• Childhood Kidney Diseases
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• v.19 no.2
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• pp.71-78
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• 2015

The incidence of acute kidney injury (AKI) in critically ill pediatric patients has been reported as increasing to 25 %, depending on population characteristics. The etiology of AKI has changed over the last 10-20 years from primary renal disease to the renal conditions associated with systemic illness. The AKI in pediatric population is associated with increased mortality and morbidity, and prevention is needed to reduce the consequence of AKI. It is known that the most important risk factors for AKI in critically ill pediatric patients are clinical conditions to be associated with decreased renal blood flow, direct renal injury, and illness severity. Renal hypoperfusion leads to neurohormonal activation including renin-angiotensin-aldosterone system, sympathetic nervous system, antidiuretic hormone, and prostaglandins. Prolonged renal hypoperfusion can result in acute tubular necrosis. The direct renal injury can be predisposed under the condition of renal hypoperfusion, and appropriate treatment of volume depletion is important to prevent AKI. The preventable causes of AKI include contrast-induced nephropathy, hemodynamic instability, inappropriate mediation use, and multiple nephrotoxic insults. Given the evidence of preventable factors for AKI, several actions such as the use of protocol for prevention of contrast-induced nephropathy, appropriate treatment of volume depletion, vigorous treatment of sepsis, avoidance of combinations of nephrotoxic medications, and monitoring of levels of drugs should be recommended.

• Korean Journal of Childcare and Education
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• v.14 no.1
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• pp.203-225
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• 2018

Objective: The aim of this study was to examine the mediated effect of teacher-infant relationships between teacher efficacy and infant's adjustment to child care centers. Methods: A total of 137 child care teachers that lived in Gwangju and Jeollanamdo participated in this study. They were asked to answer two survey questionnaires for two infants. The data were analyzed using analysis of frequency, Pearson's correlation coefficient, and hierarchical multiple regression analysis. Results: The main results are as follows. First, teacher-infant relationships partially mediated the relationship between teacher efficacy and two sub-factors (prosocial behavior and day work adjustment) of adjustment in child care centers. Unlikely as it was, several sub-factors such as positive emotion, peer adaptation, and self-strength were fully mediated by teacher-infant relationships. Conclusion: The present study suggests that it is necessary to improve teacher-infant relationships with teacher efficacy in order to improve infants' adaptation to daycare. In addition, it should be understood that the structural relationship of the influence factors is different depending on the sub-factors of the child care adjustment.

• Journal of Families and Better Life
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• v.30 no.2
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• pp.1-10
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• 2012

This study focused on the relationships among emotionality, eating behavior problems, and behavior problems in a sample of 185 four- to five-year-old children attending kindergarten or a day care center in Seoul. The values were all measured by their teachers. The collected data were analyzed using simple regression and hierarchical multiple regression. The main results of this study were as follows. First, children's positive and negative emotionality each exerted negative and positive effects on their internalizing behavior problems. Second, children's positive emotionality had a negative influence on their eating behavior problems. On the other hand, children's negative emotionality had a positive influence on eating behavior problems. Finally, effect of children's positive emotionality on their eating behavior problems was partially mediated by internalizing behavior problems. On the other hand, the effect of children's negative emotionality on their eating behavior problems was totally mediated by their internalizing behavior problems.

• Journal of Environmental Science International
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• v.24 no.3
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• pp.329-337
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• 2015

The purpose of this study was to observe the influence adolescents' environmental experience and environmental consciousness have on the pro-environmental consumption behavior. Also by examining the variable relation, the study scoped out the effectiveness of environmental experience. For the analysis, high school students in Korea were gathered from online and the correlation analysis, multiple regression analysis, and Baron and Kenny mediation analysis were conducted among a total of 521 surveys. The main findings are as follows: First, adolescents' environmental experience, environmental consciousness and pro-environmental consumption behavior showed a positive relationship. In other words, the more the experience, the more sense of responsibility adolescents had towards the environment and society, leading them to have pro-environmental consumption behavior. Second, environmental experience and environmental consciousness were proven to be essential factors that have influence on the adolescents' pro-environmental consumption behavior. Third, partial mediating effect of environmental consciousness was verified in accordance with the relationship between environmental experience and pro-environmental consumption behaviour. The findings suggest the importance of adolescents' environmental consciousness and improvement of pro-environmental consumption behavior by having students gain environmental experience.

• Human Ecology Research
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• v.52 no.6
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• pp.651-668
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• 2014

The main purpose of this study was to examine the relationship between social support, life satisfaction, and school-related adjustments of adolescents. The participants were 260 junior high school students (140 male and 120 female students) from the Seoul area. They completed questionnaires on social support, life satisfaction, and school-related adjustments. The collected data were analyzed using basic descriptive statistics, Pearson's correlation, and a multiple regression analysis. Baron and Kenny's method was used and examined, and the Sobel test was performed to determine the mediating model's significance. It was adapted to SPSS ver. 19.0 for Windows. The major findings were as follows: first, social support (parents/teacher/friend) was positively correlated with the adolescents' school-related adjustment. Second, the adolescents' life satisfaction was also positively correlated with the adolescents' school-related adjustments. In addition, social support was positively correlated with life satisfaction. It was further found that the adolescents' life satisfaction tended to play a perfectly/partially mediating role between social support and school-related adjustment; that is, social support (parents/teacher/friend) was shown to have not only a direct effect, but also an indirect effect through the adolescents' life satisfaction, on the school-related adjustments. These results clearly indicated that adolescents' life satisfaction plays a crucial role in the relationship between social support and the adolescents' school-related adjustments.

• Women's Health Nursing
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• v.24 no.3
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• pp.243-251
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• 2018

Purpose: To determine effects of job-seeking stress on perimenstrual symptoms of female college students with health and non-health related majors and mediating effects of stress coping styles. Methods: Data were collected from 189 female college students who were juniors or seniors. This study was conducted using questionnaires on job-seeking stress, perimenstrual symptoms, and stress coping styles. Data analysis included descriptive statistics, Pearson correlation analysis, and multiple regression analysis using SPSS, version 23.0. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: Job-seeking stress was significantly and positively correlated with perimenstrual symptoms in non-health college students. Passive stress coping styles demonstrated a complete mediating effect on the relationship between job-seeking stress and perimenstrual symptoms of those with non-health related majors (${\beta}=0.31$, p=.002). Such effect was significant (Sobel test; Z=2.06, p=.039). Conclusion: Effects of job-seeking stress on perimenstrual symptoms were mediated by passive stress coping styles of non-health related major students. Based on findings of this study, effective stress cope strategies should be developed considering characteristics of majors to manage perimenstrual symptoms of female college students with high job-seeking stress.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.1-15
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• 2017

Objectives : This study aimed to investigate the mediating effect of psychological empowerment on the relationship of middle managers' authentic leadership with the staff's organizational commitment and job satisfaction at the Local Medical Center. Methods : The data were collected from 273 staff from the four Local Medical Centers in Chungnam Province using self-administered questionnaires. The data were analyzed using t-test, ANOVA, and hierarchical multiple regression with the SPSS 23.0 program. Mediation analysis was performed according to the Sobel test. Results : Middle managers' authentic leadership had a significant positive effect on the job satisfaction and psychological empowerment of staff. Additionally, psychological empowerment showed mediating effects in the relationships among authentic leadership and organizational commitment and job satisfaction. Conclusions : To promote staff's organizational commitment and job satisfaction, it is necessary to build effective strategies to develop middle managers' authentic leadership and to promote empowering programs for the staff.

• 한국사회복지학회:학술대회논문집
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• 2005.04a
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• pp.677-702
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• 2005

The purpose of this study is to examine the Korean social workers' level of social work values, advocacy attitude and advocacy intervention, and to verify the relations among social work education, social work advocacy and social work values by examining whether social work education influences social work advocacy and social work values, and whether social work values affect social work advocacy. Further, this study wishes to confirm not only the direct effect that social work education has on social work advocacy, but also how social work education indirectly influences social work advocacy through social work values on the social level as a mediator. The research of this study was conducted on 461 social work practitioners who have obtained either social worker licenses or mental health social worker licenses and are currently working in the field. As survey tools, this study utilized social work advocacy attitude, social work advocacy intervention, outcomes of social work education, social work values, self-esteem and locus of control. Collected data were analyzed by using SPSS/PC+ 11.5 for one-way ANOVA and t-test, Pearson's correlation, reliability analysis, exploratory factor analysis and multiple regression. To sum up the results of the study in terms of the research hypothesis, the research hypothesis was established according to the analysis method of the testing mediation of Baron & Kenny (1986) in order to examine whether social work values on the social level intervene between social work education and social work advocacy. The results of the hypothesis test confirm that social work values on the social level serve as a mediator variable.

• Korean Journal of Child Studies
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• v.37 no.3
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• pp.83-93
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• 2016

Objective: This study examined that general characteristics such as gender, age, period of stay at an institution, size of facility, and temperament and attachment affect young children's development under institutional care. Methods: A total of 94 young children (ages 2-4years), who live in 32 institutions in Seoul were assessed on their development using the Korean-Age & Stage Questionnaire. Pearson productmoment correlation analysis, and multiple regression analyses were used for data analysis. Results: The major findings of this study were as follows: first, a longer period of stay at an institution had more positive effects on the development of communication. Facilities with more than 60 children had lower communication, gross motor, and fine motor development compared to facilities with less than 60 children. Second, social temperament had positive effects on communication, problem solving, and personal-social development. Emotional temperament had no effects on all development areas. Third, attachment had positive effects on all development areas. Lastly, social temperament and attachment had interactive effects on communication, gross motor, problem solving, and personal-social development. Conclusion: These results imply that caretakers in institutions should give developmental mediation services for considering temperament and facilitation of attachment.

• Korean Journal of Occupational Health Nursing
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• v.26 no.1
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• pp.40-46
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• 2017

Purpose: The purpose of this study was to investigate the mediating effect of resilience on the relationship between emotional labor and happiness of clinical nurses. Methods: A descriptive, cross-sectional study was conducted with 224 clinical nurses who had one or more years of clinical experiences from four general hospitals in D city in Korea. Data collected from the survey using self-reported questionnaires were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis using IBM SPSS statistics 21.0 program. Results: There were statistically significant correlations among variables; a negative correlation between happiness and emotional labor, a positive correlation between happiness and resilience, and a negative correlation between emotional labor and resilience. Meanwhile, resilience had a partial mediating effect on the relationship between emotional labor and happiness. That is, resilience can play an important role between emotional labor and happiness of clinical nurses as a mediator. Conclusion: Considering the findings of this study, developing programs that can improve resilience of clinical nurses who experience emotional labor are needed to increase their level of happiness.