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Successful management of absent sternum in an infant using porcine acellular dermal matrix

  • Semlacher, Roy Alfred;Nuri, Muhammand A.K.
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.470-474
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    • 2019
  • Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. The patient was a full-term male with trisomy 21, agenesis of corpus callosum, ventricular septal defect, patent ductus arteriosus, right-sided aortic arch, and congenital absence of sternum with no sternal bars. Following removal of the infected synthetic mesh, negative pressure wound therapy with instillation was used to manage the open wound and provide direct antibiotic therapy. When blood C-reactive protein levels declined to ${\leq}2mg/L$, the sternum was reconstructed using porcine acellular dermal matrix. At 21 months postoperative, the patient demonstrated no respiratory issues. Physical examination and computed tomography imaging identified good approximation of the clavicular heads and sternal cleft and forward curvature of the ribs. This case illustrates the benefits of negative pressure wound therapy and acellular dermal matrix for the reconstruction of absent sternum in the context of infected sternal surgical site previously repaired with synthetic mesh.

Effects of parenting education programs for refugee and migrant parents: a systematic review and meta-analysis

  • Lee, In-Sook;Kim, Eunjung
    • Child Health Nursing Research
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    • v.28 no.1
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    • pp.23-40
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    • 2022
  • Purpose: This systematic review and meta-analysis investigated the effects of parenting education programs (PEPs) for refugee and migrant parents. Methods: A systematic review was conducted according to PRISMA guidelines. Relevant studies published from 2000 to 2020 were identified through a systematic search of six electronic databases (PubMed, Embase, Cochrane Library, CINAHL, RISS, KMBASE). A meta-analysis of the studies was then undertaken. Results: Of the 14,996 published works identified, 23 studies satisfied the inclusion criteria, and 19 studies were analyzed to estimate the effect sizes (standardized mean differences) of the PEPs using random-effect models. PEPs were effective for parenting efficacy (effect size [ES]=1.40; 95% confidence interval [CI]: 1.14-1.66), positive parenting behaviors (ES=0.51; 95% CI: 0.30-0.73), parent-child relationships (ES=0.38; 95% CI: 0.22-0.53), and parenting stress (ES=0.64; 95% CI: 0.50-0.79). There were statistically significant differences in the effect sizes of PEPs that included mothers only (ES=0.93), included children under 7 years of age(ES=0.91), did not include child participation (0.77), continued for 19 or more sessions (ES=0.80), and were analyzed in quasi-experimental studies (ES=0.86). The overall effect of publication bias was robust. Conclusion: PEPs were found to be effective at improving parenting efficacy, positive parenting behaviors, parent-child relationships, and parenting stress.

How Firms Transfer Financial Risks to Employees: Stock Price Volatility and CEO Power

  • Sohn, Joon-Woo;Lee, Jae-Eun;Kang, Yun-Sik;Lee, Jae-Hyun
    • Asia-Pacific Journal of Business
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    • v.13 no.3
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    • pp.59-71
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    • 2022
  • Purpose - We investigate how firms transfer financial risks to employees in a form of flexible employment contracts and layoffs. Design/methodology/approach - Based on the literature on the prevalence of shareholder value ideology and the associated 'risk shift', we examined how stock price volatility is associated with a firm's use and hiring of nonstandard employees, and the number of employees lay-offed. We test our hypotheses using a longitudinal, multi-source, dataset of Korean firms from 2003 to 2011. Findings - We found support for the relationship between stock price volatility and flexible employment contracts and layoffs after controlling for actual risks such as increased debt or decreased sales. However, we found that the relationship is moderated by the power of professional CEOs relative to that of shareholders, in that powerful CEOs are more likely to transfer the external risks, i.e. stock price volatility, to employees. Research implications or Originality - This study contributes the emerging stream of literature that explore the effect of stock market pressures and governance structures on human resource management.

Social Support and COVID-19 Stress Among Immigrants in South Korea

  • Souhyun Jang;Paul Youngbin Kim;Min-Sun Kim;Hoyoun Koh;Kyungmin Baek
    • Asian Journal for Public Opinion Research
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    • v.11 no.2
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    • pp.163-178
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    • 2023
  • Individuals have been under more stress since the COVID-19 pandemic began than they were before the pandemic. While social support is a known stress buffer among the general population, its impact on stress among vulnerable populations, such as immigrants and those living in rural areas, has received little attention in the context of South Korea. Accordingly, we examined the relationship between different types of social support and COVID-19 stress among young adult immigrants based on where they live (rural vs. urban). We conducted a survey of 300 young adult immigrants aged 25-34 years and analyzed the results. The dependent variable was COVID-19 stress, and the independent variables were four types of social support: emotional, appraisal, instrumental, and informational. We discovered that young adult immigrants in rural areas perceived higher-level social supportin all aspects compared with those in urban areas. Furthermore, social support was not related to COVID-19 stress in urban areas, while appraisal support was positively and informational support was negatively related to COVID-19 stress in rural areas. Our findings suggest that a contextualized understanding of social support is critical to understanding COVID-related stress during the COVID-19 pandemic.

A Study on Mandibular Opening and Closing Movements at Mandibular incisor region and Clinical Rest Position (하악 전치부의 개폐운동과 안정위에 관한 연구)

  • Ahn, Seung-Geun;Song, Kwang-Yeob;Park, Charn-Woon
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.2
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    • pp.143-154
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    • 1989
  • The purpose of this study was to investigate the mandibular opening and closing movements at mandibular incisor region and clinical rest position in normal subject using the newly developed electric mandibular movement analyzing device, (M.K.G.-K6 diagnostic system, Myo-tronics Inc. Seattle, WA, U.S.A.) The 58 normal subjects, who were students of the College of Dentistry, Chonbuk National University, were selected according to sampling criteria. The obtained results were as follows: 1. There was no significant difference of distribution of opening and closing movement patterns at mandibular incisor region between male and female. There was significant difference between habitual and maximum movement patterns both in sagittal and frontal plane. 2. Although the percentage of distribution of crossover pattern was highest in all cases, but there were significant differences between patterns only at habitual opening and closing movement in sagittal plane. 3. The mean of maximum opening was $47.29{\pm}4.68mm$ in male and $42.15{\pm}4.95mm$ in female. Therefore the mean of maximum opening was larger in male than in female. 4. The mean of maximum laterotrusion in frontal trajectory was larger to the left than to the right. Also the proportion of left deviation at maximum opening position was larger than that of other cases. 5. The mean of maximum opening and closing velocity was higher in male than in female and the mean of closing velocity was higher than that of opening velocity. Also the amount of separation from the centric occlusion was higher in maximum closing velocity than in maximum opening velocity. 6. Clinical rest position was $1.70{\pm}0.99mm$ inferior, $0.74{\pm}0.57mm$ anterior, $0.99{\pm}0.51mm$ right from centric occlusion and the A/V ratio was 1:2.7.

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Work Involvement Study of Each Job on Technical Design in Garment Development Process in South Korea (국내 의류상품개발과정에서 직종별 업무관여도 비교 - 테크니컬 디자인 업무 중심으로 -)

  • Kim, Bo Ah;Nam, Yun Ja;Lee, Jaeil;Yoon, Mi Kyung
    • Fashion & Textile Research Journal
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    • v.18 no.5
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    • pp.658-667
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    • 2016
  • The purpose of this study is 1) to research how practitioners in fashion industry in South Korea perceive concepts of Technical Design/Designer, 2) to compare and analyze issues at work by occupation, 3) to research specific works in garment development process, and 4) to compare and analyze work involvement by occupation, type of a company and etc, and 5) to propose the role of Technical Designers in apparel companies in South Korea. There were two methods to conduct this study, which were in-depth interview and survey. Both methods were conducted to designers, merchandisers, pattern makers, technical designers, and production coordinators. Frequency analysis, ANOVA, Duncan test, and Factor analysis were performed to get results by using SPSS 18.0 program. The results are following. There were 50 works during garment development process from the result of in-depth interview, and 6 factors were obtained from the result of Factor analysis, which were 'Works about Sample in Sample Development Process', 'Works about Product's Pattern and Size Spec', 'Works about Development of Garment's Design', 'Works about Planning of Product Development and Management of Product in Stock', 'Works about Production Process', and 'Preparation Works for Sample Development'. In conclusion, technical designer in apparel companies in South Korea should be in charge of works about sample in sample development process and decision making of product' size spec, which is included in works about product's pattern and size spec. Also, they should complete technical package after product is developed by designers.

Gastric Cancer in Asian American Populations: a Neglected Health Disparity

  • Taylor, Victoria M.;Ko, Linda K.;Hwang, Joo Ha;Sin, Mo-Kyung;Inadomi, John M.
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10565-10571
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    • 2015
  • Gastric cancer incidence rates vary dramatically by world region with East Asia having the highest rate. The Asian population of the United States (US) is growing rapidly and over 17 million Americans are of Asian descent. A majority of Chinese, Korean and Vietnamese Americans are immigrants. Americans of East and Southeast Asian descent experience marked gastric cancer disparities and the incidence rate among Korean men in the US is over five times higher than the incidence rate among non-Hispanic white men. Randomized controlled trials have provided evidence for the effectiveness of helicobacter pylori identification and eradication in preventing gastric cancer. Additionally, Japan and South Korea have both experienced improvements in gastric cancer mortality following the implementation of programs to detect early stage gastric cancers. There are currently no clear US guidelines regarding the primary and secondary prevention of gastric cancer in high-risk immigrant populations. However, it is likely that a proportion of US physicians are already recommending gastric cancer screening for Asian patients and some Asian immigrants to the US may be completing screening for gastric cancer in their native countries. Surveys of US primary care physicians and Asian American communities should be conducted to assess current provider practices and patient uptake with respect to gastric cancer prevention and control. In the absence of clinical guidelines, US health care providers who serve high-risk Asian groups could consider a shared decision-making approach to helicobacter pylori identification and eradication, as well as gastric endoscopy.

A study of Stress Reaction, Symptoms of Stress, Health Promoting Behavior, and Quality of Life in Korean Immigrant Middle Aged Women (미국 이민 중년여성의 스트레스 반응, 스트레스 증상, 건강증진 행위, 삶의 질에 관한 연구)

  • 한금선
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.606-618
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    • 2000
  • The purpose of this study was to identify the level of Symptoms of Stress, Stress Reaction, Health Promoting Behavior, and Quality of Life in Korean Immigrant Middle Aged Women. The subjects of this study were 33 middle aged women who live in Seattle, Washington, U.S.A. Data collection was performed at the U.W from Oct. 1998 to May. 1999. Data collection time was one hour and data was collected through 4 types of questionnaires : SOS, Health Promoting Behaviors, Quality of Life and Demographic data form, and the Physiologic Stress Profile was collected by J&J I-410 biofeedback equipment. The data was analyzed by descriptive statistics and the pearson correlation coefficient using the SAS program. The results of this study are as follows: 1. The level of physiological stress reaction and stress symptoms showed high level and quality of life showed low in general. 2. The Stress Reaction and Symptoms of Stress showed significant negative correlation with health promoting behavior, quality of life in the middle aged women. 3. The health promoting behavior showed significant positive correlation with quality of life in the middle aged women. In conclusion, the physiological stress reaction, symptoms of stress, and health promoting behavior were major influencing factor to quality of life in Korean Immigrant Women. From the results of the study, the following recommendations are presented as follow: 1. It is suggested that the study for developing the health promotion program focused on stress self-regulation for Korean immigrant women. 2. It is suggested that the comparative study for Korean immigrant women and Women in Korea. 3. It is necessary to broaden the scope of nursing practice for middle aged healthy women, so nurses can include a health promotion program focused on stress self-regulating as part of nursing care.

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Design Factors for the Ventilation System of a Networked Double-deck Tunnel (네트워크형 복층 터널 환기 시스템 설계 인자)

  • Park, Sang Hoon;Lee, Seung Jun;Park, Yo Han;Kim, Se Min;Roh, Jang Hoon;Yoo, Yong Ho;Kim, Jin
    • Tunnel and Underground Space
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    • v.26 no.1
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    • pp.32-45
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    • 2016
  • For effective utilization of downtown area, many studies about underground have been performed around the world, and double-deck tunnel have being operated in USA, Europe and China, etc. (A86 East Duplex in France, M30 tunnel project in Spain, SR-99 in seattle, USA, Yangtze river tunnel in China) In Korea, the research about network type double-deck tunnel in deep underground space is in progress to solve the traffic jam and secure the ground space. In this study, a number of factors required for double-deck tunnel in deep underground are analyzed through the existing ventilation design outline and unique ventilation design factors for network type double-deck tunnel are established by reviewing design cases of overseas double-deck tunnel.

An Analysis of the Productive Efficiency and Competitive Strength of Container Ports using the DEA, Super-efficiency, and FDH Methods

  • Park, Ro-Kyung
    • Journal of Korea Port Economic Association
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    • v.18 no.1
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    • pp.3-26
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    • 2002
  • The purpose of this paper is to Investigate the productive efficiency and competitive strength of world container ports using the DEA, Super-efficiency, and FDH methods with the raw data from previous research by Jun et al.(1993). The super-efficiency measure examines the maximal radial change In input, outputs for an observation to remain efficient. Therefore, it provides a means of distinguishing between efficient observations, which would otherwise seem identical. FDH provides a good test mechanism for examining the practical implications of the choice available among alternative efficiency measures and orientations, because of the lack of convexity of its production possibility set. Both methods are complementary to DEA. This paper follows the traditional productivity analysis method overcoming the limitation of previous studies by using the DEA, FDH and Super-efficiency methods, and proposing in measure the relative competitive strength of worldwide container ports. The main empirical results of this paper are as follows: Firstly the ports of Singapore, Hongkong, Kilrung, Busan, Tokyo. and Longbeach were found to be efficient In the CCR model. The ports of Felixstowe, Bangkok, Singapore, Hongkong, Kilung, Busan, Tokyo, and Longbeach were found to be efficient in the BCC model. Secondly, super. efficiency rankings under CRS and input-oriented model are as follows: Longbeach, Keelung, Singapore, Busan, Tokyo, and Honkong. However, it was difficult In differenciate the rankings under the VRS and input-oriented model. due to major difficulties posed by the ports of Singapore, Hongkong, and Longbeach. Thirdly, the FDH method shows that the inefficient ports are Bremerhaven, Antwerp, Le Havre, Kobe, Seattle, New York The policy Implications of this study are as follows: Firstly, when port authorities want to measure the international competitive strength of container ports and enhance their productive efficiency, they should consider the traditional method as well as introducing the Super-efficiency and FDH methods. Secondly, according to the analysis results of the super-efficiency and FDH methods, poll authorities should recommend benchmarks ports and dominated ports as reference ports in order to enhance the productive efficiency of their container ports that have an efficiency rating of less than 1. Efficient ports whose efficiency ratings are over 1 in the Input-oriented Super-efficiency model should also consider the usage of input and output elements used by more efficient ports.

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