Complete Enumeration Survey Research Articles

The Research on the Actual Condition of the Korea Futsal League : Complete Enumeration Survey from Players and Coaches

The Research on the Actual Condition of the Korea Futsal League : Complete Enumeration Survey from Players and Coaches

Association of Obesity With Health Literacy and Weight Perception Among Women Merchants in Abidjan, Côte d'Ivoire: A Cross-Sectional Study.

In Abidjan, Côte d'Ivoire's largest city, obesity rates among women are increasing, posing a major health challenge, especially for the working generation. Merchants represent 64.3% of working women and are a typical occupation for women with low- and middle-income. Health literacy is used to prevent and overcome chronic diseases and can be used as anti-obesity measures. The aim of this study was to examine the relationship between obesity, health literacy, and weight perception among women merchants in Abidjan. In this cross-sectional study, we conducted a complete enumeration survey among women merchants in a market in Abidjan from December 2020 to December 2021. In addition to anthropometric measurements, structured face-to-face interviews were conducted. The participants were asked about their weight perception, weight management behaviors, and sociodemographic attributes. They also responded to the Health Literacy Questionnaire (HLQ). Data were tabulated using descriptive statistics, and multiple logistic regression analysis was performed to examine obesity's association with HLQ scales, weight perception, and weight management behaviors. Of the 873 participants, 259 (29.7%) were obese; 82% of them underestimated their weight. Obesity was associated with a higher rate of HLQ1 (Feeling understood and supported by health care providers) (odds ratio [OR] = 2.926, confidence interval [CI]:1.450-5.901, p = .03), a lower score of HLQ3 (Actively managing my health) (OR = 0.343, CI:0.165-0.716, p = 0.004), a lower rate of accurate weight perception (OR = 0.145, CI: 0.093-0.224, p < .001), and a lower rate of eating at least three meals per day (OR = 0.401, CI:0.260-0.617, p < .001). Findings from this study of Abidjan women merchants include obese participants' lack of a proactive attitude toward personal health management, and the association of factors such as inaccurate weight perception and eating fewer than three meals per day with obesity. These finding have important implications for future anti-obesity measures. [HLRP: Health Literacy Research and Practice. 2024;8(2):e102-e112.].

Moral Distress, Mental Health, and Risk and Resilience Factors among Canadian Armed Forces Personnel Deployed to Canadian Long-Term Care Facilities during COVID-19 (Operation LASER COVID-19 Response): Research Protocol and Participation Metrics.

The earliest days of the COVID-19 pandemic in Canada were marked by a significant surge in COVID cases and COVID-related deaths among residents of long-term care facilities (LTCF). As part of Canada's response to the COVID-19 pandemic, Canadian Armed Forces (CAF) personnel were mobilized for an initial emergency domestic deployment to the hardest-hit LTCFs (Operation LASER LTCF) to support the remaining civilian staff in ensuring the continued delivery of care to residents. Akin to what was observed following past CAF international humanitarian missions, there was an expected increased risk of exposure to multiple stressors that may be psychologically traumatic and potentially morally injurious in nature (i.e., related to important values; e.g., witnessing human suffering). The objective of the research study is to identify and quantify the individual-, group-, and organizational-level risk and resilience factors associated with moral distress, moral injury and traditional mental health and well-being outcomes of Operation (Op) LASER LTCF CAF personnel. The objective of this manuscript is to document the methodology, implementation procedures, and participation metrics. A multimethod research initiative was conducted, consisting of two primary data collection studies (a quantitative survey and qualitative interviews). The quantitative arm was a complete enumeration survey with online self-report questionnaires administered at three timepoints (3, 6, and 12 months post-deployment). The qualitative arm consisted of individual interviews conducted virtually, with a focus on understanding the nuanced lived experiences of individuals taking part in the Op LASER LTCF deployment. CAF personnel deployed to Op LASER LTCF (n = 2,595) were invited to participate in the study. Data collection is now complete. Overall, 1,088, 582, and 497 individuals responded to the survey at Time 1 (3 months), Time 2 (6 months), and Time 3 (12 months) post-deployment, providing a participation rate of 41.9%, 22.4%, and 19.2% for Time 1, Time 2, and Time 3, respectively. Data for all three timepoints was obtained from 212 participants (representing 19.5% of all Time 1 responses). Interest in participating in qualitative interviews surpassed expectations with over 200 individuals expressing interest; this allowed for purposive sampling across key characteristics, including gender, rank, Op LASER LTCF role, and province. In total, 53 interviews were conducted. The data generated by this research has the potential to inform and better understand the well-being and mental health of Op LASER LTCF personnel over time, identify general and Op LASER LTCF-specific risk and protective factors, provide necessary supports to the military personnel who served in this mission, and to inform preparation and interventions for future missions, especially those more of a domestic and humanitarian nature. DERR1-10.2196/44299.

학생으로서 학생선수 학습권에 관한 소고(小考)

Elite sports education in Korea has structural contradictions. In other words, the process of elite sports is that professional exercise instructors provide intensive and systematic education for talented players. However, it is judged that since life sports are not active except for some sports in Korea, in many cases, talents are often discovered by starting elite sports education first. Furthermore, such elite sports education is directly linked to the college admission process for sport-specialty students, which means that the decision to quit athletics in the middle is to give up going to college, so student-athletes have no choice but to continue training and participating in competitions, even if they are not athletically gifted.&#x0D; As a result of a complete enumeration survey by the National Human Rights Commission of Korea, it was investigated that school classes were not being conducted properly in the case of student-athletes. Although remedial classes are supposed to make up for missing classes through the e-school system, in addition to an issue about the fidelity of learning when taking e-school, more importantly, e-school classes cannot replace character education and socialization education as a member of the community to be acquired in school life. Just the initial idea of introducing the e-school system for student-athletes meant that the Ministry of Education itself acknowledged the deficiencies of regular classes due to the activities of school athletic clubs, but it did not prepare an alternative to character education and socialization education.&#x0D; Character education and socialization education, such as the acquisition of universal knowledge for independent living of each citizen, as well as the virtues required as members of a social community, can be said to be essential elements for survival as a human being. That is why the Constitution stipulates the compulsory education system as a responsibility of the state.&#x0D; The recent measure by the Ministry of Education to expand the number of days acknowledged as attendance for student-athletes is an act of neglecting the state's obligations for 6 years of elementary education and 3 years of secondary education, which are stipulated in the Constitution. If school education with a public nature is disrupted by private education in the structure of school sports, it means that the state has rather taken advantage of school sports power despite its duty and responsibility to regulate appropriately for the normalization of school education. It would be reasonable for the government to face up to the structural problems of elite sports education and present solutions.

Analysis of factors related to cognitive impairment in a community-based, complete enumeration survey in Japan: the Nakayama study.

The number of patients with cognitive disorders is rapidly increasing in the world, becoming not only a medical problem, but also a social problem. There have been many reports that various factors are associated with cognitive dysfunction, but the factors have not yet been fully identified. This was a community-based complete enumeration study which aimed to identify risk and protective factors for dementia. The first phase included all residents aged 65 years or older in a town in Japan. They completed many examinations, such as living conditions questionnaires, physical examination, Mini-Mental State Examination, and brain magnetic resonance imaging. The participants with suspected cognitive impairment underwent additional examinations for detailed evaluation in the second phase. Statistical analysis was performed to identify risk and protective factors for dementia after all participants were diagnosed. There were 927 participants in the baseline evaluation; 611 (65.9%) were healthy, 165 (17.8%) had mild cognitive impairment (MCI), and 151 (16.3%) had dementia. The age-standardised prevalence of dementia was 9.5%. Statistical analyses for amnestic MCI and Alzheimer's disease showed that risk factors for cognitive decline were diabetes mellitus, low activities of daily living, and living alone, and that protective factors were history of exercise and drinking habit. The present findings suggest that several lifestyle-related diseases and factors are associated with cognitive decline. These results support similar findings from previous studies and will be helpful for preventing dementia in the future.

An Analysis of the Status of High School Music Elective Course Offerings under the 2015 Revised Curriculum

본 연구는 2015 개정 교육과정을 바탕으로 음악과 선택 과목 운영 현황을 파악하고자 2018년부터 2021년까지 나이스를 사용하고 있는 전국의 모든 유형별 고등학교의 음악과 교육과정을 전수조사하여, 설립별⋅유형별⋅학과별⋅과목별로 분석하였다. 연구 결과 2015 개정 교육과정 적용 이후 우리나라 고등학교의 음악 선택 교과개설률은 모든 학교 유형별로 증가하였으나, 일반고에 비해 자사고, 특목고, 특성화고는 다과목 개설 비율이 낮았다. 또 국⋅공립교에 비해 사립교의 다과목 개설수가 적었다. 이를 해결하기 위해서는 예술 과목 선택권 보장 체계를 마련하고, 유형별⋅설립별로 제반사항을 공유하여 협력하도록 제도적으로 지원하여야 한다.This study aimed to identify the current status of music elective courses based on the 2015 revised curriculum. A complete enumeration survey on the music curriculum of all types of high schools across the nation using NEIS from 2018 to 2021 was conducted. Course offerings were categorized by educational foundation, type, department, and subject. The result of the study revealed that, after applying the 2015 revised curriculum, the rate of offering music electives in Korean high schools increased for all school types. Compared to general high schools, private, special-purpose, and vocational high schools, and vocational high schools had a lower rate of opening multiple subjects. Also, compared to national and public schools, the number of courses opened in private schools were small. In order to solve this problem, a system for guaranteeing the right to choose art subjects needs to be provided and all matters by educational foundation and type shared for cooperation.

Graduating Student Nurses’ Preparedness for Nursing Practice amid COVID-19

Student nurses must be prepared professionally to provide nursing care, especially during a critical time such as COVID-19. Regardless of undergraduate nursing programmes focusing on preparedness for practice, the concept of preparedness for nursing practice is not well understood. In this descriptive quantitative study, we determined the extent of the nursing practice preparedness of graduating student nurses amid COVID-19 as perceived by these nurses and nurse educators and the possible interventions to enhance the preparedness for practice of these nurses. In the study, we used an adapted Nursing Practice Readiness Tool, employed the complete enumeration survey method and analysed through frequency, percentages and weighted means. A total of 118 student nurses and 51 nurse educators from a selected university completed the questionnaire. The data were analysed through SPSS version 25. The findings revealed that the scales, which ranked from greatest to lowest preparedness for practice, were: professionalism (4.83), communication (4.65), management of responsibilities (4.61), critical thinking (4.36), clinical knowledge (4.26), and technical skills (4.02). We concluded that the students’ performance in the nursing competency items under clinical knowledge, critical thinking, and especially technical skills, demand increased attention to be better equipped as they transition into nursing practice. Specifically, of the 36 competency items, they were least prepared in using clinical and information technologies, and performing clinical procedures. Finally, as the top intervention, we proposed the development of contingency plans for unusual situations such as a pandemic (75.74%) to enhance the student nurses’ preparedness for practice.

전수조사를 통한 초·중·고 학교시설의 신재생에너지 적용 현황 및 에너지소비구조 분석

The purpose of this study is to analyze energy consumption structures in elementary, middle, and high schools where energy consumption occurs on a quantitative scale. Another purpose of this study is to derive application of a renewable energy system by regional group and system type. By analyzing the installation ratio of renewable energy system by remodeling educational facilities, whether an appropriate and effective system was applied and operated in old schools was investigated. The analysis of the application of renewable energy system was carried out as a complete enumeration survey targeting a total of 11,819 schools nationwide. The ratio of installed schools in 17 regions and installation items by renewable energy system type (n = 5) were analyzed. The difference in the ratio of renewable energy installation between public schools and private schools was about 20%, which could further lead to an imbalance in educational conditions. In the case of energy independence of educational facilities, it is meaningful to increase the installation rate of new and renewable energy. It is also necessary to develop and operate an energy saving program that combines educational elements that students can voluntarily participate in.

Incidence and epidemiological characteristics of COVID-19 among health care workers in Saudi Arabia: A retrospective cohort study

IntroductionNovel coronavirus (SARS-CoV-2) is a highly infectious serious acute respiratory syndrome that has emerged in Wuhan, China, and has spread rapidly throughout the world including Saudi Arabia. An important source of infection of 2019 novel coronavirus (2019-nCoV) is healthcare-associated infection (HAI). Healthcare workers (HCWs) have a greater risk of acquiring COVID-19 infection than the general population. Globally, thousands of HCWs have lost their lives due to COVID-19 infection. AimIdentify Incidence Rate and epidemiological characteristics of COVID-19 infection among health workers in Saudi Arabia. MethodologyA retrospective cohort study carried from March to November 2020. HCWs selected by a Complete Enumeration Survey method. Data analyzed in frequencies and percentage tables. To test the differences, post hoc after chi-square-(χ2) tests were used. ResultsAs of November 30, 2020, a total of 57,159 HCWs tested positive with COVID-19. Their median age was 34 years, and 53% were male. Nurses were the most infected HCWs category (36%). The most common source of infection was from the community (78%). The majority of HCWs who acquired the infection from healthcare facilities got the infection from another HCW (63%). There was a significant difference between community and healthcare-acquired COVID-19 in relation to gender (P < 0.001) nationality (P < 0.001) job categories (P < 0.001) three age groups (<26: P = 0.012, 26–35 and 36–45: P < 0.001), and among HCWs who worked in MOH and private healthcare facilities (P < 0.001). The total number of reported deaths among HCWs during the study period was 198, with a case fatality rate of (0.35%). ConclusionThis study findings show that infected HCWs characteristics were similar to the previous studies and indicate incidence rates of 10% among COVID-19 infected HCWs in Saudi Arabia. Analysis of the infection status of HCWs is critical, to understand their needs and challenges, improve protective measures, and provide effective recommendations for policymakers.

Effects of AGXT2 variants on blood pressure and blood sugar among 750 older Japanese subjects recruited by the complete enumeration survey method

BackgroundAlanine:glyoxylate aminotransferase 2 (AGXT2; EC 2.6.1.44) is the only enzyme that degrades the R-form of 3-aminoisobutyrate, an intermediate metabolite of thymine. AGXT2, as well as diaminoarginine dimethylaminohydrolase 1 (DDAH1; EC 3.5.3.18), works as an enzyme that degrades asymmetric dimethylarginine (ADMA), which competitively inhibits the nitric oxide synthase family. Thus, these two enzyme activities may change vascular vulnerability for a lifetime via the nitric oxide (NO) system. We investigated the association between vascular conditions and diseases such as hypertension and diabetes mellitus and polymorphisms of these two genes in 750 older Japanese subjects (mean age ± standard deviation, 77.0 ± 7.6 years) recruited using the complete enumeration survey method in the Nakayama study. Demographic and biochemical data, such as blood pressure (BP) and casual blood sugar (CBS), were obtained. Four functional single nucleotide polymorphisms (SNPs; rs37370, rs37369, rs180749, and rs16899974) of AGXT2 and one functional insertion/deletion polymorphism in the promotor region with four SNPs (rs307894, rs669173, rs997251, and rs13373844) of DDAH1 were investigated. Plasma ADMA was also analyzed in 163 subjects.ResultsThe results of multiple regression analysis showed that a loss of the functional haplotype of AGXT2, CAAA, was significantly positively correlated with BP (systolic BP, p = 0.034; diastolic BP, p = 0.025) and CBS (p = 0.021). No correlation was observed between DDAH1 and either BP or CBS. ADMA concentrations were significantly elevated in subjects with two CAAA haplotypes compared with subjects without the CAAA haplotype (p = 0.033).ConclusionsMissense variants of AGXT2, but not DDAH1, may be related to vulnerability to vascular diseases such as hypertension and DM via the NO system.

Association of rehabilitation time with activities of daily living using data from a hospital bed function report system

Objectives The main purpose of rehabilitation is to improve the activities of daily living (ADL). Although convalescent wards are required to provide intensive rehabilitation to patients to improve their ADL, they have not been verified sufficiently. With a focus on the rehabilitation time, this study investigated the association of the amount of rehabilitation with ADL using a complete enumeration survey of a hospital bed function report system.Methods This retrospective cohort study focusing on convalescent wards nationwide was conducted using the panel data from hospital bed function reports between 2014 and 2017. We used a fixed effects regression analysis with the improvement rate of ADL as the outcome measure and the number of rehabilitation units as the exposure variable.Results The study sample included 2,003 wards, which were identified as having convalescent care functions from the report in 2014; a total of 437 wards (317 hospitals) were analyzed. The mean annual improvement rates of ADL were 0.601, 0.613, and 0.627 points in 2014, 2015, and 2017, respectively. The mean annual numbers of rehabilitation units provided were 6.302, 6.477, and 6.642 units in 2014, 2015, and 2017, respectively. The panel data analysis showed that the improvement rate of ADL was associated with an increase in the number of rehabilitation units (coefficient for an increase of one unit: 0.015, P=0.015).Conclusion In the study of ward units using a national-level survey, a longer rehabilitation time was significantly associated with improvements in ADL.

Risk factors for atypical forearm fractures associated with bisphosphonate usage.

The purpose of this study was to find the diagnostic factors for atypical forearm fractures additional to atypical femur fractures, via a retrospective case-control study. Thus, our authors performed a complete enumeration survey for patients under the treatment of bisphosphonate (BP). We identified 53 patients that met the following inclusion criteria between March 2009 and February 2019: a BP therapy history or ongoing administration of at least 1 year, presence of simple radiographs of bilateral femurs and forearms, and availability of complete medical records and radiological data. The patients were divided into two groups: those with any lesion of atypical fractures of ulna or radius, regardless of the displacement of at least one side extremity in simple radiographs (group 1, 20 patients); and those without any lesions of pathognomonic finding or fractures in either forearm in simple radiographs (group 2, 33 patients). Univariate analyses of basic demographic characteristic such as age, smoking, comorbidity of diabetes mellitus or any connective tissue disease needing steroid treatment, and BMD showed no significant differences between the groups (P>0.05). The co-morbidity of malignant cancer inevitably needing BP usage was not different between the two groups. Multivariate analyses of the several variables that differed significantly between the two groups in univariate analyses demonstrated that total period and single prescribing physician/surgeon were significantly associated with forearm fractures. A cut-off value of 65 months for the total period predicted the presence atypical forearm fractures. Atypical forearm fractures are probably more common than reported in the literature to date, and all forearm lesions were accompanied by preceding atypical femur fractures. The period of BP administration had the main effect on the occurrence of atypical forearm fractures, particularly if more than 65 months. Also, the prescription by multiple physician was predicting factor for forearms lesion additionally to AFFs, however, more evidence-based study is needed to understand the effects of cancer-related BP usage on the forearm. Level III, retrospective case-control study.

P1545LOW SOCIOECONAMIC STATUS INCREASES MORTALITY RISK IN KOREAN MAINTENANCE HEMODIALYSIS PATIENTS: A LONGITUDINAL COHORT STUDY USING HEMODIALYSIS QUALITY ASSESSMENT DATA

Abstract Background and Aims The number of hemodialysis (HD) patients and their medical expenses are growing rapidly in Korea due to entry into aging society and accompanying diseases such as diabetes and hypertension. Whether low socioeconomic status (SES) affect poorer HD survival is controversial with most reports come from the USA. Therefore, this study was performed to evaluate the effect of SES upon mortality in Korean maintenance HD patients using periodic HD quality assessment data. Method The HD quality assessment has been performed periodically by Health Insurance review and Assessment Service (HIRA) since 2001. We used 4th and 5th HD quality assessment data from the year of 2013 and 2015 respectively for collecting demographic and clinical data. The 4th survey was a sample survey while the 5th survey was a complete enumeration survey. We also collected data on patient comorbidity using the diagnosis codes from the health insurance claims database. The mortality data was collected until Dec 2017. As a proxy indicator reflecting SES, we classified subjects as a Medical Aid (MA) recipients (“low” SES) or a National Health Insurance (NHI) beneficiary (“middle/high” SES). We analyzed mortality risk based on SES using Cox proportional hazard model. Results A total of 21,786 HD patients from 4th survey and 35,454 HD patients from 5th survey were included in the analysis. The ratio between NHI beneficiary and MA recipient was 76.7% versus 23.3%. Mean age of the subjects was 59.0 years old in 4th survey and 60.3 years old in 5th survey. The MA recipients were younger and showed higher proportion of male, shorter duration of HD, lower body mass index (BMI), higher systolic and diastolic blood pressures before HD compared to the NHI beneficiary. The NHI beneficiary demonstrated higher proportion of diabetes, hypertension, cerebrovascular accidents, and dementia compared to the MA recipients. Two groups did not differ in dialysis efficiency presented as single pool Kt/V. A total of 7,173 deaths occurred in 2013 participants, while 7,306 deaths occurred in 2015 participants. After adjusting for age, gender, Charlson’s comorbidity index, BMI, presence of atrial fibrillation, serum albumin, and serum creatinine, MA recipients showed significantly higher mortality risk compared to the NHI beneficiary (hazard ratio 1.162; 95% confidence interval 1.092-1.237, p&amp;lt;0.001 in 4th survey and hazard ratio 1.078; 95% confidence interval 1.013-1.146, p=0.017 in 5th survey). Conclusion Low SES independently increased mortality risk in Korean maintenance hemodialysis patients.

Factors related to Patient Safety Accident in Long-term Care Hospitals: Focused on Patient, Nurse, and Hospital Factors

Purpose The purpose of this study was to determine the factors related to patient safety accidents in long-term care hospitals. Methods The participants were 50 patients who had safety accidents during a hospitalization period and 100 patients who had no safety accidents, and were hospitalized during the same period, and had the same gender, age, and underlying diseases as the accident group. A complete enumeration survey was conducted on 85 nurses working in three long-term care hospitals. Results The patient safety accident rate was 0.62 persons per 1000 hospital days. Regarding harmful incidents of patient safety accidents, step 1 harmful incidents accounted for the highest rate (56.0%). Regarding the type of accident, falls accounted for the highest rate (46.0%). Regarding the place of accidents, hospital rooms accounted for the highest rate (72.0%). The accident group and the non-accident group had statistically significant differences in cardiac disorders, sedative hypnotics, vasodilators, nootropic agents, antibiotics, wearing an adult diaper, and physical restraints. In terms of nurses, the accident experience group and the non-experience group had a statistically significant difference in their work career (x2=7.69, p=.027). The patient safety culture score was statistically significantly different between hospital 1 and hospital 2 (F=11.07, p=.003). Conclusion It is necessary to develop systems and strategies that handle all three factors to enhance the patient safety culture in the long-term care hospitals. 주요어: í™˜ìžì•ˆì „, 환자, 간호사, 요양병원 Key Words: Patient safety, Patients, Nurses, Long-term care

Prevalence of Hypertension among Economically Productive Tribal Population in Tamilnadu

Background: According to world health organization, cardio vascular diseases are considered as major public health problem among all non-communicable disease. Current study aimed to study the prevalence of hypertension among economically productive tribal population in Tamil Nadu. Rationale: although several studies have been carried among different population on non-communicable disease, very few studies conducted among tribal population in India. Materials and Method: A community based descriptive cross-sectional study conducted among economically productive tribal population in Tamil Nadu. Complete enumeration survey method were used to obtain the study subjects. 89 study subjects aged 30 years and above were selected as a sample. Anthropometry, and blood pressure were measured with standard instruments. Descriptive and Chi square analysis were used to analyze the data. Results: operational definition of hypertension was defined as systolic blood pressure ?140mmHg, and/or diastolic blood pressure ?90mmHg and/or use of antihypertensive drugs. Overall prevalence of hypertension among tribes of Tamil Nadu was found to be 16.5 % and 35 % of them were male 65 % of the study participants were female. Conclusion: The prevalence of hypertension is high, hence there is need for primordial prevention efforts on large scale. Prevalence of undiagnosed hypertension number is high in India and this indicate there is need for regular screening.

Novel block mechanism for rolling joints in minimally invasive surgery

This study developed a rolling joint including blocks to improve the stiffness of a manipulator. We defined the design parameters of the block mechanism and derived the joint moments when an external force is applied to the distal link of the manipulator. As the joint moments were not zero at the initial position, the equilibrium position for minimizing the joint moments was calculated via sequential quadratic programming in Matlab. We found that the design parameters affected the manipulator displacement and optimized them to minimize the displacement using the complete enumeration survey method. The stiffness calculated using the displacement of the optimized block mechanism was 47.3% to 268.2% higher than the conventional rolling joint on changing the operating cable tension and external force during simulations. Furthermore, we fabricated the prototype and validated the stiffness improvement of the manipulator experimentally. Although the required tension to move the block increased slightly because of friction, the stiffness of the block mechanism was 140.4% to 353.9% higher than the conventional rolling joint under the same external force and cable tensions.

Factors affecting mortality during the waiting time for kidney transplantation: A nationwide population-based cohort study using the Korean Network for Organ Sharing (KONOS) database.

BackgroundLong waiting time for deceased donor kidney transplant is inevitable due to the scarcity of donor, resulting in highlighting the importance of waiting time care. We analyzed the Korean Network for Organ Sharing (KONOS) database to assess the impact of waiting time on post-transplant survival outcomes and investigate risk factors for mortality by waiting time based on a complete enumeration survey in Korea.MethodsWe analyzed all persons aged over 18 years in deceased donor kidney transplant cases enrolled in the Korean Network for Organ Sharing (KONOS) database from January 2000 to January 2015. The primary end point was all-cause mortality after enrollment.ResultsOf the 24,296 wait-listed subjects on dialysis, 5,255 patients received kidney transplants from deceased donors, with a median waiting time of 4.5 years. Longer waiting times had distinct deleterious effects on overall survival after transplantation. While waiting for a transplant, patients with diabetes were more likely to die before transplantation (HR 1.515, 95% CI 1.388–1.653, p<0.001). Age was another significant risk factor for mortality. Only 56% of people aged 65 years survived after 10 years of waiting, whereas 86% of people aged 35 years survived after 10 years. Moreover, women on the waiting list were more likely to live longer than men on the list.ConclusionsMore attention should be focused on patients with a higher risk of mortality while waiting for a deceased donor kidney transplant, such as patients with diabetes, those of advanced age, and those who are male.

Automated building occupancy authorization using BIM and UAV-based spatial information: photogrammetric reverse engineering

ABSTRACTAt present, due to the use of manual, rather than automated measurements, the inspection for building occupancy authorization lacks objectivity. Seeking to improve this situation, in this study, we used unmanned aerial vehicle for automated inspection for building occupancy authorization. Theoretical considerations about building occupancy authorization and the trend of UAV technology were accomplished. Furthermore, reverse engineering, including digital photography, network RTK-VRS surveying, and post-processing data, was conducted. The obtained spatial information was used for building occupancy inspection authorization in a BIM platform, and the effectiveness and applicability of UAV-based inspection was analyzed. The results of this study demonstrate that UAV-based automated inspection can reduce error rate in on-site measurement, conduct complete enumeration survey of the entire range of building, and collect data ensuring objectivity of the inspection due to authentic accuracy and effectiveness.

Incidence and causes of visual impairment in Japan: the first nation-wide complete enumeration survey of newly certified visually impaired individuals.

To investigate the visual impairment certification status in Japan. Observational cross-sectional study. We asked all welfare offices throughout Japan to submit data concerning age, sex, causative diseases, and visual impairment grades for newly certified visually impaired individuals aged ≥ 18 years in the fiscal year of 2015. The certification was based on criteria of the Act on Welfare of Physically Disabled Persons. In total, data were collected for 12,505 newly certified visually impaired individuals. The most common age group for these individuals was 80-89 years (29.6%), followed by 70-79 (26.3%) and 60-69 (17.3%) years. The most common causative disease was glaucoma (28.6%), followed by retinitis pigmentosa (14.0%), diabetic retinopathy (12.8%), and macular degeneration (8.0%). Glaucoma was the most common causative disease in both sexes (30.2% in men and 27.0% in women). The most common impairment grade was grade 2 (31.8%), followed by grades 5 (24.3%) and grade 1 (16.1%). The number of visually impaired individuals with underlying glaucoma had increased in comparison with the number in the most recent surveys (from fiscal years 2007 to 2009), whereas the number of individuals with underlying diabetic retinopathy and macular degeneration had decreased. To our knowledge, this is the first nation-wide complete enumeration survey of newly certified visually impaired individuals in Japan. These findings may contribute to administrative activities concerning medical welfare as well as educational activities for preventing visual impairment.

Inpatient satisfaction and usage patterns of personalized smart bedside station system for patient-centered service at a tertiary university hospital

ObjectiveBedside stations, also known as bedside terminals, are in place to enhance the quality and experience of a hospital’s healthcare service delivery. The purpose of this study was to identify information needs and overall satisfaction with the personalized patient bedside system, called Smart Bedside Station (SBS) system, embedded in a tertiary general university hospital. MethodsEnd-user responses on the satisfaction survey and system usage logs of the SBS system were collected and analyzed. For the user opinion survey, 156 nurses and 1914 patients, their family members, or caregivers participated during the evaluation period of 2013 to 2014 in this study. All working nurses in the SBS-installed ward were answered the paper-based evaluation, for complete enumeration survey. Inpatients were voluntary participated to deliver the online questionnaire on the SBS menu. We also explored system log data including page calls and usage time from December 2013 to 2015. ResultsRegarding the relationship of overall satisfaction of the SBS with patient’s characteristics, patient’s education status and degree of familiarity with the smart device were statistically significant. From the analysis of system logs, Personalized My Menu(28.0%) was the most frequently used menu item (except for TV and Internet entertainment service use of 62.7%),it provides individual health information, such as laboratory test results, hospital fee check, message logs, daily medication information, and meal information. Next frequently used menus were information support(4.9%) which deliver hospital guide and health information and convenience service ordering(4.4%) such as meal order, bed sheet change. Satisfaction survey results and log data results show that the personalized service enhances the user satisfaction during hospital admission. ConclusionsOur post-implementation experience and subsequent assessment of SBS system is capable of providing insights into improving the hospital information system and service contents for patient-centered services. Further research should be directed at developing sophisticated patient-centered services as a communication tool between the hospital and the patient.