• Women's Health Nursing
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• v.27 no.2
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• pp.104-112
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• 2021

Purpose: This study investigated the mediating effect of family support in the relationships of anxiety and depression with maternal-fetal attachment among pregnant women admitted to the maternal-fetal intensive care unit (MFICU) in Korea. Methods: The participants were high-risk pregnant women with a gestational age of at least 20 weeks who were admitted to MFICUs in Busan and Yangsan. The Korean versions of four measurement tools were used for the self-report questionnaire: Spielberger's State-Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, Cobb's family support measurement, and Cranley's maternal-fetal attachment scale. Data were collected from June 22 to September 20, 2020. Out of 124 participants, data from 123 respondents were analyzed. Descriptive statistics and regression analysis were done. Results: The average age of participants was 34.1 years. Their anxiety level was moderate (43.57±11.65 points out of 80) and 53.6% were identified as having moderate depression (average 10.13±5.48 points out of 30). Family support was somewhat high (average 43.30±5.03 points out of 55). The average score of maternal-fetal attachment was also somewhat high (73.37±12.14 points out of 96). Family support had a partial mediating effect in the relationships of anxiety and depression with maternal-fetal attachment among high-risk pregnant women admitted to the MFICU. Conclusion: Maintaining family support is challenging due to the nature of the MFICU. Considering the mediating effect of family support, establishing an intervention plan to strengthen family support can be helpful as a way to improve maternal-fetal attachment for high-risk pregnant women admitted to the MFICU.

• International Area Studies Review
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• v.12 no.2
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• pp.351-377
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• 2008

Corruption in China became increasingly serious during the early period of its social transition, resulting in severe economic losses and huge challenges to China's government institution, as well as gradually becoming socially widespread. Recently. China's political corruption is an outcome of the attenuated political control, which has been caused by a systemic change from planned economy to market economy since 1978, and the lack of institutionalization to relieve such transition. Besides, the immature market system and state's intervention in the economy are other factors for the corruption. In short, current China's corruption can be regarded as a structuralized phenomenon. This article identified such circumstance by analyzing the scope, degree, and scale of the corruption. Overall assessment of the some factors suggests that present economic modernization is a principal cause for Chinese corruption while the other factors-monopoly power system in the Chinese Communist Party and the transformation of connection-are important but secondary.

• Maritime Security
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• v.1 no.1
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• pp.61-92
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• 2020

This paper attempts to examine the changes in China's naval strategy and to analyze the goal, range, and method of each strategy during the Xi Jinping's era. Since the founding of New China, the People's Liberation of Army Navy(PLAN) has made four changes in the naval strategy. Under Xi Jinping's administration, China's naval strategy is far seas operation combined with near seas active defense. Now, China's naval strateg y is shifting from a defensive to an aggressive one, increasing the proportion of offensive weapon systems and the number of state-of-the-art warships, and the scope of the naval strategy has been specified in the second island chain including the Indian Ocean. With the changes of naval strategy, the PLAN will set a new strategic goal to secure maritime dominance and implement an assertive strategy to actively respond to the intervention and intrusion of external forces. Moreover, the PLAN will also improve its sea-based deterrence force and the maneuver force to block other countries in the long-distance maritime conflict zones. The operation method of China's future naval strateg y will gradually shift from 'interdiction' to 'rapid-response.'

• Journal of Digital Convergence
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• v.19 no.1
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• pp.11-22
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• 2021

The COVID-19 pandemic has led to distance learning in primary and secondary school. Little has been known whether home ICTs environment is appropriate for the distance learning. This paper aims to assess the current state of ICTs environment at home for the distance learning of children. Using 2012 and 2019 Korean Media Panel Survey, we investigated the number of smart devices owned by households and found differences in ownership by household characteristics. The results showed that the majority of household owned more than one smart devices per child. However, the difference in the proportion of households with less than one device per child varied depending on whether smartphone was included in smart devices. These results imply that public intervention is needed to prevent educational inequality caused by the home ICTs environment for the distance learning.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.301-314
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• 2021

Youth unemployment is a global social issue which leads to a waste of human resources and undermines the national economy. Job search self-efficacy (JSSE) can predict active job search and job search outcomes. The present study identified the factors affecting the JSSE of unemployed youth based on the Neuman Systems Model (NSM). The results indicated that job search period, job search stress, and problem-centred coping ability influenced young job seekers' JSSE, which increased especially with the perception of physical health. Therefore, to promote JSSE, it is necessary to not only establish social systems for the youth but also develop an intervention plan based on the NSM that optimises problem-centred coping ability, a normal line of defence in the individual's system, and maintains a healthy physical state, a line of resistance.

• Journal of Korean Academy of Nursing
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• v.51 no.6
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• pp.689-702
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• 2021

Purpose: This study aimed to develop a situation-specific theory to explain nurses' experiences of the COVID-19 crisis. Methods: The participants were 16 hospital nurses who experienced the COVID-19 crisis. Data were collected through in-depth individual interviews from September 2, 2020 to January 20, 2021. Transcribed interview contents were analyzed using Corbin and Strauss's grounded theory method. Results: A total of 38 concepts and 13 categories were identified through an open coding process. The core category found was becoming a pioneering nurse who turns crises into opportunities. The causal conditions were the chaos of being exposed defenselessly to an unexpected pandemic, fear caused by a nursing care field reminiscent of a battlefield, and moral distress from failing to protect patients' human dignity. The contextual conditions were feeling like the scapegoat of the hospital organization, increasing uncertainty due to the unpredictable state of COVID-19, and relative deprivation due to inappropriate treatment. The central phenomenon was suffering alone while experiencing the dedication of the COVID-19 hero image. The action/interactional strategy were efforts to find a breakthrough and getting the nurse's mind right, and the intervening conditions were gratitude for those who care for broken hearts and getting used to myself with repetitive work. The Consequences were becoming an independent nurse and frustration with the unchanging reality. Conclusion: This study provides the foundation for the nurse's situation-specific theory of the COVID-19 crisis by defining the crisis perceived by nurses who cared for COVID-19 patients and suggesting types of coping with the crisis.

• Nuclear Engineering and Technology
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• v.52 no.12
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• pp.2743-2759
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• 2020

A detailed computational fluid dynamics (CFD) simulation analysis model was developed using ANSYS CFX 16.1 and analyzed to simulate the basic design and internal flow characteristics of a 180 MW small modular reactor (SMR) with a natural circulation flow system. To analyze the natural circulation phenomena without a pump for the initial flow generation inside the reactor, the flow characteristics were evaluated for each output assuming various initial powers relative to the critical condition. The eddy phenomenon and the flow imbalance phenomenon at each output were confirmed, and a flow leveling structure under the core was proposed for an optimization of the internal natural circulation flow. In the steady-state analysis, the temperature distribution and heat transfer speed at each position considering an increase in the output power of the core were calculated, and the conceptual design of the SMR had a sufficient thermal margin (31.4 K). A transient model with the output ranging from 0% to 100% was analyzed, and the obtained values were close to the T_hot and T_cold temperature difference value estimated in the conceptual design of the SMR. The K-factor was calculated from the flow analysis data of the CFX model and applied to an analysis model in RELAP5/MOD3.3, the optimal analysis system code for nuclear power plants. The CFX analysis results and RELAP analysis results were evaluated in terms of the internal flow characteristics per core output. The two codes, which model the same nuclear power plant, have different flow analysis schemes but can be used complementarily. In particular, it will be useful to carry out detailed studies of the timing of the steam generator intervention when an SMR is activated. The thermal and hydraulic characteristics of the models that applied porous media to the core & steam generators and the models that embodied the entire detail shape were compared and analyzed. Although there were differences in the ability to analyze detailed flow characteristics at some low powers, it was confirmed that there was no significant difference in the thermal hydraulic characteristics' analysis of the SMR system's conceptual design.

• The Journal of Pediatrics of Korean Medicine
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• v.36 no.3
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• pp.1-18
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• 2022

Objectives The purpose of this study was to investigate the current status of interventional clinical trial registration for children with precocious puberty and to secure basic data for the design of clinical trials for traditional Korean medicine treatment of precocious puberty. Methods The following resources were used to search for data: Clinicaltrial.gov, World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), and Clinical Research Information Service (CRIS), using the search terms, 'Precocious puberty', 'child'. All clinical trials which were registered as of June 2022 were used. Results For the intervention and clinical trial design, gonadotropin releasing hormone (GnRH) analog was reported in 41.7% of trials, and single group assignment was performed in 66.7% of the studies. Prior consent had not been reported in 50% of the studies. Tanner stage and GnRH stimulation tests were reported by multiple trials as inclusion criteria, and prior treatment experiences for trial drugs were reported as exclusion criteria. The peak serum concentration of luteinizing hormone following GnRH stimulation test was used as a primary outcome in 45.8% of clinical trials, and other growth-related indicators such as growth rate, height, and predicted adult height were also reported. Conclusions In consideration of the design, eligibility criteria, and outcome measurement of the existing clinical trials identified in this study, it should be referred to in the design of clinical trials for traditional Korean medicine treatment of precocious puberty.

• Journal of People, Plants, and Environment
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• v.23 no.1
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• pp.35-46
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• 2020

The purpose of this study was to investigate the effects of the horticultural therapy program on patients with mild cognitive impairment and mild dementia depending on the frequency and duration of the interventions. We developed the same 15-session program to improve cognitive functions and life satisfaction and alleviate depression of the elderly women with mild cognitive impairment or mild dementia. Subjects in Longer Treatment group participated in the program once a week for 15 weeks and subjects in Shorter Tratmet group participated twice a week for 7½ weeks. This study conducted pretest-posttest verification of both groups using quasi-experimental design involving 21 subjects. Elderly life satisfaction, Geriatric Depression Scale (short form), and the Korean Version of Consortium to Establish a Registry of Alzheimer's Disease (CERAD-K) were used in the evaluation. As a result, both groups showed an increase in life satisfaction, and a decrease in depression. However, there was a significant difference in the changes of the CERAD-K scores between the two groups (p < .05). In Longer Treatment group, life satisfaction increased significantly (p < .001), and depression decreased at a marginally significant level (p = .068), but no statistically significant change was observed in neurocognitive function. In Shorter Treatment group, life satisfaction increased at a marginally significant level (p = .059), and depression and CERAD-K scores decreased significantly (p < .05). However, in the case of Mini-Mental State Examination (MMSE-K), there was no significant change in both groups. According to these results, when planning a horticultural therapy program for persons with mild cognitive impairment or mild dementia, it is effective to organize and execute the program by determining the duration of intervention as 3 to 4 months or longer, even if this reduces the number of interventions per week.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.48 no.6
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• pp.371-381
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• 2022

Objectives: This study determined the effect of platelet-rich fibrin (PRF) on extraction socket bone regeneration and assessed the patterns and determinants of bone regeneration after the surgical extraction of impacted mandibular third molars. Materials and Methods: This prospective study randomly allocated 90 patients into two treatment groups: A PRF group (intervention group) and a non-PRF group (control group). After surgical extractions, the PRF group had PRF placed in the extraction socket and the socket was sutured, while the socket was only sutured in the non-PRF group. At postoperative weeks 1, 4, 8, and 12, periapical radiographs were obtained and HLImage software was used to determine the region of newly formed bone (RNFB) and the pattern of bone formation. The determinants of bone regeneration were assessed. Statistical significance was set at P<0.05. Results: The percentage RNFB (RNFB%) was not significantly higher in the PRF group when compared with the non-PRF group at postoperative weeks 1, 4, 8, and 12 (P=0.188, 0.155, 0.132, and 0.219, respectively). Within the non-PRF group, the middle third consistently exhibited the highest bone formation while the least amount of bone formation was consistently observed in the cervical third. In the PRF group, the middle third had the highest bone formation, while bone formation at the apical third was smaller compared to the cervical third at the 8th week with this difference widening at the 12th week. The sex of the patient, type of impaction, and duration of surgery was significantly associated with percentage bone formation (P=0.041, 0.043, and 0.018, respectively). Conclusion: Placement of PRF in extraction sockets increased socket bone regeneration. However, this finding was not statistically significant. The patient's sex, type of impaction, and duration of surgery significantly influenced the percentage of bone formation.