• Journal of Korean Academy of Nursing
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• v.50 no.2
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• pp.159-177
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• 2020

Purpose: This study aimed at identifying factors related to persistent postoperative pain after cardiac surgery and estimating their effect sizes. Methods: The literature search and selection was conducted in four different databases (CINAHL, Cochrane Library, PubMed, and PQDT) using the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement. A total of 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, R was used to analyze 30 effect sizes of for both individual and operative factors as well as publication biases from a total of nine studies. Results: The meta-analysis revealed that persistent postoperative pain after cardiac surgery was related to one individual factor (gender) and two operative factors (acute postoperative pain and use of the internal mammary artery). Operative factors (OR=5.26) had a larger effect size than individual factors (OR=1.53). Conclusion: Female gender, acute pain after surgery, and use of the internal mammary artery are related factors to persistent postoperative pain. The development of interventions focusing on modifiable related factors, such as acute postoperative pain, may help to minimize or prevent PPP after cardiac surgery.

• English Language & Literature Teaching
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• v.11 no.2
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• pp.51-66
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• 2005

This study investigates the feasibility of incorporating student evaluations of peer review interactions into the course grade for an EFL writing course. The use of such evaluations offers a way to grade the process of writing more directly than using writing portfolios alone. Moreover, evaluating peer review interactions highlights the social aspect of writing, which is valuable in the current post-process climate in writing instruction. The 18 members of a semester-long EFL writing course at a Korean university were trained in peer response for one half of a semester; then performed evaluations of peer review interactions during the second half of the semester as part of their writing course. Student evaluations were examined to reveal whether any bias occurred due to relative age, gender, major, or question type. The results revealed no such biases. Therefore, it is suggested that students are capable of providing fair evaluations of peers, which means the evaluations can be factored into the course grade in order to evaluate the social aspect of the writing process.

• Women's Health Nursing
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• v.5 no.3
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• pp.265-276
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• 1999

Female nurses in Korea have historically experienced discrimination on the basis of their gender as part of the traditional society views on woman and as a result of the male dominated hospital environments. This discrimination may interfere with the ability of female nurses to promote the health of their patients. To better understand this bias, we collected and analyzed 16 cases of alleged sexual discrimination reported by female nurses with more than 5 years work experience. The cases were classified into 10 subjects and further into 4 categories: personnel administration, daily working environment, female gender bias, and health care delivery. There were 7 cases (11.3%) of unjust personnel changes consisting of demotion(1), termination(4), and reallocation of position(3). Twenty three (37.1%) of cases related to problems in the daily workplace including biases in communication between female nurses and male physicians(12), daily work(8), and responsibility for adverse outcomes(3). We noted 17 cases (27.4%) of female gender bias as reported by female nurses(7), female physicians(7), and female patients(3). Lastly, there were 15 (24.3%) cases of problems with health care delivery due to sexual discrimination, including enrollment in the health care system(4),and decisions regarding medical care(4). These results suggest that sexual discrimination towards women is pervasive in the Korea hospitals, not only towards female nurses but also towards female physicians and patients. More discriminatory practices in a timely fashion such that better nursing care can be provided to patients and their families.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.321-330
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• 2018

This study aims to analyze anti-bias education activities for young children in Korea by reviewing related research. Focusing on the themes of biases and teaching medium/methods applied in the research, it tends to enhance general understanding about anti-bias education activities for young children. For this purpose, a total of 125 research papers published from 1995- 2017 dealing with anti-bias activities/programs for young children were analyzed. The results of this study were as follows: In terms of the period of research, almost half of the studies (53 studies) were conducted from 2000- 2004. Regarding the themes of biases covered in the education activities, single bias related activities included 64.8% of the total studies reviewed, and the main themes of bias included disability and gender. In studies that included multiple bias themes, more than half investigated from three to five different bias themes, including appearance, family, disability, gender, race, and culture. The most common teaching medium/method applied in activities was children's story, accounting for 60.8% of all activities. The following was utilizing inclusive environment, which was 14.4% of the activities. Based on these findings, this study would help systematize the contents of anti-bias education and develop diverse teaching-learning approaches.

• Journal of the Korean Society of School Health
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• v.10 no.2
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• pp.137-156
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• 1997

Most education materials on sexuality developed in the past 10 years have not been thoroughly evaluated. This study provides results from a content analysis of 5 education materials for primary, middle and high school student. The results of this study were as follows: The Analysis Framework was developed to measure content in the education materials. It was organized into six domains. They are "Human Development", "Relationship", "Personal Skills", "Sexual Behavior", "Sexual Health", "Society and Culture". Each was associated topics and age appropriate developmental guides. The standard for analysis was the developmental guide suggested by the analysis framework. Each education material was assessed for developemtal guidance and its appropriateness for primary, middle and high school students. The total number of "being" responses to each developmental guidance equaled the score the material earned. These scores then were judged as to how well each education materials was comprehensive. 3 of 5 education materials were addressed as less than half the developmental guidline. Certain education materials were less comprehensive than others. I want to know 'Sexuality' covered the fewest developmental guidliness (34.6%). Interstingly, certain domains received much more coverage across all education materials than others. Most education materials provided instruction concerning "Human Development" (62.6%), "Sexual Health" (61.0%). However, topics such as "Personal Skills" (16.2%), "Relationship" (44.1%), "Sexual Behavior" (46.8%), "Society and Culture" (48.6%) were rarely addressed. Three topic, "negotiation", "sexual fantasy", "sexual dysfunction", were never addressed by most of the materials. Because several of the education material contained gender and sexual orientation biases. Certain topics such as "sexual identity and orientation" and "Gender role" were not adequately addressed by most of the material. Unfortunately, the overall findings of this study revealed that most of the education materials were considered insufficient for students. Because this study focused on whether or not the education materials addressed the developmental guidlines, further research is recommended to evaluate and addressed each developmental guidline.

• Radiation Oncology Journal
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• v.37 no.1
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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.

• Korean Journal of Oriental Medicine
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• v.8 no.2 s.9
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• pp.37-46
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• 2002

Clinical trials are experimental studies with human subjects in which various limitations and variables exist by their nature. As a preparatory stage for designing clinical trials in Oriental medicine, this study considers a virtual protocol to show guideline regarding tasks necessary when writing a trials protocol. Clinical trials have many difficulties in planning, procedure, and interpretation of results, and these may be influenced by various biases that are difficult to predict and eliminate. To deal with these issues, clinical trials need a collaboration between medical experts and biostatisticians from the beginning, through the entire trial, until the final analysis. Therefore, the first stage of clinical trials is to write out a trial plan among the experts in each field to derive the best design for the trial.

• Korean Journal of Community Nutrition
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• v.16 no.2
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• pp.278-293
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• 2011

The purpose of this study was to examine the research trend of nutrition for the recent 12 years from 1996 to 2007 by analyzing 734 articles published in the Korean Journal of Community Nutrition. The majority of the articles (61.4%) were classified as survey types in terms of data collection methods. Most of the subjects used in the articles were adults (28.8%), and the subject whose research has been increased at the highest rate was "patients". The most frequent keywords in the title of articles were "nutrient intake" (231times), "food service" (92times), "dietary habits" (69times), and "obesity" (69times). The keywords that have appeared more frequently with the years were "osteoporosis" (450.0%), "menopause" (350.0%) and "dietary attitudes" (208.3%). As for research interests, "nutrient intake" was dominant in the early stage of research while "disease", "dietary habits", "dietary attitudes" and "nutrition education" have increased in recent years. Some of the most common methods of nutrition assessment were "dietary intake" (41.2%), "anthropometric" (34.0%) and "biochemical test" (14.7%). The most common methods of dietary intake were "24-hours recall" (28.6%) and "dietary habits" (23.3%). The results of this study showed some biases in data collection methods, gender of the subjects, and study areas. Moreover, inconsistent terminologies, questionnaire contents, and measures were used for the researches on dietary behaviors, dietary habits, dietary attitudes, which made it difficult to compare their results for each research. Therefore, standardized research methods and terminologies need to be developed regarding dietary practices.

• English & American cultural studies
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• v.14 no.2
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• pp.23-48
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• 2014

Considered as the first generation of the Chinese American male writers, Shawn Wong has often been tagged with the male-centered or cultural nationalistic writer for his first short novel Homebase since the 1970s. He has, however, shifted his own gender and cultural attitudes toward his male character in his second novel American Knees, published in 1995. By focusing on his second novel, this paper examines how Wong critically reconsiders the male-centeredness and cultural nationalism in a way to invalidate them in relationships among male and female characters in the formation of the Chinese American male's identity. Attempting to establish his own national and cultural identity as an American citizenship and the self-awareness of masculinity as a man, Rainsford Chan in Homebase believed that he could achieve his identity and masculinity with the chronological experiences related to his ancestors in American society. He even strictly erased the presence of female in his own identity formation. In doing so, he seemed to anchor his authorship at the discourse of the male-centeredness and cultural nationalist like other contemporary writers such as Frank Chin and Jeffrey Paul Chan who always strongly marked cultural tradition. By creating a non-conventional male character Raymond Ding with compromising and open-eared attitudes toward female characters, however, Wong dramatically changes the idea of representing the relationships between male and female characters in American Knees. In this novel, he suggests that the male character' identity can be properly formed not in the extreme reinforcement of masculinity or the ethnic-based cultural awareness but with the mutual understanding between male and female individuals regardless of ethnic and nationalistic biases. Consequently, Wong attempts to bail out of the male-centered images of the first generation of the Chinese American male writers through Raymond Ding.

• Journal of Distribution Science
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• v.13 no.1
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• pp.71-81
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• 2015

Purpose - This study aims to examine the effect of audience attitude toward product placement, or PPL, on product attitude and purchase intention. PPL has increasingly been prevailing in TV dramas since the revision of the Broadcasting Act in January 2010, and it is quite widespread in today's society. Therefore, this study intends to investigate how the audience would take a particular attitude toward PPL in TV dramas and how their attitude would affect their product attitude and purchase intention. Research design, data, and methodology - The sample for the current study was drawn from college students in Seoul in December 2013, as the main targets of the products and brands that were advertised by PPL are young people. The questionnaire for this study comprised nine parts, such as the knowledge of PPL, experience of PPL, TV drama watching time, impulsive buying propensity, celebrity imitating buying propensity, attitude toward PPL, attitude toward product, purchase intention, and demographic characteristics. The questionnaire items were measured by 5-point Likert scales. Whether the demographic characteristics and propensity to consume would affect PPL attitude was analyzed and how the PPL attitude would affect purchase intention through product attitude was analyzed as well. To analyze the relationship between variables, structural equation modeling analysis was performed with Amos 18.0. Results - The major findings of the study were as follows. First, whether the demographic characteristics and propensity to consume would affect PPL attitude was analyzed, and it is found that out of the demographic characteristics, only gender and knowledge of PPL exerted an influence on PPL attitude. In addition, celebrity-imitating buying propensity had an impact on PPL attitude. Second, whether PPL attitude would affect purchase intention through product attitude was analyzed by structural equation modeling. Consequently, it is found that PPL attitude impacted purchase intention through product attitude. Conclusions - The findings of the study had the following implications. First, in theoretical aspects, previous studies have proven only that attitude toward PPL influenced attitude toward product and purchase intention separately; however, the current study has investigated the mediated role of attitudes toward PPL. Second, regarding the practical aspects, as PPL attitude exercised an effect on purchase intention as well as product attitude, PPL should be utilized in a manner to stimulate the audience to take a positive attitude to it. Finally, gender, PPL knowledge, and celebrity-imitating buying orientation were identified as influential factors for PPL attitude. Specifically, female consumers showed a lower attitude toward PPL than males, and the consumers who have no knowledge showed a lower attitude toward PPL. The consumers who have celebrity imitating buying propensity expressed a higher attitude toward PPL. These factors should consequently be taken into account when PPL is planned and conducted. The current study has limitations such as the sample object, non- experimental method, and media biases. Therefore, future research should be conducted to address these limitations.