• 제목/요약/키워드: Family-Support

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Policy Implications of the Long-term Care Insurance System Revitalization Process for Establishing Integrated Care System in Japan (일본의 지역포괄케어시스템 구축과 개호보험제도 개정과정의 정책적 시사점)

  • Yoo, Ae Jung
    • 한국노년학
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    • v.39 no.1
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    • pp.1-20
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    • 2019
  • Recently, the Ministry of Health and Welfare has emphasized the necessity to build community care, and the interest of health care- long-term care-social welfare system continues. In order to examine the future vision of long-term care for elderly people, which can be a core system in establishing community models for elderly people in the future, we will implement aging in place as a national policy project. It is meaningful to analyze in depth the case of Japan's policy implementation through the amendment process of long-term care insurance system. The purpose of this study is to examine the concept definition, operating system, and major promotion process of the Integrated Care System in Japan and to suggest policy implications for the future Korea long-term care insurance system. As a result of reviewing the operation status and revision process of the long-term care insurance system for establishing the Integrated care system in Japan, it is necessary to clarify the basic principles and construction of community care system, diversification of residence type and upgrading work, establishment of linkage network of health care-long term care-social welfare, expansion of support for family and self-mind.

"Our first baby was born" Experience in the newly-wed couples: A Qualitative Study (첫 자녀 출산 전후 부부의 관계 경험에 대한 질적 연구 - 적응 과정에 대한 탐색)

  • Choe, Seung-Mi;Gwon, Jeong-Hye
    • The Korean Journal of Woman Psychology
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    • v.17 no.4
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    • pp.679-704
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    • 2012
  • The purpose of this study was to have a phenomenological understanding of the experiences in the marital relationship after the first baby is born. For this purpose, thirteen couples (marriage duration of less than five years; within three years of the child birth) were recruited and semi-structured interviews were conducted. The interview data were analyzed through the open coding, axial coding, and selective coding. In the next step, we derived the marital relationship paradigm after the first baby arrived. The causal/situational conditions that caused changes in the marital relationship were the parenting burden and the marital adjustment level. The central phenomena were parenting and housework burden, which were moderated by the husbands' support. The action/interaction strategies were couple's high awareness and acceptance for their new role and pursuit of the shared meaning of the family. When the strategies were successful, a deeply satisfying feeling and shared values could be obtained. Finally, we identified the core category to integrate of other categories into a conceptual framework, and that is 'the awareness and acceptance for their new role and the pursuit of a sense of We-ness'.

A Study on Factor Influencing the Nutrition Quotient for Elderly(NQ-E) of Elderly Living Alone (노인 1인 가구의 노인영양지수(NQ-E)에 영향을 미치는 요인에 관한 연구)

  • Kim, Kawon;Hur, Junsoo
    • 한국노년학
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    • v.39 no.4
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    • pp.741-762
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    • 2019
  • The purpose of this study is to identify the Nutrition Quotient for Elderly(NQ-E) of the elderly living in the community and to investigate the characteristics of living conditions affecting the nutritional status of the elderly. The subjects of the survey were 1,970 elderly single elderly households aged 65 and over in the nationwide through convenience sampling method. A survey cooperative system was established with Comprehensive Support Center for Elderly Living Alone, and the 25 social welfare institutions. 385 Life Managers for Elderly Living Alone participated as a survey agent. As a result, NQ-E was 51.14 points, which is the lowest level in the NQ-E, and the explanatory power was 20.1% in multiple regression analysis. Significant variables were age, sex, subjective health status, low number of medication, non-smoker, non-alcoholic, satisfactory economic status, academic status, and the interaction with family and neighbors. Based on this result, this study explains that comprehensive measures of nutritional management for the elderly living alone needs to be sought.

Effects of Product Number and Brand Breadth on the Evaluations of an Extended Product

  • Yeu, Minsun;Yuk, Hyeyeon;Kim, Boha;Yoo, Jung-Hyun;Cho, Seong Wan;Yeo, Junsang;Park, Chan Su
    • Asia Marketing Journal
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    • v.15 no.3
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    • pp.97-115
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    • 2013
  • This paper was motivated by two gaps in the extant literature on brand portfolio planning. First, research has shown that, as the number of products connected to a brand increases, the extended product receives more favorable evaluations. However, this result was obtained by comparing two brands with different number of products while controlling the brands' breadths. Hence one may question if the above result would hold when the brand is narrow as well as broad. Second, the literature has investigated the effect of brand breadth on the perceived fit and evaluations of an extended product within a relatively limited range ("narrow vs. broad") and not considered the case of a "very broad" brand. To address these gaps, we propose two hypotheses: 1) the effects of the number of products associated with a brand on the perceived fit and evaluations of a moderately far brand extension are moderated by the brand's breadth (H1); and 2) the relationship between a brand's breadth and a moderately far extension's perceived fit and evaluations looks like an inverse-U shape (H2). Study 1 was conducted to test H1. Study 1 employed a 2 × 2 within-subjects design in which the first factor was the number of products (small (2) or large (5)), and the second factor was brand breadth (narrow or broad). We measured brand breadth as the perceived similarity among products associated with a brand. Participants provided the perceived fit and evaluations of an extended product. Study 2 was conducted to test H2 as well as to replicate Study 1 in a more general setting and with different products. It employed a 2 × 3 within-subjects design, in which the first factor was the number of products (small (2) or large (5)), and the second factor was brand breadth (narrow, broad, or very broad). The results from two experiments support both hypotheses. This paper contributes to the literature on brand extensions in two ways. First, it broadens our understanding of the effects of product number and brand breadth on extended product evaluations by considering the two factors jointly. Second, we believe this study to be the first to present evidence that brand breadth can exert an inverted U-shape effect on the perceived fit and evaluations of an extended product. The results also offer implications for marketers. First, marketers should heed the finding that adding similar products to a narrow brand does not help the brand's extension launch. Second, the finding that the relationship between brand breadth and extended product evaluations might not be linear provides practical implications. While a narrow brand should not keep launching close extensions, nor should a broad brand continue producing far extensions to broaden its breadth. A firm with a broad corporate or family brand might want to consider introducing a new brand instead of adding dissimilar products under the brand umbrella.

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The influence of North Korean defectors' psychological characteristics on their alienation (탈북자들의 심리적 특성이 소외감에 미치는 영향 - 탈북자들과 남한주민들 간의 비교를 중심으로 -)

  • Jae-Chang Lee;Young-Man Kim
    • Korean Journal of Culture and Social Issue
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    • v.11 no.3
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    • pp.41-66
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    • 2005
  • The goal of this study was to investigate factors influencing North Korea defectors's psychological alienation by comparing South Koreans and North Korean defectors in the sense of values, lifestyles, attribution styles and stereotypes. To pursue this goal, a questionnaire was distributed to 143 South Koreans and 99 North Korean defectors, According to results, in comparison with South Koreans, North Korean defectors placed more values on 'nation' than 'individual or family', on the 'support of parents' than 'a great success', In the lifestyles, the North Korean defectors than South Koreans put higher significance in 'traditional familism', 'traditional collectivism', 'social consciousness', and 'traditional hierarchy'. As for stereotypes, South Korean people considered the North Korean defectors defiant, critical, egoistic, and competitive people. Also, South Koreans perceived North Korean defectors as more negatively than North Korean defectors did themselves. In case of alienation, North Korean defectors reported that their workplace was the most common place where they were alienated. As a result of investigating factors investigating the North Korean defectors' alienation, it showed that 'affluent life' in their values, 'cultural openness' in the lifestyles, and 'inside attribution' in the attribution styles were critical. Finally, it discussed limitations of the present study and the research required in the future.

Strategies for Managing Dementia Patients through Improving Oral Health and Occlusal Rehabilitation: A Review and Meta-analysis

  • Yeon-Hee Lee;Sung-Woo Lee;Hak Young Rhee;Min Kyu Sim;Su-Jin Jeong;Chang Won Won
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.128-148
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    • 2023
  • Dementia is an umbrella term that describes the loss of thinking, memory, attention, logical reasoning, and other mental abilities to the extent that it interferes with the activities of daily living. More than 50 million individuals worldwide live with dementia, which is expected to increase to 131 million by 2050. Recent research has shown that poor oral health increases the risk of dementia, while oral health declines with cognitive decline. In this narrative review, the literature was based on the "hypothesis" that dementia and oral health have a close relationship, and appropriate oral health and occlusal rehabilitation treatment can improve the quality of life of patients with dementia and prevent progression. We conducted a literature search in PubMed and Google Scholar databases, using the search terms "dementia," "major neurocognitive disorder," "dentition," "occlusion," "tooth loss," "dental prosthesis," "dental implant," and "occlusal rehabilitation" in the title field over the past 30 years. A total of 131 studies that scientifically addressed dementia, oral health, and/or oral rehabilitation were included. In a meta-analysis, the random effect model demonstrated significant tooth loss increasing the dementia risk 3.64-fold (pooled odds ratio=3.64, 95% confidence interval [2.50~5.32], P-value=0.0348). Tooth loss can be an important indicator of cognitive function decline. As the number of missing teeth increases, the risk of dementia increases. Loss of teeth can lead to a decrease in the ascending information to the brain and reduced masticatory ability, cerebral blood flow, and psychological atrophy. Oral microbiome dysbiosis and migration of key bacterial species to the brain can also cause dementia. Additionally, inflammation in the oral cavity affects the inflammatory response of the brain and the complete body. Conversely, proper oral hygiene management, the placement of dental implants or prostheses to replace lost teeth, and the restoration of masticatory function can inhibit symptom progression in patients with dementia. Therefore, improving oral health can prevent dementia progression and improve the quality of life of patients.

How Korean children and adolescents perceive their parents: Indigenous psychological analysis (아동과 청소년의 부모에 대한 지각: 토착심리학적 접근)

  • Young-Shin Park;Uichol Kim;Kee Hye Han
    • Korean Journal of Culture and Social Issue
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    • v.9 no.2
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    • pp.127-164
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    • 2003
  • This study investigates how Korean children and adolescents perceive their parents using the indigenous psychological approach. An open-ended questionnaire was developed by the first two authors to investigate reasons why children and adolescents feel grateful, respect, indebted, close, conflict, and distance with their parents. A total of 763 participants (212 grade three students, 267 grade eight students, and 284 grade eleven students) completed the questionnaire. The results can be summarized into three main points. First, the vast majority of children and adolescents feel grateful, respect, and indebted to their parents. They feel grateful, respect and indebted for the sacrifice and suffering they experience looking after the family. Moreover, they respects their parents because of their sincerity, blood relationship, benevolence, guidance and educational support. They feel indebted since they did not obey them, were not able to meet their expectations, and were not diligent in their schoolwork. They felt especially close to their mother. The conflict they felt was due to generational gap and in their academic performance. Second, age affects how they perceive their parents. The parent-child conflict increases with age. The feeling of indebtedness also increase with age. However, the feeling of gratefulness and respects decreases with age. The feeling of closeness with father also decreases with age. Third, socio-economic status and educational achievement of children and adolescent affect the perception of their parents. Those with higher academic grade and socio-economic status are more likely to feel respect and indebtedness and less likely to feel conflict and distance.

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A Qualitative Study using the Grounded Theory on the Trauma Experiences of State Violence Victims (국가폭력 트라우마 경험에 대한 근거이론적 탐구)

  • Seok-Woong Kim;Young-Shin Kang
    • Korean Journal of Culture and Social Issue
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    • v.30 no.1
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    • pp.1-33
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    • 2024
  • This study analyzed the experiences of victims of state violence, discovered differences between state violence and general trauma, and proposed ways to help heal trauma. Participants were composed of state violence victims and their families in total, including 11 from the Jeju 43 Incident, 11 from the Yeos u·Sunchoen 10.19 Incident and 6 form May 18th Democratic Uprising. As a result of using the grounded theory to analyze data, a total of 170 concepts, 57 subcategories, and 20 categories were derived. The central phenomenon was direct damage caused by state violence. This included 'post-traumatic stress', 'social stigma', 'isolation from community', 'socio-economical issues' and 'family dissolution'. As a result of the process analysis, the participants experienced six phases: 'trauma', 'isolation', 'resistance', 'resignation', 'recovery', and 'growth.' Each phase is sequential but at the time mutually affect each other. Based on the results, this study verified the difference between state violence and general trauma, and emphasized social and cultural factors, such as community support, were important factors in healing state violence trauma. Besides, the implications and limitations as well as suggestions for future research were mentioned.

A study on the relationship between college students' self-differentiation and marriage outlook (대학생의 자아분화와 결혼관의 관계연구)

  • Ri-a Lee;Won-Sun Lim
    • Industry Promotion Research
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    • v.9 no.1
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    • pp.179-187
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    • 2024
  • This study aims to develop policies and programs to improve self-differentiation that will have an impact on establishing a positive view of marriage among college students by examining and confirming the impact of college students' self-differentiation on their views on marriage among college students in early adulthood. This is an attempted research study. For this purpose, a self-report online survey was conducted and analyzed among 204 college students attending a university in northern Gyeonggi Province. The analysis method used SPSS 25.0 program to calculate internal consistency, frequency analysis to identify the general characteristics of the research subject, descriptive statistical analysis to determine the level of the research variable, and differences in research variables according to the characteristics of the research subject. To find out, an independent samples t-test, analysis of variance, and post hoc test were conducted, and analysis using SPSS Process Macro was conducted to verify the mediation effect. The results of the analysis showed a positive (+) correlation between self-differentiation and views on marriage, which suggests that self-differentiation has a significant impact on establishing a positive view on marriage, and for this purpose, it is necessary to establish a positive view on marriage among college students. To this end, we aimed to provide basic data to support education for healthy families through national policy.

Factors Influencing Onset Type 2 Diabetes and Prediabetes in Adults: The 8th Korea national health and nutrition examination survey (2019-2021) (제2형 당뇨병 및 당뇨전단계 발병 영향 요인 : 국민건강영양조사 8기(2019-2021) 자료 이용)

  • Hyun-Su Kim;Min-Jung Kang
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.2
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    • pp.89-100
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    • 2024
  • Purpose : The objective of this study was to determine the major factors influencing the onset of diabetes and prediabetes and for collection of the basic data required to reduce the prevalence of diabetes and plan for administration of an effective health care system. By classifying the level of blood sugar management according to three categories: normal, prediabetes, and diabetes diagnosis, and determining the causes of diabetes in consideration of various variables, we will conduct an analysis of the main factors to be addressed for effective management of blood sugar and for preparation of basic data for use in early management. Methods : In this study, an analysis of raw data from the 8th National Health and Nutrition Examination Survey collected over a period of three years from 2019 to 2021, including 8,110 subjects in 2019, 7,359 subjects in 2020, and 7,090 subjects in 2021 was performed. A total of 22,559 subjects were aged 19 years or older, and 15,821 subjects were classified as subjects for inclusion in the final analysis. In the analysis, categorical variables were tested for difference, analysis of continuous variables using regression was performed, and analysis of influencing factors was performed using multinomial logistic analysis. Result : Significant factors related to the onset of diabetes and prediabetes included age (p<.001), marital status (p<.001), occupation (p<.001), hypertension (p<.001), dyslipidemia (p<.001), cardiovascular disease (p=.008), alcohol (p=.030) smoking (p=.005), systolic blood pressure (p<.001), diastolic blood pressure (p<.001), body mass index (p<.001) and waist circumference (p=.037), blood triglycerides (p<.001), and blood cholesterol (p<.001). Conclusion : Diabetes, a complex disease affected by a variety of diseases, requires active management from the prediabetes stage, and providing an appropriate level of medical information and services to elderly individuals without family support is considered a long-term health care system requirement in Korean society where the demographic structure is changing. In particular, determining the causes of prediabetes and development of a preventive approach to administering the health care system will be important for efficient management of diabetic patients.