• Title/Summary/Keyword: case-based learning

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Quality Assurance of Gastric Cancer Surgery (위암 수술의 질 관리)

  • Lee Hyuk-Joon;Yang Han-Kwang
    • Journal of Gastric Cancer
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    • v.5 no.2
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    • pp.79-88
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    • 2005
  • Quality assurance may be defined as the complete set of systemic actions that is required to achieve a better treatment result by standardizing treatment and by using various audit programs. In general, application of a quality assurance program in surgery is considered to be more difficult than it is in chemotherapy or radiotherapy. However, recently, the importance of quality assurance in the surgical field has been emphasized in clinical trials comparing different surgical procedures and evaluating the role of postoperative adjuvant therapy. In the case of gastric cancer surgery, excellent quality assurance programs have rarely been applied in most large prospective clinical trials. Although the quality assurance in Dutch trial was conducted very systemically and strictly, the situation is quite different from ours. On the other hand, several quality assurance programs in Japanese trials comparing D2 and D2 plus para-arotic lymph node dissection seem to be applicable to Korean clinical trials. Several factors, including selection of appropriate surgeons based on personal experience and annual number of operations, standardization of surgical procedures by education and consensus, development of a unified database program, application of standardized perioperative management, and standardization of pathologic examination, are required to guarantee a successful multi-institutional prospective clinical trial. In contrast, one needs to realize that protocols that are too strict and sophisticated can make the enrollment of patients and surgeons more difficult and can promote protocol violation during the clinical trials. (J Korean Gastric Cancer Assoc 2005;5:79-88)

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Evaluating the Success Factors of Microfinance : A Case Study of Grameen Bank (마이크로파이넨스 성공요인 연구 : 그라민 은행 사례)

  • Nargis, Farhana;Lee, Sang-Ho;Kwon, Kyung-Sup
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.3
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    • pp.65-73
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    • 2012
  • Microfinance has been an important tool for the economic growth and poverty alleviation. But the success factors and risk factors have not been synthesized in academic literature. This article has paid attention to success factors and potential risk of the Grameen Bank. Grameen Bank methodology is almost the reverse of the conventional banking methodology. Conventional banking is based on the principle that the more you have, the more you can get. Founder of Grameen Bank, Professor Yunus pointed out that, "The least you have the highest you have the priority to receive a loan". On the basis of theoretical literature, there have been different kinds of success factors of microfinance observed in this paper. Key success factors of Grameen Bank are like these: innovation, strict administrative structure, adaptation and learning practice, incentive system. Complementary services such as business consulting and brokerage will contribute to borrowers' economic performance development.

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When Changes Don\`t Make Changes: Insights from Korean and the U.S Elementary Mathematics Classrooms (변화가 변화를 일으키지 못할 때: 한국과 미국 초등수학 수업 관찰로부터의 소고)

  • 방정숙
    • Education of Primary School Mathematics
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    • v.4 no.2
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    • pp.111-125
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    • 2000
  • This paper presents cross-national perspectives on challenges in implementing current mathematics education reform ideals. This paper includes detailed qualitative descriptions of mathematics instruction from unevenly successful second-grade classrooms both in Koran and in the U. S with regared to reform recommendations. Despits dramatic differences in mathematics achivement between Korean and the U.S student. problems in both countries with regard to mathematics education are perceived to be very similar. The shared problems have a common origin in teacher-centered instruction. Educational leaders in both countries have persistently attempted to change the teacher-centered pedagogy to a student-centered approach. Many teachers report familiarity with and adherence to reform ideas, but their actual classroom teaching practices do not reflect the full implications of the reform ideals. Given the challenges in implementing reform, this study explored the breakdown that may occur between teachers adoption of reform objectives and their successful incorporation of reform ideals by comparing and contrasting two reform-oriented classrooms in both countries. This comparison and contrast provided a unique opportunity to reflect on possible subtle but crucial issues with regard to reform implementation. Thus, this study departed from past international comparisons in which the common objective has been to compare general social norma of typical mathematics classes across countries. This study was and exploratory, qualitative, comparative case study using grounded theory methodology based on constant comparative analysis for which the primary data sources were classroom video recordings and transcripts. The Korean portion of this study was conducted by the team of four researchers, including the author. The U.S portion of this study and a brief joint analysis were conducted by the author. This study compared and contrasted the classroom general social norms and sociomathematical norms of two Korean and two U.S second-grade teachers who aspired to implement reform. The two classrooms in each country were chosen because of their unequal success in activating the reform recommendation. Four mathematics lessons were videotaped from Korean classes, whereas fourteen lessons were videotaped from the U.S. classes. Intensive interviews were conducted with each teacher. The two classes within each country established similar participation patterns but very different sociomathematical norms. In both classes open-ended questioning, collaborative group work, and students own problem solving constituted the primary modes of classroom participation. However in one class mathematical significance was constituted as using standard algorithm with accuracy, whereas the other established a focus on providing reasonable and convincing arguments. Given these different mathematical foci, the students in the latter class had more opportunities to develop conceptual understanding than their counterparts. The similarities and differences to between the two teaching practices within each country clearly show that students learning opportunities do not arise social norms of a classroom community. Instead, they are closely related to its sociomathematical norms. Thus this study suggests that reform efforts highlight the importance of sociomathematical norms that established in the classroom microculture. This study also provides a more caution for the Korean reform movement than for its U.S. counterpart.

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Initiating Smokeless Tobacco Use across Reproductive Stages

  • Begum, Shahina;Schensul, Jean J.;Nair, Saritha;Donta, Balaiah
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7547-7554
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    • 2015
  • Background: The use of smokeless tobacco (SLT) among women is increasing in India, especially among those with limited education and resources. Preventing the initiation of SLT among women is critical since it has known negative consequences for oral and reproductive health. Most research on tobacco initiation in India focuses on adolescents. This paper addresses the unrecognized issues of post marital initiation among women of reproductive age, highlighting the importance of reproductive stages in women's tobacco initiation. The objective is to examine the correlates of SLT initiation among low income women in Mumbai from pre-marriage through early marriage, first pregnancy and beyond, using case examples to illustrate initiation during each of these stages. Materials and Methods: In 2011-2012, cross-sectional community level survey data were collected from a representative sample of 409 daily SLT-using married women aged 18-40 years in a low income community in Mumbai. Information on socio-demographics, initiation by reproductive stage, types of tobacco use, childhood exposure to tobacco, learning to use, and initiation influences and reasons were collected through a researcher-administered survey. Univariate and bivariate analysis assessed factors influencing initiation of SLT use by reproductive stage. In addition 42 narratives of tobacco use were collected from a purposive sample of pregnant and non-pregnant married women addressing the same questions in detail. Narratives were transcribed, translated, and coded for key concepts including initiation of tobacco use. Results: Thirty-two percent of women initiated SLT use before marriage, 44% initiated after marriage but before pregnancy, 18.1% initiated during their first pregnancy and the remainder started after their first pregnancy. Mean age of marriage among women in this study was 16 years. Younger women (i.e. age at time of the interview of less than 30 years) were 0.47 [95% CI (0.32, 0.87)] percent less likely to initiate after marriage than women aged more than 30 years. Women who got married before 18 years of age were 2.34 [95% CI (1.40, 3.93)] times more likely to initiate after marriage than their counterparts. Childhood exposure was a predictor for initiating SLT use prior to marriage but not after. Women reporting tooth and gum pain were 1.85 times more likely to initiate after marriage than their counterparts. Husband and neighbours were the most significant influences on post-marital initiation. Narratives highlighted differences in processes of initiation pre and post marriage and during pregnancy. Conclusions: Most tobacco prevention interventions are directed to adolescents in school. This study suggests that especially for low literate or illiterate women, school based interventions are ineffective. To be effective strategies to prevent SLT initiation must reach women in urban areas at or immediately after marriage and during their first pregnancy. Messages must negate culturally rooted beliefs about the health benefits of SLT in order to prevent initiation and onset of daily use.

Development and Evaluation Frameworks for PBL/S-PBL Packages: in the case of the Dept. in Allied Health Professionals and Nursing (PBL/S-PBL 패키지 평가도구 개발 및 평가 : 보건계열(학)과와 간호(학)과를 중심으로)

  • Yang, Jeong-Hwa;Kim, Soo-Jin;Kim, Hyo-Sil;Lim, Jin-Hyung;Chae, Soo-Gyung
    • Journal of radiological science and technology
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    • v.33 no.3
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    • pp.203-211
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    • 2010
  • The purpose of this study is meant to develop an evaluation framework for PBL and S-PBL package, as well as verify reliability and propriety of developed framework. To achieve the purpose, existing researches and related documents were considered, and composed basic questionnaire which fits to the basic frame of the framework, 3 categories 15 items for PBL/S-PBL. Verifying its contents propriety, examined by 9 experts who professors in college and made 14 items for PBL, 15 items for S-PBL. To verify construct validity of basic frameworks, carried out factor analysis. Final evaluation framework questionnaire were 15 items selected, its PBL for 3 items in motivating, 7 items in integrity, 4 items in systematic and total 14 items, S-PBL for 4 items in motivating, 6 items in integrity, 5 items in systematic and total 15 items, and was verify to have adequate reliability with Cronbach's $\alpha$ is 0.9112 in PBL, 0.9166 of S-PBL.

Design of Digit Recognition System Realized with the Aid of Fuzzy RBFNNs and Incremental-PCA (퍼지 RBFNNs와 증분형 주성분 분석법으로 실현된 숫자 인식 시스템의 설계)

  • Kim, Bong-Youn;Oh, Sung-Kwun;Kim, Jin-Yul
    • Journal of the Korean Institute of Intelligent Systems
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    • v.26 no.1
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    • pp.56-63
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    • 2016
  • In this study, we introduce a design of Fuzzy RBFNNs-based digit recognition system using the incremental-PCA in order to recognize the handwritten digits. The Principal Component Analysis (PCA) is a widely-adopted dimensional reduction algorithm, but it needs high computing overhead for feature extraction in case of using high dimensional images or a large amount of training data. To alleviate such problem, the incremental-PCA is proposed for the computationally efficient processing as well as the incremental learning of high dimensional data in the feature extraction stage. The architecture of Fuzzy Radial Basis Function Neural Networks (RBFNN) consists of three functional modules such as condition, conclusion, and inference part. In the condition part, the input space is partitioned with the use of fuzzy clustering realized by means of the Fuzzy C-Means (FCM) algorithm. Also, it is used instead of gaussian function to consider the characteristic of input data. In the conclusion part, connection weights are used as the extended diverse types in polynomial expression such as constant, linear, quadratic and modified quadratic. Experimental results conducted on the benchmarking MNIST handwritten digit database demonstrate the effectiveness and efficiency of the proposed digit recognition system when compared with other studies.

A Study on Chaff Echo Detection using AdaBoost Algorithm and Radar Data (AdaBoost 알고리즘과 레이더 데이터를 이용한 채프에코 식별에 관한 연구)

  • Lee, Hansoo;Kim, Jonggeun;Yu, Jungwon;Jeong, Yeongsang;Kim, Sungshin
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.6
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    • pp.545-550
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    • 2013
  • In pattern recognition field, data classification is an essential process for extracting meaningful information from data. Adaptive boosting algorithm, known as AdaBoost algorithm, is a kind of improved boosting algorithm for applying to real data analysis. It consists of weak classifiers, such as random guessing or random forest, which performance is slightly more than 50% and weights for combining the classifiers. And a strong classifier is created with the weak classifiers and the weights. In this paper, a research is performed using AdaBoost algorithm for detecting chaff echo which has similar characteristics to precipitation echo and interrupts weather forecasting. The entire process for implementing chaff echo classifier starts spatial and temporal clustering based on similarity with weather radar data. With them, learning data set is prepared that separated chaff echo and non-chaff echo, and the AdaBoost classifier is generated as a result. For verifying the classifier, actual chaff echo appearance case is applied, and it is confirmed that the classifier can distinguish chaff echo efficiently.

A Reconstruction of Area Unit of Elementary Mathematics Textbook Based on Freudenthal's Mathematisation Theory (Freudenthal의 수학화 이론에 근거한 제 7차 초등수학 교과서 5-가 단계 넓이 단원의 재구성)

  • You, Mi-Hyun;Kang, Heung-Kyu
    • Journal of Elementary Mathematics Education in Korea
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    • v.13 no.1
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    • pp.115-140
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    • 2009
  • Freudenthal has advocated the mathematisation theory. Mathematisation is an activity which endow the reality with order, through organizing phenomena. According to mathematisation theory, the departure of children's learning of mathematics is not ready-made formal mathematics, but reality which contains mathematical germination. In the first place, children mathematise reality through informal method, secondly this resulting reality is mathematised by new tool. Through survey, it turns out that area unit of Korea's seventh elementary mathematics textbook is not correspond to mathematisation theory. In that textbook, the area formular is hastily presented without sufficient real context, and the relational understanding of area concept is overwhelmed by the practice of the area formular. In this thesis, first of all, I will reconstruct area unit of seventh elementary textbook according to Freudenthal's mathematisation theory. Next, I will perform teaching experiment which is ruled by new lesson design. Lastly, I analysed the effects of teaching experiment. Through this study, I obtained the following results and suggestions. First, the mathematisation was effective on the understanding of area concept. Secondly, in both experimental and comparative class, rich-insight children more successfully achieved than poor-insight ones in the task which asked testee comparison of area from a view of number of unit square. This result show the importance of insight in mathematics education. Thirdly, in the task which asked testee computing area of figures given on lattice, experimental class handled more diverse informal strategy than comparative class. Fourthly, both experimental and comparative class showed low achievement in the task which asked testee computing area of figures by the use of Cavalieri's principle. Fifthly, Experiment class successfully achieved in the area computing task which resulting value was fraction or decimal fraction. Presently, Korea's seventh elementary mathematics textbook is excluding the area computing task which resulting value is fraction or decimal fraction. By the aid of this research, I suggest that we might progressively consider the introduction that case. Sixthly, both experimental and comparative class easily understood the relation between area and perimeter of plane figures. This result show that area and perimeter concept are integratively lessoned.

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Analysis on the Research Trends in STEAM Education (융합인재교육(STEAM) 연구 동향 분석)

  • Kwak, Hyejeong;Ryu, Heuisu
    • Journal of Science Education
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    • v.40 no.1
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    • pp.72-89
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    • 2016
  • The purpose of this study is to investigate current trends of research in STEAM education through the analysis of published articles in Korea on STEAM education between 2011~2014. By looking into the research trend, this study check out research's achievements for four years and suggest guiding light to determine the direction of the research of STEAM education. The number of papers of STEAM education had continuously increased from 2011 to 2014 but the increase in research tended to stall by 2014. In 2014 the research for kindergartens started to increase and research for slow learning students and special students was done. With regard to the number of studies published relating to the curriculum, many studies centered in the study of the actual and science curriculum which took a large portion since the adoption. In the kindergarten and university level, the study based on art showed the highest while in elementary, middle and high school level, the actual and science curriculum took a major portion in its studies. The general academic associations continue to expand their research area with regard to STEAM education while the academic related associations show a 16% decline in its number of studies published when comparing 2014 to 2013. A higher proportion of qualitative research methods such as case studies are needed to be addressed in the future while more research should be done on education policies for the establishment of a system to share the program that contains the distribution of the education programs and its utilization. In addition, a long-term research should be conducted to verify the effectiveness of the education of teachers for teaching candidates and school teachers.

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Analysis on Sentence Error Types of Mathematical Problem Posing of Pre-Service Elementary Teachers (초등학교 예비교사들의 수학적 '문제 만들기'에 나타나는 문장의 오류 유형 분석)

  • Huh, Nan;Shin, Hocheol
    • Journal of the Korean School Mathematics Society
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    • v.16 no.4
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    • pp.797-820
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    • 2013
  • This study intended on analyzing the error patterns of mathematic problem posing sentences by the 100 elementary pre-teachers and discussing about the solutions. The results showed that the problem posing sentences have five error patterns: phonological error patterns, word error patterns, sentence error patterns, meaning error patterns, and notation error patterns. Divided into fourteen specific error patterns, they are as in the following. 1) Phonological error patterns are consisted of the 'ㄹ' addition error pattern and the abbreviated word error pattern. 2) Words error patterns are divided with the inappropriate usage of word error pattern and the inadequate abbreviation error pattern, which are formulized four subgroups such as the case maker, ending of the word, inappropriate usage of word, and inadequate abbreviation of article or word error pattern in detail. 3) Sentence error patterns are assumed four kinds of forms: the reference, ellipsis of sentence component, word order, and incomplete sentence error pattern. 4) Meaning error patterns are composed the logical contradiction and the ambiguous meaning. 5) Notation error patterns are formed four patterns as the spacing, punctuation, orthography of Hangul, and spelling rules of foreign words in Korean. Furthermore, the solutions for these error patterns were discussed: First, it has to be perceived the differences between spoken and written language. Second, it has to be rejected the spoken expressions in written contexts. Third, it should be focused on the learning of the basic sentence patterns during the class. Forth, it is suggested that the word meaning should have the logical development perception based on what it means. Finally, it is proposed that the system of spelling of Korean has to be learned. In addition to these suggestions, a new understanding is necessary regarding writing education for college students.

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