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Factors Influencing Post-traumatic Stress Disorder in Intensive Care Unit Nurses in Dedicated Hospitals for Coronavirus 19 (코로나바이러스 감염증(COVID-19) 전담병원 중환자실 간호사의 외상 후 스트레스 장애 영향 요인)

  • Jeong, Hyun Ok;Park, Hye-Ja
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.170-178
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    • 2022
  • Purpose: This study aimed to identify the factors influencing post-traumatic stress disorder in intensive care unit nurses in dedicated hospitals for coronavirus disease of 2019 (COVID-19) during the peak of the outbreak. Methods: This study used a cross-sectional correlational design. A total of 100 participants completed questionnaires comprising the Impact of Event Scale-Revised (IES-R), coping strategy indicator, social support, and post-traumatic growth. Post-traumatic stress disorder was classified as normal, mild risk, and high risk. Data were analyzed using 𝛘2 test, Fisher's exact test, Kruskal-Wallis test with multiple comparison analysis, Pearson correlation coefficient, and multinominal logistic regression analysis. Results: Fifty seven nurses (57.0%) had a high risk of post-traumatic stress. Higher levels of post traumatic stress were associated with higher levels of social support seeking, and higher levels of avoidance, and lower levels of social support from supervisors. Higher post traumatic growth was correlated with higher social support for seeking coping, and problem solving coping strategies, and social support from supervisors and colleagues. Post-traumatic stress risk was associated with social support seeking and supervisors' social support. In addition, a higher risk of post-traumatic stress was related to COVID-19 work duration and supervisors' social support. Conclusion: Supportive programs, including increasing social support and building coping skills, may be suggested to safeguard the mental health of critical care nurses during the pandemic.

The Comparative Analysis of Overseas and Domestic cases of School-based Mental Health Project: Focusing on Singapore, the U.S., and Australia (학교중심 정신건강사업의 해외(싱가포르, 미국, 호주)와 한국의 비교분석)

  • Lee, Ju-Yong;Lee, Eun-Jin;Baik, Hyung-Ui
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.789-802
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    • 2022
  • The purpose of this study is to present implications for effective operation of domestic school-based mental health services by comparing those in Singapore the United States, Australia. Based on reviewing the public data and previous article, researchers conducted a comparative study on the background, history, goal, and managing process of overseas and domestic organizations. The result of comparison in overseas cases suggests that the foundation of school-based mental health project was laid with the national health plan and detailed frame work for implementation. It was also discussed that domestic school-based mental health project is still in introduction stage, while foreign services were delivered efficiently through the leading agency and the cooperation between government ministries and institutions were active. It suggests that cooperation between government ministries, preparation of an effective operating system, and various approaches for students, guardians and teachers are need for domestic school-based mental health project.

Diffraction-efficiency Correction of Polarization-independent Multilayer Dielectric Gratings (무편광 유전체 다층박막 회절격자의 효율 보정)

  • Cho, Hyun-Ju;Kim, Gwan-Ha;Kim, Dong Hwan;Lee, Yong-Soo;Kim, Sang-In;Cho, Joonyoung;Kim, Hyun Tae
    • Korean Journal of Optics and Photonics
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    • v.33 no.1
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    • pp.22-27
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    • 2022
  • We fabricate a polarization-independent dielectric multilayer thin-film diffraction grating for a spectral-beam-combining (SBC) system with a simple grating structure and low aspect ratio. Due to the refractive index and thickness error of the manufactured thin films, the diffraction efficiency of the fabricated diffraction grating was lower than that of the design. The causes of the errors were analyzed, and it was confirmed through simulation that diffraction efficiency could be compensated through an additional coating on the manufactured diffraction grating. As a result of sputtering an additional Ta2O5 layer on a fabricated diffraction grating, the diffraction efficiency was corrected and a maximum 91.7% of polarization-independent diffraction efficiency was obtained.

A Study on Priority Goals of Stakeholders for Smart City Projects: An Application of AHP Methodology (스마트시티 프로젝트 이해관계자 간의 목표 우선순위에 대한 연구: AHP 방법론의 적용을 중심으로)

  • Lee, Taewon;Kim, Seung-Chul;Lee, Ayeon;Park, So Hyun
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.45 no.3
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    • pp.173-185
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    • 2022
  • For the smooth implementation and success of smart city projects, it is necessary to recognize that there is a difference in the perception of value judgments or strategic goals among major stakeholders in the planning process. And it is necessary to aim the values and goals of smart cities through reconciliation of these differences. The two major stakeholders in the smart city development project are citizens group and government officials group. Government officials are in charge of establishing and implementing policies for smart city projects, and their value judgments and perceptions influence the policy direction. In these respects, government officials can be an important stakeholder group. Citizens are a group that includes ordinary residents and business owners who live in smart cities and are the ultimate users of infrastructure and facilities. This study investigated the importance perceptions of citizens and government officials, who are the major stakeholders, about the core values and strategic goals that the smart city project aims. Responses were collected using a structured questionnaire to which the AHP methodology was applied. And the priority of perceptions for constituent items was compared for each stakeholder group. Through the comparative analysis results, it was empirically confirmed that there is a difference in the values and goals pursued by the smart city project between stakeholder groups. As an empirical study on the stakeholders of the smart city project, this study is meaningful in contributing to the theoretical development in that it suggests that the conceptual structural model of the smart city strategy system presented in previous studies can be applied in practice.

A Study on Woo-Hyun Seoru(友弦書樓) as a Modern Library (우리나라 근대 도서관 우현서루(友弦書樓)에 관한 고찰)

  • Yong-Wan Cho
    • Journal of the Korean Society for Library and Information Science
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    • v.57 no.1
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    • pp.183-211
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    • 2023
  • As a private school and a library in the Enlightenment Period of Korea, Woo-Hyun Seoru(友弦書樓) was established between 1904 - March 1905 by Lee, Dong Jin who had a will and provided a economic support for it and his son Lee, Il Woo had founded and operated it and it seemed to be closed in 1911. By this time, Woo-Hyun Seoru has been underestimated or ignored in the history of libraries in Korea. This study tried to investigate 8 aspects of Woo-Hyun Seoru as a modern library including the subject and purpose of establishment, the date of establishment, the location and buildings, the collection development and the acquisition methods, the user group and the important users, the library activities, the process of closure, and the moving path of the collections after the closure of Woo-Hyun Seoru. To do this, the articles of newspaper, periodicals, and academic journals, the relating documents and Sung Nam Se Go(城南世稿) written by Dong Jin Lee, Il Woo Lee and their descendants and colleagues were analyzed.

Updates of Evidence-Based Nursing Practice Guidelines for Central Venous Infusion Therapy (근거기반 중심정맥 주입요법 간호실무지침 개정)

  • Lim, Kyung Choon;Jeong, Jae Sim;Kim, Kyeong Sug;Kim, Hyun Lim;Kim, Hyun Jeong;Kim, Dong Yeon;Lee, Mi Jeong;Lee, Joohyun
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.42-55
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    • 2023
  • Purpose: This study was conducted to update nursing practice guidelines for intravenous infusion published in 2017. Methods: The guideline update process was carried out using 22 steps developed by NICE and SIGN. It was agreed to update domains related to central venous infusion therapy. Contents related to peripheral infusion would be updated later. Results: Updated guidelines for central venous infusion therapy consisted of 6 domains and 195 recommendations. The number of recommendations by domain was 11 for general instruction, 14 for central vascular access devices (CVAD) and add-on devices, 13 for nursing management before insertion of CVAD, 30 for management during insertion of CVAD, 51 for management after insertion of CVAD, and 76 for complications. A grade was 29 (14.9%), B grade was 87 (44.6%), and C grade was 79 (40.5%) in the strength of recommendations. A total of 37 (19.0%) recommendations were newly developed and 23 (12.3%) previous recommendations have been modified. The newly developed recommendations were mainly related to the infection control methods. Conclusion: The updated guideline is focused on safe maintenance of central venous infusion therapy. Through this guideline, it is hoped to minimize the occurrence of complications and improve the standardization and efficiency of nursing practice.

Comparison of Dietary Behavior between Atopic Dermatitis Patients and Controls in Elementary School Students Living in the Sung-nam Area (성남시 소재 초등학교 저학년에서 아토피 피부염 환자군과 대조군의 식생활 비교)

  • Shin, You-Kyung;Kim, Myung-Hee;Chung, Ja-Yong
    • Journal of the Korean Society of Food Culture
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    • v.23 no.5
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    • pp.655-661
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    • 2008
  • The prevalence of atopic dermatitis (AD) in children has increased dramatically in recent years. Although AD has genetic determinants, this rapid increase is most likely due to changes in environmental influences--for example, dietary changes. The purpose of this case-control study was to assess the relationship between the risk of developing AD and dietary factors, including eating habits, food intake, and the consumption of various functional foods in children at ages of 7 or 8 years. 143 AD patients and 335 healthy children participated in this study. A mini-dietary assessment was utilized to evaluate the food intake and dietary patterns of the children, and other information, including demographic and socioeconomic characteristics, eating habits, and the frequency of functional food use was collected using a questionnaire. The results demonstrated that, among the demographic and socioeconomic factors assessed in this study, female gender, mother's employment, and the family history of AD significantly increased the risk of AD. However, no differences in dietary habits and specific food intake between AD patients and healthy controls were identified. On the other hand, the frequencies of taking multivitamin supplements, Spirulina, or gamma-linoleic acid were significantly higher in AD patients than in the controls. These data indicate that alterations in eating habits and the intake of certain foods may not be a critical cause associated with the risk of AD in school-age children, and caution should be taken in recommending food elimination diets for the purpose of preventing AD. Further studies are required in order to determine whether the intake of specific nutrients could contribute to the increase or prevention of the development of AD in school-age children.

Fifth Graders' Understanding of Variables from a Generalized Arithmetic and a Functional Perspectives (초등학교 5학년 학생들의 일반화된 산술 관점과 함수적 관점에서의 변수에 대한 이해)

  • Pang, JeongSuk;Kim, Leena;Gwak, EunAe
    • Communications of Mathematical Education
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    • v.37 no.3
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    • pp.419-442
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    • 2023
  • This study investigated fifth graders' understanding of variables from a generalized arithmetic and a functional perspectives of early algebra. Specifically, regarding a generalized perspective, we included the property of 1, the commutative property of addition, the associative property of multiplication, and a problem context with indeterminate quantities. Regarding the functional perspective, we covered additive, multiplicative, squaring, and linear relationships. A total of 246 students from 11 schools participated in this study. The results showed that most students could find specific values for variables and understood that equations involving variables could be rewritten using different symbols. However, they struggled to generalize problem situations involving indeterminate quantities to equations with variables. They also tended to think that variables used in representing the property of 1 and the commutative property of addition could only be natural numbers, and about 25% of the students thought that variables were fixed to a single number. Based on these findings, this paper suggests implications for elementary school students' understanding and teaching of variables.

Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization (근거기반 유치도뇨간호 실무지침 개정)

  • Park, Kyung Hee;Choo, Hee Jung;Seo, Hyun Ju;Hong, Hae Kyung;Lee, Joohyun;Lim, Kyung Choon
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.211-222
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    • 2023
  • Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.

Impact of Family Care Leave and Vacation Systems on Work-Family Balance of Female Managers (가족돌봄휴직·휴가제도가 여성관리자의 일·가정 양립에 미치는 영향)

  • Jeong, Yeojin;Kwon, Soonbum
    • Journal of Family Resource Management and Policy Review
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    • v.27 no.4
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    • pp.35-47
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    • 2023
  • This study examined the effects of the revised and newly established family care leave and vacation systems in 2019 on the work-family balance of female managers. A total of 1,040 female managers with experience in using the systems were selected as the analysis subjects from the 2020 Women Managers Panel data. Propensity score matching and multiple regression analysis were conducted. The propensity score matching results showed that the family care time of the users of the family care leave was significantly lower than that of non-users, and both the work-family conflict and home-work conflict levels were significantly higher for the users than the non-users. For the family care vacation, the family care time of its users was significantly higher in national and local government organizations than that if its non-users. The results of multiple regression analysis indicated that the use of the family care leave had a significant positive impact on home-work conflict. These findings suggest that the current family care leave and vacation system have insufficient positive effects on work-family relationships.