Park, Seong-Hi;Suh, Jun-Kyu;Yoon, Hye-Seol;Hong, Jin-Young;Park, Gun-Je
Quality Improvement in Health Care
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v.5
no.2
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pp.202-215
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1998
Purpose : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for drug delivery after doctor's prescription is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors influencing patient satisfaction related with waiting time for drug delivery. Methods : The data were collected from July 21 to August 12, 1998. A total 535 patients or their families who visited outpatient clinics of Inha University Hospital were subjected to evaluate the drug delivery time and the level of their satisfaction related, which were compared with those objectively evaluated by Quality Improvement Team. The reliability of the scale was tested with Cronbach's alpha, and the data were analyzed using frequency, t-test, ANOVA, correlation analysis and multiple regression. Results : The mean drug delivery time subjectively evaluated by the patient (16.1 13.0 min) was longer than that objectively evaluated (10.9 7.6 min) by 5.2 min. Drug delivery time objectively evaluated was influenced by the prescription contents, total amount or type of drug dispensed, etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. One of those proved to be a patient's late response to the information from the pharmacy which the drug is ready to deliver. Interestingly, this discrepancy was found to be more prominent especially when waiting place for drug delivery was not less crowded. Other factors, pharmaceutical counseling at the pharmacy, emotional status or behavior of a patient while he waits for the medicine, were also found to influence the time subjectively evaluated. Regarding the degree of patient satisfaction with the drug delivery, majority of patients accepted drug delivery time with less than 10 min. It was also found to be influenced by emotional status of the patient as well as kindness or activity of pharmaceutical counselor. Conclusion : The results show that, besides prescription contents, behavior pattern or emotional status of a patient, environment of the waiting place, and quality of pharmaceutical counseling at the pharmacy, may influence the patient's subjective evaluation of waiting time for drug delivery and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for drug delivery, it will be cost effective to qualify pharmaceutical counseling and information system at the drug delivery site or waiting place rather than to shorten the real processing time within the pharmacy.
Purpose: This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm ($34{\leq}GA<37$) and preterm infants (GA<34). Methods: A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits. Results: Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score. Conclusion: Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.
Radiation therapy is highly effective for the management of pediatric malignant central nervous system (CNS) tumors including embryonal tumors. With the increment of long-term survivors from malignant CNS tumors, the radiation-related toxicities have become a major concern and we need to improve the treatment strategies to reduce the late complications without compromising the treatment outcomes. One of such strategies is to reduce the radiation dose to craniospinal axis or radiation volume and to avoid or defer radiation therapy until after the age of three. Another strategy is using particle beam therapy such as proton beams instead of photon beams. Proton beams have distinct physiologic advantages over photon beams and greater precision in radiation delivery to the tumor while preserving the surrounding healthy tissues. In this review, I provide the treatment principles of pediatric CNS embryonal tumors and the strategic improvements of radiation therapy to reduce treatment-related late toxicities, and finally introduce the increasing availability of proton beam therapy for pediatric CNS embryonal tumors compared with photon beam therapy.
The expression of c-Fos and c-Jun represents neuronal activity and plays a crucial role in the shaping of the development of brain. During the late pregnancy, exercise is known to influence neuronal activity of offspring. In the present study, the effect of swimming during pregnancy on the expression of c-Fos and c-Jun in the CA1, CA2, CA3 regions, and the dentate gyrus of the hippocampus of rat offspring was investigated using immunohistochemistry. Pregnant rats in the swimming group were forced to swim for 10 min once a day from 15 days after pregnancy until delivery. The expression of c-Fos and c-Jun in the CA1, CA2, CA3 regions, and the dentate gyrus of the hippocampus of pups was significantly increased by maternal swimming during late pregnant period. The present results show that prenatal swimming may enhance the neuronal activity of pups and affect the neonatal brain development.
Two young women were brought to the Emergency room with generalized tonic and clonic seizures. Seizure developed seven and ten days after delivery respectively without the clinical signs of pre-eclampsia throughout the pregnancies. Magnetic resonance(MR) image of the brain showed characteristically symmetrical abnormal signals in the parietal and occipital regions. After several days of medical treatment, they were discharged without neurologic sequelae and follow-up MR images taken three months after discharge showed complete disappearance of the previous abnormal signals.
Jo, Yong Ho;Peng, Dong Qiao;Kim, Won Seob;Kim, Seong Jin;Kim, Na Yeon;Kim, Sung Hak;Nejad, Jalil Ghassemi;Lee, Jae Sung;Lee, Hong Gu
Asian-Australasian Journal of Animal Sciences
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v.33
no.5
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pp.742-752
/
2020
Objective: This study investigated the effects of vitamin A (VA) supplementation during late-stage pregnancy on longissimus dorsi muscle tissue development, birth traits, and growth performance of postnatal Korean native calves. Methods: In the preliminary experiment, twenty-six pregnant cattle (initial body weight [BW] = 319 kg (standard deviation [SD] = 30.1; 1st parity) were randomly assigned to the control and treatment groups. The treatment group received VA supplementation at 24,000 IU/d from gestational day 225 until delivery. In the main experiment, twelve pregnant cattle (initial BW = 317 kg [SD = 31.3]; 1st parity) were treated with VA supplementation at 24,000 IU/d (gestational days 150 to 225) and at 78,000 IU/d (gestational day 225 until delivery). Serum VA levels were analyzed in pregnant cattle, and the growth performance, gene expression, and serum VA levels were analyzed in the offspring. Results: Serum VA levels in pregnant cattle decreased the late gestation in both experiments (p<0.001). In the main experiment, pregnant cattle at parturition and offspring at birth in the treatment group had higher serum VA levels than those in the control group (p<0.05). In the treatment groups, an increased birth weight was observed in the main experimental group (p = 0.022), and a tendency (p = 0.088) toward an increased birth weight was observed in the preliminary experimental group. However, no differences were observed in the feed intake, average daily gain, gain-to-feed ratio, or BW of 31-day-old calves. Gene expression was analyzed in longissimus dorsi muscles of 31-day-old calves. VA supplementation in pregnant cattle stimulated postnatal muscle development in offspring by elevating myogenic factor 5 (MYF5), MYF6, and myoblast determination levels (p<0.05). Moreover, preadipocyte-related marker genes such as extracellular signal-regulated kinase 2 and krüppel-like factor 2 were higher in the treatment group than in the control group (p<0.05). Conclusion: VA supplementation (78,000 IU/d) in late-stage pregnant cattle maintained serum VA levels. In addition, 78,000 IU/d VA supplementation increased the birth weight and expression of genes related to muscle and preadipocyte development in offspring. Overall, 78,000 IU/d VA supplementation in pregnant cattle is beneficial to newborn calves.
To conduct this study, researchers personally visited two maternity hospitals, one public centers, and two gymnastics classes for pregnant women in some areas of Seoul from March 14 to April 28, 2005 to determine a simplified oral hygiene index to measure cleanness for 200 women in the twenty weeks and over of pregnancy in order to examine their oral health conditions and provide basic data for the future oral health care and education in oral hygiene for pregnant women and, consequently, drew the following conclusions. 1. Simplified oral hygiene index between early, middle, and late pregnancy. It was shown that the Early was $1.10{\pm}.91$, Middle was $1.78{\pm}1.02$, The simplified oral hygiene index of Late was $1.73{\pm}1.03$. The simplified oral hygiene index of Total was $1.47{\pm}1.03$, with a Food debris index $0.96{\pm}0.51$ and a Calculus score $0.51{\pm}0.52$. 2. There were statistically significant differences in the simplified oral hygiene index of both the upper and the lower jaws between early, middle, and late pregnancy (p < 0.01). It was shown that the Food debris index, Calculus score, and the simplified oral hygiene index all increased with the approach of delivery. 3. There were statistically significant differences in the simplified oral hygiene index of both the anterior and the posterior areas between early, middle, and late pregnancy (p < 0.01). It was found that the Food debris index, Calculus score, and the simplified oral hygiene index all increased with the approach of delivery.
Journal of the Korea Fashion and Costume Design Association
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v.6
no.2
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pp.49-62
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2004
By delivery means of fashion information, fashion dolls appeared in 18th century. According to development of printing, delivery means of fashion information changed from fashion dolls to fashion plates. Fashion plates offer a colorful and in depth view of the stylish fashions of the past. First fashion plate was Hollars print that was inserted to $\ulcorner$La Galerie des Modes et Costumes Francais$\lrcorner$ and that was published at England in 1643. First fashion plate in France could assumes as winter deshabill that was inserted to $\ulcorner$Le Mercure Galant$\lrcorner$ in 1678. The widespred publication of fashion plates began in England and France in the late 18th century. The first true fashion magazine $\ulcorner$The Ladys Magazine$\lrcorner$ was published at London in 1770. And suddenly similar plates were being published all over Europe. Fashion plates reached their height of popularity in the mid-1800s. Modern age in Europe for fashion magazines golden age, hundreds kinds of fashion magazines published in Europe. Copyright laws in Europe were not enforced, resulting in widespread piracy of fashion designs and plates. After 19th century, America and Europe used much Paris imitation plate. $\ulcorner$The Ladys Magazine$\boxUl$, $\ulcorner$La Gallerie des Modes et Costumes Francais$\lrcorner$, $\ulcorner$Les Cabinet des Modes$\lrcorner$, $\ulcorner$Journal des Dames et des Modes$\lrcorner$, $\ulcorner$The Ladys Monthly Museum$\lrcorner$ were the important fashion magazines in 18th century. $\ulcorner$The Ladys Pocket Magazine$\lrcorner$, $\ulcorner$La Mode$\lrcorner$, $\ulcorner$Le Follet$\lrcorner$, $\ulcorner$La Mode Illustree$\lrcorner$, $\ulcorner$$\ulcorner$The Queen$\lrcorner$ were the important fashion magazines in 19th century. $\ulcorner$Journal des Dames et des Modes$\lrcorner$, $\ulcorner$Gazette du bon ton$\lrcorner$ were the important fashion magazines in early 20th century.
Korean Journal of Construction Engineering and Management
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v.9
no.5
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pp.214-226
/
2008
Construction delay caused considerable losses to project parties. Avoiding construction delays is important to save costs for project stakeholders. The main objective of this paper is to identify major causes of construction delays of apartment construction projects in Vietnam. Sixteen causes of delay were identified through a questionnaire survey of 166 professionals. Factor analysis was employed to categorize these causes. The results of the survey revealed the main causes of delay of apartment projects in Vietnam are: (1) owner's and contractor'S financial difficulties; (2) lack of experienced contractors; (3) late delivery of materials; (4) late construction site handover; (5) owner's late payments for completed works; (6) low bid prices; (7) inappropriate construction method; and (8) defective works and unnecessary reworks. Factor analysis uncovered that causes of delay can be grouped under five categories labeled the five INs: incompetence, ineffectiveness, inadequateness, inapplicableness and inconceivableness. Comparative analysis between the Vietnam construction industry (VCI) and the Korea construction industry (KCI) has been performed to infer valuable lessons for researchers and practitioners in the VCI and the KCI. Comparative analysis indicated that main causes of delay in the VCI somewhat differ from main causes of delay in the KCI. However, "contractor'S financial difficulties", "late construction site handover", "unnecessary rework", "incapable designers", "site clearance difficulties" are common causes of delay in the VCI as well as the KCI. The findings of this research can be used as a guideline to overcome problems in the VCI as well as in other construction industries. Since Korea has emerged as the first largest foreign investor in Vietnam, the results of this study may be useful not only to practitioners and researchers in Vietnam but also to participants in Korea.
Park, Pil-Sook;Liu, Qing-Hua;Kim, Gum-Ran;Park, Mi-Yeon
Journal of the Korea Convergence Society
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v.11
no.6
/
pp.105-117
/
2020
This study is a convergence study designed to suggest healthy eating out choices by grasping the relationship between determinants of delivery food and eating habits. The subjects of this study were 505 adults in their 20s and 30s who had an experience in delivery food. The data were analyzed by factor analysis, cluster analysis, χ2 analysis, ANOVA analysis and Duncan's post analysis using the SPSS 25.0 program, and the research results are as follows. The convenience-seeking type had a high rate of late night eating, drinking, and breakfast skipping, while the saving-seeking type had a high score of food practice score. The utility-seeking type had a significantly lower quality of life (WHOQOL-BREF) score. Therefore, the educational direction suggested according to the tendency identified in the determinants of delivery food can be used as basic data for the selection of healthy delivery food. In the future, research and nutrition education through grasping the route of determinants of delivery food are also expected to be necessary.
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