• 제목/요약/키워드: Objective Knowledge

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Surgical Roles for Spinal Involvement of Hematological Malignancies

  • Kim, Sang-Il;Kim, Young-Hoon;Ha, Kee-Yong;Lee, Jae-Won;Lee, Jin-Woo
    • Journal of Korean Neurosurgical Society
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    • 제60권5호
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    • pp.534-539
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    • 2017
  • Objective : Patients with hematological malignancies frequently encounter spine-related symptoms, which are caused by disease itself or process of treatment. However, there is still lack of knowledge on their epidemiology and clinical courses. The purpose of this article is to review clinical presentations and surgical results for spinal involvement of hematologic malignancies. Methods : From January 2011 to September 2014, 195 patients (98 males and 97 females) suffering from hematological malignancies combined with spinal problems were retrospectively analyzed for clinical and radiological characteristics and their clinical results. Results : The most common diagnosis of hematological malignancy was multiple myeloma (96 patients, 49.7%), followed by chronic myeloid leukemia (30, 15.2%), acute myeloid leukemia (22, 11.2%), and lymphoma (15, 7.56%). The major presenting symptoms were mechanical axial pain (132, 67.7%) resulting from pathologic fractures, and followed by radiating pain (49, 25.1%). Progressive neurologic deficits were noted in 15 patients (7.7%), which revealed as cord compression by epidural mass or compressive myelopathy combined with pathologic fractures. Reconstructive surgery for neurologic compromise was done in 16 patients. Even though surgical intervention was useful for early paralysis (Frankel grade D or E), neurologic recovery was not satisfactory for the progressed paralysis (Frankel grade A or B). Conclusion : Hematological malignancies may cause various spinal problems related to disease progression or consequences of treatments. Conservative and palliative treatments are mainstay for these lesions. However, timely surgical interventions should be considered for the cases of pathologic fractures with progressive neurologic compromise.

EVALUATION OF THE SYNTHETIC SPEECH QUALITY BY THE TD-PCULI METHOD

  • Kang, Chan-Hee;Shin, Yong-Jo;Kim, Yun-Seok;Kwon, Ki-Hyung;Chin, Yong-Ohk
    • 한국음향학회:학술대회논문집
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    • 한국음향학회 1994년도 FIFTH WESTERN PACIFIC REGIONAL ACOUSTICS CONFERENCE SEOUL KOREA
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    • pp.977-983
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    • 1994
  • In this paper we have evaluated the synthetic speech quality by the proposed TD-PCULI speech synthesis method. For the synthesis we have extracted parameters from the Korean monosyllables through the analysis of speech waveforms in the time domain. We have constructed the Korean data format dictionary for the synthesis-by-rule depending upon the frequencies of the Korean pronunciation large vocabulary dictionary, in which V type syllables are 19, CV type's are 80, VC type's are 30 and CVC type's are 100. And using them we have synthesized various Korean monosyllables, words and sentences. We have tested each 10 syllables selected according to the 4 Korean syllable types with the objective MOS(Mean Opinion Score) evluation method about the 4 items i.e., intelligibility, clearness, loudness, and naturality after selecting random group without the knowledge of them. And also we have tested the possibility to modify a duration and F0 into another forms with changing a duration (i.e., 150msec, 300msec, 500msec, 700msec and 1sec) and a central fundamental frequency(i.e., 80Hz, 118Hz, 140Hz, 170Hz, and 200Hz). As the results of experiments the noises occurred in the course of synthesizing the speech by the rules are removed to be a very clear level and we can find that the prosodic elements can be controled as a good condition.

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청소년 자폐스펙트럼장애에서 사회기술훈련의 효과에 미치는 우울, 불안 증상의 영향 (The Effects of Anxiety and Depression on Treatment Outcome of Social Skills Training in Adolescents with Autism Spectrum Disorder)

  • 홍정경;노동현;오미애;김주현;봉귀영;유희정
    • 대한불안의학회지
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    • 제14권2호
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    • pp.99-105
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    • 2018
  • Objective : The purpose of this study was to investigate effects of depression and anxiety on treatment response of social skills training in adolescents with autism spectrum disorders (ASD). Methods : A total of 107 teenagers that participated in the Program for the Education and Enrichment of Relational Skills (PEERS$^{(R)}$) between 2011 and 2015 were analyzed using linear regression. Outcome measures used were the Korean version of Social Responsiveness Scale (SRS), the Test of Adolescent Social Skills Knowledge-Revised (TASSK-R), and the Korean version of Autism Diagnostic Observation Schedule (K-ADOS). Depression and anxiety were assessed by the Korean version of Child Depression Inventory (CDI), the Korean version of State and Trait Anxiety Inventory for Children (STAIC), and the Korean version of Child Behavior Checklist (K-CBCL). Results : As a result, depressive symptoms measured by CDI (p<0.05) and anxiety symptoms measured by STAIC (p<0.05) had significant influence on score change of social interaction domain of ADOS. It remained significant even after the baseline score was adjusted as covariates (p<0.05). Conclusion : We observed that pre-treatment anxiety and depressive symptoms of teenagers had significant effects on the treatment outcome of PEERS$^{(R)}$, especially in terms of face-to-face social interaction.

A Survey on the Awareness of Human Milk Bank in Korean Female Health Care Providers

  • Hahn, Won-Ho;Song, Joon-Hwan;Park, Suyeon;Kang, Nam Mi;Ahn, Sukhee;Song, Seunghyun
    • Perinatology
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    • 제28권1호
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    • pp.11-19
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    • 2017
  • Objective: Human milk bank is known as best alternative option for sick infants. However, only two human milk banks (HMBs) are working in Korea. In the present study, we evaluated the awareness on the HMB in female health care provider to find out the issues that would help facilitating HMB establishment in Korea. Methods: The survey questionnaire was developed by a team composed with neonatologists, obstetricians, nurses, nutritionists, and health care specialists. The survey was performed for female health care workers in Soon Chun Hyang Cheonan Hospital between March and June in 2016. Eighty-eight of 110 questionnaires were collected and the results were analyzed. Results: Most of subjects were found to have correct knowledge on the breast milk feeding. However, only 49% of subjects had awareness of the presence of HMB. Unfortunately, less than half of them could get information about HMB by official way including mass media. In addition, 76% of subjects were found not to want to use HMB. Most important reason was found as a concern on the safety of donor milk including life style of donors, infection controls, and possible nutritional loss of banked milk. Conclusion: The purpose and function of HMB was not widely educated and it seems to be one of most important reasons why women have negative concept about HMB in Korea. Thus, further study is warranted with more numbers of subjects after active public education about the HMB.

클래식음악 애호가의 인스타그램 리뷰: 상호 학습을 통한 문화자본 축적 (Classical Music Review on Instagram: Accumulating Cultural Capital through Inter-Learning)

  • 성연주
    • 문화경제연구
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    • 제21권2호
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    • pp.111-139
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    • 2018
  • 이 연구는 인스타그램에 장문의 클래식음악 공연 리뷰를 게시하는 클래식음악 애호가에 주목하여, 공연 리뷰를 작성하는 동기와 목적을 밝히고 리뷰를 매개로 이루어지는 애호가들 사이의 상호 커뮤니케이션을 분석하였다. 분석 자료로는 인스타그램에 리뷰를 게시하는애호가 8인과 진행한 인터뷰를 주로 활용하였으며, 이들이 게시한 리뷰 글도 분석에 포함하였다. 분석 결과, 클래식음악 애호가들이 인스타그램을 애용하는 이유는 인스타그램의 용이성, 익명성, 친밀성의 세 가지 특성(어포던스) 때문인 것으로 파악되었다. 또한 이미지 중심의 인스타그램 운영 방식은 자신이 작성한 공연 리뷰 콘텐츠의 수준에 확신이 없는 애호가들에게 텍스트에 쏠리는 주목과 관심을 회피하는 효과를 가지는 것으로 나타났다. 즉, 이들은 클래식음악 감상에 적합한 문화자본을 가지지 못했다는 열등감 때문에 인스타그램에 리뷰를 게재하지만, 리뷰를 지속적으로 작성하고 읽는 과정에서 발생하는 애호가들 사이의 상호 학습을 통해 클래식음악 감상에 필요한 문화자본을 축적하고 있었다.

Analysis of excreta bacterial community after forced molting in aged laying hens

  • Han, Gi Ppeum;Lee, Kyu-Chan;Kang, Hwan Ku;Oh, Han Na;Sul, Woo Jun;Kil, Dong Yong
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권11호
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    • pp.1715-1724
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    • 2019
  • Objective: As laying hens become aged, laying performance and egg quality are generally impaired. One of the practical methods to rejuvenate production and egg quality of aged laying hens with decreasing productivity is a forced molting. However, the changes in intestinal microbiota after forced molting of aged hens are not clearly known. The aim of the present study was to analyze the changes in excreta bacterial communities after forced molting of aged laying hens. Methods: A total of one hundred 66-wk-old Hy-Line Brown laying hens were induced to molt by a 2-d water removal and an 11-d fasting until egg production completely ceased. The excreta samples of 16 hens with similar body weight were collected before and immediately after molting. Excreta bacterial communities were analyzed by high-throughput sequencing of bacterial 16S rRNA genes. Results: Bacteroidetes, Firmicutes, and Proteobacteria were the three major bacterial phyla in pre-molting and immediate post-molting hens, accounting for more than 98.0%. Lactobacillus genus had relatively high abundance in both group, but decreased by molting (62.3% in premolting and 24.9% in post-molting hens). Moreover, pathogenic bacteria such as Enterococcus cecorum and Escherichia coli were more abundant in immediate post-molting hens than in pre-molting hens. Forced molting influenced the alpha diversity, with higher Chao1 (p = 0.012), phylogenetic diversity whole tree (p = 0.014), observed operational taxonomic unit indices (p = 0.006), and Simpson indices (p<0.001), which indicated that forced molting increased excreta bacterial richness of aged laying hens. Conclusion: This study improves the current knowledge of bacterial community alterations in the excreta by forced molting in aged laying hens, which can provide increasing opportunity to develop novel dietary and management skills for improving the gastrointestinal health of aged laying hens after molting.

The Starting Characteristics of the Steady Ejector-Diffuser System

  • Gopalapillai, Rajesh;Kim, Heuy-Dong;Matsuo, Shigeru;Setoguchi, Toshiaki
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2008년 영문 학술대회
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    • pp.680-685
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    • 2008
  • The ejector is a simple device which can transport a low-pressure secondary flow by using a high-pressure primary flow. In general, it consists of a primary driving nozzle, a mixing section, and a diffuser. The ejector system entrains the secondary flow through a shear action generated by the primary jet. Until now, a large number of researches have been made to design and evaluate the ejector systems, where it is assumed that the ejector system has an infinite secondary chamber which can supply mass infinitely. However, in almost all of the practical applications, the ejector system has a finite secondary chamber implying steady flow can be possible only after the flow inside ejector has reached an equilibrium state after the starting process. To the authors' best knowledge, there are no reports on the starting characteristics of the ejector systems and none of the works to date discloses the detailed flow process until the secondary chamber flow reaches an equilibrium state. The objective of the present study is to investigate the starting process of an ejector-diffuser system. The present study is also planned to identify the operating range of ejector-diffuser systems where the steady flow assumption can be applied without uncertainty. The results obtained show that the one and only condition in which an infinite mass entrainment is possible is the generation of a recirculation zone near the primary nozzle exit. The flow in the secondary chamber attains a state of dynamic equilibrium at this point.

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회계정보 품질에 영향을 미치는 요인이 회계정보시스템 데이터 품질에 미치는 영향 (A Study on the Important Factors for Accounting Information Quality Impact on AIS Data Quality Outcomes)

  • 김경일
    • 융합정보논문지
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    • 제9권12호
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    • pp.24-29
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    • 2019
  • AIS는 여느 조직에서든 가장 중요한 시스템 중 하나인 바, 데이터품질은 지식기반 산업사회에 있어 정보시스템의 중요한 역할을 하게 된다. 본 연구의 목적은 회계정보 품질에 영향을 미치는 중요한 요인들을 식별하고 이 요인들이 AIS 데이터 품질을 산출함에 영향을 미치는 가를 확인하고자 함에 있다. 광범위한 문헌조사를 통하여 데이터 품질에 대한 일련의 CSF를 발견하고자 하였으며, 경험적 연구를 통하여 연구목적을 달성하고자 하였다. 연구결과 AIS 데이터 품질에 영향을 미치는 가장 중요한 요인은 최고경영자 결의, AIS 본연의 특성, 입력통제로 나타났으며, AIS 데이터 품질에 영향을 미치는 요인을 검증하기 위한 회귀분석을 통하여 상기 3개 요인을 인식하는 정도와 AIS 데이터 품질을 인식하는 수준 간에 매우 유의적인 관련이 있다는 것을 발견하였다. 본 연구를 통하여 AIS를 도입하고 운영함에 있어서는 회계정보의 품질을 영향을 미치는 요인들에 대한 조직 내의 통제활동에 기여할 수 있으며 통제방안에 대한 연구가 후속으로 연구되어야 할 것이다.

동무(東武)의 "대학(大學)" 팔조목(八條目)에 대한 견해 고찰(考察) (A Study on Dongmu's Thoughts about the Eight Items of "The Great Learning(Ta hsueh)")

  • 이준희;이의주;송일병;고병희
    • 사상체질의학회지
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    • 제20권3호
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    • pp.1-13
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    • 2008
  • 1. Objectives This study was purposed to find Dong's thoughts about the eight items of the "The Great Learning(Ta hsueh)" 2. Methods It was researched through comparative and overall study on the Dong-mu's thoughts in "Gyukchigo(格致藁)" 3. Results (1) Dongmu reinterpreted the eight items of the "The Great Learning(Ta hsueh)" as the relations between the subject and the object from the ontologic assumption of Affairs Mind Body Objects as the principle of existence and correlation, summarized into four categories, and classified into the individual and subjective affairs, and the universal and objective affairs. The four categories of the eight items of the "The Great Learning(Ta hsueh)" are correlated with the individual and the universal ethics of behavior, and connected with the element for overcoming the individual inclination of mind and wickedness. (2) After the individual and subjective human was established, the eight items of the "The Great Learning(Ta hsueh)" were classified into two categories, and coupled up with each two items('Being sincere in their thoughts' with 'Extending to the utmost their knowledge', 'Rectifying their hearts' with 'Investigating things', 'Cultivating their persons' with 'Illustrating illustrious virtue throughout the kingdom', 'Regulating their families' with 'Ordering their own states'). Being based on this, 'Being sincere in their thoughts', 'Rectifying their hearts', 'Cultivating their persons' and 'Regulating their families' were understood as four individual and subjective human-basic-essential activity. Especially, mind, heart, body and family(power) were regarded as the four basic element in human existence and activity, and in correlation with universe and society, set up as the subjective element in Dongmu's epistemology, theory of nature and emotion, theory of morality and theory of moral cultivation.

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Examples of Holistic Good Practices in Promoting and Protecting Mental Health in the Workplace: Current and Future Challenges

  • Sivris, Kelly C.;Leka, Stavroula
    • Safety and Health at Work
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    • 제6권4호
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    • pp.295-304
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    • 2015
  • Background: While attention has been paid to physical risks in the work environment and the promotion of individual employee health, mental health protection and promotion have received much less focus. Psychosocial risk management has not yet been fully incorporated in such efforts. This paper presents good practices in promoting mental health in the workplace in line with World Health Organization (WHO) guidance by identifying barriers, opportunities, and the way forward in this area. Methods: Semistructured interviews were conducted with 17 experts who were selected on the basis of their knowledge and expertise in relation to good practice identified tools. Interviewees were asked to evaluate the approaches on the basis of the WHO model for healthy workplaces. Results: The examples of good practice for Workplace Mental Health Promotion (WMHP) are in line with the principles and the five keys of the WHO model. They support the third objective of the WHO comprehensive mental health action plan 2013-2020 for multisectoral implementation of WMHP strategies. Examples of good practice include the engagement of all stakeholders and representatives, science-driven practice, dissemination of good practice, continual improvement, and evaluation. Actions to inform policies/legislation, promote education on psychosocial risks, and provide better evidence were suggested for higher WMHP success. Conclusion: The study identified commonalities in good practice approaches in different countries and stressed the importance of a strong policy and enforcement framework as well as organizational responsibility for WMHP. For progress to be achieved in this area, a holistic and multidisciplinary approach was unanimously suggested as a way to successful implementation.