• The Journal of Korean Society for School & Community Health Education
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• v.23 no.4
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• pp.81-93
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• 2022

Objectives: The purpose of this study was to develop a model for comprehensively evaluating the risk of sarcopenia in Korean adults and to generate the sarcopenia risk scorecard model based on the results. Methods: The participants of the study were 7,118 adults without sarcopenia in the first basic survey, and a longitudinal analysis was conducted using data from the 1st to 8th survey (2006-2020) of the Korean Longitudinal Study of Aging (KLoSA). The data were analyzed using Rao-Scott chi-square test and weighted Cox proportional hazards regression of complex sampling design. The sarcopenia risk scorecard model was developed by Cox proportional hazards regression using points to double the odds (PDO) method. Results: The findings show that the risk factors for sarcopenia in Korean adults were gender, age, marital status, socioeconomic status, body mass index (BMI), regular exercise, diabetes and arthritis diagnosis. In the scorecard results, the case of exposure to the highest risk level was 100 points. The highest score range were given in the order of age over 65, low BMI, and low socioeconomic status. Conclusions: The significance of this study is that the causal relationship between various factors and the occurrence of sarcopenia in Korean adults was identified. Also, the model developed in this study is expected to be useful in detecting participants with risk of sarcopenia in the community early and preventing and managing sarcopenia through appropriate health education.

• Journal of the Korea Society of Computer and Information
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• v.27 no.9
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• pp.287-294
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• 2022

This study aims to investigate the effect of self-directed learning ability and cooperative ability on educational satisfaction through learning attitude in SW education for middle and high school students. For this purpose, a survey was conducted on middle and high school students residing in A metropolitan city, and the responses of 321 students were analyzed. The main research results are as follows. First, male students' self-directed learning ability and learning attitude were statistically significantly higher than female students. High school students were statistically significantly higher in all variables than middle school students. Second, learning attitude was found to partially mediate the effect of self-directed learning ability on educational satisfaction. Third, learning attitude partially mediated the effect of cooperative ability on educational satisfaction. The results of this study suggest that to increase satisfaction with SW education, SW education strategies must be differentiated according to gender and school level, and instructional design that can promote the above three variables is required.

• Research in Community and Public Health Nursing
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• v.33 no.3
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• pp.290-298
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• 2022

Purpose: This study was conducted to determine factors influencing changes in the self-esteem of multicultural adolescents over time. Methods: A longitudinal design was adopted to analyze secondary data. This study used the 2nd, 4th, and 6th year data of Multicultural Adolescents Panel Study (MAPS) collected by the Korea Youth Policy Institute. The linear mixed model was utilized to analyze self-esteem changes over time. Results: The factors of sex and age of the students, the mother's Korean writing ability, and the Filipino or Japanese mothers had a significant effect on the self-esteem change of multi-cultural adolescents over time. Specifically, it was found that female students' self-esteem was decreased by 0.04 (t=-2.39, p=.017) more than male students over time. As the subject's age and mother's Korean writing ability increased, self-esteem was decreased by 0.01 (t=-2.53, p=.011) and 0.03 (t=-2.52, p=.012) over time. In addition, compared to that of those who had mothers from Korea, self-esteem of those who had Filipino or Japanese mothers was decreased by 0.04 significantly. Conclusion: Therefore, when developing a self-esteem promotion program, it is necessary to develop content by reflecting the characteristics of mothers as well as the gender and age of students. Furthermore, the significance of this study is in that it established a foundation for a positive self-identity of multicultural adolescents whose number is increasing recently by identifying factors affecting their self-esteem.

• Journal of the Korean Society of School Health
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• v.35 no.2
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• pp.49-56
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• 2022

Purpose: The purpose of the study was to investigate the changes in the prevalence of metabolic syndrome and its risk factors in Korean adolescents before and during the COVID-19 pandemic. Methods: The study employed a descriptive cross-sectional design. Data were obtained from the 2018 and 2020 Korea National Health and Nutrition Examination Surveys. Out of a total of 15,351 participants in the surveys, 971 adolescents aged 12 to 18 years were included. The data were analyzed using the rao-scott 𝝌² test and t-test. Results: There was no significant difference in the prevalence of adolescent metabolic syndrome before and after the outbreak of COVID-19. As for general characteristics, changes in high blood pressure were confirmed from waist circumference, diastolic blood pressure, and metabolic syndrome risk factors. When analyzing the general characteristics according to gender, there were significant differences in waist circumference and diastolic blood pressure in boys. Concerning the risk factors for metabolic syndrome, there was a significant difference in high blood pressure in both boys and girls and in abdominal obesity in girls. Conclusion: Hypertension and abdominal obesity, which are risk factors for metabolic syndrome, should be managed by including them in the school health area. Communities and schools should take an active role in preparing the youth for healthy adulthood.

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.4
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• pp.61-70
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• 2021

Purpose: The study aims at identifying patient-related and environmental factors associated with an increased risk of falling and, therefore, both caregivers and designers can be aware of fall risk factors and can contribute to prevent inpatient falls in their own areas of expertise. Methods: A case-control study has been conducted, utilizing patient data and physical environmental data in the unit of General Medicine in the United States. The case-control study investigated data about patients who had suffered falls as well as patients with similar characteristics (e.g., age, gender, and diagnosis) who did not suffer falls. Results: The study identified both patient-related and physical environmental factors associated with inpatient falls. Morse fall risk score, patient visibility, and patient accessibilityB were identified as significant predictors to inpatient falls, when controlling for other significant variables. Implications: The findings of the study can provide implications to both caregivers and healthcare and hospital environment designers. Caregivers should give special attention to patients with high Morse Fall Risk Scores to prevent inpatient falls. Designers also need to examine and to fine-tune the unit layout of inpatient care units to maximize each patient room's patient visibility from the rest of the unit and patient accessibilityB from working areas of nurses.

• The Journal of the Convergence on Culture Technology
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• v.8 no.6
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• pp.561-567
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• 2022

The purpose of this study was to investigate the effect of Communication cpmpetence of nursing students Clinical practice stress. Data were collected among 188 nursing students in G city, from Sep 5 to 20, 2021. The collected data was analyzed a using t-test, One way ANOVA, Pearson's correation coeffcient and Stepwise multiple regression using SPSS 20.0 WIN program. The average score for Communication cpmpetence was 3.54±0.41 and Clinical practice stress was 3.32±0.85. Clinical practice stress showed Models including the variables, Communication cpmpetence, Major satisfaction, Gender explained 30.4% of the variance in the Clinical practice stress. Based on the outcome of this study, steps should be taken to design intervention program that emphasize a improve Clinical practice stress for nursing students.

• Korean Journal of Agricultural Science
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• v.49 no.4
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• pp.639-646
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• 2022

The present experiment was conducted to assess the effect of Buttiauxella-derived phytase in finishing pigs fed corn/soybean meal diets with an increase in the calcium (Ca)/total phosphorus (P) (Ca/tP) ratio and a reduction in net energy on the growth performance and nutrient digestibility on the finishing pigs. A total of 90 crossbred ([Yorkshire × Landrace] × Duroc) finishing pigs with an average initial body weight (BW) of 56.94 ± 2.43 kg were used for an 11-week feeding trial. The pigs were randomly allotted to one of three dietary treatments (six replication/treatment and five pigs/pen) in a randomized complete block design according to their BW and gender. Dietary treatments consisted of supplementation of phytase (0.05, 0.07, and 0.1% in the control, Trt1 and Trt 2 diets, respectively) maintaining the Ca/tP ratio (1.67 : 1, 1.84 : 1, and 2.19 : 1 in control, Trt1 and Trt 2 diets, respectively) and reducing the net energy by 1% in Trt1 and Trt2 diets compared with the control diet. The results showed that dietary supplementation with phytase in the energy-reduced diet had a similar (p > 0.05) effect on the BW, average daily gain, average daily feed intake, and gain/feed ratio of the finishing pigs. Also, there were no effects (p > 0.05) of treatment matrixes on the nutrient digestibility of dry matter, nitrogen calcium, phosphorus, and gross energy. In conclusion, the increase of phytase and Ca/tP ratio and the reduction of net energy in the corn/soybean meal diet resulted in comparable growth performance and nutrient digestibility of finishing pigs relative to pigs fed the control diet.

• Journal of Korean Physical Therapy Science
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• v.29 no.4
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• pp.65-74
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• 2022

Background: This study attempted to find out the degree of awareness of owners who have the most influence on companion animal's rehabilitation exercise, and the purpose of the treatment effect, and the expectations of rebilitation treatment. The purpose of this study is to find out about the awareness, comprehension, and expectations of caregiver for rehabilitation exercise in companion animal medical services, and to develop them into a field of animal medical services. Design: The tool used in this study used a questionnaire, and the composition consists of the subject's general characteristics, recognition of companion animal rehabilitation, comprehension and expectation. Methods: A questionnaire was given to 103 companion animal's owners, and all were collected and analyzed. Analysis of the frequency analysis method, Fisher's exact test were analyzed. Results: It was confirmed that the difference was significant in the question of whether the caregivers had heard companion animal rehabilitation (p<.05). When asked that rehabilitation is necessary to improve physical function, the difference was confirmed to be significant (p<.05). The significance was confirmed when asked if the caregiver was willing to participate in animal rehabilitation education (p<.05). When asked if caregiver was willing to recommend rehabilitation exercise for companion animal of other caregiver who need rehabilitation exercise, it was confirmed that the difference was significant (p<.05). Conclusion: There was significant difference between gender. This study confirmed that the definite concept caregivers' perception in animal rehabilitation was not established. Therefore, in order to improve perception of caregivers, interdisciplinary exchanges and publicity for animal rehabilitation are needed, and the development of training and education programs for rehabilitation experts was suggested.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.3
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.16 no.5
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• pp.1431-1445
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• 2022

We construct a deep neural network model named ECGResNet. This model can diagnosis diseases based on 12-lead ECG data of eight common cardiovascular diseases with a high accuracy. We chose the 16 Blocks of ResNet50 as the main body of the model and added the Squeeze-and-Excitation module to learn the data information between channels adaptively. We modified the first convolutional layer of ResNet50 which has a convolutional kernel of 7 to a superposition of convolutional kernels of 8 and 16 as our feature extraction method. This way allows the model to focus on the overall trend of the ECG signal while also noticing subtle changes. The model further improves the accuracy of cardiovascular and cerebrovascular disease classification by using a fully connected layer that integrates factors such as gender and age. The ECGResNet model adds Dropout layers to both the residual block and SE module of ResNet50, further avoiding the phenomenon of model overfitting. The model was eventually trained using a five-fold cross-validation and Flooding training method, with an accuracy of 95% on the test set and an F1-score of 0.841.We design a new deep neural network, innovate a multi-scale feature extraction method, and apply the SE module to extract features of ECG data.