• Title/Summary/Keyword: point to point (P2P)

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A Convergence Study on the Effects of Self-leadership and Self-esteem on Nursing Performance (간호사의 셀프리더십과 자아존중감이 간호업무성과에 미치는 영향에 관한 융합 연구)

  • Jang, Mi-Kyeong;Kim, Hyun-Young
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.51-59
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    • 2018
  • The purpose of this study was to identify the degree of nursing self-leadership, self-esteem, and nursing performance and to analyze the relationship between these variables, and its effect on nursing performance. The self-leadership of the study nurses was $3.37{\pm}0.45$ on the 5-point scale, $3.02{\pm}0.36$ on the 4-point scale, and $3.59{\pm}0.45$ on the 5-point scale. The variables affecting nursing performance were self-expectation(${\beta}=.24$, p<.001), rehearsal(${\beta}=.15$, p=.008), and self-esteem(${\beta}=.28$, p<.001), these variables accounted for 53.0%(F=41.45, p<.001). The study could serve as a base material for the development of strategies to improve self-assured attitudes and positive self-esteem when performing tasks aimed at improving nursing performance.

$^{18}F$-FDG PET/CT for the Preoperative Diagnosis of Papillary Thyroid Microcarcinoma: The Value of Dual Time Point Imaging (갑상선미세유두암의 수술 전 진단에서 $^{18}F$-FDG PET/CT: 이중시간 영상의 유용성)

  • Seo, Young-Duk;Kim, Seong-Min;Kim, Kun-Ho;Kim, Je-Ryong
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.6
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    • pp.543-556
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    • 2009
  • Purpose: We studied the patterns of FDG uptake of primary papillary thyroid microcarcinoma (PTMCa) lesions and benign thyroid nodules in dual time point $^{18}F$-FDG PET/CT imaging. Materials and Methods: Consecutive 134 patients (154 lesions) with PTMCa and 49 patients (61 nodules) with benign thyroid nodules equal to or less than 1.0 cm who underwent dual time point $^{18}F$-FDG PET/CT study before surgery were enrolled. We calculated the maximum standardized uptake value of PTMCa and benign nodules in both time points, and percent change of SUVmax (${\Delta}%SUVmax$) and lesion to background ratio of SUVmax (${\Delta}L:B$% ratio) between both time points. The mean time interval between scans was $23.4{\pm}4.4$ minutes (thyroid to thyroid interval: $10.7{\pm}4.4$ minutes). Results: The mean of SUVmax of PTMCa was increased from $4.9{\pm}4.3$ to $5.3{\pm}4.7$ (p<0.001) and ${\Delta}%SUVmax$ was $12.3{\pm}23.6%$. But, the mean of SUVmax of benign nodules was no definite change ($2.1{\pm}1.0$ to $2.1{\pm}1.3$, p=0.686) and ${\Delta}%SUVmax$ was $-0.3{\pm}20.5%$. Of the 154 PTMCa, 100 nodules (64.9%) showed an increase in SUVmax over time, while 19 (31.1%) of the 61 benign thyroid nodules showed an increase (p<0.001). The dual time point $^{18}F$-FDG PET/CT found more PTMCa in visual assessment (62.3% vs. 76.6%, p=0.006), even in smaller than 0.5 cm (38.6% vs. 60.0%, p=0.011). Conclusion: Dual time time $^{18}F$-FDG PET/CT imaging was more useful than single time point $^{18}F$-FDG PET/CT imaging for distinction between PTMCa and benign nodule, especially when nodule showed equivocal or negative findings in single time point $^{18}F$-FDG PET/CT imaging or was smaller than 0.5 cm.

The Effects of a Walking Leader Program on Walking Knowledge and Self-efficacy (걷기지도자 교육과정이 걷기운동지식과 자기효능감에 미치는 효과)

  • Lee, Chang-Hyun;Kim, Young-Im;Kim, Souk-Young
    • Research in Community and Public Health Nursing
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    • v.21 no.2
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    • pp.178-187
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    • 2010
  • Purpose: The purpose of this study was to analyze the effects of a walking leader program on changes in walking knowledge and self-efficacy. Methods: The subjects were 276 participants who participated in the nationwide walking leader program 9 times from May to September in 2008. Data were collected before and after the program by an organized questionnaire. Results: 1) Knowledge related to walking exercise increased significantly to 4.14 point from 2.90 point after the program (t=-20.70, p<.001). 2) Self-efficacy related to walking exercise increased significantly to 4.08 point from 3.40 point after the program (t=13.93, p<.001). 3) Significant factors that affected knowledge and self efficacy before the program were regular exercise and subjective health status. The history of chronic disease and smoking were significantly affecting factors to knowledge and self-efficacy after the program. Conclusion: The walking leader program promoted the participants' walking knowledge and selfefficacy. It is necessary to develop more specific programs tailored to socio-demographic characteristics of participants and to make efforts to increase participants with active public information.

P2P Group Search Algorithm to Improve Usability (사용성 개선을 위한 P2P 그룹 검색 알고리즘)

  • Kim, Boon-Hee
    • The Journal of the Korea institute of electronic communication sciences
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    • v.5 no.2
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    • pp.185-192
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    • 2010
  • A P2P technology in distributed environments is very useful in the respect that persons to have resources efficiently share the resources. A P2P system is caused as follows : resource search, resource transmission, resource transmission again and then excessively occurred network traffic. To improve performance about this a lot of studies is proceeding. One of this various study's directions to improve performance is recently come to a field to improve usability as such person. At this point this study is proposed P2P group search algorithm to improve usability.

Prognostic Value of Tumor Regression Grade on MR in Rectal Cancer: A Large-Scale, Single-Center Experience

  • Heera Yoen;Hye Eun Park;Se Hyung Kim;Jeong Hee Yoon;Bo Yun Hur;Jae Seok Bae;Jung Ho Kim;Hyeon Jeong Oh;Joon Koo Han
    • Korean Journal of Radiology
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    • v.21 no.9
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    • pp.1065-1076
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    • 2020
  • Objective: To determine the prognostic value of MRI-based tumor regression grading (mrTRG) in rectal cancer compared with pathological tumor regression grading (pTRG), and to assess the effect of diffusion-weighted imaging (DWI) on interobserver agreement for evaluating mrTRG. Materials and Methods: Between 2007 and 2016, we retrospectively enrolled 321 patients (male:female = 208:113; mean age, 60.2 years) with rectal cancer who underwent both pre-chemoradiotherapy (CRT) and post-CRT MRI. Two radiologists independently determined mrTRG using a 5-point grading system with and without DWI in a one-month interval. Two pathologists graded pTRG using a 5-point grading system in consensus. Kaplan-Meier estimation and Cox-proportional hazard models were used for survival analysis. Cohen's kappa analysis was used to determine interobserver agreement. Results: According to mrTRG on MRI with DWI, there were 6 mrTRG 1, 48 mrTRG 2, 109 mrTRG 3, 152 mrTRG 4, and 6 mrTRG 5. By pTRG, there were 7 pTRG 1, 59 pTRG 2, 180 pTRG 3, 73 pTRG 4, and 2 pTRG 5. A 5-year overall survival (OS) was significantly different according to the 5-point grading mrTRG (p = 0.024) and pTRG (p = 0.038). The 5-year disease-free survival (DFS) was significantly different among the five mrTRG groups (p = 0.039), but not among the five pTRG groups (p = 0.072). OS and DFS were significantly different according to post-CRT MR variables: extramural venous invasion after CRT (hazard ratio = 2.259 for OS, hazard ratio = 5.011 for DFS) and extramesorectal lymph node (hazard ratio = 2.610 for DFS). For mrTRG, k value between the two radiologists was 0.309 (fair agreement) without DWI and slightly improved to 0.376 with DWI. Conclusion: mrTRG may predict OS and DFS comparably or even better compared to pTRG. The addition of DWI on T2-weighted MRI may improve interobserver agreement on mrTRG.

LIMIT RELATIVE CATEGORY THEORY APPLIED TO THE CRITICAL POINT THEORY

  • Jung, Tack-Sun;Choi, Q-Heung
    • Bulletin of the Korean Mathematical Society
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    • v.46 no.2
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    • pp.311-319
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    • 2009
  • Let H be a Hilbert space which is the direct sum of five closed subspaces $X_0,\;X_1,\;X_2,\;X_3$ and $X_4$ with $X_1,\;X_2,\;X_3$ of finite dimension. Let J be a $C^{1,1}$ functional defined on H with J(0) = 0. We show the existence of at least four nontrivial critical points when the sublevels of J (the torus with three holes and sphere) link and the functional J satisfies sup-inf variational inequality on the linking subspaces, and the functional J satisfies $(P.S.)^*_c$ condition and $f|X_0{\otimes}X_4$ has no critical point with level c. For the proof of main theorem we use the nonsmooth version of the classical deformation lemma and the limit relative category theory.

EIGENVALUE PROBLEMS FOR p-LAPLACIAN DYNAMIC EQUATIONS ON TIME SCALES

  • Guo, Mingzhou;Sun, Hong-Rui
    • Bulletin of the Korean Mathematical Society
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    • v.46 no.5
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    • pp.999-1011
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    • 2009
  • In this paper, we are concerned with the following eigenvalue problems of m-point boundary value problem for p-Laplacian dynamic equation on time scales $(\varphi_p(u^{\Delta}(t)))^\nabla+{\lambda}h(t)f(u(t))=0,\;t\in(0,T)$, $u(0)=0,\varphi_p(u^{\Delta}(T))=\sum\limits_{i=1}^{m-2}a_i\varphi_p(u^{\Delta}(\xi_i))$, where $\varphi_p(u)=|u|^{p-2}$u, p > 1 and $\lambda$ > 0 is a real parameter. Under certain assumptions, some new results on existence of one or two positive solution and nonexistence are obtained for $\lambda$ evaluated in different intervals. Our work develop and improve many known results in the literature even for the continual case. In doing so the usual restriction that $f_0=lim_{u{\rightarrow}0}+f(u)/\varphi_p(u)$ and $f_\infty = lim_{u{\rightarrow}{\infty}}f(u)/\varphi_p({u})$ exist is removed. As an applications, an example is given to illustrate the main results obtained.

Diagnostic value of eosinopenia and neutrophil to lymphocyte ratio on early onset neonatal sepsis

  • Wilar, Rocky
    • Clinical and Experimental Pediatrics
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    • v.62 no.6
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    • pp.217-223
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    • 2019
  • Purpose: To determine the diagnostic value of eosinopenia and the neutrophil-to-lymphocyte ratio (NLR) in the diagnosis of early onset neonatal sepsis (EONS). Methods: This cross-sectional study was conducted in the Neonatology Ward of R.D. Kandou General Hospital Manado between July and October 2017. Samples were obtained from all neonates meeting the inclusion criteria for EONS. Data were encoded using logistic regression analysis, the point-biserial correlation coefficient, chi-square test, and receiver operating characteristic curve analysis, with a P value <0.05 considered significant. Results: Of 120 neonates who met the inclusion criteria, 73 (60.8%) were males and 47 (39.2%) were females. Ninety (75%) were included in the sepsis group and 30 (25%) in the nonsepsis group. The mean eosinophil count in EONS and non-EONS groups was $169.8{\pm}197.1cells/mm^3$ and $405.7{\pm}288.9cells/mm^3$, respectively, with statistically significant difference (P<0.001). The diagnostic value of eosinopenia in the EONS group (cutoff point: $140cells/mm^3$) showed 60.0% sensitivity and 90.0% specificity. The mean NLR in EONS and non-EONS groups was $2.82{\pm}2.29$ and $0.82{\pm}0.32$, respectively, with statistically significant difference (P<0.001). The diagnostic value of NLR in the EONS group (cutoff point, 1.24) showed 83.3% sensitivity and 93.3% specificity. Conclusion: Eosinopenia has high specificity as a diagnostic marker for EONS and an increased NLR has high sensitivity and specificity as a diagnostic marker for EONS.

A Convergence Study about Influences of Coaching Behavior Level and Emotional Intelligence on Organizational Effectiveness of Nurse (간호사의 코칭행동수준과 감성지능이 조직유효성에 미치는 영향에 대한 융합연구)

  • Kwon, Jeong-Ok;Lim, Sun-Young
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.63-73
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    • 2017
  • The purpose of this convergence study is to confirm the effects of nurses' coaching behavior level and emotional intelligence on organizational effectiveness. Subjects of study were 182 nurse in four general hospitals and they answer self-report questionnaire between March 2nd to March twenty three 2017. and date analyzed using the SPSS/WIN 21.0 program. As a result, coaching behavior level $3.28{\pm}0.42point$, Emotional Intelligence $3.27{\pm}0.45point$ and Organizational commitment $2.89{\pm}0.52point$, Job satisfaction $2.94{\pm}0.53point$, Turnover intention $3.24{\pm}0.56point$ among organizational effectiveness. Organizational commitment was positively correlated with coaching behavior level and emotional intelligence, significantly affecting Convergence Factors on organizational effectiveness were analysed into Experience preceptor(${\beta}=.25$, p=.001), Nursing satisfaction(${\beta}=.26$, p<.001), Coaching behavior level(${\beta}=.26$, p<.001) and the explanation ability was 25%. In order to enhance organizational commitment of nurse, the characteristics of the job is satisfied and if there is an intervention program that improve the level of coaching behavior, it is expected the effectiveness of the organization will be enhanced.

HSPF and SWAT Modelling for Identifying Runoff Reduction Effect of Nonpoint Source Pollution by Rice Straw Mulching on Upland Crops (볏짚 피복에 의한 밭 비점오염원 유출저감효과 분석을 위한 HSPF와 SWAT 모델링)

  • Jung, Chung Gil;Ahn, So Ra;Kim, Seong Joon;Yang, Hee Jeong;Lee, Hyung Jin;Park, Geun Ae
    • Journal of The Korean Society of Agricultural Engineers
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    • v.55 no.2
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    • pp.47-57
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    • 2013
  • This study is to assess the reduction of non-point source pollution loads for rice straw mulching of upland crop cultivation at a watershed scale. For Byulmi-cheon watershed (1.21 $km^2$) located in the upstream of Gyeongan-cheon, the HSPF (Hydrological Simulation Program-Fortran) and SWAT (Soil and Water Assesment Tool), physically based distributed hydrological models were applied. Before evaluation, the model was calibrated and validated using 9 rainfall events. The Nash-Sutcliffe model efficiency (NSE) for streamflow using the HSPF was 0.62~0.76 and the determination coefficient ($R^2$) for water quality (sediment, total nitrogen T-N, and total phosphorus T-P) were 0.72, 0.62, and 0.63 respectively. The NSE for streamflow using the SWAT were 0.43~0.81 and the $R^2$ for water quality (sediment, T-N, and T-P) were 0.54, 0.87, and 0.64 respectively. From the field experiment of 16 rainfall events, the rice straw cover condition reduced surface runoff average 10.0 % compared to normal surface condition. By handling infiltration capacity (INFILT) in HSPF model, the value of 16.0 mm/hr was found to reduce about 10.0 % reduction of surface runoff. For this condition, the reduction effect of sediment, T-N, and T-P loads were 87.2, 28.5, and 85.1 % respectively. By handling soil hydraulic conductivity (SOL_K) in SWAT model, the value of 111.2 mm/hr was found to reduce about 10.0 point reduction of surface runoff. For this condition, the reduction effect of sediment, T-N, and T-P loads were 80.0, 83.2, and 78.7 % respectively. The rice straw surface covering was effective for removing surface runoff dependent loads such as sediment and T-P.