• 한국사회복지학
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• 제37권
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• pp.381-405
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• 1999

청소년 비행 문제에 대한 접근은 청소년들이 비행에 이르게 된 과정과 요인에 대한 분석을 기반으로 하여 이들에게 영향을 미치는 요인별로 다각적인 접근을 시도하는 프로그램의 계획 및 실천과 그에 대한 평가작업을 통해 완성된다고 생각된다. 이러한 점에서 볼 때 시도되는 프로그램의 전 과정을 양적 및 질적 방법으로 평가하여 저소득층 밀집지역의 비행청소년들에게 적합한 프로그램 모형을 개발 보급하는 것은 현 시점에서 매우 의미 있는 작업이 될 것이다. 본 연구조사의 일차적 목적은 청소년 비행의 문제를 적극적으로 해결하기 위한 사회복지 개입 프로그램을 계획 시행하여 그 효과성을 검증하는 것이다. 본 연구를 통해 수행된 비행예방 프로그램은 본 연구에서 제시하고 있는 비행 요인을 중복적으로 가지고 있는 초등학교 4학년 학생 10명을 대상으로 하여 5개월간 주 1회 씩 총 19회의 집단활동으로 구성되었다. 프로그램의 효과성 평가는 목적달성 모델을 따랐으며, 사전 사후조사를 통한 양적 접근과 함께 집단활동 기록 분석 등의 질적 접근을 병행하였다. 그 결과 자아존중감으로 조작화된 집단활동 참여자의 비행성향이 통계적으로 유의미한 긍정적 변화를 보였다. 이는 본 프로그램이 비행예방 효과를 가지고 있음을 시사하는 것이라 생각된다.

• 대한치과기공학회지
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• 제39권4호
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• pp.263-273
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• 2017

Purpose: This study aimed to explore the relations between class distracting factors and class satisfaction of the dental technology students and then provide a primary data to help further related studies and develop educational programs with which instructors can efficiently manage their classroom. Methods: For this study we have conducted a survey started from the beginning of May 2017 to the end of June. The subjects of the survey were Dental Technology students of D-city, K-city, W-city, selected by random sampling method. The questionnaire was self-administrated and 437 valid results were chosen for our analysis among 450 distributed questionnaires. Results: The results of the research was as follows. Firstly, The overall average point of class distracting factors was 2.5 point. The environmental factors were the highest point as 2.59 and as for the subcategories tiredness and drowsiness was the highest point as 2.76. Secondly, The overall average point of class satisfaction turned out 3,88 point and compliance with class and attitude factors gained the highest point as 4.06. Of the subcategories strict roll checking was the highest point as 4.17. Thirdly, As for class distracting factors from general characteristics a statistical significance was shown as follows; 'instructor factor'(p<.01), 'learner factor'(p<.05), 'total class distracting factor'(p<.05) in the area of gender, 'environmental factor'(p<.001), 'total class distracting factor'(p<.01), 'learner factor'(p<.05), 'instructor factor'(p<.05) in the area of gender 'learner factor'(p<.001), 'instructor factor'(p<.001), 'environmental factor'(p<.001), 'total class distracting factor'(p<.01) in the area of class grade, 'environmental factor'(p<.05) in GPA. Fourthly, A statistical significance, a negative correlation (p<.01) were shown between class distracting factors and class satisfaction. Class distracting factor that especially affects the class satisfaction was instructor factor(p<.001) and the explanatory power of the model turned out 14.7%, which was statistically meaningful (p<.001). Conclusion : Results of this study reveal that instructor factor is the key to class satisfaction of the students. So it is crucial that the instructor faithfully prepare for the class to reinforce the students' learning. Additionally further studies should be followed with more subjects and newer perspectives to develop innovative teaching methodology.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5957-5961
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• 2015

Background: We designed this randomized controlled trial (RCT) to assess whether lobaplatin-based concurrent chemotherapy might be superior to cisplatin-based concurrent chemotherapy for FIGO stage II and III cervical cancer in terms of efficacy and safety. Materials and Methods: This prospective, open-label RCT aims to enroll 180 patients with FIGO stage II and III cervical cancer, randomly allocated to one of the three treatment groups (cisplatin $15mg/m^2$, cisplatin $20mg/m^2$ and lobaplatin $35mg/m^2$), with 60 patients in each group. All patients will receive external beam irradiation (EBRT) and high-dose-rate intracavitary brachytherapy (HDR-ICBT). Patients in cisplatin $15mg/m^2$ and $20mg/m^2$ groups will be administered four cycles of $15mg/m^2$ or $20mg/m^2$ cisplatin intravenously once weekly from the second week to the fifth week during EBRT, while patients inthe lobaplatin $35mg/m^2$ group will be administered two cycles of $35mg/m^2$ lobaplatin intravenously in the second and fifth week respectively during pelvic EBRT. All participants will be followed up for at least 12 months. Complete remission rate and progression-free survival (PFS) will be the primary endpoints. Overall survival (OS), incidence of adverse events (AEs), and quality of life will be the secondary endpoints. Results: Between March 2013 and March 2014, a total of 61 patients with FIGO stage II and III cervical cancer were randomly assigned to cisplatin $15mg/m^2$ group (n=21), cisplatin $20mg/m^2$ group (n=21) and lobaplatin $35mg/m^2$ group (n=19). We conducted a preliminary analysis of the results. Similar rates of complete remission and grades 3-4 gastrointestinal reactions were observed for the three treatment groups (P=0.801 and 0.793, respectively). Grade 3-4 hematologic toxicity was more frequent in the lobaplatin group than the cisplatin group. Conclusions: This proposed study will be the first RCT to evaluate whether lobaplatin-based chemoraiotherapy will have beneficial effects, compared with cisplatin-based chemoradiotherapy, on complete remission rate, PFS, OS, AEs and quality of life for FIGO stage II and III cervical cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.6011-6017
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• 2015

Purpose: To investigate the efficacy and safety of selective radiotherapy after distant metastasis of nasopharyngeal carcinoma (NPC) treated with dose-dense cisplatin plus fluorouracil. Materials and Methods: Eligible patients were randomly assigned to a study group treated with dose-dense cisplatin plus fluorouracil following selective radiotherapy and a control group receiving traditional cisplatin plus fluorouracil following selective radiotherapy according to a 1:1 distribution using a digital random table method. The primary endpoint was overall survival (OS). Secondary endpoints were progression-free survival (PFS), objective response rate, relapse or progression rate in the radiation field and treatment toxicity. Results: Of 52 patients in the study group, 20 cases underwent radiotherapy., while in the control group of 51 patients, 16 underwent radiotherapy. The median PFS, median OS, survival rates in 1, 2 and 3 years in study and control group were 20.9 vs 12.7months, 28.3 vs 18.8months, 85.2%vs 65.9%, 62.2% vs 18.3%, and 36.6%vs 5.2% (p values of 0.00, 0.00, 0.04, 0.00 and 0.00, respectively). Subgroup analysis showed that the median OS and survival rates of 1, 2, 3 years for patients undergoing radiotherapy in the study group better than that in control group( 43.2vs24.1 months, 94.1% vs 86.7%, 82.4% vs 43.3%, 64.7% vs 17.3%, (p=0.00, 0.57, 0.04 and 0.01, respectively). The complete response rate, objective response rate after chemotherapy and three months after radiotherapy, relapse or progression rate in radiation field in study group and in control group were 19.2% vs 3.9%, 86.5% vs 56.9%, 85% vs 50%, 95% vs 81.3% and 41.3% vs 66.7% (p =0.03, 0.00, 0.03,0.30, 0.01 respectively). The grade 3-4 acute adverse reactions in the study group were significantly higher than in the control group (53.8% vs 9.8%, p=0.00). Conclusions: The survival of patients benefits from selective radiotherapy after distant metastasis of NPC treated with dose-dense cisplatin plus fluorouracil.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.4959-4964
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• 2015

Background: To assess the immunohistochemical expression of estrogen receptor (ER), progesterone receptor (PgR) and human epidermal growth factor receptor-2 (HER2) neu receptor in breast cancer and their associations with various clinicopathological characteristics. Materials and Methods: This is a retrospective analysis of women who presented with primary, unilateral breast cancer in the Department of Medical Oncology at Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India during the period from January 2008 to December 2011. Data were retrieved from the medical records of the hospital including both early and locally advanced cancer cases. ER, PgR and HER2neu expression in these patients was assessed and triple negative patients were identified. Associations of triple negative and non-triple negative groups with clinicopathological characteristics were also evaluated. Results: A total of 1,284 women (mean age 52.1 years, 41.9% premenopausal) were included in the analysis. Hormone receptor positivity (ER and/or PgR) was seen in 63.4% patients, while 23.8% of tumors were triple negative. Only 23.0% were HER2 positive. Around 10.0% of tumors were both ER and HER2 positive. ER and PgR positivity was significantly associated with negative HER2 status (p-value <0.0001). Younger age, premenopausal status, higher tumor grade, lymph node negativity, advanced cancer stage, and type of tumor were strongly associated with triple negativity. Significantly, a smaller proportion of women had ductal carcinoma in situ in the triple negative group compared with the non-triple negative group (35.6% versus 60.8%, p-value<0.01). Conclusions: The present analysis is one of the largest studies from India. The majority of the Indian breast cancer patients seen in our hospital present with ER and PgR positive tumors. The triple negative patients tended to be younger, premenopausal, and were associated with higher tumor grades, negative lymph nodes status and lower frequency of ductal carcinoma in situ.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3643-3646
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• 2016

Management of eyelid cancers is based on surgery and/or radiotherapy (RT). The treatment objective is to control tumors with acceptable functional and esthetic outcomes. The aim of this study was to evaluate the results of radiation therapy in management of epithelial eyelid cancers, reviewing retrospectively the clinical records of patients treated in our institution from January 1989 to December 2013. We focused on clinical and histological features, treatment characteristics, tolerance and disease control. One hundred and eight patients (62 men and 46 women) were enrolled, with a mean age of 61 years [ranges 15-87]. The most frequent tumor location was the inner canthus (42.6%). Median tumor size was 21 mm [ranges 4-70]. Histological type was basal cell carcinoma in 88 cases (81.5%), squamous cell carcinoma in 16 (14.8%) and sebaceous carcinoma in 4 (3.7%). Radiation therapy was exclusive in 67 cases (62%) and post-operative for positive or close margins in the remaining cases. Kilovoltage external beam radiotherapy (KVRT) was used in 63 patients (58.3%) and low-dose-rate interstitial brachytherapy in 37 (34.3%). Eight (7.4%) were treated with cobalt or with a combination of KVRT-cobalt, KVRT-electron beams, KVRT-brachytherapy or cobalt-electron beams. The total delivered radiation doses were 70 Gy (2 Gy/fraction) in 62 patients (57.4%), 66 Gy (2 Gy/fraction) in 37 (34.3%) and 61.2 Gy (3.4Gy/fraction) in 9 (8.3%). After a median follow-up of 64 months, we noted 10 cases of local recurrences(9.2%): 7 after exclusive and 3 after post-operative RT. No local recurrence occurred in patients treated with brachytherapy. Actuarial 5-year local recurrence-free rate, disease-free survival and overall survival were respectively 90%, 90% and 97%. T-stage was found to be a significant factor for recurrence (p=0.047). All acute radiation-related reactions were scored grade I or II. Delayed effects were eye watering in 24 cases (22.2%), eye dryness in 19 (17.6%), unilateral cataract in 7 (6.4%) and ectropion in 4 (3.7%). Radiation therapy and especially brachytherapy is an efficient treatment of eyelid cancers, allowing eye conservation and functional preservation with good local control rates and acceptable toxicity.

• 대한관절경학회지
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• 제11권1호
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• pp.1-6
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• 2007

목적: 슬관절 연골 결손 환자 치료로 진보적으로 변형된 gel 형태의 fibrin matrix 자가 연골 세포 이식술을 시행한 후 이차 관절경을 통하여 그 단기 결과를 알아보고자 하였다. 대상 및 방법: 슬관절 연골 결손 환자 6명을 대상으로 하였으며 결손 크기는 평균 $5.13\;cm^2$ 이었다. 1차 관절경 시술시 연골 전층을 채취하여 $4{\sim}6$주간 배양하여 연골 세포를 증식한 후, 2차로 fibrin을 matrix로 하는 gel 형태의 자가 연골 세포 이식술을 시행하였다. 결과: 수술 후 Modified Cincinnati Knee Score는 6명중 4예에서 양호 이상, Lysholm function score는 수술 전 평균 59.5점에서 수술 후 평균 75.25점으로 증상이 호전되었다. ICRS grade 측정에서 6명중 4예에서 거의 정상의 결과를 보였다. 결론: Gel 형태의 fibrin matrix 자가 연골 세포 이식술은 기존의 고식적인 방법에 비해 수술시간이 짧고, 최소 절개 또는 관절경적 시술이 가능한 유용한 방법으로 사료되나, 추후 더 많은 증례 및 지속적인 장기 추시가 필요할 것으로 생각된다.

• 자원환경지질
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• 제42권3호
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• pp.167-175
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• 2009

아프리카 말리 세폴라 지역의 지질은 하부로부터 하부원생대의 변성퇴적암류 및 화산쇄설성암류로 구성된 비리미안층군과 후기에 이를 관입한 화성암류로 구성된다. 본역의 광상은 비리미안층군내 북서주향의 대규모 단층대 생성과 관련하여 2차적으로 형성된 열극대를 따라 열수유체가 충진되어 형성된 맥상 및 광염상 금광상이다. 부존잠재성이 가장 기대되는 바라니 구역은 연장 1.3 km, 폭 1${\sim}$20.1m, 품위 Au 0.53${\sim}$9.21 g/t가 확인되었다. 광석광물은 단순하며, 에렉트럼, 황철석 및 방연석 등이 확인되었다. 금립의 순도는 848${\sim}$915(평균 891)이며 본역 내 금광상은 중${\sim}$심열수 환경에서 생성되었음을 추정할 수 있다. 유체포유물은 액상우세(형), 기상우세 (형) 및 액상함$CO_2$ 포유물(형)로 분류된다. 초생 및 가이차 포유물의 균일화온도는 236${\sim}$393$^{\circ}C$, NaCl상담 염농도는 0.0${\sim}$8.6 wt.%이며, 이차포유물의 균일화 온도는 103${\sim}$184$^{\circ}C$, 염농도는 0.7${\sim}$8.6 wt.%이다. 균일화온도 및 염농도관계로부터 유체는 400${\sim}$250$^{\circ}C$범위에서는 압력감소에 의한 유체불혼화 과정을 거친후 천수의 유입으로 희석 및 냉각과정이 이루어졌음을 알 수 있다. 석영맥이 괴상을 보이고 광물수반양상이 단순한 점, 유화광물이 소량 함유되고, 함$CO_2$ 포유물이 산출되고 균일화온도가 높은 것등으로부터 본역내 금광화작용은 중-심열수형 광상으로 사료된다.

• 대한두경부종양학회지
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• 제15권1호
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• pp.22-28
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• 1999

Purpose: We performed this study retrospectively to evaluate local control, survival, prognostic factors, and failure patterns in patients with non-Hodgkin's lymphoma of Waldeyer's ring. Materials and Methods: From April 1984 to November 1996,41 patients with non-Hodgkin's lymphoma of Waldeyer's ring were treated with combined chemotherapy and radiation therapy. Age was ranged from 19 to 73 years old with a median age of 55 years, and there were 26 male and 15 female patients. Primary site was tonsil in 26 and base of the tongue in 7 and nasopharynx in 8, and stage distribution showed stage I in 12 and stage II in 29 patients. Pathologic classification was done according to Working Formulation. There were 1 with follicular mixed small cleaved and large cell, 8 with diffuse small cleaved cell, 7 with diffuse mixed small and large cell, and 25 cases with diffuse large cell. All patients were treated with combination of chemotherapy and radiation therapy. Chemotherapy regimen consisted of either CHOP-Bleo(cyclophosphamide, adriamycin, vincristine, prednisolone, bleomycin) or COP-BLAM III(cyclophosphamide, vincristine, prednisolone, bleomycin, adriamycin, procarbazine). Radiation dose ranged from 3600cGy to 6620cGy with a median dose of 5040cGy. Follow-up time was ranged from 15 months to 159 months(median 55 months). Results: The complete response was achieved in 98%(40/41) and partial response in 2%(1/41). The complete response rate were the followings: 66.7% for stage I and 51.7% for stage II after chemotherapy, 100% for stage I and 96.6% for stage II after overall treatment respectively. The overall survival rate and disease-tree survival rates at 5 years were 82.6% and 79.5%, respectively. Prognostic factors for overall survival were age(p=0.007), stage(p=0.03), nodal status(p=0.006) and radiation dose(p=0.003). The factors associated with disease-tree survival were stage(p=0.04), nodal status(p=0.004) and radiation dose(p=0.009). The failure patterns were analized in evaluable 35 patients with complete response. Locoregional failure was noted in 2 patients and distant metastasis in 5 patients. Conclusion: Our results suggest that combined modality therapy is the appropriate treatment for stage I-II intermediate grade non-hodgkin's lymphoma of the Waldeyer's ring. However, our material is small and the analysis is retrospective. Randomized prospective studies for combined therapy, radiation therapy alone and chemotherapy alone are needed.

• 한국수학교육학회지시리즈C:초등수학교육
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• 제15권2호
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• pp.159-170
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• 2012

본 연구의 목적은 비와 비율 학습에서 나타나는 초등학교 학생들의 인식론적 장애의 유형을 분류하고 원인을 찾아내어 그에 따른 지도 방안을 제시하는 것이다. 이를 위해 그 동안 연구되어 온 선행 연구의 결과와 수학교과서와 지도서, TIMSS 2003, 2007 등 여러 자료들을 분석하여 비와 비율 검사지를 제작하였다. 이를 위해 서울시내 초등학교 5학년 학생 138명을 여러 지역을 고려하여 선정한 후 설문 및 면담을 하여 인식론적인 장애를 검사하였다. 검사지 결과 분석 및 면담 내용을 토대로 인식론적 장애의 유형을 크게 용어, 계산, 표현과 관련된 것의 세 가지로 분류되었다. 그리고 각 유형에 따른 원인과 지도 방안을 제시하고 비와 비율의 효과적인 학습을 위한 제언을 하였다.