• Title/Summary/Keyword: C2C interaction quality

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Development of a Model for Comparing Risk-adjusted Mortality Rates of Acute Myocardial Infarction Patients (급성심근경색증 환자의 진료 질 평가를 위한 병원별 사망률 예측 모형 개발)

  • Park, Hyeung-Keun;Ahn, Hyeong-Sik
    • Quality Improvement in Health Care
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    • v.10 no.2
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    • pp.216-231
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    • 2003
  • Objectives: To develop a model that predicts a death probability of acute myocardial infarction(AMI) patient, and to evaluate a performance of hospital services using the developed model. Methods: Medical records of 861 AMI patients in 7 general hospitals during 1996 and 1997 were reviewed by two trained nurses. Variables studied were risk factors which were measured in terms of severity measures. A risk model was developed by using the logistic regression, and its performance was evaluated using cross-validation and bootstrap techniques. The statistical prediction capability of the model was assessed by using c-statistic, $R^2$ as well as Hosmer-Lemeshow statistic. The model performance was also evaluated using severity-adjusted mortalities of hospitals. Results: Variables included in the model building are age, sex, ejection fraction, systolic BP, congestive heart failure at admission, cardiac arrest, EKG ischemia, arrhythmia, left anterior descending artery occlusion, verbal response within 48 hours after admission, acute neurological change within 48 hours after admission, and 3 interaction terms. The c statistics and $R^2$ were 0.887 and 0.2676. The Hosmer-Lemeshow statistic was 6.3355 (p-value=0.6067). Among 7 hospitals evaluated by the model, two hospitals showed significantly higher mortality rates, while other two hospitals had significantly lower mortality rates, than the average mortality rate of all hospitals. The remaining hospitals did not show any significant difference. Conclusion: The comparison of the qualities of hospital service using risk-adjusted mortality rates indicated significant difference among them. We therefore conclude that risk-adjusted mortality rate of AMI patients can be used as an indicator for evaluating hospital performance in Korea.

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Fermentation Quality of Ensiled Water Hyacinth (Eichhornia crassipes) as Affected by Additives

  • Ho, Thanh Tham;Ngo, Van Man;Thomas, Pauly
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.2
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    • pp.195-201
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    • 2013
  • A lab-scale ensiling study was carried out to investigate the fermentation quality of water hyacinth (WH) supplemented with molasses, rice bran, as an absorbent, and an inoculant in the form of fermented vegetable juice and their combinations. After wilting the water hyacinths for 7 h to a dry matter (DM) content of 240 to 250 g/kg, the following treatments were applied: i) Control (C), WH only; ii) WH with sugarcane molasses at 40 g/kg WH (CM); iii) WH inoculated with fermented vegetable juice at 10 ml/kg WH (CI); iv) CM and CI (CMI) combined; v) WH with 150 g rice bran/kg WH (CA); vi) CA and CI combined (CAI); vii) CA and CM combined (CAM); and viii) CA, CM and CI combined (CAMI). After application of additives, the differently treated forages were mixed and ensiled in triplicates in 1,500-ml polyethylene jars. After ensiling for 3 d, pH values in all treatments, except C and CI, had decreased to approximately 4.0 and remained low till 14 d. After 56 d, pH had increased between 0.4 to 0.9 pH-units compared to those at 14 d. The ammonia nitrogen ($NH_3$-N) concentration ranged from an acceptable level in treatment CM (8 g/kg N) to a high $NH_3$-N value in treatment CMI (16 g/kg N). Lactic acid formation was higher in CI than in all other treatments. Butyric acid contents, which indicate badly fermented silages, were low in all silages (<2 g/kg DM). There were two-way interactions (p-values from <0.001 to 0.045) for almost all fermentation end-products and pH, except for the molasses${\times}$inoculant interaction on $NH_3$-N (p = 0.26). Significant 3-way interactions were found on all observed variables except for weight losses of silages. It is concluded that conserving wilted WH as silage for ruminants may be improved by the addition of molasses or rice bran.

Determination of Betaine in Fructus Lycii Using Hydrophilic Interaction Liquid Chromatography with Evaporative Light Scattering Detection

  • Shin, Hyun-Du;Suh, Joon-Hyuk;Kim, Jung-Hyun;Lee, Hye-Yeon;Eom, Han-Young;Kim, Un-Yong;Yang, Dong-Hyug;Han, Sang-Beom;Youm, Jeong-Rok
    • Bulletin of the Korean Chemical Society
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    • v.33 no.2
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    • pp.553-558
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    • 2012
  • A simple new method was developed for the determination of betaine in Fructus Lycii using hydrophilic interaction liquid chromatography with evaporative light scattering detection (HILIC-ELSD). Good chromatographic separation and reasonable betaine retention was achieved on a Kinetex HILIC column ($2.1{\times}100mm$, $2.6{\mu}m$) packed with fused-core particle. The mobile phase consisted of (A) acetonitrile and (B) 10 mM ammonium formate (pH 3.0)/acetonitrile (90/10, v/v). It was used with gradient elution at a flow rate of 0.7 mL/min. The column temperature was set at $27.5^{\circ}C$ and the injection volume was $10{\mu}L$. The ELSD drift tube temperature was $50^{\circ}C$ and the nebulizing gas (nitrogen) pressure was 3.0 bar. Stachydrine, a zwitterionic compound, was used as an internal standard. Calibration curve over $10-250{\mu}g/mL$ showed good linearity ($R^2$ > 0.9992) and betaine in the 70% methanol extract of Fructus Lycii was well separated from other peaks. Intraand inter-day precision ranged from 1.1 to 3.0% and from 2.4 to 5.3%, respectively, while intra- and inter-day accuracy ranged from 100.0 to 107.0% and from 94.3 to 103.9%, respectively. The limit of quantification (LOQ) was $10{\mu}g/mL$ and the recoveries were in the range of 98.2-102.7%. The developed HILIC-ELSD method was successfully applied to quantitatively determine the amount of betaine in fourteen Fructus Lycii samples from different locations, demonstrating that this method is simple, rapid, and suitable for the quality control of Fructus Lycii.

Investigation of the Interactions between Anionic Polymer and Nonionic Surfactant with Rheological and Surface Tension Measurements (유변학적 특성과 표면장력측정을 통한 음이온성 폴리머와 비이온성 계면활성제의 상호작용에 대한 연구)

  • Lee, Jung-No;Kim, Dong-Joo;Koh, Ha-Young
    • Journal of the Korean Applied Science and Technology
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    • v.24 no.2
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    • pp.160-166
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    • 2007
  • The rheological properties and surface tensions of polymer solutions and polymer-surfactant mixed solutions were investigated. The polymers used in this study were a homopolymer of acrylic acid crosslinked with an allyl ether of pentaerythritol, an allyl ether of sucrose, or an allyl ether of propylene (CARBOMER), acylate/C10-30 alkyl acylate crosspolymer (AAAC), and ammonium acryloydimethyltaurate/VP copolymer (ADTV). A solubilizing agent PEG-40 hydrogenated castor oil (HCO-40) and an emulsifying agent polyoxyethylene (20) sorbitan monostearate (POLYSORBATE 60) made the micelles intervening between AAAC polymers, resulting in the increase of viscosity. However, HCO-40 made this behavior over the wider range of surfactant concentration than POLYSORBATE 60. From the view point of surface tensions in the same range of surfactant concentration, AAAC/HCO-40 solution showed the area of increasing surface tension with surfactant concentration in contrast to the AAAC/POLYSORBATE 60 solution showing no increasing area.

A Study of Dynamic Viscoelastic Properties on Temperatures of Natural Rubber (천연고무의 온도에 따른 동적 점탄성 연구)

  • Lee, Bum-Chul;Yoo, Kil-Sang
    • Elastomers and Composites
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    • v.32 no.1
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    • pp.29-36
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    • 1997
  • The change of elastic modulus(E'), loss modulus(E"), and loss $tangent(tan{\delta})$ were investigated on condition of double strain amplitude (DSA) at temperature of $-40{\sim}80^{\circ}C$ for carbon black filled natural rubber. E', E", and $tan{\delta}$ were increased as it closed to the glass transition temperature due to decrease of rubber network flexibility and carbon black agglomerate interaction. In the micro strain range, energy loss showed maximum value because of the chain slippage in rubber matrix, but the regeneration of carbon black agglomerate and rubber matrix affected decrease of energy loss over the mid-range strain. As a results of regression analysis, $E'\;_{max}$ correlation with ${\Delta}E'$ $(E'\;_{0.4%DSA}-E'\;_{2.0%DSA})$ showed linear relationship.

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SOLUTION CHARACTERISTICS AND MEMBRANE FORMATION OF PARTIALLY IMIDIZED POLY (AMIC ACID)

  • Lee, Hyuck-Jai;Won, Jong-Ok;Park, Hyun-Chae;Lee, Hoo-Sung;Kang, Yong-Soo
    • Proceedings of the Membrane Society of Korea Conference
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    • 1999.07a
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    • pp.83-86
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    • 1999
  • The imidization effect of a poly (amic acid) dope solution on membrane formation has been investigated. Poly (amic acid) solution in S-methyl-2-pyrrolidione hs been thermally imidized at $120^{\circ}C$ with different curing time and its degree of imidization was determined by infrared spectroscopy. The solution properties have been studied as a function of concentration and curing time by dynamic light scattering. The quality of a solvent was changed from good to poor with increasing imidization of poly(amic acid).The reduced polymer-solvent interaction diminishes the membrane formation time. The morphology of a membrane was able to be controlled by the characteristics of dope solution.

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Effects of $1{\alpha}$-Hydroxycholecalciferol and Phytase on Growth Performance, Tibia Parameter and Meat Quality of 1- to 21-d-old Broilers

  • Han, J.C.;Yang, X.D.;Zhang, L.M.;Li, W.L.;Zhang, T.;Zhang, Z.Y.;Yao, J.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.22 no.6
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    • pp.857-864
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    • 2009
  • This experiment was conducted to investigate the effects of interaction between $1{\alpha}$-hydroxycholecalciferol ($1{\alpha}$-OH $D_3$) and phytase on growth performance, parameters of tibia and plasma, and meat quality of 1- to 21-d-old broilers. Two hundred and forty male, 1-d-old Arbor Acres broilers were randomly assigned to 20 cages, with 12 chicks per cage. Five treatments were designed, with four cages each. A 2${\times}$2 factorial experiment was designed to test 0 and 5 ${\mu}g/kg$ of $1{\alpha}$-OH $D_3$ in combination with 0 and 500 U/kg of phytase. A basal diet was formulated to contain 2.9 g/kg of non-phytate phosphorus (NPP), and the control diet was formulated to contain a normal level of NPP (4.5 g/kg). Results showed that $1{\alpha}$-OH $D_3$ alone increased tibia ash, contents of calcium and phosphate, breaking strength, concentrations of plasma calcium and phosphate, and water-holding capacity of breast and thigh meat, while it decreased growth of broilers. Phytase alone improved performance and tibia quality. Although growth of broilers was lower than that of the positive control when the diet was supplemented with $1{\alpha}$-OH $D_3$ and phytase, tibia quality was significantly improved by the addition of $1{\alpha}$-OH $D_3$ and phytase. These data suggest that interaction between $1{\alpha}$-OH $D_3$ and phytase at 2.9 g/kg of dietary NPP could significantly increase bone quality of 1- to 21-d-old broilers, while not improving growth performance.

A study on B2B relationship values with customers in the Korean and Taiwan B2B market (한국과 대만 B2B시장의 고객과의 관계 가치(relationship value)에 대한 연구)

  • Park, Changhyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.440-447
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    • 2016
  • Faced with the recent global economic recession, academics looked to the industrial B2B and B2C markets as potential new growth engines. In the B2B market, focusing on the relationship with customers, the relationship benefits are important, and institutional factors will affect the relationship and relationship values with customers. In this study, the relationship values between South Korea and Taiwan are compared by considering their national characteristics. By applying a mixed research method based on sequential exploratory design, 6 relationship values (supplier knowhow, service support, time to market, delivery performance, personal interaction, and product quality) are extracted. In particular, South Korea and Taiwan give priority to supplier knowhow and service support, respectively. Our research findings have both theoretical and practical implications for other emerging countries, as well as developed countries.

Effects of Koryo Hand Therapy on Menstrual Cramps and Dysmenorrhea in College Women Students (고려수지요법이 여대생의 생리통 및 월경곤란증에 미치는 효과)

  • Kim, Chung-Nam;Chang, Young-Sim
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.432-444
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    • 2003
  • Purpose: This study attempted to verify the effect of Koryo hand therapy on menstrual cramps and dysmenorrhea among college students. Method: This study performed the quasi-experimental design with nonequivalent control group and the pre and post-test design from August 28 to November 4, 2002. The subjects of this experimental study consisted of 64 college students in the nursing college of K University in D city and K college students in K city, who had more than 5.0 GRS score of menstrual cramps. Among them, 16 people belonged to the experimental group A by using Ceramic Seo Am moxa therapy, 16 to the experimental group B by using Seo Am pellet therapy, 16 to the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and 16 to the control group. Three different kinds of methods were used three times per week for $5{\sim}6$ weeks(a total of $15{\sim}18$ times) interventions were completed. For the experimental group, A Ceramic Seo Am moxa therapy was given for 40 minutes per each treatment; for the experimental group, B Seo Am pellet therapy was given for 4 hours: for the experimental group, C combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy was given. To measure menstrual cramps, the graphic rating scale (GRS) was used and to measure dysmenorrheal, a dysmenorrhea scale (15 contents) was used, which was modified from Han &Hur's scale (13 contents). Cronbach's was 0.78 in the pre-test, 0.83 in the first post-test, 0.89 in the following post-test. Data were analyzed by one-way ANOVA, 2 test, repeated measures ANOVA, time contrast test and Sheffe test with the SPSS/Win 11.0 program. Results: ? The first hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy and the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy will have different graphic rating scores of menstrual cramps', was supported (F=6.77, p=0.000, Interaction: p=0.000). ? The second hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy, the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and the control group will have a significantly different level of dysmenorrhea', was supported (F=6.88, p=0.000, Interaction: p=0.000). From the above results, it can be an effective nursing intervention to give Koryo hand therapy to college students who have menstrual cramps and dysmenorrhea. Conclusion: These findings indicate that Koryo hand therapy could be applied to improve the quality of life and to prevent drug misuse among college students who are physically, mentally and psychologically suffering from menstrual cramps and dysmenorrhea. Furthermore, Koryo hand therapy could be developed as an effective Korean alternative and complementary care in the future. and it could also provide a guideline to apply Koryo hand therapy to other pain and difficulties.

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Development of Sensible Brassiere for Middle Aged Women -Investigation of consumer's Needs and Evaluation of Commercial Brassiere for the Development of Subjective Measurement Scale and Screening of Design Parameters- (중년 여성의 감성 Brassiere 개발(제1보) -소비자 요구 분석을 기초로 한 제품 디자인 요소 추출-)

  • 김정화;이선영;홍경희
    • Journal of the Korean Society of Clothing and Textiles
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    • v.24 no.5
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    • pp.714-723
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    • 2000
  • The purpose of this study is to develop functional and sensible brassiere for middle-aged women. As a methodology, engineering design process, especially, QFD(Quality Function Deployment) was adopted to translate consumer's needs into product design parameters. Wearing tests of commercial brassiere were performed for the development o subjective measurement scale. The environmental condition was controlled at 28$\pm$1$^{\circ}C$, 65$\pm$3%RH. As results, subjective measurement scale and dimension for the evaluation of sensible brassiere were extracted from factor analysis. Four factors were fitting, aesthetic property, pressure sensation, displacement of brassiere due to movement. Regression equations with the subjective evaluation descriptors were developed for the prediction of wearing comfort of brassiere. (R2=.82) The most critical design parameter was wire-related property and second one was stretchability of main material of brassiere. Also, wearing comfort of brassiere was affected by the interaction of initial stretchability of wing and support of strap.

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