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Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Review

  • Ock, Minsu;Lim, So Yun;Jo, Min-Woo;Lee, Sang-il
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.2
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    • pp.68-82
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    • 2017
  • Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI). Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them. Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI. Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.

Awareness towards employment in the dental hygiene students (일부 지역 치위생(학)과 학생들의 취업 인식도 조사)

  • Yang, Song-Yi;Son, Ga-Yeon;Cho, Mi-Suk;Oh, Sang-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.613-621
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    • 2015
  • Objectives: The purpose of the study was to investigate the awareness towards employment in the dental hygiene students. Methods: A self-reported questionnaire was completed by 425 dental hygiene students in Chungcheongdo and Gyeongsangdo from July to September, 2014. Except incomplete answer, 401 data were analyzed using SPSS 20.0 program. The questionnaire consisted of three questions of general characteristics of the subjects, nine questions of awareness towards employment, six questions of awareness of employment preparation, and eleven questions of awareness of employment outlook. Results: The dental hygiene students prefer to dental hygiene related institution including dental hospital, dental clinic, general hospital, and university hospital. The awareness for the knowledge of desired employment institution was average. The main access for the information of the employment was internet, and senior and professor's advice, The most important preparations for the employment were a practical skill, trust, certificate, license, communication skill and English proficiency. The future outlook for the dental hygienist within five years was not optimistic, and the best way to overcome the weka point was specialization of the dental hygienist. Conclusions: This study will provide the useful information on improvement of employment strategy program for dental hygiene students.

Usefulness of Dexmedetomidine during Intracerebral Aneurysm Coiling

  • Lee, Hyoun-Ho;Jung, Young-Jin;Choi, Byung-Yon;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.55 no.4
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    • pp.185-189
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    • 2014
  • Objective : General anesthesia is often preferred for endovascular coiling of intracranial aneurysm at most centers. But in the authors' hospital, it is performed under monitored anesthesia care (MAC) using dexmedetomidine. To determine the feasibility and safety of this approach, the authors reviewed our initial experience. Methods : Retrospective data was analyzed from July 2012 to November 2012. We performed coil embolization in 28 cases using this method. Among them, for statistical significance, we analyzed 12 cases in which the procedure time exceeded an hour. Vital signs were analyzed every 10 minutes. Depth of sedation was measured according to the Ramsay sedation scale and frequency of the repeated roadmap image(s) caused by movement of the patient's head during the procedure. Results : All procedures were completed without occurrence of procedure related complications. Under MAC using dexmedetomidine, vital signs of the patients were stable, no statistical significance regarding hemodynamic and respiratory parameters was observed between time points (p>0.05). Adequate sedation was achieved. Mean Ramsay sedation scale was $3.67{\pm}1.61$ (2 to 6). Repeated roadmap image(s) due to patient's factor occurred in only one case. The mean dosage of drug for adequate sedation for the procedure was $0.65{\pm}0.12mcg/kg/hr$ without loading doses. Conclusion : To the best of my knowledge, this is the first report published in English using the method of monitored anesthesia with dexmedetomidine for intracranial aneurysm coiling. Monitored anesthesia care using dexmedetomidine without loading dose for embolization of intracranial aneurysms appeared to be a safe and effective alternative to general anesthesia.

Systematic Review of Patient-Reported Outcomes and Complications of Pedicled Latissimus Flap Breast Reconstruction

  • Emanuela C. Peshel;Claire M. McNary;Catherine Barkach;Elizabeth M. Boudiab;Daniella Vega;Farid Nossoni;Kongkrit Chaiyasate;Jeremy M. Powers
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.361-369
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    • 2023
  • The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.

The Development of Postverbal Negation in Korean in a Korean-English Bilingual Child (한국어와 영어 두 언어를 동시에 습득하는 한국어린이의 한국어 후치부정어 습득에 대한 연구)

  • Kim, Myung-Sook
    • Korean Journal of Cognitive Science
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    • v.20 no.4
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    • pp.383-419
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    • 2009
  • This study investigates the developmental process of Korean postverbal negation in a Korean-English bilingual child. The purposes of this study are firstly to find both common and divergent paths in the development of Korean postverbal negation in terms of both syntactic development and pragmatic uses of postverbal negation; and secondly to investigate explanations for the special pattern of development observed. The data were collected from one bilingual child (R) who is simultaneously acquiring two languages, Korean and English over two years between the ages of 5;00 and 700 (years; months). The data collection was carried out in four periods in two different environments: Periods I and III in Australia, Periods II and IV in Korea. The development of postverbal negation showed that when R was in Australia, she employed both L1 and L2 learning mechanisms, while when she was in Korea, she employed L1 learning mechanisms. The results reveal that L1 and L2 mechanisms are not basically different because R shows both forward and backward developmental features in conjunction with the two different language environments: Korea and Australia.

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Acoustic analysis of fricatives in dysarthric speakers with cerebral palsy

  • Hernandez, Abner;Lee, Ho-young;Chung, Minhwa
    • Phonetics and Speech Sciences
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    • v.11 no.3
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    • pp.23-29
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    • 2019
  • This study acoustically examines the quality of fricatives produced by ten dysarthric speakers with cerebral palsy. Previous similar studies tend to focus only on sibilants, but to obtain a better understanding of how dysarthria affects fricatives we selected a range of samples with different places of articulation and voicing. The Universal Access (UA) Speech database was used to select thirteen words beginning with one of the English fricatives (/f/, /v/, /s/, /z/, /ʃ/, /ð/). The following four measurements were taken for both dysarthric and healthy speakers: phoneme duration, mean spectral peak, variance and skewness. Results show that even speakers with mild dysarthria have significantly longer fricatives and a lower mean spectral peak than healthy speakers. Furthermore, mean spectral peak and variance showed significant group effects for both healthy and dysarthric speakers. Mean spectral peak and variance was also useful for discriminating several places of articulation for both groups. Lastly, spectral measurements displayed important group differences when taking severity into account. These findings show that in general there is a degradation in the production of fricatives for dysarthric speakers, but difference will depend on the severity of dysarthria along with the type of measurement taken.

Extracting characteristics of underachievers learning using artificial intelligence and researching a prediction model (인공지능을 이용한 학습부진 특성 추출 및 예측 모델 연구)

  • Yang, Ja-Young;Moon, Kyong-Hi;Park, Seong-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.4
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    • pp.510-518
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    • 2022
  • The diagnostic evaluation conducted at the national level is very important to detect underachievers in school early. This study used an artificial intelligence method to find the characteristics of underachievers that affect learning development for middle school students. In this study an artificial intelligence model was constructed and analyzed to determine whether the Busan Education Longitudinal Data in 2020 by entering data from the first year of middle school in 2019. A predictive model was developed to predict basic middle school Korean, English, and mathematics education with machine learning algorithms, and it was confirmed that the accuracy was 78%, 82%, and 83%, respectively, in the prediction for the next school year. In addition, by drawing an achievement prediction decision tree for each middle school subject we are analyzing the process of prediction. Finally, we examined what characteristics affect achievement prediction.

An Exploratory Analysis of Online Discussion of Library and Information Science Professionals in India using Text Mining

  • Garg, Mohit;Kanjilal, Uma
    • Journal of Information Science Theory and Practice
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    • v.10 no.3
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    • pp.40-56
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    • 2022
  • This paper aims to implement a topic modeling technique for extracting the topics of online discussions among library professionals in India. Topic modeling is the established text mining technique popularly used for modeling text data from Twitter, Facebook, Yelp, and other social media platforms. The present study modeled the online discussions of Library and Information Science (LIS) professionals posted on Lis Links. The text data of these posts was extracted using a program written in R using the package "rvest." The data was pre-processed to remove blank posts, posts having text in non-English fonts, punctuation, URLs, emails, etc. Topic modeling with the Latent Dirichlet Allocation algorithm was applied to the pre-processed corpus to identify each topic associated with the posts. The frequency analysis of the occurrence of words in the text corpus was calculated. The results found that the most frequent words included: library, information, university, librarian, book, professional, science, research, paper, question, answer, and management. This shows that the LIS professionals actively discussed exams, research, and library operations on the forum of Lis Links. The study categorized the online discussions on Lis Links into ten topics, i.e. "LIS Recruitment," "LIS Issues," "Other Discussion," "LIS Education," "LIS Research," "LIS Exams," "General Information related to Library," "LIS Admission," "Library and Professional Activities," and "Information Communication Technology (ICT)." It was found that the majority of the posts belonged to "LIS Exam," followed by "Other Discussions" and "General Information related to the Library."

East Asian Journal of Business Economics and Strategy

  • KIM, Byoung-Goo;YOUN, Myoung-Kil
    • Journal of Research and Publication Ethics
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    • v.1 no.1
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    • pp.11-15
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    • 2020
  • Purpose: This study is to review and analyze orientation and strategy of the East Asian Journal of Business Economics and all of the published articles of 2013 to 2020 and to investigate the previous publication system and process in order to enhance the general quality of EAJBE. Research design, data and methodology: This paper applied a case study method and analyzed the previous published articles and system including homepage of East Asian Journal of Business Economics. Results: This journal strives to be the most globalized than other domestic journals in the field of management/economy, and since its inception in 2013, all the papers is written in English, and more than 40% of the contributors are overseas contributors, so it is developed by global strategies in a different direction from other domestic journals. Conclusions: The EAJBE provides the full text of the contributors' research ethics regulations to the online system, and mandates researchers to submit a pledge from the stage of the contribution. The journal provides clear criteria such as self-plagiarism and duplicates publication, and specifies the copyright agreement and submission application twice, and guides the contributors and the reviewers to use the system in advance.

Speech processing strategy and executive function: Korean children's stop perception

  • Kong, Eun Jong;Yoo, Jeewon
    • Phonetics and Speech Sciences
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    • v.9 no.3
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    • pp.57-65
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    • 2017
  • The current study explored how Korean-speaking children processed the multiple acoustic cues (VOT and f0) for the stop laryngeal contrast (/t'/, /t/, and /$t^h$/) and examined whether individual perceptual strategies could be related to a general cognitive ability performing executive functions (EF). 15 children (aged from 7 to 8) participated in the speech perception task identifying the three Korean laryngeal stops (3AFC) on listening to the auditory stimuli of C-/a/ with synthetically varying VOT and f0. They completed a series of EF tasks to measure working memory, inhibition, and cognitive shifting ability. The findings showed that children used the two cues in a highly correlated manner. While children utilized VOT consistently for the three laryngeal categories, their use of f0 was either reduced or enhanced depending on the phonetic categories. Importantly, the children's processing strategies of a f0 suppression for a tense-aspirated contrast were meaningfully associated with children's better cognitive abilities such as working memory, inhibition, and attentional shifting. As a preliminary experimental investigation, the current research demonstrated that listeners with inefficient processing strategies were poor at the EF skills, suggesting that cognitive skills might be responsible for developmental variations of processing sub-phonemic information for the linguistic contrast.