• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3319-3323
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• 2015

Background: Community pharmacists play an important role in tobacco control and adequate training on smoking cessation is essential. Materials and Methods: A quasi-experimental pre-test/post-test design was used. A one-day workshop on smoking cessation organized by Indonesian Pharmacists Association as part of PCE program was offered to 133 community pharmacists. The workshop consisted of a 3-hour lecture and a 3-hour role-play session. Pre-training and post-training surveys assessed the impact of training on parameters including knowledge, perceived role and self-efficacy with respect to smoking cessation counseling practices. Intention and ability to perform counseling using the 5A framework was assessed after training only. Results: After PCE, knowledge score significantly increased from $24.9{\pm}2.58$ to $35.7{\pm}3.54$ (p<0.001). Perceived role and self-efficacy in smoking cessation counseling also significantly increased from $25.8{\pm}2.73$ to $28.7{\pm}2.24$, and $27.6{\pm}4.44$ to $32.6{\pm}3.63$, respectively (p<0.001). After the workshop, most participants were willing to ask, advise, and assess patients who ready to quit, but were still less likely to assist in quitting plans and arranging follow up counseling. More than 75% pharmacists were able to perform cessation counseling and 65% of them can completely perform a 5A brief intervention. Conclusions: PCE can enhance pharmacists' knowledge, perceived role, self-efficacy in cessation counseling practices, and create willingness and ability to perform cessation counseling. Future training is recommended to improve skills in assisting quitting plans and arranging follow up.

• 성인간호학회지
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• 제21권4호
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• pp.403-412
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• 2009

Purpose: We analyzed climacteric symptoms, bone mineral density (BMD), serum estradiol ($E_2$) and follicle stimulating hormone (FSH) to identify the health benefits of meridian massage in perimenopausal women. Methods: There were 16 women in the experimental group and 17 people in the control group. Meridian massage was performed for 4 weeks, 3 times a week for 20 minutes each session. The data were collected pre-treatment, posttreatment and 4 weeks after treatment. SPSS/WIN 11.5 was used for data analysis. Results: After meridian massage, there were significant differences in climacteric symptoms (U = 65.50, p = .011) and BMD (U = 65.50, p = .011) between the two groups. The E2 level showed a significant difference between the two groups pre- and posttreatment (U = 75.00, p = .028). FSH showed a significant increase when measured at 4 weeks after the treatment as compared with the amount when measured post-treatment within the control group (z = -2.249, p = .025), experimental group showed a stable change in FSH. but there was no significant difference between the groups. Conclusion: In this study, we confirmed the effects of Meridian massage in decreasing climacteric symptoms, inhibiting the decrease of BMD and stabilizing serum hormone in perimenopausal women. Therefore, it can be considered for use as a nursing intervention for health management in perimenopausal women.

• Ocean and Polar Research
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• 제30권1호
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• pp.89-107
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• 2008

Marine environment is subject serious destruction because of frequent accidents during exploration of marine resources and overseas transport. Also, as many industrial enterprises discharge high volume of wastes and contamination, marine pollution has become a serious threat to people (especially in China). China is quickly becoming a world economic leader of the 21st century. Rapid industrialization and social changes have raised the standard of living of millions of the Chinese, mainly in the areas of East and South East coast. The process of industrialization, however, is often followed by deterioration of the marine environment and rarely turned around until a country has increased its standard of living. Solving these array of problems will take decades and currently the government is addressing minor specific issues only. Fortunately, the Chinese government has enacted a number of marine pollution control laws. On 25 December 1999, the 13th Session of the Ninth Standing Commettee of the National People's Congress passed the amended the Marine Environment Protection Law of the People's Republic of China. This Law establishes rights and responsibilities of the relevant departments concerning marine environment management and provides for two new chapters on "Marine Environment Supervision" and "Marine Ecological Protection", along with "Supervision of Pollution Prevention for Marine Construction Projects", "Marine Ecological Protection" and "Marine Environment Pollution Prevention for Marine Construction Projects". Also, the Law was amended with provisions for integrated pollution discharge control system and oil spillage emergency response plan and enhanced legal responsibilities. Chinese government recognizes that international and national experience can be useful for China to prevent further ecological degradation of the marine environment.

• 한국콘텐츠학회논문지
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• 제5권2호
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• pp.257-266
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• 2005

인터넷과 컴퓨터 기술의 발전으로 다자간에 실시간 회의를 진행할 수 있는 컨퍼런스(Conference) 서비스에 대한 관심이 높아지고 있다. 본 논문에서는 SIP(Session Initiation Protocol)를 기반으로 하여 presence 서비스를 포함한 음성과 영상 회의가 가능한 컨퍼런스 시스템을 설계 및 구현하였다. 이를 위해 구성한 시스템의 요소는 컨퍼런스 UA(User Agent)의 기능을 가진 사용자 시스템과 Presence 서버 및 컨퍼런스 서버이다. Presence 서비스는 SIP PUBLISH 메시지를 이용한 Publication 방식을 사용하여 사용자들 간의 다양한 상태 정보 파악과 컨퍼런스로의 초청 및 참여가 쉽도록 구현하였다. 다자간의 연결 설정 및 관리를 담당하는 컨퍼런스 서버에는 컨퍼런스 이벤트 패키지(Conference Event Package)를 포함시켜 동적으로 변화하는 컨퍼런스 정보 및 참여자의 정보를 SIP의 등록(Subscription)과 알림(Notification) 기능을 통해 제공하도록 하였다.

• 인터넷정보학회논문지
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• 제9권6호
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• pp.37-48
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• 2008

VoIP 서비스는 IP망에서 SIP 프로토콜을 이용하여 음성 데이터를 전송하는 기술이다. SIP 프로토콜은 IP망을 이용하여 다양한 음성과 멀티미디어 서비스를 제공하고 저렴한 통신 비용에 대한 장점 때문에 빠르게 보급되고 있다. 하지만 SIP 프로토콜은 IP기반 위협에 그대로 노출된다는 한계를 가지기 때문에 이에 대한 대처방안이 제시되어야 한다. 기존의 여러 보안 메커니즘이 존재하지만 새로운 방식의 SIP 공격에 즉각 대응하지 못하고, 프로토콜 서비스 지연시간의 문제와 시스템의 과부화의 단점을 해결하지 못하고 있다. 이에 본 연구에서는 기존의 프록시 서버 앞단에 새로운 가상 프록시 서버를 두어 SIP 세션에 대한 상태정보를 분석하고 비정상적인 행위를 효율적으로 탐지하는 방법을 제시하였다. 본 연구에서 제시한 상태정보 기반 가상 프록시 서버(Stateful Virtual Proxy Server) 시스템의 성능평가 결과 최소한의 트래픽 전송지연만으로도 SIP 메시지 폭주(Message Flooding) 공격을 탐지할 수 있었다.

• Archives of Plastic Surgery
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• 제39권3호
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• pp.232-237
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• 2012

Background : Skin injuries, such as lacerations due to trauma, are relatively common, and patients are very concerned about the resulting scars. Recently, the use of ablative and non-ablative lasers based on the fractional approach has been used to treat scars. In this study, the authors demonstrated the efficacy and safety of ablative fractional resurfacing (AFR) for traumatic scars using a 2,940-nm erbium: yttrium-aluminum-garnet (Er:YAG) laser for traumatic scars after primary repair during the early posttraumatic period. Methods : Twelve patients with fifteen scars were enrolled. All had a history of facial laceration and primary repair by suturing on the day of trauma. Laser therapy was initiated at least 4 weeks after the primary repair. Each patient was treated four times at 1-month intervals with a fractional ablative 2,940-nm Er:YAG laser using the same parameters. Posttreatment evaluations were performed 1 month after the fourth treatment session. Results : All 12 patients completed the study. After ablative fractional laser treatment, all treated portions of the scars showed improvements, as demonstrated by the Vancouver Scar Scale and the overall cosmetic scale as evaluated by 10 independent physicians, 10 independent non-physicians, and the patients themselves. Conclusions : This study shows that ablative fractional Er:YAG laser treatment of scars reduces scars fairly according to both objective results and patient satisfaction rates. The authors suggest that early scar treatment using AFR can be one adjuvant scar management method for improving the quality of life of patients with traumatic scars.

• 디지털융복합연구
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• 제14권2호
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• pp.397-414
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• 2016

이제 우리나라는 이른바 선거의 계절이 연달아 돌아온다. 20대 총선과 19대 대선이 그것이다. 대선 후보 논의를 하다 보면 사람들이 후보의 생김새나 말투, 음성, 옷차림 등에도 적잖이 좌우됨을 깨닫게 된다. 한 설문결과를 보니 대통령을 뽑을 때 무엇을 가장 중요하게 보느냐라는 물음에 능력과 경력, 정책 등이 높은 순위였고, 그 상식적인 덕목을 바로 뒤따르는 게 인물과 이미지였다. 이 연구는 선거를 통한 공직후보 당선자의 얼굴을 연구하였다. 이 연구는 아름다움(美)과 성(性)별이 선거의 승리에 어떤 영향을 미치는지를 고찰하였다. 구체적으로는 선거유인물 상에 제시된 홍보사진을 이용한 설문조사를 분석하였다. 분석결과 비록 아름다움이라는 요소가 통계적으로는 유의미한 역할을 한다고 할지라도 이와 같은 아름다움이라는 요소 보다는 투표결정에 보다 강력한 관련을 갖는 것은 후보자에 대한 적격성 그리고 신뢰성 이라는 것을 파악할 수 있었다. 필자는 또한 아름다움과 적격성의 평가가 긍정적으로 서로 연관되어 있다는 사실을 발견하였다.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.226-233
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• 2012

맞춤형 방문건강관리사업 담당인력의 실무적 역량 강화를 위하여 가정 방문 시 필수적으로 요구되는 대상자와의 치료적, 공감적 의사소통 및 상담 능력 향상을 위한 상담매뉴얼을 개발하고 이의 효과를 측정하였다. 상담매뉴얼은 1단계 상담준비, 2단계 신뢰형성, 3단계 진단발굴, 4단계 행동, 5단계 마무리 단계로 개발하였으며, 대상자의 상담요구에 따른 상담유형을 지지호소형, 문제해결요구형, 정보 및 조언요구형의 3가지로 분류하고 각각의 유형에 적합한 주요 상담 기법을 제시하였다. 주요 상담 기법은 지지호소형에서는 공감하기, 감정반응하기, 자기공개하기, 즉시 반응하기를, 문제해결요구형에서는 개방질문하기, 목표설정하기, 해결방안 모색하기, 요약하기를, 정보 및 조언요구형에서는 정보 제공하기, 제안하기, 해석하기 새로운 기술 가르치기를 중심으로 각각의 상담 예문을 제시하였다. 상담매뉴얼 교육 전, 후 맞춤형 방문건강관리사업 전담인력의 상담능력 향상 정도를 상담자 활동 자기효능감 척도(Counselor Activity Self-Efficacy Scales: CASES)를 이용하여 측정하였다. 측정 결과 조력기술 자기효능감과 회기관리 자기효능감 그리고 상담난제 자기효능감의 모든 영역에서 통계적으로 유의한 차이가 있는 것으로 분석되었고, 상담매뉴얼 교육을 받은 후에 맞춤형 방문건강관리사업 전담인력의 상담자활동 자기효능감이 증진된 것으로 나타났다.

• 가정과삶의질연구
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• 제19권5호
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• pp.239-258
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• 2001

The purposes of this study are first, to develop the group counseling program based on Satir’s family sculpture technique, second to investigate the therapeutic factors of Satir’s family sculpture in group counseling. To perform this study, 8 session of time limited(3 hours) group counseling were carried out. There were 12 participants in this group. The major findings were as follows: 1) the rank order fro therapeutic factors were university, group cohesiveness, instillation of hope, family reenactment, self-understanding and altruism. 2) through the family sculpture technique, group participants saw their communication patterns. They found out that use communication patterns to hide their low self-esteem. They learned the alternative communication style. 3) the participants developed the sense of self-disclosure, empathy and trust in the group. Self disclosure, empathy and trust facilitated a deeper level of therapeutic group interaction. 4) in observing their group members do their family sculpture, participants found out that every family has some problem that the family conflict is universal thing, 5) the participants had opportunity to share their feelings that were hidden deep inside Intensive emotions following self disclosure led to catharsis, 6) the participants developed a good feeling toward their group and it led to group cohesiveness. 7) through the family sculpture technique, the participants gained a better understanding on their role and position within their families 8) through the family sculpture technique, they gained a better understanding of their family. They found their family members’ psychological positions and unfinished emotional businesses and thus they could restructure their family sculptures. 9) the participants had the opportunity to feel what it is like to become parents themselves, They became to see their parents as individuals. 10) the participants acted out what they wanted to do but could not do in the past. They saw the possibility of change and development in themselves.

• Journal of Radiation Protection and Research
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• 제34권3호
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• pp.95-101
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• 2009

Protective behavior of radiological technologists against radiation exposure is important to achieve reduction of the patient doses without compromising medical achievements. This study attempts to provide a basic model for the sophisticated intervention strategy that increases the level of the protective behavior of the technologists. The model was applied to real situations in Korea to demonstrate its utility. The results of this study are summarized as follows: First, the protective environment showed the highest relationship in the factors considered, r=0.637 (p<0.01). Secondly, the important factors were protective environment in environment characteristics, expectation for the protective behavior 0.228 (p<0.001), self-efficacy 0.142 (p<0.001), and attitude for the protective behavior 0.178 (p<0.001) in personal characteristics, and daily patient -0.112 (p<0.001) and number of the participation in the education session for the protective behavior 0.074 (p<0.05). Thirdly, the final protective behavior model by a path analysis method had direct influence on the attitude 0.171 (p<0.01) and environment 0.405 (p<0.01) for the protective behavior, self efficacy 0.122 (p<0.01), expectation for the protective behavior 0.16 (p<0.01), and self-efficacy in the specialty of projects 0.154 (p<0.01). The acceptance of the model determined by the absolute fit index (GFI), 0.969, and by the incremental fit index (CFI), 0.943, showed very significant levels. Value of $x^2$/df that is a factor applied to verify the acceptance of the model was 37, which implies that the result can be accepted in the desirable range. In addition, the parsimonious fit index configured by AGFI (0.890) and TLI (0.852) was also considered as a scale that accepts the model in practical applications. In case of the establishment of some specific intervention strategies based on the protective behavior model against harmful radiation effects proposed in this study, the strategy will provide an effective way to prevent medical harmful radiation effects that could cause severe injuries to people.