• Title/Summary/Keyword: Residency

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Hand Surgery Fellowship Selection Criteria: A National Fellowship Director Survey

  • Egro, Francesco M.;Vangala, Sai K.;Nguyen, Vu T.;Spiess, Alexander M.
    • Archives of Plastic Surgery
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    • v.44 no.5
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    • pp.428-433
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    • 2017
  • Background Candidate characteristics for hand surgery fellowship training remains unknown, as very little data is available in the literature. This study aims to provide information on the criteria that are employed to select candidates for the hand surgery fellowship match. Methods A 38-question survey was sent in April 2015 to all Accreditation Council for Graduate Medical Education recognized hand surgery fellowship program directors (n=81) involved in the U.S. match. The survey investigated factors used for the selection of applicants, including medical school, residency training, research experience, fellowship interview, and candidate characteristics. A 5-point Likert scale was used to grade 33 factors from "not at all important" (1) to "essential in making my decision" (5); or for five controversial factors from "very negative impact" (1) to "very positive impact in making my decision" (5). Results A total of 52% (42 out of 81) of responses were received from hand surgery fellowship program directors. The most important influential factors were interactions with faculty during interview and visit ($4.6{\pm}0.6$), interpersonal skills ($4.6{\pm}0.5$), overall interview performance in the selection process ($4.6{\pm}0.6$), professionalism and ethics ($4.6{\pm}0.7$), and letters of recommendation from hand surgeons ($4.5{\pm}0.7$). Factors that have a negative impact on the selection process include visa requirement ($2.1{\pm}1.2$), graduate of non-plastic surgery residency program ($2.4{\pm}1.3$), and graduate of a foreign medical school ($2.4{\pm}1.1$). Conclusions This study provides data on hand surgery fellowship directors' perception on the criteria important for fellowship applicant selection, and showed that interview-related criteria and letters of recommendation are the important factors.

Effect of Garbage Collection in the ZG-machine (ZG-machine에서 기억 장소 재활용 체계의 영향)

  • Woo, Gyun;Han, Tai-Sook
    • Journal of KIISE:Software and Applications
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    • v.27 no.7
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    • pp.759-768
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    • 2000
  • The ZG-machine is a space-efficient G-machine, which exploits a simple encoding method, called tag-forwarding, to compress the heap structure of graphs. Experiments on the ZG-machine without garbage collection shows that the ZG-machine saves 30% of heap space and the run-time overhead is no more than 6% than the G-machine. This paper presents the results of further experiments on the ZG-machine with the garbage collector. As a result, the heap-residency of the ZG-machine decreases by 34% on average although the run-time increases by 34% compared to the G-machine. The high rate of the run-time overhead of the ZG-machine is incurred by the garbage collector. However, when the heap size is 7 times the heap-residency, the run-time overhead of the ZG-machine is no more than 12% compared to the G-machine. With the aspect of reduced heap-residency, the ZG-machine may be useful in memory-restricted environments such as embedded systems. Also, with the development of a more efficient garbage collector, the run-time is expected to decrease significantly.

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Development of Korean Nurse Residency Program for Tertiary Hospitals (국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발)

  • Kwon, In Gak;Cho, Yong Ae;Kim, Kyeong Sug;Kim, Mi Soon;Cho, Myung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.149-164
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    • 2021
  • Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.

A Study on the Correlation Between Homeownership and Human and Social Characteristics - Focused on Mokpo City - (주택 점유형태와 인문사회적 특성간의 상관관계 연구 - 목포시를 중심으로 -)

  • Park, Jungil
    • Journal of Cadastre & Land InformatiX
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    • v.54 no.1
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    • pp.117-134
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    • 2024
  • Housing is an essential element of human living environments. The type of housing occupancy can vary based on age, family composition, occupation, education level, and economic situation. In this study, we used social survey statistics to investigate the relationship between housing ownership types and individual and societal characteristics. The research findings revealed that apartment residency rates were high across all age groups. Married individuals tended to have higher apartment residency rates compared to unmarried individuals. Additionally, as the number of household members and generations increased, so did the likelihood of apartment residency. Overall, higher income levels and stable employment were associated with a preference for homeownership. However, there was no significant correlation between homeownership and education level or employment status. National and local authorities should focus on housing supply that aligns with the purchasing capacity and characteristics of potential homebuyers.

Identifying Barriers Faced by Applicants without a Home Residency Program when Matching into Plastic Surgery

  • Steven L. Zeng;Gloria X. Zhang;Denisse F. Porras;Caitrin M. Curtis;Adam D. Glener;Andres Hernandez;William M. Tian;Emmanuel O. Emovon;Brett T. Phillips
    • Archives of Plastic Surgery
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    • v.51 no.1
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    • pp.139-145
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    • 2024
  • Background Applying into plastic surgery (PS) is competitive. Lacking a home residency program (HRP) is another barrier. Our goal is to characterize challenges faced by PS applicants without HRPs and identify solutions. Methods Surveys were designed for current integrated PS residents and applicants in the 2022 Match without HRPs. Surveys were distributed electronically. Only U.S. allopathic graduate responses were included. Results Of 182 individuals surveyed, 74 responded (39%, 33 residents, 41 applicants). Sixty-six percent reported feeling disadvantaged due to lack of an HRP. Seventy-six percent of applicants successfully matched. Of these, 48% felt they required academic time off (research year) versus 10% of unmatched applicants. Ninety-seven percent of matched applicants identified a mentor versus 40% of unmatched applicants (p < 0.05). Matched applicants identified mentors through research (29%) and cold calling/emailing (25%). Matched versus unmatched applicants utilized the following resources: senior students (74 vs. 10%, p < 0.05) and social media (52 vs. 10%, p < 0.05). Among residents, 16 had PS divisions (48%). Thirty-six percent with divisions felt they had opportunities to explore PS, compared with 12% without divisions. Residents without divisions felt disadvantaged in finding research (94 vs. 65%, p < 0.05), delayed in deciding on PS (50 vs. 28%), and obtaining mentors (44 vs. 35%) and letters of recommendation (31 vs. 24%). Conclusion PS residents and applicants without HRPs reported feeling disadvantaged when matching. The data suggest that access to departments or divisions assists in matching. We identified that external outreach and research were successful strategies to obtain mentorship. To increase awareness for unaffiliated applicants, we should increase networking opportunities during local, regional, and national meetings.

A Study on Decision Factors for Residency in the Hinterland of Incheon New Port in Companies' Perspective (기업 관점의 인천신항 배후단지 입주결정 요인에 관한 연구)

  • Yoon, Jung-Ho;Jeon, Jun-Woo;Yeo, Gi-Tae
    • Journal of Navigation and Port Research
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    • v.40 no.3
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    • pp.121-128
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    • 2016
  • The present study aimed to derive decision factors for residency in the hinterland of Incheon New Port that is undergoing the development of port hinterlands and changes in leasing methods considered from the perspective of companies and analyze the priorities of determinants for residency through Fuzzy-AHP in order to present a direction to activate companies entries into the hinterland of Incheon New Port. When the comprehensive rankings of determinants for residency in the hinterland of Incheon New Port, rent levels among cost factors took the highest ranking with a value of 10.2% followed by the throughput of the port among market factors with a value of 8.2%, the scale of the market on the background with a value of 7.3%,, reduction in inland transport costs among cost factors with a value of 7.1%, connectivity to inland transportation networks among locational factors with a value of 6.7%, and designation as a free trade zone and the scale with a value of 6.4%. When seen from the viewpoint of companies to determine whether to move into the hinterland of Incheon New Port, the rent level should be provided to be more attractive compared to the hinterlands of ports in other regions. In addition, inland transportation costs which are a matter of the most serious concern of shippers in the capital region should be reduced and sea routes that can directly connect Incheon New Port to US ports and European ports should be opened.

The Effect of Hospital, Department and Physician Factors on Hospital Resource Use (입원 환자의 병원내 자원 이용에 영향을 미치는 병원, 진료과 및 의사의 특성 분석)

  • 안형식
    • Health Policy and Management
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    • v.7 no.1
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    • pp.125-154
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    • 1997
  • The hospital, clinical department and the physician factor in explaining variations of hospital resource use in surgically admitted patients was compared. This analysis was based on 6, 361 discharges in 28 hospitals for three surgical conditions - lens procedures anal and stomal procedures, uterine and ovarian procedures using medical insurnce claim data. The results were as follows: 1. Regression analysis indicated that the hospital and clinical department characteristics, such as hospital ownership and size, were more significant predictors of the resource use indicators than the physician and patients' social characteristics. 2. Regarding to the physician factors, the hospital where the physician received the residency training and the medical shool where he/she graduated had less effect compared to the hospitals where he/she currently works. Between the residency trained hospital and medical school, the is more important than the latter. 3. When the hospital charges were divided into type of service provided i. e. room, drug, laboratory & radiologic, procedure & operation, and anesthesic charges, variance due to the hospital factor was larger than that due to the physician factor in each item. In summary, the hospital and clinical departmental factor played an important role than physician factor ; indicating to reduce the variation in hospital resource use, the policy that affects hospital behavior would be more effective than that targets individual physician behavior.

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The Predictors of Anger Expression of the Homeless in the Shelters (쉼터 노숙자의 분노표현에 영향을 미치는 요인)

  • Hwang, Rah-Il;Yoon, Ji-Won
    • Research in Community and Public Health Nursing
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    • v.22 no.1
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    • pp.22-32
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    • 2011
  • Purpose: The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents. Methods: This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instrument. Results: The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. $R^2=.065$, and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. $R^2=.113$. Conclusion: This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

Prevention in the United States Affordable Care Act

  • Preston, Charles M.;Alexander, Miriam
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.6
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    • pp.455-458
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    • 2010
  • The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults (시설 노인과 재가 노인의 다면적 건강상태와 건강관련 삶의 질 비교)

  • Hyun, Hye-Jin;Chang, Ae-Kyung;Yu, Su-Jeong;Park, Yeon-Hwan
    • Research in Community and Public Health Nursing
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    • v.23 no.1
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    • pp.40-50
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    • 2012
  • Purpose: The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency. Methods: A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF. Results: The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%. Conclusion: These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.