• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2643-2647
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• 2013

Background: Despite anti-smoking campaigns, smoking prevalence among Thai males aged 30 or older is high, at around 50%. The purpose of this study was to determine the relationship between smoking and mortality in a rural Thai community. Materials and Methods: Subjects enrolled into the Khon Kaen cohort study between 1990 and 2001 were followed up for their vital status until $16^{th}$ March 2012. The death resource was from the Bureau of Policy and Strategy, Ministry of Interior, Thailand. A Cox proportional hazards model was used to analyse the association between smoking and death, controlling for age, education level and alcohol drinking, and confidence intervals were calculated using the floating risk method. Results: The study recruited 5,962 male subjects, of whom 1,396 died during a median 13.5 years of follow-up. Current smokers were more likely to die than never smokers after controlling for age, education level and alcohol drinking (HR, 95%CI: 1.41, 1.32-1.51), and the excess mortality was greatest for lung cancer (HR, 95%CI: 3.51, 2.65-4.66). However, there was no increased risk with increasing dose of tobacco, and no difference in risk between smokers of yamuan (hand-rolled cigarettes) and manufactured tobacco. Conclusion: Mortality from cancer, particularly lung cancer, and from all causes combined is dependent on smoking status among men in rural Thailand, but the relative risks are lower than have been reported from studies in high income countries, where the tobacco epidemic is more established.

• Safety and Health at Work
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• 제12권3호
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• pp.377-383
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• 2021

Background: This study investigated the longitudinal associations between the degrees of positive and negative spillover in work-life balance (WLB) at baseline and reports of depressive mood at a 2-year follow-up in Korean women employees. Methods: We used a panel study design data of 1386 women employees who participated in the Korean Longitudinal Survey of Women and Families in both 2014 and 2016. Depressive mood was measured using the "10-item Center for Epidemiologic Studies Depression Scale." Associations between the positive and negative spillover in WLB at baseline and reports of new incidence of depressive mood at 2-year follow-up were explored using a multivariate logistic regression model. Results: Negative spillover in WLB at baseline showed a significant linear association with reports of depressive mood at 2-yearfollow-up after adjusting for age, education level, marital status, number of children, and positive spillover (P = 0.014). The highest scoring group in negative spillover (fourth quartile) showed a significant higher odds ratio of 1.95 compared with the lowest scoring group (first quartile; P = 0.036). Conclusion: Positive spillover in WLB showed a U-shaped association with depression. The degrees of positive and negative spillover in WLB among Korean women employees at baseline were associated with new incidence of depressive mood within 2 years. To prevent depression of female workers, more discrete and differentiated policies on how to maintain healthy WLB are required.

• 한국학교보건학회지
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• 제2권1호
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• pp.91-107
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• 1989

This study was designed to evaluate current level of school health practice in Chonbuk province and to analyze the relationship between school health practice and variables. All the subjects in this study were 140 schools themselves in Chonbuk province. Survey data was collected through the interviewed checklists from the widly accepted school health responsibilities of administration and practice and the direct observation by the interviewer. It was conducted from 1st of Nov. to 17 th of Dec, 1988. The major findings of this study are as follows: A. Level of school health practice was relatively low in score (Mean=64.5). $\cdot$ Healthful School Living -76.14 $\cdot$ School Health Service -71.29 $\cdot$ School Health Instruction -47.98 B. Strengths and Weakness field in School Health Practice. 1. Healthful School Living: Strengths: Waste disposal, Seating, Playground. Weakness: School site, Safety control. 2. School Health Service : Strenths : Health Appraisal, Follow up and Counseling. Weakness: Dental Health, Prevention and Control of Communicable Disease, Facilities and Equipment of Health Clinic. 3. School Health Instruction : Strength : None, Weakness : Program Organization, Curriculum Planning and Evaluation, Curriculum Content, Instructional Aids. C. Significance between degree of School Health Practice and Variables. 1. Healthful School Living : (1) Toilet : Area (p<0.001), No.of Class (p<0.001), School Nurse (p<0.05) (2) Water Supply : School Nurse (p<0.05) (3) Safety Control : School Nurse (p<0.05) 2. School Health Service : (1) Health Appraisal : School Nurse (p<0.05) (2) Follow up and Counseling : School Nurse (p<0.001) (3) Dental Health : Area (p<0.05), Level of School (p<0.05) (4) Prevention and Control of Communicable Disease : Level of School (p<0.001), School Nurse (p<0.05) (5) Emergency Care : Area (p<0.001), No. of Class (p<0.001), School Nurse(p<0.001) (6) Facilities and Equipment of Clinic : Level of School (p<0.001), No.of Class (p<0.001), School Nurse (p<0.001) 3. School Health Instruction: (1) Program Organization : No. of Class (p<0.05), School Nurse (p<0.001) (2) Curriculum Planning land Evaluation : School Nurse (p<0.001) (3) Instructional Aids : Level of School (p<0.001), School Nurse (p<0.05) Recommendation for the Improvement of School Health Practice are as follows : A. There should be further study to strengthen the school health practice, especially in the field of school health instruction. B. It is strictly required to employ and utilize school nurse at each school level not only for the school health service but also for the school health in struction. C. There should be much considerations about adequate size and easily accessible distance in school site.

• 대한수학교육학회지:수학교육학연구
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• 제26권3호
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• pp.509-525
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• 2016

수학교사 교육에서는 수학교육의 이론 지도 못지않게 교사의 수업 역량 개발을 위한 교육도 충실하게 이루어져야 한다. 본 연구는 프로이덴탈(Freudenthal), 폴리아(Polya)등 현대 수학교육자들이 주목한 수학 학습 지도의 전형으로서 오늘날 수학 교육에 적지 않은 시사점을 주고 있는 소크라테스(Socrates)의 '산파법'을 주제로 하여 사범대학의 예비교사 교육 과정에서 수학 모의수업 실행을 지도한 것이다. 수학을 지도하는 예비교사들의 수업 실기 능력과 수업 연구 능력을 더욱 강화하기 위해 현직교사들의 활동 자료를 연계한 교육을 실시하였다. 현직교사들의 사고실험 예시를 통해, 예비교사들이 수학-학습 지도에 관한 자신들의 제한된 지식과 경험을 확장할 수 있도록 안내하였다. 좋은 수학 수업을 위한 교사 교육, 반성적 사고를 돕는 교사 교육, 교사 공동체 연구를 보조하는 교사 교육을 꾀한 연구과정에서 얻은 결과를 분석하여 앞으로 예비교사 교육에서 더욱 관심을 두고 지도해야 할 사항에 대해 살펴보았다.

• 기록학연구
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• 제61호
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• pp.119-156
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• 2019

공공기관 기록관 서비스는 실제 업무를 수행하는 내부이용자의 효율적인 업무활동을 돕고, 나아가 기관 경쟁력 강화의 기반이 된다. 본 연구는 품질관리기법 중 하나인 품질기능전개(QFD) 기법에 기반을 두어 공공기관들의 기록관 서비스 품질을 분석 비교함으로써 기록관 서비스 품질 개선방안을 제안하고자 하였다. 이를 위해 중앙행정기관을 대상으로 수행한 이수진 외(2018)의 후속연구로서 연구대상을 지방자치단체로 확장하여 QFD 기법을 적용하고, 확장된 QFD 적용결과를 토대로 기록관 서비스 품질의 집(HoQ)을 재구성하였다. 나아가 중앙행정기관과 지방자치단체의 기록관 서비스 HoQ를 비교하여 도출된 시사점과 기록관 서비스 기술특성의 우선순위를 종합하여 공공기관 기록관 서비스 품질 개선방안을 제언하였다.

• 한국보건간호학회지
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• 제12권1호
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• pp.13-22
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• 1998

This study was conducted to find qualitative approaches to occupational reference to group health practices. In-depth interviewing was done on 8 subjects health monitor members, owners and occupational nurses, respectively). The major findings were as follows; 1. Visiting health management Useful services were 'health counseling', 'medical examination', 'providing informations about managing diseases', 'agency business in relation to Labour Ministry' and 'giving a recognition about occupational health service to owners'. Insufficiencies were 'lack of treatment service after medical examination' and 'lack of follow up services constantly'. 2. Occupational nursing service Useful services were 'providing health information' and 'counselling about health'. Major contents of occupational nursing services were 'management of occupational and adult diseases' and 'explanation of the results after medical examination'. Insufficiencies were 'deficiency of the place where group health education could be performed', 'lack of additional or closer examinations needed in counselling' and 'discontinuous selection of additional or more exact examinations'. 3. Health monitor members Health monitor members in industries were classified into two. Some were selected by owners and the others were selected simply by considering their administrative abilities such as proficient management of documents. Their major tasks were to connect workers with occupational health management agencies. This study suggests that programs should be developed which enable health monitor members to cooperate with occupational nurses.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.109-116
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• 2016

본 연구는 장애인의 보조기 사용에 대한 만족도와 중요도 분석을 통해 소비자 중심의 보조기 서비스 개선방안을 제시하고자 실시하였다. 보조기를 사용하는 장애인 185명을 대상으로 QUEST(Quebec User Evaluation of Satisfaction with assistive Technology)를 이용한 설문조사를 실시하였고, 보다 심도깊은 논의를 위하여 추가로 25명을 대상으로 심층면접을 실시하였다. 보조기 기구 만족도는 3.78점, 보조기 서비스 만족도는 3.52점으로 전체 만족도는 3.68점이 나왔으며, 개별 항목에서 만족도는 효과성이 가장 높았고, 가격이 가장 낮게 나타났다. 만족도 개별항목의 중요도에서는 가격, 안락함, 수리서비스, 그리고 사후관리 등을 중요한 항목으로 선택하였다. 건강보험 등 공적급여제도의 보조기 수가체계는 현실을 반영한 합리적 개선이 필요하며, 수리를 포함한 사후관리 등의 전달체계 구축이 필요하다고 할 수 있다.

• Journal of Information Technology Applications and Management
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• 제12권3호
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• pp.111-128
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• 2005

This paper examines the validity of the newly developed IT consulting SERVQUAL measurement tool. In an attempt to measure Ire IS customers' expectations and perceived quality of the services they received, the researchers developed a diagnostic tool of SERVQUAL based on the solid theoretical background, which can specifically be applied to the IT consulting service sector. This on-going research so far, has been applied to six (6) different organizations that have received IT consulting services over the past years. From the preliminary data collected, the correlation and the factor analyses were conducted to understand the underlying concept and refinement of the measurement tool. Although the correlation analysis showed a little tendency of collinearity among some of the variables, all showed sound relationship of the proposed hypotheses. The exploratory factor analytic approach was chosen because it does not set any priori constraints on the estimation of components or the number of components to be extracted. The number of different factor solutions was extracted and tested to see which solution represents better grouping of the variables. The Crombach's Alpha was computed on different combinations of the factor solutions to ensure validity. The results show 8-dimensional IT consulting SERVQUAL measures which they are, assurance, knowledge & skill, customer relationship, support, empathy, process management, expertise, and education, seem more appropriate than the originally proposed 6 dimensions. The study approach was non-experimental cross-sectional research design. The longitudinal design of follow-up studies to periodically revise and refine current measure is strongly recommended for fine tuning of the tool.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제25권4호
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• pp.434-439
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• 2023

Pseudoaneurysms are rare but devastating complications of penetrating head traumas. They require rapid surgical or endovascular intervention due to their high risk of rupture; however, complex presentations may limit treatment options. Our objective is to report a case of severe vasospasm, flow diversion, and in-stent stenosis complicating the treatment of a middle cerebral artery pseudoaneurysm following a gunshot wound. A 33-year-old woman presented with multiple calvarial and bullet fragments within the right frontotemporal lobes and a large right frontotemporal intraparenchymal hemorrhage with significant cerebral edema. She underwent an emergent right hemicraniectomy for decompression, removal of bullet fragments, and evacuation of hemorrhage. Once stable enough for diagnostic cerebral angiography, she was found to have an M1 pseudoaneurysm with severe vasospasm that precluded endovascular treatment until the vasospasm resolved. The pseudoaneurysm was treated with flow diversion and in-stent stenosis was found at 4-month follow-up angiography that resolved by 8 months post-embolization. We report the successful flow diversion of an middle cerebral artery (MCA) pseudoaneurysm complicated by severe vasospasm and later in-stent stenosis. The presence of asymptomatic stenosis is believed to be reversible intimal hyperplasia and a normal aspect of endothelial healing. We suggest careful observation and dual-antiplatelet therapy as a justified approach.

• 디지털융복합연구
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• 제16권9호
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• pp.359-364
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• 2018

본 연구는 국내외 활발히 이용되고 있는 O2O 운송서비스, 그중 카카오택시를 중심으로 사용자의 서비스 이용 현상에 관해 연구하고, 더 나은 사용 경험을 위한 개선 방안을 제안하는 데 그 목적이 있다. 연구 방법으로 1차 사례 연구를 통해 국내의 택시 앱 서비스와 국외의 O2O 운송서비스의 특징을 조사하였다. 그리고 2차로 카카오택시 이용자 8명을 대상으로 한 심층 인터뷰를 통해 카카오택시 사용 경험을 파악하였다. 그 결과, 개선이 필요한 두 가지 포인트를 도출해낼 수 있었다. 첫째로 공급과 수요의 불균형에 대한 개선, 둘째로 목적지 위치 공개에 따른 이용자가 불이익을 받지 않도록 해야 한다는 것이다. 이 연구는 카카오택시를 통해 국내 O2O 운송서비스의 개선 방안을 제시했다는 점에 의의가 있다. 후속 연구를 통해 국내 O2O 운송서비스의 개선 방안을 보완하고, 경험 개선에 도움이 되기를 기대한다.