• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.145-152
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• 2015

Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.

• 재활복지
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• 제21권1호
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• pp.279-299
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• 2017

이 연구는 지체장애인 휠체어농구 동호인이 동호회 활동에 참여하는 동기는 무엇이고, 참여를 저해하는 요인은 무엇인지 알아보고, 이를 토대로 향후 지체장애인 휠체어농구 동호회의 효과적인 운영 방향을 모색하기 위한 목적으로 수행되었다. 연구를 위해 서울, 경기, 충청, 경남, 제주 등에서 현재 휠체어 농구 동호회 활동에 참여하고 있는 회원 180명을 대상으로 설문조사를 실시하였고, 이 중 최종적으로 144명이 응답한 자료를 분석 대상으로 하였으며, 연구의 주요 결과는 다음과 같다. 첫째, 지체장애인 휠체어농구 동호인의 참여 동기를 조사 분석한 결과, 취미오락형 참여 동기가 가장 높게 나타났고, 다음으로는 건강지향형, 사교지향형 참여 동기 등의 순으로 나타났다. 동호인의 인구사회학적 특성 및 동호회 참여 정도에 따른 참여 동기의 차이를 검증한 결과, 취미오락형 참여 동기의 경우 주거 그룹, 주관적 건강상태에 따라 유의미한 차이를 보였고, 자기개발형 참여 동기의 경우 연령, 직업 유무, 주거 그룹, 동호회 참여 횟수에 따라 유의미한 차이를 보였다. 둘째, 지체장애인 휠체어농구 동호인의 참여 저해요인을 조사 분석한 결과, 구조적 요인이 가장 큰 저해 요인으로 나타났고, 동호인의 인구사회학적 특성 및 동호회 참여 정도에 따른 참여 저해 요인의 차이를 검증한 결과, 내재적 요인의 경우 연령, 최종학력, 직업 유무, 동호회 참여 횟수에 따라 통계적으로 의미 있는 차이를 나타냈다. 이상의 연구 결과를 토대로 향후 지체장애인 휠체어농구 동호회의 효과적인 운영 방안에 대하여 몇 가지 논의하였다.

• 영재교육연구
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• 제11권3호
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• pp.245-270
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• 2001

본 연구는 우리나라 국제 과학(수학, 물리, 화학, 생물, 정보) 올림피아드 참가 경험자들을 통해 과학영재로 성장하기까지의 교육 경험, 가정 환경, 학교요인, 인적 자원, 부모의 양육태도 등의 영향을 조사하였다. 조사한 결과 다음과 같은 결과를 얻었다. 첫째, 아버지의 전문직 종사와 어머니의 양육, 부모의 재능 발견 등의 가정 환경이 과학영재의 재능 개발에 긍정적으로 영향을 끼쳤다. 둘째, 학생들이 과학영재로 성장하기까지 책과 독서의 영향이 컸다. 많은 양의 장서와 1주에 1권 이상씩의 독서, 가족의 독서 분위기가 영향을 주었다. 셋째, 속진과 재능개발프로그램의 참여가 도움을 주었으며, 교사 및 가정의 학습환경, 부모의 인적자원이 재능개발에 긍정적으로 기여하였다. 넷째, 수업의 질과 획일화된 교과과정은 방해요인으로 작용하였다. 다섯째, 가장 영향을 많이 받은 사람은 부모이며, 부모의 자녀에 대한 양육태도는 허용적이고 애정적이고 지지적이며, 아버지의 독립적 특성과 어머니의 보호적 태도가 상호보완을 이루어 민주적인 방식으로의 양육이 도움을 주었다. 위와 같은 결과를 통해, 과학영재의 발굴과 과학영재로서의 성장에 지적 자극이 되는 가정환경과 부모의 역할의 중요성이 다시 강조되었으며, 앞으로의 과학영재 발굴과 성장에 민주적인 부모-자녀 관계의 형성, 학교장면에서는 독립적이고 자율적인 학습환경과 질 높은 수업 분위기, 영재교육프로그램의 제공 등의 필요성이 제언되었다.

• Nutrition Research and Practice
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• 제8권1호
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• pp.94-102
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• 2014

Diet attrition and failure of long term treatment are very frequent in obese patients. This study aimed to identify pre-treatment variables determining dropout and to customise the characteristics of those most likely to abandon the program before treatment, thus making it possible to modify the therapy to increase compliance. A total of 146 outpatients were consecutively enrolled; 73 patients followed a prescriptive diet while 73 followed a novel brief group Cognitive Behavioural Treatment (CBT) in addition to prescriptive diet. The two interventions lasted for six months. Anthropometric, demographic, psychological parameters and feeding behaviour were assessed, the last two with the Italian instrument VCAO Ansisa; than, a semi-structured interview was performed on motivation to lose weight. To identify the baseline dropout risk factors among these parameters, univariate and multivariate logistic models were used. Comparison of the results in the two different treatments showed a higher attrition rate in CBT group, despite no statistically significant difference between the two treatment arms (P = 0.127). Dropout patients did not differ significantly from those who did not dropout with regards to sex, age, Body Mass Index (BMI), history of cycling, education, work and marriage. Regardless of weight loss, the most important factor that determines the dropout appears to be a high level of stress revealed by General Health Questionnaire-28 items (GHQ-28) score within VCAO test. The identification of hindering factors during the assessment is fundamental to reduce the dropout risk. For subjects at risk, it would be useful to dedicate a stress management program before beginning a dietary restriction.

• Biomolecules & Therapeutics
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• 제29권3호
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• pp.342-351
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• 2021

Liver colonization is initiated through the interplay between tumor cells and adhesion molecules present in liver sinusoidal endothelial cells (LSECs). This crosstalk stimulates tumor COX-2 upregulation and PGE2 secretion. To elucidate the role of the LSEC intercellular adhesion molecule-1 (ICAM-1) in the prometastatic response exerted by tumor and stromal COX-2, we utilized celecoxib (CLX) as a COX-2 inhibitory agent. We analyzed the in vitro proliferative and secretory responses of murine C26 colorectal cancer (CRC) cells to soluble ICAM-1 (sICAM-1), cultured alone or with LSECs, and their effect on LSEC and hepatic stellate cell (HSC) migration and in vivo liver metastasis. CLX reduced sICAM-1-stimulated COX-2 activation and PGE2 secretion in C26 cells cultured alone or cocultured with LSECs. Moreover, CLX abrogated sICAM-1-induced C26 cell proliferation and C26 secretion of promigratory factors for LSECs and HSCs. Interestingly, CLX reduced the protumoral response of HSC, reducing their migratory potential when stimulated with C26 secretomes and impairing their secretion of chemotactic factors for LSECs and C26 cells and proliferative factors for C26 cells. In vivo, CLX abrogated the prometastatic ability of sICAM-1-activated C26 cells while reducing liver metastasis. COX-2 inhibition blocked the creation of a favorable tumor microenvironment (TME) by hindering the intratumoral recruitment of activated HSCs and macrophages in addition to the accumulation of fibrillar collagen. These results point to COX-2 being a key modulator of processes initiated by host ICAM-1 during tumor cell/LSEC/HSC crosstalk, leading to the creation of a prometastatic TME in the liver.

• 패션비즈니스
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• 제24권5호
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• pp.1-20
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• 2020

This study analyzed the perceptions related to recycling clothing and the actual conditions of unused clothing based on demographic characteristics to help reduce environmental pollution. A total of 833 questionnaires were used in data analysis for this survey study. The subjects consisted of men and women in their 20s to 50s who resided in Gyeongnam and Ulsan, Korea. The data were analyzed by χ²-test using SPSS. The results obtained were as follows. The intention to recycle others' clothing was significantly different for all the demographic characteristics. Overall, the response "I have an intention to recycle others' clothing" was reported by a relatively high proportion of the respondents. The analysis of the motivation to others' clothing showed a significant difference in all demographic characteristics except gender. The main motivation for recycling clothing was because "I wanted to recycle the clothing". The factors hindering recycling others' clothing showed significant differences according to gender, marital status, and occupation. The main hindrance factor was reported as "feeling uncomfortable". The causes of occurrence of unused T-shirts significantly different for all demographic characteristics. The causes of occurrence of unused trousers and skirts was significantly different for all demographic characteristics except monthly income. The cause of undisposed, unused clothing was related to all demographic characteristics Overall, the response "reluctant to dispose of" was reported by a relatively high proportion of the respondents.

• 한국정보시스템학회지:정보시스템연구
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• 제24권2호
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• pp.73-96
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• 2015

Purpose Information security industry is rapidly growing, but has been confronted with many challenges in a business environment. One of them is the imbalance between supply and demand of information security manpower, which has caused an insecure market situation. Therefore, this study has derived factors of promoting and hindering information security manpower from governance, academics, corporations, and workforce perspectives, and has analyzed a sequence of cause and effect of each factor. Design/methodology/approach This study is an exploratory research based on the interviews. The causal loop diagram (CLD) was developed to deduce key issues and propose alternatives. Findings The result of this study is expected to help the development of information security manpower in Korea, by minimizing the potential negative effects as well as maximizing the positive effects. This study found out the dynamic causes and effects of the security manpower system in each stakeholder's perspective. The cause-and-effect relationships between the stakeholders will be able to contribute to solve the imbalance of supply and demand in security manpower system.

• International Journal of Computer Science & Network Security
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• 제21권12spc호
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• pp.495-502
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• 2021

The study is devoted to substantiation of directions of intensification of development of small innovative enterprise, which has a significant impact on the overall innovation activity of the country and promotes innovative development, transition to more advanced technological systems. The outlined role of small business in innovative development in the direction of intensifying innovation in the economy, improving organization and production, as well as in the form of direct participation in the innovation process, production of science-intensive products, stimulating demand for innovation. A group of factors hindering the development of small innovative entrepreneurship was identified, including: financial aspects of the activity, shortcomings of organizational and communicative nature, underdeveloped technology market, information plan problems, internal production problems of small business, market problems. The directions of intensification of the development of small innovative entrepreneurship are substantiated, namely: financial and credit support of small innovative entrepreneurship; introduction of tax incentives; material and technical support; nationwide intensification of innovation activity; information support; development of innovation infrastructure. The involvement of the outlined directions of intensification of small innovative entrepreneurship will help to obtain a synergistic effect of innovative development of both small innovative business structures and the economy as a whole.

• The Journal of Asian Finance, Economics and Business
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• 제8권4호
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• pp.33-42
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• 2021

This study aims to investigate the relationship between foreign direct investment (FDI) and economic growth at the provincial level by using time-series data in Binh Dinh from 1997 to 2019. We applied the quantitative approaches Vector Autoregression (VAR) and Autoregressive Distributed Lags (ARDL) in the model, which includes economic growth, real foreign direct investment capital, ratio of trained workers, and infrastructure. The results show that all these variables are stationary at the first difference. In ARDL analysis, we found that the economic growth positively affects FDI attraction. However, there is no evidence of the effect of FDI on economic growth in the condition of low capital implemented. Moreover, findings also show that the impact of FDI on economic growth is influenced by two factors: infrastructure and human capital. The lack of human capital, which is trained personnel and infrastructure, is the main barrier hindering and inhibiting FDI's contribution to local economic growth. In order to improve the efficiency of FDI on economic growth in the future, it is suggested that the Binh Dinh government should have proper policies in terms of the infrastructure, the human capital investment. They would allow Binh Dinh to enhance the capital absorptive capacity and capital efficiency.

• Journal of Preventive Medicine and Public Health
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• 제51권4호
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• pp.173-180
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• 2018

Objectives: Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination. Methods: The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found. Results: A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups. Conclusions: The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.