• Asian Pacific Journal of Cancer Prevention
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• 제16권4호
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• pp.1449-1453
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• 2015

Background: Oral capecitabine is increasingly replacing intravenous 5-fluorouracil in many chemotherapy regimens. However, data on the risk of febrile neutropaenia (FN) and treatment related death (TRD) with the drug remain sparse outside of clinical trial settings despite its widespread usage. This study aimed to determine these rates in a large cohort of patients treated in the University of Malaya Medical Centre (UMMC). Materials and Methods: We reviewed the clinical notes of all patients prescribed with oral capecitabine chemotherapy for any tumour sites in University Malaya Medical Centre (UMMC) from $1^{st}$ January 2009 till $31^{st}$ June 2010. Information collected included patient demographics, histopathological features, treatment received including the different chemotherapy regimens and intent of treatment whether the chemotherapy was given for neoadjuvant, concurrent with radiation, adjuvant or palliative intent. The aim of this study is to establish the pattern of usage, FN and TRD rates with capecitabine in clinical practice outside of clinical trial setting. FN is defined as an oral temperature > $38.5^{\circ}C$ or two consecutive readings of > $38.0^{\circ}C$ for 2 hours and an absolute neutrophil count < $0.5{\times}10^9/L$, or expected to fall below $0.5{\times}10^9/L$ (de Naurois et al., 2010). Treatment related death was defined as death occurring during or within 30 days of last chemotherapy treatment. Results: Between $1^{st}$ January 2009 and $30^{th}$ June 2010, 274 patients were treated with capecitabine chemotherapy in UMMC. The mean age was 58 years (range 22 to 82 years). Capecitabine was used in 14 different tumour sites with the colorectal site predominating with a total of 128 cases (46.7%), followed by breast cancer (35.8%). Capecitabine was most commonly used in the palliative setting accounting for 63.9% of the cases, followed by the adjuvant setting (19.7%). The most common regimen was single agent capecitabine with 129 cases (47.1%). The other common regimens were XELOX (21.5%) and ECX (10.2%). The main result of this study showed an overall FN rate of 2.2% (6/274). The overall TRD rate was 5.1% (14/274). The FN rate for the single agent capecitabine regimen was 1.6% (2/129) and the TRD rate was 5.4% (7/129). All the TRDs were with single agent capecitabine regimen were used for palliative intent. Conclusions: Oral capecitabine is used widely in clinical practice in a myriad of tumour sites and bears a low risk of febrile neutropaenia. However, capecitabine like any other intravenous chemotherapeutic agent carries a significant risk of treatment related death.

• 동의생리병리학회지
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• 제35권6호
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• pp.211-218
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• 2021

In order to increase the clinical value of an identification of patterns according to the eight principles (IPEP) in Korean medicine practice, The research on the Clinical Practice Guideline (CPG) of IPEP should comprehend the situation of clinical usage of IPEP practiced by Korean medicine doctors at first. Google survey form were emailed to Korean Medicine doctors registered in the Association of Korean Medicine on 04/15/2021 and the survey was closed at 04/22/2021. Data of 505 answered cases were analyzed by Frequency analysis, Chi-Square analysis, correlation analysis for understanding differences by groups. Out of 505 respondents, 57.6% have answered that they are using IPEP. It means that 42.4% of KM doctors don't use in the medical practice reversely in spite of fundamental diagnostic theory. The 64.7% respondents of no using IPEP presented their opinion about the theoretical problem that it is difficult to use because the concept of IPEP is ambiguous. And next, the 52.1% of the respondents expressed that there is no objective tools to measure and record the IPEP evidences in actual implementation. And 49.6% of the respondents also suggested that it is hard to trust and use IPEP similar to the previous comment. Even about 50% of the respondents are carrying out diagnosis and treatment using IPEP, it showed that there were several unsolved problems such as lack of understanding and practical tools or objective indicators for diagnosis of IPEP. Through the above results, the concept, usage, measurement requirements with indices and discriminant logic of IPEP were manifested as the main hopes of attending members of Korean medicine in the survey, so the IPEP CPG should make clear about these difficult but necessary assignment in the near future.

• Perspectives in Nursing Science
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• 제14권2호
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• pp.81-89
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• 2017

Purpose: This study was performed to identify levels of clinical practice stress and coping strategies according to the personality/behavior types of nursing students. Methods: The subjects of this study were 143 third- and fourth-grade nursing students in 14 nursing colleges who had experienced clinical practice. The questionnaire consisted of instruments to identify Dominance, Influence, Steadiness, and Conscientiousness (DISC) personality/behavior types, clinical stress, and stress coping strategies. The data were analyzed using Cronbach's ${\alpha}$, descriptive statistics, and ANOVA, using the SPSS 24.0 program. Results: The DISC pattern showed high priority in Steadiness (48.3%), followed by Conscientiousness (21.0%), Influence (16.1%), and Dominance (14.7%), in that order. The steadiness type showed the lowest level of stress among four patterns. Conclusion: This study found that the personality/behavior types of nursing students differ. Additionally, different personality/behavior types can be attributed to stress levels and stress coping behaviors. Based on these results, different personality and behavior types of nursing students should be considered to manage their stress levels related to the clinical practicum experience.

• 한국건축시공학회지
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• 제15권1호
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• pp.35-42
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• 2015

본 연구는 흙건축 시공 시 많이 사용되는 흙다짐 공법의 경우, 흙재료의 배합 숙련도에 따라 달라지는 함수량은 강도와 내구성에 크게 영향을 미치게 되므로 이를 적절히 확인하여 시공하는 것은 매우 중요하다. 적정함수량의 산정문제는 실험실 환경에서는 정확하게 구할 수 있지만 현장에서는 여러 여건상 곤란한 것이 현실이다. 따라서 본 연구는 흙건축에 적용되는 흙다짐 공법을 중심으로 낙하시험과 함수율의 관계를 규명하여 실제현장에서 작업자가 쉽게 적정함수비를 판별할 수 있는 용이성과 시험의 정확성 문제를 개선하고자 한다. 실험의 결과를 통하여 현장에서 활용할 수 있는 배합설계와 시험방법의 명세화, 낙하형상 판별방법의 과정과 결과를 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제27권4호
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• pp.807-814
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• 1994

This study is to find out changes in medical practice at a university hospital before and after covering intraocular lens (IOL) from the health insurance benefit. The coverage started on March 1, 1993 and a total of 596 cases who were discharged from July 1 to December 31, 1992 and 580 cases who were discharged from July 1 to December 31, 1993 were analyzed. Since the standard reimbursement scheme was changed from March 1, 1993, the charges for 1992 were transformed into 1993 scheme. Major findings are as follows: Average length of stay was statistically significantly decreased from 8.24 days in 1992 to 6.86 days in 1993. Charges except IOL has been statistically significantly decreased from 501,000 Won in 1992 to 444,000 Won in 1993. Charges for drugs and injection have been reduced. However, charge per day for them was not much different. This is due to decrease in length of stay. Charges for laboratory tests and radiologic examination were quite the same. Charges which are not covered by the insurance remained the same. The revenue of the hospital was reduced as expected. However, the hospital reduced the length of stay and increase the turnover rate In order to compensate the potential loss of revenue due to the difference of reimbursement between the out-of-pocket expense and the insurance coverage. By introducing the IOL benefit in the insurance, the insured pays less, hospital generates more revenue through shortening the hospital stay, and the total medical care cost becomes less nationwidely.

• 한국의류산업학회지
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• 제15권6호
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• pp.942-949
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• 2013

This study was performed to investigate purchasing practice and size satisfaction in order to offer basic data to establish marketing strategy and produce ready-made clothes for the male college students according to their body type. For data analysis, crosstabs, factor analysis and one-way ANOVA were used. Results were as follows; first, this study considered the somatotype distribution of male college students. The results showed that inverted triangle -shaped torso was the ideal somatotype in all the classified four actual somatotypes. Second, people in standard body types significantly considered price and appearance such as design, color, pattern and price while people in triangle-shaped torso placed the most importance in the practicality and wearability. People with inverted triangle-shaped torso was found to significantly consider the perceptual quality such as brand, a/s and fashion. Third, this study considered the wearing satisfaction of ready-to-wear. The respondents placed more emphasis on the practicality and wearability as their actual somatotypes were not ideal for them. Fourth, the examination of the difference in size fitness depending on clothing by somatotype when wearing ready-to-wear showed that breast on the top was small when wearing it in the remaining somatotypes except for standard somatotype. The upper body showed better size fitness in triangle-shaped torso. There is a difference in fitness according to somatotypes classified by the form factors even though they have the same body mass index.

• 한국사회복지학
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• 제61권4호
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• pp.109-136
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• 2009

본 연구는 한국에서 사회복지분야의 새로운 자원제공자로서 부상하고 있는 기업 사회공헌의 주체적 파트너로서 사회복지사들의 사회공헌활동 개념에 대한 인식유형을 파악하기 위해 수행되었다. Q 방법론을 통해 사회복지사들의 사회공헌활동에 대한 주관적 인식은 '공생적 파트너십 유형', '사회적 당위유형', '전략적 실리추구 유형' 등 세 가지로 도출되었다. 이 유형들은 기업 사회공헌활동에 대한 고전적 관점, 사회-경제적 관점, 현대적 관점, 자선적 관점들을 절충적으로 반영하고 있다. 본 연구의 결과는 우리의 사회복지 실천현장에서 모호하게 이해되었던 기업 사회공헌활동의 개념적 인식들을 체계적으로 밝히고 유형화함으로써 관련 이론, 실천, 교육 등 제반 영역 내에서, 그리고 각 영역들 간의 논의와 소통, 협력의 폭을 확장시킬 수 있는 기초자료로 활용될 수 있을 것이다.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.203-212
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• 2016

Purpose: The purpose of this study was to identify the sleep patterns of nursing students using self-report questionnaire and physiologic measurement, to examine the factors influencing sleep patterns in based on Spielman's model. Methods: Participants were 119 nursing students who were in the clinical practice period. Self-report questionnaires and actigraphy were used to collect the data. Data were analyzed using descriptive statistics, correlation and regression by the SPSS/WIN 21.0 programs. Results: When sleep was measured by self-report questionnaire, 84 students (70.6%) showed poor sleep quality. The mean sleep efficiency was 82.6%, and 67 students(56.3%) showed low sleep efficiency (less than 85.0%). The factors affecting subjective sleep pattern measured by KMLSEQ were circadian sleep type (${\beta}=.28$, ${\rho}=.003$) and alcohol (${\beta}=.20$, ${\rho}=.031$). The factors affecting total sleep time were sedentary behavior (${\beta}=-.27$, ${\rho}=.003$) and daytime sleepiness (${\beta}=-.33$, ${\rho}$<.001). Conclusion: Many nursing students in their clinical practice period expressed sleep disturbance. Factors affecting the perceived sleep measured by the self-report questionnaire and objective sleep evaluated by physiologic measures were different. The evening type of students perceived poor sleep quality, however, sedentary life style and daytime sleepiness resulted in short sleep time. Therefore, more studies measuring the objective sleep characteristics are needed using subjective and objective characteristics.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.357-373
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• 1992

After medical insurance came into effect in Korea, health care system has undergone tremendous changes. Changing patterns of newly established clinics is one of them. To investigate changes and trends, a total of 10,184 clinics which were newly established from 1981 to 1990 were analysed. Data were obtained from the file of contracting medical facilities of the Federation of Medical Insurance Societies. The proportion of newly establishied clinics has increased gradually, so that they amount to 13% of the total medical facilities in Korea. Meanwhile, the number of newly established medium-size hospitals and general hospitals have decreased. The number of newly established clinics per 100,000 populations has increased in the all areas, but the rate of increase has decreased in the cities except in 6 major cities in 1990. The rate of increase in newly established clinics surpasses that of population increase. This study has identified the trend of young physicians' early driving into their solo medical practice than before. This indicates chance of the medical specialty training nowadays toughen due to the limited openings in residency programs. However, the sex ratio of physicians at newly established clinics has not changed. The decreasing tendency to open medical practice without beds and the increasing size of clinics are found in this study(The size has been measured in terms of medical manpower, of beds, and of medical equipment in this study). Two thirds of general practitioners have opened their clinics without beds, although such trend has been less in the case of specialists. All three indicators show increasing size, especially in the case of rural clinics. However, among them, the number of medical equipments has increased most significantly from 8.9 items in 1981 to 12.9 in 1990.

• 복식문화연구
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• 제26권2호
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• pp.140-156
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• 2018

The purpose of this study is to review and establish the three concepts of upcycling, zero-waste fashion design, and regional sustainability through a review of domestic and international case studies. Furthermore, it will provide the theoretical basis for using upcycling as a regional sustainability practice to create zero-waste fashion design. To conduct an empirical study, we systematized the stages of the survey on waste resources in Changsin-dong, the sourcing and utilization of waste resources, the design-planning stage, and the co-production with pattern and sewing masters as a suggested practice for regional sustainability. Through this study, we propose the possibility of regional sustainability by developing and sharing the method of zero-waste fashion design. The conclusion of the study as follows: First, upcycling fashion designs can be extended to a regional sustainability practice by taking the characteristics of social design into account. Second, by providing a design development process and methodology suitable for regional sustainability application, it is helpful to revitalize regional upcycling fashion brands and communities by providing data for upcycled fashion branding. Third, as part of the revitalization project for the Chang-shin and Soongin areas that started in 2014, using the region's economic, cultural, and environmental characteristics to make and sell high-value, upcycled fashion products will contribute to social and economic achievements and aid in solving regional problems.