• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7143-7147
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• 2013

Background: The survival outcomes for women presenting with early breast cancer are influenced by treatment decisions. In Malaysia, survival outcome is generally poor due to late presentation. Of those who present early, many refuse treatment for complementary therapy. Objective: This study aimed to explore the decision making experiences of women with early breast cancer. Materials and Methods: A qualitative study using individual in-depth interviews was conducted to capture the decision making process of women with early breast cancer in Malaysia. We used purposive sampling to recruit women yet to undergo surgical treatment. A total of eight participants consented and were interviewed using a semi-structured interview guide. These women were recruited from a period of one week after they were informed of their diagnoses. A topic guide, based on the Ottawa decision support framework (ODSF), was used to facilitate the interviews, which were audio recorded, transcribed and analysed using a thematic approach. Results: We identified four phases in the decision-making process of women with early breast cancer: discovery (pre-diagnosis); confirmatory ('receiving bad news'); deliberation; and decision (making a decision). These phases ranged from when women first discovered abnormalities in their breasts to them making final surgical treatment decisions. Information was vital in guiding these women. Support from family members, friends, healthcare professionals as well as survivors also has an influencing role. However, the final say on treatment decision was from themselves. Conclusions: The treatment decision for women with early breast cancer in Malaysia is a result of information they gather on their decision making journey. This journey starts with diagnosis. The women's spouses, friends, family members and healthcare professionals play different roles as information providers and supporters at different stages of treatment decisions. However, the final treatment decision is influenced mainly by women's own experiences, knowledge and understanding.

• 사회복지연구
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• 제41권4호
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• pp.107-133
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• 2010

본 연구는 한국사회에 확산되는 기러기 가족의 구성원으로서 기러기 아빠의 분거가족경험을 총체적으로 이해하기 위해 7명의 기러기 아빠를 대상으로 심층 인터뷰한 후 질적연구 방법을 활용하여 분거가족 경험의 일반적 구조를 파악하였다. 연구 결과, 기러기 아빠의 분거가족경험은 전후 맥락과 시간성을 고려하여 가족분거 결정단계와 초기단계, 유지단계로 구분되었고 5개의 상위 구성요소가 도출되었다. 먼저, 가족분거 결정단계는 "조기유학의 내·외적 필요" 로 나타났고, 가족분거 초기단계는 "가족이탈의 해방과 결핍" 으로 도출되었으며 가족분거 유지단계는 "고갈된 독거인의 삶", "가족없는 공간을 채움", "분거기간의 장기화: 와도 걱정, 안와도 걱정" 으로 나타났다. 이와 같은 연구결과에 근거하여 가족분거를 경험한 기러기아빠에 대한 실천적 함의를 제시하였다.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.295-298
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• 2007

주택 재건축 정비사업의 초기단계에서의 주요문제점들은 해당분야의 전문가 부재로 인한 전문성결여에서 비롯하여 사업기간을 지연하게 되고, 또한 사업추진의 부진으로 인하여 비용 증가 등이 발생하고 있다. 이러한 내재된 정비사업의 문제 해결 방안으로서 본 연구에서는 건설사업 관리 방식의 모델 적용방안을 제안하고자 한다. 건설사업관리 방식을 적용하여 사업초기 단계에서의 사업계획 수립시 전문적인 지식을 기초로 조합원의 의견을 충분히 수렴할 수 있으며, 사업수행방식의 전문화, 초기단계에서의 합리적인 의사결정, 사업기간 단축, 비용절감, 발주자의 이익을 기여할 수 있다.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.730-731
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• 2015

This study aims at giving the framework to estimate the environmental load at planning and schematic phase. With increasing awareness of environmental issues, the effort to reduce the environmental impacts caused by human activity has been increasingly enlarged. So far most of researches estimating CO₂ emissions have analyzed energy consumption based on BOQ (Bills of Quantity) acquired after detailed design. There is also lack of reliability in the estimated environmental impact using the basic unit of a facility at the planning stage, because it uses a limited specific section of historical data. Thus, this study is targeted at developing framework to assess reliable environmental loads based on information available at project early phases by making case-bases from historical design information on PSC Beam Bridge. Historical database is built on the basis of the LCA (Life Cycle Assessment) and in order to set input information for estimating model, the literature about information in an early project phase are reviewed. Using the information available in the planning and schematic design stage, the Framework is presented to estimate the environmental load in an early stage in the project. Developing an environmental load estimation model in accordance with the Framework presented in this study, it is expected that the environmental load in the initial project phase can be estimated more quickly and accurately.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.578-582
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• 2015

Lack of client involvement in construction of public projects has been identified as the main cause of many operational problems. Clients need to perform their roles and responsibilities effectively and efficiently at the right time and through the use of correct methods in order to have the optimum involvement required during all the construction project phases, namely, the planning, design, construction, handover, and operation and maintenance phase. This paper investigates the influence of clients' individual factors on their involvement in construction project delivery. A questionnaire survey was distributed to various government agencies of the Kingdom of Saudi Arabia (KSA). Explanatory Factory Analysis was performed to group nineteen individual factors. The factor analysis result suggests that the individual factors that can involve clients' involvement in construction projects can be grouped into five, which are: adequacy of knowledge and experience for decision making in the early stage of design; ability to communicate clearly; job satisfaction; personal skills; and expertise in design and construction.

• 농촌지도와개발
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• 제6권1호
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• pp.15-24
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• 1999

There have always been dilemmas between development and environmental conservation throughout the world. Gradually environmental contamination threatens sustainable development and conservation. we try to study on the sustainable development with environmental conservation. One of the instruments to get this goal is Environmental Impact Statement. Environmental Impact Statement has now become a standard tool of decision making in Environmentally Sound and Sustainable Development. The objectives of this study is to explore and suggest some suggestions for improvements of EIA. 1. Identify all criteria and standards that apply to physical and social environmental components and dynamics. 2. Giving attention to the purpose of the criterion and standard, with respect to resource use and quality. 3. Demonstrate the relevance legal, technical, and scientific authority by early planning through construction, operation and maintenance phases. 4. Implement rationales and protocols for the documentation of standard analytical methods, location of sampling points and statistical analysis of data. 5. Establish precise protocols by predictions of environmental impact relevant for established criteria and standards. Reviewing these protocols with relevant legal authorities prior to their implementation is important.

• Journal of Mechanical Science and Technology
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• 제17권12호
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• pp.1969-1976
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• 2003

In the early phases of the product life cycle, Life Cycle Assessment (LCA) is recently used to support the decision-making for the product concepts, and the best alternative can be selected based on its estimated LCA and benefits. Both the lack of detailed information and time for a full LCA for a various range of design concepts need a new approach for the environmental analysis. This paper explores a new approximate LCA methodology for the product concepts by grouping products according to their environmental characteristics and by mapping product attributes into environmental impact driver (EID) index. The relationship is statistically verified by exploring the correlation between total impact indicator and energy impact category. Then, a neural network approach is developed to predict an approximate LCA of grouping products in conceptual design. Trained learning algorithms for the known characteristics of existing products will quickly give the result of LCA for newly designed products. The training is generalized by using product attributes for an EID in a group as well as another product attributes for the other EIDs in other groups. The neural network model with back propagation algorithm is used, and the results are compared with those of multiple regression analysis. The proposed approach does not replace the full LCA but it would give some useful guidelines for the design of environmentally conscious products in conceptual design phase.

• 한국정밀공학회지
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• 제20권3호
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• pp.221-229
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• 2003

In the early phases of the product life cycle, Life Cycle Assessment (LCA) is recently used to support the decision-making fer the conceptual product design and the best alternative can be selected based on its estimated LCA and its benefits. Both the lack of detailed information and time for a full LCA fur a various range of design concepts need the new approach fer the environmental analysis. This paper suggests a novel approximate LCA methodology for the conceptual design stage by grouping products according to their environmental characteristics and by mapping product attributes into impact driver index. The relationship is statistically verified by exploring the correlation between total impact indicator and energy impact category. Then a neural network approach is developed to predict an approximate LCA of grouping products in conceptual design. Trained learning algorithms for the known characteristics of existing products will quickly give the result of LCA for new design products. The training is generalized by using product attributes for an ID in a group as well as another product attributes for another IDs in other groups. The neural network model with back propagation algorithm is used and the results are compared with those of multiple regression analysis. The proposed approach does not replace the full LCA but it would give some useful guidelines fer the design of environmentally conscious products in conceptual design phase.

• 환경영향평가
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• 제22권1호
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• pp.89-97
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• 2013

RADCONS Ver. 1.0 (RADiological CONSequence Assessment Program) was developed for radiological risk assessment in this study. A Gaussian plume model was used to analyze the fate and transport of radionuclides released into the air in case of accidents. Both single meterological data and time series meterological data can be used in RADCONS. To assess the radiological risk of the early phase after an accident, ED (Effective Dose) estimated by both deterministic and probabilistic approaches are presented. These EDs by deterministic and probabilistic will be helpful to efficient decision making for decision makers. External doses from deposited materials by time are presented for quantifying the effects of mid and late phases of an accident. A radiological risk assessment was conducted using RADCONS for an accident scenario of 1 Ci of Cs-137. The maximum of ED for radii of 1,000 meters from the accident point was 8.51E-4 mSv. After Monte-Carlo simulation, considering the uncertainty of the breathing rate and dispersion parameters, the average ED was 8.49E-4, and the 95 percentile was 1.10E-3. A data base of the dose coefficients and a sampling module of the meteorological data will be modified to improve the user's convenience in the next version.

• 한국조경학회지
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• 제38권2호
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• pp.9-24
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• 2010

본 연구는 조경설계 수업 전반에 대한 학생들의 인식을 조사하고, 설계수업 개선을 위한 방향을 도출하고자하였다. 본 연구는 점차로 대학교육이 절대적인 지식을 전달하는 실증주의적 배경으로부터 학생들 스스로가 지식을 구축해가는 구성주의적 교육방법으로 진화해야 한다는 가정을 둔다. 학생들이 설계수업을 어떻게 경험하고, 느끼고, 이해하고, 평가하고 있는지를 이해하는 것은 이러한 구성주의 철학과 관점을 바탕으로 설계수업을 개선하기 위한 첫 번째 단계이다. 본 연구에서는 설계 스튜디오 교육에 대한 이론적 연구로 교육철학의 변화, 스튜디오 수업의 기원과 변화, 건축분야의 설계 교육의 변화, 그리고 조경교육에 있어서 설계교육에 대한 논의를 고찰하였다. 이를 바탕으로 네 개 대학의 학부생을 대상으로 실시한 설문조사의 내용을 분석하였다. 그 결과, 설계수업은 학생들이 조경설계가로서의 진로를 결정하는데 긍정적 혹은 부정적 영향을 행사하는 것으로 나타났다. 절반 정도의 학생들은 설계수업에 대해 불만을 표시하였으며, 상당한 심적 부담감을 느끼는 것으로 나타났다. 특히 설계과정의 초기단계와 개념을 구체화하는 단계에서 가장 많은 스트레스를 받는 것으로 분석되었고, 진로에 대한 유보적인 집단이 설계수업에 대한 심적 부담감이 가장 큰 것으로 나타났다. 학생들은 스스로의 설계능력에 대해 부정적으로 평가하고 있었으며, 성적이 학생들의 설계능력을 잘 반영해준다고 강하게 믿지 않는 것으로 나타나, 보다 투명한 평가체계에 대한 고민이 이어져야함을 시사한다.