146 research outputs found

    ์‚ฐ์†Œ ์ž‘์šฉ๊ธฐ ์ œ์–ด๋ฅผ ํ†ตํ•œ ๊ทธ๋ž˜ํ•€ ์˜ฅ์‚ฌ์ด๋“œ์˜ ๋ฐด๋“œ ๊ฐญ ์กฐ์ ˆ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๊ณต๊ณผ๋Œ€ํ•™ ์žฌ๋ฃŒ๊ณตํ•™๋ถ€, 2019. 2. ๋ฐ•์ข…๋ž˜.Graphene is a two-dimensional nanomaterial with carbon atoms arranged in a hexagonal lattice. Due to its excellent physical, optical and electrical properties, various applications have been proposed. Particularly, when graphene is applied to a transistor device, it becomes possible to integrate more transistors on a circuit than a silicon semiconductor. However, graphene is semimetal with band gap close to zero, which make it not suitable for realizing a logic circuit. Therefore, studies for increasing the band gap of graphene have been actively conducted in various fields. Among them, the method of utilizing the oxygen functional group of graphene oxide, which is an intermediate stage of graphene synthesis, is excellent in commercial value in that the process is simple and mass production is possible. In addition, analogous effects can be obtained without introducing hetero elements, and the hydrophilicity of the graphene is enhanced due to the oxygen functional group, which enables various applications. However, experimental data on how various oxygen functional groups affect the band structure of each graphene are insufficient, and the application of graphene oxide to the transistor material is very limited. Therefore, in order to overcome these limitations, this study investigate the specific relationship between the oxygen functional group of graphene and the electrical properties including band gap. For the purpose, different reduction reactions were applied to graphene oxide, and the composition of the functional groups were adjusted by controlling degree of reduction. The changed band gaps were measured to analyze the quantitative relationship with the functional groups. Analysis of the relationship between the material properties and electrical properties of graphene showed that single and double bonds of carbon and oxygen have significantly different effects on the band gap. Also, the band gap tuning effect of the hydroxyl group was figured out to be tenuous. Based on the analytical results, we suggested the synthesis direction for synthesizing graphene with specific performance. The results of this experiment can be expected to improve the usability of graphene oxide in electronic devices.๊ทธ๋ž˜ํ•€์€ ํƒ„์†Œ ์›์ž๊ฐ€ ์œก๋ฐฉ ๊ฒฉ์ž๋กœ ๋ฐฐ์—ด๋œ 2์ฐจ์› ๋‚˜๋…ธ๋ฌผ์งˆ์ด๋ฉฐ, ๋›ฐ์–ด๋‚œ ๋ฌผ๋ฆฌ์ , ๊ด‘ํ•™์ , ์ „๊ธฐ์  ์„ฑ์งˆ๋กœ ์ธํ•ด ๋‹ค์–‘ํ•œ ์‘์šฉ์ด ์ œ์‹œ๋˜์–ด ์™”๋‹ค. ํŠนํžˆ ๊ทธ๋ž˜ํ•€์„ ํŠธ๋žœ์ง€์Šคํ„ฐ ์†Œ์ž์— ์ ์šฉํ•˜๋ฉด ์‹ค๋ฆฌ์ฝ˜ ๋ฐ˜๋„์ฒด ์ด์ƒ์˜ ์ง‘์ ํ™”๊ฐ€ ๊ฐ€๋Šฅํ•˜๊ฒŒ ๋œ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ๊ทธ๋ž˜ํ•€์€ ๋ฐด๋“œ ๊ฐญ์ด 0์— ๊ฐ€๊นŒ์šด ๋ฐ˜๊ธˆ์†์œผ๋กœ, ๋…ผ๋ฆฌ ํšŒ๋กœ๋ฅผ ๊ตฌํ˜„ํ•˜๋Š” ๋ฐ์—๋Š” ์ ์ ˆํ•˜์ง€ ์•Š๋‹ค. ๋”ฐ๋ผ์„œ ๊ทธ๋ž˜ํ•€์˜ ๋ฐด๋“œ ๊ฐญ์„ ์ฆ๊ฐ€์‹œํ‚ค๊ธฐ ์œ„ํ•œ ์—ฐ๊ตฌ๊ฐ€ ๋‹ค๋ฐฉ๋ฉด์—์„œ ํ™œ๋ฐœํ•˜๊ฒŒ ์ง„ํ–‰๋˜์–ด ์™”๋‹ค. ๊ทธ ์ค‘์—์„œ๋„ ํ‘์—ฐ์„ ์‚ฐํ™”์‹œ์ผœ ๋ฐ•๋ฆฌํ•œ ํ˜•ํƒœ์ธ ๊ทธ๋ž˜ํ•€ ์˜ฅ์‚ฌ์ด๋“œ์˜ ์‚ฐ์†Œ ์ž‘์šฉ๊ธฐ๋ฅผ ํ™œ์šฉํ•˜๋Š” ๋ฐฉ๋ฒ•์€, ๊ณต์ •์ด ๊ฒฝ์ œ์ ์ด๊ณ  ๋Œ€๋Ÿ‰ ์ƒ์‚ฐ์ด ๊ฐ€๋Šฅํ•˜๋‹ค๋Š” ์ ์—์„œ ์ƒ์—…์  ๊ฐ€์น˜๊ฐ€ ๋›ฐ์–ด๋‚˜๋‹ค. ๋”๋ถˆ์–ด ์ด์ข… ์›์†Œ๋ฅผ ๋„์ž…ํ•˜์ง€ ์•Š๊ณ ๋„ ์œ ์‚ฌํ•œ ํšจ๊ณผ๋ฅผ ์ด๋Œ์–ด๋‚ผ ์ˆ˜ ์žˆ๊ณ , ์‚ฐ์†Œ ์ž‘์šฉ๊ธฐ๋กœ ์ธํ•ด ๊ทธ๋ž˜ํ•€์˜ ์นœ์ˆ˜์„ฑ์ด ํ–ฅ์ƒ๋˜์–ด ๋‹ค์–‘ํ•œ ์‘์šฉ์ด ๊ฐ€๋Šฅํ•˜๋‹ค. ๊ทธ๋Ÿฐ๋ฐ ๋‹ค์–‘ํ•œ ์ข…๋ฅ˜์˜ ์‚ฐ์†Œ ์ž‘์šฉ๊ธฐ๋“ค์ด ๊ฐ๊ฐ ๊ทธ๋ž˜ํ•€์˜ ๋ฐด๋“œ๊ตฌ์กฐ์— ์–ด๋–ป๊ฒŒ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š”์ง€์— ๋Œ€ํ•œ ์‹คํ—˜์ ์ธ ์ž๋ฃŒ๊ฐ€ ๋ฏธ๋น„ํ•˜๊ณ , ๊ทธ๋กœ ์ธํ•ด ๊ทธ๋ž˜ํ•€ ์˜ฅ์‚ฌ์ด๋“œ์˜ ํŠธ๋žœ์ง€์Šคํ„ฐ ์žฌ๋ฃŒ์—์˜ ์ ์šฉ์ด ๋งค์šฐ ์ œํ•œ์ ์ด๋‹ค. ๋”ฐ๋ผ์„œ ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ์ด๋Ÿฌํ•œ ํ•œ๊ณ„์ ์„ ๊ทน๋ณตํ•˜๊ธฐ ์œ„ํ•ด์„œ, ๊ทธ๋ž˜ํ•€์˜ ์‚ฐ์†Œ ์ž‘์šฉ๊ธฐ์™€ ๋ฐด๋“œ ๊ฐญ์„ ๋น„๋กฏํ•œ ์ „๊ธฐ์  ์„ฑ์งˆ๊ณผ์˜ ์‹คํ—˜์  ๊ด€๊ณ„๋ฅผ ์—ฐ๊ตฌํ•˜์˜€๋‹ค. ์ด๋ฅผ ์œ„ํ•ด ๊ทธ๋ž˜ํ•€ ์˜ฅ์‚ฌ์ด๋“œ์— ์„œ๋กœ ๋‹ค๋ฅธ ์ข…๋ฅ˜์˜ ํ™˜์› ๋ฐ˜์‘์„ ์ ์šฉํ•˜์˜€๊ณ , ํ™˜์› ์ •๋„๋ฅผ ์กฐ์ ˆํ•˜์—ฌ ์ž‘์šฉ๊ธฐ์˜ ์กฐ์„ฑ์„ ์ œ์–ดํ•˜์˜€๋‹ค. ๊ทธ๋ฆฌ๊ณ  ๊ทธ๋กœ์จ ๋ณ€ํ™”ํ•œ ๋ฐด๋“œ ๊ฐญ์„ ์ธก์ •ํ•˜์—ฌ ์ž‘์šฉ๊ธฐ์™€์˜ ์ •๋Ÿ‰์  ๊ด€๊ณ„๋ฅผ ๋ถ„์„ํ•˜์˜€๋‹ค. ์ด์™€ ๊ฐ™์ด ๊ทธ๋ž˜ํ•€์˜ ์žฌ๋ฃŒ์  ์„ฑ์งˆ๊ณผ ์ „๊ธฐ์  ์„ฑ์งˆ์˜ ๊ด€๊ณ„๋ฅผ ๋ถ„์„ํ•œ ๊ฒฐ๊ณผ, ๊ทธ๋ž˜ํ•€ ์›์ž์™€ ์‚ฐ์†Œ ์›์ž์˜ ์„œ๋กœ ๋‹ค๋ฅธ ๊ฒฐํ•ฉ์ด ๋ฐด๋“œ ๊ฐญ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์ด ์ƒ๋‹นํžˆ ๋‹ค๋ฆ„์„ ๋ณด์˜€๋‹ค. ๋˜ํ•œ ์ˆ˜์‚ฐ๊ธฐ์˜ ๋ฐด๋“œ ๊ฐญ ์กฐ์œจ ํšจ๊ณผ๋Š” ๋งค์šฐ ๋ฏธ๋น„ํ•œ ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์ด๋Ÿฌํ•œ ๋ถ„์„ ๊ฒฐ๊ณผ๋ฅผ ๋ฐ”ํƒ•์œผ๋กœ ํŠน์ • ์„ฑ๋Šฅ์„ ๊ฐ–๋Š” ๊ทธ๋ž˜ํ•€์„ ํ•ฉ์„ฑํ•˜๊ธฐ ์œ„ํ•œ ํ•ฉ์„ฑ ๋ฐฉํ–ฅ์„ฑ์„ ์ œ์‹œํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•ด ์ „์ž ์†Œ์ž์—์„œ ๊ทธ๋ž˜ํ•€ ์˜ฅ์‚ฌ์ด๋“œ์˜ ํ™œ์šฉ์„ฑ์ด ํ–ฅ์ƒ๋  ๊ฒƒ์„ ๊ธฐ๋Œ€ํ•  ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋‹ค.1. Introduction 1 1.1. Introduction to Graphene as Transistor Material 1 1.1.1. Properties of Graphene 1 1.1.2. Advantages of Graphene as Transistor Material 3 1.1.3. Issues on Graphene TransistorBand Gap Opening 5 1.1.4. State-of-the-Arts of Band Gap Opening in Graphene 6 1.1.5. Limitations of State-of-the-arts 8 1.2. The strategy and aim 10 1.2.1. Control of Degree of Reduction and Functionality 10 1.2.2. Identification of Relationship between Performance and Chemistry of Reduced Graphene Oxide 11 1.2.3. The Goal of the Study 11 2. Experimental 12 2.1. Preparation of Highly Oxidized Graphene 12 2.1.1. Materials 12 2.1.2. Synthesis of Graphene Oxide: Modified Hummers Method 12 2.2. Reduction of Graphene Oxide 13 2.2.1. Sodium Borohydride (NaBH4) Reduction 13 2.2.2. Hydroiodic Acid (HI) Reduction 14 2.2.3. Thermal Reduction 15 2.3. Characterization of Reduced Graphene Oxide 15 2.3.1. Material Properties Measurement 15 2.3.2. Electrical Properties Measurement 16 3. Results and Discussion 17 3.1. Chemical Characterization of rGO 17 3.1.1. Variation of Oxygen-containing Functionality with ReductionQualitative Analysis 17 3.1.2. Variation of Oxygen-containing Functionality with ReductionQuantitative Analysis 20 3.1.3. Defect Level Comparison through Raman Spectroscopy of Reduced Graphene Oxide 25 3.2. Electronical Characterization of rGO 27 3.2.1. Band Gap Changes of RGO with Oxygen-containing Functionality 27 3.2.2. Conductivity of Reduced Graphene Oxide Film 28 3.3. Empirical Analysis on Relation between Oxygen Functionality and Band Gap of Graphene 33 3.3.1. Simplified Model for Determining the Effect of oxygen Functionality 33 3.3.2. Band Gap Variation According to sp2 Conjugation Domain 37 3.3.3. Electronical Effects of Individual Functionalities on Band Gap 38 3.4. Increased Efficacy of Reduced Graphene oxide and Future Research 42 3.4.1. Directional Suggestion to Synthesize Graphene of Desired Specification 42 3.4.2. Future Research Direction 43 4. Conclusion 45 Bibliography 46 ๊ตญ๋ฌธ ์ดˆ๋ก 50Maste

    ๋งˆ๋ฆฌ์˜ค ๋ชจ๋ ˆ๋…ธ์™€ ์นธํ‹ดํ”Œ๋ผ์Šค

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    2011๋…„์€ ๋ฉ•์‹œ์ฝ”๋ฅผ ๋Œ€ํ‘œํ•˜๋Š” ํฌ๊ทน ๋ฐฐ์šฐ ๋งˆ๋ฆฌ์˜ค ๋ชจ๋ ˆ๋…ธ(Mario Moreno, 1911~1993) ํƒ„์ƒ ๋ฐฑ์ฃผ๋…„์ด ๋˜๋Š” ํ•ด์˜€๋‹ค. ๋ฉ•์‹œ์ฝ”์—์„œ๋Š”๊ทธ๋ฅผ ๊ธฐ๋ฆฌ๋Š” ์—ฌ๋Ÿฌ ๊ธฐ๋…ํ–‰์‚ฌ๊ฐ€ ๊ฑฐ๊ตญ์ ์œผ๋กœ ์—ด๋ ธ๋‹ค. ์นธํ‹ดํ”Œ๋ผ์Šค(Cantinflas)๋ผ๋Š” ์˜ˆ๋ช…์œผ๋กœ ๋” ์œ ๋ช…ํ•œ ๊ทธ๋Š” ๋ˆ„๊ตฌ๋„ ๋ˆ„๋ฆฌ์ง€ ๋ชปํ•œ ์˜ํ™”๋ฅผ ๋ˆ„๋ ธ๋‹ค. 52ํŽธ์˜ ์˜ํ™”์— ์ถœ์—ฐํ–ˆ์œผ๋ฉฐ ๋””์—๊ณ  ๋ฆฌ๋ฒ ๋ผ์™€ ๋ฃจํ”ผ๋…ธ ํƒ€๋งˆ์š”์™€ ๊ฐ™์€ ๋‹น๋Œ€ ์ตœ๊ณ ์˜ ํ™”๊ฐ€๋“ค์ด ๊ทธ์˜ ๋ชจ์Šต์„ ์ž‘ํ’ˆ ์†์— ๋‹ด์•˜๋‹ค, ์„œํˆฐ ์˜์–ด ์‹ค๋ ฅ์œผ๋กœ๋„ ํ—๋ฆฌ์šฐ๋“œ์— ์ง„์ถœํ•˜์—ฌ ๊ณจ๋“  ๊ธ€๋กœ๋ธŒ ์ƒ์„ ์ˆ˜์ƒํ•˜๊ธฐ๊นŒ์ง€ ํ•˜์˜€๊ณ , ํ—๋ฆฌ์šฐ๋“œ ๋ช…์˜ˆ์˜ ๊ด‘์žฅ ๋ฐ”๋‹ฅ์— ์ด๋ฆ„์„ ์ƒˆ๊ฒผ๋‹ค. ๊ทธ ๋ฟ์ด ์•„๋‹ˆ๋‹ค. ๊ทธ์˜ ์–ผ๊ตด์„ ๋‹ด์€ ์šฐํ‘œ๊ฐ€ ๋ฐœํ–‰๋˜์—ˆ์œผ๋ฉฐ, ์ŠคํŽ˜์ธ์–ด ์‚ฌ์ „์— ๊ทธ์˜ ์˜ˆ๋ช…์นธํ‹ดํ”Œ๋ผ์Šค์—์„œ ํŒŒ์ƒ๋œ ๋‹จ์–ด๊ฐ€ ์„ธ ๊ฐœ๋‚˜ ๋“ฑ๋ก๋˜๊ธฐ๋„ ํ•˜์˜€๋‹ค

    ๋ถํ•œ ๊ฒฝ์ œ๊ฐœํ˜๊ณผ ์•ˆ๋ณดํ™˜๊ฒฝ์˜ ์ƒํ˜ธ์ž‘์šฉ: ๋ถํ•œยท์ค‘๊ตญ ๋น„๊ต์—ฐ๊ตฌ

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    ํ•™์œ„๋…ผ๋ฌธ (๋ฐ•์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๊ตญ์ œ๋Œ€ํ•™์› : ๊ตญ์ œํ•™๊ณผ, 2014. 2. ์ด๊ทผ.This dissertation is a comparative study of influences from security environment to economic reform decisions in China and North Korea, which resulted in a sharp contrast of economic consequences between the two countries. The puzzle was why North Korea did not, or failed to launch a comprehensive economic reform and opening as China did starting in the late 1970s. Many previous studies on the socialist economic reform, particularly on China, concentrates on the conditions of leadership change or urgent domestic needs to be the major causes of economic reform and opening. But there had been limitations in explanations on the North Korea case which were partly due to the lack of consideration of an additional condition, the influence of external factors. This study argues that the external factors, mainly the security environments, is one of major constraints of reform. Since the basic purpose of a socialist leadership was to keep their political regime safe and stable with economic prosperity, the reform decisions could not be allowed without a guarantee of regime security. In their interactions with the outside world, the security environment should be interpreted as supportive and utilizable for economic development with keeping the political regime safe. If the interpretations turned out as bringing more political threat than economic benefit, they became constraints of reform and opening. Four particular periods were selected for case studies on China and North Korea, two for each country regarding the critical years of reform attempts. The success or failure of each reform attempts found their causes from the interaction between the leadership and security environments. These interactions were reflected in the decisions of economic reform through two routes of influences, the political discourse and the political dynamics. One route is the intentional change of political discourses. When the security environments were interpreted as having improved, the leadership could utilize this as an opportunity to facilitate the pro-reform political discourses in their ideological slogans and propaganda. Another route is the construction of political dynamics. The improvements in security environments helped the top leadership to construct the pro-reform political dynamics among elites, empowering the economic experts to promote pragmatic economic measures. The cases on China dealt with two periods, one around the year 1978 and the other 1992, both critical years of reform and opening. The former was the starting point of reform with the rise of new leadership, and the latter was the second breakthrough which took place despite temporary retreat after the Tiananmen Incident and the end of the Cold War. The security environments were interpreted as becoming supportive by the reform leaders, and they managed to change the political discourses toward pragmatism and construct the political dynamics to shift power to the reformers. In North Korea, the two cases dealt with the periods around the year 1984 and 2002, times during which the leadership of Kim Jong Il had pursued certain pro-reform economic measures. There were a series of economic measures, including the Equity Joint Venture Law in 1984 and the announcement of the July 1st Measures in 2002, which however turned out to be limited and temporary in their effects. Security environments were fluctuating and significantly deteriorated right after the initiation of these reform attempts. The political discourses quickly returned to anti-foreign concepts and intensified with the military-oriented slogans due to the international changes interpreted as increasing threats. In political dynamics, the economic experts conducted the pro-reform measures whereas the conservative Party and military leaders maintained their superior political power. Although the economic experts had clear intentions of economic reform, the deterioration of security environments easily shifted the political power to the conservative leaders to put priority on military buildup and ideological mobilizations. The Chinese and North Korean leadership had clearly different interpretations on their security environments, influenced by accumulated historical memories and their interactions with the superpowers, neighboring countries, and another part of divided nation. Security environment of China was selectively utilized as opportunities with continuous improvements to facilitate pro-reform discourses and pro-reform dynamics. This resulted in continuous progress of the reform decisions. In North Korea, however, security environment was interpreted as rapidly deteriorating due the prolonged suspicions on foreign powers and conflicts with South Korea and the United States. This made North Korea intensify the anti-foreign discourses and limit pro-reform political dynamics. After several decades of these repeated interactions between external factors and the leadership, the economic performances turned out quite different in two countries. Now that a third generation leader Kim has emerged, North Korea is again seeking opportunities for economic reform and development while simultaneously seeking to preserve political regime security. This study provides some insights to both North and South Korea in terms of the changes in the security environments and the consequent policy decisions which changed the interaction dynamic between economic reform and regime security.ABSTRACT TABLE OF CONTENTS LIST OF TABLES AND FIGURES LIST OF ABBREVIATIONS I. INTRODUCTION 1. A Puzzle on North Korea's Economic Reform Attempts 2. Research Methodology 3. Overview of the Chapters II. LITERATURE REVIEW ON THE NORTH KOREA PUZZLE 1. Limitations of the Political Liberalization Thesis 2. Limitations of the Leadership Change Thesis 3. Limitations of the Domestic Needs Thesis 4. External Factors: Additional Condition for Reform III. ALTERNATIVE EXPLANATION 1. A Balanced Combination of Conditions 2. External Factors as the Constraints of Reform IV. ANALYTICAL FRAMEWORK 1. Influences from Security Environments to Reform Decisions 2. Two Routes of Influences 3. Frameworks for China and North Korea 4. Propositions V. CASE 1: CHINA IN 1978 1. Putting the Reform and Opening on Track 2. From a Socialist State to a Developing Country 3. Power Shift from Revolutionaries to Technocrats VI. CASE 2: CHINA IN 1992 1. Pushing Forward the Reform amid Crises 2. A Developing Country with "Chinese Characteristics" 3. Technocrats Competing within the Reform Frame VII. CASE 3: NORTH KOREA IN 1984 1. Short-lived Reform Insufficient for Revival 2. No Expiration Date for Anti-Foreign Discourse 3. Limited Political Powers of the Economic Experts VIII. CASE 4: NORTH KOREA IN 2002 1. Geared for Reform but Trapped in Crises 2. "Uri-sik" Combined with "Military First" 3. Division of Dynamics in the Military and the Economy IX. CHINA & NORTH KOREA: BETWEEN REFORM AND SECURITY X. CONCLUSION REFERENCES APPENDIXES ABSTRACT IN KOREAN ACKNOWLEDGEMENTSDocto

    NR4A1 Regulates Tamoxifen Resistance by Suppressing ERK Signaling in ER-Positive Breast Cancer

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    Endocrine therapy is used to treat estrogen receptor (ER)-positive breast cancer. Tamoxifen is effective against this cancer subtype. Nonetheless, approximately 30% of patients treated with tamoxifen acquire resistance, resulting in therapeutic challenges. NR4A1 plays key roles in processes associated with carcinogenesis, apoptosis, DNA repair, proliferation, and inflammation. However, the role of NR4A1 in tamoxifen-resistant ER-positive breast cancer has not yet been elucidated. Here, we propose that NR4A1 is a promising target to overcome tamoxifen resistance. NR4A1 gene expression was downregulated in tamoxifen-resistant MCF7 (TamR) cells compared to that in MCF7 cells. Kaplan-Meier plots were used to identify high NR4A1 expression correlated with increased survival rates in patients with ER-positive breast cancer following tamoxifen treatment. Gain and loss of function experiments showed that NR4A1 restores sensitivity to tamoxifen by regulating cell proliferation, migration, invasion, and apoptosis. NR4A1 localized to the cytoplasm enhanced the expression of apoptotic factors. In silico and in vitro analyses revealed that NR4A1 enhanced responsiveness to tamoxifen by suppressing ERK signaling in ER-positive breast cancer, suggesting that the NR4A1/ERK signaling axis modulates tamoxifen resistance. These results indicate that NR4A1 could be a potential therapeutic target to overcome tamoxifen resistance in ER-positive breast cancer.ope

    Treatment Outcomes of Rituximab Plus Hyper-CVAD in Korean Patients with Sporadic Burkitt or Burkitt-like Lymphoma: Results of a Multicenter Analysis

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    PURPOSE: This study was conducted to evaluate outcomes in adult patients with Burkitt lymphoma (BL) or Burkitt-like lymphoma treated with an rituximab plus hyper-CVAD (R-hyper-CVAD) regimen by focusing on tolerability and actual delivered relative dose intensity (RDI). MATERIALS AND METHODS: Patients โ‰ฅ 20 years of age and pathologically diagnosed with BL or Burkitt-like lymphoma were treated with at least one cycle of R-hyper-CVAD as the first-line treatment in this study. Eligible patients' case report forms were requested from their physicians to obtain clinical and laboratory data for this retrospective study. RESULTS: Forty-three patients (median age, 51 years) from 14 medical centers in Korea were analyzed, none of which were infected with human immunodeficiency virus. The majority of patients had advanced diseases, and 24 patients achieved a complete response (75.0%). After a median follow-up period of 20.0 months, 2-year event-free and overall survival rates were 70.9% and 81.4%, respectively. Eleven patients (25.6%) were unable to complete the R-hyper-CVAD regimen, including six patients due to early death. The RDIs of adriamycin, vincristine, methotrexate, and cytarabine were between 60% and 65%, which means less than 25% of patients received greater than 80% of the planned dose of each drug. Poor performance status was related to the lower RDIs of doxorubicin and methotrexate. CONCLUSION: R-hyper-CVAD showed excellent treatment outcomes in patients who were suitable for dose-intense chemotherapy. However, management of patients who are intolerant to a dose-intense regimen remains problematic due to the frequent occurrence of treatmentrelated complications.ope

    Update on the POEMS syndrome

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    POEMS syndrome is an acronym for polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes. It is a rare paraneoplastic disorder related to plasma cell neoplasm. However, its pathophysiology has not yet been clearly elucidated. The production of pro-inflammatory cytokines is thought to play an important role in the pathogenesis of POEMS syndrome. Vascular endothelial growth factor level reflects disease activity, which is helpful for the diagnosis and evaluation of treatment response. Conventional agents such as corticosteroids and melphalan are effective and safe combination regimens. Autologous hematopoietic stem cell transplantation is another option for high-risk transplant-eligible patients. Radiotherapy is effective in patients with localized lesions. The anti-myeloma agents lenalidomide, thalidomide, and bortezomib have shown good treatment outcomes for POEMS syndrome; however, large-scale studies with long-term follow-up are required. Early identification and active treatment can improve the outcomes of POEMS syndrome patients.ope

    The Mediating Effect of Self-Efficacy in the Relationship Among Career Development Competency, Parents Career Support Behavior and School Adjustment of Middle School Students

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ) -- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๋†์—…์ƒ๋ช…๊ณผํ•™๋Œ€ํ•™ ๋†์‚ฐ์—…๊ต์œก๊ณผ, 2021. 2. ์ •์ฒ ์˜.The purpose of this study is to investigate the mediating effect of self-efficacy in the relationship among career development competency, parents career support behavior and school adjustment of middle school students in South Korea. To accomplish the goal, first the level of career development competency, parents career support behavior, school adjustment, self-efficacy is evaluated by middle school students. And whether there exists difference between the level of career development competency, parents career support behavior, school adjustment, self-efficacy according to the gender, grade, region is verified. Second, I investigated the relationship among career development competency, parents career support behavior and school adjustment of secondary school students. Third, the mediating effect through self-efficacy in the relationship between career development competency, parents career support behavior and school adjustment is examined. The instrument was adopted from preceding research and slightly adjusted toward study objects. the reliability and validity of the instruments were identified based on experts review and pilot survey result. Data were collected through postal questionnaire survey from September 28, 2020 to October 23, 2020. The target sample size was 420 and 45 responses containing careless responding were removed. A total of 375 responses were utilized for final analysis. For the analysis, SPSS 26.0 Statistics Program for Windows was utilized and desciptive analysis including frequency, percentage, mean and standard deviation as well as multi-variate regression analysis, bootstrapping were used. The results of study can be summarized as the following. First, the level of all the variables are above the average. Also, there has been abserved a statistically significant difference according to the gender, in career development competency, school friends and school life. Second, parents career support behavior, school adjustment and self-efficacy have a positive relationship with career development competency. In addition, as subfactors mothers offering career information, school study, school friends and self-efficacy have a meaningful positive relationship with career development competency. Third, self-efficacy partially mediates the relationship between parents career support behavior and career development competency. Also, it has mediating effect between school adjustment and career development competency. Based on the results, the following conclusion were made. First, Parents Career Support Behavior, School Adjustment and Self-Efficacy are considered as factors have an direct effect on career development competency of middle school students. Second, self-efficacy showed mediating effect partially between parents career support behavior and career development competency. third, self-efficacy showed mediating effect partially between school adjustment and career development competency. Suggestions for the future research are as follows. First, detailed research on career development competencies according to the general characteristics of middle school students is needed. Second, it is necessary to conduct a study on more effective parental career support behaviors by studying parents and children together on parental career support behaviors. Third, it is necessary to conduct research by expanding the research subject according to the school level. Practical suggestions based on the research results are as follows. First, it is necessary to provide support according to gender in adapting to school. Second, it is necessary to prepare practical support plans for providing career information at home. Third, there is a need to prepare a program to cultivate a sense of self-efficacy.๋ณธ ์—ฐ๊ตฌ์˜ ๋ชฉ์ ์€ ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰๊ณผ ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ ๋ฐ ํ•™๊ต์ ์‘์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ๋งค๊ฐœํšจ๊ณผ๋ฅผ ๊ตฌ๋ช…ํ•˜๋Š” ๊ฒƒ์ด๋‹ค. ์ด๋Ÿฌํ•œ ์—ฐ๊ตฌ๋ชฉ์ ์„ ๋‹ฌ์„ฑํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์ฒซ์งธ, ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™, ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ์ˆ˜์ค€์„ ํŒŒ์•…ํ•˜๊ณ  ์ด๋“ค ๋ณ€์ธ์ด ์„ฑ๋ณ„, ํ•™๋…„, ์ง€์—ญ์— ๋”ฐ๋ผ ์ˆ˜์ค€ ์ฐจ์ด๊ฐ€ ์žˆ๋Š”์ง€๊ฒ€์ฆํ•˜์˜€๋‹ค. ๋‘˜์งธ, ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ ๋ฐ ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ๊ด€๊ณ„๋ฅผ ๊ตฌ๋ช…ํ•˜์˜€๋‹ค. ์…‹์งธ, ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰๊ณผ ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ ๋ฐ ํ•™๊ต์ ์‘์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ๋งค๊ฐœํšจ๊ณผ๋ฅผ ๊ฒ€์ฆํ•˜์˜€๋‹ค. ์—ฐ๊ตฌ ์ˆ˜ํ–‰์— ์žˆ์–ด ์„ ํ–‰์—ฐ๊ตฌ์˜ ์กฐ์‚ฌ ๋„๊ตฌ๋ฅผ ์ผ๋ถ€ ์ˆ˜์ •ํ•˜์—ฌ ํ™œ์šฉํ•˜์˜€์œผ๋ฉฐ ์ „๋ฌธ๊ฐ€ ๊ฒ€ํ† ์™€ ์˜ˆ๋น„์กฐ์‚ฌ๋ฅผ ํ†ตํ•ด ๋„๊ตฌ์˜ ํƒ€๋‹น๋„์™€ ์‹ ๋ขฐ๋„๋ฅผ ํ™•์ธํ•˜์˜€๋‹ค. ์ž๋ฃŒ ์ˆ˜์ง‘์€ 2020๋…„ 9์›” 28์ผ๋ถ€ํ„ฐ 10์›” 23์ผ๊นŒ์ง€ ์šฐํŽธ์กฐ์‚ฌ๋ฅผ ํ†ตํ•ด ์ด๋ฃจ์–ด์กŒ์œผ๋ฉฐ, ๋ชฉํ‘œ ํ‘œ์ง‘ ์ˆ˜ 420๋ถ€ ์ค‘ ๋ถˆ์„ฑ์‹ค์‘๋‹ต ์„ค๋ฌธ 45๋ถ€๋ฅผ ์ œ์™ธํ•˜๊ณ  ์ด 375๋ถ€์˜ ์„ค๋ฌธ์„ ํ™œ์šฉํ•˜์—ฌ ์ตœ์ข…๋ถ„์„์„ ์ง„ํ–‰ํ•˜์˜€๋‹ค. ์ž๋ฃŒ ๋ถ„์„์€ Window SPSS 26.0 ํ”„๋กœ๊ทธ๋žจ์„ ์‚ฌ์šฉํ•˜์—ฌ ๋นˆ๋„, ๋ฐฑ๋ถ„์œจ, ํ‰๊ท , ํ‘œ์ค€ํŽธ์ฐจ ๋“ฑ์˜ ๊ธฐ์ˆ ํ†ต๊ณ„์™€ ์ค‘๋‹คํšŒ๊ท€๋ถ„์„ ๋ฐ ๋ถ€ํŠธ์ŠคํŠธ๋ž˜ํ•‘์„ ์‹ค์‹œํ•˜์˜€๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋ฅผ ํ†ตํ•ด ๋„์ถœ๋œ ๊ฒฐ๊ณผ๋ฅผ ์š”์•ฝํ•˜๋ฉด ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ๋ชจ๋“  ๋ณ€์ธ์€ ๋ณดํ†ต๋ณด๋‹ค ๋†’์€ ์ˆ˜์ค€์ธ ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๊ณ  ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰๊ณผ ํ•™๊ต์ ์‘์˜ ํ•˜์œ„์š”์ธ ์ค‘ ํ•™๊ต์นœ๊ตฌ, ํ•™๊ต์ƒํ™œ์—์„œ ์„ฑ๋ณ„์— ๋”ฐ๋ผ ํ†ต๊ณ„์ ์œผ๋กœ ์œ ์˜๋ฏธํ•œ ์ฐจ์ด๋ฅผ ๋ณด์˜€๋‹ค. ๋‘˜์งธ, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™, ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์€ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰๊ณผ ์ •์  ์ƒ๊ด€๊ด€๊ณ„๋ฅผ ๋ณด์˜€์œผ๋ฉฐ ๋ชจ์˜ ์ง„๋กœ์ง€์›ํ–‰๋™, ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์ด ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์— ์œ ์˜๋ฏธํ•œ ์ •์  ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๋˜ํ•œ ํ•˜์œ„์š”์ธ๋ณ„๋กœ ๋ชจ ์ง„๋กœ์ •๋ณด์ œ๊ณต, ํ•™๊ต๊ณต๋ถ€, ํ•™๊ต์นœ๊ตฌ, ์ž๊ธฐํšจ๋Šฅ๊ฐ์ด ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์— ์œ ์˜๋ฏธํ•œ ์ •์  ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์…‹์งธ, ๋ถ€ ์ง„๋กœ์ง€์›ํ–‰๋™๊ณผ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์ด ๋ถ€๋ถ„๋งค๊ฐœํ•˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๊ณ , ๋ชจ ์ง„๋กœ์ง€์›ํ–‰๋™๊ณผ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์ด ๋ถ€๋ถ„๋งค๊ฐœํ•˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์—ฐ๊ตฌ๊ฒฐ๊ณผ๋ฅผ ํ†ตํ•ด ๋„์ถœ๋œ ๊ฒฐ๋ก ์€ ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™๊ณผ ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์€ ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์— ์ง์ ‘์ ์ธ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ์š”์ธ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๋‘˜์งธ, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™๊ณผ ์ค‘ํ•™์ƒ์˜ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์€ ๋ถ€๋ถ„ ๋งค๊ฐœํšจ๊ณผ๊ฐ€ ์žˆ๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ์…‹์งธ, ์ค‘ํ•™์ƒ์˜ ํ•™๊ต์ ์‘ ์ˆ˜์ค€๊ณผ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์€ ๋ถ€๋ถ„ ๋งค๊ฐœํšจ๊ณผ๊ฐ€ ์žˆ๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๋ณธ ์—ฐ๊ตฌ์˜ ๊ฒฐ๊ณผ๋ฅผ ๋ฐ”ํƒ•์œผ๋กœ ํ›„์† ์—ฐ๊ตฌ๋ฅผ ์œ„ํ•œ ์ œ์–ธ์€ ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ์ค‘ํ•™์ƒ์˜ ์ผ๋ฐ˜์  ํŠน์„ฑ์— ๋”ฐ๋ฅธ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์— ๋Œ€ํ•œ ๊ตฌ์ฒด์ ์ธ ์—ฐ๊ตฌ๊ฐ€ ํ•„์š”ํ•˜๋‹ค. ๋‘˜์งธ, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™์— ๋Œ€ํ•˜์—ฌ ๋ถ€๋ชจ์™€ ์ž๋…€๋ฅผ ํ•จ๊ป˜ ์—ฐ๊ตฌํ•จ์œผ๋กœ์จ ๋ณด๋‹ค ํšจ๊ณผ์ ์ธ ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™์— ๋Œ€ํ•œ ์—ฐ๊ตฌ๊ฐ€ ์ˆ˜ํ–‰๋  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์…‹์งธ, ํ•™๊ต๊ธ‰์— ๋”ฐ๋ผ ์—ฐ๊ตฌ๋Œ€์ƒ์„ ํ™•๋Œ€ํ•˜์—ฌ ์—ฐ๊ตฌ๋ฅผ ์ˆ˜ํ–‰ํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์—ฐ๊ตฌ ๊ฒฐ๊ณผ์— ๋”ฐ๋ฅธ ์‹ค์ฒœ์  ์ œ์–ธ์€ ๋‹ค์Œ๊ณผ ๊ฐ™๋‹ค. ์ฒซ์งธ, ํ•™๊ต์ ์‘์— ์žˆ์–ด ์„ฑ๋ณ„์— ๋”ฐ๋ฅธ ์ง€์›์ด ์ด๋ฃจ์–ด์งˆ ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ๋‘˜์งธ, ๊ฐ€์ •์—์„œ์˜ ์ง„๋กœ์ •๋ณด์ œ๊ณต์„ ์œ„ํ•œ ์‹ค์งˆ์ ์ธ ์ง€์› ๋ฐฉ์•ˆ์„ ๋งˆ๋ จํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์…‹์งธ, ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ํ•จ์–‘์„ ์œ„ํ•œ ํ”„๋กœ๊ทธ๋žจ์ด ๋งˆ๋ จ๋  ํ•„์š”๊ฐ€ ์žˆ๋‹ค.I. ์„œ๋ก  1 1. ์—ฐ๊ตฌ์˜ ํ•„์š”์„ฑ 1 2. ์—ฐ๊ตฌ ๋ชฉ์  5 3. ์—ฐ๊ตฌ ๋ฌธ์ œ 5 4. ์šฉ์–ด์˜ ์ •์˜ 7 5. ์—ฐ๊ตฌ์˜ ์ œํ•œ์  7 II. ์ด๋ก ์  ๋ฐฐ๊ฒฝ 9 1. ์ค‘ํ•™์ƒ ์ง„๋กœ๋ฐœ๋‹ฌ ํŠน์„ฑ ๋ฐ ์‹คํƒœ 9 2. ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰ 12 3. ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ 26 4. ํ•™๊ต์ ์‘ 33 5. ์ž๊ธฐํšจ๋Šฅ๊ฐ 38 6. ๋ณ€์ธ ๊ฐ„ ๊ด€๊ณ„ 43 โ…ข. ์—ฐ๊ตฌ ๋ฐฉ๋ฒ• 53 1. ์—ฐ๊ตฌ ๋ชจํ˜• 53 2. ์—ฐ๊ตฌ ๋Œ€์ƒ 54 3. ์กฐ์‚ฌ ๋„๊ตฌ 58 4. ์ž๋ฃŒ ์ˆ˜์ง‘ 64 5. ์ž๋ฃŒ ๋ถ„์„ 65 โ…ฃ. ์—ฐ๊ตฌ ๊ฒฐ๊ณผ 69 1. ์ž๋ฃŒ์˜ ์ผ๋ฐ˜์  ํŠน์„ฑ 69 2. ์ผ๋ฐ˜์  ํŠน์„ฑ์— ๋”ฐ๋ฅธ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰, ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™, ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ์ˆ˜์ค€ ์ฐจ์ด 74 3. ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ ๋ฐ ํ•™๊ต์ ์‘, ์ž๊ธฐํšจ๋Šฅ๊ฐ๊ณผ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„ 84 4. ๋ถ€๋ชจ์ง„๋กœ์ง€์›ํ–‰๋™ ๋ฐ ํ•™๊ต์ ์‘๊ณผ ์ง„๋กœ๊ฐœ๋ฐœ์—ญ๋Ÿ‰์˜ ๊ด€๊ณ„์—์„œ ์ž๊ธฐํšจ๋Šฅ๊ฐ์˜ ๋งค๊ฐœํšจ๊ณผ 88 5. ๋…ผ์˜ 95 โ…ค. ์š”์•ฝ, ๊ฒฐ๋ก  ๋ฐ ์ œ์–ธ 105 1. ์š”์•ฝ 105 2. ๊ฒฐ๋ก  108 3. ์ œ์–ธ 110 ์ฐธ๊ณ ๋ฌธํ—Œ 115 ๋ถ€๋ก 142 ใ€๋ถ€๋ก 1ใ€‘์„ค๋ฌธ์ง€ 142 ใ€๋ถ€๋ก 2ใ€‘์กฐ์‚ฌ ๋„๊ตฌ ์ˆ˜์ • 153 Abstract 163Maste

    ์ฃผํƒ ์‹œ์žฅ์„ ํ†ตํ•œ ํ†ตํ™”์ •์ฑ… ์‹ ์šฉ ๊ฒฝ๋กœ์˜ ์œ ํšจ์„ฑ ๋ถ„์„ : VAR ๋ถ€ํ˜ธ์ œ์•ฝ ๋ชจํ˜•์„ ์ด์šฉํ•œ ๋ถ„์„

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ์‚ฌํšŒ๊ณผํ•™๋Œ€ํ•™ ๊ฒฝ์ œํ•™๋ถ€, 2018. 2. ๊น€์†Œ์˜.The main purpose of this paper is to verify that the credit channel of monetary policy, especially the balance sheet channel, is effective through the housing market. In general, the decrease in house price after the contractionary monetary policy is accompanied by the decrease in consumer loans and consumption level. For the analysis, VAR model is implemented and the shocks are identi๏ฌed with sign restrictions. To be speci๏ฌc, this paper estimates the effects of monetary policy shocks by imposing sign restrictions on the impulse responses of real GDP, prices including CPI and commodity price, non-borrowed reserves, total reserves and Federal Funds rate. And no restrictions are imposed on housing variables including house price, house quantity, mortgage rates and consumer loans and consumption level. First, an indirect effect of an interest rate change which occurs through the change in house price would be analyzed. Second, a direct effect of an interest rate change which occurs through the mortgage rate would be analyzed. Finally, how the consumer loans are in๏ฌ‚uenced would be analyzed which re๏ฌ‚ects a contraction of loan supply originated by the credit channel.1 Introduction 1 2 Literature Review 4 2.1 VAR identication with sign restrictions 5 2.1.1 Uhlig(2005) 5 2.2 Housing Market 6 2.2.1 Vargas-Silva(2007) 6 2.2.2 Lastrapes(2001) 7 2.3 The Credit Channel of Monetary Policy Transmission 8 2.3.1 Mishkin (2007), Elbourne(2008) 8 2.3.2 Iaocoviello and Minetti(2008) 9 3 Data 10 3.1 Data of overall Economic Status 10 3.2 Housing market Data 11 3.2.1 House Price 12 3.2.2 House Quantity 12 3.2.3 Eective Interest Rate of adjustable rate Mortgage 13 3.2.4 Consumer Loans 14 3.3 The Source of Data 14 4 Model 16 4.1 VAR analysis 16 4.1.1 The sign restriction 16 4.2 The Credit Channel of Monetary policy transmission 23 5 Results 24 5.1 Details of Method 24 5.2 House Price 26 5.3 House Quantity 27 5.3.1 New One Family Houses Sold 27 5.4 Mortgage Rate 29 5.4.1 Adjustable Mortgage Rate 29 5.5 Consumer Loans 31 5.6 Consumption 32 5.6.1 House Price and House Quantity 32 5.6.2 Mortgage Rate 33 5.6.3 Consumer Loans 34 5.6.4 Overall 35 6 Robustness 36 6.1 House Price 36 6.2 House Quantity 37 6.3 Adjustable Mortgage rate 37 6.4 Consumer Credits 38 6.5 Consumption 38 7 Conclusion 40Maste

    ๋‚จ์„ฑ๊ด€๋ฆฌ์ž๋ฅผ ์ค‘์‹ฌ์œผ๋กœ

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ) -- ์„œ์šธ๋Œ€ํ•™๊ต๋Œ€ํ•™์› : ํ–‰์ •๋Œ€ํ•™์› ํ–‰์ •ํ•™๊ณผ(์ •์ฑ…ํ•™์ „๊ณต), 2022. 8. ์ด์ˆ˜์˜.๋ณธ ์—ฐ๊ตฌ๋Š” ๊ฐ€์กฑ์นœํ™”์ œ๋„์˜ ํ™œ์šฉ ๊ฐ€๋Šฅ๋„์— ๋Œ€ํ•œ ์ธ์‹ ์ •๋„์— ์ฃผ๋ชฉํ•˜์—ฌ ๊ทธ๊ฒƒ์ด ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž์˜ ์กฐ์ง ๋ชฐ์ž… ์ •๋„์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ํƒ์ƒ‰ํ•˜์˜€์œผ๋ฉฐ, ๋˜ํ•œ ์ด๋ฅผ ํ†ตํ•ด์„œ ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž๋“ค์˜ ์กฐ์ง ๋ชฐ์ž…์„ ์ข€๋” ํ–ฅ์ƒ์‹œํ‚ค๊ธฐ ์œ„ํ•œ ์š”์ธ์„ ๋„์ถœํ•˜์—ฌ ์ผ-๊ฐ€์ • ๋ณ‘ํ–‰์˜ ํ•ด๊ฒฐ์ฑ…์„ ์ œ์‹œํ•จ๊ณผ ๋™์‹œ์— ์กฐ์ง ๊ด€๋ฆฌ์— ์œ ์šฉํ•œ ์‹œ์‚ฌ์ ์„ ์ œ์‹œํ•˜๊ณ ์ž ํ•œ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” โ€˜์žฌ์งํ•˜๋Š” ์ง์žฅ์˜ ๊ฐ€์ •์นœํ™”์ œ๋„ ํ™œ์šฉ๊ฐ€๋Šฅ๋„๊ฐ€ ๋†’๋‹ค๊ณ  ์ธ์‹ํ• ์ˆ˜๋ก ์ง์žฅ์˜ ๋ฌธ์ œ์™€ ๋ณธ์ธ์˜ ๋ฌธ์ œ๋ฅผ ๋™์ผ์‹œํ•˜๋Š” ๊ฐ•๋„๊ฐ€ ๋†’์•„์งˆ ๊ฒƒ์ด๋‹คโ€™, โ€˜์žฌ์งํ•˜๋Š” ์ง์žฅ์˜ ๊ฐ€์ •์นœํ™”์ œ๋„ ํ™œ์šฉ๊ฐ€๋Šฅ๋„๊ฐ€ ๋†’๋‹ค๊ณ  ์ธ์‹ํ• ์ˆ˜๋ก ์ด์ง์˜๋„๋Š” ๋‚ฎ์•„์งˆ ๊ฒƒ์ด๋‹คโ€™ ๋“ฑ 2๊ฐœ์˜ ๊ฐ€์„ค์„ ๋‹ค์ค‘ํšŒ๊ท€๋ถ„์„์„ ํ†ตํ•ด ๊ฒ€์ฆํ•˜์˜€๋‹ค. ์‹ค์ฆ๋ถ„์„ ๊ฒฐ๊ณผ, ์ง์žฅ์ด๋‚˜ ๊ตญ๊ฐ€์  ์ฐจ์›์—์„œ ์ œ๊ณตํ•˜๋Š” ๊ฐ€์ •์นœํ™”์ œ๋„ ์ค‘ ์•„์ฃผ ์ผ๋ถ€์ œ๋„์˜ ํ™œ์šฉ ๊ฐ€๋Šฅ๋„์— ๋Œ€ํ•œ ์ธ์‹๋งŒ์ด ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž์˜ ์กฐ์ง๋ชฐ์ž…์— ์œ ์˜๋ฏธํ•œ ๊ธ์ •์  ์˜ํ–ฅ์„ ๋ฏธ์น˜๊ณ  ์žˆ์—ˆ๋‹ค. ๊ตฌ์ฒด์ ์œผ๋กœ ์‚ดํŽด๋ณด๋ฉด ์ถœ์‚ฐ์ „ํ›„ํœด๊ฐ€(๋ฐฐ์šฐ์ž ํœด๊ฐ€ ํฌํ•จ), ์ง์žฅ ๋ณด์œก์‹œ์„ค ์ œ๋„, ์œก์•„๊ธฐ ๊ทผ๋กœ์‹œ๊ฐ„ ๋‹จ์ถ•์ œ์˜ 3๊ฐœ ์ œ๋„ ์ค‘ ์œก์•„๊ธฐ ๊ทผ๋กœ์‹œ๊ฐ„ ๋‹จ์ถ•์ œ๋งŒ์ด ๊ทธ๊ฒƒ์˜ ํ™œ์šฉ ๊ฐ€๋Šฅ๋„์— ๋Œ€ํ•œ ์ธ์‹ ์ •๋„๊ฐ€ ๊ฐ•ํ•ด์งˆ์ˆ˜๋ก ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž์˜ ์กฐ์ง ๋™์ผ์‹œ ์ •๋„๋ฅผ ๋†’์ด๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๊ณ , ์ถœ์‚ฐ์ „ํ›„ํœด๊ฐ€ ์ œ๋„์™€ ์ง์žฅ ๋ณด์œก์‹œ์„ค ์ œ๋„ ๋“ฑ ๋‚˜๋จธ์ง€ ์ œ๋„๋“ค์˜ ํ™œ์šฉ ๊ฐ€๋Šฅ๋„์— ๋Œ€ํ•œ ์ธ์‹ ์ •๋„๋Š” ์กฐ์ง ๋™์ผ์‹œ์™€ ์ด์ง์˜ํ–ฅ ๊ฐ•๋„ ๋“ฑ ์กฐ์ง ๋ชฐ์ž…์— ์œ ์˜๋ฏธํ•œ ๊ธ์ •์  ์˜ํ–ฅ์„ ๋ฏธ์น˜์ง€ ๋ชปํ•˜๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๋ณธ ์—ฐ๊ตฌ์˜ ์‹ค์ฆ์  ๋ถ„์„์€ ๊ธฐ์กด ์„ ํ–‰์—ฐ๊ตฌ๋“ค์ด ์ฃผ๋กœ ๋ถ„์„ํ•˜์ง€ ์•Š์€ โ€˜๋‚จ์„ฑโ€™ ๊ด€๋ฆฌ์ž๋“ค์˜ ๊ฐ€์กฑ์นœํ™”์ œ๋„์˜โ€˜ํ™œ์šฉ ๊ฐ€๋Šฅ๋„โ€™์— ๋Œ€ํ•œ ์ธ์‹ ์ •๋„๋ฅผ ๋…๋ฆฝ๋ณ€์ˆ˜๋กœ ํ•˜์—ฌ ์ด๊ฒƒ์ด ์กฐ์ง ๋ชฐ์ž…๋„์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ์„ ๊ฒ€์ฆํ•˜๊ณ , ์ •์ฑ… ๋Œ€์ƒ์ž์ธ ๋‚จ์„ฑ๋“ค์—๊ฒŒ ์ข€๋” ์–ดํ•„ํ•˜๊ณ  ์‹คํšจ์„ฑ ์žˆ๋Š” ํšจ๊ณผ๋ฅผ ๊ธฐ๋Œ€ํ•  ์ˆ˜ ์žˆ๋Š” ๊ฐ€์กฑ์นœํ™”์ œ๋„๊ฐ€ ํ–ฅํ›„ ๋‚˜์•„๊ฐ€์•ผ ํ•  ๋ฐฉํ–ฅ์— ๋Œ€ํ•œ ๊ฐ€์ด๋“œ๋ผ์ธ์„ ์ œ์‹œํ•˜๋Š” ๊ฒƒ์„ ๋„์šธ ์ˆ˜ ์žˆ์—ˆ๋‹ค๋Š” ๋ฐ์— ๊ทธ ์˜๋ฏธ๊ฐ€ ์žˆ๋‹ค. ๋˜ํ•œ ํŠน์ • ๊ฐ€์กฑ์นœํ™”์ œ๋„์˜ ๋„์ž…์ด๋‚˜ ์‹œํ–‰์— ์„ฑ๊ณตํ–ˆ๋‹ค๊ณ  ํ•˜์—ฌ ๋ชจ๋‘ ์กฐ์ง์›๋“ค์—๊ฒŒ ์œ ์˜๋ฏธํ•œ ์˜ํ–ฅ์„ ๋ฏธ์น˜๋Š” ๊ฒƒ์ด ์•„๋‹ˆ๋ผ๋Š” ๊ฒƒ์„ ๋ฐํ˜€๋ƒˆ๋‹ค. ์ด๋Š” ๊ฐ€์กฑ์นœํ™”์ œ๋„์˜ ์œ ๋ฌด๋‚˜ ๋„์ž… ๊ทธ ์ž์ฒด์—๋งŒ ๋งŒ์กฑํ•  ๊ฒƒ์ด ์•„๋‹ˆ๋ผ, ์ผ๊ณผ ๊ฐ€์ •์˜ ์„ฑ๊ณต์ ์ธ ๋ณ‘ํ–‰๊ณผ ๊ทธ๋กœ ์ธํ•œ ์กฐ์ง์›์˜ ์ง๋ฌด ๋ชฐ์ž…๋„ ํ–ฅ์ƒ ๋ฐ ์‚ฌ๊ธฐ ์ง„์ž‘ ๋“ฑ ์ถ”๊ฐ€์ ์ธ ์„ฑ๊ณผ๋ผ๋Š” ์„ฑ๊ณต์ ์ธ ํšจ๊ณผ๋ฅผ ๊ธฐ๋Œ€ํ•˜๊ธฐ ์œ„ํ•ด์„œ๋Š” ์ดํ›„์—๋„ ์ง€์†์ ์ธ ์—ฐ๊ตฌ์™€ ์‚ฌํ›„ ๋ถ„์„, ์น˜๋ฐ€ํ•œ ๊ด€๋ฆฌ๊ฐ€ ํ•„์š”ํ•จ์„ ๋œปํ•œ๋‹ค. ๋งˆ์ง€๋ง‰์œผ๋กœ ์ง์žฅ๋ณด์œก์‹œ์„ค ์ œ๋„๋‚˜ ์ถœ์‚ฐ์ „ํ›„ํœด๊ฐ€ ์ œ๋„๋ณด๋‹ค ์œก์•„๊ธฐ ๊ทผ๋กœ์‹œ๊ฐ„ ๋‹จ์ถ•์ œ๋„๊ฐ€ ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž๋“ค์˜ ์กฐ์ง ๋™์ผ์‹œ์— ๋” ์‹คํšจ์„ฑ์ด ์žˆ๋‹ค๋Š” ๊ฒ€์ฆ ๊ฒฐ๊ณผ๋ฅผ ํ† ๋Œ€๋กœ ํ•˜์—ฌ, ๊ทผ๋ฌด ์‹œ๊ฐ„ ๋™์•ˆ์—๋„ ๊ทผ๊ฑฐ๋ฆฌ์— ๋Œ๋ณด์•„์•ผ ํ•˜๋Š” ์•„๋™์ด ์žˆ๊ฒŒ ํ•˜๊ฑฐ๋‚˜ ์•„์˜ˆ ์ผ์ • ๊ธฐ๊ฐ„ ๋™์•ˆ ๊ทผ๋ฌด ํ™˜๊ฒฝ์—์„œ ์ดํƒˆํ•  ์ˆ˜ ์žˆ๊ฒŒ ํ•˜๋Š” ๊ฒƒ๋ณด๋‹ค๋Š” ์ •ํ•ด์ง„ ์ผ์ • ๋ฒ”์œ„ ์•ˆ์—์„œ ์œก์•„๋ฅผ ์œ„ํ•ด ์œ ์—ฐํ•˜๊ฒŒ ๊ธฐ์กด๋ณด๋‹ค ๊ทผ๋ฌด ์‹œ๊ฐ„์„ ๋‚ฎ์ถœ ์ˆ˜ ์žˆ๊ฒŒ ํ•˜๋Š” ๊ฒƒ์ด ๋” ๊ธฐ๋Œ€์— ์ ํ•ฉํ•  ์ˆ˜ ์žˆ์Œ์„ ์‹œ์‚ฌํ•˜์˜€๋‹ค.Focusing on the level of perception on the availability of the family-friendly system, this study explored the effect of the family-friendly system on male managers' organizational commitment. Through this study, we would like to find factors that can further improve the organizational commitment of male managers, and present a solution for dual pursuit of work and family and suggest useful implications for organizational management at the same time. In this study, we verified two hypotheses mentioned below through multiple regression analysis; The more male managers perceive that the family-friendly system at the current workplace is highly available, the higher the intensity of their equating workplace problems with his own problems. The more male managers perceive that the family-friendly system at the current workplace is highly available, the lower their turnover intention. As a result of empirical analysis, it was found that the perception on the availability of only a few family-friendly systems provided at the workplace or national level had a significant positive effect on male managers' organizational commitment. In detail, the higher the level of perception on the availability of only one systems, such as working time reduction system during the childcare period, the more the degree of organizational identification of male managers were likely to increase. But the degree of perception on the availability of other systems, such as the maternity leave system (including the leave of spouse) before and after the childbirth, the workplace childcare facility system, was found to have no significant positive effect on organizational commitment such as organizational identification and intensity of turnover intention. The empirical analysis of this study aimed to verify the effect of the family-friendly system on organizational commitment of male managers using the degree of their perception on the availability of the family-friendly system as an independent variable, which had not been analyzed in previous studies. This study is significant in the sense that we were able to help present guidelines for the future direction of the family-friendly system, which can be more appealing and effective for men, the policy target groups. In addition, it was also revealed in this study that even if a specific family-friendly system was successfully introduced or implemented, it does not mean that every one of them had a significant effect on the members of organization. This indicates that we should not be just satisfied with the existence or introduction of a family-friendly system, but we are in need of continuous research, follow-up analysis, and meticulous management of the family-friendly system in order to expect successful effects such as dual pursuit of work and family, improvement in job immersion of organization members, and boost of their morale. Finally, it was also revealed in this study that the reduced working hour system during childcare are more effective for male managers' organizational identification than the maternity leave system or workplace childcare facilities. It was also found in this study that flexibly reducing working hours to a certain extent for childcare may be more in line with their expectations than allowing the male mangers to keep away from their work completely for a certain period of time or leaving their children in near distances they have to care for even during working hours.์ œ 1 ์žฅ ์„œ ๋ก  1 ์ œ 1์ ˆ ์—ฐ๊ตฌ์˜ ๋ฐฐ๊ฒฝ, ๋ชฉ์  ๋ฐ ํ•„์š”์„ฑ 1 ์ œ 2 ์žฅ ์ด๋ก ์  ๋…ผ์˜์™€ ์„ ํ–‰์—ฐ๊ตฌ ๊ฒ€ํ†  5 ์ œ 1 ์ ˆ ์ด๋ก ์  ๋…ผ์˜ 5 1. ๊ฐ€์กฑ์นœํ™”์ œ๋„ 5 2. ์กฐ์ง ๋ชฐ์ž… 7 3. ์‚ฌํšŒ์  ๊ตํ™˜๊ด€๊ณ„ 9 ์ œ 2 ์ ˆ ์„ ํ–‰์—ฐ๊ตฌ ๊ฒ€ํ†  10 1. ์ผ๊ณผ ๊ฐ€์ •์˜ ๋ณ‘ํ–‰์˜ ์–ด๋ ค์›€ 10 1) ์›Œ๋ผ๋ฐธ 10 2) ์‚ฌํšŒ์  ์ง€์›๊ณผ ๊ธฐ์—… ์ธ์‹ ๋ณ€ํ™”์˜ ํ•„์š”์„ฑ 11 3) ๊ตญ๊ฐ€์  ์ฐจ์›์—์„œ์˜ ๊ฐ€์กฑ์นœํ™”์ œ๋„ ๋„์ž… ๋ฐ ์ ‘๊ทผ์— ๋Œ€ํ•œ ํ•„์š”์„ฑ 12 2. ์กฐ์ง ๋ชฐ์ž… 15 3. ์‚ฌํšŒ์  ๊ตํ™˜์ด๋ก  18 4. ๋‚จ์„ฑ๊ณผ ๊ฐ€์กฑ์นœํ™”์ œ๋„ ์‚ฌ์šฉ๊ฐ€๋Šฅ๋„์— ๋Œ€ํ•œ ๊ณ ์ฐฐ ํ•„์š”์„ฑ 22 5. ์„ ํ–‰์—ฐ๊ตฌ์˜ ๊ฒ€ํ†  ๋ฐ ์‹œ์‚ฌ์  ๋„์ถœ 26 1) ๋‚จ์„ฑ ๊ด€๋ฆฌ์ž์˜ ์กฐ์ง๋ชฐ์ž…๊ณผ '๊ฐ€์กฑ์นœํ™”์ œ๋„ ์‚ฌ์šฉ๊ฐ€๋Šฅ๋„์˜ ์ธ์‹ ์ •๋„'์˜ ๊ด€๊ณ„์— ๋Œ€ํ•œ ์—ฐ๊ตฌ ํ•„์š”์„ฑ 26 2) '๋‚จ์„ฑ' ๊ด€๋ฆฌ์ž์˜ ์กฐ์ง๋ชฐ์ž…๊ณผ ๊ฐ€์กฑ์นœํ™”์ œ๋„ ์‚ฌ์šฉ๊ฐ€๋Šฅ๋„์˜ ์ธ์‹ ์ •๋„์˜ ๊ด€๊ณ„์— ๋Œ€ํ•œ ์—ฐ๊ตฌ ํ•„์š”์„ฑ 28 3) ์กฐ์ง ๋ชฐ์ž…: ์กฐ์ง ๋™์ผ์‹œ ๋ฐ ์ด์ง ์˜ํ–ฅ 30 ์ œ 3 ์žฅ ์—ฐ๊ตฌ์˜ ์„ค๊ณ„ 36 ์ œ 1 ์ ˆ ์—ฐ๊ตฌ์ž๋ฃŒ์™€ ๋ณ€์ˆ˜ 36 1. ์—ฐ๊ตฌ์ž๋ฃŒ 36 2. ๋ณ€์ˆ˜ 37 1) ๋…๋ฆฝ๋ณ€์ˆ˜ 37 2) ์ข…์†๋ณ€์ˆ˜ 38 3) ํ†ต์ œ๋ณ€์ˆ˜ 39 ์ œ 2 ์ ˆ ์—ฐ๊ตฌ์˜ ๊ฐ€์„ค 42 ์ œ 3 ์ ˆ ์—ฐ๊ตฌ์˜ ๋ถ„์„์ž๋ฃŒ ๋ฐ ๋ถ„์„๋Œ€์ƒ 45 1. ๋ถ„์„์ž๋ฃŒ 45 2. ๋ถ„์„๋Œ€์ƒ 46 ์ œ 4 ์ ˆ ๋ถ„์„๋ฐฉ๋ฒ• ๋ฐ ๋ถ„์„ํ‹€, ๋ถ„์„๋ชจํ˜• 47 ์ œ 4 ์žฅ ๋ถ„์„ ๊ฒฐ๊ณผ 50 ์ œ 1 ์ ˆ ๊ธฐ์ดˆํ†ต๊ณ„๋ถ„์„ 50 1. ํ†ต์ œ๋ณ€์ˆ˜์˜ ๊ธฐ์ดˆ ํ†ต๊ณ„๋Ÿ‰ 50 1) ๊ฐœ์ธ๋ณ€์ˆ˜ 50 2) ๊ฐ€์กฑ๋ณ€์ˆ˜ 51 3) ๊ทผ๋กœ์กฐ๊ฑด๋ณ€์ˆ˜ 52 4) ์กฐ์ง๋ณ€์ˆ˜ 53 2. ๋…๋ฆฝ๋ณ€์ˆ˜์˜ ๊ธฐ์ดˆ ํ†ต๊ณ„๋Ÿ‰ 54 3. ์ข…์†๋ณ€์ˆ˜์˜ ๊ธฐ์ดˆ ํ†ต๊ณ„๋Ÿ‰ 56 ์ œ 2 ์ ˆ ๋‹ค์ค‘ํšŒ๊ท€๋ถ„์„ 57 1. ์ƒ๊ด€๊ด€๊ณ„ ๋ถ„์„ ๊ฒฐ๊ณผ 57 2. ๋‹ค์ค‘ํšŒ๊ท€ ๋ถ„์„ ๊ฒฐ๊ณผ 61 1) ๋…๋ฆฝ๋ณ€์ˆ˜๊ฐ€ ์กฐ์ง ๋™์ผ์‹œ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ(๊ฐ€์„ค 1) 61 2) ๋…๋ฆฝ๋ณ€์ˆ˜๊ฐ€ ์ด์ง ์˜ํ–ฅ์— ๋ฏธ์น˜๋Š” ์˜ํ–ฅ(๊ฐ€์„ค 2) 67 ์ œ 3 ์ ˆ ๊ฐ€์„ค์˜ ๊ฒ€์ฆ ๊ฒฐ๊ณผ 73 ์ œ 5 ์žฅ ๊ฒฐ๋ก  76 ์ œ 1 ์ ˆ ์—ฐ๊ตฌ์˜ ์š”์•ฝ 76 ์ œ 2 ์ ˆ ์—ฐ๊ตฌ์˜ ์˜์˜ ๋ฐ ์‹œ์‚ฌ์  79 ์ œ 3 ์ ˆ ์—ฐ๊ตฌ์˜ ํ•œ๊ณ„ ๋ฐ ์•ž์œผ๋กœ์˜ ์—ฐ๊ตฌ๊ณผ์ œ 83 ์ฐธ ๊ณ  ๋ฌธ ํ—Œ 85 Abstract 94 ๊ฐ์‚ฌ์˜ ๊ธ€ 97์„

    The role of radiotherapy in the management of POEMS syndrome.

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    BACKGROUND: POEMS syndrome is a paraneoplastic syndrome caused by an underlying plasma cell proliferative disease. In this study, we examined the treatment outcomes and role of radiotherapy in the management of POEMS syndrome. METHODS: In total, 33 patients diagnosed with POEMS syndrome were analyzed. These patients presented with osteosclerotic myeloma (OSM, n = 13), Castleman's disease (CD, n = 4), OSM with CD (n = 10), and vascular endothelial growth factor elevation without gross lesions (VEGFe, n = 6), respectively. The patients were treated by radiotherapy alone (n = 4), chemotherapy alone (n = 16), or a combination thereof (n = 9). RESULTS: The clinical response rates of radiotherapy, chemotherapy, and radiotherapy plus chemotherapy were 75%, 69%, and 89%, respectively. In addition, the hematologic response rates were 50%, 69%, and 71%, respectively. Among the six patients with limited multiple lesions who underwent radiotherapy, the clinical symptoms were improved in five patients after radiotherapy. The median progression-free survival (PFS) was 51 months, and the median overall survival (OS) was 65 months. In univariate analysis, the administration of chemotherapy was significantly associated with better PFS (p = 0.007) and OS (p = 0.020). In contrast, underlying VEGFe was a significant factor worsening PFS (p = 0.035) and OS (p = 0.008). CONCLUSIONS: Radiotherapy produces a reliable clinical response and is effective in improving POEMS-associated symptoms that are refractory to chemotherapy in selected patients with clustered or limited multiple lesions that can be covered by single radiation field.ope
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