• Title/Summary/Keyword: refusal

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Clinical Experience of Head-Injured Patients in the Rural Area (농촌지역에서의 두부외상 환자의 임상경험)

  • Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1050-1054
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    • 2000
  • Objective : The incidence of head injury has been increasing in the rural area. The author investigated the clinical features and difficulties in care of the acute head-injured patients in this area. Method and Material : The authors performed a retrospective review of radiological data and clinical records in patients with mild to moderate head injury. Cause, type of craniocerebral injury, delayed intracranial lesions, complications, its relation to alcohol abuse, and outcome were analyzed. Results : In total of 68 cases, 20(29.4%) victims were associated with acute alcohol intoxication. Motor vehicle accident was the leading cause of head injury and the most common craniocerebral lesion was basilar skull fracture. Eight(11.8%) patients showed delayed radiological and clinical deterioration and 40(58.8%) were followed-up regularly after discharge. The subdural hygroma was commonly noted in the elderly and alcoholics. Causes of thirty events that resulted in an atypical and difficult neurosurgical practice were as follows : delayed admission, premature discharge against doctor's request, refusal of radiological studies and admission, misunderstanding of disease entity, and unreasonable desire of transfer to tertiary hospitals. Inaccurate initial diagnoses were made by emergency doctors in twenty patients. During the course of treatment, there were a few complications such as alcohol withdrawal, acute otitis media, cerebrospinal fistula, facial weakness, and posttraumatic seizure. Outcome was good in 60(88.2%) patients. Conclusion : Most of minor head trauma patients in this series have shown good results, but we have to consider some possible complications and delayed intracranial lesions in these patients that should be managed with special cautions with various kinds of treatment difficulties.

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A Study on the Main Contents of the Uniform Customs and Practice for Documentary Credits, 2007 Revision, ICC Publication No. 600(UCP 600) (제6차 개정 신용장통일규칙(UCP 600)의 주요 내용에 관한 연구)

  • Park, Suk-Jae
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.33
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    • pp.63-89
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    • 2007
  • The UCP is an authoritative compilation of the customs and practice of letters of credit observed by most of the participants in the transaction. It remains the most successful set of private rules for trade ever developed. First issued in 1933, the UCP has been through five revisions, the latest being the present UCP 500, which came into force in 1994. Since 1994, new developments in transport, insurance, electronic commerce and banking industry have spurred the current revision of the rules. The ICC Banking Commission approved UCP 600 on October 25, 2006 by a unanimous vote of 91 to 0. The revision, which will come into effect on July 1, 2007, incorporates a number of changes from UCP 500 as follows : UCP 600 has a leaner set of rules, with 39 articles rather than 49 articles of UCP 500; New sections on "definitions" and "interpretations" have been added to clarify the meaning of ambiguous terms; The phrase "reasonable time" for acceptance or refusal of documents has been replaced by a firm period of five banking days; UCP 600 allows for the discounting of deferred payment credits. However, UCP 600 has two main problems such as the inconsistency with insurance industry and the banking community-oriented rules. We have some months before the commencement of UCP 600. From today to the commencement of UCP 600, we should study the full contents of UCP 600 and the influences on the trade industry.

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A Case Report of Problem Behavior in Adult with Severe Intellectual Disability Treated with the Korean Herbal Medicine Yokukan-san-gami (Yigan-san-jiawei) (성인 중증 지적장애에서의 문제행동에 대한 억간산가미(抑肝散加味) 치험 1례 보고)

  • Choi, Eun-ji;Suh, Hyo-weon;Chung, Sun Yong;Kim, Jong Woo
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.4
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    • pp.341-347
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    • 2017
  • This case report presents a 31-year-old male intellectual disability patient with problem behavior such as food refusal and temper tantrums. He was treated with the Korean traditional herbal medicine (Yokukan-san-gami) continuously for 56 days. The effects of the treatment were measured by the frequency of his problem behavior and the score of the Korean version of Aberrant Behavior Checklist (ABC). After treatment, his challenging behavior became reduced, and his ABC score had been decreased by 24.6%. The findings from this case suggest that the Korean traditional herbal medicine (Yokukan-san) could be effective for challenging behavior in patients with intellectual disabilities.

Factors Influencing the Drinking Behavior of Chronic Liver Disease (만성 간 질환자의 음주행위에 영향을 미치는 요인)

  • Kim, Tae-Kyung;Min, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.261-273
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    • 2013
  • The purpose of this study is a chronic liver disease that affects the drinking behavior is to identify the factors. The subjects of the study was diagnosed with chronic liver disease outpatient visit were studied in 120 patients. The collected data were analyzed by using SPSS WIN 18.0. Drinking behavior of chronic liver disease to determine the factors influencing the results of the multiple regression analysis, the regression model was found to be significant(F=8.58, p<.001), drinking behavior of chronic liver disease a major contributor to the drinking habits(${\beta}$ = -.29, p = .004)was found in, followed by drinking motives(${\beta}$ = .20, p = .044), drinking refusal self-efficacy(${\beta}$ = -.17, p = .037), after which the diagnosis of the disease(${\beta}$ = .15, p = .041), respectively. These variables showed explanatory power of 44.1%. Drinking behavior is a serious health problem in patients with chronic liver disease. The factors that influence drinking behavior by considering the management of chronic liver disease drinking continued to provide information and education is needed abstinence.

NUTRITIVE VALUE OF GUINEA GRASS (Panicum maximum Jacq.) AND UREA SUPPLEMENTED RICE STRAW FOR CATTLE

  • Peiris, H.;Ibrahim, M.N.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.8 no.1
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    • pp.83-88
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    • 1995
  • An experiment was conducted to study the comparative performance of cattle fed young or mature guinea grass (Panicum maximum Jacq. ecotype A) and urea supplemented rice straw. Evaluation was based on intake and digestibility parameters. Twelve crossbred bulls calves weighing $90{\pm}15$ kg were offered young (4 weeks regrowth) or mature (9 weeks regrowth) grass in the long or chopped (10-15 cm) form, and rice straw supplemented with urea. The diets were offered 30-60% in excess of voluntary intake, and the experiment consisted of two periods. The crude protein content of the young grass, mature grass and the straw offered were 12.2, 5.4 and 7.7%, respectively, and the refusal was 10.1, 3.9 and 7.0%, respectively. The organic matter digestibility of the young grass (69%) was significantly higher than the mature grass (62.5%) and straw (55.8%) diets. The organic matter intake (kg/100 kg LW/day) of the unchopped and chopped grass diets were 2.6 and 3.3 respectively, and these values were significantly higher (p < 0.01) than the young grass (2.3) and straw (2.1) diets. The digestible organic matter intake (DOMI) of the mature grass diet offered in the chopped form (2.1 kg/100 kg LW/day) was significantly higher (p < 0.01) than the other three diets. The DOMI of the young and mature grass offered in the long form was similar (1.6 kg/100 kg LW/day), but were significantly better (p < 0.01) than the urea supplemented straw diet.

A Study on Agent Communication Languages for Computational Logic - based Agents (계산논리 기반 에이전트를 위한 에이전트 통신언어에 관한 연구)

  • 이명진;한현관
    • Journal of the Korea Computer Industry Society
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    • v.5 no.3
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    • pp.363-370
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    • 2004
  • The FIPA community is developing a range of agent-related standards, of which the centerpiece is an Agent Communication Language (ACL). This language includes a number of communicative acts explicitly intended to support negotiation. In this paper, we consider a multi-agent environment that exchanges the resources for achieving agents' goals, represent agents as computational logic-based formalizations, and describe a simple ACL for negotiation using logic-based agents. In particular, we introduce and compare some communication acts that enable counter-agents to know the reason of request(proposal) or the reason of rejection(refusal).

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A Brief Study on ICC's Uniform Rules for Forfaiting Adopted in 2012 (2012년 제정 ICC 포페이팅통일규칙(URF)에 관한 소고)

  • Heo, Hai Kwan
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.58
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    • pp.149-177
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    • 2013
  • This article introduces and briefly examines the Uniform Rules for Forfaiting (URF)(ICC Publication No. 800), which were prepared by a joint project of the Banking Commission of the International Chamber of Commerce (ICC) and the International Forfaiting Association (IFA), and became effective on January 1, 2013. Forfaiting is a kind of trade financing technic performed by way of a sale and purchase of payment claim between its seller and its buyer, the forfaiter, on a without recourse basis. URF is designed to facilitate global trade finance and embraces all the international payment instruments which are currently used and will be newly developed in the future. URF is expected to be a set of standardized terms and conditions for both the primary and secondary forfaiting markets. In this context, this article first looks into the concept of the forfaiting and certain features and structure of forfaiting transactions. Then this article moves to discussing URF itself. For this it examines (i) the nature and scope of URF and some important definitions provided in URF, (ii) some provisions of URF that apply to the delivery of documents to the forfaiter, the examination, and the acceptance or refusal, of such documents by the forfaiter, and (iii) the payment of purchase price by the forfaiter to its seller, including the matter of "payment under reserve" and repurchase by the seller from the forfaiter. Finally, this article examines liabilities of the parties concerned, before conclusion.

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Mona Hatoum, Artist in Residence: A Nomad's Relationship to Community (모나 하툼, 입주 작가: 공동체와의 유목적 관계)

  • Chang, Ena Ying-Tzu;Wu, Chin-Tao
    • The Journal of Art Theory & Practice
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    • no.10
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    • pp.85-103
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    • 2010
  • Mona Hatoum and community make unlikely bedfellows. From her beginnings as a teenage exile to her maturity as an internationally celebrated artistic nomad, Hatoum defies classification within any single geographical or cultural community. Attempting, however, to locate specific points of contact between her and certain communities in terms of artist-in-residence projects in which she participated might be a particularly fruitful way of circumventing her notorious critical resistance to identity and her refusal of homogeneity. This paper starts with Miwon Kwon's critique of contemporary practices in community-based art, which locate an essentialising force that isolates a single point of commonality and overlooks authentic differences. It then turns to Jean-Luc Nancy's reconceptualization of community as 'unworked' and 'being-in-common' to provide analytical tools for avoiding the dangers of essentialism. By examining the three residencies that Hatoum accepted in the mid-1990s in the light of Nancy's observations and theories, and by bringing the idea of artistic nomadism and that of community into juxtaposition, we hope to show that Hatoum succeeds in finding an equilibrium between art and community, and that this sheds new light on the issues raised in recent discussions on such relationship.

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Factors Influencing Alcohol Consuming behavior of the Female University Students (여대생의 음주행위 영향요인)

  • Kim Hee-Kyung;Choi Eun-Sook;Ann Jung-Sun
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.205-216
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    • 2004
  • Purpose: The purpose was to investigate the factors influencing alcohol consuming behavior of the female university students to provide the basic data for a nursing intervention program to improve health and prohibit of alcohol consuming behavior. Method: The subjects were 134 female university students, studying at K university and K educational university in Chungnam province from April 1 to 20, 2002. The instruments were the alcohol consuming behavior scale, that is drinking intensity score, and alcohol problem developed by Shin(1998), refusal self-efficacy scale by Aas et. al.(1995), alcohol expectancy by Goldman at. al.(1989), TPQ scale by Cloninger(1991), depression scale modified by Shin(1977) using Zung(1965)' tool, family cohesion scale by Olson at. al.(1983). The data were analyzed using descriptive statistics, Pearson correlation coefficient, canonical correlation and stepwise multiple regression. Result: The most powerful predictor of alcohol consuming behavior was influence of friends-drinking(21.0%). A combination of economic status(8.0%), and personality of novelty seeking(3.0%), accounted for 32.0% of the variance in alcohol consuming behavior. Conclusion: I recommended that economic status, influence of friends drinking frequently, and personality of novelty seeking were contained of the developing nursing intervention program for decreasing the alcohol consuming behavior in female university students.

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Validity and Reliability of the Korean Version of a Tool to Measure Uncivil Behavior in Clinical Nursing Education (간호학생이 임상실습에서 경험하는 무례함 한국어판 측정도구의 타당도와 신뢰도)

  • Jo, Su Ok;Oh, Jina
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.537-548
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    • 2016
  • Purpose: This study aims to develop a Korean version of a tool to measure uncivil behavior in clinical training to examine the experiences of nursing students. Methods: The "Uncivil Behavior in Clinical Nursing Education Scale" was developed by Anthony and Yastik in 2011. This study procedure was based on DeVellis' instrument development guidelines. Data were collected from 220 senior-year nursing students from four different universities in four different locations. Two hundreds surveys were analyzed using SPSS software and AMOS. Results: Out of 20 questions, 13 were selected after reviewing the content validity, face validity, construct validity, and reliability. The factors of the Korean version scale were specified as "exclusion", "contempt", and "refusal." The general characteristics of the subjects that showed significant differences in the occurrence of incivility were gender, age, transfer student status, level of satisfaction with clinical training, and level of satisfaction with the clinical training environment. Conclusion: The "Korean-Uncivil Behavior in Clinical Nursing Education Scale" was partially modified to account for differences in language and culture, but its validity and reliability were verified. We suggest that nurse educators and supervisors will be able to better understand the relationship between nurses and nursing students in clinical training.