• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3463-3471
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• 2015

Background: The principal aim of health service providers in the field of breast cancer is to detect and treat lesions at an appropriate time. Therefore, identification of barriers to screening can be very helpful. The present study aimed to systematically review the qualitative studies for extracting and reporting the barriers of screening for breast cancer from the womans perspective. Materials and Methods: In this systematic review; Pubmed, Google Scholar, Ovid Scopus, Cochrane Library, Iranmedex, and SID were searched using the keywords: screening barriers, cancer, qualitative studies, breast and their Persian equivalents, and the needed data were extracted and analyzed using an extraction table. To assess the quality of the studies, the Critical Appraisal Skills Programme (CASP) tool was used. Results: From 2,134 related articles that were found, 21 articles were eventually included in the study. The most important barriers from the point of view of 1,084 women were lack of knowledge, access barriers (financial, geographical, cultural), fear (of results and pain), performance of service providers, women's beliefs, procrastination of screening, embarrassment, long wait for getting an appointment, language problems, and previous negative experiences. Articles' assessment score was 68.9. Conclusions: Increasing women's knowledge, reducing the costs of screening services, cultural promotion for screening, presenting less painful methods, changing beliefs of health service providers, provision of privacy for giving service, decreasing the waiting time, and providing high quality services in a respectful manner can be effective ways to increase breast cancer screening.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.207-220
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• 2016

서민층의 주거지원 정책이 기존의 사업자 중심의 대규모 공공임대주택 공급에서 수요자 중심의 주택바우처 제도로 전환되고 있다. 한국의 주택바우처는 2010년부터 서울에서 운영하고 있으며 2014년에는 전국적으로 확대 실시하였다. 이러한 관심에 따라 주택바우처에 대한 다양한 이론적 논의가 많으나 실증 자료를 기반으로 한 연구는 부족한 편이다. 따라서 이 연구는 서울시 주택바우처 수혜자의 주거지 선택요인을 찾아내고, 일반 회귀분석(OLS)과 지리적 가중회귀(GWR) 분석을 실시하여 의미 있는 결과를 도출하고자 하였다. 분석결과, 서울시 주택바우처 수혜자들이 우선적으로 고려하는 요인으로 단순노무직 일자리와 사회복지시설 접근성, 대중교통 접근성이 영향을 미치는 것으로 나타났다. 이는 기존 연구와 다른 결과로써 다음과 같은 점이 고려되어야 할 것이다. 첫째, 한국형 주택바우처에 대한 목적의 재정립이 필요하다. 둘째, 단순한 주거지원 뿐만 아니라 재취업을 위한 교육과 가족들을 지원할 수 있는 사회복지 서비스와의 연계가 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5123-5125
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• 2013

Background: Breast cancer is one the most common cause of cancer-related deaths among women worldwide. The aims of this study were to investigate the impact of dietary factors and health status indicators on breast cancer (BC) incidence. Materials and Methods: Risk factor data (RFD) of 89,404 individuals (15-64 years old) were gathered by questionnaire and laboratory examinations through a cross sectional study from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. BC incidences of all provinces through 2001-2006 segregated by age and gender were obtained from the Cancer Registry Ministry of Health (CRMH). Results: a significant positive relationship was seen between diabetes mellitus, fish comsupmption, percent of academic education and non-consumption of fruit, and breast cancer in women. However, non fish consumption, percent age illiteracy and taking fruit showed a significant negative relationship with the incidence of breast cancer. In addition, multiple linear regression analysis showed associations among percentage with academic education, fruit consumption and diabetes. Conclusions: We conclude that dietary factors such as fish and furit consumption, dairy products, health status indicators, academic education, and some diseases like diabetes mellitus can affect the BC incidence, although the results of ecologic studies like this must naturally be interpreted with caution.

• Imaging Science in Dentistry
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• 제44권1호
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• pp.37-41
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• 2014

Purpose: The aim of this study was to investigate the accuracy of cone-beam computed tomography (CBCT) in the diagnosis of vertical root fractures in a tooth with gutta-percha and prefabricated posts. Materials and Methods: This study selected 96 extracted molar and premolar teeth of the mandible. These teeth were divided into six groups as follows: Groups A, B, and C consisted of teeth with vertical root fractures, and groups D, E, and F had teeth without vertical root fractures; groups A and D had teeth with gutta-percha and prefabricated posts; groups B and E had teeth with gutta-percha but without prefabricated posts, and groups C and F had teeth without gutta-percha or prefabricated posts. Then, the CBCT scans were obtained and examined by three oral and maxillofacial radiologists in order to determine the presence of vertical root fractures. The data were analyzed using IBM SPSS 20.0 (IBM Corp., Armonk, NY, USA). Results: The kappa coefficient was $0.875{\pm}0.049$. Groups A and D showed a sensitivity of 81% and a specificity of 100%; groups E and B, a sensitivity of 94% and a specificity of 100%; and groups C and F, a sensitivity of 88% and a specificity of 100%. Conclusion: The CBCT scans revealed a high accuracy in the diagnosis of vertical root fractures; the accuracy did not decrease in the presence of gutta-percha. The presence of prefabricated posts also had little effect on the accuracy of the system, which was, of course, not statistically significant.

• 디지털융복합연구
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• 제15권5호
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• pp.363-372
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• 2017

주의력결핍 과잉행동장애(ADHD)는 소아청소년기에 흔히 나타나는 장애질환으로 초등학교 아동들의 교육적, 사회적 적응에 어려움을 불러일으키는 요인 중의 하나이다. ADHD 증상아동들은 다른 학생들과 함께 가르치는 교사들의 태도와 행동을 결정하는 요인에 대한 분석은 효율적인 통합교육을 위한 교육방법의 개선과 교사 교육을 위해 필요한 과정이다. 본 연구에서는 ADHD 아동을 경험한 적이 있는 227명의 초등교사 설문조사를 바탕으로 나이, 성별, 교직경력, 연수시간 등이 지식, 태도, 스트레스 및 교실에서의 통합교육 의지에 미치는 영향 정도를 살펴보고자 하였다. 회귀분석 결과, 5% 유의수준에서 성별은 스트레스에, 연수시간은 ADHD 관련지식수준에 영향을 미치는 것으로 나타났다. 그렇지만 ADHD 학생의 지도경험, 나이, 성별, 교직경력, 연수시간 등의 요인은 통합교육 의지에 별다른 영향을 미치는 않는 것으로 분석되었다. 결론으로 교사들의 정책적 지원요구사항도 간략히 요약하여 제시하였다.

• Clinical and Experimental Pediatrics
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• 제63권2호
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• pp.34-43
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• 2020

Phenylketonuria is a disease caused by congenital defects in phenylalanine metabolism that leads to irreversible nerve cell damage. However, its detection in the early days of life can reduce its severity. Thus, many countries have started disease screening programs for neonates. The present study aimed to determine the worldwide prevalence of classic phenylketonuria using the data of neonatal screening studies.The PubMed, Web of Sciences, Sciences Direct, ProQuest, and Scopus databases were searched for related articles. Article quality was evaluated using the Joanna Briggs Institute Critical Appraisal Evaluation Checklist. A random effect was used to calculate the pooled prevalence, and a phenylketonuria prevalence per 100,000 neonates was reported. A total of 53 studies with 119,152,905 participants conducted in 1964-2017 were included in this systematic review. The highest prevalence (38.13) was reported in Turkey, while the lowest (0.3) in Thailand. A total of 46 studies were entered into the meta-analysis for pooled prevalence estimation. The overall worldwide prevalence of the disease is 6.002 per 100,000 neonates (95% confidence interval, 5.07-6.93). The meta-regression test showed high heterogeneity in the worldwide disease prevalence (I²=99%). Heterogeneity in the worldwide prevalence of phenylketonuria is high, possibly due to differences in factors affecting the disease, such as consanguineous marriages and genetic reserves in different countries, study performance, diagnostic tests, cutoff points, and sample size.

• 노동경제논집
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• 제27권2호
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• pp.139-159
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• 2004

10년 이상 장기복무한 후 제대한 군인의 사회에서 재취업률은 최근 들어 연평균 30%에도 미치지 못하는 실정으로 향후 군비축소에 따른 국방인력 감축까지 고려한다면 제대군인의 실업문제는 매우 우려할 수준에 와 있다. 본 연구는 장기복무 제대군인들의 전역 후 취업진로 결정에 영향을 미치는 요인을 설문조사를 통해 도출한 후 계량분석하였다. 결과를 요약하면, 봉급생활을 선택한 집단에 비해 자영업을 선택한 집단이 배우자의 소득이 높은 것으로 나타났으며, 경제활동을 포기한 계층은 군복무 기간이 더 길고 계급도 높으며, 질병이나 장애가 있는 경우로 나타났다. 그리고 군복무 기간이 길수록, 직업보도교육에 참여하지 않은 사람일수록 제대 후 첫 직장탐색 기간이 단축되는 반면, 교육수준이 높을수록, 가장 오래 복무한 지역이 서울 지역인 사람이 여타 지역 근무자에 비해 직장탐색 기간이 길어진다는 결과를 얻었다.

• 환경영향평가
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• 제25권2호
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• pp.124-140
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• 2016

본 연구는 한국노동패널(Korea Labor and Income Panel Study, KLIPS) 제1차~제15차년도 자료와 환경부에서 제공하는 수질자료를 이용하여, 개인의 전반적인 생활만족도(life satisfaction)가 수질오염으로 대표되는 환경오염에 의해 어떻게 영향을 받는가를 실증적으로 분석한 것이다. 서수적 순서를 가진 종속변수의 특성과 패널자료의 이질성을 감안하여 패널 확률효과 순서형 프로빗(panel random-effects ordered probit) 모형으로 추정하였다. 수질오염도를 반영하는 지표로는 생물화학적 산소요구량(biochemical oxygen demand, BOD), 총인(total phosphorus, TP) 농도를 사용하였다. 또한 기존의 연구에서와 같이 개인의 경제적 특성, 사회 인구학적 특성을 동시에 고려하였다. 분석 결과 BOD, TP 모두 개인의 생활만족도에 부정적인 영향을 미치는 것으로 나타났다. 그 외 다른 변수들은 선행연구에서 나타난 결과와 유사하다. 자신의 소득 증가, 연령, 기혼, 자가주택 보유, 건강, 여성, 높은 교육수준은 생활만족도에 긍정적인 영향을 미치며, 타인의 소득 증가, 실업자, 도시거주, 자영업자인 경우는 부정적인 영향을 미치는 것으로 나타났다.

• 보건행정학회지
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• 제22권2호
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• pp.249-262
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• 2012

The purpose of this study is to investigate the determinants of intent to use the medical-application(M-APP) of smart phone of nurses working at the nursing department of two university hospitals in Korea. The independent variables used in the study are performance expectancy, effort expectancy, social influence, facilitating condition, attitude toward using technology, self efficacy, anxiety, ability to use a smart phone easily and socio-demographic characteristics. The sample used in the study consisted of 378 nurses selected from two university hospitals located in Seoul and Wonju, Korea. Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of this study revealed 5 independent variables of attitude toward using technology, self efficacy, anxiety, ability of using APP and interest in smart phone have the significant effect on the intent to use the M-APP. The results imply that the hospital administrators and nursing managers should try to give more chances to learn the skills of using M-APP, provide sufficient resources and establish the stable hospital information system in order for their employees to use the M-APP more easily at their working places.

• 보건행정학회지
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• 제26권4호
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.