• Title/Summary/Keyword: Major Choice

Search Result 627, Processing Time 0.031 seconds

Possible Effects of Senior Hospital Selection Factors and Satisfaction on Revisit Intention (노인병원 선택요인과 만족도가 재이용의사에 미치는 영향 - 환자보호자 관점에서 -)

  • Choi, Young-Sun;Rue, Hwang-Gun;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
    • /
    • v.3 no.1
    • /
    • pp.33-46
    • /
    • 2009
  • In order to analyze possible effects of senior hospital selection factors and service satisfaction on senior hospital patients' revisit of senior hospital, this study surveyed guardians of total 204 patients hospitalized in major 4 senior hospitals in Busan. As a result, this study came to the following conclusions: First, it was found that guardians considered appropriateness of medical treatment cost as the biggest factor of choice, which was followed by kindness of doctor and hospital employees, locational accessibility (traffic convenience), and doctor's medical capacity. Second, the factor analysis about patients' satisfaction showed that the influential factors consisted of satisfaction at medical staffs, satisfaction at nursing and care, and satisfaction at facilities. Third, there was not significant difference in the overall impression of hospital and the intention of revisit depending upon sociological variables. Fourth, satisfaction at nursing and care and satisfaction at facilities had significant effects on better satisfaction at overall impression of hospital, and it was noted that the shorter admission period and the less complaint led to the higher intention of revisit. Therefore, it is necessary to improve satisfaction at medical staffs, nursing and care, and facilities rather than patients' own sociological characteristics.

  • PDF

Combining Multi-Criteria Analysis with CBR for Medical Decision Support

  • Abdelhak, Mansoul;Baghdad, Atmani
    • Journal of Information Processing Systems
    • /
    • v.13 no.6
    • /
    • pp.1496-1515
    • /
    • 2017
  • One of the most visible developments in Decision Support Systems (DSS) was the emergence of rule-based expert systems. Hence, despite their success in many sectors, developers of Medical Rule-Based Systems have met several critical problems. Firstly, the rules are related to a clearly stated subject. Secondly, a rule-based system can only learn by updating of its rule-base, since it requires explicit knowledge of the used domain. Solutions to these problems have been sought through improved techniques and tools, improved development paradigms, knowledge modeling languages and ontology, as well as advanced reasoning techniques such as case-based reasoning (CBR) which is well suited to provide decision support in the healthcare setting. However, using CBR reveals some drawbacks, mainly in its interrelated tasks: the retrieval and the adaptation. For the retrieval task, a major drawback raises when several similar cases are found and consequently several solutions. Hence, a choice for the best solution must be done. To overcome these limitations, numerous useful works related to the retrieval task were conducted with simple and convenient procedures or by combining CBR with other techniques. Through this paper, we provide a combining approach using the multi-criteria analysis (MCA) to help, the traditional retrieval task of CBR, in choosing the best solution. Afterwards, we integrate this approach in a decision model to support medical decision. We present, also, some preliminary results and suggestions to extend our approach.

Recent Trends and Alternatives of Korean Social Welfare Service Policies - Integration of Market and Anti-market Schemes- (사회서비스 정책의 동향과 대한 - 시장 기제와 반-시장 기제의 통합 -)

  • Kim, Kong-deug
    • Korean Journal of Social Welfare Studies
    • /
    • no.36
    • /
    • pp.5-28
    • /
    • 2008
  • The purpose of this study is to review recent trends and major emerging problems and explore alternatives of Korean social welfare service policies. The concerns on social welfare service are triggered by the issues of rapid getting lower birth rate and severe growing rate of old people. These concerns resulted in the expansions of social welfare services. But Korean social welfare service systems are not prepared for these expansions. Presenting problems are disconnection between state and local governments, not securing minimum standards on accessibility and service provision, excessive concerns on making caring jobs and lacking in securing of safety and rights of vulnerable service users. As alternatives, this study proposes the integration of market approaches which can facilitate service user's choice and anti-market schemes which could act against the negative effects of market approaches.

Current perspectives on atypical pneumonia in children

  • Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
    • /
    • v.63 no.12
    • /
    • pp.469-476
    • /
    • 2020
  • The major pathogens that cause atypical pneumonia are Mycoplasma pneumoniae, Chlamydophila pneumoniae, and Legionella pneumophila. Community-acquired pneumonia (CAP) caused by M. pneumoniae or C. pneumoniae is common in children and presents as a relatively mild and self-limiting disease. CAP due to L. pneumophila is very rare in children and progresses rapidly, with fatal outcomes if not treated early. M. pneumoniae, C. pneumoniae, and L. pneumophila have no cell walls; therefore, they do not respond to β-lactam antibiotics. Accordingly, macrolides, tetracyclines, and fluoroquinolones are the treatments of choice for atypical pneumonia. Macrolides are the first-line antibiotics used in children because of their low minimum inhibitory concentrations and high safety. The incidence of pneumonia caused by macrolide-resistant M. pneumoniae that harbors point mutations has been increasing since 2000, particularly in Korea, Japan, and China. The marked increase in macrolide-resistant M. pneumoniae pneumonia (MRMP) is partly attributed to the excessive use of macrolides. MRMP does not always lead to clinical nonresponsiveness to macrolides. Furthermore, severe complicated MRMP responds to corticosteroids without requiring a change in antibiotic. This implies that the hyper-inflammatory status of the host can induce clinically refractory pneumonia regardless of mutation. Empirical macrolide therapy in children with mild to moderate CAP, particularly during periods without M. pneumoniae epidemics, may not provide additional benefits over β-lactam monotherapy and can increase the risk of MRMP.

Molecular Dynamics Simulation Studies of Zeolite A. Ⅶ. Structure and Dynamics of $H^+$ ions in a Nom-Rigid Dehydrated H12-A Zeolite Framework

  • 이송희;최상구
    • Bulletin of the Korean Chemical Society
    • /
    • v.20 no.3
    • /
    • pp.285-290
    • /
    • 1999
  • In the present paper, we report a molecular dynamics (MD) simulation study for the structure and dynamics of H+ ions in non-rigid dehydrated H12-A zeolite framework at 298.15 K, using the same method we used in our previous studies of rigid and non-rigid zeolite-A frameworks. It is found that two different structures appear, depending on the choice of the Lennard-Jones parameter (σ) for the H+ ion, as is also observed in the study of rigid dehydrated H12-A zeolite framework, but the ranges of σ are different for the two structures. It is also found that some of the H+ ions exchanged their sites without changing the number of H+ ions at each site. The agreement between experimental and calculated structural parameters for non-rigid dehydrated H12-A zeolite is generally quite good. The calculated IR spectrum by Fourier transform of the total dipole moment auto-correlation function shows two major peaks, one around 2700 cm-1 and the other around 7000 cm-1. The former appears in the calculated IR spectra of non-rigid zeolite-A framework only system and the latter remains unexplained except, perhaps, as an indication of a new formation of a vibrational mode of the framework due to the adsorption of the H+ ions.

Legal Doctrines for the U.S. Federal Courts and the International Investment Arbitral Tribunals in Adjudicating the Climate Change Disputes

  • Shin, Seungnam
    • Journal of Arbitration Studies
    • /
    • v.32 no.3
    • /
    • pp.3-27
    • /
    • 2022
  • Climate change is a man-made disaster that has become a major global concern today. With increasingly visible symptoms of climate change in recent years, it has become evident that climate action can no longer be dismissed as a mere matter of choice, but as a matter of survival for the human being. To address the impending climate change crisis in a collaborative and sustainable manner, the international community has been taking various measures including Kyoto protocol and the Paris Agreement. With respect to the private investor's project investment in line with international agreements on climate change, recently we have seen multiple legal judgments which clearly indicate the subject of judicial responsibility for investment in climate change related projects. However, in order to hold judicial responsibility occurring during the implementation of climate change related projects, a causal relationship between the responsible entities and clear responsibility must be demonstrated, and applicable institutional arrangements need to be arranged. It may be the right time for global community to consider shifting not only to human ethical obligations but also legal obligations. In this regard, concerned governments should consider legislating arbitration laws, regulations, and institutional arrangements in more specific and applicable manner.

The Impact of Interfirm Linkages on Chinese MNEs' Entry into Foreign Markets

  • Su, Hang;Hong, Sungjin
    • East Asian Economic Review
    • /
    • v.26 no.2
    • /
    • pp.119-142
    • /
    • 2022
  • This paper uses social network theory and the internationalization process model (IPM) to determine how external network linkages influence the location choices of multinational enterprise from emerging economies (EMNEs); specifically, whether past alliance experience influences location choices and its impact on the subsequent entry of MNEs from emerging economies. This paper applies survival analysis using initial and secondary investments from 2,000 Chinese A-share listed companies that entered 90 countries between 1997 and 2018 to analyze both the initial and subsequent entries of Chinese outward foreign direct investments (OFDIs) in major host countries. The findings indicate that an MNE's previous experience with a company from a particular country will increase the likelihood of an initial investment in that country. Previous alliance experience may accelerate the foreign investment process of EMNE and stimulate firms making a commitment to a position in a foreign network, regardless of cultural distance and stage of internationalization. Alliance before initial investment may increase the likelihood and speed of entering a host country as wholly owned subsidiaries and that network linkages not only significantly influence the internationalization process of small and medium-sized enterprises, as indicated by the IPM, but also that of large listed firms.

Author's Ethical Behavior for Conducting Environmental Education-Related Research

  • WOO, Hyein
    • Journal of Research and Publication Ethics
    • /
    • v.3 no.2
    • /
    • pp.13-17
    • /
    • 2022
  • Purpose: Environmental education-research mainly focuses on the relationship between people and the environment. The purpose of this study is to focus on elaborating on the various ethical behaviors crucial in environmental education-related research. The study utilized a literature review of initial studies conducted on the topic as the primary source of information. Research design, data and methodology: This study has selected the literature content analysis as a research design because this analysis tool provided the present author numerous and tremendous previous works in the realm of authors' ethical issues within environmental education area and prior research already confirmed the high quality of an instrument. Results: Based on the investigation of the literature analysis, the findings emphasize that, while making any choice regarding environmental studies and research, authors and researchers must consider how ethical behavior might be applied to the particular circumstance. There are three ethical behaviors for authors and they can be founded in the section 3 of this study. Conclusions: As a conclusion of this study, three major subfields of environmental ethics-resource ethics, animal ethics, and ethics of nature protection-serve as the foundation for ethical behavior in research on environmental education. The ethical treatment of scarce resources, deployable resources, and environmental media.

Impact of economic integration between South and North Korea on the agricultural market

  • Sukho Han;Yongho Choi;Byung Min Soon
    • Korean Journal of Agricultural Science
    • /
    • v.49 no.1
    • /
    • pp.77-91
    • /
    • 2022
  • North-South Korea economic integration is progressing slowly given the sensitive responses to changes in internal and external conditions. Nevertheless, advanced discussions focusing on North-South Korean economic cooperation should continue. Given this background, various studies of the economic effects of economic integration between North and South Korea have been conducted, but research on agricultural issues has been limited. The purpose of this study is to analyze the impact of the economic integration of South and North Korea on the agricultural market. In this study, a simultaneous equation model was constructed using a growth model. Solow's growth accounting approach is used to construct a model for estimating the macroeconomic effect of North-South economic integration. Also, the construction of growth accounting formulas subdivided into South and North Korea as well as agriculture and non-agricultural fields during the construction of the growth model is a major research achievement and differentiates it from previous studies. It is expected that the results of this study will serve as basic information for preparing policy measures to promote integration. However, there are many limitations when estimating the economic effects of North-South agricultural integration and obtaining policy implications given the insufficient available statistical data on agriculture in North Korea and the lack of related studies in the agricultural field. Therefore, it should be noted that there is an inherent problem in that the analysis results vary greatly depending on the assumptions set, as there is inevitably no choice but to rely on many and strong assumptions.

The Impacts on SLOC Security to Korea's National Economy (해양교통로의 안전 확보가 국가경제 발전에 미치는 영향)

  • Lee, Choon-Kun
    • Strategy21
    • /
    • s.30
    • /
    • pp.31-62
    • /
    • 2012
  • It is a commons sense that the Republic of Korea is a maritime state that depends its survival on International Trade and International Economy. Korea was a peninsula and do it can be both maritime and continental state by its choice. However, after the national division in 1945, South Korea had became a virtual island and pursue a maritime way for national development in the past 60 plus years. Now, South Korea is becoming a world's 12 th largest major trading and maritime state. South Korea has far more ships per capita than any other nations in the world and its economy is heavily depend upon the imports and exports with other nations in the world that pass through the oceans. Therefore, the Koreans regard the security of the sea lanes of communication as vital to the survival of the nation. The SLOC is the life line for Republic of Korea. Since the early 1990s, immediately after the Cold War was over, South Koreans began to recognize the importance of Sea Routes and thus began to build a navy that can handle with the new problems of the post Cold War era. However, the maritime security environments of the Republic of Korea today is shaky and dangerous. Almost every water near the Korean peninsula, some kind of international confrontations are going on. Territorial disputes on Dok do, Senkaku, Scarbrough, Shisha, Nansha and Eodo between and among Korea, Japan, China, Taiwan, Phillipines, Indonesia and Vietnam are the examples. In this essay, the author argues that the S. Korean efforts and capabilities to deal with these challenges are not enough and exhorts more efforts and more powerful navy for the Korean people.

  • PDF