• Title/Summary/Keyword: Service Center

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Extracorporeal Shock Wave Therapy for Painful Heterotopic Ossification after Traumatic Transtibial Amputation (외상성 하퇴 절단지에 발생한 이소성 골화증에 대한 체외충격파 치료)

  • Jeon, Hyun Min;Yang, Hee Seung;Seo, Jin Seok;Han, Seok Cheol;Kim, Wan Tae
    • Clinical Pain
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    • v.19 no.1
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    • pp.28-31
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    • 2020
  • The incidence of heterotopic ossification (HO) was reported to be higher in combat-injured patients than in civilian trauma patients. HO is often considered a possible cause of residual limbs pain in amputee. Here, we report the case of a 21-year-old male, who underwent a traumatic right transfemoral and left transtibial amputation with two segments of painful HO around his left amputation site. We report the effect of extracorporeal shock wave therapy (ESWT) on size and pain associated with HO. After ESWT, the visual analog scale score decreased from 5~6 to 0~1 and the size of two masses decreased from 13.1 × 6.7 mm and 12.5 mm to 11.9 × 4.7 mm and 12.2 mm, respectively. To the best of our knowledge, this is the first case that has reported on the treatment of HO using ESWT for a traumatic transtibial amputation patient. The case suggests that ESWT could serve as a complementary treatment for HO in traumatic amputation patient.

Construction of Customer Appeal Classification Model Based on Speech Recognition

  • Sheng Cao;Yaling Zhang;Shengping Yan;Xiaoxuan Qi;Yuling Li
    • Journal of Information Processing Systems
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    • v.19 no.2
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    • pp.258-266
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    • 2023
  • Aiming at the problems of poor customer satisfaction and poor accuracy of customer classification, this paper proposes a customer classification model based on speech recognition. First, this paper analyzes the temporal data characteristics of customer demand data, identifies the influencing factors of customer demand behavior, and determines the process of feature extraction of customer voice signals. Then, the emotional association rules of customer demands are designed, and the classification model of customer demands is constructed through cluster analysis. Next, the Euclidean distance method is used to preprocess customer behavior data. The fuzzy clustering characteristics of customer demands are obtained by the fuzzy clustering method. Finally, on the basis of naive Bayesian algorithm, a customer demand classification model based on speech recognition is completed. Experimental results show that the proposed method improves the accuracy of the customer demand classification to more than 80%, and improves customer satisfaction to more than 90%. It solves the problems of poor customer satisfaction and low customer classification accuracy of the existing classification methods, which have practical application value.

A Study on the Operation and Use of Physiotherapy room at Public Health Service Center (보건소내 물리치료실 운영실태와 물리치료사의 배치방안)

  • Song, Myung-Soo;Kim, Seng-Il;Song, Mi-Wha;Park, Seon-A
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.263-274
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    • 1999
  • The public health service center and its branch are, as one of public institution, responsible for providing non-profitable medical service to local residents, which can't be addressed by private medical institutes. In addition, as a planning coordinator, they need to manage local medical resources effectively to make sure local residents can be offered good-quality health service fairly and impartially. The purpose of this study was to highlight the importance of physical therapy in public health service center's successful role performance, one of treatment to which local residents had a direct access. For attaining the purpose, an investigation was made into the actual facilities of public health service center and its branches in North Cholla province, the extent of use of physicaltherapy room, and the general characteristics of physical therapists. And literatures concerned were referred to. As a result, the dominant opinion was that the current physicaltherapy room shoulder be more reinforced(38.9%) or that it should he kept as it was(46.5%). Besides, the physical therapists investigated still were serving in a poor working condition. To elevate the quality and quantity of medical service, the current way to employ expert personnels temporarily or not to guarantee the position of physiotherapists should be removed immediately. Instead, physicaltherapists should be employed as regular public official. As, in home-visit project, physiotherapist are expected to play a bigger role in rehabilitation care or the management of patients with chronic disease, the physicaltherapy room should be increased and more physicaltherapists should be provided to health service institutions.

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The Survey an the Nutrition Education and Food Service Managements system of the Early Childhood Education Institute in Yongdungpo (영등포구 보육시설의 급식 및 영양교육실태조사)

  • Lee, Gyeong-Hui;Park, Do-Yeong;Lee, In-Yeong;Hong, Ju-Yeong;Choe, Byeong-Chan;Bae, Sang-Su
    • Journal of the Korean Dietetic Association
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    • v.7 no.2
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    • pp.167-174
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    • 2001
  • The purpose of this study was to investigate food service management system and nutrition education of the early childhood education institute in Yongdungpo, Seoul. Self-administered questionnaires were completed by 26 public early childhood education institute and 34 private ones. A majority of the teachers were women over 40 with at least bachelor's degree. Other than the fact that food service provides food to the children, it contributed in providing the essential nutrients to the children, as well as giving them the opportunity to learn table manners. A normal food service would provide one set of lunch and two sets of snacks, which would be provided by the institute itself. In most cases, the director or teachers planned the menus instead of dietitians. Journals, cookbooks, and other information put out by mass communication, such as TV and newspapers, were used as reference to those menus. The factors considered in planning the menus were mainly nutritional balance and the children's food preference. The difficulties in meal management were about the budget and nutritional menu planning. Fifty five percent of the subjects were did nutrition education, and they focused mainly on the table manners and hygiene education but once a year. The difficulties and complaints in execution nutrition education at the institutes were lack of nutritional knowledge, personal shortage, and excessive work. The institutes were urgently requesting for menu provisions from local Public Health Clinics. As a recommendation from the results of this study, food service management and nutrition related subjects should be more enforced into the nursery teacher training curriculum. Also, it is necessary to provide nutrition education to teachers, and as a link, the need to develop a manual for nutrition education has become urgent.

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Network Analysis to Describe Service Link for Customized Visiting Health Care Program (맞춤형방문건강관리사업의 지역사회 네트워크 탐색)

  • Jang, Soong-Nang;Cho, Sung-Il
    • Korean Journal of Health Education and Promotion
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    • v.29 no.1
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    • pp.1-11
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    • 2012
  • Objectives: The nurse visiting health service named Customized Visiting Health Care Program(CVHCP) requires the service innovations incorporating community support into a local service network. The purpose of this study was to assess the community network in CVHCP and inform improvement in this network. Methods: We used Social Network Analysis(SNA) in one CVHCP at H city. Network links were generated by self-administered questionnaires by the 14 community resource centers who quantified their links to all other 25 agents on the list. Links were analyzed by a dichotomous scale for any experience of collaboration and a scored scale of 0 to 3 for level of collaboration using UCINET v6. Results: A list of 14 agents was generated, and local network was dominated by the Public Health Center and a local welfare center named Unlimited Care Center(UCC). According to centrality score, UCC was the most prominent agent, and Public Health Center was the most influential agent, being a link in the pathway flow between other agents for 9.5% of contribution. CVHCP scored lower rank of prominent with 30.8% of other agents reported referring to it. Conclusions: Social network analysis provides a useful network description for informing and evaluation service network improvement in maximizing its service for the CVHCP.

The effects which work events were experienced by employees on the service quality in local healthy family support center: mediating effect of affective reaction and job satisfaction (건강가정지원센터 종사자가 경험하는 작업사건이 서비스 질에 미치는 영향: 정서반응과 직무만족의 매개효과)

  • Shin, Yong Seok;Kang, Tae In;Yun, Sung Eun
    • Korean Journal of Human Ecology
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    • v.23 no.5
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    • pp.773-787
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    • 2014
  • The purposes of this study were to examine effects which work events and affective reaction were experienced by employees on job satisfaction and service quality in local healthy family support center for family health enhancement. For the purpose, survey were conducted with employees working in 56 local healthy family support centers in Seoul and Gyeonggi region, and final data were resulted from analysis of 319 examines of those employees. The results of this study were as follows. First, work events had a significant effect on the affective reaction. Second, affective reaction had a significant effect on the job satisfaction. Third, job satisfaction had a significant effect on the service quality. Fourth, affective reaction worked as mediators between the work events and job satisfaction, affective reaction and job satisfaction worked as double mediators between work events and service quality. Based on those findings, we can propose practical and political implications towards improving service quality considering the work experience of personnel in the healthy family support center.

An architecture of Grid Information Service based on OGSI (GAIS : OGSA 기반 그리드 정보 서비스 구조)

  • Lim, Min-Yeol;Kim, Eun-Sung;Hong, Won-Taek;Park, Hyung-Woo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2003.11a
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    • pp.157-160
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    • 2003
  • 최근 그리드 미들웨어 개발 연구는 과학적 어플리케이션뿐만 아니라 상업적인 비즈니스 어플리케이션에서 활용가능하도록 웹서비스(Web service) 기술을 활용하고 있다. 이를 통해 정의된 그리드 서비스 구조를 Open Grid Service Architecture(OGSA)라고 한다. OGSA 를 통해 정의된 그리드 서비스 개념은 GGF 를 통해 OGSI 라는 표준 기술 명세서로 채택되었다. OGSI 를 지원하는 그리드 서비스는 확장성있고 상호운용성을 높여 다른 서비스와의 연동 및 통합을 쉽게 이루게 한다. 본 논문에서는 기존의 그리드 정보 서비스를 OGSI 기반의 서비스 구조인 Grid Advanced Information Service(GAIS)로 재구성한다. CAIS 는 그리드 미들웨어의 기본 서비스로써 다음의 특징을 가진다. 우선, 기존의 GT3 기반의 그리드 정보 서비스와의 서비스 인터페이스 측면에서 호환성을 가지면서, 내부적으로 동적 Virtual Organiaation(VO)관리 기능을 추가로 가진다. 그리고, 여러 GAIS 들간의 VO 정보를 관리할 수 있도록 Peer-to-peer 기반의 정보 분산기능을 가진다. 또한, GAIS 내 등록된 서비스들에 대해서는 Service data에 따른 그룹화를 통해 서비스 discovery기능을 강화하게 된다. 그리드 사용자는 GAIS 를 통해 다양한 VO 에 대한 정보를 검색하고, VO 의 생성 및 참여할 수 있고, 자신이 속한 VO 에 대하여 효율적으로 자원정보 및 서비스 데이터(Service Data)를 접근할 수 있다.

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Cognitive Function, Physical Function, Problematic Behaviors of Elders using Dementia Daycare Service and Reasons for Stopping Daycare (치매주간보호센터 이용 노인의 인지·신체기능, 문제행동 및 이용중단 이유)

  • Kim, Hwasoon;Lee, Young Whee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.1
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    • pp.61-72
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    • 2016
  • Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.