• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2991-2995
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• 2012

Background: India shows some of the highest rates of cervical cancer worldwide, and more than 70% of the population is living in rural villages. Prospective cohort studies to determine the risk factors for cervical cancer are very rare from low and medium resource countries. The aim of this study was to quantify the effect of risk factors related to cervical cancer in a rural setting in South India. Material and methods: Sociodemographic and reproductive potential risk factors for cervical cancer were studied using the data from a cohort of 30,958 women who constituted the unscreened control group in a randomised screening trial in Dindigul district, Tamilnadu, India. The analysis was accomplished with the Cox proportional hazard regression model. Results: Women of increasing age (HR=2.4; 95% CI: 1.6, 3.8 in 50-59 vs 30-39), having many pregnancies (HR=7.1; 1.0, 52 in 4+ vs 0) and no education (HR=0.6; 0.2, 0.7 in high vs none) were found to be at significantly increased risk of cervical cancer. Conclusion: This cohort study gives very strong evidence to say that education is the fundamental factor among the sociodemographic and reproductive determinants of cervical cancer in low resource settings. Public awareness through education and improvements in living standards can play an important role in reducing the high incidence of cervical cancer in India. These findings further stress the importance of formulating public health policies aimed at increasing awareness and implementation of cervical cancer screening programmes.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.413-417
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• 2014

Background: Prisoners represent a population group that is disadvantaged, socially deprived and underprivileged, needing particular attention with regard to provision of necessary oral health care, health promotion and motivation and tobacco cessation. Considering the situation in prisons, smoking and tobacco chewing are burning issues related to health deterioration and economic loss that seem to be overlooked by the public health sectors. Aim: To assess prisoners' perception of tobacco use and cessation in Chhatisgarh, India. Materials and Methods: A pre-tested, close ended questionnaire was administered in the form of extensive face to face interviews, to assess perceptions regarding tobacco use and cessation in the central jail of Durg District of Chhattisgarh state, India. Results: Prevalence of tobacco usage amongst the prisoners was found to be 61%. Some 27% reported smoking, 44% used tobacco in the chewable form and 29% indulged in consuming tobacco in both forms i.e. smoked as well as chewed. Results suggest several recommendations for policy relevance such as provision of a prison dentist, a tobacco cessation counseling program and targeted eradication of oral cancer by educating the prisoners. Conclusions: Health is a fundamental human "right of everyone to the enjoyment of the highest attainable standard of physical and mental well-being". This applies to prisoners just as it does to every other human being. The alarming findings in the study suggest the need for dental treatment facilities and tobacco cessation counseling in prisons.

• 대한물리치료과학회지
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• 제10권2호
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• pp.96-103
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• 2003

The purpose of this study was to assess the effect of applied pressure to abdomen on lumbar and abdominal muscle activation during upper limb exercise. The experimental group consisted of twenty-seven healthy male subjects (mean age=$22.40{\pm}2.19years$, mean height=$175.30{\pm}2.19cm$, mean weight= $67.67{\pm}7.44kg$, RM=$8.43{\pm}2.76kg$). In each different pressure condition (OmmHg, 30mmHg, 70mmHg, 100mmHg), upper limb exercise was performed in total of 10 trials with 10 RM dumb-bell exercise. Lumbar and abdominal muscle activity was measured using surface bipolar electrode electromyography(EMG). EMG activity was measured from upper rectus abdominis, external oblique abdominis, internal oblique abdominis, and elector spinae. The raw EMG signal was processed into the root mean square(RMS). All RMS EMG data were normalized and express as a percentage of the EMG(%EMG). Collected data were statistically analyzed by SPSS/PC Ver 10.0 using two-way analysis of variance for repeated measures($4{\pm}3$) and Bonferroni post hoc, test. Lumbar and abdominal muscle activation was significantly increased when 100 mmHg was applied(p<.05). Upper rectus abdominis activation was significantly increased compared as other muscles activation(p<.05). However, there were no interaction between pressure and muscles(p>.05). The findings of this study can be used as a fundamental data when lumbar orthosis is applied and external pressure can be used as a therapeutic tool.

• 대한한의학원전학회지
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• 제26권4호
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• pp.43-70
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• 2013

Objective : analysis of words related with medical concept and context of paragraphs in Suwen of Huang Di Nei Jing based on concreteness and ideality. Method : First, I extract words having medical concept out of the whole sentence of Huang Di Nei Jing. and classifies them according to the type of medical concept. Second, I classify all sentence of it on the basis of analysing of the words. Result : 1. There are not an interrelationship between the abstract and concrete words from the perspective of cause and effect. Abstract words group are divided into two different parts according to the fundamental character. There are the concept being formed from pure idea and the concept being formed from material idea. The main words composed most important part of the oriental medicine have a combination mode with these two word groups. 2. We have several data about concreteness and ideality of Huang Di Nei Jing. Subjects and contents in provisions are concrete relatively. But the logical basis of sentences is remarkably ideational. Many kinds of abstract words are used dominantly to compose logics of these basis. It confirms that concrete words can not be used to make theories and concepts in Suwen. Conclusion : I analyzed words related with medical concept and context of paragraphs in Suwen of Huang Di Nei Jing based on concreteness and ideality and I found that the concept and logical system of Huang Di Nei Jing in the objective point of view.

• 대한한의학원전학회지
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• 제25권3호
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• pp.23-38
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• 2012

Objective : Ankylosing Spodylitis(AS) is a chronic inflammatory disease that is notorious for its difficulty to cure. This study aims to interpret the mechanism of AS in the Traditional Korean Medical(TKM) perspective, and to understand the role of the spine. Method : Clinical manifestations of AS, epidemiological data and clinical cases were interpreted by traditional methodology. Result : The young age group of patients suffering from this condition suggests that the cause of this condition is not solely linked to deficiency of the Kidney[腎], which is a general cause for bone disease. Its symptoms are linked to obstruction in the upper body, which results in disturbance of Jeong(精) collection in the lower body. Based on other accompanying symptoms, together with its character as an autoimmune disease, a strong link to the spirit of the heart[心神] can be suggested. Conclusion : AS is closely linked not only to essence of kidney[腎陰], but to the spirit of the heart[心神] as well. From the TKM analysis of the spine, we can understand it as the basic pathway for the fundamental Gi(氣) circulation.

• Smart Structures and Systems
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• 제17권3호
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• pp.471-489
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• 2016

Modal identification based on ambient vibration data has attracted extensive attention in the past few decades. Since the excitation for ambient vibration tests is mainly from the environmental effects such as wind and traffic loading and no artificial excitation is applied, the signal to noise (s/n) ratio of the data acquired plays an important role in mode identifiability. Under ambient vibration conditions, certain modes may not be identifiable due to a low s/n ratio. This paper presents a study on the mode identifiability of an instrumented cable-stayed bridge with the use of acceleration response data measured by a long-term structural health monitoring system. A recently developed fast Bayesian FFT method is utilized to perform output-only modal identification. In addition to identifying the most probable values (MPVs) of modal parameters, the associated posterior uncertainties can be obtained by this method. Likewise, the power spectral density of modal force can be identified, and thus it is possible to obtain the modal s/n ratio. This provides an efficient way to investigate the mode identifiability. Three groups of data are utilized in this study: the first one is 10 data sets including six collected under normal wind conditions and four collected during typhoons; the second one is three data sets with wind speeds of about 7.5 m/s; and the third one is some blind data. The first two groups of data are used to perform ambient modal identification and help to estimate a critical value of the s/n ratio above which the deficient mode is identifiable, while the third group of data is used to perform verification. A couple of fundamental modes are identified, including the ones in the vertical and transverse directions respectively and coupled in both directions. The uncertainty and s/n ratio of the deficient mode are investigated and discussed. A critical value of the modal s/n ratio is suggested to evaluate the mode identifiability of the deficient mode. The work presented in this paper could provide a base for the vibration-based condition assessment in future.

• 한국지반공학회논문집
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• 제27권5호
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• pp.61-74
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• 2011

본 연구는 석탄회와 폐타이어, 그리고 두 재료의 혼합재료 등 경량 폐기물의 성토재 활용을 위한 기본적인 연구로서, 이들 재료의 입도분포, 비중, 다짐밀도, 전단강도, 투수특성 등 기본물성 및 지반공학적 물성 평가를 위한 실험을 수행하였으며, 현장 조건에 따른 함수비와 온도변화를 고려한 1차원 압축 침하특성 등을 평가하였다. 석탄회 재료의 경우 대표적인 성토재료인 풍화토와 유사한 입도분포를 가지면서, 경량의 특정을 확인할 수 있었다. 그러나 강도측면에서는 풍화토와 유사한 수준을 보이고, 투수특성은 입도에 따라 매우 큰 차이를 나타냈다. 폐타이어가 포함된 재료들의 경우에도 강도값은 성토재로 충분한 값을 보였다. 이들 재료의 1차원 수직압축특성 실험 결과에서도 일정 수직응력 수준 하에서는 모래와 유사한, 비교적 압축성이 낮은 재료로 평가할 수 있었으며, 함수비변화와 반복적인 동결융해조건 하에서는 석탄회가 포함된 재료들이 풍화토 및 풍화토-폐타이어 혼합재료에 비해 낮은 압축침하거동을 보였다.

• 한국사회복지학
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• 제61권4호
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• pp.85-108
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• 2009

본 연구는 결혼이민자 가족이 직면하고 있는 다양한 도전에 대해 사회복지실천현장의 효과적인 접근방법으로 임파워먼트 접근의 틀을 제시하고자 하였다. 구체적으로 첫째, 결혼이민여성의 프로필과 지원서비스현황을 파악하고, 둘째, 적응관련 쟁점을 정리하였다. 셋째, 적응쟁점을 개인과 가족 관계, 지역사회 관련 및 사회문화 관련으로 구분하고, 임파워먼트 기반 사회복지실천 접근의 내용을 각각의 쟁점별로 거시 중도 미시적 수준에서 논의하였다. 결혼이민자 가족을 위한 차별화된 접근은 다문화역량과 밀접한 관계에 있다고 보고, 사회복지사 자신과 사회복지기관, 지역사회의 문화적 편견에 대한인식과 다문화 지식 및 기술의 개발 필요성을 지적하였다. 끝으로 다문화역량 확보에 대한 사회복지학계와 실천현장의 대응에 대해 논의하였다.

• 한국융합학회논문지
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• 제7권5호
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• pp.43-49
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• 2016

본 연구의 목적은 자가통증조절기를 사용하는 수술 후 환자를 위한 간호 활동 목록을 개발하는데 있다. 간호 활동 목록을 개발하기 위하여 본 연구의 첫 번째 단계에서는 문헌고찰 및 포커스 그룹 인터뷰를 이용한 간호 활동 목록을 개발하였고 두 번째 단계에서는 간호 활동의 중재 내용 타당도 조사를 시행하였다. 본 연구는 5명의 마취과 전문의와 6명의 성인 및 기본 간호학 교수, 1명의 급성통증관리 전문간호사를 대상으로 하였으며, 본 연구를 통하여 수술 후 자가통증조절기를 사용하는 환자를 위한 12개의 항목을 개발하였다. 중재 내용 타당도의 검증에서 모든 항목이 .92에서 1.0으로 타당하였다. 본 연구 결과는 수술 후 자가통증조절기를 사용하는 환자의 간호를 위한 간호 실무에 유용하게 활용될 수 있을 것으로 판단된다.

• 한국게임학회 논문지
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• 제9권1호
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• pp.105-114
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• 2009

바둑에 있어 사활문제는 컴퓨터 바둑을 구현하기 위해 반드시 극복해야 하는 기본적인 문제이다. 사활문제와 같은 국부적인 바둑 문제를 해결하기 위하여 고려해야 될 중요한 사항은 게임 트리의 엄청난 분기수와 그 깊이를 어떻게 처리하느냐이다. 본 논문에서 수행된 실험의 기본 착상은 둘러싸인 돌들을 죽이기 위해 인식된 첫 수들을 찾아내는 인간의 습성을 모방한 것이다. 바둑에 있어, 유사한 사활문제(패턴)들은 자주 유사한 해들을 갖는다. 유사한 패턴을 분류 하기 위하여 코호넨 신경망(KNN)을 기반으로 한 군집화를 수행하였으며, 실험 결과는 고무적이며 사활문제를 풀기 위해 신경망으로 통제 학습을 사용하는 패턴 일치와 경쟁할 수 있음을 알아냈다.