• Radiation Oncology Journal
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• 제10권2호
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• pp.171-180
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• 1992

저분화 성상세포종에 대한 방사선 치료의 역할이나 적정 방사선량, 치료시기등은 논란의 여지가 많다. 후향적 분석결과로 얻은 정보는 방사선량이나 외과적 또는 방사선 치료에 의한 시술시기 등의 관점에서 전향적인 연구계획을 세우는데 도움이 된다. 저자들은 1979년부터 1989년까지 경희대학병원에서 수술로 확진된 저분화 성상세포종 환자중 천막하부를 제외한 총 56(남 : 여 =29:27)명에 대한 치료결과를 후향적으로 분석하였다. 수술절제범위는 38명 ($68\%$)에서 근치수술하였고, 18예 ($32\%$)는 부분절제 또는 조직생검만 시행하였다. 총 56예중 수술후 방사선치료를 받은 환자는 36명 ($64\%$)이었고, 방사선량은 최저 5000 cGy를 국소조사하였다. 총 56예의 5년 및 10년 생존율은 각각 $44\%$와 $32\%$였으며, 중간 생존기간은 4.1년이었다. 조직소견에 따른 5년 및 10년 생존율은 grade I(23명)이 각각 $52\%$와 $35\%$이고, grade II(23명)는 $20\%$와 $10\%$였다. Oligodendroglioma 환자는 성상세포종보다 생존율이 높았으며(5년 생존율=$65\%$ vs $36\%$)장기간 생존율은 각각 $54\%$와 $23\%$로 현저한 차이가 있었다. 다량의 방사선치료를 받은 (<54 Gy)환자는 소량의 방사선 (<54 Gy)이나 수술만 받은 환자보다 5-년 및 10-년 생존율이 높았다(P<0.05). 수술범위에 따른 5년 생존율은 $46\%$와 $41\%$로 비슷하였으나, 10년 생존율은 근치수술한 경우가 $41\%$, 부분절제 또는 조직생검한 경우는 $12\%$로 현저한 차이가 있었다(p<0.01). 과거 여러 저자들의 연구에 의하면 환자나이, 수술범위, 방사선치료유무, 악성도, 증상 발현기간, 수행능력 상태등이 성상세포종의 중요 예후인자라고보고하였으나, 본 저자들의 예에서는 grade I조직소견 (p<0.025)과 환자나이 (p<0.001)가 가장 중요한 예후일자였으며 향후 무작위화한 전향적인 연구가 필요할 것으로 생각된다.

• 한국초등과학교육학회지:초등과학교육
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• 제17권2호
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• pp.23-31
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• 1998

The purpose of the present study was to investigate the development of elementary school student's reasoning strategies used in proportional tasks. Three hundred and ninety elementary students were sampled to investigate their reasoning strategies used in Pouring Water Tasks. Results showed that 4 percentage of students used proportional reasoning strategy. By the way, about 80 % of students used qualitative guess or additive strategies to solve proportion tasks. Further, about fifth-grade or 11-year-old students began to use proportional reasoning strategy. Also, female and malt students' development of reasoning strategies improved from 1st grade across 5th grade and from 6-year-old across 11-year-old. However, female did not show the improvement of strategy development after 5th-grade or 11-year-old. However, male students showed a continuous improvement after the grade or age. In addition, students showed developmental patterns of spurts and plateau, ra thor than a linear developmental pattern. The present study also discussed educational implications of this findings in school curriculum.

• 아동학회지
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• 제14권1호
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• pp.129-139
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• 1993

The purpose of this study was (1) to explore the dimensions of children's self-esteem and (2) to explain the development of children's self-esteem through a short-term longitudinal approach. 219 children in 1st, 3rd, and 5th grades participated twice once each year over a 2 year period. Factor analysis, Pearson's correlation, Cronbach alpha, pairs t-test, and MANOVA were conducted. Instruments used in this study were made by present researchers. The results showed that (1) children's self-esteem consisted of the cognitive-competence self, peer-related self, teacher-related self, family self, negative self, and physically competent self: (2) the lst and 2nd grade children's self-esteem was higher than that of 3rd-6th grade children and the 3rd grade children's self-esteem changed little until they reached 5th grade, but the 6th grade children's self-esteem decreased.

• Child Health Nursing Research
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• 제7권1호
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• pp.5-20
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• 2001

The purpose of this study was to analyze and identify the higher-grade primary school children's needs for sexual education. We got the data with open question from 481 children from March to July 1999. We analyzed them according to the framework suggested by the Sex Information and Education Council of USA. The framework involves the six domains such as human development, relationship, personal skills, sexual behavior, sexual health, and society & culture. In the analysis of need for sexual education according to domain, need for human development was highest (79.2 ％), after that followed society & culture (8.3 ％), sexual health (5.8％), sexual behavior (3.6％), and relationships (3.1％). There was no need for personal skills. By topics, there were needs for puberty (38.0％), reproduction (32.5％), gender roles (6.0％), body image (4.9％), sexual abuse (2.4％) and reproductive health (2.4％). Girls and boys all mostly wanted to know human development 41.0 ％ and 38.2 ％ each. Society & culture (3.4 ％), sexual behaviour (2.7％), sexual health (2.6％), relationship (2.4％) were domains selected by boys. Girls wanted to know society & culture (4.9％) and 'sexual health (3.2％). Comparing by grade, fourth, fifth and sixth grade children are commonly interested in development, society & culture. Fourth grade children scarcely show attention on the relationship, sexual behaviour and sexual health; meanwhile sixth grade children would like to know sexual behaviour and sexual health. When their grade became higher, they would like to know more precise, concrete and deep information. We suggest that the textbook/guidebook for sexual health for the higher-grade primary school children should be developed considering the sex and grade.

• 한국수산과학회지
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• 제25권2호
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• pp.73-78
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• 1992

현재, 동결 surimi의 품질 각정의 기준으로 사용되고 있는 pH, 수분함량, 백도, 협잡물 및 젤리 강도를 연제품의 원료 단계인 surimi의 품질 판정지표로 사용하기에는 과학성이 결여되어 있을 뿐만 아니라 부적당한 것으로 생각된다. 따라서 연제품의 생명인 결착력에 직접적인 영향을 미치는 동결 surimi 단백질의 양부의 정도를 정확하게 판정할 수 있는 과학적인 지푤글 모색하기 위하여, 등급별로 분류되어 있는 동결 surimi를 시료로 하여 단백질의 변성 정도를 나타내는 $Ca^{2+}-,\;Mg^{2+}-$ EDTA-APTase 활성, 용해도 및 점도 그리고 신선도의 지표로 사용되고 있는 K값과 현재 동결 surimi의 등급별 분류지표로서 사용되고 있는 젤리 강도를 비교 검토하여 다음과 같은 결과를 얻었다. $Ca^|{2+}-$ATPase 생활과 동결 surimi의 젤리 강도는 깊은 상관 계수를 나타내었으며, 상관 계수(r)는 0.9584였다. 각등급의 생활값은 SA grade $1.184\pm0.12$, FA grade $0.956\pm0.14$, A grade $0.766\pm0.07$, RA grade $0.453\pm0.07$ 및 B grade $0.227\pm0.08({\mu}moles\;Pi/min/mg)$이었다. $Mg^{2+}-$ 및 EDTA-ATPase 활성과 젤리 강도와의 상관 관계는 상관계수(r)가 각각 0.8532, 0.7624로 $Ca^{2+}-$ATPase 생활과 젤리 강도와의 상관 계수에 비하여 낮은 상관 관계를 나타내었다. 용해도는 동결 surimi 각등급간의 젤리 강도와 밀접한 상관 관계를 나타내었으며 상관 계수(r)는 0.9849였다. SA grade에 $93.19\pm5\%$로 가장 높았고 FA grade $84.62\pm4\%,\;A\;grade\;70.63\pm5\%,\;RA\;grade\;41.21\pm4\%$이었고 B grade $32.82\pm4\%$로 각 등급별 품질의 차이를 잘 나타내었다. K-value는 상관 계수(r)가 0.9053으로 상관성을 나타내었으며, SA grade $15.67\pm1.4\%,\;FA\;grade\;14.94\pm3\%,\;A\;grade\;28.00\pm55\%,\;RA\;grade\;32.16\pm3\%,\;B\;grade\;48.78\pm5\%$로 등급이 낮을수록 K-value는 높은 값을 나타내었다. 이상의 결과에서, 현재까지의 동결 surimi의 등급별 분류 index로 사용되고 있는 jelly strength, 수분 함량, pH, 백도 및 협잡물에 대신할 원료 surimi 자체의 양부를 결정할 과학적인 지표로서 단백질 변성 정도를 나태는 $Ca^{2+}-$ATPase 활성 및 용해도가 사용할 것으로 생각된다.

• 환경영향평가
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• 제24권1호
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• pp.35-50
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• 2015

본 연구는 비도시지역의 생물종 서식지 보전을 위해 반영할 수 있는 생물종 관련 지표의 개발과 관리지역 세분화 방안을 제시하는데 목적이 있다. 이를 위해 생물종 서식분포를 예측한 후에 예측된 서식분포를 활용하여 종풍부도를 만들고 그 결과를 토지적성평가와 비교를 하였다. 종분포도는 59종을 대상으로 Maxent 모형을 사용하였고 15개의 모형변수(5개 지형변수, 4개 식생변수, 6개 거리변수)를 활용하였다. 예측된 생물종 서식분포를 출현/비출현으로 구분한 후 합산하여 종풍부도를 예측 하였다. 토지적성평가는 평가체계 I에 따라 보전, 농업, 개발적성을 물리적, 지역, 공간적 입지 특성별로 평가하였다. 종풍부도 등급과 토지적성평가 등급과의 비교결과는 1등급은 10.92%, 2등급은 37.10%, 3등급은 34.56%, 4등급은 20.89% 그리고 5등급은 1.73%의 면적 일치도가 나타났다. 보전관리지역으로 분류되는 1등급과 계획관리지역으로 분류되는 5등급의 일치도가 가장 낮았다. 이처럼 계획관리지역으로 분류되어도, 종풍부도를 고려해 보면 많은 계획관리지역이 상대적으로 높은 종풍부도 값을 보여주었다. 관리지역은 생물종 서식지의 핵심지역은 아니지만 경관생태학적 관점에서 주변 서식처, 이동통로 등을 제공하면서 생물다양성 보호에 기여 할 수 있다. 따라서 도시관리계획에서 잠재적 생물종 서식분포를 고려하는 노력이 보다 집중되어야 할 것이다.

• 한국의류학회지
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• 제23권7호
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• pp.941-952
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• 1999

The purposes of this study were to provide the fundamental data on elementary school girls' somatotype for their clothing construction by contemplating the stage of physical growth dividing into the period of school age and characterizing the variation of body type according to the school age. The results are as follows : 1. Form the results of one-way variables analysis and multiple comparson test(Duncan's test) classification of the period school age can be divided into 'early grade(1 2 grade)' ' middle grade(3 4 grade)' and 'later grade(5 6 grade)' 2. As the results of analyzing Mean Coefficient of Variation and Standard Deviation graph for direct and indirect measurments and index especially of the Coefficient Variation that explain individual difference of growth the items of height indicates individual difference related with height of lower body of early grade group the items of length individual difference related with length of upper body of later grade group and the items of circumference make little difference. The items of anagle makes pretty higher value that direct measurements and especially in lower angle of chest make a distinctive difference, This fact proves that children's somatotype change from the belly part extruded forwards of early and middle grade to the upper body part slanted slightly forward of later grade.

• 한방안이비인후피부과학회지
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• 제18권3호
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• pp.95-101
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• 2005

Objective: In children with acute otitis media, we investigated the relationship between state of tympanic membrane and treatment period by video otoscope. Methods: Ten children(6 boys, 4 girls) with acute otitis media were assigned to one of three groups. In the grade I, there were redness in the tympanic membrane. In the grade II, there were bulging, effusion with exudate, dark color in the tympanic membrane. In the grade III, there were effusion with purulent exudate or cholesteatoma with serous exudate. And we investigated the treatment period in each group. Results: Overall, the $mean{\pm}S.D.$ on the treatment period in the grade I was shorter than grade II. It was $12.6{\pm}5.18$ in the grade I versus $26{\pm}2.83$ in the grade II. That in the grade II was shorter than grade III. It was $26{\pm}2.83$ in the grade II versus $148{\pm}43.03$ in the grade III. Conclusions: Although we couldn't have enough cases in each group. we could predict the conclusion that there was the relationship between treatment period and state of tympanic membrane.

• Asian Pacific Journal of Cancer Prevention
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• 제16권6호
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• pp.2327-2331
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• 2015

Purpose: To determine the accuracy of visual inspection with acetic acid (VIA) in detecting high-grade cervical intraepithelial neoplasia (CIN) in pre- and post-menopausal women with atypical squamous cells of undetermined significance (ASC-US) and low grade squamous intraepithelial lesion (LSIL) Papanicolaou (Pap) smears. Materials and Methods: Two hundred women (150 pre-menopausal and 50 post-menopausal) with ASC-US and LSIL cytology who attended the colposcopy clinic, Thammasat University Hospital, between March 2013 and August 2014 were included. All women underwent VIA testing and colposcopy by gynecologic oncologists. Diagnostic values of VIA testing including sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for detecting high-grade CIN were determined using the histopathology obtained from colposcopic-directed biopsy as a gold standard. Results: VIA testing was positive in 54/150 (36%) pre-menopausal women and 5/50 (10%) post-menopausal women. Out of 54 pre-menopausal women with positive VIA testing, 15 (27.8%) had high-grade CIN and 39 (72.2%) had either CIN 1 or insignificant pathology. Ten (10.4%), 43 (44.8%) and 43 (44.8%) out of the remaining 96 pre-menopausal women with negative VIA testing had high-grade CIN, CIN 1 and insignificant pathology, respectively. Out of 5 post-menopausal women with positive VIA testing, there were 4 (80%) women with high-grade CIN, and 1 (20%) women with insignificant pathology. Out of 45 VIA-negative post-menopausal women, 42 (93.3%) women had CIN 1 and insignificant pathology, and 3 (6.7%) had high-grade CIN. Sensitivity, specificity, PPV and NPV of the VIA testing were 59.4%, 76.2%, 32.2% and 90.8%, respectively (60%, 68.8%, 27.8% and 89.6% in pre-menopausal women and 57.1%, 97.7%, 80% and 93.3% in post-menopausal women). Conclusions: VIA testing may be used as a screening tool for detecting high-grade CIN in women with minor cervical cytological abnormalities in a low-resource setting in order to lower the rate of colposcopy referral.

• 한국응급구조학회지
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• 제14권1호
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• pp.5-18
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• 2010

Objective : This study compares Video laryngoscope and Direct laryngoscope in tracheal Intubation on rapidity and accuracy by paramedic and aims to improve efficiency of airway management and survival rate in pre-hospital treatment for the patients with severe trauma, cardiac arrest or dyspnea caused by acute diseases. Methods : 60 paramedics were recruited from 13 fire stations located in C province. With the consent of the paramedics, likelihood ratio test was carried out and they were divided into two different groups; DL group (30) and GVL group (30). Regarding intubation conditions, difficult airway grade I, grade II and grade III as well as sniffing position and neutral position were examined. This study also compared between ambulance in motion and in stand still. Frequency, average and standard deviation were analyzed with statistics program, SPSS WIN 17.0 and repeated measure design was introduced to examine inter-relations between position, grade and groups. Results : Intubation was performed more rapidly in neutral position and GVL than in sniffing position and DL(F = 15.260, p = .000). Rapidity value was better with grade I and grade II than grade III and better with GVL than DL(F = 32.629, p = .000). Accuracy value was higher with neutral position and GVL than sniffing position and DL(F = 5.008, p = .011). grade III was less accurate than grade I, grade II and GVL was more accurate than DL(F = 10.966, p = .000). Ambulance motion status did not show any statistically significant differences in accuracy and rapidity. Conclusion : Given this study results, neutral position is better for the patient with severe trauma. For a better survival, GVL intubation can be considered since GVL can enhance accuracy as well as rapidity regarding difficult airway. Since there is no significant differences in ambulance motion factors, intubation can be recommended even in moving ambulance for shortening traveling time to a hospital.