• 한국병원경영학회지
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• 제15권3호
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• pp.143-169
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• 2010

This is a case study of Seoul St. Mary's Hospital applying a real-time enterprise (RTE) strategy to improve customer satisfaction and operational efficiency with the main process of medical institutions. The hospital is applying an RTE strategy to get real-time information on occurrences at each contact point of the main process of the medical institution from reservation to discharge through dashboard and to resolve issues through rapid decision-making. The RTE strategy of the hospital has some summaries: First, the hospital has linked a hospital management strategy to the RTE strategy to build a patient-centered treatment process. Second, the hospital has operated a control tower for change management and implementation monitoring in the process of implementing the RTE strategy. Third, the hospital has built systematic RTE-based environment as an application program in which the nU System is linked to Business Processor Renovation (BPR) promoted from 2006 on. Fourth, the hospital is applying a strategy to improve efficiency in operating the hospital by increasing customer satisfaction, removing inefficiency and variability, and managing medical resources efficiently through the RTE strategy. Fifth, it has established an information-sharing system through authority management for each user in terms of RTE information. Sixth, it has supplemented limitations of short-term information of the RTE strategy by linking the key performance index to the cost information system in order to improve performance of the RTE strategy. Seventh, it has improved customer satisfaction and achieved higher performance in improving operational efficiency, as compared with rival hospitals, through the RTE strategy.

• 대한물리의학회지
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• 제9권1호
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• pp.75-82
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• 2014

PURPOSE: PURPOSE: The purpose of this study was to analyze the effect and examine the feasibility of an intervention of ankle strategy exercise on balance of patients with hemiplegia. METHODS: The subject were randomly allocated to three groups: ankle strategy exercise (group A), balance exercise (group B) and control (group C). Group A was received the conventional physical therapy plus ankle strategy exercises for 20 minutes in one session. Group B was received the same conventional physical therapy plus balance exercises for 20 minutes in one session. Two active groups were performed in the session 3 times a week, for a total of 6 weeks. and Group C was only received the same conventional physical therapy. Balance test was assessed using center of pressure (COP) in the anteroposterior (A-P), mediolateral (M-L) direction, Berg balance scale (BBS) and Timed Up and Go Test (TUG). RESULTS: All groups showed improvements in balance parameters. In especial, the Group A was statistically significant differences in almost part evaluation items and showed more improvements in BBS and TUG parameters than Group B and Group C. and moving distance of M-L COP was more improvements than Group B. CONCLUSION: Ankle strategy exercises had more influence on balance than balance exercises and neurodevelopmental treatment.

• Archives of Plastic Surgery
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• 제48권2호
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• pp.165-174
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• 2021

Background In recent years, implant-based breast reconstruction has been performed because of its simplicity, short operation time, and rapid recovery of patients. Several studies have reported treatment methods for implant surgery-related infection, which is a serious complication. The aim of this study was to introduce our strategy for salvaging infected implants and to evaluate its effectiveness. Methods The authors performed a retrospective study of 145 cases from 132 patients who underwent implant-based breast reconstruction from January 2012 to December 2018. Empirical antibiotics were immediately administered to patients with suspected infections. The patients then underwent salvage treatment including appropriate antibiotics, ultrasonography-guided aspiration, debridement, antibiotic lavage, and implant exchange through a multidisciplinary approach. Patient demographics, operative data, duration until drain removal, adjuvant treatment, and complications were analyzed. Results The total infection rate was 5.5% (8/145). A longer indwelling catheter period and adjuvant treatment were significantly associated with infection. The salvage treatment showed a success rate of 87.5% (7/8). Seven patients who received early aggressive salvage treatment recovered from infection. One patient with methicillin-resistant Staphylococcus aureus, who received salvage treatment 11 days after symptom onset, did not respond to drainage and antibiotic treatment. That patient subsequently underwent explantation. Conclusions In implant-based breast reconstruction, prevention of infection is of the utmost importance. However, if an infection is suspected, proactive empirical antibiotic therapy and collaboration with the necessary departments are required. Through a multidisciplinary approach and proactive early management, swift and appropriate salvage should be performed.

• 재활간호학회지
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• 제2권2호
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• pp.184-192
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• 1999

Hemodialysis is a way of treatment for the patients with acute and chronic renal failure. "Marginal man" depicts the enormous amount of stress that hemodialytic patients suffer. It is known that family with chronic illness get stressed along with the patients and they need nursing care also. This qualitative study was conducted in order to identify the family adaptation process in patients with hemodialysis. 6 dyads of hemodialytic patients and caregivers were interviewed for this research. By way of grounded theoretical strategy the data was collected from October 20, 1999 to November 20, 1999. at a hemodialytic unit that was located in Iksan, Chonbuk by the researcher. The main research questions were "What's the adaptation experience of a patient since after being received with hemodialysis?" to the patients, and "What's the family adaptation experience of hemodialysis?" to the caregivers. The collected data was analyzed by grounded theoretical strategy built by Glaser & Strauss in 1967. Results were as follows; 7 grounded concepts were observed from the patients with hemodialysis and 4 grounded concepts were found from the caregivers. Two categories were derived ; 1) Holding hope that is related with treatment 2) Changing a value system.

• 공학교육연구
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• 제11권4호
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• pp.115-127
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• 2008

본 연구의 목적은 공과대학생에게 루브릭을 활용한 학습전략 교육 프로그램을 실시하고 학습전략과 학업성취도에 미치는 효과를 검증하는 것이다. 연구대상은 서울시에 위치한 Y대학교 공과대학 58명이며, 총 9차시의 학습전략 교육 프로그램을 실시하고 학습전략 점수, 학점을 조사하였다. 연구결과 학생들의 학습전략 수준과 학업성취도에도 유의미한 향상이 있었다.

• 생물정신의학
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• 제13권4호
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• pp.252-259
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• 2006

Sexual dysfunction is a relatively common adverse effect in the use of antidepressants. The sexual side effects may result in a lack of compliance with the prescribed antidepressants. The author reviewed the prevalence and updated treatment for the antidepressant-induced adverse effects focusing on sexual dysfunction. The incidence of sexual dysfunction is reported to exceed more than 50% especially with SSRIs. In order to obtain a quantified baseline and as an ongoing evaluation tool, clinicians may use some of the established questionnaires and validated instruments such as the Arizona Sexual Experience scale and Changes in Sexual Functioning Questionnaire. Clinicians should be aware that delayed ejaculation and orgasm, symptoms most frequently associated with antidepressants, are not usually associated with depression itself. Although many antidotes have been proposed, few have been subjected to double-blind trials. Some evidences have suggested that bupropion and buspiron may be the effective antidotes for SSRI induced sexual dysfunction. Additional trials will be requied to define what role, if any, bupropion and buspiron might have in the treatment of SSRI-induced sexual side effects. The available evidence is rather limited, with only small number of trials assessing each strategy. While further randomized data is awaited, for men with antidepressant induced erectile dysfunction, the addition of sidenafil or tadalafil may appear to be an effective strategy.

• Journal of Chest Surgery
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• 제48권5호
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• pp.368-370
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• 2015

Stent entrapment is a very rare complication of percutaneous coronary intervention. The interventional approach could be a treatment strategy. However, if it does not work, surgical treatment should be considered. Here, we report a case of surgical treatment of stent entrapment in the left coronary sinus of a 53-year-old male patient.

• 한국과학교육학회지
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• 제19권4호
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• pp.635-644
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• 1999

본 연구에서는 분자 수준의 그림을 강조하고 4단계 문제 해결 전략을 제시하는 수업에서 협동학습의 효과를 조사하였다. 고등학교 세 학급(130명)을 선정하여 개별적으로 전략을 사용하는 집단(St: Strategy), 협동학습 환경에서 전략을 사용하는 집단(St-Co: Strategy-Cooperative learning), 그리고 통제 집단으로 무선 배치하였다. 수업 처치 후 학생들의 객관식 문제 해결력, 전략 수행 능력, 수업 참여도에 대한 인식을 비교하였고, 학생들이 선호하는 수업 유형도 조사하였다. 객관식 문제 해결력에서는 집단간에 유의미한 차이가 없었으나, 전략 수행 능력에서는 수업 처치와 사전 성취 수준 사이의 상호작용 효과가 유의미하였다. 단순 효과를 분석한 결과, St 집단의 중위 수준 학생들이 St-Co 집단보다 전략을 더 잘 수행한 것으로 나타났다. 그러나 수업 참여도에 대한 인식 검사에서는 St 집단의 점수가 통제 집단보다 유의미하게 낮았고, 학생들이 가장 선호하는 수업도 St-Co인 것으로 조사되었다.

• 상하수도학회지
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• 제26권4호
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• pp.535-545
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• 2012

Recently, drinking water quality has significantly improved with the progress of water treatment technologies, however, customer's trust on tap water is still relatively low. Low trust on water quality is mainly due to vague anxiety. Therefore, to improve customer's trust on drinking water quality new strategy such as water safety plan(WSP) which recommended by WHO and IWA should be introduced. WSP can be defined as an approach which uses comprehensive risk assessment and risk management approach that encompasses all steps in water supply from catchment to consumer to ensure the safety of a drinking water supply. In this study, cases on WSP introduction in other countries as well as strategy for the introduction of WSP in Korea were investigated. In addition, recommendations on the improvement of the current water contamination response manual was suggested based on the analysis of the existing manual at a full scale water treatment plant.

• Restorative Dentistry and Endodontics
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• 제41권1호
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• pp.68-73
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• 2016

This case report describes a unique C-shaped mandibular second premolar with four canals and three apical foramina and its endodontic management with the aid of cone-beam computer tomography (CBCT). C-shaped root canal morphology with four canals was identified under a dental operating microscope. A CBCT scan was taken to evaluate the aberrant root canal anatomy and devise a better instrumentation strategy based on the anatomy. All canals were instrumented to have a 0.05 taper using 1.0 mm step-back filing with appropriate apical sizes determined from the CBCT scan images and filled using a warm vertical compaction technique. A C-shaped mandibular second premolar with multiple canals is an anatomically rare case for clinicians, yet its endodontic treatment may require a careful instrumentation strategy due to the difficulty in disinfecting the canals in the thin root area without compromising the root structure.