• Journal of Preventive Medicine and Public Health
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• v.55 no.5
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• pp.436-443
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• 2022

Objectives: Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship. Methods: Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms. Results: Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men. Conclusions: The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.26 no.5
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• pp.755-762
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• 2022

This paper propose a clustered algorithm that possible more efficient COVID-19 disease learning prediction within clustering using context-aware attribute information. In typically, clustering of COVID-19 diseases provides to classify interrelationships within disease cluster information in the clustering process. The clustering data will be as a degrade factor if new or newly processing information during treated as contaminated factors in comparative interrelationships information. In this paper, we have shown the solving the problems and developed a clustering algorithm that can extracting disease correlation information in using K-means algorithm. According to their attributes from disease clusters using accumulated information and interrelationships clustering, the proposed algorithm analyzes the disease correlation clustering possible and centering points. The proposed algorithm showed improved adaptability to prediction accuracy of the classification management system in terms of learning as a group of multiple disease attribute information of COVID-19 through the applied simulation results.

• Journal of Gastric Cancer
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• v.22 no.4
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• pp.408-417
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• 2022

Purpose: Treatment options are limited after the failure of first-and second-line treatments in patients with HER2⁺ metastatic gastric cancer (mGC). The present study aimed to explore the efficacy, safety, and prognostic factors of apatinib efficacy as a third-line therapy for patients with human epithelial growth factor receptor 2-positive (HER2⁺) mGC. Materials and Methods: A total of 59 HER2⁺ mGC patients who received apatinib as third-line therapy were retrospectively enrolled in this two-center, single-arm, cohort study; the clinical response, survival data, and adverse events were retrieved. Results: The median progression-free survival (PFS) was 5.2 months (95% confidence interval [CI], 3.9-6.5), and the median overall survival (OS) was 8.2 months (95% CI, 6.6-9.8) Furthermore, forward stepwise multivariate Cox regression analysis showed that a higher Eastern Cooperative Oncology Group performance status score and multiple metastases were independently correlated with decreased PFS and OS (both P<0.05). The main adverse events were leukopenia (45.8%), hypertension (44.1%), thrombocytopenia (39.0%), hand-foot syndrome (37.3%), and elevated transaminase (33.9%). Grade 3 adverse events mainly included hypertension (5.1%) and neutropenia (5.1%); grade 4 adverse events did not occur. Conclusions: Apatinib is efficient and well tolerated in patients with HER2⁺ mGC as a third-line treatment, suggesting that it may be a candidate of choice for these patients.

• Health Policy and Management
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• v.3 no.1
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• pp.53-83
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• 1993

A small number of high cost patients usually spend a larger proportion of scarce health resources. Korea is no exception. Under the national health insurance, 12% of the insured persons have consumed approximately half of the national health insurance expenditures. Therefore, it is necessary to identify the characteristics of the high cost patient group, if we would like to reduce them. This study has defined high cost patients as those who have spent one and half million won and over per 6 months. The study reveals that high cost users are those who have a longer length of stays(LOS), 40days of LOS in the 6 months, have multiple admissions, 2 to 3 admissions per 6 months and are the elderly patients. They have spent 814.126won per on the average, and commonly suffered from malignant neoplasms, circulatory diseases, fracture, diabetes mellitus, etc. Unlike the case of western developed countries, early readmissions are not the major causes of high cost spending in Korea. Undoubtedly, a lengthy admission is the main cause of large spending. Health policies should vigorously be explored to respond appropriately. There are evidences that hospital beds are often misused. As the Korean health care system is lacking in a mechanism of patient evaluation under the fee-for-service remuneration system, an idea of progressive patient care needs to be tested. The Goverment should set up health policy to diversify the role of long-term care facilities and encourage people to establish them. Further studies are needed to identify factors influencing large medical bills necessary for formulating the health policy on cost containment.

• Journal of Industrial Convergence
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• v.20 no.11
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• pp.27-34
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• 2022

In this study, we aimed to determine which medical conditions of the stroke patients admitted for rehabilitation more than four weeks after onset affect caregiver burden. Participants diagnosed with stroke and their respective primary caregivers were enrolled and assessed after an 8-week follow-up period. The areas of evaluation for stroke patients included neurologic state, cognition, performance in daily life movements, gait, and balance, and caregivers were evaluated in the area of burden. The evaluation was conducted at the start of the rehabilitation course and eight weeks later. Patient caregivers were found to be under mild to moderate burden while providing care throughout the hospitalization period. The patient's neurologic state and cognition were correlated with caregiver burden. In the all patient and the subacute stroke patient group, multiple regression analysis confirmed that the neurologic state and balance stability were factors that influenced caregiver burden. Hence, we suggest that improvement in the patient's balance stability be emphasized during the course of rehabilitation to mitigate caregiver burden.

• The Journal of the Korea Contents Association
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• v.22 no.5
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• pp.174-186
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• 2022

The present study explores how the quality management rhetoric commonly used by Korean CEOs tends to be composed and perceived by the public. To this end, articles of the remarks of Lee Kun-hee, the second founder of Samsung, are analyzed. The results show a rhetorical structure of quality management where the CEO offers a persuasive theme (quality management for a super-class enterprise) and practical measures (innovation and performance-based promotion) while coping with a rhetorical situation (an economic crisis). A multiple regression analysis of the response of 308 Korean college students who watched a video of Lee's remarks indicates that the more conservative the viewers are and the more they perceive the CEO's charm and expertise, the more likely they are to support the CEO's quality management rhetoric. The conservative viewers favorably responded to the entrepreneurship in the quality management rhetoric, while the progressives recognized the rhetoric as part of Korean-style neoliberalism that alienates ordinary workers.

• Journal of Christian Education in Korea
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• v.72
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• pp.165-182
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• 2022

The purpose of this study is to explore the effect of cognitive Presence on Flow according to the level of interest among the most important factors that have an effect on academic achievement. This study targeted 162 people who took the teaching course of B University. For the study, data were collected through a survey on the level of interest, cognitive Presence, and Flow. In order to verify how cognitive presence affects flow according to the level of interest, multiple regression analysis was performed by dividing the collected data into low and high groups based on the average of the level of interest. As a result, the level of learning management of cognitive presence was .071 in the high level of interest, and the level of learning management was .143 in the low group of interest level. As a result of this, the effect of the level of learning management of cognitive presence on flow according to the level of interest was confirmed. Through the results of this study, a instructional design strategy that can be flow was suggested through supporting cognitive presence according to the level of interest.

• Journal of Hospice and Palliative Care
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• v.25 no.2
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• pp.55-65
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• 2022

Caring for patients with cancer is highly stimulating and rewarding, attracting health professionals to the field who enjoy the challenge of managing a complex illness. Health professionals often form close bonds with their patients as they confront ongoing disease or treatment impacts, which may be associated with multiple losses involving function and/or eventual loss of life. Ongoing exposure to patient loss, along with a challenging work setting, may pose significant stress and impact health professionals' well-being. The prevalence rates of burnout and compassion fatigue (CF) are significant, yet health professionals have little knowledge on these topics. A 6-week continuing education program consisting of weekly small-group video-conferencing sessions, case-based learning, and an online community of practice was delivered to health care providers providing oncology care. Program content included personal, organization and team-related risk and protective factors associated with CF, grief models, and strategies to mitigate against CF. Content analysis was completed as part of the program evaluation. In total, 189 participants (93% nurses) completed the program, which was associated with significant improvements in confidence and knowledge of CF and strategies to support self and team resilience. Qualitative themes and vignettes from experiences with the program are presented. Key themes included knowledge gaps, a lack of support related to CF and strategies to support resilience, organization-and team-based factors that can inhibit expression about the impacts of clinical work, the health professional as a "person" in caregiving, and the role of personal variables, self-skill practices, and recommendations for education and support for self and teams.

• International Journal of Computer Science & Network Security
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• v.22 no.1
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• pp.241-247
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• 2022

This study examines teachers' implementation of strategies to modify the aggressive behavior of students with intellectual disabilities in Saudi Arabia, to determine the obstacles to their real-world execution. In addition, it presents potential approaches to overcome the obstacles to implementing strategies with this group of students. The research employed a qualitative design using semi-structured interviews as a data collection tool and applied a thematic analysis. The study population comprised 35 teachers of students with intellectual disabilities and the study sample numbered six teachers. The interviews were conducted via different methods: three by phone, two face-to face, and one using the Zoom platform. The results revealed inadequate understanding among teachers of intellectual disability and behaviour modification strategies, and this affected their capacity to develop plans that were compatible with the needs of students with intellectual disability. The findings also identified multiple obstacles that impede teachers' implementation of strategies to modify aggressive behaviour among students with intellectual disabilities; the most important being the lack of input from a psychological specialist when developing programs to modify aggressive behaviour. In general, it is apparent that programs for modifying aggressive behaviour are neither structured nor complementary, due to the scarcity of administrators with sufficient knowledge and familiarity with the characteristics and personalities of students with intellectual disabilities. This study presents several recommendations, the most important of which is that teachers of students with intellectual disability should develop themselves through training courses to enable them to deal with these students and create treatment plans that include strategies and clear steps to modify the aggressive behaviour of students with intellectual disabilities. To support teachers, it is also necessary to remove the obstacles facing education centres by providing financial support to create an environment in which they can access the required devices and equipment in their classes.

• 한국노년학
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• v.31 no.3
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• pp.539-551
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• 2011

Purpose: This study was to investigate the factors influencing the fear of falling in frail elderly according to gender. Methods: The participants were the elderly over 65 years who were registered for case management for frail elderly of 253 public health centers. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 18.0. Results: Prevalence of fear of falling and the influential factors were different according to gender. 75.3% of the male elderly, 85.4% of the female elderly had the fear of falling. The predictors for men's fear of falling were static balance ability, experiences of previous falls, whereas for women static balance ability, TImed up and go, depression, experiences of previous falls, educational status were significant. Conclusion: Fear of falling and the influential factors of the frail elderly according to gender should be assessed regularly to find the high risk group. On the basis of that, prevention program for fear of falling and fall need to be developed and provided, which should be gender sensitive.