• 초등상담연구
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• 제7권1호
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• pp.205-226
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• 2008

The purpose of the study you have seen is to verify the effectiveness of existing quantitative research and to put the Empathy Training Program to practical use for participating children. From looking into this, the changes in empathic understanding that came to light in relationships between teacher and children and children and children are sure to have that effect. For this work, I established the following subject of inquiry: What kind of changing processes can be seen in the empathic understanding of participating children in the Empathy Training Program? To resolve the above line of inquiry, six female sixth grade elementary school students were chosen and they progressed through twelve sessions of the Empathy Training Program. The children were given a sentence completion exam, recognition work, neat writing exam and a school adaptation exam both before and after participation in the program, making data for analysis. To analyze, first, participants had one or two meetings of forty to fifty minutes each. Progress through the program's curriculum was recorded and through the repeating and copying method, to be sure participating children's empathic understanding was revealed, empathic language and behavior was routinely chosen. Next, according the above criteria I looked into visible changes of the participating children's empathic expressions, classifying and analyzing changes in empathic understanding and six instances of common changes in the emphatic understanding of the participants relationships were analyzed and put together. Next I will summarize the findings we have seen in this research: First, if we look into changes in common empathic understanding from the beginning, using the criteria of empathic language, each individual showed understanding at the beginning and passed and progressed through stages of care, insight and emotional expressions. Second, when we looked at the criteria of empathic behavior from the beginning to the end, one's line of vision and ability to concentrate one's attention was connected. Next, the act of nodding one's head looked like a brief nod at first but at the end, it was not just a simple nod but rather they could feel deep empathy. The condition and substance of the facial expression was seen to match and at the very end the child was expressive and stretched out arms to hold and pat the other person and the act of holding hands could also be seen. Among lots of empathic behavior the final stage was shown by half of the children. Third, from the first stage to the last stage there were many cases revealed. The more the children went the more complete their empathic language became. Their vocabulary increased and became more diverse with empathic actions. Also, when comparing actions and expressions from the beginning with the end, visible expressions became more natural and sincere at the end. The result of the research we have seen is that through receiving experience of empathic understanding, participating children showed a sense of self-confidence and they looked to make peaceful expressions while not being aggressive or defensive about problems. In addition, from understanding empathic expressions, participating children's relationships felt closer. This outcome within this group in this case will be applied and the formation of empathic understanding can be used by the children internally to solve their own problems, acquire close relationships with their teachers and others. It will also contribute to smooth classroom management.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.382-395
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• 2016

Purpose: Alendronate has been proposed as a local and systemic drug treatment used as an adjunct to scaling and root planing (SRP) for the treatment of periodontitis. However, its effectiveness has yet to be conclusively established. The purpose of the present meta-analysis was to assess the effectiveness of SRP with alendronate on periodontitis compared to SRP alone. Methods: Five electronic databases were used by 2 independent reviewers to identify relevant articles from the earliest records up to September 2016. Randomized controlled trials (RCTs) comparing SRP with alendronate to SRP with placebo in the treatment of periodontitis were included. The outcome measures were changes in bone defect fill, probing depth (PD), and clinical attachment level (CAL) from baseline to 6 months. A fixed-effect or random-effect model was used to pool the extracted data, as appropriate. Mean differences (MDs) with 95% confidence intervals (CIs) were calculated. Heterogeneity was assessed using the Cochrane ${\chi}^2$ and $I^2$ tests. Results: After the selection process, 8 articles were included in the meta-analysis. Compared with SRP alone, the adjunctive mean benefits of locally delivered alendronate were 38.25% for bone defect fill increase (95% CI=33.05%-43.45%; P<0.001; $I^2=94.0%$), 2.29 mm for PD reduction (95% CI=2.07-2.52 mm; P<0.001; $I^2=0.0%$) and 1.92 mm for CAL gain (95% CI=1.55-2.30 mm; P<0.001; $I^2=66.0%$). In addition, systemically administered alendronate with SRP significantly reduced PD by 0.36 mm (95% CI=0.18-0.55 mm; P<0.001; $I^2=0.0%$) and increased CAL by 0.39 mm (95% CI=0.11-0.68 mm; P=0.006; $I^2=6.0%$). Conclusions: The collective evidence regarding the adjunctive use of alendronate locally and systemically with SRP indicates that the combined treatment can improve the efficacy of non-surgical periodontal therapy on increasing CAL and bone defect fill and reducing PD. However, precautions must be exercised in interpreting these results, and multicenter studies evaluating this specific application should be carried out.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3163-3167
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• 2014

Background: Breast-conserving surgery (BCS) plus radiotherapy is equivalent to modified radical mastectomy (MRM) in terms of outcome. However there is wide variation in mastectomy rates dependent both on tumour and patient characteristics. Objective: This study aimed to assess the determinants of surgery choice in Asian patients with early breast cancer in a middle-income country. Materials and Methods: 184 patients with early breast cancer treated between Jan 2008 and Dec 2010 were recruited to complete a questionnaire. Chi-square test was used to analyze the association between surgery choice and demographic and tumour factors, surgeon recommendation, family member and partner opinions, fear of recurrence, avoidance of second surgery, fear of disfigurement, interference with sex life, fear of radiation and loss of femininity. Results: 85 (46%) had BCS while 99 (54%) had mastectomy. Age >60, Chinese ethnicity, lower education level, and larger tumour size were significantly associated with mastectomy. Surgeon recommendation was important in surgery choice. Although both groups did not place much importance on interference with sex life, 14.1% of the BCS group felt it was very important compared to 5.1% in the mastectomy group and this was statistically significant. There was no statistical difference between the two groups in terms of the other factors. When analyzed by ethnicity, significantly more Malay and Indian women considered partner and family member opinions very important and were more concerned about loss of femininity compared to Chinese women. There were no statistical differences between the three ethnic groups in terms of the other factors. Conclusions: When counseling on surgical options, the surgeon has to take into account the ethnicity, social background and education level, age and reliance on partner and family members. Decision-making is usually a collective effort rather than just between the patient and surgeon, and involving the whole family into the process early is important.

• 벤처창업연구
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• 제11권6호
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• pp.11-26
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• 2016

기업들은 대내외적으로 불투명한 환경에서 생존하고 발전하기 위한 새로운 대안으로 여성 인력 활용의 중요성과 기업가정신을 제시하고 있다. 그리고 최근 급변하는 환경 변화로 인해 능동적으로 대처 가능한 여성 특유의 감수성, 섬세성, 창의력, 직관력이 주목받으면서 여성들은 전통적인 성향에서 벗어나 직업을 갖고 여성 자신의 정체성을 찾는 사회적 역할이 변화되고 있다. 이러한 사회적 역할 변화로 여성CEO에 대한 사회적 관심과 가치가 재평가되고 있다. 이에 본 연구는 여성CEO의 기업가정신(혁신성, 진취성, 위험감수성) 개념의 고찰과 기업가정신이 지식경영성과 촉진을 위한 고려되어야 할 요인을 도출하였다. 본 연구의 도출된 시사점은 기업가정신의 진취성, 위험감수성이 대체로 여성CEO의 지식경영성과에 영향을 미친다는 것을 알 수 있었다. 또한, 여성CEO의 경우 기업가 정신이 자기효능감과 연결되어 특정 과업성과에 원하는 결과를 거둘 수 있도록 영향을 미치는 것으로 검증하였다. 이는 여성CEO들이 진취성, 위험감수성, 자기효능감 등의 매개 과정을 통해 기업 경영을 잘 이끌어 나갈 수 있고, 스스로 믿음을 가지고 지식경영을 한다면 높은 성과에 영향을 미친다고 볼 수 있다. 그러므로 여성 특유의 장점과 특성을 살려 기업가정신에 의한 경제활동이 장기적인 경기 침체의 극복은 물론이고 거시적으로 경제적 성장과 발전을 이끌며, 국가의 신성장 동력이 될 수 있도록 하여야 한다. 또한, 추가적인 연구를 통하여 기업가 정신을 가진 여성CEO가 성공할 수 있도록 정책 방향 제시에 기여할 것이다.

• 대한토목학회논문집
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• 제35권5호
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• pp.1147-1156
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• 2015

1994.1월 도입된 책임감리제도의 20년 시행 결과를 평가하고, 이 제도가 건설사업관리(CM)에 흡수 통합된 과정을 살펴보았다. 본 연구의 기초자료로서 건설사업관리와 함께 도입된 건설기술자 역량지수(ICEC) 등급 체계를 요약했다. 본 연구에는 도로분야 건설기술자들을 대상으로 건설사업관리와 역량지수에 대한 설문조사를 실시하고 그 응답자의 반응을 분석한 결과를 수록했다. "책임감리가 건설사업관리로 전환된 점에 대한 의견"을 묻는 설문에 응답자의 50%가 CM으로 전환되어야 한다고 답했다. CM으로 전환되어야 한다고 응답한 시공분야 기술자는 48%인 반면, 감리분야 기술자는 38%로 낮았다. "역량지수를 경력 40%, 자격 40%, 학력 20% 비율로 산정하는 방안에 대한 의견"을 묻는 질문에 '현행과 같은 40%, 40%, 20%가 적정하다'는 응답이 46%였다. 그러나 학 경력자와 등급이 낮은 자격의 기술자들이 경력 비율을 높이라고 요구한 것으로 나타났다.

• 대한공간정보학회지
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• 제20권1호
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• pp.33-41
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• 2012

버스정보시스템은 실시간으로 버스 위치를 파악하여 정류장 안내기, 인터넷, 모바일 서비스 등을 통해 대중교통 이용 승객에게 버스운행 상황을 제공하는 도착 안내 정보 시스템이다. 신뢰성 있는 버스정보시스템의 구현과 정보 유지를 위해서는 기반정보 DB의 품질 관리를 통한 교통 정보의 질적 향상은 매우 중요하다. 이에 본 연구의 목적은 버스 기반정보 데이터의 각 절차 별 성과물의 데이터 품질을 정량적으로 평가하기 위한 기준을 정립하고 품질 관리 방안을 제시하는 것이다. 이를 위한 연구의 내용으로 우선, 국토해양부 실시간 환승 교통 종합정보(TAGO : Transport Advice GOing anywhere) 시스템의 기반정보 DB를 사례로 버스 네트워크 DB를 구축함에 따라 발생할 수 있는 논리적, 형상적 오류를 유형화하였다. 또한, 이에 대한 항목별 검수 방법과 절차에 대한 기준을 정립하고 일관적이고 체계적인 품질 관리 방안을 제시하였다. 연구 결과로서, 버스 기반 정보의 객관적이고 신뢰성 있는 품질확보가 가능 하였으며, 이를 통해 시스템 운영상의 오류 야기를 사전에 방지하여 보다 정확한 대중교통 정보 제공과 버스정보시스템의 신뢰도 향상에 기여할 것으로 기대된다.

• Journal of Korean Neurosurgical Society
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• 제60권2호
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• pp.225-231
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• 2017

Objective : Solid bone fusion is an essential process in spinal stabilization surgery. Recently, as several minimally invasive spinal surgeries have developed, a need of artificial bone substitutes such as demineralized bone matrix (DBM), has arisen. We investigated the in vivo bone growth rate of DBM as a bone void filler compared to a local autologous bone grafts. Methods : From April 2014 to August 2015, 20 patients with a one or two-level spinal stenosis were included. A posterior lumbar interbody fusion using two cages and pedicle screw fixation was performed for every patient, and each cage was packed with autologous local bone and DBM. Clinical outcomes were assessed using the Numeric Rating Scale (NRS) of leg pain and back pain and the Korean Oswestry Disability Index (K-ODI). Clinical outcome parameters and range of motion (ROM) of the operated level were collected preoperatively and at 3 months, 6 months, and 1 year postoperatively. Computed tomography was performed 1 year after fusion surgery and bone growth of the autologous bone grafts and DBM were analyzed by ImageJ software. Results : Eighteen patients completed 1 year of follow-up, including 10 men and 8 women, and the mean age was 56.4 (32-71). The operated level ranged from L3/4 to L5/S1. Eleven patients had single level and 7 patients had two-level repairs. The mean back pain NRS improved from 4.61 to 2.78 (p=0.003) and the leg pain NRS improved from 6.89 to 2.39 (p<0.001). The mean K-ODI score also improved from 27.33 to 13.83 (p<0.001). The ROM decreased below 2.0 degrees at the 3-month assessment, and remained less than 2 degrees through the 1 year postoperative assessment. Every local autologous bone graft and DBM packed cage showed bone bridge formation. On the quantitative analysis of bone growth, the autologous bone grafts showed significantly higher bone growth compared to DBM on both coronal and sagittal images (p<0.001 and p=0.028, respectively). Osteoporotic patients showed less bone growth on sagittal images. Conclusion : Though DBM alone can induce favorable bone bridging in lumbar interbody fusion, it is still inferior to autologous bone grafts. Therefore, DBM is recommended as a bone graft extender rather than bone void filler, particularly in patients with osteoporosis.

• 한국산림과학회지
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• 제97권6호
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• pp.669-679
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• 2008

지리산국립공원은 1967년 12월 29일 우리나라 최초로 국립공원으로 지정되었으며, 지정 후 수반되는 행위규제로 인해 주민들의 재산권 침해와 후대에 물려 줄 유산적 가치로서의 자연보전과의 끊임없는 갈등을 빚고 있다. 따라서 본 연구의 목적은 이러한 갈등상황을 해결할 수 있는 합리성에 근거를 둔 의사결정 대안을 찾는 데 있다. 이를 위해 지리산국립공원을 둘러싼 이해주체들의 갈등해결을 위해 합리적 의사결정을 지원할 수 있는 게임이론을 적용하였고 게임의 구성요소는 경기자인 지리산국립공원과 마을주민, 산림의 이용과 보전에 대한 각 이해주체들의 전략, 그리고 전략에 따른 보수 등을 바탕으로 비협조적 게임으로 분석한 결과 나타난 내쉬균형은 서로의 이익을 추구하며 갈등이 깊어지는 것으로 나타났다. 그러나 이해주체들이 인정할 수 있는 공리를 포함한 전략과 그에 따른 보수를 바탕으로 한 협조적 게임의 결과는 비협조적 게임의 내쉬균형이 가지는 보수보다는 작을 수 있으나 서로 Win-Win할 수 있는 전략집합을 이루며 갈등이 해결되는 양상으로 나타났다. 하지만 사람의 합리성으로 인해 불확실성이 발생되기 때문에 이해주체가 인정할 수 있는 공리와 그것을 지켜갈 수 있는 신뢰가 확보된다면 우리나라 국립공원이 겪고 있는 구조적 갈등을 해결할 수 있는 하나의 방법이 될 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.292-299
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• 2009

Objective : Clinical and radiological results of posterior dynamic stabilization using interspinous U (ISU, $Coflex^{TM}$, Paradigm Spine $Inc.^{(R)}$, NY, USA) were analyzed in comparison with posterior lumbar interbody fusion (PLIF) in degenerative lumbar spinal stenosis (LSS). Methods : A retrospective study was conducted for a consecutive series of 61 patients with degenerative LSS between May 2003 and December 2005. We included only the patients completed minimum 24 months follow up evaluation. Among them, 30 patients were treated with implantation of ISU after decompressive laminectomy (Group ISU) and 31 patients were treated with wide decompressive laminectomy and posterior lumbar interbody fusion (PLIF; Group PLIF). We evaluated visual analogue scale (VAS) and Oswestry Disability Index (ODI) for clinical outcomes (VAS, ODI), disc height ratio disc height (DH), disc height/vertebral body length ${\times}100$), static vertebral slip (VS) and depth of maximal radiolucent gap between ISU and spinous process) in preoperative, immediate postoperative and last follow up. Results : The mean age of group ISU ($66.2{\pm}6.7$ years) was 6.2 years older than the mean age of group PLIF ($60.4{\pm}8.1$ years; p=0.003). In both groups, clinical measures improved significantly than preoperative values (p<0.001). Operation time and blood loss was significantly shorter and lower in group ISU than group PLIF (p<0.001). In group ISU, the DH increased transiently in immediate postoperative period ($15.7{\pm}4.5%{\rightarrow}18.6{\pm}5.9%$), however decreased significantly in last follow up ($13.8{\pm}6.6%$, p=0.027). Vertebral slip (VS) of spondylolisthesis in group ISU increased during postoperative follow-up ($2.3{\pm}3.3{\rightarrow}8.7{\pm}6.2$, p=0.040). Meanwhile, the postoperatively improved DH and VS was maintained in group PLIF in last follow up. Conclusion : According to our result, implantation of ISU after decompressive laminectomy in degenerative LSS is less invasive and provides similar clinical outcome in comparison with the instrumented fusion. However, the device has only transient effect on the postoperative restoration of disc height and reduction of slip in spondylolisthesis. Therefore, in the biomechanical standpoint, it is hard to expect that use of Interspinous U in decompressive laminectomy for degenerative LSS had long term beneficial effect.

• 대한정형외과 초음파학회지
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• 제4권2호
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• pp.111-122
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• 2011

혈소판 풍부 혈장은 자가 혈액으로부터 농축된 혈소판을 이용하여 성장 인자들을 제공함으로써 손상된 조직의 재생과 치유를 도모한다는 이론적 근거를 배경으로, 근골격계 손상의 치료를 위해 최근 많이 사용되고 있다. 성장 인자를 통한 조직 치유 효과는 여러 기초 과학적 연구를 통해 규명되어 왔고, 혈소판 풍부 혈장을 이용한 동물 연구 및 임상 연구들도 좋은 결과를 보고하고 있다. 그러나, 대부분의 연구들이 혈소판 풍부 혈장의 적용 방법 및 결과 측정 방법 등에서 문헌 별로 차이가 커서 서로 비교가 어렵고, 연구 대상 환자 수가 너무 적거나 대조 군이 없는 등 연구로서의 한계가 있다. 특히 잘 디자인 된 전향적 무작위 대조 연구들은 거의 없는 상황이다. 따라서, 현재까지의 결과를 확증하고 혈소판 풍부 혈장의 임상적 사용에 대한 과학적 근거를 제시하기 위해서는 좀 더 높은 수준의 잘 디자인 된 전향적 무작위 연구가 필요하다 할 수 있다. 결론적으로, 혈소판 풍부 혈장의 임상적 적용은 아직 과학적 근거가 부족한 상황이고, 따라서 혈소판 풍부 혈장을 사용하여 근골격계 질환을 치료할 때는 신중을 기해야 할 것이다.