• Title/Summary/Keyword: self-expansion

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Cardiac dose reduction with breathing adapted radiotherapy using self respiration monitoring system for left-sided breast cancer

  • Sung, KiHoon;Lee, Kyu Chan;Lee, Seung Heon;Ahn, So Hyun;Lee, Seok Ho;Choi, Jinho
    • Radiation Oncology Journal
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    • v.32 no.2
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    • pp.84-94
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    • 2014
  • Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.

Pattern and Instance Generation for Self-knowledge Learning in Korean (한국어 자가 지식 학습을 위한 패턴 및 인스턴스 생성)

  • Yoon, Hee-Geun;Park, Seong-Bae
    • Journal of the Korean Institute of Intelligent Systems
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    • v.25 no.1
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    • pp.63-69
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    • 2015
  • There are various researches which proposed an automatic instance generation from freetext on the web. Existing researches that focused on English, adopts pattern representation which is generated by simple rules and regular expression. These simple patterns achieves high performance, but it is not suitable in Korean due to differences of characteristics between Korean and English. Thus, this paper proposes a novel method for generating patterns and instances which focuses on Korean. A proposed method generates high quality patterns by taking advantages of dependency relations in a target sentences. In addition, a proposed method overcome restrictions from high degree of freedom of word order in Korean by utilizing postposition and it identifies a subject and an object more reliably. In experiment results, a proposed method shows higher precision than baseline and it is implies that proposed approache is suitable for self-knowledge learning system.

Exploring the Experiences of Participating Spiritualty Education Program by Social Workers: focusing on CPE (사회복지사의 영성(Spiritualty)교육프로그램 참여 후 변화 경험 연구: 임상사목교육(CPE)을 중심으로)

  • Kim, Kyung Mee
    • The Journal of the Korea Contents Association
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    • v.16 no.6
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    • pp.537-549
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    • 2016
  • Interest in spirituality in the workplace is rising as an alternative to overcome the possibility of burnout of social workers. This research has evaluated the results of spirituality education program to social workers in senior welfare centers. CPE(Clinical Pastoral Education) was provided to 25 social workers in 3 different senior welfare centers for 12 to 14 weeks. 4 Focus group interviews with 24 education participants after the end of education were conducted. For the participants of CPE, there were changes in individual levels(habituation of self-reflectivity, the integration of personal spirituality and social worker's spiritualty, expansion of self-awareness and pursuit of altruism), practice behavior(recognition of client's individualism, getting rid of the obsession of proposing a resolution, active listening), and organization levels(intimate fellowship, increase in horizontal relationship in the agencies). Pursuing changes within the organization towards integrating individual and organization spirituality along with social welfare organizations helping the development of social worker's individual spirituality for the simultaneous growth of social workers and the organizations is necessary.

The Applicability of the United States' Chronic Disease Self-Management Program (CDSMP) to Korean Adults (미국 만성질환자가관리프로그램(CDSMP)의 성공 사례와 국내 적용가능성)

  • Ahn, SangNam;Kim, Keon Yeop;Ory, Marcia G.;Na, Yoon Joo;Kim, Ki Su
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.63-72
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    • 2014
  • Objectives: The current study reviews the implementation and evaluation of the Chronic Disease Self-Management Program (CDSMP) in the United States (U.S.) to illustrate the program's potential contribution to improving health among Korean adults with chronic conditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essential elements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation of CDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skills necessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achieving the Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize the importance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMP more sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. More concerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify its effectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.

Costume Code Analysis Placed Mise-en-abyme in the Movie - Focused on the Lucien Dällenbach's theory and the film - (미장아빔으로 배치된 영화 속 의상코드 분석 -Lucien Dällenbach의 이론과 영화 를 중심으로-)

  • Kim, Hyangja
    • Journal of the Korean Society of Costume
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    • v.67 no.1
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    • pp.130-146
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    • 2017
  • This study focuses on the Mise-en-abyme theories of Lucien $D{\ddot{a}}llenbach$, and presents research methodology to analyze the modern cinema costume in a new view. Inherent aesthetic values of the costume code shown in the film are as follows. First, esthetics value shown is the analogic code through the maximization of factual realism by directing target. Mise-en-abyme placed in this film plays the role of costume codes, and highlights the subject by presenting specifically targeted realistic icons to maximize the realism of the movie. Second, Mise-en-abyme is deployed to the explicit text through costumes code is placed as Displaced code arrangements. In other words, each of the characters is a signifier. Symbolizing a historical era is the device that represents a self-reflective signifier. Third, paradoxically reflected by the overlapped expansion of virtual reality and the self-referential characteristics and are subject to reflect the thinking of the author. Costumes code placed in Mise-en-abyme is expressed in costumes positioned to maximize the realism in the film as described above, and implies narratives and self-reflective mediating tools that symbolism can be seen that the paradoxical metaphor for the reality and the future. In addition, through the metaphor of visual narrative is allegorical representation Mise-en-abyme with ambiguity, and it is a concrete text that can be realized in a variety of creative storytelling methods and image delivery methods of modern fashion. This study confirmed that this costumes to take the point of view of emotional $Mise-en-sc{\grave{e}}ne$ in the process of completing the film's themes and cinematic devices by identifying the roles and aesthetic value of code costumes as the core subjects that make up the narrative of the film.

Determinants of Preventive Behavior Intention to the Particulate Matter: An Application of the Expansion of Health Belief Model (미세먼지 예방행동의도 결정요인: 건강신념모델 확장을 중심으로)

  • Chung, Donghun
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.471-479
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    • 2019
  • The purpose of this study was to investigate the determinants of preventive behavior intention to the particulate matter. The results based on the survey of 280 university students showed that the perceived susceptibility and barriers to the particulate matter do not have statistically significant effects on the preventive behavior intention. However, perceived severity and benefits, subjective norm, and self-efficacy to the particulate matter had statistically significant positive effects on the preventive behavior intention. The results of this study suggested that communication strategies to increase perceived severity and benefits, subjective norm and self-efficacy should be required to improve the degree of preventive behavior intention to the particulate matter of college students. It is expected to contribute explaining preventive actions against environmental hazards such as air pollution in the future.

Review on Effective Skills to Inhibit Dendrite Growth for Stable Lithium Metal Electrode (리튬금속전극의 덴드라이트 성장 억제 방안의 연구 동향)

  • Kim, Yerang;Park, Jihye;Hwang, Yujin;Jung, Cheolsoo
    • Journal of the Korean Electrochemical Society
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    • v.25 no.2
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    • pp.51-68
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    • 2022
  • Although lithium metal batteries have a high energy density, experimental skills capable of solving lots of problems induced by dendrite such as short circuit, low coulomb efficiency, capacity loss, and cycle performance are still only in academic research stage. In this paper, research cases for dendrite growth inhibition on lithium metal electrode were classified into four types: flexible SEI (solid electrolyte interface) layer responding to volume expansion of lithium metal electrode, SEI supporting layer to inhibit dendrite growth physically, SHES (self-healing electrostatic shield) mechanism to adjust lithium growth by leading uniform diffusion of Li+ ions, and finally micro-patterning to induce uniform deposition of lithium. We hope to advance the practical use of lithium metal electrode by analyzing pros and cons of this classification.

Effects of Consumer Powerlessness on Narcissistic Self-expression on Social Media (소비자 무력감이 소셜 미디어 속 나르시즘적 자아 표현에 미치는 영향)

  • Kim, Miyea;Jun, Mina
    • Knowledge Management Research
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    • v.21 no.3
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    • pp.89-103
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    • 2020
  • When people feel powerless (with losing control), they show compensatory behaviors to get out of this state. The actions to compensate for powerlessness have been studied in the contexts of products or brands, but this study focuses on compensatory behaviors when using social media. Social media, which can express consumers' selves freely, has become a platform for self-expansion. It has been confirmed that the possibility of relieving psychological powerlessness through self-expression on social media exists. Therefore, we examined how people who felt powerless showed compensatory behaviors on social media. According to the analysis, consumer's powerlessness does not directly affect narcissistic self-expression on social media. However, it is derived as being fully mediated by the feeling of anxiety. The more anxious consumers feel, the more narcissistic they express themselves by posting photos of themselves with luxury brand objects that can show social power or authority. In other words, when consumers experience social powerlessness coupled with anxiety, they are likely to show compensatory consumption behaviors such as narcissistic self-expression in order to make their images cool and luxurious and draw others' attention on social media. We confirm that the compensatory consumption due to consumers' powerlessness, which leads to having anxiety, can appear in ways of presenting narcissistic selves on social media.

Effects of Participation in Survival Swimming Education on Elementary School Students' Underwater Anxiety, Physical Self-efficacy and Water Safety Awareness (생존수영교육 참여가 초등학생의 수중불안, 신체적 자기효능감 및 수상안전 의식에 미치는 영향)

  • Bae, Jun-seok;Cho, Gun-Sang;Kwon, Yong-Chul
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.415-423
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    • 2021
  • The purpose of this study was to report the changes in underwater anxiety, physical self-efficacy, and water safety consciousness in elementary school students through participation in survival swimming education, and the relationship between variables. For this purpose, 300 out of 312 elementary school students who participated in survival swimming education in Busan were used as valid samples. The collected data were analyzed through exploratory factor analysis, reliability analysis, correspondence sample t-test, and multiple regression analysis using the SPSS 25.0 statistical program, and the results are as follows. First, the underwater anxiety of elementary school students before and after participating in survival swimming education decreased, and the physical self-efficacy and water safety awareness increased. Second, underwater anxiety of elementary school students who participated in survival swimming education partially negatively affected physical self-efficacy and water safety consciousness, and physical self-efficacy partially positively affected water safety consciousness. Based on these results, the effectiveness of survival swimming education could be confirmed, and the direction of qualitative expansion of the program could be reconsidered.

A Study on a Prevention of Long-term Care self-reliance Support for the Elderly in Home: Proposal of an Prevention and Support for Self-reliance Support Model (재가노인의 장기요양예방과 자립지원에 관한 연구: 예방·자립지원 모형설계 방안제언)

  • Kim, Hyun-Sil;Hwang, Sung-Ja
    • 한국노년학
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    • v.30 no.4
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    • pp.1359-1375
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    • 2010
  • Expecting the expansion of the elderly population under long-term home care with the coming of the aged society, this study purposed to propose a prevention and self-reliance support model and to get practical implications for minimizing dependency on care benefits and enhancing the effectiveness of prevention and self-reliance support. Research methods employed for this study were: first, reviewing theoretical literature for clarifying the concept of prevention and self-reliance support in providing long-term care benefits for the elderly; second, identifying factors hindering prevention and self-reliance support through analyzing standard long-term care use plans and documents related to long-term care benefits at elderly welfare centers to which the research subjects belonged; and third, surveying care benefit users on factors hindering their use of prevention and self-reliance support and their needs in the use of care benefits. Based on the results of the three types of qualitative research, we proposed directions for prevention and self-reliance support modeling and suggested practical implications for enhancing the effectiveness of prevention and self-reliance support. For this study, we collected documentary materials and conducted in-depth interviews with the participants with the consents and cooperation of managers and professional social workers at day care centers and elderly welfare centers in D City. According to the results of this study, literature review suggested that long-term care prevention and self-reliance support should be provided in a way of 'strengthening user-centered support systems,' which support elderly long-term care beneficiaries' right to lead a life as the subject of their own life. Document analysis found the absence of benefits related to health and medicine and lack of social support systems for prevention and self-reliance support, and the results of in-depth interviews suggested the necessity to strengthen services related to elderly long-term care beneficiaries' prevention and self-reliance, and the keen needs of the long-term care elders for prevention and self-reliance included: ① loneliness, anxiety, fear; ② missing for and worry about children and people; ③ moving, outing; ④ health and medical services, rehabilitation programs; ⑤ desire to use day care; ⑥ inconvenience of house structure; ⑦desire for meal menus; and ⑧ the occurrence of disuse syndrome. Based on these results, we suggested the base of prevention and self-reliance support modeling with three axes: ① strengthening user-centered support systems; ② strengthening support systems connected to health and medicine; and ③ strengthening social support systems.