• Title/Summary/Keyword: The self-management program

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Predictors of Community Health Practitioners' Practice Regarding Urinary Incontinence (보건진료원들의 요실금 관련 간호행위에 영향을 미치는 요인)

  • Kim, Eun-Young;Kim, Jin-Sun
    • 한국노년학
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    • v.25 no.2
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    • pp.53-71
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    • 2005
  • Objectives: The purposes of this study were to investigate CHPs' knowledge, attitude, and practice regarding UI, and to identify predictors of their UI related practice. Methods: A descriptive-correlational study using self-administered questionnaire was conducted. A total of 330 members of the local Korean Association of CHPs were included in this study. A mailed survey was conducted to collect data. Findings: Of CHPs surveyed, 170(51.5%) returned completed questionnaire. Educational preparation of CHPs regarding UI was limited. The mean correct score of knowledge scale was 68.96%. Overall, CHPs exhibited positive attitudes toward UI. CHPs in this study were not actively participate UI related practice. Contrary to expectation, knowledge was not significantly related to CHPs' practice regarding UI. In the final analysis, CHPs' practice regarding UI was predicted by attitude toward the care of UI clients and educational needs for UI and these two variables explained 9% of variance of UI related practice. Conclusion: The results of this study suggest the importance of attitude and educational needs in shaping UI related practice among CHPs. To facilitate UI related practice among CHPs, efforts for attitudinal change related to UI among CHPs are needed. Moreover, continuing educational program for UI management should be developed, applied and evaluated.

Effects of Mobile based-Healthcare Service for Hypertension Patients (고혈압 환자 대상의 모바일 헬스케어서비스 운영 효과)

  • Seo, Bum Jeun
    • Journal of Convergence for Information Technology
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    • v.10 no.10
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    • pp.218-226
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    • 2020
  • This study aims to evaluate the effect of mobile healthcare service which was provided to employees diagnosed with hypertension in employee's health checkup. The study subjects were 146 employees and nurse measured their blood pressure, body mass index, and blood tests at the clinic in a workplace. The general characteristics of the participants were analyzed using descriptive statistics. After providing health care service using mobile text message for 8 weeks, blood test and blood pressure was measured. As a result, it was confirmed that blood pressure(SBP: 139.32±10.38 → 133.96±11.31, DBP: 98.13±6.21 → 94.28±8.56) and blood test(HDL: 47.90±9.79 → 51.40±9.79, HbA1C: 5.96±.66 → 5.65±.71) were more significantly reduced in 56 employees with a systolic blood pressure of 140 mmHg or diastolic blood pressure of 90 mmHg or more. It was confirmed that the program for self-management of blood pressure by receiving text messages on a mobile basis was effective. It is expected that the results of this study will be used as basic data for healthcare services that provide text information using mobile to improve drug usage, physical exercise, and eating habits.

Research on Elderly's Experience for 'YangSaeng Exercise as a Recreational Welfare Service (여가복지서비스 활동으로서 노인의 양생(養生)체조 참여경험 탐색)

  • Kim, Sueyeon;Won, Youngshin;Lee, Sanghee
    • 한국체육학회지인문사회과학편
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    • v.57 no.1
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    • pp.347-367
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    • 2018
  • The purpose of this study is to explore the meaning of YangSaeng exercise as a recreational activity for older adults. Twelve older adults who participated in the 'YangSaeng Exercise' at the S Senior Welfare Service Center were interviewed through purposeful sampling method. Each participant was interviewed two times, and data were analyzed using Strauss and Corbin's(1988) grounded theory method. Centralization was appeared as 'An addiction to YangSaeng exercise' and causal conditions were appeared as 'Visiting Welfare Center' and 'Participation in YangSaeng exercise program' and situational context were appeared as 'Self-management of old ages' and 'For possession of Independent Life' as the results of Axial Coding. Moreover, arbitrational conditions were 'Coexistence of Regret and Attraction' and interaction strategies were appeared as 'Accept', 'Effort and Easing Mind' and 'Share Together'. As a result, 'Appreciation', 'YangSaeng Exercise that comes in my Life' and 'Softly Pitapat' were derived. Core category of 'Living Joyfully with comforted and eased' was selected through outline of story which means it contains Positivity and Expectations, Acceptance and Acknowledgement, Satisfaction and Appreciation, and Commitment and Hope. Based on the findings, we acknowledge that YangSaeng exercise plays a role in improving quality of life of older adults as a recreational activity. This study sheds light on the possibility of implementing 'YangSaeng Exercise' as a health promotion activity among older adults.

A Study on Competency Modeling of Micro Entrepreneurs Recovering From Failure (재도전 소상공인의 역량모델링에 관한 연구)

  • Im, jinhyuk;Park, Seonghee;Kim, JaeHyoung;Chae, yeonhee
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.17 no.6
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    • pp.71-88
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    • 2022
  • The purpose of this study is to develop the competencies to help micro entrepreneurs who have experienced failure to successfully re-challenge. To this end, relevant literature published from 1977 to 2022 was analyzed, behavioral event interviews (BEI) were conducted with 7 successful micro entrepreneurs, and focus group interviews (FGI) were conducted three times by inviting competency development and HRD experts. Based on these research activities, the draft about competencies for micro entrepreneurs who had have failure was derived. And then inviting 12 experts in related field for Delphi Analysis, the final competency model that helps micro entrepreneurs successfully recover were developed as follows : Competency Groups(small business owners, recovery from failure), 8 detailed competencies(seize business opportunities, business planning, business differentiation, operation management, market exploration, research and development of products and services, positive self-regulation, overcoming and coping with failure experiences), 22 competency factors, and 72 behavioral indicators. This study has an academic significance in that it developed the competencies required for micro entrepreneurs recovering from failure. In addition, the results of this study can be used to develop a competency-based education program for micro entrepreneurs and to select suitable candidates for support programs.

Measurement of Nursing Service Quality using SERVQUAL Model (SERVQUAL 모델을 이용한 간호 서비스 질 측정)

  • Lim, Ji-Young;Kim, So-In
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.2
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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Impact Analysis of Coaching Activities over Entrepreneur with respect to Entrepreneurs' Personal Characteristics on the Performance of Startups: Focusing on Entrepreneurs's Awareness Conversion Effect (창업가 특성요인과 창업코칭활동이 창업성과에 미치는 영향: 의식전환을 매개로)

  • Jeon, Eunjee;Yang, Youngseok;Kim, Myungseuk
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.14 no.1
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    • pp.47-58
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    • 2019
  • This paper is brought to analyze an impact of coaching activities over entrepreneur with respect to entrepreneurs' personal characteristics on the performance of Startups focusing on entrepreneur's awareness conversion effect. In particular, the situation of falling focus of serious startup failure on uncoachable obstinate entrepreneur among the several causes of startup failures, this paper define the research mission of reducing this risk by inducing coaching types of cooperations between senior entrepreneur having serial successful startup experiences and beginning entrepreneur. This paper carry out literature reviews chiefly on startup coaching researches rather than mentoring studies because coaching stressing on self-oriented problem defining and solving by entrepreneur actively tend to be more effective than mentoring relying on mentor's guideline passively as solving startup's main upcoming problems. This paper implement four related researches. First, the impact analysis of entrepreneur's personal characteristics on coaching activities, second, influences of entrepreneurs environmental factors on them, Third, impact of coaching activities on entrepreneur's awareness conversion effect, Fourth, how strongly this conversion effect contributing on the performance of startup. As results of empirical research, first, this paper prove that entrepreneur's environmental factors impact positively on coaching activities over entrepreneur although failing on validating on significant impact of entrepreneur's personal characteristics on coaching activities. Second, this paper prove that coaching activities positively influence on entrepreneur's awareness conversion, hence ultimately positively on the performance of startups. As conclusion, this paper validate that coaching activities over entrepreneur through inducing on the conversion of entrepreneur's awareness lead entrepreneur to setting the bar high and accountable planning of business milestone. This paper contribute on delivering policy implication that government initiatin action-oriented training program for entrepreneurs should accept the module of coaching session to produce more effective results.

A Preliminary Study on Setting Philosophy and Curriculum Development in Nursing Education (간호교육 철학정립 및 교육과정 개발을 위한 기초조사)

  • 정연강;김윤회;양광희;한경자;한상임
    • Journal of Korean Academy of Nursing
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    • v.18 no.2
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    • pp.162-188
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    • 1988
  • The purpose of this study is to guide the direction of the Korean nursing education to analysize ⑴ the philosophy and objectives ⑵ curriculum, and ⑶ educational environment. This analysis is based on the data from 50 nursing schools (14 4-year colleges and 35 3-year colleges) The survey was conducted from Dec. 1986 through Jan. 1987 by mail. 1) Educational philosophy and objectives 10 4-year colleges and 8 3-year college program have curricular philosoph. Most popular curricular philosophies are human beings, health, nursing, nursology, nursing education, nurses role in the present and in the future. 10 nursing schools mentioned that human being is the subject to interact with : environment physically, mentally and socially. 2 schools mentioned that health is the state of functioning well physically, mentally and socially. 13 schools mentioned that the nursing is the dynamic act to maintain and to promote the highest possible level of health. 4 schools mentioned that the nursology is an applied science. 4 schools mentioned that nursing education is the process to induce the behavioural changes based on the individual ability. There is different opinion about the nurses' role between 4-year college and 3-year college. In the responses from 4-year colleges they focus on the leadership in effective changes, self-regulating and self-determining responsibilities, applying the new technology, continuing education, and participation in research to further nursing knowledge. In the responses from 3-year colleges, they focus on the education in college, primary health care nursing, direct care provider and public health education. Among 50 respondents 40 schools have educational goals which can be divided into two categories. One is to establish the moral and the other is to develop the professionalism. 2) Curriculm The analsis of curriculum is only based on the data from the 4-year colleges because the most of 3-year colleges follow the curriculum guideline set by the Ministry of Education. a) Comparison of the credits in cultural subject and in nursing major. The average required credit for graduation is 154.6 and the median credit is the range of 140-149. The average credit of cultural subjects is 43.4. In detail, the average number of credit of required course and elective courses are 24.1 and 19.3 respectively. The average credit for major subject is 111.2. In detail, the average credit for required courses and electives course are 100.9 and 10.4 respectively. In 5 colleges, students are offered even on elective course b) Comparison of the credit by class. The average earned credits are as follows : 41.1 in freshman, 400 in sophormore 38.3 in junior and 32.4 in senior. Cultural subjects are studied in early phases. c) Comparison of the compulsory and elective cultural subject by institute. The range of credit is 7-43 in compulsory cultural subjects and there are lot of differences among institutions. While all respondents require liberal arts as compulsary subjects, few respondents lists social science, natural science and behavioral science as required subjects. Social science-related subjects are frequently chosen as cultural subjects d) Distribution of creditsin cultural subjects by institute. The liberal art subjects are taught in 20 institute. English and physical education courses are taught in all instituions. The social science subjects are taught in 15 colleges and the basic Psycology and the Basic sociology are the most popular subjects. The natural science subjects are taught in 7 colleges and Biology and Chemistry are the most popular subjects among them. e) Distribution of credits in major basic courses by institute. Most of the institutes select Anatomy, Microbiology, Physiology, biochemistry and Pathology as basic major courses. f) Comparison of the required and elective courses for nursing major by institutions. Subjects and credit ranges in major are varing by institute. More than half of the respondents select the following subjects as required major subjects. (1) Adults Health Nursing and Practice (19.5 credits) (2) Mother and Child Care and Practice (8.9 credits) (3) Community Health Care and Practice (8.5 credits) (4) Psychiatric Nursing Care and Practice (8.1 credits) (5) Nursing Management and Practice (3.9 credits) (6) Fundamental of Nursing, Nursing Research and Health Assessment and Practice. Three institutions select Introduction to nursing, Rehabilitation Nursing, School Nursing, Public Health Nursing, Nursing English, Communication, Human Development as electives in nursing major. 3) Educational environment a) Nursing institution There are forty-three 3-year colleges and seventeen 4-year colleges and 81.4% of which are private b) Number of students and faculty 19.2% of the students are in 4-year colleges and 80.8% of the students are in 3-year colleges. In 4-year colleges, the number of nursing faculty members is in the other of assistant professor, instructor and professor. In 3-year colleges, the orderiis lecturer, associate professor, full time instructor and assistant professor. In 4-year colleges, 18.8 students are allocated per nursing faculty and in 3-year colleges, 33.1 students are allocated per nursing faculty. c) Clinical practices 66.7% of the 4-year colleges practice over 1201 hours in clinic and 28.5% of 3-year colleges practice over 1201 hours in clinic. In 4-year colleges, 11.5 students are allocated per nursing faculty and in 3-year colleges,17 students are allocated per nursing faculty The survey shows no difference in the procedure between 4-year colleges and 3-year colleges but 3-year colleges choose the more variety practicing site such as special hospital and community health clinic. d) Audiovisual facilities The survey shows a lot of difference in audiovisual facilities among institution and 3-year colleges are less equipped than 4-year colleges.

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Reduction Effect of Aromatherapy on Stress and Insomnia (아로마요법의 스트레스 및 수면장애 감소효과)

  • Park, Sang-Ock;Kim, Seok-Beom;Lee, Kyeong-Soo;Kang, Pock-Soo
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.17-26
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    • 2002
  • Reducing the level of stress and insomnia by aromatherapy is proposed as a method of self-care and health promotion in the future. Of the people who received aromatherapy from July, 1999 to February, 2000 at the Complementary and Alternative Medicine Center at the Gyeongu City Health Center, 48 people agreed to participate in a questionnaire survey, presented before and after their aromatherapy, and the data were analyzed. When the people received aromatherapy at the Complementary and Alternative Medicine Center, they inhaled the aroma from a vaporizer and when at home, they inhaled from a tissue, gauze or washbowl. Two sessions per week (2 hrs./session) were provided at the Center in the total 1-month duration of the therapy. The oil made from a blend of clarysage, geranium, rose at a ratio of 3:2:1 was used for relieving stress, and the oil made from a blend of clarysage, lavender, and lemon at 2:2:1 ratio was used for relieving insomnia. The scores of stress of 92.5 17.5 points before aromatherapy significantly reduced to $87.4{\pm}4.2$ points after therapy(p<0.01), and the scores of insomnia of $2.5{\pm}1.2$ points before aromatherapy significantly reduced to $1.0{\pm}1.1$ points after therapy(p<0.01). The reduction in stress and insomnia from aromatherapy was more significant in those who were experiencing high levels of stress and insomnia. Therefore, stress and its related insomnia can be effectively relieved with proper application of aromatherapy. With benefits such as little side-effects, convenient and simple education, low cost, and the do-it-yourself feature. aromatherapy can be expanded into a self-management program for promoting health of the community people.

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Climate-Smart Agriculture (CSA)-Based Assessment of a Rice Cultivation System in Gimje, Korea (한국 김제의 벼 경작 시스템의 기후스마트농업 (Climate-Smart Agriculture) 기반의 평가)

  • Talucder, Mohammad Samiul Ahsan;Kim, Joon;Shim, Kyo-Moon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.23 no.4
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    • pp.235-250
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    • 2021
  • The overarching question of this study is how a typical rice cultivation system in Gimje, Korea was keeping up with the triple-win challenge of climate-smart agriculture (CSA). To answer this question, we have employed (1) quantitative data from direct measurement of energy, water, carbon and information flows in and out of a rice cultivation system and (2) appropriate metrics to assess production, efficiency, GHG fluxes, and resilience. The study site was one of the Korean Network of Flux measurement (KoFlux) sites (i.e., GRK) located at Gimje, Korea, managed by National Academy of Agricultural Science, Rural Development Administration. Fluxes of energy, water, carbon dioxide (CO2) and methane (CH4) were directly measured using eddy-covariance technique during the growing seasons of 2011, 2012 and 2014. The production indicators include gross primary productivity (GPP), grain yield, light use efficiency (LUE), water use efficiency (WUE), and carbon uptake efficiency (CUE). The GHG mitigation was assessed with indicators such as fluxes of carbon dioxide (FCO2), methane (FCH4), and nitrous oxide (FN2O). Resilience was assessed in terms of self-organization (S), using information-theoretic approach. Overall, the results demonstrated that the rice cultivation system at GRK was climate-smart in 2011 in a relative sense but failed to maintain in the following years. Resilience was high and changed little for three year. However, the apparent competing goals or trade-offs between productivity and GHG mitigation were found within individual years as well as between the years, causing difficulties in achieving the triple-win scenario. The pursuit of CSA requires for stakeholders to prioritize their goals (i.e., governance) and to practice opportune interventions (i.e., management) based on the feedback from real-time assessment of the CSA indicators (i.e., monitoring) - i.e., a purpose-driven visioneering.

A Study on the Health Promotion Behavior of Dental Hygiene Stdents: the case of Gyeonggi province (치위생과 재학생의 건강증진행위에 관한 연구 -경기지역 치위생과를 중심으로-)

  • Shin, Myung-Suk;Moon, Hee-Jung;Lee, Jong-Tae
    • Journal of dental hygiene science
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    • v.8 no.2
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    • pp.73-80
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    • 2008
  • The purpose of this study was to examine the health promotion behavior of dental hygiene students in boosting a university student health. The subjects in this study were 687 dental hygiene students in four different colleges in Gyeonggi province. A survey was conducted in September and October 2007, and the collected data were analyzed with SPSS 12.0 program. The findings of the study were as follows: 1. The he freshmen scored lowest in oral health care behavior($3.11{\pm}.57$), and the gap between them and the others was statistically significant (p < .001). 2. In regard to health promotion behavior, the students who found themselves not to be in good shape scored lower in terms of nutritional care($3.63{\pm}.63$), social support($2.43{\pm}.60$), responsibility for their own health($2.40{\pm}.68$) and esteem for their own lives($2.33{\pm}.51$). There were statistically significant differences between them and the others(p < .001, p < 0.01). 3. As to the relationship of the academic background of parents to health promotion behavior, the students whose fathers stopped at middle school($3.62{\pm}.52$) lagged behind most in terms of nutritional (p < .001), and those whose mothers stopped at middle school($2.52{\pm}.52$) were given the smallest social support. The gap between these groups and the others were statistically significant(p < .05). 4. The self-boarding students($3.66{\pm}.57$) fall behind most in the aspect of nutritional care, and there was a statistically significant gap between them and the others(p < .001). 5. The students whose monthly mean household income was one million won or less($2.42{\pm}.62$) valued their own lives least, and the gap between them and the others was statistically significant(p < .05). 6. As for correlation among the variables, stronger social support led to better reverence for life, and better esteem for life was concurrent with better stress management. There was a statistically significant relationship between those variables(p < .01).

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