• 제목/요약/키워드: liberation

검색결과 533건 처리시간 0.029초

Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation

  • Jeong, Eun Suk;Lee, Kwangha
    • Acute and Critical Care
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    • 제33권4호
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    • pp.260-268
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    • 2018
  • Background: The purpose of this study was to evaluate the clinical application of modified Burns Wean Assessment Program (m-BWAP) scoring at first spontaneous breathing trial (SBT) as a predictor of successful liberation from mechanical ventilation (MV) in patients with endotracheal intubation. Methods: Patients requiring MV for more than 72 hours and undergoing more than one SBT in a medical intensive care unit (ICU) were prospectively enrolled over a 3-year period. The m-BWAP score at first SBT was obtained by a critical care nursing practitioner. Results: A total of 103 subjects were included in this study. Their median age was 69 years (range, 22 to 87 years) and 72 subjects (69.9%) were male. The median duration from admission to first SBT was 5 days (range, 3 to 26 days), and the rate of final successful liberation from MV was 84.5% (n=87). In the total group of patients, the successful liberation from MV group at first SBT (n=65) had significantly higher m-BWAP scores than did the unsuccessful group (median, 60; range, 43 to 80 vs. median, 53; range, 33 to 70; P<0.001). Also, the area under the m-BWAP curve for predicting successful liberation of MV was 0.748 (95% confidence interval, 0.650 to 0.847), while the cutoff value based on Youden's index was 53 (sensitivity, 76%; specificity, 64%). Conclusions: The present data show that the m-BWAP score represents a good predictor of weaning success in patients with an endotracheal tube in place at first SBT.

노인가구의 코호트별 다차원빈곤 분석 (Multidimensional Poverty Analysis of Elderly Households by Cohort)

  • 김순미;조경진
    • Human Ecology Research
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    • 제57권1호
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    • pp.51-71
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    • 2019
  • This study analyzed the poverty rate by poverty dimension, correlation between multidimensional poverty, variables that affected the number of poverty dimension and the probability of the poor or not. The sample consisted of 6,361 elderly households (1,561 baby boom birth cohort, 1,793 post-liberation birth cohort, 3,007 Japanese colonial period birth cohort) taken from the $12^{th}$ Korean Welfare Panel Study. First, the highest poverty rate among the baby boom birth cohort was 62.8% of employment poverty. The highest rate among the post-liberation birth cohort and Japanese colonial period birth cohort, was 82.5%, 92.3% of health poverty, respectively. Second, the highest coefficient in the baby boom birth cohort was .354 for asset poverty and relation poverty. In the remaining two cohorts, the coefficient for asset poverty and relation poverty was the highest at .268, .284, respectively. Third, the average number of poverty dimensions was 2.318 of the baby boom birth cohort, 2.921 of the post-liberation birth cohort, 3.564 of the poverty in the Japanese colonial period birth cohort. Also, the poverty rate for each cohort was 20.179%, 28.779%, and 50.083%, respectively. Fourth, the significant variables in all cohorts were gender, education, marital status, residence, and equalized ordinary income for the multiple regression analysis on the number of poverty dimensions. Additionally, age of the post-liberation birth cohort was significant, age and family numbers of the Japanese colonial period birth cohort were significant. Significant variables in logistic analysis on the probability of poverty or not were the same as those of regression analysis.

토픽 모델링을 이용한 해방기 아동상 연구 - 「어린이신문」을 중심으로 - (A Study on Children's Images during the Liberation Period Using Topic Modeling: With a focus on The Children's News)

  • 장석은;이혜은
    • 한국비블리아학회지
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    • 제33권3호
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    • pp.157-178
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    • 2022
  • 본 연구는 해방기에 간행된 아동신문인 「어린이신문」에 나타난 아동상을 탐색하는 데 목적이 있다. 이를 위해 현전하지 않는 제34호를 제외하고, 1945년 12월 1일의 창간호부터 1947년 12월 13일의 제86호를 대상으로 빈도 분석, 토픽 모델링, 시계열 분석을 수행하였다. 빈도 분석 결과 나라, 학교, 가정과 연관이 있는 키워드가 자주 나타났고, 토픽 모델링을 통해서는 '애국심을 가진 아동상', '과학적 소양을 지닌 아동상', '예술적 소양을 지닌 아동상', '사회적 존재로서의 아동상'이 도출되었다. 시계열 분석 결과 「어린이신문」이 발간된 해방 초기에는 애국 관련 토픽의 비중이 높았으나 과학, 예술과 같은 주제의 비율이 점차 높아지는 것을 볼 때, 아동상이 다양화되었다는 것을 확인할 수 있었다.

광복이후 한국 공공도서관사 연구 -일제하 공공도서관제도의 영향을 중심으로- (A Study of the History of Korean Public Library after the Korean Liberation Day - An Emphasis on the influence of public Libraries System under the Japanese Imperialism-)

  • 김포옥
    • 한국문헌정보학회지
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    • 제20권
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    • pp.65-125
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    • 1991
  • The study has tried to analize and appraise how did public library system under the Japanese imperialism affect the establishment and managemant of Korean public libraries. To achieve the purpose of the above-mentioned study, the contents of $\ulcorner$Japanese library statute$\lrcorner$ under Japanese imperialism and the current $\ulcorner$Korean library law$\lrcorner$ have been mutually compared, at the same time, the vestiage of Japanese imperialism in view of the establishment, personnel administration and reading systems have been concretely investigated, analyzed and compared. The conclusions obtained from the above are as followings. 1. In those days of the Korean Liberation, the situation of Korean public libraries was such as it under the Japanese rule and so, their names were only changed. However, as a part of its independent activities, the national library have once carried out the various programs such as the training of professional librarians, the establishment of the new classification schedule and the chief Librarian and deputy Librarian from the professional librarians in the office regulations, and they were well worth being the good examples for today's Korean library circle. Though the Goverment of the Republic of Korea had been formally established, the situation of the library circle was very dull owing to the Korean war for a long time. In 1963, $\ulcorner$The Korean library law$\lrcorner$ was promulgated, but the establishment of public libraries did not give satisfactory results because of the institutional fragility. In the 1980's the importance of library was embossed from the viewpoint of life-long education and the number of libraries was increased. However, there were still the remaining vestiges of Japanese library system in the practical library services. 2. After the Korean Liberation, the influnces of public library system under the Japanese imperialism showed in the office regulation of national library and the Korea library Law were also in the legal mechanism. In particular, the regulations of $\ulcorner$The staff-member of public library$\lrcorner$ and $\ulcorner$Admission fee of public library$\lrcorner$ including the chief librarian have referred to the library system under the Japanese imperialism since the liberation day to date. 3. At that time of the Korean Liberation, the U.S.Military Government Office had decided that the public library administration should be attached to the administration of local and internal affairs in accordance with the Japanese administative system. As a result, the public libraries had been forced to be indirectly affected by public library system under the Japanese imperialism for twenty years since the Liberation. 4. Since the Liberation, the personnel adminstration of public library has been so far on the steps of model under the Japanese imperialism. As the result of the field survey, the position standards of local chief librarians, non-professional character, the extra post system and the preponderant appointment of non-professional offices have analyzed by the influence of Public library system under the Japanese imperialism. Therefore, the Government authorities-concerned must readjust the standards of qualification and the divided duties corresponding to the position of public library staff members and to stipulate expressly in the revised library law. In addition, the regulation of the admission fee should be also actively detected for the free adminssion of library users. 5. Since the Liberation Day, the reading methods of public library have been so far similar to reading method under the Japaness imperialism. For example, the admission fee levied, the complicated procedures of using books including entrance and exit of a library, no-admission system, the limited lending books, the deposit system of outdoor lending books and the surety liable jointly and severally are originally caused by bureaucracy of under the Japanese imperialism. Therefore, the public libraries should make an offer space and opportunities which can enjoy freedom to the gull in future. The procedures and standards of library users will be simplified, if possible. As the above-mentioned, the actual conditions of Korean public libraries have been examined and analyzed. As the result of it, there are still the remaining vestiges of public library system under the Japanese imperialism in the establishment and management of the nation-wide public libraries. Such the remnants are an obstacle to the democratic development of public libraries and so, the authorities-concerned should take the proper-measures as soon as possible.

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고혈압 환자의 복약순응행위 변화단계에 영향을 미치는 요인 (Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension)

  • 변영순;김순옥;조정현
    • 지역사회간호학회지
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    • 제23권2호
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    • pp.189-200
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    • 2012
  • Purpose: The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension. Methods: Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered. Results: Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence. Conclusion: The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Biphasic system에 의한 생난황으로부터 시알산 함유 올리고당의 제조 (Preparation of Sialyloligosaccharide from Raw Egg Yolk in Biphasic System)

  • 김상진;임한진;안병용;최동성
    • KSBB Journal
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    • 제15권1호
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    • pp.55-59
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    • 2000
  • 생난황으로부터 시알산 함유 올리고당을 직접 생산하기 위한 biphasic system(water-immiscible hexane system)의 최적 조건을 조사하였다. Biphasic system I은 II보다 생산수율이 높았으며, 온도, 함수율 및 반응 시간의 최적조건은 각각 $30^{\circ}C$, 20%, 12시간이었다. Biphasic system I 에서, 난황을 가수분해하기 위한 3종류의 효소(protease A, corolase 7089, neutrase 0.5L)의 활성은 함수율과 온도에 강하게 영향을 받았으나, biphasic system II에서는 온도($30^{\circ}C$$50^{\circ}C$)의 영향을 거의 받지 않았다. 두 종류의 biphasic system에서 반응시간 12시간까지는 시알산 함유 올리고당의 생산량이 증가되었으나, 15시간 이후에는 거의 증가하지 않았다.

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MicroRNA-146a Enhances Helicobacter pylori Induced Cell Apoptosis in Human Gastric Cancer Epithelial Cells

  • Wu, Kai;Yang, Liu;Li, Cong;Zhu, Chao-Hui;Wang, Xin;Yao, Yi;Jia, Yu-Jie
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5583-5586
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    • 2014
  • Helicobacter pylori (H. pylori) infection induces apoptosis in gastric epithelial cells, and this occurrence may link to gastric carcinogenesis. However, the regulatory mechanism of H. pylori-induced apoptosis is not clear. MicroRNA-146a has been implicated as a key regulator of the immune system. This report describes our discovery of molecular mechanisms of microRNA-146a regulation of apoptosis in human gastric cancer cells. We found that overexpression of microRNA-146a by transfecting microRNA-146a mimics could significantly enhance apoptosis, and this upregulation was triggered by COX-2 inhibition. Furthermore, we found that microRNA-146a density was positively correlated with apoptosis rates in H. pylori-positive gastric cancer tissues and intratumoral microRNA-146a density was negatively correlated with lymph node metastasis among H. pylori-positive gastric cancer patients. Understanding the important roles of microRNA-146a in regulating cell apoptosis in H. pylori infected human gastric cancer cells will contribute to the development of microRNA targeted therapy in the future.

An Efficient Service Function Chains Orchestration Algorithm for Mobile Edge Computing

  • Wang, Xiulei;Xu, Bo;Jin, Fenglin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제15권12호
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    • pp.4364-4384
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    • 2021
  • The dynamic network state and the mobility of the terminals make the service function chain (SFC) orchestration mechanisms based on static and deterministic assumptions hard to be applied in SDN/NFV mobile edge computing networks. Designing dynamic and online SFC orchestration mechanism can greatly improve the execution efficiency of compute-intensive and resource-hungry applications in mobile edge computing networks. In order to increase the overall profit of service provider and reduce the resource cost, the system running time is divided into a sequence of time slots and a dynamic orchestration scheme based on an improved column generation algorithm is proposed in each slot. Firstly, the SFC dynamic orchestration problem is formulated as an integer linear programming (ILP) model based on layered graph. Then, in order to reduce the computation costs, a column generation model is used to simplify the ILP model. Finally, a two-stage heuristic algorithm based on greedy strategy is proposed. Four metrics are defined and the performance of the proposed algorithm is evaluated based on simulation. The results show that our proposal significantly provides more than 30% reduction of run time and about 12% improvement in service deployment success ratio compared to the Viterbi algorithm based mechanism.

아드와이따 베단따와 인간의 목표 (Human Goal in Advaita Vedānta)

  • 박효영
    • 철학연구
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    • 제130권
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    • pp.109-134
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    • 2014
  • 아드와이따 베단따(이하, '베단따'로 줄여 부름)에서 인간은 윤회와 고통이라는 비관적인 출발점을 가지지만 자기 자신을 초극함으로써 완전자가 되는 것을 목표로 삼는다. '해탈'이라고 불리는 이 인간의 목표는 그것을 이루기 위한 여러 수단들과 함께 베단따에서 유일하게 가치 있는 것으로 받아들여진다. 이에 따라 자신의 본질인 아뜨만을 인식하는 해탈의 과정에는 자기의 가치에 대한 자기 인식이 포함될 수밖에 없다. 아뜨만은 '존재, 의식, 환희'(있음, 비춤, 좋음)라고 정의되는데, 아뜨만이 존재론적, 인식론적, 가치론적으로 최종적인 토대이자 원천이라는 점을 밝히고자 하는 데 그 목적이 있다. 그러나 인간의 목표와 관련된 베단따의 입장은 고정된 인간의 본성, 추상화되고 관념화된 세계의 우위, 내부 세계에 대한 관심의 과잉 등과 같은 여러 한계점을 보이기도 한다. 결국 인간의 목표에서 긍정적으로 평가할 수 있는 것은 자기 탐구의 과정이 주는 가치이다. 자기 탐구란 가장 현실적인 결과를 낳는 베단따의 각본을 주어진 것으로 받아들이고 나서 자기 자신이 지속적으로 그 각본을 자기 경험에서 실행하고 검증하는 과정이다. 이 과정에서, 세속적 삶을 버리고 탈속적 삶으로 행위의 중심을 이동하는 것이 '자기 조정'이고, 참된 자아에 대한 지식을 통해 자아의 과잉을 덜어내는 것이 '자아의 단순화'이며, 그 단순화의 끝에 최종적 자아 자체로 머무는 것이 해탈이다. 따라서 인간의 목표를 향한 베단따의 탐구는 '참된 행위=자기 조정 ${\rightarrow}$ 참된 지식=자아의 단순화 ${\rightarrow}$ 해탈=최종적 자아'라는 틀로 정리될 수 있다.

'비서구 저항담론'으로서의 세제르(A. Césaire)의 탈식민주의 비평, 그 가능성과 한계: 화자(話者), 언어(言語), 대항담론(對抗談論)의 측면에서 (Aimé Césaire's postcolonial thought as a 'Non-Western resistance discourse': In terms of speaker, language and counter-discourse)

  • 최일성
    • 비교문화연구
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    • 제51권
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    • pp.161-191
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    • 2018
  • 20세기 들어 서구중심적 보편주의에 직접적으로 의문을 제기한 지적 흐름은 이른바 '탈식민주의(Postcolonialisme)이다. 지금까지 제시된 탈식민주의 비평의 주요 성과 가운데 하나는 피식민사회의 정치적 해방이 해당 사회의 경제, 사회, 문화 등의 해방을 담보하지 못하고, 따라서 서구사회의 해방담론- 특히 맑스주의, 민족주의, 여성주의, 해체주의 등이 주창해온 -이 비서구사회에 직접적으로 적용될 수 없다는 사실이다. 이로 인해 서구사회와 비서구사회는 안타깝게도 서로 다른 미래와 해방을 꿈꾸고 있으며, 따라서 이들 사이에 소위 '지정학적 대화'가 요구된다는 당위성이 노출되었다. 그러나 탈식민적 해방을 위한 이론가들의 노력은 여러 서구중심적인 전통들과 결별하지 못한 채, 혹은 그것들과 연대하면서, 자신들의 세력권을 구축해온 것도 사실- 그 성과를 폄훼하는 것은 아니지만 -이다. 주지하다시피 탈식민주의 비평의 상당수는, 특히 탈식민주의를 주창하거나 제안하는 '화자(話者)' 혹은 '정체성'의 측면에서, 그러한 탈식민주의 이데올로기를 담아내거나 표출하는 '언어(言語)'의 측면에서 그리고 식민적 폐해를 고발함과 동시에 탈식민적 미래를 모색하기 위해 동원하였던 '대항담론(對抗談論)'의 측면에서 어떻게든 서구와의 연을 이어갔다. 본 연구는 피식민사회의 해방을 제안한 여러 탈식민주의 비평들 가운데 이른바 '네그리튀드($N{\acute{e}}gritude$)'운동의 아버지라 불리는 에메 세제르($Aim{\acute{e}}$ $C{\acute{e}}saire$)의 탈식민주의 정치사상을 중심으로 다시 읽기를 추진해볼 것이다. 그것은 세제르의 탈식민주의 정치사상을 '화자', '언어' 그리고 '대항담론'이라는 세 가지 앵글을 통해서 이론적으로 되짚어보는 과정을 의미한다. 이 과정을 통해 세제르와 그의 정치사상을 새롭게 성찰해 볼 수 있는 계기가 되기를 희망해본다.