• 디지털융복합연구
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• 제11권2호
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• pp.9-18
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• 2013

2014년부터 초등학교 3-4학년 학생들이 사회, 과학, 영어 과목에서 디지털 교과서를 사용할 예정이고, 그 다음 해에 5-6학년 학생들도 같은 과목에서 디지털 교과서를 사용하게 된다. 이에 본 연구에서는 디지털 교과서를 아직 접하지 못한 초등학교 교사들이 디지털교과서에 대해 어떤 인식을 갖고 있고, 정보기술수용모델에 근거하여 초등학교 교사들이 디지털 교과서를 어느 정도 수용하는지 알아보았다. 연구 결과에 따르면, 응답한 많은 초등학교 교사들이 디지털 교과서를 사용할 준비가 되어 있지 않았고, 디지털 교과서 사용에 대해 우려하는 것으로 나타났다. 하지만, 디지털 교과서를 사용할 경우 유용성과 유희성이 디지털 교과서를 수용하는 데 있어 중요한 변인으로 나타났다.

• 대한수학교육학회지:수학교육학연구
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• 제25권4호
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• pp.675-690
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• 2015

본 연구는 초등 예비교사에게 필요한 수학지식을 가르치는 효과적인 수단으로서 수학적 과제의 특징을 논의하고 그에 맞게 과제를 설계하고 교사교육에 실행한 사례를 제시하였다. 그 결과 예비교사들은 '격자점 정삼각형 만들기' 라는 수학적 과제를 해결하면서, 주어진 상황을 수학적 문제로 변환하고 기존 지식과의 연결을 통해 문제를 변형하고 해결하며, 기존의 수학적 개념을 새로운 관점에서 보는 경험을 할 수 있었다. 이러한 경험이 예비교사의 교육에 대한 관점의 변화와 어떻게 연결되는지 그리고 교사교육에 적합한 수학적 과제 설계를 위한 조건에 대해 논의하였다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제1권1호
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• pp.125-132
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• 1998

저자들은 간헐적인 상복부 동통과 구토를 호소하는 13세 여아에서 바륨소장조영술과 수술로 확진된 공장의 선암종 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한치과의사협회지
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• 제54권7호
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• pp.501-512
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• 2016

We evaluated a self-inflatable osmotic tissue expander for its utility in creating sufficient soft tissue elongation for primary closure after bone grafting. Six patients with alveolar defects who required vertical augmentation of >6 mm before implant placement were enrolled. All had more than three prior surgeries, and flap advancement for primary coverage was restricted by severely fibrosed scars. Expanders were inserted beneath the flap and fixed with a screw. After 4 weeks, expander removal and bone grafting were performed simultaneously. A vertical block autograft and guided bone regeneration and distraction osteogenesis were performed. Expansion was sufficient to cover the grafted area without additional periosteal incision. Complications included mucosal perforation and displacement of the expander. All augmentation procedures healed uneventfully and the osseous implants were successfully placed. The tissue expander may facilitate primary closure by increasing soft tissue volume. In our experience, this device is effective, rapid, and minimally invasive, especially in fibrous scar tissue.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1535-1537
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• 2016

Background: Primary myelodysplastic syndrome (MDS) is an acquired clonal disorder of myeloid progenitor cells, characterized by peripheral cytopenias in the presence of hypercellular marrow with dysplastic features. Our aim was to study the demographical and clinicopathological features of adult Pakistani patients with MDS at disease presentation. Materials and Methods: This single centre study was conducted at Liaquat National Hospital and Medical College, extending from January 2010 to December 2014. Data were retrieved from the patient archives. Results: Overall 45 patients were diagnosed at our institution with de novo MDS during the study period. There were 28 males and 17 females. Age ranged between 18 and 95 years with a mean age of $57.6{\pm}17.4years$ and median of 64 years. The male to female ratio was 1.7:1. The main presenting complaints were generalized fatigue (60%), fever (33.3%), dyspnea (15.5%), bleeding (13.3%) and weight loss (11.1%). Examination was unremarkable in 42.2% of patients. Physical examination revealed pallor in 37.7%, followed by petechial and purpuric rashes in 20%. The commonest laboratory finding was anemia (hemoglobin < 10 g/dl in 41 (91.1%) patients. Out of these, 27 (60%) patients had normocytic anemia, followed by macrocytic (22.2%) and microcytic (8.8%). Conclusions: Primary MDS in Pakistani patients demonstrates a male preponderance. The proportion of anemic patients was high in our series with predominance of normocytic anemia. However, other clinico-hematological features appear comparable to published data.

• 한국간호교육학회지
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• 제25권4호
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• pp.459-470
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• 2019

Purpose: The purpose of this qualitative study was to identify the nature of precocious puberty and to explore what it means in primary schools. Methods: The participants of this phenomenological study were nine primary school girls who were diagnosed with precocious puberty and experienced hormone therapeutics, applying a convenience sampling method. Data were collected from July 2017 to January 2018 through individual in-depth interviews of the participants, including gestures, facial expressions and nonverbal means. The data analysis followed the method of Giorgi. Results: The study identified 37 concepts, 12 clusters, and five themes from experiences of precocious puberty. The essential five themes were as follows: 'ashamed and concealing experience', 'there is no therapeutics option', 'difficulties in the process of therapeutics', 'difficulties in daily life', and 'ambivalence toward therapeutics'. Conclusion: The findings of this study indicate physical, psychological and social difficulties faced by girls with precocious puberty. Based on this results of the study, it is necessary to develop nursing intervention programs focusing on healthy growth and development for children with precocious puberty.

• Asian Pacific Journal of Cancer Prevention
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• 제13권2호
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• pp.689-692
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• 2012

Objective: To investigate correlations between adenosine triphosphate chemotherapy response assay (ATP-CRA) and clinical outcomes after ATP-CRA-based chemotherapy for drug selection in patients receiving intravesical chemotherapy to prevent recurrence of superficial bladder cancer after surgery. Methods: The chemosensitivities of 12 anticancer drugs were evaluated, including 5-Fu ADM, and EPI, using ATP-CRA and primary tumor cell culture in 54 patients. In addition, a further 58 patients were treated according to clinical experience. Differences in post-chemotherapeutical effects between drug sensitivity assay and experience groups were compared. Results: The evaluable rate of the test was 96.3%, the clinical effective rate was 80.8%, the sensitivity rate was 97.6% (41/42), the specificity was 20%, the total predicting accuracy was 74.3%, the positive predictive value was 83.7% (41/49), the negative predictive value was 66.7% (2/3); in the drug sensitivity test group, the clinical effective rate was 80.8%, the experience group response rate was 63.8%, with a significant difference in clinical effects between the ATP-based sensitivity and experience groups (${\chi}^2$=7.0153, P<0.01). Conclusion: ATP-CRA is a stable, accurate and potentially practical chemosensitivity test providing a predictor of chemotherapeutic response in patients with superficial bladder cancer.

• 가정과삶의질연구
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• 제27권4호
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• pp.161-175
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• 2009

This study examines how parenting behavior and abuse experience in childhood and temperaments affect problem behavior by sex as it relates to undergraduates. The subject of this research is 220 undergraduates (males, 94; females, 126) attending universities located in Gyeonggi-do. Data were collected through the use of questionnaires during class. According to the results, when parenting behavior experienced in childhood is negative, abuse experience is more frequent, the emotional characteristics of the subject's temperaments are negative, activity is higher, sociability is lower, and problem behaviors such as social withdrawal, hyperactivity, aggressiveness, and obsession are more prevalent. Moreover, for male students, the chief factors explaining their problem behavior are their father's lack of supervision, physical violence, their mother's excessive interference and irrational parenting behavior, and the temperaments of excessive worrying, high activity, and low sociability. In the cases of female students, the primary variables affecting their problem behavior are negative emotional temperaments, low sociability temperaments, their father's low affection, excessive interference, too rational explanation, and their mother's inconsistent parenting behavior.

• 디자인학연구
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• 제19권3호
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• pp.143-154
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• 2006

The primary purpose of this study was to investigate the influence of Cognitive Factors (CF) on the Creative Abilities (CAs) in design. We set up a model of Cognitive Design Process (CDP), which consists of four domains: Concepts, Experience, Five Senses (FS), and Thinking Modes (TM). Here, experience is first perceived by the five senses, and then recognized by intelligence. We regard design as a transforming process from concept to experience. For this study, two major Sensory Modalities (Visual and Kinesthetic), four Thinking Modes (Brain Dominance Profile), and four Creative Abilities (Fluency, Flexibility, Originality, and Elaboration) were reviewed. We hypothesized that idea generation is influenced by different Sensory Modalities (Visual Sense vs. Kinesthetic Sense) and Thinking Modes, and that these have a close relationship with the attributes of CAs. Firstly, we have examined the cognitive thinking model in design. Then, we adapted the Test of Creative Abilities of Design Thinking (TCADT) for measuring CAs. We surveyed the CAs under CF in particular. Finally, we have investigated the influences of the different Sensory Modalities (Visual Sense vs. Kinesthetic Sense) on CAs. It was found that a close relationship between Brain Dominance and CAs, and Sensory Modalities (SM) have different influence on these creative abilities. As a result, a tool for the Test of CAs and a framework for creative idea generation with the effective CF will be presented. These provide the basis for a new approach to creative idea generation in Experience Design.

• 간호행정학회지
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• 제19권2호
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• pp.292-303
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• 2013

Purpose: The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals. Methods: Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology. Results: Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'. Conclusion: The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.