• Title/Summary/Keyword: guidance

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Ultrasound-Guided Injections in the Lumbar and Sacral Spine (요추 및 천추부에 대한 초음파 유도하 중재 시술)

  • Ko, Kwang Pyo;Song, Jae Hwang;Kim, Whoan Jeang;Kim, Sang Bum;Min, Young Ki
    • Journal of Korean Society of Spine Surgery
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    • v.25 no.4
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    • pp.185-195
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    • 2018
  • Study Design: Literature review. Objective: Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine. Summary of Literature Review: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method. Materials and Methods: We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine. Results: In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance. Conclusions: Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.

A Pharmacogenomic-based Antidepressant Treatment for Patients with Major Depressive Disorder: Results from an 8-week, Randomized, Single-blinded Clinical Trial

  • Han, Changsu;Wang, Sheng-Min;Bahk, Won-Myong;Lee, Soo-Jung;Patkar, Ashwin A.;Masand, Prakash S.;Mandelli, Laura;Pae, Chi-Un;Serretti, Alessandro
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.469-480
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    • 2018
  • Objective: Pharmacogenomic-based antidepressant treatment (PGATx) may result in more precise pharmacotherapy of major depressive disorder (MDD) with better drug therapy guidance. Methods: An 8-week, randomized, single-blind clinical trial was conducted to evaluate the effectiveness and tolerability of PGATx in 100 patients with MDD. All recruited patients were randomly allocated either to PGATx (n=52) or treatment as usual (TAU, n=48) groups. The primary endpoint was a change of total score of the Hamilton Depression Rating Scale-17 (HAMD-17) from baseline to end of treatment. Response rate (at least 50% reduction in HAMD-17 score from baseline), remission rate (HAMD-17 score ${\leq}7$ at the end of treatment) as well as the change of total score of Frequency, Intensity, and Burden of Side Effects Ratings (FIBSER) from baseline to end of treatment were also investigated. Results: The mean change of HAMD-17 score was significantly different between two groups favoring PGATx by -4.1 point of difference (p=0.010) at the end of treatment. The mean change in the FIBSER score from baseline was significantly different between two treatment groups favoring PGATx by -2.5 point of difference (p=0.028). The response rate (71.7 % vs. 43.6%, p=0.014) were also significantly higher in PGATx than in TAU at the end of treatment, while the remission rate was numerically higher in PGATx than in TAU groups without statistical difference (45.5% vs. 25.6%, p=0.071). The reason for early drop-out associated with adverse events was also numerically higher in TAU (n=9, 50.0%) than in PGATx (n=4, 30.8%). Conclusion: The present study clearly demonstrate that PGATx may be a better treatment option in the treatment of MDD in terms of effectiveness and tolerability; however, study shortcomings may limit a generalization. Adequately-powered, well-designed, subsequent studies should be mandatory to prove its practicability and clinical utility for routine practice.

Design and Application of Career Education Program Related to the Subject Manual Training and Home Economics of Middle School (중학교 기술·가정교과와 연계한 진로교육 프로그램의 구안과 적용)

  • Lee, Hee Soon;Kim, Hee Jin;Yun, Song Hea;Cheon, Seong Moon
    • Journal of vocational education research
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    • v.29 no.3
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    • pp.247-263
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    • 2010
  • The purpose of this study is making the career education program related to the subject, Manual Training and Home Economics, to present the effective guidance and to improve career maturity of students about the unit, "Making a choice of career and Job ethics" of middle school senior's course. In order to estimate this program, 60 students of 2 classes were chosen as research subjects among middle school seniors and each of classes was divided into two groups, an experimental group and a control group. After the experimental group was trained the career education program related to Manual Training and Home Economics for 15 sessions, the effect was verified by comparing tests before and after program execution. In order to prove effects of the program. Each grade of both the experimental group and the control group was taken analysis of covariance (ANCOVA). Result of the program experiment is following. First, after executing the career education program related to Manual Training and Home Economics to the experimental group, participants showed that both attitude and ability for career maturity were improved in each sub-factor field of the career maturity as a result of tests before and after program execution. Second, in program satisfaction estimation, most of students had a positive attitude and in every time satisfaction, they made high estimation on the program, especially including the proper level of students and interesting activities. Finally, the final program was completed based on the result of effect analysis of the program.

The history of ginseng cultivation in Orient (동양에 있어서의 인삼재배 역사)

  • Koh, Seungtae
    • Journal of Ginseng Culture
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    • v.1
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    • pp.57-66
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    • 2019
  • Ginseng has been recognized as a lifespan extending medicine which has been regarded as one of the medicines classified as top medicines, as the Boncho (medical herbs) study which is influenced by the idea of guidance's costume and food concept mainly in China is gaining its bona fide form. As the demand for ginseng has been expanded to other levels, the demand for ginseng has been increasing. Ginseng from the nature reached its supply chain limit due to its extinction and difficulty of picking, so it translated into ginseng cultivation of economy rather than harvesting in nature. After the start of ginseng cultivation, the ginseng cultivation was further enhanced by the rapid development of processing methods such as white-ginseng and red-ginseng, and the surge of consumption due to the traditional belief in ginseng drug efficacy and support of scientific research. In the Joseon Dynasty, the name Gasam (cultivated ginseng) had been created as ginseng was cultivated on farmland after the stage of SanYang (wild cultivated ginseng), the purpose of the new name Gasam is to differentiate from natural ginseng, and natural ginseng lost its firm position as the genuine ginseng as the Gasam replaced the genuine ginseng, and the natural ginseng got a new name of SanSam (wild ginseng). Because the real ginseng substance concept dissipated, and as Gasam is being called ginseng, the name Gasam was also disappeared. As a result, it was possible to grow large quantities according to the arrival of the Gasam era, and it was possible to supply the demand for ginseng, and it could become one agricultural industry. In this ginseng cultivation, in Japan where ginseng did not grow naturally, it was difficult to obtain ginseng from Joseon and faced with a shortage of ginseng at all times. Therefore, the shogun cultivated the Gasam systematically at the national level by the inside of the shogunate. However, since the natural ginseng is native to China and Korea, there is a concern about the deterioration of the quality of natural ginseng due to the incorporation of cultivated ginseng (Gasam). To protect the interests, the cultivation of ginseng was subject to control. For this reason, the lack of historical information on Gasam cultivation, which had to be started secretly, would be a natural result. In this paper, althouh not sufficient enough, the historical informations were used to summarize the history of ginseng cultivation in China, Japan and Korea.

A Study on the Effect of Mentoring Skills and Mentoring Functions on Start-up Mentoring Satisfaction: Focused on the Moderating Effects of the Characteristics of Entrepreneurs (멘토역량과 멘토링기능이 창업멘토링 만족도에 미치는 영향에 대한 연구: 창업가특성의 조절효과를 중심으로)

  • Yoo, Byung Joon;Jeon, Seong Min;Seok, Min Sun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.6
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    • pp.15-25
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    • 2018
  • As jobless growth became the new norm and the average life expectancy continues to increase, it is difficult to find quality jobs regardless of gender. In this situation, entrepreneurs who can take charge of creating quality jobs have begun to gain attention from governments. As a result, many startup support programs have been introduced and operated. In Korea, various government-sponsored startup support programs have been in operation since the late 2000s, and the number of startups has increased since. However, there are many cases where they are not able to maintain their business for a long time because such programs often lack expertise and experience. Mentoring programs for startup founders is becoming an attractive solution to these problems. However, when we look at the responses of entrepreneurs, they found the mentoring program beneficial only when it was well planned and operated. Otherwise, they found the program unhelpful. Although there are many startup mentoring programs in various fields, there is little research on whether customized mentoring that matches the characteristics of startups and entrepreneurs are effective. In this study, we study the effects of startup mentoring on mentoring satisfaction. Our model also intends to identify the moderating effects of entrepreneurs' characteristics and provide guidance to future startup mentoring.

The Impact Analysis of Internal Control System on Accounting Information's Usefulness (기업의 내부통제시스템이 회계정보의 유용성에 미치는 영향 분석)

  • Kim, Dong-Il
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.307-313
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    • 2018
  • In this study, analyzed the effect of the introduction and operation of internal control system of a company on accounting information usefulness in a rapidly changing business environment. In order to conduct this study, we studied a comprehensive analysis on the usefulness of internal control and accounting information, and applied the research model to the purpose of this study. In this study, we analyzed the degree of the relationship between variables based on the discretionary accruals of the modified Jones model using the internal control evaluation index based on the components of the internal control system for China. In the empirical analysis, analyzed that the operation of internal control has a negative influence on discretionary accruals, which is a substitute for usability of accounting information. In addition, the risk management factors of the internal control system have a negative correlation with the usefulness of accounting information. The results of this study suggest that it is possible to present the positive function of internal control system to many firms where the introduction and operation of internal control is important, and to provide useful guidance in the study of the relationship between the operation of internal control and discretionary accruals for foreign company.

The Effects of Preferred Job Type of University Students on the Confirmation Bias and Job Anxiety (대학생의 선호직업유형이 확증편향과 취업불안에 미치는 영향)

  • Roh, Seon-Hee;Kim, Ki-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.190-199
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    • 2019
  • This quantitative study analyzed the influence of college students' preferred type of occupation on a confirmation bias and job anxiety during the process of making a career decision. The questionnaires were distributed to university students in Seoul and the metropolitan area for 500 weeks from July 10 2017 to August 8, 2017. Among them, 482 valid samples of data were analyzed by data coding and data cleaning usin SPSS 18.0 statistics and the AMOS 18.0 program. The main results of this study are that the type of business preference for an affirmative bias has a positive (+) direct influence (${\beta}=.374$) and the type of freedom has a positive direct influence (${\beta}=.326$) and a negative direct influence (${\beta}=-.274$). In the case of job anxiety, the influence of job type is more increased. The confirmation bias shows that the business type and freestyle type find cause in effort or achievement motive, while rect type is recognized as social environment and structural problem. In conclusion, there is a difference in the degree of confirmation bias and job insecurity. This study shows that college students' preferred occupation types can help them to understand the bias and anxiety that they have in preparing for the job and help to reduce job anxiety, and these findings are expected to be useful for career guidance.

Change Pattern of Heart Age in Korean Population Using Heart Age Predictor of Framingham Heart Study (Framingham Heart Study의 Heart Age Predictor를 활용한 한국인 심장나이 추이분석)

  • Cho, Sang Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.331-343
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    • 2019
  • The purpose of this study is to observe the trends of heart age of Koreans by using the predictor of heart age of the Framingham Heart Study. The subjects were 20,012 adults aged 30~74 years who were enrolled in the Korean National Health and Nutrition Examination Survey from 2005~2013. They filled in the determinants data and they had no history of cardiovascular disease (CVD). The heart age was calculated using a non-laboratory based model of prediction. The difference of heart age and chronological age, and the rate of excessive heart age over 10 years were calculated. The annual trend, the difference according to gender, the age bracket and geographic region, the heart age were all evaluated. Data analysis performed using the SAS program (version 9.3). Complex designed analysis was done. The heart age showed differences according to gender, age bracket and geographic region. The heart age is a useful comprehensive indicator for predicting the CVD events in the near future. So, it could be used for the purposes of exercising caution and guidance on CVD for administering medical care. It is strongly recommended to use heart age as an indicator for customized medical management to focus efforts on relatively vulnerable subjects and their factors for CVD. Further study on Koreans' customized heart age is needed.

A Study on the Management Improvement of an Academic Library Using Customer Relationship Management (CRM 기법을 이용한 대학도서관 경영개선에 관한 연구)

  • Park, Il-Jong;Yoo, Kyeong-Jong
    • Journal of the Korean Society for information Management
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    • v.36 no.2
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    • pp.31-56
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    • 2019
  • The user satisfaction and needs of an academic library were caught through a questionnaire survey in this study. The aim of this study is to draw up the CRM based plan for meeting user needs on the study. The users' demographic information, library resources & their use, homepage, services, and facilities/environment of the library were categorized in the questionnaire and analyzed for this study. The major conclusions of this study are: (1) The library resources use was the highest, and its facilities/environment was the lowest in the user satisfaction study. It also revealed that there are much necessities for the quick acquisition and dissemination of the requested material to the library users, and for the inter-library loan (ILL) services among campuses for the subscription books in the library resources use study, too; (2) There are a lot of necessities for the improvement of OPAC retrieval and the subscription books system, and menu rearrangement in the library homepage; (3) There are a lot of necessities for the plans of more frequent library event, more detailed event guidance, and more reinforcement of public relations such as SMS, push services of SDI etc. in the library user services; and (4) There are a lot of necessities for the improved policies to the complaints of library users such as the lack of common study place and lockers, air conditioning and heating problem, complaints about facilities management of restroom (lack of toilet paper), library accessibility on campus, unauthorized user management etc. in the facilities/environment of the library.

Platform Interaction and Strategy from the Perspective of Organizational Ecology (조직 생태학 관점에서 본 플랫폼 이해관계자들간의 상호 작용 및 전략)

  • Lee, Sungho;Bae, Sung Joo
    • Journal of Korea Technology Innovation Society
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    • v.22 no.2
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    • pp.220-241
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    • 2019
  • In order to provide theoretical guidance to research in platform strategy, we build the conceptual framework based on the organizational ecology and analyze symbiotic/competitive relationship between platform entities. Platform owner and service provider (i.e. complementors) make symbiotic relationship, where platform owner provide service provider user-base and platform resources such as marketing tools and platform technology, and service provider provide platform owner services which users utilize. In addition to symbiotic relationships, platform owner has competitive relationship with other platform owners, and service provider builds competitive relationship with other service providers. In these relationships, the strategy of platform owner affects service provider and service provider builds a strategy for their own survival and success. This type of interaction makes competitive dynamics in platform. However, previous platform literature focuses on strategies to enhance network effect from the perspective of platform owner. Thus, there is little attention on interaction among the service providers. Using the framework based on community ecology of organizational ecology, we analyze interaction and strategy between platform owner and service provider in the viewpoint of platform openness strategy and platform pricing strategy. This research contributes to the literature of platform strategy by providing a theoretical framework based on organizational ecology to deeply understand the dynamics of platform.