• Title/Summary/Keyword: Self-Survival

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Efficacy of hemostasis by gastroduodenal covered metal stent placement for hemorrhagic duodenal stenosis due to pancreatobiliary cancer invasion: a retrospective study

  • Yasunari Sakamoto;Taku Sakamoto;Akihiro Ohba;Mitsuhito Sasaki;Shunsuke Kondo;Chigusa Morizane;Hideki Ueno;Yutaka Saito;Yasuaki Arai;Takuji Okusaka
    • Clinical Endoscopy
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    • v.57 no.5
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    • pp.628-636
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    • 2024
  • Background/Aims: Advanced pancreatic and biliary tract cancers can invade the duodenum and cause duodenal hemorrhagic stenosis. This study aimed to evaluate the efficacy of covered self-expandable metal stents in the treatment of cancer-related duodenal hemorrhage with stenosis. Methods: Between January 2014 and December 2016, metal stents were placed in 51 patients with duodenal stenosis. Among these patients, a self-expandable covered metal stent was endoscopically placed in 10 patients with hemorrhagic duodenal stenosis caused by pancreatobiliary cancer progression. We retrospectively analyzed the therapeutic efficacy of the stents by evaluating the technical and clinical success rates based on successful stent placement, degree of oral intake, hemostasis, stent patency, and overall survival. Results: The technical and clinical success rates were 100%. All 10 patients achieved a gastric outlet obstruction scoring system score of three within two weeks after the procedure and had no recurrence of melena. The median stent patency duration and overall survival after stent placement were 52 days (range, 20-220 days) and 66.5 days (range, 31-220 days), respectively. Conclusions: Endoscopic placement of a covered metal stent for hemorrhagic duodenal stenosis associated with pancreatic or biliary tract cancer resulted in duodenal hemostasis, recanalization, and improved quality of life.

An Eclogical Study on the Aquatic Animals in Jungrang Stream of Seoul (중랑천의 수서동물에 관한 생태학적 연구)

  • 배경석;박종태;조기찬;길혜경;신재영
    • Journal of Environmental Health Sciences
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    • v.23 no.2
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    • pp.89-97
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    • 1997
  • Most of urban streams in Korea have been changed channel forms and suffered from direct inflow of domestic sewage, etc. Therefore, maintenance of structure and function of those ecosystem are hard. The present study was carried out to examine the life survival maintenance ability of the stream by community analysis of aquatic animals in typical urban stream (Jungrang stream) in Seoul. The aquatic animals were composed of 31 species, 18 families, 8 orders, 5 classes in 4 phyla. Seasonal species number showed big fluctuation between 8 species in Winter and 24 species in Autumn. Major dominant species in Jungrang stream were Tubificidae sp.1, Chironomidae sp.1, Chironomidae sp.2 and Physa acuta, and above endurance species for water pollution occupied very high dominance indices. But, Cercion hieroglyphicum, Ischnura asiatica, Rantra chinensis, Herochares striatus, Agabus japonicus in benthic macroinvertebrates of a few individuals are appeared. Also, fry of Carassius auratus and Silurus asotus in fish are occurred. Therefore, we can be inferred on posibility of growth and spawning of above species in the stream. Jungrang stream has a small quantity of natural riffle areas, ponds and watergrass areas by channel form of water course. Aquatic animals in Jungrang stream has been suffered by reduction of self-purification reaction ability and have mass production of attached algae on the stream bed. For analysis of fluctuation of life survival maintenance ability in Jungrang stream, long-term survey is needed.

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Toward a new paradigm of the korea's library and information science (전환기 '한국'문헌정보학의 새로운 패러다임 모색)

  • ;Lee, Jae-Whoam
    • Journal of Korean Library and Information Science Society
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    • v.28
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    • pp.313-353
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    • 1998
  • This study attempts to show the reasons why the academic field, which has been called 'Library and Information Science', should change its paradigm for both research and practice. To this end, this study investigates the essence of the current academic crisis, which is seriously threatening the survival of the LIS as an independent academic field in South Korea. In details, this study discusses the identity problem of the LIS, the poverty in scholarship, the low self-esteem of the profession, etc. Also investigated are the reasons why the profession, which includes both scholars and practitioners, is facing with such a crisis. This study emphasizes that both researchers and practitioners in the LIS field should keep their eyes on the ongojng information revolution, and that in order to thrive as well as to survive from the midst of such an academic crisis they should notice and understand the essence of the revolution. The conclusion of this study includes the philosophies and strategies for survival, which the profession should keep in mind and follow in a hurry.

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A Study on Fire Prevention Requirements and Tests for Small Aircraft (소형항공기의 화재방지 요건 및 시험에 관한 연구)

  • Yoo, Seung-Woo;Jin, Young-Kwon
    • Journal of Aerospace System Engineering
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    • v.5 no.1
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    • pp.7-12
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    • 2011
  • The goal of fire prevention research is to eliminate fires as a cause of fatal accidents and there are two main areas of research. One is to prevent flame propagation during in-flight and it addresses fire hazards. The other is to minimize the possibility of flame penetration or fuselage burn-through and it aims toward post-crash survival include crash protection, emergency evacuation and post-evacuation survival. Civil aviation authorities world-wide are trying to identify threats and measure performance for fire prevention. The results of research are standardized and given as general directions of test methods. This paper has prepared to study and present the means of compliance to the fire prevention requirements and applicable test methods.

T Cell Receptor Signaling That Regulates the Development of Intrathymic Natural Regulatory T Cells

  • Song, Ki-Duk;Hwang, Su-Jin;Yun, Cheol-Heui
    • IMMUNE NETWORK
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    • v.11 no.6
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    • pp.336-341
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    • 2011
  • T cell receptor (TCR) signaling plays a critical role in T cell development, survival and differentiation. In the thymus, quantitative and/or qualitative differences in TCR signaling determine the fate of developing thymocytes and lead to positive and negative selection. Recently, it has been suggested that self-reactive T cells, escape from negative selection, should be suppressed in the periphery by regulatory T cells (Tregs) expressing Foxp3 transcription factor. Foxp3 is a master factor that is critical for not only development and survival but also suppressive activity of Treg. However, signals that determine Treg fate are not completely understood. The availability of mutant mice which harbor mutations in TCR signaling mediators will certainly allow to delineate signaling events that control intrathymic (natural) Treg (nTreg) development. Thus, we summarize the recent progress on the role of TCR signaling cascade components in nTreg development from the studies with murine model.

Behavior of the Edge Flame on Flame Extinction in Buoyancy minimized Methane-Air Non-premixed Counter Triple Co-flow Flames (부력을 최소화한 대향류 삼축 메탄-공기 비예혼합 화염 소화에서 에지화염의 거동)

  • Park, Jin Wook;Park, Jeong;Yun, Jin-Han;Keel, Sang-In
    • 한국연소학회:학술대회논문집
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    • 2014.11a
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    • pp.81-84
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    • 2014
  • A Experimental study on flame extinction behavior was investigated using He curtain flow with counter triple co-flow burner. Buoyancy force was suppressed up to a microgravity level of $10^{-2}-10^{-3}g$ by using He curtain flow. The stability maps were provided with a functional dependency of diluent mole fraction and global strain rate to clarify the differences in flame extinction behavior. The flame extinction curves had C-shapes at various global strain rates. The oscillation and extinction modes were different each other in terms of the global strain rate, and the flames extinction modes could be classified into five modes such as (I) and (II): an extinction through the shrinkage of the outmost edge flame forward the flame center after self-excitation and without self-excitation, respectively, (III): an extinction through rapid advancement of a flame hole while the outmost edge flame is stationary, (IV): self-excitation occurs in the outermost edge flame and the center edge flame and then a donut shaped flame is formed and/or the flame is entirely extinguished, (V): shrinkage of the outermost edge flame without self-excitation followed by shrinkage or survival of the center flame. These oscillation and extinction modes could be identified well to the behavior of edge flame. The result also showed that the edge flame was influenced significantly by the conductive heat losses to the flame center or ambient He curtain flow.

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The Influence of Leadership Style on Employee Creativity: Focusing on the Mediating Effect of Self-Efficacy

  • Chae, Joo-Seok;Lee, Nam-Gyum;Hwang, Il-Young;Park, Soon-Young
    • Asian Journal of Business Environment
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    • v.5 no.4
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    • pp.73-81
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    • 2015
  • Purpose - This study investigated the effects of leaders of national universities on faculty creativity. The study examined transformational leadership and creativity theories and investigated self-efficacy, the parameter between transformational leadership and creativity, to examine its moderating effect and provide policy implications for national universities. Research design, data, and methodology - This study built four hypotheses based on the literature review, and tested these using a survey methodology. The collected data were analyzed using SPSS 15.0. Result - At the national universities, the results were as follows: charisma of leaders had a positive influence on member creativity; intellectual stimulus of leaders had a positive influence on member creativity; and, individual consideration of leaders had a positive influence on member creativity. Therefore, leaders' transformational leadership had a positive influence on member creativity. Conclusion - Creativity is thought to be important for organizational survival and continuous development at rapidly changing education administrations. Educational administration leaders should exercise transformational leadership to develop member creativity. Member self-efficacy, which had a mediating effect on creativity, requires leadership to develop it.

The Experience of Self-help Group Activities among Women with Breast Cancer in Korea (유방암 여성들의 자조집단 활동 경험)

  • Yi, Myungsun;Ryu, Young Mi;Hwang, Eunkyung
    • Korean Journal of Adult Nursing
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    • v.26 no.4
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    • pp.466-478
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    • 2014
  • Purpose: The purpose of the study was to explore and describe the experience of breast cancer self-help group activities in Korea. Methods: The data were collected via individual in-depth interviews with 8 women with breast cancer, who participated in self-help groups during 2012~2013. All interviews were audio-taped and transcribed, and they were analyzed using a phenomenological method. Results: Six theme clusters were identified. "Breakthrough toward survival" describes how the participants identified self-help groups and got involved in the activities. "Genuine comfort obtained by 'misery loves company' deals with the emotional relief and catharsis. "New life fully recharged" demonstrates the changed belief system and the joy for life and living. "Rebirth in family" deals with how family dynamics has been changed. "Societal change by raising collective consciousness" illustrates many activities to improve their rights and advocate employment issues. "Obstacles to the group harmony" illustrates the major difficulties including interpersonal conflicts the participants encountered during their participation. Conclusion: The results of the study showed that participating in self-help groups was mostly beneficial for women with breast cancer. Therefore, oncology professionals need to encourage them to participate in self-help groups and also need to provide professional support to self-help groups for their harmonious interpersonal relationships.

A Study on the Influence of the Founder's Self-Efficacy on the Sales of the Founding Company (창업자의 자기효능감이 창업기업의 매출에 미치는 영향에 관한 연구)

  • Lee, Joonsung;Song, Inam
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.5
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    • pp.61-78
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    • 2019
  • This study is about the effect of the founder's self-efficacy on the sales of the founding company by focusing on the factors that are currently emphasized in the founding education. In particular, this paper starts from the consciousness of the problem that the education that is being implemented to achieve the purpose of successful start-up among various government-based start-up support projects is failing to produce many start-up failures. Entrepreneurs cannot be assessed by objective financial data, but there is a high degree of uncertainty that should be determined based on their personal and learning abilities. In addition, many previous studies, which are likely to be successful when there is a high self-efficacy in a specific field due to the influence of factors such as personal experience or learning, will answer the direction of support for start-up companies. This study focuses on the impact of the founder's self-efficacy on the sales of the founding firms, especially the sales that are the key to the survival of the founding firms. This study has six major studies. First, to analyze whether the self-efficacy of entrepreneurs with respect to entrepreneurship affects the sales of entrepreneurs. Second, to analyze whether the self-efficacy of entrepreneurs with respect to market orientation affects the sales of entrepreneurs. Analysis of whether the founder's self-efficacy affects the sales of the founding firms. Fourth, analysis of whether the founder's self-efficiency affects the sales of the founding firms' understanding of management environment changes. An analysis of whether efficacy affects the sales of a start-up company, and sixth, an analysis of whether the founder's self-efficacy of business model building ability affects the sales of a start-up company. As a result of the empirical analysis, this study found that the self-efficacy of entrepreneurs on product differentiation capability and business model building capacity had a positive influence on the sales of entrepreneurs. The self-efficacy had a positive effect on self-efficacy, and the customer orientation had a positive effect on self-efficacy on business model building capacity. Also, it was confirmed that a path exists between the components of self-efficacy and that self-efficacy through the path has a positive effect on the sales of the start-up company. Therefore, the results of this study suggest the implications of establishing such a path and strengthening self-efficacy to create the survival and start-up performance of a start-up company if the goal of the start-up company is to survive when implementing various support projects for the start-up company.

Applying Discrete-Time Survival Analysis to Testing the Determinants on the Onset of Adolescents' Violence Behavior (비연속시간 생존분석을 적용한 청소년의 최초 폭력 발생시점에 대한 영향요인 검증)

  • No, Un-Kyung;Hong, Se-Hee
    • Survey Research
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    • v.11 no.3
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    • pp.81-101
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    • 2010
  • The purposes of the present study were to investigate the effects of individual, family, and school factors on the onset of adolescents' violence behaviors. For these goals, we applied discrete-time survival analysis to the Korean Youth Panel Survey. According to the estimated hazard function, the likelihood of onset of adolescents' violence behavior was low during elementary school years and increasing sharply from middle school years. Results showed that gender, self-esteem, aggressiveness, broken home, parental abuse, and the number of delinquent friends were significant determinants of the onset of adolescents' violence behaviors. Findings from this study suggest the need to focus on the significant determinants and consider various prevention programs.

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