• 대한지리학회지
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• 제32권2호
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• pp.175-195
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• 1997

본 연구는 미국의 대도시지역이 경험하고 있는 산업재구조화와 신이민집단의 적응양태를 연계시켜 이해하기 위하여. 로스엔젤레스, 뉴욕. 시카고. 그리고 애틀란타를 선정하고 이들 지역에 거주하는 중남미계와 동양계의 취업분포와 거주양태를 분석하였다. 분석 결과 이들의 산업별 취업분포는 모든 분야에 나타나 대체적으로 전체인구와 유사한 분포를 보이나 제조업, 서비스업 그리고 소매업에서 비교적 높은 집중도를 보이고 있다. 이들의 거주집중지역은 도심 주변과 더불어 외곽 지역에도 나타나고 있다. 이는 기존 유럽계 이민집단이 제조업에 편중적으로 고용되고 도심 주변에 거주지를 집중시키던 적응양식과는 다른 모습을 보이고 있으며,도시별로 다양하게 전개되고 있다. 따라서 신이민집단의 적응양태에 대한 올바른 이해는 정착지역이 경험하고 있는 산업재구조화와 이에 따른 공간상의 변화 그리고 집단 내부의 다양성을 고려한 관점에 기초해야 함을 제시하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권4호
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• pp.1791-1796
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• 2014

Background: Colorectal cancer (CRC) is a leading cause of cancer death among Vietnamese Americans, yet screening remains underutilized. We investigated the effectiveness of a culturally tailored DVD intervention in promoting CRC screening among unscreened Vietnamese Americans age 50 and over. Materials and Methods: Using a community-based participatory research approach, we conducted a trial comparing twenty-eight subjects who received a mailed DVD in Vietnamese, with twenty-eight subjects who received a mailed brochure in Vietnamese. Subjects completed telephone surveys at baseline, One-month, and one-year. The primary outcome was receipt of screening. Secondary measures were participants' knowledge, attitudes, and beliefs about CRC screening. Two focus groups explored the intervention's acceptability and effectiveness. Results: At one year, CRC screening rates of 57.1% and 42.9% were observed in experimental and control group respectively (p=0.42), Subjects in both groups showed increased knowledge about CRC after one month. Focus group findings revealed that the DVD was an effective method of communicating information and would help promote screening. Conclusions: The findings suggest that culturally tailored, linguistically appropriate content is more important than the type of media used. This relatively low intensity, low cost intervention utilizing a DVD can be another useful method for outreach to the often hard-to-reach unscreened population.

• 한국지리정보학회지
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• 제11권4호
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• pp.122-138
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• 2008

도시의 삶의 질 분석에 대한 화소기반 기법은 복잡성이라는 조건 하에서의 공간의사결정문제로 간주될 수 있다. 왜냐하면, 도시의 삶의 질 분석은 상이한 가중치가 부여된 여러 개의 평가기준에 기반을 두고 높은 혹은 낮은 수준의 삶의 질을 가진 지역을 도시공간에서 탐색하기 때문이다. 이러한 도시의 삶의 질 분석에는 측정단위가 다른 여러 개의 평가기준들의 부적절한 스케일링, 평가자의 판단에 있어서 비구조적인 주관성 그리고 래스터 GIS환경에서 대량의 데이타 처리 등과 같은 어려움이 있다. 도시의 삶의 질 분석에 있어서 이러한 비구조적 문제를 해결하기 위한 대안적인 접근방법의 개발이 필요하다. 이러한 점에서, 본 연구는 래스터 GIS 환경에서 도시의 삶의 질을 평가하기 위한 공간적 다기준평가 기법을 제안하고자 한다. 이러한 방법론은 애틀란타 대도시권을 사례로 예시되어진다. 본 연구에서 사용된 방법론은 도시의 삶의 질을 평가하는데 있어서 새로운 대안적인 접근방법으로 제시된다.

• 한국지역지리학회지
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• 제19권3호
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• pp.541-550
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• 2013

인간이 원치 않는 소리로 정의되는 소음은 크게 직장소음과 환경소음으로 구분될 수 있다. 직장소음은 산업활동이 이루어지는 작업장 내에서 주로 발생하나, 환경소음은 교통, 건설현장, 심지어 이웃에 의해 발생한다. 도로교통소음은 환경소음을 배출하는 주요한 요인으로 인식되고 있고 도시지역에 부정적인 영향을 미치는 것으로 알려져 있다. 이를 고려하여, 본 연구는 미국 조지아주의 풀턴 카운티를 대상으로 토지이용별 도로교통소음의 영향을 분석하였다. 이를 위해 미국 연방 도로관리국의 소음전파모델인 교통소음모델(Traffic Noise Model)에 기반한 주 야간 소음지도를 제작하였다. 연구지역의 도로교통소음의 정도를 파악하기 위해 3단계로 구성된 토지피복 유형 자료에 각 소음지도를 중첩하여 각 토지피복 유형별 소음도를 분석하였다. 본 연구를 통해 연구지역 내 많은 필지와 건물이 허용치를 초과하는 소음에 노출된 것을 확인하였다. 특히 도로교통소음의 영향을 많이 받는 주거지역의 소음도를 줄이기 위한 방안이 마련되어야 할 것이다.

• 한국식품저장유통학회지
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• 제11권4호
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• pp.569-573
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• 2004

본 연구는 미국 현지인을 대상으로 우리 나라의 녹차음료에 대한 기호도 조사를 실시하였으며 조사대상자의 성별 및 연령분포는 남자 $46.6\%$, 여자 $53.4\%$, 10대 $21\%$, 20대 $45\%$, 30대 $14\%$, 40대 $8\%$, 50대 $12\%$이었다. 녹차음료의 포장상태는 전체 응답자 중 $85.7\%$가 만족하고 있었으며, 포장디자인은 $78.8\%$, 인쇄정도는 $84\%$가 만족하고 있었다. 하지만, 냄새와 향의 경우 $57.1\%$와 $58.1\%$로 다른 항목에 비해 기호도가 상대적을 낮았다. 녹차음료에 대한 종합적인 기호도는 $60.6\%$가 만족하고 있었지만, 10대의 경우 $70.3\%$가 만족한다고 하였다. 녹차음료의 향미를 외국인의 취향에 맞게 개선한다면 녹차음료의 해외 수출가능성이 높아질 것으로 사료된다.

• 보건교육건강증진학회지
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• 제20권4호
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• pp.79-93
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• 2003

Childhood injuries are the primary cause of death and disability among children aged 5 to 14. Consistent practice of learned safety behaviors can reduce the occurrence of severe injuries among children. However, safety behavior concern is low among Korean-American children specifically and American children, in general. The objective of the study is to evaluate the impact of an unintentional injury prevention curriculum, Risk Watch among Korean-American children. A quasi-experimental design with a nonequivalent control group was used for the designed of the study. Two intervention and two control Korean schools in Atlanta participated in this study. The intervention consisted of weekly lessons in traffic, bicycle, pedestrian, and fire safety. One hundred and two students completed a pre-test and a post-test. The main outcomes were safety behaviors (seat belt use or helmet use), behavioral intentions, and safety knowledge. Analysis of covariance was used for the statistical analyses. Strong intervention effects were found for increasing knowledge of all safety topics in the intervention group. Additionally, statistically significant intervention effects were detected for increasing seat belt and helmet use, as well as behavioral intentions of wearing a seat belt and wearing a helmet, among pre-kindergarten and kindergarten students. For students in grades 1 and 2, intervention effects were found for increasing helmet use. Among students in grades 3 to 8, the intervention group showed statistically significant increases for seat belt use. Limitations of the study and recommendations for modifying and supporting unintentional injury prevention programs for school children are discussed.

• Journal of Korean Neurosurgical Society
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• 제62권4호
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• pp.458-466
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• 2019

Objective : We retrospectively assessed the efficacy of stereotactic radiosurgery (SRS) for dural arteriovenous fistulas (DAVFs) involving the transverse-sigmoid sinus and analyzed the angiographic and clinical results with our 8-year experience. Methods : Nine patients with intracranial DAVFs involving the transverse-sigmoid sinus underwent SRS using a Gamma $Knife^{(R)}$ (Elekta Inc., Atlanta, GA, USA) between 2009 and 2016. Five patients underwent SRS for residual DAVFs after embolization and four patients were treated with SRS alone. The median target volume was $1.9cm^3$ (range, 0.8-14.2) and the median radiation dose of the target was 17 Gy (range, 16-20). The median follow-up period was 37 months (range, 7-81). Results : Pulsating tinnitus (33%) was the most common symptom. DAVFs were completely obliterated in four patients (44%) and subtotally obliterated in five (56%). Six patients (67%) showed complete recovery of symptoms or signs, and three (33%) showed incomplete recovery. One patient experienced a recurrent seizure. Adverse radiation effects after SRS occurred in one patient (11%). The total obliteration rates after SRS were 16.7%, 37.5%, and 68.7% at 1, 2, and 3 years, respectively. The median interval from SRS to total obliteration of the fistula was 31 months (range, 12-38). The rates at which the symptoms started to improve were 40% at 1 month and 80% at 2 months after SRS. Symptoms started to improve at a median of 5 weeks after SRS (range, 3-21). Conclusion : SRS with or without embolization is a safe and effective treatment to relieve symptoms and obliterate DAVFs on the transverse-sigmoid sinus.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권4호
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• pp.345-355
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• 2021

Background: This study aimed to evaluate the efficacy of external vibrating devices and counterstimulation on a child's dental anxiety, apprehension, and pain perception during local anesthetic administration. Methods: This was a prospective, randomized, parallel-arm, single-blinded interventional, clinical trial. One hundred children aged 4-11 years, requiring pulp therapy or extraction under local anesthesia (LA), were recruited and allocated equally into two groups (1:1) based on the interventions used: Group BD (n = 50) received vibration using a Buzzy^® device {MMJ Labs, Atlanta, GE, USA} as a behavior guidance technique; Group CS (n = 50) received counterstimulation for the same technique. Anxiety levels [Venham's Clinical Anxiety Rating Scale (VCARS), Venham Picture Test (VPT), Pulse oximeter {Gibson, Fingertip Pulse Oximeter}, Beijing, China)] were assessed before, during, and after LA administration, while pain perception [Wong-Baker Faces Pain Rating Scale (WBFPS), Visual Analogue Scale (VAS)] was evaluated immediately after injection. Statistical analysis was performed using the Student's t-test to assess the mean difference between the two groups and the repeated measures ANOVA for testing the mean difference in the pulse rates. Statistical significance was set at P < 0.05. Results: Significant differences in mean pulse rate values were observed in both groups. In contrast, the children in the BD group had higher diminution (P < 0.05), whereas the mean VCARS and VPT scores were conspicuous (P < 0.05). Based on the mean WBFPS and VAS scores, delayed pain perception after LA injection was more prominent in the BD group than in the CS group. Conclusion: External vibration using a Buzzy^® device is comparatively better than counterstimulation in alleviating needle-associated anxiety in children requiring extraction and pulpectomy.

• 대한한의학회지
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• 제20권2호
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• pp.146-156
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• 1999

The present study was performed to investigate the effect of Yangkyuksanhoa-tang on the morphological changes of the basilar artery after experimentally induced subarachnoid hemonrrhages(SAH). Yangkyuksanhoa-tang has been used freguently for cerebrovascular accident Sprague Dawley rats weighing between 350-400 g were used. The 6 normal rats and 24 SAH elicited rats were used, The SAH induced by injection of the fresh autologus heart blood (0.3-0.4 ml) into the cisterna magna through the posterior atlanta-occipital membrane, Sample group was given 3.3 ml/kg/day of Yangkyuksanhoa-tang extracts for 2 days after SAH. The experimental animals were killed at 48hrs after SAH. The morphological changes of the arterial walls were examined by light and electron microscopy. Following are the obtained results: 1. In SAH elicited rats, the size of the lumen in basilar artery was diminished by about 45% and the thickness of arterial wall was increased by about 82%. In SAH elicited rats with Yangkyuksanhoa-tang treatment, the size of the lumen in basilar artery was merely diminished by about 18% and the thickness of arterial wall was merely increased by about 19%. 2. In light microscopic examination, the endothelium was swollen into a cuboid shape and the layer of smooth muscle was increased in the basilar artery of SAH elicited rats. In SAH elicited rats with Yangkyuksanhoa-tang treatment, the size of the lumen in basilar artery was enlarged and the thickness was decreased than in SAH elicited rats. The endothelium was flattened into a squamous shape and the layer of smooth muscle was decreased more than in SAH elicited rats. 3. In electron microscopic examination, the endothelial cells with fragmentation nuclei were changed into a cuboid shape and the internal elastic lamina were folded at the basilar artery of SAH elicited rat. The nuclei of smooth muscle cells were changed into a round or crumpled shape. The length of smooth muscle was shorten and thickness was increased. But all kinds of morphologic changes were diminished in SAH elicited rats with Yangkyuksanhoa-tang treatment. Conclusion : Yangkyuksanhoa-tang extracts were effective to treat cerebral vasospasm after experimentally induced subarachnoid hemorrhage in rats.

• Journal of Korean Neurosurgical Society
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• 제63권3호
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• pp.397-405
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• 2020

Objective : We retrospectively evaluated the efficacy of Gamma Knife radiosurgery (GKS) for recurrent nasopharyngeal carcinoma (NPC) in patients who previously underwent radiotherapy, and analyzed the treatment outcomes over 14 years. Methods : Ten patients with recurrent NPC who had previously received radiotherapy underwent stereotactic radiosurgery using a Gamma Knife^® (Elekta Inc, Atlanta, GA, USA) between 2005 and 2018. The median target volume was 8.2 ㎤ (range, 1.7-17.8), and the median radiation dose to the target was 18 Gy (range, 12-30). The median follow-up period was 18 months (range, 6-76 months). Overall and local failure-free survival rates were determined using the Kaplan-Meier method. Results : The NPCs recurred at the primary cancer site in seven patients (70%), as distant brain metastasis in two (20%), and as an extension into brain in one (10%). The recurrent tumors in seven of the 10 patients (70%) were found on the routine follow-up imaging studies. Two patients presented with headache and one with facial pain. Local failure after GKS occurred in five patients (50%) : two of whom died eight and 6 months after GKS, respectively. No adverse radiation effects were noted after GKS. The 1- and 3-year overall survival rates after GKS were 90% and 77%, respectively. The local failure-free survival rates at 6 months, 1 year, and 3 years after GKS were 80%, 48%, and 32%, respectively. The median interval from GKS to local failure was 8 months (range, 6-12). Univariate analysis revealed that using co-registration with positron emission tomography-computed tomography (PET-CT) and magnetic resonance imaging (MRI) was associated with a lower local failure rate of recurrent NPC (p=0.027). Conclusion : GKS is an acceptable salvage treatment option for patients with recurrent NPC who previously received radiation therapy. PET-CT and MRI co-registration for dose planning can help achieve local control of recurrent NPC.