• 제목/요약/키워드: Utility Degree

검색결과 161건 처리시간 0.026초

입원환자의 재선택 의향과 결정요인 (Factors related to willingness of choosing the same hospital)

  • 설동원;유승흠;박은철;김은석
    • 한국병원경영학회지
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    • 제2권1호
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    • pp.65-79
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    • 1997
  • This study aims to measure in-patients' willingness to choose the same hospital, and to define the related factors. The willingness was measured by the fact whether in-patients would return to the same hospital for their future hospitalization and can be said as the essence of ascertaining patients' satisfaction. Data was collected from 236 patients hospitalized in two hospitals selected according to its superiority, one being superior in medical technique, the other being superior in facility and equipment. To enhance the comparability between the two hospitals, the department and the diagnosis were matched, and structured questionnaires were self-fill-up. The main findings are as follows. Hospitals were analyzed by their superiority : medical services, facility and equipment. In case of hospitals with superior medical services, the willingness was proportional to positive doctor-patient relationship, to satisfaction with the medical level, and to the acknowledgement of utility in cure. In case of hospitals with superior facility and equipment, the willingness was proportional to the satisfactory state of overall facility. Two types of hospitals were combined and analyzed. The willingness for choosing hospitals with superior medical services was stronger than that for choosing the other hospitals. The satisfaction with overall facility, satisfaction with medical level, acknowledgement of utility in cure, positive doctor-patient relationship, and better consultation produced higher willingness to choose the same hospital. The willingness for the option shows to what degree the hospital suffices patients' expectation. Patients' understanding views were obviously influential. The satisfaction level for medical aspect was more influential than the level for non-medical aspect.

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The Utility of Contrast Enhanced Ultrasound and Elastography in the Early Detection of Fibro-Stenotic Ileal Strictures in Children with Crohn's Disease

  • Sarah D. Sidhu ;Shelly Joseph;Emily Dunn;Carmen Cuffari
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제26권4호
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    • pp.193-200
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    • 2023
  • Purpose: Crohn's disease (CD) is a chronic, idiopathic bowel disorder that can progress to partial or complete bowel obstruction. At present, there are no reliable diagnostic tests that can readily distinguish between acute inflammatory, purely fibrotic and mixed inflammatory and fibrotic. Our aim is to study the utility of contrast enhanced ultrasound (CEUS) in combination with shear wave elastography (SWE) to differentiate fibrotic from inflammatory strictures in children with obstructive CD of the terminal ileum. Methods: Twenty-five (19 male) children between 2016-2021 with CD of the terminal ileum were recruited into the study. Among these patients, 22 had CEUS kinetic measurements of tissue perfusion, including wash-in slope (dB/sec), peak intensity (dB), time to peak intensity (sec), area under the curve (AUC) (dB sec), and SWE. In total, 11 patients required surgery due to bowel obstruction. Histopathologic analysis was performed by a pathologist who was blinded to the CEUS and SWE test results. Results: Patients that underwent surgical resection had significantly higher mean area under the curve on CEUS compared to patients responsive to medical therapy (p=0.03). The AUC also correlated with the degree of hypertrophy and the percent fibrosis of the muscularis propria, as determined by histopathologic grading (p<0.01). There was no difference in the mean elastography measurements between these two patient groups. Conclusion: CEUS is a useful radiological technique that can help identify pediatric patients with medically refractory obstructive fibrotic strictures of the terminal ileum that should be considered for early surgical resection.

한국부엌의 작업대와 수납나의 표준치수설정을 위한 연구 IV -부엌과 관련된 현대 한국인의 생활양식 유형 분류- (Standardization of Measurements for Korean Kitchen Work Centers and Cabinets for Future Design Criteria(IV) -Classification of Life Style Related to Kitchen Space in Contemporary Korea: as a Basis for Desirable Kitchen Type-)

  • 지순;윤복자;이연숙;유성희;오찬옥;최희재;박혜경;성해숙
    • 대한가정학회지
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    • 제25권3호
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    • pp.63-82
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    • 1987
  • This is the forth consecutive study on the 'Standardization of Measurement for Korean Kitchen Work Centers and Cabinets for Future Design Criteria'. The purpose of the present research was (1) to classify homemakers' representative like styles related to the kitchen, (2) to examine homemakers' present concerns on the kitchen space, and (3) to investigate homemakers' desire and preference on the kitchen space. Twenty two hundred homemakers of upper and middle class residing in Seoul, Busan, Daegu, Incheon, Gwangju and Daejeon were selected for the survey and 1,843 among them were used for data analysis. Data were selected for the survey and 1,843 among them were used for data analysis. Data were analyzed using the SAS program package. The statistics used were frequency, percentage, mean, factor analysis, F-test, Duncan's multiple range test, X2-test, cluster analysis. Findings from the research as follows: (1) Four factors were found as indicaters of the life style; values on the household work, desire on social function of the kitchen, degree on cooperation of family members on the household work, and convenient management. It was noticeable that homemakers had positive responses in terms of desire on social function of the kitchen and degree on cooperation of family members on the household work. Homemakers' life styles related to the kitchen space were classified into 6 categories. (2) Relatively a few respondents answered that the kitchens were very well furnished. If, however, the economic conditions become better, substantial number of them wanted to invest for better kitchen following the one for living room. (3) It was found that most respondents preferred the arrangement of space, where dining and kitchen in one space, and a hard wall or soft treatment was between living and dining/kitchen area. (4) Many respondents desired pantry, utility and laundry area be near the kitchen or in the same space with it, thereby forming a utility core in a housing space.

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항공 운항에서의 허용된 위험 법리에 대한 연구 (A Study of the "erlaubtes Risiko" in Aviation)

  • 함세훈
    • 항공우주정책ㆍ법학회지
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    • 제25권2호
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    • pp.201-230
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    • 2010
  • 자동차, 철도, 광산업이 시작되면서 등장한 새로운 위험에 대하여 사회적 유용성을 이유로 활성화된 세계를 유지하고자 출발한 허용된 법리에 대하여 우리나라의 학계에서는 다수가 인정하고 있는 분위기인데 반하여 판례에서는 아직까지 기존의 과실론 체계로 해석하고 있다. 그러나 첨단 과학기술영역의 하나인 항공 운항에 있어서 사건이나 사고의 원인이 되는 청천난류(CAT)나 요란(turbulence)을 갖고 있는 뇌우는 환자의 불안전한 예후처럼 실시간 완벽한 탐지가 곤란하고 위험 발현 여부와 크기를 확정할 수 없으며 수시로 변화하는 이상 기상 현상이다. 이러한 이유가 있음에도 청천난류(CAT)가 존재할 수 있는 jet 기류의 이용은 시간과 연료를 대폭 절감하고 치명적 위험으로 발현되지 않은 뇌우가 있는 공항으로의 접근 착륙은 승객들의 정시 출 도착을 보장하기에 사회적 유용성이 높은 운항 형태라고 할 수 있다. 위험이 예견되고 회피할 수 있는 방법이 있으나 사회적 유용성을 이유로 개연성이 낮은 청천난류(CAT)나 요란(turbulence) 위험 지역을 운항하다가 발생한 사건이나 사고에 대하여는 허용된 위험의 법리를 적용하여 조종사들의 일정한 주의의무에 대한 완화가 필요하다.

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환경관광농업 활성화를 위한 수요자 선호도 연구 (A Study on the Consumer Preference for Green Tourism)

  • 유덕기;함병은
    • 한국유기농업학회지
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    • 제11권3호
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    • pp.1-19
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    • 2003
  • The operation of a five day workweek seems to be increased continuously, Many city-workers will make good use of their spare time and search after a lot of devices that can seek for the maximum value of leisure utility. The demand of potential customers that want to enjoy weekend in farming villages is coming out greatly. That is, the condition of users that will travel the farming villages is getting better. But the actual states of farming villages are not ready in many parts yet. Therefore we must activate the tourist attraction in farming villages that can be satisfied the city-workers' expectation. And after making the sightseeing environment infrastructure, we must develop the programs intimate with environment, improve the sightseeing agricultural management and consolidate various systems as soon as possible. So in this study, after investigating the demand preference degree of city-workers, I tried to grope an activation plan with the base which will reach. Being more urgent what more, not the simple sightseeing agriculture that the farming experience was the focus of, but it is very important to develop the program of environment sightseeing agriculture. It will lay the stress on playing and education culture which city-workers can enjoy and experience. And with constructing the base facility like a city form, we must develop cheap and various goods and the execution of modernized weekend farms. For this, first the consciousness conversion against the customer management of farmers must precede and the change of government policy and the support polity is important. I hope that this study with the five-day workweek has the chance to contribute in the economic growth of farming villages and efficient use and management of the natural environment resources through the activation of sightseeing agriculture.

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패션 명품(名品) 복제품(複製品)의 구매행동(購買行動)에 관(關)한 질적(質的) 연구(硏究) (A Qualitative Study on the Purchase Behavior for the Counterfeit of Fashion Luxury Brands)

  • 김일
    • 패션비즈니스
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    • 제8권5호
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    • pp.41-59
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    • 2004
  • The purpose of this study is to analyze consumers' purchase behavior for the counterfeits of fashion luxury brands. The research method of the study used a naturalistic approach. The first participant observation was carried out in the internet sites in order to collect the data on the purchase behavior for counterfeits; and the second participant observation was applied in the Dongdaemun shopping mall, Namdaemun shopping mall and Itaewon shopping mall; finally 6 informants were selected and then an interview was held with them. The results of the study are as follows; 1. The reasons for the first purchase of counterfeits are variously shown according to life stages, and the repetitive purchase behavior is influenced by the degree of satisfaction for the first purchase. The information collection for counterfeits is widely made through various media, and especially the information collection is active and positive in the case of planned purchase but it is passive and negative in the case of unplanned purchase. 2. The most important criteria in purchasing counterfeits is the degree of similarity with luxury brands and other criteria include price, design, utility etc. The majority of purchase items is not clothing but miscellaneous goods which are more similar in terms of design and quality. The purchase of counterfeits is made by impulse purchase but the purchase of luxury brands is made by planned purchase. 3. The rationalization mechanism for the purchase of counterfeits is observed in all informants, which is a sort of defence mechanism for avoiding a guilty conscience to buy illegal goods.

Utility of Subjective Global Nutritional Assessment Tool for the Assessment of Malnutrition in Pediatric Patients with Chronic Liver Disease

  • Anwesha Ray;Srikanta Basu;Praveen Kumar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제26권6호
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    • pp.346-354
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    • 2023
  • Purpose: Approximately 30% of children with chronic liver disease (CLD) are malnourished. However, proper assessment of their nutritional status is difficult. The subjective global nutritional assessment (SGNA) is a comprehensive approach that uses nutrition-focused history and examination, followed by grading of malnourishment. We aimed to study the prevalence of malnutrition in children with CLD using the SGNA tool. Methods: This cross-sectional observational study included patients aged <18 years with CLD. Nutritional assessments were recorded using SGNA tool. Conventional anthropometric measurements were performed and corroborated with nutritional status using SGNA tool. Results: A total of 85 children with CLD and mean age of 62 months were enrolled in this study. The prevalence of malnourished children according to SGNA was 34%; 22% were moderately malnourished and 12% were severely malnourished. We found statistically significant differences in anthropometric parameters among the three groups. A moderate degree of agreement was found between SGNA and weight-for-age (W/A) (p=0.020), mid-upper arm circumference (MUAC) (p<0.001), and triceps skin-fold thickness (TSF)-for-age (p=0.029). Furthermore, a fair degree of agreement was found between height-for-age (H/A) (p=0.001) and weight-for-height (W/H) (p<0.001). The sensitivity of W/A for detecting malnutrition was 93%, H/A was 90%, MUAC was 86%, and TSF was 88%. The sensitivity was much lower for W/H and body mass index for age (55% for both). Conclusion: In our study, more than one-third of children with CLD were malnourished. Nutritional assessment using SGNA is a reliable method for evaluating nutritional status and is significantly correlated with common anthropometric measurements.

Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate

  • Rossell-Perry, Percy;Cotrina-Rabanal, Omar;Barrenechea-Tarazona, Luis;Vargas-Chanduvi, Roberto;Paredes-Aponte, Luis;Romero-Narvaez, Carolina
    • Archives of Plastic Surgery
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    • 제44권3호
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    • pp.217-222
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    • 2017
  • Background The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. Methods In this case series, a 20-year retrospective analysis (1994-2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. Results Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. Conclusions The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.

농촌노인 여가복지시설 이용 실태 및 만족도에 관한 연구 - 의성군 지역을 중심으로 - (A Study on the Utility Conditions and Satisfaction of Leisure Welfare Facilities of the Elderly in Rural Areas - Focused on the aged in Uiseong district -)

  • 김현진;김용범
    • 한국주거학회논문집
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    • 제21권5호
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    • pp.43-50
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    • 2010
  • Although the government financial aid is insufficient and the lack of programs and facilities prevent it from developing and activation in the rural local society, welfare centers for the aged are formed an ever-greater part of the leisure and welfare facility for the aged in rural areas. As a result, the objectives of this study are to investigate and identify the actual conditions of use by the aged and the degree of satisfaction for welfare centers for the aged in Uiseong district. The results of this study are as follows. In the survey sample characteristics based on a total of 303 survey, the percentage of women (55.2%) was much higher than men (44.8%), average age is 73.3 years old. According to the results of the analysis, most important motivation is for health and making friends, and major useful facilities and programs are related to physical activities, sing a song and rehabilitation. From the results of the overall satisfaction, positive promotions and sufficient aid are required for the aged in the rural local society. Further any programs developed internally are required to promote and activate the leisure activity programs for the aged.

인터넷상의 의류상품 제시방법과 구매의사결정과의 관계 연구 -여대생의 청바지 구매를 중심으로- (The Effect of Presentation Methods of Apparel Products on the Internet on Purchase Decision Making. - Focused on the purchase of jeans apparel far college students -)

  • 최은영
    • 복식
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    • 제50권5호
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    • pp.103-115
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    • 2000
  • There are various presentation methods of apparel products on the internet shopping mall. The objective of this study was (a) to identify the effect of information supply about the criteria to evaluate a garment according to presentation methods and (b) to investigate the relation between the consumer's evaluation of presentation methods and confidence in purchase decision. For this experiment. 4 presentation methods of jean were selected from internet shopping mall. They were rotating appearance on the body, enlarged product picture, apparel items coordination method and just picture of wearing appearance. Each presentation method was evaluated by panels using questionnaire. Consumer's evaluation of presentation methods were developed 5 point likert scale. The major findings drawn from this study were as follows : 1. There were significant differences in degree of information supply about product criteria according to presentation methods. Enlarged product picture introduction was good for confirmation of sewing state, fabric and detail. Apparel items coordination method was good for judgement of styling and current fashion suitability. 2. Dimension of information evaluation was composed of providing pleasure, utility of information, reliability & attractiveness, negative emotions. All of these factors affect confidence in purchase decision and intention of revisiting the site. The most important factor for confidence in purchase decision making was reliability & attractiveness. as compared to this, intention of revisiting the site was more influenced by providing pleasure.

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