• Asian Pacific Journal of Cancer Prevention
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• v.15 no.21
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• pp.9225-9232
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• 2014

Ensuring adherence to chemotherapy is important to prevent disease progression, prolong survival and sustain good quality of life. Capecitabine is a complex chemotherapeutic agent with many side effects that might affect patient adherence to treatment. This cross sectional study aimed to determine adherence to capecitabine and its contributing factors among cancer outpatients in Malaysia. One hundred and thirteen patients on single regime capecitabine were recruited from Hospital Sultan Ismail and Hospital Kuala Lumpur from October 2013 to March 2014. Adherence was determined based on adherence score using validated Medication Compliance Questionnaire. Patient socio-demographics, disease, and treatment characteristics were obtained from medical records. Satisfaction score was measured using the validated Patient Satisfaction with Healthcare questionnaire. The mean adherence score was 96.1% (standard deviation: 3.29%). The significant contributing factors of adherence to capecitabine were Malay ethnicity [${\beta}=1.3$; 95% confidence interval (CI): 0.21, 2.43; p value=0.020], being female [${\beta}=1.8$; 95%CI: 0.61, 2.99; p value=0.003]), satisfaction score [${\beta}=0.08$; 95%CI: 0.06, 1.46; p value=0.035], presence of nausea or vomiting [${\beta}=2.3$; 95%CI: 1.12, 3.48; p value <0.001] and other side effects [${\beta}=1.45$; 95%CI: 0.24, 2.65; p value=0.019]. Adherence to capecitabine was generally high in our local population. Attention should be given to non-Malay males and patients having nausea, vomiting or other side effects. Sufficient information, proactive assessment and appropriate management of side effects would improve patient satisfaction and thus create motivation to adhere to treatment plans.

• Journal of the Korea society of information convergence
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• v.1 no.1
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• pp.41-46
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• 2008

Contents application from contents development of web technical base and with the operation different environment information of the educational resources integration the importance and necessity of the management central chain e-Learning system will be able to operate are raising its head with base. Is the actual condition which develops the development process where but, the education application currently is not standardized in base. Approaches with an educational domain from the present paper consequently, and defines MDA(Model Driven Architecture) coats e-Learning System. Also uses a studying contents standard metadata and about the contents storage space analyzes and plans the core property which uses MDA automatic tools leads and under developing boil e-Learning System will be able to provide the contents which does in actual professor own necessity.

• The Journal of Sustainable Design and Educational Environment Research
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• v.16 no.3
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• pp.1-8
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• 2017

The study is a precursor to the final goal of organizing a future school building plan to prepare for the new paradigm. Planning direction presentation through planning elements and principles is key purpose. Based on the results of the study, it is meaningful that the school facilities will be able to fulfil the educational role of the school facilities, including science, technology, and environment. Based on the theoretical concepts of prospective school facilities and research data, the school plans to construct architectural plan elements and construct the architectural plan based on the guidelines of the school plan based on the evaluation criteria of the school building and the evaluation criteria based on the evaluation criteria of the school building and the calculation of the plan through the procurement criteria of the school and the Future Schools.

• Korean Journal of Social Welfare
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• v.62 no.4
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• pp.275-296
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• 2010

This study analyzed the state of battered women who drink at a dangerously high level and the factors that influence their hazardous drinking in order to promote their safety and their healthy adjustments. The researchers utilized the data from "Analysis of the Effectiveness of Intimate Partner Violence Offenders Correction and Treatment Program" funded by Ministry of Gender Equality, and thereby, sampled 124 battered women for interview over phone. The results of applying the WHO's standard for hazardous drinking based on frequency and quantity calculations showed that 15.7% of survey participants were classified as hazardous drinkers, either currently experiencing or having the risk of experiencing problems related to drinking. The result of carrying out a logistic regression analysis to identify the factors that influence hazardous drinking showed that household income and self-blame were factors that exerted statistically significant influence. Based on these results, clinical and practical intervention plans for helping battered women who drink hazardously were discussed.

• The Journal of the Korea Contents Association
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• v.15 no.1
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• pp.264-275
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• 2015

While the method of prioritization has been practicing in the community needs-based programs to improve the effectiveness and efficiency of community health planning, it has not been systematically used. This study aims to suggest more sophisticated method of prioritizing. Based on the analysis of 81 community health plans which adopt prioritizing method, this study tried to examine their methods and criteria and evaluate their adequacy. In the prioritization process, projects themselves, rather than health problems, were commonly adopted for the subject of the analysis. The most used was the Basic priority rating, followed by the Prioritization matrix. Looking at the size of health problem among the prioritization criteria, the prevalence for chronic diseases and the proportion of people with health problems for health behaviors, mainly were used as indicators. Along with the size of health problem, other factors such as the degree of seriousness of health problem, and the effectiveness of intervention have been used as the criteria of prioritizing, not fully supported by objective data base and the clear standard of scoring. In the prioritization, the analysis need to be limited only to health problems, and the scoring criteria for each health problem area be presented.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2002.09a
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• pp.68-73
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• 2002

In standard teletherapy, a treatment plan is generated with the aid of a treatment planning system, but it is common to perform an independent monitor unit verification calculation (MUVC). In exact analogy, we propose and demonstrate that a simple and accurate MUVC in Intensity Modulated Radiotherapy (IMRT) is possible. We introduce a concept of Modified Clarkson Integration (MCI). In MCI, we exploit the rotational symmetry of scattering to simplify the dose calculation. For dose calculation along a central axis (CAX), we first replace the incident IMRT fluence by an azimuthally averaged fluence. Second, the Clarkson Integration is carried over annular sectors instead of over pie sectors. We wrote a computer code, implementing the MCI technique, in order to perform a MUVC for IMRT purposes. We applied the code to IMRT plans generated by CORVUS. The input to the code consists of CORVUS plan data (e.g., DMLC files, jaw settings, MU for each IMRT field, depth to isocenter for each IMRT field), and the output is dose contribution by individual IMRT field to the isocenter. The code uses measured beam data for Sc, Sp, TPR, (D/Mu)$\_$ref/ and includes effects from MLC transmission, and radiation field offset. On a 266 MHZ desktop computer, the code takes less than 15 sec to calculate a dose. The doses calculated with MCI algorithm agreed within +/- 3% with the doses calculated by CORVUS, which uses a 1cm x 1cm pencil beam in dose calculation. In the present version of MCI, skin contour variations and inhomogeneities were neglected.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.17
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• pp.7371-7375
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• 2014

Background: Concurrent chemo-radiotherapy is the recommended standard treatment modality for patients with locally advanced lung cancer. The purpose of three-dimensional conformal radiotherapy (3DCRT) is to minimize normal tissue damage while a high dose can be delivered to the tumor. The most common dose limiting side effect of thoracic RT is radiation pneumonia (RP). In this study we evaluated the relationship between dose-volume histogram parameters and radiation pneumonitis. This study targeted prediction of the possible development of RP and evaluation of the relationship between dose-volume histogram (DVH) parameters and RP in patients undergoing 3DCRT. Materials and Methods: DVHs of 41 lung cancer patients treated with 3DCRT were evaluated with respect to the development of grade ${\geq}2$ RP by excluding gross tumor volume (GTV) and planned target volume (PTV) from total (TL) and ipsilateral (IPSI) lung volume. Results: Were admitted statistically significant for p<0.05. Conclusions: The cut-off values for V5, V13, V20, V30, V45 and the mean dose of TL-GTV; and V13, V20,V30 and the mean dose of TL-PTV were statistically significant for the development of Grade ${\geq}2$ RP. No statistically significant results related to the development of Grade ${\geq}2$ RP were observed for the ipsilateral lung and the evaluation of PTV volume. A controlled and careful evaluation of the dose-volume histograms is important to assess Grade ${\geq}2$ RP development of the lung cancer patients treated with concurrent chemo-radiotherapy. In the light of the obtained data it can be said that RP development may be avoided by the proper analysis of the dose volume histograms and the application of optimal treatment plans.

• Progress in Medical Physics
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• v.29 no.2
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• pp.53-58
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• 2018

This paper evaluates patient-specific quality assurance (PSQA) in the treatment of small and multiple tumors by the CyberKnife system with fixed collimators, using an ion chamber and EBT3 films. We selected 49 patients with single or multiple brain tumors, and the treatment plans include one to four targets with total volumes ranging from 0.12 cc to 3.74 cc. All PSQA deliveries were performed with a stereotactic dose verification phantom. The A16 microchamber (Standard Imaging, WI, USA) and Gafchromic EBT3 film (Ashland ISP Advanced Materials, NJ, USA) were inserted into the phantom to measure the point dose of the target and the dose distribution, respectively. The film was scanned 1 hr after irradiation by a film digitizer scanner and analyzed using RIT software (Radiological Imaging Technology, CO, USA). The acceptance criteria was <5% for the point dose measurement and >90% gamma passing rate using 3%/3 mm and relative dose difference, respectively. The point dose errors between the calculated and measured dose by the ion chamber were in the range of -17.5% to 8.03%. The mean point dose differences for 5 mm, 7.5 mm, and 10 mm fixed cone size was -11.1%, -4.1%, and -1.5%, respectively. The mean gamma passing rates for all cases was 96.1%. Although the maximum dose distribution of multiple targets was not shown in the film, gamma distribution showed that dose verification for multiple tumors can be performed. The use of the microchamber and EBT3 film made it possible to verify the dosimetric and mechanical accuracy of small and multiple targets. In particular, the correction factors should be applied to small fixed collimators less than 10 mm.

• Land and Housing Review
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• v.7 no.4
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• pp.251-259
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• 2016

As the spatial structure of a region is evolving into a decentralized multi-nucli model, networked connection among cities in a region is emerging as an important issue to strengthen regional competitiveness. This paper focused on the limitation of current new town planning criteria which just suggest a uniform standard for economic self-sufficiency by new-town size, without representing the network characteristics of new town. If a new town is planned as a economic strongpoint within a region, it needs to secure appropriate industrial functions. This study classified the characteristics of new towns by network analysis and reviewed the economic self-sufficiency criteria by new town types. Using various network connectedness indices, the 1st and 2nd round new towns in the capital region were analyzed, and land-use distribution of new-towns in other countries were also examined comparatively. The network characteristics of new towns are classified as three types: mono-nucleus, distributed center, and dependent. Based on this classification, planning criteria for self-sufficiency were compared among 6 new towns. This study provides implications for the amendment of "the sustainable new town planning criteria" or the revision of development plans.

• Land and Housing Review
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• v.10 no.4
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• pp.1-12
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• 2019

The purpose of this study is to set the direction of development of the design guideline of the New-Hanok-Style public building in apartment complex and to use it as basic data for future architecture plans. The existing Hanok architecture standards and guidelines were analyzed and the characteristics of New-Hanok-Style Public Building in apartment complex were applied. The planning direction of the design guideline was derived. First, although the criteria and guidelines related to the Hanok produced and distributed were classified differently according to the purpose of production, the details and contents were similar. Second, the general planning criteria items were divided into layout, external space plan, building plan, and performance plan. Third, the elements of 'creative inheritance of traditional architecture' and 'modern building technology', which are the characteristics of New-Hanok-Style Public Building, were applied. In addition, we analyzed elementary welfare facility guidelines and applied elements such as layout type and zoning setting. Fourth, a special planning standard for applying the building system required for the New-Hanok-Style Public Building in apartment complex was added. In the future, it is expected to revitalize New-Hanok-Style Public Building containing the unique identity(genetic factor; DNA) of the nation by developing and disseminating relevant building standards, design guidelines, and maintenance manuals.