peer-oriented group had the highest real self image as opposed to the cyber self image and trusted other's words on the internet. The TV-oriented group had the lowest trust in the internet. The computer-oriented group received the highest internet support and internet experiences, but didn't use the internet for the purpose of information search. The self-study and extra-curricular institution groups used the internet the least, used it to solve stress and were interested in school circles on the internet.
This paper aims at analyzing SW club acitivities on the science core high school using information disclosure. Targeting 103 schools across the nation science core high schools, the factors influencing the SW Club was analyzed. And science core high school education plans, business plans and management reports were analyzed in SW club activities. It was the most influencing on the SW club in Creative-Experiential activities organization of computer courses. So computer curriculum reform is urgently needed. SW extra subject activities and funding was having a positive effect. Tuition reimbursement rates was having a negative effect. But academic achievement did not significantly affect. Therefore as many students as possible should be able to assist the SW extra subject activities. And it is required Programs and budget support that reflect the characteristics of local and school. Also, as science core high schools have STEAM education, science, mathematics and technology home economics teachers etc were leading the SW club activities by fusing the their curriculum and SW education. As these activities are consistent with the purpose of SW education, research should be more active autonomic consisting of various teachers.
The Journal of Korean Academic Society of Nursing Education
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v.11
no.2
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pp.161-168
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2005
Purpose: The purposes are to identify the factors that influence work-based stressor experienced by clinical nurses and to provide a perceived causal structural model among these factors. Method: Data was collected and analyzed in 2 steps to apply a perceived causal structure : network analysis which was developed by Kelley(1983). Results: 1. The extracted causes from qualitative data were identified 10 categories ; over loaded work, relative feelings of deprived, inefficient duty schedule, negative attitudes of patient, burden of extra affair, inadequate administrative support, negative attitudes of physician, conflict with other personnels in hospital, lack of professional knowledge and skill, nursing service marketing burden. 2. Construction of the perceived causal structural model ; 1) The most central cause is over loaded work and the distal causes were inadequate administrative support, lack of professional knowledge and skill in the systems of causation. 2) The causes that have a number of outgoing link were over loaded work, inadequate administrative support, negative attitudes of physician. 3) The cause that have a number of incoming link was relative feelings of deprived. Conclusion: The network suggests that the first centre cause was related on over loaded work.
Journal of the Korean Society of Clothing and Textiles
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v.17
no.2
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pp.177-196
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1993
By cluster sampling measurements, passing months of pregnancy according to changes of pregnant women body forms. On the basis of the above mentioned data, sizes of pregnant women clothes were decided. The results are as follows. 1. By cluster sampling measurements, sixty-nine items of apparel were obtained during the three different periods of pregnancy. They included the mean and standard deviation of body form measurement and the minimum and maximum values (Chart 3-4). The results of these surveys made it possible to notice the changes of pregnant womens' physical characteristics, i. e., the increased physical proportions: frontal waist area, umbilicus width, abdominal girth, crotch length, the length of the nipple, and body weight and the decreased proportions: omphalos height, perineum dimension. There was little change in the rear parts of the body. 2. The analized results of principle factors for body form measurements by cluster measurements produced seven major factors for which the proper values were over 1.0. They were: form factor, pregnancy factor, posture factor, breast formation factor, rear body formation factor, and nipple to nipple breadth. 3. In deciding garment sizes of pregnant women, four different sizes were established; small, medium, large, and extra-large according to the third, fifth, eighth, and tenth month of pregnancy. The measurement value of each item was produced by estimate.
This study analyzed the socio-psychological process of adolescent drinking behaviors. A total 1,732 high school students in Pusan city were studied by the questionnaire from May to July, 1985. A structural model based on review of the literature was examined in order to test the following three hypotheses: (1) sociocultural and environmental impact on the adolescent belief system for drinking, on drinking situations, and on experiences of deviation, (2) relationships among adolescent belief system, drinking situations, and experiences of deviation, and (3) impact of antecedent variables on adolescent drinking levels. All hypotheses were supported by the data. The important outcomes were discussed as follows: 1. Because interpersonal factors were influential for the adolescent belief system concerning drinking, public drinking education through mass communication or drinking education in the curriculum were recommended. In addition to sex variables, friends' drinking and sibling's drinking were shown to have a positive impacts on drinking situations. Also, adolescent self-reported parents' views on drinking had significant effects. Because adolescent deviant experiences were generally affected by environmental factors, it is recommended that positive extra-curricular activities at both home and school should be investigated. 2. There were significant relationships among adolescent belief systems, drinking situations, and deviant experiences. However, adolescent drinking behaviors in supervised situations had weak correlations with their belif systems and deviant behaviors. 3. Adolescent drinking levels were remarkably influenced by drinking behaviors in unsupervised situations. Because it is difficult to control actual adolescent drinking behaviors in unsupervised situations, it is important to fortify their belief system with continuous education programs.
Journal of Korean Institute of Industrial Engineers
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v.36
no.1
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pp.69-77
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2010
The failure rate model of External Environment Maintenance(EEM) for a system under severe environment is investigated. EEM, which is recently introduced concept, is a maintenance activity controlling external environment factors that potentially cause system failure such as cleaning equipment, controlling temperature (humidity) and removing dust inside of electronic appliances. EEM can not have any influence on the inherent failure rate of a system but reduce the severity of the external environment causing failure since it deals with only external environment factors. Therefore, we propose two failure rate models to express the improvement effect of EEM: The intensity reduction model and age reduction model. The intensity and age reduction models of EEM are developed assuming the quality of improvement effect is proportioned to an extra intensity or age respectively. The validation of proposed failure rate models is performed in order of data generation, parameter estimation and test for goodness-of-fit.
Meeting the touchdown point (TDP) target box is one of the challenges during catenary riser installation, especially for deep water or ultra-deep water riser systems. TDP location mismatch compared to the design can result in variation of riser configuration, additional hang-off misalignment, and extra bending loads going into the hang-off porch. A good understanding of the key installation parameters can help to minimize this mismatch, and ensure that the riser global response meets the design criteria. This paper focuses on investigating the potential factors that may affect the touchdown point location, and addressing the challenges both in the design stage and during installation campaign. Conventionally, the vessel offset and current are the most critical factors which may affect the TDP movement during installation. With the offshore exploration going deeper and deeper in the sea (up to 10,000ft), other sources such as the seabed slope and seabed soil stiffness are playing an important role as well. The impacts of potential sources are quantified through case studies for steel catenary riser (SCR) and lazy wave steel catenary riser (LWSCR) in deep water application. Investigations through both theoretical study and numerical validation are carried out. Furthermore, design recommendations are provided during execution phase for the TDP mismatch condition to ensure the integrity of the riser system.
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