• Title/Summary/Keyword: Care-of Address

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The Effects of Fathers' Playfulness and Play Participation Level on Their Children's Social Competence and Emotional Regulation (아버지의 놀이성과 놀이참여수준이 자녀의 사회적 능력과 정서조절에 미치는 영향)

  • Yeo, Yoon Jae;Hwang, Hae Shin
    • Korean Journal of Childcare and Education
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    • v.15 no.1
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    • pp.107-125
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    • 2019
  • Objective: The purpose of this study was to examine the effects of fathers' playfulness on their children's social competence and emotional regulation, and the moderating effects of the fathers' play participation level on the relationship between his playfulness and his child's social competence and emotional regulation. Methods: The participants in this study were 139 children and their fathers. The children were aged between four and five years old attending nine preschools in Seoul. The collected data was analyzed through Pearson's correlations, and hierarchical regression analysis using SPSS 21.0. Results: First, fun-loving fathers had a significant effect on the cooperation and sociability of their children. Second, fun-loving fathers had a significant effect on their children's emotional regulation. Third, fathers' play participation level moderated the relationship between them enjoying silliness and their children's sociability. Fourth, fathers' play participation level moderated the relationship between them being fun-loving and their children's emotional regulation. Conclusion/Implications: The results of this study address the need for a high level of fathers' play participation in relation to the development of their children's social competence and emotional regulation.

A Novel Approach to Predict the Longevity in Alzheimer's Patients Based on Rate of Cognitive Deterioration using Fuzzy Logic Based Feature Extraction Algorithm

  • Sridevi, Mutyala;B.R., Arun Kumar
    • International Journal of Computer Science & Network Security
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    • v.21 no.8
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    • pp.79-86
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    • 2021
  • Alzheimer's is a chronic progressive disease which exhibits varied symptoms and behavioural traits from person to person. The deterioration in cognitive abilities is more noticeable through their Activities and Instrumental Activities of Daily Living rather than biological markers. This information discussed in social media communities was collected and features were extracted by using the proposed fuzzy logic based algorithm to address the uncertainties and imprecision in the data reported. The data thus obtained is used to train machine learning models in order to predict the longevity of the patients. Models built on features extracted using the proposed algorithm performs better than models trained on full set of features. Important findings are discussed and Support Vector Regressor with RBF kernel is identified as the best performing model in predicting the longevity of Alzheimer's patients. The results would prove to be of high value for healthcare practitioners and palliative care providers to design interventions that can alleviate the trauma faced by patients and caregivers due to chronic diseases.

Factor XI deficiency and orthognathic surgery: a case report on anesthesia management

  • Lee, Soo Eon;Choi, Yoon Ji;Chi, Seong-In;Kim, Hyun-Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.1
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    • pp.25-29
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    • 2015
  • Factor XI deficiency (Hemophilia C) is a very rare autosomal recessive bleeding disorder. Patients with factor XI deficiency do not typically show any spontaneous bleeding or specific symptoms. Sometimes those who have this disorder are identified during special situations such as trauma or surgery. Orthognathic surgery is particularly associated with a high bleeding risk. Therefore, great care must be taken when treating patients with bleeding disorders such as factor XI deficiency. There are a few reports that address the management of patients with bleeding disorders during orthognathic surgery. The current report describes a patient with factor XI deficiency who underwent Le Fort I osteotomy together with bilateral sagittal split osteotomy. The patient's condition was assessed using both rotation thromboelastometry ($ROTEM^{TM}$) and noninvasive measurements of total hemoglobin (SpHb) using Masimo Radical 7 (Masimo Co. CA, USA).

Design and Implementation of a Personal Health Record Platform Based on Patient-consent Blockchain Technology

  • Kim, Heongkyun;Lee, Sangmin;Kwon, Hyunwoo;Kim, Eunmin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.12
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    • pp.4400-4419
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    • 2021
  • In the 4th Industrial Revolution, the healthcare industry is undergoing a paradigm shift from post-care and management systems based on diagnosis and treatment to disease prevention and management based on personal precision medicine. To optimize medical services for individual patients, an open ecosystem for the healthcare industry that allows the exchange and utilization of personal health records (PHRs) is required. However, under the current system of hospital-centered data management, it is difficult to implement the linking and sharing of PHRs in practice. To address this problem, in this study, we present the design and implementation of a patient-centered PHR platform using blockchain technology. This platform achieved transparency and reliability in information management by eliminating the risk of leakage and tampering/altering personal information, which could occur when using a PHR. In addition, the patient-consent system was applied to a PHR; thus, the patient acted as the user with ownership. The proposed blockchain-based PHR platform enables the integration of personal medical information with scattered distribution across multiple hospitals, and allows patients to freely use their health records in their daily lives and emergencies. The proposed platform is expected to serve as a stepping stone for patient-centered healthcare data management and utilization.

Effects of Socio-Demographic Characteristics and Peer Relations on the Emotional, Behavioral, and Comorbid Disorder Symptoms in Low-SES Children

  • Sohn, Byoung-Duk
    • International Journal of Human Ecology
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    • v.11 no.1
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    • pp.49-63
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    • 2010
  • The current study examined the effects of socio-demographic characteristics and peer relations on the emotional, behavioral, and comorbid disorder symptoms among low-low-SES children, using the Young Lives Survey: an International Study of Childhood Poverty: Round 1, 2002. Participants were 1,000 8-year-old children (502 boys and 498 girls) from low-low-SES families. Data were analyzed using ANOVA, t-tests, post hoc test (Scheffe's method), correlations, and multiple logistic regression analyses according to the analysis strategy. There was a moderate correlation between selected socio-demographic variables and emotional/behavioral disorder symptoms, and the caregiver's marital status, child's health compared to others, child's work status corresponded to significant differences in their emotional/behavior levels. Regarding the logistic regression analysis, in addition to the effects of socio-demographic variables reflecting the characteristics of less-developed countries, marital status, child's working status, and conflicts with peers proved to be detrimental to emotional, behavioral, or comorbid disorder symptoms in low-SES children, who have been lack quality parenting, social resources, and child human rights. Results indicated the need to develop health care services that would address those problems and appropriate intervention and prevention programs targeting children in low-income families. Moreover, careful assessment and intervention for child's health status, child's working status and peer relationship problems are suggested as possible strategies for helping children at risk of exhibiting further problematic behaviors.

A Comprehensive Framework and Approaches for Enhancing Mental Health in Medical Students (의과대학생의 정신건강 증진을 위한 지원의 틀과 방안)

  • Kim, Min-Kyeong;Kim, Hae Won
    • Korean Medical Education Review
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    • v.24 no.3
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    • pp.180-192
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    • 2022
  • Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.

Blockchain and Physically Unclonable Functions Based Mutual Authentication Protocol in Remote Surgery within Tactile Internet Environment

  • Hidar, Tarik;Abou el kalam, Anas;Benhadou, Siham;Kherchttou, Yassine
    • International Journal of Computer Science & Network Security
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    • v.22 no.9
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    • pp.15-22
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    • 2022
  • The Tactile Internet technology is considered as the evolution of the internet of things. It will enable real time applications in all fields like remote surgery. It requires extra low latency which must not exceed 1ms, high availability, reliability and strong security system. Since it appearance in 2014, tremendous efforts have been made to ensure authentication between sensors, actuators and servers to secure many applications such as remote surgery. This human to machine relationship is very critical due to its dependence of the human live, the communication between the surgeon who performs the remote surgery and the robot arms, as a tactile internet actor, should be fully and end to end protected during the surgery. Thus, a secure mutual user authentication framework has to be implemented in order to ensure security without influencing latency. The existing methods of authentication require server to stock and exchange data between the tactile internet entities, which does not only make the proposed systems vulnerables to the SPOF (Single Point of Failure), but also impact negatively on the latency time. To address these issues, we propose a lightweight authentication protocol for remote surgery in a Tactile Internet environment, which is composed of a decentralized blockchain and physically unclonable functions. Finally, performances evaluation illustrate that our proposed solution ensures security, latency and reliability.

A Method of efficient connection setting for Mobile IP with high mobility (이동성이 잦은 Mobile IP를 위한 효율적인 연결 설정 기법)

  • Rho Kyung-Taeg;Kim Hye-Young
    • Journal of the Korea Society of Computer and Information
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    • v.9 no.4 s.32
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    • pp.167-172
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    • 2004
  • Although Mobile IP proposed in IETF is effective. it has inefficiency in case mobile hosts communicate with each others while they are roaming frequently in a specific area. It occurs lots of latency because mobile hosts must be registered and establish an secure path under the internet emvironments and transmitting data on the path. Additionally this inefficiency is more aggravated in case mobile hosts has high mobility. Thus this paper propose a method using Anchor foreign agent by Anchor chain method which combine an pointer forwarding and a cache method plus a border router as a way to complement the above problem which exists in an mobility management in a specific area.

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Restructuring the Decision Making Process for the Korea National Health Insurance System (건강보험제도 정책수립과정의 재설계에 대한 모색)

  • Kang, Min Ah;Kim, Tae-Il;Huh, Soon-Im
    • Health Policy and Management
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    • v.18 no.2
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    • pp.107-129
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    • 2008
  • The purpose of this paper is to critically examine Korean government's efforts in policy making and implementation regarding the Korea National Health Insurance System in the past and suggest a new paradigm for future policy changes. The structural and political characteristics of the Korea National Health Insurance, where health care services are provided almost exclusively by the private providers and funding for health comes equally from public and private sources, imply persistent difficulties in the operation of the system This may partially explain why the Korean system has continually experienced conflicts among stakeholders whenever there was an attempt to change policy. In this paper, we discuss four cases to illustrate such difficulties and barriers. We propose that in order to address these challenges and reduce policy errors as well as unintended results, it is necessary to restructure policy making process from being oriented toward 'quantitative expansion' to 'qualitative maturity', from a 'linear thinking' to a 'system thinking', from taking a 'top-down' to a 'governance and participatory' decision making process.

The Effects of Mothers' Supportive and Non-supportive Reactions to Young Children's Negative Emotions on Young Children's Internal and External Problem Behavior (유아의 부정적 정서에 대한 어머니의 지지적 반응과 비지지적 반응이 유아의 내면화 및 외현화 문제행동에 미치는 영향)

  • Yun, Kyeong-Mi;Han, Sae-Young
    • Korean Journal of Childcare and Education
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    • v.13 no.3
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    • pp.83-102
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    • 2017
  • Objective: This study investigates the main effects and interaction effects of mother's reactions to young children's negative emotions on the children's problem behaviors. Methods: A total of 346 mothers with toddlers completed questionnaires, the data were analyzed using Pearson's correlation coefficient and multiple regression. Results: First, mothers' supportive response to young children's negative emotions, including expressive encouragement, emotion-focused reactions, and problem-focused reactions, showed negative relations with the children's internal and external problem behaviors. Mothers' unsupportive response to children's negative emotions, including distress reactions, minimization reactions, and punitive reactions, showed positive relations with the children's internal and external problem behaviors. Second, an interactive effect was observed. For external problem behavior, mothers' lower distress reactions accompanied by higher emotion-focused reactions, lower punitive reactions accompanied by higher emotion-focused reactions, lower distress reactions accompanied by higher problem-focused reactions, and lower punitive reactions accompanied by higher problem-focused reactions all decreased children′s problem behavior. However, for internal problem behavior, only mothers' lower distress reactions accompanied by higher emotion-focused reaction decreased children′s problem behavior. Conclusion/Implication: The main interaction effect on mothers' reaction to young children's negative emotional expression shows that preventive intervention is needed to address problem behavior.