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Socioeconomic Impact of Cancer in Member Countries of the Association of Southeast Asian Nations (ASEAN): the ACTION Study Protocol

  • Kimman, Merel;Jan, Stephen;Kingston, David;Monaghan, Helen;Sokha, Eav;Thabrany, Hasbullah;Bounxouei, Bounthaphany;Bhoo-Pathy, Nirmala;Khin, Myo;Cristal-Luna, Gloria;Khuhaprema, Thiravud;Hung, Nguyen Chan;Woodward, Mark
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.421-425
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    • 2012
  • Cancer can be a major cause of poverty. This may be due either to the costs of treating and managing the illness as well as its impact upon people's ability to work. This is a concern that particularly affects countries that lack comprehensive social health insurance systems and other types of social safety nets. The ACTION study is a longitudinal cohort study of 10,000 hospital patients with a first time diagnosis of cancer. It aims to assess the impact of cancer on the economic circumstances of patients and their households, patients' quality of life, costs of treatment and survival. Patients will be followed throughout the first year after their cancer diagnosis, with interviews conducted at baseline (after diagnosis), three and 12 months. A cross-section of public and private hospitals as well as cancer centers across eight member countries of the Association of Southeast Asian Nations (ASEAN) will invite patients to participate. The primary outcome is incidence of financial catastrophe following treatment for cancer, defined as out-of-pocket health care expenditure at 12 months exceeding 30% of household income. Secondary outcomes include illness induced poverty, quality of life, psychological distress, economic hardship, survival and disease status. The findings can raise awareness of the extent of the cancer problem in South East Asia and its breadth in terms of its implications for households and the communities in which cancer patients live, identify priorities for further research and catalyze political action to put in place effective cancer control policies.

Relationship between Mental health and Social Support of Junior College Students (전문대학생(專門大學生)의 정신건강(精神健康)과 사회적(社會的) 지지(支持)와의 관련성(關聯性))

  • Kim, Sung Young;Cha, Byeong Jun;Park, Jae Yong;Kam, Sin
    • Journal of the Korean Society of School Health
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    • v.8 no.2
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    • pp.277-291
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    • 1995
  • The study was designed to grasp the mental health of junior college students and identify the relation between mental health and social support. The subjects for this study were 781 sophomores attending T junior college in Taegu. The data were collected through questionnaire during the period from september 10,1993 to september 24, 1993. The results of this can be summarized as follows: In mental health the average mark was 1.94 on the basis of 5 marks. Those whose mark was more than 75% (low) had Depression(8.7%),Obsessive compulsive reaction(5.2%) Anxiety(3.6%). In social support, the average mark was 3.03 on the basis of 4 marks, which showed comparatively high support; relationship with friends was 75.4%, companionship was 75.4%, and mutual understanding was 72.3%. Many students got more than 75% in total marks. In the state of mental health, there was a significant difference depending on sex, total income, the character and the attitude toward his parents. There is also an unusual difference in social support depending on the major subjects, the character, the problem at present and the attitude toward his parents. In mental health, both male and female students got higher marks in Depression, Obsessive compulsive reaction than in any other item. In social support level all students had a high support in the relationship with friends and mutual understanding. Those who are affectionate to and dependent on their parents had a tendency to have better mental health. The simple correlation modules between social support mark and mental health one was -0.5555 and the partial correlation modules of controlling sex, age, growth place was -0.5557. There was little difference between them. In mental health items Interpersonal sensitivity was highest correlated with social support and Somatinization was lowest correlated. There was a significant correlation between mental health and social support: the higher social support were, the better mental health was. In conclusion, the study showed that the relationship between the social support and the mental health level revealed a significant correlation. In social support Expressive support (companionship support, mutual understanding support) showed a higher degree of support than instrumental support(monetary support, demand support). Therefore, in the guidance of students, it is necessary to expand expressive support considering these respects. Further multidimensional study is needed on how to improve the mental health of junior students through the social support.

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Dynamic modeling of LD converter processes

  • Yun, Sang Yeop;Jung, Ho Chul;Lee, In-Beum;Chang, Kun Soo
    • 제어로봇시스템학회:학술대회논문집
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    • 1991.10b
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    • pp.1639-1645
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    • 1991
  • Because of the important role LD converters play in the production of high quality steel, various dynamic models have been attempted in the past by many researchers not only to understand the complex chemical reactions that take place in the converter process but also to assist the converter operation itself using computers. And yet no single dynamic model was found to be completely satisfactory because of the complexity involved with the process. The process indeed involves dynamic energy and mass balances at high temperatures accompanied by complex chemical reactions and transport phenomena in the molten state. In the present study, a mathematical model describing the dynamic behavior of LD converter process has been developed. The dynamic model describes the time behavior of the temperature and the concentrations of chemical species in the hot metal bath and slag. The analysis was greatly facilitated by dividing the entire process into three zones according to the physical boundaries and reaction mechanisms. These three zones were hot metal (zone 1), slag (zone 2) and emulsion (zone 3) zones. The removal rate of Si, C, Mn and P and the rate of Fe oxidation in the hot metal bath, and the change of composition in the slag were obtained as functions of time, operating conditions and kinetic parameters. The temperature behavior in the metal bath and the slag was also obtained by considering the heat transfer between the mixing and the slag zones and the heat generated from chemical reactions involving oxygen blowing. To identify the unknown parameters in the equations and simulate the dynamic model, Hooke and Jeeves parttern search and Runge-Kutta integration algorithm were used. By testing and fitting the model with the data obtained from the operation of POSCO #2 steelmaking plant, the dynamic model was able to predict the characteristics of the main components in the LD converter. It was possible to predict the optimum CO gas recovery by computer simulation

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Cultural Control through Performances in the Newsroom: A Case Study of Chosun Ilbo (사주의 퍼포먼스와 신문 조직의 문화적 통제: 조선일보 사례를 중심으로)

  • Kim, Kun-Woo;Kim, Kyun
    • Korean journal of communication and information
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    • v.62
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    • pp.223-243
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    • 2013
  • Value collision takes place in the news organization at times. The concept of social responsibility has been serving as the raison d'$\hat{e}$tre not just of individual reporters but eventually of journalism in general. But when the organizational interests are at stake, more realistic values contributing to the organization often override the normative values. This phenomenon occurs since there exists a clear discrepancy between the nominally highlighted values and the virtual values of press owner or news organization. Focusing on Chosun Ilbo, this paper tries to identify the values a news organization really underlines and pursues, and explores the nature of organizational culture embedded in these values. In specific, this study analyzes such performances as ceremonies and rituals, regular or occasional, in Chosun Ilbo, since these are cultural practices which produce and circulate particular meanings and values forming the basis of organizational culture. According to this study, 'strong unity' is the core value which the owner family in Chosun Ilbo has ever been spotlighting. As long as the strong unity is stressed, the role playing as members of news organization for its interest is more highly regarded than carrying out the normative missions given unto the journalists in general.

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Admission Care for Bell's Palsy Patients: A Qualitative Report on Patient Experiences (특발성 안면신경마비 환자의 입원치료 경험에 대한 질적 연구)

  • Lee, Seung Min;Yang, Sung Pil;Kim, Eun Suk;Lee, Min Jun;Park, Ji Min;Nam, Dong Woo;Kang, Jung Won;Lee, Sang Hoon
    • Journal of Acupuncture Research
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    • v.30 no.5
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    • pp.11-23
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    • 2013
  • Objectives : The aim of this study was to explore the experiences of patients admitted for Bell's palsy in a Korean medicine hospital to identify whether admission is necessary and beneficial. Methods : A semi-structured interview was conducted on 9 patients who had experience in both the inpatient and the outpatient treatment for Bell's palsy. Their experiences from inception of first symptoms to admission into the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital were interviewed along with their thoughts and feelings. The interviews took place after discharge home at a pre-scheduled date and time in a quiet room at the hospital between July 2013 and August 2013. The subjects were purposefully selected until saturation of information was met. Results : Nine participants were interviewed and patients' concerns and priorities were identified. At the acute stage, patients experienced anxiety and all of the female patients and one male patient felt embarrassed of their facial disfigurement. With time, the patients felt impatient of their symptoms and turned to Korean medicine for additional treatment. Providing psychological stability seemed to be an important factor for patients. Conclusions : This study provides insight into the experiences of patients with Bell's palsy, and is significantly the first ever qualitative report to focus on the patient's needs and concerns during admission care for symptoms of Bell's palsy. Admission care can provide many physical and psychological benefits for the patients especially during the acute stage.

A study about factors influencing on internet advertising effects -Focus on consumer characteristics- (인터넷 의류광고 태도에 미치는 영향요인 연구 -소비자특성 중심으로-)

  • Ko, Eun-Ju;Mok, Bo-Kyoung
    • Journal of Global Scholars of Marketing Science
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    • v.7
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    • pp.283-302
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    • 2001
  • The purpose of this study was to examine the current situation about the internet usage and advertisement attitude, to investigate the relationship between consumer characteristics and internet advertising effect, and to identify the moderating effect of consumer characteristics on the relationship between advertising types and advertising effects. For the study, a sample of 152 apparel consumers participated in this survey research. The survey of design with a questionnaire was employed. Questionnaire was developed with the html language and data collection was done at Korea though the internet on October 2000. For data analysis, descriptive statistics (i.e., frequency, percent), ANOVA with duncan tests were used. First, the major place of using internet was found as home, company, school, PC room in order and the average time of using internet was found as three times weekly. The major purpose of using internet were information search, e-mail, PC communication and program-download. The experience of internet fashion advertising was high. Second, consumer characteristics(age, job) had significant effects on attitude to the product. 20 years-old age group and specialist group were found to influence on the higher attitude toward product. Third, main effects of consumer characteristics(age, job) were found to be significant. The correlation and interaction effects of consumer characteristics and internet advertisement types were not significant.

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Use Impact Assessment and Management System on the Forest Recreation Site from an Ecological Perspective - Recreation Opportunity Spectrum as a Tool of Forest Recreation Site Planning and Management - (생태학적(生態學的) 접근(接近)을 통한 삼림휴양지(森林休養地)의 이용영향평가(利用影響評價) 및 관리체계(管理體系) -삼림휴양지(森林休養地) 계획(計劃) 및 관리도구(管理道具)로서의 레크리에이션 기회분포역분석(機會分布域分析) 기법(技法))

  • Park, Bong Woo;Haas, Glenn E.
    • Journal of Korean Society of Forest Science
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    • v.81 no.4
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    • pp.372-382
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    • 1992
  • Recreation planning is essential activity to meet changing demands and to protect the resources. The recreation opportunity specturm(ROS) system is a principal part of a recreational management planning. In this study, the basic concepts and tenets of the ROS system described and reviewed the feasibility of applying to forest recreation planning to the Korean national forest. In Korea, the forest land as a major recreation place has used without the rational planning process. The control for the laissez-faire use on the forest area, the classification of recreational opportunity settings is the most important process and then it make a useful tool for providing proper recreational opportunity and site development guidance. Opportunity settings classification can help maintain diversity and enhance protection of forest resources. It can also improve the quality of recreational experiences and the management action guidances. GIS technology using the ARC/INFO could be useful in current attempts to identify analysis areas for predictive modeling of forest recreation site planning.

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Material Development of 'Silver Math' for Educating the Aged and Examination of its Effectiveness (노인교육으로서의 실버수학 자료개발 및 효과성 연구)

  • Ko, Ho-Kyoung
    • Journal of the Korean School Mathematics Society
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    • v.13 no.3
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    • pp.459-483
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    • 2010
  • This study aims to develop materials related to math education for the aged and to identify the effects of application as part of active measures to the aging society with its growing elderly population which is one of the greatest changes in our society. In this purpose, the necessity and objectives for development of materials of 'Silver Math' as education for the aged are explained. Developing and disseminating materials with a role as a program for intelligent needs and physical and spiritual health of the aged presents standards for development of more systemic and meaningful educational materials at this point of time when the importance of education of the aged increases to help the old enjoy qualitatively successful lives in later years in the perspective of lifelong education. Also it aims to present standards of contents and requirements in learning that are adequate and meaningful to old learners at the actual learning sites where education takes place only in terms of making good use of spare time while at the same time suggesting plans of teaching and learning as well as conditions for learning environment. Next, the effectiveness of 'Silver Math' are explored by applying developed materials to the aged. materials of 'Silver Math' for the aged with contents that are appropriate to the definitive and cognitive level of the aged are presented. The developed materials for mathematical activities are divided into 'computation of basic numbers' for those wishing to learn calculation and concepts of numbers, 'active math' that corresponds to definitive factors of old learners, facilitates leisure time through mathematical activities, and Improves communication abilities through cooperative learning among learners, and 'math with thinking power' to solve simple calculation problems by applying to various actual situations.

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A Study on Policy Macking Process in the Separation of Prescribing and Dispensing (우리나라 의약분업 정책과정의 특성에 관한 연구)

  • 이상이;윤태영;김철웅
    • Health Policy and Management
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    • v.10 no.2
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    • pp.41-77
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    • 2000
  • This study aimed at the analysis, from the perspective of rationality, of policy making process in the separation of prescribing and dispensing. This study is to identify the characteristics and problems of the policy process to introduce the new durg-prescription system, and make policy recommendations. In terms of separation of prescribing and dispensing, the development of policy making process can be divided into two periods; periods before and after the inauguration of the govemment of people. In the period before the govermment of poeple, one of the major characteristics of policy decision on the new system was the poweful influence of interset groups. At that time, the ministry lacked the problem-solving ability and commitment on the policy. Consequently, during the former period, the policy making process had been driven by interest groups. Therefore, the original purpose of the policy to secure the pulic health was lost. During the latter period, there was also the strong influence of interst groups, complexity of interest, the ministry's inability of problem solving. However, in this period, it is notable that this has drawn nation-wide attention, severl civic grouos have participated in the policy making process, and that the number and voice of these groups have remarkably increased. With regards to rationality, incrementalish model is highly sutable to explain the policy making process in the former period. But in the latter period when the new drugperscripition system became a national issue and civic groups began to participte in this matter more actively, rational model is more explanatory that incrementalism to understand the process. During the latter period, the original goal of this policy was not distored by a few interest groups thanks to the rapid development of civil movement and therebly a big influence of civic groups on the policy making. For that reson, a jigh level of rationality is found in the policy-making process of the latter period. Some suggestions to achieve the rationality in the policy making process based on the results of this study are as follows; Frist, the public's participation should be enered in the policy making process. Second, the govermment should make contiuns efforts to enhance its ability of long-term planning and policy implementation, and increase rationality of policy making process. Third, balance among interset groups should take place in the process of policy making. Forth, sound, constructive, and logical activity of interest groups is necessary to express and promote their interests.

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The Experiences of Sexually Abused Women with Intellectual Disability in the Ecosystems Perspective: Focused on Disabled Women Living in Residential Care Facilities (생태체계 관점에서 본 성폭력 피해 지적장애여성의 성폭력 이후의 경험에 대한 연구: 시설거주 장애인을 중심으로)

  • Kim, Ji-Hye;Kim, HeeJoo
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.382-395
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    • 2017
  • This study attempted to examine how sexually abused women with intellectual disability living in residential care facilities interact with their environment, such as personal life, family and communities, and to identify contextual characteristics and needs of these women. Qualitative case study method was adopted, and data was collected through individual and intake interviews, participant observation and a survey with 11 participants residing in a residential care facility for sexually abused women with intellectual disability. The results showed that participants struggled with stresses and emotional instability affected by traumatic experiences of sexual abuse. Family was a system that sexual abused took place, while the systems of residential facilities protected them from potential dangers and violence. Work and school systems also provided them opportunities of learning and having dreams in the future. However, the community system which participants would live after discharging from the facility, had risk factors vulnerable to sexual violence against participants. In conclusion, this study suggested diverse services and programs, such as professional psychotherapy programs, integrated support programs for victim and their families and provision of professional care facilities.