• 한국과학교육학회지
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• 제26권3호
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• pp.393-405
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• 2006

본 연구에서는 고등학교 생물 I, '유전' 단원에서 Keller의 ARCS 전략 중, 특히 "주의집중"과 "만족감" 요소를 적용한, 의미 망 프로그램(Semantic Network Program)을 활용한 수업이 학생들의 학업성취도와 학습동기 향상에 미치는 효과를 분석하는 것을 연구의 목적으로 삼았다. 연구대상은 고등학교 2학년 실험집단 및 통제집단의 124명으로 구성되었고, 사전검사로 학업성취도 검사, 학습동기검사, 그리고 의미망 형성 검사를 실시한 후, 4주간에 걸쳐 6차시 동안 실험집단에게는 ARCS 전략 중 주의집중 전략을 적용한 의미망 프로그램을 활용한 유전 수업과 만족감 전략에 따른 의미망 제작 활동을, 통제집단에게는 교과서 중심의 강의식 수업을 처치하였다. 수업 처치에 따른 사후 검사 결과 동기전략을 적용한 의미망 프로그램을 활용한 수업은 강의식 수업보다 '주의집중과 만족감'을 높여 학생들의 인지구조에 새로운 지식을 효과적으로 연결시켜 생물 학업성취도를 향상시켰고(p<.001), 학생들의 유전관련 새로운 개념 형성에도 효과적인 것으로 나타났다(p<.001). 또한 본 연구에서 적용한 수업은 학생들이 생물 개념들을 구조지식으로 조직하여 이해함으로써, 기억효과를 높여 학습내용의 파지(retention)에 효과적이었다(p>.05). 실험집단의 심층면담 결과에서는 동기전략을 적용한 의미망 프로그램을 활용한 수업은 유전과 관련된 영상자료의 연결(link)로 호기심을 유발하여 주의집중이 잘 되었고, 직접 의미망을 제작해 봄으로써, 학습내용이 오랫동안 기억에 남아 문제해결에 효과적이었다는 긍정적인 반응을 보였다. 본 연구의 결과는 앞으로 고등학교 생물 I, '유전'단원에 대한 다양한 수업 전략을 모색하는데 의미있는 시사점을 제공해 줄 수 있을 것이다.

• 생물정신의학
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• 제18권3호
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• pp.148-158
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• 2011

Objectives The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects. Methods Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups. Results In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI). Conclusions The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10943-10947
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• 2015

Background: This study aimed to understand the relationship between knowledge level and behavior on breast care in Chinese students, so as to provide strategies for improving the health education of breast care and subsequently for aiding in breast cancer prevention. Materials and Methods: A self-designed questionnaire was used to evaluate breast care knowledge level and characterize related behavior. Correlation analysis was conducted for the knowledge level and behavior. The study was carried out using 597 female undergraduate students in medical and non-medical colleges in Wuhu, China. Results: The average score of breast care knowledge was $5.32{\pm}1.68$ ($5.62{\pm}1.68$ and $5.00{\pm}1.68$ for medical and non-medical students, respectively), with a greater score value for sophomores ($5.59{\pm}1.72$) than freshmen ($5.18{\pm}1.65$). The average score of breast care behavior was $2.21{\pm}1.13$, again with a greater value in sophomores ($2.37{\pm}1.15$) than freshmen ($2.21{\pm}1.13$). A significant positive correlation (r=0.231, p<0.01) between knowledge scores and behavior scores was observed. In addition, various factors, including paying attention to breast care information, receiving breast self-examination guidance, TV program and Internet, were found to influence breast care knowledge. Conclusions: In general, female undergraduate students lack of self-awareness of breast care with a low rate of breast self-examination. It is necessary to carry out health education to improve early detection of breast cancer.

• 치과방사선
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• 제29권1호
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• pp.149-159
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• 1999

Purpose: The purpose of this study was to evaluate cervical lymph node metastasis of oral squamous cell carcinoma patients by MRI film and neural network system. Materials and Methods: The oral squamous cell carcinoma patients(21 patients. 59 lymph nodes) who have visited SNU hospital and been taken by MRI. were included in this study. Neck dissection operations were done and all of the cervical lymph nodes were confirmed with biopsy. In MR images. each lymph node were evaluated by using 6 MR imaging criteria(size. roundness. heterogeneity. rim enhancement. central necrosis, grouping) respectively. Positive predictive value. negative predictive value. and accuracy of each MR imaging criteria were calculated. At neural network system. the layers of neural network system consisted of 10 input layer units. 10 hidden layer units and 1 output layer unit. 6 MR imaging criteria previously described and 4 MR imaging criteria (site I-node level II and submandibular area. site II-other node level. shape I-oval. shape II-bean) were included for input layer units. The training files were made of 39 lymph nodes(24 metastatic lymph nodes. 10 non-metastatic lymph nodes) and the testing files were made of other 20 lymph nodes(10 metastatic lymph nodes. 10 non-metastatic lymph nodes). The neural network system was trained with training files and the output level (metastatic index) of testing files were acquired. Diagnosis was decided according to 4 different standard metastatic index-68. 78. 88. 98 respectively and positive predictive values. negative predictive values and accuracy of each standard metastatic index were calculated. Results: In the diagnosis of using single MR imaging criteria. the rim enhancement criteria had highest positive predictive value (0.95) and the size criteria had highest negative predictive value (0.77). In the diagnosis of using single MR imaging criteria. the highest accurate criteria was heterogeneity (accuracy: 0.81) and the lowest one was central necrosis (accuracy: 0.59). In the diagnosis of using neural network systems. the highest accurate standard metastatic index was 78. and that time. the accuracy was 0.90. Neural network system was more accurate than any other single MR imaging criteria in evaluating cervical lymph node metastasis. Conclusion: Neural network system has been shown to be more useful than any other single MR imaging criteria. In future. Neural network system will be powerful aiding tool in evaluating cervical node metastasis.

• Clinical and Experimental Reproductive Medicine
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• 제40권2호
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• pp.100-105
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• 2013

Objective: The aim of this study was to investigate the effect of insulin sensitizing agents on hormonal and metabolic parameters as well as menstrual patterns in women with polycystic ovary syndrome (PCOS). Methods: One hundred and twenty-three patients with PCOS were included. Metformin was administered to patients at 1,500 mg or 1,700 mg daily for 3 months. If the patients had no improvement of the menstrual cycle or metformin-related adverse effects developed, the patients changed medication to a daily dose of either 15 mg pioglitazone or up to 45 mg. Then resumption of a regular menstrual cycle or recovery of ovulation was evaluated. Hormonal and metabolic profiles were compared between the response and non-response group to insulin sensitizing agents. Results: One hundred and five patients with PCOS were treated with metformin for 3 months. Forty-eight patients (45.7%) showed improvement of menstrual cycle regularity after 3 months of metformin use, whereas 57 patients (54.3%) had no change. The mean free testosterone measured after 3 months of treatment was significantly lower in metformin responders than in non-responders. The other parameters did not differ between the groups. Of the 23 patients who used pioglitazone for 3 to 6 months, 19 patients (82.6%) showed improvement in their menstrual cycles. Conclusion: Metformin treatment seems to be effective for the improvement of menstrual cyclicity irrespective of insulin resistance in women with PCOS. When metformin related adverse effect occurred, pioglitazone would be effective for aiding the resumption of the menstrual cycle.

• 한국항해항만학회지
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• 제34권3호
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• pp.213-220
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• 2010

최근 IMO에서는 산적화물선 및 유조선, 대형여객선에 이어 '일반화물선의 안전(general cargo ships safety)'에 대한 논의의 필요성이 제기(IMO, 2006a)되고 있으며, 본격적인 논의를 위한 준비 작업으로 국제선급협회(IACS)를 통한 공식안전성평가(Formal Safety Assessment, 이하 FSA) 작업이 수행되고 있다. FSA란 위험도(risk)분석과 비용-효과 평가(cost-benefit assessment)를 바탕으로 인명, 해양환경 및 재산의 보호를 포함한 해사안전의 향상을 목적으로 한 구조화되고 체계적인 방법론으로서 새로운 법규의 평가, 기존법규와 새로운 (제안) 법규와의 비교, 그리고 여러 이해관계자의 공감대 형성을 통해 법규 변경/개발을 용이하게 하는 수단이다(IMO, 2007). 본 연구는 국적일반화물선의 안전성 평가를 위한 수단으로서 IMO FSA방법론의 유용성을 확인하고, 향후 IMO에서의 '일반화물선 안전'에 대한 논의에 대응하기 위한 기초자료의 확보를 목적으로 하고 있다. 본 논문에서는 국적일반화물선에 대한 FSA의 1, 2 단계에 해당하는 위험요소 식별(Hazard identification) 및 사고시나리오에 대한 위험도 분석(Risk analysis) 결과를 중심으로 소개하였다.

• Asian-Australasian Journal of Animal Sciences
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• 제32권1호
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• pp.31-37
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• 2019

Objective: At least eight local duck breeds have been recognized and documented as national germplasm of Indonesia so far. It is necessary to genetically characterize the local duck breeds for aiding conservation and future improvement strategies. Thus, this study was carried out to assess genetic diversity and phylogenetic relationship of eight local duck populations of Indonesia using microsatellite markers. Methods: In total, 240 individuals (30 individuals each population) from Alabio (AL), Bayang (BY), Magelang (MG), Mojosari (MJ), Pegagan (PG), Pitalah (PT), Rambon (RM), and Turi (TR) duck populations were genotyped using 22 microsatellite markers. Results: The results showed a moderate level of genetic diversity among populations, with a total of 153 alleles detected over all loci and populations, ranging from 3 to 22 alleles per locus. Observed (Ho) and expected heterozygosity (He), as well as polymorphism information content over all loci and populations were 0.440, 0.566, and 0.513, respectively. Heterozygote deficiency in the overall populations ($F_{IT}=0.237$), was partly due to the heterozygote deficiency within populations ($F_{IS}=0.114$) and moderate level of genetic differentiation among populations ($F_{ST}=0.137$). The most diverse population was MG (He = 0.545) and the least diverse population was AL (He = 0.368). The majority of populations were relatively in heterozygote deficiency (except AL), due to inbreeding. The genetic distances, phylogenetic trees, and principal coordinates analysis concluded that the populations can be grouped into two major clusters, resulting AL, MG, and MJ in one cluster separated from the remaining populations. Conclusion: The present study revealed a considerable genetic diversity of studied populations and thus, proper management strategies should be applied to preserve genetic diversity and prevent loss of alleles.

• 대한영상의학회지
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• 제84권3호
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• pp.676-685
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• 2023

목적 본 연구는 무증상 여성의 유방 초음파에서 발견된 군집 미세낭종의 발생률, 임상적 결과 및 영상 소견을 알아보고, 적절한 조치 가이드라인을 제시하고자 한다. 대상과 방법 2014년 8월부터 2019년 12월까지 무증상 여성에서 시행한 유방 초음파에서 발견된 군집 미세낭종 병변에 대해 분석하였다. 최종 진단은 병리학적 결과 및 12개월 이상의 추적관찰로 하였다. 결과 100명의 환자에서 117개 병변이 후향적으로 연구되었으며, 군집 미세낭종의 발생률은 1.5%였다. 총 117개의 병변 중, 3개(2.6%)는 악성, 2개(1.7%)는 고위험 병변, 112개(95.7%)는 양성이었다. 악성 병변 중 2개는 관상피내암이었고, 1개는 침윤성 유관암이었다. 이중, 유방 촬영술에서 의심스러운 미세석회화 또는 초음파에서 내부 혈류를 보인 2개의 병변은 category 4로 분류되었다. 나머지는 12개월 뒤 시행한 초음파에서 echo pattern의 변화를 보인 위 음성의 증례였다. 결론 무증상 여성에서 시행한 유방 초음파에서 군집 미세낭종의 유병률은 1.5%였으며, 악성률은 2.6%였다. 군집 미세낭종의 악성률과 양성 및 악성 영상 소견을 아는 것은 영상의학과 의사들이 병변을 분류하고 적절한 조치를 권유하는 데 도움이 될 것이다.

• 대한방사선치료학회지
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• 제26권1호
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• pp.11-19
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• 2014

목 적 : 최적화 알고리즘에 적용되는 최적화 인자들의 영향을 고려하여, 가장 적합한 인자 값을 도출함으로써 이상적인 치료계획을 쉽게 설계할 수 있도록 하고자 한다. 대상 및 방법 : 본 연구의 세기조절방사선치료에서 선량계산 알고리즘은 PBC(Pencil Beam Convolution)이고, 최적화 알고리즘은 DVO(Dose Volume Optimizer 10.0.28)이다. 두경부 환자의 세기조절방사선치료에서 치료계획용적의 처방선량은 동시에 2.2 Gy와 2.0 Gy가 될 수 있도록 하였다. 치료계획은 6 MV, 7개의 조사야로 역선량계산방법으로 수립하였다. 최적화 알고리즘 인자는 용적선량-조건강도(Priority, Constrain), 선량부 드럼강도(Smooth)로 선정하고, 각 인자들의 변화량에 따른 치료계획의 영향을 분석하였다. 용적선량-조건강도는 기준 조건강도를 정하고, 비율은 같지만 절대 값은 다른 최적화 과정을 실시하였다. 또한 조건강도의 절대 값에 변화에 따른 치료용적과 주변 정상장기들을 평가하였다. 선량부드럼강도는 기준 조건의 단순 변화와 용적선량-조건강도와 관련시킨 변화를 치료계획에 반영시켰다. 치료계획은 처방선량지수(Conformal Index, CI), 처방선량포함지수(Paddick's Conformal Index, PCI), 선량균질지수(Homogeneity Index, HI)와 각 장기의 평균선량으로 평가하였다. 결 과 : 용적선량-조건강도의 비율을 동일하게 하고 절대 값을 변화 시켰을 때 CI값은 다르지만, PCI는 $1.299{\pm}0.006$, HI는 $1.095{\pm}0.004$, D5%/D95%는 $1.090{\pm}1.011$으로 처방선량에 대한 영향은 유사하였다. 이하선의 평균선량은 용적선량-조건강도의 절대 값이 40, 60, 70, 90으로 증가될 때, 67.4, 50.3, 51.2, 47.1 Gy로 감소하였다. 각각의 치료계획에서 선량부드럼강도를 증가시켰을 때, PCI는 $1.338{\pm}0.006$로 증가된 값을 보였다. 결 론 : 용적선량-조건강도는 절대적인 값보다 각 조건의 비율에 따라 최적화 알고리즘에 영향을 주었다. 절대 값이 다르더라도 같은 비율을 유지하면 유사한 치료계획이 수립되었다. 성공적인 치료계획을 수립하기 위해 특히 보호해야할 정상장기의 용적선량-조건강도는 치료용적의 용적선량-조건강도의 50%이상 되어야한다. 선량부드럼강도는 용적선량-조건강도에 따라 비례하여 증가하거나 감소하여야 한다. 단순히 절대 값으로 적용하면 용적선량-조건강도는 그 조건을 충분히 만족시키지 못한다.

• Korean Journal of Radiology
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• 제25권5호
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• pp.426-437
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• 2024

Objective: Cardiac magnetic resonance (CMR) is a diagnostic tool that provides precise and reproducible information about cardiac structure, function, and tissue characterization, aiding in the monitoring of chemotherapy response in patients with light-chain cardiac amyloidosis (AL-CA). This study aimed to evaluate the feasibility of CMR in monitoring responses to chemotherapy in patients with AL-CA. Materials and Methods: In this prospective study, we enrolled 111 patients with AL-CA (50.5% male; median age, 54 [interquartile range, 49-63] years). Patients underwent longitudinal monitoring using biomarkers and CMR imaging. At follow-up after chemotherapy, patients were categorized into superior and inferior response groups based on their hematological and cardiac laboratory responses to chemotherapy. Changes in CMR findings across therapies and differences between response groups were analyzed. Results: Following chemotherapy (before vs. after), there were significant increases in myocardial T2 (43.6 ± 3.5 ms vs. 44.6 ± 4.1 ms; P = 0.008), recovery in right ventricular (RV) longitudinal strain (median of -9.6% vs. -11.7%; P = 0.031), and decrease in RV extracellular volume fraction (ECV) (median of 53.9% vs. 51.6%; P = 0.048). These changes were more pronounced in the superior-response group. Patients with superior cardiac laboratory response showed significantly greater reductions in RV ECV (-2.9% [interquartile range, -8.7%-1.1%] vs. 1.7% [-5.5%-7.1%]; P = 0.017) and left ventricular ECV (-2.0% [-6.0%-1.3%] vs. 2.0% [-3.0%-5.0%]; P = 0.01) compared with those with inferior response. Conclusion: Cardiac amyloid deposition can regress following chemotherapy in patients with AL-CA, particularly showing more prominent regression, possibly earlier, in the RV. CMR emerges as an effective tool for monitoring associated tissue characteristics and ventricular functional recovery in patients with AL-CA undergoing chemotherapy, thereby supporting its utility in treatment response assessment.