• 제목/요약/키워드: I-Sen

검색결과 76건 처리시간 0.023초

낙태에서 장애여성의 자기결정권에 관한 역량 강화 (Improvement of Capability to the Self-Determination of Disabled Women in Abortion)

  • 김문정;심지원
    • 한국의료윤리학회지
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    • 제21권4호
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    • pp.301-315
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    • 2018
  • 여성은 신체적 특징과 더불어 사회적으로 부과된 '모성'에 의해 임신과 출산, 그리고 양육의 과정에서 책임자로 위임되어 왔다. 특히 임신, 출산과 더불어 낙태 또한 자신의 몸에서 직접 체험하며, 그것으로 인해 삶에 가장 영향을 받는 대상도 여성이다. 그러나 정작 여성은 자신의 몸에 대한 자기결정권을 제대로 갖지 못하고 있다. 이른바 '생명옹호론 대 선택옹호론(pro-life vs. pro-choice)'의 낙태담론 구도 속에서 여성의 자기결정권이란 애초에 '생명존중'에 비해 하위의 것으로 치부되어 왔다. 더욱이 최근 우리사회에서 저출산 위기론이 대두되면서 낙태 처벌이 강화되고 여성의 자율적 결정이나 권리 행사는 더욱 억압되는 상황으로 치닫고 있다. 그런데 일련의 이러한 과정에서 비장애여성과 장애여성 사이에 이중 잣대의 부당함마저 존재한다. 즉 여성들 사이에서 몸의 차등화가 이루어지고 있다. 본 연구는 낙태에서 여성, 특히 장애여성의 자기결정권 문제를 센의 역량 접근 관점에서 고찰한다. 낙태는 개인적이면서도 동시에 사회적인 문제로서 단순히 낙태 허용 여부만이 아니라 임신과 출산, 양육 등과 함께 총체적인 관점에서 조망되어야 하기 때문이다. 결론적으로 낙태에서 장애여성의 자기결정권에 관한 역량 접근은 다음과 같은 윤리적 함의를 기대할 수 있다. 첫째, 장애여성이 처한 다양한 상황적 변수들을 자기결정권 개념 안에 함께 구성하도록 요청한다. 둘째, 장애여성의 실질적 자기결정권의 행사를 위해 개인과 공동체의 연대적 관계를 지향한다. 셋째, 포괄적인 장애여성의 권리로서 '재생산 권리'의 담론으로 확장시킨다.

Treatment Response Evaluation by Computed Tomography Pulmonary Vasculature Analysis in Patients With Chronic Thromboembolic Pulmonary Hypertension

  • Yu-Sen Huang;Zheng-Wei Chen;Wen-Jeng Lee;Cho-Kai Wu;Ping-Hung Kuo;Hsao-Hsun Hsu;Shu-Yu Tang;Cheng-Hsuan Tsai;Mao-Yuan Su;Chi-Lun Ko;Juey-Jen Hwang;Yen-Hung Lin;Yeun-Chung Chang
    • Korean Journal of Radiology
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    • 제24권4호
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    • pp.349-361
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    • 2023
  • Objective: To quantitatively assess the pulmonary vasculature using non-contrast computed tomography (CT) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) pre- and post-treatment and correlate CT-based parameters with right heart catheterization (RHC) hemodynamic and clinical parameters. Materials and Methods: A total of 30 patients with CTEPH (mean age, 57.9 years; 53% female) who received multimodal treatment, including riociguat for ≥ 16 weeks with or without balloon pulmonary angioplasty and underwent both non-contrast CT for pulmonary vasculature analysis and RHC pre- and post-treatment were included. The radiographic analysis included subpleural perfusion parameters, including blood volume in small vessels with a cross-sectional area ≤ 5 mm2 (BV5) and total blood vessel volume (TBV) in the lungs. The RHC parameters included mean pulmonary artery pressure (mPAP), pulmonary vascular resistance (PVR), and cardiac index (CI). Clinical parameters included the World Health Organization (WHO) functional class and 6-minute walking distance (6MWD). Results: The number, area, and density of the subpleural small vessels increased after treatment by 35.7% (P < 0.001), 13.3% (P = 0.028), and 39.3% (P < 0.001), respectively. The blood volume shifted from larger to smaller vessels, as indicated by an 11.3% increase in the BV5/TBV ratio (P = 0.042). The BV5/TBV ratio was negatively correlated with PVR (r = -0.26; P = 0.035) and positively correlated with CI (r = 0.33; P = 0.009). The percent change across treatment in the BV5/TBV ratio correlated with the percent change in mPAP (r = -0.56; P = 0.001), PVR (r = -0.64; P < 0.001), and CI (r = 0.28; P = 0.049). Furthermore, the BV5/TBV ratio was inversely associated with the WHO functional classes I-IV (P = 0.004) and positively associated with 6MWD (P = 0.013). Conclusion: Non-contrast CT measures could quantitatively assess changes in the pulmonary vasculature in response to treatment and were correlated with hemodynamic and clinical parameters.

Exploring the Role of Preference Heterogeneity and Causal Attribution in Online Ratings Dynamics

  • Chu, Wujin;Roh, Minjung
    • Asia Marketing Journal
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    • 제15권4호
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    • pp.61-101
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    • 2014
  • This study investigates when and how disagreements in online customer ratings prompt more favorable product evaluations. Among the three metrics of volume, valence, and variance that feature in the research on online customer ratings, volume and valence have exhibited consistently positive patterns in their effects on product sales or evaluations (e.g., Dellarocas, Zhang, and Awad 2007; Liu 2006). Ratings variance, or the degree of disagreement among reviewers, however, has shown rather mixed results, with some studies reporting positive effects on product sales (e.g., Clement, Proppe, and Rott 2007) while others finding negative effects on product evaluations (e.g., Zhu and Zhang 2010). This study aims to resolve these contradictory findings by introducing preference heterogeneity as a possible moderator and causal attribution as a mediator to account for the moderating effect. The main proposition of this study is that when preference heterogeneity is perceived as high, a disagreement in ratings is attributed more to reviewers' different preferences than to unreliable product quality, which in turn prompts better quality evaluations of a product. Because disagreements mostly result from differences in reviewers' tastes or the low reliability of a product's quality (Mizerski 1982; Sen and Lerman 2007), a greater level of attribution to reviewer tastes can mitigate the negative effect of disagreement on product evaluations. Specifically, if consumers infer that reviewers' heterogeneous preferences result in subjectively different experiences and thereby highly diverse ratings, they would not disregard the overall quality of a product. However, if consumers infer that reviewers' preferences are quite homogeneous and thus the low reliability of the product quality contributes to such disagreements, they would discount the overall product quality. Therefore, consumers would respond more favorably to disagreements in ratings when preference heterogeneity is perceived as high rather than low. This study furthermore extends this prediction to the various levels of average ratings. The heuristicsystematic processing model so far indicates that the engagement in effortful systematic processing occurs only when sufficient motivation is present (Hann et al. 2007; Maheswaran and Chaiken 1991; Martin and Davies 1998). One of the key factors affecting this motivation is the aspiration level of the decision maker. Only under conditions that meet or exceed his aspiration level does he tend to engage in systematic processing (Patzelt and Shepherd 2008; Stephanous and Sage 1987). Therefore, systematic causal attribution processing regarding ratings variance is likely more activated when the average rating is high enough to meet the aspiration level than when it is too low to meet it. Considering that the interaction between ratings variance and preference heterogeneity occurs through the mediation of causal attribution, this greater activation of causal attribution in high versus low average ratings would lead to more pronounced interaction between ratings variance and preference heterogeneity in high versus low average ratings. Overall, this study proposes that the interaction between ratings variance and preference heterogeneity is more pronounced when the average rating is high as compared to when it is low. Two laboratory studies lend support to these predictions. Study 1 reveals that participants exposed to a high-preference heterogeneity book title (i.e., a novel) attributed disagreement in ratings more to reviewers' tastes, and thereby more favorably evaluated books with such ratings, compared to those exposed to a low-preference heterogeneity title (i.e., an English listening practice book). Study 2 then extended these findings to the various levels of average ratings and found that this greater preference for disagreement options under high preference heterogeneity is more pronounced when the average rating is high compared to when it is low. This study makes an important theoretical contribution to the online customer ratings literature by showing that preference heterogeneity serves as a key moderator of the effect of ratings variance on product evaluations and that causal attribution acts as a mediator of this moderation effect. A more comprehensive picture of the interplay among ratings variance, preference heterogeneity, and average ratings is also provided by revealing that the interaction between ratings variance and preference heterogeneity varies as a function of the average rating. In addition, this work provides some significant managerial implications for marketers in terms of how they manage word of mouth. Because a lack of consensus creates some uncertainty and anxiety over the given information, consumers experience a psychological burden regarding their choice of a product when ratings show disagreement. The results of this study offer a way to address this problem. By explicitly clarifying that there are many more differences in tastes among reviewers than expected, marketers can allow consumers to speculate that differing tastes of reviewers rather than an uncertain or poor product quality contribute to such conflicts in ratings. Thus, when fierce disagreements are observed in the WOM arena, marketers are advised to communicate to consumers that diverse, rather than uniform, tastes govern reviews and evaluations of products.

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청소년의 회복탄력성에 대한 고등학교 기술·가정 교과서 활동과제 분석 (An Analysis of High School Technology·Home Economics Textbooks' Activities to Improve the Resilience of Youth)

  • 최유리;김은정;이소영;이지선;임소진;박미정
    • 한국가정과교육학회지
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    • 제30권4호
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    • pp.37-55
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    • 2018
  • 본 연구는 2015 실과(기술·가정)교육과정에 따라 개발된 고등학교 기술·가정 교과서의 활동과제 분석을 통해 청소년의 회복탄력성 증진에 기여하는 것을 목적으로 하고 있다. 이러한 목적을 위해 12종 고등학교 기술·가정 교과서의 '인간발달과 가족', '가정생활과 안전' 영역 내 활동과제를 회복탄력성의 하위요인을 기준으로 분석하였다. 12종의 교과서에서 총303건의 활동과제를 추출하였으며, 3인이 활동과제를 분석한 뒤 협의를 통해 분석기준을 수정·보완하는 과정을 3회 진행한 후 전문가 3인의 검토를 받았다. 분석 결과, 다루는 활동과제의 수에 차이가 있지만 공통적으로 회복탄력성의 하위요인 중 대인관계능력(54.8%)을 기르는데 초점을 두고 있었다. 그 다음으로 자기조절능력(39.4%), 긍정성(5.8%)으로 나타났다. 둘째, 핵심개념별로 활동과제의 회복탄력성 비율을 분석한 결과, '안전(44.3%)'을 핵심개념으로 다루는 '가정생활과 안전' 영역 외 '발달(25.1%)', '관계(30.6)'를 핵심개념으로 다루는 '인간 발달과 가족' 영역에서도 회복탄력성 하위요인을 고루 다루고 있었다. 이를 통해 가정 교과가 회복탄력성을 체계적으로 교육하기에 적합한 교과이며, 교육과정 내 회복탄력성이라는 용어가 구체적으로 언급되기 이전부터 회복탄력성을 중요하게 생각하고 다루어 왔음을 유추할 수 있다. 이 연구의 결과가 향후 가정과 회복탄력성 교육 프로그램 개발에 기초자료로 활용되기를 기대한다.

국내, 외 광우병의 발생 현황과 대응 방안 (The current status and control measures of BSE in the worldwide)

  • 유한상
    • 한국환경농학회:학술대회논문집
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    • 한국환경농학회 2009년도 정기총회 및 국제심포지엄
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    • pp.273-282
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    • 2009
  • The transmissible spongiform encephalopathies (TSEs) disease group are fatal neurodegenerative disorders affecting a wide range of hosts. The group includes kuru and Creutzfeldt-Jakob disease (CJD) in humans, scrapie in sheep and goats and Bovine spongiform encephalopathy (BSE) in cattle. The exact nature of the infectious agent involved in the transmission of these diseases remains controversial. However, a central event in their pathogenesis is the accumulation in infected tissues of an abnormal form of a host-encoded protein, the prion protein (PrP). Whereas the normal cellular protein is fully sensitive to protease ($PrP^{sen}$), the disease-associated prion protein ($PrP^d$) is only partly degraded ($PrP^{res}$), its amino-terminal end being removed. BSE was first reported in the mid-80s in the UK. Ten years later, a new form of human prion disease, variant CJD (vCJD) developed in the wake of the BSE epidemic, and there is now strong scientific evidence that vCJD was initiated by the exposure of humans to BSE-infected tissues, thus indicating a zoonotic disease. However, the ban on the feeding of animal-derived proteins to ruminants, and the apparent lack of vertical transmission of BSE, have led to a decline in the incidence of the disease within cattle herd and therefore, an assumed decreased risk for human contacting vCJD. The origin of the original case(s) of BSE still remains an enigma even though three hypotheses have been raised. Hypotheses are i) sheep- or goat-derived scrapie-infected tissues included in meat and bone meal fed to cattle, ii) a previously undetected sporadic or genetic bovine TSE contaminating cattle feed or iii) originating from a human TSE through animal feed contaminated with human remains. A host cellular membrane protein ($PrP^C$), which is abundant in central nervous system tissue, appear to be conformationally altered in the diseased host into a prion protein ($PrP^{Sc}$). This $PrP^{Sc}$ is detergent insoluble and partially protease-resistant ($PrP^{res}$). The term $PrP^{res}$ is normally used to describe the protein detected after protease treatment, in techniques such as Western immunoblotting, and enzyme-linked immunosorbant assay using fresh/frozen tissue. Immunohistochemistry may performed with formalin-fixed tissues. Also, clinical signs of the BSE are one of the major diagnostic indicators. Recently, atypical forms (known as H- and L-type) of BSE have appeared in several European countries, Japan, Canada and the United States. An unusual case was also reported in a miniature zebu. The atypical BSE fall into two groups based on the relative molecular mass (Mm) of the unglycosylated $PrP^{res}$ band relative to that of classical BSE, one of the higher Mm (H-type) and the other lower (L-type). Both types have been detected worldwide as rare cases in older animals, at a low prevalence consistent with the possibility of sporadic forms of prion diseases in cattle. This raises the unwelcome possibility that vCJD could increase in the human population. Now, active surveillance program against BSE is going on in Korea. In regional veterinary service lab, ELISA is applied to screen the BSE in slaughter and confirmatory tests by Western immunoblotting and immunohistochemisty are carried out if there are positive or suspect in the screening test. Also, the ruminant feed ban is rigorously enforced. Removal of specified risk materials such as brain and spinal cord from cattle is mandatory process at slaughter to prevent the infected material from entering the human food chain.

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주제 균형 지능형 텍스트 요약 기법 (Subject-Balanced Intelligent Text Summarization Scheme)

  • 윤여일;고은정;김남규
    • 지능정보연구
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    • 제25권2호
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    • pp.141-166
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    • 2019
  • 최근 다양한 매체를 통해 생성되는 방대한 양의 텍스트 데이터를 효율적으로 관리 및 활용하기 위한 방안으로써 문서 요약에 대한 연구가 활발히 진행되고 있다. 특히 최근에는 기계 학습 및 인공 지능을 활용하여 객관적이고 효율적으로 요약문을 도출하기 위한 다양한 자동 요약 기법이(Automatic Summarization) 고안되고 있다. 하지만 현재까지 제안된 대부분의 텍스트 자동 요약 기법들은 원문에서 나타난 내용의 분포에 따라 요약문의 내용이 구성되는 방식을 따르며, 이와 같은 방식은 비중이 낮은 주제(Subject), 즉 원문 내에서 언급 빈도가 낮은 주제에 대한 내용이 요약문에 포함되기 어렵다는 한계를 갖고 있다. 본 논문에서는 이러한 한계를 극복하기 위해 저빈도 주제의 누락을 최소화하는 문서 자동 요약 기법을 제안한다. 구체적으로 본 연구에서는 (i) 원문에 포함된 다양한 주제를 식별하고 주제별 대표 용어를 선정한 뒤 워드 임베딩을 통해 주제별 용어 사전을 생성하고, (ii) 원문의 각 문장이 다양한 주제에 대응되는 정도를 파악하고, (iii) 문장을 주제별로 분할한 후 각 주제에 해당하는 문장들의 유사도를 계산한 뒤, (iv) 요약문 내 내용의 중복을 최소화하면서도 원문의 다양한 내용을 최대한 포함할 수 있는 자동적인 문서 요약 기법을 제시한다. 제안 방법론의 평가를 위해 TripAdvisor의 리뷰 50,000건으로부터 용어 사전을 구축하고, 리뷰 23,087건에 대한 요약 실험을 수행한 뒤 기존의 단순 빈도 기반의 요약문과 주제별 분포의 비교를 진행하였다. 실험 결과 제안 방법론에 따른 문서 자동 요약을 통해 원문 내각 주제의 균형을 유지하는 요약문을 도출할 수 있음을 확인하였다.