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Development of a Tool to Measure Suffering in Patients with Cancer (암환자의 고통 측정도구 개발에 관한 연구)

  • 강경아
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1365-1378
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    • 1999
  • This study is a methodological research study to develop an instrument to measure in patients with cancer and to test the validity and reliability of the instrument. The research procedure was as follows : 1) The first step was to develop conceptual framework based on a comprehensive review of the literature and in-depth interviews with patients with cancer. This conceptual framework was organized in to three dimensions (the intrapersonal dimension, the significant-other and context related dimension, the transcendental dimension). Initially 59 items were adopted. 2) These items were analyzed through the index of content validity(CVI) and 53 items were selected which met more than 80% on the CVI. 3) The pretest was carried out with 87 patients with cancer. After the pretest results were analyzed by item analysis, 44 items were selected. A second test of content validity was conducted and 6 items were eliminated considering the 80% CVI. 4) To test for reliability and validity, data collection was done during the period from January 25, 1999, to February 26, 1999. The subjects for the test were 160 patients with cancer and 185 healthy persons. analysis, item analysis and multitrait-multimethod method to analyze validity. The findings are as follows : 1) The Cronbach's alpha coefficient for internal consistency was .92 for the total 38 items and .79, .82, .85, for the three dimensions in that order. 2) The item analysis was based on the corrected item to total correlation coefficient( .30 or more) and information about the alpha estimate if this item was dropped from the scale. 3) As a result of the initial factor analysis using principal component analysis and varimax rotation, one item was deleted because of factor complexity (indiscriminate factor loadings). In the secondary factor analysis, 7 factors with eigenvalue of more than 1.0 were extracted and these factors explained 56 percents of the total variance. The seven factors were labeled as 'family relationship', 'emotional condition', 'physical discomfort', 'meaning and goal of life', 'contextual stimuli', 'change of body image', 'guilt feelings'. 4) The convergence effect between this instrument and the life satisfaction scale was identified and there was significant positive correlation(r= .52, p= .00). The discriminant validity between this instrument and the depression scale(CES-D) was tested and there was significant negative correlation(r= -.50, p= .00). The instrument for accessing the suffering of patients with cancer developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for assessment in caring for patients with cancer.

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The Effect of Augmented Reality Traits on Presence, Flow, and Relational Continuance Behavior with Smart-Phones (스마트폰 기반 증강현실 특성이 프레즌스, 플로우 및 관계지속행동에 미치는 영향)

  • Chun, Tae-Yoo;Park, No-Hyun
    • Journal of Distribution Science
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    • v.13 no.5
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    • pp.45-52
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    • 2015
  • Purpose - Augmented reality (AR) content used in mobile media today can accommodate a wide variety of contextual information. This indicates that making people experience a sense of presence and flow is a very significant factor in augmented reality content. Flow represents a rich immersion potential as representing the progress of emotion and the means to facilitate the operation of the smart phone. Therefore, users will have friendly relational continuance behavior with products and brands that supply this experience. Based on that, the purpose of this study is to investigate the relationships among smart phone AR application traits, presence, flow experience, and relational continuance behavior. First, AR application traits are defined as three categories sensory immersion, navigation, and manipulation, based on preceding studies. This study then examines the influence of AR application traits on the presence and flow experience and looks into the relation among presence, flow experience, and relational continuance behavior. This analysis suggests more detailed and concentrated strategic implications. Research design, data, and methodology - A research model is designed to examine the relation among AR application traits, presence, flow experience, and relational continued behavior. For data collection, questionnaire surveys were composed of multi-items for each component and the direct interview method was used for the interviews. To collect the data, after running the smart phone AR applications, the consumer behaviors of the respondents were generally determined. The questionnaire surveys were conducted for one month, October 2014. A total of 300 questionnaires were distributed with 278 questionnaires used for analysis, excluding the unanswered and insincere questionnaires. The data were analyzed using SPSS ver. 20.0 and LISREL ver. 8.51. Results - The following results are found: First, AR application traits have a significantly positive effect on presence with sensory immersion, navigation, and manipulation all having a significantly positive effect. Second, sensory immersion and manipulation among the AR application traits have a significantly positive effect on flow. However, navigation did not have a significantly positive effect on flow. Third, presence has a significantly positive effect on flow and has a significantly positive effect on relational continuance behavior. Moreover, flow also has a significantly positive effect on relational continuance behavior. This behavior tends to be formed since brands want to encourage relational continuance behavior and positive emotions with the brands being used. Relational continuance behavior accompanies repeat purchasing, positive word-of-mouth and recommendation activities, and forms of trust with the brand. Conclusions - The research results showed that smart phone AR traits had significantly positive effect on presence, flow, and relational continuance behavior. Based on this, smart phone AR application providers should establish an aggressive marketing strategy to accommodate more realistic problems in order to positively influence user behavior. Additionally, the marketers should make efforts to provide fun or convenience in the AR application operation process of the user.

A Study on the Pattern of Growth Process of the Parents of Children with Developmental Disabilities based on Online Parental Community (발달장애아동 부모의 온라인 공동체 상호작용과 성장과정 유형에 관한 연구)

  • Lee, Kyungah;Kim, Sungchun;Chang, Haelim;Lee, Eunjoung
    • Korean Journal of Social Welfare
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    • v.66 no.4
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    • pp.181-205
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    • 2014
  • The purpose of this study is to analyze the process of growth of parental empowerment of the family of the children with development disabilities in an online parental community. For this purpose, 250 posts were selected from a web-forum of an online-community(internet CAFE) for patients with developmental disabilities in a Korean portal site. In addition, the selected posts were analyzed based on the grounded theory method. The results showed that the parents with high risk children for developmental disabilities interacted with each other in short answers, self-addressing, and discussion type interactions under the causal condition in which the subject parents were in need of help and sympathy. The factors that significantly affected the focus event, which is the interactive communication between the posters of the original threads and replies, included the moderating conditions based on whether the conversation was respectful, friendly, or for general evaluation, as well as the contextual condition of exclusive attitudes. The strategies of the interactions were composed of two categories of self-reflections and sharing through a human relationship. The results of these interactions were either further interactions (sharing) or shying away. With regard to the process of reinforcing the collective empowerment of the family, the 'determination,' 'tips,' and 'empathy' models were used for the explanation of the process. Lastly, we discovered that trust, support, continuous interactions, specific and practical information, as well as provision of diversified perspectives through collective experiences are necessary to achieve such improvement of collective family empowerment.

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Exploring of Factors Influencing Work-Family Conflict and Quality of LMX on Job Satisfaction among Married Female Workers (기혼여성근로자의 일-가정 갈등과 LMX 관계의 질이 직무만족에 미치는 영향요인 탐색)

  • Nam, Hyun-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.64-76
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    • 2020
  • The purpose of this study is to empirically analyze the mediating effect of job stress and Job engagement in job satisfaction between WFC(Work-Family Conflict) and quality of LMX(eader-member exchange) relationship of married female workers based on JD-R(Job Demands-Resources) model. A total of 945 people were targeted using the 7th panel data from the Korean Longitudinal Survey of Women and a structural equation model was used to verify the causal relationship and mediating effect of each variable using spss 23.0 and AMOS 21.0. As a result of the study, it was confirmed that WFC did not directly affect job satisfaction, and it was found that job satisfaction was negatively affected through job stress related to WFC. It was found that the quality of the LMX relationship had a positive effect on job satisfaction and reduced job stress, thus positively affecting job satisfaction. Job engagement was found to mediate the relationship between LMX and job satisfaction. This study is meaningful in that the search for multidimensional psychological and contextual factors that lead to job performance and job demands of married female workers are conducted.

Classification of a Volumetric MRI Using Gibbs Distributions and a Line Model (깁스분포와 라인모델을 이용한 3차원 자기공명영상의 분류)

  • Junchul Chun
    • Investigative Magnetic Resonance Imaging
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    • v.2 no.1
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    • pp.58-66
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    • 1998
  • Purpose : This paper introduces a new three dimensional magnetic Resonance Image classification which is based on Mar kov Random Field-Gibbs Random Field with a line model. Material and Methods : The performance of the Gibbs Classifier over a statistically heterogeneous image can be improved if the local stationary regions in the image are disassociated from each other through the mechanism of the interaction parameters defined at the local neighborhood level. This usually involves the construction of a line model for the image. In this paper we construct a line model for multisignature images based on the differential of the image which can provide an a priori estimate of the unobservable line field, which may lie in regions with significantly different statistics. the line model estimated from the original image data can in turn be used to alter the values of the interaction parameters of the Gibbs Classifier. Results : MRF-Gibbs classifier for volumetric MR images is developed under the condition that the domain of the image classification is $E^{3}$ space rather thatn the conventional $E^{2}$ space. Compared to context free classification, MRF-Gibbs classifier performed better in homogeneous and along boundaries since contextual information is used during the classification. Conclusion : We construct a line model for multisignature, multidimensional image and derive the interaction parameter for determining the energy function of MRF-Gibbs classifier.

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Caring Experience of Mothers with IDDM Children (인슐린의존형 당뇨병 환아 어머니의 돌봄 경험)

  • 최미혜
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.81-92
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    • 1998
  • This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, ntervening factors, and the patterns of caring, and to velop a practice theory on it. Research method followed grounded theory methodology by Strauss & Corbin. Subjects were six mothers. whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview technique and observation. Each interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face “being overwhelmed by burden”. Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support. serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support. no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education. counseling, mutual support and exchange of information will have to be accomplished.

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Changes in the Concept of Disability and its Implications for Social Work Practice (장애개념의 변화와 사회복지실천 현장 함의)

  • Kim, Yong-Deug
    • Korean Journal of Social Welfare
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    • v.51
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    • pp.157-182
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    • 2002
  • This study attempts to identify the changes in social reactions to disabilities in general, and to research the contextual implication of these changes in social work practice in Korea. In the early years after the Industrial Revolution, disability was conceived as social unfitness and it was assumed that the cause and responsibility could be attributed to people with disabilities. But, in the midst and late 20th century, social responsibility for people with disabilities was argued and generally accepted. As the results of these changes, conceptual models explaining disabilities have changed gradually; there has been a transition, so called, from individual model to social model. In a similar vein, WHO has refined the definition and classification of disability. Related to these changes, social welfare service paradigm for people with disabilities has shifted. This paradigm shift can be explained with the perspective of strength approach, empowerment approach, case management and independent living model. In Korea, 1998 Act on welfare for people with disabilities meant that social service for the disabled were categorized with, namely, residential service, community rehabilitation service and vocational rehabilitation service. Recently, the extent of these services has been rapidly broadened. In these situation, this study researched to identify the implications on social work practice in the context of changes in social response, conceptual model, definition and also service paradigm. Such as the followings are enumerated for the implications: disabled person's participation in assessment process, development of assessment tools focusing on social and environmental perspectives, reinforcement of information service helping self-determination, supporting on formal and informal helping network, expanding self-help programs and, finally, a shift from displacement model to support model.

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The Process of Pre-service Science Teachers' Designing and Implementation of Lessons in Teaching Practice from Sociocultural Perspective Using CHAT (CHAT을 이용한 사회문화적 관점에서 교육실습에 참여하는 예비과학교사의 수업 설계 및 실행 과정 분석)

  • Kim, Minhwan;Kim, Sunghoon;Noh, Taehee
    • Journal of The Korean Association For Science Education
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    • v.41 no.4
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    • pp.311-324
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    • 2021
  • In this study, we analyzed the process of pre-service science teachers' designing and implementation of lessons in teaching practice from the perspective of CHAT. Five pre-service teachers attending the Department of Chemistry Education at the College of Education in Seoul participated in this study. We observed their teaching practice, collected documentary data, and conducted in-depth interviews. The data were analyzed using the constant comparative method based on grounded theory. The analyses of the results reveal that, due to the lack of authority to make decisions for lesson design, pre-service teachers faced difficulties and had direct conflict with teachers. In addition, it was difficult for them to obtain sufficient contextual information for lesson design even through subject orientation and classroom observation, which made it difficult for them to design lessons. When consecutive lessons were taken by several pre-service teachers, there were many problems such as poor continuity of lessons. Given limited authority to assess students, they conducted additional assessments. They showed a lack of professionalism when conducting assessments. The cause of this could be found in the curriculum of the College of Education. Some ways to provide better teaching practice based on the results are discussed.

A Short-term Longitudinal Study of Depression and Life Satisfaction of the Elderly: Focusing on Living Arrangement (여성 노인의 거주형태에 따른 우울과 삶의 만족도에 대한 단기종단연구)

  • Jeon, Byeong Joo
    • 한국노년학
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    • v.37 no.4
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    • pp.853-870
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    • 2017
  • This study examined the changes of depression and life satisfaction among the elderly living together in group-home and congregate housing. And in this course, it was to verify the practical effects of the recent government and local authority community life of elderly people by comparing them with the groups of elders living alone. The study was divided into Time 1 and Time 2, and 205 person's data were used for the final analysis. PASW Statistics 18.0 was utilized to analysis the data of this study, because it is difficult to explain the results of this analysis, secondary qualitative research has been used to identify additional contextual information. The major results of this study are as follows. First, the depression of the subjects was significantly improved in the case of living in group-home and congregate housing, and it was significantly worse in the group of elders living alone. Second, the life satisfaction of survey subjects was significantly improved when living in congregate housing, group-home was significantly worse, and the group of elders living alone were not statistically significant but slightly worse. Third, mixed research methods were applied to make accurate interpretation of changes of life satisfaction of the elderly living in group-home. Based on the results of this study, it is possible to establish appropriate measures for the elderly to improve early adjustment and quality of life in community life. And the community life of the elderly can contribute to a real social safety net by solving the blind spot of welfare. At the national level, it can be utilized as a standard reference to improve and strengthen existing policies by providing data that can simultaneously examine the performances and problems of various policies related to housing or the welfare of the elderly.

A Study on Automated Fake News Detection Using Verification Articles (검증 자료를 활용한 가짜뉴스 탐지 자동화 연구)

  • Han, Yoon-Jin;Kim, Geun-Hyung
    • KIPS Transactions on Software and Data Engineering
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    • v.10 no.12
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    • pp.569-578
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    • 2021
  • Thanks to web development today, we can easily access online news via various media. As much as it is easy to access online news, we often face fake news pretending to be true. As fake news items have become a global problem, fact-checking services are provided domestically, too. However, these are based on expert-based manual detection, and research to provide technologies that automate the detection of fake news is being actively conducted. As for the existing research, detection is made available based on contextual characteristics of an article and the comparison of a title and the main article. However, there is a limit to such an attempt making detection difficult when manipulation precision has become high. Therefore, this study suggests using a verifying article to decide whether a news item is genuine or not to be affected by article manipulation. Also, to improve the precision of fake news detection, the study added a process to summarize a subject article and a verifying article through the summarization model. In order to verify the suggested algorithm, this study conducted verification for summarization method of documents, verification for search method of verification articles, and verification for the precision of fake news detection in the finally suggested algorithm. The algorithm suggested in this study can be helpful to identify the truth of an article before it is applied to media sources and made available online via various media sources.