• 의학교육논단
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• 제20권3호
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• pp.123-127
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• 2018

Graduate medical education is the most important phase among the three stages of medical education. It links basic medical education and continuing professional development. It is also a critical period in acquiring meaningful knowledge, skills and professionalism. The residents should be able to develop the core common competencies on top of their specialozeds field's expertise, in order to function as independent and qualified physicians. Despite the obvious importance of graduate medical education, the system in Korea has been designed and executed to meet the needs of the hospitals in the perspective of manpower management, rather than to educate and empower the residents. As a result, graduate medical education in Korea lacks clear educational objectives and systemic, resident-centered curriculums. Yet, we have no accreditation body to evaluate graduate medical education programs. In order to normalize graduate medical education, an integrated and unified institution that manages the whole process of the graduate medical education is desperately needed. Special attention should be given to the role of medical schools in educating the core common competencies. The Korean Association of Medical Colleges, the Korean Institute for Medical Education and Evaluation, and the Korean Academy of Medical Sciences should cooperate intimately to establish a new organization for the systemic management and development of graduate medical education.

• 아동학회지
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• 제15권2호
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• pp.195-211
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• 1994

This study was designed to examine the effects of family structure (nuclear, extended family) on children's behavioral and emotional problems. The subjects of this study were 650 primary school children aged 8 to 13 living in Seoul and Incheon (324 from nuclear and 326 from extended families). The Children's Behaviour Questionnaire (CBQ: Rutter, 1970) and a questionnaire containing demographic questions and some additional questions were used for instruments. For the analyses, frequencies, descriptives, chi-square, factor analysis, and t-test were used. The results were analysed and explained in their cut-off points, prevalences, differences and factor structures. The cut-off score obtained in this study was 18, and the prevalences with this cut-off score were 6.3% in total subjects, 8.0% in nuclear families, and 4.6% in extended families. The children from extended families showed less behavioral and emotional problems, especially antisocial behaviours, compared with those from nuclear families, and this difference was significant (p<.05). The factor structures of the CBQ were 'antisocial', 'neurotic', 'mannerism' and 'speech' in total subjects, and, in the case of nuclear families, the factor structures were same as in total subjects, but, in the case of extended families, the 'emotional anxiety' factor was included instead of the 'speech' factor.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8549-8556
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• 2014

Head and neck squamous cell carcinoma (HNSCC) is one of the world top ten most common cancers with its highest occurrence in the Indian subcontinent and different aggressive and etiological behavioural patterns. The scenario is only getting worst with the 5 year survival rates dropping to 50%, persistent treatment failures and frequent cases of relapse/recurrence. One of the major reasons for these failures is the presence of cancer stem cells (CSCs), a small population of cancer cells that are highly tumourigenic, capable of self-renewal and have the ability to differentiate into cells that constitute the bulk of tumours. Notably, recent evidence suggests that cancer stem cells are especially resistant to conventional therapy and are the "drivers" of local recurrence and metastatic spread. Specific markers for this population have been investigated in HNSCC in the hope of developing a deeper understanding of their role in oral cancer pathogenesis, elucidating novel biomarkers for early diagnosis and newer therapeutic strategies. This review covers the fundamental relevance of almost all the CSC biomarkers established to date with a special emphasis on their impact in the process of oral tumourigenesis and their potential role in improving the diagnosis, prognosis and treatment of OSCC patients.

• 유통과학연구
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• 제18권7호
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• pp.37-48
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• 2020

Purpose: There has been an increasing focus on consumer ethics by researchers and practitioners alike with the former seeking to examine the general discrepancy between ethical attitude, intention and actual behaviour by proposing behavioural measures to understand ethical consumption. Research into the effects of generational cohorts and gender, two fundamental demographic factors that shape the consumer habituated repertoire, on consumer ethics has reported mixed findings. The present study investigates if there are differences in ethical consumer behavior by generational cohorts and by gender in the context of an emerging market - Vietnam. Research design, data and methodology: Data was collected using a quantitative survey (a link to the questionnaire was posted on relevant social media platforms). A total of 539 usable responses was used for ANOVAs and independent t-tests to test the hypotheses. Results: a) There are significant differences in terms of ethical consumer behavior between Gen Z and Gens Y/X, but no difference between Gen X and Gen Y; b) There is no gender difference in ethically minded consumer behavior. Conclusion: For consumer ethics, generational effects may be moderated by macroeconomic conditions, while gender alone as a biological variable may not be a reliable predictor.

• Structural Engineering and Mechanics
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• 제37권2호
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• pp.215-231
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• 2011

As a brittle and heterogeneous material, concrete behaves differently under different stress conditions and its bulk strength is loading rate dependent. To a large extent, the varying behavioural properties of concrete can be explained by the mechanical failure processes at a mesoscopic level. The development of a computational mesoscale model in a general finite element environment, as presented in the preceding companion paper (Part 1), makes it possible to investigate into the underlying mechanisms governing the bulk-scale behaviour of concrete under a variety of loading conditions and to characterise the variation in quantitative terms. In this paper, we first present a series of parametric studies on the behaviour of concrete material under quasi-static compression and tension conditions. The loading-face friction effect, the possible influences of the non-homogeneity within the mortar and ITZ phases, and the effect of randomness of coarse aggregates are examined. The mesoscale model is then applied to analyze the dynamic behaviour of concrete under high rate loading conditions. The potential contribution of the mesoscopic heterogeneity towards the generally recognized rate enhancement of the material compressive strength is discussed.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1994년도 교수 연수회(역학)
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• pp.7-11
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• 1994

Twenty years ago, the American Journal of Epidemiology published David Sackett's brief description of. clinical epidemiology and its practitioners [1]. This commentary was a useful focal point for an emerging discipline. By 1983, with clinical epidemiology already thriving in many academic medical centres, Walter Holland called into question both the term, 'clinical epidemiology', and the nature of the discipline [2]. More recently, clinical epidemiology has drawn strong criticism from John Last, a noted academician whose contributions include the editorship of the Maxcy-Rosenau Textbook of Public Health. Writing in the Journal of Public Health Policy in 1988 [3], Last referred to the 'uncritical enthusiasm' for clinical epidemiology in medical schools as 'a danger to health', and staked. a claim to the term 'epidemiology' as appropriate only to the description of what classical or population epidemiologists do. Faced with such views, practitioners and proponents of clinical epidemiology can respond in three ways. They can ignore the criticism, and go on about their business. They can reaffirm their differences and resort to defensive rhetoric. Or, the critique can become an opportunity for reflection about the nature of clinical epidemiology and its relations with sister disciplines in modem medical schools. The latter course is followed here by four physicians who-despite diverse backgrounds and interests-all consider their work to be in the field of clinical epidemiology.

• Toxicological Research
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• 제14권4호
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• pp.495-500
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• 1998

The effect of acute toluene exposure on behaviour and monoamine concentrations in the various brain regions were investigated in the rat. Toluene was adminstered via inhalation to rats at concentrations of 0, 1000, 10000, 40000 ppm for 20 min. During exposure to toluene, spontaneous locomotor activity was counted. After exposure, animals were sacrificed instantly and brains were separated. Regional concentratons of brain monoamines (norepinephrine, NE; dopamine, DA; 5- hydroxytryptamine, 5-HT) and its metabolites (3,4-dihydroxyphenylacetic acid, DOPAC; homovanillic acid, HVA; 5-hydroxyindole-3-acetic acid, 5-HIAA) were determined. The changes in locomotor activity during toluene exposure depended on the toluene concentration. At 1000 ppm concentration, spontaneous locomotor activity increased initially and thereafter decreased. At higher concentrations (10000 ppm and 40000 ppm), spontaneous locomotor activity decreased and eventually ceased. A regional analysis of VA, NE, 5-HT, VOPAC, HVA, and 5-HIAA indicated a significant decrease in VA concentrations in cerebellum and striatum while NE and 5-HT concentrations were significantly increased in the cerebellum and cortex. 5-HIAA concentrations were significantly increased in all brain regions. DOPAC concentrations were significantly increased in cerebellum and cortex while decreased in striatum. These results especially indicated that metabolic conversion of DA to HVA in striatum was highly increased by toluene inhalation. However, It remains to elucidate between behavioural responses and monoamine changes.

• International Journal of Computer Science & Network Security
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• 제21권8호
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• pp.79-86
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• 2021

Alzheimer's is a chronic progressive disease which exhibits varied symptoms and behavioural traits from person to person. The deterioration in cognitive abilities is more noticeable through their Activities and Instrumental Activities of Daily Living rather than biological markers. This information discussed in social media communities was collected and features were extracted by using the proposed fuzzy logic based algorithm to address the uncertainties and imprecision in the data reported. The data thus obtained is used to train machine learning models in order to predict the longevity of the patients. Models built on features extracted using the proposed algorithm performs better than models trained on full set of features. Important findings are discussed and Support Vector Regressor with RBF kernel is identified as the best performing model in predicting the longevity of Alzheimer's patients. The results would prove to be of high value for healthcare practitioners and palliative care providers to design interventions that can alleviate the trauma faced by patients and caregivers due to chronic diseases.

• The Journal of Asian Finance, Economics and Business
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• 제8권5호
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• pp.979-986
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• 2021

Online food delivery and food delivery apps have continued to grow exponentially in Malaysia. Fundamental aspects in entrepreneurship of the food and beverage industry, such as knowledge and attitudes towards online food delivery services being outsourced, have yet to be extensively recognized. The present study intends to explore this area of subject matter within the Malaysian context by using behavioral reasoning theory. The actual interview for this study took place in May 2020, and 14 interviews had been carried out. All interviews were audio-recorded with the consent from the respondents for reference purposes and subsequently transcribed verbatim. The transcripts were then checked against audio records. Content analysis was used to analyze the transcripts by focusing on n frequency counts and coding of themes. A qualitative method has been adopted by employing an interview to elicit the perspectives of entrepreneurs from Sarawak on the determinants and barriers in outsourcing online food delivery services. Results indicate that high potential in revenue, broad exposure to reach customers, convenience, and provision of job opportunities are the four factors that determine to outsource. In contrast, food quality maintenance, trustworthiness, high cost incurred, and consumer technology resistance are four factors that serve as barriers towards outsourcing third-party online delivery.

• 유통과학연구
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• 제19권9호
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• pp.29-39
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• 2021

Purpose: Nowadays, café shop chains are becoming a trend and growing rapidly in Vietnam. There are numerous people who spend their time in cafes and this has become part of the current lifestyle. Therefore, cafe chains owners compete in offering new cafe concepts to attract customers and deliver their values to customers effectively. To gain competitiveness and attractiveness, a cafe must possess an interesting servicescape and provide a good impression toward customers in a cafe. Therefore, this study is to evaluate the role of servicescape as an antecedent to service quality and behavioral intentions in the Vietnam market. Research design, data, and methodology: The study was conducted through survey questionnaires who had used the service at coffee shop chains in cities of Vietnam. We apply the PLS-SEM method to analyze data and test hypotheses. Results: Servicescape is a second-order construct including hygiene, space, ambiance, design, and equipment. Servicescape also impacts directly on overall service quality, employee service quality, and behavioral intention. Conclusions: Servicescape plays a role as an antecedent for service quality and behavioral intention. Therefore, it confirms the importance of managing servicescape in order to deliver more value to customers through improving service quality so that enhance intention to return to use services in coffee shop chains.