• 제목/요약/키워드: differentiated education

검색결과 533건 처리시간 0.029초

Are Neutrophil/Lymphocyte and Platelet/Lymphocyte Ratios Associated with Endometrial Precancerous and Cancerous Lesions in Patients with Abnormal Uterine Bleeding?

  • Acmaz, Gokhan;Aksoy, Huseyin;Unal, Dilek;Ozyurt, Sezin;Cingillioglu, Basak;Aksoy, Ulku;Muderris, Ipek
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권4호
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    • pp.1689-1692
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    • 2014
  • Background: An easy, reproducible and simple marker is needed to estimate phase of endometrial pathologic lesions such as hyperplasia and endometrial cancer and distinguish from pathologically normal results. We here aimed to clarify associations among neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), endometrial hyperplasia and cancer in patients with abnormal uterine bleeding. Materials and Methods: Patients (n=161) who were admitted with abnormal uterine bleeding and the presence of endometrial cells on cervical cytology or thick endometrium were investigated. The study constituted of three groups according to pathologic diagnosis. Group 1 included endometrial precancerous lesions like hyperplasia (n=63), group 2 included endometrial cancerous lesions (n=38) and group 3 was a pathologically normal group (n=60). Blood samples were obtained just before the curettage procedure and the NLR was defined as the absolute neutrophil count divided by the absolute lymphocyte count; similarly, PLR was defined as the absolute platelet count divided by the absolute lymphocyte count. Results: The white blood cell count was significantly higher in patients with cancer than in those with hyperplasia (p=0.005). The platelet count and neutrophil to lymphocyte ratio were significantly higher in patients with cancer than in control patients, but there was significantly no difference between patients with hyperplasia and other groups (p=0.001 and p=0.025 respectively). PLR was significantly lower in control subjects than in other groups (p<0.001), but there was no significant difference between patients with hyperplasia and those with cancer. Conclusions: PLR was significantly lower in control subjects than in other groups. Thus both hyperplasia and cancer may be differentiated from pathologically normal patients by using PLR. White blood cell count was significantly higher in patients with cancer than in those with hyperplasia and pathologically normal patients. Therefore white blood cell count may be used for discriminate hyperplasia to cancer. By using multiple inflammation parameters, discrimination may be possible among endometrial cancer, endometrial precancerous lesions and pathologically normal patients.

실천공학교육의 전략 탐색을 위한 델파이조사 (Search for Strategies of Practical Engineering Education Using Delphi Method)

  • 김봉환;김정일;하준홍;오창헌
    • 한국실천공학교육학회논문지
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    • 제2권2호
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    • pp.1-9
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    • 2010
  • 본 연구는 '실천공학기술자 실태조사 및 개선방안' 연구과제의 일환으로 수행되었으며, 그 목적은 실천공학기술자 양성을 위한 타당한 교육목표 설정과 실천공학기술자 및 교수의 핵심역량 등을 진단, 평가하고 전문적이고 타당한 판단의 합의를 도출함으로써 우리나라 대표적인 실천공학 중심대학인 한기대의 교육발전 전략을 탐색하는데 있다. 주요 조사내용은 타 공과대학과의 차별화를 위한 방향, 실천공학기술자의 핵심역량, 실천공학기술자를 양성하기 위한 핵심 커리큘럼, 실천공학기술자 양성을 위한 교수의 핵심역량, 한기대의 정체성 확립을 위한 발전전략등 5개 부문이다. 연구방법은 델파이를 적용했는데 패널은 한국실천공학교육학회 이사, 한기대 교수 및 외부전문가로 구성된 32인이 선정되어 조사에 참여하였다. 델파이 조사는 3회에 거쳐 실시되었으며, 1차 조사에서는 개방형 설문지를 통해 5개 부문에 대한 제안사항을 연구진이 73개 문항으로 정리하였다. 그 문항들을 2차와 3차 설문지로 개발하여 이메일을 통해 배부, 회수한 후 각 항목에 대한 적합성이나 필요성 등을 5단계 리커트 척도로 평정, 연구결과를 산출하고 분석하였다.

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과학교육의 태도와 흥미 연구에서 리커트 척도 활용의 유의점 (The Likert Scale Attention Points Applied to Research on Attitude and Interests on Science Education)

  • 박현애;배성우;박종석
    • 한국과학교육학회지
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    • 제34권4호
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    • pp.385-391
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    • 2014
  • 일반적으로 연구자들은 관찰할 수 없는 심리적인 특성들을 연구할 때 주로 척도를 이용하여 수량화한다. 과학교육 연구에서도 척도를 활용하는 사례가 자주 나타난다. 특히, 정의적 영역의 평가에서는 학생들의 태도나 인식 등의 특성을 파악하고 평가하기 위하여 척도를 많이 사용한다. 그 중에서 사용이 간편한 리커트 척도를 많이 활용한다. 하지만 리커트 척도의 경우 활용 과정에서 여러 오류들이 발생하여 이를 절대시하는 것은 유의해야 한다. 이에 본 연구에서는 흥미와 태도관련 과학교육 연구에서 리커트 척도의 활용에 따른 중심화 경향을 살펴보고 연구 대상 및 연구 내용에 따라 그 경향성이 어떠한지 분석하였다. 연구결과 연구 대상에 따라서는 대상 학교급 즉, 연령이 높아질수록 중심화 경향이 더 크게 나타났으며, 영재학생보다 일반학생의 경우 중심화 경향이 더 크게 나타났다. 연구 내용에서는 자기노출이 비교적 큰 영역에서 중심화 경향 더 나타났다. 그러므로 과학교육 연구에서도 리커트 척도를 활용할 때 중심화 경향의 오류가 발생하는 것을 알 수 있었다. 따라서 과학교육 연구에 리커트 척도를 활용할 때는 사회문화적 환경과 연구 대상 및 연구 내용의 특성을 고려할 필요가 있다. 또한 리커트 척도를 개선하여 적용해야 하며 나아가 조사 결과의 수치에만 의존하여 해석하는 것을 피해야 할 것이다.

아시아 태평양 경제협력 국가의 창업보육 정책 비교 연구 (Comparative Study of Business Incubation Policy in APEC Economies)

  • 이승철
    • 한국경제지리학회지
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    • 제10권3호
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    • pp.344-353
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    • 2007
  • 창업보육센터는 산학연 연계 활성화를 통하여 기술 및 지식기반의 기업가주의와 신생 중소기업의 혁신을 촉진시키는 효율적인 메커니즘으로 간주될 수 있다. 그러나 창업보육센터의 중소기업 혁신성과는 중소기업의 기술역량, 국가의 기업환경과 경제적 특징에 따라 다양하게 나타날 수 있다. 따라서 본 연구는 선별된 10개 APEC 회원국가별 창업보육센터의 다양한 정책 및 프로그램을 중심으로 전략적 이슈, 기능 및 특징을 조사하여 이들 국가의 창업보육센터를 유형화 하고자 하였다.

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영아의 어린이집 적응 추이의 유형 및 예측 요인에 대한 단기종단연구: 성장혼합모형과 잠재계층분석을 활용하여 (A Short-term Longitudinal Study on Types and Predictors of Trajectories of Adaptation to Child Care Among Infants and Toddlers: Using Growth Mixture Modeling and Latent Classes Analysis)

  • 신나리;조우리
    • 한국보육지원학회지
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    • 제16권1호
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    • pp.115-143
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    • 2020
  • Objective: The purpose of this study was to examine underlying types of developmental trajectories of adaptation to child care among infants and toddlers. This study also aimed to identify latent classes in their child care adaptation types in order to find predictors that account for individual differences. Methods: Participants were 420 mothers of infants and toddlers and 123 teachers. The levels of child care adaptation of participating infants and toddlers were rated monthly from early April to June, 2019. The collected data were analyzed using growth mixture modeling, latent class analysis and multinominal logistic analysis. Results: The results of growth trajectories of child care adaptation showed there were two to four latent groups by dimension of child care adaptation. Also, the groups of individual dimensions of child care adaptation were classified into three latent classes, which were 'complying and positive group', 'negative group', and 'individualized group. Multinominal logistic analysis revealed that children's age, gender, and temperament differentiated the three latent classes of adaptation to child care. Conclusion/Implications: The results show individual characteristics that infants and toddlers possess should be prudently considered in order for successful adaptation to child care.

현대 패션 전시의 유형별 연출 기법과 특성 연구 (A Study on Display Techniques and Characteristics of Contemporary Fashion Exhibitions)

  • 정다운;하지수
    • 한국의류학회지
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    • 제42권5호
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    • pp.823-838
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    • 2018
  • The article surveys the technique and characteristics of contemporary fashion exhibitions in terms of fashion museography and fashion curation. The article reviewed both a literature study on the history of fashion exhibition focused on the display technique as well as a case study of domestic and international contemporary fashion exhibitions. The results of the article is as follows. Fashion brand exhibitions are about building competitive business advantage by planning differentiated contents. It gives viewers a brand fantasy and increases brand loyalty. This type mainly displays the latest collections on the commercial purpose as well as uses diverse mediums and high technology to make a spectacular space that provides an immersive experience to the viewer. Second, the museum fashion exhibition focuses on the roles of fashion in terms of social, cultural and artistic aspects that also focus on public education. The presentation technique emphasizes careful collection conservation rather than celebrate fashion business. The article is to encourage a further scholar discourse of fashion curatorial practice and theory.

보건관리자가 인지한 근로자 건강증진 프로그램 수행 실태에 관한 업종별 비교: 요구도, 필요도, 수행도, 장애도 및 운영효과를 중심으로 (Comparison of Occupational Health Providers' Perception on Workers' Health Promotion Program by Business Types: Focusing on Need, Necessity, Performance, Barriers, and Effectiveness of Program)

  • 김영임;이복임
    • 한국직업건강간호학회지
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    • 제25권1호
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    • pp.29-40
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    • 2016
  • Purpose: The purposes of this study were to examine the differences in need, necessity, performance, barriers, and effectiveness of workers' health promotion program and to determine the influencing factors in effectiveness of workers' health promotion program by business types. Methods: Subjects were participants of an education held by Korean association of occupational health nurses and a survey was self-reported. Survey items were developed by researchers through literature review. It included general characteristics of occupational health providers and worksites, need, necessity, performance, barriers and effectiveness of workers' health promotion (WHP) program. The total number of worksites was 168, manufacturing/construction was 76 (45.2%), other services were 52 (31.0%), and healthcare services were 40 (23.8%). We used ${\chi}^2test$, ANOVA test, correlation analysis, and multiple regression analysis. Results: There were differences in need, necessity and performance of WHP by business types. In healthcare services, WHP had statistically significant effectiveness to reduce turnover rates. And the influencing factors of WHP's effectiveness were workers' need in manufacturing/construction, health provider's career in other services, and perceived necessity in healthcare services. Conclusion: Based on this result, we propose differentiated strategies depending on the business types for effective workers' health promotion program.

공공도서관 특화서비스 프로그램 개발을 통한 독서활성화 방안 (The Revitalization of Public Library Reading Through Special Quality Service Program Development)

  • 박미영
    • 한국도서관정보학회지
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    • 제38권1호
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    • pp.315-339
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    • 2007
  • 본 연구에서는 공공도서관의 독서 활성화를 위해서 기존의 독서 교육이나 독서 프로그램과 차별화된 자관만의 특화서비스 프로그램 개발사례를 중심으로 살펴보고자 한다. 이를 위해 기존 공공도서관의 기능에서 확대된 특화서비스 프로그램의 필요성. 프로그램 개발과 구축에 관하여 살펴본 후, 현재 국내 공공도서관의 독서 관련 활동, 한 도서관 한 책읽기 행사 현황과 미국 공공도서관의 독서활동 프로그램을 분석하였다. 또한, 독서 관련 특화서비스 프로그램의 개발 및 구축 사례 분석 결과를 통해 향후 공공도서관의 독서 활성화 방안을 제안하였다.

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건강가정지원센터의 가정 건강성 강화 프로그램 개발을 위한 기초 연구 (A Preliminary Study on Development of Family-Empowering Program In Healthy Family-Support Center)

  • 정영금;정지영;조성은
    • 대한가정학회지
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    • 제46권2호
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    • pp.39-50
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    • 2008
  • The purpose of this study is to constitute the background theory and framework for developing the family-empowering program of Healthy Family-Support Center(HFSC). For this purpose, first, this study emphasizes that the development of integrated and differentiated program for HFSC is needed. Second, this study shows the theoretical background including ecological system theory, family system analysis theory, and family life coaching process. Third, assessment and evaluation system and subsystems are suggested as a basic frame for developing family life diagnosis tool. This system is based on the comparative analysis about the studies relating family life planning and case management. Fourth, the process of family empowering program is suggested to accomplish the family needs and goals. This process include the assessment, family life coaching for problem solving and/or family life planning, and following education and counselling. Last, this study shows how this program is related to other programs of HFSC. Family members can participate various programs of this center for preventing or solving the problem on the basis of evaluation results. Family-empowering program for making family healthy can be a representative and integrating program for this center.

보건관리대행사업에서 보건관리자의 직무분석 (Job Analyses of Health Care Managers in Group Health Care System)

  • 김규상;박종연;노재훈
    • Journal of Preventive Medicine and Public Health
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    • 제27권4호
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    • pp.777-791
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    • 1994
  • For developing the Group Health Care System, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as healh education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs. Additionally job satisfaction and perceived need on specific Job items were anzlysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.

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