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Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam

  • Thang Phan;Ha Phan Ai Nguyen;Cao Khoa Dang;Minh Tri Phan;Vu Thanh Nguyen;Van Tuan Le;Binh Thang Tran;Chinh Van Dang;Tinh Huu Ho;Minh Tu Nguyen;Thang Van Dinh;Van Trong Phan;Binh Thai Dang;Huynh Ho Ngoc Quynh;Minh Tran Le;Nhan Phuc Thanh Nguyen
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.4
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    • pp.319-326
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    • 2023
  • Objectives: The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic. Methods: In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher. Results: Participants' mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95). Conclusions: The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.

A Servicism Model for A New Democracy (서비스주의 민주주의 모델 연구)

  • Hyunsoo Kim
    • Journal of Service Research and Studies
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    • v.12 no.1
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    • pp.1-24
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    • 2022
  • This study was conducted to derive a new model for popular democracy in the modern society. The problem is exacerbated as the original model of democracy, isonomia, has faded and modern democracy is operated as a democracy in which the masses rule. Democracy is exposing a bigger problem due to the economic inequality caused by the majority rule and the capitalist economic system. Popular democracy, in which all the masses are equally qualified as sovereigns, is a structure in which cunning politicians can easily seize power if the voters are not wise. Isonomia is a system in which free people who solve economic problems on their own and have honesty, courage, dedication, sacrifice and sincerity set laws with the same qualifications, and keep the laws themselves, is a system that depends heavily on the conscience and virtue of free people. Modern popular democracy embodies the absolute equality of the sovereign regardless of economic power, but without the spirit of sacrifice and dedication to the community, those who can win popularity by wrapping themselves up as if they are sacrificial and capable people may seize power. This study presents a service-oriented democracy as a system that can maintain the merits of modern popular democracy while embodying the essence of isonomia. The system was implemented focusing on the qualifications for virtue, such as honesty, courage, sacrifice, integrity, etc., fair to all regardless of wealth. Human imperfections have been supplemented by the use of artificial intelligence. The assumption about the nature of the sovereign and public officials' agents was newly established, and the winner-take-allism problem was solved. This study proved that both the philosophy of Isonomia and the merits of Democracy can be realized through service-oriented democracy based on the common principle of humanity and the philosophy of service. Service-oriented democracy can be called revision democracy.

A Servicism Model of the New Financial System (서비스주의 금융시스템 연구)

  • Hyunsoo Kim
    • Journal of Service Research and Studies
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    • v.12 no.1
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    • pp.49-68
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    • 2022
  • This study was conducted to design a financial system for the sustainable life of mankind. Human society faces a constant crisis and leads a life while overcoming it. The polarization is intensifying in the process of overcoming the economic crisis or crisis caused by the virus. In a society adopting the capitalist economic system, it is a common phenomenon that polarization intensifies with the passage of time, but since the intensification of polarization can destroy human society as a community, active countermeasures are required. The purpose of this study was to prevent the deepening of polarization by redesigning important financial-related systems from the perspective of human life and maintenance of human society. Through the history of mankind, monetary and financial systems related to sustainable society have been analyzed, and a financial system model that is ideal for the modern and future society and is sustainable in the long term has been derived. The conditions for a long-term sustainable financial system should be a model that can solve the problems of the current system, such as deepening polarization, and a model that is faithful to the characteristics of the modern economic society and the essence of sustainable life. And it can be sustainable only if it is based on the common principles of human society. It should be a model that guarantees core values such as growth and equality that human society demands. After analyzing the problems of the current economic system and analyzing the conditions required for the new system, the basic axioms that the new financial system should be based on were presented, and a desirable model was derived based on this. The structure of the derived model and the specific operation model were presented. In the future, follow-up studies are needed to concrete this model.

A Servicism Model of the New Society and Education System (서비스주의 사회교육시스템의 구조와 운용 연구)

  • Hyunsoo Kim
    • Journal of Service Research and Studies
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    • v.11 no.3
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    • pp.75-97
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    • 2021
  • This study was conducted to derive a society and education system model that will improve the happiness and sustainability of human society. An ideological model for making human society a happy society was derived, and a society and education system structure and operation model based on this was presented. A fair society, a justice society, a mutually considerate society, and a society where individuals are happy are the conditions for a sustainable society. After analyzing the current situation of freedom and equality pursued by capitalism and democracy, which are currently adopted by most societies, an improvement model was derived from the perspective of a sustainable society. The cost of freedom and equality were analyzed and a new alternative system was discussed. The social solidarity and class mobility issues were discussed together and servicism was derived as an alternative solution. It is a system in which two opposing opponents of individual freedom and social norms form a symmetrical balance, and material and spiritual values are balanced. Servicism is a dynamic balance model. That is, the dimensions of time and space are involved. It is a model that maintains a thorough balance through a dialectical process as time and space change, and one value can dominate the other at a specific time or space. The service-oriented society and education system is a system that simultaneously pursues the goals of individual happiness and sustainable development of the social community.

Liaohe National Park based on big data visualization Visitor Perception Study

  • Qi-Wei Jing;Zi-Yang Liu;Cheng-Kang Zheng
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.4
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    • pp.133-142
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    • 2023
  • National parks are one of the important types of protected area management systems established by IUCN and a management model for implementing effective conservation and sustainable use of natural and cultural heritage in countries around the world, and they assume important roles in conservation, scientific research, education, recreation and driving community development. In the context of big data, this study takes China's Liaohe National Park, a typical representative of global coastal wetlands, as a case study, and using Python technology to collect tourists' travelogues and reviews from major OTA websites in China as a source. The text spans from 2015 to 2022 and contains 2998 reviews with 166,588 words in total. The results show that wildlife resources, natural landscape, wetland ecology and the fishing and hunting culture of northern China are fully reflected in the perceptions of visitors to Liaohe National Park; visitors have strong positive feelings toward Liaohe National Park, but there is still much room for improvement in supporting services and facilities, public education and visitor experience and participation.

Biodegradation of VOC Mixtures using a Bioactive Foam Reactor I: Reactor Performance (계면활성제 미생물반응기의(혼합 VOCs) 생분해 I: 반응기 거동평가)

  • Shin, Shoung Kyu;Jang, Hyun Sup;Hwang, Sun Jin;Song, Ji Hyeon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.6B
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    • pp.689-694
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    • 2006
  • The system performance of a bioactive foam reactor (BFR), that consists of a foam column using a surfactant and a biodegradation basin containing suspended bacteria, was investigated for the treatment of gaseous toluene or a mixture of four volatile organic compounds (VOCs, benzene, toluene, p-xylene, and styrene). Overall, the BFR achieved stable VOC removal efficiencies, indicating that it can be used as a potential alternative over conventional packed-bed biofilters. Furthermore, a dynamic loading test showed that relatively constant removal was maintained at the elevated loading due to a high mass transfer rate in the foam column. However, as the inlet concentration of VOCs increased, a portion of the VOCs mass-transferred to the liquid phase was stripped out from the biodegradation basin, resulting in a decrease in the overall removal efficiency. In the BFR, the removal efficiency of the individual VOC was mainly determined depending on the biodegradation rate (styrene > toluene > benzene > p-xylene), rather than the mass transfer rate. Consequently, increases in the microbial activity and the volume of the basin could improve the overall performance of the BFR system. Further investigation on microbial activity and community dynamics is required for the BFR when subjected to high loadings of VOC mixtures.

A Study on Antecedents of Suicidal Ideation among Korean Older Adults: A test of the Stress-diathesis Model (노인의 자살 생각에 영향을 미치는 선행요인에 관한 연구: 스트레스 소질 모델(Stress-diathesis Model)을 중심으로)

  • Ahn, Joonhee;Chun, Miae
    • 한국노년학
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    • v.29 no.2
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    • pp.489-511
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    • 2009
  • While late-life suicide has been increasing and become an important issue for public health in Korea, little is known about the phenomenon and its contributing risk factors based on which effective preventive measures can be made. Since suicidal ideation is a major precursor to attempted and completed suicide, the objective of the present study was to reveal primary contributors to suicidal ideation. Data were collected from a cross-sectional survey of 247 community-dwelling Korean older adults (age≥60) in the mid-size city in Korea. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. Based on the stress-diathesis model, the study examined major diathesis and stressors directly explaining suicidal ideation. The study also explored the significant interaction among these factors. The findings revealed that living alone and depression were significant main antecedents of suicidal ideation. In addition, neuroticism X life events and neuroticism X depression were significant interaction terms with the strongest explanatory power, which provides an empirical evidence to support the stress-diathesis model in explaining suicidal phenomenon of the Korean elderly. The result demonstrates the theoretical implication as well as the practical implication for developing and implementing late-life suicide prevention strategies. Limitations and directions for future research are discussed.

The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adult (재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교)

  • Lim, Kyung-Choon;June, Kyung Ja;Yoon, Jong-Lull
    • 한국노년학
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    • v.29 no.4
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    • pp.1577-1589
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    • 2009
  • The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.

An Ethnographic Study of the Life-world and the Meaning of Life Experiences of Older People in Rural Communities (농촌노인들의 생활세계와 농촌 커뮤니티에서의 삶의 의미)

  • Yoon, Sung-eun;Han, Gyounghae
    • 한국노년학
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    • v.31 no.3
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    • pp.767-793
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    • 2011
  • This study aims to explore how older adults construct their life-world in their ecological and socio-cultural context of rural communities and to understand what meanings they give to the life experiences they have had within their life-world. Two rural villages in Sunchang County in North Jeolla Province, South Korea were selected for this study and ethnographic fieldwork was conducted for about 2 months to gather the data. Despite the fact that rural communities face restructuring and economic decline, older adults in this study gave positive meanings to their life experiences. Doing agricultural labor particularly in later life let them maintain independence and continuity in life, and provided them with plenty of opportunity to interact with nature. Also, they had a sense of control over their physical and social environments where they had been familiar with for a long period of time. Furthermore, older adults had various memories of contributions to families and communities have been created. This research shows older adults in rural communities are active agents of their life-world, dismantling stereotypical notions of older adults as dependent, isolated, and marginalized. Implications of the study are discussed in detail.

Elderly Women's Adaptation Process on Separation by Death in Rural Areas (농촌여성노인의 배우자 사별 적응과정)

  • Jang, hee Sun;Kim, Yun Jeong
    • 한국노년학
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    • v.31 no.4
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    • pp.939-967
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    • 2011
  • This study observed elderly women's adaptation process on separation by death in rural areas through grounded theory approach and developed its entity theory. Participants for this study were 14 elderly women who have lost their husbands in the last 12 months. The study was conducted for 8 months starting January 2010. Each interview per session took 40 to 90 minutes, study notes were taken on site, and recorded contents were transcribed by the researcher which was myself. The research data were collected by in-depth interview and with help of local community's nurses who were in charge of taking care of the participants. The collected data were analyzed by applying Strauss & Corbin's grounded theory (1998). As a result of study, 80 concepts, 28 subcategories, and 12 categories were deducted during open coding process. Adaptation process on separation by death was process of 'finding a way to live alone' which used strategy of 'attempting a make changes in life', and 'embracing the situation' which were influenced by conciliatory conditions of 'degree on economic condition', 'change in health', and 'supporting system' which focuses on phenomenon of 'bearing life alone' which is influenced by context condition of 'marital chemistry of couples during lifetime', and 'the couple's leadership during lifetime' together with casual conditions of 'the fall of wall'. The adaptation process accordance to time flow were divided into 4 steps which were step of 'shock and release of emotions', step of 'longing and resentment', step of 'resignation and acceptance', and step of 'life's restructure'. Above results suggest right directions for welfare for the aged and process of 'finding a way to live alone' for participants by controlling several factors and using intervention strategy, and provided basic data required for developing and applying practical welfare mediation.