• Korean Journal of Psychosomatic Medicine
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• v.26 no.2
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• pp.172-178
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• 2018

Objectives : This study aimed to describe the use of over-the-counter (OTC) drugs and to identify predictors for their use in the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,099 subjects. Data regarding socio-demographic status, medical condition, cognition, mood disorder and use of OTC drugs were collected using self-administered questionnaire and from a specific semi-structured interview by a trained nurse. Data regarding use of OTC drugs were analyzed using descriptive statistics. Logistic regression analysis was applied to examine factors associated with the use of OTC drugs. Results : The use of OTC drugs were reported by 35.4% of the subjects. Analgesics (13.6%) was the most frequent drugs. Depression (OR=1.10, 95% CI=1.10-1.87) and comorbidities measured by cumulative illness rating scale (CIRS) (OR=1.08, 95% CI=1.03-1.12) were significantly associated with the use of OTC drugs in the elderly living alone. Conclusions : Depression and severity of underlying medical conditions could be a predictor of the use of OTC drugs in the elderly living alone. The clinicians should be vigilant regarding the potential use of nonprescription medications in the elderly.

• 한국노년학
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• v.36 no.3
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• pp.595-609
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• 2016

The purpose of this study was to test the effectiveness of an eight session self-management support program for improvement of patient activation, joint flexibility and health-related quality of life among medical aid beneficiaries with osteoarthritis. This study was part of a randomized and controlled research of a self-management support intervention. Participants were 60 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=30) or control group (n=30). The 8-session and tailored program led by a trained case manager with the patient-centered approaches and cognitive-emotional-behavioral skills. Analysis included change in scores, ${\chi}^2-test$, Fisher's exact test, t-test and ANCOVA. The results showed significant increase in patient activation, joint flexibility (shoulder and right knee) except health-related quality of life in the experimental group compared to the control group. The self-management support program indicated an effect on patient activation and joint flexibility. Further research is needed to examine the outcome in the long term(9 and 12-month follow up).

• Journal of the Korean Society of Marine Environment & Safety
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• v.25 no.1
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• pp.1-8
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• 2019

In December 2017, many collision accidents of small vessels, such as those between oil refineries and fishing boats, occurred near Yeonghung-do in Incheon. In order to prevent marine casualties from small vessels, the government is striving to improve the safety capabilities of ship operators by strengthening education and improving the working environment. They are providing education and refining training regulations for fishermen operating vessels under 5 tons. However, the situation includes certain vulnerabilities. In this study, we propose a collision prevention algorithm for small vessels using the Wireless Access in Vehicular Environments (WAVE) communication system, which is a new communication technique to prevent collisions with small ships. The collision avoidance algorithm used is based on DCPA/TCPA. Research analyses, simulation experiments and questionnaires have been conducted to define the criteria of DCPA/TCPA. As a result, the standard for DCPA was $8(L_a+L_b)$ and for TCPA was 2.5 min. Three different accident cases were selected, and this algorithm was applied to confirm alarm responses at certain times. This algorithm can provide information to the operators of small ships in advance to help them recognize potential collision situations.

• Korean Journal of Child Education & Care
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• v.19 no.2
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• pp.145-163
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• 2019

Objective: The purpose of this study was to systematically arrange previous ones on developmental effects of play in early childhood through a meta-analysis. Methods: For this purpose, the researchers searched for variety of databases and analyzed 110 studies, which were 90 graduate theses and 20 journals from 2005-2016. Results: First, the total developmental effect size of infant play was 1.21, with the effect size of the experimental group being 38.7% higher than that of the control group. The total developmental effect size was .81, however when inserted effect size was calculated, so it was supposed that the current effect size might be decreased, if missing studies were included. Second, effect size appears in all developmental areas, though actual effect size of sub-factors of child development tends to be mostly decreased: The fall in physical development fell down from 1.28 to .95 that emotional development was 1.42 to .86. The fall in social development was considerable from 1.13 to .85 that cognitive development was 1.19 to 1.07. In language development, it didn't change much. It stayed about the same as 1.30. The fall In creativity development stood at just below from 1.00 to .69. Third, effect size by moderating variables was examined to show that there were statistically significant difference in measurement, age, total number of training and types of activities between two groups. Conclusion/Implications: The results of this study have an implication, in that the study verified that infant play reflects and promotes child development and functions as a tool for developmental change, by illuminating effects of it child development.

• 한국노년학
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• v.37 no.2
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• pp.445-459
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• 2017

The purpose of this study is to provide a systematic review of the nonpharmacological interventions of ADL improvement for dementia published in foreign journals for the past 10 years, and to provide general information on nonpharmacological interventions and effective intervention methods to dementia expert in clinical practice. We searched published studies in the Medline Complete, PubMed Central, and Scopus databases from January 2007 to November 2016. The main keywords used "Dementia AND (ADL OR Activities of daily living) AND Nonpharmacological interventions" and total of 9 studies were selected for analysis from 974 searched articles. The level of evidence were belonged to 3 each studies in I~III level. The mostly provided nonpharmacological interventions were exercise, the study field was variety of areas including rehabilitation(occupational therapy, physical therapy), nursing, and psychology. The Barthel Index(BI) was most frequently used assessment tools to evaluate basic activities of daily living, Cognition was most dependent variables measured with the ADL. Through this study, we provided evidence for the understanding of nonpharmacological interventions of ADL improvement for dementia. In the future, based on this study, helpful intervention needed for ADL training.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.168-176
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• 2020

Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.

• Journal of Korea Entertainment Industry Association
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• v.15 no.4
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• pp.299-307
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• 2021

This study is a research study to identify the recognition, experiences, needs of convergence education in occupational therapy students. Therefore, it is intended to provide basic data when developing convergence subjects and non-regular programs within the occupational therapy (department) curriculum. From December 03, 2020, a web questionnaire consisting of 14 questions in 4 areas was distributed over a month, and the data of 130 people were finally analyzed. The results are as follows. First, the recognition and experiences of occupational therapy students in convergence education were low. Second, 57.7% of students recognized that occupational therapy majors need convergence education, and the expected effect of convergence education was 'improvement of occupational therapy job-related knowledge'. Third, it was recognized that 'natural science', 'prosthesis and assistive technology, activity of daily living(ADL)', and 'ADL training' convergence education was necessary for the students of occupational therapy department. The results of this study are expected to be used as basic data in the future development of occupational therapy curriculum and non-regular programs for convergence education. In the future, I think that the demand for convergence education and program development in preparation for the 4th industrial revolution will increase in the occupational therapy curriculum. It is expected that the data of this study will be used meaningfully by professors in charge of occupational therapy education at universities.

• Journal of the korean academy of Pediatric Dentistry
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• v.50 no.3
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• pp.252-262
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• 2023

The aim of this study was to evaluate the effectiveness of clinical trainings in improving empathy in dental students by analyzing changes in empathy level before and after clinical training. Third grade dental students at Jeonbuk National University (JBNU) participated for 2 years. They had clinical training for 3 weeks in pediatric dentistry at JBNU Dental Hospital. Then, 20 items of the modified form of Jefferson Scale of Empathy-Health Profession Students Version were done twice, before and after clinical training. The students who had lectures and role-playing were in the experimental group, while those who had no additional trainings were in the control group. Out of 69 students, 35 were in the experimental group and 34 were in the control group. Empathy level has increased after clinical training in both groups, but only the experimental group showed a significant increase (p = 0.0052). It also showed a significant increase in specific items (No. 6, 9, 10, 15, 17, 18, 19, 20) compared to the control group (p < 0.05). Clinical trainings such as lectures and role playing might have increased empathy levels related to standing in patient's position. Therefore, it is necessary to consider, try, and evaluate various types of clinical training rather than common education to improve dental students' empathy.

• Journal of International Area Studies (JIAS)
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• v.16 no.2
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• pp.121-146
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• 2012

The purpose of this paper is to study on China's emergence and its influence on international society against the U.S. hegemony. Recently, China's influence has proliferated in Central Asia as well as East Asia at a rapid rate. China, through its soft balancing strategy, increased its influence in Central Asia in response to the U.S. power and behavior. This study analyzes the relationship among China and Central Asia with the view of soft balancing theory. In order to determine whether China's strategy on Central Asia is soft balancing, this paper presents three indicators: 1) Second-tier major power is willing to take a strategy that increase diplomatic cost of hegemony or counter the hegemony influence through using regional and global multilateral cooperation. 2) Second-tier major power is willing to not only increase its influence by strengthening regional economic cooperation, but also check the extension of the hegemony economic influence into its boundary. 3) Second-tier major power intends to prevent expanding hegemony military influence into the region through limited military cooperation and increasing military spending, and denying territory. This paper analyze China's multi-polar strategy, economic and energy cooperation with Central Asia countries, and the military and security cooperation with multilateral organizations such as SCO.

• Therapeutic Science for Rehabilitation
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• v.12 no.2
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• pp.25-42
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• 2023

Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy. Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were 'cerebral palsy' AND 'single subject research design' OR 'individual subject study'. Eleven papers, were finally selected and analyzed. Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function. Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.