• 디지털융복합연구
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• 제16권1호
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• pp.399-408
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• 2018

본 연구는 자녀가치의 매개효과를 중심으로 아버지의 원가족 경험이 양육태도와 양육참여에 미치는 영향을 알아보는데 목적이 있다. 이를 위하여 만3-5세 자녀를 둔 아버지 247명을 대상으로 원가족 경험, 자녀가치, 양육태도, 양육참여 정도를 조사하였다. 수집된 자료는 SPSS 21 program을 이용하여 기술통계, 상관분석, 회귀분석 및 Sobel Tast를 실시하였다. 연구결과, 원가족 경험과 자녀가치 중 정서적 자녀가치, 양육태도 및 양육참여는 유의한 정적 상관관계가 있었다. 매개효과를 확인하기 위하여 단계별로 회귀분석과 Sobel Test를 실시하였다. 연구 결과 아버지의 원가족 경험은 양육태도와 양육참여에 정(+)의 방향으로 영향을 미치는 것으로 확인하였고, 자녀가치 중 정서적 자녀가치가 이들 관계를 매개하는 것으로 나타났다. 이를 바탕으로 본 연구는 아버지의 긍정적 자녀가치 형성을 위한 다각적 고찰과 체계적인 지원이 필요하며 공동양육자로서의 아버지에 대한 후속연구의 방향을 제안하였다.

• Radiation Oncology Journal
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• 제12권3호
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• pp.323-329
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• 1994

Purpose: In supraglottic cancer, radiation therapy is used to preserve the laryngeal function but combined surgery and radiation therapy is required in advanced stage. The authors Present the results of radiation therapy alone and combined surgery Plus Postoperative radiation therapy for supraglottic cancer. Methods and Materials: A retrospective analysis was done for 43 patients with squamous cell carcinoma of the supraglottic larynx who were treated from Feburary 1982 to December 1991, in the Department of Radiation Oncology, Korea University Hospital. Patient distribution according to the AJCC staging system was as follows: I, 3($7.0\%$); II, 7($16.3\%$); III, 17($39.5\%$); IV, 16($37.2\%$). Patients' age ranged from 30 to 72 years(median 62). Follow up durations were from 21 to 137 months(median 27). Seventeen patients($39.5\%$) were treated by radiation therapy alone with radiation doses of 6840-7380 cGy and 26 patients($60.5\%$) were treated with surgery plus postoperative irradiation with doses of 5820-6660 cGy. Results: Overall five-year survival rate for all stage was $51.8\%$, with $100\%$ for Stage I and II, $47.3\%$ for Stage III, and $29.2\%$ for Stage III. The difference of the survival rate by stage was statistically significant(p=0.0152). Five-year survival rates were $100\%$ for locally confined tumor in the supraglottic larynx, $37.5\%$ for transglottic extension, $26.7\%$ for hypopharynx extension, and only two of 5 patients with both transglottic and hypopharynx extension were alive(p=0.0033). Five-year survival rates by neck node status were as follows: $55.0\%$ for NO, $64.3\%$ for N1, $50.0\%$ for N2, and all 2 of N3 were died of disease. Overall survival rate for radiation therapy alone group was $42.8\%$, and it was $56.7\%$ for surgery plus postoperative radiation therapy group with no statistically significant difference(p=0.5215). In Stage I and II, all Patients survived. In Stage III and IV, 5-year survival rate for radiation therapy alone group was $28.5\%$ and $43.4\%$ for surgery plus postoperative irradiation group(p=0.5103). Local control rate was $58.8\%$(10/17) for radiation therapy alone group and $73.1\%$ (19/26) for surgery plus postoperative irradiation group. Three patients from surgery plus postoperative radiation therapy group developed distant metastasis in lungs. Conclusion: Treatment results of radiation therapy alone was excellent in early stage supraglottic cancer. In advanced stage, even the difference was statistically not significant, the result of postoperative radiation therapy group was superior compared with radiation therapy alone group. Since 1992, concomitant chemoradiotherapy with hyperfractionated radiotherapy is being used to improve the result of the treatment and preserve the laryngeal function in advanced stage supraglottic cancer.

• 한국도서관정보학회지
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• 제51권3호
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• pp.385-409
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• 2020

본 연구는 서울지역 공공도서관의 운영 분석을 통하여 서비스 성과관리 설계의 방향성을 제시하는데 목적이 있다. 이를 위하여 「제2차 서울시도서관발전종합계획(2018~2022)」과 「제3차 도서관발전종합계획(2019-2023)」에 따른 서울시의 시행계획을 연계하여 분석하고, 서울시민의 공공도서관 서비스에 대한 인식도 조사를 종합하여 정책개발 쟁점을 도출하였다. 이어 서울시 25개 자치구 173개 공공도서관의 투입지표와 자료서비스, 프로그램 이용실적, 웹이용, 상호대차 등 서비스 현황을 분석하였다. 이러한 분석 결과를 바탕으로 자치구별 도서관 서비스의 성과를 가시화 할 수 있는 성과관리 방향성을 제시하였다. 구체적으로 공공도서관 서비스 성과관리를 위하여 전략목표와 핵심과제의 선정에 내실화, 성과관리의 범주 설정, 이용자 중심의 성과지표 개발, 정성지표 한계점 개선 등의 방안을 제안하였다. 물리적인 투입지표의 부실로 인하여 산출지표로 표현되는 서비스의 질적 저하가 우려되는 개연성이 있기 때문에 투입을 강화하는 한편, 이들 지표 간의 관련성이나 인과관계를 논리적으로 설명하기 위한 성과관리체계의 구축을 통하여 서비스 격차의 해소를 독려할 필요성이 있다.

• 대한한의학회지
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• 제19권1호
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• pp.66-88
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• 1998

This study was performed from March to September 1997 on 95 healthy students to observe the effects of acupuncture at Hap-kok (LI4) according to the meridian and qi-xue(氣血) phenomenon of oriental medicine's theory. Skin temperature on the Hap-kok (LI4) and Chun-Choo (ST25) were measured by D. 1. T. I. (Digital Infrared Thermograph Imaging) before acupuncture stimulation and 1min, 10 min after acupuncture stimulation. 1. In healthy students, the left and right mean temperature of LI4 and ST25 was $29.04\;^{\circ}C,\;29.12\;^{\cir}C\;and\;30.29\;^{\circ}C,\;30.22\;^{\circ}C$ respectively. 2. In control group, the time dependent changes for 10 min of LI4 and ST25 were $-0.32\;^{\circ}C,\;-0.36\;^{\circ}C\;and\;-0.5\;^{\circ}C,\;-0.46\;^{\circ}C$ respectively, however, the thermal differences of both sides LI4 and ST25 were not changed for 10 min. 3. In acupuncture stimulation of both sides LI4, the time dependent changes of ST25 were $-0.13\;^{\circ}C,\;-0.06\;^{\circ}C$, and the thermal differences of both sides ST25 were reduced, but not changed significantly. In acupuncture stimulation of right side LI4, the time dependent changes of LI4 were $-0.1\;^{\circ}C,\;-0.32\;^{\circ}C$ respectively, and the thermal differences of both sides LI4 were increased more than control, but not significantly. Also, that of ST25 were changed by $-0.69\;^{\circ}C,\;-0.63\;^{\circ}C$ respectively, but not significantly. 4. In acupuncture stimulation group, it was classified following the thermal differences of both sides LI4 and ST25, and the effects of acupuncture were observed by changes of classification. The acupuncture of both sides LI4 results in temperature of the left side ST25 to be high after acupuncture. The acupuncture of right side LI4 results in increased ratio of the left side higher than right LI4. The above results indicates that D. I. T. I. was a useful method to observe follow-up the effects and changes by acupuncture stimulation on objective evaluation of phenomenon for the meridian system. Thus, acupuncture on LI4 affects to thermal changes of ST25 and LI4, but exact examination of thermal changes on ST25 will have to be.

• 한국안광학회지
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• 제5권2호
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• pp.59-64
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• 2000

각막골률계로 측정한 결과 각막난시가 최소한 0.75D 이상인 58명을 선정하여 RGP 구면렌즈를 3개월간 착용시켜 조사했는데 이 중 35명은 각막난시가 1.50D 이상이었다. 환자의 방문 스케줄은 대상자를 시력검사, 각막 굴절력(K값) 및 세극등 현미경 검사로 적합한 렌즈를 피팅한 다음, 1주일, 그 후 1개월 간격으로 방문하게 하여 검사하였는데 방문할 때마다 렌즈를 착용한 시력검사, overrefraction, overkeratometry 및 세극등 검사를 하고 렌즈의 움직임, 렌즈의 위치와 렌즈의 표면상태 등을 기록했다. 대상자 전원을 착용기간에 세극등으로 CCC(central corneal clouding) 분류한 결과 각막부종과 신생혈관은 전혀 나타나지 않았다. 각막에 플루오레션 stain 반응을 한 결과 52명이 grade 0.5 상태를 보였고, 5명이 grade 1 및 1명이 grade 2로 판정되었다. Overrefraction에서 렌즈를 착용하기전과 착용후의 잔류난시는 처음 피팅할 때는 41%, 1주일 후는 34%, 1개월 후는 30%, 2개월 후는 29%로 나타난 결과로 보아 1개월 이후는 변화가 거의 없음을 알 수 있었다. 절대 굴절력에서 평균 overrefraction은 처음 피팅했을 때는 0.26D이었고, 1주일 후는 0.22D, 1개월 후는 0.17D 및 2개월 후는 0.16D를 보였다. 또한 관리용액은 다목적 용액을 주로 사용하고 있었고 각 용도에 맞는 용품에 비해 그 기능이 저하됨을 알았다.

• 한국보건간호학회지
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• 제2권2호
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• pp.45-61
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• 1988

Clonorchiasis should be realized as an important public health problems in Korea by their wide distribution, high prevalence rate and heavy infection intensity. This study was designed to obtain the infection rate, contributing factors as well as the behavior of infected persons among the factory workers in Pohang area where that parasite still remains as a problem. Study was undertaken from September '86 to October '87. Clonorchiasis skin test was performed for 3180 factory workers, and stools of skin test positive reactors were examined. Praziquantel was prescribed to stool examination positive persons for clonorchis sinensis ova. After one year. stool examination was repeated for them who received medicine. At the same time. a structured questionnaire was given and the results were analyzed and compared with control group. The results of this study are summarized as follows; 1. The infection rate of Clonorchis sinensis. 1) Clonorchiassis skin test positive rate was $26.2\%$ (834/3180). 2) Stool(Clonorchis sinensis ova) positive rate among skin test positive reactors was $21.6\%$ (129/598) All 129 infected persons were male. 2. Contributing factors of Clonorchis sinensis infection. 1) The chance of infection was higher in low-educated peple(p<0.01) 2) Stool(Clonorchis sinensis ova)positive rate was higher among the persons who reside near the riverside now(p<0.01), or among the persons who long history of riverside residence(p<0.01) 3) The infection rate was higher in thoes who like sliced raw fresh water fishes than in those who like cooked fishes(p<0.05). 4) Correct answering rate for questions about the cause and route of Clonorchis sinensis infection was low in infected persons. 5) The infection rate was lower among those who had experience of previous clonorchiasis test(p<0.01). 6) Family members of infected persons show higher rates of infection(p <0.01). 3. Treatment effect and compliance of infected person to treatment. 1) After one year, negative stool conversion rate was $85.4\%$. 2) $70.8\%$ of infected persons took the medicine; Only $3.1\%$ of them consulted to physician to know the medication effect; As many as $29.4\%$ of them continued to consume raw fresh water fishes. As a conclusion, City of Pohang area, Hyung San River in the center, is an endemic area of clonorchiasis. Current clonorchiasis control system seemed to be ineffective; many of the skin test positive group did not submitted their stool for examination; only $70.8\%$ of infected persons took the medicine even though the drugs were given free of charge; $29.4\%$ continued to consume raw fresh water fishes after taking medicine. Therefore. proper education program should be provided to improve the compliance to treatment. Follow-up for infected cases is mandatory to prevent waste of restricted budget.

• 한국중재학회지:중재연구
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• 제13권1호
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• pp.245-283
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• 2003

Since enactment of the Product Liability Act(PLA) on July 2002, Enterprises in Korea should be insured the Product Liability under the Act. Therefore they had to make a special team and organize it to match with the Act. However, some enterprises didn't follow and prepare the team for the dispute resolution. For example, in America, many enterprises had been attacked the PLA and in Japan, as well. but Korea is rare for the PLA. Thus, this is to research the PLA for protecting the disputes. Upon this study, 1 would like to suggest some issues and a revision of the PLA. Those are the purpose of my research. In this study, it consists of 5 chapters for achieving the purpose of the research. Introduction of this study is mentioned in Chapter 1, and Chapter 2 is for outline of the PLA in Korea. At Chapter 3, the cases are analyzed in the disputes of importers to address important things we have to check. After the analysis, resolution methods in general on import practices are suggested at Chapter 4. Also, this study is summarized at Chapter 5 including further research. In this research, 1 find out complex of Product Liability insurance and issues related with PLA. For protecting the issues and disputes; importers should prepare a agreement of arbitration during the preparation of contracts. Nothing can be better than prevention on any disputes, but they can be happened sometimes without any intentions or by mistake. Solving these issues, the resolution methods of this research are the most valuable. The mediation and the negotiation do not force any legal matters. So, the dispute through them does not have a positive resolution, and the effectiveness of them is very low. Due to the resolution of issues, arbitration is a desirable resolution. In Korea, most people do not know about the arbitration due to the lack of understanding of arbitration. Currently arbitration related with Product Liability has not been followed up promptly because procedures and judgement from a court take for a long time. In sum, in order to solve the disputes properly, they should be supported by the arbitration system to concrete essential objectives, so to speak, protection of the victim and the improvement of arbitration. In addition, the systematic arrangements would be required to carry out all the methods above mentioned. Those are for manufacturers, importers, and customers for the dispute resolution.

• Advances in pediatric surgery
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• 제16권2호
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• pp.134-142
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• 2010

Malignant ovarian tumors in children are very rare, and consist of about 1 % of all childhood malignant tumors. The purpose of this study is to examine the clinical characteristics, treatment, and prognosis for children with malignant ovarian tumors. We retrospectively reviewed the medical records of children under 15 years of age with malignant ovarian tumors who had been treated surgically at Asan Medical Center between 1989 and March 2009. There were 32 patients, ranged in age at surgery from 2 to 15 years (mean; 10.4 years). The median follow-up period was 64.7 months (from 1 month to 188 months). Pathologic diagnosis were; immature teratoma (n=10), mixed germ cell tumor (n=10), and dysgerminoma (n=6). Tumor stage was classified by the staging system of the International Federation of Gynecology and Obstetrics (FIGO). The number of patients in stage I, II, III, and IV were 24 (75 %), 2 (6.2 %), 4 (12.5 %), and 2 (6.1 %), respectively. The tumor recurred in 4 patients. Seven patients of group 1 did not receive postoperative adjuvant chemotherapy, and in three of them, the tumor recurred. Twenty-five patients (group 2) underwent postoperative adjuvant chemotherapy, and there was only one recurrence. One patient who did not receive postoperative adjuvant chemotherapy and expired 10 months after operation because of tumor recurrence and distant metastasis. The overall 5-year event free survival (EFS) was 84.2 %: group 1 in 44.4 %, and group 2 in 95.7 %. Tumor recurrence was related to the postoperative adjuvant chemotherapy (p=0.004). In conclusion, proper surgical procedures with relevant postoperative adjuvant chemotherapy might improve clinical results in children with malignant ovarian tumors.

• Tuberculosis and Respiratory Diseases
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• 제78권4호
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• pp.463-468
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• 2015

Pulmonary Langerhans cell histiocytosis is an uncommon diffuse cystic lung disease in adults. In rare cases, it can involve extrapulmonary organs and lead to endocrine abnormalities such as central diabetes insipidus. A 42-year-old man presented with polyphagia and polydipsia, as well as a dry cough and dyspnea on exertion. Magnetic resonance imaging of the hypothalamic-pituitary system failed to show the posterior pituitary, which is a typical finding in patients with central diabetes insipidus. This condition was confirmed by a water deprivation test, and the patient was also found to have type 2 diabetes mellitus. Computed tomographic scanning of the lungs revealed multiple, irregularly shaped cystic lesions and small nodules bilaterally, with sparing of the costophrenic angles. Lung biopsy through video-assisted thoracoscopic surgery revealed pulmonary Langerhans cell histiocytosis. On a follow-up visit, only 1 year after the patient had quit smoking, clinical and radiological improvement was significant. Here, we report an uncommon case of pulmonary Langerhans cell histiocytosis that simultaneously presented with diabetes insipidus and diabetes mellitus.

• 가정과삶의질연구
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• 제1권2호
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• pp.89-106
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• 1983

After accepting the modernized western culture, we, the Koreans, had traditionally patriarchal valuation on the family life, which has been changed into modernize on in these days. Under these circumstances, we examined into family consciousness of workmen, office workers and student of universities in Pusan with questioning papers by inquiring their general views of family, marriage, family planning , and inheritance. The results obtained can be summarized as follows. 1. General views of family 1)Most of them prefer nuclear family to gross one in structure of family. In decision of family's affairs, the lower educated persons want an unilateral relationship, which means unconditional obdience to their parent's opinion. they are more concerned about the profit of the family than that of individual. on the other hand, they want 2-generations nuclear family system. 2) Concerning children's future affairs, they want compromising method. 2. Views of Marriage 1) Date with the other sex motivated their desire to improve social adaptation and social association. 17-19 year old students regard date as a preparatory stage of marriage. They consider it most desirable date to enjoy free conversation each other. They hope their date partners are high educated. 2) The conditions of mate selection are in order character, health, vitality in living, appearance and education. The less educated placed an emphasis on vitality in living. 3) They are not much interested in marital harmony. If parents are against their marriage an account of bad marital harmony, they will take into consideration about it. 4) They wish to keep purity before marriage, as possible. They want engagement period of 6 months. Any agreeable reasons shall compel them to break off their appointment. 5) they consider it ideal for mate's age to be 26-30 years old, and also think it affirmative to follow their parent's agreement in marriage. It is considerable that they put off their marriage only because they have lots of work to do before marriage. 6)Marriage declaration is to be made on the wedding day. It still exists that they don't want to marry when they are inth same surname and family tree. But it is clear that they don't regard it as the reason of breaking off the betrothal. 3. Family Planning 1) They are willing to agree to the campaign "just two is enough". They want a son and a daughter. Even though they have two daughters, they won's bear child to get son. 2) the lower educated persons are ignorant of the method of birth control. 4. Inheritance 1)Most of them say householder inheritance is to be kept up continuously. It is reasonable that anyone who can afford to perform religious service should bear it responsibility. 2)They don't want the difference in inheritance as the conscious to the conscious of the equality of the sexes spread widely into our society, but it is worthy of notice that some of them still don't mind unequal treatment. 3) When they have no child, the property inheritances are in order his wife and his parents. According to above mentions, we conclude like this: Their consciousness of marital harmony, marriage, family planning and inheritance shows definitely passive rationism in the transitional stage which is mixed with western individualism and traditional feudalism. On account of being lack of steady fast self-conscience, they can not make their positive reaction on anything. Finally, we should make every possible efforts to have our firm self-conscience through the re-education.