• Journal of Korean Neurosurgical Society
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• v.64 no.4
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• pp.644-664
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• 2021

Objective : Since the enactment of the Special Act on Korean Medical Residents, neurosurgeons working at training hospitals have been performing the duties of residents, in addition to their existing patient care responsibilities, which include surgery, education, and research. This study explores the relationships between work intensity, work-life balance, and burnout experienced by Korean neurosurgeons. Methods : The participants (n=451) were neurosurgeons working at training hospitals throughout Republic of Korea. Data on socio-demographic characteristics (including objective and subjective work environment), work intensity, work-life balance, and burnout were gathered using self-report questionnaires completed between March 1 and December 20, 2019. The data were analyzed using descriptive statistics, independent samples t-tests, one-way analysis of variance, Pearson's correlations, and multiple regression analysis. IBM SPSS Statistics for Windows, version 25 (IBM Corp., Armonk, NY, USA) was used for the analyses. Results : The work intensity, work-life balance, and burnout levels of neurosurgeons were 3.95, 3.57 (on a scale from 1 to 5) and 4.60 (on a scale from 1 to 7); and 280 (62.1%) of 451 neurosurgeons were found to be experiencing burnout. By controlling for the socio-demographic characteristics, the effects of work intensity and work-life balance on burnout were analyzed. Work intensity (B=0.314), work-life balance-family and leisure (B=0.216), work-life balance-growth (B=0.147), job stress (B=0.133), and satisfaction with human relationships (B=-0.069) were shown to be significant (all p<0.05), and they were found to affect burnout in the abovementioned order. The overall explanatory power was 58.3% (p<0.05), and the explanatory power with the addition of independent variables such as work intensity and work-life balance was 14.5% (p<0.05). Conclusion : This study showed that Korean neurosurgeons working at training hospitals experienced a high level of work intensity and job stress, and low work-life balance. Additionally, nearly half of the neurosurgeons were found to experience burnout related to factors such as work intensity, work-life balance, job stress, and satisfaction with human relationships. In particular, these factors seem to have deteriorated further after the implementation of the Special Act on Korean Medical Residents. These very high levels of burnout among Korean neurosurgeons who care for patients with both brain and spinal diseases may have a very important impact on patients' health. Therefore, it is recommended that the Korean Neurosurgical Society and the Korean government make efforts to improve the factors that affect burnout among Korean neurosurgeons.

• Knowledge Management Research
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• v.22 no.1
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• pp.243-267
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• 2021

Sentiment represents one's own state through the process of change to stimulus, and emotion represents a simple psychological state felt for a certain phenomenon. These two terms tend to be used interchangeably, but their meaning and usage are different. In this study, we try to find out how it affects the helpfulness of reviews by classifying sentiment and emotion through online reviews written by online consumers after purchasing and using various products and services. Recently, online reviews have become a very important factor for businesses and consumers. Helpful reviews play a key role in the decision-making process of potential customers and can be assessed through review helpfulness. The helpfulness of reviews is becoming increasingly important in practice as it is utilized in marketing strategies in business as well as in purchasing decision-making issues of consumers. And academically, the importance of research to find the factors influencing the helpfulness of reviews is growing. In this study, Yelp.com secured reviews on restaurants and conducted a study on how the sentiment and emotion of online reviews affect the helpfulness of reviews. Based on the prior research, a research model including sentiment and emotions for online reviews was built, and text mining analyzes how the sentiment and emotion of online reviews affect the helpfulness of online reviews, and the difference in the effects on emotions It was verified. The results showed that negative sentiment and emotion had a greater effect on review helpfulness, which was consistent with the negative bias theory.

• Journal of Oriental Neuropsychiatry
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• v.32 no.2
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• pp.81-93
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• 2021

Objectives: Mild cognitive impairment (MCI) is condition of cognitive decline shown in transition from normal aging to dementia. Hominis placenta pharmacopuncture (HPP) is a treatment that combines effects of medication and acupuncture by injecting Hominis placenta into acupoints. The objective of this study was to evaluate the efficacy and safety of HPP for MCI. Methods: This was a randomized, double-blind, placebo-controlled, two-center clinical trial. Eligible patients were randomly allocated to either the HPP group or the placebo group. HPP or saline as placebo was administered to participants for eight weeks. Changes in symptoms were observed. The primary outcome was difference in mean change of Korean Version of the Montreal Cognitive Assessment (MoCA-K) score between the HPP group and the placebo group. Cognitive function, overall status of mood and sleep, and quality of life (QoL) were also assessed. Safety assessment and economic analysis were then conducted. Results: Thirty participants were enrolled. One participant in the placebo group dropped out. The score of MoCA-K increased after treatment. Its mean change was smaller in the HPP group than in the control group. HPP ameliorated Global Deterioration Scale and Korean Dementia Rating Scale subtests for attention, organization, and memory compared to the placebo. However, none of them was significantly different between the two groups. Mood, sleep, and QoL all improved more in the HPP group than in the placebo group, although differences between the two groups were not statistically significant. There was no adverse event probably related to the drug. HPP treatment needed KRW 345,000 more than the placebo group in improving Geriatric Quality of Life scale-Dementia score by one point for one year. Conclusions: Although HPP treatment did not significantly improve cognition, it changed behavioral and psychological symptoms in MCI.

• The Journal of the Convergence on Culture Technology
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• v.7 no.3
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• pp.255-260
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• 2021

This study tried to investigate the effects of the adaptation of middle-aged and elderly adult learners to college life on happiness. For this purpose, a questionnaire survey and analysis were conducted on 321 middle-aged and older adults studying at two-year and four-year colleges in Daegu and Gyeongbuk Province, and the results are as follows. First, college life adaptation according to the general characteristics of middle-aged and elderly learners are higher for those in their 50s and 2nd grade in good health condition. Happiness was the highest women, 60s and those in the form of households where only couples live. Second, there is a static correlation between the adaptation of middle-aged and elderly adult learners to college life and happiness, and the correlation between satisfaction with internal growth and satisfaction with meaning was the highest. Third, it was found that middle-aged and elderly adults' adaptation to college life influenced happiness, and the adaptation to adult student relationships, which is the lower part of the adaptation to college life, had the greatest impact on happiness. The above research results suggest that the various positive experiences experienced in university life can affect happiness by easing student relationships, psychological stability, and physical tension, and improving one's own satisfaction with internal growth.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.430-444
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• 2021

Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl's guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

• The Journal of the Convergence on Culture Technology
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• v.8 no.2
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• pp.83-89
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• 2022

Recentely, the military needs to apply various technologies for the improvement of teamwork. The government should take the non-face-to-face system due to the social interest of young military members. In this study we investigated collective cohesion by helping soldiers who have difficulty expressing their feelings and delivering messages while living in groups, or who are unable to adapt to group life due to psychological disorders such as relationship anxiety. We proposed the Multi-perspective Relationship Experience program as a new VR application. We showed feeling a sense of reality equivalent to the actual situation, interpersonal tension and social distance were significantly reduced, and communication, which was difficult to actually do, was naturally achieved. In addition, positive effects were confirmed on the sense of belonging and leadership among all participants. We will be effectively used in manpower management policies that improve the collective cohesion of soldiers and support the adaptability of the military environment in line with the rapidly changing social interaction method.

• Korean Journal of Culture and Social Issue
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• v.26 no.4
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• pp.457-477
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• 2020

The purpose of this study is to confirm the effect of the young generation's Fairness perception on the hopelessness at the present time when the hopelessness of the future that young generation is experiencing is growing with social interest. This study examined the mediating effects of the perceived control and moderating effect self-esteem between the fairness perception and the hopelessness of the young generation. For this purpose, the self-reporting data of 313 young people in their 20s and 30s were collected. The results were as follows: First, fairness awareness was positively correlated with perceived control and self-esteem, and the hopelessness was negatively correlated with fairness awareness, perceive control and self-esteem. Second, perceived control mediated between fairness perception and the hopelessness, Third, self-esteem moderated the relationship between the fairness perception and the hopelessness. The high self-esteem group showed little change in hopelessness due to fairness perception while the low self-esteem group showed a big change in hopelessness due to fairness perception, which means that high self-esteem plays a role in alleviating hopelessness when fairness perception is low. The results of this study can be used as basic data to plan ways to improve mental health and quality of life.

• Korean Journal of Culture and Social Issue
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• v.26 no.1
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• pp.1-23
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• 2020

The purpose of this study was to analyze responses as bystanders of middle school girls in a simulated cyberbullying situation. This study also aimed to examine effects of bullying, victimization, anger-out, and state-anger on responses from girls as bystanders. The participants were composed of 2nd or 3rd grade middle school girls(N=59). Responses were classified into 7 categories(using explicit language, attacking, pass, changing topic, comforting victims, others, and conformity). Of these, attackings were classified according to the target(bully, victim, both, and ambiguous object). It was again classified as 'attacking response' and 'helping response' and was scored and summed according to the strength of the response and used as a dependent variable. Collected data were analyzed by correlation analysis and multiple regression analysis. The results of this study are as follows: First, the most frequent response was 'the others'(41.69%) followed by 'using explicit language'(20.34%), 'passing'(13.56%), 'attacking bully'(8.81%), 'conformity'(8.64%), 'changing topic'(6.61%), and 'comforting victim'(0.34%). Second, responses of attacking victim were positively influenced by the previous bullying experiences and acting anger-out, and were negatively influenced by the previous victimization experience. State-anger has a positively influenced on responses of the attacking bully and the helping victim. None of the variables were significant influenced on responses of the attacking both and ambiguous object. These results will be useful data to help middle school girls as bystanders properly intervene in cyberbullying situation. Finally, the limitations of this study were discussed along with suggestions for further research.

• Korean Journal of Culture and Social Issue
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• v.26 no.3
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• pp.145-166
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• 2020

The present study examines whether fear of negative evaluation, social comparison and self-criticism mediate the relationship between insecure attachment and career indecision. Participants are 401 unemployed people in their 20s who have never had a job. The major findings of this study are as follows. First, correlation analysis indicates that both anxious attachment and avoidant attachment are positively related to fear of negative evaluation and self-criticism. Also, anxious attachment is positively correlated with social comparison, whereas avoidant attachment is negatively correlated with it. Second, both insecure attachments have significant positive correlation with career indecision. Third, it shows the respective unique mechanisms by which each of the two insecure attachment forms are related to career indecision are distinctive: Specifically, The linkage between anxious attachment and career indecision is partially mediated by self-criticism and social comparison, whereas avoidant attachment is indirectly related to career indecision through a full mediation of self-criticism and social comparison. Implications and limitations of this study are discussed.

• Journal of the Korean Institute of Landscape Architecture
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• v.50 no.3
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• pp.1-18
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• 2022

Prior studies have shown positive effects of outdoor activities on the elderly's physical, mental and social health. 'Active aging' and 'age-friendly' neighborhood can be created by modifying the experiences and perceptions of the outdoor environment. This study aims to investigate the outdoor activities of the elderly living in a low-income elderly concentrated area and their perception of the neighborhood environment. We also explored the context of interactions between the facilitators and inhibitors of outdoor activities on the basis of temporal, spatial, and social conditions. We used a mixed method approach by collecting two different types of qualitative GIS data : observation maps of the main places and individual cognitive maps with in-depth interviews. The observational map analysis indicated that the preferred places and activity patterns differ by age, gender, and size of the group. The cognitive map and interviews demonstrated that the elderly's activity goals and perception of the landscape differ by places such as forests, parks, streams, open-spaces, vegetable gardens, and alleys. The elderly's desire for outdoor activities can be better fulfilled when their front doors and alleys are well-connected to an open-sight pleasant space. Familiarity is an important factor for the elderly, therefore it is important to remove the psychological and physical barriers by increasing the legibility and accessibility of places. In addition, social interactions and conflicts can have a significant influence on the elderly's occupation of space in the neighborhood environment.