• Title/Summary/Keyword: Management Response

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Successful Motor Evoked Potential Monitoring in Cervical Myelopathy : Related Factors and the Effect of Increased Stimulation Intensity

  • Shim, Hyok Ki;Lee, Jae Meen;Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
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    • v.64 no.1
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    • pp.78-87
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    • 2021
  • Objective : Intraoperative neurophysiological monitoring (IONM) has been widely used during spine surgery to reduce or prevent neurologic deficits, however, its application to the surgical management for cervical myelopathy remains controversial. This study aimed to assess the success rate of IONM in patients with cervical myelopathy and to investigate the factors associated with successful baseline monitoring and the effect of increasing the stimulation intensity by focusing on motor evoked potentials (MEPs). Methods : The data of 88 patients who underwent surgery for cervical myelopathy with IONM between January 2016 and June 2018 were retrospectively reviewed. The success rate of baseline MEP monitoring at the initial stimulation of 400 V was investigated. In unmonitorable cases, the stimulation intensity was increased to 999 V, and the success rate final MEP monitoring was reinvestigated. In addition, factors related to the success rate of baseline MEP monitoring were investigated using independent t-test, Wilcoxon rank-sum test, chi-squared test, and Fisher's exact probability test for statistical analysis. The factors included age, sex, body mass index, diabetes mellitus, smoking history, symptom duration, Torg-Pavlov ratio, space available for the cord (SAC), cord compression ratio (CCR), intramedullary increased signal intensity (SI) on magnetic resonance imaging, SI length, SI ratio, the Medical Research Council (MRC) grade, the preoperative modified Nurick grade and Japanese Orthopedic Association (JOA) score. Results : The overall success rate for reliable MEP response was 52.3% after increasing the stimulation intensity. No complications were observed to be associated with increased intensity. The factors related to the success rate of final MEP monitoring were found to be SAC (p<0.001), CCR (p<0.001), MRC grade (p<0.001), preoperative modified Nurick grade (p<0.001), and JOA score (p<0.001). The cut-off score for successful MEP monitoring was 5.67 mm for SAC, 47.33% for the CCR, 3 points for MRC grade, 2 points for the modified Nurick grade, and 12 points for the JOA score. Conclusion : Increasing the stimulation intensity could significantly improve the success rate of baseline MEP monitoring for unmonitorable cases at the initial stimulation in cervical myelopathy. In particular, the SAC, CCR, MRC grade, preoperative Nurick grade and JOA score may be considered as the more important related factors associated with the success rate of MEP monitoring. Therefore, the degree of preoperative neurological functional deficits and the presence of spinal cord compression on imaging could be used as new detailed criteria for the application of IONM in patients with cervical myelopathy.

Exploring the Online Learning Experience of College Students Majoring Physical Education in the COVID-19 Pandemic (코로나-19 팬데믹으로 인한 체육계열 대학생의 원격수업 학습경험 탐색)

  • Lee, Man-Gi;Cho, Eunbyul;Lim, Hyosung
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.421-430
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    • 2021
  • The study was conducted to examine the educational experiences and perceptions of college students in the field of physical education as they were taken remote classes in university due to the effects of the social collective infection caused by COVID-19. To achieve the purpose of the study, an online survey was conducted on 278 university students who major in physical education, and the survey questions include the status of remote classes, remote class recognition (preference, and satisfaction level). As for the analysis method, frequency analysis, response sample t-verification, ANOVA, and word-cradle were performed using SPSS 22.0 and R programs, and all significance levels were set at .05. The results from the above research process are as follows. First, in the types of remote classes in the sports category due to COVID-19, video types were used the most in both theoretical and practical classes, and the following was shown as assignment types. The third type was the voice record lecture type for theoretical classes, and the practical class was the video lecture scene. Second, in the remote class preference for the students, both theory and practical classes, video format were the most prefered, followed by video lecture scene and voice lecture type. Third, the analysis of the differences in satisfaction between theoretical and practical classes of the students showed that there was no difference in satisfaction according to the type of class.

Development of water circulation status estimation model by using multiple linear regression analysis of urban characteristic factors (도시특성 요인의 다중선형회귀 분석을 이용한 물순환상태추정모델 개발)

  • Kim, Youngran;Hwang, Seonghwan;Lee, Yunsun
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.6
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    • pp.503-512
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    • 2020
  • Identifying the water circulation status is one of the indispensable processes for watershed management in an urban area. Recently, various water circulation models have been developed to simulate the water circulation, but it takes a lot of time and cost to make a water circulation model that could adapt the characteristics of the watershed. This paper aims to develop a water circulation state estimation model that could easily calculate the status of water circulation in an urban watershed by using multiple linear regression analysis. The study watershed is a watershed in Seoul that applied the impermeable area ratio in 1962 and 2000. And, It was divided into 73 watersheds in order to consider changes in water circulation status according to the urban characteristic factors. The input data of the SHER(Similar Hydrologic Element Response) model, a water circulation model, were used as data for the urban characteristic factors of each watershed. A total of seven factors were considered as urban characteristic factors. Those factors included annual precipitation, watershed area, average land-surface slope, impervious surface ratio, coefficient of saturated permeability, hydraulic gradient of groundwater surface, and length of contact line with downstream block. With significance probabilities (or p-values) of 0.05 and below, all five models showed significant results in estimating the water circulation status such as the surface runoff rate and the evapotranspiration rate. The model that was applied all seven urban characteristics factors, can calculate the most similar results such as the existing water circulation model. The water circulation estimation model developed in this study is not only useful to simply estimate the water circulation status of ungauged watersheds but can also provide data for parameter calibration and validation.

A Study on the Data Cleaning and Standardization of National Ecosystem Survey in Korea (전국자연환경조사 데이터 정제와 표준화 방안 연구)

  • Kwon, Yong-Su;Song, Kyohong;Kim, Mokyoung;Kim, Kidong
    • Korean Journal of Ecology and Environment
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    • v.53 no.4
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    • pp.380-389
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    • 2020
  • Research on diagnosing and predicting the response of ecosystems caused by environmental changes such as artificial disturbance and climate change is emerging as the most important issue of biodiversity and ecosystem researches. This study aims to clean, standardize, and provide the results of National Ecosystem Survey which should be considered fundamentally in diagnosing and predicting ecosystem changes in the form of dataset. To refine and clean the dataset we developed a simple verification program based on the fifth National Ecosystem Survey Guideline and applied that program to the data from the second (1997~2005), third (2006~2013) and fourth (2014~2018) National Ecosystem Survey. Data quality control processes were implemented including (1) standardization of terminology, (2) similar data table integration, (3) unnecessary attribute and error elimination, (4) unification of different input items, (5) data arrangement in codes, and (6) code mapping for input items. These approaches and methods are the first attempt propose an option for ecological data standardization in Korea. The standardized dataset of National Ecosystem Survey in Korea will be easily accessible, reusable for both researchers and public. In addition, we expect it will contribute to the establishment of diverse environmental policies concerning environmental assessments, habitat conservation, prediction of endangered species distribution and ecological risks due to climate change. The dataset through this study is open freely online via EcoBank (nie-ecobank.kr) which is the first ecological information portal system in Korea developed by National Institute of Ecology.

Quality Evaluation of Long-Term Shipboard Salinity Data Obtained by NIFS (국립수산과학원 장기 정선 관측 염분 자료의 정확성 평가)

  • PARK, JONGJIN
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.26 no.1
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    • pp.49-61
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    • 2021
  • The repeated shipboard measurements that have been conducted by the National Institute of Fisheries Science (NIFS) for more than a half century, provide the valuable long-term hydrographic data with high spatial-temporal resolution. However, this unprecedent dataset has been rarely used for oceanic climate sciences because of its reliability issue. In this study, temporal variability of salinity error in the NIFS data was quantified by means of extremely small variability of salinity in the deep layer of the south-western East Sea, in order to contribute to studies on long-term variability of the East Sea. The NIFS salinity errors estimated on the isothermal surfaces of 1℃ have a remarkable temporal variation, such as ~0.160 g/kg in the year of 1961~1980, ~0.060 g/kg in 1981~1994,~0.020 g/kg in 1995~2002, and ~0.010 g/kg in 2003~2014 on average, which basically represent bias error. In the recent years, even though the quality of salinity has been improved, there still remain relatively large bias errors in salinity data presumably due to failure of salinity sensor managements, especially in 2011, 2013, and 2014. On the contrary, the salinity in the year of 2012 was very accurate and stable, whose error was estimated as about 0.001 g/kg comparable to the salinity sensor accuracy. Thus, as long as developing proper data quality control procedures and sensor management systems, I expect that the NIFS shipboard hydrographic data could have good enough quality to support various studies on ocean response to climate variabilities. Additionally, a few points to improve the current NIFS shipboard measurements were suggested in the discussion section.

A Study on the Distribution Characteristics of Three Major Virus Infectious Diseases among School Infectious Diseases in Sejong City (세종시 학교감염병 중 3대 바이러스성 감염병의 분포특성에 관한 연구)

  • Bang, Eun-Ok
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.561-566
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    • 2021
  • Schools are highly feared to spread widely in the event of an infectious disease, and systematic management and prompt response are needed as it can undermine students' health and learning rights. This study was conducted to identify the current status of infectious diseases common to elementary, middle and high school students and to provide basic data to protect students and faculty from the threat of infectious diseases and maintain normal school functions. Sejong City was selected for investigation. The three major infectious diseases are influenza, chickenpox and aquarium, all of which are classified as acute viral infectious diseases and have fast propagation speed and strong propagation power, which can have fatal consequences for students living in groups. The research data were analyzed using the 2019 infectious disease report data from the Education Ministry's Education Administration Information Network (NEIS), and the current status data reported by elementary, middle and high schools nationwide were analyzed. The research method was to compare the current status of infectious diseases across the country and Sejong City, compare the status of issuance by each school level, compare the status of infectious diseases by item, and analyze the status of infectious diseases by time. The results of the survey on the status of the three major infectious diseases are expected to be used as basic data for managing infectious diseases not only in Sejong City but also in the nation, so that they can be used to establish measures to manage student infectious diseases in the future.

Road Patrol Strategy based on Pothole Occurrence Characteristics considering Rainfall Effects (우천에 따른 포트홀 발생 특성을 고려한 도로순찰 전략)

  • Han, Daeseok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.603-611
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    • 2020
  • Potholes on the road directly affect drivers' safety, satisfaction, and vehicle damage. Thus, real-time detection and response are required. Increasing frequency of patrols allows for potholes to be detected and responded to quickly, but this takes much manpower, money, and time. In addition, potholes have different occurrence characteristics depending on the rain conditions, so it is necessary to consider the optimal frequency from an economic and road-service perspective. Therefore, a quantitative analysis was done on the effects of rainfall on the occurrence characteristics of potholes. Information on the persistence, impact of rainfall intensity, and weather information was collected over a long period. Based on the results, a risk-based, optimized, and changeable road-patrol strategy is presented. The analysis results show that the probability of pothole occurrence increases by 2.4 times in rainy weather. Furthermore, the impact continues for 3 days even after the rain stops. The probability of pothole occurrence increases by 0.46% per 1 mm of rainfall, and the occurrence characteristics react sensitively to even a small amount of rain of around 1 mm. It was concluded that road patrol is required at least once every three days for an effect-free period, while twice a day is needed for the "sphere of influence" period to achieve a 95% reliability level.ys for effect-free period, while twice a day for sphere of influence period to satisfy 95% reliability level.

The Effect of COVID-19 on Academic Satisfaction with Online Lecture Types and Contents -Perspectives of the Domestic and Foreign University Students- (코로나19로 인한 온라인 강의 형태와 콘텐츠가 학업 만족도에 미치는 영향 -국내외 대학생의 관점에서-)

  • Jo, Ji-Soo;Bae, Jeong-In
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.643-650
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    • 2021
  • The purpose of this study was to evaluate the impact of lecture content on the overall academic satisfaction in non-contact online classes. The study was conducted using an online survey of 107 university students attending metropolitan, local and foreign universities for a week from August 25th, 2020 to September 2nd, 2020. The analysis methods used included descriptive statistics and chi-square distribution, Fisher's exact test, linear by linear association, and logistic regression. The result of the study showed a significant decrease in Junior by 0.025 times compared to Senior (p<.05). Furthermore, a significant decrease in the impact of recorded lectures by 0.036 times compared to a hybrid of face-to-face and online lectures (p<.05). Compared to the response 'No', the number of student's responses of 'Yes' increased significantly by 31.358 times (p<.05). Additionally, a significant increase was seen in teaching methods by 19.709 times, and academic satisfaction by 7.989 times(p<.05). In conclusion, the results imply that the quality of lecture content is also important to improve the student's satisfaction with school life, but overall management is required in the areas of appropriate teaching methods, appropriate tuition, and evaluation methods.

Occupational Therapists' Perception and Communication of the Elderly (작업치료사를 대상으로 한 노인 인식 및 의사소통 현황)

  • Park, Sung-Ji;Han, Hee-Won;Jung, Yu-Jin;Woo, Hee-Soon
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.3
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    • pp.15-26
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    • 2020
  • Objective : Due to the rapid aging of the country, the elderly population is increasing and the ratio of face-to-face meetings with the elderly in major areas of occupational therapy is high. The purpose of this study was to investigate the overall perception of the elderly and the status of communication with the elderly. Methods : This survey was conducted From April to June 2020. Occupational therapists who provide interventions for the elderly in hospitals and public health centers across the country were collected using online questionnaires. A total of 91 questionnaires were collected through a self-administered questionnaire, of which 82 were used for data analysis, excluding 9 with insufficient responses. Results : Occupational therapists generally had a lot of negative perceptions of the elderly. In addition, as factors that hindered communication with the elderly, they responded in order of hearing-related, language understanding related, and articulation related. Lastly, occupational therapists were found to induce smooth communication with the elderly in the order of conversation response management, emotional expression, understanding enhancement, and relationship control. Conclusions : Occupational therapists are health care professionals who play a major role in improving the subjects' social participation and quality of life. Therefore, it is necessary to provide professional therapeutic interventions and related education using improved communication skills along with an understanding of the elderly's communication skills and their level of communication.

A Study on the Supply Competitiveness of Dramas of the Domestic OTT Platforms (국내 OTT 플랫폼 드라마 수급 경쟁력 연구)

  • Hong, Ilhan;Park, Jin-woo;Kim, Kenneth ChiHo
    • Journal of Digital Convergence
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    • v.19 no.1
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    • pp.327-333
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    • 2021
  • The purpose of this study is to explore what elements and measures are necessary to grasp the content influence and competitiveness of each OTT platform, which is difficult to measure only with the existing TV broadcast ratings indicator, on the same basis. In this study, based on the RACOI, the daily Top 10 list provided by Netflix was scored to determine the correlation with the viewers' reaction to TV dramas, and a meaningful comparison criterion index was derived. Based on this, the study tried to analyze the share of content provided by the top 3 OTT platforms in Korea. Spearman's correlation analysis was performed for each indicator of RACOI and the Netflix popularity score. It was confirmed that the Netflix popularity score was correlated with the digital video views indicator of RACOI. As a result of analyzing the platforms, it was found that the popularity of the content provided by Netflix and Tving was relatively high. This study did not secure the company's sales data, and there is a limitation in that long-term tracking analysis could not be performed. However, the study extracted the viewer response indicators of TV that are correlated with popularity within Netflix. It is valuable as a basic study of an extended study that compares and confirms the long-term impact of content provided by each OTT platform in the future.