• Title/Summary/Keyword: long-term acceptance

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Long-term Survival Outcomes of Laparoscopic Gastrectomy for Advanced Gastric Cancer: Five-year Results of a Phase II Prospective Clinical Trial

  • Ahn, Sang-Hoon;Kang, So Hyun;Lee, Yoontaek;Min, Sa-Hong;Park, Young Suk;Park, Do Joong;Kim, Hyung-Ho
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.102-110
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    • 2019
  • Purpose: Despite an increased acceptance of laparoscopic gastrectomy (LG) in early gastric cancer (EGC), there is insufficient evidence for its oncological safety in advanced gastric cancer (AGC). This is a prospective phase II clinical trial to evaluate the feasibility of LG with D2 lymph node dissection (LND) in AGC. Materials and Methods: The primary endpoint was set as 3-year disease-free survival (DFS). The eligibility criteria were as follows: 20-80 years of age, cT2N0-cT4aN3, American Society of Anesthesiologists score of 3 or less, and no other malignancy. Patients were enrolled in this single-arm study between November 2008 and May 2012. Exclusion criteria included cT4b or M1, or having final pathologic results as EGC. All patients underwent D2 lymphadenectomy. Three-year DFS rates were estimated by the Kaplan-Meier method. Results: A total of 157 patients were enrolled. The overall local complication rate was 10.2%. Conversion to open surgery occurred in 11 patients (7.0%). The mean follow-up period was $55.0{\pm}20.4months$ (1-81 months). The cumulative 3-year DFS rates were 76.3% for all stages, and 100%, 89.3%, 100%, 88.0%, 71.4%, and 35.3% for stage IB, IIA, IIB, IIIA, IIIB, and IIIC, respectively. Recurrence was observed in 37 patients (23.6%), including hematogenous (n=6), peritoneal (n=13), locoregional (n=1), distant node (n=8), and mixed recurrence (n=9). Conclusions: In addition to being technically feasible for treatment of AGC in terms of morbidity, LG with D2 LND for locally advanced gastric cancer showed acceptable 3-year DFS outcomes.

Development of Internet Vulnerability Index for Youth through Internet Overdependency Analysis (인터넷 과의존 요인분석을 통한 청소년의 인터넷 취약성 지수 개발)

  • Jung, Nam-Su;Choi, Myeong-Ok;Lee, Young-Sun;Ahn, Hu-Nam
    • The Journal of the Korea Contents Association
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    • v.19 no.4
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    • pp.345-358
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    • 2019
  • The purpose of this study is to develop the Internet vulnerability index of adolescents. To do this, we used the original data of long - term follow - up survey for the internet overdependency cause analysis conducted by NIA in 2018, and analyzed the correlation between alternatives of internet vulnerability index and personal psychology by using linear regression analysis. Factor analysis showed that the relationship with the surroundings was indexed by adding 9 items to positive factors such as family acceptance, peer attachment, and teacher favorability. The relationship between the surroundings and self - stigmatization is confirmed, and the relationship between the surroundings and the Internet fragility is predicted to be negatively related, and the digital capacity is also assumed to be negatively correlated with the Internet vulnerability. In order to develop the specific form of the Internet vulnerability index, personal psychology and linear regression analysis were conducted. As a result, positive factors and R value of personal psychology were increased when considering the relationship with the environment and the digital capacity rather than the Internet overdependency model. Based on these implications, we discussed the implications and limitations of this study.

Meaning of a Meal among Nursing Home Elderly and Staff (요양시설 노인과 요양보호사에 있어 식사의 의미)

  • Lee, Kyung Hee
    • 한국노년학
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    • v.36 no.4
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    • pp.1157-1176
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    • 2016
  • The purpose of this study was to understand meaning of a meal among Nursing home elderly and staff. The meaning of a mean was explained to participants through observation and in-depth interviews based on Ethnomethodologic method. The meaning of a meal expressed by the Elderly was applied as personal philosophy on diversity and Caregiver also had become a management work on convenient logic. Elderly has been recognized has as hope of health recovery in important elements such as the air life indispensable to life. In contrast, Caregiver was following their will to live formally without any sense of the meaning of life. they are just extending their life. Meaning of Nursing-home elderly was lighthearted. They eat salt with snack to have massive power and escape from the daily life. However, Caregivers have other control measure. From the above result, In the standard operation of the meal, the manual of the laws of the instructions regarding long-term care insurance for the Aged, must reflect the elderly continued proposed the need to have diversity for the education about understanding and acceptance of the elderly.

A study on professional identity and development in family counselors - Focusing on grounded theory approach - (가족상담사의 전문직 정체성 및 발달 연구: 근거이론접근을 중심으로)

  • Noh, Miwha;Choi, Youn Shil
    • Journal of Family Relations
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    • v.22 no.4
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    • pp.3-29
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    • 2018
  • Objectives: This study is designed to explore and understand what professional identity and professional development are like in family counselors. Method: This study to achieve its purpose, collected data through in-depth interview with fifteen(15) family counselors through grounded theory approach. Results: Major research findings can be summarized as follows. 176 concepts were drawn through open coding, again classified into 47 categories and finally into 18 subcategories. Through selective coding, 'growing as an expert in family counseling through continuous exertions for growth' appeared as core category. Through this process, the types of professional development in family counselors were classified into job pursuing type, self achieving type, self understanding type, and volunteering type. Through process analysis, family counselors' professional development could be divided into three steps with the course of time: step of immersion, self-understanding and acceptance, and integration. Based on this, the hypothetical relations in four areas: personal area, family area, interpersonal area, and vocational area were summarized in statements. Conclusion: This study is significant in that it attempted to establish a theory to explain the professional identity, development and influence factors shown in family counselors. It also provides those who hope to grow as expert in family counseling with long-term visions and implications for family counselor training and supervision. In this study, the suggestions on the tasks to check and solve the factors for improving and supporting the foundations of family counselors' professional identities by highlighting the family counselors own identify that is different from other counselors are expected to be used as primary data for preparing laws and regulations related to family counseling in the future.

Personal Driving Style based ADAS Customization using Machine Learning for Public Driving Safety

  • Giyoung Hwang;Dongjun Jung;Yunyeong Goh;Jong-Moon Chung
    • Journal of Internet Computing and Services
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    • v.24 no.1
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    • pp.39-47
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    • 2023
  • The development of autonomous driving and Advanced Driver Assistance System (ADAS) technology has grown rapidly in recent years. As most traffic accidents occur due to human error, self-driving vehicles can drastically reduce the number of accidents and crashes that occur on the roads today. Obviously, technical advancements in autonomous driving can lead to improved public driving safety. However, due to the current limitations in technology and lack of public trust in self-driving cars (and drones), the actual use of Autonomous Vehicles (AVs) is still significantly low. According to prior studies, people's acceptance of an AV is mainly determined by trust. It is proven that people still feel much more comfortable in personalized ADAS, designed with the way people drive. Based on such needs, a new attempt for a customized ADAS considering each driver's driving style is proposed in this paper. Each driver's behavior is divided into two categories: assertive and defensive. In this paper, a novel customized ADAS algorithm with high classification accuracy is designed, which divides each driver based on their driving style. Each driver's driving data is collected and simulated using CARLA, which is an open-source autonomous driving simulator. In addition, Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) machine learning algorithms are used to optimize the ADAS parameters. The proposed scheme results in a high classification accuracy of time series driving data. Furthermore, among the vast amount of CARLA-based feature data extracted from the drivers, distinguishable driving features are collected selectively using Support Vector Machine (SVM) technology by comparing the amount of influence on the classification of the two categories. Therefore, by extracting distinguishable features and eliminating outliers using SVM, the classification accuracy is significantly improved. Based on this classification, the ADAS sensors can be made more sensitive for the case of assertive drivers, enabling more advanced driving safety support. The proposed technology of this paper is especially important because currently, the state-of-the-art level of autonomous driving is at level 3 (based on the SAE International driving automation standards), which requires advanced functions that can assist drivers using ADAS technology.

Studies on The Spread and Impact of Chinese Traditional Dramas and in South Korea (중국 전통 희곡 <서향기>와 <삼국지> 한국으로의 전파 및 한국에 끼친 영향)

  • Yuan, Guo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.6
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    • pp.79-86
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    • 2019
  • Drama, as an artistic stage performance style of traditional life style, has built a bridge of communication between the two nationalities in China and Korea. However, the different performance procedures and cultural backgrounds of different countries make the theatrical arts of China and Korea present different stage manifestations. The dissemination and influence of the Chinese drama and in Korea are mainly studied in this paper. By using the methods of work analysis and text analysis, this paper further explores the evolution history of drama communication, the influence of Chinese drama on Korea, which embodies the cultural transmission, and explores the influence of communication and the acceptance degree of the audience. It has the significance and value of research, at the same time, it promotes the long-term development of national culture.

An Empirical Study on the Intention to Continue Using Generative AI in Engaged Learning: Focusing on the ChatGPT Case (참여형 학습에서 생성형 AI 지속 사용 의도에 대한 실증적 연구: ChatGPT 사례 중심으로)

  • Kyungsoon Kim;Nacil Kim;Myoungsoo Kim;Yongtae Shin
    • Journal of Information Technology Services
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    • v.22 no.6
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    • pp.17-35
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    • 2023
  • This study investigated how helpful the use of generative AI such as ChatGPT is in conducting engaged learning at each university. In this study, based on the experiences of users using generative AI technology, we analyzed the relationship between usability and ease in consideration of the characteristics of learners, and examined whether there is an intention to continue using generative AI technology in the future. In this study, in order to verify the factors affecting the intention to use ChatGPT technology in order to solve the problems given in the participating classes, we examined previous papers based on the Technology Acceptance Model (TAM) and the Information System Success Model (IS), extracted the factors affecting the intention of ChatGPT technology, and presented the research model and hypothesis. Empirical research on the continuous use of generative AI in participatory learning using ChatGPT was conducted to determine whether it is suitable for long-term and continuous use in the educational environment, and whether it is sustainable by examining the intention of learners to continue using it. First, user satisfaction was positively related to the intention to continue using generative AI technology. Second, if the user experience has a great influence on the intention to continue using ChatGPT technology, and users gain experiences such as usefulness, interest, and effective response in the process of using the technology, the evaluation of the technology is positively formed and the intention to continue using it is high. Third, the ease of use of the technology also showed that it was intended to be used continuously when an environment was provided in which users could easily and conveniently utilize generative AI technology.

The Prediction of Shelf-life of Pickle Processed from Maengjong bambo (맹종죽순 장아찌의 유통기한 설정)

  • Kim, Dong-Chung;Cho, Eun-Hye;In, Man-Jin;Oh, Chul-Hwan;Hong, Ki-Woon;Kwon, Sang-Chul;Chae, Hee-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2641-2647
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    • 2012
  • Quality and sensory characteristics such as microbial count, pH, acidity, flavor, taste, color and overall acceptance of bamboo shoot pickle cured with red pepper paste and bamboo shoot pickle cured with soy sauce paste made of Maengjong bamboo shoots were investigated during a long-term storage at different temperature (at $25^{\circ}C$, $35^{\circ}C$ and $45^{\circ}C$). Microbial contamination was not observed, and water content did not showed significant change in all samples of both pickles during the whole storage period of 30 days, regardless of storage temperature. At $25^{\circ}C$, all sensory characteristics of bamboo shoot-red pepper paste pickle did not show a significant change for 30 d. However, at $35^{\circ}C$ and $45^{\circ}C$, the flavor, taste and color of bamboo shoot-red pepper paste pickle did not change remarkably, but the overall acceptance significantly changed from the beginning of storage. Bamboo shoot-soy sauce pickle did not give a significant change in flavor, taste and overall acceptance at $25^{\circ}C$, $35^{\circ}C$ and $45^{\circ}C$. However a remarkable change in color started to be shown at 25 d in case of storage at $45^{\circ}C$. Overall acceptance and color were selected as indicating parameters for the shelf-life estimation of bamboo shoot-red pepper paste pickle and bamboo shoot-soy sauce pickle, respectively. Based on room temperature storage and delivery at $20^{\circ}C$, the shelf-life of bamboo shoot-red pepper paste pickle and bamboo shoot-soy sauce pickle were determined as 308 d (about 10 month) and 447 d (about 14 month), respectively.

Analysis of School Life Satisfaction and Acculturation of Elementary Students of North Korean Refugees in Daegu and Gyeongbuk Region (대구·경북지역의 북한이탈 초등학생의 문화변용과 학교생활 만족도)

  • Park, Soon Ho
    • Journal of the Korean association of regional geographers
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    • v.22 no.1
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    • pp.168-179
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    • 2016
  • This study attempted to analyze the relationship between school life satisfaction and acculturation of elementary students of north Korean refugees in Daegu and Gyeongbuk region. The socio-demographic characteristics of elementary students in Daegu and Gyeongbuk were different from in capital territory or other parts of Korea. The acculturation of students living in Daegu and Gyeongbuk was distinctive. The proportion of assimilation was slightly higher than that of integration. However, 42 percent of students belonging to separation and marginalization passively accepted south Korean culture, so that they would have a difficult time in adjusting to new culture. Students getting older and being used to school life strongly inclined to accept south Korean culture; while, students born in north Korea tended to resist acceptance of south Korean culture. Most students were satisfied with school life. The satisfaction level was high in the relationship with teachers and school environment; while, the satisfaction level in learning activity was relatively low. In the relationship between school satisfaction and types of acculturation, students actively accepting new culture were relatively highly satisfied with their school life. A standardized short-term education oriented program for north Korean adolescents refugees living in south Korea should be shifted into the long-term support policy reflected in class and attribute in terms of acculturation.

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An Empirical Study on Perceived Value and Continuous Intention to Use of Smart Phone, and the Moderating Effect of Personal Innovativeness (스마트폰의 지각된 가치와 지속적 사용의도, 그리고 개인 혁신성의 조절효과)

  • Han, Joonhyoung;Kang, Sungbae;Moon, Taesoo
    • Asia pacific journal of information systems
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    • v.23 no.4
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    • pp.53-84
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    • 2013
  • With rapid development of ICT (Information and Communications Technology), new services by the convergence of mobile network and application technology began to appear. Today, smart phone with new ICT convergence network capabilities is exceedingly popular and very useful as a new tool for the development of business opportunities. Previous studies based on Technology Acceptance Model (TAM) suggested critical factors, which should be considered for acquiring new customers and maintaining existing users in smart phone market. However, they had a limitation to focus on technology acceptance, not value based approach. Prior studies on customer's adoption of electronic utilities like smart phone product showed that the antecedents such as the perceived benefit and the perceived sacrifice could explain the causality between what is perceived and what is acquired over diverse contexts. So, this research conceptualizes perceived value as a trade-off between perceived benefit and perceived sacrifice, and we need to research the perceived value to grasp user's continuous intention to use of smart phone. The purpose of this study is to investigate the structured relationship between benefit (quality, usefulness, playfulness) and sacrifice (technicality, cost, security risk) of smart phone users, perceived value, and continuous intention to use. In addition, this study intends to analyze the differences between two subgroups of smart phone users by the degree of personal innovativeness. Personal innovativeness could help us to understand the moderating effect between how perceptions are formed and continuous intention to use smart phone. This study conducted survey through e-mail, direct mail, and interview with smart phone users. Empirical analysis based on 330 respondents was conducted in order to test the hypotheses. First, the result of hypotheses testing showed that perceived usefulness among three factors of perceived benefit has the highest positive impact on perceived value, and then followed by perceived playfulness and perceived quality. Second, the result of hypotheses testing showed that perceived cost among three factors of perceived sacrifice has significantly negative impact on perceived value, however, technicality and security risk have no significant impact on perceived value. Also, the result of hypotheses testing showed that perceived value has significant direct impact on continuous intention to use of smart phone. In this regard, marketing managers of smart phone company should pay more attention to improve task efficiency and performance of smart phone, including rate systems of smart phone. Additionally, to test the moderating effect of personal innovativeness, this research conducted multi-group analysis by the degree of personal innovativeness of smart phone users. In a group with high level of innovativeness, perceived usefulness has the highest positive influence on perceived value than other factors. Instead, the analysis for a group with low level of innovativeness showed that perceived playfulness was the highest positive factor to influence perceived value than others. This result of the group with high level of innovativeness explains that innovators and early adopters are able to cope with higher level of cost and risk, and they expect to develop more positive intentions toward higher performance through the use of an innovation. Also, hedonic behavior in the case of the group with low level of innovativeness aims to provide self-fulfilling value to the users, in contrast to utilitarian perspective, which aims to provide instrumental value to the users. However, with regard to perceived sacrifice, both groups in general showed negative impact on perceived value. Also, the group with high level of innovativeness had less overall negative impact on perceived value compared to the group with low level of innovativeness across all factors. In both group with high level of innovativeness and with low level of innovativeness, perceived cost has the highest negative influence on perceived value than other factors. Instead, the analysis for a group with high level of innovativeness showed that perceived technicality was the positive factor to influence perceived value than others. However, the analysis for a group with low level of innovativeness showed that perceived security risk was the second high negative factor to influence perceived value than others. Unlike previous studies, this study focuses on influencing factors on continuous intention to use of smart phone, rather than considering initial purchase and adoption of smart phone. First, perceived value, which was used to identify user's adoption behavior, has a mediating effect among perceived benefit, perceived sacrifice, and continuous intention to use smart phone. Second, perceived usefulness has the highest positive influence on perceived value, while perceived cost has significant negative influence on perceived value. Third, perceived value, like prior studies, has high level of positive influence on continuous intention to use smart phone. Fourth, in multi-group analysis by the degree of personal innovativeness of smart phone users, perceived usefulness, in a group with high level of innovativeness, has the highest positive influence on perceived value than other factors. Instead, perceived playfulness, in a group with low level of innovativeness, has the highest positive factor to influence perceived value than others. This result shows that early adopters intend to adopt smart phone as a tool to make their job useful, instead market followers intend to adopt smart phone as a tool to make their time enjoyable. In terms of marketing strategy for smart phone company, marketing managers should pay more attention to identify their customers' lifetime value by the phase of smart phone adoption, as well as to understand their behavior intention to accept the risk and uncertainty positively. The academic contribution of this study primarily is to employ the VAM (Value-based Adoption Model) as a conceptual foundation, compared to TAM (Technology Acceptance Model) used widely by previous studies. VAM is useful for understanding continuous intention to use smart phone in comparison with TAM as a new IT utility by individual adoption. Perceived value dominantly influences continuous intention to use smart phone. The results of this study justify our research model adoption on each antecedent of perceived value as a benefit and a sacrifice component. While TAM could be widely used in user acceptance of new technology, it has a limitation to explain the new IT adoption like smart phone, because of customer behavior intention to choose the value of the object. In terms of theoretical approach, this study provides theoretical contribution to the development, design, and marketing of smart phone. The practical contribution of this study is to suggest useful decision alternatives concerned to marketing strategy formulation for acquiring and retaining long-term customers related to smart phone business. Since potential customers are interested in both benefit and sacrifice when evaluating the value of smart phone, marketing managers in smart phone company has to put more effort into creating customer's value of low sacrifice and high benefit so that customers will continuously have higher adoption on smart phone. Especially, this study shows that innovators and early adopters with high level of innovativeness have higher adoption than market followers with low level of innovativeness, in terms of perceived usefulness and perceived cost. To formulate marketing strategy for smart phone diffusion, marketing managers have to pay more attention to identify not only their customers' benefit and sacrifice components but also their customers' lifetime value to adopt smart phone.