• Tuberculosis and Respiratory Diseases
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• 제69권6호
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• pp.465-468
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• 2010

Spontaneous pneumothorax (SPTx) associated with primary lung cancer is quite rare, but has been reported as the initial presentation or a complication of disease progression. Moreover, chemotherapy-related SPTx in primary lung cancer occurs at a very low frequency, accounting for less than 0.05% of all cases. Here, we report the first case of erlotinib-related SPTx in a patient with advanced lung adenocarcinoma in Korea. After 3 cycles of cisplatin-based chemotherapy as first-line therapy, erlotinib was administered as second-line treatment. Asymptomatic SPTx accompanied by a significant decrease in tumor size was observed in the left lung 7 weeks later. The patient received continuous administration of erlotinib, without additional treatment. This case showed that SPTx can occur in patients with primary lung cancer receiving erlotinib, and asymptomatic chemotherapy-related SPTx in primary lung cancer may not require therapeutic intervention.

• 대한지역사회작업치료학회지
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• 제4권1호
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• pp.75-84
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• 2014

목적 : 이 연구에서는 단일 뇌졸중환자를 대상으로 체간안정화 훈련 프로그램 적용하여 자세조절과 일상생활 동작에 미치는 영향을 알아보고 분석함으로써 뇌졸중환자의 효과적인 임상적 중재 방안을 제시하고자 한다. 연구방법 : 경북 경주시에 소재한 C병원에 입원중인 75세 여성 뇌졸중 환자 1명을 대상으로 하였다. 연구 설계는 단일사례연구(single subject design)로써 ABA반전설계를 사용하였고, 연구기간은 2014년 4월 21일부터 5월 23일까지 총 5주 동안 진행되었다. 실험 과정은 기초선(A) 3회, 중재 기간(B) 9회 유지(A') 3회로 총 15회 진행하였고 중재기간 동안 체간안정화 프로그램을 적용하였다. 연구 참여자의 자세조절과 일상생활동작의 평가를 위해 Postural Assessment Scale for Stroke(PASS)와 Modified Barthel Index(MBI)를 사용하였다. 수집된 자료는 마이크로 소프트 오피스 Excel 2013 을 사용하여 그래프로 나타내는 시각적 분석(visual analysis)을 사용하였다. 결과 : 자세조절 검사에서 평균 점수는 기초선 구간 11.7점, 중재 구간 14.8점, 유지 구간 15.3점으로 향상되었고, 일상생활동작 평가에서 기초선 기간 66점으로 보통의 의존을 보였지만 중재 후와 유지 구간에서는 80점으로 향상되어 가벼운 의존을 나타냈다. 결론 : 체간안정화 훈련 프로그램이 뇌졸중 환자의 신체의 자세조절이나 정렬에 효과를 나타내고 나아가 일상생활활동의 수행에도 유익한 향상을 보이는 것으로 확인되었다.

• 한국간호교육학회지
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• 제15권2호
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• pp.194-204
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• 2009

Purpose: Level of reflective thinking of students are important factors in the area of nursing studies on web-based PBL. These factors were used as a component of learning strategies. One was to understand general recognition to web-based PBL and reaction to the use of reflective journal. The other was to investigate the level of reflective thinking was related to learning activity. Method: PBL was adopted for an online course titled 'Nursing Assessment and Intervention'. Twenty graduate students were evaluated from questionnaire, reflective journals, and individual assignments. Result: Web-based PBL was strong for self-directed learning, team activity, creative thinking, diversity of thinking, and diverse process of learning while hard time, lack of cooperation, uncertainty of outcome, and lack of time were considered as weakness. Reflective journal gave moderate help to learning activities. The learners' learning activities was the lowest in the middle level of reflective thinking. Conclusion: Generally, graduate students in college of nursing showed slightly positive attitude to PBL experience and slightly positive reaction to the learning effect of reflective journal. PBL was estimated to be valuable and meaningful. There was no relationship between the level of reflective thinking and learning activities.

• 한국수학교육학회지시리즈C:초등수학교육
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• 제18권2호
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• pp.107-122
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• 2015

본 연구는 수학 기반의 융합 수업 모형을 제안하고자 STEAM 모형, 각 교과 기반의 융합모형 개발연구를 토대로 수학적 문제 해결에 중점을 둔 융합 수업 모형을 개발하고, 6학년을 대상으로 4차시 수업을 실시하여 수업 모형의 각 단계별 구현 양상을 살펴봄으로써 수업 모형의 적절성 및 한계를 탐색하였다. 그 결과 수업 모형의 각 단계는 학생들이 다양한 문제 해결 방법을 찾고 비판적으로 해결 과정을 검토하며 수업에 대해 긍정적인 관점을 갖도록 하는데 긍정적이었으나, 깊이 있는 수학적 탐구로 이끌거나 감성적 체험을 확장하는 데는 적절한 교사의 역할이 부각되었다. 이러한 연구 결과를 바탕으로 수학 기반 융합수업을 구현하는데 시사점을 제공하고자 하였다.

• 대한수학교육학회지:학교수학
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• 제16권4호
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• pp.659-675
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• 2014

본 연구는 도식기반교수가 학습부진 또는 학습장애 위험군 학생들의 비와 비례 문장제 문제해결 능력 향상, 일반화와 유지에 도움이 되는가를 살펴보는데 그 목적이 있다. 교수 실험은 기초선 검사, 중재전략교수, 일반화 및 유지검사의 순서로 3명의 중학교 1학년 학생이 본 연구에 참여 하였으며, 문제해결을 위한 중재전략은 FOPS로 이에 기반하여 수업지도안을 작성하여 사용하였다. 연구 결과, 중재 받은 3명의 학생 모두 비와 비례 문장제 문제해결 능력이 향상되었고, 유사한 유형에도 일반화 할 수 있었으며, 2주 후에 실시한 유지검사에서도 문제해결 능력을 유지하고 있는 것으로 나타났다. 본 연구에서 사용한 도식기반전략의 확장을 위해, 장애 학생들의 특성에 맞는 처방적 학습 전략의 개발과 이들에게 실제적으로 도움을 줄 수 있는 도구가 포함된 교재 개발을 후속연구로 제안하였다.

• 융합정보논문지
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• 제9권5호
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• pp.172-179
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• 2019

본 연구는 가상현실 게임기반을 이용한 훈련이 아급성기 뇌졸중환자의 균형 및 상지기능에 미치는 영향에 대하여 알아보기 위하여 실시하였다. 아급성기 뇌졸중환자 30명을 가상현실 게임기반 훈련프로그램을 적용한 실험군(n=15)과 대조군(n=15)으로 무작위 배정하였다. 중재는 6주간 주 3회, 1회당 30분씩 적용하였다. 대상자의 기능 향상정도를 평가하기 위하여 중재 전 후 균형능력과 상지기능을 평가하였다. 연구결과 실험군에서 균형능력과 상지기능(FMUE), 체간 장애척도(TIS)에 유의한 향상이 있었으며(p<.05), 두 그룹 간 차이는 버그균형척도(BBS), 일어나 걷기(TUG), 체간 장애척도(TIS)에서 유의한 차이가 있었다(p<.05). 이러한 결과를 바탕으로 가상현실 게임기반 훈련 프로그램은 아급성기 뇌졸중환자에게 임상적으로 유익한 운동프로그램이라 할 수 있다.

• Journal of Acupuncture Research
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• 제37권1호
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• pp.13-18
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• 2020

This review examined recently published (July 2014 to June 2017), randomized controlled trials (RCTs) which investigated the safety and effectiveness of combined Korean medicine/complementary alternative medicine (CAM) and Western medicine, to indicate the direction for integrative medical practice. The Korean Medicine Convergence Research Information Center evidence-based medicine database (KMCRIC EBM DB) was used to retrieve relevant RCTs indexed in the last 3 years. Study design, country, sample size, disease/condition with the Korean Standard Classification of Diseases code, interventions, direction of outcomes, and adverse events were extracted and summarized. A total of 93 RCTs were included in this review. Acupuncture/moxibustion was the most commonly used intervention (n = 47; 51%), and 19% (n = 18) of the studies treated musculoskeletal disorders, followed by circulatory disorders (n = 16; 17%), and mental and behavioral disorders (n = 9; 10%). Integrative treatment was reported as more effective than monotherapy in approximately 83% of these studies. Adverse events were poorly reported in most studies. This review suggests that integrative treatments are feasible, effective, and safe for various diseases/conditions, based on the evidence from recently published RCTs. Future studies on integrative healthcare are warranted.

• Nutrition Research and Practice
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• 제11권4호
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• pp.340-346
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• 2017

BACKGROUND/OBJECTIVES: Despite the importance of consuming sufficient amounts of vegetables, daily vegetable intake among adolescents in Korea is lower than the current dietary recommendation. The objective of this study was to examine determinants affecting vegetable preference in order to suggest a stage-tailored education strategy that can promote vegetable consumption in adolescents. SUBJECTS/METHODS: Adolescents (n = 400, aged 16-17 years) from two high schools participated in a cross-sectional study. Survey variables were vegetable preference, the social cognitive theory (SCT) and stages of change (SOC) constructs. Based on vegetable preference, subjects were classified into two groups: a low-preference group (LPG) and a high-preference group (HPG). SOC was subdivided into pre-action and action/maintenance stages. To compare SCT components and SOC related to vegetable preference, chi-squared and t-tests, along with stepwise multiple-regression analysis, were applied. RESULTS: In the LPG, a similar number of subjects were classified into each stage. Significant differences in self-efficacy, affective attitudes, and vegetable accessibility at home and school were detected among the stages. Subjects in the HPG were mainly at the maintenance stage (81%), and there were significant differences among the stages regarding self-efficacy, affective attitudes, and parenting practice. In the predictions of vegetable preference, self-efficacy and parenting practice had a significant effect in the "pre-action" stage. In the action/maintenance stage, outcome expectation, affective attitudes, and vegetable accessibility at school had significant predictive value. In predicting the vegetable preference for all subjects, 42.8% of the predictive variance was accounted for by affective attitudes, self-efficacy, and vegetable accessibility at school. CONCLUSION: The study revealed that different determinants affect adolescent vegetable preference in each stage. Self-efficacy and affective attitudes are important determinants affecting vegetable preference. Additionally, school-based nutrition intervention that focuses on enhancing affective attitudes, self-efficacy, and vegetable exposure may constitute an effective education strategy for promoting vegetable consumption among adolescents.

• 대한한의학회지
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• 제43권4호
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• pp.102-130
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• 2022

Objectives: The persistence and unpredictability of coronavirus disease (COVID-19) and new measures to prevent direct medical intervention (e.g., social distancing and quarantine) have induced various psychological symptoms and disorders that require self-treatment approaches and integrative treatment interventions. To address these issues, the Korean Medicine Mental Health (KMMH) center developed a field manual by reviewing previous literature and preexisting manuals. Methods: The working group of the KMMH center conducted a keyword search in PubMed in June 2021 using "COVID-19" and "SARS-CoV-2". Review articles were examined using the following filters: "review," "systematic review," and "meta-analysis." We conducted a narrative review of the retrieved articles and extracted content relevant to previous manuals. We then created a treatment algorithm and recommendations by referring to the results of the review. Results: During the initial assessment, subjective symptom severity was measured using a numerical rating scale, and patients were classified as low- or moderate-high risk. Moderate-high-risk patients should be classified as having either a psychiatric emergency or significant psychiatric condition. The developed manual presents appropriate psychological support for each group based on the following dominant symptoms: tension, anxiety-dominant, anger-dominant, depression-dominant, and somatization. Conclusions: We identified the characteristics of mental health problems during the COVID-19 pandemic and developed a clinical mental health support manual in the field of Korean medicine. When symptoms meet the diagnostic criteria for a mental disorder, doctors of Korean medicine can treat the patients according to the manual for the corresponding disorder.

• Journal of Animal Science and Technology
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• 제65권3호
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• pp.519-534
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• 2023

Rumination in cattle is closely related to their health, which makes the automatic monitoring of rumination an important part of smart pasture operations. However, manual monitoring of cattle rumination is laborious and wearable sensors are often harmful to animals. Thus, we propose a computer vision-based method to automatically identify multi-object cattle rumination, and to calculate the rumination time and number of chews for each cow. The heads of the cattle in the video were initially tracked with a multi-object tracking algorithm, which combined the You Only Look Once (YOLO) algorithm with the kernelized correlation filter (KCF). Images of the head of each cow were saved at a fixed size, and numbered. Then, a rumination recognition algorithm was constructed with parameters obtained using the frame difference method, and rumination time and number of chews were calculated. The rumination recognition algorithm was used to analyze the head image of each cow to automatically detect multi-object cattle rumination. To verify the feasibility of this method, the algorithm was tested on multi-object cattle rumination videos, and the results were compared with the results produced by human observation. The experimental results showed that the average error in rumination time was 5.902% and the average error in the number of chews was 8.126%. The rumination identification and calculation of rumination information only need to be performed by computers automatically with no manual intervention. It could provide a new contactless rumination identification method for multi-cattle, which provided technical support for smart pasture.