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Attitude of Social workers toward Withdrawal 0f Life Sustaining Treatment

  • Lee, Gyeong-Nam;Lee, Hyun-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.12
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    • pp.171-177
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    • 2018
  • Purpose : This study is conducted to research the attitude of social workers toward withdrawing life sustaining treatment and compare and analyze the different types of their attitudes. Methods : Research design of this study is Q methodology approach. The study population is 23 social workers. Q sample to investigate the attitude of social workers toward withdrawing life sustaining treatment included 30 statements. After listening to the purpose and method of the study, the 23 social workers agreed to fill out a survey asking sociodemographic information and have been forced to be distributed in 9 scale Q-sample. Results : The collected data was processed through QUANL PC program, sorted into 3 types as followings. The first type was 'the pursuit of quality of life' that the quality of life is more important than the length of life, the second 'choosing to withdraw life sustaining treatment' that they want to write or encourage family to write advanced directive, the third 'withholding life sustaining treatment' regardless of the cost. Conclusion : In conclusion, the social workers attitudes toward withdrawing life sustaining treatment were grouped as three different types, the first type was 'the pursuit of quality of life', the second 'choosing to withdraw life sustaining treatment', the third 'withholding life sustaining treatment'.

Evaluation of the Effectiveness and the Level of Self-Management Support on the Metabolic Syndrome Management Program at Public Health Centers in Seoul Metropolitan City (서울시 보건소 대사증후군관리사업의 효과와 자가관리 지원수준 평가)

  • Kim, Dong-Ok
    • Health Policy and Management
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    • v.29 no.1
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    • pp.19-26
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    • 2019
  • Background: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. Methods: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an 'Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers. Results: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p= 0.044) and drinking (p< 0.001), and increased healthy dietary habit (p< 0.001) in health behaviors. It was showed that decreased triglyceride (p= 0.002) and increased high-density lipoprotein cholesterol (p< 0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p= 0.003). Conclusion: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.

The Medical Bed System for Preventing Pressure Ulcer Using the Two-Stage Control

  • Kim, Jungae;Lee, Youngdae;Seon, Minju;Lim, Jae-Young
    • International journal of advanced smart convergence
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    • v.10 no.1
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    • pp.151-158
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    • 2021
  • The main cause of ulcer is pressure, which starts to develop when the critical body pressure (32mmHg) is exceeded, and when the critical time elapses, ulcer occurs. In this study, the keyboard mechanism of the medical bed with 4 bar links was adopted, and each key can be controlled vertically. A key has one servo drive and one sensor controller which hasseveral body pressure sensors. The sensor controllers and the servo drives are connected to the main controller by two CAN (Car Are Network) in series, respectively. By reading the maximum body pressure value of each keyboard sensor, and by calculating the error value based on the critical body pressure, the fuzzy controller moves each key so that the total error becomes zero. If the fuzzy controller fails, then it prevents ulcer by lifting and lowering the keys of the bed alternatively within a short time. Thus, the controller operates in two-stage. The validity and effectiveness of the proposed approach have been verified through experiments.

Protection Motivation Theory and Environmental Health Behaviors: A Systematic Mapping

  • Kim, Hyun Kyoung
    • International Journal of Advanced Culture Technology
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    • v.10 no.3
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    • pp.164-173
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    • 2022
  • This study aimed to explore the themes and parameters of environmental health behaviors based on Rogers' protection motivation theory through a systematic mapping review. Using a systematic approach, a literature review was conducted of articles that adopted Rogers' protection motivation theory. A total of 11 articles on protection motivation theory using participants and environmental health as outcomes were identified in a search of CINAHL, Cochrane Library, EMBASE, Eric, PsycARTICLES, PubMed, and RISS between September 1 and September 8, 2021. Themes related to the environment and personal behaviors between 2002 and 2021 were extracted. The parameters based on protection motivation theory were identified through systematic mapping as fear appraisal, rewards of maladaptive response, severity, vulnerability, costs of adaptive response, response efficacy, self-efficacy, and intention. Self-efficacy and response efficacy considerably affected environmental health behaviors. Emotional fear appeal related to environmental hazards motivates an internal process that alters the threat appraisal and their coping appraisal. Environmental behavior perception and intention influenced on environmental health behaviors with small effect sizes. Therefore, a deeper understanding of the severity of environmental health issues could lead to the development of helpful, effective, and intensive interventions to promote healthcare among the vulnerable population.

Effects of Physical and Mental Health on Quality of Life in Middle-aged Adults by Gender (성별에 따른 중년 성인의 신체건강 및 정신건강이 삶의 질에 미치는 영향)

  • Bang, So Youn
    • Journal of Information Technology Applications and Management
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    • v.29 no.2
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    • pp.27-37
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    • 2022
  • This study was attempted to identify the effects of physical and mental health on quality of life in middle-aged adults by gender. The Data were analyzed for 4,511 adults (2,260 men, 2,251 women) aged 45 to 65 who had no missing values in major variables based on the data of the 2016 Korea Health Panel. According to the data, the quality of life in middle-aged adults was .92 (±.08) for men and .91 (±.10) for women, which was significantly higher than that of women (t=3.54, p<.001). Factors affecting the quality of life in middle-aged men were subjective health status (β=.40, p<.001), stress (β=-.17, p<.001) and education level (β=.10, p<.001), and these variables explained 23% of the quality of life (F=227.28, p<.001). Factors affecting the quality of life in middle-aged women were subjective health status (β=.40, p<.001), stress (β=-.11, p<.001), education level (β=.05, p=.011) and anxiety (β=-.05, p=.022), and these variables explained 21% of the quality of life (F=145.42, p<.001). Based on the results of this study, the group with low level of education in middle-aged adults needs health management, education on how to relieve stress, and intensive management to improve the quality of life. In addition, the differentiated approach should be required to reduce anxiety in middle-aged women.

Overseas Research Trends Related to 'Research Ethics' Using LDA Topic Modeling

  • YANG, Woo-Ryeong;YANG, Hoe-Chang
    • Journal of Research and Publication Ethics
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    • v.3 no.1
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    • pp.7-11
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    • 2022
  • Purpose: The purpose of this study is to derive clues about the development direction of research ethics and areas of interest which has recently become a social issue in Korea by confirming overseas research trends. Research design, data and methodology: We collected 2,760 articles in scienceON, which including 'research ethics' in their paper. For analysis, frequency analysis, word clouding, keyword association analysis, and LDA topic modeling were used. Results: It was confirmed that many of the papers were published in medical, bio, pharmaceutical, and nursing journals and its interest has been continuously increasing. From word frequency analysis, many words of medical fields such as health, clinical, and patient was confirmed. From topic modeling, 7 topics were extracted such as ethical policy development and human clinical ethics. Conclusions: We founded that overseas research trends on research ethics are related to basic aspects than Korea. This means that a fundamental approach to ethics and the application of strict standards can become the basis for cultivating an overall ethical awareness. Therefore, academic discussions on the application of strict standards for publishing ethics and conducting researches in various fields where community awareness and social consensus are necessary for overall ethical awareness.

Qualitative Literature Study: How Intrinsic Motivation Impacts Nurses' Job Satisfaction

  • Ho-Jin LEE
    • The Journal of Industrial Distribution & Business
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    • v.15 no.6
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    • pp.17-24
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    • 2024
  • Purpose: The current study explores the impact of intrinsic motivation on nurses' job satisfaction, taking a close look at the current literature to answer what the relationship is between low/high intrinsic motivation and workplace productivity of nurses in their work at individual and collective levels. Data and methodology: The current research utilized a hybrid of descriptive and systematic review research designs. According to Huntington-Klein (2021), a research design refers to the researcher's method or approach. It includes a detailed explanation of the processes followed by identifying research variables, their evaluation, data collection and analysis. Results: A systematic literature review of the various sources (found in the reference section) revealed critical findings regarding the topic. The following are the four significant impacts of intrinsic motivation on nurses' job satisfaction: (1) Positive Attitude and Feeling, (2) Inherent Needs, (3) Productivity and Performance, and (4) Navigating Challenges of External Rewards. Conclusions: Therefore, the current study could conclude that intrinsic motivation is essential in enhancing the productivity of the nurses. Intrinsically driven or motivated nurses find it unnecessary to be supervised or pushed to work and achieve excellence. They would be proactive towards working and achieving the desired results.

The Meaningful Association Between Employee Workplace Stress and the Type of Organizational Culture

  • Ho-Jin LEE
    • East Asian Journal of Business Economics (EAJBE)
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    • v.12 no.2
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    • pp.43-50
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    • 2024
  • Purpose: The present study investigates if the type of organizational culture influences the level of job-related stress. This study is significant because creating the need to explore the concept to become more informed on the best practices to promote and foster a positive culture that prioritizes workers, it could result in a healthier workforce, improved organizational performance, and success. Research design, data and methodology: Examining previous studies by other researchers was the primary research tool for this study. The organized approach of gathering data and assessing related work was vital in developing a fundamental basis for advancing knowledge on this concept while enhancing theory development and drawing more informed conclusion. Results: These four types, including the clan, adhocracy, hierarchical, and market cultures, contribute significantly in revealing four associations between the two variables, including (i) supportive culture and reduced stress, (ii) high pressure and increased stress, (iii)autonomous culture and variable stress levels, and (iv) open culture and low-stress levels. Conclusions: The literature affirms a multifaceted link between employee workplace stress and organizational culture type. The findings show that these cultures are crucial in influencing the level of stress among employees. All four types were hypothesized to have a significant relationship with job stress.

Qualitative study on the key elements of obesity counseling in Korean Medicine

  • Sungha Kim;Seung Eun Chung;Kyungsun Han;Sunmi Choi;Jun-Hwan Lee
    • The Journal of Korean Medicine
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    • v.44 no.4
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    • pp.1-13
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    • 2023
  • Objectives: Weight counseling is an inevitable process for patients with obesity who intend to lose weight; however, the contents of real-world counseling practices remain uncertain in Korean medicine (KM) practice. This study aimed to explore the structure and constituents of obesity counseling in KM. Methods: Qualitative methods were used to explore the structure of weight counseling and clinicians' approaches to weight counseling, particularly the advice and main constituents of weight counseling in KM. Nine KM clinicians (4 women, 5 men) from nine clinics completed face-to-face, individual and semi-structured interviews from September 2019 to February 2020 in Seoul, Daejeon, Cheonan, Seongnam, Asan, and Hwaseoug. The interviews were digitally recorded, transcribed verbatim, and categorized based on their constituents. Results: During weight loss counseling, the six principal constituents of KM identified were: planning with patients, motivation, correcting misinformation on weight loss, dietary and exercise advice, medication guidance, and customized guides for each type. Conclusion: Clinicians with in-depth knowledge about obesity prescribed personalized guidance for exercise, diet, and medication through an integrative approach. The study results provide an in-depth understanding of weight counseling in KM. These six constituents could guide the counseling provided by clinicians in obesity care.

Radiation-training system with a custom survey-meter mock-up in a browser-based mixed reality environment

  • Hiroyuki Arakawa;Toshioh Fujibuchi;Kosuke Kaneko;Yoshihiro Okada;Toshiko Tomisawa
    • Nuclear Engineering and Technology
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    • v.56 no.6
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    • pp.2428-2435
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    • 2024
  • Training for radiation protection and control requires a visual understanding of radiation, which cannot be perceived by the human senses. Trainees must also master the effective use of measuring instruments. Traditionally, such training has exposed trainees to radiation sources. Here, we present a novel e-training strategy that enables safe, exposure-free handling of a radiation measuring tool called a survey meter. Our mixed reality radiation-training system merges the physical world with a digital one. Collaborating with a mixed reality headset (HoloLens 2), this system constructs a mock-up of a survey meter in real-world space. The HoloLens 2 employs a browser-based application to visualize radiation and to simulate/share the use of the survey meter, including its physical movements. To provide a dynamic learning experience, the system adjusts the survey-meter mock-up readings according to the operator's movements, distance from the radiation source, the response time of survey meter, and shielding levels. Through this approach, we expect that trainees will acquire practical skills in interpreting survey-meter readings and gain a visual understanding of radiation in real-world situations.