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Treatment of flat foot with Kalix implant - case report - (Kalix implant를 이용한 편평족의 치료 - 증례보고 -)

  • Lee, Kyung-Tai;Young, Ki-Won;Bae, Sang-Won;Tak, Sang-Bo;Lee, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.238-241
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    • 2002
  • There are two types of flat foot, the one is congenital type and the other is acquired type. The treatments of flat foot are various and conservative treatment is general, except such as congenital talus. But, operative method is needed for treatment of failure of conservative method, severe deformity in X-ray, with tenderness in a juvenile period. We reported using Kalix implant for flat foot with pain and severe deformity.

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The Effect of Types of College Entrance Examination on Academic Achievement of General Chemistry in Face-to-face and Non-face-to-face Teaching-Learning

  • Min Ju Koo;Jong Keun Park
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.376-388
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    • 2023
  • After a longitudinal analysis of the data on the college entrance examination of students enrolled in the Department of Chemistry Education at Gyeongnam from 2014 to 2021, the effect on the academic achievement of general chemistry according to the type of college entrance examination was studied. And the impact on the academic achievement of general chemistry according to the type of admission screening in face-to-face and non-face-to-face teaching-learning was also studied. As a result of analyzing the academic achievement of general chemistry by admission process, students admitted through occasional screening showed relatively high grades of A and B at 88.7%, and the ratio of grades of 1~3 of chemistry I in high school was high. On the other hand, in the case of students admitted through regular admission, the ratio of grades of A and B in general chemistry was very high at 94.3%, and the ratio of grades of 3~4 in chemistry I of the College Scholastic Ability Test was high. As a result of analyzing the academic achievement of general chemistry by class type and admission process, it was found that the grades of chemistry I by face-to-face classes had an effect on the academic achievement of general chemistry in non-face-to-face classes. In both admissions, the academic achievement of general chemistry by face-to-face classes was relatively higher than that of non-face-to-face-to-face classes.

Changes in Nurse Staffing Grades in General Wards and Adult and Neonatal Intensive Care Units (의료기관의 일반병동, 성인 중환자실, 신생아 중환자실의 간호등급 변화)

  • Hong, Kyung Jin;Cho, Sung-Hyun
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.1
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    • pp.64-72
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    • 2017
  • Purpose: This study aimed to explore the distributions of nurse staffing grades and to report changes in staffing grades in general wards and adult and neonatal intensive care units(ICUs) by hospital type and location. Methods: Data collected from the Health Insurance Review and Assessment Service were analyzed. Nurse staffing was categorized from grades 1 to 6 or 7 for general wards, 1 to 9 for adult ICUs, and 1 to 4 for neonatal ICUs based on the nurse-to-bed ratio. Results: The staffing grade for the general wards improved during 2008-2016 in 69.8% of the tertiary hospitals, 58.5% of the general hospitals, and 31.7% of the non-general hospitals. The adult ICUs at tertiary hospitals exhibited a greater improvement in staffing grades (48.8%) than did those of general hospitals (44.2%) during 2008-2015. Tertiary hospitals in non-capital regions showed a greater improvement than those in the capital region. The majority of neonatal ICUs (67.1%) had no change in the staffing grade during 2008-2015. Conclusion: Improvements in nurse staffing differed by hospital type and location. Government policies to improve nurse staffing in non-tertiary hospitals and those in non-capital regions are required to reduce variations in nurse staffing.

Result of Surgical Treatment of Intra-Articular Fractures of the Calcaneus - Based on CT Classification and Open Reduction and Internal Fixation - (종골 관절내 골절의 수술적 치료 후 임상 결과 -전산화 단층 촬영에 따른 분류 및 관혈적 정복 및 내고정 치료-)

  • Kim, Eui-Soon;Seo, Hyun-Mo;Lee, Kyu-Min;Choi, Hun-Hwi;Moon, Myung-Sang;Lee, Man-Hee;Choi, Won-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.2
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    • pp.238-249
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    • 2003
  • Purpose: To report the clinical result of the intraarticular calcaneus fracture after open reduction and internal fixation with plate by lateral approach. Materials and Methods: Thirty-six calcaneal fractures of 33 patients(29 men and 4 women) were treated by open reduction and internal fixation using an lateral approach from March, 1997 to May, 2002 and were followed more than one year. The autogenous iliac bone graft was done in 2 cases but the others didn't. Radiographically B?hler angle and Gissane angle on simple lateral radiograph were measured and in the 15 cases, the step-off(gap) of posterior facet joint on post-operative CT images were followed. The Salama method was used for evaluation of clinical results. Results: According to Sanders classification, 19 cases of the 36 cases were classified as type II. Type III fracture were found in 12 cases and type IV in 5 cases. The following results were obtained: twenty-two cases(61.1%) out of 36 cases were estimated as good or excellent. The good results or more were obtained in 15 cases(78.9%) in type II and 7 cases(58.3%) in type ill, but no case in type IV. B?hler angles were improved from preoperative average 1.6?to postoperative average 23.4?, Gissane angle was improved from preoperative 107.2?to postoperative 122.8?, respectively. Among 36 cases, Computed tomography was carried out in 15 cases. The postoperative step-off (gap) of posterior facet joint on computed tomography was filled with cancellous bone. Satifactory results was obtained in 7 cases with 2mm gap or less and in 6 cases of 2-5mm. There were no satifactory results in 2 cases with 5mm gap or more. Conclusion: Open reduction and internal fixation for intra-articular fracture of calcaneus was thought to be a good treatment modality. It is thought that the lateral approach is one of the good one for surgical treatment, and that accurate reduction of the posterior facet, acceptable recovery of B?hler angle are more important to obtain best results.

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Consumer's Behaviors on the Purchase and the Laundering of Baby's Clothing (유아복의 구매와 세탁에 관한 소비자 행동)

  • Kweon, Soo-Ae;Han, Mi-Ran;Lee, Jeong-Sook
    • Journal of the Korean Society of Fashion and Beauty
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    • v.4 no.4 s.10
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    • pp.33-41
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    • 2006
  • The purpose of this study was to investigate consumer's behaviors on the purchase and the laundering of baby's clothing according to washing machine types using by consumers. The subjects were 255 consumers with babies(0-2 years) in Korea. The data were collected using a self-administered questionnaire and analyzed using Chi-square test and multiple response analysis, and SPSS 12.0 statistics package was used. Consumers were separated into two groups according to washing machine types with general pulsator type and drum-type. Consumer's behaviors between general pulsator type group and drum-type group of washing machines were also examined. The Results of this study were as follows: 1. The purchase rate of baby's clothing was high compare to that of general clothing of family. The consumers with babies had priority on textile materials(cotton 100%) as baby's clothing. As for the consumer's behaviors between the purchase of baby's clothing and the consumer's characteristics, they showed a significant differences according to the consumer's characteristics like education level and washing machine types using by consumers. 2. The removal of soils including various foods was very important on the laundering of baby's clothing. Especially the rinsing of detergents was important on the laundering. Because they considered toxicity of detergents was high and harmful to the baby, and detergent's components such as surfactants, builders, and another additives could not removed completely with normal laundry courses by washing machines. 3. There were significant differences between general pulsator type group and drum-type group of washing machines on the purchase and the laundering of baby's clothing.

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A Study on Type of Clinical Experience of Adaptation of New Nursing Staffs in a General Hospital (일 종합병원 신규간호사의 실무적응 경험 유형)

  • Kim, Yun-Jeong
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.443-454
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    • 2014
  • This study designed to know subjective structure about clinical experience of adaptation of new nursing staffs in a general hospital and using Q-methodology. Using Q-methodology, 40 new nursing staffs sorted working a general hospital through personal interview. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through to -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL program to determine if any patterns were discernible. The five types extracted all had eigenvalues greater than 1.0 and explained 62.38% of the variation in responses.: (1) New workload type, (2) Interest and responsibility type, (3) Improve the situation type, (4) Lack of knowledge and technology type, and (5) Excessive workload type. The significant differences found in the subjective structure of clinical experience of adaptation of new nursing staffs in ad general hospital. The findings of this study could contribute to the development of an effective programmes of education and personnel clinical practice strategies.

A Comparison of Medical Care Services by Type of Medical Care Facility -In cases of normal spontaneous vaginal delivery and acute appendicitis- (의료기관 종류별 진료내역 비교 -정상분만과 급성 충수염을 중심으로-)

  • Lee, Young-Doo
    • Journal of Preventive Medicine and Public Health
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    • v.18 no.1
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    • pp.41-50
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    • 1985
  • To find out the differences in medical practice according to the environment of patient care and managerial situation of the medical care institutions, normal spontaneous vaginal delivery and acute appendicitis were selected, which is suitable for comparison because of their high comparability. A total of 473 cases of normal spontaneous vaginal delivery and 408 cases of acute appendicitis was sampled from the claims to Korea Medical Insurance Cooperations during January to June 1984. Complicated cases were excluded from population and sampling was restricted from 40 to 60 percentile for total charges by the type of medical care facility in order to rule out the influence originating from case mix. Important items representing type and quantity of medical care service were compared by type of facility. Major findings are as follows : 1. University hospital shows the highest in charges per case and decrease in order of general hospital, and clinic. 2. In case of normal spontaneous vaginal delivery, average length of stay shows statistically significant difference by type of facility. 3. Charge amount for each service item affected by practice pattern shows statistically significant difference mostly by type of facility. It is suggested that medical practice pattern is different by type of facility for medical services. 4. Difference in total medical expenditure by type of facility is affected more with charges for materials, consumables and drugs than with fee for service activity. 5. In administering drugs to patients, hospital and clinic show higher injection rate than university and general hospital. 6. Clinical Laboratory tests were common in order of uninalysis, hemoglobin, hematocrit, white blood cell count, urine microscopic examination in cases of normal spontaneous vaginal delivery; white blood cell count, urinalysis, hemoglobin, hematocrit, urine microscopic examination, white blood cell differential count, in cases of acute appendicitis. 7. The result for Laboratory test and Radiologic study shows extreme difference by type of facility. Test rate is lowest in clinic and increase hospital, general hospital, and university hospital in order, both in type and frequency.

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Fatigue of Night Shift Nurses Seen in Circadian Types at Intensive Care units (중환자실 간호사의 Circadian 유형에 따른 밤근무 피로도 조사)

  • YANG, Ji-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.9 no.2
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    • pp.86-93
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    • 2000
  • This study was conducted to find out the degree of tiredness, accumulated tendencies of fatigues in accordance with 3 types of circadian rhythms and 3 types of perceived fatigue signs such as physical, psychological and neurosensory aspects in before and after work at night. Samples were chosen from the 217 intensive care units nurses working in 13 general hospitals which had 3 shift rotating systems, Data were collected from November to December in 1999. Two hundreds seventeen respondents were classified by 3 circadian types such as 59 morning, 110 middle and 48 evening. Circadian type was measured by the circadian type scale which was designed by ${\ddot{O}}stberg$ and Home (1976). in order to estimate the level of tiredness, the investigator used the fatigue checklist designed by the Labor and Health Institute of Japan(1970). Analysis was done by frequency a percentages, ${\chi}^2$ test and repeated measures ANOVA test. The result of this study were as follow: 1. In the general characteristics of the subjects circadian types, moderate type had the large proportion at 50.7% and morning type had 27.2% and evening type had 22.1%. 2. According to the 3 types of fatigue signs, the highest general tendency was 'General weakness' and 'Feeling of headsore' for physically perceived sign, 'Drowsiness' for psychological sign, and 'Uncomfortableness in sight seeing' for neurosensory sign. 3. The most frequently complained fatigue were observed in physical symptoms among physical, mental, and neurosensual symptoms. The percentage of complained was higher after night work than before the work started. 4. There was not any statistical significant difference between the circadian type and the degree of physical, mental, neurosensory fatigue. 5. There was not any statistical significant difference in regarding to each date of night shift except difference between 1st and 2nd days of fatigue perceived physically. Therefore, the study concluded that the fatigue perceived by night shift nurses might be related with shift working condition rather than circadian types.

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A Study on the Architectural Planning of the Specialized Care Center in the Korean General Hospital (국내 종합병원 전문진료센터의 건축 계획에 관한 연구)

  • Jeong, Ka-Young;Yang, Nae-Won;Lee, Han-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.13 no.3
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    • pp.25-33
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    • 2007
  • This study is about change a necessary and natural change from institutionalized hospital based health care to a more patient centered, accessible health care. Rapidly change of social and medical facts such as growing aging population, malady, changing of medical policy are made new paradigm. This paradigm is both required to the hospital ; consolidate department and service; architectural change. Benefit to patient and hospital are many, so there are many challenges in Korean general hospital. The purpose of this study is find architectural design guideline to Korean general hospital which is struggling to change from to functional organization to the patient based care center. As a result, the type is divided into three classes, consultation type(C), some of examinations are added on consultation type(EAC), consultation and examination are fully integrated type(CEI). Each type has different organization and the proportion of area, group unit, process of treatment.

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Subject Association Analysis of Big Data Studies: Using Co-citation Networks (빅데이터 연구 논문의 주제 분야 연관관계 분석: 동시 인용 관계를 적용하여)

  • Kwak, Chul-Wan
    • Journal of the Korean Society for information Management
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    • v.35 no.1
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    • pp.13-32
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    • 2018
  • The purpose of this study is to analyze the association among the subject areas of big data research papers. The subject group of the units of analysis was extracted by applying co-citation networks, and the rules of association were analyzed using Apriori algorithm of R program, and visualized using the arulesViz package of R program. As a result of the study, 22 subject areas were extracted and these subjects were divided into three clusters. As a result of analyzing the association type of the subject, it was classified into 'professional type', 'general type', 'expanded type' depending on the complexity of association. The professional type included library and information science and journalism. The general type included politics & diplomacy, trade, and tourism. The expanded types included other humanities, general social sciences, and general tourism. This association networks show a tendency to cite other subject areas that are relevant when citing a subject field, and the library should consider services that use the association for academic information services.