• Health Policy and Management
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• v.33 no.2
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• pp.118-128
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• 2023

Background: Personal socio-economic abilities are crucial as it affects health inequalities. These multidimensional inequalities across the regions have been structured and fixed. This study aimed to analyze health vulnerabilities by regional cluster and identify regional health disparities of self-rated health, using nationally representative cross-sectional data. Methods: This study used personal and regional data. Data from the Community Health Survey 2021 were analyzed. K-means cluster analysis was applied to 250 si-gun-gu using administrative regional data. The clusters were based on three areas: physical environment, health-related behaviors and biological factors, and the psychosocial environment through the conceptual framework for action on the social determinants of health. And binary logistic regression analyses were conducted to examine the differences in self-rated health status by the regional clusters, controlling human biology, environment, lifestyle, and healthcare organization factors. Results: The most vulnerable group was group 3, the moderate vulnerable group was group 1, and the least vulnerable group was group 2. The group 2 was more likely to have high self-rated health status than the moderate vulnerable group (odds ratio [OR], 1.023; p<0.001). And the group 3 showed low self-rated health status than the moderate vulnerable group (OR, 0.775; p<0.001). However, the moderate vulnerable group had significantly higher self-rated health status than the most vulnerable group (group 2: OR, 1.023; p<0.001; group 3: OR, 0.775; p<0.001). Conclusion: These results demonstrate that community members' health status is influenced by regional determinants of health and individual levels. And these contribute to understanding the importance of specific and differentiated interventions like locally tailored support programs considering both individual and regional health determinants.

• Journal of Korean Academy of Nursing
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• v.39 no.5
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• pp.683-692
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• 2009

Purpose: The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma. Methods: This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients' symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients' performance status, Child-Pugh classification, and mood state among symptom clusters. Results: Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients' symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression. Conclusion: Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.

• Journal of Preventive Medicine and Public Health
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• v.43 no.2
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• pp.138-150
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• 2010

Objectives: There are at least three conceptual models for the effects of the childhood social environment on adult health: the critical period model, the social mobility model, and the cumulative risk model. However, few studies have investigated all three different models within the same setting. This study aims to examine the impact of childhood and adulthood socioeconomic positions and intergenerational social mobility over the life course on the health in adulthood based both on the critical period model and the social mobility model. Methods: This study was conducted on 9583 adults aged between 25 and 64 years old and they were the respondents to the Korea Welfare Panel Study (2006). A multivariate logistic regression analysis was carried out, using the critical period model and the social mobility model out of the life course approaches, to look into the impact of childhood and adulthood socioeconomic positions and intergenerational social mobility on the health status in adulthood. Results: Household income and occupation out of the adulthood socioeconomic position indicators had an independent influence on the adulthood health status. The childhood socioeconomic position indicators, except for the place of childhood residence, affected the adulthood health status even after adjustment for the adulthood socioeconomic position. The effect of intergenerational social mobility was also statistically significant even after adjusting for the adulthood socioeconomic position, but it became insignificant when the childhood socioeconomic position was additionally adjusted for. Conclusions: Adulthood health is indeed affected by both the childhood and adulthood socioeconomic positions as well as intergenerational social mobility. This result shows that a life course approach needs to be adopted when dealing with health issues.

• Journal of the Korean earth science society
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• v.40 no.5
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• pp.538-547
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• 2019

This study analyzes the conceptual understanding of in-service and pre-service earth science teachers about the H-R diagrams and evolution of stars using conceptual status analysis categories. The results show that (a) many teachers use unscientific language in the Intelligibility range, (b) teachers are categorized in Low scientific inquiry ability related to graph creation and unscientific analogy for scientific concept which is hightly corelated to the possibility of misunderstanding in the teaching process, and (c) pre-service teachers lack the understanding of the secondary science curriculum. It is necessary to develop pre-service curriculum that can be applied to the school site. In the category of Plausibility range, (d) both groups understood the cosmological meaning of stellar evolution. However, pre-service teachers do not specifically explain the mechanism of a star. In the category of Fruitfulness range, in-service teachers come up with educational problems reflecting the academic characteristics of earth science and apply their knowledge to actual problem solving. On the other hand, pre-service teachers show high nonresponse ratio, they do not see the H-R diagram and the evolution of stars as a practical concept. In the analysis process, both groups are found to have many unscientific conceptions about the H-R diagram and evolution of stars. Therefore, it is suggested that caution be used in developing a professional development program of earth science teachers.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.75-85
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• 2014

Purpose: The aim of this study was to explore how individual factors, physiologic factors, symptoms, environmental factors, functional status and health perception predict the quality of life (QOL) for older adults with osteoarthritis and to provide guidelines for interventions and strategies to improve QOL in these patients. The conceptual model was based on the Wilson and Cleary's Model. Methods: Data were analyzed using SPSS WIN 20.0 and AMOS 19.0 program. Results: The proposed model was a good fit for the data based on the model fit indices. Based on the constructed model, individual factors, social support, functional status and health perception were founded to have direct effects on QOL. Symptom had a indirect effect on QOL. Social support had a significant effect on QOL, and this model explained 63.6% of the variance in QOL. Conclusion: The results of this study suggest that nursing strategies to increase QOL in this population should contain social support to promote QOL and manage functional limitations and health perception.

• Research in Community and Public Health Nursing
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• v.13 no.1
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• pp.98-114
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• 2002

Purpose: This review examined literature relevant to adolescent's health behavior in order to identify key behaviors and factors related to health behaviors for targeting health promotion interventions. Method: A critical review of 29 research articles was carried out using the guidelines suggested by Cooper. Result: The majority of the studies were descriptive and cross-sectional. Generally. the study includes sub-dimensions such as general hygiene and daily life habit, safety and accident prevention, nutrition and eating (tobacco, drinking), exercise, mental health and stress management, health duty (drug, health examination, disease prevention). Factors highly related to health behaviors were age, living areas, economic status, parent health behaviors, parent health concern, social support, friends influence, self-efficacy, self-esteem, locus of control, and the perceived health status. Sex, parent education and health knowledge were not related to health behaviors of adolescents. Conclusion: Several conceptual and methodological problems were identified in the studies review, such as restricted conceptualization of health behaviors and sampling issues which limit the generalizability of the study outcomes. Further research is needed to enhance the concept clarification and generalizablity of the study results.

• Journal of Korean Institute of Industrial Engineers
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• v.36 no.4
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• pp.230-242
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• 2010

In this paper, an environmental monitoring and diagnosis system based on ubiquitous computing technology, shortly u-Eco Monitoring System, is proposed. u-Eco Monitoring System is designed to: 1) Collect information from the manufacturing processes via ubiquitous computing technology, 2) Analyze the current status, 3) Identify the cause of problem if detected by rule-based and case-based reasoning, and 4) Provide the results to the operator for proper decision making. Based on functional modeling, a generic architecture is derived, followed by application to a manufacturing system in iron and steel making industry. Finally, to show the validity of the proposed method, a prototype is developed and tested. The developed methods can be used as a conceptual framework for designing environmental monitoring and diagnosis system for industrial practices by which monitoring accuracy and response time for abnormal status can be significantly enhanced, and relieving operator pressure from manual monitoring and error-prone decision making.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.4
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• pp.558-570
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• 2013

Purpose: In these days, the concept of health literacy becomes important because it is essential to have a clear grasp of patients' basic ability to understand health-care information. Therefore, we intended to discover attributes, antecedents and consequences of health literacy through contextual analysis. Method: Following Rodgers' evolutionary concept analysis, we did a literary review. The databases KMBase, KoreaMed, Kstudy, NDSL, and RISS were searched for articles. Among published literature about health literacy, twenty articles which satisfied the inclusion criteria were chosen. Results: Health literacy consists of three attributes: information seeking, information understanding, and information utilizing. Furthermore antecedents are as follows: health status, health belief, socioeconomic status, and information quality. Finally, we were able to explain the consequences of health literacy by showing improvement of self-care and interaction, and a decrease of social costs. Conclusion: We expect this study to guide the direction of future studies, and as a concept analysis that examines the conceptual attributes in the context of health literacy. Based on the result of this study, the design of a standardized tool and the program of health literacy promotion education need to be developed.

• Journal of Korean Society of Forest Science
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• v.95 no.2
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• pp.194-202
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• 2006

The purpose of this study was to provide necessary requirements on accreditation for forest culture and recreational interpretive programs in order to set up the enforcement regulations of the Forest Culture and Recreation Act. The intention of this study was to contribute to raising the qualitative standards of forest interpreters through the adoption of accreditation procedures for forest culture and recreational education programs, to establish detailed standards regarding the accreditation of forest interpreter training courses, and to provide materials and resources useful in creating forestry policies regarding forest interpreters and forest culture and recreation. This study examined five topics: 1) To establish conceptual understanding of the accreditation procedures for forest culture and recreation interpretive programs, 2) To understanding the present status of training programs and courses related to accreditation procedures for forest culture and recreation interpretive programs, and examining the status of current forest interpreter training courses, 3) To propose an operational scheme for accreditation procedures for forest culture and recreation programs, and develop the goal of an operation of the accreditation procedures for forest culture and recreation programs, 4) To propose an operational scheme for accreditation procedures for forest culture and recreational education programs, and the operational scheme for forest interpreter training courses, and 5) To establishing a commission to evaluate the accreditation procedures for forest culture and recreation programs and operating guidelines.

• Hwankyungkyoyuk
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• v.15 no.2
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• pp.30-48
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• 2002

This study is on theoretical foundation for orthodoxy korean style Environmental Education based on oriental ecological thought. The main theme is that various kinds of all the ideas related with ecological thought based on oriental thoughts for EE should be focused into Moderation, the core-concept of oriental confuscian thoughts. The Moderation has not meant just a personal enlightenment, as it has known to general people, it can be developed into social status core-consciousness for regulating the natural resource. So we should focus on this conceptual developing mechanism personal enlightenment into social status for our orthodoxy konean style EE. It can be infered from Taoism, Confuscionism Buddism, especially, Anxiety Consciousness (WOOHWAN) for grand-scale anxiety to public society and universal cosmos. And also I drawed Harbermas-philosophy to provide good means for fortifying this research. His communication theory and restoration of real life for public people communication can be connected to oriental thoughts in the aspect of reciprocative response among the community people. So our orthodoxy korean style EE can be erected on the community-based regionality and their public communication through reciprocative response process. We should try to make this surrounding conditions nature-familiar oriental philosophy has provided from ancient times in the aspect all the traditional thought has been eco-deterministic.