• 한국노년학
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• v.38 no.3
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• pp.501-519
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• 2018

The purpose of this study was to explore perception about shared decision making of family caregivers of patients with early dementia (PWED). This study was conducted with a sample of 12 family caregivers (mean age = $71.4{\pm}10.4$) of PWED from three dementia safety centers in Seoul. In-depth interviews were done for each participant about shared decision making and data were analyzed using qualitative content analysis. Six categories and 17 sub-categories identified for participants' perception about shared decision making: means to facilitate communication with patients with dementia, means to secure autonomy of patients, opportunity to facilitate treatment, cause of increasing family caregivers' burden, cause of worsening relationship with patients, and option for choices depending on priority change. The findings of this study can provide a knowledge basis for health care professionals and policy makers to understand how family caregivers of PWED think about shared decision making. It would be of great value to develop educational programs and practical guidelines about shared decision making for PWED and their family, which may contribute to respecting PWED's self-determination right as well as reducing burden of their family.

• Korean Public Health Research
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• v.44 no.4
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• pp.67-82
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• 2018

Objective : This study is purposed to suggest basic data of developing program preventing Herpes zoster by analysis of related variables for adults over 50 years old. Methods : Data had been collected by 225 adults over 50 years old who participated in health program in B city, interested program of welfare service center in C city and community residence through self-administered questionnaire from $15^{th}$ June to $15^{th}$ July 2016. The collected data was analyzed by IBM SPSS statistics v.18 and AMOS v.18. Results : Based on the verification of model by the results of the study, ${\chi}^2=365.785$(df=193, p<.001), $CMIN/DF({\chi}^2/df)=1.90$, GFI=0.88, AGFI=0.84, NFI=0.88, TLI=0.93, CFI=0.94, RMR=0.07, RMSEA=0.06, The action of Herpes zoster preventive behavior and perceived behavior control for adults over 50 years old made direct influence to the Herpes zoster preventive behavior and the attitude of preventive behavior showed the largest total effect. Conclusions : In conclusion, for improving action of Herpes zoster preventive behavior for adults over 50 years old, it is important to induce change of attitude about Herpes zoster preventive behavior. Also, the development and strategy of education program, which can improve action of Herpes zoster preventive behavior, are necessary through emphasizing perceived behavior control about Herpes zoster preventive behavior.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.721-731
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• 2019

The purpose of this study was to investigate the knowledge, attitude, infection management intention and educational needs among nurses with no experience of new respiratory infectious diseases (NRID: SARS and MERS). Data were collected from 162 nurses working at the general hospitals in B city using structured questionnaires from October 10 to 31, 2017. The infection management intention of NRID was high in those who were over 30 years old, married, highly educated, and had a total working experience of more than 5 years. Nurses' infection management intention for NRID showed a positive correlation between knowledge of NRID (r=.27, p<.001) and attitude toward NRID (r=.65, p<.001). In other words, the higher the knowledge score for NRID, the more positive the attitude and the higher the infection management intention. In addition, the knowledge score related to incubation period, treatment, isolation, and release criteria was low while the educational needs were high. Therefore, in preparation for the possibility of NRID relapse and other NRID in the future, a systematic program addressing these educational needs for nurses should be periodically implemented to enhance infection management.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.407-416
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• 2019

This study is about a Customized Nursery School where working women can support work - life balance and a reduction in retirement or turnover. The research method is to identify the current status of Customized Nursery services and to recognize the recognition and need of the operation of Customized Nursery School. The importance of securing skilled nurses and preventing them from changing their jobs for the health and safety of people cannot be emphasized enough. A Customized Nursery School must be opened to reduce the retirement or change of jobs of working women nurses and to provide care for continuous work in three shifts from 365days to support the balance between the working mother and family. It is considered that nurses will put their children in relief when using retired nurses who have the ability to work 24hour rotation in a Customized Nursery School and when a Customized Nursery School be ran suited for the condition and demand of working women nurses, it is expected to reduce retirement and the change of jobs, also to give positive effect on marrige and family planning which would make improvement in low birthrate. To activate the Customized Nursery School, Creating a secure learning environment and qualification of educators great effort should be put. A program curriculum based on 'basic life and habits' should be the center of education. Continuous management and effort will need to be placed in continuous development of educators.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.275-285
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• 2019

The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.203-215
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• 2019

This study was conducted to identify the utilization of public health centers, as well as the individual characteristics and regional characteristics that affect their utilization based on data from the 2016 Community Health Survey, National Statistical Portal, and National Institute of Environmental Research. Independent samples t-tests, variance analysis, and multiple logistic regression analysis were used for analysis. Hierarchical multiple regression was used to analyze individual and regional characteristics. The results of hierarchical multiple regressions revealed that aged regions, women, older age individuals, respondents with lower education level and income level, walking practitioners, nutrition label readers, individuals experiencing depression, those who have received health checkups, those who are not covered by essential care, those who have spouses, and basic livelihood beneficiaries have increased use of public health centers. However, the use of public health centers decreased in stressors, and regions in which the population per 1,000, number of health care workers, health and welfare budget, fiscal independence, and unemployment rate were above the national average. As above, the central government and local governments need to analyze not only individual characteristics such as health behavior and psychological factors, but also regional characteristics, when establishing local health care policy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.243-251
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• 2019

This study was undertaken to validate and assess the reliability of the Korean version of professional quality of life scale (K-ProQOL) that measures the compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. We conducted an internal consistency reliability and construct validity by applying confirmatory factor analysis using SPSS WIN (24.0) and AMOS (18.0). Survey data were collected from 210 nurses working at three tertiary hospitals located in Seoul. Reliable internal consistency was achieved for the K-ProQOL, with a Cronbach's alpha for the total scale and three sub scale values of 0.72-0.90. Factor loadings on three subscales of the 30 items considered ranged from 0.25 to 0.82. The model was validated by confirmatory factor analysis (RMSEA 0.05-0.1, GFI >0.7, CFI >0.7). The findings of this study demonstrate that the K-ProQOL has satisfactory construct validity and reliability to measure compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. This is the first study assessing the validity and reliability of the Korean version of professional quality of life scale for clinical nurses in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.795-804
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• 2018

The purpose of this study was to identify the dementia knowledge, attitudes and preventive behaviors of hemodialysis patients. The participants were 128 hemodialysis patients at the Artificial Kidney Center in G hospital of P city. Data were collected by self-report questionnaires from September 22 to October 10, 2017. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and Hierarchical regression analysis with SPSS/WIN 23.0. Dementia knowledge was significantly different by education level (F=4.58, p<.01). The attitude toward dementia was different by age (F=3.08, p<.05) and education level (F=6.64, p<.01). The preventive behaviors were different by gender (t=-2.30, p<.05). Dementia knowledge was positively correlated with attitude toward to dementia (r=.189, p<.05) and attitude toward dementia was positively correlated with preventive behaviors (r=.280, p<.01). The influencing factor for preventive behaviors was attitude toward dementia (${\beta}=.319$, p<.01). Therefore, in order to promote dementia preventive behaviors in hemodialysis patients, an education program should be developed to improve dementia knowledge and positive attitude toward dementia.

• Journal of Life Science
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• v.29 no.1
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• pp.105-111
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• 2019

In recent years, progress has been made in the search for the development of new anti-cancer agents by employing specific inhibitors of histone deacetylase (HDAC)-6 to block signal transduction pathways in cancer cells. This study examined the effects of tubastatin A (TubA), an HDAC-6 inhibitor, on the growth and development of immature oocytes in murine ovaries using RNA sequencing analysis. The results from a gene set enrichment analysis (GSEA) indicated that the expression of most of the gene sets involved in the cell cycle and control and progression of meiosis decreased in the TubA-treated group as compared with that in germinal vesicle (GV) stage oocytes. In addition, an ingenuity pathway analysis (IPA) suggested that TubA not only caused increased expression of p53 and pRB and decreased expression of CDK4/6 and cyclin D but also caused elevated expression of genes involved in the control of the DNA check point in G2/M stage oocytes. These results suggest that TubA may induce cell cycle arrest and apoptosis through the induction of changes in the expression of genes involved in signal transduction pathways associated with DNA damage and the cell cycle of immature oocytes in the ovary.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.29-37
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• 2019

Elderly people want to live in the community even if they are in poor health. However, there is no integrated care support system suitable for the health and functional status of the elderly. So the elderly are choosing living facilities. The purpose of this study is to explore exploring whether the elderly are applying for a long-term care certification. First, mild geriatric patients were mainly using home care services such as visitation care. However, some of the milder elderly were enrolled in nursing homes. And the service that does not fit the functional status of the elderly is used. Second, it is concentrated on the use of visiting care services. Third, elderly people outside the class did not receive sufficient help for daily life, and the use of community welfare services such as the elderly welfare center was low. As a result, long-term care admitters are not able to continue to live in the community even though their health and functioning status is mild, and elderly people out of grade are unable to properly use the necessary community care services. The condition is likely to deteriorate.