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검색결과 263건 처리시간 0.028초

Factors Affecting Cervical Cancer Screening Uptake by Hmong Hilltribe Women in Thailand

  • Wongwatcharanukul, Laead;Promthet, Supannee;Bradshaw, Peter;Jirapornkul, Chananya;Tungsrithong, Naowarat
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권8호
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    • pp.3753-3756
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    • 2014
  • Background: Cervical cancer is relatively common in Thai women, but the proportion of females receiving Pap smear screening is still low. Objective: The purpose of this cross-sectional study was to study factors related to cervical cancer screening uptake by Hmong hilltribe women in Lomkao District, Phetchabun Province. Materials and Methods: Interview data were collected from 547 of these women aged 30-60 years living in the study area and analyzed using multiple logistic regression. Results: The results showed that 64.9% of the study sample had received screening, and that 47.2% had attended due to a cervical screening campaign. The most common reason given for not receiving screening was lack of time (21.4%). The factors found to be positively associated with uptake (p value <0.05) were as follows: number of years of school attendance (OR=1.56, 95%CI:1.02-2.38), animistic religious beliefs (OR=0.55, 95%CI:0.33-0.91), a previous pregnancy (OR=6.20, 95%CI:1.36-28.35), receipt of information about cervical cancer screening (OR=2.25, 95%CI:1.35-3.76), and perceived risk of developing cervical cancer (OR=1.83, 95%CI:1.25-2.67). Conclusions: To promote the uptake of cervical screening, Hmong hilltribe women need to know more about cervical cancer and cervical cancer screening, and access to screening services should be provided in conjunction with existing everyday services, such as family planning and routine blood pressure monitoring or diabetes services.

인터넷상의 가상생산 기반 부품판매 에이전트 개발 (Development of Part Sales Agent Coupled with Virtual Manufacturing in Internet Environment)

  • 최형림;김현수;박영재;박병주;이경전
    • Asia pacific journal of information systems
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    • 제12권4호
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    • pp.193-213
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    • 2002
  • The sales activity of most of small manufacturing companies is based on orders of buyers. The process of promotion, negotiation, receipt and selection of orders of the manufacturers is closely coupled with the load status of the production lines. The decision on whether to accept an order or not, or the selection of optimal order set among excessive orders is entirely dependent on the schedule of production lines. However, in the real world, since the production scheduling activity is mainly performed by human experts, most of small manufacturers are suffer from being unable to meet due dates, lack of rapid decision on the acceptance of new order. Recently, Internet based Electronic Commerce is recognized as one of the alternatives for strengthening sales power of small and medium companies. However, small and medium manufacturers can't adjust properly to the new environment because they are in short of money, personnel, and technology. To cope with this problem, this paper deals with development of part sales agent coupled with virtual manufacturing in Internet environment that consist of selection agent, advertisement agent, selection agent, negotiation agent, and virtual manufacturing system. This paper develops a time-bounded negotiation mechanism for small and medium manufacturers in agent-based automated negotiation between customers and negotiation agents. Furthermore, to select optimal order set maximized profit, we first formulate the order selection problem with mixed integer programming, but the computation time of IP is not acceptable for real world scale problem. To overcome this problem and dynamic nature of virtual manufacturing, we suggest a genetic algorithm approach, which shows a reasonable computation time for real world case and good incremental problem solving capability.

문재인 정부 복지정책에 대한 인식 (Public Opinions on the Welfare Policies of the Moon Jae-in Government)

  • 최유석;최창용
    • 한국콘텐츠학회논문지
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    • 제20권2호
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    • pp.435-450
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    • 2020
  • 국민들은 문재인 정부가 추진하는 복지정책을 어떻게 인식하고 있는가? 이 연구에서는 성인 1,000명을 대상으로 2018년 12월에 진행한 설문조사를 통해 복지정책과 관련된 주요 현안에 대해서 응답자들이 어떠한 인식을 하는지, 어떠한 요인이 복지정책에 관한 인식과 관련을 맺는지를 살펴보았다. 분석결과, 응답자들은 정부의 적극적인 복지 제공 역할을 대체로 긍정적으로 인식하였다. 문재인 정부의 보건복지 주요 국정과제 중에서는 건강보험 보장성 강화에 대한 찬성 의견이 가장 높았다. 국민연금 재정문제 해법과 관련하여, 보험료 인상, 급여액 삭감, 수급개시 연령 상향조정 등의 개혁방안에는 반발이 심한 것으로 나타났다. 응답자들은 정부의 재정지원방식과 관련하여 효율성과 평등성을 모두 중시하였다. 응답자의 1/3 만이 정부의 국민 행복 증진 기여를 긍정적으로 인식하였다. 상이한 정치사회적 가치관과 경제적 이해관계에 따라 복지정책에 대한 인식에 차이가 발생하였다. 특히 정치성향과 주관적 계층의식이 복지정책에 대한 인식과 긴밀한 관련성을 맺었다. 분석결과에 기반하여 향후 복지정책의 추진방향에 대한 시사점을 논의하였다.

Risk Factors of Proximal Junctional Kyphosis after Multilevel Fusion Surgery : More Than 2 Years Follow-Up Data

  • Kim, Do Keun;Kim, Ji Yong;Kim, Do Yeon;Rhim, Seung Chul;Yoon, Seung Hwan
    • Journal of Korean Neurosurgical Society
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    • 제60권2호
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    • pp.174-180
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    • 2017
  • Objective : Proximal junctional kyphosis (PJK) is radiologic finding, and is defined as kyphosis of >$10^{\circ}$ at the proximal end of a construct. The aim of this study is to identify factors associated with PJK after segmental spinal instrumented fusion in adults with spinal deformity with a minimum follow-up of 2 years. Methods : A total of 49 cases of adult spinal deformity treated by segmental spinal instrumented fusion at two university hospitals from 2004 to 2011 were enrolled in this study. All enrolled cases included at least 4 or more levels from L5 or the sacral level. The patients were divided into two groups based on the presence of PJK during follow-up, and these two groups were compared to identify factors related to PJK. Results : PJK was observed in 16 of the 49 cases. Age, sex and mean follow-up duration were not statistically different between two groups. However, mean bone marrow density (BMD) and mean back muscle volume at the T10 to L2 level was significantly lower in the PJK group. Preoperatively, the distance between the C7 plumb line and uppermost instrumented vertebra (UIV) were no different in the two groups, but at final follow-up a significant intergroup difference was observed. Interestingly, spinal instrumentation factors, such as, receipt of a revision operation, the use of a cross-link, and screw fracture were no different in the two groups at final follow-up. Conclusion : Preoperative BMD, sagittal imbalance at UIV, and thoracolumbar muscle volume were found to be strongly associated with the presence of PJK.

에스테틱과 연계된 피부과의원의 디자인 아이덴티티 요소에 관한 연구 (A study on the Identity design factors of dermatologic clinic linked with aesthetic space)

  • 주혜라;김영훈;소현아
    • 한국실내디자인학회논문집
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    • 제18권4호
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    • pp.124-131
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    • 2009
  • The aesthetics of current dermatology clinics are the main space of dermatology, which is gradually becoming an area of specialty. Paths requiring spatial transition due to the expansion of treatment field in dermatology clinics are currently emerging, meaning that the duty to provide medical and aesthetic environment with high spatial connection must be accompanied. Contrary to past clinics where only functional aspects were emphasized, current clinics require a differentiated environment that considers both aspects of function and aesthetics, centered on the patient. The purpose of this research in this perspective is to study the efficient connection between dermatology and aesthetics, while also analyzing identity factors to indicate design factors differentiated from other functional spaces, to apply them as preliminary data for the planning of dermatology clinics. Based on the above, six dermatology clinics located in Seoul were designated for case studies through field studies. Overall, Aesthetics connected to dermatology clinics legally must have separate business registrations and have alternative entrance ways. Currently however, there were many cases where entrance, waiting, reception and receipt were not separated. there were efforts to partially display identities when analyzing design factors that formed the identity of dermatology clinics. However, there were insufficient cases where visual communication factors such as a clinic's spatial identity, logo, signing system, and applied products were integrated into a coherent theme. At this point when dermatology clinics are becoming brands, all fields must merge for integrated identity effects that go beyond the boundaries of contemporary H.I, to clearly display their identity with the clinics' professional image and consistent concept.

이토토요의 도서관 공간에 나타나는 창조적 인터페이스요소에 관한 연구 - 타마미술대학신도서관을 사례로 - (A Study on the Creative Interface Factors of Library Space on Ito Toyo - Focus on the Tama Art University New Libraries -)

  • 황미영
    • 한국실내디자인학회논문집
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    • 제19권3호
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    • pp.205-213
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    • 2010
  • The importance of communication which is oriented to interaction, fusion and connection is more increased in the post-information society. The information environment is already realized as interface to reach immediately and freely to the databased information and knowledge. The contemporary libraries execute very important roles as an intellectual infra of modern times to deliver the great human achievement and create new culture. In the mean time, the rapid information-oriented society and the development of digital technology bring out big change in the traditional dispatch and receipt method of information. For this reason, libraries as the community space of visitors integrates physical space - electronic space and reconstructs new temporary culture and value to build the new interface that connects human to human, human to space and human to information. On the premise of these awareness, this study analysis the creative interface factor of Tama Art University New Libraries in Ito Toyo in order to research the function and the application method of modern libraries. And the results are follows. 1)We can make sure the significance of communication and the integration consciousness between digital technology and analogue sensitivity that is the characteristic of the post-information society. 2)We can classify for the creative interface factors by the character as space factor(Arcade, Gallery, Lounge, AV Booth, Cafe), facility/equipment factor(Laboratory, Media, Bar, Info Shelf, Media Seat) and furniture factor(Carrel, Desk, Mag Table, XI Shelf). 3)We can see that these interface factors change the stream of library users and that the library is constructed for library users to create and discovery something easily from books and modern technologies. And we can realize also that these factors are creative installation to lead out naturally the latent liberty sense of users.

IEEE 802.15.4의 성능 향상을 위한 은닉 노드 인식 그룹핑 알고리즘 (A Hidden-Node-Aware Grouping Algorithm for Improving Throughput of IEEE 802.15.4)

  • 엄진영;안종석;이강우
    • 한국통신학회논문지
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    • 제36권8A호
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    • pp.702-711
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    • 2011
  • 본 논문은 IEEE 802.15.4 네트워크에서의 에너지 효율을 향상시키기 위해 위한 은닉 노드들 간의 신호 충돌 문제를 해결하기 위한 은닉 노드 인식 그룹핑(HAG: Hidden-Node-Aware Grouping) 알고리즘을 제안한다. HAG 알고리즘은 노드들 간 수식 신호의 에너지를 이용하여 은닉 관계에 있는 노드들을 파악하고, 그들을 서로 다른 그룹에 배정하는 방식으로 그룹핑을 완성하고 그룹별로 신호 전송 주기를 할당한다. HAG 알고리즘의 정확한 성능 측정 및 예측을 위해 다양한 네트워크 상황을 고려하여 처리량에 대한 분석적 성능 모델을 제시한다. HAG 알고리즘을 사용하지 않은 네트워크 환경에서는 은닉 관계가 있는 노드들의 수가 증가함에 따라 처리량이 급속히 저하되지만, HAG 알고리즘을 적용하면 이와 같은 성능 저하를 예방할 수 있음을 분석적 성능 모델과 더불어 시뮬레이션 결과를 통하여 확인하였다.

전화와 우편을 이용한 개별적 인플루엔자 예방접종 권고의 효과 - 한 삼차병원 가정의학과를 방문했던 노인환자를 대상으로 한 연구 - (Effectiveness of Telephone and Postcard Reminders for the Influenza Vaccination - A Study in the Elderly Who Have Visited a Family Practice Center in a Tertiary Care Hospital -)

  • 오주섭;한승헌;최철훈;송윤미
    • Journal of Preventive Medicine and Public Health
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    • 제33권1호
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    • pp.109-116
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    • 2000
  • Objectives : Routine vaccination against influenza is recommended for all people aged 65 years or more. Without active encouragement to receive the vaccine, the rate of compliance is generally low. A study was undertaken to assess and compare the effectiveness of two reminder systems in improving the influenza vaccination rate. Methods : A total of 2,017 patients aged 65 or over in a tertiary care hospital family practice center were randomly assigned to a control, a telephone reminder, or a postcard reminder group before the influenza season in 1998. The outcome measure, receipt of vaccination, was determined by telephone interview. Demographic and clinical characteristics were checked through the medical chart review. Results : Among the 1,312 patients who actually received reminders and interviewed, the vaccination rate was 46.7% in the control group, 56.3% in the postcard reminder group, and 63.3% in the telephone reminder group. Vaccination compliance was significantly higher in people reminded by telephone (Odds ratio [OR], 2.00; 95% confidence interval [CI], 1.52-2.64) and postcard (OR, 1.55; 95% CI, 1.18-2.02) compared to that in the control group. Of the characteristics investigated, number of high risk co-morbidity was positively associated with vaccination compliance while current smoking was negatively associated. Conclusions : This result suggests that telephone and postcard reminders can significantly improve compliance with influenza vaccination in this group of Korean elderly. However, additional strategies need to be developed to encourage vaccination among noncompliant.

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취학전 아동의 조기 시력검진사업 활성화 방안에 관한 연구 (A Study on the Way of Activating Early Eye Screening for Pre-School Children)

  • 김신자;박미리
    • 한국학교보건학회지
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    • 제9권2호
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    • pp.161-170
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    • 1996
  • This research was performed to screen eye health status for pre-school children (4~5 age) and establish as eye health checking system m community health center. This data was collected from 1st February, 1995 to 31st October, 1995. To screen the state of their vision, the Developed Visuual Test (D.V.T) was used for pre-school children. This is used at home by their parents and then it is also used among the kindergarten health team at Jung-gu health center in Seoul. This was done with the and of Randot and Han Choun Souk tests. The total number of children who were tested was 1441. Among the children, children aged 5 were 707, and those aged 4 were 734. The results of this study were as follows; * Description of the health status for the pre-school children. 1. The rate of children average vision in both eyes, whose was below 05 by Han Choun Souk are 7.6% (age 4) and 4.8% (age 5). 2. Only 20 4% (age 5) and 30 8% (age 4) of the pre-school children had been tested through the ophthalmic department. 3. The children with a level below 05 (Han Choun Souk test) had been tested only 43% (age 4), and 12% (age 5) 4. There was no particular difficulty in understanding the D.Y.T: 13.9% (age 4), 11.6% (age 5) of the tested children had eye problems. 5. 231 cases were trichiasis, entropin, strabismus, and amblyopia. * The different visual tests. The results of the visual tests between the two groups (parents and health teams) are similar and it shows that parents can easily test at home. * Delivery system of the D.V.T questionnaire The way children's parents received the D.V.T questionnaire were carried out by two ways By mall from the community health center. Send through the institution, for example the kindergarten school The receipt rate of this D.V.T questionnaire sent through the institution was higher than sent by mall.

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대입준비생들의 치과위생사에 관한 인식도 조사 (Recognition of college-preparatory students for dental hygienist)

  • 김동열;이승훈
    • 한국치위생학회지
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    • 제12권1호
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    • pp.103-111
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    • 2012
  • Objectives : The purpose of this study was to survey the recognition of college-preparatory students who interested and prevented themselves in oral health diseases for dental hygienist in Yeungnam South Korea. Methods : The subjects in this study were 328 students who was seriously worried for career and entrance into a school. The survey period was from August 16th 2011 to November 26th 2011, and the data was collected from the high school students in Yeungnam and the preparatory students who visited S college in Gyeongju. This study was conducted by using the self-reported questionnaire. Results : The result of this study are as follows. 87.2% of the subjects have recognized about the name of dental hygienist, 51.5% have distinguished dental hygienist in the clinic, and 67.4% have recognized about education of dental hygienist that was more than a college graduate. The received services from dental hygienist was scalling(15.6%), assistant of treatment(14.7%), tooth brushing instrument(11.5%), Reception & receipt(11.0%), and etc. The majority of the subjects have recognized that dental hygienist was the professional(4.82 points), the important role in oral health(4.88 points), and the intermediary between patients and dentists(4.60 points). And they were friendly(4.64 points), responsible(4.81 points), and worthwhile job(5.01 points). However their appellation has not been established yet(4.00 points), they was difficult to distinguish from nursing assistants(4.37 points), and their task did not differs from AN(4.53 points). Also they compared to other job was not stressful job(3.58 points). Conclusions : Refer to these results, those will be the basis for professional development and status establish of clinical dental hygienists and for the upright role as a professional medical personnel of dental hygiene students. In addition, those will help to patients in the future, and become an effective instrument to learn knowledge, skill, and service that needed to conduct business.