• 대한예방한의학회지
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• 제17권3호
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• pp.129-141
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• 2013

Objectives : Anorexia is the primary symptom impinging cancer patients' Quality of Life. It is usually accompanied by gastrointestinal symptoms(GI symptoms). Thus, to measure anorexia symptom precisely, assessing anorexia and GI symptoms together is recommended. This study was designed to analyze cancer-related anorexia assessment tools, extract GI symptoms included in these tools and investigate usefulness of instruments in clinical trials. Methods : Instruments were selected by searching PubMed, PROQOLID database. We analyzed instruments by number of items, assessment method, type of question, GI symptoms. Results : 9 instruments were selected to assess cancer-related anorexia symptom. Most tools adopt Likert scale as response scale and 'during past week' as recall period. Assessment method of all 9 instruments is the self-administration. Questions measuring anorexia are able to be sorted into 3 forms (frequency, severeness, distress of anorexia symptom). Among the GI symptoms, nausea is included in all 9 instruments. In clinical trials of cancer-related anorexia, Edmonton Symptom Assessment Scale(ESAS) and Functional Assessment of Anorexia/Cachexia Therapy Questionnaire(FAACT) were selected as endpoint measure. Conclusions : The result showed that FAACT is the only specialized tool to assess cancer-related anorexia. To measure cancer-related anorexia precisely, the need to develop new instrument exists.

• 보건행정학회지
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• 제7권2호
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• pp.46-64
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• 1997

Background & Objectives : Korea is face with the social need for health care technology assessment so that it is urgently needed to found principles and methodology in technology assessment in health care. As a groundwork for health care technology assessment, we tried to prioritize medical technology for assessment. Among medical technologies, procedure is somewhat difficult to assess, compared to drug or equipment. In this study, we aimed at the prioritisation of medical procedure to be assessed, in terms of efficay, safety, and adequacy. Method : For the standardized classification of medical procedure, ICD-9-CM(International Classification of Diseases 9th edition - Clinical Modification) was used. Among the list the procedures coming under otorhinolaringjology and thoracic surgery were selected by three family physicians. The list of procedure was mailed to the board certified surgeons of both disciplines, with the question asking about the necessity for assessment in terms of efficay, safety, and adequacy. Replied questionnaires were analyzed in each procedure. Results : Of 560 otorhinolaryngologist and 480 thoracic surgeon, 114 surgeons replied. Of otorhinolaryngological procedure, incision, excision, and destruction of inner ear : fenestration of inner ear : stapedectomy and its revision were the most urgent technology to assess in the aspect of safety. For adequacy, operations on Eustachian tube: fenestration of inner ear: incision, excision, and destruction of inner ear were highly ranked in necessity, and for efficary, operations on Eustachian tube; external maxillary antrotomy; fenestration of inner ear. Thoracic surgeons replied thoracic procedures, lung transplantation; heart transplantation; implantation of heart assist system [pump] are most important for evaluation in terms of safety; and heart transplantation; Lung transplantation; Implantation of heart assist system [pump] in terms of adequacy, and surgical collapse of lung [Artificia니 pnemothorax or pnuexoperitoeum]; lung transplantation; periarterial sympathectomy in terms of efficacy. As a whole, surgeons regard safety evaluation is more urgent than adequacy or efficary. In addition, otorhinolaryngological surgeons regard evaluation of their procedures more urgent than thoracic surgeons regard theirs. Conclusion : By the questionnaire to board certified physicians, we get some preliminary data for prioritisation of technologies to assess. Through the questionnaire like this, much information would be gathered for technology assessment, especially for medical procedure, if not enough. In the near future, well structured expert opinion gathering research, such as modified Delphi or nominal group technique, should be done succeedingly.

• 컴퓨터교육학회논문지
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• 제21권1호
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• pp.31-42
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• 2018

빠른 사회 변화를 이끌고 있는 기술의 발전에 대처하기 위해 세계 각국은 정보교육을 강화하고 있다. 보통교육을 통해 육성해야 할 역량의 마지막 단계는 고등학생이다. 본 연구는 대학진학을 목표로 하는 고등학생들이 갖추어야 할 정보교과에 대한 역량과 수준을 검사도구의 측면에서 알아보기 위한 목적이 있다. 연구 진행을 위해 일본, 독일, 미국 등, 고등학생 대상의 정보교육 관련 검사 도구를 분석하였다. 분석 결과, 첫째, 선다형 문항 형식 뿐만 아니라 논술형과 단답형 문항을 검사도구에 함께 포함한다. 둘째, 현실세계의 모델을 문항으로 활용하여 실제적인 문제해결력에 컴퓨팅 파워를 활용할 수 있는 지 묻고 있다. 셋째, 대학 교육과 직접 연계되는 내용을 문항에 반영하고 있다. 본 연구는 검사도구의 특징 및 논의사항을 도출하고 정보교육의 검사도구 개발 방향성을 세우는데 도움을 주었다는 데 시사점이 있다.

• 대한가정학회지
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• 제33권6호
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• pp.225-244
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• 1995

The purpose of this study is to see difference based on age, sex, sociometric ststus for perceived competence of children and difference about perception of responsibilities degree of parents of these children. the content of study as follows. 1. How is the difference about perceived competence of children based on age, sex, sociometric status. 2. How is the difference about perception of responsibilities of children based on age, sex, sociometric status. 3. How is the relationship between father and mother. The subject of this study is children and their parents of 126 persons of the third grade, sixth grade of S elementary school, the second grade of S middle school, the second grade of S girls' middle school which are located in Pusan city. This study used a peer nomination among sociometric assesment method as sociolity assessment means, self-perception profile for children of Harter(1985) as perceived competence assessment means of children and used self-perception profile for children which amends fits for parents. the collected data are managed by SPSS/PC+ program. We analyze three-way ANOVA to verify study question No, one, two, analyze t-verification and Pearson's product moment correlations to verify study question No. three. The result of this study as follows. First, in investigating difference about perceived compretence of children based on age, sex, sociometric status, we can see that children perceive high, self-ability for low ages. Also, boys than girls, popular children than rejected children, neglected children perceive high self-ability. Second, in investigating difference about perception of responsibilities of children based on age, sex, sociometric status, we can see that mother perceive responsibilities in learning sphere, exercise sphere, the whole self-value sphere and father perceive responsibility only in social sphere. Third, in investigating relation between perception of responsibilities of father and mother, this shows that difference between perception of responsibilities of father and mother is not showed ane have (+) interrelation of r=.46(P<.001) between perception of responsibilities of father and perception of responsibilities of mother.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.3-10
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• 2014

The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized an international session as part of the official program of the 72nd Annual Meeting of the Japanese Cancer Association to discuss the topic "What is cost-effectiveness in cancer treatment?" Healthcare economics are an international concern and a key issue for the UICC. The presenters and participants discussed the question of how limited medical resources can be best used to support life, which is a question that applies to both developing and industrialized countries, given that cancer treatment is putting medical systems under increasing strain. The emergence of advanced yet hugely expensive drugs has prompted discussion on methodologies for Health Technology Assessment (HTA) that seek to quantify cost and effect. The session benefited from the participation of various stakeholders, including representatives of industry, government and academia and three speakers from the Republic of Korea, an Asian country where discussion on HTA methodologies is already advanced. In addition, the session was joined by a representative of National Institute for Health and Care Excellence (NICE) of the United Kingdom, which has pioneered the concept of cost-effectiveness in a medical context. The aim of the session was to advance and deepen understanding of the issue of cost-effectiveness as viewed from medical care systems in different regions.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2004년도 Asia Navigation Conference
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• pp.113-120
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• 2004

Considering the present and expected demand for human resources by the maritime community, its quantity and quality depend on the number of the ships and the technology applied to them. Scientific and economic developments in this community bring the intensive use of modem technology for many of ships operation. Generally it effects to reduce the quantity of manpower, while it increases the requirement of qualifications of human resources to utilize such advanced technology. Considering above, the maritime education, training and research activities should be revised and updated according to the demand of the community. Because of a difference between the transition of the demand for the human resources and development of the maritime education, training and research activities, there are two most common questions as “What to teach” and “How to teach”. The first question has been asked for many years. The contents of maritime education and training are always related to the existing maritime knowledge and technology and should be updated with consideration of changes of the demand namely “Globalisation of maritime community”. It brings globalisation of the maritime education, training and research activities. The second question is still keeping us busy to look for the best way. Presently traditional methods are used together with new system, while the use of sophisticated simulation, communication and information systems etc. and it is changing our understanding on teaching. This paper introduces the new role of Maritime Institutions from the viewpoints of the maritime education. training and research activities. The role of guide for seafarers and maritime companies is always essential and the concepts such as “Refreshment Training”, “On the Job Training”, “Lifelong” or “Continuous Training” bring new understanding to the training period, trainee's age and position. As a result, the maritime institutions should be ready for their new role, which is, in brief, guiding the maritime society, recommending and providing new learning environments, organising research and developments, performing the education, training and assessment, improving existing methods and developing new methods of the education, training and assessment.

• 대한화학회지
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• 제55권1호
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• pp.124-131
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• 2011

본 연구는 중학교 과학 교과서 17종을 대상으로 화학 단원 본문 내용 중에 제시된 질문에 대한 방략을 빈도, 양식, 위치 등에 따라 비교 분석한 연구이다. 조사 도구는 캘리포니아 대학에서 1975년 협동적 교사 준비 프로젝트의 일환으로 개발된 교과서 질문 방략 평가도구(Text Questioning Strategies Assesment Ins-trument: TQSAI)를 사용하였다. 연구 결과 전체 문장 중에서 질문이 함유된 문장의 수(Q/S)는 6.8%에서 19.7%로 평균 13.6%로 나타났다. 다양한 질문이 후반부보다 제목과 본문 내용의 전 중반부 단계에 주로 설정되어 있었다. 탐구 과정 유형에 있어서는 이해하기에 해당하는 질문이 가장 많았고, 질문의 형태에 있어서는 초점적 질문이 가장 많았다. 질문을 경험의 유무를 기준으로 분류할 때 경험적 질문과 비경험적 질문이 각각 54.2%와 45.8%로 경험적 질문이 다소 많았다.

• 대한수학교육학회지:수학교육학연구
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• 제25권3호
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• pp.281-302
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• 2015

본 연구에서는 국가수준 학업성취도 서답형 문항의 문제해결 과정에서 나타나는 오류를 살펴보기 위하여 236개 학교 8007명의 답안지를 추출하여 분석하였다. 분석에 사용한 문항은 국가수준 학업성취도 평가 중학교 수학 서답형 문항으로 내용 영역은 '문자와 식', '함수'이고 행동 영역은 '문제해결'과 '계산'이다. 두 문항 모두 주어진 문제 상황에 알맞은 식을 세우고 조건에 맞는 결과를 산출하는 문제이다. 분석 결과 각 문항에 따라 문제 상황을 파악하여 식을 세우고, 풀며, 결과를 기술하는 세가지 과정에서 다양한 오류들이 나타났다. 본 연구에서는 이에 대한 원인을 추론하여 교수학적 시사점을 이끌어 내고자 하였다.

• 대한간호학회지
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• 제39권2호
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• pp.166-176
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• 2009

Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

• Nuclear Engineering and Technology
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• 제49권2호
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• pp.442-449
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• 2017

Risk management of the Fukushima Daiichi Nuclear Power Station decommissioning is a great challenge. In the present study, a risk management framework has been developed for the decommissioning work. It is applied to fuel assembly retrieval from Unit 3 spent fuel pool. Whole retrieval work is divided into three phases: preparation, retrieval, and transportation and storage. First of all, the end point has been established and the success path has been developed. Then, possible threats, which are internal/external and technical/societal/management, are identified and selected. "What can go wrong?" is a question about the failure scenario. The likelihoods and consequences for each scenario are roughly estimated. The whole decommissioning project will continue for several decades, i.e., long-term perspective is important. What should be emphasized is that we do not always have enough knowledge and experience of this kind. It is expected that the decommissioning can make steady and good progress in support of the proposed risk management framework. Thus, risk assessment and management are required, and the process needs to be updated in accordance with the most recent information and knowledge on the decommissioning works.