• Title/Summary/Keyword: EFFECTIVENESS OF INTERPRETATION

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Pitfalls in Reimbursement Decisions for Oncology Drugs in South Korea: Need for Addressing the Ethical Dimensions in Technology Assessment

  • Cho, Eun;Park, Eun-Cheol;Kang, Myoung Sheen
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3785-3792
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    • 2013
  • This study aimed to discover to what extent ethical issues are considered in the reimbursement decision process based on health technology assessment (HTA) in Korea, especially for oncology medications. Public summary documents (PSDs) published by the Health Insurance Review and Assessment Service (HIRA) were analyzed for empirical and normative factors. For external comparison, PSDs presented by corresponding institutions of Australia and the United Kingdom were employed. Furthermore, the opinions of eight expert oncologists were obtained regarding the accountability of the evidence in PSDs. Among 7 oncology drugs, there were differences in the final decisions and empirical factors considered, such as selected comparators and interpretation of evidence between the PSDs from the three institutions. From an ethical viewpoint, the following matters were deficient in the HTA decision-making process for oncology drugs: clear and reasonable standards; identifying and evaluating ethical values; and public accountability for reasonableness about decisions and due process.

Postmodern Subject's Anxiety and Obsessive Repetition in Paul Auster's Leviathan (탈근대 주체의 불안과 강박적 반복: 폴 오스터의 『리바이어던』 읽기)

  • Ha, Sang-bok
    • American Studies
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    • v.34 no.1
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    • pp.181-202
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    • 2011
  • The purpose of this paper is to examine Paul Auster's Leviathan according to Slavoj Žižek's theory. Analyzing the characters in Leviathan, this paper chiefly discusses the postmodern subject's anxiety and obsessive repetition that the lack of the big Other led to. Section II explains the disintegration of the big Other and the subject's anxiety and obsessive repetition by the interpretation of the characters: Peter Aaron, Maria Turner, and Benjamin Sachs. Aaron wants to write on Sachs's life to overcome his uneasy subject's condition, and to establish the consistent and whole world. But his writing fails to meet his desire, owing to uncertainty of his understanding, and the incompleteness of his writing. In case of Maria, her uneasy subject's condition led to her obsessively repetitive picture-shooting herself and others, which proved to be a meaningless struggle for filling the void of the big Other and herself. Although Sachs already knows the lack and inconsistency of the big Other, he also repetitively tries to establish the consistent and whole Other. In Section III, this paper examines Sachs's terror as he struggles for the preservation of the big Other. His extreme striving also fails to reestablish the big Other as it loses its symbolic effectiveness in the postmodern era because he does not grasp the big Other as an empty Symbolic order, and rejects the premise of the big Other itself.

Critical Thinking in Nursing Science: A Literature Review (간호학적 비판적 사고능력에 대한 문헌고찰)

  • Shin, Su-Jin;Jung, Duk-Yoo
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.117-128
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    • 2009
  • Purpose: The purposes of this study were as follows; 1) To review the definitions of critical thinking from various perspectives, 2) To examine the critical thinking measurements throughout nursing research, and 3) To review the nursing studies with regard to critical thinking. Methods: This study was a literature review with regard to the critical thinking in nursing in aspects of conceptual meaning, measurements, and research. Results: The definition of critical thinking in nursing included decision making in clinical setting, inference with logical construct to increase nursing quality, interpretation in the context, and evaluation. The critical thinking was a core concept, which meant not only simple nursing process, but included decision making ability. The critical thinking has been conceptualized by both critical thinking disposition and skill. However, there was no nursing specified critical thinking measurement. Critical thinking research has been conducted to describe critical thinking disposition and critical thinking, to determine relationships between critical thinking and clinical competency, and to evaluate the effectiveness of educational programs. Conclusion: The instruments for measuring critical thinking disposition and skill that contain cultural difference and clinical specificity need to be developed to measure critical thinking and increase it.

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Effects of Software Education activities for Multicultural students on Resilience, Communication and Interpersonal Relationship

  • Kim, Jeong-Rang
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.1
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    • pp.265-271
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    • 2019
  • In this paper, the Software Education program for elementary school students in Multicultural families developed so that Multicultural students can adapt to national, school, peer, and teacher. The effects of Resilience, Communication skills and Interpersonal Relationshiop were investigated. The developed Software education program was designed in such a way that the target students became more intimate with each other and adapted to Korean culture, peers, and teachers through the analysis of the research subjects. Resilience test showed statistically significant difference in peer relationship and support, family support and interaction, teacher's interest and support, self - identity, and cultural acceptance. Communication ability test showed statistically significant differences in interpretation ability, self presentation ability, goal setting ability, and message conversion ability. The interpersonal Relationship test showed statistically significant differences in people's orientation toward people, facing people, and away from people. The results of this study indicate that the software education program for elementary school students in multicultural families has effects on adaptive flexibility, communication ability, and interpersonal ability. In the future, There is a need for continuous research with development and effectiveness of various software education programs for Multicultural students.

A Similarity Ranking Algorithm for Image Databases (이미지 데이터베이스 유사도 순위 매김 알고리즘)

  • Cha, Guang-Ho
    • Journal of KIISE:Databases
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    • v.36 no.5
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    • pp.366-373
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    • 2009
  • In this paper, we propose a similarity search algorithm for image databases. One of the central problems regarding content-based image retrieval (CBIR) is the semantic gap between the low-level features computed automatically from images and the human interpretation of image content. Many search algorithms used in CBIR have used the Minkowski metric (or $L_p$-norm) to measure similarity between image pairs. However those functions cannot adequately capture the aspects of the characteristics of the human visual system as well as the nonlinear relationships in contextual information. Our new search algorithm tackles this problem by employing new similarity measures and ranking strategies that reflect the nonlinearity of human perception and contextual information. Our search algorithm yields superior experimental results on a real handwritten digit image database and demonstrates its effectiveness.

A Study on the Effectiveness of Emotional Communication According to Types of Emoticon - Focusing on the Differences in Gender and Major of the Receiver - (이모티콘 유형에 따른 감정소통의 효과성 연구 - 수신자의 성별 및 전공계열별 차이를 중심으로 -)

  • Kang, Jung Ae;Kim, Hyun Ji;Lee, Sang Soo
    • Design Convergence Study
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    • v.15 no.4
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    • pp.45-58
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    • 2016
  • The purpose of this study is to investigate the most effective emoticon type in on-line communication context through analysis decoding(by their interpretation, empathy, reaction) of receiver about emotional message included the various emoticon types. Message types were all 5 - only text message and messages included texticon, graphicon, anicon, and photocon that reflected the transitional process of emoticon. Survey questionnaire that included various emotional situations was developed and utilized to undergraduate students to analyze the differences in their gender and majors. Results are as follow. First, the graphicon, anicon and photocon messages had higher effectiveness than others in the pleasure while the text only message had the highest effectiveness of them in the displeasure. Second, female students responded that the graphicon, anicon and photocon messages were more effective while male students responded that text only message was. Third, between Arts/Physical and Science/Engineering majors had significant differences in some message types, and especially Science/Engineering majors showed higher average than other majors in all of the emoticon types. These results can provide the information to design messages by the emotional situation of sender and gender and major of receiver.

Experimental Interpretation of Heat Transmits Pattern on Warm Needling (온침의 열전달 특성에 대한 실험적 해석)

  • Yang, Seung-Bum;Park, Soon-Jae;Lee, Jae-Gun;Jung, Ji-Chul;Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.34 no.3
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    • pp.109-115
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    • 2017
  • Objectives : Many researches have studied warm needling technique to standardize its treatment by temperature measurement and material differences in the effectiveness. The purpose of this study is to compare the temperature changes of the acupuncture needle shaft during the combustion process of the moxa stick to determine the heat transfer pattern of the warn needling. Methods : A moxa stick($7{\times}8mm$) was connected to one side of the needle shaft using a stainless steel needle(ø 0.3 mm, ø 0.5 mm, ø 0.8 mm, shaft length 40 mm) with the needle handle removed. During the warm needling, temperature changes of the needle shaft were observed with an infrared camera(Flir E30) and an infrared thermometer(TESTO 845). Results : In the normal condition, heat transmit of needle shaft increased at spots 10 mm and 25 mm below the moxa stick. The amount of heat transmit increased with the diameter of needle shaft. However, when the heat shield was installed to exclude radiant heat from the moxa stick, heat transfer was less at 10 mm below the moxa stick and no temperature change was observed at 25 mm below the moxa stick. Heat transfer by warm needling does not reach the end of needle shaft even in ø 0.8 mm needle. Conclusions : It is suggested that the radiant heat of moxa stick results in the heat transmit of acupuncture needle shaft. Thus, radiant heat transmit must be considered as one of the heat transfer characteristics of the warm needling.

An Experimental Study on the Characteristics of Moxa Combustion in the Moxa Materials (재료(材料)에 따른 뜸의 연소(燃燒) 특성(特性)에 대한 연구(硏究))

  • Park, Young-Bae;Kang, Sung-Keel;Kim, Chang-Hwan;Koh, Hyung-Kyun;Oh, Hwan-Sup;Huh, Wung
    • The Journal of Korean Medicine
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    • v.17 no.1 s.31
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    • pp.222-233
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    • 1996
  • In order to understand the stimulation quality of Artemisine Vulgaris Folium(Bong), Mori Ramulus(Sangi) and Persicae Ramulus(Dogi) combustion, and get the basic data for the development of electric moxibustion apparatus, the average temperature, peak temperature, average gradient temperature, maximum gradient temperature and combustion time of heating period on the three moxa materials were measured. 1. The average combustion temperature was high in order of Dogi, Sangi and Bong, and these were acknowledged to have a significant difference each other in the average temperature. 2. The peak combustion temperature among those was high in order of Dogi, Sangi and Bong, and Bong was acknowledged to have significant differences with Dogi and Sangi. Sangi and Dogi however were not acknowledged to have difference each other. 3. The average gradient temperature among those was high in order of Dogi, Sangi and Bong, and Bong was proved to have significant differences with Dogi and Sangi. Sangi and Dogi however were not proved to have difference each other. 4. The maximum temperature among those was high in order of Dogi, Sangi and Bong, bong was acknowledged to have signigicant differences with Dogi and Sangi, but Sangi and Dogi were not proved to have difference each other. 5. The combustion time was short in order of Dogi, Sangi and Bong. Bong was acknowledged to have significant differences with Dogi and Sangi, but Sangi and Dogi were not. In order to understand well the characteristics of combustion, it is required to have a quantitative interpretation of combustion calory, and, in the future, we expect it is required to have a consistent study for the clinical effectiveness and the mutual relationship according to the combustion characteristics.

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The Effects of Alternating Set Pressure Changes on Dynamic Tissue Perfusion Characteristics (교대부양 설정압력 변화가 인체조직의 동적인 관류특성에 미치는 영향)

  • Won, Byeong-Hee;Song, Chang-Seop
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.875-887
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    • 2010
  • The quantitative effectiveness of powered support surfaces such as APAM in preventing and treating pressure ulcers has not been sufficiently evaluated because of uncertainty of alternating pressure load input and lack of interpretation of dynamic perfusion characteristics of soft tissue. The aim was to verify the dynamic loading effects to sacral tissue perfusion characteristics from alternating set pressure changes. We developed integrated experiment system to supply alternating load to supinely positioned sacrum and concurrently measured $TcPO_2$, $TcPCO_2$ and air cell pressure. Ten aged subjects (5 female, 5 male) were tested with alternating set pressure 20, 30, 40, 50 and 60mmHg. From the dynamic perfusion response eight characteristic parameters were proposed such as average, minimum, maximum and perfusion range regarding to $TcPO_2$ and $TcPCO_2$. A one-way ANOVA was carried out to determine whether the manipulation of alternating set pressure had any effect on $TcPO_2$ and $TcPCO_2$. From the dynamic tissue perfusion response we found mean $TcPO_2$ decreased exponentially as alternating pressure load increased and perfusion range varied mainly because of minimum level change of $TcPO_2$. And perfusion range of $TcPCO_2$ affected by increase of maximum value of $TcPCO_2$. From the results we can get more strict insights about actual physiological dynamic tissue perfusion mechanism under alternating pressure load.

Impact of Online Learning in India: A Survey of University Students during the COVID-19 Crisis

  • Goswami, Manash Pratim;Thanvi, Jyoti;Padhi, Soubhagya Ranjan
    • Asian Journal for Public Opinion Research
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    • v.9 no.4
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    • pp.331-351
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    • 2021
  • The unprecedented situation of COVID-19 caused the government of India to instruct educational institutions to switch to an online mode to mitigate the losses for students due to the pandemic. The present study attempts to explore the impact of online learning introduced as a stop-gap arrangement during the pandemic in India. A survey was conducted (N=289), via Facebook and WhatsApp, June 1-15, 2020 to understand the accessibility and effectiveness of online learning and constraints that students of higher education across the country faced during the peak times of the pandemic. The analysis and interpretation of the data revealed that the students acclimatized in a short span of time to online learning, with only 33.21% saying they were not satisfied with the online learning mode. However, the sudden shift to online education has presented more challenges for the socially and economically marginalized groups, including Scheduled Caste (SC), Scheduled Tribes (ST), Other Backward Class (OBC), females, and students in rural areas, due to factors like the price of high-speed Internet (78.20% identified it as a barrier to online learning), insufficient infrastructure (23.52% needed to share their device frequently or very frequently), poor Internet connectivity, etc. According to 76.47% of respondents, the future of learning will be in "blended mode." A total of 88.92% of the respondents suggested that the government should provide high-quality video conferencing facilities free to students to mitigate the division created by online education in an already divided society.