• Korean Journal of Adult Nursing
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• v.27 no.6
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• pp.728-741
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• 2015

Purpose: The purpose of the study was to explore and describe the experience of pursuing complementary and alternative medicine (CAM) in breast cancer patients. Methods: Ten women with breast cancer participated in the study. Data were collected through individual in-depth unstructured and individualized interviews with each participant from February to July, 2015. Theoretical sampling was used upto the point of theoretical saturation. Data were analyzed using Corbin & Strauss's grounded theory methodology. Results: Through open coding, 22 sub-categories, and 13 categories were identified. Analysis revealed that the core category was 'endless management of mind and body for healing', which consisted of four phases; exploring, applying, grasping, and integrating. Through this process, the participants utilized various action/interactional strategies such as 'dealing with information', 'trying out blindly', 'enduring volitionally', 'experiencing effects on mind and body,' and 'grasping one's own way.' The consequences of these strategies were integrating the habit of health remedy into one's life, becoming a main agent for change, and tolerating one's weak body. Conclusion: In-depth understanding of the CAM pursuing experiences of patients with breast cancer would guide clinical nurses and policy makers to develop effective interventions and policies for better supporting them with regard to the usage of CAM.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.7
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• pp.3161-3166
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• 2016

Background: Metastatic renal cell carcinoma (mRCC) status as poor prognosis improved with the introduction of tyrosine-kinase inhibitors, especially sunitinib. There is sparse data reporting from our region on use of sunitinib in metastatic RCC. Thus the present study explores sunitinib usage at our institute. Materials and Methods: An unselected population of patients with metastatic RCC receiving sunitinib was analyzed with respect to patient characteristics, response, toxicity, and outcomes. Results: Fourty-nine patients with a median age of 50.5 years (range 21-71 years) were included. Most were male (61.2%). Twenty‑one (42.9%) had metastatic disease at presentation. Sunitinib was first line therapy in 45. Conventional clear cell carcinoma was the most common pathology present (39 patients; 79.59 %). The most common site of metastasis was the lung (75.5%). Most patients (30) were started at a dose of 50 mg once a day for 4 weeks and then 2 weeks rest. Clinical benefit rate was 73.5% (n= 36), and 22.5% (n= 11) demonstrated progressive disease at first imaging evaluation within the first 3-6 months. The following objective response performed for patients was 48.9% (n=24) and progression at 24.5 % (n=12). The median follow‑up was 16 months (range, 4-34 months), the overall estimated median PFS was 9 months and the estimated median OS was 15 months. Conclusions: This study demonstrated sunitinib is tolerable and effective in advanced/metastatic RCC Egyptian patients and indicates we should further seek second and third lines to increase survival equivalence as reported in the worldwide literature.

• The Research Journal of the Costume Culture
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• v.13 no.5 s.58
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• pp.819-832
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• 2005

The purpose of the study was to examine female college students' credit card usage characteristics and to investigate differences in buying propensity of clothing including impulse buying, consciousness, and conspicuous consumption among their buyer groups according to credit card use and personal characteristics. The questionnaires were administered to female college students in Seoul. The total of 588 questionnaires were collected and statistically analyzed by descriptive statistics, factor analysis, Analysis of Variance (ANOVA), and Duncan's test. Female college students' arrear as well as credit card use have been increasing, and they tend to purchase low price clothing item using credit card. Buying propensity was classified into three factors. There were differences in buying propensity of clothing including impulse buying, fashion consciousness, and conspicuous consumption among buyer groups according to the credit card use and personal characteristics. Students who have credit card and arrear experience, are heavy credit user, and purchase more clothing showed high impulse buying propensity. Students who purchase more clothing monthly with credit card were more fashion-conscious. Students who have credit card, are heavy credit user, and purchase more clothing showed high conspicuous consumption propensity. Implications and future research directions were discussed.

• Progress in Medical Physics
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• v.28 no.1
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• pp.33-38
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• 2017

Creating individualized build-up material for superficial photon beam radiation therapy at irregular surface is complex with rice or commonly used flat shape bolus. In this study, we implemented a workflow using 3D printed patient specific bolus and describe our clinical experience. To provide better fitted build-up to irregular surface, the 3D printing technique was used. The PolyLactic Acid (PLA) which processed with nontoxic plant component was used for 3D printer filament material for clinical usage. The 3D printed bolus was designed using virtual bolus structure delineated on patient CT images. Dose distributions were generated from treatment plan for bolus assigned uniform relative electron density and bolus using relative electron density from CT image and compared to evaluate the inhomogeneity effect of bolus material. Pretreatment QA is performed to verify the relative electron density applied to bolus structure by gamma analysis. As an in-vivo dosimetry, Optically Stimulated Luminescent Dosimeters (OSLD) are used to measure the skin dose. The plan comparison result shows that discrepancies between the virtual bolus plan and printed bolus plan are negligible. (0.3% maximum dose difference and 0.2% mean dose difference). The dose distribution is evaluated with gamma method (2%, 2 mm) at the center of GTV and the passing rate was 99.6%. The OSLD measurement shows 0.3% to 2.1% higher than expected dose at patient treatment lesion. In this study, we treated Mycosis fungoides patient with patient specific bolus using 3D printing technique. The accuracy of treatment plan was verified by pretreatment QA and in-vivo dosimetry. The QA results and 4 month follow up result shows the radiation treatment using 3D printing bolus is feasible to treat irregular patient skin.

• Korean Institute of Interior Design Journal
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• v.22 no.5
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• pp.171-178
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• 2013

In this study, we sought to find out the effect of different emotional interior images of the community facilities in an apartment complex on a youth brain wave by analyzing an Electroencephalograph (EEG). Based on the frequency of usage, we selected learning facilities, cultural facilities, and sport facilities. For brain stimulation, the visual stimulants with three different emotional words, cheerful, gentle, and elegant, were used based on I.R.I image scale. Overall, total nine different emotional images were used. Based on our findings, we conclude that: first, in order to improve learning concentration of the youth, a learning facility for the youth needs to be designed by skillfully combining the soft and comfortable colors from the gentle image and the murky and dark colors from the elegant image. Second, when designing a cultural facility, it is preferable to consider the elegant image for a calm and comfortable space. Third, a sport facility design needs to preclude dark colors and apply light colors to create a dynamic and lively space. Furthermore, we found out that the youth has established static images of each functionally different facility through their experience and learning. Therefore, it is imperative to plan community facilities in an apartment complex in a way to connect the space function with the emotional characteristics of the youth in order to support and encourage energetic activities and learning of the community youth.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.1
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• pp.390-398
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• 2012

This study examined the present condition of the closed elementary school in the Yeongi province, where much of the area will be transformed into the city of Se-Jong, and suggested the renewal plan in the future. Among the twelve(12) schools, eight(8) that have transferred to private sectors were analyzed in respect to lot size, present usage, surroundings, means of approach, and distance from the most populated area, ect.. Additionally, interview with the management official of school board was taken in place. The findings include: two(2) schools that are located nearer then others to the newly-born city can be rehabilitated as educational facility, such as training institute and cultural experience place. Other six(6) schools can be utilized as senior citizens' center, community center, medical substation, hobby farm, or even community warehouse.

• The Journal of the Korea Contents Association
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• v.8 no.11
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• pp.65-73
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• 2008

In this study, we have looked into the cellular phone consumption behavior of seniors who are 50-65 years old because of the prediction that senior cellular phone market will be expanded. Therefore, we made up a questionnaire which is based on theoretical study about silver consumer and marketing, and we also analyzed main features and differences of senior and active senior after split by lifestyle analysis. Through the analysis result, we found out the practical approaching way for the items that seniors' dissatisfaction was high and inquired whether it's possible turning into interface's direct input system or not. As a result, we discovered the change of a pattern of behavior by the increase of seniors's experience, differences of consumption behavior factors by lifestyle, and the possibility of market value of new interface.

• Journal of Chest Surgery
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• v.25 no.12
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• pp.1570-1577
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• 1992

The vascular surgery is the field that has developed in early 20 century and is progressing nowadays. Recent advance in surgical technique accompanying with excellent medical diagnosis and treatment, prompt angiographic usage, development of variable prosthetic material, and concomitant use of anti-coagulant have made remarkable results of vascular surgery. 83 cases of vascular surgery have been performed at Thoracic and Cardiovascular Surgery Department of Pusan National Unversity Hosaital since 1971 till 1990, for 20 years and their results are followed. Patient ductus arteriosus and Buerger`s disease were omited in this study. 1. The age distribution shows that the fifth and sixth decades are most frequently affected and mean age was 56.1 years old. Male to female ratio is 1: 2.32. 2. Among the 83 cases of all, number of occlusive vascular disease is 46 and that of aneurysmal disease is 33. 3. In clinical manifestation, most common symptom of occlusive disease is pulselessness and pain was next. Mass sensation is most commonly complained by patients of aneurysmal disease. 4. CT scan was more important in diagnosis of aneurysmal diseases and angiogram was more commonly used in occlusive diseases. 5. The common site of arterial occlusion was common iliac artery, femoral artery, aortic bifurcation, and external iliac artery, as its frequency rate. The most commonly affecting portion of aortic aneurysm was abdminal aorta, and descending thoracic aorta and femoral artery were next 6. Preoperative associated diseases were atherosclerosis[41 cases], hypertension[21 cases], valvular heart disease[11 cases], and diabetes mellitus[9 cases], etc, 7. Operative methods in ocllusive diseases were thrombectomy[36.9%], endarterectomy [10.9%], and bypass graft insertion[52.7%]. Among the bypass graft, Y-graft was used in 7 case, straight graft was used in 17 cases, and saphenous venous graft was used in 2 cases. 8. Postoperative complications were developed in 17 cases, and morbidity rate was 36. 9. Eleven patient were died within 1 month after operation, so operative mortality rate was 13.3%. 10. Duration of patency was beteween 7 and 58 months[average 27.5 months] in occlusive diseases and their 5-year patency rate was 56.3%. Duration of patency of aneurysmal disease was 20 months in aveage and their 5-year patency rate was 51.3%. 11. Patients of eleven cases of occlusive disease and two cases of aneurysmal disease required reoperation for variable reason. 12. 35 cases of patient have used anticoagulants: coumadin, ticlid, and persanthin-ASA combination.

• Health Policy and Management
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• v.23 no.4
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• pp.415-426
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• 2013

Background: This study was aim to identify the specific words and to develop the scale for the public health center (PHC) image. Methods: We collected 824 words from the previous studies and by open questions and reduced them by 77 words, then which were rated properly by 355 citizens of Seoul. We examined explanatory factor analysis for 69 words, and examined content validity test and confirmatory factor analysis (CFA) for the image structures (4 factors and 16 words). And then we developed the image questionnaire using them through council. We conducted a survey and retested the PHC image scales as the measuring tool targeting 2,000 persons, and compared the inexperience and experience persons for PHC usage. Results: The image structures were consisted of 4 factors and 16 words such as 'trustworthiness' (warm, exemplary, faithful, service-mindedness, beneficial to health), 'fairness' (honesty, clear, consistent, ruled), 'development possibility' (changing, goal-directed, developmental, propulsive), and 'flexibility' (not authoritative, not perfunctory, not rigid) in total. Cronbach's ${\alpha}$ values of all factors were above 0.7. As a result of CFA, model fit indexes yielded satisfactory results (root mean square error of approximation [RMSEA] 0.049, goodness of fit index [GFI] 0.937, and adjusted goodness of fit index [AGFI] 0.912). According to the result of retest for measuring tool by using other samples, Cronbach's ${\alpha}$ values were above 0.8, and model fit indexes yielded satisfactory results (RMSEA 0.059, GFI 0.952, AGFI 0.933). RMSEAs of the inexperiences and the experiences were each 0.59, 0.68. Conclusion: A reliable, valid, and generalizable scale was created for PHC image.

• Journal of the Korean Society of Environmental Restoration Technology
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• v.15 no.4
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• pp.97-109
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• 2012

In this study this writer carried out survey and analysis on paving materials of children's playground for 40 apartment buildings with each of such apartment containing 100 households or more and which were built within last 15 years in Jeonju. As a result of analysis of such questionnaires this author could draw following conclusion. In the second half of 1990s pavement materials which were used mainly were sand and during first half of 2000s they were mixture of sand and rubber block and around 2010 they were rubber block or rubber chip pavements. Such change seemed to be a result of consideration of convenience for management and safety rather than in deference to diversity of children's outing places. Survey on the current status of pavement materials revealed need for directives by the main entity for management and their firm resolve for its implementation. And there was need for their coping with problems such as pressure of treading or lack of it or poor condition of drainage in case of sand and phenomena of pitting or dipping down, discoloring and poor drainage in case of rubber chips and rubber blocks and loosening of gaps between rubber blocks etc. Result of analysing status of usage disclosed that 50.4% of the respondents to questionnaires stated that they had experience of accidents. With regard to cause of such accident it was found that 47.5% of accidents were attributable to play facilities and 19.5% were due to paving (floor) materials thus it was disclosed that not only play facilities but also pavement materials had impact on safety for the children. Result of analysing level of satisfaction with pavement materials showed that pavement by rubber chips and blocks had higher level of satisfaction which was reflection of fear on cleanness of sand. In terms of preference rubber chip and rubber block pavements were highest and the next one was sand. Reason for such preference was based on concern with safety.