• 대한암한의학회지
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• 제18권1호
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• pp.23-31
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• 2013

Objectives : The purpose of this case study is to demonstrate the effectiveness of Traditional Korean Medicine as an adjunctive management for breast cancer treatment. Methods : A 56 year-old female patient diagnosed with stage IA(pT1cN0M0) of breast cancer was admitted our hospital. The patient had surgical resection followed by radiation therapy, and conducted adjuvant therapy with aromatase inhibitor. The patient's chief complaints were dry cough, thirst and fatigue, all of which were caused by radiation therapy. Traditional Korean herbal medicine was prescribed for symptom management. The patient's subjective symptoms such as cough, thirst and fatigue were evaluated by NRS. Results : Fatigue was significantly improved within a week. The severity of dry cough and thirst also was decreased after a few courses of herbal medicine treatment. Conclusion : This case study suggests that Tradition Korean Medicine would be beneficial for the patients who are suffering from adverse effects of the standard treatment of cancer.

• 디지털융복합연구
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• 제18권7호
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• pp.279-287
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• 2020

본 연구는 효과적인 임상실습교육을 위하여 실습위주의 핵심실기역량강화 실습교과목 학습이 간호학생의 핵심역량과 임상실습만족도에 미치는 효과를 알아보기 위한 목적으로 수행하였다. 연구대상을 2주간 1일 8시간씩 네 영역의 핵심간호수기영역 교육을 실시한 그룹과 전통적인 강의중심 교육을 받은 그룹으로 나누고 15주간 임상실습 후 설문지를 작성하여 자가 보고하게 하였다. 수집한 자료는 SPSS 21.0프로그램을 사용하여 빈도와 백분율 및 평균과 표준편차, chi-square test, t-test로 분석하였다. 연구결과는 비판적사고성향과 임상실습만족도 부문의 가설은 지지되었으며 리더십, 문제해결능력 및 의사소통능력 부문의 가설은 기각되었다. 본 연구결과를 통하여 핵심실기역량강화 실습교육이 간호학생의 비판적사고성향과 임상실습만족도에 긍정적인 효과를 미치는 것으로 확인할 수 있었다. 따라서 간호교육에서 효과적인 실습교육 중재로 활용할 수 있을 것이다.

• Safety and Health at Work
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• 제9권1호
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• pp.1-9
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• 2018

Background: Work-related musculoskeletal disorders are the most important problems among professions particularly, dentists. This study was conducted to determine the prevalence of musculoskeletal disorders in various parts of the body in Iranian dentists by using systematic review and meta-analysis. Methods: This systematic review and meta-analysis was based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and searching in national databases such as SID, Magiran, Irandoc, IranMedex, and Medlib, and international databases such as MedLine, Web of Sciences, Scopus, PubMed, ScienceDirect, Cochrane, Embase, Springer, Wiley Online Library, Ebsco, CEBM, and Google Scholar search engine which were published by January 1, 2017. Researched keywords were in Persian and their standard English equivalents were in accordance with their MeSH. The obtained documents were analyzed using Comprehensive Meta-analysis version 2. Results: According to 23 studies through 2,531 Iranian dentists which took part in this study, prevalence of skeletal disorders in Iranian dentists has been 17.6% [confidence interval (CI) 95%:11.7-25.5] in knees, 33.2% (CI 95%:24.1-43.8) in shoulders, 33.4% (CI 95%: 26.8-40.8) in the thorax, 51.9% (CI 95%:46.7-57.2) in necks, 33.7% (CI 95%:28.2-39.6) in wrists/hands, 12.9% (CI 95%:7.7-20.6) in elbows, 37.3% (CI 95%: 31.5-43.5) in lower back, 11.9% (CI 95%:8.7-16.1) in thighs, 12.9% (CI 95%:3.8-36) in the foot, and 10.5% (CI 95%:7-15.4) in legs. Conclusion: Considering the high prevalence of musculoskeletal disorders in Iranian dentists, ergonomics should be included as a lesson in preclinic and also, reeducation courses for ergonomics basics should be executed for graduate dentists.

• Journal of Chest Surgery
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• 제22권5호
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• pp.816-822
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• 1989

Aneurysms of the descending thoracic aorta can be caused by various etiologies. So, its abrupt rupture leads life-threatening state, it must be operated as soon as possible. Surgical treatment of the descending thoracic aortic aneurysm requires temporary cross-clamping of major artery. The obligatory occlusion of the descending thoracic aorta during management causes proximal arterial hypertension and distal arterial hypotension. The former may leads to left ventricular failure, or cerebrovascular accident, whereas the latter may leads to spinal cord ischemia or renal injury. Some have recommended insertion of temporary shunt around the occluded descending aorta to prevent above problems. Still others would favor expeditious operation employing simple aortic occlusion during the repair of the descending aorta. Recently we had experienced two cases of dissecting aneurysms of descending thoracic aorta which performed aortoplasty with Gore-Tex conduit under simple aortic occlusion. The one was 34-year-old female patient with traumatic dissecting aortic aneurysm [5 em X 5 cm] on the descending thoracic aorta distal to the origin of the left subclavian artery and the other was 58-year-old female patient with atherosclerotic dissecting descending thoracic aortic aneurysm [6 cmX7 cm] and diffuse abdominal aortic aneurysms [3X5 cm]. Both patients performed standard left posterolateral thoracotomy. After the aneurysmal sac was mobilized, occluding vascular clamps were placed on the transverse aorta proximal to the origin of the left subclavian artery, and on the distal descending aorta without adjuvant bypass procedures for 31 and 32 minutes, respectively, and the aneurysmal sac was repaired with 18 mm ringed Gore-Tex conduit graft. Both patients postoperative courses were uneventful.

• Journal of Gastric Cancer
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• 제20권4호
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• pp.395-407
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• 2020

Purpose: A phase II study was conducted to evaluate the safety and efficacy of preoperative, intra-arterial perfusion of epirubicin, etoposide, and oxaliplatin combined with oral chemotherapy S-1 (SEEOX) for the treatment of type 4 gastric cancer. Materials and Methods: A single-center, single-arm phase II trial was conducted on 36 patients with histologically proven type 4 gastric cancer without distant peritoneal or organ metastasis. Patients received 3, 21-day courses of SEEOX preoperative chemotherapy. The primary endpoint was overall survival (OS) and the secondary outcomes assessed were chemotherapeutic response, radical resection rate, pathological regression, toxicities, postoperative morbidity, and mortality. Results: All patients were at an advanced stage of cancer (stage III or IV) and completed the entire course of treatment. Based on changes in tumor volume and peritoneal metastasis, the objective response rate was 55.6% (20/36; 95% confidence interval [CI], 38.5%-72.6%) and the disease control rate was 69.4% (25/36; 95% CI, 53.6%-85.3%). The radical resection rate was 75% (27/36; 95% CI, 60.1%-89.9%) and the proportion of R0 resections was 66.7% (21/36; 95% CI, 50.5%-82.8%). The pathological response rate was 33.3%, of which 13.9% showed complete pathological regression. The median survival was 27.1 months (95% CI, 22.24-31.97 months), and the 2-year OS was 48.5% (95% CI, 30.86%-66.1%). Conclusions: Preoperative SEEOX is a safe and effective treatment for type 4 gastric cancer. Based on these preliminary data, a phase III study will be conducted to confirm the superiority of this regimen over standard treatment.

• 한국치위생학회지
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• 제20권6호
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• pp.899-911
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• 2020

Objectives: This study aimed to analyze the educational needs for geriatric dental hygiene and provide basic data for developing standard curricula for geriatric hygiene. Methods: To investigate the educational needs for geriatric dental hygiene, 212 students from dental hygiene departments and 205 dental hygienists engaged in clinical practice were enrolled. Results: Among the educational needs for geriatric dental hygiene, Geriatric oral health issues category was the highest with 4.06 points for students and 4.05 points for dental hygienists. Students who completed a geriatric dental hygiene course had higher scores for the following sub-domains compared to those who did not: need for geriatric dental hygiene-related theoretical education (p=0.002), needs for practice education with elderly people (p=0.001), and confidence in performing oral healthcare for elderly people after graduation (p<0.001). Meanwhile, clinical dental hygienists who not completed geriatric-related courses had higher scores for, need for geriatric dental hygiene-related theoretical education, need for practice education with elderly people, and confidence in performing oral healthcare for elderly people. but, there was no significant difference (p>0.05). Conclusions: The results of this study showed that students and dental hygienists had high educational needs for geriatric dental hygiene. In particular, there was a high demand for education related to Geriatric oral health issues as well as Geriatric dental hygiene care and skills.

• 자동차안전학회지
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• 제15권2호
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• pp.35-41
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• 2023

On December 19, 2015, as Article 29-3 (Installation of Accident Recording Devices and Provision of Information) of Motor Vehicle Management Act came into force, In Korea, the EDR (Event Data Recorder) reports are often used for the analysis of various traffic accident cases such as multiple collisions, traffic insurance crimes, and sudden unintended acceleration (SUA), and the others. So many investigators have analyzed the driver's behavior and vehicle situation by comparing the time zero in the EDR report to the actual crash time in dash-cam (or CCTV). Time zero (T0) is defined as the reference time for the record interval or time interval when recording an accident in Article 56-2, Enforcement rule of Performance and Standard for Automobile and Automotive parts. Also in the EDR report, time zero (T0) is defined as whichever of the following occurs first; 1. "wake-up" by an air-bag control system, 2. Continuously running algorithms (by monitoring of longitudinal or lateral delta-V), 3. Deployment of a non-reversible deployment restraint. We have already proposed the "Flowchart & Checklist" to adopt the EDR report for traffic accident investigation and the necessity of specialized institutions or courses to systematically educate or analyze the EDR data. Therefore, in this paper, we report to traffic accident investigators notable points and analysis methods based on some real-world traffic accidents that can be misjudged in specifying time zero (T0).

• 한국정보교육학회:학술대회논문집
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• 한국정보교육학회 2021년도 학술논문집
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• pp.411-418
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• 2021

본 연구에서는 현재 운영되고 있는 38개 교육대학원의 AI 융합교육 과정을 분석하기 위하여 기초 교과목 구분, 교과목의 내용 분야 및 분야별 세부 과목 구성의 관점에서 분석 프레임을 구성하였다. 그리고 이 프레임을 통해 분석한 결과, 전국 38개 인공지능 융합교육 대학원(41개 과정)에서 운영 중인 교과목의 수는 14과목부터 48과목으로 그 편차가 매우 큰 것으로 나타났다. 따라서 동일한 목적으로 38개 교육대학원에서 운영되고 있는 AI융합교육전공에 대한 표준 교육과정의 개발이 시급한 것으로 판단외었다. 같은 목적으로 설립되어 다른 형태로 운영되고 있는 AI융합교육전공은 결국 서로 다른 역량을 갖춘 교사들을 배출하게 되므로 학교 현장에서의 AI융합교육의 방향에 혼성을 가져올 우려가 있다. 따라서 38개 교육대학원에 적용할 수 있는 표준 교육과정의 개발이 필요하다고 판단된다.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2022년도 춘계학술대회
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• pp.355-356
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• 2022

글로벌승선실습(GOBT) 시범사업이 2021년 11월 17일부터 12월 17일까지 한달간 한국해양수산연수원(KIMFT)에서 시행되었다. 10일간의 자가격리, 5일간의 기초안전교육(BST) 및 2주간의 승선실습으로 시행되었는데, IMO 국제기술협력프로그램(ITCP)과 대한민국 공적개발원조(ODA) 자금지원을 받아 5개국으로부터 총 20명의 실습생이 참가하였다. 이 프로그램은 승선실습에 초점을 맞춘 역량강화 과정으로, 미래의 해기사들이 STCW 협약에서 요구하는 최소한의 해상경력을 갖출 수 있도록 지원하는데 있다. 또한 이 프로그램은 실습선을 이용하여 어떻게 승선실습을 효과적으로 시행하는지 모범사례를 공유하는 플랫폼으로서의 기능도 가지고 있다. GOBT 프로그램의 성과를 측정하기 위하여 설문조사를 실시한 바 평균 96.4 점을 받아, 2021년에 KIMFT에서 시행한 시범 승선실습에 참가한 실습생들의 만족도가 아주 높게 나왔다.

• 실천공학교육논문지
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• 제15권3호
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• pp.597-603
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• 2023

본 연구는 교원의 AI디지털역량을 평가하고 연수에 활용할 수 있는 교원의 AI디지털 역량에 대한 단계별 프레임워크 개발에 대한 것이다. 이를 위해 AI디지털역량에 대해 활용과 소양의 관점을 테크놀로지컬교수내용지식(TPACK)의 관점과 연계하여 분석하였다. 그리고 단계별 교원의 AI디지털 역량 선행연구 사례로 영국교육훈련재단의 3단계 역량, 유네스코 ICT 교사 역량 프레임워크 등을 제시하였다. 그리고 본 연구에서는 선행연구와 국내의 여건을 고려하여 교원의 AI디지털 역량을 진입, 적응, 선도의 3단계로 구분하여 제시하였다. 최초 진입단계는 2차에 델파이 조사를 통과하였으며 그 외 2개 단계는 1차에서 통과하였다. 최종 진입단계는 AI디지털에 대해 이해는 하였지만, 실천에 어려움을 겪는 단계, 적응단계는 표준교육과정에 적용하는 수준, 선도단계는 심화과정에 AI디지털 적용과 타 교사에게 모델이 되는 수준으로 기술하였다. 본 연구에서 제시한 총괄 AI디지털 역량을 통하여 세부적인 역량 개발이 가능하며 평가문항개발의 참고자료로 이용할 수 있다.