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A Study on the Well-Dying Recognition and Decision of Death before and after Education Among University Students (대학생들의 죽음 교육 전과 후의 웰다잉 인식과 결정에 관한 연구)

  • Song, Hyeon-Dong;Ahn, Sang-Yoon;Kim, Yong-Ha;Hwang, Hye-Jeong;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.300-310
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    • 2018
  • The purpose of this study is to compare the change of Well-Dying awareness and decision of university student before and after taking the course of death study. A questionnaire survey was conducted for university students 93 before education, 117 after education who participated in the Death Studies related lectures at Daejeon Metropolitan City for 15 weeks from August to December 2016. The general characteristics of survey are gender, age. grade, major, marriage condition, religion, family member living together and health status. Four items on the perception aspect of death, five items on the aspect of acceptance of death, seven items of death decision and twelve items for death education's interest and importance were configured as a reference scale. The statistical method carried out the chi-square test, the independent sample t-test, and the decision tree analysis. Based on the decision tree, At the time of preparation for death(cancer patient, terminal patient, etc.) and the elderly(65 years old or older), the education transition rate was 66.7%. But After education, 65.3% of the respondents were in adult, middle and high school, under elementary school, university, and graduate school, which showed a significant difference. Therefore we are looking for death education's effectiveness and setting directions for education's period and contents. the negative viewpoints and worries about the implementation of death education at elementary, middle and high schools and universities are resolved and the death education will positively affect the change of attitude of students.

Dynamics and Liver Disease Specific Aspects of Quality of Life Among Patients with Chronic Liver Disease in Yunnan, China

  • Che, Yan-Hua;You, Jing;Chongsuvivatwong, Virasakdi;Li, Li;Sriplung, Hucha;Yan, Yuan-Zhi;Ma, Si-Jia;Zhang, Xiaoli;Shen, Ting;Chen, He-Min;Rao, Shao-Feng;Zhang, Ru-Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4765-4771
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    • 2014
  • Background: Patients with chronic liver diseases (CLD) may have compromised health related quality of life (HRQoL). Hepatitis B virus (HBV) infection has long been the leading cause of CLD including liver cancer and cirrhosis. Knowledge on different symptom profiles of CLD should help in development of comprehensive treatment and patient care plans. Objective: To access the facets of HRQoL in chronic liver diseases throughout their spectrum of severity. Materials and Methods: A cross-sectional study was conducted in the First Affiliated Hospital of Kunming Medical University in Yunnan Province of China. Both out- and inpatients undergoing treatment protocols for different HBV related liver disease states were consecutively collected from December 2012 to June 2013. ANOVA was used to compare the mean scores of EQ-5D and chronic liver disease questionnaire (CLDQ) among 5 disease groups. The relationship between demographic variables predicting global CLDQ scores and the domains of CLDQ was analysed. Results: A total of 1040 patients including 520 without complications, 91 with compensated cirrhosis, 198 with decompensated cirrhosis, 131 with HCC and 100 with liver failure were recruited. All domains of CLDQ, the means of EQ-5D value and EQ VAS exhibited significant decline with worsening of disease severity from uncomplicated HBV to liver failure. The multivariate regression demonstrated the reduction of mean scores of CLDQ domain at advanced stage. Patients with liver failure and HCC had more HRQoL impairment than other disease states. No effect of patient gender was found. Patient age was associated with 'fatigue' and 'worry' domains (p=0.006; p=0.004) but not with other domains and global scores of CLDQ and ED-5D. Conclusions: The HRQoL in chronic hepatitis B patients is greatly affected by disease states. Care for HBV-related diseases should consider not only the outcomes of treatment strategies but also improvement in patient wellbeing.

Testicular Cancer and Testicular Self-Examination; Knowledge, Attitudes and Practice in Final Year Medical Students in Nigeria

  • Ugwumba, Fred O;Ekwueme, Osa Eloka C;Okoh, Agharighom D
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4999-5003
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    • 2016
  • The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.

An analysis of Adolescents' media literacy: How do they read, write, and enjoy information and communication media? (읽기, 쓰기, 향유 체험을 중심으로 본 청소년의 미디어 리터러시 분석)

  • Shin, Namin;Ahn, Hwasil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3777-3785
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    • 2013
  • This study aimed to find out adolescents' media literacy in terms of reading, writing, and enjoying media or messages. For the purpose, we analyzed the data garnered from 1,036 students enrolled in 5 middle and 5 high schools, respectively. The analyses of the data are summarized as follows: First, mobile phone was most widely used among others, followed by TV, the Internet, mp3 player, computer or video game, radio, a video or DVD in the order. Second, a gender effect was significant in terms of the variety of activities with the Internet, mobile, and SNS: boys were more active in the use of the Internet while girls carried out more activities with a mobile phone and SNS media. Third, high school students showed more critical attitude towards information on the Website than did the middle school students. Fourth, Girls than boys, and high schoolers than middle schoolers, tended to be more active in the production of contents, self-expression, as well as participating in social and political issues online. Fifth, for the enjoyment experiences, time spent for games took up the most of the students' leisure activities, followed by watching TV and the use of the Internet. The findings of the study were discussed in light of media convergence, with implications for developing media literacy education for the youth.

The Emotional Intelligence Effects on Foreign LCs' Self-Efficacy and Job Stress (외국계 생명보험 설계사의 감성지능이 직무스트레스에 미치는 영향 : 자기효능감의 매개효과를 중심으로)

  • Jung, Kwang-Jin;Park, Sang-Beom
    • The Journal of Industrial Distribution & Business
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    • v.9 no.5
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    • pp.93-104
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    • 2018
  • Purpose - This study is to investigate the relationship among emotional intelligence, self-efficacy and job stress of foreign life insurance consultants focusing on the mediating effect of self-efficacy. Regarding job security, in general foreign life insurance companies in Korea have more severe working conditions in terms of required contract performance. For foreign life insurance consultants, they are assumed to need higher level of emotional intelligence and self efficacy to meet the conditions. In this study, focus is cast on these aspects. Research design, data, and methodology - Basically the research is conducted upon questionnaires responded by foreign life insurance consultants. That is, data are collected from 255 sample of insurance consultants who work for a foreign owned life insurance company. The Questionnaire measure the level of emotional intelligence, self-efficacy and job stress of insurance consultants. The data are analyzed using pearson's correlation coefficient and hierarchical multiple regression, descriptive statistics, t-test, ANOVA, Durbin-Watson test. Results - The general characteristics of respondents are gender, age, marital status, education level, income monthly, career length, change jobs no, working day per week, call no. per week, meeting no. with client per week, contract regularity, contract no. per month and cancellation contract per year. The mean of emotional intelligence is 2.63, self-efficacy is 3.44 and job stress is 2.20. Emotional intelligence is composed with mean value of self emotion appraisal(3.93), other's emotion appraisal(3.78), regulation of emotion(3.29) and use of emotion(3.52). The mean of self efficacy is composed with mean value of self-confidence(3.41), self-regulated efficacy(3.59) and preference task difficulty(3.30). The job stress is composed with mean value of job requirement(2.61), lack of job autonomy(1.99), conflict of personal relations(1.99), job instability(2.38), organizational system(2.19) and inappropriate compensation(2.07). There is a significant positive correlation between emotional intelligence and self-efficacy. The emotional intelligence and self-efficacy are significantly negative correlation with job stress. The self-efficacy is showed a mediating variable between emotional intelligence and job stress. Conclusions - To decrease job stress level, foreign life insurance company should find the factors to improve the emotional intelligence and self-efficacy of life insurance consultants, and develop appropriate plans using a mediating role of self- efficacy between emotional intelligence and job stress.

Analysis of Riding Quality Acceptability and Characteristics of Expressway Users and Evaluation of MRI Thresholds using Receiver Operating Characteristic curves (고속도로 이용자의 승차감 평가특성 및 만족도 분석과 ROC 곡선을 이용한 평탄성 관리기준 적정성 검토)

  • Lee, Jaehoon;Sohn, Ducksu;Ryu, SungWoo;Kim, Youngwon;Park, Junyoung
    • International Journal of Highway Engineering
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    • v.20 no.2
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    • pp.35-44
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    • 2018
  • PURPOSES : The purpose of this research is to analyze the characteristics of panels that affect the evaluating results of riding quality and to evaluate the appropriateness of roughness management criteria based on ride comfort satisfaction. METHODS : In order to analyze the influence of panel characteristics of riding quality, 33 panels, consisting of civilians and experts, were selected. Also, considering the roughness distribution of the expressway, 35 sections with MRI ranging from 1.17 m/km to 4.65 m/km were selected. Each panel boarded a passenger car and evaluated the riding quality with grades from 0 to 10, and assessed whether it was satisfied or not. After removing outlier results using a box plot technique, 964 results were analyzed. An ANOVA was conducted to evaluate the effects of panel expertise, age, driving experience, vehicle ownership, and gender on the evaluation results. In addition, by using the receiver operating characteristics (ROC) curve, the MRI value, which can most accurately evaluate the satisfaction with riding quality, was derived. Then, the compatibility of MRI was evaluated using AUC as a criterion to assess whether the riding quality was satisfactory. RESULTS : Only the age of the panel participants were found to have an effect on the riding quality satisfaction. It was found that satisfaction with riding quality and MRI are strongly correlated. The satisfaction rate of roughness management criteria on new (MRI 1.6 m/km) and maintenance (MRI 3.0 m/km) expressways were 95% and 53%, respectively. As a result of evaluating the roughness management criteria by using the ROC curve, it was found that the accuracy of satisfaction was the highest at MRI 3.1-3.2 m/km. In addition, the AUC of the MRI was about 0.8, indicating that the MRI was an appropriate index for evaluating the riding quality satisfaction. CONCLUSIONS : Based on the results, the distribution of the panels' age should be considered when panel rating is conducted. From the results of the ROC curve, MRI of 3.0 m/km, which is a criterion of roughness management on maintenance expressways, is considered as appropriate.

Indications for Computed Tomography (CT) to Detect Renal Injury in Pediatric Blunt Abdominal Trauma Patients with Microscopic Hematuria (미세혈뇨가 있는 소아 둔상 환자에서 콩팥 손상을 감별하기 위한 전산화단층촬영의 기준)

  • Go, Cheol-Gon;Kim, Hye-Jin;Cho, Suk-Jin;Oh, Sung-Chan;Lee, Sang-Lae;Ryu, Seok-Yong
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.29-37
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    • 2010
  • Purpose: Controversy exists regarding whether pediatric blunt abdominal trauma patients with microscopic hematuria should undergo radiographic evaluation. Adult patients have indications such as shock and deceleration injury. This study was conducted to suggest indications for the use of CT to detect significant renal injury in pediatric blunt abdominal trauma patients with microscopic hematuria. Methods: From January 2005 to December 2009, patients less than 18 years of age with blunt abdominal trauma and microscopic hematuria who had undergone CT were included in this retrospective study. We analyzed the correlation between microscopic hematuria, shock, deceleration injury, and American Association for the Surgery of Trauma (AAST) renal injury grade. Patients were divided into two groups: the insignificant renal injury group (AAST grade 1) and the significant renal injury group (AAST grades 2-5). We compared age, gender, mechanism of injury, degree of microscopic hematuria, evidence of shock, presence of deceleration injury, and associated injuries between the two groups. We analyzed the effect of each of the above each factors on renal injury by using a logistic regression analysis. Results: Forty-three children were included, and the median age was 15 years. Five children had a significant renal injury. No significant differences, except age and microscopic hematuria (more than 30 red blood cells per high power field (RBC/HPF), p = 0.005) existed between the insignificant and the significant injury groups. A positive correlation existed between renal injury and microscopic hematuria (rho = 0.406, p = 0.007), but renal injury was not correlated with shock and deceleration injury. In the multivariate regression analysis, microscopic hematuria was the only factor correlated with renal injury (p = 0.042). Conclusion: If a microscopic hematuria of more than 30 RBC/HPF exists, the use of CT should be considerd, regardless of shock and deceleration injury to detect significant renal injury in pediatric blunt abdominal trauma patients.

Effect of New Hallyu: Influence of K-POP Consumption on Chinese Attitude toward Korea and Hallyu (신한류 효과: 중국인들의 K-POP 이용이 한국과 한류에 대한 호감도에 미치는 영향)

  • Liu, Jing-Jin;Park, Yeon-Jin;Hwang, Ha-Sung
    • Korean journal of communication and information
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    • v.65
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    • pp.51-75
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    • 2014
  • This study aims to examine how the usage of K-POP and Korean TV dramas influence Chinese attitude toward Korea and Hallyu as K-POP has gained its popularity all over the world. The result indicated that 'gender', 'duration of watching Korean TV drama, 'the evaluation of Korean TV dramas', 'duration of listening K-POP and 'evaluation of K-POP' are strong predictors influencing attitude toward Korea among Chinese people. On the other hand, in relation to Hallyu, demographic factors are not appeared as the predictors, however, duration of watching Korean TV dramas, 'the evaluation of Korea TV dramas' and 'evaluation of K-POP' have been shown to influence the attitude toward Hallyu in a positive way. As the practical implication this result suggests that content, either Drama or K-POP, has more importance to appeal global audience rather than famous star has. Furthermore, when variables such as watching Korea TV dramas and evaluation of Korea TV drama have been controlled, 'evaluation of K-POP' appeared as a strong predictor to influence attitude of Korea and Hallyu in a positive way. This result indicates that the main content of Hallyu in China has shifted from Korean Dram to K-POP as the New Hallyu has been coming.

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Analysis for Willingness to Pay of the Advanced Railway System (차세대전동차 시스템 도입에 따른 이용자 지불의사금액 결정요인분석)

  • Ha, Oh-Keun;Kim, Yong-Jin;Oh, Mi-Young;Park, Dong-Joo;Lee, Soo-Beom
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.9 no.4
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    • pp.113-122
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    • 2010
  • Research and development related to advanced railway systems is currently underway presently to promote the maintenance and economic feasibility of subways, and the aim of such research and development is to enhance the functionality, passenger convenience, system safety and reliability assurance of the subway. In this situation, a study that predicts the effect that the development of such an advanced railway system would have on subway users is required. To this end, this study derived willingness to pay and decision factors with the introduction of an advanced railway system after surveying passengers who use subway lines 1~8. The Price Sensitivity Method (PSM) was applied to derive the willingness to pay in relation to user convenience (operating speed, ride comfort, safety, comfort, security and informativeness) with the introduction of an advanced railway system. In addition, willingness to pay and decision factors were examined after explaining the effects of introducing an advanced railway system in detail to subway users. Through the analysis, it was found that willingness to pay amounted to a premium of 148 won ~ 161 won with the introduction of an advanced railway system, and that this was affected by factors such as gender, frequency of use, satisfaction with comfort, and satisfaction with security.

The Effect of Emphatic Ability and Family Strengths on Happiness in Adolescents (청소년의 공감능력과 가족건강성이 행복감에 미치는 영향)

  • Yang, Yeongmun;Shin, Hyoshick;Lee, Seonjeong
    • Journal of Korean Home Economics Education Association
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    • v.29 no.4
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    • pp.49-64
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    • 2017
  • The purpose of this study was to explore ways to help improve adolescents' happiness by exploring the influences of emphatic ability and family strengths on happiness. This subjects were 514 middle school students living in Gwangju. Data were collected from self-report questionnaires and analyzed with SPSS 22.0 program. The major findings were as follows; First, the adolescents' emphatic ability('viewpoint', 'identity', 'emphatic interest'), family strengths('family respect and affection', 'role sharing and problem solving', 'communication and bonds', 'financial stability') and happiness scores were higher than the median(3.00). Emphatic ability('viewpoint', 'identity', 'emphatic interest', 'personal suffering') and family strengths('communication and bonds') showed significant difference according to gender. Second, the adolescents' happiness was influenced by 'family respect and affection', 'role sharing and problem solving', 'financial stability', 'personal suffering', 'identity', and 'emphatic interest'. Adolescents' happiness was explained about 39% by these variables. In other words, the higher family respect and affection, both higher role sharing and problem solving and higher financial stability, with lower personal suffering and higher identity and higher emphatic interest showed the higher happiness. These findings demonstrate the emphatic ability and family strengths in adolescents influence on the level of happiness. As such, in order to improve the happiness of adolescents, it is necessary to energize those programs focus on the forming healthy family relationships and to design finance assistance programs that could attempt to minimise financial gap. Additionally, it is necessary to develop programs aimed to enhance emphatic ability and continue such programs in homes as well as at schools. Finally, it is necessary to implement curriculum that may improve family strengths and emphatic ability, which have influenced on the happiness in adolescents. Since the subject "Technology & Home Economics" helps to enhance family strengths, emphatic ability and eventually amplifies the happiness, it is necessary to expand and reinforce it as well as to make it a mandatory subject.