Both undergraduate and graduate programs in health services management(HSM) are recently established in colleges and universities in Korea, and the programs train their students for diverse sectors within the field of healthcare management, including hospitals, nursing facilities, consulting firms, health industries such as pharmaceutical, insurance companies, etc. This study investigates many of the managerial roles expected to graduates from academic curricula in HSM, and required competencies to be successful in their positions. The information of roles and competencies for HSM graduates were collected, and their importances were evaluated by healthcare management experts through a Delphi method. As the result, 11 items for present roles and 13 items for future roles were derived, and 15 and 16 items were derived for present and future competencies respectively. Utilizing the classification of work roles by Timmreck and that of managerial competencies by Robbins, the importance of roles and competencies of healthcare managers was analyzed and interpreted. The major domains of roles at present turned out to be 'organizer', 'planner', 'problem solver', and 'coordinator' in order according to importance. On the other hand, as graduates develop their careers, the domains of future roles would be changed to 'director' and 'planner'. For competencies, the most important domain at present was 'technical skill', but the future important domain was 'interpersonal and emotional intelligence'. The result of this study can be seen as an initial step toward improving the academic curricula of HSM in college and universities and promoting collaborative efforts between academic programs and on-site practices in healthcare industries.
This study is purposed to analyze how the utilization of rehabilitation services and the desire for service utilization changes with time, to explain the factors affecting service needs and to suggest direction of policy improvement for injured workers. Using the Workers' Compensation Insurance Panel Data ver.1~3, this study analyzed 5,004 observations. Panel regression analysis was performed using STATA to examine changes over time. Two key findings were made: first, the factors influencing the degree of need for rehabilitation services were age, educational period, ability on job performance, community service experience, re-employment and unemployment; second, the significant factors influencing the degree of need for rehabilitation services according to time were age, education period, unemployment, ability on job performance, and experience in using community services. That results were different from the previous cross-section analysis. These findings indicate that it is necessary to check and adjust the initial intervention contents after the end of the period of care on a timely base.
Srinivas Kodaganur Gopinath;Sabita Jiwnani;Parthiban Valiyuthan;Swapnil Parab;Devayani Niyogi;Virendrakumar Tiwari;C. S. Pramesh
Journal of Chest Surgery
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v.56
no.5
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pp.336-345
/
2023
Background: The objective of this study was to demonstrate the safety, efficacy, and feasibility of intraoperative monitoring of the recurrent laryngeal nerves during thoracoscopic and robotic 3-field esophagectomy. Methods: This retrospective analysis details our initial experience using intraoperative nerve monitoring (IONM) during minimally invasive 3-field esophagectomy. Data were obtained from a prospectively maintained database and electronic medical records. The study included all patients who underwent minimally invasive (video-assisted thoracic surgery/robotic) transthoracic esophagectomy with neck anastomosis. The patients were divided into those who underwent IONM during the study period and a historical cohort who underwent 3-field esophagectomy without IONM at the same institution. Appropriate statistical tests were used to compare the 2 groups. Results: Twenty-four patients underwent nerve monitoring during minimally invasive 3-field esophagectomy. Of these, 15 patients underwent thoraco-laparoscopic operation, while 9 received a robot-assisted procedure. In the immediate postoperative period, 8 of 24 patients (33.3%) experienced vocal cord paralysis. Relative to a historical cohort from the same institution, who were treated with surgery without nerve monitoring in the preceding 5 years, a 26% reduction was observed in the nerve paralysis rate (p=0.08). On follow-up, 6 of the 8 patients with vocal cord paralysis reported a return to normal vocal function. Additionally, patients who underwent IONM exhibited a higher nodal yield and a decreased frequency of tracheostomy and bronchoscopy. Conclusion: The use of IONM during minimally invasive 3-field esophagectomy is safe and feasible. This technique has the potential to decrease the incidence of recurrent nerve palsy and increase nodal yield.
Kim, Ha-jeong;Jeong, Young-bae;Lee, Jae-kyu;Lee, Phil-soo
The Korean Journal of Franchise Management
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v.2
no.2
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pp.84-94
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2011
Domestic franchise industry is growing rapidly as a promising business in 21st century and also ordinary people business. Domestic franchise headquarters and franchisees have increased exponentially. However, because of tough competition in the industry, headquarters' lack o fawareness of recruiting and managing franchisees, and reckless expansion strategy for the structural problem of profit structure and lack of experts, systematic management and support system are not going well. For these reasons, the need of franchisee management system is growing up in this industry. Domestic franchise industry is focused on appearance, the volume, while absence and lowness of internal management systems are making stores shut down and conflicts proving necessity of management system. In this study, we find and study the way to compensate these problems and systematize by cooperating within surance companies to manage franchisees, and eventually to be able to set up and use new systems including franchise management system, initial services, on goin gservices, lega lservices, tax services, labor services, and financial analysis and planning services.
Seonhye Park;Sohye Kim;Soyoun Kim;Ah-Reum Shin;Youngmi Park
Clinical Nutrition Research
/
v.12
no.3
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pp.177-183
/
2023
Bariatric surgery is the most effective treatment for sustained weight reduction, and it can result in substantial improvements in the severity of type 2 diabetes, metabolic syndrome, nonalcoholic fatty liver disease, and quality of life. However, sleeve gastrectomy, a weight loss surgery that removes two-thirds of the stomach, reduces appetite and nutrient absorption, impairing digestion and the absorption of nutrients like iron, vitamin B12, and protein-bound nutrients. This case study aims to demonstrate that patients undergoing sleeve gastrectomy require long-term and periodic monitoring of biochemical data, weight changes, and caloric and protein intake by a professional nutritionist to prevent malnutrition and nutritional deficiencies. In this case study, a 48-year-old woman was diagnosed with morbid obesity, hypertension, sleep apnea syndrome, and chronic gastritis. At initial evaluation, she was 160 cm tall and weighed 89 kg, with a body mass index of 34.8 kg/m2. At 1 postoperative year, she consumed 650 kcal and 25 g of protein per day, the percentage of excess weight loss was 141.1%, and body mass index was 21 kg/m2. Compared to preoperative levels, calcium and folic acid levels did not decrease after 1 postoperative year, but hemoglobin, ferritin, and vitamin B12 levels decreased. In conclusion, when patients experience rapid weight loss after sleeve gastrectomy, follow-up should be frequent and long. Dietary education should be conducted according to digestive symptoms, and oral nutritional supplements, including vitamins and minerals.
To launch effective mobile Internet marketing strategies, firms need to understand mobile Internet user behavior. Thus in this study we investigated factors that affect on the repurchase intention of mobile Internet users. A random sample of 501 users was surveyed. Overall satisfaction (mediating factor), flow and interactivity factors (initial factor) were found to have the most significant impact on the reuse intention and discrepancy factor is not significant to the reuse intention.
Economic injury levels (EILs) and economic control threshold (ET) were estimated for the Tea red spider mite, Tetranychus kanzawai Kishida(Acari, Tetranychidae) in Rubus coreanus Miquel. T. kanzawai density increased until the early-July and thereafter decreased in all plots except the non-innoculation plot where initial density of the mite were different each 0, 5, 10, 20 and 40 adults per plant branch on May 7 in 2008. And the occurrence of the densities were increased higher innoculated density than different innoculation density. The yield was decreased with increasing initial mite density and thereby the rates of yield loss was increased with increasing initial mite density. And T. kanzawai occurrence density, yields and the rates of yield loss, where initial density of the mite were different each 0, 2, 5, 10 and 20 adults per plant branch on May 8 in 2009 were similar tendency to 2008 year results. The relationship between initial T. kanzawai densities and the yield losses was well described by a linear regression, Y = 0.6545X + 3.0425 ($R^2$ = 0.93) in 2008, Y = 0.9031X + 2.0899($R^2$ = 0.96) in 2009. Based on the relationship, the number of adults per plant branch(EILs) which can cause 5% loss of yield was estimated to be approximately 3.0 in 2008 and 3.2 in 2009. And the ET was estimated to be approximately 2.4 in 2008 and 2.6 in 2009. The relationship between initial T. kanzawai densities and occurrence density of mid-May considering the best spray timing against T. kanzawai was well described by a linear regression, Y = 0.471X + 2.495($R^2$ = 0.95) in 2008, Y = 0.9938X + 3.1858($R^2$ = 0.96) in 2009. Based on the relationship, the number of adults per leaf(ET) in mid-May which can cause 5% loss of yield was estimated to be approximately 3.6 in 2008 and 5.8 in 2009.
In recent years, many Internet giants have begun providing their own content services, which attract online users by offering personalized services based on artificial intelligence technologies. This study investigates the role of two firms' content services within the firms' online service network. We examine the role of Naver Webtoon, which can be characterized as a professional-generated content, within Naver's service portfolio, and that of Google YouTube, which can be characterized as a user-generated content, within Google's service portfolio. Using survey data on viewers' use of the two services, we analyze a valued directed service network, where a node denotes an online service and a relationship between two nodes denotes a sequential use of two services. We found that both Webtoon and YouTube show higher out-degree centrality than in-degree centrality, which implies these content services are more likely to be starting services rather than arriving services within the firms' interactive network. The gap between the out-degree and in-degree centrality of YouTube is much smaller than that of Webtoon. The high centrality of YouTube, a user-generated content service, within the Google service network shows that YouTube's initial role of providing specific-content videos (e.g., entertainment) has expanded into a general search service for users.
Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).
In this study, smart farm technology was used by farmers cultivating 'CHIKUMASSHU T-011' in order to develop an optimal growth model for the precision cultivation of bottle-grown winter mushroom and the results of the same are mentioned herein. Farmers participating in the experiment used 60 ㎡ of bed area with 4 rows and 13 columns of shelf shape, 20 horsepower refrigerator, 100T of sandwich panel for insulation, 6 ultrasonic humidifiers, 12 kW of heating, and 20,000 bottles of Flammulina velutipes mushroom spores. The temperature, humidity, and carbon dioxide concentrations, which directly affect the growth of the mushroom, were collected and analyzed from the environmental sensors installed at the winter mushroom cultivation area. The initial temperature was found to be 14.5℃, which was maintained at 14℃ to 15℃ until the 10th day. In the restriction phase, the initial temperature was 4℃ and was maintained between 2℃ and 3℃ until the 15th day, while during the growth phase, it was maintained between 7.5℃ to 9.5℃. Analysis of the humidity data revealed initial humidity to be 100%, which varied between 88% to 98% during primordia formation period. The humidity remained between 77% to 96% until the 15th day, in the restriction phase and between 75% to 83% during the growth phase. The initial carbon dioxide concentration was 3,500 ppm and varied between 3,500 ppm to 6,000 ppm during primordia formation period and was maintained at 6,000 ppm until the 15th day. During the growth phase, the carbon dioxide concentration was found to be over 6,000 ppm. Fruiting body characteristics of 'CHIKUMASSHU T-011' cultivated in the farmhouse were as follows: Pileus diameter of 7.5 mm and thickness of 4.1 mm, stipe thickness of 3.3 mm, and length of 154.2 mm. The number of valid fruiting bodies was 1,048 unit per 1,400 mL bottle, and the individual weight was 0.71 g per unit. The yield of fruiting bodies was 402.8 g per 1,400 mL bottle.
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