• Journal of Preventive Medicine and Public Health
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• 제52권2호
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• pp.92-100
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• 2019

Objectives: Young adulthood represents a critical developmental period during which the use of tobacco may begin or cease. Furthermore, differences in smoking behaviors between younger (aged 18-24 years) and older (aged 25-34 years) young adults may exist. This study aimed to characterize patterns related to current smoking in younger and older young adults. Methods: This study used data acquired from the Sixth Korea National Health and Nutrition Examination Survey conducted from 2013 to 2014. A total of 2069 subjects were categorized as younger (712 subjects) and older (1357 subjects) young adults. The chi-square test was used to assess the relationships between smoking status and socio-demographic, health-related, and smoking-related factors. Multivariable logistic regression models were constructed to assess the factors affecting current smoking in these age groups. Results: The current smoking prevalence was 18.3% among the younger young adults and 26.0% among the older young adults. Sex, education level, occupation, perceived health status, alcohol consumption, and electronic cigarette use were related to current smoking in both age groups. Secondhand smoke exposure at home and stress levels showed significant relationships with smoking in younger and older young adults, respectively. Conclusions: Strong correlations were found between the observed variables and smoking behaviors among young adults. Determining the factors affecting smoking and designing interventions based on these factors are essential for smoking cessation in young adults.

• 여성건강간호학회지
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• 제25권1호
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• pp.31-45
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• 2019

Purpose: This study was designed to develop a valid and reliable scale for the evaluation of preconception health behavior in women preparing for pregnancy. Methods: The initial strategy included a literature review, interviews, and construction of a conceptual framework. The preliminary items were evaluated twice for content validity by experts, and modified two preliminary investigations. Participants in the 2 main investigations and the confirmation investigation were tested for reliability and validity of the preliminary scale in women preparing for pregnancy. The data were analyzed for different items exploratory and confirmatory factors. Results: The 5-point Likert scale consisted of 6 factors and 27 items. The 6-factors included 'hazardous substance factor,' 'medical management factor,' 'rest and sleep factor,' 'stress management factor,' 'information acquisition factor,' and 'resource preparation factor.' Goodness of fit of the final research model was very appropriate and based on the following measures: Q=1.98, comparative fit index=.91, Tucker-lewis index=.89, standardized root mean square residual=.07, and root mean square error of approximation=.07. The criterion validity was .64. The reliability coefficient was .92 and the test-retest reliability was .61. Conclusion: The study findings indicate that the scale can be used for the development of nursing interventions to promote preconception health behavior in women preparing for pregnancy.

• 여성건강간호학회지
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• 제26권4호
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• pp.274-284
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• 2020

Purpose: The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: This study was conducted according to the Cochrane Collaboration's systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers independently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency's risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Results: Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Conclusion: Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach.

• Advances in nano research
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• 제10권2호
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• pp.175-189
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• 2021

In this article, frequency characteristics, and sensitivity analysis of a size-dependent laminated composite cylindrical nanoshell under bi-directional thermal loading using Nonlocal Strain-stress Gradient Theory (NSGT) are presented. The governing equations of the laminated composite cylindrical nanoshell in thermal environment are developed using Hamilton's principle. The thermodynamic equations of the laminated cylindrical nanoshell are obtained using First-order Shear Deformation Theory (FSDT) and Fourier-expansion based Generalized Differential Quadrature element Method (FGDQM) is implemented to solve these equations and obtain natural frequency and critical temperature of the presented model. The novelty of the current study is to consider the effects of bi-directional temperature loading and sensitivity parameter on the critical temperature and frequency characteristics of the laminated composite nanostructure. Apart from semi-numerical solution, a finite element model was presented using the finite element package to simulate the response of the laminated cylindrical shell. The results created from finite element simulation illustrates a close agreement with the semi-numerical method results. Finally, the influences of temperature difference, ply angle, length scale and nonlocal parameters on the critical temperature, sensitivity, and frequency of the laminated composite nanostructure are investigated, in details.

• 사상체질의학회지
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• 제34권4호
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• pp.49-56
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• 2022

Objectives The purpose of this study is to compare the changes before and after constitutional acupuncture treatment in soyangin who received embedding therapy for wrinkle improvement. Methods A retrospective study reviewing medical records was conducted. The patient was classified as a Soyangin by a specialist based on K-PRISM, personality, appearance, voice and usual symptoms. Records on the degree of wrinkles, postoperative symptoms, and patient satisfaction were reviewed. Results The patient's wrinkles were improved after the embedding therapy. After therapy symptoms were fever, flushing, and burning sensation. After acupuncture, these symptoms were reduced. Patient satisfaction increased after constitutional acupuncture treatment. Conclusion As a result of embedding treatment in Soyangin patients, there was an effect of wrinkle improvement. As a result of constitutional acupuncture treatment, anxiety and stress were reduced before the procedure, and symptoms of heat, burning, and flushing were reduced after the procedure.

• 동서간호학연구지
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• 제28권2호
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• pp.142-150
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• 2022

Purpose: The purpose of this study is to identify the factors affecting the role of nurses with regard to the perception of good death, knowledge of advance directives, and stress and attitude toward withdrawing life-sustaining treatment. Methods: Data were collected from 102 nurses working at a general hospital. Data were analyzed by descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple linear regression using the SPSS 28.0.1.0 program. Results: Educational level (β=.37, p=.001 for bachelor; β=.33, p=.005 for master or higher) and good death perception (β=.22, p=.024) were significant factors of the role of nurses associated with withdrawing life-sustaining treatment. Conclusion: Based on the result of this study, information about awareness of good death should be included in development of an educational program in order to strengthen the role of nurses in withdrawing life-sustaining treatment of patients.

• 한국간호교육학회지
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• 제29권1호
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Geomechanics and Engineering
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• 제33권5호
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• pp.463-475
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• 2023

Tunnel construction activity, conducted mainly in mountains and within urban centres, causes soil settlement, thus requiring the relevant management of slopes and structures as well as evaluations of risk and stability. Accordingly, in this study we performed a three-dimensional finite element analysis to examine the behaviour of piles and pile cap stability when a tunnel passes near the bottom of the foundation of a pile group connected by a pile cap. We examined the results via numerical analysis considering different conditions for reinforcement of the ground between the tunnel and the pile foundation. The numerical analysis assessed the angular distortion of the pile cap, pile settlement, axial force, shear stress, relative displacement, and volume loss due to tunnel excavation, and pile cap stability was evaluated based on Son and Cording's evaluation criterion for damage to adjacent structures. The pile located closest to the tunnel under the condition of no ground reinforcement exhibited pile head settlement approximately 70% greater than that of the pile located farthest from the tunnel under the condition of greatest ground reinforcement. Additionally, pile head settlement was greatest when the largest volume loss occurred, being approximately 18% greater than pile head settlement under the condition having the smallest volume loss. This paper closely examines the main factors influencing the behaviour of a pile group connected by a pile cap for three ground reinforcement conditions and presents an evaluation of pile cap stability.

• Steel and Composite Structures
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• 제49권2호
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• pp.231-244
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• 2023

Many of the recent investigations in the field of geotechnical engineering focused on the bearing capacity theories of multilayered soil. A number of factors affect the bearing capacity of the soil, such as soil properties, applied overburden stress, soil layer thickness beneath the footing, and type of design analysis. An extensive number of finite element model (FEM) simulation was performed on a prototype slope with various abovementioned terms. Furthermore, several non-linear artificial intelligence (AI) models are developed, and the best possible neural network system is presented. The data set is from 3443 measured full-scale finite element modeling (FEM) results of a circular shallow footing analysis placed on layered cohesionless soil. The result is used for both training (75% selected randomly) and testing (25% selected randomly) the models. The results from the predicted models are evaluated and compared using different statistical indices (R² and RMSE) and the most accurate model BBO (R²=0.9481, RMSE=4.71878 for training and R²=0.94355, RMSE=5.1338 for testing) and TLBO (R²=0.948, RMSE=4.70822 for training and R²=0.94341, RMSE=5.13991 for testing) are presented as a simple, applicable formula.

• 한국산업융합학회 논문집
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• 제27권4_2호
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• pp.851-860
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• 2024

This study analyzed factors that influence the welfare awareness level of paramedics. Paramedics are professionals responsible for the health and safety of the public, and their welfare is a factor that enables them to carry out their duties smoothly. The study results showed that the overall level of welfare awareness was analyzed to be very low at 2.80 points. We also found that there were gender and class differences in some areas. One notable point is the item 'In the event of a lawsuit or other complaint or accident during a call, the fire department responds adequately for me.' which received the lowest score of 2.22 point. I hope that in the future, fire departments will implement policy measures to protect emergency personnel from complaints and reduce the stress they experience when dispatched to disaster areas. Based on the results of this study, I hope that follow-up researchers will conduct a comparative analysis of the level of welfare awareness among various factors.