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Application of the Theory of Planned Behavior and the Theory of Reasoned Action to Predicting Cervix Cancer Screening Behavior (자궁암 조기검진행태 예측을 위한 계획된 행동이론과 이성적 행동이론의 적용)

  • Kim, Yong-Ik;Kim, Chang-Yup;Shin, Young-Soo;Lee, Kun-Sei
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.379-388
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    • 2001
  • Background : Cervix cancer is the most common form of cancer among Korea women. in spite of proof that cervical cancer screening could reduce death rates substantially, the screening rates reported by previous Korean studies remain stubbornly very low. Behavioral studies to increase the cervix cancer screening rate are essential in order to develop the cancer screening program. Objective : To evaluate the factors which are related to the intention and behavior for cervix cancer screening using the Theory of Planned Behavior (TPB) and the Theory of Reasoned Action (TRA). Methods : The survey was conducted from July 21 st to 26th in 1998. Of 3,218 women, 303(12.2%) between 30 and 55 years old, voluntarily participated in the survey in the 3 Myeons in Choongju city. Charge-free cervix cancer screening was provided for the subjects 3 months later. Results : The R-square of both TPB and TRA to the intention (30% and 42%, respectively) was greater than the actual behavior (21% and 13%, respectively. TPB and TRA were found to provide an appropriate framework for the study of cervix cancer screening behavior. However, TRA was more powerful in explaining the intention, not only because the perceived behavioral control component exhibited lower reliability and validity than other components(altitude and subjective norm), but also because there may have been a few limitations in this study design. Consequently, the use of TRA is preferred in attempting to explain intention and actual behavior in this study. Conclusions : This study suggests that a successful intervention program should focus on changing attitudes and reducing psychologic barriers, rather than on just providing information. Physician recommendations, and the support of family members and friends are also very important factors in cervix cancer program participation. Physicians, friends, family members, and opinion leaders in rural areas, all of whom could affect the individual subjective norm, may all have the potential to play great roles as facilitators.

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Risk Factors for Recurrence of Gastric Cancer after Curative Resection in One University Hospital (한 대학병원 위암수술 환자의 재발에 영향을 주는 요인)

  • Lee, Tae-Yong;Kim, Hyeon-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5094-5101
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    • 2011
  • In order to investigate recurrence rate and risk factors for recurrence of gastric cancer after curative resection, we examined blood biochemical profile and clinicopathological features of 386 gastric cancer patients by using medical charts and data of hospital cancer registry from September 2010 to May 2011. Chi-square test and logistic regression analyses were performed to identify risk factors. The recurrence rate of all gastric cancer patients was 2.6%; The recurrence rate by gender was 3.45% in male and 0.89% in female, and that was 4 times higher in male than in female. On univariate logistic regression analyses, lymph node metastases(OR=8.793), Helicobactor pylori infecton(OR=6.495), abnormal total cholesterol(OR=14.333) were related to recurrence. On multivariate logistic regression analyses, lymph node metastases and H. pylori infection were very important risk factors for recurrence of gastric cancer. In conclusion, lymph node metastases, H. pylori infection, and total cholesterol control were very important to prevent recurrence of gastric cancer, and it needs to monitor blood biochemical (C-reactive protein, carcinoembryonic antigen, etc) for the early detection of gastric cancer recurrence.

Spatial Econometrics Analysis of Fire Occurrence According to Type of Facilities (시설물 유형에 따른 화재 발생의 공간 계량 분석)

  • Seo, Min Song;Yoo, Hwan Hee
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.37 no.3
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    • pp.129-141
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    • 2019
  • In recent years, fast growing cities in Korea are showing signs of being vulnerable to more disasters as their population and facilities increase and intensify. In particular, fire is one of the most common disasters in Korea's cities, along with traffic accidents. Therefore, in this study, we analyze what type of factors affect the fire that threatens urban people. Fire data were acquired for 10 years, from 2007 to 2017, in Jinju, Korea. Spatial distribution pattern of fire occurrence in Jinju was assessed through the spatial autocorrelation analysis. First, spatial autocorrelation analysis was carried out to grasp the spatial distribution pattern of fire occurrence in Jinju city. In addition, correlation and multiple regression analysis were used to confirm spatial dependency and abnormality among factors. Based on this, OLS (Ordinary Least Square) regression analysis was performed using space weighting considering fire location and spatial location of each facility. As a result, First, LISA (Local Indicator of Spatial Association) analysis of the occurrence of fire in Jinju shows that the most central commercial area are fire department, industrial area, and residential area. Second, the OLS regression model was analyzed by applying spatial weighting, focusing on the most derived factors of multiple regression analysis, by integrating population and social variables and physical variables. As a result, the second kind of neighborhood living facility showed the highest correlation with the fire occurrence, followed by the following in the order of single house, sales facility, first type of neighborhood living facility, and number of households. The results of this study are expected to be useful for analyzing the fire occurrence factors of each facility in urban areas and establishing fire safety measures.

Survey on the Korean Medicine Doctor's Awareness of the Extension and Activation of Herbal Medicine Preparations Insurance Benefits (한약제제 보험급여 확대 및 활성화 방안에 대한 한의사 인식도 조사)

  • Joo, Yong-Joon;Kim, Ju-Chul;Lee, Eun Kyung;Jang, Bo-Hyoung;Park, Sun Ah;Park, Joonsang;Jung, Dukhyun;Choi, Jae Young;Shin, Yong-Cheol;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.3
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    • pp.31-44
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    • 2018
  • Objectives : The aim of this study was to investigate the Korean medicine doctor's perception of the extension and activation of herbal medicine preparations insurance benefits. Methods : The sample of Korean medicine doctors' panel pool which is extracted by examining the square root quota of city location of Korean medicine clinics was used. In case of a vacancy in some participants, the number of Korean medicine doctors were supplemented and placed for investigation. Results : It has 54.0% awareness of the separation of prescribing and dispensing herbal preparations, 87.0% agreed on the need to be insured, but the separation as a necessary condition for being insured was only 60.3% agreed. When a large number of herbal preparations are being insured, it was expected that 30% to 50% of patients(30.3%) will be prescribed herbal preparations and the number of new patients will increase by 5 to 15 for the purpose of prescriptions only(49.3%). Increase amount of medical expense(?3,000) as a result of the separation of prescribing and dispensing herbal preparations are insufficient(54.3%). Conclusions : From the results of this study, extension of national health insurance to cover herbal preparations must be needed to activate herbal medicine preparations and improve Korean medical services.

Development and Effectiveness of a Spiritual Care Education Program for Nurses (간호사를 위한 영적간호교육프로그램의 개발 및 효과)

  • Choi, Soo-Kyung;Kim, Jin;Kim, Se-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.67-77
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    • 2019
  • This study was conducted to examine effects of the spiritual care education program on self esteem, communication, existential well-being and spiritual care competence in nurses. A non-equivalent control group, non-synchronized with pre-posttest design was used. The participants were 63 nurses(30 in an experimental group and 33 in a control group)attending a bachelor program of C Colledge in G metropolitan city. The experimental group attended 7 sessions of a SCE(Spiritual Care Education) program. Sessions were 90 minutes each, held once per week for 7 weeks. The scores for self-esteem, communication, existential well-being and spiritual care competence were measured before and after the treatment. Data were collected between October 10 and December 5, 2017 in an experimental group, April 24 and June 5, 2018 in a control group. Data were analyzed using Chi-square, Fisher's exact test, independent t-test using SPSS/WIN 21.0. The existential well-being(p<.025) and spiritual care competence(p<.001) were significantly increase in the experimental group compared to the control group after the intervention. Results suggest that this SCE program could be effective in increasing the existential well-being and spiritual care competence of nurses.

Study on the Selection and Application of a Spatial Analysis Model Appropriate for Selecting the Radon Priority Management Target Area (라돈 우선관리 대상 지역 선정에 적합한 공간분석모형의 선정 및 활용에 관한 연구)

  • Nam Goung, Sun Ju;Choi, Kil Yong;Hong, Hyung Jin;Yoon, Dan Ki;Kim, Yoon Shin;Park, Si Hyun;Kim, Yoon Kwan;Lee, Cheol Min
    • Journal of Environmental Health Sciences
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    • v.45 no.1
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    • pp.82-96
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    • 2019
  • Objective: The aims of this study were to provide the basic data for establishing a precautionary management policy and to develop a methodology for selecting a radon management priority target area suitable for the Korean domestic environment. Methods: A suitable mapping method for the domestic environment was derived by conducting a quantitative comparison of predicted values and measured values that were calculated through implementation of two models such as IDW and RBF methods. And a qualitative comparison including the clarity of information transmission of the written radon map was carried out. Results: The predicted and measured values were obtained through the implementation of the spatial analysis models. The IDW method showed the lowest in the calculated mean square error and had a higher correlation coefficient than the other methods. As results of comparing the uncertainty using the jackknife concept and the concept of error distance for comparison of the differences according to the model interpolation method, the sum of the error distances showed a modest increase compared with the RBF method. As a result of qualitatively comparing the information transfer clarity between the radon maps prepared with the predicted values through the model implementation, it was found that the maps plotted using the predicted values by the implementation of the IDW method had greater clarity in terms of highness and lowness of radon concentration per area compared with the maps plotted by other methods. Conclusions: The radon management priority area suggests selecting a metropolitan city including an area with a high radon concentration.

Effect of Ensilage of Rye Treated with Formic Acid and Lactic Acid Bacteria Inoculant on Ruminal Fermentation Characteristics (개미산과 유산균제 첨가 베일 사일리지의 발효 차이가 반추위 발효 특성에 미치는 영향)

  • Kim, Jayeon;Bharanidharan, Rajaraman;Bang, Geumhwi;Jeong, Soonwoo;Park, Seol Hwa;Oh, Young Kyoon;Kim, Jong Geun;Kim, Kyoung Hoon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.40 no.4
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    • pp.244-250
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    • 2020
  • This study investigated the effects of silage additives on rumen fermentation characteristics of rye silage. Rye was harvested at ripening stage and treated with different additives in quadruplicate following: without additive (control), with either lactic acid bacteria inoculant (LAB), formic acid (FA), or Ca-formate (Ca-FA). Overall, ensiling characteristics of FA and Ca-FA silages contained 4-fold more (P<0.05) butyrate and 2-fold more (P<0.05) NH3-N concentration (% total nitrogen) than those of control and LAB silages. Cows fed LAB silage showed a diurnal trend with the highest values of propionate concentration compared to the control at 1, 2 and 3 hr after feeding. In contrast, FA and Ca-FA silages increased the proportion of butyrate significantly (P<0.05) at all sampling times compared to control and LAB silage. In conclusion, Forage rye treated with FA or Ca-FA showed different fermentation characteristics during ensilage and in the rumen compared to LAB silage. Further studies are needed to evaluate whether different fermentation characteristics in the rumen between LAB and FA silages had effect on partitioning of nutrients between milk production and body tissue.

An Experimental Study on Assessing Precision and Accuracy of Low-cost UAV-based Photogrammetry (저가형 UAV 사진측량의 정밀도 및 정확도 분석 실험에 관한 연구)

  • Yun, Seonghyeon;Lee, Hungkyu;Choi, Woonggyu;Jeong, Woochul;Jo, Eonjeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.3
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    • pp.207-215
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    • 2022
  • This research has been focused on accessing precision and accuracy of UAV (Unmanned Aerial Vehicle)-derived 3-D surveying coordinates. To this end, a highly precise and accurate testing control network had been established by GNSS (Global Navigation Satellite Systems) campaign and its network adjustment. The coordinates of the ground control points and the check points were estimated within 1cm accuracy for 95% of the confidence level. FC330 camera mounted on DJI Phantom 4 repeatedly took aerial photos of an experimental area seven times, and then processed them by two widely used software packages. To evaluate the precision and accuracy of the aerial surveys, 3-D coordinates of the ten check points which automatically extracted by software were compared with GNSS solutions. For the 95% confidence level, the standard deviation of two software's result is within 1cm, 2cm, and 4cm for the north-south, east-west, and height direction, and RMSE (Root Mean Square Error) is within 9cm and 8cm for the horizontal, vertical component, respectively. The interest is that the standard deviation is much smaller than RMSE. The F-ratio test was performed to confirm the statistical difference between the two software processing results. For the standard deviation and RMSE of most positional components, exception of RMSE of the height, the null hypothesis of the one-tailed tests was rejected. It indicates that the result of UAV photogrammetry can be different statistically based on the processing software.

Fine-image Registration between Multi-sensor Satellite Images for Global Fusion Application of KOMPSAT-3·3A Imagery (KOMPSAT-3·3A 위성영상 글로벌 융합활용을 위한 다중센서 위성영상과의 정밀영상정합)

  • Kim, Taeheon;Yun, Yerin;Lee, Changhui;Han, Youkyung
    • Korean Journal of Remote Sensing
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    • v.38 no.6_4
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    • pp.1901-1910
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    • 2022
  • Arriving in the new space age, securing technology for fusion application of KOMPSAT-3·3A and global satellite images is becoming more important. In general, multi-sensor satellite images have relative geometric errors due to various external factors at the time of acquisition, degrading the quality of the satellite image outputs. Therefore, we propose a fine-image registration methodology to minimize the relative geometric error between KOMPSAT-3·3A and global satellite images. After selecting the overlapping area between the KOMPSAT-3·3A and foreign satellite images, the spatial resolution between the two images is unified. Subsequently, tie-points are extracted using a hybrid matching method in which feature- and area-based matching methods are combined. Then, fine-image registration is performed through iterative registration based on pyramid images. To evaluate the performance and accuracy of the proposed method, we used KOMPSAT-3·3A, Sentinel-2A, and PlanetScope satellite images acquired over Daejeon city, South Korea. As a result, the average RMSE of the accuracy of the proposed method was derived as 1.2 and 3.59 pixels in Sentinel-2A and PlanetScope images, respectively. Consequently, it is considered that fine-image registration between multi-sensor satellite images can be effectively performed using the proposed method.

The Effect of Case-Based Health Assessment Practical Education on Class Participation, Problem Solving Process, Academic Self-Efficacy and Academic Achievement of Nursing Students (간호대학생의 사례기반 건강사정 실습교육 프로그램이 문제해결과정, 수업참여도, 학업적 자기효능감, 학업성취도에 미치는 효과)

  • Cho, Young-Mun
    • Journal of Digital Convergence
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    • v.20 no.2
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    • pp.499-509
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    • 2022
  • This study was conducted to understand the effect of health assessment practical education on class participation, problem-solving process, academic self-efficacy, and academic achievement of nursing students. This study used a nonequivalent control group pretest-posttest design. The participants were 69 nursing university students located in C city. Data were collected on two separate occasions before and after the application of the program from February 2021 to July 2021. Data were analyzed by chi-square test, independent t-test, and ANCOVA using SPSS WIN 23.0. There were significant differences in class participation(F=15.003, p<.001), academic self-efficacy(F=13.288, p=.001) and academic achievement(F=19.755, p<.001) between the experimental group and the control group. In the problem-solving process, the experimental group was significantly higher than the control group in decision-making(F=6.948, p=.010), applying the solution(F=6.232, p=.015) and evaluation-reflection(F=5.364, p=.024). It is necessary to expand case-based learning to increase the problem-solving process, class participation, academic self-efficacy, and academic achievement of nursing students.