• Anxiety and mood
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• v.15 no.2
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• pp.115-121
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• 2019

Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals.

• Journal of the Korean Applied Science and Technology
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• v.36 no.3
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• pp.954-965
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• 2019

This study was a quasi-experimental study of a non-equivalence comparison group to investigate an effect of adaptation of group counseling program based on MMTIC (Murphy-Meisgeier Type Indicator for Children) on improvement of psychological well-being, self-esteem and depression for elementary school students from low income families. Data were collected from August 3 to August 31, 2016. The group counseling program based on MMTIC was applied to the experimental group 10 sessions (twice a week, 60minutes), participants were 56 elementary school students from low income families (experimental group = 28, control group = 28) live in J city. The effects of this study were evaluated with the scales for psychological well-being, self-esteem and depression. As a result, it was found that well-being and self-esteem had significantly improved, depression had noticeably decreased with the program. Therefore, It is should that the group counseling program based on MMTIC will be used for effective psychiatric nursing intervention.

• Journal of Hospice and Palliative Care
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• v.22 no.2
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• pp.67-76
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• 2019

For hospice palliative care that provides comprehensive and general care, it is necessary to use assessment tools to objectively list issues and detail care plans. The initial assessment is a process of establishing an overall direction of care by identifying the patient's symptoms, social and spiritual issues and palliative care needs on the admission day or within one day of admission. This process is also used to identify the patients' and families' awareness of the illness, prognosis, treatment options and if the Physician Orders for Life-Sustaining Treatment (POLST) has been drafted. Consisting of 13 simple questions regarding the physical, mental, social, and spiritual domains, the Needs at the End-of-Life Screening Tool (NEST) is recommended as an initial assessment tool. Using specific assessment tools, a care plan is established for the issues identified in the initial assessment within three days of admission. A multidisciplinary assessment tool can be helpful in the physical domain. The psychosocial domain evaluates psychological distress, anxiety and depression. The social domain examines an ability to make decisions, understanding of the socioeconomic circumstance, family relationship, and death preparedness. A spiritual evaluation is also important, for which the Functional Assessment of Chronic Illness Therapy-Spiritual WellBeing Scale (FACIT-Sp) or the Spiritual Health Inventory (SHI) can be used. The use of an assessment tool could not only contribute to pain mitigation a better quality of life for patients, but also provide systematic training for a multidisciplinary team; And the process itself could be a stepping stone for the better care provision.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.30 no.1
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• pp.121-143
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• 2019

The purpose of this study was to examine the reason and value system of the elderly people on the public library use in Korea. For the purpose, a questionnaire survey was conducted for elderly aged over 60, from 15 public libraries in Seoul from October 29 to October 10, 2018, and 306 valid responses collected were analyzed. The value system is based on the Means-end Chain (MEC) Theory, and the linkage between the attributes, consequences, and values of public library use is figured out as a value hierarchy. As a result, the most frequently revealed value system was 'reads or borrows books (attribute) ${\rightarrow}$ gets new knowledge (consequence) ${\rightarrow}$ satisfies oneself (value).' For the value reached by using the public library, both groups answered that their satisfaction, achievement, fun, pleasure, and vitality. However, the elderly aged 65 and over additionally felt that public libraries are good for their mental / physical health. The results showed that the elderly people using the public library feels the traditional functions of the public library as the main attribute, and the public library could provide the elderly people with contribution to the lively old age.

• Journal of the Korean Institute of Landscape Architecture
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• v.47 no.1
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• pp.49-56
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• 2019

Urban green spaces have been contributing to the improvement of environmental, mental, and physical health for humans. In addition, recent studies showed the potential role of vegetation in reducing the amount of crime in inner-city neighborhoods at the micro-scale level. However, little is known about the positive role of urban green areas in improving urban safety at the regional level. The purpose of this study is to examine the relationship between urban green areas and actual outdoor crime rates, while also considering socio-demographic factors. The study area is the city of Austin, Texas, USA, which consists of 506 block groups. This study utilized socio-demographic factors based on U.S. Census data and vegetation-related factors utilizing GIS and ENVI software. For analyses, the analysis of variance (ANOVA) and an ordinary least square (OLS) regression were utilized. The results from ANOVA showed that yearly crime rates per acre for areas having 0%~25% trees in their neighborhoods were 0.46% and 1.05% higher than those of having 25%~50% and >50% trees in the neighborhoods, respectively. The results from the OLS regression represented that income, NDVI and park rates in neighborhoods were negatively associated with the crime rate per acre, whereas the percentage of minorities and the percentage of teenage school dropouts were positively associated with the crime rate per acre. This study implies that urban green areas may help to improve the safety of urban areas.

• Korean Journal of Medical Ethics
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• v.21 no.4
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• pp.316-329
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• 2018

Although the use of social media by doctors raises important issues concerning medical professionalism, the relevant professional bodies in South Korea have failed to issue clear guidelines on social media usage. The Korean Medical Association's newly revised ethics guidelines do require members to maintain dignity while using social media, but the idea of "maintaining dignity" is far from clear, and its premodern connotation prevents it from being reliably used in professional codes of conduct. The authors of this article examine the concept of maintaining dignity and conclude that once it is clarified and redefined it can and should be used as a viable ethical standard in a variety of contexts, including the use of social media. Social media's unpredictability and uncontrollability, and the blurred distinction between professional/public and personal/private can be a threat to medical professionalism. In order to deal with this threat, the concept of dignity is important. We present three examples in which the dignity of medical professionals is undermined and explain why these jeopardize public trust. We conclude that in order to maintain public trust the Korean Medical Association should provide more detailed guidelines on the use of social media by its members.

• Journal of Sleep Medicine
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• v.15 no.2
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• pp.37-42
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• 2018

Objectives: To assess the effect and safety of transcranial direct-current stimulation (tDCS) in primary chronic insomnia. Methods: A one-month, double-blind, randomized, sham-controlled trial was performed. A total of 7 patients with primary chronic insomnia received tDCS using anodal (n=3), cathodal (n=2), or sham stimulation (n=2). They were followed up at 1 week and 1 month after treatment. The primary outcome measures included improvement in total sleep time (TST), sleep latency (SL), and sleep efficiency (SE) at 1 month follow-up. Results: TST and SE were improved with tDCS at 1 month follow-up in all patients (100%) of the anodal group, one (50%) of the cathodal group, and one (50%) of the sham group. tDCS improved SL at 1 month follow-up in two patients (67%) of the anodal group, one (50%) of the cathodal group, and none (0%) of the sham group. With respect to adverse events, transient itching sensation occurred in one patient of the anodal group. None of the other groups reported adverse events. Conclusions: Our results suggest that tDCS may be effective and safe for treatment of primary chronic insomnia. A larger controlled study needs to be further investigated.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.99-107
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• 2020

Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

• Journal of Industrial Convergence
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• v.19 no.1
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• pp.117-127
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• 2021

The purpose of this study was to identify the relationship between social support, academic self-efficacy, and learning agility on intention of academic dropout among nursing students. Data collection was conducted online surveys from November 9 to 27, 2020. The 363 students were conveniently sampled from the school of nursing in K-do in Korea. The contents of the self-reported questionnaire included social support, academic self-efficacy, learning agility, intention of academic dropout. As a result, The score of each variables were like this: social support 4.32, academic self-efficacy 3.66, learning agility 3.40, intention of academic dropout 2.08. The factors that affecting intention of academic dropout among nursing students are academic self-efficacy, learning agility, satisfaction on major, perceived mental health status, grade in score and grade, which explained 30.4% of the variances. Therefore in order to lower the intention of dropping out of nursing students, it is considered that the development of programs considering individual characteristics and systematic support are necessary.

• 한국노년학
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• v.37 no.3
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• pp.567-582
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• 2017

The purpose of this study is to investigate the path model consisted of action planning, physical activity, and depression in order to obtain an enhanced understanding of their relationship and to support the aged with depression in community. In order to achieve this, precedent study was reviewed and the program with physical activity and action planning was executed. the data of a investigation of action planning, physical activity, and depression of the aged participated in the program which was consisted of physical activity with Action Planning was used and 116 cases were analyzed. The data analysis was done by descriptive statistics, correlation analysis, and path analysis. The results were as follows. First, the path model was accepted. Second, the direct path of action planning to physical activity was significant. Third, the direct path of both action planning and physical activity to depression were significant. Fourth, the effect size of action planning to depression was more than that of physical activity. Fifth, the indirect path of action planning to depression through physical activity was significant. On the basis of these results, this suggests a need to add action planning on national physical activity plan, establish the delivery system for physical activity program with action planning in mental health center in community, and applicate narrative approach skills for qualitative improvement of action planning.