• Title/Summary/Keyword: Tertiary System

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A Study on the Symbolic Recognition Structure System of Space Design of a Hotel (호텔 공간디자인의 상징적 인식구조체계에 관한 연구)

  • Kim, Jeong-Ah;Kim, Uk
    • Korean Institute of Interior Design Journal
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    • v.17 no.4
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    • pp.92-101
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    • 2008
  • A new paradigm of design lays stress on the world of metaphysical concepts, and various attempts are being made to give meaning to psychological values. Hotel is a memorable place to remind of a special moment in one's life such as travel, marriage, meeting and so on. It also contains even more symbolism than other spaces as it is the place where the most primary and private act takes place apart from one's residence. As a result, it is also possible to communicate the message which a designer intends to convey through the user's recognition in the form of various symbolic expressions in space design. The designer communicates a meaning into a space through a symbolic system and creates a mutual consensus by means of the understanding structure of "designer-space-user". The user's diverse interpretations through a symbol are based on epistemology and consist of the primary, the secondary and the tertiary recognition structure system in the aspect of their contents. The primary structure depends on sensual perception, impressive idea and transcendental recognition based on metaphysical and perceptional association. The secondary structure includes casualty, continuous deduction and rational(integral) recognition. Finally, the tertiary structure is sublimation to the transcendental mental world beyond the boundary of emotion and it is classified into fundamental recognition structure on an object and archetypical recognition structure on an ego. These characteristics can derive systematic understandings and diverse interpretations on the symbol from the space of a hotel through the frame of analysis based on the artistic form of monosemous, polysemous and multidimensional frameworks and symbols. The framework of this analysis includes all the cases, and various methods which haven't been attempted in practice are presented. Therefore this study is not just a simple analysis of space but rather it will serve as a methodological tool for design that allows for various attempts of symbolic design concepts in the recognition structure system.

Tryptic Digestion and Cytochalasin B Binding Assay of the Human HepG2-Type Glucose Transporter Expressed in Spodoptera frugiperda Clone 21-AE Cells

  • Lee Chong-Kee
    • Biomedical Science Letters
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    • v.11 no.1
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    • pp.57-61
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    • 2005
  • The number of sites at which a protein can be readily cleaved by a proteolytic enzyme is greatly influenced by its three-dimensional structure. For native, properly-folded proteins both the rate of cleavage and number of sites at which cleavage takes place are usually much less than for the denatured protein. In order to compare the tertiary structure of recombinant HepG2 type glucose transporter with that of its native counterpart in the erythrocyte, the pattern of tryptic cleavage of the protein expressed in insect cell membranes was therefore examined. After 30 minutes digestion, a fragment of approximate Mr 19,000-21,000 was generated. In addition to this, there were two less intensely stained fragments of apparent Mr 28,000 and 17,000. The pattern of labelling was similar up to 2 hours of digestion. However, the fragments of Mr 19,000-21,000 and Mr 17,000 were no longer detectable after 4 hours digestion. The observation of a very similar pattern of fragments yielded by tryptic digestion of the HepG2 type transporter expressed in insect cells suggests that the recombinant protein exhibits a tertiary structure similar if not identical to that of its human counterpart. Also, the endogenous sugar transporter(s) present in Sf21 cells did not bind cytochalasin B, the potent transporter inhibitor. Therefore, the baculovirus/Spodoptera frugiperda (Sf) cell expression system could be very useful for production of large amounts of human glucose transporters, heterologously.

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A CASE OF SYPHILIS RELATED CERVICAL NECROTIZING FASCIITIS (매독 환자의 경부 괴사성 근막염의 치험례)

  • Myoung, Shin-Won;Lee, Jung-A;Kang, Myoung-Guen;Kim, Kyung-Mok;Park, Je-Uk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.6
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    • pp.540-544
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    • 2004
  • The oral lesion of acquired syphilis - primary, secondary, and tertiary - is comparatively rare. Most of the time secondary syphilis manifests itself as a systemic disease with maculopapular eruptions of the skin, generalized lymphadenopathy, fever, and occasional eruptions on the mucous membranes. The lesions of the tertiary stage may occur anywhere in the body, including the oral cavity. Necrotizing faciitis of the head and neck is an uncommon, rapidly spreading soft tissue infection of polymicrobial origin characterized by extensive necrosis and gas formation in the subcutaneous tissue and superficial fascia. This is characterized by its fulminating, devastating, and rapid-progressing course. The mortality rate is high if it is not treated promptly and vigorously. Patients with an impaired immune system and those with small-vessel disease such as diabetes mellitus are more prone to develop this infection.

Magnetic Anisotropy and Tectonic Stress Field of Tertiary Rocks in Pohang-Ulsan area, Korea (포항이남 제3기분지암석의 자기 비등방성과 지구조적 응력장)

  • Kim, In-Soo
    • Economic and Environmental Geology
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    • v.23 no.1
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    • pp.59-71
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    • 1990
  • Magnetic anisotropy of a total of 213 independently oriented Tertiary rock samples from Pohang-Ulsan area has been studied. The sampled strata comprise basalts, tuffs and black shale, and range in age from Eocene to Miocene. The previous palaeomagnetic studies indicate that their magnetic carrier minerals are titanomagnetites. Among 23 sampled sites, 11 sites were found to preserve magnetic load foliation parallel to the bedding plane caused by the Iithostatic load of the overlying strata. Other 4 sites showed magnetic lineation indicating the flow direction of lava and tuffs. The remaining 8 sites revealed the magnetic tectonic foliation nearly vertical to the bedding plane. This magnetic foliation is interpreted to be generated by tectonic compression which acted nearly horizontally during the solidification stage of the strata. The compression directions deduced from the tectonic foliation of the 8 sites can be grouped into internally very consistent two group: a N-S trending one and the other WNW-ESE trending one. It is interpreted that the former N-S compression was associated with the N-S spreading of the East Sea(Sea of Japan) and the dextral strike-slip movement of the Yangsan-Ulsan fault system. The latter WNW-ESE compression is interpreted to represent the folding and reverse faulting activity in the Korean and Tsushima straits during middle/late Miocene times.

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Gleason's Grading of Prostatic Adenocarcinoma: Inter-Observer Variation Among Seven Pathologists at a Tertiary Care Center in Oman

  • Qureshi, Asim;Lakhtakia, Ritu;Bahri, Maiya AL;Haddabi, Ibrahim Al;Saparamadu, Anna;Shalaby, Asem;Riyami, Marwa Al;Rizvi, Gauhar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4867-4868
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    • 2016
  • Prostatic adenocarcinoma is the commonest solid malignancy seen in Omani elderly males 60-80 years of age. The Gleason grade is the most widely used grading system for prostatic carcinoma and is recommended by the World Health Organization. A peer review was carried out at the Pathology Department of Sultan Qaboos University Hospital (SQUH), Oman, to assess the quality of reporting at the center. The aim of this study was to determine inter-observer variation among 7 pathologists working at a tertiary care center in Oman. A total of 47 consecutive prostatic biopsies were interdependently reviewed by seven pathologists and the results obtained were compared with each other and the original diagnosis. This peer review indicated a fair inter-observer agreement (0.482) among 7 pathologists in the department, with fair to moderate agreement when the results were compared to the reported diagnosis, comparable to the published literature. Dual and sub-specialty reporting are being instituted to improve the performance in this vital aspect of pathology.

A Study on Relationship between Outsourcing and Organizational Effectiveness in Hospital (병원의 아웃소싱과 조직유효성의 관계에 관한 연구)

  • Kim, Young-Hoon;Oh, Su-Jin;Kim, Han-Sung;Kim, Key-Hoon;Kim, Hyo-Jeong
    • Korea Journal of Hospital Management
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    • v.18 no.3
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    • pp.83-105
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    • 2013
  • The purpose of this study is to make managerial information regarding outsourcing more concrete by identifying and evaluating how outsourcing as an useful strategic tool for hospitals influences organizational effectiveness. The survey was performed to 311 general hospitals and tertiary hospitals, and 63 questionnaires were recovered and analyzed. As the result of measuring organizational effectiveness after introduction of outsourcing, non-financial performance(3.34) was higher than financial performance(3.25) and satisfaction(3.08). According to the characteristics of organizational structure, financial performance showed statistically significant difference when categorizing the hospitals. It was higher in the general hospitals than in the tertiary hospitals. In addition, the hospitals that outsource the logistic and patient affairs parts have higher financial performances than non-financial ones. Especially, there was statistically significant difference depending on the sub-parts of the logistics, which means the hospitals outsourcing the logistic part have higher financial performance than the hospitals without outsourcing the logistics.

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Analysis of Drug Utilization after the Mandatory Application of the DRG Payment System in Korea (포괄수가제 당연적용 후 의약품 사용현황 분석)

  • Kang, Hee-Jeong;Kim, Ji Man;Lim, Jae-Young;Lee, Sang Gyu;Shin, Euichul
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.18-27
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    • 2018
  • Purposes: This study aims to investigate the policy effect of mandatory application of DRG for 7 disease groups in general and tertiary hospitals. Methodology: As DRG was fully implemented in July 2013, this study compares two periods before and after the change(from July 2012 to June 2013, and from July 2013 to June 2014). The benefit claim data of the National Health Insurance Service was used for the comparison. Target patients were those who visited general or tertiary hospitals between July 2012 to June 2014. For pharmaceutical consumption, Interrupted Time Series (ITS) analysis was used to see the effect of DRG mandatory application. Findings: The number of drugs prescribed per patient and pharmaceutical expenditure both showed significant reduction compared to before the DRG implementation. Practical Implications: This study used 2 sets of 1 year period data from before and after the full implementation of DRG to analyze pharmaceutical consumption. When the comparison data accumulates further, it would be possible to conduct more diverse analysis to assess policy effect and to provide way forward for the future.

Study on Fuel Characteristics Depending on Mixing Ratio of Bio-Butanol and Bio-Ethanol (바이오부탄올, 바이오에탄올 혼합비율에 따른 연료적 특성 연구)

  • KIM, SHIN;KIM, JAE-KON;PARK, CHEON-KYU;HA, JONG-HAN
    • Transactions of the Korean hydrogen and new energy society
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    • v.28 no.6
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    • pp.704-711
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    • 2017
  • Korea, which has a high dependency on energy imports, is greatly affected by fluctuations in international oil prices. In order to offset these effects, various policies such as 'diversification of energy sources' and 'energy mix' are being pursued. Renewable Fuel Standard (RFS) is a policy promoted for this purpose, and a compulsory mixing system is applied only to the diesel. In order to reduce dependence on fossil fuels in various countries, they are concentrating on the dissemination of bio-alcohol as well as bio-diesel, and commercialization through various verification. In this study, evaluation of domestic materials and vehicles was carried out to promote domestic bio alcohol fuel. We analyzed the fuel characteristics of domestic quality standard items by mixing them with gasoline of automobile at a certain mixing ratio (0%, 3%, 6%, and 10%).

Analysis of the Core Nursing Interventions Used in the Medical and Surgical Units in a Tertiary Hospital (내·외과계 입원단위 핵심 간호중재 분석 - 일 종합전문요양기관 중심으로 -)

  • Sung, Young Hee;Shin, Hee Yeon
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.632-641
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    • 2006
  • Purpose: The purposes of this study were to analyze the core nursing interventions that are used in the medical and surgical units, and to present the basic data that can be applied in clinical fields. Method: The data was collected from 353 nurses of the medical and surgical units from Jan. 2005 to Dec. 2005, using the database of nursing process record system used at a tertiary hospital. Results: 190 interventions were performed in the medical units, with 21 core nursing interventions. 198 interventions were performed in the surgical units, with 16 core nursing interventions. There were 11 common core nursing interventions. Conclusion: The results revealed that the ratio of physiological interventions and the interventions related to safety were high. The interventions were classified according to one's field of specialization, together with the common interventions were also being performed. According to the changes in the demands of consumers, there was also increases in the performance of 'pain management' and 'fall prevention.' We expect that this study will allow for the performance of standardized interventions, and that it will be helpful in the role of the experienced nurse, and in the approach to the nursing specialty.

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Clinicopathological Profile of Breast Cancer Patients at a Tertiary Care Hospital in Marathwada Region of Westen India

  • Takalkar, Unmesh Vidyadhar;Asegaonkar, Shilpa Balaji;Kulkarni, Umesh;Kodlikeri, Pushpa R;Kulkarni, Ujwala;Saraf, Mamta;Advani, Suresh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2195-2198
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    • 2016
  • Background: Breast cancer is the most prevalent malignancy among women with wide differences in clinical profile from region to region. The present study aimed to describe the profile of breast cancer patients attending a tertiary care hospital in Marathwada region of Western India. Materials and Methods: In this descriptive retrospective study, we reviewed records of pathologically diagnosed patients of breast cancer managed at our center from years 2009 to 2015. Data with respect to demographic status, detailed past, medical, familial and personal history, findings of clinical examination and histological features were obtained. Patients were staged according to the Tumor Node Metastasis (TNM) system. Results: Among 260 cases, mean age of presentation was 52.6, with average age of menarche of 11.3 and menopause of 52.6 years. The majority of patients were from urban regions and were postmenopausal (64.3%). Main clinical features presentation were breast lumps. Most patients were in stage II and had infiltrating duct carcinomas. Conclusions: Most common risk factors for breast cancer observed are increasing age, low parity and obesity. Breast cancer was more prevalent among postmenopausal women presenting in stage II with infiltating duct carcinoma in our region of India.