• 제목/요약/키워드: p-center problem

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보험심사간호사의 직무만족도에 영향을 미치는 요인 (Analysis of Influencing Factors that Influence on the Job Satisfaction of Nurses involved in Medical Insurance Reviews)

  • 박정랑;정상혁;채유미
    • 보건행정학회지
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    • 제17권4호
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    • pp.82-98
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    • 2007
  • This study aimed to analyze the factors that influence the job satisfaction of nurses involved in medical insurance reviews. The study involved a self-administered questionnaire survey which was conducted with to 297 nurses who were in charge of medical insurance reviews between April 10 and April 28, 2000. The average job satisfaction of the subjects was 3.04. The sub-items of job satisfaction were noted to be high for 'professional status'(3.79) and low for wage (2.46). The job satisfaction of subjects showed statistically significant differences with regard to education, career, and volume of service(p<0.05). The average job stress of subjects was 2.57. The sub-items of job stress included problems pertaining to human relationships problem(2.84), conflicts with doctors at work (2.79), and the burden of excessive workloads(2.79), in that order. Multiple regression analysis demonstrated that job satisfaction was significantly low when the job stress was higher. It also showed that the job satisfaction was significantly high as there was more frequency of judgements and higher education. These results suggest that the job stress of nurses involved in medical insurance reviews has a profound impact on their job satisfaction. Therefore, the efforts should be made to reduce their job stress. It may also be beneficial to reinforce the training with the doctors and nurses in order to improve their communication skills. Disseminating more information about insurance standards may also be considered.

Heritability Estimated Using 50K SNPs Indicates Missing Heritability Problem in Holstein Breeding

  • Shin, Donghyun;Park, Kyoung-Do;Ka, Sojoeng;Kim, Heebal;Cho, Kwang-hyeon
    • Genomics & Informatics
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    • 제13권4호
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    • pp.146-151
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    • 2015
  • Previous studies in Holstein have shown 35% to 51.8% heritability in milk production traits, such as milk yield, fat, and protein, using pedigree data. Other studies in complex human traits could be captured by common single-nucleotide polymorphisms (SNPs), and their genetic variations, attributed to chromosomes, are in proportion to their length. Using genome-wide estimation and partitioning approaches, we analyzed three quantitative Holstein traits relevant to milk production in Korean Holstein data harvested from 462 individuals genotyped for 54,609 SNPs. For all three traits (milk yield, fat, and protein), we estimated a nominally significant (p = 0.1) proportion of variance explained by all SNPs on the Illumina BovineSNP50 Beadchip ($h^2_G$). These common SNPs explained approximately most of the narrow-sense heritability. Longer genomic regions tended to provide more phenotypic variation information, with a correlation of 0.46~0.53 between the estimate of variance explained by individual chromosomes and their physical length. These results suggested that polygenicity was ubiquitous for Holstein milk production traits. These results will expand our knowledge on recent animal breeding, such as genomic selection in Holstein.

액비 시비에 따른 포플러시험포 토양수 및 천층지하수 수질 영향 평가 (Impact Assessment of Liquid Manure Application on Soil and Shallow Groundwater in Poplar Experimental Site)

  • 홍은미;최진용;남원호;이상현;유승환
    • 한국농공학회논문집
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    • 제57권1호
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    • pp.25-35
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    • 2015
  • As livestock manure treatment is becoming a problem, manure application in forest plantation is recommended as an alternative. In this study, to investigate the impact due to liquid manure application in forest plantation, soil, soil water and shallow groundwater quality had been monitored in poplar experimental site where the liquid manure (LM) was applied. Water samples were collected weekly during growing season (April to October) from 2008 to 2011. From the monitoring results, phosphorus concentration in the soil and soil water had no significant difference between LM and control plots. $NO_3$-N concentration of soil water in LM, however, showed higher concentration (13.6 mg/l at 40 cm, 35.1 mg/l at 80 cm) than control plot (1.5 mg/l at 40 cm, 0.5 mg/l at 80 cm). In case of shallow groundwater quality, pH, heavy metal, etc. were satisfied to the national agricultural water quality standard of groundwater and there were no significant difference between upstream and downstream. The $NO_3$-N concentration of shallow groundwater was also not exceeded the national drinking water standard. However, $NO_3$-N concentration in soil water and downstream of shallow groundwater had increased in 2011 when non-composted LM was applied mostly in non-growing season of tree (September). From the results, it is important to control nitrogen source, application time and decomposed or not when LM is applied. In addition, to investigate nitrate source, further long-term monitoring and modelling could be necessary.

응급실 내원 아동에 대한 분석 (A study on the pedicatric accident)

  • 손인아
    • 한국보건간호학회지
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    • 제14권2호
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    • pp.332-341
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    • 2000
  • Children's accident is a largely preventable public health problem. Little is known. however, about population-based incident and outcome of pediatric accident. From 1997.9 through 1998,8. admission data from emergency center in I city were collected. 1418 patient from 0 through 13 years of age were selected. All children with unintensional accidental problems were identified through coded sheet which categorizes epidemiologic characteristics. The specific purposes of this study are analysis about the characteristics of pediatric accidents. And it aims to produce the basic data necessary for accident prevention policy development. The results of this study were as follows; 1. The number of male children$(62.6\%)$ were higher than female children$(37.4\%)$ 2. The age group from 1 to 3 years represents the highest proportion$(45.4\%)$ of every accidents except on traffic accident. 3. The highest proportion of accident were as follows occured during the June-August$(34\%)$, Sunday$(22.6\%)$, and 17-21 p.m. $(37.2\%)$ 4. The main causes of accident include general trauma$(70.9\%)$, environmental accident$(l6.8\%)$. and traffic accident$(l2.1\%)$, 5. Preschool age group represents more than half$(65.4\%)$ of traffic accident. 6. environmental injury includes burns $(46.6\%)$, foreign body$(43.6\%)$, exposure to poisonous materials$(6.3\%)$. and bite(3.3) This results could be used to develope prevention programs and assist in accident prevention system development. And also these data substantiate that accident prevention program decrease safety-related injury rate in preschool age group must be concentrated on enhancing access to a system to have a significant effect. Furthermore, it is necessary for accident prevention. So several suggestions are described here: 1. Development of parent's educational program for accident prevention and safety education should be done actively. 2. Home safety surveillance system should be initiated. 3. The initiation of children's accident report system could be contribute the analysis and the reduction of accident.

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SURFACE MICROGROOVES OF THIRTY MICROMETERS IN WIDTH ON TITANIUM SUBSTRATA ENHANCE PROLIFERATION AND ALTER GENE EXPRESSION OF CULTURED HUMAN GINGIVAL FIBROBLASTS

  • Lee, Suk-Won;Kim, Su-Yeon;Lee, Keun-Woo
    • 대한치과보철학회지
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    • 제45권6호
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    • pp.787-794
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    • 2007
  • Statement of problem. Surface microgrooves on Ti substrata have been shown to alter the expression of genes responsible for various biological activities of cultured fibroblasts. However, their effect on enhancing cell proliferation is not yet clear. Purpose. The purpose of this study was to determine the dimension of surface microgrooves on Ti substrata that enhances proliferation and alters gene expression of cultured human gingival fibroblasts. Material and methods. Commercially pure Ti discs with surface microgrooves of monotonous $3.5{\mu}m$ in depth and respective 15 and $30{\mu}m$ in width were fabricated using photolithography and used as the culture substrata in the two experimental groups in this study (TiD15 and TiD30), whereas the smooth Ti was used as the control substrata (smooth Ti group). Human gingival fibroblasts were cultured on the three groups of titanium substrata and the proliferation, DNA synthesis, and gene expression of theses cells were analyzed and compared between all groups using XTT assay, BrdU assay, and reverse transcriptase-polymerase chain reaction (RT-PCR), respectively. Results. From the XTT assay at 48 h incubation, the proliferation of human gingival fibroblasts in TiD30 was significantly enhanced compared to that in smooth Ti and TiD15. The results from the BrdU assay showed that, at 24 h incubation, the DNA synthesis was significantly enhanced in TiD30 compared to that in smooth Ti. In RT-PCR, increase in the expression of PCR transcripts of fibronectin, CDK6, $p21^{cip1}$ genes was noted at 48h incubation. Conclusion. Surface microgrooves $30{\mu}m$ in width and $3.5{\mu}m$ in depth on Ti substrata enhance proliferation and alter gene expression of cultured human gingival fibroblasts.

디젤엔진에 적용하기 위한 SiC DPF용 접합제의 극성 및 첨가물에 따른 물리적 특성 변화에 관한 연구 (Study on the Change of Physical Characteristics by Polarity and Additives of SiC DPF Binder for Diesel Engine Application)

  • 김진원;류영현
    • 해양환경안전학회지
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    • 제25권7호
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    • pp.974-981
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    • 2019
  • 미세먼지발생 문제는 커다란 사회적 문제로 대두되고 있다. 선박에서는 주 추진 동력원으로 디젤엔진을 주로 사용하고 있다. 본 연구에서는 디젤엔진에서 발생하는 미세먼지로 알려진 입자상 물질을 줄이기 위해서 디젤엔진의 후처리시스템으로 사용 중인 DPF(디젤미립자 필터, Diesel particulate filter)를 소개하고자 한다. DPF의 소재로는 Cordierite와 SiC (Silicon carbide)의 두 가지가 사용되고 있다. 본 논문에서는 SiC DPF에 사용되는 접합제의 물성 향상을 위해서 기존 접합제로 사용된 SiC 계열의 물질 대신 코디얼라이트를 사용하여 열팽창계수 변화를 통한 고온 변형에 대한 열 내구성을 평가하였으며, 접합제와 Segment 사이의 결합을 결정짓는 바탕제에 주성분인 실리카졸의 pH 변화에 따른 물성 변화를 확인하였다. 이를 기반으로 실리카 졸의 반응성을 높이기 위해 Siline계 커플링제를 첨가하거나 SiC를 일부 첨가함으로써 접합제의 물성 변화의 영향에 대해서 실험을 통하여 확인하였다.

아랍어권 학습자들에 의한 프랑스어 발음 오류의 유형 분류와 개선 방안: Younes의 논문을 중심으로 (Analysis of the typology of errors in French's pronunciation by Arabs and proposition for the phonetic correction: Based on the Younes's research paper)

  • 정일영
    • 비교문화연구
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    • 제27권
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    • pp.7-29
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    • 2012
  • This study was aimed to analyze - focusing on the thesis of Younes - the pronunciation error occuring mostly for Arabian speakers to learn French pronunciation for Arabians and to suggest the effective study plan to improve such errors and provide the effective studying method. The first part is on how the Arabic and French pronunciation system are distinguished, especially by comparing and analyzing the system of graphemes and phonemes, with which we focused on the fact that Arabian is a language centralized on consonants, while French is a verb-centered language. In the second part, we mainly discussed the cause and the types of errors occurring when Arabic speakers study French pronunciation. As of the category of mistakes, we separated them into consonants and verbs. We assumed the possible method which can be used in learning, focusing on /b/, /v/, /p/, /b/ - in case of non-verbs and consonants - and /y/, /ø/, - in case of verbs - which don't exist in Arabic pronunciation system. One of the troubles the professors in Arabian culture have in teaching French to native learners is how to solve the problem on a phonetic basis regarding speaking and reading ability, which belong to verbal skill, among the critical factors of foreign language education, which are listening, speaking, reading, and writing skills. In fact, the problems occuring in learning foreign language are had by not only Arabian learners but also general groups of people who learn the foreign language, the pronunciation system of which is distinctly distinguished from their mother tongue. The important fact professors should recognize regarding study of pronunciation is that they should encourage the learners to reach the acceptable level in proper communication rather than push them to have the same ability as the native speakers, Even though it cannot be said that the methods suggested in this study have absolute influence in reducing errors when learning French pronunciation system, I hope it can be at least a small help.

게이트심장혈액풀검사에서 딥러닝 기반 좌심실 영역 분할방법의 유용성 평가 (Evaluating Usefulness of Deep Learning Based Left Ventricle Segmentation in Cardiac Gated Blood Pool Scan)

  • 오주영;정의환;이주영;박훈희
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권2호
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    • pp.151-158
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    • 2022
  • The Cardiac Gated Blood Pool (GBP) scintigram, a nuclear medicine imaging, calculates the left ventricular Ejection Fraction (EF) by segmenting the left ventricle from the heart. However, in order to accurately segment the substructure of the heart, specialized knowledge of cardiac anatomy is required, and depending on the expert's processing, there may be a problem in which the left ventricular EF is calculated differently. In this study, using the DeepLabV3 architecture, GBP images were trained on 93 training data with a ResNet-50 backbone. Afterwards, the trained model was applied to 23 separate test sets of GBP to evaluate the reproducibility of the region of interest and left ventricular EF. Pixel accuracy, dice coefficient, and IoU for the region of interest were 99.32±0.20, 94.65±1.45, 89.89±2.62(%) at the diastolic phase, and 99.26±0.34, 90.16±4.19, and 82.33±6.69(%) at the systolic phase, respectively. Left ventricular EF was calculated to be an average of 60.37±7.32% in the ROI set by humans and 58.68±7.22% in the ROI set by the deep learning segmentation model. (p<0.05) The automated segmentation method using deep learning presented in this study similarly predicts the average human-set ROI and left ventricular EF when a random GBP image is an input. If the automatic segmentation method is developed and applied to the functional examination method that needs to set ROI in the field of cardiac scintigram in nuclear medicine in the future, it is expected to greatly contribute to improving the efficiency and accuracy of processing and analysis by nuclear medicine specialists.

미선나무 잎 추출물을 이용한 음료 개발 및 이화학적 특성 (Beverage Development using Abeliophyllum distichum Leaf Extract and Its Physicochemical Properties)

  • 이호진;권순영;정필문;김은아;이경행
    • 한국식품영양학회지
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    • 제36권2호
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    • pp.122-128
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    • 2023
  • A beverage was developed using the Abeliophyllum distichum leaf (AL). The beverage was prepared by adding it to apple juice by concentration, and physicochemical quality, antioxidant activities, and sensory evaluation were measured. Soluble solid and reducing sugar content of the control were 12.57 °Brix and 11.40%, respectively, and there was no difference from the group with addition of the AL extract. However, pH was slightly increased upon addition of AL extract. Lightness and yellowness increased when AL extract was added. Verbascoside content was not detected in the control, but it increased as the concentration of AL extract increased. The contents of ascorbic acid and flavonoids were 5.38 and 20.42 mg%, respectively, and there was no significant difference between the groups. However, the content of polyphenols increased as the concentration of the AL extract increased. DPPH radical and metal ion scavenging activity were increased by addition of the AL extract, but there was no difference in the ABTS radical scavenging activity. As a result of the sensory evaluation, there was no difference from the control even wihen the AL extract was added; thus, it was considered that there was no problem with the degree of acceptability when added within about 300 ppm.

어린이급식소용 밀키트 필요성 및 구매의도에 대한 인식 조사 - 창원 일부 지역의 어린이 급식담당자 대상 - (A Survey of Need and Purchase Intention for Meal Kits - For Children's Foodservice Managers in Changwon Areas -)

  • 김서진;박재희;문혜경
    • 대한영양사협회학술지
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    • 제29권3호
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    • pp.123-139
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    • 2023
  • In this study, a survey was conducted on the development of meal kits for children's foodservice to increase the convenience of the cooking process. It was performed among the foodservice managers in the 141 children's foodservice facilities registered in the Center for Children's Foodservice Management about meal-kits in Changwon areas. The survey results were analyzed according to the children's foodservice scale type. The biggest problem in a foodservice system was "difficult to purchase food ingredients directly every week" (38.4%) in small-scale children's foodservices, and "difficult to use the served menu without modification" (38.2%) in institutional children's foodservices (P<0.001). The most important factor when choosing the meal kit was "quality" (41.1%). Respondents on having an experience with using the meal kit were low at 34.8%, and the reasons for not using the meal kits were "expensive" (67.3%) and "not fresh food ingredients" (18.4%). The main reasons for not using children's foodservice meal kits were "expensiveness" (64.4%) and "necessity of adding disinfection process" (16.1%). Most of the reasons for not wanting to use children's foodservice meal kits were that they did not trust the safety of the meal kits. The use of meal kits in children's foodservices may reduce the preparation process and increase the efficiency of foodservice although the safety and quality of meal kits should be guaranteed. The appropriate hygiene management standards need to be set, and HACCP should be applied to develop meal kits for children's foodservices.