• Journal of Hospice and Palliative Care
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• v.19 no.1
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• pp.26-33
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• 2016

Purpose: This study was conducted to identify clinical characteristics of oncologic patients at a point when they signed their do-not-resuscitate (DNR) orders. Methods: From January through December 2014, we retrospectively analyzed the records of 197 patients who passed away after agreeing to a DNR order in the hemato-oncology department of a tertiary hospital. Results: Of all, 121 patients (61.4%) were male and 76 (38.6%) were female, and their average age was 58.7 years. Ninety-four patients (47.7%) had gastrointestinal cancer. The ECOG performance status at admission was grade 3 in 76 patients (36.5%) and grade 4 in 11 (5.6%). The patients' mean hospital stay was 20 days. The mean duration from the admission to DNR decision was 13 days, and the mean duration from DNR decision to death was seven days. Conclusion: Study results indicate that a decision on signing or refusing a DNR order was made by medical staff mostly based on the opinions of patients' guardians rather than the patients themselves. This suggests that patients' own wishes are not well respected. Thus, it is urgent to establish institutional devices to enhance cancer patients' autonomy regarding DNR and to define an adequate timing for withdrawal of treatments.

• Journal of Digital Convergence
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• v.11 no.8
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• pp.219-225
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• 2013

The purpose of this study was to retrospectively investigate the contributing factors in facial soft tissue injuries among children. A record-based analysis was carried out on 126 patients with facial lacerations who visited I hospital in the dept of plastic surgery from April 2010 to May 2011. Through all age group showed a significant difference in incidence rate for male and female.(p<.05). Overall, 49% of injuries occurred outdoors and the most frequent cause of injury was slip-down (42%), followed by being struck (40%). In general, the frequency of injuries peaked summer(30.2%) and increased between 12pm and 4pm. 105 patients (83.3%) arrived at the emergency room within an hour. The forehead(26%) was the most commonly injured area. The depth of soft tissue injuries was mostly subcutaneous(54%), and 1~2cm was the length of injury with the highest incidence(46%). Most children (40%) needed local anesthesia and only 4 children (1.53%) suffered associated fractures. Facial injuries require special attention because of their potential threat in inducing permanent scar or disfigurement. For the safety of children, the preventive measures to reduce facial soft tissue injuries must be improved.

• International Commerce and Information Review
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• v.15 no.3
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• pp.387-409
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• 2013

Since 1990s, more and more enterprises outsource the logistics to reduce the cost and improve core competence, which bring the prosperity of 3PL, industry in China. However, some data shows that the service quality of 3PL is not good enough, there is only a few companies that can provide systematic service, and the satisfaction of the customer is very low. Besides, many enterprises choose 3PL service provider mainly based on the price. Although there are many papers on the logistics service quality, they mainly research on single part, Studies on the relation between the service quality and the partnerships of outsourcing are scarce. Therefore, this study tries to research the service quality, partnership and the relationship between them in China's 3PL industry systematically. On the foundation of the service quality and partnership theories by former researchers, taking present situation of China's 3PL industry into consideration, this paper constructs service quality and the partnership evaluation system and develops LSQ-PP model to examine the relation between the service quality and partnership. and then use the Structural Equation Model (SEM) to analysis the full sample of collected questionnaires. Finally, the thesis summarizes the conclusion and offers suggestions for practice and future research.

• Child Health Nursing Research
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• v.19 no.4
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• pp.262-269
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• 2013

Purpose: The aims of this study is to analysis the effects of obesity management programs for children and to measure the differences in the effects by type and dependent variables in order to analyze the structures of the programs. Methods: Sixty-one peer-reviewed journals including child obesity and intervention studies published between 2000 and 2010 were included for meta-analysis. Effect size and statistics of homogeneity were by STAT 10.0. Results: A total of 61 studies were used in the analysis, and the effect size of the independent studies was determined to be -0.23 (95% CI, -0.32 ~ -0.15). Serum Leptin and Insulin were the big effect size among the studies that used dependent variables. The theses used in the research did not display publishing bias. Conclusion: Obesity management programs that have been confirmed to be effective need to be developed into regional protocols. A continuous control of obese children and research for effective intervention program are in need.

• Child Health Nursing Research
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• v.19 no.4
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• pp.282-290
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• 2013

Purpose: The purpose of this study was to analyze life respect-related content in the 7th to 10th grade textbooks of middle and high schools. Methods: Sixty two textbooks adopted as middle and high school textbooks were analyzed for content on life respect. Results: There were 6 categories related to life respect content in the 7th to 9th grade textbooks ("prevention of accidents and the first-aid", "mental health", "sex and health", "prevention of drug abuse, smoking and drinking", "normal life and health", and "society and health"). Content on life respect in the 10th grade textbooks was categorized as "drug abuse, smoking, drinking, and health", "sex and health", "mental health", "life science and treating human life too lightly", "normal life and health", and "society and health". Conclusion: Content on life respect attached importance to more practical issue such as prevention of violence and suicide rather than fundamental understanding about self and life. These results suggest that the content on life respect should help adolescents find their own values and meaning of life within the concept of coexistence.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2310-2319
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• 2014

The study was to investigate the multicultural attitude of nursing students and non-nursing major students. And it was explored influencing factors related with it. This study was used a descriptive comparative designed. Data were collected 3 universities in D city in from Nov. to Dec. in 2012. After receiving the agreement, 309 nursing students and 195 non-nursing major students were recruited. They were asked to fill in a self-reported questionnaire about multicultural attitude. The Korean version Munroe Multicultural Attitude Scale Questionnaire (MASQUE) was used. Cronbach's alpha were .85. Data were analyzed by SPSS 18.0. The mean score of multicultural attitude was 4.44 of 6 points(73%) in all participants. Nursing students' multicultural attitudes scores were equal to other college students'. The factors related to multicultural attitude were the experiences of having foreigner friends, going abroad, attending multicultural events, and contacting multicultural contents. The students who have cared foreign patients were not higher than others in nursing students group(t=.30, p=.76). For nursing students contacting foreigners in clinical practice, it doesn't make a differnce in multicultural attitude. The culturally empowering programs were needed for nursing students to improve multicultural attitudes.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.1953-1962
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• 2014

This study was conducted to identify the relationship between ego-resilience, anxiety and perceived stress. The participants were 500 students of nursing college located in K city, Korea. Data were collected from September, $9^{th}$ to $14^{th}$ 2013, and were analyzed by t-test, ANOVA, Pearson correlation coefficients. The result were as follows; 1) The mean scores were ego-resilience 3.36(0.50), anxiety 2.26(0.70) and stress 2.55(0.55). 2) Ego-resilience was significantly different according to gender, age, satisfaction for major, subjective career opportunity, subjective health. The score were higher at the male group than the female group, and the group who aged over 24 were higher than the group aged below 23. 3) Significant correlations were found between ego-resilience, anxiety and stress. Ego-resilience has negative relationship with level of anxiety(r=- .383, p<0.000) and perceived stress(r=- .454, p<0.000). While, the positive relationship were significant(r= .685, p<0.000) between level of anxiety and perceived stress. According to these result, ego-resilience promotion program is need to develop as a positive concept to adjust college life and nursing course.

• The Journal of the Korea Contents Association
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• v.14 no.4
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• pp.47-57
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• 2014

The horro movie which was released in 2003, was a box office hit drawing audiences totaling 3,140,000 people. Then, there were partial opinions that it was difficult to understand the content of the movie. However, it was most favorably received in the horror movies which were released before and after 2003. The 4 main characters in the movie are a family. The family conflicts begin as the dad has an affair. Muhyeon(the dad)'s infidelity leads his wife to kill herself. The suicide of the wife and mom again leads Suyeon(the younger sister) to be dead. At this moment, Suyeon's death is related to Eunju(the step mom). Sumi(the older sister) is deeply hurt by the fact that Eunju left her younger sister's death after she was dead. But at the same time, she realizes that she is also related to Eunju's act. And she felt guilty about her younger sister's death. Eunju was also hurt by Sumi's biting remarks. However, she feels guilty about the fact that she made Suyeon be dead. Director Jiun Kim said in the interview when it was released, "this movie is about hurts and guilt among families." These hurts and guilt are expressed by horror images that imagination and reality are mixed. Hurts are expressed by virtual images and guilt is done by real images. This paper presented still pictures which explain the virtual and real images and examined what hurts and guilt mean. And it described the symbolic meanings of three media which cause conflicts among main characters.

• Journal of The Korean Association For Science Education
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• v.34 no.2
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• pp.55-62
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• 2014

This study is to reclassify the classifications or definitions of scientific literacy in scientific literacy researches since 1960s and grasp the classification trends of scientific literacy definitions. Sixteen articles have been selected among the articles that have been introduced in the two articles. Classification criteria are as follows: 1) "be learned," "competence," or "be able to function in society" as meanings of "literate," 2) "terms" or "description" as the ways of representing scientific literacy, 3) "singular structure," "hierarchical structure," or "parallel structure" as the inner structure of scientific literacy definitions. The results of this study are as follows: First, hierarchical structures in scientific literacy have almost always accompanied "terms" representing scientific literacy and also accepted the hierarchy between "be learned" and "competence," but not the definition of scientific literacy as functioning in society. All parallel structures in scientific literacy have accompanied the definition as functioning in society. And singular structure almost always appears in researches based on the views of scientific literacy in relatively recent times. Second, researches who have used "terms" as ways of representing scientific literacy have increased. Based on the results in this study, the meanings of scientific literacy have been emphasized in view of the ability of playing a role in a social context as well as learning and competence these days. To meet this movement in scientific literacy actively, science education community should get out of traditional teaching and learning scientific concepts and give emphasis on application in various context and social role of science learners.

• Journal of The Korean Association For Science Education
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• v.34 no.2
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• pp.165-173
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• 2014

The purpose of this study is to investigate the stress factors experienced by science teachers and stress related to science teaching. To do these, I have developed the Science Teacher Stress Inventory, which consisted of 50 stress factors with subcategories such as student characteristics, teacher characteristics, school environment, administrative procedures, and conditions of service. 104 science teachers have participated in this questionnaire survey. Additionally, I got 109 stress cases related to science teaching from surveys of 25 science teachers. Results are as follows: first, stress from students characteristic and administrative procedures are perceived as having more stress factors than teacher characteristics, school environment, and conditions of service. Second, stress in affective domains such as students' low motivation in science and insincere class attitude is perceived as having more stress factors than stress in cognitive domain. Third, female science teachers are significantly more stressed than male science teachers. Fourth, students' low motivation and low understanding in science learning are the most stressful factors in stress related to science teaching. Fifth, science teachers feel more stress in evaluation such as experiment test and joint-set exam questions.