• 제목/요약/키워드: Academic persistence

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Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study

  • Park, Min Jeong
    • 재활간호학회지
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    • 제20권1호
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    • pp.42-51
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    • 2017
  • Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.

중학생의 기질, 사회적지지 및 정서조절능력이 긍정심리자본에 미치는 영향 (The Effects of Temperament, Social Support and Emotion Regulation on the Positive Psychological Capital of Middle School Students)

  • 최아라;이숙
    • 아동학회지
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    • 제37권2호
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    • pp.57-77
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    • 2016
  • Objective: This study examined the influences of general characteristics, temperament, social support, and emotional regulation on the positive psychological capital of adolescents. The data were collected from 672 middle school students living in Gwangju. Methods: Data were analyzed using Pearson correlation analyses and hierarchical regression analyses. Results: Temperament best explained positive psychological capital. In terms of individual factors, self-emotion regulation had the greatest effect on positive psychological capital, followed by friend support, persistence temperament, others emotion regulation, academic achievement, harm avoidance temperament, gender, and family support, in that order. Conclusion: The results for the effects of temperament, social support and emotion regulation on adolescent's positive psychological capital highlights the important roles played by the temperament, social support, and emotion regulation in improving an adolescent's positive psychological capital. The study contributes to the literature by proving fundamental insights into an adolescent's psychological strengths and higher quality of life.

영아기질 측정도구(WBL)의 신뢰도 및 타당도 평가 (Confirmatory Analysis of Infant Temperament Inventory (WBL; What my baby is like))

  • 방경숙
    • 부모자녀건강학회지
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    • 제4권2호
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    • pp.32-42
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    • 2002
  • This study was conducted to test the reliability and validity of "What my baby is like(WBL)" that was developed by Pridham et al. for measuring infant temperament. 37 subjects were participated four times-1, 3, 6, and 12months, and 146 cases were analyzed. The construct validity for the scale was tested by factor analysis with four factor loading solution based on the previous study. One item was excluded because total-item correlation was too low, so that the number of total items were eighteen. The analysis yielded four well defined factors: amenability and persistence, activity, reactivity, and adaptability. These four factors explained 57.62% of the variance in the infant temperament. The criterion related Validity was confirmed by the relationship between the infant temperament and HOME, and between the infant temperament maternal confidence in childrearing. The reliability of the scale was determined with Cronbach's alpha coefficient and Guttman split-half coefficient. Cronbach's alpha was .86, for 18 items, and Guttman split-half cofficient was .81. In subscale analysis, Cronbach's alpha was .56~.84. In conclusion, WBL showed a high degree of validity and reliability, suitable in Korean infants for measuring temperament. In the further study, it would be necessary to refine the concept of temperament and to analyze the correlation between WBL and other temperament inventory.

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Does oral doxycycline treatment affect eradication of urine vancomycin-resistant Enterococcus? A tertiary hospital study

  • Kim, Yoonjung;Bae, Sohyun;Hwang, Soyoon;Kwon, Ki Tae;Chang, Hyun-Ha;Kim, Su-Jeong;Park, Han-Ki;Lee, Jong-Myung;Kim, Shin-Woo
    • Journal of Yeungnam Medical Science
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    • 제37권2호
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    • pp.112-121
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    • 2020
  • Background: Vancomycin-resistant Enterococcus (VRE) has become more common in nosocomial infections, especially in urine samples. However, until now, no treatment regimen has been proven to effectively eradicate urine VRE colonization. Therefore, to evaluate the efficacy of doxycycline in eradicating urine VRE and shortening VRE isolation period, we compared VRE colony detection period between doxycycline-treated and untreated patients. Methods: A retrospective cohort study of 83 patients with VRE colonization in urine cultures was conducted at a tertiary academic hospital from January 2011 to February 2018. Kaplan-Meier survival analysis was used to evaluate eradication rates in the treatment and non-treatment groups. Factors affecting urine VRE colonization persistence were analyzed by multiple logistic regression analysis. Results: The overall rate of VRE eradication during the entire hospital stay was higher in the doxycycline treatment group (90.5%) than in the non-treatment group (58.1%, p=0.014). Survival analysis showed that the 5-, 10-, and 20-day cumulative eradication rates were 78.3%, 100%, and 100% in the doxycycline treatment group, and 18.5%, 45.7%, and 67.8% in the non-treatment group, respectively, thereby indicating that eradication rates were higher in the doxycycline treatment group than in the non-treatment group (p<0.001). Only doxycycline treatment was shown to affect urine VRE colonization persistence in multivariate logistic regression analysis. Conclusion: Doxycycline treatment enhanced the eradication rate of urine VRE colonization and appeared to be useful in shortening VRE isolation period.

소비자의 구매 후 불만족과 귀인 및 불평행동에 대한 실증적 연구 (An Empirical Study on Consumers' Dissatisfaction, Attribution and Complaint Behavior)

  • 고인곤
    • 벤처창업연구
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    • 제19권3호
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    • pp.69-79
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    • 2024
  • 기업은 소비자의 불만족 요인을 적극적으로 파악하고, 예상되는 불평행동에 대하여 선제적으로 대응함으로써 소비자의 불만족을 해소하고 브랜드 로열티를 높여 재구매를 유도해야 한다. 이는 기업 규모와 무관하게 공통적으로 추구해야 하는 경영목표이다. 본 연구의 구체적인 목적은 소비자의 구매 전 기대성과와 구매 후 실제 지각성과와의 비교 여부에 따라서 불만족의 정도가 차이가 있는지, 불만족의 정도는 후속 행동인 불평행동의 유형에 영향을 미치는지, 이 과정에서 귀인행동은 조절적인 영향을 미치는지, 또한 결과의 지속성과 원인의 통제 가능성이 귀인 위치를 결정하는 요인으로 작용하는지 알아보는 것이다. 특히 벤처기업은 일반기업에 비해서 경영자의 정보처리 능력에 과부하가 걸릴 경우가 많아 의사결정에 있어서 여러 가지 비합리적인 오류를 보일 가능성이 있기 때문에 본 연구는 학문적으로나 실무적으로 중요한 의미가 있다. 분석결과, 불만족도는 부정적 불일치 그룹이 가장 높았으며, 불일치 정도가 높을수록 불만족도도 높았다. 불만족한 소비자의 귀인행동은 불만족의 정도에 조절적 영향을 미치고 있었는데, 불만족도는 외적 귀인집단이 내적 귀인집단보다 확연히 높았으며, 이는 통계적으로 유의했다. 한편, 결과의 지속성은 귀인 위치에 통계적으로 유의한 영향을 미치고 있으나 원인의 통제가능성은 그렇지 않았다. 귀인행동과 불만족의 정도는 불평행동의 유형에 영향을 미치지 않아 제한적인 영향력을 보여주었다. 본 연구는 이러한 결과들에 대한 해석과 함께 특히, 내구성 신제품을 제공하는 벤처기업에게 다양한 시사점들을 제시하고 있다.

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우리나라의 본인확인수단에 관한 신규 인증수단의 도입 적합성 검토 : Block Chain과 FIDO를 중심으로 (Review of the suitability to introduce new identity verification means in South Korea : Focused on Block Chain and FIDO)

  • 신영진
    • 융합정보논문지
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    • 제8권5호
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    • pp.85-93
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    • 2018
  • 본 연구는 우리나라에서 운영되고 있는 본인확인수단의 다양성을 확보하기 위해 비대면 본인인증수단 중에서 블록 체인과 FIDO를 선택하여 본인확인수단으로서의 적합성 정도를 검토하였다. 이를 위해 7가지 적합성 기준(보편성, 지속성, 유일성, 편의성, 보안성, 적용성, 경제성)을 선정하여 분석하였는데, 모두 적합한 수준을 갖추고 있음을 검증하였다. 이에 따라 블록체인과 FIDO를 본인확인수단으로 적용하기 위해서는 관련 규정 및 고시의 개정으로 본인확인절차를 개선하여야 한다. 더욱이, 기존의 본인확인수단뿐만 아니라 다양한 본인인증수단을 적용할 수 있도록 서비스분야별로 차별화된 인증기준이 마련되어야 하고, 지속적으로 인증수단을 개발하여 서비스와 연계하여야 한다. 앞으로 본인확인수단은 사물인터넷시대에서 정보유통환경의 안전성을 가져올 것이므로, 본인확인수단의 적용 확대 및 자율적 도입을 지원하여 다양한 서비스에서 구현될 수 있어야 한다.

동작인식게임 활용학습에서의 신체운동지능, 언어지능, 몰입, 학습성과 간 경로분석 (Path Analysis of Bodily-Kinesthetic Intelligence, Linguistic Intelligence, Flow and Learning Outcomes in Motion-Capture Game-Based Learning)

  • 류은진;강명희
    • 정보교육학회논문지
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    • 제21권6호
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    • pp.607-618
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    • 2017
  • 최근 디지털 네이티브 학습자를 위한 교수방법으로 게임활용학습에 대한 관심이 증가하고 있다. 이에 본 연구에서는 초등학교 역사수업에 맞추어 개발된 동작인식 게임을 활용하여 수업을 실시한 후 신체운동지능, 언어지능, 몰입, 학습성과(학업성취도, 지속의향) 간 경로분석을 실시하였다. 그 결과 신체운동지능은 몰입에 직접적인 영향을 학습성과에는 간접적인 영향을 미쳤고, 언어지능은 몰입에 직접적인 영향, 그리고 학습성과에의 간접적인 영향을 미치지 않는 것으로 분석되었다. 이 결과를 통해, 동작인식 게임활용학습은 신체운동 역량이 높은 학습자들의 학습동기 및 성과 향상을 지원할 수 있음을 기대하게 한다.

패션 큐레이션의 서비스 품질이 사용자 만족, 신뢰, 지속사용의도에 미치는 영향 (Effect of Quality of Curation Service on User Satisfaction, Trust, and Persistence Usage)

  • 김서영;김은혜;이진화
    • 한국의류산업학회지
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    • 제22권6호
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    • pp.762-776
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    • 2020
  • This study tried to investigate the effect of the service quality attributes of the curation on the satisfaction, trust, and intention to continuous use of consumers in that curation services are derived in various forms and being greatly activated, there are not many academic discussions centered on them. Besides, differences between curation services by each service provider were also verified in this study. Data collection was conducted for one month in August 2019, with 373 men and women in their 20s. The results of the study are as follows. First, according to the result of investigating the variables that make effect on user satisfaction of curation service, it was identified that satisfaction has increased when figures of fulfillment, responsiveness, personalization, design, ease of use, and safety were higher. Second, among the variables that influence the reliability of the curation service, trust increases when user satisfaction, design, ease of use, and safety are higher. Third, satisfaction has a positive effect on trust, and both satisfaction and reliability affect the intention to continue use. Fourth, as a result of examining the difference in quality between the curation services divided by Curating subject, it was found that satisfaction, ubiquitous connectivity, and responsive quality were measured higher in the business operator service than in the user curation service.

Managing Mental Health during the COVID-19 Pandemic: Recommendations from the Korean Medicine Mental Health Center

  • Hyo-Weon Suh;Sunggyu Hong;Hyun Woo Lee;Seok-In Yoon;Misun Lee;Sun-Yong Chung;Jong Woo Kim
    • 대한한의학회지
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    • 제43권4호
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    • pp.102-130
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    • 2022
  • Objectives: The persistence and unpredictability of coronavirus disease (COVID-19) and new measures to prevent direct medical intervention (e.g., social distancing and quarantine) have induced various psychological symptoms and disorders that require self-treatment approaches and integrative treatment interventions. To address these issues, the Korean Medicine Mental Health (KMMH) center developed a field manual by reviewing previous literature and preexisting manuals. Methods: The working group of the KMMH center conducted a keyword search in PubMed in June 2021 using "COVID-19" and "SARS-CoV-2". Review articles were examined using the following filters: "review," "systematic review," and "meta-analysis." We conducted a narrative review of the retrieved articles and extracted content relevant to previous manuals. We then created a treatment algorithm and recommendations by referring to the results of the review. Results: During the initial assessment, subjective symptom severity was measured using a numerical rating scale, and patients were classified as low- or moderate-high risk. Moderate-high-risk patients should be classified as having either a psychiatric emergency or significant psychiatric condition. The developed manual presents appropriate psychological support for each group based on the following dominant symptoms: tension, anxiety-dominant, anger-dominant, depression-dominant, and somatization. Conclusions: We identified the characteristics of mental health problems during the COVID-19 pandemic and developed a clinical mental health support manual in the field of Korean medicine. When symptoms meet the diagnostic criteria for a mental disorder, doctors of Korean medicine can treat the patients according to the manual for the corresponding disorder.

대학적응력 검사도구 척도 개발과 양호도 검증 (The Development of Scales on Rating College Students' Adaptability and the Analysis of Technical Quality)

  • 김수연
    • 한국인터넷방송통신학회논문지
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    • 제16권6호
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    • pp.295-303
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    • 2016
  • 본 연구는 대학생의 대학적응력에 영향을 미치는 요인을 구성하고, 이를 진단하기 위한 대학적응력 척도 개발의 절차를 소개하며 검사도구의 양호도를 검증하였다. 이 도구는 3단계의 척도 추출 과정 및 6단계의 문항 추출 과정을 거쳐 제작하였다. 추출 결과, 학문적 통합성, 사회적 통합성, 정서적 안정성, 진로정체성, 학업여건 안정성, 교수와의 관계, 교육서비스 만족도, 대학교육 만족도 등 8개 척도, 142개 문항 구성을 통해 대학적응력을 측정하였다. 4개 대학 1,959명의 대학생을 대상으로 검사를 실시한 도구의 양호도 분석 결과는 다음과 같다. 첫째, 문항내적 일관성 전체 신뢰도 계수 Cronbach's ${\alpha}$는 .965, 범위는 .742~.937로써 신뢰도가 매우 높다. 둘째, 개별 문항의 양호도를 평가하기 위하여 각 척도 및 하위요인별로 문항 점수와 총점 간 상관계수에 의한 문항 변별도를 구했으며, 평균은 .147~.841이다. 셋째, 확인적 요인분석에 따른 구인타당도 검증 결과, CFA모델의 RMSEA = .08~.09이고, 모든 부합도지수가 기준에 양호하게 부합함으로써 각 척도에 속하는 문항들이 측정하고자 하는 특성을 타당하게 측정하고 있는 것으로 나타났다. 넷째, 척도별 대학적응경향성과 중도탈락경향성 점수 차이에 기초한 공인타당도 검증 결과, 학업여건 안정성을 제외한 모든 척도에서 유의수준 .05수준에서 통계적으로 유의한 차이가 있음이 확인되었다. 연구결과, 대학적응력 진단 도구는 대학생의 대학적응경향성과 중도탈락경향성을 타당하게 예측하는 도구로 확인되었다.