• Title/Summary/Keyword: Six Main Factors

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Hyperbilirubinemia after Open Heart Surgery (체외순환후의 고빌리루빈증의 검토)

  • 박종호
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.170-179
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    • 1993
  • Three hundred consecutive adult patients having cardioaortic surgery under the cardiopulmonary bypass for a variety of cardioaortic lesions were evaluated retrospectively for postoperative hyperbilirubinemia[above 5mg/100ml].We found twenty eight patients with postoperative hyperbilirubinemia and divided them into two groups according to the postoperative day of peak s-bilirubin .Group A was the patients with a peak s-bilirubin level within three days ,and group B above three days postoperatively.Group B was divided into group S[survive] and group D[death] . We had compaired the survival & death group and observed the correlation between the decreasing tendency of postoperative s-bilirubin & the nutrition per os in group B. The incidence of postoperative hyperbilirubinemia,as defined by a s-bilirubin concentration of 5.0mg/100ml or greater,was 9.3%.The mortality rates of group A & B were 0.0% and 35.7% respectively.Important contributing factors between group A & B were the age,duration of ICU,Max.DOAB[maximum dose of catecholamine used],amount of blood transfused during or shortly after surgery and preoperative pulmonary hypertension[main pulmonary artery pressure > 30mmHg] and backward heart failure. The risking factors of group D compared to group S were as follows the age,preoperative & postoperative SGOT[serum glutamic-oxaloacetic trasaminase],postoperative total & indirect bilirubin,cardiopulmonary bypass time,duration of ICU & mechanical ventilation ,Max.DOAB,preoperative pulmonary hypertension and backward heart failure.The six patients in group B showed good correlation between the decreasing point of s-bilirubin and the starting day of oral or tube feeding.

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A Study on Factors Influencing the Health Promoting Lifestyles of Koreans in the Philippines. (필리핀거주 한국인의 건강증진 생활양식에 영향을 미치는 요인)

  • Choi Soo-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.369-381
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    • 1999
  • The purpose of this study was to determine the predictors of health promoting lifestyles(Health Promoting Lifestyle Profile HPLP) of Koreans in the Philippines. The sample consisted of 100 Koreans who have lived in Manila, Philippines. Data were collected for two months from Feb, 1 to March 30, 1998. Analysis of the data was done by use of percentage, t-test, ANOVA, Pearson's Correlation Coefficients, and Stepwise Multiple Regression. The results of this study were summarized as follows : 1. The range of total HPLP score was from 73 to 175 and the mean score of that was 117.23. In comparison of mean scores depending on each item of six dimensions, self-actualization dimension tended to show the hightest score(2.98) and responsibility for health dimension, the lowest score(1.83). 2. The HPLP score showed a positive correlation with age(r=.19), social support (r=.39), self-efficacy(r=.52) and perceived health status(r=.27), but a inverse correlation with perceived health care service utilization barriers(r=-.20). 3. By using stepwise multiple regression analysis it was determined that the main influencing factors on the HPLP score were self-efficacy(27.2%), social support(5.3%), age(5.3%) and perceived health status(2.9%). These variables made it possible to explain 40.7% of variance in HPLP score.

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Factors Associated with Depression and Resilience in Children with IDDM

  • Kim, Dong-Hee;Yoo, Il-Young
    • Child Health Nursing Research
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    • v.13 no.2
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    • pp.166-172
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    • 2007
  • Purpose: The main objectives of this study were to examine relationship between depression and resilience in children with IDDM and identify factors associated with depression. Method: Data were collected from 63 children whose ages ranged from 10 to 15 years and who had been diagnosed with IDDM for over six months. Resilience was measured with an instrument developed by Kim (2002) and depression with the CDI by Beck (1967). Descriptive analysis, Pearson correlation coefficients and multiple regression analyses were used to analyze the data. Results: The mean score for depression was 11.71 (range: 0-54) and resilience was 99.03 (range: 32-128). There was a significant positive relationship between depression and academic performance (r=0.598, p>.01), and negative relationships between depression and perceived parenting attitude (r=-0.579, p>.01) and resilience (r=-0.577, p>.01). The result of multiple regression analysis showed that academic performance (${\beta}=-0.419$, p>.01), perceived parenting attitude (${\beta}=-0.338$, p>.01) and resilience (${\beta}=-0.219$, p>.05) were statistically significant for depression. Conclusions: The children with IDDM who reported lower resilience, negative parenting attitude, and better academic performance were more depressed. It is important for nurses to identify the strengths of the children with chronic illnesses and to help them increase their resilience level to prevent depression. Parenting classes are necessary to help parents support resilience of their children and counseling programs for mothers of these children are also recommended.

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Developing Internet Shopping Mall Strategy through CSF Analysis Based on Cognitive gap between Customers and Managers (CSF 분석을 통한 인터넷쇼핑몰 전략 -고객과 기업의 인식차이를 중심으로-)

  • 서영호;채영일;이현수
    • Journal of Korean Society for Quality Management
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    • v.29 no.1
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    • pp.160-172
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    • 2001
  • The purpose of this study is to develop a successful strategy that can satisfy customer needs effectively based on the recognition of cognitive gaps toward the Internet shopping mall between managers and customers. Internet shopping mall becomes a main cyber space for future shopping, Despite some pessimistic view on the future of cyber shopping, the amount of purchase in Internet shopping has increased continuously and dramatically. In order to compare and analyze the cognitive difference between managers and customers, this study investigates the view of managers as Internet shopping mall operators as well as that of customers. Questionnaires and brief interviews were carried out to collect empirical data. Empirical results find the significant cognitive gap in the perception of importance of factors affecting shopping malls between managers and customers. After analysing the empirical data with statistical methods, this study finds that six of nine factors show significantly different views in perception of Internet shopping mall between managers and customers. The findings of this study can be employed to implement an Internet shopping mall strategy to better serve customer needs and requirements to gain competitive advantage in this emerging market with growing competition.

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A Study on Factors Influencing the Health Promoting Behaviors in Postpartal Women (산욕부의 건강증진행위에 영향을 미치는 요인)

  • Jo Lucia;Choi Soon-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.353-361
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    • 1998
  • The purpose of this study was to determine the predictors of health promoting behavior in postpartal $4{\sim}6$ week women. The sample consisted of 104 postpartal women who experienced a vaginal delivery at four obstetrical clinics located in Kwangju city. Data were collected for two months from June 1 to July 30, 1997. Analysis of the data was done by use of percentage, t-test, ANOVA, Pearson's Correlation Coeficients, and Stepwise Multiple Regression. The results of this study were summarized as follows : 1. The range of total HPLP score was from 93 to 182 and the mean score of that was 142.28. In comparison of mean scores defending on each item of six demensions, self-actualization demension tended to showed hightest score(3.33) and exercise & rest demension, the lowest score(2.47). 2. The HPLP score was not significantly different defending on the general characteristics. 3. The HPLP score showed a positive correlation with family-support(r=.51) and self-efficacy(r=.41), but a inverse correlation with perceived barriers(r=-.27). 4. By using stepwise multiple regression analysis it was determined that the main influencing factors on the HPLP score were family-support(26%) and self-efficacy (8%). These variables made it possible to explain 34% of variance in HPLP score.

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Main factors determining the shear behavior of interior RC beam-column joints

  • Costa, Ricardo;Providencia, Paulo
    • Structural Engineering and Mechanics
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    • v.76 no.3
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    • pp.337-354
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    • 2020
  • Reinforced concrete beam-column (RCBC) joints of laterally loaded unbraced frames are sometimes controlled by their shear behavior. This behavior relies on multiple and interdependent complex mechanisms. There are already several studies on the influence of some parameters on the shear strength of reinforced concrete joints. However, there are no studies methodically tackling all the most relevant parameters and quantifying their influence on the overall joint behavior, not just on its shear strength. Hence, considering the prohibitive cost of a comprehensive parametric experimental investigation, a nonlinear finite element analysis (NLFEA) was undertaken to identify the key factors affecting the shear behavior of such joints and quantify their influence. The paper presents and discusses the models employed in this NLFEA and the procedure used to deduce the joint behavior from the NLFEA results. Three alternative, or complementary, quantities related to shear are considered when comparing results, namely, the maximum shear stress supported by the joint, the secant shear stiffness at maximum shear stress and the secant shear stiffness in service conditions. Depending on which of these is considered, the lower or higher the relevance of each of the six parameters investigated: transverse reinforcement in the joint, intermediate longitudinal bars and diagonal bars in the column, concrete strength, column axial load and confining elements in transverse direction.

Effects of Local History Trekking Education on Social Development and Historical Consciousness of College Students

  • Kim, Byung-Kwan;Kim, Ah-Reum;Ko, Kyoung-Ho
    • International journal of advanced smart convergence
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    • v.11 no.3
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    • pp.142-149
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    • 2022
  • This study aims to develop the education for college students who should perform the social role of the fut ure by conducting trekking activities including the characteristics, history, and culture of Cheonan area and then investigating the sociality and history of 36 college students. Taejosan, Seonggeosan, and Heukseongsan, which are part of the independent ring of Cheonan city, were selected as courses. The training was conducted by six instructors majoring in humanities, history, physical education and medicine. Teachers of humanities and history majors conducted theoretical lectures to raise the historical awareness of Cheonan area related to trekking course. In trekking practice, instructors of physical education and medicine majored in trekking safety education and course progress. Among the social development factors, responsibility, autonomy, and sociality were high. After the education, students recognized that the interest and necessity of history were high in order to understand the present society, thought that they made a lot of development compared to the previous one, and answered that the main development factors of history were the people and that there was a change in perception through this education. This study was composed of the survey after the education, so the psychological characteristics of the individual were not reflected, and it is difficult to generalize it because the number of subjects is small. In the future, more subjects need to be investigated and local residents need to investigate changes in local awareness.

A study on the Identity design factors of dermatologic clinic linked with aesthetic space (에스테틱과 연계된 피부과의원의 디자인 아이덴티티 요소에 관한 연구)

  • Ju, Hye-Ra;Kim, Young-Hoon;So, Hyun-A
    • Korean Institute of Interior Design Journal
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    • v.18 no.4
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    • pp.124-131
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    • 2009
  • The aesthetics of current dermatology clinics are the main space of dermatology, which is gradually becoming an area of specialty. Paths requiring spatial transition due to the expansion of treatment field in dermatology clinics are currently emerging, meaning that the duty to provide medical and aesthetic environment with high spatial connection must be accompanied. Contrary to past clinics where only functional aspects were emphasized, current clinics require a differentiated environment that considers both aspects of function and aesthetics, centered on the patient. The purpose of this research in this perspective is to study the efficient connection between dermatology and aesthetics, while also analyzing identity factors to indicate design factors differentiated from other functional spaces, to apply them as preliminary data for the planning of dermatology clinics. Based on the above, six dermatology clinics located in Seoul were designated for case studies through field studies. Overall, Aesthetics connected to dermatology clinics legally must have separate business registrations and have alternative entrance ways. Currently however, there were many cases where entrance, waiting, reception and receipt were not separated. there were efforts to partially display identities when analyzing design factors that formed the identity of dermatology clinics. However, there were insufficient cases where visual communication factors such as a clinic's spatial identity, logo, signing system, and applied products were integrated into a coherent theme. At this point when dermatology clinics are becoming brands, all fields must merge for integrated identity effects that go beyond the boundaries of contemporary H.I, to clearly display their identity with the clinics' professional image and consistent concept.

Risk Factors Affecting Equipment Management in Construction Firms

  • PHAM, Cuong Phu;NGUYEN, Phong Thanh;PHAN, Phuong Thanh;NGUYEN, Quyen Le Hoang Thuy To;LE, Loan Phuc;DUONG, My Tien Ha
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.347-356
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    • 2020
  • Mechanization and automation constitute an essential stage in the production and operation of any company, as one of the determinants of increase in labor productivity and decrease in product price, while significantly contributing to shortening of the lead time. Businesses are, therefore, able to quickly put projects into operation, improving economic efficiency, quality, and aesthetics, which speeds up the national economic growth. For the construction industry to be the most effective, modern construction equipment is a necessity. It is one of the five main resources of a construction project. Thus, effective construction equipment management contributes to the success of a project and benefits the relevant construction companies economically. This paper presents the critical risk factors affecting equipment management and proposes suitable solutions. The questionnaire-based survey with experienced experts in the construction sector on the management of the likelihood and consequence of risk factors revealed thirty-two risks for equipment management in construction companies. These factors fell into six groups: (i) site organization-related risks; (ii) management-related risks; (iii) owner-related risks; (iv) supplier-related risks; (v) legal risks, and (vi) site condition-related and external risks. The results showed that management-related factors contributed to the most significant risks and problems for equipment management in construction companies.

『황제내경소문(黃帝內經素問)·칠편대론(七篇大論)』 왕빙 주본(注本)을 통(通)한 운기학설(運氣學說) 관(關)한 연구(硏究)

  • Kim, Gi-Uk;Park, Hyeon-Guk
    • The Journal of Dong Guk Oriental Medicine
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    • v.4
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    • pp.109-140
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    • 1995
  • As we considered in the main subjects, investigations on the theory of 'Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' through 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen' ("黃帝內經素問 七篇大論") are as follows. (1) In The seven great chapters("七篇大論")' Wang Bing supplement theory and in the academic aspects as a interpreter, judging from 'forget(亡)' character. expressed in the 'The missing chapters("素問遺篇")', 'Bonbyung-ron("本病論")' and 'Jabeob-ron(刺法論)', 'The seven great chapters("七篇大論")' must be supplementary work by Wang Bing. Besides, he quoted such forty books as medical books, taoist books, confucianist books, miscellaneous books, etc in the commentary and the contents quoted in the 'Su Wen(素問)' and 'Ling Shu("靈樞")' scripture nearly occupy in the book. As a method of interpreting scripiure as scripture, he edited the order of 'Internal Classic("內經")' ascended from the ancient time and when he compensated for commentary, with exhaustive scholarly mind and by observing the natural phenomena practically and writing the pathology and the methods of treatment. We knew that the book is combined with the study of 'Doctrine on five elements motion and six kinds of natural factors(運氣學說)' (2) When we compare, analyze the similar phrase of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen'("黃帝內經素問ㆍ七篇大論") through 'Wang Bing's Commentary(王氷 注本)', he tells abouts organized 'five elements(五行)' and 'heaven's regularly movement(天道運行)' rather than 'Emyangengsangdae-ron("陰陽應象大論")' in 'The seven great chapters("七篇大論")'. Also the 'Ohanunhangdae-ron("五運行大論")' because the repeated sentences with 'Emyangengsangdae-ron("陰陽應象大論")' is long they are omitted. And in the 'Youkmijidae-ron("六微旨大論")', 'Cheonjin ideology(天眞四象)' based on the 'Sanggocheonjin- ron("上古天眞論")', 'Sagijosindae-ron("四氣調神大論")' is written and in the 'Gigoupyondae-ron("氣交變大論")', the syndrome and symptom are explained in detail rather than 'Janggibeobsi-ron("藏氣法時論")', 'Okgijinjang-ron ("玉機眞藏論")' and in the 'Osangieongdae-ron("五常政大論")', the concept of 'five element(五行)' of the 'Gemgwejineon-ron("金櫃眞言論")' is expanded to 'the five elements' motion concept(五運槪念)' and in the 'Youkwonjeonggidae-ron("六元正紀大論")', explanations of 'The five elements' motion and six kinds of natural factors(運氣)' function are mentioned mainly and instead systematic pathology is not revealed rather than 'Emyangengsangdae-ron("陰陽應象大論")'. And in the 'Jijinyodae-ron("至眞要大論")', explanations of the change of atmosphere which correspond to treatment principle by 'The three Yin and Yang(三陰三陽)' as a progressed concepts are revealed. Therefore there are much similarity between the phrase of 'Emyangengsangdae-ron("陰陽應象大論")' and 'chapters of addition(補缺之篇)'. Generally, the doctrine which 'The seven great chapters("七篇大論")' are added by Wang Bing(王氷) is supported because there are more profound concepts rather than the other chapter in 'The seven great chapters("七篇大論")'. (3) When we study Wang Bing's(王氷) 'Pattern on five elements motion and six kinds of natural factors(運氣格局)' in 'The seven great chapter("七篇大論")', in the 'Cheonwongi-dae-ron("天元紀大論")', With 'Cheonjin ideology(天眞思想)' and the concepts of 'Owang(旺)'${\cdot}$'Sang(相)'${\cdot}$'Sa(死)'${\cdot}$'Su(囚)'${\cdot}$'Hu(休)' and 'Cheonbu(天符)'${\cdot}$'Sehwoi(歲會)' are measured time-spacially to the concept of 'Three Sum(三合)' the concept of 'Taeulcheonbu(太乙天符)' is explained. In the 'Ounhangdae-ron("五運行大論")', 'The calender Signs five Sum(天干五合)' is compared to the concepts of 'couples(夫婦)', 'weak-strong(柔强)' and in the 'Youkmijidae-ron("六微旨大論")', 'the relationship of obedience and disobedience(順逆關係)' which conform to the 'energy status(氣位)' change and 'monarch-minister(君相)' position is mentioned. In the 'Gikyobyeondae-ron("氣交變大論")', the concept of 'Sang-duk(相得)', 'Pyungsang(平常)' is emphasized but concrete measurement is mentioned. In the 'Osangieongdae-ron("五常政大論")', the detailed explanation with twenty three 'systemic of the five elements' motion(五運體系)' form and 'rountine-contrary treatment(正治. 反治)' with 'chill-fever-warm-cold(寒${\cdot}$${\cdot}$${\cdot}$凉)' are mentioned according to the 'analyse and differentiate pathological conditions in accordance with the eight principal syndromes(八綱辨證)'. In the 'Youkwonjeonggidae-ron("六元正紀大論")', Wang Bing of doesn't mention the concepts of 'Jungwun(中運)' that is seen in the original classic. In the new corrective edition, as the concepts of 'Jungwun, Dongcheonbu, Dongsehae and Taeulcheonbu(中運, 同天符, 同歲會, 太乙天符)' is appeared, Wang Bing seems to only use the concepts of 'Daewun, Juwun, and Gaekwun(大運, 主運, 客運)'. In the 'Jijinyodaeron("至眞要大論")', Wang Bing added detailed commentary to pathology and treatment doctrine by explaining the numerous appearances of 'Sebo, sufficiency, deficiency(歲步, 有餘, 不足)' and in the relation of 'victory-defeat(勝復)', he argued clearly that it is not mechanical estimation. (4) When we observe the Wang Bing's originality on the study of 'the theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)', he emphasized 'The idea of Jeongindogi and Health preserving(全眞導氣${\cdot}$養生思想)' by adding 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters("七篇大論")' and explained clearly 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' and simpled and expanded the meaning of 'man, as a microcosm, is connected with the macrocosm(天人相應)' and with 'Atmosphere theory(大氣論)' also explained the meaning of 'rising and falling mechanism(升降氣機)'. In the sentence of 'By examining the pathology, take care of your health(審察病機 無失氣宜)'. he explained the meaning of pathology of 'heart-kidney-water-fire(心腎水火)' and suggested the doctrine and management of prescription. In the estimation and treatment, by suggesting 'asthenia and sthenia(虛實)' two method's estimation, 'contrary treatment(反治)' and treatment principals of 'falling heart fire tonifyng kidney water(降心火益腎水)', 'two class of chill and fever(寒熱二綱)' were demonstrated. There are 'inside and outside in the illness and so inner and outer in the treatment(病有中外 治有表囊)'. This sentence suggests concertedly. 'two class of superfies and interior(表囊二綱)' conforming to the position of disease. Therefore Wang Bing as an excellent theorist and introduced 'Cheoniin ideology(天眞思想)' as a clinician and realized the medical science. With these accomplishes mainly written in 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' of 'The seven great chapters("七篇大論")', he interpreted the ancient medical scriptures and expanded the meaning of scriptures and conclusively contributed to the development of the study 'Korean Oriental Medicine(韓醫學)'.

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