• Journal of agricultural medicine and community health
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• v.24 no.2
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• pp.315-329
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• 1999

Recently, dissatisfaction with aspects of health care has been complemented by directly at complaints such as informal, formal and litigation. But some people take action and other not in spite of feeling of dissatisfaction. This study was to investigate an accounts of patient's disagreement with doctor's care from a community sample, and make a distinction between felt disagreement and disagreement actions. This study was done in six hundred forty residents in Sungjoo County of Kyungbuk Province and Nonman city of Chungnam Province. The questionnaires of interview included sociodemographic data, health status data, a nature of patient's disagreement with doctor and actions taken following or during the disagreement episode. Approximately sixteen percent of sample reported a disagreement, and nine percent reported action taken following or during the disagreement episode. Age, educational attainment, income and area were significantly related with experience of disagreement episode in univariate analysis. In people who experienced the disagreement episode, nearly forty-one percent reported on disagreement about the diagnosis related, twenty-eight percent reported doctor-patients relationship related, twenty percent reported treatment related, and eleven percent reported prescription drug related. In people who experienced actions taken following or during the disagreement episode, nearly fifty-four percent acted as 'sought a second opinion or visit other doctor', thirty-six percent acted as 'verbally challenged the doctor', thirty-two percent acted as 'stopped prescribed treatment or medication', twenty-nine percent acted as 'made repeat visits to the same doctor', twenty-five percent acted as 'eventually left and changed doctor'. Results of multivariate analysis, age, marital status, have or haven't chronic disease, and general satisfaction with health service were significantly related with experience of disagreement episode and marital status was significantly related with experience of actions taken following or during the disagreement episode. This study is experimental and exploratory trial about a relationship between patient's disagreement with doctor and actions taken following or during the disagreement episode in some community of Korea. We find that patient's disagreement with doctor and actions taken following or during the disagreement episode is latent in our community. We suggest that the relationship between felt disagreement and disagreement action is more complicated and worthy of further study.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.4
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• pp.539-550
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• 2014

Purpose: This research was designed to figure out if there are changes based on types of vergence fixation disparity curve after optical correction and vision training to for people with steep slope of forced vergence fixation disparity curve and symptoms. Methods: For 30 subjects out of 91 subjects, who have steep slopes of fixation disparity curve examined with Wesson Fixation Disparity Card and symptoms about steep slope of fixation disparity curve, proper vision training was offered for 5 weeks. Results: After Vision training for 30 people with the symptoms of type I, II, III, IV for 5 weeks, slope of fixation disparity curve was significantly changed (p=0.013), and the results of binocular vision test and subjective symptoms were also significantly improved. Conclusions: Vision training can not only affect the change of fixation disparity curve, but also relieve the symptoms. Fixation disparity curve has lots of visual function information of the subject and can be suggested as a guideline for prescribing.

• School Mathematics
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• v.16 no.4
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• pp.659-675
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• 2014

The purpose of this study is to investigate the effects of scheme based strategy Instruction on problem solving of word problems of ratio and proportion for students with under achievement or at risk for learning disabilities. Three $7^{th}$ graders of underachieving or at risk LD were participated in this study. Three steps of instructional experiment-testing baseline, intervention with schematic-based strategy, testing for the abilities of problem solving, generalization, & sustainability. The results showed that the schema-based strategy, FOPS was effective method for all three students enhancing problem solving abilities and for generalizing and sustaining the problem solving.

• Proceedings of the Korea Water Resources Association Conference
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• 2022.05a
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• pp.222-222
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• 2022

최근 기후변화로 인해 지역 및 시기별로 강수량이 편중되면서 가뭄(0.72회/년) 등 물 관련 재해가 빈번하게 발생하고 있으며, 가뭄의 강도 또한 심화되는 추세이다. 본 연구대상 지역인 태안군과 괴산군의 경우 기후변화 시나리오(RCP 4.5)를 적용, 미래(~2100년) 기상조건에 대하여 기존 농업용 저수지의 용수공급능력을 평가한 결과, 가뭄대응(내한) 능력이 감소하는 것으로 분석되었다. 한편, 농업가뭄의 경우 주로 영농기에 발생하여 장마가 시작되면서 해소되었으나, 최근 기후변화로 인해 지속기간이 점차 증가하여 가뭄피해가 매년 반복되고 있다. 그러나, 현재까지 추진된 가뭄대책의 경우 관정개발, 저수지 준설 등 단기·사후처방 중심의 대책이 마련되어 지속적인 재해관리와 예방에 많은 어려움을 겪고 있다. 이에 본 연구에서는 지역 맞춤형 가뭄대응 종합대책을 마련하여 기후 변화대비 안정적인 영농기반을 구축하고자 하였다. 기존시설 개선, 수요관리 등 최근 정부정책 방향과 재원조달 방안을 고려, 법적근거(농어촌정비법 등)에 의한 실현 가능한 사업계획을 수립하는 한편, 다목적 농촌용수 개발, 용수이용체계 재편 등 사업유형을 구분한 후 단계별(장·단기) 가뭄대책을 마련하였다. 가뭄대책 수립 시 한국농어촌공사에서 개발한 '수리수문 설계 시스템(K-HAS)'을 이용하여 용수 수요량을 산정하였고, 기존 수리시설물별 물 수지 분석을 통해 여유수량이 확보된 수원을 최대한 활용코자 하였다. 저수지 개발 등 신규 수자원 확보가 용이한 내륙·산간지역의 경우 중·대규모 저수지(유효저수량 1백만m³, 유역면적 200ha이상) 개발계획을 수립하는 한편 지역특성(형상, 표고차 등), 개발여건 및 경제성 등을 고려하여, 적정 개발범위(수혜면적 20ha이상)을 설정하였다. 한편, 신규 수자원개발이 어려운 도서·해안지역의 경우 용수 재이용(회귀수 활용) 및 담수호 내 염해방지시설을 도입하는 등 지역 맞춤형 가뭄대책을 수립하였다. 본 연구에서 제시한 단계별(장·단기) 가뭄대책이 차질없이 시행될 경우 기후변화 대비 안정적인 농업용수공급이 가능하고, 상습가뭄 발생(물 부족) 지역에 대하여 효율적이고 합리적인 물(수요·공급)관리가 가능할 것으로 기대된다.

• School Mathematics
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• v.6 no.1
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• pp.59-90
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• 2004

This study has been established with two purposes. The first one is to development the learning-teaching model for enhancing students' creative proof capacities in the domain of demonstrative geometry as subject content. The second one is to aim at experimentally testing its effectiveness. First, we develop the learning-teaching model for enhancing students' proof capacities. This model is named the generative-convergent model based instruction. It consists of the following components: warming-up activities, generative activities, convergent activities, reflective discussion, other high quality resources etc. Second, to investigate the effects of the generative-convergent model based instruction, 160 8th-grade students are selected and are assigned to experimental and control groups. We focused that the generative-convergent model based instruction would be more effective than the traditional teaching method for improving middle school students' proof-writing capacities and error remediation. In conclusion, the generative-convergent model based instruction would be useful for improving middle grade students' proof-writing capacities. We suggest the following: first, it is required to refine the generative-convergent model for enhancing proof-problem solving capacities; second, it is also required to develop teaching materials in the generative-convergent model based instruction.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.9
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• pp.466-472
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• 2020

The purpose of this study is to explore how to use location data for peer relations of infants in free-choice play activities. For this study, location data was collected using wearable devices for 14 students in one class at an early childhood education institution in Chungnam. For the pre-processing of the collected location data, a smoothing technique was applied to recover missing values during the collection process, and the data was visualized using Python's Matplotlib. Subsequently, the movement distance, distance between infants, and interaction types of infants were extracted from the location data using the formula. As a result of the study, it was possible to derive 1) change in moving distance, cumulative value, average value, 2) change in distance and average distance value between infants, and 3) change and trend in interaction type according to the passage of time. These results can provide valuable information on the process of forming peer groups for infants in situations where it is difficult for a teacher to closely observe all members, and can be used as meaningful information for the design and operation of educational programs.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• v.7 no.9
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• pp.429-442
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• 2017

This study was performed to investigate and analyze users' needs for m-health based prevention and intervention programs that are intended to improve the awareness of metabolic syndrome and promote health behaviors of college students. A questionnaire survey was conducted to 200 college students of 2 university in D city. Data were analyzed using descriptive statistics, t-tests, chi-square test with the SPSS Version 20.0. The result showed that users wanted customization of prescriptions and accurate measurement of health applications, and provided a positive feedback on information exchange between those who manage their health. The most preferred content was proper exercise methods, and the preferred gamification factors were goal-setting, compensation, and competition. The optimal price for wearable devices was between 10,000 to 50,000 won, and calorie consumption function was also preferred. Although users with experiences of wearable devices and health apps had a higher knowledge score pertaining to metabolic syndrome, there was no significant difference in the overall score. Concerning the health behaviors associated with lifestyles, individuals without the experiences of wearable devices and health apps showed a remarkably lower score. The research has a significance that it investigated and analyzed the contents needed for the development of effective moblie health based prevention and intervention programs targeting the population in their early adulthood. Therefore, based on the findings, we propose a rich and concrete follow-up study on the needs and characteristics of different user types by collecting a population with experiences of wearable devices, and a development of differentiated mobile health based prevention and intervention programs.

• Journal of Korean Philosophical Society
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• v.130
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• pp.305-335
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• 2014

Counseling is conducted through dialogue in relation to counselor and client. Therefore the philosophical counseling first must consider the circumstances, prescribe the main concepts and proceed to the specific methodology in order to be the practical study. The philosophical counseling includes the six necessary concepts-subjects, time, place, object, method, and purpose-because of its behavioral concepts. The subjects are counsellor and client, the place is where public institutions authorize officially for counseling, the time is when the two parties are meeting face to face, the object is the client's facing problems right now, the method is the philosophical assistance, and the purpose is to dissolve the client's problems. The client's facing problems here are the developmental tasks according to the developmental stages and the maladaptive behaviors related to the cognitive distortions appearing in the process. And the philosophical assistance methods are the types to make the facilitating environment and dispute the wrong thoughts and the irrational beliefs. However, the client's problems in counseling often appear in the causes combined between the cognitive elements and the emotive elements which are treated mainly in the psychological counseling. In that case, the way to solve the problems in the philosophical counseling should be applied to with the psychological methods in parallel or in regular succession. Therefore the six necessary concepts of the philosophical counseling are not the absolute meanings but the meanings in general. If so, the concept of the philosophical counseling can be defined as the process in which counselor and client meet face to face and dissolve the client's facing problems through mainly the philosophical methods with the counselor's assistance. If the main concepts of the philosophical counseling can be prescribed as mentioned above, post study needs to proceed to the specific methodology.

• Radiation Oncology Journal
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• v.19 no.4
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• pp.319-326
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• 2001

Purpose : Planning target volume (PTV) for tumors in abdomen or thorax includes enough margin for breathing-related movement of tumor volumes during treatment. Depending on the location of the tumor, the magnitude of PTV margin extends from 10 mm to 30 mm, which increases substantial volume of the irradiated normal tissue hence, resulting in increase of normal tissue complication probability (NTCP). We developed a simple and handy method which can reduce PTV margins in patients with liver tumors, respiratory motion reduction device (RRD). Materials and methods : For 10 liver cancer patients, the data of internal organ motion were obtained by examining the diaphragm motion under fluoroscope. It was tested for both supine and prone position. A RRD was made using MeV-Green and Styrofoam panels and then applied to the patients. By analyzing the diaphragm movement from patients with RRD, the magnitude of PTV margin was determined and dose volume histogram (DVH) was computed using AcQ-Plan, a treatment planning software. Dose to normal tissue between patients with RRD and without RRD was analyzed by comparing the fraction of the normal liver receiving to $50\%$ of the isocenter dose. DVH and NTCP for normal liver and adjacent organs were also evaluated. Results : When patients breathed freely, average movement of diaphragm was $12{\pm}1.9\;mm$ in prone position in contrast to $16{\pm}1.9\;mm$ in supine position. In prone position, difference in diaphragm movement with and without RRD was $3{\pm}0.9\;mm$ and 12 mm, respectively, showing that PTV margins could be reduced to as much as 9 mm. With RRD, volume of the irradiated normal liver reduced up to $22.7\%$ in DVH analysis. Conclusion : Internal organ motion due to breathing can be reduced using RRD, which is simple and easy to use in clinical setting. It can reduce the organ motion-related PTV margin, thereby decrease volume of the irradiated normal tissue.

• Journal of Life Science
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• v.18 no.7
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• pp.968-973
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• 2008

The study was to provide basic data and to examine the effect of combined exercise for 12 months on functional fitness and bone mineral density (BMD) in breast cancer survivors. The subjects of this study were 40 to 60-year-old married women (N=24) who finished their treatments chemotherapy and radiation therapy. They were divided into two groups that exercise group and exercise with alendronate group. Eighteen (T-score=$-2.2{\pm}0.8$) of the 24 women who were diagnosed osteopenia (N=15) and osteoporosis (N=3), participated in combined exercise (EG). The other six (T-score=$-4.6{\pm}0.9$) women who were diagnosed as osteoporosis (EDG), participated in the combined exercise program with osteoporosis drug (Alendronate 70 mg/w). The result of the analysis was as follows: Twelve months after, the participants (N=24) had a significant increase of the items such as sit and reach ups, grip strength (R and L) and sit ups test of functional fitness in the periods. In body composition, FM (fat mass) had significant decrease in periods. In the comparison of BMD, EG (N=18) had no change, while EDG (N=6) had significant improvement in L1, T12 and T-score after 12months. Consequently, complex exercise program (Hatha yoga, elastic band, gym ball) had positive effect on functional fitness and bone mineral density. We suggest that complex exercise program can be applied as recovery program after breast cancer surgery. Further research needs various and repetitive studies from more different targets or methods in the exercise program for its improvement.