• Title/Summary/Keyword: technical intervention

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Analyses of Studies on the Intervention programs for the Prevention of Falls in Elderly with Dementia (치매노인의 낙상예방을 위한 중재 프로그램에 대한 국내·외 논문 분석)

  • Cha, Hyun-Su;Hwang, Sung-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.391-404
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    • 2018
  • The purpose of this study was to determine the status of interventional studies to prevent falling in elderly with dementia and to determine the contents and effectiveness of intervention programs to prevent falling. Existing reports published between January 1, 2000 and December 31, 2016 were searched electronically using the RISS, National Library, KISS, PubMed, and CINAHL database with the keywords dementia, Alzheimer's or Alzheimer's disease, falling, and prevention of falling. After checking the original sources of the articles, 13 articles were included in the review. Therapeutic interventions used in the articles included exercise therapy (8, 61.5%), physiotherapy and occupational therapy (2, 15.4%), complementary therapies (2, 15.4%), and music therapy (1, 7.7%). As a result of the qualitative evaluation of the papers using a checklist of the Scottish Intercollegiate Guideline Network, two studies scored 9 out of 10 points, five studies scored 8 out of 10, and six studies scored 7 out of 10. Intervention sessions were conducted for 55 minutes, on average, for a total of 37 sessions. This study found that exercise, music therapy, physical and occupational therapy, and rhythmic motion therapy were effective in preventing falling in the elderly with dementia. In the future, these findings are expected to be used as a basis for the development of a preventive intervention program for nurses in a clinical setting.

Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography for patients with Roux-en-Y gastric bypass anatomy: technical overview

  • Hirokazu Honda;Jeffrey D. Mosko;Ryosuke Kobayashi;Andras Fecso;Bong Sik Kim;Schoeman Scott;Gary R. May
    • Clinical Endoscopy
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    • v.55 no.6
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    • pp.736-741
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    • 2022
  • Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass anatomy is a well-documented challenge. Traditionally, this problem has been overcome with adjunctive techniques, such as device-assisted ERCP, including double-balloon or single-balloon enteroscopy and laparoscopy-assisted transgastric ERCP. Endoscopic ultrasound-directed transgastric ERCP (EDGE) is a novel technique that enables access to the ampulla using a duodenoscope without surgical intervention and has shown high clinical and technical success rates in recent studies. However, this approach is technically demanding, necessitating a thorough understanding of the gastrointestinal anatomy as well as high operator experience. In this review, we provide a technical overview of EDGE in parallel with our personal experience at our center and propose a simple algorithm to select patients for its appropriate application. In conjunction, the outcomes of EDGE compared with those of device-assisted and laparoscopy-assisted transgastric ERCP will be discussed.

Sequence Planning of Machining Features using STEP AP224 (STEP AP224를 이용한 특징 형상의 가공 순서 계획)

  • 강무진
    • Korean Journal of Computational Design and Engineering
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    • v.9 no.2
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    • pp.175-182
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    • 2004
  • As a bridge between design and manufacturing, process planning is to generate a sequenced set of instructions to manufacture the specified part. Automatic interpretation of manufacturing information incorporated in the design documentation such as CAD file has been a knotty subject for manufacturing engineers since no current data exchange format for product data provides a perfect interface between heterogeneous systems. The recent neutral data exchange format STEp, standard for the exchange of product model data, includes not only geometry but also technical and managerial information. STEP AP(Application Protocol) 224 is specifically dedicated to the mechanical product definition for process planning using machining features. Given a design information in STEP AP 224 format, process planning can be made without human intervention. This paper describes a method to determine the sequence of machining features by using the machining features and the manufacturing information expressed in STEP AP224.

Using Blood Donating Set for the Treatment of Subgaleal Hematoma - Technical Note - (헌혈 세트를 이용한 두피하 혈종의 치료 - 치료 수기 -)

  • Suh, Dong-Sang;Kim, Bum-Tae;Cho, Sung-Jin;Shin, Won-Han;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1519-1522
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    • 2000
  • Sugaleal hematoma usually develop one to eight days after minor head trauma or clotting disorders in children. The galeal aponeurosa in children is loosely attatched to the pericranium, allowing the collection of large quantity of blood. Most cases of subgaleal hematomas resolve spontaneously, however some cases require surgical intervention, aspiration of subgaleal hematoma often alleviate symptoms briefly and but do not shorten the time to resolution. Reaccumulation, infection following aspiration also had been reported. Here, we report the efficacy of using the blood donating set for the treatment of subgaleal hematoma in our series.

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Crossed Renal Ectopia and Aorto-Occlusive Disease: A Management Strategy

  • Ng, Eugene;Campbell, Ian;Choong, Andrew MTL;Dunglison, Nigel;Aziz, Maged
    • Journal of Chest Surgery
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    • v.48 no.5
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    • pp.371-374
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    • 2015
  • We present a rare case of a patient with aortoiliac occlusive disease on the background of type A crossed renal ectopia, for whom open surgical intervention was required. Aortic exposure in patients with concomitant crossed renal ectopia can present technical challenges to the vascular surgeon. The knowledge of variations in the ectopic renal blood supply is of paramount importance when performing surgery to treat this condition and affects the choice of surgical exposure. We present and discuss the operative details of our patient and outline an approach to this subset of patients.

3D Simulation of Environmental Conflict Resolution in Intelligent Environments

  • Lee, Jae-Wook
    • Architectural research
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    • v.14 no.1
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    • pp.3-9
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    • 2012
  • Owing to the advent of ubiquitous computing technologies, the concept of Intelligent Environments has emerged, as an alternative approach to overcome the limitation of the built environment. Intelligent Environments can be more responsive to user-and context-specific human activities by automatically and dynamically modifying their settings without explicit human intervention. However, the conventional approach to the development of Intelligent Environments has mainly focused on the technical issues without paying much attention to the dynamic interrelationship between the user and the built environment. Therefore, differing or conflicting needs of multiple simultaneous users remain unresolved. The objective of this study is to present types of environmental conflicts and their resolution through agent collaboration and negotiation. For the demonstration and validation of the conflict resolution process, a set of hypothetical test cases is simulated in a 3D test environment. The result of the case simulations shows that the proposed approach is computationally feasible and applicable to the development of Intelligent Environments, and, furthermore, it can overcome the drawback of the conventional approach.

Environment of Doing Business in East Asia : South Korean Experience

  • Malek, Jihene
    • The Journal of Industrial Distribution & Business
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    • v.7 no.1
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    • pp.19-25
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    • 2016
  • Purpose - The purpose of this paper is to aim to stress the importance of doing business environment in South Korean economy. The theoretical justification is based on neo-institutional theories and new business management including Porter's Model as main justifications of state intervention due to the market failures to promote a competitive environment of doing business. Research design, data and methodology - The methods to be taken is to provide a comparative performance analysis, and offer in terms of doing business and economic freedom sub-index complemented by Korean reforms diagnostics. Results - The main results underlined the key factors explain the success of business environment in South Korea such as: a simplified registration procedures, a target tax incentives, the removal of business barriers, the improvement of legislative and regulatory framework, target reforms, property right and technical norms, good governance and the quality of institution, a role of a well-functioning legal framework, a strong competition framework, and the transparency of regulation, etc. Conclusion - A competitive environment of doing business is based on the target national strategies, appropriate reforms responding to national needs and good governance system.

Organization Development in Health Care Organizations: A Case Example of Nursing Service Development at Virtual Hospital (의료서비스조직의 조직개발 : 가상병원의 간호서비스혁신 사례)

  • Park, Hun-Joon;Kang, Sun-Joo
    • Korea Journal of Hospital Management
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    • v.1 no.1
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    • pp.170-187
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    • 1996
  • This paper proposes a change process model for organization development in health care organizations and provide an OD case exemplar of nursing service unit at Virtual Hospital. This case exemplar was written in a narrative form rather than in an argumentative form as an embodiment of organization development process as is viewed from the cultural/interpretive perspective rather than from the technical/rational one. This case exemplar illustrates the change process which consists of four interrelated components: change intervention, organizational target variables, individual organizational member, and organizational outcomes. It also demonstrates the applicability of the narrative rationality which involves narrative probability and narrative fidelity to the story where the learning organization, shared governance, and empowerment are fully emplotted and enlivened. The implications for organization development in health care organizations are discussed.

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The Use of Noise Dampening Mats to Reduce Heavy-Equipment Noise Exposures in Construction

  • Saleh, Sabah;Woskie, Susan;Bello, Anila
    • Safety and Health at Work
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    • v.8 no.2
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    • pp.226-230
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    • 2017
  • The performance of sound barriers was evaluated to determine their technical effectiveness and practicality in reducing noise exposures to operating engineers in construction. Commercially purchased sound dampening mats (SDMats) were installed inside three heavy-equipment engine compartments. Sound pressure levels (SPLs) were measured before and after installing the SDMats while the equipment was on idle and full-throttle settings where it normally operates. SPLs inside the heavy-equipment operator cabs were significantly reduced by 5.6-7.6 dBA on the full-throttle setting following installation of the SDMats (p < 0.01). The evaluated engineering control intervention was simple to install, affordable, and substantially reduced the engine noise reaching the heavy-equipment operator, potentially reducing reliance on hearing-protection devices to protect construction workers from noise exposures.

Modified Surgical Intervention for Extensive Mitral Valve Endocarditis and Posterior Mitral Annular Calcification

  • Kim, Gwan Sic;Beom, Min Sun;Kim, Sung Ryong;Kim, Na Rae;Jang, Ji Wook;Jang, Mi Hee;Ryu, Sang Wan
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.46-49
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    • 2016
  • The concomitant presence of posterior mitral annular calcification and infectious mitral valve lesions poses a technical challenge with considerable perioperative risk when using previously proposed techniques for mitral valve surgery. Herein, we report a case of the use of a modified surgical technique to successfully treat a patient with mitral infective endocarditis complicated by a subendocardial abscess and extensive posterior mitral annular calcification.