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The mediating effects of self-efficacy on the relationship between job stress and turnover intention of paramedics in hospitals (병원 내 1급 응급구조사의 직무스트레스와 이직의도와의 관계에서 자기효능감의 매개효과)

  • Cho, Hye-Young;Kang, Kyoung-Ah
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.3
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    • pp.109-120
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    • 2017
  • Purpose: The purpose of the study was to investigate the mediating effects of self-efficacy on the relationship between job stress and turnover intention of paramedics in hospitals. Methods: A self-reported questionnaire was completed by 209 paramedics in hospitals from September 4 to 24, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using Baron & Kenny's 3 step procedure. Indirect effect was confirmed with Sobel test using SPSS/Win 22.0 program. Results: There were negative relationships between job stress, self-efficacy, and turnover intention (r=-.509, p<.001). There was a negative relationship between job stress and self efficacy (r=-.821, p<.001). The self-efficacy and turnover intention showed a positive relationship (r=.636, p<.001) with job stress and turnover intention. Concerning the mediated effect of self efficacy on job stress and turnover intention, the influence of job stress at step 2 on turnover intention was significant (B=1.207, p<.001), while job stress at step 3 had significant influence on turnover intention (B=.474, p<.001). The mediated effect of self-efficacy on job stress and turnover intention showed significant partially mediated effect of self-efficacy (z=7.100, p<.001). Conclusion: Improvement of self-efficacy and job stress was effective at decreasing turnover intention in paramedics in hospitals.

Factors in Selection of Surgical Approaches for Lower Lumbar Burst Fractures (하부 요추 방출 골절의 수술방법 결정시 고려 요인들)

  • Jahng, Tae-Ahn;Kim, Jong-Moon
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1055-1062
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    • 2000
  • Objectives : Burst fracture of the lower lumbar spine(L3-L5) is rare and has some different features compare to that of thoracolumbar junction. Lower lumbar spine is flexible segments located deeply, and has physiologic lordosis. All of these contribute to making surgical approach difficult. Generally, lower lumbar burst fracture is managed either anteriorly or posteriorly with various fixation and fusion methods. But there is no general guideline or consensus regarding the proper approach for such lesion. We have tried to find out the influencing factors for selecting the surgical approach through the analysis of lower lumbar burst fractures treated for last 4 years(1994.3-1998.3). Method : This study includes 15 patients(male : 10, female : 5, age range 20-59 years with mean age of 36.7 years, L3 : 8 cases, L4 : 5 cases, L5 : 2 cases). Patients were classified into anterior(AO) and posterior operated(PO) groups. We investigated clinical findings, injured column, operation methods, and changes in follow-up radiologic study (kyphotic angle) to determine the considerable factors in selecting the surgical approaches. Results : There were 5 AO and 10 PO patients. Anterior operation were performed with AIF with Kaneda or Z-plate and posterior operation were done with pedicle screw fixation with PLIF with cages or posterolateral fusion. Canal compression was 46.6% in AO and 38.8% in PO. The degree of kyphotic angle correction were 10.7 degree(AO) and 8.5 degree(PO), respectively. There was no statistical difference between anterior and posterior operation group. All patients showed good surgical outcome without complications. Conclusion : Anterior operation provided good in kyphotic angle correction and firm anterior strut graft, but it difficulty arose in accessing the lesions below L4 vertebra. While posterior approach showed less correction of kyphotic angle, it required less time and provided better results for accompanied adjacent lesion and pathology such as epidural hematoma. The level of injury, canal compression, biomechanics, multiplicity, and pathology are considered to be important factors in selection of the surgical approach.

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The Ecological Diagnosis of the Vegetation in Urban Neighborhood Park -In case of Hwasan Park, Chonju- (도시근린공원 식생의 생태학적 진단 -전주화산공원을 중심으로-)

  • Kim, Chang-Hwan;Myung, Hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.28 no.6
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    • pp.62-76
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    • 2001
  • This study is to offer the basic information and materials for the restoration of the urban forest and the ecologically healthy and continuous green belt through the investigation and the analysis on the vegetation in Hwasan Park, Chonju-City. The flora of Hwasan Neighborhood park was composed of 86 families 230 genera, 261 species, 35 varieties, 1 formae or 298 Taxa. Among them, calculation of Pte-Q Index represented 0.60, Fisher's Index. Some characteristics of the plants in this area have represented such as Th-D1-R5 type in biological type, erect form(64.6%) in growth type, 30 taxa in naturalized plants. The life form spectra investigated from Hwasan neighborhood park was recognized as the following M"17.4%, N:11.4%, E:0.3%, Ch:0%, H:29.8%, G:6.7%, HH:0%, Th:34.2%. By the Z-M method 5 plant communities and 3 afforestation were recognized; Quercus variabilis community, Q.acutissima community, Q.serrata community, Sorbus alnifolia community, Pinus densiflora community, P.rigida afforestation, Robinia pseudo-acacia afforestation and Larix leptolepis afforestation. The actual vegetation map constructed on the grounds of the communities classified and other data. The pattern of successional trend of tree species might be suggested: L. leptoleipis, P. rigida and P. densifloralongrightarrowQ.variabilis and Q.acutissimalongrightarrowS.alnifolia and Q.serratalongrightarrowCarpinus tschonoskii community. Three measurements of species diversity (richness index(SR), Shannon-Wiener index(H'), evenness index(J')) and their relationship with community type were studied in the surveyed plant communities. Q.serrata community was higher in SR, H', J' than the other communities, whereas R.pseduo-acacia afforestation was low. Finally, The vegetation of the Hwasan neighborhood park must not allowed any more. Nothing ca be better than native states in preserving the ecosystems.tems.

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A Multiple Branching Algorithm of Contour Triangulation by Cascading Double Branching Method (이중분기 확장을 통한 등치선 삼각화의 다중분기 알고리즘)

  • Choi, Young-Kyu
    • Journal of KIISE:Computer Systems and Theory
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    • v.27 no.2
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    • pp.123-134
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    • 2000
  • This paper addresses a new triangulation method for constructing surface model from a set of wire-frame contours. The most important problem of contour triangulation is the branching problem, and we provide a new solution for the double branching problem, which occurs frequently in real data. The multiple branching problem is treated as a set of double branchings and an algorithm based on contour merging is developed. Our double branching algorithm is based on partitioning of root contour by Toussiant's polygon triangulation algorithml[14]. Our double branching algorithm produces quite natural surface model even if the branch contours are very complicate in shape. We treat the multiple branching problem as a problem of coarse section sampling in z-direction, and provide a new multiple branching algorithm which iteratively merge a pair of branch contours using imaginary interpolating contours. Our method is a natural and systematic solution for the general branching problem of contour triangulation. The result shows that our method works well even though there are many complicated branches in the object.

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The Study for the Reconstruction of two objects using the Stereo X-ray Inspection System (스테레오 X-선 검색장치를 이용한 이중물체 형상복원 연구)

  • Hwang, Young-Gwan;Lee, Nam-Ho;Park, Jong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.9
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    • pp.4152-4158
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    • 2012
  • The Stereo X-ray inspection system is designed for effectively providing the additional information of objects than the conventional inspection system that offers only 2D cross-section of objects. We studied the geometric improvement of the stereo X-ray inspection system, the stereo matching algorithm of the single object using the edge and the volume reconstruction method for the inspected object. In this paper, we conduct a matching algorithm to find the correspondences between the images and reconstruct 3-D shapes of real objects using the stereo X-ray images. Also, we apply a new 3D reconstruction algorithm for the discrimination of two objects. For the separation of the overlapping objects, we calculate the vector of the object and divide inner and outer voxel of objects. And for the elimination of the overlapping area, we study the reconstruct 3D shapes using the threshold based Z-axis. The experimental results show that the proposed technique can enhance the accuracy of stereo matching and give more efficient visualization for overlap objects in the restricted environment.

Neurotropism and Invasiveness of $\alpha-Herpes$ Virus in the Rodent (설치류에서 알파 Herpes 바이러스의 신경친화성과 침습)

  • KIM Jin-Sang;Yi Seong-Joon;Card J. Patrick
    • The Journal of Korean Physical Therapy
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    • v.9 no.1
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    • pp.59-70
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    • 1997
  • The ability of neurotropic alpha herpesviruses to replicate within synaptically linked neurons has made these pathogens valuable tools for transneuronal analysis. Recent studies suggest that unique gene products expressed by genetically engineered strains of virus may permit the use of multiple strains in complex tracing paradigms. In the present study we have examined the invasiveness of two genetically engineered strains of the swine pathogen known as pseudorabies virus(PRV). The two strains were isogenic with the attenuated Bartha strain of PRV; in one strain a lacZ reporter gene was inserted into the gC locus (PRV-BaBlu; $4.75\times10^8pfu/ml$) contrained a PRV envelope glycoprotein gene that was absent in PRV-BaBlu. Simultaneous or temporally separated sequential injection of $4\mu\ell$ of each strain into the ventral wall of the stomach produced a predictale course of retrograde synaptic infection. The results were as follows: 1. PRV-BaBlu and PRV-D infected the dorsal motor nucleus of vagus nerve(DMV) and paraventricular nucleus(PVN). 2. Invasion and replication of PRV-D occured at a faster rate than the parental strain or PRV-BaBlu. 3. PRV-D was much more virulent than PRV-BaBlu or the parental strain. 4. Co-injection of PRV-D and PRV-BaBlu produced an infection that was more virulent than that produced by the parental strain (PRV-Bartha), 5. Neurons in DMV were permissive to co-infection with PRV-D and PRV-BaBlu when they were injected simultaneously into the same site. 6. Replication of PRV-BaBlu was compromised by prior infection of the same circuit with PRV-D. 7. Prior infection of neurons with PRV-D maked them resistant to infection with PRV-BaBlu.

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Purification and Characterization of a 25 kDa Cathepsin L-like Protease from the Hemocyte of Coleopteran Insect, Tenebrio molitor Larvae

  • Jang, Kyung-Suk;Cho, Mi-Young;Choi, Hye-Won;Lee, Kang-Moon;Kim, Mi-Hee;Lee, Young-Un;Kurata, Shoichiro;Natori, Shunji;Lee, Bok-Luel
    • BMB Reports
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    • v.31 no.4
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    • pp.364-369
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    • 1998
  • Insect plasma protein is abundant in the hemolymph of holometabolous insect larvae and is used as a source of amino acids and energy for construction of adult structures during metamorphosis. In order to understand the mechanism of decomposition of larval plasma proteins by hemocyte protease, we tried to purify a cysteine protease from the hemocyte lysate by using Carbobenzoxy-L-Phenylalanyl-L-Arginine-4-Methyl-Coumaryl-7-Amide (Z-Phe-Arg-MCA) as substrate and to identify plasma proteins that are selectively susceptible to the purified protease. Here, we describe the purification and characterization of a cysteine protease that specifically hydrolyzes the plasma protein of the coleopteran insect, Tenebrio molitor, larvae. The molecular mass of this enzyme was 25 kDa, as determined by SDS-PAGE under reducing conditions. The amino acids sequence of its $NH_{2}-terminus$ was determined to be Leu-Pro-Gly-Gln-Ile-Asp-Trp-Arg-Asp-Lys-Gly. This sequence contained Pro, Asp, and Arg residues, conserved in many papain superfamily enzymes. The specific cysteine protease inhibitors, such as E-64 and leupetin, inhibited its hydrolytic activity. One plasma protein with a molecular mass of 48 kDa was selectively hydrolyzed within 3 h when the purified enzyme and plasma proteins were incubated in vitro. However, the 48 kDa protein was not hydrolyzed by the purified 25 kDa protease in the presence of E-64. Western blotting analysis at various developmental stages showed that the purified enzyme was detected at larvae, pupae, and adult stages, but not the embryo stage.

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Teens and College Students' Purchasing Decision Factors of Denim Jeans In the United States

  • Hwang Shin, Su-Jeong;Fowler, Deborah;Lee, Jinhee
    • Fashion & Textile Research Journal
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    • v.15 no.6
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    • pp.971-976
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    • 2013
  • This study provides insight into current social media influences and purchasing power of the young generation in that the size of both of these demographic groups will impact the apparel companies and retail market for the predictable future Denim apparel companies are aware of the discretionary spending power of the Y and Z Generations. The characteristics of current teens are so similar to college-age individuals in that they have grown up with digital technology and they prefer to communicate via social networking sites. Retailers have utilized these social media platforms in order to capture the attention of the generations. Traditionally marketing campaigns have differentiated between teens and the college-age population. However, the teens actually have larger spending power and more discretionary income. A survey consisted of 32 questions pertaining to Internet media influences, influence of people, and decision factors on decisionmaking related to purchasing selection. A random sampling of 163 females responded to a set of questionnaires. Teens, like college students desire to make their own decisions when they select and purchase denim jeans. Overall 40% of them wanted to make their own decisions when purchasing their jeans, however, a significant number are influenced by their friend's opinions (34%) and the opinions of family members (15%). However, celebrities (10%) had the least influence on their decisions. Teens, like colleges students make decisions based on the same decision factors: fit (63%), cost (23%), brand (10%) and color (2%). The most important factor in determining preference was "fit".

Feedrate Optimization Using CL Surface (공구경로 곡면을 이용한 이송속도 최적화)

  • 김수진;정태성;양민양
    • Journal of the Korean Society for Precision Engineering
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    • v.21 no.4
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    • pp.39-47
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    • 2004
  • In mold machining, there are many concave machining regions where chatter and tool deflection occur since MRR(material removal rate) increases as curvature increases even though cutting speed and depth of cut are constant. Boolean operation between stock and tool model is widely used to compute MRR in NC milling simulation. In finish cutting, the side step is reduced to about 0.3mm and tool path length is sometimes over loom, so Boolean operation takes long computation time and includes much error if the resolution of stock and tool model is larger than the side step. In this paper, curvature of CL (cutter location) surface and side step of tool path is used to compute the feedrate for constant MRR machining. The data structure of CL surface is Z-map generated from NC tool path. The algorithm to get local curvature from discrete data was developed and applied to compute local curvature of CL surface. The side step of tool path was computed by point density map which includes cutter location point density at each grid element. The feedrate computed from curvature and side step is inserted to new tool path to regulate MRR. The resultants were applied to feedrate optimization system which generates new tool path with feedrate from NC codes for finish cutting. The system was applied to the machining of speaker and cellular phone mold. The finishing time was reduced to 12.6%, tool wear was reduced from 2mm to 1.1mm and chatter marks and over cut on corner were reduced, compared to the machining by constant feedrate. The machining time was shorter to 17% and surface quality and tool was also better than the conventional federate regulation using curvature of the tool path.

Three-Dimensional Finite Difference Analysis of Anisotropic Body with Arbitrary Boundary Conditions (임의의 경계조건을 갖는 비등방성 탄성체의 3차원 유한차분 해석)

  • Lee, Sang Youl;Yhim, Sung Soon;Chang, Suk Yoon
    • Journal of Korean Society of Steel Construction
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    • v.12 no.3 s.46
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    • pp.303-315
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    • 2000
  • The main object of this study is to analyze mechanical behaviors as anisotropic three-dimensional body under various static loads. This paper presents the applicability of the finite difference method to three dimensional problem of anisotropic body. The finite difference method as applied here is generalized to anisotropic three-dimensional problem of elastic body where the governing differential equations of equilibrium of such bodies are expressed in terms of the displacement u, v, and w in the coordinates axes x, y and z, care being taken to modify the finite difference expressions to satisfy the appropriate boundary conditions. By adopting a new three dimensional finite difference modelling including elimination of pivotal difference points in the case of free boundary condition, the three dimensional problem of anisotropic body was successfully completed. Several numerical results show quick convergence and numerical validity of finite difference technique in three dimensional problem.

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