• Title/Summary/Keyword: 중재요소

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Guidelines for the Management of Hydronephrosis Detected in the Perinatal Period (주산기에 발견된 수신증의 자연 경과와 치료 방침)

  • Chae Soo-Ho;Lee Ji-Hyuk;Jin Dong-Kyu;Park Kwan-Hyun;Paik Kyung-Hoon
    • Childhood Kidney Diseases
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    • v.10 no.1
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    • pp.33-39
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    • 2006
  • Purpose : Neonatal hydronephrosis is diagnosed with an incidence of 4.5-7% of pregnancies. Recently, early detection of neonatal hydroneprosis with antenatal ultrasonography has be-come possible. But consensus about its management has not been reached, especially concerning surgical intervention. The purpose of this study is to analyze the natural course of neonatal hydronephrosis and to determine the guideline of surgical intervention and follow up study. Methods : Sixty nine hydronephrotic kidneys were confirmed from April 2001 to April 2005. All cases were rechecked by ultrasonography once at least and had a minimum follow-up of 6 months. We classified the patients into 4 groups according to the anterior posterior pelvic diameter(APPD) on perinatal ultrasonography. Ultrasonography to measure the APPD diameter and Society for Fetal Urology(SFU) grade, $^{99m}Tc-MAG3$ scan were done to a set protocol. Pyeloplasty was peformed according to the protocol. Results : Pyeloplasty was not needed in most cases where the APPD was below 10 mm and where the SFU grade were less than grade 3. Many cases with APPD 10 mm above or SFU grade III above had undergone pyeloplasty. We found a correlation between obstruction grade on MAG3 scan and whether surgery was performed or not. Conclusion : If APPD is above 10 mm, SFU grade is above grade 3 or urinary tract obstruction is suspected by MAG3 scan, pyeloplasty must be considered. In cases where APPD is below 10mm and SFU grade is less than grade 3, we can observe the natural course of neonatal hydronephrosis with consecutive follow-up. (J Korean Soc Pediatr Nephrol 2006;10:33-39)

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A Study on the Major Elements of an Arbitration Clause in International Investment Contracts (국제투자계약상의 중재조항(Arbitration Clause)의 주요 구성요소에 관한 연구)

  • Oh, Won-Suk;Seo, Kyung
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.38
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    • pp.155-180
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    • 2008
  • The purpose of this paper is to examine the major elements of Arbitration Clause in international investment contracts and to help the investor, especially foreign investors, considering these elements when they draft the contracts. First of all, to describe the extent of the arbitrable issues broadly is very important by using the phrase such as "disputes in connection with". Furthermore in order to be enforceable, the issues must be a subject-matter to be submitted to arbitration in accordance with the laws of the place of arbitration and the law application to the merits of the disputes (N.Y. Convention, Art. II). Second, the appointment of the arbitrators usually shall be based on the principle of freedom of contract. If the parties do not agree on the appointment, it is decided in accordance with the arbitration rules of the institution by the tribunal. Third, the procedural rules of the arbitration are the arbitration rules of the arbitration institution in case of institution arbitration, unless otherwise agreed. Forth, what is the most importance element of Arbitration Clause is the place of arbitration. In this case, also the principle of freedom of contract has priority. Unless otherwise agreed, Washington is the place of arbitration in case of ICSID Arbitration, but in case of ICC Arbitration, neutral third country may be the place of arbitration. However in case of ad hoc arbitration, both parties should indicate the place. If not, the whole arbitration may be paralysed by an uncooperative party. Besides the major elements, I examined the relation between the arbitration clause and award enforcement in terms of sovereign immunity. The enforcement of awards in the field of state contracts many encounter the problem of the sovereign immunity, which means that the State itself or the State enterprise is the contract partner. To avoid the this problems, it is advisable for the parties insert the clause such as ICSID Model Clause XIX.

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Influence of Marital Intimacy, Family Support, and Fatigue on the Stress of Pregnant Woman (임부 스트레스에 부부친밀도, 가족지지 및 피로가 미치는 영향)

  • Kim, Miok;Yu, Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2179-2188
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    • 2014
  • During pregnancy, the woman experiences physical and psycho-social changes. Such changes and other factors may become stress for the pregnant woman, making it difficult to maintain healthy and happy pregnant period. In this study, we identify factors for the stress, marital intimacy, family support, and fatigue, in order to provide the foundation for developing intervention programs and improve the quality of nursing. The subjects of there search were 185 pregnant women. Stress had a negative correlation with marital intimacy and family support, and positive correlation with fatigue. Family support, fatigue, adjustment to change due to pregnant, and breastfeeding experience were the influencing factors on the stress of pregnant women. A stress management program for pregnant women needs to be designed to help them with their physical and psychological adjustments. The program will be more effective when accompanied by the family support.

The Convergence Study of Interpersonal Caring Behaviors on Anger, Job Stress and Social Support in Nurses (간호사의 분노, 직무스트레스, 사회적 지지에 대한 대인돌봄행위의 융합적 연구)

  • Han, Jin-Ah;Kim, Mi-Jin
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.87-98
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    • 2016
  • This study comprised descriptive research into nurses' anger, job stress and social support, and the impact thereof on interpersonal caring behaviors. This study focused on the anger and interpersonal caring behaviors of nurses. From December $1^{st}$ to $31^{st}$ 2014, the data of 174 working at university hospitals in four cities were collected. This study focused on the anger and interpersonal caring behaviors of nurses. Repeated anger rumination reduced interpersonal caring behaviors. The influence of anger-in and anger-control on interpersonal caring behaviors was confirmed. Although the stress score of job demand was too high, an autonomous nursing environment, material support and expansion of the educational period are required to enhance interpersonal caring behaviors. Thus, this study investigated the elements of interpersonal caring behavior necessary for nursing care and suggests the necessity on convergence study of addressing feelings of anger as an emotion management intervention.

Predicting Factors of Self-esteem in Patients with Hemodialysis (혈액투석환자의 자아존중감 예측요인)

  • Yoon, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.8
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    • pp.253-261
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    • 2018
  • The purpose of this study was to examine the predictive relationships between the predictors and self-esteem among hemodialysis(HD) patients. Predictive correlational design, participants 154 HD patients in the Seoul. SPSS for Window 22.0 used to perform descriptive statistics, Pearson's Correlation Coefficient and Stepwise Regression analysis. The strongest predictor was uncertainty (${\beta}=-.33$, p<.001), economy (${\beta}=.18$, p<.05), occupation (${\beta}=.17$, p<.05) and health status (${\beta}=.16$, p<.05) were followed. A total explained variance was 30.0% of self-esteem (Adjust $R^2=.30$). Managing or preventing uncertainty, providing vocational education in consideration of the dialysis environment, providing employment, increasing economic level, and maintaining good health status are factors that enhance self-esteem. Conducted to investigate the self-esteem of HD patients considering the machine-dependent characteristics, future, provide the data of the study to improve the self-esteem of HD patients. Also, nursing intervention should be developed based on the findings.

Meta-analysis of the Effects of Gifted-mathematics programs on Creativity Improvement (수학영재프로그램이 창의성 향상에 미치는 효과 메타분석)

  • Cho, Yun-Hee;Ko, Ho kyoung
    • Journal of Science Education
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    • v.41 no.3
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    • pp.499-518
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    • 2017
  • In this study, the meta-analysis technique was applied to investigate the effectiveness of gifted-mathematics programs on development of creativity. Studies conducted the outcomes form the 20 studies were used for meta-analysis. Research questions are as follows; first, what is the overall effect size of the gifted mathematics programs on development of mathematical creativity. Second, what are effect sizes of sub-group(fluency, flexibility, originality) analysis. Third, compare the effect sizes of those in compliance with the grade and the class type. Results from data analysis are as follows. First, the overall effect size for studies related the gifted-mathematical programs was .66, which is high. Second, it was found that each sub-group differed from its effect on learning outcomes. Fluency(.76) was the highest of all, which was followed by flexibility(.60) and originality(.50) in a row. Lastly, the overall effect size for gifted elementary school students related the gifted-mathematical programs was .69, which is high than gifted middle school students was .46.

Study on Fatigue Life of Continuously Reinforced Concrete Pavement with Design Parameter (설계변수별 연속철근 콘크리트 포장의 피로수명 연구)

  • Park, Jong-Sup;Kang, Young-Jong
    • Journal of the Korean Society of Hazard Mitigation
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    • v.7 no.5
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    • pp.1-10
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    • 2007
  • A laboratory investigation is conducted to characterize and quantify fatigue lives of continuously reinforced concrete pavements (CRCP) with initial design parameters. Eight specimens scaled were made based on results of finite-element analyses and stress-strain curve comparisons. Static tests were firstly performed to obtain magnitudes of static failure loads and to predict crack patterns before fatigue tests. The fatigue lives measured in the study were compared based on each initial design parameter. The comparison indicates that the fatigue lives of CRCP specimens with initial cracks increases with increasing the initial crack spacing, and CRCP specimens with reinforcements at top of the concrete slab have more fatigue lives than those with reinforcements at midheight of the concrete slab. In addition, the fatigue lives were significantly affected by soil conditions under the CRCP specimens. The results obtained in the study can be used for maintenance and retrofit of the continuously reinforced concrete pavements.

A Study on Analytical Model of Fish-bone Girder Pier (연안역 조립식 경골잔교(Fish-bone Girder Pier)의 해석모델에 관한 연구)

  • Kim, Hwa-Rang;Lim, Nam-Hyoung;Park, Jong-Sup;Yun, Kyung-Min;Yoon, Ki-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6527-6533
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    • 2013
  • A fish-bone girder pier affects torsion severely because of the one girder system. This study was performed to develop an analytical model to analyze and design a fish-bone girder pier properly. This model consisted of a beam element with 7-degrees of freedom considering the warping rigidity. Several beam-column connection conditions were considered. The static load test was performed using a real size specimen. The validity of this model was tested by a comparison of the analytical results with the experimental results. This analytical model is useful for designing the bolt connection of a Spine girder.

Development of a Communication Unified AAC System (통신 융합형 보완·대체 의사소통 시스템 개발)

  • Kwak, S.W.;Kim, C.G.;Song, B.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.65-70
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    • 2011
  • A communication is one of the most important factors for the human beings. Therefore, people who have some problems in communication need an Augmentative & Alternative Communication (AAC) intervention to live in the human societies and several AAC systems have been developed to help the people. Lately, smart-phone is widely used to people as a communication device which can connect between persons. It can provide many useful methods and Apps to the user. If the AAC system is unified to the smart-phone, it is very effective device to the people with disabled because they can reduce the excessive expense and easily accommodate themselves to the AAC system. In this paper, an AAC program which is installed in the smart-phone or tablet PC is introduced. It has basic AAC solutions and can send SMS message to other people. We expect that the developed device can help the communication of the people with disabled and solve the social isolation of the disabled person.

Relations among Body Shape Perception, Interpersonal Problems, and Spiritual Well-being in Late Adolescents (후기청소년의 체형 인식, 대인관계 문제 및 영적 안녕 간의 관계)

  • Lee, Haeyoung;Yoo, Hana
    • The Journal of the Korea Contents Association
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    • v.15 no.10
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    • pp.327-335
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    • 2015
  • Purpose: This study is a descriptive survey to identify the relations of body shape perception, interpersonal problems, and spiritual well-being in late adolescents. Methods: The participants are 116 late adolescents in S and K city. This study was performed using a structured questionnaire from October 12 to November 16, 2012. The collected data were analyzed by t-test, Kruskal-Wallis test, Bonferroni correction, Pearson's correlation coefficient. Results: According to general characteristics of the participants, there were significant differences in body shape perception for gender, religion, experience of weight control, current body mass index, and wanted body mass index. There were significant differences in spiritual well-being for experience of drinking and religion. There was significant negative correlation between interpersonal problems and spiritual well-being. Conclusions: Therefore, nursing interventions will be needed to improve interpersonal problems and abnormal body shape perception and to enhance spiritual well-being of adolescents.