• Title/Summary/Keyword: 동집단

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Quantity over Quality? Perception of Designating Long-Term Care Hospitals as Providers of Hospice and Palliative Care

  • Kim-Knauss, Yaeji;Jeong, Eunseok;Sim, Jin-ah;Lee, Jihye;Choo, Jiyeon;Yun, Young Ho
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.145-155
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    • 2019
  • Purpose: Amendment to the Act on Decisions on Life-sustaining Treatment was recently enacted to designate long-term care hospitals as providers of hospice and palliative care. Despite its benefit of providing improved accessibility to end-of-life care, the amendment has raised concerns about its effect on quality of service. This study aimed to use information obtained from an expert group interview and previous studies to compare how cancer patients, family caregivers, physicians, and the general Korean population perceive the potential benefits and risks of this amendment. Methods: We conducted a multicenter cross-sectional study from July to October 2016. The included participants answered a structured questionnaire regarding the extent to which they agree or disagree with the questionnaire items indicating the potential benefits and risks of the amendment. Chi-square tests and univariate and multivariate logistic regression analyses were performed. Results: Compared with the general population, physicians agreed more that long-term care hospitals are currently not adequately equipped to provide quality hospice and palliative care. Family caregivers found improved access to long-term care hospitals more favorable but were more likely to agree that these hospitals might prioritize profits, thereby threatening the philosophy of hospice care, and that families might cease to fulfill filial responsibilities. Compared with the general population, cancer patients were more concerned about the potentially decreased service quality in this setting. Conclusion: Although potential service beneficiaries and providers expected improved accessibility of hospice and palliative care services, they were also concerned whether the system can provide adequate quality of end-of-life care.

Associations of Social Participation and Trust with Suicidal Ideation and Attempt in Communities with High Mortality (사망률이 높은 지역사회에서 사회적 참여와 신뢰의 자살 생각 및 시도와 연관성)

  • Ha, Mi-Oak;Kim, Jang-Rak;Jeong, Baekgeun;Kang, Yune-Sik;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.38 no.2
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    • pp.116-129
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    • 2013
  • Objectives: This study was performed to identify the associations of social capital with suicidal thoughts and attempts in Korean communities with poor health. Methods: We used the data from community health interviews conducted at 40 administrative sections (dong, eup, or myeon) with high mortality from August to October in 2010, 2011, and 2012 as part of the Health Plus Happiness Plus Projects in Gyeongsangnam-do Province. The 8,800 study subjects composed of 220 adults systematically sampled from each administrative section were asked if they had thought about suicide or had attempted suicide within 1 year. The social participation was measured with 'participation in formal and/or informal group' and trust using responses to three questions about trust of others. Results: The prevalence of suicidal ideation and attempt within 1 year were 10.4% and 0.8%, respectively. The logistic regression analysis revealed that those who participated in only informal groups, or had highest trust level reported less suicidal ideation, or attempt after adjusting for socio-demographic factors (sex, age, marital status, occupation, and food affordability), self-rated health, and health behaviors (smoking, alcohol drinking, and exercise). Conclusions: This study suggested social capital such as social participation and trust was associated with less suicide ideation and attempt. More studies are warranted for the association of social capital with suicidal behavior.

Development of smart education-based teaching and learning plans and a smart textbook for 'healthy diet and meal plans' unit in 「Technology·Home Economics」 (중학교 「기술·가정」의 '건강한 식생활과 식사 구성' 단원에 적용한 스마트 교수·학습 과정안과 교재 개발)

  • Choi, Song Eun;Chae, Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.26 no.4
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    • pp.85-114
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    • 2014
  • The main purpose of this study was to develop teaching and learning plans and a smart textbook for food and nutrition education in Home Economics focusing on 'healthy diet and meal plans' unit in "Technology home Economics" textbooks for 7th graders to evaluate the effectiveness of the instruction conducted with the smart textbook. The content of the study to achieve the purpose is as follows: First, design a smart education-based teaching and learning curriculum for food and nutrition education in Home Economics, focusing on 'healthy diet and meal plans' unit. Second, develop a smart textbook for food and nutrition education based on the teaching and learning curriculum, using a smart content authoring tool. Third, evaluate the effectiveness of the instruction after applying the curriculum in real classroom situations. The results of this study were as follows: First, teaching and learning plans and materials were developed for two units, 'issues regarding teenagers' diet' and 'implementation of a healthy and balanced diet', under 'teenagers' life'. The first unit, 'issues regarding teenagers' diet', dealt with topics such as teenagers' dietary behaviors, nutrition, and health. Learning objectives for this unit were to help students identify and evaluate their own dietary behaviors. The second unit, 'implementation of a healthy and balanced diet', encouraged students to diagnose problems with their diet and plan nutrient rich meals. The objectives for this unit were to help students implement a healthy and balanced diet by providing them with nutrition and dietary guidelines for Koreans, sample meal plans, and guidelines for developing healthy eating habits for teenagers. In order to develop a teaching and learning plans to achieve these objectives, teaching and learning materials including inquiry tasks, materials for group activities, multimedia, applications and various pop-up learning materials were developed. Second, a smart textbook using DocZoom, which was a smart content authoring tool was developed. The textbook dealt with issues regarding teenagers' diet and implementation of a healthy and balanced diet. Multimedia material used in the textbook come from the Ministry of Food and Drug Safety's food and nutrition education web sites and other sources. To develop student-oriented material, relevant video clips were added to the smart textbook to motivate students and enhance their interest in the course. Third, the outcome of this study indicated that the instruction using teaching and learning plans and learning materials with the smart textbook was effective for enhancing students' interest in Home Economics classes (t-value=-3.99, p<.001), creating enthusiasm for learning(t-value = -2.61, p<.05), encouraging self-directed and independent learning(t-value = -4.77, p<.001), and improving students' interest in food and nutrition courses(t-value = -3.83, p<.001). The students' evaluation of the instruction were as follows: the instruction using teaching and learning plans and learning materials with smart textbooks, instead of paper textbooks, helped them save time looking for learning materials; students evaluated that it was easier for them to see and understand video clips and charts. In addition, most students answered that instruction with smart textbooks were more fun and convenient, and they agreed that the courses enhanced their learning experience.

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Analyzing Heart Rate Variability for Automatic Sleep Stage Classification (수면단계 자동분류를 위한 심박동변이도 분석)

  • 김원식;김교헌;박세진;신재우;윤영로
    • Science of Emotion and Sensibility
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    • v.6 no.4
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    • pp.9-14
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    • 2003
  • Sleep stages have been useful indicator to check a person's comfortableness in a sleep, But the traditional method of scoring sleep stages with polysomnography based on the integrated analysis of the electroencephalogram(EEG), electrooculogram(EOG), electrocardiogram(ECG), and electromyogram(EMG) is too restrictive to take a comfortable sleep for the participants, While the sympathetic nervous system is predominant during a wakefulness, the parasympathetic nervous system is more active during a sleep, Cardiovascular function is controlled by this autonomic nervous system, So, we have interpreted the heart rate variability(HRV) among sleep stages to find a simple method of classifying sleep stages, Six healthy male college students participated, and 12 night sleeps were recorded in this research, Sleep stages based on the "Standard scoring system for sleep stage" were automatically classified with polysomnograph by measuring EEG, EOG, ECG, and EMG(chin and leg) for the six participants during sleeping, To extract only the ECG signals from the polysomnograph and to interpret the HRV, a Sleep Data Acquisition/Analysis System was devised in this research, The power spectrum of HRV was divided into three ranges; low frequency(LF), medium frequency(MF), and high frequency(HF), It showed that, the LF/HF ratio of the Stage W(Wakefulness) was 325% higher than that of the Stage 2(p<.05), 628% higher than that of the Stage 3(p<.001), and 800% higher than that of the Stage 4(p<.001), Moreover, this ratio of the Stage 4 was 427% lower than that of the Stage REM (rapid eye movement) (p<.05) and 418% lower than that of the Stage l(p<.05), respectively, It was observed that the LF/HF ratio decreased monotonously as the sleep stage changes from the Stage W, Stage REM, Stage 1, Stage 2, Stage 3, to Stage 4, While the difference of the MF/(LF+HF) ratio among sleep Stages was not significant, it was higher in the Stage REM and Stage 3 than that of in the other sleep stages in view of descriptive statistic analysis for the sample group.

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A Survey on the Attitude of Grade-schoolers Without Disabilities Toward Children With Disabilities (초등학교 고학년 학생의 장애아동에 대한 인식 조사)

  • Kim, Bo-Ram;Kim, Ho-Young;Son, You-Ra;Oh, Jin-Ju;Yoon, Seul-Ki;Lee, Hyo-Jeong;Chang, Moon-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.1
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    • pp.1-9
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    • 2011
  • Objective : The purpose of this study was to investigate attitude of grade-schoolers toward children with disabilities. Methods : The subjects of this study were grade-schoolers who have not received an inclusive education in Gim-hae. The study was surveyed from October second to 17th in 2008. The survey was categorized into three parts; comradeship, activity, and study. Each part of the survey consists of 10 questions. Data were analyzed by SPSS (version 12.0). Results : The results were as follows; First, the attitude of girls toward disabled students was non-significant compared to boys. Second, the order of attitude degree in grade of students was 4, 6, and 5. The attitude toward children with disabilities showed statistically significant difference according to grade(F=3.546, p<0.05). Third, the attitude of students who have experience of contact with people with disabilities was non-significant compared to non-experienced students. Conclusion : In conclusion, therefore peer groups in lower class levels showed more positive attitude toward the children with disabilities. The result will be useful information for understanding disabled children and making positive attitude. Also it is expected that occupational therapists help disabled children to participate in school life successfully using these information.

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The Development of Web-Based Ventilator Management Education Program (웹기반 '인공호흡관리' 교육프로그램 개발)

  • Choi, Young-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5284-5291
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    • 2012
  • This research is to develop the Web-Based Ventilator Management Education Program that reflects the needs of nursing site nursing which is intended to help nursing duties. ISD model-building process has been developed for the analysis, design, development, operation, and evaluation of methods. The education program was developed from April to July 2011, and SPSS 18.0 was used for data analysis. The analysis stage, document review and requirement analysis, content analysis, learner analysis, technology and environment analysis have been executed. Through the processes, higher education requirements for the practical ventilator, a large number of subjects under the age of 30, and the career of less than 3 years of ICU were searched. At the design stage, the education content that was presented by the content expert group was executed in information design, mutual interaction design, synchronization design through discussion with program experts. At the development stage, author made the story flow and gathered data and integrated it through the review of related document and data. At the operation and evaluation stage, author executed the developed program and revised and supplemented it on the basis of the evaluation results through the experts and subjects evaluation. The Web-Based Ventilator Management Education Program could contribute to the improvement of nursing because the program has been developed to reflect the diverse needs of nursing practice in the process of building program.

Data-Driven Approach to Identify Research Topics for Science and Technology Diplomacy (과학외교를 위한 데이터기반의 연구주제선정 방법)

  • Yeo, Woon-Dong;Kim, Seonho;Lee, BangRae;Noh, Kyung-Ran
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.216-227
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    • 2020
  • In science and technology diplomacy, major countries actively utilize their capabilities in science and technology for public diplomacy, especially for promoting diplomatic relations with politically sensitive regions and countries. Recently, with an increase in the influence of science and technology on national development, interest in science and technology diplomacy has increased. So far, science and technology diplomacy has relied on experts to find research topics that are of common interest to both the countries. However, this method has various problems such as the bias arising from the subjective judgment of experts, the attribution of the halo effect to famous researchers, and the use of different criteria for different experts. This paper presents an objective data-based approach to identify and recommend research topics to support science and technology diplomacy without relying on the expert-based approach. The proposed approach is based on big data analysis that uses deep-learning techniques and bibliometric methods. The Scopus database is used to find proper topics for collaborative research between two countries. This approach has been used to support science and technology diplomacy between Korea and Hungary and has raised expectations of policy makers. This paper finally discusses aspects that should be focused on to improve the system in the future.

The Effects of Individual Characteristics and Entrepreneurship on Entrepreneurial Intentions: Moderating effect of Hofstede's Cultures Dimensions (개인 특성 및 기업가정신이 창업의도에 미치는 영향: 홉스테드 문화특성의 조절 효과를 중심으로)

  • Oh, Hae Dong;Choi, Jiyeon;Noh, Jeon Pyo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.2
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    • pp.35-48
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    • 2016
  • Individual characteristics and entrepreneurship are important factors to determine entrepreneurial intentions. Despite this, little attention has been given to external factors, which effects to venture start-up decision. This study examines the relationship between individual characteristics and entrepreneurship by moderating effect of Hofstede's cultures dimensions theory. For this, 244 copies of the questionnaire were empirically analyzed. According to the results of analysis, internal locus of control, self-efficacy were found to have positive effects on autonomy, innovativeness, pro-activeness. In addition, uncertainty avoidance of Hofstede's cultures dimensions theory were found the moderating effects on entrepreneurship and entrepreneurial intentions. Therefore, this study suggests theoretical and practical implications, as below, according to the results. Firstly, pro-activeness take a important part on venture start-up. Thus, venture start-up institution and venture managers need to develop "venture education curriculum" that fostering the pro-activeness mind of entrepreneur. Secondly, In order to anticipate entrepreneurial intentions more precisely, analyzing the interaction between environmental variables and individual variables is desirable. Lastly, in the future study of entrepreneurship, the comprehensive analysis of correlation between the factors that including three factors of entrepreneurship is need to be conducted and more effective way of readdressing the entrepreneurship is necessary.

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Effects of Music Therapy on the Anxiety of Patients who Take the Magnetic Resonance Imaging(MRI) Test (음악요법이 자기공명영상(MRI) 검사시 환자의 불안에 미치는 영향)

  • Jeon, Byeong-Kyu;Yeo, Jin-Dong
    • The Journal of the Korea Contents Association
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    • v.11 no.6
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    • pp.289-301
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    • 2011
  • This study is a research based on the non-equivalent control group pretest-posttest design whose purpose is to examine the effects of music therapy on the anxiety of patients who take the magnetic resonance imaging(MRI) test and their feeling of discomfort during the test. "The first hypothesis that the experimental group who receive music therapy will be lower in score for anxiety during the MRI test than the control group who do not was supported because after the therapy, the experimental group was found significantly decreased in that score in comparison to the control group. "The second hypothesis that the experimental group who receive music therapy will be fewer in vital signs after the MRI test than the control group who do not" was rejected in terms of both systolic and diastolic blood pressure. But the same hypothesis was partially supported because the two groups showed a significant difference in pulse rate after the test. "The third hypothesis that the experimental group who receive music therapy will be less in the feeling of subjective discomfort during the MRI test than the control group who do not" was verified to find that the two groups were significantly different from each other in the feeling. Specifically, there was a significant difference between the two groups in only one sub-area of that feeling, that is, tension. These findings suggest that music therapy could be an alternative method which can effectively reduce the state anxiety of patients during the magnetic resonace imaging(MRI) test.

A Rhetoric of Naming in Korean Newspapers: A Socio-Constructive Meaning of the 'Split of National Opinion' As an Ultimate Term (한국 신문 속 명명하기의 수사학: 승부수 언어(ultimate term)로서의 '국론 분열'의 사회구성적 의미)

  • NamGung, Eun-Jeong;Shin, Seong-Gene;Lee, In-Hee
    • Korean journal of communication and information
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    • v.43
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    • pp.314-358
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    • 2008
  • This study examined how the meaning of news stories covering the split of national opinion was constructed in the media to represent social conflicts. To clarify the function of the term 'split of national opinion' as an ultimate term, this study examined the meaning of the term in the context of both text and society. Ten newspapers were included in the content analysis. The frequency of words used for the purpose of metaphor and equivalent in describing the split of national opinion was calculated to determine their meaning in the textual context. The frequency of incidents and subjects involved in allegedly causing the split of national opinion was calculated to determine their meaning in the social context. The results of this study are summarized as follows: First, the term 'split of national opinion' was coined by the newspapers as a metaphor of disease, disaster, and cost. The attitudes or the ways in which the split of national opinion was dealt with were generally negative and passive. Second, the term 'split of national opinion' was dealt with an equivalent status of such terms as national policy, national loss, societal problems, and ideology. Third, each newspaper reported that the split of national opinion had been caused by certain subjects, which indicates that each newspaper had its own position of viewing who was the key player in splitting the national opinion. The implication was also discussed that the use of the ultimate term would incur the unbalance of power between participants and the existing players, which would make individuals or groups who were involved in the social actions excluded and make the newspapers exercise the rhetorical power as news media.

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