• Title/Summary/Keyword: Strengthened Effect

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The Effects of Medical Service Qualities on Satisfaction, Relationship Quality, and Revisit Intent in Long Term Care Hospital an Elderly Out-patients (요양병원을 이용하는 노인에게 의료서비스품질이 환자만족, 관계품질 및 웹사이트 재이용의도에 미치는 영향)

  • Kim, Byung-Yong;Jeong, Myeong-Ae
    • Health Policy and Management
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    • v.22 no.2
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    • pp.183-206
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    • 2012
  • Changing social conditions have resulted in a situation where elderly patients are no longer cared for by family and where medical care hospitals play a more prominent role. In this study, the unique elements of the medical service required from a long term care hospital were identified using conventional and exploratory analysis, and the causal relationship between medical service quality, relationship quality, and Revist intent was confirmed. The intermediary role and the quantitative importance of relationship quality (including trust and commitment) were also characterized. This study identifies the key points and indicators that the administrators of a long term care hospital can use to effectively plan their medical service offering in order to secure the commitment of customers through relationship quality. The theoretical indications of this study are set out below. First, four factors are selected as being the key elements determining service quality: medics, administrative service, healthcare environment, and subsidiary facilities. Second, it seems that medics, administration service, and the healthcare environment have some effect on the evaluations made in relation to trust and satisfaction (subsidiary facilities are not considered to be a key element). Third, patient satisfaction has a positive impact on trust and commitment and can be regarded as a key element for establishing connections. Fourth, commitment is likely to be strengthened when trust is significant. Fifth, as trust and commitment increase, revist intent strengthens. Lastly, this study illustrates how the levels of trust and commitment play a modulating role between patient satisfaction and revist intention. There are many practical indications from the findings of this study. First, the influences of medics, the administrative service, and the healthcare environment on trust and satisfaction vary. Especially, the healthcare environment is likely to be more important than medics. Accordingly, it is essential to establish an elderly-friendly environment, to improve a hospital's structure, and to maintain a clean environment. Second, medics must show compassion to their patients and be patient when providing explanations to elderly patients who often lack powers of concentration. Third, in order to establish patient trust, it is essential that medics provide an excellent medical service. Ultimately, these elements of relationship quality may strengthen the revist intention of elderly patients.

The Experimental Phonetic Study of Word Accent in Standard Korean (표준한국어 악센트의 실험음성학적 연구 -청취 테스트 및 음향분석-)

  • Seong Cheol-jae
    • MALSORI
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    • no.21_24
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    • pp.43-89
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    • 1992
  • In this thesis, the prominent aspect of word accent in standard Korean is studied by auditory test and acoustic analysis experiment. The definition of 'accent' is, following Hoyoung Lee's discussion(1990), to be described as 'the means whereby a focused part of an utterance is made to stand out in order to concentrate the hearer's attention on it.' That is to say, the ten of 'accent' may be described in terms of phonological phenomenon and the accented syllable can be phonetically prominent as the result of those phonological process. Prosodic features may have different characteristics in different languages whether they contain linguistically important functions or not. Thus the characteristics of word accent in standard Korean will be determined as the content and trait of prosodic features. Following this viewpoint, present study looked over prosodic features which may effect the characteristics of word accent in standard Korean, through systematic experimental procedure. And the result of this experiment has been verified by statistical method, the T-test, for the purpose of identifying the relatedness among prosodic features(parameters). This thesis, therefore, aimed to investigate the intrinsic acoustic and physical qualities of the word accent in standard Korean. Nonsense words composed by 'mal' and 'ma' which can be divided into 'heavy syllable' and 'light syllable' quoted from Hyman(1975) have been classified into 28 types with respect to syllable numbers(2 syl., 3 sy1., 4 syl.) and these words have become the target of auditory test and acoustic experiment. As the result of those experimental Procedures, the word accent in standard Korean may be said that it has a tendency of fixing first two syllables regardless of syllable numbers. The syllable types of HH, HL, LL in the first two syllables may be prominent at first syllable and the type of H may be at second syllable. Various prosodic features(parameters) including duration, intensity, and Fo(purely phonetic terms) were also strengthened in those positions. The result of this experiment can be cleared up like these : 1. The most important feature is proved as 'duration', the feature of intensity resulted in more subsidiary one than the feature of duration. 2. Fo( fundamental frequency) could be observed as having some coherent contour through almost all syllable types(99 %), that is, in 2 syllable types, it had rising contour, in 2 syllable types, rising-falling contour, and in 4 syllable types, it contained rising-falling-rising contour. The result of auditory test was different with those contour forms of all Fo surveyed. With respect to these results, the discuss for Fo is determined' to be excluded comparing other features. 3. Finally, this thesis resulted in a decision that the word accent in standard Korean may has fixed(somewhat weaker) accent, especially fixed at first two syllables in almost all words. 4. Various kinds of syllable types related with 2,3,4 syllables, therefore, can be reclassified into 4 types of HH, HL, LH, LL following the concept of accent fixing placement(i.e. first two syllables). In these 4 types, the types of HH, HL, LL were prominent at the position of the first syllable , and the type of LH was prominent at the second syllable otherwise.

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Korea's Policy on Overseas Koreans: Factors that Strengthen Korean Americans' Sentiment towards the Motherland (재외동포정책: 차세대 재미한인 교육지원 방향 중심으로)

  • Jang, Ahnlee
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.362-375
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    • 2019
  • Since Kim Dae-jung's administration, the Korean government has established policy for overseas Koreans to provide nationalism education to their descendants. While the policy is still in effect today, as to how the recipients of the support in the USA make meaning of the programs given much changes in the social climate in respect to Korean culture, has not been examined in-depth. Therefore, through in-depth interviews with Korean Americans, the current study examined how the recipients of the educational program perceive policy on education program towards Korean Americans and whether it has strengthened their nationalism or sentiment towards motherland. The study further examines the factors that influences their sentiments towards the motherland as identified by Korean Americans. The findings show that exposure to the culture and parents' teachings of the Korean values have helped them embrace Korean heritage. Moreover, findings revealed that their sense of Koreanness were due to positive memories from visits they had when they were young and changes in Korea's status in the global arena. Future direction of the policy and suggestion for specific programs for Korean Americans, as well as implications of the findings are discussed.

The Effect of Trust and Justice on Relation Satisfaction and Long-term Commitment in Franchise Business (가맹본부에 대한 신뢰와 공정성이 관계만족과 장기적 결속에 미치는 영향)

  • Lyu, Myoung-Keun;Yang, Hoe-Chang
    • Journal of Distribution Science
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    • v.11 no.1
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    • pp.25-34
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    • 2013
  • Purpose - This study examines the adverse press coverage that has increased in proportion to the remarkable growth of various kinds of franchise businesses in the food service industry. Today, the trust of franchisees in relation to their franchisor, and the maintenance of good relations between the two, has become a significant social issue. This study investigates relationship satisfaction and the long-term commitment between the franchisor and franchisee. Research design, data, methodology - We used a path analysis to investigate the relationship between justice and trust, trust and relationship satisfaction, justice and relationship satisfaction, trust and long-term commitment, and relationship satisfaction and long-term commitment. Structural Equation Modeling and a Sobel test were used to investigate the mediating effects of trust and relationship satisfaction. Data were collected from 237 Food Franchisees in Seoul and Gyeonggi Province in order to test the theoretical model and its hypotheses. Two research methodologies are generally used in the distribution management field. For this study, an empirical method was used. Results - A causal analysis was carried out to test if the research model has a sufficient fit index (for instance, χ2 = 46.694, df = 10, p = .000, GFI = 0.946, AGFI = 0.850, RMR = 0.034, NFI = 0.966, CFI = 0.973), and the results showed that the model was sufficient, thus demonstrating the suitability of the research model. Each hypothesis had a positive influence, both on long-term commitment and relationship satisfaction. Justice with the franchisor had a positive influence on trust. Relation satisfaction cognized by franchisees was found to positively influence long-term commitment. The franchisee perception of justice in relation to the franchisor had no significant influence on long-term commitment. The study investigated the hypothesis that trust could mediate justice and long-term commitment, and that relationship satisfaction could also mediate long-term commitment Both trust and relationship satisfaction were found to be important for long-term commitment. Specifically, trust sub-factors and justice sub-factors influenced long-term commitment. Identification-based and knowledge-based trust were more important than calculus-based trust. Distributive justice was deemed more important than procedural justice; distributive justice should thus be strengthened. Conclusions - Both franchisor and franchisee were independent businesses. Evidently however, the franchisor could not ensure profit without long-term commitment from the franchisee. As for the success of the franchise business, the franchisor should carry out appropriate strategies leading to a satisfactory relationship. For example, transparency makes it possible to maintain and enhance trust and to improve relationship satisfaction. Just relations between franchisor and franchisee should make it possible to maintain and enhance the franchisee's trust. The franchisor should provide a variety of information with respect to the franchisee's business success. Finally, in order to improve the franchisee's long-term commitment, the franchisor should ensure a just approach with trust and relationship satisfaction among their strategies.

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Effects of the addition of Hizikia fusiforme, Capsosiphon fulvescens, and Undaria pinnatifida sporophyll on antioxidant and inhibitory potential against enzymes related to type 2 diabetes of vegetable extract (혼합야채추출물의 항산화 및 항당뇨 효과 증진을 위한 톳, 매생이, 미역귀의 첨가효과)

  • Tong, Tao;Zhang, Chengmei;Ko, Du-Ok;Kim, Sup-Bo;Jung, Kwang-Jin;Kang, Seong-Gook
    • Food Science and Preservation
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    • v.21 no.4
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    • pp.460-467
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    • 2014
  • This study was conducted to investigate the effect of the addition of Hizikia fusiforme, Capsosiphon fulvescens, and Undaria pinnatifida sporophyll on the antioxidant and inhibitory potentials against key enzymes related to type 2 diabetes of a commercial vegetable extract. The nutritional quality and mineral concentration of a vegetable extract with seaweeds added were also analyzed. The addition levels of seaweed did not influence the proximate composition, whereas the calcium, sodium, potassium, magnesium, and iron concentrations significantly increased at the 5% Hizikia fusiforme and Undaria pinnatifida sporophyll addition levels. The 20% Hizikia fusiforme addition level significantly increased the total phenolic content and reducing power by 47.08% and 16.82%. The hydroxyl radical scavenging ability of the vegetable extract was not strengthened with the addition of seaweeds. The DPPH radical scavenging activity at the 20% Hizikia fusiforme, Capsosiphon fulvescens, and Undaria pinnatifida sporophyll addition levels significantly increased by 27.47%, 22.25%, and 17.27%, respectively. The vegetable extract with seaweeds added showed higher-level ${\alpha}$-glucosidase inhibition activities, accompanied by relatively weaker ${\alpha}$-amylase inhibition activity. In particular, at the 5% Undaria pinnatifida sporophyll addition level, the ${\alpha}$-glucosidase activity was significantly inhibited by 98.26%. Overall, the results showed that the incorporation of seaweeds into a vegetable extract effectively increased the mineral concentration and improved the antioxidant and inhibitory abilities of the extract on key enzymes linked to type 2 diabetes.

An Analysis on the Anti-poverty Effectiveness of Public and Private Income Transfers; After the Enactment of National Basic Livelihood Security Act (공적 이전과 사적 이전의 빈곤 감소 효과 분석 : 기초생활보장제도 도입 이후를 중심으로)

  • Hong, Kyung-Zoon
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.61-85
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    • 2002
  • Using the 2001 Family Income and Expenditure Survey micro-data, this study analyses the anti-poverty effectiveness of public and private income transfers. In this study, the anti-poverty effectiveness of income transfers is summarized in two ways; 1) the poverty reduction effect of the income transfers, and 2) the poverty reduction efficiency of the income transfers. The poverty reduction effects are measured with several poverty indices including the head-count ratio, poverty gap, and Sen index. Using Beckerman's model, this study also analyses the poverty reduction efficiency of income transfers. This analysis documents substantial differences in the anti-poverty effectiveness of public and private income transfers. Although the private income transfers contribute more to reduce the head-count poverty ratio and Sen index than public income transfers, their differences are significantly reduced after the enactment of National Basic Livelihood Security Act. The results also reveal that the anti-poverty effectiveness of public and private income transfers vary by the types of families. In families headed by elderly and working aged, private income transfers have more anti-poverty effectiveness. But, public income transfers contribute more to reduce poverty than private income transfers among families headed by single adults with children. The results of this study suggest that recent changes in anti-poverty policies in Korea have been strengthened the Government's responsibility. And more importantly, to effectively reduce poverty among the poor families, anti-poverty polices must be designed to consider different family types.

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Effect of High Temperature Steam Oxidation on Yielding of Zircaloy-4 PWR Fuel Cladding -Expanding Copper Mandrel Test- (가압경수형 핵연료 피복관 지르칼로이-4의 항복현상에 대한 고온 수증기 산화의 영향 -구리 맨드렐 팽창시험법-)

  • Kye-Ho Nho;Sun-Pil Choi;Byong-Whi Lee
    • Nuclear Engineering and Technology
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    • v.21 no.2
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    • pp.111-122
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    • 1989
  • With the Zircaloy-4 tube oxidized in high temperature (1323 K) steam for 5, 10, 30 and 60 minutes, the expanding copper mandrel test was carried out over a temperature range of 673-l173k at $\varepsilon\;=\;3.0\times10^5S\;^1$. The oxidation parameters $(K_i)$ in the present study were linearly proportional to square root of time $(Ki= \delta_{kit})$ and their rate constants ($\delta_{ki}$) are 0.281, 2.82, and 2.313 for weight gain and thickness of Zr02 and $\alpha$(0) layer, respectively. Activation energy for high temperature (873-1073k) plastic deformation of Zircaloy-4 increases from 251 KJ/mol to 323 KJ/mol with increase in oxidation time from 5 minutes to 60 minutes due to the high strengthened Zr02. With the oxide layer thickness [K ; expressed in "Equivalent Cladding Reacted" (ECR,%)] and the yield stress obtained from the mandrel test, an empirical relation was derived as ($\sigma/C)^n=K^mexp$ (Q/RT) with n=6.9, m=5.7, C=0.155, 0.138, 0.051, and 0.046 MPa for Q=251, 258, 316, 323 KJ/mol, respectively.

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A Study of the Therapeutic Effects of Ginseng on Chi-deficiency Syndrome with Sphygmography (맥파계법을 이용한 인삼의 기부족 증상 치료효과에 관한 연구)

  • Chang Hen-Hong;Shen Yung-Yu;Chan Yat-Kwong;Wang Shu-Yu;Ma Chien-Chung
    • Proceedings of the Ginseng society Conference
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    • 1988.08a
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    • pp.70-76
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    • 1988
  • Since ancient times, records pertaining to chi-reinforecenent of ginseng have been documented in books of Chinese nedicine. We, therefore, assessed the therapeutic effects of ginseng on patients with chi-deficiency syndrome. Eigheen cases of chi-deficiency, screened at the outpatient service in the internal department of Chinse medicine at the China Medical College Hospital. were prescribed two grams of Korean red ginseng powder three times daily for a two week period. For evaluation, a questionnaire and diagnosis by sphygmography were conducted prior to and after administration of the prescription. For control purposes, fourteen volunteers fasted for more than five days (seven had access only to ginseng. and the other seven were given only mineral water) and were subsequently evaluated by the same criteria. Three results were obtained for the ginseng treated group: (1) improvements in symptoms of chi-deficiency such as fatigue and dizziness; (2) changes in pulse waves with time domains showing alternate P-waves, strengthened dicrotic waves, and some minute waves in the end-diastolic period; (3) frequency domains with enhanced amplitudes around 12Hz. These three findings, which are consistent with each other, suggest the reinforcement of the effect of ginseng on 'heart-spleen chi' in Chinese medicine.

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Evaluation of Axial Behavior of Columns Strengthened with Different Transverse Reinforcements in Jacket Section (확대단면에서의 띠철근 배근 방법에 따른 보강 기둥의 중심 축하중 거동 평가)

  • Hwang, Yong-Ha;Yang, Keun-Hyeok;Sim, Jae-Il;Choi, Yong-Soo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.22 no.6
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    • pp.81-88
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    • 2018
  • The present study evaluated the effective arrangement approach of transverse reinforcement in the jacket section for seismic strengthening of reinforced concrete columns. To simulate the full-scale columns, the section dimensions were determined as $450{\times}450mm$ for non-seismic existing columns and $750{\times}750mm$ for section enlargement strengthening columns. Over-lapped channel-shape bars and prefabricated bar units were proposed for closed-hoops in the jacket section, and conventional cross-ties anchored into existing columns and V-ties were considered for the supplementary ties. Test results showed that the axial capacity of the existing column and section enlargement columns with over-lapped channel-shape hoops was similar to the nominal strength calculated using ACI 318-14 procedure whereas the section enlargement column with prefabricated bar units possessed 1.25 times higher axial capacity than the nominal prediction. Furthermore, the axial ductility ratio of the section enlargement column with prefabricated bar unit was 139% higher than that of the existing column despite the potential size effect on ductility of concrete. Thus, it can be concluded that the developed prefabricated bar unit technique is practically useful for preventing the premature buckling of longitudinal reinforcement and confining core concrete in the section enlargement strengthening columns.

Behavior of RC Beam Strengthened with Advanced Lifting Hole Anchorage System (개선된 인양홀을 이용한 정착장치로 보강된 RC 보의 거동)

  • Oh, Min-Ho;Kim, Tae-Wan;Park, Sun-Kyu
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.3
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    • pp.91-99
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    • 2010
  • In order to strengthen RC structures, various strengthening methods have been used. Particularly, external tendon strengthening method is very popular method to strengthen damaged structures in terms of efficiency, ease, economics. In this study, improved anchorage elements using the lifting hole were proposed to strengthen PSC or RC girder without any damage. Two types of anchorage elements were proposed and these elements were applied on six RC beams. Also, three types of existing anchorage elements were applied on three RC beams. Otherwise, any anchorage element was not applied on one RC beam to used as a control beam. To analyse behavior of these elements, static load tests were carried out. Test variables were anchorage shapes, prestressing level on the steel bar and tendon profiles. Deflections, strains and modes of failure were recorded to examine the strengthening effects of the beams. Ductility index and tendon stress were analyzed by comparing cracking load, yielding load and ultimate load. As a result, proposed anchorage elements using lifting hole were superior to existing anchorage elements in terms of strengthening effect and furthermore, they showed ductile behavior based on energy method.