• 대한간호
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• 제36권5호
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• pp.91-100
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• 1998

This study aims to investigate smoking patterns in high school student and to give student smoker effective information. The sample of 250 male highschool students out of two different schools in Tae-Jon was questioned from July 10th to 15th. 1995. In analyzing these date. the statistics shows the realities by means of number of students. The results are summarized into 17 items as follows. Regarding the level of smoking. 140 students out of 250 admit that they have ever smoked. 52.1% of smoking students say that the motivation of beginning smoking is mainly curiosity. The survey shows that 22.9% of smoking students feel very good when smoking. It also shows that 30.0% of smoking students began smoking in the first grade of high school. With regard to the volume of smoking per day. 41.4% of smoking students smoke variably. 42.1% drink when smoking. 15.0% spend more than W 70.000 a month. About the question who knows the fact of their smoking. 51.5% answer that their friends know the fact of their smoking. In regard to the resaltionship between smoking and school per-formance. 18.2% of non smoking students make poor grades as compared with 40% of smoking students. 9.3% of smoking students say that they are satisfied with the school life. but 35.7% of them are not satisfied. Regarding the attitude to smoking teachers. 35% of smoking students state that they are affected by them. 69.3% of smoking students say that they will stop smoking. while the remaining 30.7% say that they will keep smoking. The reason of 63.9% to stop smoking is that smoking is bad for the health. The reason of 46. 5% to keep smoking is the acquired habit of smoking. 97.2% know the fact that the major element of cigarettes is nicotine and it is very harmful to the health. 40.8% recognize the harmful effect of smoking by TV and radio programs. 97.2% know that smoking could cause lung cancer. From the above results. I propose as follows We should make specific plan to keep smoking by simple curiosity from being developed into habitual smoking. We should teach them how harmful smoking is and make them stop smoking by themselves. It is very essential for family members and teachers to give continuous interest since childhood. As the teacher affect the students very much, they should give up smoking first. The incidence of smoking should be identified in each of the middle and high schools. smoking prohibition programs relevant to each school should be developed and implemented. The local community should ban cigarette vending machines. Cigarettes should not be sold to adolescents. By setting every place where adolescents gather including schools nonsmoking area. we should decrease their impulse to smoke. then smoking opportunities. and harmful effects to them caused by passive smoking.

• 유통과학연구
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• 제14권4호
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• pp.39-46
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• 2016

Purpose - Recently, as Korean culture and economy develops, Seoul has become a world-famed city. In Seoul, many special grade hotels have been constructed in order to accommodate many tourists from China, Japan and many other Asian countries. And the hotels entered into competition among themselves. Thus many changes are accelerated due to their mutual competition and manpower problems. In this situation, the role of higher officers above all is thought to be very important in order to enhance the management result and to make preparations for the kernel ability of the organization. Research design, data and methodology - This study was intended to verify how the leadership of the higher officers based on trust affects the job satisfaction of employees of the organization. In order to achieve the purpose of this study, some study models and hypotheses have been established through theoretical examinations. The subjects of this study were centered on the constituents of C-Hotel, M-Hotel, and D-Hotel. 200 questionaries were distributed and 190 questionaries were collected and thus the collection ratio was 91 percent. 8 questionaries which were regarded to be insincere or hard to analyzed were excluded. Finally, 182 questionaries were used for analyzing the factors and trust. For the purpose of the verification of hypotheses, structural equation was used. In order to verify the mediating effect of trust between the relationship of emotional leadership and job satisfaction, 'Three-step Mediated Regression Analysis by Baron & Kenny(1986) was utilized. The four hypotheses for this study are as follows: First, emotional leadership will have a meaningful influence on trust in the affirmative. Second, trust will have a meaningful influence on job satisfaction in the affirmative. Third, trust will play a mediating role in the relationship of emotional leadership and job satisfaction. Result - First, the emotional leadership and trust was found to effect a positive effect. Second, the trust and job satisfaction was found on a positive effect on job satisfaction. Third, the emotional leadership and job satisfaction was found to positive effect on job satisfaction. Fourth, the trust in the relationship between emotional leadership and job satisfaction was found that the partial mediating effect. Especially, in the case of the business of hospitality, human services as well as material resources become its keynote, and we can safely say that the degree of dependence toward human resources is very high. Accordingly, the leaders should display their leadership on the basis of abundant emotional and intellectual faculties so that they can grasp, understand and admit the diverse views of value and emotion of the organization constituents and that they can form emotional leadership. On the basis of the analysis results of the verification of hypotheses, some suggestions and uppermost limit of this study have been presented for further study.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2995-2999
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• 2016

Background: Triple-negative breast cancer (TNBC) often presents as an interval cancer with short survival upon metastasis and thus represents an important clinical challenge. The present study investigated the clinicopathologic characteristics and long term survival outcome of early and locally advanced TNBC. Materials and Methods: Medical records were reviewed retrospectively for 148 consecutive confirmed cases of TNBC treated in a single unit at our centre. Demographic profile, tumor type, histopathology details, treatment and follow-up information was recorded and immunohistochemistry was performed. Results: Age group >50 years was associated with tumors of clinical stage 3 (53.8%), pathological stage 3 (46.2%), pathological grade 3 (45.7%), presence of extracapsular extension (ECE, 48.5%) and lymphovascular invasion (LVI, 64.9%). Locally advanced breast cancers (LABCs) were characterized by pathological stage 3 (96.2%), presence of ECE (100%) and absence of LVI (46.7%) as compared to early breast cancers (EBCs) which had higher incidence of lower stage tumors (100%), absence of ECE (82%) and presence of LVI (91.9%; p-value <0.001. Better relapse free survival was observed in patients with no axillary involvement (69%; p-value <0.001) and absence of ECE (64%; p-value <0.001). Improved overall survival was seen in patients with EBC (90%; p-value 0.008), clear axilla (86%; p-value <0.001), absence of ECE (87%; p-value <0.001) and negative lymph nodes (90%; p-value 0.006). Conclusions: TNBCs are aggressive tumors which show poor long term survival. Patients with TNBC benefit from chemotherapy, thus better and less toxic treatment options are needed. Identification of newer targets and development of targeted therapies are the need of the hour.

• Journal of Periodontal and Implant Science
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• 제51권5호
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• pp.342-351
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• 2021

Purpose: The aim of this study was to compare the inflammatory and lipid profile of patients with and without peri-implantitis. Methods: A cross-sectional biochemical study was carried out in which blood samples were collected from 16 patients with peri-implantitis and from 31 subjects with healthy implants. Clinical peri-implant parameters were obtained from all subjects. Levels of tumor necrosis factor-alpha and interleukin-10 (IL-10) were measured in serum. Lipid fractions, glucose and creatinine levels, and complete blood count were also assessed. Results: After controlling for a history of periodontitis, statistically significant differences between peri-implantitis patients and controls were found for total cholesterol (estimated adjusted mean difference, 76.4 mg/dL; 95% confidence interval [CI], 39.6, 113.2 mg/dL; P<0.001), low-density lipoprotein (LDL) cholesterol (estimated adjusted mean difference, 57.7 mg/dL; 95% CI, 23.8, 91.6 mg/dL; P<0.001), white blood cells (WBC) (estimated adjusted mean difference, 2.8×10³/µL; 95% CI, 1.6, 4.0×10³/µL; P<0.001) and IL-10 (estimated adjusted mean difference, -10.4 pg/mL; 95% CI, -15.8, -5.0 pg/mL; P<0.001). The peri-implant probing pocket depth (PPD) was modestly positively correlated with total cholesterol (r=0.512; P<0.001), LDL cholesterol (r=0.463; P=0.001), and WBC (r=0.519; P<0.001). A moderate negative correlation was observed between IL-10 and PPD (r=0.609; P<0.001). Conclusions: Otherwise healthy individuals with peri-implantitis showed increased low-grade systemic inflammation and dyslipidemia.

• 기록학연구
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• 제18호
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• pp.91-138
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• 2008

정보통신기술의 급속한 발전은 행정에 대한 국민의 참여 욕구와 다양하고 신속한 행정서비스 욕구의 증대로 나타나고 있다. 이러한 시대적 요청에 부응하여 교육과학기술부에서는 '전국단위 교육행정정보시스템(NEIS : National Education Information System-이하 NEIS)'을 구축하여 국민에 대한 서비스 제공과 교육행정의 생산성과 투명성을 높이기 위하여 노력하고 있다. 2003년부터 본격적으로 운영하게 된 교육행정정보시스템(NEIS)은 16개 시 도교육청 및 교육과학기술부에 시스템을 구축하고 모든 교육행정기관 및 초 중등학교를 인터넷으로 연결하였다. 그러나 교육행정정보시스템(NEIS)은 개인 정보 유출에 대한 우려와 관련 법규의 미정비에 대한 불법성, 보안 문제 등 많은 문제점을 내포하고 있다. NEIS 교무업무시스템은 학교생활기록부를 비롯하여 학생들의 개인 신상정보와 성적 등 준영구 이상의 중요 기록물을 전자적 방식으로 다량 생산하고 있다. 그러나 이렇게 생산된 기록물은 각 시 도교육청 DB에 축적되어져 있는 상태이며 전자기록물로 생산되고는 있으나 이를 장기적으로 활용 보존할 수 있는 정책이 마련되어있지 못한 상태이다. 따라서 NEIS 교무업무시스템을 통하여 전자적으로 생산되는 기록물 중 학교생활기록부의 기록 관리과정을 ISO15489에 따라 비교 분석해 봄으로서 기록물의 4대 속성이 보장될 수 있는 기록물 관리 방안을 제시해보고자 한다.

• Steel and Composite Structures
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• 제47권1호
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• pp.91-102
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• 2023

To study the evaluation standard and control limit of mortar filling layer void length, in this paper, the train sub-model was developed by MATLAB and the track-bridge sub-model considering the mortar filling layer void was established by ANSYS. The two sub-models were assembled into a train-track-bridge coupling dynamic model through the wheel-rail contact relationship, and the validity was corroborated by the coupling dynamic model with the literature model. Considering the randomness of fastening stiffness, mortar elastic modulus, length of mortar filling layer void, and pier settlement, the test points were designed by the Box-Behnken method based on Design-Expert software. The coupled dynamic model was calculated, and the support vector regression (SVR) nonlinear mapping model of the wheel-rail system was established. The learning, prediction, and verification were carried out. Finally, the reliable probability of the amplification coefficient distribution of the response index of the train and structure in different ranges was obtained based on the SVR nonlinear mapping model and Latin hypercube sampling method. The limit of the length of the mortar filling layer void was, thus, obtained. The results show that the SVR nonlinear mapping model developed in this paper has a high fitting accuracy of 0.993, and the computational efficiency is significantly improved by 99.86%. It can be used to calculate the dynamic response of the wheel-rail system. The length of the mortar filling layer void significantly affects the wheel-rail vertical force, wheel weight load reduction ratio, rail vertical displacement, and track plate vertical displacement. The dynamic response of the track structure has a more significant effect on the limit value of the length of the mortar filling layer void than the dynamic response of the vehicle, and the rail vertical displacement is the most obvious. At 250 km/h - 350 km/h train running speed, the limit values of grade I, II, and III of the lengths of the mortar filling layer void are 3.932 m, 4.337 m, and 4.766 m, respectively. The results can provide some reference for the long-term service performance reliability of the ballastless track-bridge system of HRS.

• Journal of Gastric Cancer
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• 제24권3호
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• pp.341-352
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• 2024

Purpose: Textbook outcome is a comprehensive measure used to assess surgical quality and is increasingly being recognized as a valuable evaluation tool. Delta-shaped anastomosis (DA), an intracorporeal gastroduodenostomy, is a viable option for minimally invasive distal gastrectomy in patients with gastric cancer. This study aims to evaluate the surgical outcomes and calculate the textbook outcome of DA. Materials and Methods: In this retrospective study, the records of 4,902 patients who underwent minimally invasive distal gastrectomy for DA between 2009 and 2020 were reviewed. The data were categorized into three phases to analyze the trends over time. Surgical outcomes, including the operation time, length of post-operative hospital stay, and complication rates, were assessed, and the textbook outcome was calculated. Results: Among 4,505 patients, the textbook outcome is achieved in 3,736 (82.9%). Post-operative complications affect the textbook outcome the most significantly (91.9%). The highest textbook outcome is achieved in phase 2 (85.0%), which surpasses the rates of in phase 1 (81.7%) and phase 3 (82.3%). The post-operative complication rate within 30 d after surgery is 8.7%, and the rate of major complications exceeding the Clavien-Dindo classification grade 3 is 2.4%. Conclusions: Based on the outcomes of a large dataset, DA can be considered safe and feasible for gastric cancer.

• 치위생과학회지
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• 제11권2호
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• pp.91-97
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• 2011

본 연구는 대전 양치교실사업의 2년 6개월경과 시점에서 구강병 예방효과를 추구조사연구로 보고자 하였다. 조사대상은 2008년부터 2010년 5월 현재 양치교실이 설치되어 있는 대전 동구 D초등학교 5학년 학생 70명을 실험군으로 선정하였으며 대조군으로는 지리적, 경제적 상태, 학교 규모가 비슷할 것으로 예측되며 학교장의 협조를 얻을 수 있었던 대전 동구 S초등학교 5학년 학생 70명을 선정하였다. 조사방법은 구강검사로 치면세균막검사, 치아우식증검사를 양치교실 경과 6개월 시점, 18개월 시점, 30개월 시점에 실시하였으며, 30개월 시점에서는 치은지수검사, 치은열구액 수집을 추가하여 치은열구액 내 MMP-9 을 분석하였으며, 구강보건지식도 및 행위도를 분석하였다. 1. 치아우식증 관련지수에 있어서 2년 6개월 경과함에 따른 양치교실군과 대조군의 유의한 차이가 없었다. 2. 치면세균막지수는 양치교실군이 대조군에 비해 유의하게 낮았다. 3. 치주질환 관련지수인 치은지수, 치석지수는 양치교실군과 대조군의 유의한 차이가 없었다. 4. 치은열구액 내 MMP-9의 농도에 있어서 양치교실군이 대조군에 비해 낮았으나 유의한 차이가 없었다. 5. 구강보건지식에 있어서 양치교실군이 대조군에 비해 지식상태가 높은 것으로 나타났다. 6. 구강보건행위도, 1일 잇솔질 횟수, 교내 양치도구 준비에 있어서 양치교실군과 대조군의 유의한 차이가 없었다. 결론적으로 양치교실사업에 있어 치면세균막제거의 효과는 검증할 수 있었으나 치아우식증예방, 치주질환예방 효과는 불분명하며 행위도나 양치도구 구비 여부를 보았을 때 현재 대전 D초의 양치교실사업이 효율적으로 운용되고 있지 않은 것으로 판단되기 때문에 양치교실사업의효과를 보기위해서는 양치교실 설치 뿐 아니라 적절한 운용프로그램과 운용에 대한 책임 소재, 학교측과 학부모의 관심이 있어야 할 것으로 사료되었다.

• 한국환경생태학회지
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• 제30권1호
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• pp.81-91
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• 2016

본 연구는 향후 송추이주사업으로 인한 수생태계 회복의 효과에 대한 검증을 위하여 사업 전 송추계곡의 상류부터 하류 구간을 대상으로 저서성 대형무척추동물의 정밀 모니터링을 실시하여 송추이주사업 이전의 수생태계 현황 자료를 구축하고자 한다. 현지조사는 2012년 11월부터 2013년 8월까지 총 3회에 걸쳐 조사를 실시하였으며, 조사구간은 대조구간(St. 1), 이주구간(St. 2, 3), 하류구간(St. 4)의 총 4개 지점을 선정하였다. 저서성 대형무척추동물은 총 4문 5강 9목 32과 62종 3,805개체가 출현하였다. 군집분석결과 대조구간에서 우점도 0.52(${\pm}0.16$), 다양도 1.95(${\pm}0.44$), 균등도 0.81(${\pm}0.04$), 풍부도 2.25(${\pm}0.85$)로 나타나 상대적으로 가장 안정된 군집구조를 유지하는 것으로 분석되었다. 출현 종수와 개체수의 EPT-비율은 대조구간에서 각각 67.60(${\pm}5.66$)%, 66.30(${\pm}2.06$)%로 가장 높게 나타났으며, 하류구간으로 갈수록 감소하는 것으로 분석되었다. 기능군분석 결과 섭식기능군은 하류구간으로 갈수록 shredders의 비율은 감소하고 gathering-collectors와 filtering-collectors의 비율은 증가하였으며, 서식기능군은 하류구간으로 갈수록 sprawlers의 비율은 감소하고 burrows의 비율은 증가하는 것으로 나타났다. 하천오수생물지수(KSI)를 분석한 결과 대조구간은 평균 0.75(${\pm}0.10$)로 A등급으로 나타났으며, 하류구간으로 갈수록 평균 지수값이 증가해 B등급으로 하락하는 것으로 평가되었다.

• Tuberculosis and Respiratory Diseases
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• 제47권1호
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• pp.57-65
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• 1999

연구배경: 진폐증은 공기중에 있는 광물성 분진을 흡입함으로써 발생하는 폐의 조직반응을 의미하는 질병으로 우리나라에서 진폐증의 탄광부 진폐증이 주종을 이루고 있다. 그러나 일단 이환되면 별다른 치료방법이 없어 대증요법에 의존하고 있다. 따라서 진폐증은 예방이 중요하지만 기존의 환자들의 관리도 소홀히 할 수 없을 것이다. 이에 저자들은 진폐증으로 진단된 환자들의 소견을 분석하여 경과와 예후에 관계된 요인을 밝히고자 임상적 고찰을 시행하였다. 방법: 1995년 6월부터 1997년 6월까지 서남의대 남광병원에서 진폐정밀진단을 실시했던 외래환자 77명, 임상 증상이 심하여 1995년 이후로 입원하고 있는 입원환자 10명, 1995년 이후 입원중 사망한 입원사망 환자 8명 등 총 95명의 대상으로 시행하였던 병력, 흉부X-선사진, 폐기능검사, 심전도검사, 결핵균에 대한 객담도말 및 배양검사, 일반 혈액검사 등을 분석하여 다음과 같은 결과를 얻었다. 결과: 대상환자 모두 남자였으며, 직업은 대부분 탄광부였고, 평균나이는 57.4세, 평균분진노출기간은 18.8년이었다. 대상환자의 주요 임상증상은 호흡곤란(100%), 객담(71.6%), 흉통(55.8%), 기침(23.2%), 객혈(6.3%)순 이었고, 호흡곤란의 정도는 82.1%의 대상환자들에서 Morgan-Seaton Grade 2 이상이었다. 흉부 X-선사진상 소음영은 82.1%, 대음영은 17.9%를 보였으며 소음영은 t/t형 (37.2%), q/q형 (25.6%), r/r 형(11.5%) 순이었고, 대음영은 B형이 42.2%로 제일 많았다. 폐기능검사상 69.1%에서 환기기능장애를 보였는데 제한형 40.3%, 혼합형 19.5%, 폐색형 8.3% 순 이었다. 그리고 흉부 X-선상 조밀도가 증가할수록 $FEV_1$이 현저하게 저하하였다 (p<0.01). 흉부 X-선상 37.9% 에서, 객담 항산성 도말검사에서는 15.8% 에서 결핵양성을 보였는데 폐결핵이 양성인 경우 환자의 입상상태가 심하였으며 호흡곤란의 정도도 심하였다 (p<0.0l). 입원사망 환자들은 흉부 X-선사진상 100%, 객담 항산성 도말검사에서 75%의 결핵균 양성율을 보였고 75%에서 만성폐성심의 소견을 보였으며 반복되는 호흡기감염으로 급성호흡부전과 폐성심 등의 합병증이 사망원인이었다. 결론: 진폐증환자에 있어서 폐결핵의 이환이 진폐증의 경과나 예후에 결정적인 영향을 미친다고 사료됨으로 진폐증이 발병된 환자에서 결핵의 합병을 예방하는 것이 중요하다고 생각된다.