• Title/Summary/Keyword: Impact Rate

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The Impact of Nurse Staffing Level on In-hospital Death and Infection in Cancer Patients Who Received Surgery (간호사 확보수준이 수술한 암환자의 원내 사망 및 감염에 미치는 영향)

  • Kim, Myo-Gyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.408-417
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    • 2017
  • This study was conducted to examine the influence of the nurse staffing level on the level of in-hospital death and infection in cancer patients who received surgery. Secondary data were used and the subjects of this study were 24,510 patients who received surgery for six types of cancer with a high postoperative mortality rate in the first half of 2012 at 260 hospitals. Simple logistic and GEE multiple logistic regression analyses were used. After adjusting for the patient and hospital characteristics, a greater likelihood of dying was found in the nurse staffing level 2-3 group (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.00-2.11) and in the level 6-7 group (OR, 3.28; 95% CI, 1.87-5.74) compared to the level 0-1 group. The likelihood of in-hospital infection increased with each additional bed per nurse, being 6.63 times higher (95% CI, 3.00-14.62) in the level 2-3 group, 5.79 times higher (95% CI, 1.88-17.78) in the level 4-5 group, and 8.4 times higher (95% CI, 1.82-38.84) in the level 6-7 group, as compared to the level 0-1 group. A lower nurse staffing level was associated with higher in-hospital death and infection levels. This shows that an appropriate nurse staffing level is associated with superior postoperative cancer patient outcomes. Policies for providing adequate nurse staffing should be maintained for the sake of ensuring improved care quality and patient safety.

Prognostic Factors affecting Recurrence in 30 Patients with Intracranial Ependymomas (두개강내 상의세포종 환자 30례에 있어서 재발에 영향을 주는 예후 인자)

  • Rhee, Hae Il;Ahn, Jae Sung;Jeon, Sang Ryong;Kim, Jeong Hoon;Rha, Young Shin;Kim, Chang Jin;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.228-234
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    • 2001
  • Objective : The goal of this study was to identify variables that were predictive of recurrence in primary intracranial ependymomas. Methods : We analyzed variables affecting recurrence in 30 patients with primary intracranial ependymomas. Age, location, CSF cytology, seeding on neuroimaging study, tumor grade, extent of surgery, use of chemotherapy, chemotherapy regimen, use of radiotherapy, and radiotherapy field were entered to test their impacts on recurrence. Results : Follow-up ranged from 2 to 110 months. Tumors were recurred at the primary tumor site only in 13 patients (43.3%). The overall average recurrence free period was 55 months, with overall recurrence free rates at 3 and 6 years of 61.0% and 20.9%, respectively. Extent of surgery was the strongest variable affecting recurrence. The median recurrence free period and 3-year recurrence free rate were 72 months and 78.4% for patients having complete excision and 33 months and 0% for those having incomplete excision(p=0.05). Other prognostic variables like age, location, tumor grade, use of chemotherapy, and use of radiotherapy did not affect recurrence(p=0.2848, 0.7899, 0.1714, 0.2157, 0.7076, respectively). Conclusions : Intracranial ependymomas have a propensity to recur after treatment, and recurrence at the primary site is still the main obstacle to cure. Among various variables, only extent of resection had the strongest impact on recurrence. Additional studies may still be needed to precisely define the prognostic variables on recurrence in intracranial ependymomas.

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Prognostic factors influencing clinical outcome of nonsurgical endodontic treatment (비외과적 근관치료의 임상적 성공에 영향을 미치는 예측 인자들의 평가)

  • Kim, Seon-Ah
    • Restorative Dentistry and Endodontics
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    • v.35 no.6
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    • pp.436-444
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    • 2010
  • Objectives: This study aimed to assess prospectively the clinical outcome of nonsurgical endodontic treatment and identify patient- and tooth-related factors, rather than treatment-related factors, that were the best predictors of this outcome. Materials and Methods: The inception cohort comprised 441 teeth (320 patients) and 175 teeth (123 patients) were followed up for 1-2 years. Age, gender, presence of medical disease, number of canals, previous endodontic treatment, presence of sensitivity and pain, pulp vitality, swelling or sinus tract of pulpal origin on the gingiva, periapical radiolucency and tendency of unilateral bite on the affected tooth were recorded at treatment start. Results: The outcome was classified on the basis of periapical radiolucency as healed or non healed. The overall healed rate in these cases, including nonsurgical retreatment, was 81.1%. Four tooth-related factors had a negative impact in the bivariate analysis: previous endodontic treatment, necrotic pulp, preoperative gingival swelling or sinus tract of pulpal origin, and preoperative periapical radiolucency. Stepwise logistic regression analysis including patient-, tooth-related factors and level of the root canal filling as a treatment-related factor showed that preoperative gingival lesion (odds ratio [OR]: 4.4; p = 0.005), preoperative periapical radiolucency (OR: 3.6; p = 0.011), and $\leq$ 1-2 mm under root filling length (OR: 9.6; p = 0.012) were significant predictors of failure. Conclusions: A preoperative gingival lesion of pulpal origin can influence the outcome of nonsurgical endodontic treatment in addition to preoperative periapical radiolucency.

The Effect of Individual Dynamic Capabilities on Organizational Effectiveness and the Mediating Effect of Self-Leadership : Focused on Domestic Chemical Companies (개인의 동적 역량이 조직유효성에 미치는 영향과 셀프리더십의 매개효과 : 국내 화학기업을 중심으로)

  • Won, Suk-Ho;Park, Gwang-Ho
    • Journal of the Korea Management Engineers Society
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    • v.23 no.4
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    • pp.49-72
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    • 2018
  • Before the financial crisis of 1997 in Korea, many industrial sectors across the country have achieved remarkable economic growth since the 1970s because of the development of large-scale equipment industries such as civil engineering, steel, construction and chemical industries. However, after the financial crisis, the economic growth rate has slowed down. Also, the global recession and the rise of China in the global business environment have led to a long-term recession in the national industry as a whole. In current economic environment, it is not easy for the companies even having excellent resources to continue its competitive advantage. Moreover, the chemical industry, which has an influence as a basic industry of other industries, misses the point of transformation into a high value-added industry, as shown in previous research. In order to meet the rapidly changing global business environment, Korean chemical companies should have a dynamic capabilities which to rapidly reallocate and consolidate the resources and capabilities they possess. The dynamic capabilities to convert, rearrange and develop the resources possessed by the company in the direction of creating high added value and to promptly search for, absorb, transform and fuse newly required capabilities and resources should be continuously applied to Korean chemical companies. It is the core competence to secure competitive advantage. In order to secure the dynamic capabilities of the company, the dynamic capabilities of individual employees should be strengthened and employees should be able to demonstrate their own leadership so that they can proactively work and self-manage in a positive direction. Previous studies have focused mainly on the dynamic capabilities of firms. However, the competence of the human resources that make up the enterprise leads to the capabilities of the enterprise, and the human resources themselves are also important corporate resources. This paper focuses on the dynamic capabilities of individuals and strives to clarify the causal relationship between dynamic capabilities, self-leadership, and organizational effectiveness which have direct or indirect effects on management outcome. The reasons for choosing the chemical industry are based on the fact that a domestic chemical companies are in a long-term recession, and they lacks a innovation and value creation capabilities. Also, chemical industry has a large impact on the national economy.

Youth Poverty and Employment (청년 빈곤 및 고용실태 분석)

  • Kim, Anna;Hong, Hyunwoo
    • Korean Journal of Social Welfare Studies
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    • v.49 no.2
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    • pp.93-124
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    • 2018
  • Using the Korean Survey of Household Finances and Living Conditions panel data from 2012~2016, this study analyzed youth (19~34 years) poverty and employment and examined the factors that affect employment status. The analysis revealed an increase in the proportion of young people who are students or jobless; the economic conditions of the young people varied by factors such as marital status, education, job status, and loans; and the government public transfer policy had little impact on reducing the relative poverty rate of the youth. We also examined the factors affecting the youth's employment status and the risk of being employed in low-paid jobs, using multi-logit and logit regression model respectively. Considering employment status, the older and more educated the youth were, the less frequently they were employed in temporary or daily jobs instead of regular ones, but there was no difference between genders in terms of having temporary or daily jobs. A logit analysis on the determinants of low-paid jobs demonstrated that women, the less educated, spouses or children of the household, and temporary or daily workers have a greater probability of working at low-paid jobs. As women became older, their risk of having low-paid jobs increased, which demonstrated the phenomenon of "lock-in" at low-paid jobs. Temporary or daily workers of all age groups faced a higher risk of lowpaid employment, which stood out for the youth. Based on these results, we suggest that government employment and welfare policies should consider individual characteristics of the youth and their life cycle, along with efforts to supply decent jobs, continuously and stably.

The Impact of the Youth's Positive Psychological Capital to Reemployment Attitudes (20대 청년들의 긍정심리자본이 재취업 태도에 미치는 영향)

  • Choi, Young-Joon;Park, Geum-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.40-46
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    • 2019
  • The purpose of this study is to investigate the effect of positive psychological capital on re-employment attitudes of youth in their 20s dealing with an unemployment rate of more than 10%. The effect of positive psychological capital on attitudes for re-employment was analyzed by domain, and is based on variables of positive psychological capital composed of self-efficacy, hope, resilience, and optimism. As a result, hope (3.64) was the highest on the scale; however, resilience (at 3.37) was the lowest. In the analysis of positive psychological capital, the university graduate group (3.89) was the highest. But, the high school graduate group (3.25) was the lowest. In the results for re-employment attitude based on education level, the university graduate group (4.93) was the highest, but the high school graduate group (3.80) was lowest. The main variables influencing re-employment attitude were (in order): hope, optimism, self-efficacy, and resilience. These factors have an explanatory power for the four variables of around 25%. Overall, young adults (in their 20s) have higher levels of positive psychological capital because they have a higher education level. Also, higher educated re-employed applicants have higher positive psychological capital and attitudes for re-employment, compared to the other groups.

The impact of Workforce Aging on Labor Productivity: Using the Regional Panel Dataset in Korea (노동력 고령화가 노동 생산성에 미치는 영향 분석: 우리나라 지역별 패널통계 활용)

  • Jung, Yonghun;Lee, Seong-Hoon
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.1-7
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    • 2019
  • This study analyzed the effects of labor aging on labor productivity using panel statistics of 16 local governments from 1995 to 2017. The aging of the labor force, defined as the proportion of workers aged 60 or older in total employment, in the results of the panel regression analysis considering regional fixed effects and various adjustment variables, has a very consistent and significant negative effect on labor productivity. For every 1% increase in aging, labor productivity decreases by about 0.14 ~ 0.20%. In addition, the per capita capital stock and human capital considered as adjustment variables contributed to the increase of labor productivity, and the unemployment rate, which is a proxy variable of the economic fluctuation, has a significant negative effect on labor productivity as expected. The coefficient of the industrial structure, which represents the share of the service industry in the whole industry, was positive, but is not significant. The results of this study suggest that the design and construction of economic and educational policies that can maintain and expand human capital are necessary to curb the reduction in labor productivity expected by the aging workforce.

Experiment and Simulation of Acoustic Detection for the Substitute for Sunken Hazardous and Noxious Substances Using the High Frequency Active Sonar (고주파 능동소나를 이용한 저층 침적 위험유해물질 대체물질 음향 탐지 실험 및 모의)

  • Han, Dong-Gyun;Seo, Him Chan;Choi, Jee Woong;Lee, Moonjin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.4
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    • pp.459-466
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    • 2018
  • Hazardous and Noxious Substances (HNS) are defined as substances that are likely to create a significant impact on human health and marine ecosystem when they are released into the marine environment. Recently, as the volume of HNS transported by ships increases, the rate of leakage accidents also increases. Therefore, research should be conducted to control and monitor sunken materials from the viewpoint of technology development for hazardous material leakage accident response. In this paper, acoustic detection experiments were carried out using HNS substitute materials in order to confirm the possibility of acoustic detection of sunken HNS on the sediment. The castor oil, which has a similar acoustic impedance with chloroform, is used as a substitute. 200 kHz high frequency signals were used to discriminate the reflected signals and measure reflection loss from the interface between water and castor oil. The reflection loss measured is in good agreement with the modeling results, showing a possibility of acoustic detection for sunken HNS.

Core-aware Cache Replacement Policy for Reconfigurable Last Level Cache (재구성 가능한 라스트 레벨 캐쉬 구조를 위한 코어 인지 캐쉬 교체 기법)

  • Son, Dong-Oh;Choi, Hong-Jun;Kim, Jong-Myon;Kim, Cheol-Hong
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.11
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    • pp.1-12
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    • 2013
  • In multi-core processors, Last Level Cache(LLC) can reduce the speed gap between the memory and the core. For this reason, LLC has big impact on the performance of processors. LLC is composed of shared cache and private cache. In computer architecture community, most researchers have mainly focused on the management techniques for shared cache, while management techniques for private cache have not been widely researched. In conventional private LLC, memory is statically assigned to each core, resulting in serious performance degradation when the workloads are not fairly distributed. To overcome this problem, this paper proposes the replacement policy for managing private cache of LLC efficiently. As proposed core-aware cache replacement policy can reconfigure LLC dynamically, hit rate of LLC is increases drastically. Moreover, proposed policy uses 2-bit saturating counters to improve the performance. According to our simulation results, the proposed method can improve hit rates by 9.23% and reduce the access time by 12.85% compared to the conventional method.

Changes of Chemical Characteristics of Soil Solution In Paddy Field from Fifty-Eight Years Fertilization Experiments

  • Kim, Myung Sook;Kim, Yoo Hak;Park, Seong Jin;Lee, Chang Hoon;Yun, Sun Gang;Sonn, Yeon Kyu
    • Korean Journal of Soil Science and Fertilizer
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    • v.48 no.1
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    • pp.22-29
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    • 2015
  • The objectives of this study were to monitor the changes in soil solution nutrients and to evaluate their effect on rice uptake and yield. The changes of chemical characteristics of paddy soil solution were examined from the 58th fertilization experiment in which the continuous rice cropping experiment started in 1954 at the National Academy of Agricultural Science. The treatments were no fertilization (No fert.), inorganic fertilization (NPK), inorganic fertilizer plus rice straw compost (NPKC) and inorganic fertilizer plus silicate and lime fertilizer as a soil amendment (NPKCLS). The fertilizers were added at rates of standard fertilizer application rate in which nitrogen (N), phosphate ($P_2O_5$), potassium ($K_2O$), and sililcate ($SiO_2$) were applied at rates of $75{\sim}150kg\;ha^{-1}$, $70{\sim}86kg\;ha^{-1}$, $75{\sim}86kg\;ha^{-1}$, and $7.5Mg\;ha^{-1}$ respectively and lime was applied to neutralize soil acidity until 6.5. Average Electrical Conductivity (EC) of soil solution in NPKCLS and NPKC ranged from 1.16 to $2.00dS\;m^{-1}$. The $NH{_4}^+$ and $K^+$ levels in NPKCLS and NPKC were higher than that of the other treatments, due to high supply power of rice straw compost. The content of $H_3SiO{_4}^-$ was higher in NPKCLS because of silicate application. The dominant ions in soil solution were $Ca^{2+}$, $Mg^{2+}$ and $Na^+$ among cations and $HCO{_3}^-$, $SO{_4}^{2-}$, and $Cl^-$ among anions in all treatments. The continuous application of inorganic fertilizers plus rice straw compost (NPKC) and silicate fertilizer (NPKCLS) led to the changes of various chemical composition in soil solutions. Also, they had a significant impact on the improvement of rice inorganic uptake and grain yield. Especially, inorganic uptake by rice in NPKC and NPKCLS significantly increased than those in NPK plot; 14~46% for T-N, 32~36% for P, 43~57% for K, and 45~77% for Si. Therefore, the combined application of inorganic fertilizers with organic compost as a soil amendment is considered as the best fertilization practice in the continuous rice cropping for the improvement of crop productivity and soil fertility.