• Journal of Korean Academy of Nursing
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• v.33 no.6
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• pp.820-828
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• 2003

Purpose: In this longitudinal study, we examined the moral judgment level and its related factors, such as individual characteristics. The result of this study will provide baseline data to establish policy of ethics education for college students and healthcare professionals. Method: We enrolled 37 nursing students and 20 medical students as the subjects in a university in Suwon, Korea. We conducted a questionnaire on the subjects using Korean version of Defining Issues Test(DIT) to analyze the subjects' moral judgment level. Collected data was coded using ASCII document and scored using Fortran program for computer. Then the data was statistically analyzed by SPSS Version 10.0. Result: Nursing students' moral development score at each stage were consistently higher at stage 5A across 4-years rather than other stages. On the other hand, medical students' moral development score were consistently higher at stage 4 than other stages. There was no significant difference in the change P(%) score at each academic year in both groups. In the perspective of the subjects' general characteristics, P(%) score showed no significant in both groups. Conclusion: Based on the results of this study, further studies will examine the correlation between curriculum and moral judgment development in detail. Moreover, we suggest that the current ethics education should be developed and evaluated in more realistic manner.

• The Korean Journal of Health Service Management
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• v.14 no.1
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• pp.137-146
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• 2020

Objectives: The aim of this study was to investigate cognitive function decline by socio-demographic and health-related characteristics (health behaviors and health status) using 5th Korean Longitudinal Study of Aging panel data. Methods: The subjects were 4,440 community-dwelling people aged over 57 years. The data were analyzed with descriptive statistics, frequency analysis, χ²-test, and binary logistic regression analysis using SPSS ver. 25.0. Results: The findings revealed that socio-demographic characteristics (gender, age, area of residence, educational level, marital status, number of children, number of grand-children) and health-related characteristics (smoking, drinking, regular exercise, weight category by body mass index, hypertension and diabetes mellitus) were factors that influenced cognitive function decline (p<.05). Conclusions: Cognitive function decline was closely related to health behaviors and disease types. Future studies must examine related constructs to accurately determine these relationships among various populations. The present study could be used as a tool for the development and implementation of health promotion and prevention strategies.

• Journal of Korean Academy of Nursing
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• v.52 no.4
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• pp.451-463
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• 2022

Purpose: This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea. Methods: Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income. Results: The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001). Conclusion: The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.

• Journal of Korean Neurosurgical Society
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• v.63 no.1
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• pp.89-98
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• 2020

Objective : Ossification of posterior longitudinal ligament (OPLL) in the thoracic spine may cause chronic compressive myelopathy that is usually progressive, and unfavorable by conservative treatment. Although surgical intervention is often needed, the standard surgical method has not been established. Recently, it has been reported that posterior decompression with dekyphosis is effective surgical technique for favorable clinical outcome. The purpose of this study was to evaluate the surgical outcomes in patients with thoracic OPLL according to dekyphosis procedure and to identify predictive factors for the surgical results. Methods : A total of 25 patients with thoracic OPLL who underwent surgery for myelopathy from May 2004 to March 2017, were retrospectively reviewed. Patients with cervical myelopathy were excluded. We assessed the clinical outcomes according to various surgical approaches. The modified Japanese orthopedic association (JOA) scores for the thoracic spine (total, 11 points) and JOA recovery rates were used for investigating surgical outcomes. Results : Of the 25 patients, 10 patients were male and the others were female. The mean JOA score was 6.7±2.3 points preoperatively and 8.8±1.8 points postoperatively, yielding a mean recovery rate of 53.8±31.0%. The mean patients' age at surgery was 52.4 years and mean follow-up period was 40.2 months. According to surgical approaches, seven patients underwent anterior approaches, 13 patients underwent posterior approaches, five patients underwent combined approaches. There was no significant difference of the surgical outcomes related with different surgical approaches. Age (≥55 years) and high signal intensity on preoperative magnetic resonance (MR) image in the thoracic spine were significant predictors of the lower recovery rate after surgery (p<0.05). Posterior decompression with dekyphosis procedure was related to the excellent surgical outcomes (p=0.047). Dekyphosis did not affect the complication rates. Conclusion : In this study, our result elucidated that old age (≥55 years) and presence of intramedullary high signal intensity on preoperative MR images were risk factors related to poor surgical outcomes. In the meanwhile, posterior decompression with dekyphosis affected favorable clinical outcome. Posterior approach with dekyphosis procedure can be a recommendable surgical option for favorable results.

• Korean Journal of Radiology
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• v.24 no.3
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• pp.235-246
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• 2023

Objective: It is difficult to predict the treatment response of tissue after stereotactic radiosurgery (SRS) because radiation necrosis (RN) and tumor recurrence can coexist. Our study aimed to predict tumor recurrence, including the recurrence site, after SRS of brain metastasis by performing a longitudinal tumor habitat analysis. Materials and Methods: Two consecutive multiparametric MRI examinations were performed for 83 adults (mean age, 59.0 years; range, 27-82 years; 44 male and 39 female) with 103 SRS-treated brain metastases. Tumor habitats based on contrast-enhanced T1- and T2-weighted images (structural habitats) and those based on the apparent diffusion coefficient (ADC) and cerebral blood volume (CBV) images (physiological habitats) were defined using k-means voxel-wise clustering. The reference standard was based on the pathology or Response Assessment in Neuro-Oncologycriteria for brain metastases (RANO-BM). The association between parameters of single-time or longitudinal tumor habitat and the time to recurrence and the site of recurrence were evaluated using the Cox proportional hazards regression analysis and Dice similarity coefficient, respectively. Results: The mean interval between the two MRI examinations was 99 days. The longitudinal analysis showed that an increase in the hypovascular cellular habitat (low ADC and low CBV) was associated with the risk of recurrence (hazard ratio [HR], 2.68; 95% confidence interval [CI], 1.46-4.91; P = 0.001). During the single-time analysis, a solid low-enhancing habitat (low T2 and low contrast-enhanced T1 signal) was associated with the risk of recurrence (HR, 1.54; 95% CI, 1.01-2.35; P = 0.045). A hypovascular cellular habitat was indicative of the future recurrence site (Dice similarity coefficient = 0.423). Conclusion: After SRS of brain metastases, an increased hypovascular cellular habitat observed using a longitudinal MRI analysis was associated with the risk of recurrence (i.e., treatment resistance) and was indicative of recurrence site. A tumor habitat analysis may help guide future treatments for patients with brain metastases.

• Korean Journal of Social Welfare
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• v.68 no.3
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• pp.127-147
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• 2016

The purpose of this study was to examine the impact of 10-year psychosocial rehabilitation services provided by a psychosocial rehabilitation center on the quality of life for the mentally ill. The data were collected from a psychosocial rehabilitation center located in Daegu metropolitan area using a quasi-experimental study design. The experimental group consisted of 23 mentally ill subjects and the comparison group consisted of 23 mentally ill subjects that did not use the mental health services voluntarily. The quality of life were measured at baseline and every year over 10-year period. The collected data were analyzed using Hierarchical Linear Modeling(HLM). The findings of this study were as follows: First, it was found that the psychosocial rehabilitation services were effective increasing experimental group's quality of life outcomes. Second, the analyses indicated that the psychosocial rehabilitation services' effectiveness could be maintained at least 10 years indicating that the services had a long-term positive impact on the mentally ill. Third, it was revealed that the experimental group's quality of life outcomes improved over time showing a curvelinear shape rather than showing a linear pattern. The psychosocial rehabilitation services provided by a psychosocial rehabilitation center were positively affected the quality of life as well as maintained at least 10 years for the mentally ill. Finally, the implications and limitations of these findings were discussed.

• Child Health Nursing Research
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• v.28 no.1
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• pp.82-90
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• 2022

Purpose: The aim of this study was to examine the relationships among parenting role sharing, parenting stress, happiness, and parenting behavior of mothers with 6-year-old children. Methods: This study used data from the seventh Panel Study of Korean Children, which began collecting longitudinal data on a sample of newborn households nationwide in 2008 and will continue yearly until 2027. The participants were 1,560 mothers of children aged 6 years. We conducted statistical analyses using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean age of the mothers was 36.8±3.7 years. The mothers' perceived parenting role sharing (r=.07, p=.007), parenting stress (r=-.54, p<.001), and happiness (r=.38, p<.001) were significantly correlated with warm parenting behavior. Stepwise multiple regression analysis revealed that parenting stress (β=-.47, p<.001), happiness (β=.15, p<.001), and parenting role sharing (β=.11, p<.001) were significant predictors for warm parenting behavior by mothers. Conclusion: It is essential to reduce mothers' stress and increase their positive emotions (happiness). Fathers should actively share parenting roles in raising children to enhance mothers' warm parenting behavior.

• Journal of Astronomy and Space Sciences
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• v.40 no.2
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• pp.45-57
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• 2023

This study examined the effect of solar flux (F10.7) and sunspots number (R) on the daily variation of equatorial electrojet (EEJ) and morning/afternoon counter electrojet (MCEJ/ACEJ) in the ionospheric E region across the eight longitudinal sectors during quiet days from January 2008 to December 2013. In particular, we focus on both minimum and maximum solar cycle of 24. For this purpose, we have collected a 6-year ground-based magnetic data from multiple stations to investigate EEJ/CEJ climatology in the Peruvian, Brazilian, West & East African, Indian, Southeast Asian, Philippine, and Pacific sectors with the corresponding F10.7 and R data from satellites simultaneously. Our results reveal that the variations of monthly mean EEJ intensities were consistent with the variations of solar flux and sunspot number patterns of a cycle, further indicating that there is a significant seasonal and longitudinal dependence. During the high solar cycle period, F10.7 and R have shown a strong peak around equinoctial months, consequently, the strong daytime EEJs occurred in the Peruvian and Southeast Asian sectors followed by the Philippine regions throughout the years investigated. In those sectors, the correlation between the day Maxima EEJ and F10.7 strengths have a positive value during periods of high solar activity, and they have relatively higher values than the other sectors. A predominance of MCEJ occurrences is observed in the Brazilian (TTB), East African (AAE), and Peruvian (HUA) sectors. We have also observed the CEJ dependence on solar flux with an anti-correlation between ACEJ events and F10.7 are observed especially during a high solar cycle period.

• Asian Journal of Business Environment
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• v.9 no.2
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• pp.5-15
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• 2019

Purpose - The present study endeavours to investigate the impact of intellectual capital (IC) and its components on corporate sustainable growth in India. In addition, this study aims to find out the most influential component of IC on corporate sustainable growth in India. Research design, data, and methodology - A sample size of top 139 NSE listed non-financial companies over a time period of five years has been used in this monograph. The impact of intellectual capital and its components on corporate sustainable growth has been examined using the longitudinal data analysis technique. Results - The findings of this study bring to light that intellectual capital (IC) as measured by the M-VAIC model demonstrates a significant impact on corporate sustainable growth. Considerably, the results also reveal that almost all the explanatory variables viz. Physical Capital, Relational Capital, Innovation Capital, and Process Capital exercise notable influence in explaining corporate sustainable growth. Moreover, the results demonstrate Innovation Capital (controlling the effect of Physical Capital) represents the most influential component of IC on corporate sustainable growth. Conclusions - The research findings show that in the Indian context, both physical capital, and IC (overall), as well as its components, play a crucial role to explain corporate sustainable growth.

• Korean Journal of Child Studies
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• v.36 no.6
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• pp.147-164
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• 2015

The purpose of the present study was to examine the trajectories of children's negative emotionality and mother's social parenting over a 3-year period (for children at ages 1-3) and to then analyze the bidirectional effects between the two variables. The longitudinal casual relationship among children's negative emotionality, mother's social parenting and peer interaction at age 3 was also examined. The data, taken from the Panel Study on Korean Children, were analyzed using latent growth modeling. The results were as follows. First, the level of negative emotionality was seen to have increased by 2 years of age, whereas the level of mother's social parenting decreased by this point. Second, higher initial negative emotionality predicted decreases in mother's social parenting, However, higher initial mother's social parenting predicted increases in children's negative emotionality. The initial level and slope of mothers' positive parenting predicted peer interaction at age 3, while only the slope of negative emotionality predicted peer interaction. These findings suggest that temperament and parenting predict changes in each other and peer interaction.