• Title/Summary/Keyword: choice difficulty

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A Qualitative Study of Physicians' Use of Clinical Information Resources and Barriers (임상의사의 진료목적 정보원 이용과 장애요인에 관한 질적 연구)

  • Kim, Soon;Chung, EunKyung
    • Journal of the Korean Society for Library and Information Science
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    • v.50 no.4
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    • pp.55-75
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    • 2016
  • We analyzed the characteristics of the physicians preferred information sources and barriers through in-depth interviews. Information searches for patient treatment were subdivided into deciding patient treatment methods, understanding the latest treatment trends, and preparing presentation materials for conferences. The variables that affected the search behaviors were identified as being background knowledge on the topic, clinical experience, job title, search skills, user training, and familiarity with the library homepage. PubMed was the most preferred choice because of users' familiarity, reliability, and the vastness of information; Google was also used frequently for easy access and fast search result. The accuracy and the recentness of information were the most significant criteria. Easy interface and convenient access were also considered important due to physicians' time constraints. Searching obstacles were divided into difficulty of searching system, unfamiliar term, too vast resources, difficulty to get fulltext articles and complex advanced search features. The results of this study can be utilized as a basis for improving information service of library and curriculum development for physicians.

A Case of Respiratory Difficulty Due to Congenital Tracheal Calcification and Nasal Pyriform Aperture Stenosis (선천성 기관 석회화와 조롱박 구멍 협착 (Nasal Pyriform Aperture Stenosis)에 의한 호흡 곤란증 1례)

  • Kim, Kyu Tae;Kim, Young Mi;Park, Su Eun;Park, Jae Hong;Noh, Hawn Jung;Kim, Hak Jin
    • Clinical and Experimental Pediatrics
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    • v.45 no.5
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    • pp.669-672
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    • 2002
  • Nasal obstruction is a cause of respiratory distress in newborns. The congenital nasal airway obstructive abnormalities are classified into three forms according to the location: posterior choanal atresia, nasal cavity stenosis and congenital nasal pyriform aperture stenosis(CNPAS). CNPAS is located at the anterior part of the nasal fossa. CT is the study of choice to make the diagnosis of CNPAS and rule out other causes of nasal obstruction. Though conservative management of CNPAS is recommended, in cases of severe CNPAS surgical treatment should be considered. Calcification of cartilage in the larynx, trachea and bronchi is extremely rare in children. Such calcifications are generally discovered in young children with congenital stridor. The clinical course is favorable. No case with CNPAS and tracheal calcification is reported in newborn. We report a one-day-old girl with CNPAS and tracheal calcification who presented with respiratory difficulty immediately after birth.

A report on the clinical efficacy of Daejo-hwan(DJH) about the dryness of vagina and sexual satisfaction in climacteric women (갱년기 여성의 질 건조증과 성만족도에 미치는 대조환(大造丸)의 임상효과 보고)

  • Kim, Eui-Il;Sin, Yong-Wan;Yoo, Dong-Youl;Lee, Jung-Eun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.3
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    • pp.203-214
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    • 2005
  • Purpose : To assess the clinical efficacy of DJH on the dryness of vagina and difficulty in sexual intercourse in climacteric women. Methods : 7 climacteric women who are suffering from the dryness of vagina and sexual problems received DJH: 2 pills(4g) a time, three times a day for a total 8 weeks as maintenance therapy. We evaluated ultrasonography, BMD, blood test, urine analysis, female hormone test and questionnaire, Kupperman's index plus two questions about urogenital and sexual problems in before as well as after 8 weeks of treatment. Results : The results are as follows; 1. DJH reduced climacteric symptoms.(Kupperman's index from 61.4 to 30.2 points) 2. DJH was very effective to dryness of vagina and difficulty in sexual life caused by deficiency of estrogen. 3. The affirmative efficacy of DJH improved sexual satisfaction in consequence. Conclusion : The DJH showed positive effects on improving, not only the climacteric symptoms, but also the sexual satisfaction. It shows that DJH may represent a satisfactory therapeutic choice for those climacteric women with the urogenital tract disturbances and sexual problems.

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The effect on purchasing intention of Hotel Brand-image and Choice-attribution (호텔 브랜드이미지와 선택속성이 구매의도에 미치는 영향에 관한 연구)

  • Lee, Ji-Yeong;Kim, Tae-Jin
    • Journal of Applied Tourism Food and Beverage Management and Research
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    • v.16 no.1
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    • pp.43-69
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    • 2005
  • Generally, brand is the title for discriminating their own goods and service from other competitive company, brand-image means customer's good and bad affection or loyalty the brand of specific company. Customers often choose the goods according to the value of goods brand. In terms of this viewpoint, the value of company's brand is very important factor to the company's success. Brand-image also effects customers on selling company's goods. Specially, to the hotel business that should ensure lots of customer for a long period with the interest and credit of customers, its brand-image is more significant. What the image is looked upon as a important factor in marketing is due to the difficulty of discrimination against goods standardized in price and quality. Therefore, the company's image acts as a more important marketing factor in the high industrial society. Also it means a lot to the customer's purchasing behavior. When the company's brand-image is recognized or discriminated, customer's memory is longer and customer's reliability is raised than other company's advertisement and public information. Nowadays, most of hotels are perceiving the importance on their own brand-image but in the lack of deep study and systematic strategy in reality. The purpose of this study is to research the effect on customer's purchasing intention of hotel brand-image and choice-attribution. The empirical research has been done from 23April, 2004 to 20May, 2004. Data were collected from general customers who are using hotel located in Taegu. In conclusion, hotel brand-image depends highly on, the service quality of hotel staff and reputation of hotel. Besides, this acts on customer's hotel choice decisively.

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A method for designing viewer-specific EPG configurations and its supporting environment for dynamically implementing the EPG configurations (시청자 그룹별 EPG 형상 설계 방법과 이를 지원하는 EPG 형상의 동적 구현 환경)

  • Ko, Kwang-Il
    • Journal of Digital Contents Society
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    • v.12 no.4
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    • pp.409-415
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    • 2011
  • TV broadcasting platform is evolving to the digital-TV, which is supporting data broadcasting service. Although the data broadcasting services (i.e., games, wether information, stock trading service) provide rich entertainment to viewers, they make the operation manners of digital-TV so complex that some viewers feel difficulty in using their TV sets. The paper tackles the problem by devising a method for constructing viewer-specific EPG configurations based on the viewers' ability of handling IT devices. The paper also propose an environment (e.g., EPG configuration transmitting method, EPG structure) that implements dynamically an EPG configuration based on the viewer's choice of EPG configuration.

Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage

  • Park, Su Han;Choi, Woo Young;Son, Kyung Min;Cheon, Ji Seon;Yang, Jeong Yeol
    • Archives of Craniofacial Surgery
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    • v.16 no.3
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    • pp.143-146
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    • 2015
  • In this report, we present a scalp defect reconstruction with lateral arm free flap. We highlight the difficulty in obtaining a recipient vein and the venous drainage managed through an open end of the donor vein. A 52-year-old woman presented with a pressure sore on the left scalp. A lateral arm free flap was transferred to cover this $8{\times}6cm$ defect. The arterial anastomosis was successful, but no recipient vein could be identified within the wound bed. Instead, we used a donor venous end for the direct open venous drainage. In order to keep this exposed venous end patent, we applied heparin-soaked gauze dressing to the wound. Also, the vein end was mechanically dilated and irrigated with heparin solution at two hour intervals. Along with fluid management and blood transfusion, this management was continued for the five days after the operation. The flap survived well without any complication. Through this case, we were able to demonstrate that venous congestion can be avoided by drainage of the venous blood through an open vessel without the use of leeches.

An Investigation on Strategic Choice and Utilization of Information Systems Outsourcing (정보(情報)시스템 Outsourcing의 전략적(戰略的) 선택(選擇) 및 활용(活用)에 관한 연구(硏究))

  • Moon, Tae-Soo;Han, Kyong-Soo
    • Asia pacific journal of information systems
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    • v.7 no.3
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    • pp.39-59
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    • 1997
  • This study presents the growth strategy of outsourcing service by finding out the differences of importance between user firms and system integration(SI) firms in Korean outsourcing business, The result of data analysis reveals that there are siginificant differences between user firms and SI firms in some components of information systems(IS) outsourcing services. User firms regarded integation of distributea data centers as the prominent issue of IS environment changes. Meanwhile, SI firms chose management of IS/VAN center, office automation(OA), and management of global network, as the more important issues in the application area of outsourcing. Among the merits of outsourcing, both of them considered cost reduction and IS flexibility as the most important factors, However, they chose the difficulty of management control and the lack of operation knowledge among the demerits of outsourcing, Also, they commonly selected overall IS consulting among the components of outsourcing diffusion. In the question of future outsourcing services, user firms chose the adoption of client/server architecture, while SI firms selected the application of multimedia. These results show that there are some differences of preference between user firms and SI firms. Most of user firms consider the outsourcing to maximize information utilization, while the service suppliers focus on new IT adoption and its application to organization. For the strategic use of outsourcing services, SI firms are required to establish the diffusion strategy to meet the outsourcing needs of user firms.

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Correlation between critical thinking disposition and self-efficacy in dental hygiene students (일부 치위생 전공 대학생의 비판적 사고 성향과 자기 효능감과의 관련성)

  • Kim, Young-Im
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.401-407
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    • 2016
  • Objectives: The purpose of the study was to investigate the correlation between critical thinking disposition and self-efficacy in dental hygiene students. Methods: This is a cross-sectional study. A self-reported questionnaire was completed by 486 dental hygiene students in for colleges Jellabukdo from March to June, 2016. The study instrument included general characteristics of the subjects, critical thinking disposition, and self-efficacy. The instrument for critical thinking disposition was adapted from Yoon and consisted of intellectual zeal/curiosity, prudence, self-confidence, systemicity, intellectual impartiality, sound skepticism, and objectivity. Each question was measured by Likert 5 point scale. Cronbach's alpha was 0.73 in the study. The instrument for self-efficacy was adapted from Kim and consisted of self-efficacy confidence, self-regulation efficacy, and task difficulty choice using Likert 5 point scale. Cronbach's alpha was 0.73 in the study. Results: The correlation between critical thinking disposition and details of each area showed a strong correlation. The strongest positive correlation in passion was 0.721 for curiosity and critical thinking disposition overall(p<0.01). Conclusions: It is necessary to develop the program for critical thinking disposition and self-efficacy in the dental hygiene students.

A Study on the Photolytic and Photocatalytic Oxidation of VOCs in Air (대기 중 휘발성 유기화합물의 광산화 공정 및 광촉매산화 공정의 처리효율 비교)

  • 서정민;정창훈;최금찬
    • Journal of Korean Society for Atmospheric Environment
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    • v.18 no.2
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    • pp.139-148
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    • 2002
  • Both UV Photolysis and Phtocatalytic Oxidation Processing are an emerging technology for the abatemant of Volatile Organic Compounds (VOCs) in atmospheric -pressure air streams. However, each process has some drawbacks of their own. The former is little known as an application for air pollution treatment, so it has been a rare choice in the field. Therefore we have to do more experiment and study for its application for treatment of VOCs. Although the latter has been used in the industrial fields, it still has a difficulty in decomposing high concentrations of VOCs. To solute these problems, we have been studying simultaneous application of those two technologies. We have studied the effects of background gas composition and gas temperature on the decomposition chemistry. It has shown that concentration of TCE and B.T.X., diameter of reactor, and wavelength of lamp have effects on decomposition efficiency. When using Photolysis Process only, the rates of fractional conversion of each material are found at TCE 79%, Benzene 65%, Toluene 68%, Xylene 76%. In case of Photocatalytic Oxidation Process only, the rates of fractional conversion decreased drastically above 30 ppm. When there two methods were combined, the rates of fractional conversion of each material are enhanced such as TCE 93%, Benzene 75%, Toluene 81%, Xylene 90%. Therefore, we conclude that the combination of Photolysis-Photocatalytic Oxidation process is more efficient than each individual process.

Topological optimization procedure considering nonlinear material behavior for reinforced concrete designs

  • Franca, Marcela Bruna Braga;Greco, Marcelo;Lanes, Ricardo Morais;Almeida, Valerio Silva
    • Computers and Concrete
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    • v.17 no.1
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    • pp.141-156
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    • 2016
  • The search for new structural systems capable of associating performance and safety requires deeper knowledge regarding the mechanical behavior of structures subject to different loading conditions. The Strut-and-Tie Model is commonly used to structurally designing some reinforced concrete elements and for the regions where geometrical modifications and stress concentrations are observed, called "regions D". This method allows a better structural behavior representation for strength mechanisms in the concrete structures. Nonetheless, the topological model choice depends on the designer's experience regarding compatibility between internal flux of loads, geometry and boundary/initial conditions. Thus, there is some difficulty in its applications, once the model conception presents some uncertainty. In this context, the present work aims to apply the Strut-and-Tie Model to nonlinear structural elements together with a topological optimization method. The topological optimization method adopted considers the progressive stiffness reduction of finite elements with low stress values. The analyses performed could help the structural designer to better understand structural conceptions, guaranteeing the safety and the reliability in the solution of complex problems involving structural concrete.