• 제목/요약/키워드: Prevention orientation

검색결과 67건 처리시간 0.021초

Ultrasonographic Features of Triple-Negative Breast Cancer: a Comparison with Other Breast Cancer Subtypes

  • Yang, Qi;Liu, Hong-Yan;Liu, Dan;Song, Yan-Qiu
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3229-3232
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    • 2015
  • Background: Triple-negative breast cancer (TNBC) is known to be associated with aggressive biologic features and a poor clinical outcome. Therefore, early detection of TNBC without missed diagnosis is a requirement to improve prognosis. Preoperative ultrasound features of TNBC may potentially assist in early diagnosis as characteristics of disease. Purpose: To retrospectively evaluate the sonographic features of TNBC compared to ER (+) cancers which include HER(-) and HER2 (+), and HER2 (+) cancers which are ER (-). Materials and Methods: From June 2012 through June 2014, sonographic features of 321 surgically confirmed ER (+) cancers (n=214), HER2 (+) cancers (n=66), and TNBC (n=41) were retrospectively reviewed by two ultrasound specialists in consensus. The preoperative ultrasound and clinicopathological features were compared between the three subtypes. In addition, all cases were analyzed using morphologic criteria of the ACR BI-RADS lexicon. Results: Ultrasonographically, TNBC presented as microlobulated nodules without microcalcification (p=0.034). A lower incidence of ductal carcinoma in situ (p<0.001), invasive tumor size that is>2 cm (p=0.011) and BI-RADS category 4 (p<0.001) were significantly associated with TNBC. With regard to morphologic features of 41 TNBC cases, ultrasonographically were most likely to be masses with irregular (70.7%) microlobulated shape (48.8%), be circumscribed (17.1%) or have indistinct margins (17.1%) and parallel orientation (68.9%). Especially TNBC microlobulated mass margins were more more frequent than with ER (+) (2.0%) and HER2 (+) (4.8%) cancers. Conclusions: TNBC have specific characteristic in sonograms. Ultrasonography may be useful to avoid missed diagnosis and false-negative cases of TNBC.

범죄예방을 위한 초등학교 학부모의 범죄예방설계(CPTED)요소 인식에 관한 비교 연구: IPA(중요도-실행도 분석)기법을 중심으로 (Applying an IPA(Importance-Performance Analysis) Model to Comparative Study on the Elementary School Students' Parents' Crime Prevention Design Element(CPTED) Awareness for Crime Prevention)

  • 최현식
    • 시큐리티연구
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    • 제40호
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    • pp.209-242
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    • 2014
  • 이 연구는 사회적 문제로 부각되고 있는 초등학교 범죄예방을 위해 학부모를 대상으로 범죄예방설계(CPTED)요소 인식에 대한 분석을 통해 CPTED의 전략적 요소들이 학생들의 대상 범죄를 효과적으로 예방하는데 도움이 될 수 있는지 이해하고 정책적 제언과 방향 제시에 필요한 기초자료를 제공하려는데 그 목적이 있다. 그러한 연구목적의 달성을 위해 이 연구에서는 핵심적인 틀(Framework)로써 중요도-실행도 분석(IPA: Importance-Performance Analysis)을 선택하였다. 연구의 대상자는 1차 조사 집단은 2010년 경주시 초등학교 학부모 203명과 2차 조사 집단은 2014년 동 지역 초등학교 학부모 297명을 유목적 표집(Purposeful Sampling)으로 선정하였다. 이 연구에서 사용한 설문지는 Martilla & James(1977)가 제시하였던 "중요도-실행도 분석(Important-Performance Analysis: IPA)" 기법을 적용하여 초등학생 학부모들을 대상으로 학생의 범죄예방을 위한 CPTED 전략요소에 대한 인식을 분석하였다. 중요도의 신뢰도(Cronbach's ${\alpha}$)는 1차 집단 0.886, 0.920, 0.895와 2차 집단 0.880, 0.906, 0.878 이었으며, 실행도의 신뢰도는 1차 집단 0.880, 0.917, 0.878과 2차 집단 0.735, 0.840, 0.830이었다. 자료의 분석은 빈도 분석, 신뢰도 분석, 기술통계 분석 및 대응표본 t-Test를 실시하였다. IPA 실행격자를 통해 분석한 바, 초등학교 학부모들의 CPTED 전략요소에 대한 중요도는 전반적으로 매우 높았지만 그 성취도는 구성요소에 따라 편차가 있는 것으로 나타났다. 연구결과, 초등학교 건물 내 외부에서 학생을 대상으로 한 범죄의 불안감을 해소할 수 있는 범죄예방 설계(CPTED)의 중요한 전략요소는 1차 집단의 기계적 감시, 조직적 감시, 그리고 영역성 강화이며 2차 집단의 조사에서 기계적 조직적 요인으로 나타났으며, 경비인력 확충과 정문에 범죄예방 중요요소들 높은 중요도 비해 실행도가 낮아서 시급히 투자가 요청되고 있다고 하겠다. 이 연구의 분석결과는 학생들의 범죄예방을 위해 범죄예방 설계(CPTED) 전략요소를 규명하고 향후 초등학교에서 CPTED의 구성요소를 효과적으로 적용하는 정책적 방향 제시에 기초자료를 활용될 수 있기를 기대한다.

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쇼핑 가치 추구 성향에 따른 쇼핑 목표와 공유 의도 차이에 관한 연구 - 전자제품 구매고객을 중심으로 (Shopping Value, Shopping Goal and WOM - Focused on Electronic-goods Buyers)

  • 박경원;박주영
    • 마케팅과학연구
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    • 제19권2호
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    • pp.68-79
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    • 2009
  • The interplay between hedonic and utilitarian attributes has assumed special significance in recent years; it has been proposed that consumption offerings should be viewed as experiences that stimulate both cognitions and feelings rather than as mere products or services. This research builds on previous work on hedonic versus utilitarian benefits, regulatory focus theory, customer satisfaction to address two question: (1) Is the shopping goal at the point of purchase different from the shopping value? and (2) Is the customer loyalty after the use different from the shopping value and shopping goal? We surveyed 345 peoples those who have bought the electronic-goods within 6 months. This research dealt with the shopping value which is consisted of 2 types, hedonic and utilitarian. Those who pursue the hedonic shopping value may prefer the pleasure of purchasing experience to the product itself. They tend to prefer atmosphere, arousal of the shopping experience. Consistent with previous research, we use the term "hedonic" to refer to their aesthetic, experiential and enjoyment-related value. On the contrary, Those who pursue the utilitarian shopping value may prefer the reasonable buying. It may be more functional. Consistent with previous research, we use the term "utilitarian" to refer to the functional, instrumental, and practical value of consumption offerings. Holbrook(1999) notes that consumer value is an experience that results from the consumption of such benefits. In the context of cell phones for example, the phone's battery life and sound volume are utilitarian benefits, whereas aesthetic appeal from its shape and color are hedonic benefits. Likewise, in the case of a car, fuel economics and safety are utilitarian benefits whereas the sunroof and the luxurious interior are hedonic benefits. The shopping goals are consisted of the promotion focus goal and the prevention focus goal, based on the self-regulatory focus theory. The promotion focus is characterized into focusing ideal self because they are oriented to wishes and vision. The promotion focused individuals are tend to be more risk taking. They are more sensitive to hope and achievement. On the contrary, the prevention focused individuals are characterized into focusing the responsibilities because they are oriented to safety. The prevention focused individuals are tend to be more risk avoiding. We wanted to test the relation among the shopping value, shopping goal and customer loyalty. Customers show the positive or negative feelings comparing with the expectation level which customers have at the point of the purchase. If the result were bigger than the expectation, customers may feel positive feeling such as delight or satisfaction and they would want to share their feelings with other people. And they want to buy those products again in the future time. There is converging evidence that the types of goals consumers expect to be fulfilled by the utilitarian dimension of a product are different from those they seek from the hedonic dimension (Chernev 2004). Specifically, whereas consumers expect the fulfillment of product prevention goals on the utilitarian dimension, they expect the fulfillment of promotion goals on the hedonic dimension (Chernev 2004; Chitturi, Raghunathan, and Majahan 2007; Higgins 1997, 2001) According to the regulatory focus theory, prevention goals are those that ought to be met. Fulfillment of prevention goals in the context of product consumption eliminates or significantly reduces the probability of a painful experience, thus making consumers experience emotions that result from fulfillment of prevention goals such as confidence and securities. On the contrary, fulfillment of promotion goals are those that a person aspires to meet, such as "looking cool" or "being sophisticated." Fulfillment of promotion goals in the context of product consumption significantly increases the probability of a pleasurable experience, thus enabling consumers to experience emotions that result from the fulfillment of promotion goals. The proposed conceptual framework captures that the relationships among hedonic versus utilitarian shopping values and promotion versus prevention shopping goals respectively. An analysis of the consequence of the fulfillment and frustration of utilitarian and hedonic value is theoretically worthwhile. It is also substantively relevant because it helps predict post-consumption behavior such as the promotion versus prevention shopping goals orientation. Because our primary goal is to understand how the post consumption feelings influence the variable customer loyalty: word of mouth (Jacoby and Chestnut 1978). This research result is that the utilitarian shopping value gives the positive influence to both of the promotion and prevention goal. However the influence to the prevention goal is stronger. On the contrary, hedonic shopping value gives influence to the promotion focus goal only. Additionally, both of the promotion and prevention goal show the positive relation with customer loyalty. However, the positive relation with promotion goal and customer loyalty is much stronger. The promotion focus goal gives the influence to the customer loyalty. On the contrary, the prevention focus goal relates at the low level of relation with customer loyalty than that of the promotion goal. It could be explained that it is apt to get framed the compliment of people into 'gain-non gain' situation. As the result, for those who have the promotion focus are motivated to deliver their own feeling to other people eagerly. Conversely the prevention focused individual are more sensitive to the 'loss-non loss' situation. The research result is consistent with pre-existent researches. There is a conceptual parallel between necessities-needs-utilitarian benefits and luxuries-wants-hedonic benefits (Chernev 2004; Chitturi, Raghunathan and Majaha 2007; Higginns 1997; Kivetz and Simonson 2002b). In addition, Maslow's hierarchy of needs and the precedence principle contends luxuries-wants-hedonic benefits higher than necessities-needs-utilitarian benefits. Chitturi, Raghunathan and Majaha (2007) show that consumers are focused more on the utilitarian benefits than on the hedonic benefits of a product until their minimum expectation of fulfilling prevention goals are met. Furthermore, a utilitarian benefit is a promise of a certain level of functionality by the manufacturer or the retailer. When the promise is not fulfilled, customers blame the retailer and/or the manufacturer. When negative feelings are attributable to an entity, customers feel angry. However in the case of hedonic benefit, the customer, not the manufacturer, determines at the time of purchase whether the product is stylish and attractive. Under such circumstances, customers are more likely to blame themselves than the manufacturer if their friends do not find the product stylish and attractive. Therefore, not meeting minimum utilitarian expectations of functionality generates a much more intense negative feelings, such as anger than a less intense feeling such as disappointment or dissatisfactions. The additional multi group analysis of this research shows the same result. Those who are unsatisfactory customers who have the prevention focused goal shows higher relation with WOM, comparing with satisfactory customers. The research findings in this article could have significant implication for the personal selling fields to increase the effectiveness and the efficiency of the sales such that they can develop the sales presentation strategy for the customers. For those who are the hedonic customers may be apt to show more interest to the promotion goal. Therefore it may work to strengthen the design, style or new technology of the products to the hedonic customers. On the contrary for the utilitarian customers, it may work to strengthen the price competitiveness. On the basis of the result from our studies, we demonstrated a correspondence among hedonic versus utilitarian and promotion versus prevention goal, WOM. Similarly, we also found evidence of the moderator effects of satisfaction after use, between the prevention goal and WOM. Even though the prevention goal has the low level of relation to WOM, those who are not satisfied show higher relation to WOM. The relation between the prevention goal and WOM is significantly different according to the satisfaction versus unsatisfaction. In addition, improving the promotion emotions of cheerfulness and excitement and the prevention emotion of confidence and security will further improve customer loyalty. A related potential further research could be to examine whether hedonic versus utilitarian, promotion versus prevention goals improve customer loyalty for services as well. Under the budget and time constraints, designers and managers are often compelling to choose among various attributes. If there is no budget or time constraints, perhaps the best solution is to maximize both hedonic and utilitarian dimension of benefits. However, they have to make trad-off process between various attributes. For the designers and managers have to keep in mind that without hedonic benefit satisfaction of the product it may hard to lead the customers to the customer loyalty.

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재난구호 자원봉사활동체계 실태분석 및 정책적 함의 (Analysis and Implications on Volunteer Activity System of Disaster Relief)

  • 성기환;한승환
    • 한국방재학회 논문집
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    • 제8권5호
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    • pp.93-102
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    • 2008
  • 자원봉사자 활동을 분석하여 자원봉사활동체계를 정비하는데 기여코자 하였는데, 주요 정책적 제언은 다음과 같다. 관리체계에서는 민관산학의 통합적 협력체계, 구호품관리체계 개선, 봉사활동 운영 매뉴얼 개발의 필요성 등을 제언하였다. 그리고 교육체계에서는 재난분야별 전문교육, 현장 오리엔테이션교육, 자원봉사자관리자 양성교육 등의 필요성을 설명하였다. 지원체계에 대해서는 국가안전관리정보시스템, 봉사자관리전산프로그램, 봉사자 상해보험, 봉사활동 시간확인서 발급, 봉사활동 행정지원, 비상통신체계 확보 그리고 예방 예산 및 의연금 등에 대한 개선을 제시하였다.

중소병원 입원환자의 낙상발생 시 현황, 낙상위험요인 및 낙상발생 예측요인 (Circumstances, Risk Factors, and the Predictors of Falls among Patients in the Small and Medium-sized Hospitals)

  • 이영진;구미옥
    • 임상간호연구
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    • 제21권2호
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    • pp.252-265
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    • 2015
  • Purpose: This study examined the circumstances, risk factors, and the predictors of fall incidents among patients in the small and medium-sized hospitals. Methods: Fifty patients with any fall experiences were matched by gender, age, and medical departments with 100 patients without fall incident at the same hospital. Data were collected from 5 small and medium-sized hospitals. Data were analyzed using descriptive statistics, a Chi-square test, a Fisher's exact test, and a logistic regression with the SPSS/WIN 21.0 program. Results: In the patients with falls, the largest number of falls occurred during the day shift, in the patients' rooms, and while they were walking. Further 74.0% of the patients had physical injuries, and 34.0% had to take further medical diagnostic tests. Significant differences were found between the patients with falls and the others on 14 variables (cardiovascular disease, anemia, sedative-hypnotics, vasodilators, narcotic analgesics, dizziness, general weakness, unstable gait, walking aids, anger, anxiety, depression, orientation, and fear of fall). Narcotic analgesic use, dizziness, walking aids, and cardiovascular disease were identified as the predictors of fall incidents. Conclusion: These findings are hoped to be used in developing a fall risk assessment tool and fall prevention nursing programs for small and medium-sized hospitals.

비활성 그리고 활성 단층지역 내부와 주변에서의 응력장에 대한 수치적 분석 (Numerical Analysis of Stress Regimes in and around Inactive and Active Fault Zones)

  • 정우창;송재우
    • 한국방재학회 논문집
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    • 제1권1호
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    • pp.117-125
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    • 2001
  • 비활성 그리고 황성 단층지역의 내부와 주변에서 발생하는 응력장의 변화에 대한 수치적 분석이 수행되었다. 존재하는 비활성 단층지역 근처에서의 응력장은 단층의 방향과 단층화된 암반과 주위의 비단층화된 암반의 탄성적 특성 사이의 대조에 따라 변화한다. 활성 단층지역 주위의 응력장에 대한 분석에서, 만약 단층지역의 항복응력이 초과된다면, 단층지역 내에서의 국부화된 전단응력은 주위의 비단층화된 암반에서의 평균응력 보다 작게 되는 단층 내에서의 평균응력의 감소를 유발시킨다. 따라서 이러한 응력경사는 단층지역내로 유체의 흐름을 기대할 수 있다.

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A Model of Wireless Paging System Based on Context Aware Computing on Ubiquitous Environment

  • Han, Kook-Hee
    • 한국산업정보학회논문지
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    • 제11권5호
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    • pp.141-149
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    • 2006
  • Ubiquitous computing environment means the computing environment that has taken its position so closely with the ordinary living so much like air or water. In building up the U-Korea, one of the important issues is the social issue from the drasticincrease of senior population. The contemporary society has its distinct trend in increase of senior household following the nuclear family orientation, increase of working parents with the advancement of women in society, unable to support seniors for long distance or short distance of business trip and other reasons that the need of senior welfare has been ever more felt. Accordingly, the Ministry of Government Affairs and Home Administration has developed the wireless paging system to make prompt response system for 119 Rescue when the single senior is encountered with emergency situation that is has been widely provided for the socially neglected people such as single senior, the disabled persons and others. Currently, the wireless paging system is operated as the sub-system for emergency rescue informationsystem, but due to the lack of reliability of product, problems of terminal portable transmitter, receptor and others, rejection of beneficiary and lack of knowledge in use, insufficient management and supervision of managing officers, the efficiency has been declined that there is a need of development for the system. Therefore, this study proposes the context aware information structure of the subject of ubiquitous wireless paging system required forthe development of the wireless paging system model of ubiquitous environment that improved the problems of currently operated wireless paging system.

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Impact of Individual's Regulatory Focus on Value Perceptions of and Willingness to Invest towards Online Mass-Customized Fashion

  • Bhaduri, Gargi;Kim, Jihyun
    • Fashion, Industry and Education
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    • 제16권1호
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    • pp.1-18
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    • 2018
  • The purpose of this study was to investigate the influence of consumers' regulatory focus on their perceived values of the product as well as shopping process, and willingness to invest resources for online mass-customized products. Data were collected using an online survey from 251 young adult consumers, particularly those who have prior purchase experience of mass-customized products. Interpretation of results indicated that consumers' promotion regulatory focus impacted their perceived values of the product (social, emotional, monetary, and epistemic but not performance), perceived values of the shopping process (hedonic and utilitarian), and willingness to invest more money, time and effort. However, as anticipated, prevention regulatory focus had no significant influence on the dependent variables. Researchers provide crucial implications for brands of online mass-customized products to segment their market based on regulatory orientation, as well as better cater to customer demands by positioning their products as offering benefits that specifically caters to the needs of such consumers.

우리나라 초등학교 학교안전의 문제점 및 개선방향에 관한 연구 (A Study on the Problems of elementary School Safety and its Improvement in Korea)

  • 윤용기
    • 교육녹색환경연구
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    • 제13권3호
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    • pp.1-14
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    • 2014
  • This research aims to orientation for new ways to improve school safety environment composition : The first study was the survey of various literature and status on primary school safety has been established in residential developments in urban areas were investigated and analyzed. This study was constructed as follows : The first chapter of the study is composed with the purpose, contents and configuration of study, definitions of terms, and consists of a limitation of such studies. And in chapter 2, we define such concepts, the range of school safety incidents. In Chapter 3, the nation's school safety situation was investigated, And in the fourth chapter introduced the practice of foreign school safety plan, Chapter 5 was to provide direction for future school safety and accident prevention plan. Including 12 new elementary school in Dongbaek district and Dongtan New-Town 20 new elementary schools in the metropolitan area of New-City were examined for safety issues, such as the environment of school, school zones, school premises form compositions and its outdoor and indoor facilities. This study was aimed at some of the nation's metropolitan New Town Elementary School. Therefore, there is a limit to this generalization. Also planned construction safety plan elements for the indoor facilities are further studies are needed for this hayeoteumeuro excluded. In addition, the architectural planning elements of the school safety needs additional studies is excluded.

Case Study of Slope Investigation on the Cretaceous Sedimentary Rocks Using the Geological Cross-Sections

  • Ihm, Myeong-Hyeok;Kim, Woo-Seok;Kwon, Oil
    • 지질공학
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    • 제31권4호
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    • pp.463-478
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    • 2021
  • The subjects of the study are the sedimentary rock slope of the Mesozoic Gyeongsang Supergroup, which has a high risk of failure. The orientation of the slope-face represents a variety of changing characteristics. The rocks of the slope shall be sandstone, siltstone and dacite, and discontinuities shall develop beddings, shear joints, extension joints, and dacite dyke boundary planes. The type and scale of failure varies depending on the type of rock and the strike/dip of the discontinuities, but the toppling failure prevails. Based on the face-mapping data, SMR, physical and mechanical testing of rocks, analysis and review of the stereonet projections and the critical equilibrium analysis, all four representative sections required a countermeasure method because the acceptable safety factor during dry and rainy seasons were far below Fs = 1.5 and Fs = 1.2. After applying the countermeasure method, both the dry and wet conditions of the slope exceeded the allowable safety factor. In particular, the face-mapping data of the slope-face, the geological cross-sections of several representative sections perpendicular to the slope-face, and the critical equilibrium analysis and the presentation of countermeasure methods that have been reviewed based on them are expected to be reasonable tools for the slope stability. In addition, it will be possible to use it as basic data for performance evaluation for slope maintenance.