• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.440-448
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• 2020

This study was conducted to identify the factors affecting breastfeeding in adult women based on socio-demographic and health-related characteristics using the results of KNHANES VII-3. The data was analyzed by applying weights, using the complex sample analysis method of the SPSS Win 22.0 program. Breastfeeding was influenced significantly by age, education level, and the current smoking status. Women in the age group of 30-39 years had a breastfeeding rate that was 3.06 times higher than 19-29 year old women. Also, the breastfeeding rates for women with an education level under elementary school were 4.70 times higher than those with a college degree or higher education level and non-smokers and ex-smokers had levels 2.51 times higher than smokers. Therefore, for mothers under the age of 30, education on breastfeeding should be further strengthened. For mothers over 40 years old, lactation support to increase the milk supply should be provided as well as assistance toward care for other children in the family. Also, better-educated mothers will need to learn effective breastfeeding methods in limited environments such as work-life, and a social atmosphere needs to be established that is considerate to lactating women. Furthermore, education related to pregnancy and lactation should be provided for use in smoking cessation programs for female smokers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.3
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• pp.101-109
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• 2021

This study was conducted to investigate the effects of internet game addiction and self-efficacy on the campus life adaptation of nursing students. The subjects were selected from 182 nursing students registered as college members and data collection was conducted from September 20 to October 3, 2019. The collected data was analyzed based on frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS /WIN 26.0 program. The internet game addiction score of nursing college students was shown to be 1.14±.30 out of four points, the self-efficacy score was shown to be 3.39±.55 out of five points and the campus life adaptation score was shown to be 3.18±.53 out of five points. There was a significant correlation between internet game addiction (r=-.220, p=.003), self-efficacy (r=.649, p<.001), and campus life adaptation. The predictors were self-efficacy (��=.588, p<.001), gender (��=.183, p=.001), and internet game addiction (��=.183, p=.001), which accounted for 45.9% of the variance in the campus life adaptation of nursing students. The results of this study delineate the need for the development and application of diverse programs that can increase self-efficacy and prevent internet game addiction in nursing students.

• Korean Journal of Agricultural and Forest Meteorology
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• v.23 no.4
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• pp.391-404
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• 2021

This study developed a long-term prediction model for the potential yield of garlic based on a genetic algorithm (GA) by utilizing global climate reanalysis data. The GA is used for digging the inherent signals from global climate reanalysis data which are both directly and indirectly connected with the garlic yield potential. Our results indicate that both deterministic and probabilistic forecasts reasonably capture the inter-annual variability of crop yields with temporal correlation coefficients significant at 99% confidence level and superior categorical forecast skill with a hit rate of 93.3% for 2 × 2 and 73.3% for 3 × 3 contingency tables. Furthermore, the GA method, which considers linear and non-linear relationships between predictors and predictands, shows superiority of forecast skill in terms of both stability and skill scores compared with linear method. Since our result can predict the potential yield before the start of farming, it is expected to help establish a long-term plan to stabilize the demand and price of agricultural products and prepare countermeasures for possible problems in advance.

• Tuberculosis and Respiratory Diseases
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• v.85 no.2
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• pp.155-164
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• 2022

Background: The remarkable efficacy of osimertinib in non-small cell lung cancer (NSCLC) with acquired T790M mutation has been widely documented in clinical trials and real-world practice. However, some patients show primary resistance to this drug. Even patients who initially show a favorable response have inconsistent clinical outcomes later. Therefore, the aim of this study was to identify additional clinical predictive factors for osimertinib efficacy. Methods: A prospective cohort of patients with acquired T790M positive stage IV lung adenocarcinoma treated with osimertinib salvage therapy in Hallym University Medical Center were analyzed. Results: Sixty-one eligible patients were analyzed, including 38 (62%) women and 39 (64%) who never smoked. Their mean age was 63.3 years. The median follow-up after treatment with epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) was 36.0 months (interquartile range, 24.7-50.2 months). The majority (n=45, 74%) of patients were deceased. Based on univariate analysis, low baseline neutrophil-to-lymphocyte ratios (NLR), age ≥50 years, never-smoking history, stage IVA at osimertinib initiation, and prolonged response to previous TKIs (≥10 months) were associated with a significantly longer progression-free survival (PFS). Multivariate analysis showed that never-smoking status (hazard ratio [HR], 0.54; 95% confidence interval [CI], 0.30-0.98; p=0.041) and a baseline NLR less than or equal to 3.5 (HR, 0.23; 95% CI, 0.12-0.45; p<0.001) were independently associated with a prolonged PFS with osimertinib. Conclusion: Smoking history and high NLR were independent negative predictors of osimertinib PFS in patients with advanced NSCLC developing EGFR T790M resistance after the initial EGFR-TKI treatment.

• The Journal of the Korea Contents Association
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• v.22 no.6
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• pp.439-452
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• 2022

This study aimed to explore the relationships between random item usage and gaming disorder tendency. A total of 413 adults participated and demographic and psychosocial variables were collected using Cloninger's Temperament and Character Inventory, Cognitive Emotion Regulation Questionnaire, and Daily Hassles Scale for Korean Worker. The results are as follows. First, two-third of gamers used the random item games and women are more engaged than men in random item games. Second, there were significant differences of gaming disorder tendency, game use time, and game use money (both for general and random item) depending on the item use type. Third, predictors of gaming disorder tendency were found as game use money (general), game use time, maladaptive emotion regulation, stress, novelty seeking, and stress using multiple regression analysis. Proper intervention for gaming disorder tendency and the need of further research were discussed.

• The Journal of the Korea Contents Association
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• v.22 no.10
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• pp.488-496
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• 2022

For over two years, after COVID-19 was first reported in the last quarter of 2019, the world has suffered from the pandemic. The Korean government has taken an initiative and has implemented a variety of policies to protect people from COVID-19. These policies have resulted in some suffering and inconvenience for people. In this context, we aim to find out what factors influence Korean college students' intention to social distance. We surveyed with Google's online survey tool(Google Form) for 116 Korean college students using a convenient sampling from December 30, 2020, to January 8, 2021. We put perceived susceptibility, perceived severity, perceived health status, level of involvement, and trust in the policy as independent variables into a multiple regression equation using the stepwise method. We found that intention to social distance was predicted by perceived susceptibility, level of involvement, and trust in the policy in the final model. The findings mean that the more people perceive themselves susceptible to COVID-19, and the more they get involved with COVID-19, and the more they trust their governmental policies on COVID-19, the more they agree on social distancing.

• Journal of Family Resource Management and Policy Review
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• v.26 no.3
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• pp.1-17
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• 2022

This study focused on the heterogeneity of groups in single-person households, to identify how middle-aged single-person households is categorized by sub-groups and to come up with policy measures to overcome social exclusion by examining predictive factors for the type of social exclusion. Potential class analysis and multinomial logistic regression analysis were conducted on a total of 361 middle-aged single-person households using the 14th Korea Replication Panel data. The social exclusion index of these households was measured consisting of 10 six-dimensional indicators. The results showed that middle-aged single-person households had five different types: "non-exclusion"(29.6%), "health restriction"(14.3%), "interact restriction and middle-risk multiple-exclusion" (12.0%), "income and health exclusion"(14.1%), and "high-risk multiple-exclusion"(30.0%). More than 70% of the respondents experienced social exclusion, and most of the exclusion types were multiple exclusion. When examining the factors affecting each exclusion type, the 'subjective health level' was a common major predictor, and family interact, age and leisure activity satisfaction variables were significant predictors of the 'high-risk multiple exclusion type' and 'the interact restriction and middle-risk multiple-exclusion type'. Based on these results, a multidimensional intervention strategy is an effective measure to solve the social exclusion problem of middle-aged single-person households, and practical measures should be considered by strengthening 'health' and exchanges.

• 한국노년학
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• v.40 no.1
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• pp.179-196
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• 2020

The purpose of this study was to identify the factors impacting fear of dementia, targeting the aged in the community. The study targeted 258 seniors aged 65 or older attending the senior college or using the senior citizen community center in areas of Jeollannam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and a stepwise multiple linear regression. Fear of dementia of the aged showed significant positive correlations with dementia anxiety, and aged anxiety. dementia anxiety, aged anxiety, dementia experience, use of a hearing aid, religion, level of dementia interest were significant predictors influencing fear of dementia of aged in the community, and these variables accounted for 37.2% of the variance. Therefore, this study suggests that in order to p revent fear of dementia of aged people in the primary health care setting, it is necessary to have a nurse's assessment on the factors affecting dementia as well as a multi-faceted education strategy for proper recognition of dementia.

• 한국노년학
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• v.41 no.3
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• pp.295-308
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• 2021

This study is a descriptive study conducted to find out the predictive factors according to the level of the frailty of the communitydwelling older adult in a rural area. Data were collected from 400 older adults aged 65 years or older living in rural areas of Gyeongsangnam-do from October 2019 to March 2020. Data were analyzed using logistic regression to examine the predictive factors according to the level of frailty. The results showed that 27.8% for robust older adults, 30.9% for pre-frailty older adults, and 41.3% for frailty older adults. As a result of analyzing the predictive factors according to the level of frailty, the predictors from the robust stage to the pre-frailty stage were grip strength, nutritional status, and depression. The predictive factors for entering the pre-frailty stage into the frailty stage were gender, nutritional status, physical performance ability, and depression. Also, it was found that the predictive factors for entering from the robust stage to the frailty stage were sex, occupation, nutritional status, physical performance ability, and depression. Through this study, it was possible to understand the level of the frailty of the older adults living in rural communities and the effects of multidimensional variables. These results can be used as basic data necessary to find a way to prevent and manage the progression of frailty among older adults in rural areas.

• Journal of Korean Neurosurgical Society
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• v.65 no.6
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• pp.834-840
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• 2022

Objective : C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count are inflammatory markers used to evaluate postoperative infections. Although these markers are non-specific, understanding their normal kinetics after surgery may be helpful in the early detection of postoperative infections. To compliment the recent trend of reducing the duration of antibiotic use, this retrospective study investigated the inflammatory markers of patients who had received antibiotics within 24 hours after surgery according to the Health Insurance Review & Assessment Service guidelines and compared them with those of patients who had received antibiotics for 5 days, which was proven to be non-infectious. Methods : We enrolled 74 patients, divided into two groups. Patients underwent posterior lumbar interbody fusion (PLIF) at a single institution between 2019 and 2020. Group A included 37 patients who received antibiotics within 24 hours after the PLIF procedure, and group B comprised 37 patients who had used antibiotics for 5 days. A 1 : 1 nearest-neighbor propensity-matched analysis was used. The clinical variables included age, sex, medical history, body mass index, estimated blood loss, and operation time. Laboratory data included CRP, ESR, and WBC, which were measured preoperatively and on postoperative days (POD) 1, 3, 5, and 7. Results : CRP dynamics tended to decrease after peaking on POD 3, with a similar trend in both groups. The average CRP level in group B was slightly higher than that in group A; however, the difference was not statistically significant. Multiple linear regression analysis revealed operation time, number of fused levels, and estimated blood loss as significant predictors of a greater CRP peak value (r²=0.473, p<0.001) in patients. No trend (a tendency to decrease from the peak value) could be determined for ESR and WBC count on POD 7. Conclusion : Although slight differences were observed in numerical values and kinetics, sequential changes in inflammatory markers according to the duration of antibiotic administration showed similar patterns. Knowledge of CRP kinetics allows the assessment of the degree of difference between the clinical and expected values.