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Parental Factors Associated with Smartphone Overuse in Preschoolers: A Systematic Review and Meta-Analysis (유아의 스마트폰 과다사용과 관련한 부모요인 규명: 체계적 고찰 및 메타분석)

  • Lee, Gumhee;Kim, Sungjae;Yu, Heajin
    • Journal of Korean Academy of Nursing
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    • v.50 no.3
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    • pp.349-368
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    • 2020
  • Purpose: This study aimed to identify parental factors associated with smartphone overuse in preschoolers. Methods: A systematic review was conducted according to PRISMA guidelines. Relevant studies published in peer-reviewed journals from 2009 to June 2019 were identified through systematic search in 10 electronic databases (PubMed, CINAHL, Cochrane Central, EMBASE, Web of Science, NDSL, KISS, KMbase, KoreaMed, and RISS). Standardized effect sizes were calculated to quantify the associations of parental factors with smartphone overuse in preschoolers using meta-analysis. Results: A total of 30 cross-sectional studies involving 7,943 participants met the inclusion criteria. The following were negatively correlated with smartphone overuse in preschoolers: mother's parenting self-efficacy (r=-.35), mother-child attachment (r=-.28), mother's positive parenting behavior (r=-.28), mother's positive parenting attitude (r=-.25), and father's parenting involvement (r=-.15). Further, maternal factors such as smartphone addiction tendency (r=.41), parenting stress (r=.40), negative parenting behavior (r=.35), negative parenting attitude (r=.14), smartphone usage time (r=.26), employment status (r=.18), and age (r=.12) were positively correlated with smartphone overuse in preschoolers. Conclusion: Several parental factors influence smartphone overuse in preschoolers. These findings emphasize the need to assess and enhance the parental factors identified in this study to prevent smartphone overuse in preschoolers. Accordingly, we recommend the development of preventive interventions to strengthen parent-related protective factors and mitigate risk factors.

A Study of the Court-Annexed ADR and Its Implications in the United States (미국의 사법형 ADR제도와 그 함의에 대한 연구)

  • Kim, Chin-Hyon;Chung, Yong-Kyun
    • Journal of Arbitration Studies
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    • v.21 no.3
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    • pp.55-87
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    • 2011
  • This paper is to illustrate a variety of court-annexed ADR programs and vindicate its implications of court-annexed ADR in United States. It has been almost three decades since Frank Sender articulated his vision of the multi-door courthouse. The court-annexed ADR originated from the concept of multi-door court house. Professor Sander argued that the court must transform from the court that provides litigation, only one type of dispute resolution, to the multi-door courthouse which provides a variety of dispute resolution methods including a number of ADR programs. The types of court-annexed ADR on which this paper focus are court-annexed mediation, court-annexed arbitration, mini trial, early neutral evaluation(ENE), summary jury trial, rent-a-judge, and med-arb in United States. The findings of this paper is as follows. First, the ADR movement is the irreversible and dominant phenomenon in the US court. The motivation of incorporating ADR into court is to reduce the cost of court to handle the civil disputes and to eliminate the delay of litigation process in the court. At the same time, a couple of studies of ADR revealed that the ADR program satisfied users of ADR. Second, the landscape of ADR has not been fixed. In 1970's, the court-annexed arbitration has been popular. In 1980's, the diverse kinds of ADR programs were introduced into the federal court as well as state courts, such as mini trial, early neutral evaluation(ENE), summary jury trial, and court-annexed mediation. But in 2000s, the court-annexed mediation has been the dominant type of ADR in United States. Third, the each type of ADR program has its own place for the dispute resolution. Since Korean society enters into the stage in which diverse kind of disputes occur in the areas of environment, construction, medicare, etc, it is desirable to take into consideration of the introduction of ADR to dispute resolution in Korea.

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Properties of the Measures to Assess Oxaliplatin-induced Peripheral Neuropathy: A Literature Review (옥살리플라틴 유도 말초신경독성 측정도구의 고찰)

  • Chu, Sang Hui;Lee, Yoon Ju;Lee, Young Joo;Cleeland, Charles S.
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.783-801
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    • 2015
  • Purpose: The purpose of this study is to provide a comprehensive overview of the various measures available for assessment of oxaliplatin-induced peripheral neuropathy (OXLIPN) and to evaluate the measurement properties of each assessment tool. Methods: A systematic review was conducted to identify existing measures for OXLIPN found in the databases of PubMed, Cochrane Library, Embase, RISS and KoreaMed. The quality of the 24 identified tools was evaluated based on their properties of measurement including content validity, internal consistency, criterion validity, construct validity, reproducibility, responsiveness, floor-ceiling effects and interpretability. Results: Ten (41.7%) of the 24 tools were identified as specific measures for assessing OXLIPN and the most popular type of measures were clinical grading systems by clinicians (58.3%) and only 29.2% of measures were identified as patient reported outcomes. The most frequently used tool was National Cancer Institute-Common Toxicity Criteria (NCI-CTC), but the validity of NCI-CTC has not been reported appropriately. Overall, the Neuropathic Pain Symptom Inventory (NPSI) received the best psychometric scores, and the Chemotherapy-induced Peripheral Neuropathy Assessment Tool (CIPNAT) and Functional Assessment of Cancer Therapy/Gynaecologic Oncology Group-neurotoxicity-12 (FACT/GOG-Ntx-12) followed NPSI. Conclusion: To select appropriate measure, evidences should be accumulated through the clinical use of tools. Therefore, practitioner and researchers are urged to report relevant statistics required for the validation of the currently used measures for assessment of OXLIPN.

Inappropriate Survey Design Analysis of the Korean National Health and Nutrition Examination Survey May Produce Biased Results

  • Kim, Yangho;Park, Sunmin;Kim, Nam-Soo;Lee, Byung-Kook
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.2
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    • pp.96-104
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    • 2013
  • Objectives: The inherent nature of the Korean National Health and Nutrition Examination Survey (KNHANES) design requires special analysis by incorporating sample weights, stratification, and clustering not used in ordinary statistical procedures. Methods: This study investigated the proportion of research papers that have used an appropriate statistical methodology out of the research papers analyzing the KNHANES cited in the PubMed online system from 2007 to 2012. We also compared differences in mean and regression estimates between the ordinary statistical data analyses without sampling weight and design-based data analyses using the KNHANES 2008 to 2010. Results: Of the 247 research articles cited in PubMed, only 19.8% of all articles used survey design analysis, compared with 80.2% of articles that used ordinary statistical analysis, treating KNHANES data as if it were collected using a simple random sampling method. Means and standard errors differed between the ordinary statistical data analyses and design-based analyses, and the standard errors in the design-based analyses tended to be larger than those in the ordinary statistical data analyses. Conclusions: Ignoring complex survey design can result in biased estimates and overstated significance levels. Sample weights, stratification, and clustering of the design must be incorporated into analyses to ensure the development of appropriate estimates and standard errors of these estimates.

Registration Method between High Resolution Optical and SAR Images (고해상도 광학영상과 SAR 영상 간 정합 기법)

  • Jeon, Hyeongju;Kim, Yongil
    • Korean Journal of Remote Sensing
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    • v.34 no.5
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    • pp.739-747
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    • 2018
  • Integration analysis of multi-sensor satellite images is becoming increasingly important. The first step in integration analysis is image registration between multi-sensor. SIFT (Scale Invariant Feature Transform) is a representative image registration method. However, optical image and SAR (Synthetic Aperture Radar) images are different from sensor attitude and radiation characteristics during acquisition, making it difficult to apply the conventional method, such as SIFT, because the radiometric characteristics between images are nonlinear. To overcome this limitation, we proposed a modified method that combines the SAR-SIFT method and shape descriptor vector DLSS(Dense Local Self-Similarity). We conducted an experiment using two pairs of Cosmo-SkyMed and KOMPSAT-2 images collected over Daejeon, Korea, an area with a high density of buildings. The proposed method extracted the correct matching points when compared to conventional methods, such as SIFT and SAR-SIFT. The method also gave quantitatively reasonable results for RMSE of 1.66m and 2.45m over the two pairs of images.

The Effects of Acupuncture and Herbal Medicine for the Treatment of Whabyung: A Meta-analysis (화병치료에 대한 침과 한약의 효과에 대한 메타분석)

  • Kim, Yeri;Chung, Sun-Yong;Choi, Eun-Ji;Cho, Eun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.267-275
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    • 2017
  • Background and Objective: Whabyung is a Korean cultural disorder characterized by a combination of emotional stress and physical symptoms. Acupuncture, herbal medicines and other complementary medicinal treatments are used to treat the symptoms of whabyung. The purpose of this study is to investigate the effects of acupuncture treatment and herbal medicine treatments on anger, anxiety and depression of whabyung. Methods: Using PubMed, CENTRAL, AMED, MEDLINE, EMBASE, MEDLINE, CINAHL, Cnii, CNKI, J-SATGE, PsycArticles, KISS, KoreaMed, kmbase, NDSL, RISS, OASIS and Korean Traditional Knowledge Portal, articles published by March 2017 for whabyung or whabyung-related syndrome were searched. The quality of selected articles was evaluated using RoB and RoBANS. The effects of acupuncture and herbal medicines on anger, anxiety, and depression levels of whabyung patients were considered for meta-analyses. Results: Of the total 2408 articles retrieved from the database, 11 were finally selected and 4 articles were used for meta-analyses. Acupuncture reduced whabyung patients' anger and anxiety. Especially, the state anxiety was significantly reduced (effect size= -0.676, p= .026). Herbal medicine had effects on reducing anxiety and state anger while trait anger was increased without statistical significance. Conclusion: The present study showed the effectiveness of acupuncture and herbal medicines for whabyung patients in general. However, considering the limited availability of articles and the heterogeneity between them included for the meta-analysis, the results should be generalized with caution. In the future, more studies within the structure of evidence-based medicine need to be conducted to generate objective and valid evidences of korean medicine.

COVID-19 Risk Factors Among Health Workers: A Rapid Review

  • Mhango, Malizgani;Dzobo, Mathias;Chitungo, Itai;Dzinamarira, Tafadzwa
    • Safety and Health at Work
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    • v.11 no.3
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    • pp.262-265
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    • 2020
  • Coronavirus disease 2019 (Covid-19) poses an important occupational health risk to health workers (HWs) that has attracted global scrutiny. To date, several thousand HWs globally have been reported as infected with the severe acute respiratory syndrome coronavirus 2 virus that causes the disease. It is therefore a public health priority for policymakers to understand risk factors for this vulnerable group to avert occupational transmission. A rapid review was carried out on 20 April 2020 on Covid-19 risk factors among HWs in PubMed, Google Scholar, and EBSCOHost Web (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, CINAHL with Full Text, APA PsycInfo, Health Source-Consumer Edition, Health Source: Nursing/Academic Edition) and WHO Global Database. We also searched for preprints on the medRxiv database. We searched for reports, reviews, and primary observational studies (case control, case cross-over, cross-sectional, and cohort). The review included studies conducted among HWs with Covid-19 that reported risk factors irrespective of their sample size. Eleven studies met the inclusion criteria. Lack of personal protective equipment, exposure to infected patients, work overload, poor infection control, and preexisting medical conditions were identified as risk factors for Covid-19 among HWs. In the context of Covid-19, HWs face an unprecedented occupational risk of morbidity and mortality. There is need for rapid development of sustainable measures that protect HWs from the pandemic.

The Effect of the Combined Exercise Program on the Static Balance Ability of the Lumbar Instability of Adults (허리 불안정성을 가진 성인에게 적용한 복합운동프로그램이 정적균형능력에 미치는 영향)

  • Oh, Yoon-joong;Park, Jong-hang;Kim, Yoon-hwan;Kim, Tae-won
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.21-29
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    • 2019
  • Background: The purpose of this study is to investigate the effect of the combined exercise program on the static balance ability of the lumbar instability of adults. Methods: The experimental group was divided into two groups and randomly. The experimental group 1 (Exp 1) applied the combined exercise program for the lumbar stabilization exercise and strengthening exercises and the experimental group 2 (Exp 2) applied the combined exercises program for the lumbar stabilization exercises and active stretching exercises. Each experiment group performed exercise program for 4 weeks, 3 times a week, 30 minutes a day. Static balance ability was measured using GOOD BALANCE system. Results: As the comparing results of static balance ability, normal standing eye open was Ant-Post and Med-Lat showed significant differences in Exp 1 (p<.05). One leg left eye open was velocity moment showed significant differences in Exp 1 (p<.05). and one leg right eye open was Med-Lat showed significant differences in Exp 1 (p<.05). Conclusion: These results show that thoracic self mobilization is immediate effective on balance and gait ability. Thus, thoracic self mobilization will help recovery of balance and gait ability in acute stroke patients.

Research of Active Transponder application as Ground Control Point in Synthetic Aperture Radar Images (SAR 영상 내에서 능동 트랜스폰더의 GCP 활용 여부에 관한 연구)

  • Jeong, Ho-Ryung;Oh, Tae-Bong;Park, Duk-Jong;Lee, Sun-Gu;Lim, Hyo-Suk
    • Aerospace Engineering and Technology
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    • v.11 no.2
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    • pp.164-170
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    • 2012
  • This paper presents that the comparison results of AT (Active Transponder) positions obtained from different measurements: the result of GPS device and evaluated position from the SAR (Synthetic Aperture Radar) image, and active transponders can be useful as GCPs(Ground Control Points) in SAR images. The X-band AT are installed on the wide-and-flat area to improve SCR(signal-to-clutter ration), and activated to represent impulse response function in order to operate as one point target in SAR images. Cosmo-SkyMed operating at X-band frequency are used to provide SAR images of AT. The comparison of AT position is performed by using the result of GPS device field measurement and AT SAR images. ENVI-SARscape S/W is used to evaluate AT position in the SAR images. From the comparison, it is shown that AT are useful as GCPs for SAR images.

Preparation and characterization of silanized-hydroxypropyl methylcellulose/phase transformed calcium phosphate composite bone cements (실란처리된 하이드록시프로필 메틸셀룰로오스/상전이된 칼슘포스페이트 복합체 골시멘트의 제조 및 특성평가)

  • Jeong, Nahyun;Kim, Dong-Hyun;Cho, Hoon-Sang;Yoon, Seog-Young
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.26 no.6
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    • pp.243-251
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    • 2016
  • Silanized-hydroxypropyl methylcellulose (Si-HPMC)/phase transformed calcium phosphate (PTCP) composites are prepared to purpose application of injectable bone cements with enhanced biocompatibility. The crystal structure and chemical state of the synthesized PTCP and Si-HPMC as solid and liquid phase of the composite cements were measured by XRD and FT-IR. The handling and mechanical properties of cements were measured by injectability tests and three-point bending tests. The in-vitro mechanical properties, XRD, and SEM results of bone cements were showed that enhanced hardening behavior was an inherent function of bone cements after in-vitro test. The cytotoxicity result of bone cements also was showed enhanced biocompatibility. Therefore, these injectable cements had potential be used as calcium phosphate cements for biomedical applications.