• Title/Summary/Keyword: Experienced Trust

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Childhood Trauma and Pharmacotherapy Retention among Outpatients with Panic Disorder (공황장애 외래 환자의 아동기 외상과 약물치료 유지)

  • Kim, Dong Joo;Kim, Daeho;Lee, Jinbok;Kim, Yaeseul;Sohn, Sujin
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.53-62
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    • 2020
  • Objectives : This study investigated lifetime experiences of trauma, treatment retention, and psychiatric symptoms among outpatients with panic disorder after initiation of pharmacotherapy. Our research hypothesis was that panic patients with childhood trauma would display more severe symptoms and less treatment retention compared to those without such history. Methods : A total of 135 first-visit outpatients with DSM-IV panic disorder were approached during the period from March 2012 to August 2016. Fifty-three patients (39%) either refused or returned incomplete questionnaires, leading to a final sample size of 82. Participants completed the Trauma History Screen, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : The number of lifetime trauma was significantly correlated with treatment retention (rho=-0.269, p=0.015). Among subtypes of trauma, only childhood physical abuse was significantly correlated with treatment retention (rho=-0.298, p=0.007). Conclusions : Our results indicated that psychological trauma, particularly of an interpersonal nature from childhood, can affect pharmacotherapy treatment retention in panic disorder. This may be mediated by poor patient-doctor relationships originating from trust issues among childhood trauma survivors or lack of perceived improvement due to the more severe symptoms and unfavorable course experienced by those with childhood trauma. Further studies are needed to explore the reasons for poor treatment adherence in this population.

Food Materials for School Foodservices on High-quality Products, Local Products and Fresh-cut Products - Dietitian's Choice in Elementary, Middle and High Schools in Gyeong-gi Province - (학교급식 식재료로서 지역 농산물, 고품질농산물과 신선편이 채소의 이용현황과 필요에 관한 연구 - 경기지역 초.중.고등학교를 중심으로 -)

  • Kang, Heui-Yun;Jung, Eun-Hee;Rhie, Seung-Gyo
    • The Korean Journal of Community Living Science
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    • v.20 no.3
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    • pp.397-411
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    • 2009
  • The use of local product foods and fresh-cut products, the dietitian's recognition, the required items and the quality for school foodservice was investigated to increase the consumption of high-quality agricultural products. Data from 578 elementary schools, 228 middle schools and 116 high schools were collected by school foodservice personnels in each regional Education Administration in Gyeong-gi province. The first criteria of buying food materials was reliability/safety for all school foodservice. The second criteria were the origin of the product and freshness/ripeness for elementary and middle schools and high school, respectively. The most important consideration for selecting a supplier was the quality of the material. The appearance/status of the food was the first factor for buying food materials. The origin and the seasonality were very important for buying farm products. Dietitians in Gyeong-gi province recognized the local products, and used them weekly. The advantages of using local products were the quick supply, freshness and safety. On the other hand, the disadvantages were the lack of information and the uncertainty of supply. Sixty eight percent of the subjects had experienced the high-quality agricultural products in school meals, but the frequency was low. The main reasons for not servicing high-quality agricultural products were the high cost and the lack of trust on the quality. Among fresh-cut products, seasonings and root vegetables were purchased most frequently, but leaf vegetables was 5.7% only. The purchase of fresh-cut products was not frequent, but usually satisfied. The advantages of fresh-cut products were the reduced workload and waste, but the reason for not using them were poor hygiene and the high price. The diverse supply system and the promotion of the local product foods would be necessary since the most food materials were purchased through suppliers. In addition, the problems related to the high cost and distrust should be resolved to expand the consumption of the high-quality agricultural products and the fresh-cut vegetables. The institutions for certifying the quality should be needed to increase the confidence of these products.

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Community Health Practitioner's Commitment into Community : on the Aspect of Primary Health Care (보건진료원의 지역사회 몰입과정)

  • Yun, Soon-Nyoung;Kim, Young-Im;Choi, Jeong-Myung
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.173-182
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    • 1995
  • Primary health care(PHC) has been established since A Health Law for rural residents has been legislated in 1980 following the WHO declaration, 'Health for All 2000'. in 1978. PHC services are presently assumed to be provided by 2038 Community Health Practitioners(CHP) to about 28% out of rural population in Korea. Most CHPs have confronted the adaptation process to the community being practiced although a CHP's role is to evoke community participation for the improvement of their health by themselves. So the purpose of this study is to describe and explain of the commitment of CHPs into the community. Data were collected by direct interview and tape-recording under subjects' permission till theoretical saturation were occured from 6 CHPs. The subjects were 41 years old and have served in the community for 9 years in average. Main questions and concepts were explored from data according to the procedure of the grounded theory methodology. The results are as follows. 1) The number of the main concepts were twenty four that identified Motive, Desire, Personal characteristics, Unfamiliarity, Denial, Feeling of isolation, Self-sacrifice, Kindness, Patience, Assimilation, Respect for the residents, Support by the family, Support by the residents, Achievement, Acceptance of realities, Use of resources, Inducement of cooperation from the residents, Changes of the difference from time orientation between CHP and residents, Attitude as a official, Technical support, Cost management, Satisfaction level, Acknowledgement by the residents and discrepancy. 2) The twenty four concepts were categorized to seven groups such as Motivation, Feeling of Heterogeneity, Self-discipline, Social support, Induced changes in the attitudes of residents, Familarity and Persistent discrepancy. 3) The categorized groups were analyzed on the base of the Causal Conditions, Central Phenomena, Contexts, Intervening Conditions, Action / Interaction Strategies, and Consequences. Central phenomenon in this study was identified to be the feeling of heterogeneity. Community health practitioners experienced unfamiliarity and denial from the community and felt themselves isolated in the first. In time, they won the trust of residents by their efforts including self-sacrifice, kindness, patience, and assimilation. Afterward, practitioners got self-confidence and familiarity with lesser feeling of heterogeneity. Nevertheless, practitioners could not commit themselves completely because of the persistent discrepancy between CHP and residents. 4) On the commitment process, the CHPs' feeling of heterogeneity were decresed and social support increesed and newly evolved induced change of residents through the continuous interaction between CHP and them The contribution of this study would be concluded as follows. 1) It is expected that effective strategies for more rapid committment into the community can be developed based on this study. 2) More easy committment would be possible for the newly appointed CHP through understanding of the committment process identified on this study.

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Middle School Science Teachers' Perceptions of Implementation and Challenges on Process-Based Assessment Emphasized in the 2015 Revised Curriculum (2015 개정 교육과정에 따른 중학교 과학교사들의 과정중심평가 실행 및 어려움에 대한 인식 탐색)

  • Lee, Hyunju;Baek, Jongmin;Kwak, Youngsun
    • Journal of Science Education
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    • v.44 no.2
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    • pp.133-144
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    • 2020
  • As a part of the second-year monitoring study on the implementation of the 2015 revised science curriculum in middle schools, this study focuses more on examining middle school science teachers' perceptions on the process-based assessment (PBA). A total of 105 middle school science teachers (44 teachers from science leading schools, 61 teachers from ordinary schools) responded to the survey questionnaire, and 16 teachers participated in interviews. The results include teachers' perceptions on the changes in their teaching and assessment methods, some challenges of implementing PBA, and educational implications of PBA. Survey results indicate that the teachers perceived themselves using more PBA methods after the 2015 revised science curriculum was launched. The teachers in science-leading schools present statistically higher average scores to the items on the PBA utilization than the ones in ordinary schools. However, the teachers felt confused in conceptually differentiating PBA from prior performance-based assessment. They also experienced some conflicts when implementing PBA under the achievement-oriented school atmospheres. In addition, they often faced difficulties in securing objectivity and reliability of PBA and felt the burden of evaluating individual students. This study suggests the necessity of giving more authority and trust to science teachers regarding PBA, constructing more supportive environment to cultivate teacher competency as evaluation experts, and the need to reduce task burden. However, some teachers who actively implemented PBA express some level of satisfaction as observing students' positive reaction to PBA.

Marital Decision Process of Older Women and Younger Men Couple: Focusing on 30-40 years old Women (연상녀-연하남 부부의 결혼결정 과정: 30-40대 여성의 경험을 중심으로)

  • Lee, Se Ran;Kim, Hyun Joo
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.107-153
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    • 2016
  • The purpose of this study was to explore the marriage decision-making process and experience of the 'Older women-Younger men couple' and presenting a substantive theory to explain the decision-making process that married women experience of 'Older women-Younger men couple'. This in-depth interviews were conducted 11 female people among 32-48 years of 'Older women-Younger men couple.' Analysis of the data was applied to the "grounded theory" method of Qualitative research methods suggested by Strauss and Corbin(1998). Research questions of this study is that what is the experience of the marriage decision-making process to 'Older women-Younger men couple?'. After analyzing the data to the grounded theory method 75 concepts and 29 sub-categories, 14 categories were derived. Older women experienced a central phenomenon of 'ambivalence of love and anxiety'.'Older women-Younger men couple's marriage decision-making process of the women had to 'step adjustment', 'acceptable level', 'Step enacted', and 'Older women-Younger men couple's core category of married women in the decision-making process' was 'Intimacy based on the trust each other beyond the prejudices of the differences'. This study is meant by presenting the basic data provided professional counseling intervention measures for 'Older women-Younger men' couple by collectively Understanding the decision-making process of Older women-Younger men couple married.

A Development of Chatbot Q&A System to Answer Questions in Webpage - Focused on arts education matching services - (온라인 시스템 장애를 원활히 해결하기 위한 챗봇 Q&A시스템 개발 - 예술 교육 서비스를 중심으로 -)

  • Kim, Jae Min;Lee, Hye Moon;Kim, Myoung Young;Lee, Won Hyung;Yi, Dae Youmg
    • Journal of the Korean Society for Computer Game
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    • v.31 no.4
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    • pp.157-166
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    • 2018
  • Communication between customers and service providers is an important issue at sites where various businesses and transactions take place. In particular, the ability to solve problems quickly and accurately when a problem arises and when an inquiry is received is directly linked to trust in the site. In this paper, we propose a method of handling complaints and inquiries of site users by using chatbot technology on talent market platform site. First, we implemented chatbot that can communicate with the inquirers in real time, so that users can use the site usage and word search functions. For various errors and problems of the site which can not be defined by a few words or sentences, I have specified an error code and database it. Users of the site were able to contact chatbot with the error code that was output when an error occurred and get the corresponding response in real time. The chatbot implemented in this study provided a satisfactory experience because that was able to provide quick and accurate answers to users who experienced errors or inquiries when using the site. This will have a positive impact on the credibility and favorability of the site over the long term, and will help reduce manpower and time costs for error inquiries.

A Study on the Personal and Social Acceptability of Personal Information Disclosure of COVID-19 Confirmed Patients (코로나19 확진자 개인정보 공개의 개인적, 사회적 수용성에 관한 연구)

  • Oh, Juyeon;Suh, Woojong
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.49-61
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    • 2021
  • In a disaster situation such as COVID-19, our society has experienced the spread of the damage due to confirmed patients who have a negative or uncooperative attitude toward the disclosure of personal information. Accordingly, this study aims to find a policy direction that can improve the awareness of the disclosure of personal information about confirmed COVID-19 patients. This study classified the concept of acceptability into personal and social acceptability, and statistically verified their relationship with influential factors. In this study, 594 cases of data collected through an online survey were used. The analysis results show that the greater the trust in the government's personal information management capability, the lower the perception of the risks associated with the disclosure of personal information, and the lower the awareness of the risk, the higher the personal and social acceptability of the personal information disclosure of COVID-19 confirmed patients. In addition, the greater the recognition of the utility of personal information disclosure, the higher the perception of personal and social acceptability of the personal information disclosure. It is expected that the analysis results and discussions of this study will be useful information for policy development to create a more mature social atmosphere to reduce the public's reluctance to disclose information not only in COVID-19 but also in new disaster situations in the future.

Development Plan of R.O.K. Naval forces to prepare Tasks in the Arctic Ocean: Based on Operational Environment(SWOT) Analysis (한국 해군의 북극해 진출과 발전방안에 대한 고찰: 작전환경(SWOT) 분석을 중심으로)

  • Ji, Young
    • Maritime Security
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    • v.1 no.1
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    • pp.311-343
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    • 2020
  • Because of the global warming, the Arctic Ocean is expected to be ice-free by the year 2035. When the Arctic Ocean will be opened, a number of national interests will become more salient as experiencing a shortened sailing distance and decreasing navigation expense, possibility of natural resources transport by sea from Arctic Circle, and indirect-profit making by building a herb port in Asia. To secure the national interests and support the free activities of people in this region, R.O.K government is trying to make advanced policies. In order to carry out the naval tasks in the Arctic Ocean, using the operational characteristics(mobility, flexibility, sustainability, presence of capabilities, projection) is necessary. To this end, ROK Navy should analyze the operational environment (O.E.) by its capability(weakness and strength), opportunity, and threat. R.O.K. Navy should make an effort over the following issues to implement the tasks in the Arctic Ocean: first, Navy needs to map out her own plan (Roadmap) under the direction of government policies and makes crews participate in the education·training programs in home and abroad for future polar experts. Third, to develop the forces and materials for the tasks in cold, far operations area, Navy should use domestic well-experienced shipbuilding skills and techniques of the fourth industrial revolution. Next, improving the combined operations capabilities and military trust with other countries in the Arctic region to cover the large area with lack of forces' number and to resolve the ports of call issues. Lastly, preparation in advance to execute a variety of missions against military and non-traditional threats such as epidemics, HA/DR, SOLAS, in the future operation area is required.

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Career Developmental Characteristic in Latent Classes based on Belief in a Just World and Social class of Middle-aged adult (중·장년 성인의 정당한 세상에 대한 믿음과 사회계층에 따른 잠재집단의 진로발달 특성)

  • Kim, Dohyun;Jang, Jinyi
    • 한국노년학
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    • v.41 no.4
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    • pp.567-586
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    • 2021
  • This study explored what latent classes appear according to the combination of Belief in a Just World (BJW) and social class of middle-aged adults, and examined whether there are differences in career transiton, perceiving a calling, and working as meaning in each class and what characteristics they have. 224 middle-aged people who experienced turnover through online and offline were surveyed and analyzed by Latent Profile Analysis. The participants were divided into 5 latent classes such as; 'Relative self-satisfaction', 'Social contentment', 'Relative deprived', 'Fairness trust' and 'Fairness distrust'. According to the results of MANOVA analysis to figure out if there are differences in career transitions, perceiving a calling, and working as meaning depending on latent classes, significant differences were appeared among latent classes. Finally, multinominal logistic regression analysis was conducted to examine whether demographic characteristics and 'decent work' affect the latent group classification. As a result, the more 'decent work', the higher the probability of belonging to the class with high BJW and social class. On the basis of the results of this study, the implications on the case conceptualization and counseling strategy for adults focusing on BJW and Social class in adults and future research were discussed.

A Study on the Perceived Mediating Effect of the Customers in the Relationship between the Quality of Service of a Skin Care Shop and the Intent to Revisit (피부관리실 서비스 품질과 재방문의도의 관계에서 고객의 지각된 가치의 매개효과 연구)

  • Kim, Hyun-Kyoung
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.475-486
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    • 2022
  • The purpose of this study is to provide the service marketing data for skincare shops through analyzing the impact of the quality of service of skincare shops on perceived values and revisit intents. For this study, 397 middle-aged women who visited and experienced the services of the skincare shops in Seoul and the Gyeonggi region were surveyed. The data from the said survey were analyzed using SPSS 23.0 and AMOS 23.0. The findings of this study were as follows; first, the formality, reliability, certainty, and empathy among the service factors of skincare shops had a significant impact on economic values, while trust, certainty, and empathy had an impact on emotional values. Second, the formality, reliability, and empathy had a significant impact on revisit intent for skincare shops. Third, among the perceived values on skincare shops, both economic and emotional values had a significant impact on the intent to revisit. Fourth, the perceived values were confirmed to have partial mediating effects in the relationship between the quality of service of skincare shops and revisit intent for each service quality type.