• 의학교육논단
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• 제17권2호
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• pp.78-87
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• 2015

Mongolia is suffering from the inadequate capacity of medical doctors due to a poor education and training system. The purpose of this article is to evaluate the effect of a clinical training program for capacity building of medical doctors in Mongolia, and to suggest an effective model for continuing professional development in developing countries. Based on the results of a needs assessment, Korean and Mongolian medical experts developed a clinical training program and trained the trainers on 32 topics regarding major clinical problems in 6 specialties, including cardiology, endocrinology, pediatrics, obstetrics and gynecology, neurology, and emergency medicine. Surveillance survey and pre/post-test were used on every topic to evaluate the satisfaction and achievement, respectively, of the trainees. Six months after the clinical training program, we interviewed a sample of medical professionals to evaluate the change and impact. A total of 612 (person-year) medical doctors participated in the training, and the average score for satisfaction was 7.69 out of 8. The average score of the pre-test was 46.9 out of 100, while the post-test was 82.4. After the training, the medical doctors were applying their new knowledge and skills to their practice, and using the materials as guidelines, which improved their practice and increased patient satisfaction. They also started their own training program and adopted new equipment at their hospitals. The satisfaction and achievement of the trainees were very high, and there was significant change in the medical practice, education system, and infrastructure after the training program. This training program can be an effective model for capacity building of medical doctors in developing countries.

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3639-3644
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• 2015

Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

• 한국가스학회지
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• 제4권4호
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• pp.20-24
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• 2000

한국의 Liquid Petroleum Gas 충전소에 있어서 안전관리자의 정전기에 대한 안전 의식을 설문 조사했다. 또한, 위험요소로 판단된 일반 작업복과 순면 작업복의 정전기에 의한 화재 폭발 위험성을 평가했다. 설문 조사에 의하면, 충전소에서는 정전기 예방 측면의 효율적인 교육 및 인식 부족으로 인해 무분별한 작업복을 착용하고 있는 것으로 나타났다. 특히 현재 착용하고 있는 일반 작업복의 경우, 실험에 의한 대전 전하량이 동복 1.79$\mu$C 춘추복 1.44$\mu$C, 하복 1.02$\mu$C로 한국공업규격 (KS K-7807) 에서 정전기 재해 위험 가능성에 대해 언급한 0.60$\mu$C를 크게 상회하여 위험성이 존재했다. 반면. 순면 작업복의 경우는 대전량이 0.52$\mu$C에서 0.42$\mu$C의 범위로 안전한 것으로 나타났다. 따라서, 향후 시각적, 체험적 교육을 병행한 정전기 교육의 질적 향상이 요구되며, 정전기에 의한 재해를 방지하기 위해 착용하는 작업복에 대한 관련 기술 기준의 제정이 요구된다.

• 한국산림과학회지
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• 제106권2호
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• pp.111-120
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• 2017

IUCN의 적색목록은 전 세계 규모에서 가장 신뢰받는 멸종, 희귀 동식물종의 평가와 보전 정보를 제공하고 있다. 2016년 7월까지 한반도에 분포하는 식물중 IUCN 적색목록 평가를 받은 종은 236종으로, 5종이 멸종위기종(CR), 20종이 위기종(EN), 9종이 취약종(VU)으로 확인되었다. 나머지 189종은 약관심종(LC)으로 평가되었다. 환경부는 2011년 국가적 색목록 평가라는 명목 하에 IUCN 적색목록과 내용, 형식이 다른 정성적 기준에 따라 평가 결과를 제시하였다. 이와는 별개로 환경부는 멸종위기종 I급과 II급 목록을 57종으로 수정 제시하였다. 이 목록은 IUCN의 적색목록과 비교시 일부 공통종이 있으나 공통종도 보전상의 지위가 일치하지 않는다. 이런 평가 내용의 불일치의 이유는 남한이라는 제한된 지역 수준의 평가로는 전 세계 규모의 평가와는 결과가 일치할 수 없기 때문이다. 평가에 필요한 정보가 부실하게 제시되거나 정보가 없는 상태에서 자의적 평가가 이루어진 경우도 있다. 국가 단위의 종 관리를 위해서는 멸종과 절멸에 대한 엄밀한 용어 적용과 남한에 국한된 제한적 시각의 편향된 결과를 배제하고, 분류학적 실체에 근거한 종 선정, 평가를 위한 개체군의 크기, 분포, 개체수, 개체군 증감에 대한 구체적 자료 제시와 수집이 필요하다. 환경부의 현재 멸종위기동식물 목록은 '국내절멸위기목록'으로 변경하고, 전 세계 단위의 IUCN적색목록 평가종을 '멸종위기목록'으로 이원화해서 관리할 필요가 있다. 현재 국가 기관에서 제시하는 몇 백 종의 과도한 목록 보다는 우선 평가 대상의 종을 순차적으로 늘려가면서, 평가 및 종관리에 내실을 다지는 것이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권10호
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• pp.6041-6048
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• 2013

Background: Japanese women in their 40s or older have been encouraged to attend breast cancer screening. However, the breast cancer screening rate in Japan is not as high as in Europe and the United States. The aim of this study was to identify psychological and personal characteristics of women concerning their participation in breast cancer screening using the Health Belief Model (HBM). In addition, the attributes of screening more easily accepted by participants were analyzed by conjoint analysis. Materials and Methods: In this cross sectional study of 3,200 age 20-69 women, data were collected by an anonymous questionnaire. Questions were based on HBM and personal characteristics, and included attitudes on hypothetical screening attributes. Data of women aged 40-69 were analyzed by logistic regression and conjoint analysis to clarify the factors affecting their participation in breast cancer screening. Results: Among responses collected from 1,280 women of age 20-69, the replies of 993 women of age 40-69 were used in the analysis. Regarding the psychological characteristics based on HBM, the odds ratios were significantly higher in "importance of cancer screening" (95%CI: 1.21-2.47) and "benefits of cancer screening" (95%CI: 1.09-2.49), whereas the odds ratio was significantly lower in "barriers to participation before cancer screening" (95%CI: 0.27-0.51). Conjoint analysis revealed that the respondents, overall, preferred screening to be low cost and by female staff members. Furthermore, it was also clarified that attributes of screening dominant in decision-making were influenced by the employment status and the type of medical insurance of the women. Conclusions: In order to increase participation in breast cancer screening, it is necessary to disseminate accurate knowledge on cancer screening and to reduce barriers to participation. In addition, the attributes of screening more easily accepted were inexpensive, provided by female staff, executed in a hospital and finished in a short time.

• 한국벤처창업학회:학술대회논문집
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• 한국벤처창업학회 2007년도 춘계학술대회
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• pp.35-64
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• 2007

중소기업의 기술혁신 역량을 강화하기 위한 각종 정부 정책과 투자의 지속적인 확대에도 불구하고 우리나라의 산학연 협력 수준은 선진국에 비해 아직도 상당히 미홉한 것으로 평가되고 있다. 또한 기술혁신성과에 영향을 미치는 기업 내부요인에 대해 다양한 요인이 제시되고 있지만, 산학연 기술협력과 기술혁신성과 간의 관계에 대한 기존 연구에서는 산학연 기술협력과 성과 간의 직접적인 영향(상관)관계만을 고려하고 있으며, 기업 내부요인들에 의해 그 효과가 어떻게 달라지는지는 분석하고 있지 않다. 따라서 본 연구에서는 산학연 기술협력이 중소기업의 기술혁신 성과를 높이기 위해서 어떤 중소기업을 지원해야 하며, 증소기업들이 어떤 내부적인 노력을 해야 하는가를 우리나라 증소제조업을 대상으로한 실증분석을 통해 규명하고자 한다. 분석 결과, 산학연 기술협력과 흡수 능력 중 혁신적 인적자원관리 시스템이 기술혁신성과에 정(+)의 영향을 끼쳤다. 또한 산학연 기술협력과 혁신적 인적자원관리 시스템 간에 정(+)의 상호작용 효과가 존재하는 것으로 나타났다. 이 연구는 정책적으로 산학연 기술지원을 할 때 기업의 기술개발강도만을 갖고 판단할 것이 아니라 기업 내부적으로 혁신 창출을 위한 노력, 즉 혁신적 인적자윈관리 시스템이 갖추어져 있는지 고려해 볼 필요가 있음을 시사한다. 경영 측면에서는 중소기업에 내부 자원과 능력의 한계가 존재하므로 외부자원을 충분히 활용함으로써 기술혁신성과를 높이는 것이 중요하다는 시사점을 제공한다.

• 성인간호학회지
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• 제13권1호
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• pp.53-69
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• 2001

As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5927-5936
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• 2014

Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

• Journal of Acupuncture Research
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• 제33권4호
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• pp.121-136
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• 2016

Objectives : Despite various treatment for Shoulder-hand syndrome being presented, only a few studies that examine the direct efficacy of acupuncture exist. The aim of this study is to establish a base for further research by reviewing studies on acupuncture treatment for Shoulder-hand syndrome. Methods : Clinical studies involving the effects of acupuncture for Shoulder-hand syndrome, published on July 19th 2016, were obtained from Pubmed, RISS, OASIS, the Journal of Korean Acupuncture and Moxibustion, the Journal of Korean institute of pharmacopuncture, the Korean Journal of Acupuncture, NDSL, Korean Traditional Knowledge Portal, DBpia, and KISS. Selected studies were evaluated by the Jadad scale and FEAS. Results : Among a total of two hundred and fifteen articles, thirteen articles (RCT 9, SR 1, Meta analysis 1, CCT 1 article, Case series 1) that meet the criteria were selected. Among 13 articles, one article was published in Korea. And apart from this one article, twelve studies were published in China. All studies reported that the experimental group treated by acupuncture had significantly better effects compared to the control group. However, the overall quality assessment of the studies is low. Conclusion : Despite several limitations, various studies to prove limited yet effective acupuncture treatment on Shoulder-hand syndrome provides much significance. Subsequent studies conducted by the complementary systematic review of the studies and well-designed clinical trials using the methodological quality will be needed to more firmly validate the therapeutic effect of acupuncture on Shoulder-hand syndrome.

• 대한지역사회영양학회지
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• 제14권5호
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• pp.521-530
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• 2009

This study was conducted to assess dietary pattern and dietary diversity of preschool children by investigating their food consumption. To accomplish this, dietary intake survey (24 hour-recall food diary) was administered to 508 children aged between 4 to 6 years old from 4 kindergartens in the Daegu area (415 were completed). By using CAN pro 3.0 for professionals, the dietary patterns and dietary diversity scores of each food group were examined by age and sex. Data were analyzed with SPSS 12.0, and $\chi^2$, t-test and Anova test, and Duncan's multiple range test used for verifying significance. For 4~5-year-old group, boys had significantly more fruit and meats than girls (p < 0.05), but girls had more dairy food than boys with no significance. For 6-year-old group, boys had significantly more foods, milk and dairy foods than girls (p<0.05), and also boys had more vegetables and fruit than girls with no significance. For DDS (Dietary Diversity Score), the score of 6-year-old group was significantly higher than that of younger children (p < 0.05) and the older the age was, the higher the score was. Dietary Pattern (GMVFD) was verified by 8 types, and the ratio of taking all five food groups (GMVFD = 11111) of the 6-year-old group was 48.8%. Children with older ages had more various foods than younger ones (p < 0.05). In addition, the ratio of taking less than the minimal intake of dairy foods of girls (48.1%) was higher than that of boys (41.3%). As results, unbalanced diet, overeating and not eating unbalanced diet were revealed as the problematic dietary habits among preschool children, and those habits may change positively with knowledge on nutrition grow on. Therefore, nutritional characteristics and importance of preschool children should be taught to parents and caregivers, and it must be practical and ready to use in cooking for these children to healthy dietary habits.