• Journal of Gastric Cancer
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• 제23권2호
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• pp.275-288
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• 2023

Purpose: This study aimed to examine the effects of 4 main types of gastrectomy for proximal gastric cancer on postoperative symptoms, living status, and quality of life (QOL) using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45). Materials and Methods: We surveyed 1,685 patients with upper one-third gastric cancer who underwent total gastrectomy (TG; n=1,020), proximal gastrectomy (PG; n=518), TG with jejunal pouch reconstruction (TGJP; n=93), or small remnant distal gastrectomy (SRDG; n=54). The 19 main outcome measures (MOMs) of the PGSAS-45 were compared using the analysis of means (ANOM), and the general QOL score was calculated for each gastrectomy type. Results: Patients who underwent TG experienced the lowest postoperative QOL. ANOM showed that 10 MOMs were worse in patients with TG. Four MOMs improved in patients with PG, while 1 worsened. One MOM was improved in patients with TGJP versus 8 MOMs in patients with SRDG. The general QOL scores were as follows: SRDG (+39 points), TGJP (+6 points), PG (+3 points), and TG (-1 point). Conclusions: The TG group experienced the greatest decline in postoperative QOL. SRDG and PG, which preserve part of the stomach without compromising curability, and TGJP, which is used when TG is required, enhance the postoperative QOL of patients with proximal gastric cancer. When selecting the optimal gastrectomy method, it is essential to understand the characteristics of each and actively incorporate guidance to improve postoperative QOL.

• PNF and Movement
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• 제21권1호
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• pp.129-137
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• 2023

Purpose: The physical therapy diagnosis process requires high-level background knowledge, the ability to obtain added information from patients, accurate examination skills, and a framework for transforming thoughts into a diagnostic decision. Thus, the physical therapy diagnostic process is highly complicated and difficult work. To function as autonomous professionals, physical therapists must develop effective clinical diagnosis skills. As such, mobile application aids can help with accurate and scientific diagnoses. Therefore, this study aims to develop and evaluate the usability of a mobile application for physical therapy diagnoses. Methods: In this study, a diagnostic application was developed using App Inventor, the development environment was the Chrome web browser for Windows 10, and the mobile application was run on a Google Pixel 5. The developed application was evaluated for usability by 20 physical therapists with more than 5 years of clinical experience in the musculoskeletal physical therapy field, and a usability evaluation was conducted using a 5-point Likert scale for accuracy, convenience, satisfaction, and usability. The collected Likert scores were converted into percentages and analyzed as descriptive statistics. Results: The graphical user interface consisted of an initial screen with program guidance, 18 screens presenting the algorithm, and 12 screens presenting the estimated diagnosis based on the algorithm. As such, the usability evaluation of the developed application was as follows: accuracy 100%, convenience 90%, satisfaction 91%, and usability 88%. Conclusion: The newly developed mobile application for physical therapeutic diagnoses has a high accuracy, and it will aid in building an easy and reliable physical therapy diagnosis system.

• The Korean Journal of Pain
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• 제37권1호
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• pp.51-58
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• 2024

Background: The rise in national health care costs has emerged as a global problem given the ever-aging population and rapid development of medical technology. The utilization of interventional pain management has, similarly, shown a continued rise worldwide. This study evaluates the differences in the medical costs in the field of interventional pain treatment (IPT) between two countries: Korea and Japan. Methods: Korean medical insurance costs for 2019 related to pain management focused on IPT were compared to those of Japan. Purchasing power parity (PPP) was used to adjust the exchange rate differences and to compare prices in consideration of the respective societies' economic power. Results: The cost of trigger point injections in Japan was 1.06 times higher than that of Korea, whereas the perineural and intraarticular injection prices were lower in Japan. The cost of epidural blocks was higher in Japan compared to Korea in both cervical/thoracic and lumbar regions. As for blocks of peripheral branches of spinal nerves, the cost of scapular nerve blocks in Japan was lower than that in Korea, given a PPP ratio 0.09. For nerve blocks in which fluoroscopy guidance is mandatory, the costs of epidurography in Japan were greater than those in Korea, given a PPP ratio 1.04. Conclusions: This is the first comparative study focusing on the medical costs related to IPT between Korea and Japan, which reveals that the costs differed along various categories. Further comparisons reflecting more diverse countries and socio-economic aspects will be required.

• Journal of Information Technology Applications and Management
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• 제31권1호
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• pp.113-122
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• 2024

This comprehensive study delves into the analysis of user review data across various metaverse platforms, employing advanced text mining techniques such as TF-IDF and Word2Vec to gain insights into user perceptions. The primary objective is to uncover the factors that contribute to user satisfaction and dissatisfaction, thereby providing a nuanced understanding of user experiences in the metaverse. Through TF-IDF analysis, the research identifies key words and phrases frequently mentioned in user reviews, highlighting aspects that resonate positively with users, such as the ability to engage in creative activities and social interactions within these virtual environments. Word2Vec analysis further enriches this understanding by revealing the contextual relationships between words, offering a deeper insight into user sentiments and the specific features that enhance their engagement with the platforms. A significant finding of this study is the identification of common grievances among users, particularly related to the processes of refunds and login, which point to broader issues within payment systems and user interface designs across platforms. These insights are critical for developers and operators of metaverse platforms, suggesting a focused approach towards enhancing user experiences by amplifying positive aspects. The research underscores the importance of continuous improvement in user interface design and the transparency of payment systems to foster a loyal user base. By providing a comprehensive analysis of user reviews, this study offers valuable guidance for the strategic development and optimization of metaverse platforms, ensuring they remain responsive to user needs and continue to evolve as vibrant, engaging virtual environments.

• 대한가정학회지
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• 제27권4호
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• pp.11-20
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• 1989

Teen-agers are much concerned for their appearances. Their clothes reflect their living conditions and serve as a means to represents themselves as well. They also show great concern for the clothes of students of an age. So to guide their clothing behaviours in school plays a very important role in the living guidance of students. From this point, this study was aimed at examing closely the differences of recations as to the girl students' clothing behaviours between boy students and girl students of high school, and the correlation between environment condition and reaction upon the clothing behaviours of girl students. To check the physical environment condition of the family, the family circumstances test, made and standardized by Jung Won Sik, was used. To check the clothing behaviours of girl students, four items-modesty, fashion and esthetics were made and each item had five questions, wihich comprised fifteen questons all told. The subjects of this study included students in eight high schools located in Incheon, totaling 930 boys and girls. The results of this study were summarized as follows: 1. There are great differences in students' reaction upon girl students' clothing behaviours according to their physical circumstances level, sex, grade years and the degree of concern for other sex. (A) The correlation between students' physical circumstances level and their reaction upon the girl students' clothing behaviours is high in all the three items. The higher the students' circumstancses level is, the lower their reaction upon modesty is, and the higher their reaction upon fashion. In case of esthetics, only girl students show great concern for it. (B) As to the reaction upon the girls students' clothing behaviours by sex, girls show higher concern for modesty, fashion and esthetics than boys. (C) As to the reaction upon the girl students' clothing behaviours by the grade years, the first year students as a whole show higher concern for modesty than second grade year students. (D) As to the reaction upon the girl students' clothing behaviours by the degree of concern for other six, the more concern both the boy and the girl students have for other sex, the higher their reactions are upon fashion and esthetics, but the lower upon modesty. 2. From the point of reactions upon the girl students' clothing behaviours, (A) as to fashion, free variables can explain by 7.8 percent the degree of concern for other sex, physicial circumstances level, and sex in that order. (B) as to fashion, free variables can explain by 5.4 persent the concern for other sex, physicial circumstances level, and sex in that order. (C) as to esthetics, free variables can explain by 4.8 percent the concern for other sex, physicial circumstances level, and sex in that order. From the above analysis, the following are included: The concern for other sex has the greatest influence on the girl students clothing behaviours, the physicial circumstances level the nest, sex the third and the grade year the last.

• 대한수학교육학회지:학교수학
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• 제7권2호
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• pp.169-192
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• 2005

본 연구는 수학 영재들을 위한 교수$\cdot$학습 자료 개발의 준거를 설정하고 교수$\cdot$학습 자료 개발의 절차 모형을 개발하여 그에 따른 주제탐구형 수학 영재 교수$\cdot$학습 자료의 실제적인 모델을 제시하는 것이다. 이를 위하여 우선 수학 영재 교수$\cdot$학습 자료 개발 준거와 파네스의 창의적 문제해결 학습 모형에 따라 '약수를 통한 자연수 탐구'라는 주제로 4차시 분량의 주제 탐구형 수학 영재 교수$\cdot$학습 자료를 개발하였다. 이 자료를 이용하여 대학부설 영재교육원의 초등 수학 심화/사사반 학생들과 교육청 부설 영재교육원 초등 수학반 영재아들을 대상으로 4차에 걸쳐 현장에 적용하면서 수정 및 재구성을 한 자료를 부록에 실었다. 그리고 그 자료를 수업에 적용$\cdot$분석함으로써 원형 및 자료 개발의 타당성을 확인하는 과정을 통해 얻게된 수학 영재 교수$\cdot$학습 자료 개발의 방향과 시사점을 제안하였다.

• 한국콘텐츠학회논문지
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• 제13권7호
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• pp.228-237
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• 2013

본 연구는 사회복지학 전공 대학생의 진로결정수준과 진로준비행동이 어떠한지를 살펴보고, 사회복지 자기효능감과 진로결정수준 및 진로준비행동과의 관계를 실증적으로 검토함으로써 사회복지학 전공 대학생의 진로상담 및 진로지도에 도움을 주고자 하는 목적에서 수행되었다. 이 연구를 위해서 5개 대학의 사회복지학 전공 대학생 502명을 대상으로 사회복지 자기효능감, 진로결정수준, 진로준비행동을 측정하였으며 자료처리는 빈도분석, 상관분석, 다중회귀분석 등을 사용하였다. 연구결과에 의하면 첫째, 사회복지학 전공 대학생의 진로결정수준과 진로준비행동의 수준은 보통보다 약간 낮은 수준을 보였다. 둘째, 사회복지 자기효능감과 진로결정수준과는 별다른 유의한 영향을 보이지 않았으나 진로준비행동과는 유의한 영향을 미치는 것으로 나타났다. 특히 사회복지 자기효능감의 세 하위변인 중 클라이언트 지지 효능감은 진로준비행동과 부적인 영향을 미치는 것으로 나타났다. 결론적으로 사회복지 자기효능감은 행동적인 측면인 진로준비행동과 관계가 깊다고 할 수 있을 것이다.

• 한국ITS학회 논문지
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• 제19권5호
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• pp.70-81
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• 2020

GPS가 탑재된 차내 단말기, 스마트폰에서 방대하게 수집되는 초 단위 위치(위·경도) 데이터는 교통 분야에 다양하게 활용되고 있다. 이러한 데이터는 공공의 교통관련 의사결정자들과 교통서비스를 개발·제공하는 민간회사들에게 운전자들의 행태와 교통흐름을 미시적으로 파악할 수 있게 한다. 특히, 속도 데이터는 통행시간 예측에 주요한 정보로 활용되며, 해상도 높은 데이터 기반의 고차원 서비스 개발에 이용되고 있어 신뢰성있는 정보의 확보가 요구된다. 그럼에도 불구하고 링크별 속도 산출 시 각기 다른 저장, 수집주기 등을 기준으로 사용하고 있어 정보 활용에 있어 신뢰성을 담보하기 어렵다. 본 연구의 목적은 차내 단말기를 장착한 프로브차량 데이터를 수집해 링크 공간평균속도를 산출하고 동일 구간 및 시간대의 영상기반 공간평균속도와 비교분석을 통해 오차율을 도출하는 것이다. 수집주기와 실제 속도 상황에 따른 오차율을 분석한 결과 8초 이내 수집주기에서 95% 신뢰수준을 보였으며 이를 공간평균속도 산출 시 신뢰성확보를 위한 적정 수집 주기로 제안했다. 해당 결과는 향후 커넥티드 환경에서 수집될 핵심 정보들의 신뢰성 확보와 서비스 개발 시 기초 정보로 활용될 것으로 기대해본다.

• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.469-480
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• 2018

Objective: Pharmacogenomic-based antidepressant treatment (PGATx) may result in more precise pharmacotherapy of major depressive disorder (MDD) with better drug therapy guidance. Methods: An 8-week, randomized, single-blind clinical trial was conducted to evaluate the effectiveness and tolerability of PGATx in 100 patients with MDD. All recruited patients were randomly allocated either to PGATx (n=52) or treatment as usual (TAU, n=48) groups. The primary endpoint was a change of total score of the Hamilton Depression Rating Scale-17 (HAMD-17) from baseline to end of treatment. Response rate (at least 50% reduction in HAMD-17 score from baseline), remission rate (HAMD-17 score ${\leq}7$ at the end of treatment) as well as the change of total score of Frequency, Intensity, and Burden of Side Effects Ratings (FIBSER) from baseline to end of treatment were also investigated. Results: The mean change of HAMD-17 score was significantly different between two groups favoring PGATx by -4.1 point of difference (p=0.010) at the end of treatment. The mean change in the FIBSER score from baseline was significantly different between two treatment groups favoring PGATx by -2.5 point of difference (p=0.028). The response rate (71.7 % vs. 43.6%, p=0.014) were also significantly higher in PGATx than in TAU at the end of treatment, while the remission rate was numerically higher in PGATx than in TAU groups without statistical difference (45.5% vs. 25.6%, p=0.071). The reason for early drop-out associated with adverse events was also numerically higher in TAU (n=9, 50.0%) than in PGATx (n=4, 30.8%). Conclusion: The present study clearly demonstrate that PGATx may be a better treatment option in the treatment of MDD in terms of effectiveness and tolerability; however, study shortcomings may limit a generalization. Adequately-powered, well-designed, subsequent studies should be mandatory to prove its practicability and clinical utility for routine practice.

• 대한공업교육학회지
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• 제43권2호
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• pp.79-96
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• 2018

이 연구에서는 특성화고등학교 학생들의 성취목표지향성이 학업적 자기효능감에 미치는 영향과 성취목표지향성의 유형에 따른 학업적 자기효능감의 차이를 살펴 보았다. 이를 통하여 학업적 자기효능감을 효율적으로 높일 수 있고, 부정적 요소를 개선할 수 있는 연구 및 학습 생활지도 방안 도출, 교수 학습방법 선정에 도움을 주는 것에 그 목적이 있었다. 이러한 목적을 달성하기 위해 전국 5개 권역 18개교 공업계열 특성화고등학교 학생 745명을 대상으로 성취목표지향성 측정 도구(26문항), 학업적 자기효능감 측정 도구(28문항)를 사용하여 설문 조사를 실시하였다. 이 연구의 결과는 다음과 같다. 첫째, 과제난이도 선호와 자기조절효능감은 숙달접근 목표지향성과 정(+)의 방향으로 높은 상관관계, 자신감과 숙달회피 목표지향성은 음(-)의 방향으로 높은 상관관계가 있는 것으로 나타났다. 둘째, 특성화고등학교 학생들의 성취목표지향성 유형은 '수행 회피형(34.8%)', '숙달접근 지향형(20.8%)', '접근형(17%)', '회피적 경쟁형(14.9%)', '숙달 회피형(12.5%)'의 5가지 유형으로 분류되었다. 과제난이도 선호에서 '접근형' 집단의 평균점수가 가장 높은 것으로 나타났고, '숙달 회피형' 집단의 평균점수가 가장 낮게 나타났다. '접근형' 집단의 평균점수는 자신감에서도 다른 집단에 비하여 높게 나왔으나 '숙달접근 지향형' 집단의 평균점수가 가장 높게 나타났다. 이 연구의 결과를 통해 학업적 자기효능감은 성취목표지향성에 따라 일정한 방향성을 가진 채로 영향을 미치고, 학생이 가진 목표지향성에 따라 학업적 문제를 다르게 접근하는 것이 필요하다는 것을 알 수 있었다. 따라서 특성화고등학교 학생의 성취목표지향성의 학업적 자기효능감에 대한 설명력과 성취목표지향성 유형 분석을 바탕으로 학생 유형에 따른 교육 방법을 제공할 필요가 있다.