Purpose: Laparoscopy-assisted gastrectomy (LAG) has become a technically feasible and safe procedure for early gastric cancer treatment. LAG is being increasingly performed in many centers; however, there have been few reports regarding LAG at low-volume centers. The aim of this study was to report our early experience with LAG in patients with gastric cancer at a low-volume center. Materials and Methods: The clinicopathologic data and surgical outcomes of 39 patients who underwent LAG for gastric cancer between April 2007 and March 2010 were retrospectively reviewed. Results: The mean age was 68.3 years. Thirty-one patients had medical co-morbidities. The mean patient ASA score was 2.0. Among the 39 patients, 4 patients underwent total gastrectomy and 35 patients underwent distal gastrectomy. The mean blood loss was 145.4 ml and the mean operative time was 259.4 minutes. The mean time-to-first flatus, first oral intake, and the postoperative hospital stay was 2.8, 3.1, and 9.3 days, respectively. The 30-day mortality rate was 0%. Postoperative complications developed in 9 patients, as follows: anastomotic leakage, 1; wound infection, 1; gastric stasis, 2; postoperative ileus, 1; pneumonia, 1; cerebral infarction, 1; chronic renal failure, 1; and postoperative psychosis, 1. Conclusions: LAG is technically feasible and can be performed safely at a low-volume center, but an experienced surgical team and careful patient selection are necessary. Furthermore, for early mastery of the learning curve for LAG, surgeons need education and training in addition to an accumulation of cases.
Journal of The Korean Association For Science Education
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v.24
no.1
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pp.29-47
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2004
Two project-centered secondary school programs were studied as part of an effort to elucidate successful components for science reform-based curriculum development. The Teachers for Exciting Science (TES), and Foundational Approaches in Science Teaching (FAST) programs in Korea and U.S., respectively, are project-centered programs because their curricula are centered on the activities initiated and engaged in by the students. Students serve as principal investigators in their projects, and teachers serve as guides. Both programs were analyzed based on criteria such as curriculum design, teaching, lives of students, lives of teachers, evaluation of program, from the Third International Mathematics and Science Study (TIMSS). In the programs, teachers and students directed the development of curricula and their implementation. Students assumed teacher roles as mentors of other students. And emphasis was on development of communication skills through student-delivered talks and written papers, and professional development of teachers as educators and scientists. Participation in TES stimulated secondary school student interest in science, encouraged inquiry thinking, increased achievement in learning science, and promoted better awareness of science related to real life. FAST students practice laboratory and field techniques, experimental design, hypothesis formation, generalization, and practical implications of research as academic and applied disciplinarians. These project-centered programs have been successfully implemented in field, lab, and classroom curricula for secondary science education. Comparison of these programs will provide an opportunity for identifying key elements instrumental in successful implementation of guidelines for science education, as measured through successful outcomes.
Journal of the Korea Society of Computer and Information
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v.17
no.3
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pp.135-141
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2012
Development of the Internet has brought many changes in methods of education and assesment. When enforcing the on-line distance education, the tests to check the outcomes of the learning are taken on the Internet. The current trends of education evaluation are focused on the types of questions and the detachments of exam proctor but verifying the authentication of answer sheet. There are several forms to make answers; selection type, short-answer type, write-out answer type, practical exercise type, etc. All the forms can be done on the Internet except the practical exercise type because the source of the examinee's answer sheet is unreliable. In this paper, we made the verification system to solve the doubt by setting the proved information on the answer sheet. Putting the information down to confirm the authenticity during the exam on the server is distinct character of this system. After the test finished, the system will operate when examinee turn in the answer sheet.
Laharnar, Naima;Glass, Nancy;Perrin, Nancy;Hanson, Ginger;Anger, W. Kent
Safety and Health at Work
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v.4
no.3
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pp.166-176
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2013
Background: Effective policy implementation is essential for a healthy workplace. The Ryan-Kossek 2008 model for work-life policy adoption suggests that supervisors as gatekeepers between employer and employee need to know how to support and communicate benefit regulations. This article describes a workplace intervention on a national employee benefit, Family and Medical Leave Act (FMLA), and evaluates the effectiveness of the intervention on supervisor knowledge, awareness, and experience with FMLA. Methods: The intervention consisted of computer-based training (CBT) and a survey measuring awareness and experience with FMLA. The training was administered to 793 county government supervisors in the state of Oregon, USA. Results: More than 35% of supervisors reported no previous training on FMLA and the training pre-test revealed a lack of knowledge regarding benefit coverage and employer responsibilities. The CBT achieved: (1) a significant learning effect and large effect size of d = 2.0, (2) a positive reaction to the training and its design, and (3) evidence of increased knowledge and awareness regarding FMLA. Conclusion: CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA.
Mentoring as a human resources development program is being reconceptualized because of the rapidly shifting work environment which has been recently focused on the necessity of knowledge management. That is, new mentoring network theory as a reconceptualization of mentoring is structured by researchers who have related social network theory and mentoring and they have discovered that the development of individual and organizational is built by the relationships of multiple selves. In their paper, they have asserted that an individual's developmental stage is an important antecedent to the nature of mentoring and developmental networks that are possible. Further, they are suggesting that mentoring developmental network is a key tool for learning, development, and successful performance outcomes in challenging assignments. This paper aims to describe the next empirical research plan that will investigate the developmental stage of teachers as an antecedent of mentoring network. An introduction and background to the research will be explained to provide a conceptual framework for the next study.
The objective of this study were 1) to determine the stages of concern of HE teachers about the practical problem-based curriculum approach, as illustrated by the Ohio's Work and Family Life Curriculum (W&FLC); 2) to determine the relationships between home economics (HE) teacher's stages of concern about W&FLC and personal and professional characteristics of HE teachers; and 3) to determine aspects of interest about the practical problem-based curriculum approach, such as the Ohio W&FLC. Respondents in this study were 225 HE teachers. The data were collected during the in-service teacher training sessions after presentation about W&FLC. Concerns Based Adoption Model (CBAM) was modified to provide a conceptual framework for this study. Frequencies, SD, mean, mode, range were used to determine the stages of concern of HE teachers. To determine the relationships between stages of concerns and personal and professional characteristics of HE teachers, coefficient of Chi-Square contingency tables was used. Content analysis was used to determine aspects of interest about the practical problem-bsed curriculum approach, such as W&FLC. The median of the stages of HE teachers' concerns about W&FLC was Stage 1, Information Stage. About 60% of HE teachers were interested in learning more details about W&FLC. Chi-square revealed no statistically significant relationships between stages of concerns about W&FLC and characteristics of HE teachers. Content analysis was used to determine aspects of interest about W&FLC of HE teachers. Nine categories were found: content, teaching strategies, implementation of the curriculum, philosophical framework, how to adopt W&FLC, resource materials, students' outcomes, in-service teacher training, and HE teacher organization. The majority of HE teachers were interested in relationships with family and others, resource management, family relationships, personal development, communication skill, family life, creating a self-identity, life planning, roles of family members, homemaking management, child care, and parenting.
The purpose of this study was to develop and present the accreditation criteria for engineering technology education programs in junior colleges. Research methods used in this study were review of related literature, experts discussion, and Delphi technique. Especially, Delphi technique was the major research method of this study. The Delphi surveys were taken for about seven weeks and three rounds at a higher level of expert participation. Major results of the study were as follows: 1. It proved that thirty six of total forty items had the content validity as the accreditation criteria of engineering technology education programs for junior colleges. CVR(Content Validity Ratio) of four items were below .33 and eliminated four items from the final accreditation criteria. 2. It proved that total Cronbach ${\alpha}$ was very high .9142 and reliability was very high all over items. It proved that six items made worse reliability, therefore it was desirable to exclude six items for increase of reliability. But the final accreditation criteria included six items, because they had a high validity as well as increasing rate of Cronbach ${\alpha}$ was very low with the exception of them. 3. Items of high importance were drawn out through analysis of importance. It proved that thirty of total forty items were more than 4.00 average in importance and ten items were less than average. 4. In conclusion, the final accreditation criteria were developed and presented through such analysis of validity, reliability and importance. The final accreditation criteria for engineering technology education programs in junior colleges were composed of seven domains of educational objectives, learning outcomes, curriculum, staff, facilities, institutional support, and student assessment.
The purpose of this study is to analyze the educational effect on creativity and solving-problem ability based on hackathon of elementary SW education. We divided into control and experimental groups with activities of physical computing or robots. The control groups conducted by traditional project based learning collaboratively and the experimental group in hackathon. The outcomes from students were evaluated to by elementary teachers with questionnaire and analyzed to the creativity and solving-problem ability of physical computing or robot productions. As a result, a group of hackathon showed significant positive results in the accuracy on creativity and solving-problem skills statistically. We concluded that the free atmosphere of hackathon for communication and consultation have been attributed to various ideas of students.
Yoon, Hyun Bae;Moon, Sang Hui;Myung, Sun-Jung;Park, Jun-Bean;Park, Wan Beom
Korean Medical Education Review
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v.20
no.1
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pp.15-19
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2018
The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinal integrated clerkship.
Journal of The Korean Association of Information Education
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v.22
no.1
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pp.113-122
/
2018
Collaboration and assistance among peer learners are essential factors for successful learning outcomes. However it is important to investigate students' preferences for computer problem solving methods and interrelationships, since students tend to solve problems more and more by themselves. This is because of the importance of giving appropriate instructions to students. In this context, this paper shows the analysis of the preferred methods and interrelationships of studnets' preferences upon encountering difficulties during computer usage by collecting data from 231 students in K national university of education. As a result, the result shows that students tend to solve problems without asking as they have higher abilities in computer usage, which was also shown to increase along with their grade levels. Furthermore, it showed that students who have family members and relatives, and who are using the internet are more satisfied with their problem solving. Lastly, it is possible to grasp the computer problem solving network within the department by using social network analysis, so it can be used as reference data for selecting the peer learners, which will help to operate the customized computer education practice.
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