• Title/Summary/Keyword: self-sufficient

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SUBORDINATION, SELF-DECOMPOSABILITY AND SEMI-STABILITY

  • Choi, Gyeong-Suk;Joo, Sang-Yeol;Kim, Yun-Kyong
    • Communications of the Korean Mathematical Society
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    • v.21 no.4
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    • pp.787-794
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    • 2006
  • Two main results are presented in relation to subordination, self-decomposability and semi-stability. One of the result is that strict semi-stability of subordinand process by selfdecomposable subordinator gives semi-selfdecomposability of the subordinated process. The second result is a sufficient condition for any subordinated process arising from a semi-stable subordinand and a semi-stable subordinator to be semi-selfdecomposable.

Change of Health Care Utilization Pattern with the Establishment of Health Center Hospital in a District (보건의료원이 설립된 군지역 주민의 의료이용양상변화 분석)

  • 김수경;김용익
    • Health Policy and Management
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    • v.2 no.1
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    • pp.147-166
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    • 1992
  • The purpose of this study is to analyze the effects of the health center hospital on the health service utilization pattern of the rural population in a county. Two field studies had been conducted in Yonchon County, Kyunggi Province, on February 1989 and on August 1991 before and after the establishment of the Yonchon health center hospital. This study revealed that Yonchon health center hospital occupied 7.3% of total outpatient visits and 16.8% of hospitalization of the county population and the self-sufficient rate of the outpatient visit and hospitalization of Yonchon County between two field studies increased by 1.7% and 20.9% each. Yonchon health center hospital contributed to the growth of the public health sector but it weakened the role of health sub-centers. For the efficient health service utilization of the population in that County, more investment to health center hospital would be needed and the primary health activities of the health subcenter should be enforced.

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SUFFICIENT CONDITION FOR THE DIFFERENTIABILITY OF THE RIESZ-NÁGY-TAKÁCS SINGULAR FUNCTION

  • Baek, In-Soo
    • Bulletin of the Korean Mathematical Society
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    • v.54 no.4
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    • pp.1173-1183
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    • 2017
  • We give some sufficient conditions for the null and infinite derivatives of the $Riesz-N{\acute{a}}gy-Tak{\acute{a}}cs$ (RNT) singular function. Using these conditions, we show that the Hausdorff dimension of the set of the infinite derivative points of the RNT singular function coincides with its packing dimension which is positive and less than 1 while the Hausdorff dimension of the non-differentiability set of the RNT singular function does not coincide with its packing dimension 1.

The Clinical Trial of Terminal Cancer Patients and The Nature of Self-Determination of The Subject (말기 암 환자에 대한 임상시험과 피험자의 자기결정권의 본질)

  • Song, Young-Min
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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    • pp.211-237
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    • 2014
  • Because of unpredictability and high possibility of abnormal results by clinical trials compared to general medical behaviors, a procedure for ensuring with sufficient explanations by investigators must be secured. Therefore, in a sequence of clinical trials, what kinds of scope, stage, and method of explanations provided by investigators, including doctors or researchers, to trial subjects are closely related to the compensation for damages by violation of liability for explanation. In case of application of clinical trials to patients who have critical illness such as cancer, issues of "Quality of Life" regarding trial subjects, cancer patients, should be discussed. Especially, in case of clinical trials for terminal cancer patients, the right of subjects' self-determination, which is a fundamental principle in medical behaviors, should be discussed. The right of self-determination includes participation in clinical trials for the possibility of life-sustaining even a little bit, or no participation in clinical trials in order to have a time for completing the rest of his life. Like this, if the extent and scope of explanations related to the issues of "Quality of Life" are raised as main issues, the evaluation of "Quality of Life", should be a prerequisite. In many occasions, realistically, despite bad results such as deaths or serious adverse drug reactions after clinical trials, it may not be easy for compensating to trial subjects or their survivors, who requested civil compensation for damage. Futhermore, in abnormal results after concealment of clinical trials or performance of clinical trials without permission, and in the case of trial subjects' failures of proving proximate cause between the clinical trials and abnormal results, problematic results such as no protection to the trial subjects could be occurred. In performing clinical trials, investigators should provide sufficient explanations for trial subjects and secure voluntary informed consents from the trial subjects. Therefore, clinical trials without trial subjects' permissions and the informed consent process violate trial subjects' rights of self-determination, and the investigators shall be liable for compensation for damages. Then, issues might be addressed are what are essential contents of patients' "rights of self-determination" infringed by clinical trials without subjects' permissions. Two perspectives about patients' rights of self-determination might be considered. One perspective regards physical distress of patients (subjects) from therapies without sufficient explanations as the crux of the matter. The other perspective regards infringement of human dignity caused by being subjects without permission as the crux of the matter irrespective of risks' big and small influences. This research follows perspective of the latter. Forming constant fiduciary relation between investigators (doctors) and subjects (patients) pursuant medical contracts, and in accordance with this fiduciary relation, subjects, who are patients, have expectations of explanations and treatments by the best ways. If doctors and patients set this forth as a premise, doctors should assume civil liability when doctors infringe patients' expectations.

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Effects of Design Parameters on the Frictional Coefficient of Clamping Pads for Self-Climbing Crane systems (자력 승강식 크레인의 클램핑 패드 마찰계수에 미치는 설계변수 영향)

  • Sang-Hyun Park;Su-Min Lee;Youngjae Yu;Sang-Rai Cho
    • Journal of Wind Energy
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    • v.14 no.4
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    • pp.13-20
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    • 2023
  • A self-climbing crane (SCC) system is under development for the installation and maintenance of wind turbines. It can move vertically along the wind turbine tower by itself. One of the key components of the SCC system is the clamping pad to maintain a safe position on the wind turbine tower. The SCC system can maintain its position on the tower from the frictional force generated between the surfaces of the clamping pads and the tower. If the frictional force provided by the clamping pads are insufficient, the SCC system cannot stay in the vertical position on the tower. Therefore, the development of clamping pads with sufficient frictional force is very important for the SCC system. At the same time, the operation of the SCC system should not damage the paint coating of the wind turbine tower. In order to verify that the frictional force is sufficient and that frictional and compressive forces do not cause damage to the paint, a number of combined compression and shear loading tests were conducted using a test device prepared for this study. The details regarding the test specimens, test procedure, and test results are summarized in this paper.

Self-Care in Elders with Dementia: A Concept Analysis

  • Yeom Hye-A
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1402-1408
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    • 2004
  • Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

Relation among the necessary and sufficient conditions of human relation (인간관계의 필요.충분조건들간의 관계)

  • Park, Sung-Hee
    • The Korean Journal of Elementary Counseling
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    • v.11 no.3
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    • pp.407-426
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    • 2012
  • This study tried to reveal the relation among the necessary and sufficient conditions of human relation, which is the core concept of human-centered counseling. The relation of these three conditions are quite different according to what we take as the main content of authenticity. If we take congruence as its content, as Rogers did in his early academic years, three conditions are equal in their importance as instruments which counselor can use. But, if we take presence as its content, as Rogers did in his later academic years, authenticity possesses central position while using empathy and unconditional positive regard as its instruments. In this relation, we can say authenticity is a continuous growing process of self realization. And it also can be sad that the three necessary and sufficient conditions compose productive counseling relation inviting both counselor and client to the self realizing process.

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Nutrients Intake and Health Status by Fruits and Vegetables Intake in Adolescents Based on the 2013~2015 Korean National Health and Nutrition Examination Survey (2013~2015년(6기) 국민건강영양조사 자료를 이용한 청소년의 과일·채소 섭취에 따른 영양소 섭취와 건강상태의 비교)

  • Ha, Sin-Hye;Her, Eun-Sil;Lee, Kyung-Hea
    • Journal of the Korean Dietetic Association
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    • v.23 no.3
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    • pp.316-327
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    • 2017
  • This study was conducted to compare the nutrient intake, physical characteristics, and health status according to daily fruits and vegetables intake of adolescents using the Korean national health and nutrition examination survey for the sixth period (2013~2015). Subjects were 1,096 adolescents aged 13~18 years. The average daily intake of fruits and vegetables was $518.49{\pm}4.94g$. The two groups (insufficient, sufficient) were divided by fruits and vegetables intake (<500 g/day, ${\geq}500g/day$) and the ratio of the insufficient group was 75.9% while that of the adequate group was 24.1%. The mean of intake of energy, calcium, phosphorus, sodium, potassium, iron, thiamin, niacin, vitamin C and dietary fiber differed significantly between the insufficient and sufficient groups (P<0.01, P<0.001). However, there was no significant difference in physical characteristics between groups. The self-perceived health status was better in the sufficient group (P<0.05), while the insufficient group was aware of more stress in their daily life (P<0.05). The serum triglyceride was significantly higher in the sufficient group (P<0.05), while the total cholesterol was lower (P<0.05). As the characteristics of fruits and vegetables are different, it will be necessary to determine standards for consumption of each type. It is also necessary to consider whether a fruits and vegetables intake of 500 g would be a reasonable standard for adolescents. Nevertheless, the results of this study indicate efforts to increase fruits and vegetables intake by young people are necessary.

NECESSARY AND SUFFICIENT OPTIMALITY CONDITIONS FOR CONTROL SYSTEMS DESCRIBED BY INTEGRAL EQUATIONS WITH DELAY

  • Elangar, Gamal-N.;Mohammad a Kazemi;Kim, Hoon-Joo
    • Journal of the Korean Mathematical Society
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    • v.37 no.4
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    • pp.625-643
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    • 2000
  • In this paper we formulate an optimal control problem governed by time-delay Volterra integral equations; the problem includes control constraints as well as terminal equality and inequality constraints on the terminal state variables. First, using a special type of state and control variations, we represent a relatively simple and self-contained method for deriving new necessary conditions in the form of Pontryagin minimum principle. We show that these results immediately yield classical Pontryagin necessary conditions for control processes governed by ordinary differential equations (with or without delay). Next, imposing suitable convexity conditions on the functions involved, we derive Mangasarian-type and Arrow-type sufficient optimality conditions.

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Influence of Self-reflection and Insight, and Academic Self-efficacy on Clinical Reasoning Competence among Nursing Students (간호대학생의 자기성찰 및 통찰력, 학업적 자기효능감이 임상추론역량에 미치는 영향)

  • Ahn, Ju Hyun;Kim, Myoungsuk
    • Journal of East-West Nursing Research
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    • v.26 no.2
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    • pp.176-184
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    • 2020
  • Purpose: The purpose of this study was to investigate the influence of nursing students' self-reflection and insight, and academic selfefficacy on their clinical reasoning competence. Methods: Data were collected from 147 third- and fourth-year nursing students who had more than 6 months of clinical training experience. Clinical reasoning competence, self-reflection and insight, and academic self-efficacy were measured using self-reported questionnaires. Data analysis was conducted with IBM SPSS 25.0 using one-way ANOVA, independent t-test, Pearson correlation coefficient, and multiple regression analysis. Results: Clinical reasoning competence was positively correlated with self-reflection and insight (r=.24, p=.003) and academic self-efficacy (r=.30, p<.001). Academic self-efficacy (β=.23, p=.011), dissatisfaction with major (β=-.17, p=.034), and 5~8 case studies (β=-.39, p=.027) were identified as factors influencing clinical reasoning competence (adjusted R2=.15). Conclusion: To improve the clinical reasoning competence of nursing students, it is necessary to develop the academic self-efficacy of complex cases and provide critical inquiries, debriefing tailored to clinical reasoning, and sufficient reflection during clinical and simulation practice.