• Title/Summary/Keyword: timing factors

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Which One Is Better to Reduce the Infection Rate, Early or Late Cranioplasty?

  • Oh, Jae-Sang;Lee, Kyeong-Seok;Shim, Jai-Joon;Yoon, Seok-Mann;Doh, Jae-Won;Bae, Hack-Gun
    • Journal of Korean Neurosurgical Society
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    • v.59 no.5
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    • pp.492-497
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    • 2016
  • Objective : Decompressive craniectomy is an effective therapy to relieve high intracranial pressure after acute brain damage. However, the optimal timing for cranioplasty after decompression is still controversial. Many authors reported that early cranioplasty may contribute to improve the cerebral blood flow and brain metabolism. However, despite all the advantages, there always remains a concern that early cranioplasty may increase the chance of infection. The purpose of this retrospective study is to investigate whether the early cranioplasty increase the infection rate. We also evaluated the risk factors of infection following cranioplasty. Methods : We retrospectively examined the results of 131 patients who underwent cranioplasty in our institution between January 2008 and June 2015. We divided them into early (${\leq}90days$) and late (>90 days after craniectomy) groups. We examined the risk factors of infection after cranioplasty. We analyzed the infection rate between two groups. Results : There were more male patients (62%) than female (38%). The mean age was 49 years. Infection occurred in 17 patients (13%) after cranioplasty. The infection rate of early cranioplasty was lower than that of late cranioplasty (7% vs. 20%; p=0.02). Early cranioplasty, non-metal allograft materials, re-operation before cranioplasty and younger age were the significant factors in the infection rate after cranioplasty (p<0.05). Especially allograft was a significant risk factor of infection (odds ratio, 12.4; 95% confidence interval, 3.24-47.33; p<0.01). Younger age was also a significant risk factor of infection after cranioplasty by multivariable analysis (odds ratio, 0.96; 95% confidence interval, 0.96-0.99; p=0.02). Conclusion : Early cranioplasty did not increase the infection rate in this study. The use of non-metal allograft materials influenced a more important role in infection in cranioplasty. Actually, timing itself was not a significant risk factor in multivariate analysis. So the early cranioplasty may bring better outcomes in cognitive functions or wound without raising the infection rate.

The Internalization Strategies for Venture Business (벤처기업의 국제화 전략)

  • Kim, Sung-Ho;Kim, Pan-Jin;Na, Seung-Hwa
    • Journal of Distribution Science
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    • v.7 no.3
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    • pp.101-122
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    • 2009
  • This study examines internationalization determinant factors, motivation and goal of internalization, market entry methods, timing, region, internalization strategy and access method, internationalization performance and success factors, problems and troubles of internalization, and ultimately suggests internalization strategies for domestic venture companies. The study found that interior factors of internationalization determinant factors are characteristics of new firm and technological capabilities while exterior factors include narrow domestic market, industrialization level, competition level, product life cycle, economy of scale, and global network. Motivation was found to include securing and preoccupying market, cost reduction and efficient production through moving of production base, and the necessity of network formation.

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The Development and Validity of a Scale for Measuring Mother's Reaction to Children's Negative Emotions (아동의 부정적 정서표현에 대한 어머니 반응 척도 개발과 타당화)

  • Oh, Ji Hyun
    • Korean Journal of Child Studies
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    • v.34 no.6
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    • pp.97-122
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    • 2013
  • The aim of this study was to develop and validate measures of a mother's reaction to children's negative emotions. After construct factors of a mother's reaction to children's negative emotions based on the theoretical basis and existing scales were explored, the first preliminary items were extracted. After the content validity was confirmed by expert opinions, the second preliminary items were composed, and the initial survey was carried out. Using exploratory factor analysis, three principal factors and 21 items were revealed to be most suitable. The factors of the scale consist of emotion-coaching-reactions, oversensitive reactions, and emotion-minimizing-reactions, respectively. In addition, the reliability analysis and validation analysis of the scale was conducted, by means of surveying 413 elementary students. The internal coherence reliability and test-retest reliability were verified as was the general internal coherence and timing stability of the scale. There were three additional verifications to validate the scale. (1)For the evidence based on internal structure, the confirmatory factor analysis and convergent-discriminant evidence; this resulted in confirming the factor structure of the scale as being reliable. (2)In order to understand the relationships to other variables, the correlation analysis came in effect to the overall scale and each of its sub-factors, showing that they are significantly correlated with the scale of the child's perception on rearing attitudes of the mother. (3)As for evidence based on the consequences of the test, the correlation analysis produced a result showed that sub-factors of the scale have as significant correlation with the child's emotional intelligence and resilience.

A Study on Factors that Influence Department Selection for Freshmen Majoring in Occupational Therapy in 2022 (2022학년도 작업치료(학)과 신입생의 학과 결정에 관한 연구)

  • Won-Jin Bae;Young-Seok Cho
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.37-47
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    • 2023
  • Purpose : This study aimed to identify factors that influence selection of occupational therapy as a college major by freshmen. Methods : A survey was conducted on 308 freshmen majoring in occupational therapy from March 2022 to September 2022. The questionnaire consisted of five items about general characteristics, two about the choice of college and major, three about the timing of major selection, three about information acquisition, and one about the university application process. Results : While choosing a university, 37% of the students primarily considered the available choice of majors, whereas 41% considered the college application period. Employment rate was another important factor that was considered when choosing a department. Most students learned about occupational therapy through research on physical therapy and primarily gathered information by searching on "Naver and blogs." Among the descriptions of occupational therapy, the most interesting keyword was "hospital" (54 %). Conclusion : This study investigated the factors that influenced the college major selection by new students in the department of occupational therapy. This study provides meaningful basic data that can be referred to when promoting the department of occupational therapy. A limitation of this study is that a high percentage of students from Gyeongnam were included, and hence, further research that investigates according to region is needed. Moreover, detailed investigations on factors related to university applications in each region are required. It is also necessary to investigate the relationship between the characteristics of freshmen and the determining factors of the department and the admission process.

Analysis of Factors Influencing the Integrated Bolus Peak Timing in Contrast-Enhanced Brain Computed Tomographic Angiography (Computed Tomographic Angiography (CTA)의 검사 시 조영제 집적 정점시간에 영향을 미치는 특성 인자를 분석)

  • Son, Soon-Yong;Choi, Kwan-Woo;Jeong, Hoi-Woun;Jang, Seo-Goo;Jung, Jae-Yong;Yun, Jung-Soo;Kim, Ki-Won;Lee, Young-Ah;Son, Jin-Hyun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.39 no.1
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    • pp.59-69
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    • 2016
  • The objective of this study was to analyze the factors influencing integrated bolus peak timing in contrast-enhanced computed tomographic angiography (CTA) and to determine a method of calculating personal peak time. The optimal time was calculated by performing multiple linear regression analysis, after finding the influence factors through correlation analysis between integrated peak time of contrast medium and personal measured value by monitoring CTA scans. The radiation exposure dose in CTA was $716.53mGy{\cdot}cm$ and the radiation exposure dose in monitoring scan was 15.52 mGy (2 - 34 mGy). The results were statistically significant (p < .01). Regression analysis revealed, a -0.160 times decrease with a one-step increase in heart rate in male, and -0.004, -0.174, and 0.006 times decrease with one-step in DBP, heart rate, and blood sugar, respectively, in female. In a consistency test of peak time by calculating measured peak time and peak time by using the regression equation, the consistency was determined to be very high for male and female. This study could prevent unnecessary dose exposure by encouraging in clinic calculation of personal integrated peak time of contrast medium prior to examination.

An Equilibrium Diffusion Model of Demand and Supply of New Product and Empirical Analysis (신기술 제품의 확산에 관한 수요$\cdot$공급의 균형확산모형과 실증분석)

  • Ha, Tae-Jeong
    • Journal of Technology Innovation
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    • v.13 no.1
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    • pp.113-139
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    • 2005
  • The purpose of this study is to analyse the diffusion process of personal computer (PC) in Korea during the 1990's. To achieve the goal, five research steps have been done such as the literature survey of diffusion theory, set-up of theoretic equilibrium model of supply and demand, derivation of an equilibrium path using Hamiltonian, and empirical analysis. The empirical analysis has been performed based on that equilibrium path. The results can be summarized as follows : First, technological attribute of diffusing product influences the diffusion speed of Product. It has been proven that the size of the network has a significant effect on the diffusion of PC in empirical study Second, supply factors have an important role in the diffusion process. According to the empirical analysis, decreasing cost of production as a result of technological advance promotes the speed of diffusion. This point seems to be manifest theoretically, but existing empirical models have not included supply factors explicitly, Third, it has been found out that expectation of decreasing cost would influence the speed of diffusion negatively as expected ex ante. Theoretically this result is supported by arbitrage condition of purchasing timing.

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A Survey of Students' Satisfaction with Education in Traditional Korean Medicine (한의학교육에 대한 전공 대학생들의 교육만족도 조사)

  • Kwon, Sang-Woo;Shin, Sang-Woo;Lim, Byung-Mook
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.1-11
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    • 2012
  • Objectives: This study evaluated students' satisfaction with education in traditional Korean medicine. We included analysis of the factors affecting students' satisfaction. Methods: The questionnaires were developed and distributed to Korean medicine students asking students' satisfaction in seven categories of education: overall satisfaction, curriculum, professors, lecture and practical sessions, grades and evaluation, student activities, and facilities and environment. The responses were analyzed statistically. Results: The score of overall satisfaction of students was 2.69 on average. There was significant correlation between overall satisfaction level and individual factors of the students such as academic year, the timing and the motive of deciding to enter the Colleges of Korean Medicine. Generally, students' satisfaction increases as the number of students per professor decreases. Conclusions: To increase students' satisfaction, the educational environment and the curriculum should be improved. Also, regular assessment of students' satisfaction is demanded.

STUDY ON PLATELET RICH PLASMA CONCENTRATION ACCORDING TO PROCESSING METHOD (처리방법에 따른 혈소판 혈장의 농축도에 관한 연구)

  • Min, Seung-Ki;Kim, Hyung-Ju;Cha, Soo-Ryen
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.1
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    • pp.24-31
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    • 2005
  • Recently, Platelet rich plasma(PRP) is commonly used because it is now well known that platelets have many functions beyond that of simple hemostasis in aspect of containing autogenous source of several growth factors. It could be responsible for increasing cell mitosis, increasing collagen production, recruiting other cells to the site of injury, initiating vascular ingrowth, and inducing cell differentiation, enhancing bone formation capacity and easily handling to clinician. However, in spite of these clinical advantages, still the theory behind the use of PRP is compelling. This study was to determine preparation techniques used to increase the concentration of platelets and growth factors are all crucial steps in early wound healing of bone graft which may lead to a more rapid and denser bone regenerate. 200 volunteers were sampled and PRP were prepared according to each evaluation item in this study. Higher concentration of platelets have been gained in double centrifugation. 2000 and 2500 rpm showed proper concentration of platelets at first centrifugation and 5000 rpm in second. Timing for 2 minutes was showed good concentration of platelets in high and low centrifugation speed. It was better concentration of platelets in 20 or 30 ml volume during centrifugation. In histomorphologic findings, degrnulated and high concentraion of platelets were found in low centrifugation speed.

The Extracardiac Fontan Operation in Adult -A case report- (성인에서의 심외도관 Fontan 수술 - 1예 보고 -)

  • 배윤숙;정승혁;정성철;김우식;윤소영;이정호;김병열
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.72-75
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    • 2004
  • The Fontan operation is commonly practiced for the physiologic correction of univentricular heart diseases. However, for the patients who have risk factors against this operation, it is recommended to take the initial palliative operation rather than going to the Fontan operation at once. The proper timing to the Fontan operation after palliation is decided by assessing several factors such as patient's age and other risks of maintaining palliative state, etc. Usually, the Fontan operation is done relatively early after palliation stage. Here, we report a 36 years old-adult-female with univentricular heart disease who underwent the successful Fontan operation at 17 years after unidirectional Glenn procedure.

A Study on the Emission Reduction and Performance Improvement in a V8 Type TCI D.I. Diesel Engine (V8형 TCI 디젤기관의 배출가스저감 및 성능개선에 관한 연구)

  • Yoon Jun-Kyu;Lim Jong-Han
    • Journal of Advanced Marine Engineering and Technology
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    • v.29 no.4
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    • pp.443-452
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    • 2005
  • The purpose of this study is experimentally to analyze the effects of intake port swirl, injection system and turbocharger on the engine performance and the emission characteristics in a V8 type turbocharger intercooler D.I. diesel engine of the displacement 16.7L, and to suggest the improvement of engine performance. Generally to enhance engine power, TCI diesel engine is put to practically use turbocharged intercooler in order to increase volume efficiency which is cooled boost air. As results of considering the factors of the intake port of swirl ratio 2.25, compression ratio 17.5. re-entrant $8.5^{\circ}$ combustion bowl, nozzle hole diameter ${\phi}0.33{\ast}3+{\phi}0.35{\ast}2$. nozzle protrusion 3.18mm, injection timing BTDC $12^{\circ}CA$ and turbocharger(compressor 0.6A/R+46Trim. turbine 1.0 A/R+57Trim) is the best in the full load in the engine performance and the exhaust characteristics of NOx concentration. Therefore. their factors are appropriated as intake system, injection and turbocharger system.