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A Study on the Symptom Distress and Suffering of Five Major Cancer Patients (암질병에 따른 암환자의 불편감과 고통에 관한 연구)

  • Kwon, Mi-Hyoung;Kim, Boon-Han
    • Asian Oncology Nursing
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    • v.3 no.2
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    • pp.145-154
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    • 2003
  • Purpose: The study was to furnish basic raw materials that evaluate the efficacy of meatal care according to the form and the relative importance of symptom distress which most of cancer sufferers have been experienced. For that, an investigation of five diverse major cancer symptom distress made a comparison between symptom distress and degree of suffering. Method: Study subjects were 138 inpatients with stomach cancer, lung cancer, hepatocellular carcinoma(HCC), large intestine cancer and breast cancer, except those in the terminal-stage, in 'H' university hospital in Seoul and 'K' center in Ilsan gathered from November 20, 2002 to February 20, 2003. To measure the correlation between feeling of discomfort and agony caused by cancer, 5 point scale (from zero to four), stood on the basis of Symptom Distress Scale (SDS, Rodes & Watson, 1987), was used for this study and the Cronbach's coefficient alpha was 0.95. Accumulated data was analyzed with SPSS 10.0 for window, also used by ANOVA and Duncan's Multiple Range Test. Pearson's Correlation Analysis. Results: 1. Symptom distress of cancer patients was noted and defined in their severity-fatigue, anorexia, pain, depression, dyspepsia, changing appearance and nausea. The degree of symptom distress was fatigue, dyspepsia, depression, anorexia, pain, changing appearance and the degree of suffering was nausea, pain, anorexia, dyspepsia, vomiting, breathing difficulty, changing appearance and fatigue. 2. Examining the difference of degree of symptom distress in each cancer cases, it takes the precedence of them. First, in case of stomach cancer, depression, pain, vomiting and nausea were shown in sequence. In case of lung cancer depression, pain, sleeping problem, anxiety, changing appearance, inattentiveness and vomiting were showed in sequence, depression, changing appearance, sleeping problem, pain in case of HCC, depression, pain in case of large intestine cancer and lastly in case of breast cancer changing appearance, depression, pain and anxiety were shown in sequence. The category of the degree of symptom distress that has a signifiant difference was anorexia, activity discomfort, fatigue, constipation or diarrhea, breathing difficulty, dyspepsia, caughing, fever or chillness, scotoma and urinary disorder. Verifying the highest degree of symptom distress in each cancer cases, anorexia was 1.94(F=4.00, p<.01) in stomach cancer, activity discomfort was 0.97(F=3.08, p<.01) in lung cancer and HCC, fatigue was 2.32(F=4.64, p<.01) in HCC, constipation or diarrhea was 1.83(F=22.31, p<.001) in large intestine cancer, breathing difficulty was 1.83(F=4.00, p<.01) in lung cancer, dyspepsia was 2.69(F=9.98, p<.001) in stomach cancer, coughing was 1.53(F=20.49, p<.001) in lung cancer, fever or chillness was 1.23(F=6.88, p<.001) in lung cancer, scotoma was 1.20(F=3.02, p<.05) in lung cancer and urinary disorder was 1.54(F=11.56, p<.001) in HCC. 3. Examining the difference degree of suffering on cancer cases, the result was as follows; depression of lung cancer was 1.17(F=3.76, p<.01), anorexia of stomach cancer was 1.61(F=3.89, p<.01), constipation or diarrhea of large intestine cancer was 1.42(F=10.43, p<.001), changing appearance of breast cancer was 1.65(F=5.43, p<.001), breathing difficulty of lung cancer was 2.27(F=18.57, p<.001), dyspepsia of stomach cancer was 1.97(F=13.56, p<.001), coughing of lung cancer was 1.70(F=22.07, p<.001), fever or chillness of lung cancer was 1.13(F=4.41, p<.01), scotoma of lung cancer was 0.87(F=3.34, p<.05), anxiety of lung cancer was 0.87(F=4.50, p<.001) and urinary disorder of HCC was 1.43(F=16.71, p<.001). 4. In consequence, comparing between symptom distress and degree of suffering on cancer patients undergoing chemotherapy, lung cancer patients showed the highest feeling of discomfort following stomach cancer, HCC, breast cancer and large intestine cancer(F=2.88, p<.05). On those undergoing radiotherapy, lung cancer, HCC, breast cancer, large intestine cancer was in sequence(F=3.78, p<.05) and those resisting radiotherapy, lung cancer, HCC, stomach cancer, large intestine cancer and breast cancer was in sequence(F=2.72, p<.05). 5. Correlation between symptom distress and degree of suffering on cancer patients was generally significant. Conclusion: this study not only defines a significant correlation between symptom distress and degree of suffering but also proffers basic data to evaluate the efficient meatal care depending upon diverse spectrums of symptom distress and degree of suffering.

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A Study on Contents Reorganization for Self-Directed Learning (자기주도적 학습을 위한 콘텐츠 재구성에 대한 연구)

  • Heo, Sun-Young;Kim, Eun-Gyung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.1
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    • pp.203-208
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    • 2011
  • Most of the online learning systems provide information that is based on the item difficulty what is custumized to learner. And the same learning process is performing to the same learning level learners. But, the degree of understanding of the same learning contents can be different even if the learner's level is same. Therefore, it is difficult to represent an effective learning experience because the learning is progressed by the determined difficulty of learning and the learning process even thought the provided content is difficult to understand. So we can control the learning difficulty during learning in order to escape from a uniform learning that online learning is provided. In this paper, we proposed a contents reorganization method for Self-Directed Learning. In this way, learners can understand their own level and customize the difficulty of learning. And then we expect the higher learning effect and satisfaction degree.

A Study on the Determination of Initial Biller for Axisymmetric Cold Forging Products Using Neural Networks (신경망을 이용한 축대칭 냉간 단조품의 초기 소재 결정에 관한 연구)

  • 김영호;배원병;박종옥
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1994.10a
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    • pp.217-222
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    • 1994
  • This paper describes the determination of optimal initial billet size for axisymmetric cold forging products using neural networks. The determination of optimal initial billet size is very important in forging design and forming sequence design, because the result of such designs and forming load can be different by variable initial billet sizes. The forming difficulty has been defined as the degree of difficulty in forming by 3 process ' forward extrusion, backward extrusion and upsetting. By neural networks a forming difficulty can be determined with the ratio of shape and forming process. From the graph of maximum, minimum, and average forming difficulties by variable billet sizes, the optimal billet size can be determined. The initial billets of a solid part and a hollow part whichwas determined by this study are compared with the sequence drawing generated by the one of forming sequence design system.

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The Effects of Information Volume and Distribution on Cognitive Load and Recall: Implications for the Design of Mobile Marker-less Augmented Reality

  • LIM, Taehyeong;BONG, Jiyae;KANG, Ji Hei;DENNEN, Vanessa
    • Educational Technology International
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    • v.20 no.2
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    • pp.137-168
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    • 2019
  • This study examined the effects of information volume and distribution on learners' cognitive load and recall in a mobile augmented reality (AR) environment. Information volume refers to the degree of information users are provided in a learning task, while information distribution indicates the way in which information is distributed, either in a virtual or real format. Sixteen undergraduate students participated in the study, which employed a 2 × 3 randomized block factorial design with repeated measures. Information volume and distribution were independent variables, and factors in learners' cognitive load (mental effort, perceived ease of use, and perceived task difficulty) and recall test scores were the dependent variables. Information volume had significant main effects on perceived ease of use and task difficulty, and recall test scores, while information distribution had significant main effects on perceived task difficulty and test scores. A detailed discussion and implications are provided.

Recognition, Knowledge, and Behavior to Decrease Exposure toward Endocrine Disruptors in Dietary Life among Elementary School Students (식생활 관련 내분비계 장애물질에 대한 초등학생의 인식도, 지식 및 노출저감화 행동에 관한 연구)

  • Kim, Hyo-Chung;Kim, Mee-Ra
    • Korean journal of food and cookery science
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    • v.25 no.6
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    • pp.712-724
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    • 2009
  • The purpose of this study was to examine the degree of concern about endocrine disruptors, the degree of recognition about the risk of endocrine disruptors towards humans, the degree of worry about the risk of endocrine disruptors towards ones self or family, information-obtaining behavior regarding endocrine disruptors, the degree of knowledge and the degree of behavior to decrease exposure to endocrine disruptors, and the degree of an educational need for endocrine disruptors in the dietary life of elementary school students. The data were collected from 162 students in Seoul, Incheon, Daejeon, Daegu, Busan and Gwangju. Frequencies, Cronbach's alpha, t tests, analysis of variance, Duncan's multiple range tests and chi-square tests were conducted using SPSS V.14.0 for WINDOWS. The results of this study were as follows. The degree of concern about endocrine disruptors was not high. The respondents obtained most of their information regarding endocrine disruptors from TV/radio. Respondents had difficulty in acquiring and understanding the information. Both the degree of knowledge and the degree of behavior to decrease exposure were not high. The respondents showed a high degree of educational need for endocrine disruptors, the most important was methods to prevent damage from endocrine disruptors followed by risk of endocrine disruptors.

Two-Degree-of-Freedom PID controller with Neural network for position control (위치제어를 위한 신경망 2 자유도 PID 제어기)

  • 이정민;하홍곤
    • Proceedings of the Korea Institute of Convergence Signal Processing
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    • 2000.12a
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    • pp.193-196
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    • 2000
  • ln this paper, we consider to apply of 2-DOF (Degree of Freedom) PID controller at D.C servo motor system. Many control system use I-PD, PIB control system. but the position control system have difficulty in controling variable load and changing parameter We propose neural network 2-DOF PID control system having feature for removal disturbrances and tracking function in the target value point.

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The Effect of Metacognitive Difficulty on Consumer Judgments: The Moderating Role of Cognitive Resources

  • Park, Se-Bum
    • Asia Marketing Journal
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    • v.14 no.2
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    • pp.23-37
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    • 2012
  • Individuals often make their judgments on the basis of the ease or difficulty with which information comes to mind (for reviews, see Greifeneder, Bless, and Pham 2010; Schwarz 1998, 2004). Recent research, however, has documented that variables known to determine the degree of cognitive resources invested in information processing such as personal relevance (Grayson and Schwarz 1999; Rothman and Schwarz 1998), accuracy motivation (Aarts and Dijksterhuis 1999), and processing capacity (Menon and Raghubir 2003) can affect the extent to which individuals draw on metacognitive difficulty in making their judgments. The primary aim of this research is thus to investigate whether individuals with substantial cognitive resources or those with lack of cognitive resources are more likely to draw on metacognitive difficulty when making their product evaluations. The findings from two laboratory experiments indicate that individuals who perceive a greater level of fit between their self-regulatory orientation and temporal construal (Experiment 1), and between their self-construal and the type of product benefit appeal (Experiment 2) are more likely than those who perceive the lack of such fit to evaluate a target product less positively after thinking of many rather than a few positive reasons. The findings provide supporting evidence for the two-stage backward inference process involved with the effect of metacognitive difficulty on consumer judgments in that consumer judgments based on metacognitive difficulty may require greater cognitive resources than those based on the content of information generated. Also, the current research documents further empirical evidence for the relationship between self-regulatory orientation-construal level fit and cognitive resources such that perceived regulatory-construal level fit can increase consumer willingness to invest cognitive resources into their judgment tasks. Last, the findings can help marketers differentiate purchase situations where asking consumers to think of many positive benefits from purchase situations where asking consumers to think of a few key benefits is relatively more beneficial.

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A Study on the Influence of Personal Characteristics of Youth Employment on the Preparation for Turnover: Focused on the adjustment effect of experience in failing to get jobs

  • KIM, Jong-Jin;UM, Kyung-Ho
    • The Journal of Industrial Distribution & Business
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    • v.11 no.7
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    • pp.19-28
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    • 2020
  • Purpose: In this study, we would like to confirm that the transfer of young workers may be a means of enhancing their internal satisfaction, not to get a better job, by setting work-related characteristics that are highly relevant to job-related factors. Research design, data, and methodology: In this study, preparation for turnover was set as dependent variables to identify factors related to the turnover of young people, and the type of business, employment type, debt status, job satisfaction, job difficulty compared to education level, job difficulty, job degree, job major agreement, debt status, and other demographic social characteristics were selected as independent variables. Results: The characteristics related to personal criteria in job-seeking process were significant in the form of business, employment type, job satisfaction, work difficulty compared to the level of education, work difficulty compared to the level of technology, job major matching, and debt status. Conclusions: This study confirmed that young people's turnover may not simply be a means to get a better job, but to increase satisfaction in the internal aspects of their jobs, and that for young people, a job is an important development process that represents their identity and needs to be approached from a life-cycle perspective.

An Analysis of Teachers and Students' Difficulties in the Classes on 'Electric Circuit' Unit of Elementary School Science Curriculum (초등학교 과학과 '전기회로' 단원 수업에서 겪는 교사와 학생의 어려움 분석)

  • Lim, Ahreum;Jhun, Youngseok
    • Journal of Korean Elementary Science Education
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    • v.33 no.3
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    • pp.597-606
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    • 2014
  • The purpose of this study is to survey and analyze difficulties in teaching and learning elementary school science on the chapter titled 'electric circuit'. 28 elementary school teachers who teach 5th grade science and 73 5th grade students in elementary school were taken part in this survey. The pilot questionnaire was distributed to find out both the degree and the reason of difficulties in teaching and learning. The answers are analyzed with four areas to extract elements which make class difficult; Learner factors (L), Instruction factors (I), Curriculum & textbooks factors (C), and Environment factors (E). The results are as follows. (1) It can be seen that both students and teachers feel the highest difficulty in 7th lesson 'the direction of current', while they felt little difficulty in lesson 3 'conductor and nonconductor' and lesson 8 'the safety of electricity'. (2) The most mentioned reason of difficulties in teaching and learning was Learner factors (L). (3) Teachers felt many difficulties in experimental environment. On the other hands, students didn't think experimental failures as serious trouble. (4) Students felt many difficulties in new terms and hazy concepts or expressions. (5) Teachers felt a lot of difficulties in those from Curriculum & textbooks factors.

Instrument Development and Analysis for Mathematical Learning Motivation and Causal Attribution (수학 학습 동거와 귀인의 측정 도구 개발 및 분석)

  • Lee, Chong-Hee;Kim, Bu-Mi
    • Journal of Educational Research in Mathematics
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    • v.20 no.3
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    • pp.413-444
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    • 2010
  • The purpose of the present study is to develop an instrument of mathematical learning motivation and causal attribution for students and to analyze the results of the instrument. Based on the literature review, mathematical learning motivation is the cumulative effects of self-assessment and self-regulation in mathematical learning and achievement experience. Three factors of mathematical learning motivation is identified as self-regulatory efficacy, task difficulty and mathematical anxiety with 17 self-regulatory efficacy items, 9 task difficulty items and 9 mathematical anxiety items. Three factors of causal attribution for success is identified as ability/effort, luck, and other person with 6 ability/effort items, 4 luck items and 3 other person items. Also, four factors of causal attribution for failure is identified as ability, effort, luck, and other person with 3 ability items, 7 effort items, 3 luck items and 4 other person items. The instrument of mathematical learning motivation and causal attribution for success and failure was administered to 919 middle school students from eight different middle middle schools in Seoul, Gyeonggi-Do, Busan, jeolla-Do area. The correlation of three factors of mathematical learning motivation was calculated. As a result, a positive correlation between self-regulatory efficacy and task difficulty was appeared but mathematical anxiety has a negative correlation with self-regulatory efficacy and task difficulty. This study also examined the differences about mathematical learning motivation's sub-factors shown by three groups of mathematics achievement level. Students of higher achievement level showed that the degree of self-regulatory efficacy and task difficulty was higher than that of lower level group. Students of lowest achievement level showed significantly higher mathematical anxiety degree than that of middle and high group. Students that have higher degree of self-regulatory efficacy and task difficulty preference were attributed into ability/effort cause toward success of mathematics achievement. Also, Male students preferred more difficult task and higher degree of self-regulatory efficacy in mathematics learning than female students. On the contrary, Female students showed higher mathematical anxiety level than male students.

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