• 의학교육논단
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• 제24권3호
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• pp.215-230
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• 2022

The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2021년도 제64차 하계학술대회논문집 29권2호
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• pp.313-315
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• 2021

Timely and accurate diagnosis of lung diseases using Chest X-ray images has been gained much attention from the computer vision and medical imaging communities. Although previous studies have presented the capability of deep convolutional neural networks by achieving competitive binary classification results, their models were seemingly unreliable to effectively distinguish multiple disease groups using a large number of x-ray images. In this paper, we aim to build an advanced approach, so-called Ensemble Knowledge Distillation (EKD), to significantly boost the classification accuracies, compared to traditional KD methods by distilling knowledge from a cumbersome teacher model into an ensemble of lightweight student models with parallel branches trained with ground truth labels. Therefore, learning features at different branches of the student models could enable the network to learn diverse patterns and improve the qualify of final predictions through an ensemble learning solution. Although we observed that experiments on the well-established ChestX-ray14 dataset showed the classification improvements of traditional KD compared to the base transfer learning approach, the EKD performance would be expected to potentially enhance classification accuracy and model generalization, especially in situations of the imbalanced dataset and the interdependency of 14 weakly annotated thorax diseases.

• 정보교육학회논문지
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• 제7권2호
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• pp.227-237
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• 2003

기존의 CAI나 ITS 연구물은 문제 해결 과정이 일반화되어 있어, 특별한 문제를 해결하기 위해서는 학습자가 수동적인 입장을 가지고 불필요한 과정을 거쳐서 시스템의 요구에 따라 해결할 수밖에 없었다. 결과적으로 본 연구와 같은 분수의 연산과 분야에서는 창의적이고 개별화된 문제 풀이 과정을 지원할 수 없었다. 본 연구는 보충학습자들을 위한 분수의 연산에 관한 ITS 시스템의 설계와 구현에 관한 연구이다. 본 연구는 학습 오류를 진단하고 학습 오류 상태를 학습자가 분명하게 인지할 수 있도록 안내한다. 또한 본 시스템은 학습자의 자기 주도적인 학습을 지원하며, 학습자 자신의 학습 결손을 보충할 수 있으며 또한 분수연산 과정을 학습자의 수준에서 창의적으로 스스로 조정이 가능하다. 우리는 이 시스템이 학교 교사 부족으로 인해 보충 학습자에 대한 배려가 소홀할 수밖에 없는 문제점이 개선됨을 보여주었고, 학습자도 이 시스템으로 인해 스스로 문제를 해결하는 능력이 신장되어 보다 높은 학습 효과를 얻는 것을 발견할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제83권3호
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• pp.211-217
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• 2020

The gold standard method for diagnosis of tuberculosis is the isolation of Mycobacterium tuberculosis through culture, but there is a probability of cross-contamination in simultaneous cultures of samples causing false-positives. This can result in delayed treatment of the underlying disease and drug side effects. In this paper, we reviewed studies on false-positive cultures of M. tuberculosis. Rate of occurrence, effective factors, and extent of false-positives were analyzed. Ways to identify and reduce the false-positives and management of them are critical for all laboratories. In most cases, false-positive is occurring in cases with only one positive culture but negative direct smear. The three most crucial factors in this regard are inappropriate technician function, contamination of reagents, and aerosol production. Thus, to reduce false-positives, good laboratory practice, as well as use of whole-genome sequencing or genotyping of all positive culture samples with a robust, extra pure method and rapid response, are essential for minimizing the rate of false-positives. Indeed, molecular approaches and epidemiological surveillance can provide a valuable tool besides culture to identify possible false positives.

• 정보처리학회논문지A
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• 제16A권5호
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• pp.403-410
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• 2009

본 논문에서는 교수자에게 학습자의 지식 요소별 진단을 해 주는 것이 가능한 지능형 온라인 퀴즈를 저작할 수 있도록 해주는 교육용 소프트웨어에 대하여 소개한다. 이 도구는 베이지언 추론망을 활용하여 학습 요소들 간의 관계를 표현함으로써 학습자 모델을 설계하고 베이지언추론에 의해 학습자의 지식을 추론하는 진단 엔진을 자동적 생성한다. 또한 이 도구는 온라인 퀴즈 페이지를 생성하며 퀴즈 풀이 후에 학습자 보고서를 제시하며 학습자 개인별로 부족한 학습 요소를 보충하기 위한 콘텐츠를 제공하는 기능을 갖추고 있다. 저작도구 자동생성 기법에 따라 개발된 이 지능형 온라인 퀴즈 저작도구는 학습자 개인의 부족한 학습 요소를 파악함으로써 그 진단 결과에 따른 학습전략 수립과 다음 학습 내용 선택 그리고 부족한 지식 요소를 보강하기 위한 보충학습을 수행하는데 도움을 주는 것으로 나타났다.

• 대한예방한의학회지
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• 제25권3호
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• pp.101-115
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• 2021

Objectives : This study compares clinical practice students' perception of Clinical Performance Examination (CPX) in a College of Korean Medicine using actors as Actor Standardized Patient (ASP) and enrolled students as Student Standardized Patient (SSP). Methods : Targeting the clinical practice students who completed the clinical practice education in the first semester of the fourth year in the Department of Korean Medicine, a survey was conducted on total six categories such as satisfaction with CPX using ASP and SSP, prior knowledge about clinical practice education, self-evaluation, difficulties in the process of performing the CPX, satisfaction with ASP/SSP, and familiarity with them. Results : In the results of the survey, the mean score of CPX program using SSP was higher than that of CPX program using ASP in every area. Among them, in the satisfaction with CPX itself and prior knowledge about various clinical practice education, the mean score of CPX program using SSP was statistically significantly higher than that of CPX program using ASP. Conclusions : Overall, the clinical practice students' satisfaction with CPX program using SSP was higher than that of CPX using ASP, and statistically significantly higher in some areas.

• 대한간호학회지
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• 제2권1호
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• pp.73-85
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• 1971

A epidemiological study was conducted by author on 925 official reported patients with the first grade legal communicable disease during the period from January 1969 to December 1970 in all area of Kangwon province. As the results of this study, tile following conclusion were obtained. A) Typhoid fever 1. Of all 925 patients surveyed, typhoid fever showed the highest rate as 50.7 percent. 2. Age group from 10 to 14 years old showed the highest rates 3. High epidemic period was from June to September. 4. As for the occupational distribution, unemployed showed the highest rate as 63.2 percent, followed by-21.1 percent in farmer and 9.4 percent in student. 5. Most of all patients(93.7%) were isolated in their own house 6. The morbidity rate was 16.0 per 100, 000 population and case fatality rate was 1.76 percent 7. The mean of the duration from onset to diagnosis and carnation were 11.7$\pm$7.1 days and 25.1$\pm$13, 8 days respectively. 8. Main diagnostic method was almost the clinical examination B) Dysentery 1, Of all 925 patients surveyed, dysentery showed 44.4 percent 2. Age group from 0 to 9 years old showed the highest rate 3. High epidemic period of this disease was from April to August 4. As for the occupational distribution, unemployed showed the highest rate as 73.9 percent, followed by 17.7 person in farmers and 7.0 percent in student 5. the attack rate of agricultural area was higher than of fishing area 6. The mean of the duration from onset to diagnosis and crating duration were 10.4$\pm$4.3 days and 15.7$\pm$8.8 days respectively. 7. The morbidity rate and case fatality rate were 21.8 per 100.000 population and 1.46 percent, respectively. 8. Most of all patients were isolated in own house 9. Most of all patients (97.6%) were diagnosed by the clinical examination C) Diphtheria 1. As for the age distribution, 0-4 years old group showed the highest rate as 44.4 percent followed by 27.7 percent in 5-9 years old group and 22.2 percent in 10-14 years old group 3. Epidemic season was almost in autumn, winter and spring 3. The morbidity rate was 0.96 per 100.000 population and case fatality rate was high as 26.6 percent 4. 66.6 percent of this disease was isolated in their own house and the others were admitted in hospital D) Paratyphoid fever 1. Most of all patients were attacked below 20 years old 2. Epidemic season was almost was almost in late summer 3. The morbidity rate was 0.53 per 100.000 population 4. The mean of the duration from onset to diagnosis and crating duration were 18.3$\pm$1.3 day and 13.7$\pm$0.2 day. respectively.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2879-2882
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• 2014

Background: Breast cancer (BC) is the most common form of cancer in Iranian women, and it remains a major health problem. An increasing number of young women are being diagnosed with BC, and therefore, there is an increasing likelihood that more women will survive breast cancer for many years. Many opine that self-disclosure of BC diagnosis is important because talking about cancer helps people to make sense of their experiences; in fact, self-disclosure appears to play an important role in many health outcomes. However, this has not yet been studied in BC patients in Iran. Therefore, this study aimed to explore the status of self-disclosure of BC diagnosis by Iranian women to friends and colleagues. Materials and Methods: All BC records for 2001-2011 of employed women were studied at five hospitals in Mashhad. Data about the self-disclosure of BC diagnosis were gathered through telephone interviews, and the participants filled out a questionnaire about their status of self-disclosure of BC diagnosis to various groups of people. Results: The mean age of employed women at the time of diagnosis was $44.3{\pm}6.7$ years. Over 60% self-disclosed to work colleagues and over 90% to bosses/managers. Seventy per cent reported that they had support from their family and husband's family, while 95% reported that they had support from parents, siblings, children and friends. Conclusions: Most employed women self-disclosed freely to family, friends, colleagues and bosses/managers. Apparently, self-disclosure of breast cancer diagnosis may have negative effects at work. About half of patients reported that they had support from family, managers and colleagues; however, for nearly 28% of employed women, disclosure had less positive effects. In particular, it altered their perception of others, produced difficulties with work and family and diminished closeness with the people who were told. However, the stigma of BC is far less than it once was.

• 한국보건간호학회지
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• 제14권2호
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• pp.342-354
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• 2000

This study was conducted to identify the characteristics of activities of daily living(ADU) and its influencing factors in patients with chronic arthritis. The data were obtained from 104 patients with chronic arthritis in one university hospital from May to August. 2000. For analysing data. SAS program was used for t-test. ANOVA, Schefte test. Pearson correlation. and stepwise multiple regression. The results were as follows: 1. The variables which influenced self-efficacy were duration of disease. number of painful joint, quality of sleep and alcohol drinking. 2. The variables which influenced fatigue were diagnosis and number of painful joint. 3. The variables which influenced ADL were age. duration of disease. diagnosis. number of painful joint. number of exercise and alcohol drinking. 4. ADL was positive correlation with self-efficacy and negative correlation with fatigue. And self-efficacy was negative correlation with fatigue. 5. The predictors to explain ADL were self-efficacy. number of painful joint. lupus. duration of disease and religion. These predictors explained $66.01\%$ of the activites of daily living. According to these findings. the most significant influencing factor of ADL was self-efficacy. therefore the development of nursing intervention for enhancing self-efficacy would be needed. Also. it is suggested that an exercise program should be recommended as one of useful and appropriate nursing intervention for reducing fatigue and increasing ADL.

• Journal of Information Technology Applications and Management
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• 제27권6호
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• pp.153-170
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• 2020

The Educational Restitution Rate is an important parameter that determines the quality of university education. This paper analyzed data from 148 private universities over the 10 years from 2009 to 2018 using data mining techniques in Korea. A significant causal relationship is detected in the fixed effect model as a result of the panel estimation. And the scale of faculty expansion and fund management, which are the university evaluation indicators, and the size of basic funds, respectively, have a positive effect on the ERR, which is within the confidence interval. In the analysis, the more private universities improve the tuition dependence rate, the more decisively positive affecting ERR. As a result of nonparametric regression estimation, when the faculty expansion ratio is reinforced, the effect of economies of scale is detected in some sections, the improvement of the tuition dependence rate, and the result value is generated through the improvement that results are derived at a certain point in time. We hope that the university based on this study can be a basic Indicators for the diagnosis of basic competencies and policy of student-centered education.