• Title/Summary/Keyword: In role behavior

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Predictive Role of Tumor Size in Breast Cancer with Axillary Lymph Node Involvement - Can Size of Primary Tumor be used to Omit an Unnecessary Axillary Lymph Node Dissection?

  • Orang, Elahe;Marzony, Eisa Tahmasbpour;Afsharfard, Aboulfazl
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.717-722
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    • 2013
  • Background: Breast cancer is the most common cancer among women worldwide. The aim of this study was to investigate the relationship between tumor size and axillary lymph node involvement (ALNI) in patients with invasive lesions, to find the best candidates for a full axillary dissection. Additionally, we evaluated the association between tumor size and invasive behavior. The study was based on data from 789 patients with histopathologically proven invasive breast cancer diagnosed in Shohada University hospital in Tehran, Iran (1993-2009). Cinical and histopathological characteristics of tumors were collected. Patients were divided into 6 groups according to primary tumor size: group I ($0.1-{\leq}1cm$), II ($1.1-{\leq}2cm$), III ($2.1-{\leq}3cm$), IV ($3.1-{\leq}4cm$), V ($4.1-{\leq}5cm$) and VI (>5cm). The mean(${\pm}SD$) size of primary tumor at the time of diagnosis was $3.59{\pm}2.69$ cm that gradually declined during the course of study. There was a significant correlation between tumor size and ALNI (p<0.001). A significant positive correlation between primary tumor size and involvement of surrounding tissue was also found (p<0.001). The mean number of LNI in group VI was significantly higher than other groups (p<0.05). We observed more involvement of lymph nodes, blood vessels, skin and areola-nipple tissue with increase in tumor size. We found 15.3% overall incidence of ALNI in tumors ${\leq}2cm$, indicating the need for more investigation to omit full axillary lymph node dissection with an acceptable risk for tumors below this diameter. While in patients with tumors ${\geq}2cm$, 84.3% of them had nodal metastases, so the best management for this group would be a full ALND. Tumor size is a significant predictor of ALNM and involvement of surrounding tissue, so that an exact estimation of the size of primary tumor is necessary prior to surgery to make the best decision for management of patients with invasive breast cancer.

The Trend of Korean Nursing Research with the LISREL (공변량 구조분석을 이용한 국내 간호연구의 동향)

  • 임난영;강현숙;이성은;서연옥;권영은
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.221-231
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    • 2001
  • This study was conducted by analyzing all 33 articles based on the LISREL, published from January 1991 to March 1999 in Korea. The analyses consisted of the publication date of articles, principal dependent variables, subjects of the research, adequacy of sampling, adequacy of research purposes and results, accordance between theoretical model and hypothetical model, fit measures, theoretical base of model modification, and adequacy of conclusion. The results were as follows : . The thesis of 33 articles in total were outnumbered as 25 (75.8%) to 8 (24.2%) research articles. As for a sex classification of the subjects, 45.5% of the research were conducted around a female group of subjects, while 54.5% were done for both sex, The range of the sample size was 105 to 803, and the average was 259 subjects. . A single theoretical variable was measured for each measurement variable, any difference between variables was hardly found in 8 articles (24.2%), and 19 articles (57.6%) did not consider any measurement error. To analyze if the representative has been articles (21.2%) were seen with a sign of a representative. Questionnaires were used in a majority (31 articles) of the data collecting process. Only 2 articles (6.1%) were measured with a physiologic index simultaneously. . 14 articles (42.2%) were centered on theory development, 10 articles on theory synthesis, and 9 articles on theory test. The research purposes and results were consistent in 25 articles (75.5%) and 8 articles (24.2%) were inconsistent. The quality of life and health promotion behavior were the concepts most frequently studied as a dependent variable, and 7 articles centered on them. In applied theories a health promotion model was used on 4 articles (12.1%), while role theory and stress-coping models were in 3 articles respectively. . The articles were analyzed to see if the hypothetical model was elaborated and tested by the theoretical model. Twenty-five articles proved to be rationale for the inconsistencies. Also, 56.5% proposed hypotheses were supported among the subject articles, and 30 articles (90.0%) suggested a revised model. Path coefficient (17 articles) and theoretical adequacy (17 articles) were the standards mostly used. In conclusion, the principal factors were obtained from the research are to be considered as the principes of LISREL application. First, a model has to be established on a theoretical base rather than empirical results dependent on the data. The results are also required to be globally interpreted. Secondly, at least 200 samples are necessary to satisfy the need. Third, more than 3 measurement variables are to be adjusted to a single theoretical variable; the measurement errors must be suggested as well. Finally, normal distribution characteristics of the data and the estimation method need to be reported. Based on the research result, the follows are suggested; . Systematic criteria on the LISREL application and procedure need to be developed . Agreement form is required to report the results of research using the LISREL

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Applications of SMCRE Model on Social Amplification of MERS Risk Information and its Implications (메르스 위험정보유통의 사회적 확산에 관한 SMCRE 모형의 적용과 함의)

  • Choi, Choong-Ik;Bae, Suk-Kyeong;Kim, Chul-Min
    • Journal of Distribution Science
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    • v.14 no.6
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    • pp.89-98
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    • 2016
  • Purpose - This article tackles risk communication issues and aims to address the characteristics of MERS risk information distribution in South Korea, and secondly to examine the communicative behavior of the public health authority in terms of the quality of communication strategies. Thirdly, the study attempts to figure out the risk communication to cope with MERS through the applications of SMCRE model in chronological order. We employ the social amplification of risk framework for analyzing the emergent public response as one of the main approaches. Research Design, Data and Methodology - The main framework of this study is theoretically based on the social amplification of risk, which describes signals about risk transmitted and processed by individuals and social groups. The model also reflects the interactions between social groups and institutes about disaster-related risk issues, which are potential amplifiers or attenuators of communication signals. S-M-C-R-E Model is methodologically employed to examine the social amplification for MERS risk information in each period, which we defined operationally. The proposed methodology allows the assessment of effectiveness and ineffectiveness on risk communication to be conceptualized as a countermeasure against disasters. The paper focuses on exploring how social risk amplification can be applied and organized in each stage. Results - The SMCRE model describes the exchange of risk information and is also applied to all forms of communication between stakeholders including public health authority, local government and media. Each factor of risk communication includes source, message, channel, receiver and effect. The results support that the effective risk communication involves not only the improved reliability of public health authority as a key factor of risk communication, but also a close cooperation and good collaboration with local governments. It does not seem to be possible that the government-initiated risk communication based on controllability and management cope effectively with infectious disease in early stage. The results of this study imply that the shared risks between local, regional and national authorities can enhance risk communication system. Conclusions - The study supports that the disparities in how disaster-related risk information is interpreted and coded, have made effective risk communication and public sense-making impeded. Our findings support a more communicative discussion about the role of risk information sharing between governments for the improvement of emergency management and underline the importance of social elements in the risk communication, such as relationship and trust building. Findings suggest that trust building between stakeholders could be added to help explain the processes of social amplification and attenuation of risk. It would be recommended that the continuous risk communication with all the involved stakeholders will be able to help national health promotion policy to be improved regarding emergency management. Furthermore, risk communication has to be a scientific approach for the communication pertaining to potentially sensitive or controversial situations with public concerns and low public trust.

Experimental and CFD Study on the Exhaust Efficiency of a Smoke Control Fan in Blind Entry Development Sites (맹갱도 굴진 작업공간내 방재팬의 화재연 배기효율에 관한 현장실험 및 CFD 연구)

  • Nguyen, Vanduc;Kim, Dooyoung;Hur, Wonho;Lee, Changwoo
    • Tunnel and Underground Space
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    • v.28 no.1
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    • pp.38-58
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    • 2018
  • The ventilation system plays a crucial role in underground mine safety. The main objective of the ventilation system is to supply sufficient air to dilute the contaminated air at working places and consequently provide tenable environment during the normal operation, while it also should be capable of controlling the fire propagation and facilitate rescue conditions in case of fire in mines. In this study, a smoke control fan was developed for the auxiliary ventilation as well as the fire smoke exhaust. It works as a free-standing auxiliary fan without tubing to dilute or exhaust the contaminated air from the working places. At the same time, it can be employed to extract the fire smoke. This paper aims to examine the smoke control efficiency of the fan when combined with the current ventilation system in mines. A series of the site experiments and numerical simulations were made to evaluate the fan performance in blind entry development sites. The tracer gas method with SF6 was applied to investigate the contaminant behavior at the study sites. The results of the site study at a large-opening limestone mine were compared with the CFD analysis results with respect to the airflow pattern and the gas concentration. This study shows that in blind development entry, the most polluted and risky place, the smoke fan can exhaust toxic gases or fire smoke effectively if it is properly combined with an additional common auxiliary fan. The venturi effect for smoke exhaust from the blind entry was also observed by the numerical analysis. The overall smoke control efficiency was found to be dependent on the fan location and operating method.

The Copper Adsorption onto 'Hwangto′ in the Okjong Area, Hadong (하동군 옥종 지역에서 산출되는 황토의 구리 흡착 특성)

  • 조현구;양도열;김영호
    • Journal of the Mineralogical Society of Korea
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    • v.16 no.4
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    • pp.321-331
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    • 2003
  • We researched the variation of mineral composition with depth and the Cu adsorption behavior of Hwangto in the Okjong area, Hadong. The 4 Hwangto samples were collected from depth 10 cm, 25 cm, 2∼3 m and under 3 m from surface, and analyzed using the X­ray Diffractometer. The Hwangto samples were mostly composed of clay minerals such as kaolinite and halloysite. Two samples from 10 cm and 25 cm contained Fe or Al hydroxide minerals, for example goethite or gibbsite. As depth increases, the content of quartz decreases but that of kaolinite increases. The amount of Cu removal was rapidly rised from pH 4, and reached about 90% at pH 6 and above 90% at pH 7. It is regarded that the trend of Cu removal was affected by the difference in mineral composition. It was relatively well matched between experimental value and calculated value by MINTEQA2 program in the case of high Cu concentration. From this study the precipitation has important role for the removal of Cu ions, particularly in the case of high Cu concentration. However, it was discord between experimental value and calculated one in the dilute concentration circumstances. The reason may be the mistake in parameters, insufficient reaction time, and inadequate consideration of reaction site in mineral surface.

A Characteristic of Hyeonmoyangcheo-discourse for Education of Girls' School in the 1950s (1950년대 여학교 교육을 통해 본 '현모양처'론의 특징)

  • Kim, Eun-Kyung
    • Journal of Korean Home Economics Education Association
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    • v.19 no.4
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    • pp.137-151
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    • 2007
  • The characteristics of Hyeonmoyangcheo-ism (wise mother, good wife) in the 1950s, which were observed through the girls' school curriculums and homekeeping textbooks, were arranged as follows. Firstly, Hyeonmoyangcheo-ism in homekeeping textbooks in the 1950s stressed the modern housewife. The Confucianwomen's virtues, such as submissiveness, faithfulness and samjongjido (obedience to father, husband and son), that were in girls' moral training and home management textbooks during the Japanese imperialism. This was a part of girls' education built on democracy and equality asserted by a new Korea, the 'modern nation'. Secondly, with the increasing demands for women's labor after the Korean War, women's occupations were reinforced and incorporated in homekeeping textbooks in the 1950s. Even though having a job was a secondary task to the role of a homemaker, the details of women's occupation illustrates the characteristics of Hyeonmoyangcheo-ism in this period of time. Thirdly, The resident practice program emphasized the tradition women's behavior along with the modern homemaker, the rational designer of homekeeping. This seems to have been reinforced from the criticism towards women based on Westernization after the Korean War.

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Skin Hydration Effect of Brasenia schreberi Mucilage Polysaccharide Extract (순채 점액질 다당체 추출물의 피부 보습 효과 연구)

  • Ahn, Seyeon;Gil, Soyeon;Kwon, Ohsun;Chang, Yunhee;Jin, Mu Hyun
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.43 no.3
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    • pp.223-230
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    • 2017
  • In this study, we evaluated the skin moisturizing effect of Brasenia schreberi (B. schreberi) mucilage polysaccharide on human skin and in vitro and the potent cosmetic ingredient for skin. To protect skin from various environmental stresses and aging, we should increase moisture content of skin and prevent water loss. We have found that polysaccharides extracted from mucilage of B. schreberi improved the roughness of skin with its lubricating behavior. In vitro, the expression of transglutaminase 1 (TGM1) gene, which plays a role in cross-linking the skin barrier, was increased when the keratinocytes were treated with B. schreberi polysaccharides. In addition, the expression of hyaluronan synthase 3 (HAS3) gene, an enzyme that synthesizes water-binding matrix hyaluronic acid, aquaporin 3 (AQP3), which regulates the movement of water and glycerol were also increased. In addition, an experiment to evaluate its potential as a cosmetic ingredient has shown anti-inflammatory and collagen synthesis-promoting effects. As a result, the mucilaginous polysaccharide from natural products which has not existed before, showed moisturizing effect, anti-inflammation and collagen synthesis-promoting effects for skin protection and hydration.

A Study on Sick Role Behavior of Some Hypertensive Workers (일부 근로자들의 고혈압치료형태에 관한 연구)

  • Lee, Eun-Il;Kim, Soon-Duck;Cha, Chul-Whan
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.203-212
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    • 1986
  • Hypertension is one of the most well known risk factors for cerebrovascular or coronary heart disease and is a major public health problem. Early detection and treatment of hypertension are essential, but the compliance of treatment on hypertension is not easy to achive. Hypertensive workers are being detected by the annual screening under the Labour Standard Law in Korea but the solidified control system for them is not existing. This study about workers 'Motive-Belief-Action in non-drug and drug treatment of their hypertension would be worthwhile to interpret how the workers actually behave in coping with hypertension, and also would be advisable to construct the follow-up program in Korea. In the field research process two criteria were used to select sample group. The first criterion included the workers who were screened to be hypertensive with their blood pressure above 160/95 in this survey. The second one was used to classify study-group respondents who had known their hypertension by successive annual screening. From such criteria a total of 156 male workers were sampled in 21 industries, the author interviewed them using the structured questionnaire which consisted of Belief-Motive-Action items about non-drug and drug treatment for hypertension with open-ended question on symptom of hypertension. The summary is as follows: 1) Sixty-one percent of respondents had ever checked their blood pressure somewhere besides the annual screening. 2) Most respondents(97.2%) complained no symptoms of hypertension at all. 3) Belief level of non-drug treatment was relatively high (82.1%-64.7%), but motive(55.1%-28.2%) and action(38.5%-16.7%) levels were low. 4) Belief level of drug treatment was relatively lower than that of non-drug treatment, blue collar workers showed higher artier level of drug treatment than white collar workers, and correlation coefficient between belief and motive on drug treatment was lower in group of not-recognizing their family history of hypertension than recognized group. Such findings indicated that belief on drug treatment of hypertensive workers would be problematic. 5) White collar workers showed significant lower correlation coefficients between Motive and Action of salt restriction, restriction of fatty diet and relaxation than blue collar workers. 6) Mild hypertension group showed low levels of Motive and Action of non-drug treatment(salt restriction, restriction of fatty diet and relaxation) and also showed low correlation coefficient between Belief and Motive of above non-drug treatment.

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Security Credential Management & Pilot Policy of U.S. Government in Intelligent Transport Environment (지능형 교통 환경에서 미국정부의 보안인증관리 & Pilot 정책)

  • Hong, Jin-Keun
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.13-19
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    • 2019
  • This paper analyzed the SCMS and pilot policy, which is pursued by the U.S. government in connected vehicles. SCMS ensures authentication, integrity, privacy and interoperability. The SCMS Support Committee of U.S. government has established the National Unit SCMS and is responsible for system-wide control. Of course, it introduces security policy, procedures and training programs making. In this paper, the need for SCMS to be applied to C-ITS was discussed. The structure of the SCMS was analyzed and the U.S. government's filot policy for connected vehicles was discussed. The discussion of the need for SCMS highlighted the importance of the role and responsibilities of SCMS between vehicles and vehicles. The security certificate management system looked at the structure and analyzed the type of certificate used in the vehicle or road side unit (RSU). The functions and characteristics of the certificates were reviewed. In addition, the functions of basic safety messages were analyzed with consideration of the detection and warning functions of abnormal behavior in SCMS. Finally, the status of the pilot project for connected vehicles currently being pursued by the U.S. government was analyzed. In addition to the environment used for the test, the relevant messages were also discussed. We also looked at some of the issues that arise in the course of the pilot project.

A Case Study of Therapeutic Song Making to Enhance the Self-identity of Adolescents in Residential Treatment Facility (시설보호청소년의 자아정체감 증진을 위한 치료적 노래만들기 사례)

  • Hwang, Hyejin;Song, Inryoeng
    • Journal of Music and Human Behavior
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    • v.19 no.1
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    • pp.43-67
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    • 2022
  • This is a case study of therapeutic song making activities aimed at improving the self-identity of adolescents in residential treatment facility. The participants were three male teenagers (16 to 18 years of age). The song making intervention was conducted individually with the participants once a week over 13 weeks, and each session lasted 60 minutes. The participants took the lead in making songs by discussing on the self-image and his/her role in the relationship and using musical elements to reflect his/her perception. For analysis, an evaluation method was used to analyze the pre- and post-test results for each sub-domain of the self-identity scale, and changes in the verbal and musical responses during each session. Two of the participants demonstrated higher post-test results compared to their pre-test performance, and their highest post-test scores were for the subdomains of intimacy and initiative respectively. In terms of verbal and musical responses per session, all three participants improved their subjectivity through the self-exploration process, which contributed to the establishment of a more positive self-image. This study suggests that facility youth engaging in making creative songs can positively change their perception of their present and future selves and have a positive effect on their sense of identity.