• Pediatric Infection and Vaccine
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• v.23 no.1
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• pp.31-39
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• 2016

Purpose: The aim of this study was to investigate the prognostic factors for Pneumocystis jirovecii pneumonia (PCP) and to evaluate the influence of PCP prophylaxis in pediatric patients. Methods: From January 2002 to April 2015, patients aged <18 years with a diagnosis of confirmed PCP at our institute were reviewed retrospectively. Clinical characteristics and outcomes were compared according to the groups with or without PCP prophylaxis. Risk factors associated with PCP-related death were analyzed by logistic regression analysis. Results: During study period, a total of 24 patients were diagnosed with PCP by immunofluorescence assay and/or PCR. The median age of the patients was 5 years (range, 3 months-18 years) and 23 (96%) had immunocompromised conditions including hematologic disorders with or without hematopoietic stem cell transplantation (n=15), solid organ transplantation (n=4), and primary immune deficiency (n=4). Most common presenting symptoms were tachypnea and cough (92%, each). At the time of diagnosis, 79% (19/24) and 25% (6/24) suffered from respiratory failure and multi-organ dysfunction syndrome (MODS), respectively. Mechanical ventilation was required in 8 (33%) patients and 5 (21%) patients died of PCP. Multivariate analysis showed that MODS at initial presentation was an indicator of poor prognosis (OR, 17.1 [95% CI 1.13-257.67]; P=0.04). Compared to the patients without PCP prophylaxis, the frequency of MODS at diagnosis, need for mechanical ventilation and length of hospital days were significantly less common in the children who received PCP prophylaxis. Conclusions: MODS at presentation was a significant predictor for poor outcome and PCP prophylaxis could alleviate the clinical courses of pediatric PCP. Prospective study will be mandatory to determine the risk factors for development and deterioration of PCP in children.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.747-757
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• 2019

This study examined the reliability and validity of the Korean version of the Nurse-Patient Interaction Scale (K-NPIS) for the elderly, at long-term care hospitals in Korea. The original NPIS was developed to identify important characteristics of elderly patient experiences regarding nurse-patient interactions in nursing homes. Totally, 202 hospitalized elderly patients at 4 long-term hospitals in Jinju-si, Suncheon-si, and Namwon-si, were enrolled in the study and completed the questionnaire. For internal consistency, Cronbach's α of K-NPIS was 0.96 after item analysis. K-NPIS was validated using the confirmatory factor analysis and content validity. The content validity score was more than 0.80, establishing the appropriateness and readiness of the tool through group discussions between clinical experts and elderly patients. The K-NPIS is a 10-point scale comprising 12 questions. K-NPIS scores between different residential groups were significantly different, and showed no ceiling or floor effect. The internal consistency reliability, construct validity, and discriminative validity of K-NPIS was adequate. However, criterion validity requires further examination. Our findings suggest that K-NPIS serves as an appropriate measure of nurse-patient interaction when applying the nursing care intervention for elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.9
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• pp.4240-4247
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• 2013

This purpose of this study was to investigate the difference of safety practice and safety knowledge according to background variables of mothers and the relationship between practice and knowledge in safety of mothers. The subjects were 143 mothers in Iksan city. A questionnaire was made by the researcher on the basis of relevant materials. The data was analyzed by statistical methods such as frequency, Cronbach's ${\alpha}$, descriptive statistics, t-test, ANOVA, Scheffe and Pearson's correlation. The results are as follow: First, mothers' safety knowledge was higher than average. There were significant differences in emergence care, dangerous material, toy safety and young children' developmental character according to mothers' age. There were significant differences in dangerous situation, young children' developmental character and sum score of safety knowledge according to mothers' educational level. So there were significant differences in electrical fire safety, young children's developmental character according to children's age. Second, mothers typically practiced home safety. There were significant differences bathroom, entrance according to mothers' age. And there were significant differences room, kitchen and sum score of safety practice according to children's age. Third, there is no correlation between mothers' safety knowledge and home safety practice.

• Tuberculosis and Respiratory Diseases
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• v.54 no.2
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• pp.219-229
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• 2003

Background : The management of thoracic empyema and complicated parapneumonic effusion requires adequate antibiotics use and prompt drainage of infected pleural space. Tube thoracostomy for loculated empyema has low success rate and is also an invasive procedure with potential morbidity. Complications include hemothorax, perforation of intra-abdominal or intra-thoracic organs, diaphragmatic laceration, empyema, pulmonary edema, and Horner's syndrome. Given the potential morbidity of traditional chest tube insertion, use of the image-guided pigtail catheter drainage(PCD) of empyema has been employed. We retrospectively analyzed the medical records of patients with empyema or complicated parapneumonic effusion to determine the efficacy of percutaneous pigtail catheter drainage. Materials and Methods : 45 patients with complicated parapneumonic effusions or empyema were treated at Gil medical center from January 1998 to June, 1999. All were initially given PCD procedure and the following data were collected: clinical symptoms at the time of diagnosis, alcohol and smoking history, the characteristics of pleural effusion, radiologic findings (at the time of catheter insertion, removal and 1 month after catheter removal), the amount of effusion drained for initial 24 hours, the time from catheter insertion to removal and the use of surgical approach. Results : Male gender was more frequent (42 men vs. 3 women), the mean age of the study population was 52(range: 21~74) years. Empyema was found in 23 patients, complicated parapneumonic effusion in 22 patients. Four patients(three, parapneumonic effusion and one, with empyema) with PCD only treated, were cast off. Among the available patients, 36(80%) patients were treated with PCD only or PCD with urokinase. Among the 23 patients with empyema, surgical approach was required in five patients(27.1%, one required decortication, four open thoracostomy), one patient, treated with surgical procedure, died of sepsis. There was no significant difference of the duration of catheter insertion, the duration of hospital admission after catheter insertion and the mean amount of effusion drained for initial 24 hours between the patients with only PCD treated and the patients treated with PCD and urokinase. The duration of catheter insertion($9.4{\pm}5.25days$ vs. $19.2{\pm}9.42days$, p<0.05) and the duration of hospital admission after catheter insertion($15.9{\pm}10.45days$ vs. $38.6{\pm}11.46days$, p<0.01) of the patients with only PCD treated were more longer than those of the patients treated with surgical procedure after PCD. They were same between the patients treated with urokinase after PCD and the patients treated with surgical procedure after PCD($11.1{\pm}7.35days$ vs. $19.2{\pm}9.42days$, p<0.05, $17.5{\pm}9.17days$ vs. $38.6{\pm}11.46days$, p<0.01). In 16 patients(44.4%) with only PCD treated or PCD and urokinase treated, the amount of effusion at the time of catheter removal was decreased more than 75% and in 17 patients(47.2%) effusion decreased 50~75%. .In one patient effusion decreased 25~50%, in two patients effusion decreased less than 25%. One month after catheter removal, in 35 patients(97.2%, four patients were cast off), the amount of pleural effusion was successfully decreased more than 50%. There were no complications related to pigtail catheter insertion. Conclusion : In this study, PCD seemed to be an early efficacious procedure in treating the patients with complicated parapneumonic effusion or empyema without any serious procedure related complication.

• (The) Research of the performance art and culture
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• no.22
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• pp.253-285
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• 2011

The number of "Performing Arts Festivals" is growing increasingly in South Korea. This trend is mainly held in large cities which are difficult to communicate closely among residents. South Korea, while the pace of city life and speed of development are very fast, increasing number of "Performing Arts Festivals" with communal characteristics is in the natural process of festival evolution in large cities. In the evolution of the contemporary festival, it is natural to see some increase of modern festival after the development of traditional and folk festivals. It is important that the "Performing Arts Festivals" express the two elements, artistic character and festivity, not only in distinctively but also in harmony. The "Performing Arts Festivals" should consider the process of the organization, human resources, networking systems of the human communication process, resource use, etc. For the success of the festival, we must obtain the complementary effects between two attributes:festival characteristics and artistic senses. Therefore, we chose the 'Festival d'Avignon' as the reference of the total representation of artistic characteristics and festivity. From the case of the Festival d'Avignon, we get the implications of the development of performing arts festival in South Korea. To explain the festival value and artistic significance of the Festival d'Avignon, we explained the spontaneity and openness to public participation, the relationship between spectators and works, the representation of memory and communicative image, etc. To explain the artistic attributes of the 'Festival d'Avignon', we explained the mission to reconcile the artistic and the popular, to promote the artistic know-how, understanding how to communicate with the public, to consider more artistic quality than commercial benefits. Essentially, this study shows the meaning and the vision to forecast the future as well as the recent proliferation in various fields of Performing Arts Festivals. This study may help to improve analytical precision of Performing Arts Festivals.

• 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.

• Korean Journal of Childcare and Education
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• v.11 no.2
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• pp.5-20
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• 2015

The purpose of this research is to introduce the fundamental data to develop a program to educate parents properly. To do so, the research investigates the relationship between the father's personal variables and the child's creative personality and emotional intelligence, and searches for what variable shave a significant influence on the balanced growth of a child among a father's personal variables. The participants of study were 200 children of 3~5 years old enrolled in kindergarten or child care centers located in mostly DaeGu city and GyeongBuk provinces. The research applied two tools by measuring the child's creative personality, and observing test paper for a child's emotional intelligence. The data was analyzed by the ANOVA test, Scheff$\acute{e}$ s post-hoc test, Pearson's product moment correlation test and multiple regression analysis. In subordinate variables of a child's creative personality, significance difference was discernable partly with the father's salary and education levels. However, there was no significance difference with the father's age. Especially, the positive influence of the father's education level is apparent on the entire child's creative personality variables, uniqueness and imaginative amusement. Influence Emotional self-awareness shows on entire creative personality variables, uniqueness, diverse interest and imaginative amusement. Emotional awareness in others influences on diverse interest, imaginative amusement. Others emotional control influences positively on entire creative personality. The results of this study suggest that the child's emotional intelligence are significant method to improve the child's creative personality in the education field.

• KDI Journal of Economic Policy
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• v.14 no.1
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• pp.191-212
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• 1992

This paper discusses the role of money in the process of capital accumulation where financial markets are impeded by contract enforcement problems in the context of overlapping generations framework. In particular, in less developed countries (LDCs) creditors may know little about the repayment capability of potential debtors due to incomplete information so that financial instruments other than money may not acceptable to them. In this paper the impediments to the operation of the private finanical markets are explicitly modelled. We argue that creditors cannot observe actual investment decisions made by the potential borrowers, and as a result, loan contracts may not be fully enforceable. Therefore, a laissez-faire regime may fail to provide the economy with the appropriate financial instruments. Under these circumstances, we introduce a government operated discount window (DW) that acts as an open market buyer of private debt. This theoretical structure represents the practice of governments of many LDCs to provide loans (typically at subsidized interest rates) to preferred borrowers either directly or indirectly through the commercial banking system. It is shown that the DW can substantially overcome impediments to trade which are caused by the credit market failure. An appropriate supply of the DW loan enables producers to purchase the resources they cannot obtain through direct transactions in the credit market. This result obtains even if the DW is subject to the same enforcement constraint that is responsible for the market failure. Thus, the DW intervention implies higher investment and output. However, the operation of the DW may cause inflation. Furthermore, the provision of cheap loans through the DW results in a worse income distribution. Therefore, there is room for welfare enhancing schemes that utilize the higher output to develop. We demonstrate that adequate lump sum taxes-cum-transfers along with the operation of the DW can support an allocation that is Pareto superior to the laissez-faire equilibrium allocation.

• The Journal of Society for e-Business Studies
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• v.17 no.3
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• pp.85-103
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• 2012

This study focused on user evaluation for personalized recommender systems with the integrated view of performance of the system and user attitude of recommender systems. Since users' evaluations of recommender systems can be affected by recommendation outcomes and presentation methods, both system performances based on outcomes and user attitudes formed by the presentation methods should be considered when explaining users' evaluations. However, an integrated view of system performance and user attitudes has not been applied to explain users' evaluation of recommender systems. Thus, the goal of this study is to explain users' evaluations of recommender systems under the integrated view of predictive features and explanation features at the same time. Our findings suggest that social presence, both accuracy and noveltyhave impacts onuser satisfaction for recommender systems. Especially, predictive features including accuracy and novelty affected user satisfaction. Novelty as well as accuracy is one of the significant factors for user satisfaction while recommender systems provided usual items users have experienced when systems provide serendipitous items. Likewise, explanation features with social presence and self-reference were important for user evaluation of personalized recommender systems. For explanation features, while social presence appears as one of important factors to user satisfaction of evaluating personalized recommendations, self-reference has no significant effect on user's satisfaction for recommender systems when compared to the result of social presence. Self-referencing messages did not affect user satisfaction but the levels of self-referencing are different between low and high groups in the experiment.

• The Journal of Society for e-Business Studies
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• v.18 no.2
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• pp.279-299
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• 2013

The problem of choosing the right product that will best fit a consumer's taste and preferences extends to the field of electronic commerce. However, e-commerce has been able to create a technological proxy for the social filtering process, known as online recommender systems (RSs). RSs aid users in filtering products and decisions on matters relating to personal taste. RSs have the potential to support and improve the quality of the decisions consumers make when searching for and selecting products and services online. However, most previous research on RSs has focused on the accuracy of the algorithms, with little emphasis on user interface and perspectives. This study identified transparency and feedback as possible ways to effectively evaluate RSs from the user's perspective. Thus, this research focused on examining and identifying the roles of transparency and feedback in recommender systems and how they affect users' attitudes toward the system. Results of the study showed that both transparency and feedback positively and significantly affected perceived trust, perceived value of the process, and perceived enjoyment. Furthermore, we found that perceived trust, perceived value of the process, and perceived enjoyment positively and directly affected users' intentions to use/reuse a recommender system.