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Enteral Feeding for Preterm Infants-Benefits and Risks (미숙아의 장관영양)

  • Sin, Jong-Beom
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.121-130
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    • 2009
  • Over the past 20 years, neonatal mortality rates for preterm infants, particularly those born extremely preterm and with a very low birth weight, have decreased steadily. As more very immature preterm infants survive, provision of enteral feeding has become a major focus of concern. According to many experts on neonatal nutrition, the goal for the nutrition of preterm infants should be to achieve a postnatal growth rate approximating that of a normal fetus of the same gestational age. Total parenteral nutrition for maintaining nutritional integrity is mandatory before successful transition to enteral feeding. Early initiation of trophic enteral feeding is vital for postnatal adaptation. Recently published randomized controlled trials provide no evidence to support the practice of postponing enteral feeding to reduce the incidence of necrotizing enterocolitis. Early trophic feeding yields demonstrable benefits and there is currently no evidence of any adverse effects following early feeding. Preterm milk from the infant's own mother is the milk of choice, which can always be supplemented with a human milk fortifier. Here we review over 50 randomized controlled trials and over seven systematic reviews published on neonatal parenteral and enteral feeding of preterm infants. Neonatologists must make use of the evidence from these studies as a reference for feeding protocols for preterm infants in their NICUs are to be based.

Turbo MIMO-OFDM Receiver in Time-Varying Channels

  • Chang, Yu-Kuan;Ueng, Fang-Biau;Jhang, Yi-Wei
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.12 no.8
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    • pp.3704-3724
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    • 2018
  • This paper proposes an advanced turbo receiver with joint inter-carrier interference (ICI) self cancellation and channel equalization for multiple-input multiple-output orthogonal frequency division multiplexing (MIMO-OFDM) systems over rapidly time-varying channel environment. The ICI caused by impairment of local oscillators and carrier frequency offset (CFO) is the major problem for MIMO-OFDM communication systems. The existing schemes (conjugate cancellation (CC) and phase rotated conjugate cancellation (PRCC)) that deal with the ICI cancellation and channel equalization can't provide satisfactory performance over time-varying channels. In term of error rate performance and low computational complexity, ICI self cancellation is the best choice. So, this paper proposes a turbo receiver to deal with the problem of joint ICI self cancellation and channel equalization. We employ the adaptive phase rotations in the receiver to effectively track the CFO variations without feeding back the CFO estimate to the transmitter as required in traditional existing scheme. We also give some simulations to verify the proposed scheme. The proposed schene outperforms the existing schemes.

A Study on the Forecasting of Decision Behavior the Choice of Housing of Potential Purchasers for Housing Industry in Ulsan I (울산시 주택산업활성화를 위한 주택구매예정자의 주거선택행동 예측 I)

  • 김선중
    • Journal of the Korean housing association
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    • v.14 no.6
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    • pp.1-13
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    • 2003
  • Housing supply ratio in Ulsan area has soared up to 91% recently. Therefore, developing a successful marketing strategy is an essential part of apartment sales success in Ulsan area. The purpose of this study is identifying the status of satisfaction level, moving motivation, the level of housing choosing behavior, and housing needs of the apartments for making a marketing strategy. The survey uses questionnaires which are delivered to the 545 housewives who live in 20 pyoung or 30 pyoung apartment in Ulsan area. The research uses a survey questionnaire for gathering a set of statistically-reasonable number of data among one million population of Ulsan metropolitan area. The frequency test and F-test are used for the analysis of the results. The results of empirical analyses provide the following major findings: 1) housing satisfaction of Buk-ku residents is higher than that of the residents of the other area, 2) neighborhood environment improvement and physical environment improvement are important factors of housing moving motivations, 3) view and lighting are important requirements of the housing, 4) the level of housing choosing efforts are more active in the residents of Joong-ku and Dong-ku than those of Nam-ku and Buk-ku.

A Study on Residential Satisfaction and Residential Choice: The Case of A Residential Area in the Built-up Area (기성시가지 단독주택지의 주거환경 만족도와 거주이동 요인에 관한 연구)

  • 임준홍;김한수;이철흠
    • Journal of the Korean housing association
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    • v.14 no.6
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    • pp.15-22
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    • 2003
  • The regeneration of built-up areas is considered as one of the necessary measures for the effectiveness of urban growth management. In this vein, this study explores how to limit the number of people who leaves the built-up areas and to restore the area with the resident. For this, a residential area of the built-up area is analyzed in terms of why people in that area are moving out of the area and who fills in it after all. This study founds that narrow roads in a residential area and the changes in land use from residential purposes to commercial are major forces that push the people in the built-up area. In addition, the lack of welfare facilities, the pavement of roads, and pedestrian roads. education. crime. the lack of interaction between neighbors, and the quality of housing are all emerged contributing the loss of people in the built-up areas. It is recommended that all the factors here should be restored in an appropriate way. Another finding is that those who fill in the built-up area are largely over 50, self-employed, comparably wealthy, and having their own families. Hence, it is advised that the built-up area would be rearranged in order to attract those type of people in there.

Time Allocation of Farm wives:A Household Production Approach (농가주부의 시간배분연구: 가정생산이론적 접근)

  • 김인숙
    • Journal of Families and Better Life
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    • v.14 no.3
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    • pp.181-196
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    • 1996
  • This study examined the time allocation pattern of farm wives. In particular it addressed i)the differences in extent of time spent in farming housework child care and leisure between on-farm and off-farm seasons ii)differences in the extent of time spent in such activities among farm wives and urban wives and iii) the determinants of time spent in such activities. To achieve these goals a system of time allocation equations based on household production theory was employed. On hundred and eight farm wives wiere selected in 1993 by the methods of judgement sampling and cluster sampling. Two major questions in the survey elicited sociodemographic information and time-use of farm wives using the time-diary method, The results indicate that farm wives different decisions about how to allocate their time to farming housework child care leisure during on-farm and off-farm seasons. In addition it was that farm wives are more likely to have dual responsibilities than are urban wives. Finally in the off-farm season education number of younger children and region were significant variables in explaining the time allocation decisions of farm wives. However only age was a significant factor in their time allocation decisions during the on-farm season. This leads one to conclude that time allocation is not a choice for farm wives in the on-farm season.

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Cucurbitacin B Activates Bitter-Sensing Gustatory Receptor Neurons via Gustatory Receptor 33a in Drosophila melanogaster

  • Rimal, Suman;Sang, Jiun;Dhakal, Subash;Lee, Youngseok
    • Molecules and Cells
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    • v.43 no.6
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    • pp.530-538
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    • 2020
  • The Gustatory system enables animals to detect toxic bitter chemicals, which is critical for insects to survive food induced toxicity. Cucurbitacin is widely present in plants such as cucumber and gourds that acts as an anti-herbivore chemical and an insecticide. Cucurbitacin has a harmful effect on insect larvae as well. Although various beneficial effects of cucurbitacin such as alleviating hyperglycemia have also been documented, it is not clear what kinds of molecular sensors are required to detect cucurbitacin in nature. Cucurbitacin B, a major bitter component of bitter melon, was applied to induce action potentials from sensilla of a mouth part of the fly, labellum. Here we identify that only Gr33a is required for activating bitter-sensing gustatory receptor neurons by cucurbitacin B among available 26 Grs, 23 Irs, 11 Trp mutants, and 26 Gr-RNAi lines. We further investigated the difference between control and Gr33a mutant by analyzing binary food choice assay. We also measured toxic effect of Cucurbitacin B over 0.01 mM range. Our findings uncover the molecular sensor of cucurbitacin B in Drosophila melanogaster. We propose that the discarded shell of Cucurbitaceae can be developed to make a new insecticide.

Optimal Sensor Allocation of Cable-Stayed Bridge for Health Monitoring (사장교의 상시감시를 위한 최적 센서 구성)

  • Heo, Gwang-Hee;Choi, Mhan-Young
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.6 no.2
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    • pp.145-155
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    • 2002
  • It is essential for health monitoring of a cable-stayed bridge to provide more accurate and enough information from the sensors. In experimental modal testing, the chosen measurement locations and the number of measurements have a major influence on the quality of the results. The choice is often difficult for complex structures like a cable-stayed bridge. It is extremely important a cable-stayed bridge to minimize the number of sensing operations required to monitor the structural system. In order to obtain the desired accuracy for the structural test, several issues must take into consideration. Two important issues are the number and location of response sensors. There are usually several alternative locations where different sensors can be located. On the other hand, the number of sensors might be limited due to economic constraints. Therefore, techniques such as methodologies, algorithms etc., which address the issue of limited instrumentation and its effects on resolution and accuracy in health monitoring systems are paramount to a damage diagnosis approach. This paper discusses an optimum sensor placement criterion suitable to the identification of structural damage for continuous health monitoring. A Kinetic Energy optimization technique and an Effective Independence Method are analyzed and numerical and theoretical issues are addressed for a cable-stayed bridge. Its application to a cable-stayed bridge is discussed to optimize the sensor placement for identification and control purposes.

Children's Perception of Parental Authority (부모의 권위에 대한 아동의 지각 연구)

  • Kim, Kyung Hi
    • Korean Journal of Child Studies
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    • v.8 no.2
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    • pp.45-60
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    • 1987
  • This research examined children's perception of parental authority within three different types of rules : moral, social-conventional, and personal issue. Specifically, two major aspects of parental authority-legitimacy and obedience-were explored. The subjects of this study were 120 children from an elementary school in Kwangju. There were 40 subjects (20 males and 20 females) in each of three age groups: 7-, 9-, and 11- year-olds. The subjects were administered an interview individually. Based on Tisak (1986) open-ended questions concerning three family rules (moral rule, social-conventional rule, personal issue) were administered. Responses to the assessment questions were coded as positive or negative. Responses to the judgment conception questions were coded into 7 categories : Other's Walfare, Social Coordination, Personal choice, Deservedness of Punishment for Wrongdoing, Existence of Authority, Conflicting Personal Interest and Authority, and Personal Development. Statistical analysis of obtained data was by percentage and ${\chi}_2$ test using log linear procedure. The results were as follows : (1) There was a significant main effect of type of rule on the children's assessment regarding legitimacy and obedience of parental authority. The children (average 96%) stated that it was all right for parents to make rules prohiliting an act when it pertained to moral and social conventions. However, the majority of the children (average 40%) stated that it was not right for parents to regulate personal issues. (2) There was a significant interaction effect between type of rule and age. (3) There was a significant main effect of rules on the children's judgment conception of parental authority. (4) There was a significant interaction effect between rules and ages on children's judgment conception of parental authority.

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Children's Awareness of Racial Features, Racial In-Group Classification and Racial Preference According to Visual and Language Features (유아의 인종적 신체 특징 인식, 외모와 언어 단서에 따른 내집단 범주화 및 선호도)

  • Lee, Jungmin;Lee, Kangyi
    • Korean Journal of Child Studies
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    • v.35 no.2
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    • pp.85-102
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    • 2014
  • The purpose of this study was to examine the awareness of racial features, racial in-group classification and preference by Korean children. The study participants comprised 89 children aged 3-5 years. The children performed photograph description and choice tasks. The major findings were as follows: First, older children were significantly more likely than younger children to use racial feature and less likely to use general physical feature to describe the stimuli. Second, children tended to select the South-Asian person speaking in Korean language as a Korean, rather than the Korean person speaking in English. Third, children tended to select the person of Korean appearance speaking in English as a playmate. The result revealed the developmental features of racial awareness. Furthermore the correspondence of language plays an important role on the children's in-group classification whereas the correspondence of appearance plays an important role on the children's preference.

Anaphylactic Shock Care during General Anesthesia -A Case Report- (전신마취 도중 유발된 아나필락시스 -증례보고-)

  • Choi, Byung-Ho;Sul, Sung-Han;Yoo, Jae-Ha
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.6 no.2 s.11
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    • pp.121-126
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    • 2006
  • Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction. Most fatalities from anaphylaxis occur within the first 30 minutes postantigenic exposure. The mechanism of generalized anaphylaxis is the reaction of IgE antibodies to an allergen that causes the release of histamine, bradykinin, and others. These chemical mediators cause the contraction of smooth muscles of the respiratory and intestinal tracts, as well as increased vascular permeability. Four major clinical symptoms are recognized: skin reactions, smooth muscle spasm (gastrointestinal and genitourinary tracts and respiratory smooth muscle), respiratory distress, and cardiovascular collapse. Epinephrine is the drug of choice for the management. Its syrnpathomimetic effects directly counteract most aspects of the attack. Respiration must be immediately supported by the establishment of a patent airway along with artificial ventilation. The circulation should be supported and the existing hypotension overcome by placing the victim in a position to allow gravity to aid venous return and by administering intravenous fluids, vasopressors, and corticosteroids. When an imperceptible pulse is evident, external cardiac compression must also be instituted. This is a case report of anaphylactic shock care during general anesthesia, possibly due to penicillin, pancuronium and others.

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