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The Effect of Organizational Culture and Organizational Silence on Turnover Intention of Members of A Small and Medium-sized Hospital in The Metropolitan Area (수도권 일개 중소병원 구성원의 조직문화와 조직침묵이 이직의도에 미치는 영향)

  • Jung, Mun Gyo;Sohn, Tae Yong;Choe, Heon
    • Korea Journal of Hospital Management
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    • v.26 no.2
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    • pp.43-55
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    • 2021
  • Purposes: In this study, we examined the factors which silenced the organizing members and how the factors affects deprivation of employment about the organization culture, the organizational silence, and the turnover intention. Methodology: In order to research, we carry out a survey on 400 employees of small and medium hospitals. Among them, 321 questionnaires were used for actual analysis, excluding insincere respondents, non-responders or duplicate respondents. In order to verify the hypotheses in this study, we conduct the covariance Structural Equation Model(SEM). Finding: We obtained results using following hypotheses. First, ''The organization culture has an effect on the turnover intention.'' Second, ''The organization culture has an effect on the organizational silence'' Third, ''The organizational silence has a influence on the turnover intention.'' Finally, ''When the organization culture mediates the organizational silence, the adaptation relationship of the ornization effectiveness is different.'', as the key hypothesis, showed that the agreement culture, rational culture, and hierarchical culture of the organization culture type were statistically significant. The organizational silence as a parameter has the partial mediating effects(-) because it has direct and indirect effects. Practical Implications: The results of this study showed that the reason for the organizational silence of the organizing members is that the organization culture by a grade of rank is the largest and these the organizational silence affects the turnover intention.

Experimental Tracheal Replacement: Angiogenesis and Null Apoptosis Promote Stenosis

  • Santibanez-Salgado, J. Alfredo;Sotres-Vega, Avelina;Gaxiola-Gaxiola, Miguel O.;Villalba-Caloca, Jaime;Lozoya, Karen Bobadilla;Zuniga-Ramos, Joaquin A.
    • Journal of Chest Surgery
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    • v.54 no.3
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    • pp.191-199
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    • 2021
  • Background: Tracheal replacement is a challenge for thoracic surgeons due to stenosis in the trachea-prosthesis anastomosis. We propose that stenosis occurs due to fibrosis as a result of an abnormal healing process, characterized by an increased expression of wound healing growth factors (vascular endothelial growth factor [VEGF], survivin, and CD31), which promote angiogenesis and decrease apoptosis. We analyzed the immunoreactivity of VEGF, survivin, CD31, and caspase-3 in the development of fibrotic stenosis in prosthetic tracheal replacement. Methods: Fourteen dogs were operated on: group I (n=7) received a 6-ring cervical tracheal segment autograft, while in group II (n=7), a 6-ring segment of the cervical trachea was resected and tracheal continuity was restored with a Dacron prosthesis. The follow-up was 3 months. Immunoreactivity studies for VEGF, survivin, CD31, and caspase-3 were performed. A statistical analysis was done using the Wilcoxon signed rank test. Results: Four animals in group I were euthanized on the 10th postoperative day due to autograft necrosis. Three animals completed the study without anastomotic stenosis. Moderate expression of VEGF (p=0.038), survivin (p=0.038), and CD31 (p=0.038) was found. All group II animals developed stenosis in the trachea-prosthesis anastomotic sites. Microscopy showed abundant collagen and neovascularization vessels. Statistically significant immunoreactive expression of VEGF (p=0.015), survivin (p=0.017), and CD31 (p=0.011) was observed. No expression of caspase-3 was found. Conclusion: We found a strong correlation between fibrosis in trachea-prosthesis anastomoses and excessive angiogenesis, moderate to intense VEGF, CD31, and survivin expression, and null apoptotic activity. These factors led to uncontrolled collagen production.

Safety of delayed umbilical cord clamping in preterm neonates of less than 34 weeks of gestation: a randomized controlled trial

  • Rana, Anubhuti;Agarwal, Krishna;Ramji, Siddarth;Gandhi, Gauri;Sahu, Latika
    • Obstetrics & gynecology science
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    • v.61 no.6
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    • pp.655-661
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    • 2018
  • Objective There is concern regarding the safety of delayed cord clamping (DCC) in babies born at less than 34 weeks' gestation. Therefore, the primary objective of this study was to compare the rates of hyperbilirubinemia and polycythemia during initial 7 days in infants born at less than 34 weeks' gestation and randomized to receive DCC by 120 seconds or early cord clamping (ECC) within less than 30 seconds. Methods One hundred pregnant women were randomly subjected to DCC or ECC at the time of birth in a tertiary referral hospital setting. Blood samples were obtained from each newborn at 48 hours and 7 days for hematocrit measurement. Serum bilirubin levels were estimated once the infant had clinically significant jaundice or at 72 hours. For the statistical analysis, the ${\chi}^2$ test, Student's t-test, or Wilcoxon rank sum test was used. Results The hematocrit was significantly higher in the DCC group than in the ECC group (P<0.001). None of the babies had polycythemia. Mean total serum bilirubin level was 6.6 mg/dL in the DCC group and 8.7 mg/dL in the ECC group (P<0.001). There was no increased risk of hyperbilirubinemia in the DCC group. Conclusion DCC benefits preterm neonates with no significant adverse effects.

Comparison of Intradermal Skin Test and Multiple Allergen Simultaneous Test Results in Canine Atopic Dermatitis

  • Nam, Hyeyeon;Yun, Taesik;Koo, Yunhoi;Lee, Dohee;Chae, Yeon;Park, Jooyoung;Choi, Dongjoon;Kim, Hakhyun;Yang, Mhan-Pyo;Kang, Byeong-Teck
    • Journal of Veterinary Clinics
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    • v.38 no.3
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    • pp.120-126
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    • 2021
  • Intradermal skin test (IDST) is generally considered a useful tool in identifying causal allergens in canine atopic dermatitis. Currently, multiple allergen simultaneous test (MAST), an in vitro testing method for allergen-specific immunoglobulin E, is being used as an alternative method. However, there are no reports comparing the IDST and MAST results in the same dogs. This study compared the results of both tests to evaluate the agreement and correlation between them. The sensitivity, specificity, and accuracy of the MAST were 76.2%, 64%, and 66.7%, respectively. Moderate positive predicted value (PPV, 50-75%) or high sensitivity (80-100%) were identified for indoor allergens, such as cat epithelia, house dust, and house dust mites. In contrast, high negative predicted value (NPV, 93.3-100%) and specificity (60-100%) were observed for environmental allergens and fungi. Although the agreement between IDST and MAST for all allergens was fair (κ = 0.301), that for each allergen was poor (κ < 0.01), except for birch (κ = 0.158). Spearman's rank correlation analysis revealed a low correlation between the MAST and IDST results (ρ = 0.308, p = 0.001). As compared to the IDST results, the MAST results did not identify the causative allergens sufficiently. IDST may not be performed for environmental allergens and fungi with high NPV and specificity if the MAST result is negative, but it may have to be performed for indoor allergens with moderate PPV and high sensitivity when the MAST result is positive.

Real-time Moving Object Detection Based on RPCA via GD for FMCW Radar

  • Nguyen, Huy Toan;Yu, Gwang Hyun;Na, Seung You;Kim, Jin Young;Seo, Kyung Sik
    • The Journal of Korean Institute of Information Technology
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    • v.17 no.6
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    • pp.103-114
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    • 2019
  • Moving-target detection using frequency-modulated continuous-wave (FMCW) radar systems has recently attracted attention. Detection tasks are more challenging with noise resulting from signals reflected from strong static objects or small moving objects(clutter) within radar range. Robust Principal Component Analysis (RPCA) approach for FMCW radar to detect moving objects in noisy environments is employed in this paper. In detail, compensation and calibration are first applied to raw input signals. Then, RPCA via Gradient Descents (RPCA-GD) is adopted to model the low-rank noisy background. A novel update algorithm for RPCA is proposed to reduce the computation cost. Finally, moving-targets are localized using an Automatic Multiscale-based Peak Detection (AMPD) method. All processing steps are based on a sliding window approach. The proposed scheme shows impressive results in both processing time and accuracy in comparison to other RPCA-based approaches on various experimental scenarios.

Indoor 3D Dynamic Reconstruction Fingerprint Matching Algorithm in 5G Ultra-Dense Network

  • Zhang, Yuexia;Jin, Jiacheng;Liu, Chong;Jia, Pengfei
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.1
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    • pp.343-364
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    • 2021
  • In the 5G era, the communication networks tend to be ultra-densified, which will improve the accuracy of indoor positioning and further improve the quality of positioning service. In this study, we propose an indoor three-dimensional (3D) dynamic reconstruction fingerprint matching algorithm (DSR-FP) in a 5G ultra-dense network. The first step of the algorithm is to construct a local fingerprint matrix having low-rank characteristics using partial fingerprint data, and then reconstruct the local matrix as a complete fingerprint library using the FPCA reconstruction algorithm. In the second step of the algorithm, a dynamic base station matching strategy is used to screen out the best quality service base stations and multiple sub-optimal service base stations. Then, the fingerprints of the other base station numbers are eliminated from the fingerprint database to simplify the fingerprint database. Finally, the 3D estimated coordinates of the point to be located are obtained through the K-nearest neighbor matching algorithm. The analysis of the simulation results demonstrates that the average relative error between the reconstructed fingerprint database by the DSR-FP algorithm and the original fingerprint database is 1.21%, indicating that the accuracy of the reconstruction fingerprint database is high, and the influence of the location error can be ignored. The positioning error of the DSR-FP algorithm is less than 0.31 m. Furthermore, at the same signal-to-noise ratio, the positioning error of the DSR-FP algorithm is lesser than that of the traditional fingerprint matching algorithm, while its positioning accuracy is higher.

Study on the morning ritual costumes of the members of the Ming dynasty imperial family (명대(明代) 황실 구성원의 조회의례(朝會儀禮) 복식(服飾) 연구)

  • Wen, Shaohua;Choi, Yeonwoo
    • The Research Journal of the Costume Culture
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    • v.29 no.2
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    • pp.204-221
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    • 2021
  • The morning ritual was a rite whereby a morning audience with the emperor was held for feudal lords sovereigns and subjects living in the precincts, monarchs or foreign envoys of the outskirts of the capital, and other ethnic group. Distinction between the main and subordinate rituals, changes in the ceremony according to the times, and the position or rank of those participating in the rite, were factors that directly affected the costumes worn for ritual. Accordingly, in this paper, the costumes worn by members of the Ming dynasty (emperor, prince imperial, prince) were examined in terms of the period and detailed ceremonies with a focus on the morning ritual and costume systems presented in the official historical records. Through this study, only Mian-fu (冕服) and Pi-bian-fu (皮弁服) were defined by the costume system ase costumes worn in the morning ritual. However, through comparative analysis with the morning ritual system, it was confirmed that Tongtian-guan-fu (通天冠服), Yishan-guan-fu (翼善冠服), and Bianfu (便服: slightly casual wear) were also worn. It is worth noting that the color of Gunlong-pao (袞龍袍) was differentiated according to status; the Emperor wore yellow, the Prince Imperial and lower levels wore red, which was the traditional perception of academia. However, following confirmation of the custom costume for the morning ritual, it was confirmed that the color of this differentiation appeared during the 3rd year of Emperor Yongle of Ming (1305). Previously five traditional colors (blue, red, yellow, white, and black) were used for the season.

Agreement of Physical Activity Measured Using Self-Reporting Questionnaires with Those Using Actigraph Devices, Focusing on the Correlation with Psychological State

  • Seo, Kyoungsan;Jung, Mi Ok;Suh, Minhee
    • Journal of Korean Biological Nursing Science
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    • v.23 no.4
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    • pp.287-297
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    • 2021
  • Purpose: This study aimed to evaluate the correlation and agreement of physical activity (PA) between data obtained from wearable Actigraph devices and self-reporting questionnaires, and to investigate the relationship between psychological state (depression, anxiety, and fatigue) and PA. Methods: A descriptive study was conducted using physical measurements and surveys. PA was measured through both the International Physical Activity Questionnaire (IPAQ) and the Actigraph GT3X+ device. The demographic characteristics of the subjects, as well as their depression, anxiety, and fatigue scores, were collected with structured questionnaires. The Spearman's rank correlation coefficient and the Bland-Altman plot method were employed. Results: Data from 36 healthy adults were analyzed. The overall levels of PA measured using the IPAQ and the Actigraph were 1,891.69 MET min/week and 669.96 MET/day, respectively. Total levels of PA did not show a significant correlation between the two measurement methodologies. However, the moderate-intensity PA resulting from the IPAQ scores showed a significant positive correlation with the light-intensity PA recorded by the Actigraph. The Bland-Altman plot analysis demonstrated that the levels of PA as measured by the two different methods did not match. In addition, PA measured using the Actigraph showed a significant negative correlation with depression and anxiety whereas PA measured using the IPAQ showed a significant positive correlation with fatigue. Conclusion: The conclusion of this study is that the data obtained from the subjective self-reporting questionnaire and the wearable Actigraph do not correlate or match in healthy adults. Future research should investigate the relationship between depression and PA intensity through the Actigraph, or other wearable devices equipped with smartphone apps.

Analysis of Composition and Diversity of Natural Regeneration of Woody Species in Jebel El Gerrie Dry Land Forest East of Blue Nile State, Sudan

  • Abuelbashar, Ahmed Ibrahim;Ahmed, Dafa-Alla Mohamed Dafa-Alla;Siddig, Ahmed Ali Hassabelkreem;Yagoub, Yousif Elnour;Gibreel, Haithum Hashim
    • Journal of Forest and Environmental Science
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    • v.38 no.2
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    • pp.90-101
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    • 2022
  • The study aims to assess composition, diversity and population indices of natural regeneration of woody species in Jebel El Gerrie forest reserve, Blue Nile State, Sudan. We conducted field work between December 2018 and January 2019. We used random sampling to collect vegetation data in the forest where we made a total of 90 circular sample plots (radius 17.84 m) and distributed them proportionally to the area of each of the four density-based vegetation classes of the forest i.e. high density (C1), medium density (C2), low density (C3) and crop land (C4). In each sample plot we identified all regenerating tree species and counted their regeneration frequencies. We calculated ecological metrics of regeneration frequency, density, abundance, richness, evenness, diversity and importance value index (IVI) and drew abundance rank curve. Results revealed that out of fifteen mature tree species present, natural regeneration of 8 species, which belong to 6 families, was observed. The relatively most frequently naturally regenerating and abundant species were Anogeissus leiocarpa and Combretum hartmannianum. Richness, evenness and diversity of regenerating species were 1.33, 0.82 and 1.7, respectively. One-way ANOVA (α=0.05) of mean regeneration densities disclosed that there were significant differences (F3,86=16.77, p=0.000) between C2 & C3 (p=0.000) and C2 & C4 (p=0.000). While regeneration of seven tree species were absent, two, two and four species were of good, poor and fair regeneration status, respectively. A comparison of mean density of natural regeneration with that of parent trees reflects a poor regeneration status of the forest. The study provides empirical results on the regeneration status of species and signifies the need for management interventions for species conservation and restoration, maintenance of biodiversity and sustainable production.

Priority Analysis for Consumers' Purchasing Factors of Seafood Online Using AHP Method (온라인 플랫폼을 활용한 수산식품 구매요인 우선순위 분석: AHP 기법을 활용하여)

  • Jeong, Hyun-Ki;Kee, Hae-Kyung;Park, Se-Hyun
    • Asia-Pacific Journal of Business
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    • v.13 no.3
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    • pp.449-461
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    • 2022
  • Purpose - The purpose of this study to explore factors consumers prioritize when purchasing seafood online. The originality of the study lies on adopting AHP-based approach in analyzing prioritized purchasing factors of seafood online. Design/methodology/approach - A survey was conducted targeting Korean consumers who have purchased seafood online. AHP method was applied to rank factors consumers prioritize before making decision. Findings - First, product's factor ranked first among other high level factors including delivery service, seller, online platform. Second, sanitation, taste, country of origin ranked first, second, third respectively, within product's factors. Third, safe delivery, timeliness, information accuracy ranked first, second, third respectively, within delivery factors. Fourth, consumer reviews, consumer response ability, promotion ranked first, second, third within seller factors. Fifth, Personal information management system, credibility, user-friendliness ranked first, second, third, within online platform factors. Research implications or Originality - To activate seafood online market, it is crucial to assure consumers that the seafood is well managed in a sanitary way from the production site to table. Existing government programs such as seafood traceability system, HACCP, and cold-chain infrastructure needs improvement. Due to highly perishable characteristic of seafood, delivery factors matter when purchasing online. Online platforms needs to continue to improve delivery service. Seafood products are mostly not branded and without objective information about their properties. Creating quality classification and seafood brands are likely to help consumers chose seafood online.