• 지역사회간호학회지
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• 제28권4호
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• pp.421-430
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• 2017

Purpose: This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life. Methods: The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits. Results: The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life. Conclusion: These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

• 한국컴퓨터정보학회논문지
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• 제18권7호
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• pp.101-109
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• 2013

본 연구는 소셜 네트워크 그래프에서 커뮤니티로 탐색된 2개의 커뮤니티를 하나의 커뮤니티로 통합하는 방법을 연구한다. 모듈래러티는 커뮤니티의 품질을 보여주는 측정치이다. 통합하여야 할 커뮤니티에 에지를 추가함에 따라, 커뮤니티의 품질은 증가하게 된다. 커뮤니티를 통합하기 위해서, 각 커뮤니티의 모듈래러티 값을 이용하여, 추가하여야 할 에지 수를 결정하는 방법들을 제안한다. 단순 그래프를 이용한 실험계산을 통해 통합된 커뮤니티의 모듈래러티 값이 통합하기 전의 각각의 커뮤니티의 모듈래러티 값보다 크게 만드는 방법이 유효한 커뮤니티 통합 방법임을 보이고. 그 방법이 적용될 수 있는 그래프의 조건을 확인한다. 이 결과를 이용하여 실제 소셜 네트워크 예에 대한 실험계산을 통해 본 방법의 유효성을 확인한다.

• 한국지역사회생활과학회지
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• 제22권4호
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• pp.557-572
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• 2011

This study examines the effect of adult-children support network on the psychological well-being of the single and couple elderly households in rural areas. Adult-children support networks include both structural and functional characteristics. For the purpose of this research, 476 participants, who are older than 60 years old, living in rural areas, were selected. The results of this study are summarized as follows: the average degree of psychological well-being of the rural elderly was high. Emotional support from adult children was higher than economic or instrumental support. In the case of the single elderly households, adult children's economic support was the strongest variable affecting the psychological well-being. In the case of the couple elderly households, adult children's emotional support had the greater effect on psychological well-being. On the basis of this analysis, policy implications regarding the single and couple elderly households in rural areas were discussed.

• Industrial Engineering and Management Systems
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• 제15권1호
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• pp.92-98
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• 2016

Due to the large scale of Antarctic science, scientific collaboration is required for conducting scientific research. In this study, we attempted to investigate collaboration network and the role of research station in Antarctic science based on bibliometric data from 1995 to 2014. We confirmed that geographical proximity tends to be important for scientific collaboration by employing community detection in the network. This result raises the question about what the role of research station in Antarctica is. We tried to reveal its role by focusing on five countries, Belgium, China, Czech Republic, India, and Korea that constructed new research stations during the last decade. Relative growth rate, a value to measure the growth of publications, didn't differ much around the construction period compared to those in other periods for these countries except Belgium. However, we found geographical keywords emerged around the construction for all five countries. These keywords were utilized to observe national research activities in Antarctica. They show where countries started to be concerned about after the construction.

• Radiation Oncology Journal
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• 제37권1호
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• pp.13-21
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• 2019

Purpose: Glioblastoma (GBM) carries a high propensity for in-field failure despite trimodality management. Past studies have failed to show outcome improvements with dose-escalation. Herein, we examined trends and outcomes associated with dose-escalation for GBM. Materials and Methods: The National Cancer Database was queried for GBM patients who underwent surgical resection and external-beam radiation with chemotherapy. Patients were excluded if doses were less than 59.4 Gy; dose-escalation referred to doses ≥66 Gy. Odds ratios identified predictors of dose-escalation. Univariable and multivariable Cox regressions determined potential predictors of overall survival (OS). Propensity-adjusted multivariable analysis better accounted for indication biases. Results: Of 33,991 patients, 1,223 patients received dose-escalation. Median dose in the escalation group was 70 Gy (range, 66 to 89.4 Gy). The use of dose-escalation decreased from 8% in 2004 to 2% in 2014. Predictors of escalated dose were African American race, lower comorbidity score, treatment at community centers, decreased income, and more remote treatment year. Median OS was 16.2 months and 15.8 months for the standard and dose-escalated cohorts, respectively (p = 0.35). On multivariable analysis, age >60 years, higher comorbidity score, treatment at community centers, decreased education, lower income, government insurance, Caucasian race, male gender, and more remote year of treatment predicted for worse OS. On propensity-adjusted multivariable analysis, age >60 years, distance from center >12 miles, decreased education, government insurance, and male gender predicted for worse outcome. Conclusion: Dose-escalated radiotherapy for GBM has decreased over time across the United States, in concordance with guidelines and the available evidence. Similarly, this large study did not discern survival improvements with dose-escalation.

• Journal of Information Technology Applications and Management
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• 제15권3호
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• pp.169-194
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• 2008

Recently, the concept of web site stickiness receives attention as a measure of strategy to influence user's visit and behavior on web sites. Web site stickiness means site visit frequency and stay duration. This study investigates the moderating effect of espoused national cultural values on Internet community stickiness with the assumption that dimensional values of national culture can be internalized as individual’s espoused values. Espoused values (i.e., espoused national cultural values) are defined as the degree to which an individual embraces the values of his or her national culture. Our findings can be summarized as follows. First, femininity and power distance moderate the influence of user participation on Internet community stickiness. Second, uncertainty avoidance and power distance moderates the effect of social influence on Internet community stickiness. However, femininity and collectivism do not moderate the effect of social influence on Internet community stickiness. Third, uncertainty avoidance, femininity, and collectivism moderate the influence of network effect on Internet community stickiness. Fourth, masculinity does not moderate the influence of usefulness on Internet community stickiness.

• 한국IT서비스학회지
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• 제18권3호
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• pp.95-115
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• 2019

In recent years, social media that has emerged with the development of network technology has changed the channels of information dissemination. The social Q&A community is a platform for knowledge-sharing activities in a question-and-answer manner based on Web 2.0. In knowledge-sharing activities, valuable new knowledge continues to be produced and will surely bring great benefits to individuals or businesses. In the social Q&A community, the user's subjective factors play a crucial role in influencing the user's continued use and participation in knowledge-sharing activities. In order for users to actively participate in knowledge-sharing activities in the community, it needs to grasp their subjective ideas. This study explores the issue of sharing knowledge by users of the social Q&A community "Zhihu", or how to drive community revitalization efforts from these. The three factors self-efficacy, self-development motivation, and social comparison tendencies were derived, and identify their relationship with knowledge-sharing activities and community-boosting efforts through empirical analysis. In addition, the influence of knowledge acquisition on knowledge provision was investigated through sense of reciprocity. Implications of the study findings and the future research directions were also discussed.

• 지역사회간호학회지
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• 제30권2호
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• pp.234-242
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• 2019

Purpose: This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives. Methods: 166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses. Results: emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services. Conclusion: Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

• 한국융합학회논문지
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• 제8권2호
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• pp.183-196
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• 2017

본 연구는 주요 아동복지시설에서의 사례관리 수행정도 및 사례관리수행을 저해하는 요인 및 이를 보완해 줄 수 있는 요인들을 밝히고자 하였으며, 이를 위해 지역아동센터 종사자 181명, 아동보호전문기관 및 가정위탁지원센터 종사자 96명을 대상으로 자료를 분석하였으며, SPSS 21.0 프로그램을 이용해 분석하였다. 그 결과 지역아동센터의 경우 대인관계기술, 사례관리지침, 슈퍼비전, 네트워크 활용정도가 영향요인으로 나타났으며, 타 아동복지시설의 경우 개인적 저해요인, 사회복지근무경력, 사례관리경력, 네트워크 활용정도로 분석되었다. 이에 따른 사회복지 실천적 함의로는 종사자들의 대인관계기술을 증진시키고 슈퍼비전 체계를 강화시키며 명확한 사례관리수행 가이드 라인을 제시해야 할 것이다. 또한 아동복지시설의 지역내 네트워크를 구축하고 네트워크 내 기관들 간의 협력과 상호지지를 강화해야 할 것이다.

• 대한지역사회영양학회지
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• 제25권3호
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• pp.189-203
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• 2020

Objectives: This study was performed to identify the current barriers of obesity management for children using Community Child Care Centers and their caregivers (parents and teachers working in the Centers). Further, this study explored the possibility of utilizing a mobile phone application for tailored obesity prevention and management programs to overcome the current difficulties associated with children's obesity management. Methods: The qualitative data were collected through in-depth interviews with 20 obese and overweight children or children who wanted to participate in this study using Community Child Care Centers, 12 teachers working at the Centers, and a focus group interview with five parents of children using the Centers. Data were analyzed with a thematic approach categorizing themes and sub-themes based on the transcripts. Results: The current barriers of obesity management of obese and overweight children using Community Child Care Centers were lack of self-directed motivation regarding obesity management (chronic obesity-induced lifestyles and reduced self-confidence due to stigma) and lack of support from households and Community Child Care Centers (latchkey child, inconsistency in dietary guidance between the Center and household, repetitive pressure to eat, and absence of regular nutrition education). Mobile phone applications may have potential to overcome the current barriers by providing handy and interesting obesity management based on visual media (real-time tracking of lifestyles using behavior records and social support using gamification), environmental support (supplementation of parental care and network-based education between the Community Child Care Center and household), and individualized intervention (encouragement of tailored and gradual changes in eating habits and tailored goal setting). It is predicted that the real-time mobile phone program will provide information for improving nutritional knowledge and behavioral skills as well as lead to sustainable children's coping strategies regarding obesity management. In addition, it is expected that environmental factors may be improved by network-based education between the Community Child Care Centers and households using the characteristics of mobile phones, which are free from space and time constraints. Conclusions: The tailored education program for children using Community Child Care Centers based on mobile phones may prevent and reduce childhood obesity by overcoming the current barriers of obesity management for children, providing environmental and individualized support to promote healthy lifestyles and quality of life in the future.