• Title/Summary/Keyword: Post-Management

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A Study on the Mental Health of Medical Institution Administration during the Pandemic of Coronavirus Disease 2019 (COVID-19) (코로나바이러스 감염증-19(COVID-19)의 유행 기간 중 의료기관 원무 행정직 정신건강에 대한 연구)

  • Yang-Jin Song;Hyoung-Sun Jeong;Ki-Nam Jin;Min-Hee Heo;Jin-Won Noh
    • Korea Journal of Hospital Management
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    • v.28 no.3
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    • pp.15-26
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    • 2023
  • Purposes: Evaluate the level of mental health of administrative workers in medical institutions during the COVID-19 epidemic, and check the relationship. Methodology: It targeted 183 administrative workers at medical institutions located in Jeollabuk-do. The data survey method used a self-filled questionnaire, and the data collection period was 30 days from November 16, 2021 to December 16, 2021. A comparative analysis was conducted to find out the correlation between the subjects' biological factors, environmental factors, lifestyle factors, job related factors and depression, Post Traumatic Stress Disorder, and job stress. Findings: As an influencing factor of depression, it was found that the longer the working period, the higher the depression, and the higher the position, job satisfaction, and the total amount of smoking, the lower the depression. Due to the effect on Post Traumatic Stress Disorder, the higher the total amount of smoking, the higher the Post Traumatic Stress Disorder after effects, and the higher the organizational commitment and job satisfaction, the lower the Post Traumatic Stress Disorder aftereffects. It was found that organizational commitment had the highest influence on Post Traumatic Stress Disorder. As an influencing factor on job stress, it was found that the higher the job related factors was job satisfaction and organizational commitment, the lower the job stress. Practical Implications: Variables such as moderate physical activity, alcohol consumption, total smoking, working period, position, job satisfaction, and organizational commitment were identified as factors influencing depression, Post Traumatic Stress Disorder, and job stress during the COVID-19 pandemic.

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Effect of Retirement Anxiety, Retirement Life Preparation and Post-retirement retirement needs on Life Satisfaction in Retirement -Focusing on Japanese Retiree Survey Data- (노후불안, 노후생활 준비 및 노후 생활지원 요구와 은퇴 후 생활만족도와의 관계 -일본 은퇴자 조사 자료를 중심으로-)

  • Lee, Sujin
    • Journal of Family Resource Management and Policy Review
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    • v.28 no.3
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    • pp.1-16
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    • 2024
  • In this study, we used survey data from Japanese retirees to determine the levels of retirement anxiety, retirement life preparation and retirement life needs in retirement and analyzed how these factors affect post-retirement life satisfaction. The analysis was based on a survey of retirees aged 60 to 74 across Japan, with data from 1,257 people included in the analysis. The results of the analysis were as follows. First, both men and women were found to have higher levels of retirement anxiety in terms of economic aspects, such as lack of income, savings, and living expenses, than other forms of retirement anxiety. This trend was more pronounced among men. Second, the higher the level of retirement anxiety in terms of economic aspects, the lower the level of life satisfaction in retirement for both men and women. Third, in terms of preparation for retirement life, greater preparation for the economic aspects of retirement life corresponded to higher life satisfaction for both genders. Finally, with regard to the influence of post-retirement life requirements, it was found that men who perceived a greater need for re-employment and re-employment opportunities experienced lower levels of post-retirement life satisfaction. These findings suggest the need for community participation programs and employment-linked initiatives to enhance post- retirement life satisfaction.

Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation (중풍환자에 대한 일차 한의임상진료 가이드라인)

  • Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

Outcomes of Non-Operative Management for Pseudarthrosis after Pedicle Subtraction Osteotomies at Minimum 5 Years Follow-Up

  • Kim, Yong-Chan;Kim, Ki-Tack;Kim, Cheung-Kue;Hwang, Il-Yeong;Jin, Woo-Young;Lenke, Lawrence G.;Cha, Jae-Ryong
    • Journal of Korean Neurosurgical Society
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    • v.62 no.5
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    • pp.567-576
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    • 2019
  • Objective : Minimal data exist regarding non-operative management of suspected pseudarthrosis after pedicle subtraction osteotomy (PSO). This study reports radiographic and clinical outcomes of non-operative management for post-PSO pseudarthrosis at a minimum 5 years post-detection. Methods : Nineteen consecutive patients with implant breakage indicating probable pseudarthrosis after PSO surgery (13 women/six men; mean age at surgery, 58 years) without severe pain and disability were treated with non-operative management (mean follow-up, 5.8 years; range, 5-10 years). Non-operative management included medication, intermittent brace wearing and avoidance of excessive back strain. Radiographic and clinical outcomes analysis was performed. Results : Sagittal vertical axis (SVA), proximal junctional angle, thoracic kyphosis achieved by a PSO were maintained after detection of pseudarthrosis through ultimate follow-up. Lumbar lordosis and PSO angle decreased at final follow-up. There was no significant change in Oswestry Disability Index (ODI) scores and Scoliosis Research Society (SRS) total score, or subscales of pain, self-image, function, satisfaction and mental health between detection of pseudarthrosis and ultimate follow-up. SVA greater than 11 cm showed poorer ODI and SRS total score, as well as the pain, self-image, and function subscales (p<0.05). Conclusion : Non-operative management of implant failure of probable pseudarthrosis after PSO offers acceptable outcomes even at 5 years after detection of implant breakage, provided SVA is maintained. As SVA increased, outcome scores decreased in this patient population.

Enhancing the Distribution of Community Enterprise Entrepreneurs through Product and Packaging Development of Klong Kone Shrimp Paste (Mesopodopsis) in the Post-Pandemic Era of Samut Songkhram Province

  • Panida NINAROON;Cholpassorn SITTHIWARONGCHAI;Chumpol RODJAM;Preecha KHAMMADEE;Pawintana CHAROENBOON
    • Journal of Distribution Science
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    • v.21 no.10
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    • pp.21-29
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    • 2023
  • Purpose: The current study focused on developing Klong Kone Shrimp Paste (Mesopodopsis) products and packaging, aiming to enhance the capabilities of entrepreneurs with cultural capital in post-pandemic Samut Songkhram Province. Research design, data and methodology: This study sought to analyze product and packaging issues and examine packaging expectations for Klong Kone shrimp paste. A combination of quantitative and qualitative methods was used, including a questionnaire administered to a sample of 400 individuals who purchased community enterprise products. Descriptive analysis, involving percentage, mean, and S.D., along with qualitative analysis through phenomenological methods, such as in-depth interviews and focus groups, were conducted with community enterprise entrepreneurs, experts, and customers. Results: The findings indicate that addressing product conditions and packaging issues with Klong Kone shrimp paste can be achieved by incorporating an attached label on the community product packaging. Conclusion: This approach is necessary due to the lack of community identity reflection and unattractive design, which currently deter customers from considering the products as souvenirs. Additionally, diversifying product offerings is recommended to better align with consumer needs. In terms of packaging expectations, a majority of respondents expressed a strong preference for an attractive appearance.

The Effect of Acupuncture on the Post-Thoracotomy Pain Control (개흉술후 동통억제를 위한 침의 효과)

  • 조규석;김수철
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.187-194
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    • 1997
  • The management of post-thoracotomy pain is on of the difficult clinical problems. A variety of pain management methods have been used with variable efficacy. We compared the effect of acupuncture with the effect of analgesics for the post-thoracotomy pain control. From March 1995 to September 1995, 20 patients who underwent elective thoracotomy were randomized into two groups. The patients were treated with analgesics in control group(n=10) and acupuncture in the other group(n: 10). Postoperative analgesic effects were evaluated by the scoring system which was made by the Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center. No significant difference was observed between two groups concerning the subjective pain and limitation of motion of operated side. Although the number of analgesic requirement was reduced significantly in the acupuncture group(P < 0.05). We conclude that acupuncture is an effective method to control post-thoracotomy pain and it is safer than the analgesics bacause of its lower side effects.

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Effects of Climatic Regime Shift on the Structure of Marine Ecosystem in the Southwestern East Sea during the 1970s (남서부 동해에서 1970년대의 기후체제전환이 생태계의 구조에 미친 영향)

  • ZHANG Chang Ik;YOON Sang Cheol
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.36 no.4
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    • pp.389-401
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    • 2003
  • The changes in structure and abundance of taxon or species groups in the East Sea ecosystem were compared between pre- and post-Climatic Regime Shift (CRS) occurred in the mid 1970s using an ECOPATH model. Although the East Sea ecosystem consisted of primary producers, primary consumers, secondary consumers and terminal consumers most species groups were classified as secondary consumers. The mean trophic level between pre- and post-CRS increased from 3.09 during the pre-CRS period to 3.28 during the post-CRS period. Total biomass of the species groups in the East Sea ecosystem increased by $9\%$ due to the CRS, and total catch increased by $48\%.$ The most significant differences between pre- and post-CRS models occurred at the mid/high trophic levels occupied by fishes and cephalopods. Relative contribution of the different species groups to the total energy flow was calculated for the trophic level III. As a result, the status by the dominant species in the East Sea ecosystem shifted from cephalopods to walleye pollock due to the CRS. Relative contribution of 5 species, which were commercially important, such as Pacific saury, Pacific sardine, filefish, walleye pollock and sandfish in trophic level III, were also changed due to the CRS. Finally, the CRS turned out to cause large variations in biomass and catch of fisheries resources as well as the status and role of the major species.

Comparison of effectiveness for fluoroscopic cervical interlaminar epidural injections with or without steroid in cervical post-surgery syndrome

  • Manchikanti, Laxmaiah;Malla, Yogesh;Cash, Kimberly A;Pampati, Vidyasagar;Hirsch, Joshua A
    • The Korean Journal of Pain
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    • v.31 no.4
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    • pp.277-288
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    • 2018
  • Background: Neck and back pain are leading sources of disability placing substantial burden on health care systems. Surgical interventions in managing chronic neck pain secondary to various disorders continue to increase. Even though surgical interventions are effective, a significant proportion of patients continue to have symptomatology and develop cervical post-surgery syndrome. This study was performed to know the effectiveness of cervical interlaminar epidural injections with or without steroids. Methods: The effectiveness of fluoroscopic cervical interlaminar epidural injections in post-surgery syndrome was evaluated in a randomized, active controlled trial. The study population included 116 patients assigned to 2 groups. Group 1 received cervical interlaminar epidural injections with local anesthetic alone and Group 2 received injection with local anesthetic and steroids. The main outcomes were defined as significant improvement (greater than 50%) of pain relief using the numeric rating scale and/or functional status improvement using the Neck Disability Index (NDI). Results: Both groups had similar results with significant improvement (${\geq}50%$ pain relief and functional status improvement) in 69% of the patients in Group I, whereas, in Group II, 71% of the patients showed significant improvement at the end of 2 years. During a 2-year period, the average number of procedures was 5 to 6, with an average of approximately 12 weeks of significant improvement per procedure. Conclusions: Fluoroscopic cervical interlaminar epidural injections administered in cervical post-surgery syndrome using local anesthetic, regardless of the use of steroids, may be effective in approximately 70% of the patients at 2-year follow-up.

LIDMOD Development for Evaluating Low Impact Development and Its Applicability to Total Maximum Daily Loads (지속가능한 도시개발을 위한 LID평가모델(LIDMOD)개발과 수질오염총량제에 대한 적용성 평가)

  • Jeon, Ji-Hong;Choi, Dong Hyuk;Kim, Tae Dong
    • Journal of Korean Society on Water Environment
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    • v.25 no.1
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    • pp.58-68
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    • 2009
  • Low impact development (LID) technique is relatively new concept to reduce surface runoff and pollutant loading from land cover by attempting to match predevelopment condition with various integrated management practices (IMPs). In this study, computational model for designing and evaluating LID, named LIDMOD, was developed based on SCS-CN method and applied at Andong bus terminal to evaluate LID applicapability and design retention/detention area for volume or peak flow control. LIDMOD simulated with 21 years simulation period that yearly surface runoff by post-development without LID was significantly higher than that with LID showing about 2.8 times and LID could reduce efficiently yearly surface runoff with 75% reduction of increased runoff by conventional post development. LIDMOD designed detention area for volume/peak flow control with 20.2% of total area by hybrid design. LID can also efficiently reduce pollutant load from land cover. Pollutant loads from post-development without LID was much higher than those from pre-development with showing 37 times for BOD, 2 times for TN, and 9 times for TP. Pollutant loads from post-development with LID represented about 57% of those without LID. Increasing groundwater recharge reducing cooling and heating fee, creating green refuge at building area can be considered as additional benefits of LID. At the point of reducing runoff and pollutant load, LID might be important technique for Korean TMDL and LIDMOD can be useful tool to calculate unit load for the case of LID application.