• Title/Summary/Keyword: Marginal-Being

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Botulinum Toxin Therapy versus Anterior Belly of Digastric Transfer in the Management of Marginal Mandibular Branch of the Facial Nerve Palsy: A Patient Satisfaction Survey

  • Butler, Daniel P;Leckenby, Jo I;Miranda, Ben H;Grobbelaar, Adriaan O
    • Archives of Plastic Surgery
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    • v.42 no.6
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    • pp.735-740
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    • 2015
  • Background Botulinum toxin (BT) chemodenervation and anterior belly of digastric muscle (ABD) transfer are both treatment options in the management of an isolated marginal mandibular branch of the facial nerve (MMB) palsy. We compare the patient satisfaction following either BT injections or ABD transfer in the management of their isolated MMB palsy. Methods Patients in the ABD-arm of the study were identified retrospectively from September 2007 to July 2014. The patients in the BT-arm of the study were identified prospectively from those attending the clinic. Both groups of patients completed a validated patient satisfaction survey. Statistical analysis was performed and a P-value <0.05 was considered statistically significant. Results Seven patients were in the ABD-arm and 11 patients in the BT-arm of the study. The patient satisfaction in both groups was high with 45% of ABD-arm patients and 40% of BT-arm patients rating their overall outcome as 'better' or 'much better', which was significantly more than the proportion rating their outcome as 'worse' or 'much worse' (P<0.001), although there was a significant trend towards those in the ABD-arm being more likely to be dissatisfied with their outcome (P=0.01). Conclusions BT therapy is a good first-line intervention in the management of isolated MMB palsy. We have, however, shown that the overall satisfaction in both groups is high. Therefore, in patients who would prefer a more permanent solution to manage their facial asymmetry, ABD transfer remains a satisfactory treatment option with a good level of patient satisfaction.

An Empirical Analysis on the Determinants for Industrial Markup in the Korean Service Industries Using the ADL Scheme (자기회귀모형을 이용한 서비스산업의 마크업 결정요인에 관한 실증분석)

  • Hua, Zhu Yan;Park, Sehoon;Jung, Yong Sik
    • Journal of Korea Society of Industrial Information Systems
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    • v.19 no.6
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    • pp.87-96
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    • 2014
  • Since markup is defined as price over marginal cost by Hall(1988), the New Keynesians have intensively applied its definition in elucidating the relationship between market structure and business cycle. In lots of literatures markups proved to be counter cyclical empirically and theoretically. At the same time many studies analysed the determinants for markup in relation with business cycles. This paper establishes the markup equation based on the constant returns to scale production function including intermediate goods with technology being assumed to be AR(1) process and estimates the industrial markups in the Korean 5 service industries over the period 1975:1-2010:4. The paper also analyzed the markup determinants using the autoregressive distributed lag scheme ADL(1,1) in which the dependent variable and the single explanatory variable are each lagged once.

Performance of Drip Irrigation System in Banana Cultuivation - Data Envelopment Analysis Approach

  • Kumar, K. Nirmal Ravi;Kumar, M. Suresh
    • Agribusiness and Information Management
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    • v.8 no.1
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    • pp.17-26
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    • 2016
  • India is largest producer of banana in the world producing 29.72 million tonnes from an area of 0.803 million ha with a productivity of 35.7 MT ha-1 and accounted for 15.48 and 27.01 per cent of the world's area and production respectively (www.nhb.gov.in). In India, Tamil Nadu leads other states both in terms of area and production followed by Maharashtra, Gujarat and Andhra Pradesh. In Rayalaseema region of Andhra Pradesh, Kurnool district had special reputation in the cultivation of banana in an area of 5765 hectares with an annual production of 2.01 lakh tonnes in the year 2012-13 and hence, it was purposively chosen for the study. On $23^{rd}$ November 2003, the Government of Andhra Pradesh has commenced a comprehensive project called 'Andhra Pradesh Micro Irrigation Project (APMIP)', first of its kind in the world so as to promote water use efficiency. APMIP is offering 100 per cent of subsidy in case of SC, ST and 90 per cent in case of other categories of farmers up to 5.0 acres of land. In case of acreage between 5-10 acres, 70 per cent subsidy and acreage above 10, 50 per cent of subsidy is given to the farmer beneficiaries. The sampling frame consists of Kurnool district, two mandals, four villages and 180 sample farmers comprising of 60 farmers each from Marginal (<1ha), Small (1-2ha) and Other (>2ha) categories. A well structured pre-tested schedule was employed to collect the requisite information pertaining to the performance of drip irrigation among the sample farmers and Data Envelopment Analysis (DEA) model was employed to analyze the performance of drip irrigation in banana farms. The performance of drip irrigation was assessed based on the parameters like: Land Development Works (LDW), Fertigation costs (FC), Volume of water supplied (VWS), Annual maintenance costs of drip irrigation (AMC), Economic Status of the farmer (ES), Crop Productivity (CP) etc. The first four parameters are considered as inputs and last two as outputs for DEA modelling purposes. The findings revealed that, the number of farms operating at CRS are more in number in other farms (46.66%) followed by marginal (45%) and small farms (28.33%). Similarly, regarding the number of farmers operating at VRS, the other farms are again more in number with 61.66 per cent followed by marginal (53.33%) and small farms (35%). With reference to scale efficiency, marginal farms dominate the scenario with 57 per cent followed by others (55%) and small farms (50%). At pooled level, 26.11 per cent of the farms are being operated at CRS with an average technical efficiency score of 0.6138 i.e., 47 out of 180 farms. Nearly 40 per cent of the farmers at pooled level are being operated at VRS with an average technical efficiency score of 0.7241. As regards to scale efficiency, nearly 52 per cent of the farmers (94 out of 180 farmers) at pooled level, either performed at the optimum scale or were close to the optimum scale (farms having scale efficiency values equal to or more than 0.90). Majority of the farms (39.44%) are operating at IRS and only 29 per cent of the farmers are operating at DRS. This signifies that, more resources should be provided to these farms operating at IRS and the same should be decreased towards the farms operating at DRS. Nearly 32 per cent of the farms are operating at CRS indicating efficient utilization of resources. Log linear regression model was used to analyze the major determinants of input use efficiency in banana farms. The input variables considered under DEA model were again considered as influential factors for the CRS obtained for the three categories of farmers. Volume of water supplied ($X_1$) and fertigation cost ($X_2$) are the major determinants of banana farms across all the farmer categories and even at pooled level. In view of their positive influence on the CRS, it is essential to strengthen modern irrigation infrastructure like drip irrigation and offer more fertilizer subsidies to the farmer to enhance the crop production on cost-effective basis in Kurnool district of Andhra Pradesh, India. This study further suggests that, the present era of Information Technology will help the irrigation management in the context of generating new techniques, extension, adoption and information. It will also guide the farmers in irrigation scheduling and quantifying the irrigation water requirements in accordance with the water availability in a particular season. So, it is high time for the Government of India to pay adequate attention towards the applications of 'Information and Communication Technology (ICT) and its applications in irrigation water management' for facilitating the deployment of Decision Supports Systems (DSSs) at various levels of planning and management of water resources in the country.

Exploring Different Aspects of Otherness in Korean 'Dokkaebi' (한국 도깨비와 타자성의 색다른 모습)

  • Kyung-Seop Kim;Jeong-Lae Kim
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.6
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    • pp.1-9
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    • 2024
  • This paper explores the concept of otherness through the lens of Dokkaebi, a figure in Korean folklore. Dokkaebi serves as a monster that is both familiar and distant-a 'familiar trap' or 'well-known monster'-reflecting its nature as a marginal being. Though far from divine, Dokkaebi is also not human, existing in a liminal space that allows it to wander among us even today. Outsiders, gods, and monsters often reveal the cracks within the human psyche, illustrating our divisions between consciousness and the unconscious, the familiar and the unfamiliar, and the same and the different. Outsiders and monsters emerge from our tendency to other various entities. This paper discusses how Dokkaebi embodies the characteristics of a 'subjectivized other,' a 'dual other,' and an 'other that generates a double self. As a 'subjectivized other,' Dokkaebi transcends the narrative of a monster othered by humanity, revealing the relationship between the subject and the 'internalized other.' As a 'dual other,' Dokkaebi mimics the ways in which men other women, bringing this dynamic vividly to life within the tales. Lastly, functioning as an 'other that generates a double self,' Dokkaebi prompts us to consider how we treat the other within ourselves and the dangers posed by that inner other.

Productive and Reproductive Performance of Kajli and Lohi Ewes

  • Nawaz, M.;Khan, M.A.;Qureshi, M.A.;Rasool, E.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.1
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    • pp.61-67
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    • 1999
  • Data from 22837 lambings of Lohi and Kajli ewes from 1962 through 1994 were used to analyse productive and reproductive traits and wool production, Overall litter size at birth averaged 1.33 being 1.45 for Lohi and 1.21 for Kajli ewes. The corresponding values at weaning were 1.23, 1.32 and 1.14, respectively. Litter size was consistently lowest for one year old, with a substantial increase at two, three and four years of ewe age and marginal increase thereafter, Ewes lambing in spring weaned 0.08 more lambs per parturition than ewes lambed in Autumn (p<0,01). Lamb birth weights were affected by ewe breed (p<0.01) and increased with ewe age. Overall lamb weaning weight (120 d) of 17993 lambs was 20.3 kg. Weaning weight was affected by breed, sire, year of birth, sex, rearing rank and weaning age (p<0.01). The highest mean weaning weight was 21.9 kg for Lohi lambs followed by Kajli lambs (18.8 kg), Lambs from Kajli ewes were 9% heavier at birth but 14% lighter at weaning. Twin born lambs were 18% lighter at birth and 13% at weaning than single born lambs. Male lambs were 3% heavier at birth and 4.5% heavier at weaning than female lambs. Overall annual mean wool production was 2,64 kg, Kajli ewes were heavier at breeding than Lohi ewes (i.e. 46.2 vs 44.8 kg). Lohi ewes being 3% less body weight produced 38% more wool and 18% more litter weaning weight than Kajli ewes, When average weight of lamb weaned per ewe weaning lambs was adjusted for ewe average metabolic body size, Lohi ewes were most efficient (i.e. arbitrary assigned value of 100) compared to Kajli ewes achieving only 83% of Lohi level.

Retrospective Clinical Study on Flapless Implant Placement

  • Kim, Jong-Hee;Kim, Young-Kyun;Yi, Yang-Jin
    • Journal of Korean Dental Science
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    • v.5 no.2
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    • pp.54-59
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    • 2012
  • Purpose: The purpose of this study was to evaluate the prognosis (clinical outcomes) of one-stage flapless implant surgery based on success and survival rate and marginal alveolar bone loss. Materials and Methods: Ninety dental implants were placed according flapless surgical procedure in forty-one patients at Hospital between April 2004 and May 2009. The mean age of the patients was 54, and the patients were comprised of 24 men and 17 women. Each patient was investigated radiographically and clinically being with average follow up 49.7 period. Result: Average healing period is 4.45 month (maxilla: 5.31 month, mandible: 3.20 month) after installation and survival rate is 95.7% in this period. The survival rate and success rate at 1 year after function (prosthodontics setting) are 92.4% and 88.0%. At final observation, the survival rate and success rate are 90.2% (maxilla: 89.1%, mandible: 92.9%) and 84.8% (maxilla: 82.8%, mandible: 89.3%). The mean residual alveolar bone resorption at 1-year after function and final observation are 0.8 mm and 1.07 mm. Conclusion: Our study suggest that if appropriate surgical technique with proper patients selection, flapless implants surgery is predictable simple and safety technique.

Threats to Identity: A Grounded Theory Approach on Student Nurses' Experience of Incivility during Clinical Placement (정체성 위협: 임상실습 중 간호대학생의 무례함 경험에 관한 근거이론적 접근)

  • Kang, Jiyeon;Jeong, Yeon Jin;Kong, Kyoung Ran
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.85-95
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    • 2018
  • Purpose: This qualitative study aimed to explore the experience of incivility among nursing students. Methods: Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents. Results: Incivility occurred in the context of a hierarchical organizational culture, due to nursing students' position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as "being mistreated as a marginal person," and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students' experience of incivility could eventually lead to workplace bullying in nurses. Conclusion: The results of this study suggest that nursing students' experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

The Discourse Analysis of Puberty in Early Teenage Girls (10대 초반 소녀들의 사춘기에 대한 담론분석)

  • Lee, Eun-Joo
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.179-188
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    • 2005
  • Purpose: This study was conducted to analyze the discourse of puberty in the early teenage girls. Method: The participants were 24, 11-15years old girls who were interviewed in face-to-face using a semi-structured questionnaire. The interviews were done between October 29 and December 27 2003. Analysis of the qualitative data was done in 2 steps. Results: First, the theme of the girls' puberty discourse was identifying normality and consisted of 5 categories : i) defining puberty as experiencing changes, ⅱ) acknowledging their own puberty connecting it with their definitions of puberty, ⅲ) selectively excluding/recognizing the actual pubertal changes by seeing themselves as nonsexual and negative beings, ⅳ) recognizing the pubertal changes as becoming women and making them not peculiar but normal, and ⅴ) sharing the knowledge and experience of change inactively and exclusively and resisting the dominant discourse. Three main discourse frames, marking off sexual/nonsexual, man/women, and major/minor were revealed in the second step of the analysis. They were intricately woven with each other and converged on sex. Conclusion: The girls posited themselves as being asexual, unstable, and marginal. So there is a need to help them recognize their pubertal state as physical and mental paradigmatic changes and assure their pubertal changes as positive.

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Adaptation Process of The Family with Hemodialysis (혈액투석 환자 가족의 적응 과정)

  • Lee, Young-Ae
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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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.

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The Ultrastructure of Osteogenesis in Distal Extremity of the Distal Phalanges of Human Fetus (인태아 수지말절골의 골화에 관한 전자현미경적 연구)

  • Yoon, Jae-Rhyong;Kim, Sang-Yong;Nam, Kwang-Il
    • Applied Microscopy
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    • v.26 no.2
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    • pp.177-195
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    • 1996
  • Fine structure of the processes of intramembranous ossification and endochondral ossification at the tip of the distal phalanx of human fetuses was studied by electron microscopy. In 50 mm fetus, intramembranous ossification of the tip of cartilaginous phalanx was first noted. The osteoblasts of the perichondral zone of tip of cartilaginous phalanx started to lay down a thick membranous bony lamella. Most of the hypertrophied chondrocytes in the marginal parts of tip of the distal phalanx remained viable after being embeded in mineralized cartilaginous septa. The tuberosity of the distal phalanx was formed by membranous bony trabeculae on the exterior of the subperiosteal cap at 80 mm fetus. At this stage endochondral ossification was first observed in distal extremity of the distal phalanx. The maority of hypertrophied chondrocytes in the center of distal extremity appeared to be disintegrating. Resorption of calcified matrix was undertaken by perivascular cells and chondroclasts. From the periosteum, zone of calcification, vascular sprouts expanded within a recently opened lacunae, and the invading osteoblasts laid down osteoid and bone. After 120 mm fetus, endochondral and subperiosteal ossification proceeded in only one direction, just proximally. These findings demonstrate that intramembranous ossification, calcification, and endochondral ossification start at tip of the distal phalanx instead of at the center of the shaft, as was the case in other long bones.

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