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Chinese Patients with Gastric Cancer Need Targeted Adjuvant Chemotherapy Schemes

  • Shi, Wen-Tao;Wei, Lei;Xiang, Jin;Su, Ke;Ding, Qiong;Tang, Meng-Jie;Li, Ji-Qiang;Guo, Yi;Wang, Pu;Zhang, Jing-Wei
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5263-5272
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    • 2012
  • Background: Gastric cancer (GC) is one of the most common cancers in China. Adjuvant chemotherapy (AC) is a routine auxiliary treatment for GC recommended by the guidelines issued in 2011 by the Ministry of Health of the People's Republic of China, but the relevant credible consequences in China have been insufficient because of China's late start and ethical concerns. Methods: A series of databases, including Cochrane Library, MEDLINE, EMBASE, the Chinese database of the National Knowledge Infrastructure and the VIP database, were searched by 2 reviewers independently for studies investigating AC for GC through March 2012. The retrieved literature was screened according to the eligibility criteria. Results: A total of 35 randomized control trials (RCTs) were subjected to the final analysis, including 4,043 patients in treatment group and 3,884 in the control group, as well as 4 clinical-control trials (CCTs), which accessed the final analysis with 238 and 252 patients, respectively. AC reduced the risk of death as a protective treatment with statistical significance (HR=0.91, 95%CI: [0.85, 0.97], P=0.002), and it seemed more effective for Asian than non-Asian patients. The effects of AC were not influenced by the starting time (P>0.05). D2 lymphadenectomy-based chemotherapy was effective (HR=0.89, 95%CI: [0.80, 0.99], P=0.04). Oral S-1 40 mg/m2 after D2 lymphadenectomy might be a better choice for Asians with advanced GC and might result in a greater reduction of adverse events than in non-Asian patients. GRADE quality assessment determined that the strength of the evidence from foreign studies from Europe, the United States and Asian countries other than China was high, while it was moderate for Chinese studies. Conclusion: AC was effective or even curative in Chinese patients in general, although it is still necessary to optimize a targeted AC scheme for Chinese patients with GC.

Management Outcome and Clinical Manifestation of Posterior Circulation Aneurysms VS. Anterior Circulation Aneurysm (후순환계 뇌동맥류의 임상양상과 치료예후 - 전순환계 동맥류와의 비교분석을 중심으로 -)

  • Jeong, Je Hoon;Kim, Gook Ki;Koh, Jun Seok;Lim, Young Jin;Kim, Tae Sung;Leem, Won;Rhee, Bong Arm
    • Journal of Korean Neurosurgical Society
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    • v.30 no.9
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    • pp.1086-1093
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    • 2001
  • Object : With the recent variable treatment modalities and the development of microsurgical techniques, outcomes of surgical and medical management of aneurysm have shown much progress in the last 10 years. However, the management of posterior circulation aneurysm is still a debatable due to its difficulty in limited surgical approach, complicated anatomical structure and many small perforators to vital structure. The purpose of this study is to compare the results of clinical manifestation and outcome of surgery with respect to anterior and posterior circulation aneurysms. Material and Methods : We evaluated the 33 patients with PCAs(posterior circulation aneurysm) and 359 patients with ACAs(anterior circulation aneurysm) treated between 1994 and 1999, retrospectively. Results : Posterior circulation aneurysms showed higher tendency(5 cases, 14.7%) to have unusual shapes, such as dissecting or fusiform compared with anterior circulation aneurysm(15 cases, 4.2%). There were more multiple aneurysms in posterior circulation aneurysm(8 cases, 26.5%) than anterior circulation aneurysm(59 cases, 16.2%). The number of patients with Hunt-Hess grade III or IV on admission were 91(25.3%) in anterior circulation aneurysms, and 14(42.4%) in posterior circulation aneurysms. There were higher incidences of vasospasm and acute hydrocephalus in patients with posterior circulation aneurysm. In cases of anterior circulation aneurysm, neck clipping was possible in 97%. But, in posterior circulation aneurysm, neck clipping was possible only in 67.7% of each. Two hundred forty four cases(85.0%) of all anterior circulation aneurysms and 22 cases(78.6%) of all posterior circulation aneurysms showed good recovery(GR) or moderate disability(MD). The postoperative mortality rates of anterior and posterior circulation aneurysms were 4.9% and 10.7%, respectively. Conclusion : These results indicate that there exist substantial differences with respect to that there were few difference in the aspect of surgery and management outcome between posterior circulation aneurysms and anterior circulation aneurysms.

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Clinical Analysis of Atypical and Malignant Meningiomas : A study of 52 Cases (비정형성 및 악성 뇌수막종의 임상분석 : 52례 연구)

  • Park, Hong-Jun;Gwak, Ho-Shin;Hwang, Sung-Kyun;Kim, Jeong Eun;Lee, Sang Hyung;Jung, Hee-Won;Kim, Dong Gyu;Cho, Byung-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.30 no.9
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    • pp.1103-1107
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    • 2001
  • Objective : Atypical and malignant meningiomas(AM, MM) are known to be rare and show aggressive behavior. Limited data are available concerning the clinical features, effectiveness of surgical removal and role of radiation therapy with AM, MM. The authors report our experience of AM, MM, with respect to clinical features. Methods : Twenty-four cases of AM and 28 cases of MM, who were operated between 1988 and 1999 were retro-spectively studied review of medical records and radiological findings. These were compared with control group of 24 cases of menigiomas manifestating usual clinical course, which are selected arbitrarily among operative cases between Apr. 1999 and Dec. 1999. Mean follow-up periods were 26(1-91) months for AM and 23(1-62) for MM. Authors analyzed the prognostic factors for survival, and statistical analysis were accomplished by Kaplan-Meier method and log-rank test. Results : Differences of clinical features between control groups and these atypical and malignant meningioma group were not significant. However, the location of MM was frequent in non-basal area(p<0.01). In AM, there were 4 patients of recurrence, and 3 patients of mortality. Among mortality cases, only one patient died of tumor progression, the other patients died of other causes. The survival at 2 year and 5 year in this group were 88% and 74% respectively, and in MM, 11 patients died due to tumor progression and 2 had spinal metastasis. The survival at 2 year and 5 year were 72% and 20%, respectively. For extent of resection, total removal(Simpson grade 1 or 2) was less often achieved in MM compared with AM(50% vs. 83%). Extent of resection of tumor and postoperative radiation therapy did not affect survival in both AM, MM. Conclusions : Clinical behavior of AM showed more benign than that of MM. Prognostic factor for survival is not related extent of resection of tumor and postoperative radiation therapy. However, further investigation with long-term follow-up and additional cases is mandatory.

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Study of Heterophoria Using Torrington Method in Third-year Student High School (토링톤법을 이용한 고 3 수험생들의 사위에 대한 고찰)

  • Ryu, Geun-Chang;Seong, Jeong-Sub
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.91-94
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    • 2007
  • This research was investigated to find out the examinees' refractive problems within heterophoria using Torrington method. The number of subjects ware approximately 327 and subjects were sourced from the 12th grade student at high school in Kwang-Ju city. Result obtained shows 21.4% of emmetropia and 78.6% of ametropia. Most of refractive errors were myopia and due to it's condition, frequency of ametropia and emmetropia at the similar rate. However, one that consist of refractive problems, it's myopia contains 74.9% of heterophoria. Due to emmetropia, horizontal heterophoria have 45.7% of exophoria and 4.3% of esophoria. Myopia shows 11.4% of esophoria and 63.5% of exophoria. Hozizonda heterophoria shows 5.7% of emmetropia and myopia of 22.4%, than average of esophoria shows $4.3P{\Delta}$ and case of myopia, it was $3.4P{\Delta}$. Case of Exphoria, emmetropia have $8.8P{\Delta}$ and within myopia $8.0P{\Delta}$. Vertical heterophoria owns $2.2P{\Delta}$ within emmetropia and case of myopia $4.3P{\Delta}$ was shown. Which shows myopia result value higher than emmetropia.

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Effect of Feeding Cyanidin 3-glucoside (C3G) High Black Rice Bran on Nutrient Digestibility, Blood Measurements, Growth Performance and Pork Quality of Pigs

  • Kil, D.Y.;Ryu, S.N.;Piao, L.G.;Kong, C.S.;Han, S.J.;Kim, Y.Y
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.12
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    • pp.1790-1798
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    • 2006
  • Two experiments were conducted to investigate the effect of feeding cyanidin 3-glucoside (C3G) high black rice bran on nutrient digestibility, blood measurements, growth performance and pork quality of pigs. In Exp. I, a total of fifteen pigs (19.91${\pm}$1.80 kg, average initial body weight) were used in assay of nutrient digestibility and blood measurements. All pigs were allotted to 5 treatments with 3 replicates according to a completely randomized design (CRD) in an individual metabolic crate. Treatments included 1) CON: basal diet, 2) BRB-2: basal+brown rice bran 2%, 3) BRB-4: basal+brown rice bran 4%, 4) CRB-2: basal+C3G high black rice bran 2% and 5) CRB-4: basal+C3G high black rice bran 4%. The digestibility of dry matter (DM), crude protein (CP), crude fat (CF), crude ash (CA) and crude fiber (CF) was not affected by dietary treatments. Serum triglyceride (TG) and high density lipoprotein (HDL) cholesterol concentrations were not affected by addition of C3G high black rice bran. However, at the end of experiment, pigs fed rice bran showed decreased tendency in total cholesterol concentration. Especially pigs fed C3G high black rice bran showed significantly lower total cholesterol concentration compared to pigs fed brown rice bran (p<0.03). There was numerically lower total cholesterol concentration with increasing levels of black rice bran in the diet. In terms of serum glutamate oxaloacetate transaminase (GOT) and glutamate pyruvate transaminase (GPT), there were no significant differences among treatments, even though pigs fed CRB-4 showed the lowest GOT concentration compared to other pigs. In Exp. II, sixteen finishing pigs (average initial body weight 89.96${\pm}$0.35 kg) were divided into 4 treatments to investigate the effect of feeding C3G high black rice bran on growth performance and pork quality. There were no significant differences in average daily gain (ADG), average daily feed intake (ADFI) and feed conversion ratio (FCR) among the treatments. Pigs fed C3G high black rice bran showed numerical decrease in ADG and increase in FCR while not effecting feed intake. There was no significant difference in live weight, carcass weight, carcass rate, backfat thickness and carcass grade. However, pigs fed C3G high black rice bran tended to show lower backfat thickness than pigs fed basal diet. Pigs fed C3G high black rice bran showed a tendency of decreased TBA value than pigs fed basal diet, although there was no overall significant difference among treatments. In conclusion, nutrient digestibility, blood measurements, growth performance and pork quality were not significantly affected by feeding C3G high black rice bran to pigs. However, C3G high black rice bran might have an effect on lowering serum total cholesterol and decrease the TBA value in pork compared to control group and these effects might be due to high concentration of antioxidative compounds in C3G high black rice bran.

Study on Students' Consciousness Regarding Their Plans after Graduation (경호학 전공 만족도와 진로의식 조사)

  • Kim, Chang-Ho
    • Korean Security Journal
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    • no.17
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    • pp.91-107
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    • 2008
  • This study aims to grasp the general conditions regarding university students in security related majors in Korea. Followings will be covered here: what motivated them to choose those majors, hw much are they git jobs through the education, what is their conscioucness on their majors, jobs, and courses like, and what effects their job preference. And ths study also aims at helping the student with their future plans such as admission to a school of higher grade and choosing their job. For this study, we distributed 340 copies to the students in security related majors at 4 four-year colleges and 1 two-year college, and collected 298 copies by means of quota sampling method. For collected questionnaires, we used individual T-test verification and one-way ANOVA analysis to grasp the situation. Significance stabdard for the test results was set as p<0.05. Followings are the test results. The results on analysis of satisfaction rate on their curriculums, classes, and majors show that students in security-related majors showed different satisfaction rate and different averages according to their sex and the year of the college. In the analysis on the relationship between major education and employment of students in security-related majors, the result of curriculum improvement and scholaril attainments analysis showed statistically significant relation. When students in security-related majors were surveyed on their consciousness of their future plans such as getting jibs, two-year college students had more certificates of qualification for employment than four-year college students.

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Geology and Mineral Resources of the Ogcheon Zone: Mineralization in the Pyeongchang-Jucheon Area, Kangwon-Do, Korea (옥천대(沃川帶)의 지질(地質) 및 광물자원(鑛物資源)에 관(關)한 연구(硏究) -평창(平昌)~주천지역(酒泉地域)에 있어서의 광화작용(鑛化作用)-)

  • Yun, Suckew;So, Chil Sop;Kim, Kyu Han
    • Economic and Environmental Geology
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    • v.19 no.1
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    • pp.1-18
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    • 1986
  • A group of 16 $Zn+Pb{\pm}Ag$ deposits distributed in the Pyeongchang-Jucheon area, Kangwon-do, South Korea, were semi-regionally investigated. These deposits are contact metasomatic and/or hydrothermal replacement types hosted in the carbonate-dominated Cambrian Machari Formation and Ordovician Ibtanri Formation, and also in the carbonate interbeds of the Precambrian argillic metasediments. Comparing some key aspects of the individual deposits, it is found that the ore deposits hosted in the Machari and Ibtanri Formations are mostly of steeply-dipping chimneys with or without skarn minerals and are rich in Ag and Pb>Zn in metal grade whereas those occuring in the carbonate interbeds of the Precambrian argillic metasediments are gently-dipping conformable lenticular orebodies mostly with skarn minerals and are generally poor in Ag and Zn>Pb. The skarn mineralization in the area appears to have occurred during the lower Cretaceous (118.7Ma) to mid-Cretaceous (107.8Ma) time assumed from the K-Ar dates of the Dowon and Pyeongchang granites which are closely associated with the skarn ore deposits. The Rb/Ba/Sr ratios of these granites indicate that they are of strongly differentiated anomalous granites, and the Nb vs. Y and Rb vs. Y+Nb plots fall on the field of volcanic arc setting. The contact aureoles are zoned, giving the sequence in order of increasing distance from igneous contact: garnet-wollastonite, granet-wollastonite-clinopyroxene and garnet-clinopyroxene in such as the Pyeongchang and Yeonwol 114 areas. Electron microprobe analyses reveal that garnets and clinopyroxenes are generally low in Fe and Mn. Garnets are grossular to intermediate grandite except for those from the Ogryong exoskarn which are richer in andradite, pyrope and spessartine fractions. This indicates that the oxidation state of skarn-forming environment at Ogryong was higher than at the other deposits. Clinopyroxenes are mostly salitic except for those from the Ogryong exoskarn which involve considerable amounts of hedenbergite and johansenite fractions. The ${\delta}^{18}O$ value of Jurassic biotite granite at Ogryong is higher (+10.21‰) than that of Cretaceous one at Chodun (+8.41‰). The ${\delta}^{13}C$ values of carbonate rocks range from -0.89‰ to 0.68‰ and the ${\delta}^{18}O$ values range from +11.91‰ to + 19.34‰ indicating that these carbonate rocks are of marine origin. However, the ${\delta}^{13}C$ values of skarn calcite and vein calcite are -4.80‰ and -12.92‰, and the ${\delta}^{18}O$ values are +5.56‰ and +10.32‰, respectively, indicating that these calcites are of hydrothermal origin. The ${\delta}^{34}S$ values of sulfide minerals range from +4.4‰ to +8.7‰ suggesting that the sulfurs are of magmatic origin.

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Effects of Students' Learning Motivations on Concept Change (학습 동기에 따른 학습자의 개념 변화 효과)

  • Paik, Seoung-Hey;Kim, Hyeg-Kyong;Chae, Woo-Ki;Kwon, Kyoon
    • Journal of The Korean Association For Science Education
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    • v.19 no.1
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    • pp.91-99
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    • 1999
  • The researches related to students' preconceptions and conceptual change model have been reported that students' learning motivation is one of the key variable for the conceptual change. The effects of students learning motivations on conceptual changes were evaluated. Subjects of this study were 8th grade students. and they were divided into 2 groups. One group was taught by traditional teaching method, and the other group by concept change teaching model. After the intervention, learning motivations of the students were testified. The students of high motivation who were taught by concept change teaching model showed higher scores in the concept of chemical change than the students by traditional teaching method. But there was no difference in both groups of students who have low learning motivations. The learning motivations before the intervention. the motivations stimulated by classes. and the degree of concept understanding showed high correlation. The motivations stimulated by classes explain 23.3 % of the degree of concept understanding. The results seems to mean that students learning motivations contribute to the understanding of concepts. Especially confidence of learning as a subcategory of the learning motivation contributes significantly to the understanding of new concepts. In contrast, the traditional teaching methods and the teaching methods of concept change learning theory were not effective for the stimulation of students learning motivations.

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초순수 제조공정 현황

  • 이창소
    • Proceedings of the Membrane Society of Korea Conference
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    • 1996.06a
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    • pp.91-120
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    • 1996
  • 경제발전과 더불어 산업의 많은 분야에서 순수 및 초순순의 사용이 증가하고 있으나, 환경오염에 의한 원수의 오염에 따라 순수 및 초순순제조의 장치비와 처리비용의 증가가 야기되고 있다. 현재 국내에는 화력, 원자력발전소를 비롯하여 열병합발전소, 석유화학공장, 제약회사, 전기 전자부품회사, 반도체회사 및 철강회사 등 많은 분야에서 순수 및 초순수 제조장치의 구성과 성능이 많은 차이를 나타내고 있다. 국내의 초순수 제조장치는 90% 이상이 이온교환수지를 사용하는 이온교환법과 UF, R/O System과 같은 Membrane을 사용하는 Membrane System을 병행하여 적용하고 있다. 국내 초순수처리 Plant에서는 통상 전처리 System과 1차 순수제조 System 및 초순수 System이 상호 연결되어 Plant가 구성 운영되고 있다. 전처리 System에는 응집침전, 여과 흡착, 살균 등이 적용되고 있으며 여과 System에 Membrane을 적용할 수 있으나 국내에서는 특별한 경우를 제외하고 대부분 전처리 여과 System에 Media Filter를 사용한다. 전처리 System도 순수처리 장치의 전처리로는 없어서는 안되는 System이지만 여기에는 전처리 System을 제외하고 국내에서 적용하고 있는 초순수처리 System의 공정현황과 각 System별 특징을 설명하고 있다. 초순순 System에는 요구 수질에 따라 다소 차이가 있지만 반도체 공업에서 사용되는 초순수 System이 이중 최고의 Grade로 반도체공업에서 적용되고 있는 System을 기준하였다. 특히 Membrane을 적용한 초순수제조 System이 증가하고 있어 R/O, ED, EDR, CDI, (EDI)와 같은 Membrane System의 특성과 원리를 검토하였다.대적으로 높은 산소확산계수와 물에 대해서는 낮은 투과도를 가져야 한다. 높은 산소확산계수는 반응을 빠르게 하는 잇점이 있으며 물에 대한 낮은 투과도는 센서내의 전해질 물질을 유지보호하는 역할을 한다. 분리막이 산소전극에 이용될 경우 높은 산소 확산계수 이외에도 적절한 기계적 강도, 열적 안정성 등이 요구된다. 몰입이 가능하여 임계치가 저하된 것으로 여겨진다. 또한 광학적 이득의 존재는 이 구조에 의한 극단파장 반도체 레이저다이오드의 실현 가능성을 나타내는 것이다.548 mL에 비해 통계학적으로 의의 있게 적었다(p<0.05). 결론: 관상동맥우회로 조성수술에서 전방온혈심정지액을 사용할 때 희석되지 많은 고농도 포타슘은 fliud overload와 수혈을 피하고 delivery kit를 사용하지 않음으로써 효과적이고 만족할 만한 심근보호 효과를 보였다.를 보였다.4주까지에서는 비교적 폐포는 정상적 구조를 유지하면서 부분적으로 소폐동맥 중막의 비후와 간질에 호산구 침윤의 소견이 특징적으로 관찰되었다. 결론: 분리 폐 관류는 정맥주입 방법에 비해 고농도의 cisplatin 투여로 인한 다른 장기에서의 농도 증가 없이 폐 조직에 약 50배 정도의 고농도 cisplatin을 투여할 수 있었으며, 또한 분리 폐 관류 시 cisplatin에 의한 직접적 폐 독성은 발견되지 않았다이 낮았으나 통계학적 의의는 없었다[10.0%(4/40) : 8.2%(20/244), p>0.05]. 결론: 비디오흉강경술에서 재발을 낮추기 위해 수술시 폐야 전체를 관찰하여 존재하는 폐기포를 놓치지 않는 것이 중요하며, 폐기포를 확인하지 못한 경우와 이차성 자연기흉에 대해서는 흉막유착술에 더 세심한 주의가 필요하다는 것을 확인하였다. 비디오흉강경수술은 통증이 적고, 입원기간이 짧고, 사회

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A Study for Satisfaction Degree on Clinical Practice for Dental Technology Student (치기공과 학셍들의 임상실습만족도에 관한 연구)

  • Hwang, Kyung-Sook
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.91-111
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    • 1997
  • An aim of this study is to find out influenced factors of satisfaction degree on the clinical practice for the dental technology student and it can be provided the basic necessary data for the educational planning of the curriculum for the clinical practice. The target of study are selected form 7 junior health college students and colleges are located in around seoul form 14 junior health college throughout the nation. The questionnaries were distributed between 24th Feb to 30th July in 1997 to the 100 dental technicians who finished clinical practice and entered profession in 1997. All collected data were analysed by using SPSS/PC, Technical Statistic, One-Way ANOVA, Ttest, Person Correnlation Coefficient, Chrobach Alpha Coefficient and the result of the study is follow. 1) The satisfaction degree were classificated as 7 aspect and overall average score was 3.042. During that period satisfaction of personal relation aspect(M=3.737) shows highest level. Satsfiaction of clinical parctice(M=3.571) shows as second, Satisfiaction of environment(M=3.028), Satisfaction of guidance(M=2.915), satisfaction of subject are ordered of their scores. According to above study satisfaction's degree of subject show lowest level. 2) According to the result of verification of study. general character of student and satisfiaction degree has not much relation with sex, location of college, religion, period for enrolling college, teaching method of clinical practice. But the result show similar relation with following items. Satisfaction if subject and satisfaction of clinical practice(P=0.000), place of clinical practice and satisfaction of clinical practice(P=0.002), Academic record of college and satisfaction of clinical practice(P=0.000). 3) The relation of satisfaction(Subject, method of teaching, environment, period, rating, personal relation) of clinical practice and age of investigation's target Older student show higher satisfaction(P=0.040). Also method of teaching, environments, period, rating, personal relation has similarities with satisfaction. Therefore student who has higher satisfaction of clinical practice they also have higher rate for subject, environment, period, personal relation. 4) The result fo investigation, most interesting subject was crown & bridge and most difficult factor was too many simple-works to the student. One of ideal factor was discussing with counselor before they choose place for clinical practice. Third grade and first semester is most efficient time for clinical practice and 8 week is proper period for clinical practice. Clinical practice is absilutory mecessary and we find out most student rated positively. However we need more specific study about satisfcation of each subject. Because it shows lowest level and we need more pay attention for planning of clinical practice.

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