• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2895-2898
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• 2015

Background: In the years 2014, coverage rates of cervical cancer screening in Nakornnayok province accounted to 76.5%. This was lower than the government's specified goal of 80%. Community health volunteers are members of a Thai healthcare alliance established to help promoting healthcare service communication and collaboration at the primary level. Such village health volunteers (VHVs) are established in most villages. Objective: To assess the knowledge and attitudes of cervical cancer screening among VHVs. Materials and Methods: The subjects were 128 VHVs from four Nakornnayok sub-districts; namely KlongYai, Chomphol, Buangsan and Suksara, Thailand. The study was conducted from December 2014 to January 2015. The questionnaire was designed to assess the knowledge and attitude of cervical cancer screening provided by the VHVs. In addition, cervical cancer screening coverage rates of each area were collected. The demographic data, scores of knowledge, attitudes, practices and the cervical cancer screening coverage rates were analyzed by one-way ANOVA. Results: The questionnaire reliability was assessed as 0.81. The total knowledge and attitude scores were 10 and 15 points. The mean knowledge scores of KlongYai, Chomphol, Buangsan and Suksara were 6.8, 7.0, 6.5 and 9.0 points, respectively. The VHVs had a high level of overall knowledge about cervical cancer screening. The mean attitude scores were 12.4, 13.2, 13.4 and 13.1 points. VHVs had a positive attitude to the promotion of cervical cancer screening at the overall level. The percentages of VHVs promoting cervical cancer information in respective districts were 72.2, 94.3, 94.9 and 50.0. However, the cervical cancer screening coverage rates were 62.4%, 34.7%, 80.3% and 47.3% respectively. Conclusions: The knowledge, attitudes and percentages of promoting information of cervical cancer screening among VHVs in the four sub-districts were high but did not correlate with the cervical screening coverage rates for each area. VHVs needed to understand socio-cultural beliefs of the women in the target population and design suitable strategies to encourage higher cervical screening coverage.

• Archives of Reconstructive Microsurgery
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• 제20권1호
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• pp.1-7
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• 2011

The aim of extremity reconstruction has focused on early wound coverage and functional recovery but rarely aesthetics. As the quality of life improves, however, the request for aesthetics has been growing. The authors has conducted retrospective reviews on the 86 cases that had extremity reconstruction using free flap, considering the characteristics of parts that had been assessed in primary operation between May 1996 and December 2010. Aesthetic grading was performed in four categories; color, texture, contour and marginal scar. Recipient sites were 42 hands, 19 feet, 14 lower extremities excluding feet and 10 upper extremities apart from the hand. Types of free flap were 16 latissimus dorsi free flaps, 13 anterolateral thigh free flaps, 12 dorsalis pedis free flaps, 8 transvers rectus abdominis free flaps, 7 gracillis free flaps, and 5 superficial temporal fascia free flaps. Total flap necrosis was seen in 8 cases(9.3%) and partial necrosis in 5 cases(5.8%). Secondary revision was done in 24 cases(27.9%) and the most common revision, debulking was done in 14 cases(16.3%). The authors has considered cosmetic aspects along with wound coverage and functional recovery in primary reconstruction. The results of aesthetic grading was 16.2 out of 20, and the secondary revision rate was reduced.

• 한국위성정보통신학회논문지
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• 제9권3호
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• pp.91-97
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• 2014

본 논문은 에너지 검출 기반 협력 스펙트럼 센싱을 이용하여 주사용자와 부사용자 사이의 거리에 따른 검출 확률에 가중치를 부여하는 기법을 제안하고, 이에 따른 분석 및 모의실험 결과를 나타낸다. 주사용자와 부사용자 사이의 거리는 모두 다르다고 가정하였고, 이들 사이의 무선 채널은 레일레이(Rayleigh) 채널로 모델링하였다. 제안하는 가중치 부여 기법을 적용한 협력 스펙트럼 센싱을 수행한 결과가 가중치를 적용하지 않은 스펙트럼 센싱을 수행한 결과에 비해 커버리지를 확대 할 수 있고, 이 검출 확률에 가중치를 적용한 것이 가중치를 적용하지 않은 이전의 방식에 비해 센싱 효율이 향상 되는 것을 알 수 있었다.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.59-65
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• 2015

Objectives: Health screening in Korea is very active in both the public and private sector. However, primary prevention for health promotion has not been activated yet. Quaternary prevention is the prevention of unnecessary medical interventions or the prevention of overmedicalization. Methods: Data was collected after a search of the literature focusing on keyword. The curriculum guidelines for family medicine residents were collected from the homepage of the American Academy of Family Physicians. Results: This quaternary prevention is just beginning. The first step to enhance the health promotion services in the community is to identify the barriers pertaining to the delivering of health promotion activities. These barriers are related to the patient, the physician, attitudes, health promotion programs and the healthcare system. The second step is to establish new changes, such as expansion of insurance coverage, improvement of medical payment system, provision of consumer-oriented services, connection and integration of providers, and the service provider education and training. Conclusions: In order to enhance the health promotion services in the community we need to identify the barriers and to establish several changes to overcome them.

• 한국디지털건축인테리어학회논문집
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• 제10권1호
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• pp.65-74
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• 2010

This study has been given careful consideration to an induction of the mixed-use districts for the efficiency of Land Use, the rational plot planning and the mixture/complex among the functions in order to complement the zoning plan with the primary purpose to purify the usage of landscape. Furthermore, it is aimed to indicate the implementations through the medium of the in-depth analysis about the cardinal factors such as the standards on the regional location, building size and building uses in the case of designating the Mixed-use districts.Abstract This study has been examined by the aspect of scope for securing the adequacy of Site Division Restriction, Floor Area Ratio, Building Coverage Ratio and Outdoor Area Ratio in the "Mixed-Use Districts" and especially, by the medium of the in-depth analysis about the actual condition of building and outdoor space scales. It has been deduced the scale standards by using the simulation and correlation analysis among the factors of those buildings and outdoor spaces. Moreover, it has been applied the analysis method of using the building scale, especially, the latter has analyzed the total 1,656 different types classified by 3 patterns of Plottage and Building Coverage Ratio, 9 patterns of the factor change on Outdoor Area Ratio and 8 different patterns of road width.

• Journal of Preventive Medicine and Public Health
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• 제54권2호
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• pp.129-136
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• 2021

Objectives: This study examined demographic factors hampering access to healthcare at hospitals and suggests policy approaches to improve healthcare management in Thailand. Methods: The data for the study were drawn from a health and welfare survey conducted by the National Statistical Office of Thailand in 2017. The population-based health and welfare survey was systematically carried out by skilled interviewers, who polled 21 519 384 individuals. The independent variables related to demographic data (age, sex, religion, marital status, education, occupation, and area of residence), chronic diseases, and health insurance coverage. The dependent variable was the degree of access to healthcare. Multiple logistic regression analysis was subsequently performed on the variables found to be significant in the univariate analysis. Results: Only 2.5% of the population did not visit a hospital when necessary for outpatient-department treatment, hospitalization, or the provision of oral care. The primary reasons people gave for not availing themselves of the services offered by government hospitals when they were ill were-in descending order of frequency-insufficient time to seek care, long hospital queues, travel inconvenience, a lack of hospital beds, unavailability of a dentist, not having someone to accompany them, and being unable to pay for the transportation costs. Multiple logistic regression analysis showed that failure to access the health services provided at hospitals was associated with demographic, educational, occupational, health welfare, and geographic factors. Conclusions: Accessibility depends not only on health and welfare benefit coverage, but also on socioeconomic factors and the degree of convenience associated with visiting a hospital.

• 대한장애인치과학회지
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• 제10권2호
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• pp.84-88
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• 2014

1. 순측접근법은 치수치료를 순측으로 시행한 후 변색된 순측의 치질을 확대하여 삭제하고 레진으로 순면전체를 수복함으로써 치수치료와 동시에 심미성을 회복할 수 있다. 2. 순측으로 치수치료를 시행하므로 시야가 확보에 유리하고 기구조작이 용이해 행동조절이 잘 되지 않는 어린이에게 추천된다.

• 대한소아치과학회지
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• 제26권1호
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• pp.103-108
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• 1999

광범위한 치질파괴가 있는 상악유전치를 갖는 소아에서 silicoater technique에 의한 veneered stainless steel crown으로 수복 후 $3{\sim}12$개월 동안 주기적 검사와 수복물의 평가 결과, 다음과 같은 결론을 얻었다. 1. 행동조절이 어려운 소아에서 chair time을 감소시킴으로써 행동조절에 도움을 주었다. 2. 유지력, 내구성, 심미성이 우수하였으므로 유전치부의 광범위한 치질손상시 유용한 수복방법이다.

• 대한전자공학회논문지TC
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• 제49권8호
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• pp.46-51
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• 2012

본 논문에서는 무선 인지 중계 네트워크에서의 파워 할당 기법에 대해서 연구한다. 무선 인지 중계 네트워크는 주파수 공유를 통해서 주파수 효율성을 높일 뿐만 아니라 중계기의 사용으로 시스템의 커버리지를 확장시킬 수 있는 장점을 가진다. 그러나 기존의 연구들에서는 주파수 공유를 위해서 이차 사용자가 일차 사용자 사이와의 채널 정보를 완벽하게 알아야 한다고 가정한다. 그러나 이 채널 정보는 시변 특성 또는 피드백 지연 등의 이유로 이차 사용자가 불완전한 채널 정보를 얻게 된다. 이러한 불완전한 채널 정보로 인하여 결국 이차 사용자는 간섭 제약을 위반하게 되고 주파수를 공유할 수 없게 된다. 따라서 이 문제를 극복하기 위해서 본 논문에서는 일차 사용자의 허용 가능한 outage확률 간섭 제약을 만족하는 이차 사용자의 파워 할당 기법을 제안한다. 제안된 파워 할당 기법은 순시적인 채널 정보를 사용하지 않기 때문에, 이차 사용자의 피드백 부담을 덜어줄 뿐만 아니라 지연된(outdated) 채널 환경에 관계없이 간섭 제약을 만족시키는 장점을 가진다.

• Journal of Preventive Medicine and Public Health
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• 제35권1호
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• pp.33-40
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• 2002

Objective : From an analysis of a community outbreak of measles in Youngju, Gyeongbuk, in March 2000, the authors evaluated the effectiveness of the measles vaccination and its determinants to Provide an epidemiologic basis for the establishment of a vaccination policy. Methods : Information was collected regarding the vaccinations from the health records of four primary schools and through a questionnaire surrey of the parents of students in two middle and two high schools (N=4638). Measles cases were surveyed from the patient list of each school and from case reports in the public health center. The attack rate and vaccine effectiveness of measles was evaluated by school; grade; frequency, region, and institution of vaccination. Results : The attack rate cf measles, 6.3% among the total subjects, was higher in middle school students (15.8%) than in primary (2.0%, p<0.05) and high school students (8.9%, p<0.05). The attack rate of the unvaccinated group was 4.6-fold higher than the vaccinated group in primary schools (p<0.05). Vaccine effectiveness was 83.2% among lower graders of primary schools, 34.0% among higher graders of primary schools,26.1% in middle schools, and -7.0% in high schools. In multiple logistic regression analysis, grade in school (odds ratio, 0.77; 95% CI=0.67-0.87) and frequency of vaccination (odds ratio, 0.57: 95% CI=0.37-0.58) were significant predictors of the outcome. Conclusions : We concluded that the explosive outbreak of measles in this area resulted from both inadequate vaccination coverage and secondary failure of vaccination. There was no evidence of any effect of the cold chain system on the vaccine failure.